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Home My WebLink About0005 SAINT FRANCIS CIRCLE� , �� J ��. ;� �� . A ;� I II( df�l +� } ��7 T:�' +;� '�'i t� , i I I i f I , i r � I f �1 Ly �� l�•h� 'lob4� �06� � i 's �� . ; _ ,. � , . , .. � � - . � . �. r ._ �, . . � .P � s , k. � ' ' � ' � y 4 � J 9 - � J.. � � � � s � � _ i �# .. e r i � ' t - � ' �} > (508)862-4033 tig FAX(508)790-6230 BA0.NSTA8LE�' fD MP�P RUSS WHEELER BUILDING INSPECTOR TOWN OF BARNSTABLE REGULATORY SERVICES ' BUILDING DIVISION TOWN OFFICE BUILDING 200 MAIN STREET,HYANNIS,MA 02601 R A ` i S 3 E 4 U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT - (Qchmestnc MatllOnly;No Insurance Coverage Provided) IF,or,delii ery,information,viiit(u,website aat www.usps.CO OFFICIAL USE ILI im1 1 PS Form 3800 June 2002 See Reverse Ior Instructions Certified Mail Provides: assVw-ao-sssaot n A mailing receipt (as,anay)ZOOZ eunr'oost:-od Sd n A unique identifier for your mallpiece a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Maile or Priority Mail& a Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. a For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Retum Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. �tNDER:COMPLETE THIS SECTION COMPLETETHIS SECTION ON DELIVERY 0 Complete items 1,2,and 3.Also complete A. � + item 4 if Restricted Delivery is desired. ❑A ent ® Print your name and address on the reverse ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C. D e o belie ■ Attach this card to the back of the mailpiece; or on the front if space permits. D. Is delivery address different from item Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No I VeLTZ)VI)e Cite✓Pt L#0 � I 5 SA-I N /"4A Af Cl$U K� -4VA n(N(S t TI ��oQ' 3. Service Type 6 (Certified Mail ❑Express Mail ❑Registered IdReturn Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7002 2410 0003 8424 9020 (Transfer from service label) PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES Pots AL S i2Vl :l:tttc( ttti��tt t} t { t��tit�:t:ttl t t ! ° First-Class Mail i Postage&Fees Paid USPS Permit No.G-10 I • Sender: Please print your name, address, and ZIP+4 in this box • I I I I TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. HYANNIS,MA 02601 i I I YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 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.) 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, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 7 �^ '� Fill in please: � 'aa rklulliitpqi;^ " ' Sti. APPLICANT'S YOUR NAME/S: (A+ Q_f�N `�`��`�0'�y� 4 L MINIM3 3 BUSINESS YOUR HOME ADDRESS: 7hiUt �Q c S. : q 1 ' lr,^s�'!;�`� i� TELEPHONE # Home Telephone Number 4� Z 6 •� - Bd'JMIYL? k1 E-MAIL: p1aCe _ [� JtMut�•COM R rr x�°rr v E I N OR : NAME OF CORPORATION: cv��:�+L ► %N NAME OF NEW BUSINESS 2JtJ.PtZ". `n a TYPE OF BUSINESS ink IS THIS A HOME OCCUPATION? t/ ES NO ADDRESS OF BUSINESS �i SAi �cx�i !L MAP/PARCEL NUMBER 9� (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. BUILDING COMMISSION 'S OFFIE€ MUST COMPLY WITH HOME OCCUPATION This individual has be for d o ny ermit requirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO Authorized Signatur ** ^nnnPl Y MAY RESULT IN FINES. . COMMENTS: �� A 2. BOARD OF HEALTH , This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) ` This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** - COMMENTS: Building Department Services oFztte r° Brian Florence,CBO Building Commissioner t slxNsntar�, 200 Main Street,Hyannis,MA 02601 Muss. i639• �� www.town.barnstable.ma.us Office: 508-862-4038 Fax:_ (8 90-6230 Approved: 6F Fee: Permit#: HOME OCCUPATION REGISTRATION Date: b5 �`I Name: `�'d �\�: ✓��5�f Phone#: Address: 5� �`<<� , Village: Name of Business: �e)LVAII o.. Type of Business: A1�� Map/Lot 1,eQ INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. ABer registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the pemanent resident of a single family residential dwelling unit,located within that dwelling unit f •" Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residentiat 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 truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing•the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. •, if the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall bg 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 for my home occupation I am'registering. Applicant: _._.... Date: 05 HOmeDO.doc Rev.W20116 Ln CIO�o CAAA) YOU WISH TO OPEN A BUSINESS? For Your.Information:. Business certificates'(cost$40.00 for 4 rears)_ 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. You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed`fo'' to the Town'Clerk's Office; 1 st•Fl., 367„Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: 2"c> Fill in please: "► APPLICANTS YOUR NAME/S: MRt-=t�r� 2 ��'UAl '' ` ' t BUSINESS YOUR.HOME ADDRESS: -S' SAlo-I 1�:3 e�o,�s 02-6o4 TELx�HO E # Home Telephone Number a it:iL r > ' EA4 Pace _ elcevo NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF.BUSINESS PRIN ct IS THIS A HOME OCCUPATION?- YEEt No ADDRESS OF BUSINESS a(L MAP/PARCEL NUMBER (Assessing) When starting a new business.there are.several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 ynu have the appropriate permits and licenses required to legally operate your business in this town. w ` 1. BUILDING COMMISSIONER'S CI'FFICE _ t.. . �j This individual has-been:infors ied of any permit requirements that pertain to this type of business.. r Authorized Signature COMMENTS: 2. BOARD OF. HEALT9I This individual has been informed,of the permit requirements that pertain to this type of business. Authorized Signature** F COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) a _ This individual has been informed of the licensing requirements that pertain to this type of business Authorized Signature COMMENTS: V 1 a .-- �, �./ r � i Town of Barnstable Regulatory Services Op SHE Tp� .. o Richard V. Scab,Director Building Division EAEN Paul Roma,Building Commissioner '°TEo µ►d" 200 Main Street,Hyannis,MA 02601 E m www,town.barnstable.ma.ns' . . - . Office: 508='862-4038 a Fam';'508-790-6230 ° Approved: j. Fee:5 � a. T. •Permit#: ,.. HOME OCCUPATION REGISTRATION Data: Name Ma�� - �®y�TJ0v"S tiG-d P hone Address: Ski W �t frN_°_cif Gi Q- •. Village 01JPk 5 N Name of Business: ..Q e)t U A'1-, `Pf�l V}t om M Type of Business: 001t'N Map/Lot , INTENT: It is the intent of this section'to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the''dwelling--there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary Home occupation shall be permitted as of right subj ect to the , following conditions. • The activity is carried on by the permanent resident'of a single family residential dwelling unit,located within that dwelling unit ' • Such use occupies no more than 400 square feet of space. There are no external alterations to.the dwelling which are not customary in residential buildings,and there . is no outside evidence of such use. • . No traffic will be generated in excess of normal residential volumes. The use does not involve-the production of offensive noise,vibration,smoke;dust or other particular matter,odors,electrical disturbance,heat,.glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable,or explosive materials,in excess of normal household quantities. - •' Any need for parking generated by such-use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • There is no exterior storage or display of materials or equipment •'j There are no commercial vehicles relaxed to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. •; No-sign shall be displayed indicating the Customary Home Occupation • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupatio ' am registering.- Applicant )gam. ✓ k»t�!'hL J, Date. ` 1 .l Homeoc.doc Rev.06/20/16 " TOWN OF BARNSTABLE BUILD`l`[NG PERMIT APPLICATION Ma p �� 7Parcel 3 ....� t Application f � Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 5- P-1 pf-xvn,�.--s ate( Village Owner Address Telephone. 6 /`7 40 $ r Permit Request yyl�i �� +5 °"''d Cc' a UG yam` o3e' -e c� Cv Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Tota new Zoning District Flood Plain Groundwater Overlay ' Project Valuation d Oct `� Construction Type. (�D Q d Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Wr/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes Rio On Old King's Highway: ❑Yes 21146 Basement Type: CAFF"Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) lob S Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new (rD Half: existing p new Number of Bedrooms: existing -Onew Total Room Count (not including baths): existing _ new C) First Floor Room Count Heat Type and Fuel: Cl-da/s ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 2<0 Fireplaces: Existing�ZNew Existing wood/coal stove: ❑Yes ©-Kol'- Detached garage: ❑ existing ❑ new size— ❑ existing ❑ new size _ Barn:71 existing a nev`? size_ � ram; Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size — Other' I :. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ f T y Commercial ❑Yes ❑ No If yes, site plan review# Ud Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ) o Telephone Number S*-7 Address 3 � L ul L �G � AS License # Home Improvement Contractor# Email 0 M L w o --�2 `f S �, �l FDO ` Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO tS I/,"A T SIGNATURE DATE y 7 FOR OFFICIAL USE ONLY I APPLICATION# " `DATE ISSUED MAP/PARCEL NO. y I 4 ADDRESS VILLAGE f ,F OWNER r I A R DATE OF INSPECTION: FOUNDATION FRAME . ` k INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ,y PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 154NAL BUILDING DATE�CLOSED OUT ASS_OT-MTION PLAN NO. Office of InvaWgations 50Was.W ng to n,SYre et ti c� - . Boston;MA 02111 . www.mdss gov/disc Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectr cians/Plmmbers Applicant Information Please Print Legibly Name(Busmcsslorganization/Individual): - r-,,-\0cWn (&-&AI-0Z 'Address: c� c-City/state/Zip: Phone#: ' '1-tq` Are you an employer. Chf#k the appropriate box: Type of project re 4. I am a general contractor and I P ( ��I.❑ I am a employer with ❑ g 6. New construction employees(M and/or part-time).* ' ,' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling s Pand have no employees These sub-contractors have 8. :[]Demolition working for me i.a any capacity. employees and have workers' t 9. Boil addition [No workers'comp.mi ace comp.msurance.t ❑ 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions '3.[�I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions { t of exemption per MGL myself [No workers' comp. � ion P . P 12.❑Roof repairs fi insurance mod-]t c..152, §1(4),and we have no employees, [No workers' 13.[]Other comp:insurance required.] *Any applicant that checks box#1 must also fit]out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they am doing all work and then hue outside contractnrs must submit a new affidavit indicating such. $Contractors that check this box must attached an additioual sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they mast provide their workers'comp.policy number.- I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Instaance Company Name: Policy#or gelf-ins.Lic.#: Expiration Date: Job Site Address: City/Statelzip: 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 cEia 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 fora 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 16 hereby certi the pains and pe�talties of perjury that the information provided above is true and correct S Phone Official use only. Do not write in this area,to be completed by city or town oo7dal City or Town: Permit/License# Issuing Anthority(circle one):' 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#. 1 ■ lL Zvi AAA"161V1.1 "AALX 1AJU3AA Uk,LA AJU3 Massachusetts General.Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pummar t-to..this statute,an employee is defined as"...every person in the service of another under any contract othi re,. .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,.pamtnersbip,association or other legal entity,employing employ=. .However.the - owner of a dwelling house having not more than three apar6nents'and who resides therein,or the occupant of the dwelling house of another who employs persons to do mainte=ce,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 chapter152, §25C(6)also states that"every state or Iocal.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 nuunber(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (I.LP)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.regard ag 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 lime. 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'tb fill out in the event the Office of Investigations has to contact you regarding the applicant. . Please be sure to fill in the penmitdicense 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(ifnecessary)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. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit, The Office of Investigations would like to thank you in advance for.your cooperation and should you have any questions, please do not hesitate to give us a call The I)epartnmehfs address,telephone and fax number: The Comnionwealth of 1\�achu6fts - Department of hidustdal Accidents Mice of Tnvestigatians 600 washingtou Street Boston,MA 42111 Tc,L#61.7 727-4900 ext 406 or 1477-MASSAFE Fax#617-727-7749 Revised 424-07 WFU nus.govldia LP al ILD LaUlt; Reffdatory Services Thomas F.GeUer,Director .�� . BnUding DivWDn Tom Perry,Building Conmassioner 200 Main Street, Hyannis,MA 02601 wWl'rtntrn.barnstable.ma.tt s Office: 50&S62-4038 Fay•508-790-6230 • - $on�owxax Lic�sB wort . > / Please Print DATE ��/ / �10 < 1os LocATzax: � ,Cite f' 14- .r� A;A/ f'i � ASS - JOB streat ntiage �oh�owr�R�: .•Al A-) Od36e4 name home phone# work phone# - C �✓ CLMEtdT hQA lLJNG ADDRMS: 6;_ . city/town state zip code The=armt exemption for homeowners"was extended to inchlde owner-occapied dwellings of six mots or less and to allow homeowners to engage an individual for hie who does not possess a license,provided that the owner acts as supervisor. DEF=ON OF HONMDV? R Persons)who owns a parcel of land on which heJshe resides or.intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached stracttuues accessory to such use and/or fa=strdhtmes, A person who constructs more than one home m a two-year period shall not be considered a homeowner. Such homeowner,shan submit to the Buff Official on a fo=acceptable to the Building Official,that he/she shall be resoonszble for aIl such work Performed under the buildingpemiit (Section 109.1.1) The undersigned`homeowner:'assumes responskality for compliance with the State Bmlding Code and other r applicable codes,bylaws,rules and regulations. The undersigned"homeowner:'certifies mat he/sh6 midetstands the Town of Barnstable Bmlding Department minimmn inspection proce.dmms and requirements and that he/she will comply with said promdm=s and rgnahue of narricower Approval ofBmlding Official i Note: Three-fao7.y dwellings containing 35,000 cubic feet or larger will be required to comply with the Staff Budding Code Section 127.0 Constracti m Control HOMSOV4*MZ'S uxEarp•r DN The Code states That Any homeowrierpafmmEingTmrk far which a bmldmg penzft is r=Tuhrd shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Snpmvisars)-provided that if the homeowner=gages a.pm-sm(s)for hire to do such work,tlzat such Flora mr shall act as supervisor," Many homeowners who use tins ezemptiem are mimme That they are assuming the ssporudbilitim of a supervisor(see Appendix Q, R.W=&Regulations f r Licensing Canst uctim Supervisors,Section 2.15) This lack of awareness after results in serious problems,particularly when the homeowner hire tmli=med persons. In this case,our Board==ot proceed against the.=]unused person as it would with a licensed - Sapezvisor. The homeowner acting as Supervisor is ultimatrly mspo=-ble. To cnmne that the homeowner is firlty swan of hislherespasrbiIities,many coffinnnitirs require,as part of the pemrit application, that the haaieowner that hrAbe understands fhe onsihilities of a i eerttiy tesp Supervisor. On the lastpage of ties issue is a�eurrzDtiy used by seYcal"towns. You may care tam=d and adopt such a ffirm/catifrc afimfbr use in your eammunity. . .Qf'orm•S:homeocemPt 4 _ f Regulatory Services �* Thomas F.Geier,Director Biffiding Division Tom Perry,Bading Commissioner 200 Main Street;$yaffifs,MA 02601 www.towmbar Ls Ie.maus Office:: 50M62-403-8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of tie subject property h=-b7 authorize to act on my behalE in 2R matt- relative to-work au_tho=tci by this bmadmgpermit (Address of Job) **Pool.fences and aLu s are the responsibility of the applicant. Pools are not to be filled or utdi.zed before fence is installed and all final inspections are performed and accepted. Signature_of Owner Signature of Applicant. Print Name " Psint Name Dates QT0RMSOFiXWER2,MSIoMDIS 6=2 ' Bk 28155 P9168 #21535 05-21-2014.@.11:07a BOARD OFHEALTH RESTRICTION t Jose Barreiro,Trustee of Sabba IRealty.Trust under Declaration of Trust dated August 15., 2008 with Certificate of Trust recorded in Barnstable County Registry of Deeds in Book 23204, Page 37 ("Owner") owns property located at. 5 Saint. Francis,. Hyannis, Massachusetts here and being Lot.10.on plan recorded in Banxtable County Registry,of Deeds:in Plan Book 167,Page 8. t WHEREAS;the Owner has armed with the Barnstable•Board of Health to a restriction as to the number of bedrooms:which can be included many home built on said lot as a pre- condition to-obtaining adisposal works construction.permit in compliance with 310 CMR 15.00 State Eovironrnental Code, Title 5.. Minimum.Requirements for the Subsurface Disposal of Sanitary Sewage;and WHEREAS,the Town of Barnstable.Board of Health,as a'pre-condition to.granting.a said-disposal works construction permit.is requiring that the agreement for the restriction on the number of bedrooms.in any house located on.said lot be duly recorded in,the Barnstable County.Registry of Deeds: NOW THEREFORE;Jose Barreiro,:Trustee of Sabba Realty Trust does hereby place the following.restriction on.the above-referenced.property in accordance with the Town of Barnstable Board of Health,which restriction shall can Arith the land and be binding upon all successorsin title No dwelling constructed noon-the nrogerty located on the oronerty at 5 Saint. Fmncis Road, Rnnnis, lsassaebusetts being Lot 110 shown-on clan recorded In Barnstable Countv Reciistry of Deeds in Plan Book 167.Fafe.8 shall contain greater Zan three(3)bedrooms For title,see.deed.recorded.in Book 23204;Page 37. EXECUTED this.die ±tW'day of May 2014.. Saliba Realty Tnrst By/ J�&Barreiro,Trustee `t o t i 1 T \� l .X: m w� aAy, „.ti ry l _ .i ►ll ,�,w� LOGTIO�a JOB CIR-0 ' __ i i iY I I I ^p V 1 � 1 rRO.J!'GT, Q(M>lWAYGpn,wrY�r Far. �v�1. y/aro4 �.r..... my plan is to eurninate the third bedroom t the-end of the hall in the main house. 1 would do this by creating a breezeway above-tote existing breezeway. This would connect the habitable space above the -,r garage to the main house and this would become a master bedroom. i a J At CS, in flip n • 4 •Mi/Ab W�r IYfi�i�il 'w1M�.WYr.�rNN�w NIb1.IJ�Y�rW1rw1. Y�Y�IW1Mr1Y .`IWW M� M��•N Ort.'14r01' { cc/.Iowuij. eac..w+a�+a� �s3 rry+�uuw>�trMts�+Q ;grow i I t �I ✓/ II I { { z w V � 7�d I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 163 �o�. TApplication# Health Division - Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee �� •w Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 6cuo V1 C-S afC Village a d'1 Ownerwof*yo V a J�U C1 Ck Address s 6—il..L Telephone 5-a) fn 5- oC Permit Request E'e 4 1 4 kS f Mf, �5 affCL, e �xnvn m4 .'a6ue, Y6a� onXcw, - ricy- Mal rej al 5 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 N( Two Family ❑ Multi-Family(#units) Age of Existing Structure 33 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: CSYFull ❑Crawl O 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 andFuel: G7 Gas ❑Oil ❑ Electric ❑Other } Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No i Detached garage:❑ xisting ❑new size Pool:❑existing ❑new size Barn:❑existing ❑nev.size Attached garage: existing ❑new size Shed:O existing ❑new size Other: Lu �- Zoning Board of Appeals Au orization ❑ Appeal# Recorded❑ ; r -v 2- Commercial ❑Yes o if yes,site plan review# Current Use �� h6 Proposed Use �aOVSO BUIVDER INFOName Rh r kon . i! - efe'hone Nuumbe� S��1 J% p �O A dress S �' License# FAA (3'l AV\/" (+ j Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE FOR OFFICIAL USE ONLY y PERM IY NO. DATE ISSUED MAP/PARCEL NO. ADDRESS, VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION _ 9 FIREPLACE _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL a GAS: ROUGH FINAL , .gyp FINAL BUILDING DK-�— —7 —D -7 T r DATE CLOSED OUT is i ASSOCIATION PLAN NO. f P�o¢TME T eo Town. of Barnstable y Regulatory Services sA MASS.LE, i Thomas F.Geiler,Director 1619. 9 MASS. � � . 0 p fD MP Building Division Tom Perry,Building Commissioner 200 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: ymyy)f"e(/ 0 Estimated Costa -60 Address of Work: Owner's Name: 4 D[" ate-of-APPlication:i G,2 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 [❑ "`ding 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 WORD 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. Date The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations ' d 600 Washington Street Boston,MA 02111' w)*.mass.govldia ' Workers- Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers .&pplicant Information ` Please Print Legibly C::3STaffe(Business/Organization/Individual):CZ_ tY F Phone.#: S Ci- /State/Zi �V1 t?�� o� Are you an employer? Check the appropriate bog: :Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I 'employees(full and/or part-time).* , have hired the sttb-contractors 6. ❑ New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building;addition [No w ers' comp,insurance comp,insurance,*' r ed.] f 5• ❑ We area corporation and its- 10.❑•Electricalrepairs or additions I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions ' lf m se o work 'co right of exemption per MGL y � workers' �• 12.❑Roof repairs .-. insurance.required.]t c. 152, §1(4), and we have no t, employees. [No workers' 13.❑ Other_ comp,insurance required,] E �• *Any applicant that checks boz#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. jam 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: Tab Site Address: City/State/Zip: Attach a copy of the-workers' compensation policy.declarationpage'(showing the policy number and expiration date). Falure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penaires of a ine up to$1,500.00 and/or one-year imprisonment, as weLl as civil penalties in the form of a STOP 7"ORK,ORDBR and a-Frye of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the-Office of Lvesftations of the DLh for insurance coverage verification. ' I do hereby certify under the pains•and penalties of perjury that the information provided above is true and correct. 1 � ' Sisnature: _� Date Pane j Of 7ldal use only. Do not write in this area, robe completed by.ci-7 or town official. City or Town: Pert/License Issuing Authority(circle one): •1.Board of Health 2.Buldin.gDepartment ICittyrTown Clerk 4.Electrical Inspector 5.Plumbing Inspector Ii 6, Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for heir employees. ;?nrsuant to the statute, an employee is defined as"...every person in the service of another under any contract of 5, express or implied, oral or written." An.employer is defined as "an individual,partriers'rip;association, corporation or other legal entity,or any two or more of the foregozmg 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 d-eling house having not nrbre 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 onthe grounds or building appurtenant hereto shallnotbecause of such employment be deemedto be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing a;ency 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 pro.duced;acceptable evidence of compliance with the insurance coverage required." Additionany,MGL chapter.152,§25C(7)states'Neither the commonweal`i nor any of its political subdivisions shall eater into any contract for.the performance of public•work until acceptable evidense-af•co49&_nce v:th•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-conti•actor(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 stgn and date the affidavit. The affidavit should be returned to the city or town that the application for the pernut.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 appropriate1ne. 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 permitllicense applications in any given year,need only submit one affidavit indicating current #policy information(if necessity)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 born 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,. ` hz C0.M .4ZW(-,a1&ofMassa hus�tts• Dtpaxtmeiit of ladistdal Aco de is Office of Investigations 600 Washingt€li street BWonn-.CIA 02111 • ` Revised 11-22-06 Fax#617--727-7749 www.masss.gov/dia THE Town of Barnstable �OF 1p� . "o Regulatory Services snxxsrast.t;, Thomas F.Geiler,Director 9 MASS. q,A 1639• Building Division rF0 Mp�l A 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 EXEMPTION f l Please Print DATE:/ I ( Z G- JOB LOCATION: number /�str�efe�t village "HOMEOWNER": �Aa��Q ` 1 ' t J � 71 —j 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"shalkubmit 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. Sig ner Approval of Building Official Note: ,Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to,do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt - a i � s` p �'� � � � ` � � rt � � � � II � � I, I s � } __ _ _ �S �J I <� (� P" `i j /� / �, , � �� -=�, ,, .� ...� J' I � I Town of Barnstable �VE Regulatory Services �p> Richard V. Scaly,Director BARNsTABM ; Building Division BARNSTABLE � wv�ce,"sgni s o"`"sh"m�iueCD.ws°'"er�"r.�uE 1639. �� Thomas Perry, CBO 163E-2014 p'ED 1i1°�a Building Commissioner 575 200 Main Street, Hyannis,MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 April 23, 2014 Jose Barreiro 34 Alewife Road Plymouth, MA 02360 Re: 5 St Francis, Hyannis Dear Mr. Barreiro: Per your request,please find a list of items that must be completed in order for the violation notice to be lifted from your property record: • Submit a completed building permit application to Restore.to a Single Family Home o Meet all requirements of the application process and demonstrate on a plan how you intend to convert the dwelling back to a single family home. o Identify and label spaces on plans with uses (i.e. bedroom/cold storage/laundry) o A proposal to remove the upstairs slider should be included on this permit. • Disconnect and remove.from site all appliances and amenities serving the former garage apartment. o This includes the kitchen sink, appliances,hot water heater and furnace. • Demolish the former garage apartment bathroom. o Remove all plumbing and fixtures. Cap lines behind a finished wall. • Obtain plumbing permit to remove the bathroom fixtures and cap lines in former garage apartment. • Obtain plumbing permit for lower level bathroom o. Bring up to.code or completely remove bathroom including all fixtures. ft4"� • Eliminate all bedrooms/sleeping areas o Limited to three (3)bedrooms to correspond with the existing three bedroom septic capacity. , • Open or remove walls in order to remove the privacy thereby no loner qualifying as a bedroom. • Evict tenants exceeding the allowed three bedroom count per the Board of Health. • Install the appropriate number of operable smoke & CO detectors through out the dwelling as required by the building code. • Cover/sheetrock all insulation in the garage. • All work required b the plumbing and as inspectors in order to insure the q Y p g g p safety and well,being of all occupants. Once you have complied with this list, a final inspection can be scheduled. If the work is - found to be satisfactory,the property restriction can be removed and subsequent work may be approved. Sins rely; Robin C. Anderson Zoning Enforcement Officer y . TOWN OF BARNSTABLE . . - CUB/ _ III Town of Barnstable Regulatory. Services Richard V. Scaly,Director Building Division BARNSTABLE * snxivsresLE. � - euixsnat.mamwt.mnur•mxoos - �cb MASS. 16 9. `e� Thomas Perry,CBO 5 .�014 I639-201< ArFD""a� Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable,ma. s Office: 508-862-4038 Fax:`508-790-6230. April 23,2014 �. Jose Barreiro 34 Alewife Ro ad t` Plymouth,MA 02360 r Re: 5 St Francis, Hyannis Dear Mr:Barreiro : Per your request, please find a list of items that must be completed in order,for the . violation notice to be lifted from your property records • Submit a completed building.permit application to Restore to a Single Family Home a o Meet all requirements of the application process and demonstrate on a plan how you intend'to convert the dwelling back to a single family home: o Identify and'label spaces on plans with uses (i.e. bedroom/cold'.- storage/laundry) o ,,A proposal to remove the upstairs slider should be included on this permit. • Disconnect and remove from site'all appliances and amenities serving the former garage apartment.'' , o This includes the kitchen sink, appliances,hot water heater and furnace. • bemolish the former garage apartment bathroom. o Remove all plumbing and fixtures. Cap lines behind a finished wall. Obtain plumbing permit to remove the bathroom 5fixtures and cap lines in former garage apartment: . • Obtain plumbing.permit for lower level bathroom o Bring to code or completely remove baahroom ncluding.all,fixtures. . ,a a J 5 S'aint Francis Circle, Hyannis 3/31 /14 Ap Jo } F } V N ..>•c - .� .yx _ IW NI t^" M x r,F'""��` « s�° s� "1:. },ems.&'*".r �«. � i �: ,� �T �=�a ♦� . . �, '{r�J'l• Apr �}+.. � ,,,1A. � « L '}x`3�r a a� � t -+t � �'v,�d?iy� «'+..�`,ti :�'� �'k:••• ^r,°i'�.. y ' t 'i - _. � ' �p„�iµi�.�,,� it-�+ 'w f• '�3 t ��y�'� `.;.�` v _�:v 1 ""�.w r. ,,ti:4+.. i�L� 'S'':�� t` �� '� rr�e �,h i` x'�� ' _ �. �.++�� „ ." .,` a .. - �% ,fir a'•"i � �^;,�f�S« +-•fr �� y t�-.' , � t a� t y n�` ' e � t �°' F "• M• "� i�, $ PI•..,,y av,�'�+7 �r..�`�L. k •' ",Yb,•v "1�y,'^� ,o � �,�°4�mi � y�.t ,, 1 �« t. �' .its ..,��,:�.r+,rw✓ �,..,..,-.�- •-^• y ~�Pp • 5 ry F 4"', ~m. t4." *�« + r - T . .9`x +"es�sstr`t '°' .rs ,1. ..c•«4C .., !t a.`..a,�?mLa 9 5 k sr"`d'` y' ;3t.. a,fir r a xf .54 - 31 /14Sainrr'a�ncis Circle, Hyannis __ v 01 rt y d r 0 .� FF F � t 'Ile O' r J � i f `a i; v [5—Saint Francis Circl° annis 3/31714 e , � .. .••�C-'� ';�, ram,r v �. i, 774 5' W. - 9 , ^ n v t I) y 4 F y ' " y r c H 2 ,ft�aF'y a E- J 7s' qu .. «,� ,✓'' i xa e�„ ,e `�' ,� `°,..,a �,. w"' � ..,�� tr+��+a� a e h 'R ••. �! `r$ IL x J^a .t♦x a �� y � f�� w . . r emu. r ...�>�"rs••...- ,.. •�...:..- .,.� . f it Q kg .� • I a,. 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A7 MAMA 174® VIP�8 �-r n (� 0 Permit number 032S2014 z� l q TOWN OF BARNSTABLE DEPARTMENT OF HEALTH,SAFETY AND c ENVIRONMENTAL SERVICES HEALTH DIVISION � H t er KEEP OUT UNSAFESTRUCTURE UNINHABITABLE k F CONTACT HEALTH DEPARTMENT . : BEFORE ENTRY OR REPAIR PHONE: 548-862-4644 R- {r Address 5 GA --- W. Health Official v � yr•--.ram'-. .. ,. k. - 5 Saint Francis Circle; Hyannis °W ,v .` . ..` 3/31/14 INV .M ' LL a y f fs�s P $ v � , w w x a 4 K a a' ao. r 1 Y t rr • „s. ,�ar� � ai ` e ^ 3 ` E r sh i c w 5-,Saint Francis Circle, Hyannis 3/31/14 f .e . a f r 4 a v 1 �x. :Y r `��Wes'r :�, �ye,;��,y�• 4 o w e ; yy 4 A � � ff, n p r. - k A � k 1 a Cn c^n, n V/ CD M C Y4�r �h Yf �. s Y 'th f ,r. �i fi f 5 Saint Francis Circle, Hyannis -� , �` "..� - �a ��.. � -�• �- `'�� _ 3/31/14 e IIZ — •. y..`M.,' • .. fin,.� J '1,.,- � �. 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'5 Saint Francis Circle, Hyannis, � _ � � 3/31/14 1 IV Ll 41 ,..�, �``=;._ .to� <�'f a a�' � 7 � ) �..�^•.�.-�•--r-,,.� '�, e �, � � I �F ,e Q e w�yy f LJLLJJ r , •p••^•+•'pf '-' �ter.—_ — + _ _ - ._ .� - 1 ,rr ..wa�M+•.^ 1, �� ( _—,�,. �' 4 _�.r. ^ems—^ �4 y� M v < �Lt'�' "�'!��•,,�i°. -_ ,��'+,,,� �r�."aei F '-. ��5��'4r7�., .�'r w�,, �}IF\yam,'\1� L V Fes. �r't' fY' PY+r^^j mt .'.rfl - yy'+�•r+ ^`.';•,�� '.,` 1 .,-. I �t,gym f' ). .►� M+��. M`� '� ; -.'f'"+�;,dfy+,y+��,j� ��M�,..r�f�'(i��1•"Y—1. ` �.'y! `p„ "� "'•�� i�p. .� t^�+._�.. R r ^T•u�e�. Tip �� ,.... ` • ry a p ¢ � ! �w f iL.��i. '� � ~�1'1 r��) 1-•' , 9` ~r 'Y�+t.�i�L�}"` ��`�.•� , Y , � C • r, I rw .mot �,, .,,J ♦ .,.. .r . ' , ra. V� �- , .... ... r4•,.. R„ � �`� �° °F4ME � Town of Barnstable Regulatory Services MAM. Thomas F. Ge ler, Director. Public Health Division Thomas McKean, Director - 200Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 28, 2014 Jose Barreiro 34 Alewife Road Plymouth, MA 02360 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.I 11, sec. 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter H: Minimum Standards of Fitness for Humans, Jim Parziale, R.S., Health Inspector for the Town of Barnstable, on . March 28, 2014 conducted an investigation of a dwelling unit located at 5 Saint Francis Circle, Hyannis, MA. The owner-s name of this dwelling unit is Jose Barreiro. Based on the results of that investigation, the Barnstable Health Department finds that the dwelling is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.831 the Health Department further finds that the conditions within the dwelling are such that the danger to the life or health of the.occupants of the- subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions found.within the dwelling, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (A) Failure to provide hot water. 410.750 (B) Failure to provide heat. 410.750 (C)Failure to provide gas and electric service. 410.750 (N) Failure to provide smoke detector or CO alarm on lower level. • Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. if any person refuses to leave a dwelling or portion thereof, which was ordered vacated she may be forcibly removed by the local Board of Health(Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. . Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from$104500. Each day's failure to comply with an order shall constitute a separate violation. f Once vacated this unit may not be occupied without the written approval of the Board of Health: Any person needing accessAo the inside of the dwelling must get permission from the Board of Health prior to entry. ; Note: This is an4importarit legal document. It may affect your rights. PER ORDER OF THE` OARD OF HEALTH omas A. McKean, CHOIRS Director of Public Health r, Town of Barnstable ' a . . - , t rTown of Barnstable Regulatory Services saxivvsraBLE, MAB& Thomas� F. Geiler, Director prfD M1A��0 � Public Health Division Thomas Mclean, Director 200.Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 28, 2014 Jose Barreiro 34 Alewife Road Plymouth, MA 02360 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000., STATE SANITARY CODE H — MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned by you located at 5 Saint Francis Circle, Hyannis, MA was inspected.on March 28, 2014 by Jim Parziale R.S., Health Inspector for the. Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the State Sanitary Code were observed: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (A)Failure to provide hot water. 410.750 (B)Failure to provide heat. 410,750 (C) Failure to provide.gas service. , 410.750 (N) Failure to.provide smoke detector or CO alarm on lower level. You, are directed to correct all State Sanitary Code violations listed above within twenty four(24) hours of your receipt of this notice. You rnay.request a hearing before the Board of Health if'written petition requesting same is received within ten (10) days after the date the order is served. However, these violations must be corrected within twenty four hours regardless of any.request for a hearing. • r Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health . Tbwn of Barnstable o� a r Town 'Of Barnstable Regulatory Services tARNSUBL$ Mass $ Thomas F. Geiler, Director �pfFD a Public Health :Division Thomas Mclean,Director 200 Main Street, Hyannis, NIA 02601 Office: 508-862-4644' Fax: .508-790-6304 March 28, 2014 Jose Belarmindo 5 Saint Francis Circle Hyannis, MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE H —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property occupied by you located at 5 Saint Francis Circle,.Hyannis, MA was inspected on March 28, 2014 by Jim Parziale R.S., Health Inspector for the Town of Barnstable. This inspection was conducted in response to a complaint filed with the Public Health Division. The following violations of the State Sanitary Code.were observed: 410. 750: Conditions Deemed to Endanger or Impair Health or Safety 410.750 (C) Failure to provide electric service. You are directed-to correct all State.Sanitary Code violations.fisted above within , twenty four(24) hours of your receipt of this notice. You may request a hearing.before the Board of Health if written petition requesting same is received within ten (10) .days after the date the order is served. However, these violations must be corrected within twenty four hours regardless of.any request for a hearing. Non-compliance will result in a fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. . j PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S., CHO Director of Public Health Town of Barnstable i DATE: March 31,2014 TO: Building File FROM: R. Anderson RE: Emergency Response by HY FD/CO Poisoning LOCUS: 5 St Francis,Hyannis . Notified by James (Health)regarding an issue with 5 St Francis. We had worked on this property previously and found too many bedrooms for the septic as well as an illegal apartment above the garage. On this occasion, a resident reported to the ER. After a screening, it was determined that the patient had extremely elevated levels of CO. The physician notified HFD and apparatus was dispatched immediately. HFD aired out the house in order to reduce the CO to an acceptable level. The house was found to have dangerous levels of CO and the residents present were evacuated. The power had been shut off a few days earlier and a portable generator was found just inside the garage. This was suspected to be the cause of the issue. Upon my arrival, I found DC Melanson in the driveway with James. I was advised about the apartment above the garage recently occupied by a woman and an infant. Apparently, she had recently left as there was no power. She was leaving on the first of the month anyway. The owner, Jose Barrerio arrived. He contacted plumber, Bill who also arrived shortly after me. The owner denied any responsibility in the matter and clearly stead that the generator was NOT running INSIDE the garage. Richard Burnham found an illegally installed water heater and heating unit inside the garage serving the upstairs apartment. The plumber was informed it would be necessary to correct this as well as to remove the kitchen sink upstairs and cap the lines. The FHA heating system in the main house was found to be of concern. The approval sticker was signed by Mr. Sherman in 1970. There were other problems inside the mechanical room. I left for another inspection before this one concluded. At that time I was aware that the gas and power were off and Health had posted the property as Not Habitable. The power could be turned on if the bill got paid but the gas can not be turned on until Richard Burnham receives,a permit to either inspect a replacement system or perform.a test on the existing one. Richard expressed concern that he could not tell if the chamber was cracked. e ` y, I S St Francis,Hyannis At this juncture,the gas will not be turned on until the necessary permits are secured and satisfactory inspections are performed for the following work: 1. Restore to single family 2. Reduce the number of bedrooms to three 3. The kitchen sink in the garage unit is removed and lines capped behind a finished wall. 4. The heating systems and hot water heater devoted to the garage unit are completely removed from the site and all lines are capped off. Without heat and hot water, the property cannot be occupied. i R J f r Town of Barnstable Regulatory Services BAMSTAByr KAM Thomas F.Geiler,Director 139. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 CERTIFIED=MAIL#700224100003 84249044 Second Notice Fax: 508-790-6230 Notice of Building code�Violation and Order to Cease, Desist and Abate: MR.Welton de Carvalho and all persons having notice of this order. As owner/occupant of the premises/structure located at 5 St.Francis Circle Hyannis,MA 02601 Assessor's Map 310 Parcel 402 you are hereby notified that you are in violation of the Massachusetts State building code 780 CMR Section 121.0 and are ORDERED this date September 19,2005 to: 1. CEASE AND DESIST all functions connected with this violation on or at the above mentioned premises within(14)days, October 19,2005 Deadline. SUMMARY OF VIOLATION: 780 CMR Section 110.0 Compliance with permit: All work shall conform to the approved application. 2. COMMENCE :within the dated timeline to abate this violation or legal action is to be taken SUMMARY OF ACTION TO ABATE: Dismantle all un-permitted work and return the floor above the garage to an unoccupied storage space as stated on building permit#78016.An affidavit has been signed by Mr.Welton de Carvalho as unoccupied space only.Or reapply by removing the bedrooms and kitchen.Must satisfy the Board of Health and Building Departments requirements. And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1, Section 122 of 780 CMR State Building Code)within forty-five(45)days after the service of this notice. By order, Russell Wheeler Local Inspector Q/FORMS/violatel l �pFIKE tp Town of Barnstable ' o Regulatory Services * Thomas F. Geiler,Director * BAMSPABLE, MA33. g Building Division i63q. �0 iO�Eo�r a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 22 2009 Jose Barreiro,TR Sabba Realty Trust 34 Alewife Road Plymouth,Ma 02360 Re: 5 Saint Francis Rd,Hyannis, MA Dear Mr. Barreiro, As a result of the compliance inspection on April 16, 2009 conducted at the aforementioned property with Tim O'Connell of the Health Division,please find below my findings and a list of issues that must be addressed in order to avoidi enforcement action under Chapter 240 Section I of our zoning code. Property Facts &Findings: • The subject dwelling is limited to 3 bedrooms only. • The accessory dwelling unit over garage was recently re-established by current property owner. • Said accessory unit is occupied on occasion by Jose Barreiro, current property owner. • The site contained three unregistered vehicles. • Advised 5 people reside in dwelling. • Informed that a daycare is operated from the lower level. I advised you of the following: • This property has a history of complaints concerning multiple units, over-crowding, and zoning&building code violations. • You entitled only to a single-family use. . • You must remove all unregistered vehicles; only one unregistered vehicle for personal use is allowed per.site. • I noted female clothing and shoes in a portable closet located in the accessory unit above the garage. • Claims that two couples and a single man live in the three bedrooms in the main house and a daycare is operated in the lower level is contrary to the evidence at hand. No toys were on site but portable wardrobes full of clothing and shoes,personal items, toiletries, food and suggestive posters were found downstairs. Although lacking beds downstairs, each room contained a couch and bedding was found inside a storage device. r The following was agreed upon: • You will reconfigure the existing floor plan to eliminate the third bedroom at the end of the hall in the main house by creating a breezeway above the existing breezeway in order` to connect the habitable space above the garage to the main house. This action will also effectively reduce the actual and official number of bedrooms to three,the maximum allowed. • The primitive kitchen above the garage shall be completely removed and all utilities shall be capped behind a finished wall. No other room or area exceeding70 s ft shall be afforded an privacy in order to avoid q Yp Y being defined as a bedroom. • Building and plumbing permits must be obtained for all work cited above. • All corrections must commence as soon as possible. In addition, you should be aware that the most recent complaint identified your property as a "party house". Evidence supporting this on at least one occasion was noted during a previous inspection when a great number of empty alcoholic returnables and trash was discovered on the rear deck. In the event that this finding is in fact indicative of a celebratory lifestyle,you may want to consider taking corrective measures to insure that the quality of life of your neighbors is not compromised as often these complaints are a pre-cursor to other issues and disputes. This letter serves to reiterate our discussion on April 16`"' You are fully aware of all requirements and as a result I expect to see permit applications for the aforementioned work by May 5, 2009 otherwise I will pursue all necessary enforcement action. I do,however,remain confident that you will cooperate fully. Please feel free to contact me at 508-862-4027 in the event that you require additional clarification. erely, Robin C. Anderson Zoning Enforcement Officer JA5 saint francis barreiro restore sf letter.DOC Town of Barnstable Regulatory Services ► ILIMSTASLE. MASS. . Thomas F.Geiler,Director �Fo,no+a Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Notice of Building code Violation and Order to Cease, Desist and Abate: Mr.Welton de Carvalho and all persons having notice of this order. As owner/occupant of the i premises/structure located at 5 St.Francis Circle.Hyannis,MA 02601 Assessor's Map 291 Parcel 030 you are hereby notified that you are in violation of the Massachusetts State building code 780 CMR Section 110.1 and are ORDERED this date August 2, 2005 to: 1. CEASE AND DESIST all functions connected with this violation(s)on or at the above mentioned premises within thirty (30) days,September 2,2005 Deadline. SUMMARY OF VIOLATION: 780 CMR Section 110.1 Failure to obtain the proper permit. 2. COMMENCE within the dated timeline to abate this violation. SUMMARY OF ACTION TO ABATE: Dismantle all unpermitted work and return the floor above the garage to an unoccupied storage space as stated on the building permit#78016.An affidavit has been signed by Mr. Welton de Carvalho stating the space above the garage is not to be occupied. And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1, Section 122 of 780 CMR State Building Code)within forty-five(45)days after the service of this notice. By order, ` Russell Wheeler Local Inspector CERTIFIED MAIL#70022410000384249020 r °F� T Town of Barnstable Regulatory Services r BMNSfABL& • 9 MAS& g. Thomas F. Geiler,Director �A s6gq. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 19,2005 Mr. Welton de Carvalho 5 St. Francis Circle Hyannis, Ma 02601 Map 310/Parce1402 Re: 5 St. Francis Circle Apartment above garage Dear Mr. de Carvalho: In response to our last conversation regarding your matter at the above-mentioned location, you do not have many options as in how to rectify the issues. Conversing with the Board the Health,you are allowed three (3)bedrooms, and you have five (5) total,with no options to upgrade. You must reapply with the department to demolish the bedrooms and kitchen and make the area into a family room or back to it's original state as only a storage space above. You will be receiving notice by certified shortly,regarding the procedures. Oncerely, ussell gler ) Local Inspector of Buildings 9 1 Town of Barnstable nstable Growth Management Department r r BARNSfABLE, MASS. 367 Main Street, Hyannis, MA 02601 4'ArE03.�a`' Tel: (508) 862-4678 Fax: (508) 862-4782 November 1, 2005 Mr. Welton`DeCarvalho 5 Saint Francis Circle Hyannis, MA 02601 Dear Mr. De Carvalho: Thank you for.your interest in applying to the Accessory Affordable Apartment Program for the conversion of an accessory affordable apartment at 5 Saint Francis Circle, Hyannis. The Town has reviewed your site approval application, including the septic questionnaire, submitted on October 17, 2005. The Public Health Division has denied your application for five bedrooms at this property. The fact that the property is located within a Wellhead Protection area on 0.30 acres of land strictly limits the use to a total of three bedrooms. In addition, it has come to my attention that the property is currently under agreement, which violates the owner-occupancy provision of the Accessory Apartment Program Ordinance. Therefore, the Town is denying the request for site eligibility for an Accessory Affordable Apartment at 5 Saint Francis Circle Hyannis. The Building Division will be in contact with you shortly regarding the process of dismantling the apartment at this property to bring you into compliance with local zoning. Please feel free to contact me at (508) 862-4683 with any questions. R gards, lizabeth Dillen Program Coordinator Cc: Tom Perry, Build ing'Commissioner Robin Giangregorio, Zoning Enforcement Officer Linda Edson, Amnesty Program �OFINE Tp� . � The Town of Barnstable * BARNSfABM + 9� MASS. $ Growth Management.Department 039. �0 �ED1A0�� 367 Main Street Hyannis, MA 02601 Tel:508-862-4678 Fax;508-862-4782 October 17,2005 Mr.John C.Klimm,Town Manager Gary R Brown,Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Kevin Merritt- 69 Lisa Lane,West Barnstable - a single-family accessory unit John Monteiro - 56 Pine Grove Ave,Hyannis 4 a single-family accessory unit Welton De Carvalho -'S Saint Francis Circle,Hyannis - a single-farWy accessory unit Gentlemen: This letter is to inform you that the Accessory Affordable.Housing (Amnesty) Program has-received requests for project eligibility letters under the Community Development Block Grant (CDBG) Fund and under Article II of Chapter Nine of the Code of the Town-of Barnstable and the criteria for the Local Chapter 40B Program. This office is reviewing the requests.If the Town has any comments on the projects,please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the sites and the consistency of this development within the guidelines of CDBG. SincerelODMen w Elizabe Special Projects Coordinator (771 _ Growth Management Department cc: Town Attorney's Office r Building Department ; Public Health Department r ' o �• D, Mru OFFICIAL USE I= ro Postage $ ��5 hta O mCertified Fee stma O (Endorse eC3 Return nt Requecietired)FeeSEP 19P * O ResMoted Delivery Fee rq (Endorsement Required) ru Total Postage&Fees V3PS C3 ,,an,To ' Iti -Street Apt.No.; �� A or PO Box No. l -------------------- City,State.ZIRf4 ----- --------------- Certified Mail Provides: Z69i-w-z0-969z0t o A mailing receipt W eunr%08E weed Sd ■ A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: a Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail&i o Certified Mail is notavailable for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Retum Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-DDelivery", o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information Is not available on mail addressed to APOs and FPOs. °F� rati Town of Barnstable Regulatory Services • anxxsens[.e, • ass, g, Thomas F.Geiler,Director .q i63 ♦0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 CERTIFIED MAIL#700224100003 84249044 Second Notice Fax: 508-790-6230 Notice of Building code Violation and Order to Cease, Desist and Abate: MR.Welton de Carvalho and all persons having notice of this order. As-owner/occupant of the premises/structure located at 5 St.Francis Circle Hyannis,MA 02601 As`sessor's Map 310 Parcel 402 you are hereby notified that you are in violation of the Massachusetts State building code 780 CMR s Section 121.0 and are ORDERED this date September 19,2005 to: 1. CEASE AND DESIST all functions connected with this violation on or at the above mentioned premises within(14)days,October 19,2005 Deadline. SUMMARY OF VIOLATION: 780 CMR Section 110.0 Compliance with permit:All work shall conform to the approved application. 2. COMMENCE :within the dated timeline to abate this violation or legal action is to be taken SUMMARY OF ACTION TO ABATE: Dismantle all un-permitted work and return the floor above the garage to an unoccupied storage space as stated on building permit#78016.An affidavit has been signed by Mr.Welton de Carvalho as unoccupied space only.Or reapply by removing the bedrooms and kitchen.Must satisfy the Board of Health and Building Departments requirements. And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the State Building Code Appeals Board(as specified in Article 1,Section 122 of 780 CMR State Building Code)within forty-five(45)days after the service of this notice. order, a � Russell Wheeler Local Inspector Q/FORMS/violatel YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 fo.,r 44ears): A business certificate ONLY REGISTERS YOUR NAME in town [which you must do by M.G.L.-it does not give you permission o: operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) fix.. .. DATE:AD- L-0-6� ml '.' Fill in please: APPLICANT'S YOUR NAME: C.- ��2 � /�(.I•')/l BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number � 5 NAME OF NEW BUSINESS TYPE OF BUSINESS: CA i?�� y✓.� IS THIS A HOME OCCUPATION? ::. . . . YE. . NO Have i O RESS OF BUSINESS MAP/PARCEL NUMBER C/ .a When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. Th.is form is intended 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 operat our�sRess in his town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements,that pertain to this type of business. . �. .� Authorized Signature -13MMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: . 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This in dividual has been informed of the licensing requirements that pertain to this type of business. - Authorized Signature**. COMMENTS: - I Town of Barnstable Regulatory Services 4 THE 1p� tid Thomas F.Geiler,Director • Building Division * BARNSTABLE, MASS� �g Tom Perry,Building Commissioner.1 39-t 6. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date:�l7 Name: 0�A7 `�()t Z 1\0,V6,)JA1i Phone#: Address: l 1_ �4�v(A L�j C l t\y-- Village: �.h G S Name of Business: l7� Type of Business: C.Cn N S �V � �Map/Lot:_ I V � INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no-more-than-400-square feet of space. - • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by.such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed' 'cating the Customary Home Occupation. • If the Customary Ho pa'on is listed or advertised as a business,the street address shall not be included. • No person shall b e to d' e Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned,have r bove restrictions for my home occupation I. am registering. Applicant Date: t76. Homeoc.doc Rev. d Town of Barnstable oft Regulatory Services Thomas F.Geiler,Director Building DivisionRXWMABM . Mass: $ Tom Perry,Building Commissioner rEpy Aim 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: 89' --V-/ HOME OCCUPATION REGISTRATION Date:/ ©� / Name:��L�/S��F� �/. ��i�of ,� Phone#: Address: Village: f��ti/f�/i�S Name of Business: L"--".'(/�-;;' e// Zl z gf-r/s 1/e .)/ Type of Business: Map/Lot. -R:l 03 Z INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,hav agree with the above restrictions for my home occupation I am registering._ Applican r` Date: Homeoc.doc Rev.5/30/03 Y � YO U WISH TO OPEN A BU SINESS? . 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, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town-Hall) DATE:_ z f M W.�:,_ . Fill in please: ` APPLICANT'S YOUR NAME: /� �E r��l�/ ��G� �'•� x v r a , BUSINE YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS Z 1674,e l TYPE OF BUSINESS IS THIS A HOME OCCUPATION:? _YES NO Have you.been given approval from the building division? YES NO ADDRESS OF BUSINESS ,;�;_ i' MAP/PARCEL NUMBER_ oZ 2z 6Z6 When starting a new business there are.several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended 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 this town. 1. .BUILDING COMMISSIVee OF This individual hasor of any p&rrn' requirements that pertain to this type of business. COMMENTS: F 6 f.1, trIO Lft M 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature'` COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature' COMMENTS: e Giangregorio, Robin From: Cristina Junqueira [Cristina.Junqueira@century21.com] Sent: Friday, October 28, 2005 11:17 AM To: Giangregorio, Robin Subject: Re: 5 St Francis Circle Good morning Robin, Thank you very much for your email. I really appreciate your time and help. The property is currently under agreement, and the new owner is aware of the situation. There was never a misrepresentation of it, since a notification from the town came in before the offer. I guess Mr DeCarvalho was under the impression that since he had pulled a permit for the garage, he could later on legalized the apto. it wasnt until he received a letter from the building depto that he was found to be mistaken. Mr DeCarvalho did give the new owner the option to start the accessory unit process himself (which he did) OR let them do it themselves. WE were told that the permit for such program is not transferable.Therefore, the new owner is willing to do what it needs to be done once they take title. I am available to meet at your convenience, and I am. eager to avoid any future confusion in regards to this matter. Respectfully, Cristina Junqueira On Fri, 28 Oct 2005 10:45:37 -0400 "Giangregorio, Robin" wrote: Dear Ms Junqueira, I have been working with Russ Wheeler of the Barnstable Building Dept. regarding the property located at 5 St Francis Circle in Hyannis. Apparently, this property is under agreement and will be conveyed soon. I am informed that there is an illegal apartment above the garage. Please advise the new owner that this accessory unit was constructed without the benefit of permits or inspections and is clearly in violation of our local zoning code. The new owner must contact me in order to discuss alternative options or you may provide me with the contact information and I will call or write to the buyer myself. Also, I would like you to feel free to contact me anytime in order to check the status of accessory units before you list or sell a property. Working together will potentially mitigate or eliminate your liability in misrepresenting a property's legal status. I anticipate that we will confer often and I look forward to meeting you. Robin Giangregorio Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, Ma 02601 508-862-4027 i Cristina Junqueira Voicemail: 508-534-5574 Cell Phone: 508-737-5280 Fax: 508-778-2423 1 Assessor's map and lot number .... . ..... .................. SEPTIC S.7WTE^A fT,l15T BE INSTALLED IN CnUkT .IAN'�E .. Sewage Permit number NTH''AF2TICLE 6I STATE SANITARY CODE X114 TOWN °is,THE TOWN OF BAR ` ' LE Z BARNSTABLE, 9� MABEL 0 Y DUIL.DIAG { INSPECTOR O � P�a' 'i APPLICATION FOR PERMIT TO ..... ...................................................:..........:.................................. TYPE OF CONSTRUCTION .....(.1;,.-�. ....... . ..!. ............................................... ................. ..............19./y = TO THE INSPECTOR OF-BUILDINGS: The undersigns hereby applies for a permit according to the following information: Location _. ..... ..... .. �..../ :.. ?-............-':!.:..1. /..?.��G'�!� ...s�.��ii. ..................................................... ProposedUse ../. ... ...... .......� ......... ..................................................................................................... r Zoning District .. ....... ....�.�(/s'............................. .......Fire District .... . rr ...6 �1 ...................• V Name of Owner.... .... rv7 'L.�` ... .......................Address ... .... ..... ?... ./..G. �� .. Name of Builder ..� .. .. .. .... .... . ..................Address ....... ...�...:�_.............................................. /r Nameof Architect ........�.�� .r..................................Address .................................................................................... Numberof Rooms .......( ..X .............................................Foundation ....................................................................... Exterior .... ..............................................Roofing ..:l;C_ . Floors ..... .............................................Interior ..... ...... ............................................................... Heating ..`7,,O:L..... .....................................Plumbing ....C�� 4✓ ............:. Fireplace ........1........................................................................Approximate Cost ............................. .. //� s Definitive Plan Approved by Planning Board -----------_------_-----------19________ . Area .............� .................. Diagram of Lot and Building with Dimensions ki P(te¢3ed I Fee SUBJECT ECT TO APPROVAL OF BOARD OF HEALTH c"P- I hereby agree to conform to all the Rules and Regulations of a Town f Barnstable regarding the above construction. .............. Drouin Corp. No 17135.... Permit for .....PAIR-§UtKY........... single„family...oxgl1j"Ag............................... Location ......... ...Urale............... ..........................H.Yanuiz...................................... Owner .............Drouia-Corp............................. Type ofConstruction . .......frame°...................... ................................................................................ Plot . ............................... Lot .....41U. .................. Permit Granted ........Jun.e..1.2....... .19 74 Date of Inspection .... .......19 ff/131751 C& 7o Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 of ............................................................................... ........................................I........................................ )oNl ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................. ................... S C 311all VC e opres Of i legistry of Deeds showing the date the lot was location and setbacks of existing/proposed I quired prior to submission of permit atedin a Historic District: id Cape Highway) (See mapfor boundaries) =1' &.full dimensionalized are required. ule, insulation detail&floor plan showing. `) Once approved, 3 stamped sets will be returned L, the Electrician&the ' fob site. Permit application and can be obtained at-200.Main i - , { ,� Town of Barnstable Health Inspecto) � f THE Tp� i O i 1 Office Hours yP do Regulatory Services 8:30-9:30 Thomas F. Geiler,Director 1:00—2:00 nARNsrnsr.E, '1 i639• Public Health Division 9 `gym PlF°µass Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63 AMNESTY PROGRAM APPLICANT- SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: Q,q/ Address: V UP, >` P✓L,' /,�C � /J��✓ Map ,?V Parcel 6YJ Name: hk7j-pl Phone #: 2a. How many bedrooms exist at your property now? 2b. Are you planning to add any bedrooms? &6 If yes, how many? V 2c. How many bedrooms total are proposed at this property (including the amnesty unit)?_ 2d. Please include a copy of the floor plans for the entire property - showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label . each room clearly on the plans. I Is the dwelling connected to public sewer? YES or NO If the dwelling is connectedto public sewer ship„questrons4 through n9below,;. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? f'V 5. Is the dwelling connected to'an ONSITE WELL or to PUBL=WATER? 6. Is a disposal works construction permit on file? . YES or NO 6a. If yes, how many bedrooms were approved according to this permit? $edrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES ':or IVO 8. Is there an engineered septic system plan on file at the Health Division? YE --Or NO 9. Has the septic system been inspected by a DEP certified inspector within the last two yearsfP YES or NO ------- ------- - i ;12j j)� FOR OFFICE USE ONLY - - - -------J e Public Health Division ha objection to bedrooms at this property. -Special Conditions: Signed: Date:0,1health1wpfiles/amnestya _l\ exZ ® - 1 4.-A, f 3 c�itv.�•�s 0 /► ., fie,.y�v t. �J �. x �J � U � ) �� . -�� -� 3. a. ., . Recording Requested By: Bk 2o556 P:9 206 1 S301 First Horizon Home Loan Corp. 03-27—2rDr06 a 03=20P .............. en Recorded Return To: WELTON DE CARVALHO 5 ST.FRANCIS CIRCLE HYANNIS,MA 02601 I IIIIIIIIII�IIIIIIII�II@��'�11111111111 Satisfaction of Mortgage MERS#:100085200526026044 VRU#:1-888-679-6377 Mortgagor Name:WELTON DE CARVALHO Loan Num:0052602604 P.O.DATE:02/01/2006 KNOW ALL MEN BY THESE PRESENTS that the undersigned MORTGAGE ELECTRONIC REGISTRATION SYSTEMS,INC.does hereby certify that a certain mortgage from WELTON DE CARVALHO to MORTGAGE ELECTRONIC REGISTRATION SYSTEMS,INC.AS NOMINEE FOR FIRST HORIZON HOME LOAN CORPORATION dated FEBRUARY 23,2005,filed for record MARCH 1.2005 in mortgage volume 19573,page 163 DOC No.13057, of ' the BARNSTABLE County,MASSACHUSETTS records has been fully paid and satisfied;and the county recorder is authorized to discharge the same of record. In witness whereof the said MORTGAGE ELECTRONIC REGISTRATION SYSTEMS, INC. has hereunto set their hand this 8th day of MARCH,2006. Q.1 V CERTIFICATE OF TITLE:NIA Property Address:5 ST.FRANCIS CIRCLE,HYANNIS,MA-02601 \v` Loan Amount$300,750.00<ae1LoanLoanAmt» MORTGAGE ELECTRONIC REGISTRATION SYSTEMS,INC. -.`1 e Electronic By: / F7. Systems,Inc. ALVARO TORRES Corporate Seal ADMINISTRATIVE OFFICER 1999 Delaware State of TEXAS County of DALLAS )SS: Before me,LISA GERARD,a Notary Public in and for said county,personally appeared ALVARO TORRES, ADMINISTRATIVE OFFICER,of MORTGAGE ELECTRONIC REGISTRATION SYSTEMS,INC. known to me to be the person and officer whose name is acknowledged on behalf of said corporation and by authority of its board of directors;and that said instrument is their free act and deed individually and as said officers,and the free and corporate act and deed of said corporation. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed my official seal in DALLAS county, TEXAS,this 8th day of March,2006. ILIA GERARD In and for the state of TEXAS Prepared by Rashonda,Turner ,,� °4 USA GERARD e®a NOTARY PUBLtC �? •�'� TE OF TEXAS My CAwma Fxp.04.1442DD6 C� BARNSTABLE REGISTRY OF DEEDS oFr ,, Town of Barnstable y Regulatory Services n�ss. ,� Thomas F. Geiler, Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 August 14, 2006 Mathusalem Madruga, Andre Luiz Longuini ; 5 Saint Francis Circle Hyannis, MA. 02601 NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE The paperwork for the property owned by you located at 5 Saint Francis Circle, Hyannis was recently reviewed by Donald Desmarais RS. Your Amnesty Program application_stated and showed floor plans showing 5 bedrooms at this property. It was noted that the Building Department also ordered these rooms above the garage removed. The following is a violation of the State Environmental Code: 2� 32-5: Maximum allowable wastewater discharge: A . Within zones of contribution to existing and proposed public supply wells, the maximum allowable wastewater discharge from new individual on-site sewage disposal systems shall not exceed 330 gallons per acre per day. On February 1,1995 Septic permit 1995-87 was issued for 3 bedrooms. You may have no more than three bedrooms total at said location. The apartment above the garage was not permitted and is not allowed to be used for human habitation. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice. You are ordered to correct the violation by eliminating the two extra bedrooms so that a total of only three bedrooms are present at said location: The Town of Barnstable Health Department has a policy to eliminate the privacy of being considered a bedroom by installing a minimum five (5) foot cased opening with no doors, and no beds or people sleeping are allowed in the room. You are required to obtain a building permit to accommodate this order. Please call Health Inspector Donald Desmarais, RS to schedule an inspection of the property when the two extra bedrooms have been eliminated at (508) 862-4740. You may request a hearing before the Board of Health if written petition requesting same is received within ten(10) days after the date the order is served. Q:\Order letters\Sewage violations\33 Emily Way.doc Non-compliance will result in a fine of$100.00 per violation. Each days failure to comply with an order shall constitute a separate violation. PER ORDER OF THE BOARD OF HEALTH Dale Saad, PhD Acting Director of Public Health Town of Barnstable Cc: Building Dept. l Q:\Order letters\Sewage violations\33 Emily Way.doc oFtT Town of Barnstable a Ft� lOF BARNsT KE Growth Management Department 9BA MASS. 367 Main Street, Hyannis, MA 02601005 NOV 'I PIS T. 32 `bAl i679. s`` Tel: (508) ( )862-4678 Fax: 508 862-4782 fD MA'S 01VISION November 1, 2005 Mr. Welton DeCarvalho 5 Saint Francis Circle Hyannis, MA 02601 ` Dear Mr. De Carvalho: ` Thank you for your interest in applying to the Accessory Affordable Apartment Program for the conversion of an accessory affordable apartment at 5 Saint Francis Circle, Hyannis. The Town has reviewed your site approval application, including the septic questionnaire, submitted on October 17, 2005. The Public Health Division has denied your application for five bedrooms at this property. The fact that the property is located within a Wellhead Protection area on 0.30 acres of land strictly limits the use to a total of three bedrooms. In addition, it has come to my attention that the property is currently under agreement, which violates the owner-occupancy provision of the Accessory Apartment Program Ordinance. Therefore, the Town is denying the request for site eligibility for an Accessory Affordable Apartment at 5 Saint Francis Circle, Hyannis. The Building Division will be in contact with you shortly regarding the process of dismantling the apartment at this property to bring you into compliance with local zoning. Please feel free to contact me at (508) 862-4683 with any questions. 'ardas, lizabeth Dillen Program Coordinator Cc: t/Tom Perry, Building Commissioner Robin Giangregorio, Zoning Enforcement Officer Linda Edson, Amnesty Program SENDER: COMPL THIS SECTION 0 N DELIVERY ETE THIS SECTION COMPLETE N Complete items 1,2,and 3.Also complete A.Signature item 4-if Restricted Delivery is desired, i z ❑Agent ■ Print your name and address on the reverse X' `' ❑Addressee so that we can return the card to you. B. Received by(Printed Name) C.Qatp of Delivery E Attach this card to the back of the mailpiece, or on the front if space permits. D. Is deli a dre m—'d Ant from item 1. Yes 1. Article Addressed to: if r de i a Kss below: ❑ No l 1 i� �-• Z O S� Pitt, /UC S �,V((If 3. Se e 0 _ e( Vl V1 tS ` ❑Ce 1 ! 'Express Mail 7& / ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer.fromservicel 7002 2410 0003 8424 9044 PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 t UNITED STATES POSTAL kVICE44 ''., FirstaGlass Maid p Postage&Fees Paid USPS i Permit No.G-10 • Sender: Please pn4y8`u(name, add ress;-.Trid lP`+4-in-th%box e�y?ncs f2Coc)� r::�t ft}f i ttii jj �i I�I�I)i��i 11111111111 fill$1111111 _ mpliance Certificate must be on file. ement Specialist's License ter of Permission. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z-�l J Parcel Q`3 Permit# Lf L71 Health Division ` 95— [)ve,Iss ed•3 A.R u7 a 4 Conservation Division ' „ plirtion Fee 2 .! 418 Tax Collector6�-- a�05z- Permit Fee Z! S-I5-941 Treasurer �,� ��/�'�O C� 31✓' �s Uw1 PlanningDept. SEPTIC SYSTEW ST p INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board VIflTH TITLE 5 f ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN RE ULATI N 6 VSdG j �l Project Street Address K7J Village �,d ,b ; Owner ",2&3 � a , a Address �`�/�7 `2_ Telephone Zz� Permit Request .s"�_�_Z Square feet: 1 st floor: existing proposed © 2nd floor: existing -proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `2e to Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structureii'g g � Historic House: ❑Yes 41NO On Old King's Highw y: ❑Ye"� o C.- i Basement Type: ull ❑Crawl ❑Walkout ❑Other C= Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) =' Number of Baths: Full: existing new Half: existing neW Number of Bedrooms: existing new a, Total Room Count(not including baths): existing new First Floor Room ount m Heat Type and Fuel:AGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Ed No Fireplaces: Existing New Existing wood/coal stove: ClYes ❑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 w JJ BUILDER INFORMATION Name__ �5__4 v-- �a. /� Telephone Number Address ,j/! �AA c, c Ne License# O '9 Home Improvement Contractor# /3 0 0/IJ Worker's Compensation# W CS `3IS- 317-ol -oz 3 ALL CONSTRUCTION DEBRIS,RESULTING FROM THIS PROJECT WILL BE TAKEN TO A_ SIGNATURE DATE 1 1161,11 J FOR OFFICIAL USE ONLY l ` Y t , 1 s PERMIT NO. r DATE ISSUED ' r I I I I c MAP/PARCEL NO. ADDRESS J ,` ' VILLAGE f 5 1 + d OWNER DATE OF INSPECTION: 5 FOUNDATION i FRAME ,6 fX //",v Z-4 INSULATION } FIREPLACE ELECTRICAL: ROUGH 'FINAL j a m PLUMBING: ROUGH m FINAL-' GAS: ROUGH '""I FINAL FINAL BUILDING �l r ' ale �� c- 0 ri, :2 n 0- 1'DAtO LOSED OUT " M tr'ASSOCIATION PLAN-NO. ' u , i ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 ` Residential Addition $ 50.00 Alterations/Renovations. $.50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE 2_0 square feet x$96/sq.foot= l�i ® x.9ffikY= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.004.1= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ S x # = ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf - 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf 100.00 >1300 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS - Open Porch x$30.00= (number) Deck.... ... x$30.00= (number) Fireplace/Chimney . x$25.00= (number) Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee ';Z6 Projcost Rev:063004 a To whom it ffiay concern, + .1, Welton de Carvalho, owner of 5 st Francis circle Hyannis, MA 02601, will not be occuping the living area above the garage. Sincerely, Welton de Carvalho July 15, 2004 a A TRUE COPY ATTEST. MADELINE P.TA OR Notary Public E mmonwealth of Massachusetts My Commission Expires December 4,2009 The Commonwealth of Massachusetts -� Department of Industrial Accidents ' 0�68 sf�rsd�►i�s' r 600 Washington Street _ - 1 Boston,Mass. 02111 s Workers-. Com ensation.•Insurance Affidavit-General Businesses 7. name. address city at a. z state: e zip: QrtlSa I • phone# work site location(full address): S 5 Frei vlo j GI>esl-e ,.a.n h>.5ti dZ I am a sole proprietor and have no one Business Type: Ej Retail❑RestaurantBaAatibg Establishment working in any capacity. ❑ Office❑ Sales(including.Real Estate;Autos etc.), ❑I am an em toyer with employees(full& art time)'. ❑Other I am an employer providing vtorkers' comuensation for my employees working on this job.. _ 'r• eaat=ess:° i di hone.#s' � .i .insurance.co ' ' I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: company name 777. - .4' " .'�• _: lion #� city U .. 777 .. .:Ly:.a •:S ... - - - i' insii rance co..-.... NO 7MMOMM/P m/m/m/i address: city: phone:#,* O'is irisurenceso -g: �i #`:.:a:. Failure to secure coverage as required under Sectioa 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civff penalties in the foim of a STOP WORK ORDER and a fine of$100.00 a day against me I understand that s copy of this statement maybe foiwarded to the Office of Investigations of the DIAfor coverage verification. . I do hereby certify and ins and penal ' s of per' that the information provided above is true a-d correct Signature Date , ). Print name � .r �` 4 �E Phone# 7! rial use only do not write in this area to be completed by city or town official . w city or town: permit/heense# ❑Building Department ti L]Licensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department , contact person: phone#; Pother (revised Sept 2003) q , I � 9 Information and Instructions , Massachusetts General Laws chapter r �152 section 25.requires all employers to provide workers' compensation for their. employees. As quoted from the law', 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 mare of the foregoing engaged in a joint enferprise, 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 bean employer. MGL chapter 152 section 25 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, 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. i Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be subnvtted 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. , City or Towns , Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the fill out in the event the Office of Investigations has to contact you regarding the applicant Please affidavit for you to g Y g g PP be sure to fill in the P errrit/license number which will be used as a reference number. The.affidavits may.be.returned to the Department by.mail or FAX unless other'arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call T The Department's address, telephone and fax number: . The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InvesnoMns 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406 f • Town of Barnstable . Erg''"o,� Regulatory Services . Thomas F.Geiler,Director • a • �`��, Division . Building -. lF°Mpg Tom Perry,Building Commissioner _ 200 Main Street, Hyanis,NIA 11601 Fax: 508-790-6230 O{$ce: 508-862�038 �... .. :._ Permit D ate _ A GOl1�lTRACTOR;LAW -� �bpPLEMENT TO PERNiTT APPLICATION tares that the"reconstruction,alterations,renovation,repay,modernize er o,ccun red Gs io • .MGL c.142A zgq or construction of an addition,to my.pre-existing wm, -- p prov=eu removal,demolition, _. bu}ldimg-contamuig,atieast one but not more ti�an four dwelling units or to structures grhich area t er o ._..._ _ p - be dose by registered aontractoze,grith certain exce bons,;along with other .• w such residence or budding requirements , �� dr0•$ d Cos ._ _ __- ;=---w-•--..: ype'of Work:• �. W d of Work. dress F Date of Application: I hereby certify that' trationrs not ' ed for the following reason(s): []Work excluded by law - []lob Under$1,000 _ _ - []Building wn _ not o er occupied [Downer pulling own permit Notice is hereby given that: OR DEALING WITH M R.EGISTERED, OWN7,W PULLING THEIR OWN PERMIT CTORS FOR APPLTCAB,,ZE HOME I O ROYEME TN X YM UNDER NGL c 142A. - -- CONTRA OR GUARAN , ACCESS TO THE ARBITRATION PRO -- _. SIGNED UNDBRPENALTMS OF PER UPy Ihereby applyfoi&permit as the agept of the oytger: Q 01 � � Registradonl�Io. Contractor Name . . Date OR Q C:MK APPd4 l CC21 AStR 7'otC Pmcs4P &e pXeksga iar Cae xttd 7'�'�•P's.c'�?'�{deatiit Huitdia�t „ �iM� 'Hcasing/Ccsalircg h1AXfM Floar saa� Eqggiarnc aioncy� {�elling • C3lazin� V Axm 0-) y�ttc R SIUAC A,y'tluei pia saad Hcctia�Aim I]X}s' 37a1 to Nocm�l 13 I 10 Nomvcl IZy, a,d� 3$ t9 19 10 6 IS AFUTi 30 13 Ig to Namsal 1; 121/1 a,xa 31 13 v N!A N6 Nomsa! T Isvit a.38 1 19 19 10 WA 15 AFM 16*l. a.4� 13 2-5 NIA • 11 AM Y IS'li a.44 3� 19 19 10 NlA Nom-4 I5'!. 0.32 73 NIA Nom%4 0.32 3� 13 19 25 NIA NIA 4oAF�U9 0,42 3� 13 ig 10 gO.AF� 4 18Y. 0.42 3� 19 XA Ig IG X I$./, 0.10 3a w �� ADpRE55 OF PROPERTY: ' OF ALL�'TEp.ZOR WALLS: 9.Up� ' �_ gQVARE FOOTAGE . 3. 5QU ARE FooTAaE OF ALL GUA7,VG: %6 h, o/a GLAZING AREA(93 DIVII)ED BY . i 5 SELECT PACKAC38(Q-�AA-sea chart abavb): p,RE AYAIL�INV, G tRG y OLVED mo )S NO-s; OTHERMOREAFORTxs moZ REQUIREMEN'�S , B�,DIT`ZG INSPECTOR APPROVAL. ZIO' q.fa�,;.flS03036 , 1 pFSHE f�, Town of Barnstable Regulatory Services i sAPYM ssB ,$: Thomas F.Geller,Director 9 1639. .E Building Division 4i'°Tfn rr+A�a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 office: 508-862-4038 property Owner Must Complete and Sign This Section If Using A Builder l; ® ,as Owner of the subject property I, i to act on my behalf, hereby authorize in all matters relative to work authorized by this building permit application for, (Address of Job) Date Signature of Owner Print Name ISSI0N I'I Q,FORM S:OWNERPERM r • + t ,per ��ie �anvmoouueallL o�iZ�aaaac/ucaelta ' Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 130611 Board of Building Regulations and Standards Expiration: 3/31/2006 One Ashburton Place Rm 1301 Type: Individual Boston,Ma.02108 CAROLYN BOBOLA CAROLYN BOBOLA 24 ST.FRANCIS CIRCLE � � HYANNIS,MA 02601 Administrator Not valid without signature ;; tS ✓fie T�omxmxansunea',�fi �i�4Z�aoa4x'e`iude� j! k. BOARD OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISQR ` 058987 Number"CS j p 0710�4I21766 Tr.;no. 15560 Restricted r 00; ; • ��^�--•mac, ' STEPHEN E BOBOLA 24 NNR' NCIS CIR 4 MA 026'01 Acting ;,o miss r CONCRETE BOUND FOUND N • z, r \--I � cp n STAKE V1 ° SET STAKE SET AT a t4 BROKEN r CONCRETE ' BOUND FOUND ' Z ,4., p cri LOT 10 &1 CONCRETE BOUND FOUND 120.002 LOT 9 STAKE SET JOB # 96-108 SKETCH PLAN SHOWING STAKES SET, *BOUNDS FOUND, AND FENCE LOCATION ON MARCH 28,1996 LOCATION 5 ST. FRANCIS CIRCLE HYANNIS, MA SCALE : 1" 40' DATE : APRIL 1, 1996 PREPARED FOR: REFERENCE : LOT 10 PB 167 PC 85 ' WELTON De C 0 ' OFMgss'c TIMOTHY of SM-362-4541 o COVELL tax 5W 3M— v No.38035 Pam' down cape engineering, mc. ` -- CIVIL ENGINEERS --- ---- — ----- — t LAND SURVEYORS DATE REG. LAND 939 man sL ymmouth. ma 02675 r 6 r I i � r `If�\` •' I 44 _ - p Z------------------------------ r i I N � i f I _ N 09 1 i �- 11 V, f I J } i Y v 1 1 �4 -4 Al f1 { i �__ � •. .. � ` � I 11,E �111� � bl. � ,. - T _- t _ r f f w j c-- --- q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �g Parcel 03 0 Permit# I /,Health Division '.3� $1 /, � � 4+491 Date Issued �z _S�tiorr 9ivision �/ Feed •®® !% Tax Collector Treasurer ff I ► SEPTIC SYSTEM MUST BE anrnng Deff. INSTALLED IN COMPLIANCE l WITH TITLE 5 Dat&9e#n4iae-Pian Approved by Planning Board ENVIRONMENTAL CODE AND -Histe�is--BKk+— Preservation/Hyannis TO REGULATIONS Project Street Address �� Vii� ►�L U S (?_J t2 Village N-\��Fkm rp Owner WAN Leo Address 5 S T : �cr�� '�ey Telephone Permit Request Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new Estimated Project Cost I PCO 100 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ji�No If yes, attach supporting documentation. Dwelling Type: Single Family X Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 1$No On Old King's Highway: ❑Yes IQ No Basement Type: ,Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Dumber of Baths: Full: existing Z new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count j Heat Type and Fuel: -�XGaS 0 Oil ❑ Electric ❑Other j Central Air: ❑Yes ANo Fireplaces: Existing New Existing wood/coal stove: ❑Yes KNo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garageXexisting ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes loo If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number � - ?'Z1 Address j J S ��.�0.cre� Qx&e3� License# A(Cxr-nC,� <:)ZCo� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETA KEN TO SIGNATURE t DATE 1 F • - ! t FOR OFFICIAL USE ONLY PERMIT NO., DATE ISSUED '� J MAP/PARCEL NO. J ADDRESS t% -- 1 ` VILLAGE OWNER !� DATE OF INSPECTION: FOUNDATION 1 ' FRAME . INSULATION FIREPLACE ELECTRICAL:' ROUGH ern ni: FINAL Y PLUMBING: ROUGHS FINAL GAS: ROUGH PC m C3 FINAL 1 r, . FINAL BUILDING po _ - t DATE CLOSED OUT ASSOCIATION PLAN NO. :: } c_ 1 ie 1 own of warn .�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 r r Ralph Cressen Fax: 508-790-6230 r Building Commissioner 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 onto structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: CV-0, Estimated Cost Address of Work: C-�e-544 Owner's Name: cy-\ Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law E&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 MROVEMENT 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. \O Date Owner's q:forms:Affidav MCURAppmdki •. . rabla-rs�(mad) - f1mmuipthe Psdmga for Dae and Two-Family RmidmtW Bandtap Seamd with Faso"Fada MAXIMUM MUM Wan Floor g Slab �B��B Arm' ams i) U value= R42j� R vaim Rrvaiucl Win PIS Eqwpmcm Fgcw=y, pie R.vaivat &vdud 5"1 to 690 Hearing Degree Dada' Q 12% 0.40 3l 13 19 10 6 Norma! R 12% 032 30 19 19 10 6 Nomm! S 12'A WO 31 13 19 10 6 U AFUE T 15% 0.36 3l 13 25 WA WA Normal U 13% am 31 19 19 10 6 1 Normal +e .u. ww1 M ARM r JO NM •••• W 15% 032 1 30 19 19 10 6 83 AFUE X IE'/. 0.32 32 13 2S WA WA Normai Y 19% 0.42 31 19 23 WA WA Normd Z 19% 0.42 311 13 19 10 6 90 AFUEE AA ll'/. 0.30 1 30 19 19 10 6 "AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY #2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: I q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1 b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wail area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 fl of glazing area. 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JI.5.3a. U-values are for whole units: center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the CAAaiuoned spac:c auu uto vcuuwaad 4lYl uYn Yt Wr•Vof• 'Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example, an R-19"requirement could be met EITHER by R 19 cavity insulation OR R-13 cavity insulation plus R-b insulating sheathing. Wall requirements apply to wood-flame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements.. or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements.-are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3, 4, or S. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5M I a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 035). c) If a ceiling, wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 =r� Department of Industrial Accidents -_-�-� Offlc�otl�estigatfoos _ = t 600 Washington Sheet Boston,Mass. 02111 - - Workers' Com ensation Insurance davit name: location city p Z hone# S O •118 1 U I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one worlds in anv capacity ❑... I am an employer providing workers' compensation for my employees working on this job. : com anv name... , a are ss. city- : ohane#.. ::::.. insurance co.: ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: com onv name. ::::....,.:.....:::...:... ::::..:.::....::::.:: ddr es s. :.::::::::::::. :.::::::::.. :.:..::::..:::::::.::.:.:.. ::.:::.:::.:.............::.:.:...:..:::.:::.::...... :::...:.:..... ::.. :................. .............................................::::::::.>. .:::::::.::::.:::::::::::::::::............ ........................:...............:..::..:.............. »�on................ cih* ?:ii"riiii''ti:`iii:!i:;1:}:ii:i::"::::C::_{;:}i:; ;:;::; ;i'it:!4: }......:..isi: : �iiii :ii'ii yii i..�.............,....t..:.... .{•.:.....,................ J{{}: .nv.i+w.nv............ Cr M.::. i'•:i::: ._.?.:.:ri:;:;:j; :;iii;ii%: :':}•iii•'i:•:•:•:•ii:•::.:�:::::. ::::'::.:::::i::.:'.: .::. ....:'. .:':.:ii::;`:::'i:?;i::!:•iii'::v:$'^:?::i::::i:::: }i::::j:?:i:::j::::?i'ji:•::j!::j+:::isis ii:v::::•.i'.isi:Si:•i 01 C lasnrance ....................... anvname. ::.;;:�::.:::•::::.:::._.�:..::::.:....::.::. >. . .. ... address: : :<>:::.:;:.:;. h IX one:#.<:; ?« :>> :>`: >' < .............. <» . <»»:: City :: :><v itllOTanC '>°Olicv �i. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposBon of criminal penalties of a fine up to si,500.00 and/or one yeah'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ounce of Investigations of the DIA for coverage verification. I do hereby certify raider the pause and penalties of perjury that the information provided above is&uo and correctc� signature / / Print name 1 Qn �P C ez r i/��h t) Phone# ofncfal use only do not write in this area to be completed by city or town official city or town• permit Ucense# ❑Building Department - ❑Licensing Board ❑checkif immediate response is required ❑Selechnen's Ofnce _ ❑Health Department contact person: phone#; ❑Other (revved 9195 PIA) Information 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 employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However.the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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 6LU the Department at the number listed below. City or Towns 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 peiz i cense number which will be used as a reference number. The affidavits may be wwriiR io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Me of Invesduadons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 ' Department of Health S an Binding Division � OMI "367 Mam Sf�as,$Y�MA - R&#Crossm offices 508.=40 9 Buiidiag C� Farr 509.790.4MO WNEOL Am•� DAMcmmw 1 t 1 �. mAn.QiQA1mBRFSS. m, _rvly a oafar VPBt E�eadedt0 ofsis�or it s mdtoWjawhumwwmtO an fad'n►WMI fc Mo who does Mt W=a IIcease,wmddkd OF wwma � t�tCdJQ,�W�l ttiClC is,or is �20 s)WLO pWO�sa��TRd Wb1C�l S�1C T SmM m sQCh 1�80d/�facet sum b • A g 8a�ar uvO'�Y r a!dClac�ted �W�fo C mmdm �1�� failSabmit Bdiftg.offivataaafoa�as �° ecdoa 109.Id) 'w ownd' rev 5>�e�n0dmg code and attic MpAmble codes.Wbw4 ndw md cam• mm and "�mWalt cordf=tbathelstLe wShthe �Bmuing D m� mWM= PmrpcIr laod�c=aodd= �mfs. c APPevrdofHdii�i�IDosi Nm ' Ydwa&pc=hft ma afmorjmWwMbarcquhvdm ccm c PiY w&* Sm BaldingCode Sscdoa M7.0 Q=mmdm EMN�� a bmidfoa s�6e oom�t tam the ftCmkst� dm -AafbomeoavaPaSo�mm��'°d�� tmtiffb iwo m Awwo)tor aiffihseeios(Seesiml09.l.I•Lioemmga��°0OX 6ftam dosoebaad�s5tcssdtHo®eo�aa>milseta::s�ti�ae' � a�a�pa*�<ssA�� ahsms 2" vcWd msai�p AdesdtR � it6eR� lathhao.�BoudgmumPomdmanaiimmedl?��d �,�,.fies�hahoimea*mr on�f • .rithaiioealedsape� me6ameoaasracds�ss8� �ft�mp�cofine��"'�° Toe®oashashafi�a�f�a�� sa�iss� Ont�iaa�eafffi�iameuafo�m�fv� tma�e �'�ac� �� mem'Y'aaac�it9 �f t�af towas. Yonmsf�mess smmdtffiadoptsaeA a } f� s 1 FRAMING SECTION i ALL DIMENSION LuMSER SHALL BE KD SPF NO.2 OR BETTER. « COLLAR TIE @ 48- O.C. d 2 x RAFTER @ ` O.G. f 2 x CEILING FOIST 0 " O.C. W/15 I.B. FELTNGLE 1 PINE FACIA R-30 KRAFT FACED Fs BATfS ' R- UNFACED FG BATTs a SOFFIT VENT W/6-MIL POLY VAPOR BARRIER (I st 1 2wo FLOOR) PINE SOFFIT i 2 x FLOOR JOIST @ -o.G. (iST 2ND FLOOR) ti 1 i i S!LL 1 � 0 A N CNo a BOLT' @ 6,-0` O.G. s, ~CONCRETE n FOUNDATION WALL i I Date: May 4, 2009 To: Building File From: R Anderson Re: 5 St. Francis, Hy • Spoke to owner at counter. • He wants to sell property. • He intends to evict current tenants because he confirmed that too many people are living there. He rented to 2 couples. • There were recent reports of as many as nine people residing here. • Owner claims he cleaned &raked yard and removed trash &cases of empties. • Only one bag left on site. • Unreg cars have been removed. • Advised him he must pull permit to remove the kitchen above the garage by Friday. • Also, advised that tenants must be considerate of neighbors and if this continues I will cite him. • Owner stated he intends to sell house and cannot afford to spend the $8 — 10,000 to convert to a sf in the manner discussed during our last inspection. (Creating a second story breezeway and eliminating a bedroom) Barnstable District Court CapeCodOnline.com Page 2 of 3 u " pretrial probation; assault and battery with a dangerous weapon, dismissed. RUDOWSKI, Robert J., 20, 25 Viking Lane, Sandwich; admitted sufficient facts to breaking and entering,Aug. 6 in Sandwich, continued without a finding for one year, $600 costs and $50 fee. TAYLOR, Michael W., 44, 48 Berry Lane, Yarmouth; assault and battery, threatening to commit a crime and intimidating a witness, May 17 in Yarmouth, dismissed. ARRAIGNMENTS (The following pleaded not guilty.) CLARK, Junior R., 27, 146 Stevens St., Hyannis; cocaine trafficking, Friday in Barnstable. Pretrial hearing Oct. 8. GONSALVES, Peter C. IV, 23, 112 Brick Kiln Road,:Falmouth; assault with a dangerous weapon, July 29 in Barnstable. Pretrial hearing Sept. 10. HOLLANDER, Bonnie, 24,40 Apple Lane, Dennis; OUI and three other traffic violations, Friday in Yarmouth. Pretrial hearing Sept. 24. LOPES, Tinisha, 25, 7A Commercial St., Yarmouth; shoplifting, Feb. 24 in Yarmouth. Pretrial hearing Sept. 18. MCDOWELL, Marcus, 1.8, 144 Connemara Circle, Hyannis; assault and battery with a dangerous weapon (shod foot), Thursday in Barnstable. Pretrial hearing Sept.23. SANDSBURY, Kyle H., 25, 59 Millrace Road, Marstons Mills; OUI and negligent driving, Friday in Barnstable. Pretrial hearing Sept. 25. SOUZA, Patrick S., 18, 87 Farmersville Road, Sandwich; larceny of a value more than $250,two counts larceny of a credit card and 14 counts improper use of a credit card of a value less than $250, Friday in Sandwich. Pretrial hearing Sept. 25. In court Monday: DISPOSITIONS BOUDREAU, Jeffrey,40, Fairhaven; assault an.'d battery, July 2 in Sandwich, dismissed. DECOSTA, Aaron B.,45, 12 Priscilla Way, Hyannis guilty plea to assault and battery;June 20 in Barnstable,six months Barnstable County Correctional Facility. DONOGHUE, Matthew R., 20, 502 Higgins-Crowell Road, Yarmouth; admitted sufficient facts to larceny of a value more than $250, July 23 in Yarmouth, continued without a finding for one year, $780 costs and$50 fee. EPI FAN IO,Wesley E_, 22, 5 St. Francis Circle, Hyannis; admitted sufficient facts to operating a motor vehicle while �._ under the influence of alcohol (OUI), Aug. 9 in Barnstable, continued without a finding for one year,45-day license loss, $1,847.22 costs and $50 fee; not responsible for three other traffic violations: EURANIS, Frank P., 87, 44 Runestone Drive, Yarmouth; assault and battery of a person 60 years and older or disabled resulting.in injury, Aug. 15 in Yarmouth, six months pretrial probation. LIPPARD, Timothy M., 25, 800 Bearse's Way, Hyannis; assault and battery and vandalism, Saturday in Barnstable, - dismissed. -LONG, Erica S., 20; 3 Bobwhite Crescent, Mashpee; admitted sufficient facts to possession of OxyContin, July 4 in Sandwich, continued without a finding for one year, $780 costs and $50 fee. LOPEZ, Earl W., 39, 164 Old Colony Road, Hyannis; guilty plea to vandalism, May 20 in Barnstable, six months probation; guilty plea to a traffic violation, Aug. 18 in Barnstable, six months probation and 30 hours community service; assault and battery, dismissed, MAHLER, Troy 0., 39, 175 Station Ave., Yarmouth;guilty,Wpa.to aggravated assault and battery,June.7 in http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20090903/NEWS/909030340/-1... 9/4/2009 Barnstable District Court I CapeCodOnline.com, Page 3 of 3 r Yarmouth, two years probation, $1,560 costs and $50 fee; assault and battery to collect a loan and larceny from a person same date, dismissed. MULLINS, Maureen,47, Stamford, Conn.; admitted sufficient facts to OUI, May 24 in Yarmouth, continued without a finding for one year,45-day license loss, $1,847.22 costs and $50 fee. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers, Inc.All Rights Reserved. http://www.capecodonline.co,m/apps/pbcs.dll/article?AID=/20090903/NEWS/909030340/-1... 9/4/2009 Barnstable District Court CapeCodOnline.com Page l of 3 moo M1 Barnstable District Court September 03,.2009 2:00 AM In court Friday: DISPOSITIONS ANDRADE,Todd, 39, 417 Craigville Beach Road, Hyannis; admitted sufficient facts to aggravated assault and battery, Aug. 18 in Barnstable, continued without a finding for one year, $780 costs and $90,fees; assault and battery, dismissed. ARTHUR, Scott, 38, 2 Ravens Nest Road, Sandwich; breaking and entering in the daytime to commit afelony, July 19 in Sandwich, dismissed. BRUYERE, Frank R., 46, 300 Buck Island Road, Yarmouth; guilty plea to operating a motor vehicle while under the influence of alcohol (OUI)for the fourth time,Nov. 28 in Barnstable, two years Barnstable County Correctional Facility (three days pretrial credit), 10-year license loss; guilty of negligent driving, filed. COSSEBOOM, Steven J., 27, 503 Route 6A, Yarmouth :admitted sufficient facts to two counts assault and battery with a dangerous weapon and burning a motor vehicle, July 30 in Sandwich, continued without a finding for two years, $1,560 costs and $90 fees. FISKE, Kevin H., 18, 84 Frost Lane, Hyannis; assault and battery, assault with a dangerous weapon and intimidating a witness, Aug. 2 in Barnstable, dismissed. JENKINS,Adam,20, 11 Walus Drive, Yarmouth;guilty plea to breaking and entering in the daytime to commit a ,felony and larceny of a value more than $250, March 2p in Barnstable, 2 1/2 years county correctional facility with one year to serve (46 days pretrial credit), two years probation, $1,525 costs. JOHANNESEN, Erica'M., 27, Plymouth; admitted sufficient facts to larceny of a value less than $250, July 30 in Barnstable, continued without a finding for one year, $600 costs and $50 fee. MASON, Catherine, 52., 120 Bayview St., Yarmouth; admitted sufficient facts to OUI,July 25 in Barnstable, continued without a finding for one year,.45-day license loss, $1,847.22 costs and $50 fee; not responsible for another traffic violation. i MONROE, Joshua, 22, 189 Hinckley Road, Hyannis; guilty plea to two counts breaking and entering a boat or vehicle in the nighttime to commit a felony,Aug. 6 in Sandwich, 30 days county correctional facility(22 days pretrial credit), one year probation, $780 costs and $90 fees. MOSS, Christopher R., 47, 202 Rolling Hitch Road, Centerville; guilty plea to OUI and two other traffic violations, Jan. 13 in Sandwich, 45-day license loss, one year probation,, $1,847.22 costs and $50 fee; OUI/drugs, dismissed. MYERS, Jack M., 29, 611 Route 6A, Sandwich 'ma hcious,destruction of property of a value more than $250, Dec. 19 in Barnstable, to be dismissed on completion of 20 hours of community service. PECKHAM, Christopher R.,32, 87 Audrey's Lane, Marstons Mills; admitted sufficient facts to possession of oxycodone, March 31 in Barnstable, continued without a finding for one year, $600 costs and $50 fee; possession of a drug on school grounds, dismissed. RIVERA, Ruth R., 25, 111 Longfellow Drive, Centerville;assault and battery, July 18 in Barnstable, six months http://www.capecodonline.com/apps/pbes.dll/article?AID=/20090903/NEWS/909030340/-l... 9/4/2009 '1> i I i . f z r b e' i al I J E cz f ;; j j r . t t I b Y A 4 1 a Et � 17 1 IN t + k" mom low -rr ,.. a �•. � 6 I , 4' { 1i '7h£1 -r,�(! ld '. I �� 5rl•#t"rr 1 . *l�t� F ai i r'4 '� siz Tiy •�C� 1�.t r t�'. .. y,,: ,, ., t l;.Y ,\ l �'.. r �F•.1 � ¢�i 4�^wr,., if��R 7 I.,a I rr Y s ' �s` r?1"e « '`7 ,$ �• � r t� � •,,, `; M •� C�a yiQ-„r� �1� ' a'�.�.� ;e� r a p1 V � 1`a h t 4 ,E ON �l r�ll i 41 IL I �f i) ' '��TrF Y 1 � •ram! �e All T tI7 { ax I a.l 41 YYYY Urit °' � �. 4 i 8,�. � 'h�.'e�} t � p. -i� n`a :,,�. 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I Fib 0I VfSION , � � ��m� . . ._ �. . . . � < \�} \ : ± BU ZEH7 ai P L, ,Y y��pF tHE Town of Barnstable Growth Management Department 9a"MASS. 367 Main Street, Hyannis, MA 02601 Apr i659 p Tel: (508) 862-4678 Fax: (508) 862-4782 fD MA'S November 1, 2005 Mr. Welton DeCarvalho 5 Saint Francis Circle Hyannis, MA 02601 Dear Mr. De Carvalho: Thank you for your interest in applying to the Accessory Affordable Apartment Program for the conversion of an accessory affordable apartment at 5 Saint Francis Circle, Hyannis. The Town has reviewed your site approval application, including the septic questionnaire, submitted on October 17, 2005. The Public Health Division has denied your application for five bedrooms at this property. The fact that the property is located within a Wellhead Protection area on 0.30 acres of land strictly limits the use to a total of three bedrooms. In addition, it has come to my attention that the property is currently under agreement, which violates the owner-occupancy provision of the Accessory Apartment Program Ordinance. Therefore, the Town is denying the request for site eligibility for an Accessory Affordable Apartment at 5 Saint Francis Circle, Hyannis. The Building Division will be in contact with you shortly regarding the process of dismantling the apartment at this property to bring , you into compliance with local zoning. Please feel free to contact me at (508) 862-4683 with any questions. Regards, Elizabeth Dillen Program Coordinator Cc: Tom Perry, Building Commissioner Robin Giangregorio, Zoning Enforcement Officer Linda Edson, Amnesty Program f � 0 C sky IPA P�/ ;b S& o . ,c 0 Town of Barnstable Zoning Board of Appeals n" p �jr �_ Decision and Notice W �1\ Appeal No. 1997-18 - Crothers "U Modification of Special Permit Number 1987-110, 1992-13 and 1993-38 Summary Granted with Conditions Applicant: Norbert and Mary Crothers Property Address: 4464 Falmouth Road (Route 28), Cotuit, MA Assessor's Map/Parcel Map 024, Parcel 018-A Area 37,848 sq.ft. Zoning: RF Residential F Zoning District Groundwater Overlay: GP Groundwater Protection District Applicant's Request: Modification of Special Permit Number 1987-110, 1992-13 and 1993-38 Background: Norbert and Mary Crothers have appealed to the Zoning Board of Appeals for a Modification of previously issued Special Permits to Thomas & Bonnie Campbell. The locus of this appeal is a 2,104 sq.ft. building located on a 37,848 sq.ft. lot fronting on Route 28 in Cotuit. The building houses an owner occupied Single Family Residence and a 900 sq.ft. travel agency office. Zoning Permit History: In 1987, the Board denied Appeal No. 1987-004 to John and Gaile McShane to permit the existing two- family structure to be razed and rebuilt the dwelling into several offices. The entire parcel at that time contained two structures with a total of three dwelling units on a 77,694 sq.ft parcel. Again in 1987, the same applicant resubmitted a new Appeal No. 1987-110 to the Board for the conversion of the two-family dwelling to an office use and a single-family dwelling. That appeal was granted. The relief was sought under the Non-conforming section of the Zoning Ordinance at that time. The Board found that the entire site consisted of three dwelling units in two buildings and that the non-conformity was a legally established non-conforming situation that predates the adoption of zoning. The second dwelling on the property remained and was conditioned to be rented as lower and moderate income residential rental unit for the town. In 1992, the then owner of the property, Boston Federal Savings Bank, requested (Appeal No. 1992-13) i and was granted a modification to Special Permit to allow the permit to be transferable to another. Again in 1992, the owner, Boston Federal Savings Bank and a proposed buyer, Tower Contracting Corp. attempted to modify the Special Permits on the property to permit a contractors office and yard. That Appeal No. 1992-072 was denied. Later in 1992 Thomas and Bonnie Campbell sought and were granted a modification of special permits on the property. They were granted Special Permit No. 1992-38 for the reuse of the office as a travel agency and residential owner occupancy of the principal structure. The second dwelling on the property remained as a lower and moderate income residential rental unit. In 1996, the Campbell's applied to the Board for three types of relief: 1. Appeal No. 1996-26,to allow the property to be divided into two lots. That was granted. 2. Variance No. 1996-64 to sanction the two under sized lots and the other lots lack of minimum frontage. I f d Zoping Board of Appeals-Decision and Notice Appeal No.97-18 - Crothers Modification of Special Permit Number 1987-110, 1992-13 and 1993-38 3. Appeal No. 1996-65 for a Modification of the Special Permit to remove the condition imposed on the smaller dwelling that it be affordable housing( Today, the non-conforming use is situated on a 37,848 sq.ft. lot identified as"Lot A"on the recent plan for the division of the lot Titled"Plan of Land in Barnstable Massachusetts prepared for Thomas and Bonnie Campbell", dated March 13, 1996. That lot contains the 2104 sq.ft. structure with a single family dwelling and a 900 sq.ft. office space within. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on December 27, 1996. A public hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened February 19, 1997, at which time the Board found to grant the Special Permit with conditions. Board Members hearing this appeal were Emmett Glynn, Gene Burman, Elizabeth Nilsson, Thomas DeRiemer, and Chairman Gail Nightingale. Attorney Albert Schulz represented the applicants, Norbert and Mary Crothers, who were also present. Hearing Summary: Attorney Schulz submitted the Purchase and Sales Agreement to show standing. Attorney Schulz reported the requests is for a modification to the existing Special Permit to change the use allowed on the property from a travel agency to a custom drapery and wall covering shop. They currently operate under the name Windows and Wallflowers. Mr. & Mrs. Crothers intend to relocate their business to this building and intend to reside on the premises. Attorney Schulz gave the history of the site and referenced the Special Permits and Variances connected to the parcel. The conditions suggested by the staff are agreeable to the petitioners. The only request is to change the use. The new use will be less detrimental to the area as the drapery shops owners conduct most of their business off site and the use will generate little- if any traffic- retail traffic.. Public Comment: No one spoke in favor or in opposition to this appeal. Findings of Fact: Based upon the testimony given during the public hearing on this appeal, the Board unanimously found the following findings of fact: 1. The applicants are Norbert and Mary Crothers. The property in issue to located at 4464 Falmouth Road (Route 28), Cotuit, MA as shown on Assessor's Map 024, Parcel 018 and in the RF Residential F Zoning District. 2. The applicants are requesting a Modification of Special Permits Number 1987-110, Number 1992-13 ` and Number 1993-38. 3. The applicants wish to create a drapery facility as part of this building in which they also intend to reside. 4. A signed Purchase and Sales Agreement has been submitted. 5. The request is to change the use from a previously allowed travel agency to a custom drapery shop. 6. The use will be utilized by Mr. &Mrs. Crothers. 7. Most of the traffic generated will be from the applicants exiting the site and driving to locations as opposed to customers coming onto the site. 8. The applicants have agreed to screen the one delivery van with a business sign they own from neighbors and from the public way(Route 28)to further protect the character and limit signage in the neighborhood. 9. The proposed use will not be more detrimental to the area affected. 10. The project has Site Plan Review Approval subject to closing the curb-cut to twenty-four(24) feet. VOTE: ` AYE: Emmett Glynn, Gene Burman, Elizabeth Nilsson, Thomas DeRiemer and Chairman Gail Nightingale 2 { 4i Zoning Board of Appeals-Decision and Notice Appeal No.97-18 - Crothers Modification of Special Permit Number 1987-110, 1992-13 and 1993-38 NAY: None Decision: Based upon the positive findings a motion was duly made and seconded to grant the Special Permit in accordance with Section 4-4 Non-conformity with the following conditions: 1. The building of 2,104 sq.ft. shall not be expanded or enlarged without the permission of the Board. 2. The office/shop use is limited to 900 sq.ft. and is for a custom drapery shop only. Any other use of the office space shall require the Zoning Board of Appeals approval for the new use. 3. The total number of employees in the office/shop shall be limited to five (5), inclusive of the petitioners. 4. The residential unit within the building shall be owner occupied. 5. The hours of operations shall be limited to between the hours of 8:30 AM and 6:00 PM Monday through Saturday. 6. The structure shall be partitioned and used as per plans submitted. 7. Signage shall be limited to twelve (12) sq.ft. 8. Occupancy of the structure and its uses are subject to all applicable Health and Licensing regulations 9. There shall be no outdoor storage of materials and all vehicles that identify the business shall be screened from sight of neighboring abutters and from a view from Route 28. 10. The curb-cut to the site from Route 28 shall be reduced to 24 feet wide. The Vote was as follows: AYE: Emmett Glynn, Gene Burman, Elizabeth Nilsson,Thomas DeRiemer and Chairman Gail Nightingale NAY: None Order: Special Permit 1997-018 has been granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year. Appeals of this decision, if any, shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty(20) days after the date of the filing of this decision in the office of the Town Clerk. , 1997 Gail Nightingale, Chairman Date Signed I Linda Hutchenrider, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of 1997 under the pains and penalties of perjury. Linda Hutchenrider,Town Clerk 3 oFWE Town of Barnstable Growth Management Department 9� LE, 367 Main Street, Hyannis, MA 02601 `b i639. a`` Tel: (508 862-4678 F 508 862-4782 pTFD MP'� 1 ) Fax: ( ) November 1, 2005 Mr. Welton DeCarvalho 5 Saint Francis Circle Hyannis, MA 02601 Dear Mr. De Carvalho: Thank you for your interest in applying to the Accessory Affordable Apartment Program for the conversion of an accessory affordable apartment at 5 Saint Francis Circle, Hyannis. The Town has reviewed your site approval application, including the septic questionnaire, submitted on October 17, 2005. The Public Health Division has denied your application for five bedrooms at this property. The fact that the property is located within a Wellhead Protection area on 0.30 acres of land strictly limits the use to a total of three bedrooms. In addition, it has come to my attention that the property is currently under agreement, which violates the owner-occupancy provision of the Accessory Apartment Program Ordinance. Therefore, the Town is denying the request for site eligibility for an Accessory Affordable Apartment at 5 Saint Francis Circle, Hyannis. The Building Division will be in contact with you shortly regarding the process of dismantling the apartment at this property to bring you into compliance with local zoning. Please feel free to contact me at (508) 862-4683 with any questions. 01rizabeth R gards, Dillen gram Coordinator Cc: Tom Perry, Building Commissioner Robin Giangregorio, Zoning Enforcement Officer Linda Edson, Amnesty Program oFtT Town of Barnstable Growth Management Department * BAMSTABLE, 9 MASS. �, 367 Main Street, Hyannis, MA 02601 �ATf039. Tel: (508) 862-4678 Fax: (508) 862-4782 November 1, 2005 Mr. Welton DeCarvalho 5 Saint Francis Circle Hyannis, MA 02601 Dear Mr. De Carvalho: Thank you for your interest in applying to the Accessory Affordable Apartment Program for the conversion of an accessory affordable apartment at 5 Saint Francis Circle, Hyannis. The Town has reviewed your site approval application, including the septic questionnaire, submitted on October 17, 2005. The Public Health Division has denied your application for five bedrooms at this property. The fact that the property is located within a Wellhead Protection area on 0.30 acres of land strictly limits the use to a total of three bedrooms. In addition, it has come to my attention that the property is currently under agreement, which violates the owner-occupancy provision of the Accessory Apartment Program Ordinance. Therefore the Town is denying the request for site eligibility for an Accessory Affordable Apartment at 5 Saint Francis Circle Hyannis. The Building Division will be in contact with you shortly regarding the process of dismantling the apartment at this property to bring you into compliance with local zoning. Please feel free to contact me at (508) 862-4683 with any questions. �� gards, i lizabeth Dillen 4j/A Program Coordinator Cc: Tom Perry, Building Commissioner ,/robin Giangregorio, Zoning Enforcement Officer Linda Edson, Amnesty Program Giangregorio, Robin From: Cristina Junqueira [Cristina.Junqueira@century21.com] Sent: Friday, October 28, 2005 11:17 AM To: Giangregorio, Robin Subject: Re: 5 St Francis Circle Good morning Robin, Thank you very much for your email. I really appreciate your time and help. The property is currently under agreement, and the new owner is aware of the situation. There was never a misrepresentation of it, since a notification from the town came in before the offer. I guess Mr DeCarvalho was under the impression that since he had pulled a permit for the garage, he could later on legalized the apto. it wasnt until he received a letter from the building depto that he was found to be mistaken. Mr DeCarvalho did give the new owner the option to start the accessory unit process himself (which he did) OR let them do it themselves. WE were told that the permit for such program is not transferable.Therefore, the new owner is willing to do what it needs to be done once they take title. I am available to meet at your convenience, and I am eager to avoid any future confusion in regards to this matter. Respectfully, Cristina Junqueira On Fri, 28 Oct 2005 10:45 :37 -0400 "Giangregorio, Robin" wrote: Dear Ms Junqueira, I have been working with Russ Wheeler of the Barnstable Building Dept. regarding the property located at 5 St Francis Circle in Hyannis. Apparently, this property is under agreement and will be conveyed soon. I am informed that there is an illegal apartment above the garage. Please advise the new owner that this accessory unit was constructed without the benefit of permits or inspections and is clearly in violation of our local zoning code. The new owner must contact me in order to discuss alternative options or you may provide me with the contact information and I will call or write to the buyer myself. Also, I would like you to feel free to contact me anytime in order to check the status of accessory units before you list or sell a property. Working together will potentially mitigate or eliminate your liability in misrepresenting a property's legal status. I anticipate that we will confer often and I look forward to meeting you. Robin Giangregorio Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, Ma 02601 508-862-4027 Cristina Junqueira I Voicemail: 508-534-5574 Cell Phone: 508-737-5280 Fax: 508-778-2423 1 Tow (OoUrq 40d, (rlce -fa k-nrrwfv,e., Mus bf fhe ccaz aA,-1 east ca K c TOWN LY-+ '�A*RNSTABLK _UirDIa4G P E.Rivi±r- PARCEL ID 29" 030 � � c�"7DAS� ID - 4906 LE ADDRESS t SAINT F RANC-1-S C �� k PiF��i HYAIINIS ZT-0 LOT 10 BLOCK LOT SIZE DHA DEVELOPMENT DISTRICTnr PE RtA T 'i80?8 DES{.RIPT.�ON A'T., �AI� 12 ` 4'X 3`�- %1'J �7 yidA 'SiC At PERMIT TYPE BUILDA TITLE NEG7 DliILDIN�_�FR�iIT'..ACCEU�,� � CONTRACTORS: STEPHEN BODOLA Department of ARCHITECTS: Regulatory Services TOTAL FEES:: $223.20 BOND $.00 CONSTRUCTION COSTS $55,872.00 "�•� 328 • OT DER NONRESIDENTIAL EL,DG 1 PRIVATE '' • f * BMINSTABM • Mass BUILD D ISION BY DATE ISSUED 07/21%2004 EXP-IR.ATION DATE s 4` Pndg w/Contingencies Listing#20509204 5 Saint Francis Cir Hyannis,MA 02601 LP $456,000 Prop Type Single Family Subdivision County Barnstable Town Barnstable Zoning res Sq.Ft./Source 2,400/Owner Estimated Rooms 10 Lot Size/Source 0.41 ac/(Assessors Records) Beds 4 Style/Desc Raised Ranch/Expandable Baths F/H 3/ Levels 3.0 Year Built 1974/Approximate Tax ID 291-30-0-0-BARN Remarks: THIS IS IT!Look no furthe!Owner occupied pristine split level ranch in beautiful condition. A must see!3 bedrooms 2 full baths, fireplace,huge deck in beautiful fenced in back yard.Located at a quiet Dead end street and near all Hyannis amenities.Need some notice to show. Directions: Pitchers way to Mitchells to St John to left on St Francis,Corner house on hill Showing Instr.: Appointment Req.,Yard Sign General Information Garage/#Cars Yes/2 Gar Desc Attached Direct Entry,_Door-O-i Parking Improved Driveway,Paved Driveway Bsmt/Bsmt Desc Yes/Bulkhead Access,Walk Out Foundation 42/38/Concrete Sep Liv Qtrs/Desc Yes/Detached,Second Floor Wing WidthlWing Depth / Rd Frntg Irreg . Yes Lot Desc Cleared,Corner,Fenced/Enclosed,Gentle Year Round Yes Zoning res Lot Width/Lot Depth / Street Description Cul-De-Sac,Paved,Public Room Sizes& Levels Living Dining First Floor Family First Floor _- _Fireplace, Wood Floor Kitchen -- First Floor _ Mstr Bedrm First Floor Closet, Wood Floor Bdrm2 First Floor Closet, Wood Floor Bdrm3 First Floor Closet, Wood Floor Bdrm4 Basement Closet, Wall to Wall Carpet Laundry Basement Foyer Basement Unknown Basement Den Basement Closet, Wall to Wall Carpet Interior Amenities Bsmt Baths 1.0 Lev 1 Baths 1.0 Lev 2 Baths 1.0 Lev 3 Baths Interior Features HU Cable TV, Dry/HU-G, HU Washer, Linen Closet, Walk-In Closet Floors ,Hardwood,Tile,Wall to Wall Carpet Equipment/Appliances Living/Dining Room Combo Yes Kitchen/Dining Room Combo Fireplaces Yes #of Fireplaces 1 Exterior Amenities Pool/Pool Description No/ Dock/Dock Description No/ Exterior Features Deck,Exterior Lighting,Fenced Yard,Prof.Landscaping,Storm Doors, Insulated Doors, Insulated Windows Siding Shingle,Vinyl/Aluminium Roof . Asphalt,Pitched Assoc Fee/Fee Year / Assoc/Membership Required No/ Amenities Waterfront/Waterfront Desc No/ Waterview/Waterview Desc No/ Miles to Beach 2 Plus Water Acc Beach Own Public Beach Desc Ocean Beach/Lake/Pond Name Convenient to Major Highway,Medical Facility,School,Shopping School District Barnstable Neighborhood Amenities Printed by Century 21 Shoreland R E on 10/25/05 at 12:09pm Information has not been verified,is not guaranteed,and is subject to change.Copyright 2005 Cape Cod&Islands Multiple Listing Service,Inc. All rights reserved (Residential Client Detail) F' Listing#.20509204 Page 2 Mechanical Amenities Heating/Cooling 3+Zone Heat,Natural Gas,Hot Water Water/Seaver/Util Septic,Town Water Hot,.Water Natural Gas,Tank Legal/Tax Informatior, Improvement Asmt $114,700 Land Asmt $104,700 Other Asmt 0 Total Asmt $219,400 Annual Taxes/Tax Year $1,968/205 Annual Betterment 0 Unpaid Betterment 0 Title Ref-Book/Page/Cert 9550/278/0 Plan To Be Assessed Unknown Spec Assessment Mass Use Code/Definition 101-Single Family Asbestos No Undergrnd Fuel Unknown Flood Zone Unknown Lead Paint Unknown Presented By: Cristina Junqueira Century 21 Shoreland R E Primary 508-771-2008 269 Stevens Street Secondary 508-737-5280 Hyannis, MA 02601 Other 508-771-2008 Fax : 508-778-2423 E-mail: cristina.junqueira@century21.com See our listings on the Internet. Web Page: http://www.century2lshoreland.com http://www.c2lshorelandrealestate.com Printed by Century 21 Shoreland R E on 10/25/05 at 12:09pm Information has not been verified,is not guaranteed,and is subject to change.Copyright 2005 Cape Cod&Islands Multiple Listing Service,Inc. All rights reserved (Residential Client Detail) ;. 7 y. f a o ' � t Y j A eY f 7101" APR I 1 PM Li: a Town of Barnstable Regulatory Services oFz�r a am, a 022d �P` c Thomas F. Geiler, Director as Public Health Division * =nxrisrABIZ, MASS. , Thomas McKean, Director 2007 Ar 1�39•.A,0 200 Main Street En�r Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 April 3, 2009 Jose Barreiro 34 Alewife Road Plymouth, MA 02360 L As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable Health Division. According to our records, you own the rental property at 5 Saint Francis Circle, Hyannis. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications, they are available online at wN),�,,.town.barn.stable.m.a.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2009 fees included. This must be-completed within, (14) fourteen days-of your receipt-of this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$10.0. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your cooperation. Timothy 'Connell, R.S. Health Inspector Health Division Direct#508-862-4646 MASSACHUSETS'UNIFORM APPLICATION FOR PWIMIT (Print or Type( TOWN OF BARNSTABLE Date �� 1 9 19 Building Permit 4 �d AT: Location C-4se- Owner's , Name G Lek— cd Yse-r74 4 _ D n f Type of Occupancy: New Renovation ❑ Replacement ❑ p7 / O 3 o � Plans FIXTURES Submitted: Yes C ' i to z Y < N to y O = = W N W W It J C _ 1" W yt f,. U W N 7C s usup Us Z 44 /� W O W < N C = W N O Q J G Q O J up W 1` U/ / i W s s x S 6 z ac 2 _Z as W 1' Ci i H O N N Q O N W < O Y Z < O < J J < s ¢ m O < F us I I�r�s�•��-N�� sAseuEHr I 1 I I �(J 0 tsr FLOOR ( I I 2H0 FLOOR SRO FLOOR I I 4TH FLOOR STH FLOOR I ,� ^� �/a r v aTH FLOOR / ' /" !� TTH FLOOR I ATH FLOOR 74-1 1 1 1 1 1 1 1 1 1 1 +L, t _ (Print or Type) c� �- Installing Company Name ,C �% /�u; [�c,�J ��Chedc One: Certificate n Q Corp. _-- Address �y r ��F'rS a.,r 2_ Q Partnership 3 [2-*1F'izm/Company Business Telephone 77S Name of Licensed Plumber Itertee«tede site,all of the deudlt and tn(otnsuan 1 1ts.e wimistted lot entered)in shssee appliounn sit ism stsd aleYnte to the hest of say kA0e,tsd{e Lad that all pfumotng were and tmtallaunns iwunrnted unuer 1'ernnt Issued for this appftcsuoa wsil he in camplsance with ad pasttres pew esasons O(the Mesyehe lists Slate Rumesns Caw and QuYter 1 4 2 at Ute(:ennd Laws. I have informed the owner or his agent that I do not have liability insurance Including completed operations coverage. Signature of OwnerlAaant I have a current liability insurance policy to include completed operations coverage. By Title Signature o Licensed Plumber /7 Tye of plumbing License C_.. Tcsrn: `7/ ^se `iumner C Mastar �u' Jour eyman °p TMe r . .��Y The Town of Barnstable 9 Keg Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION ® q Location of shed(address) Village vJsM o Property owner's name Telephone.number Size of Shed Map/Parcel# IF/00 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. Conservation Commission(signature required) / ! `l 11'eleo PLEASE NOTE: IF YOU ARE WITEON THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-fortes-shedreg -j------------ STANDARD LEGEND NOTE:not all symbols will appear on a map t � i ' =«; GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES EDGE OF BRUSH _______ ORCHARD OR NURSERY -'? EDGE OF CONIFEROUS TREES l ••,• ---------- �'" MARSH AREA ....... �.......... I1A A n — _ _ - EDGE OF WATER Y'Ifl'11IF� — — DIRT ROAD DRIVEWAY I �—PARKING LOT ••-, it , ,-'_. R PAVED ROAD D— — AINAGE DITCH If i — — — — PATH/TRAIL PARCEL LINE �: \\ MaP t to E---MAP# 21 E PARCEL NUMBER #1860—HOUSE NUMBER t ....................................._.._...-............_.................,� 1 2 FOOT CONTOUR LINE —t91— 10 FOOT CONTOUR LINE \ Elevation based on NGV029 i 4.9 SPOT ELEVATION M A P 29 STONE WALL RETAINING WALL 1RAIL ROAD RACK 5 -._=_-- STONE JETTY j roa , SWIMMING POOL 0' PORCH/DECK BUILDING/STRUCTURE r 11 UL 1- DOCK/PIER I.....Tom. HYDRANT ' e VALVE OO MANHOLE O POST OFP FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T v SIGN ® STORM DRAIN r N PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James "=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE a TOWER 0 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards . 1 INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. LIGHT POLE O ELECTRIC BOX 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel P Health Division - '. Date Issued E �a� 7 A; Conservation Division 3l G� "� J LFpa z .v- ef Tax Collector `_ Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 5 Village Owner WA\QM Address cl\.� Telephone .609 7-2 `R 7 -7 tf d Permit Request 1Z i w ic)�� e� 1 Z�Z8 ' � 5� � 4"t VJ�{r,Ai.�i�►/� ��t�c�� Square feet: 1 st floor: a 'sting proposed 2nd floor:existing proposed Total new r Estimated Project Cos Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes WNo If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 3 No On Old King's Highway: ❑Yes 2rNo Y Basement Type: to Full ❑Crawl ❑Walkout Cl Other Basement Finished Areas .ft. Basement Unfinished Areas .ft Number of Baths: Full: existing 2 new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existingnew First Floor Room Count Heat Type and Fuel: N Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing 2 New Existing wood/coal stove: ❑Yes N 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 10 Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNAT DATE 6' FOR OFFICIAL USE ONLY r PERMIT NO.-- DATE ISSUED .� MAP/PARCEL NO. ADDRESS VILLAGE OWNER , DATE OF INSPECTGN- -• ' FOUNDATION �.' FRAME r { y INSULATION FIREPLACE %- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL + GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 'y ip STANDARD LE, NOTE:not all symbols will a GOLF COUI. EDGE OF DEE EDGE( s---- --- ORCHARD EDGE OF CON. MARS p• � �� 1 —.. EDGED /� • = — - DIRT DRI �/ AVE ''•� •�---PARKK ' - - DRAIttA 1 — — PAT H, , \ PA CE. AW 110.ram---MA 2' ' PARCEL mesa HOUSE 2 FOOT COI t -- 10 FOOT CO Elevation bosr 4.9 SPOT EL MAP 29 . STON t �. FEF ' f ® RETAINII 5 RAIL ROA 1 _._...._ STONE ( , SWIMMII PORCH C1 BUILDING/- DOCK/ HYDE -- - ( M 2 e " VANE 0 : P tQ POST Q}P F T O W N O F B A R N S T A B 1, E 43 E 0 G R A F 14 1. C y N F O R M A T 1 O N S Y 5 T E M S U N I. �T N PRINTED SCAEE IN FEET a SIGN • e STE *NOTE: This map is an enlorgement of a **NOTE: The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by the lames I"=100'safe mop and may NOT meet of property boundaries. They are not true locolions,and X Sewall Company.Topography and vegetation were interpreted tram 1989 aerial photographs by GEOD 0 UTILITY POLE 4 m � r 0 20 40 National Map Accumry Standmds at this do nm represent actual relntionships to physical obiects Corporation. Planimeirics,tapography,and vegetation were mopped to meet National Map AccuraryStandards'i I INCH=40 FEET* enlarged scale. ,,.• , . .. _-_. ,v S c% sT f,44) S jqr t�©o FNDs r f}57 N %1�1�I c�D i S I e) ZV EL-2 11V6 �r`T 6 ' 44C, �( 'Pos i S M X 7 ©,C, . 1000 Iasi L = 1.,300,000 psi I yl)ivaI v�ilucs 1-01* SOL101cr-11-YelloW Pine #2 (Pressure; Treated Exterior use (e.g. clecl(s) Joist Size - Joisl z spacillp i 2x6 U9 2x1U 2x.1.2 Z12 (9-6 :14-3 17-4 7-4 '1 U-U - 'l 2-4 . •15-0 2U" 11 G-7 g-1 i �11-U 13-5 24" G-U 8-2 tiHEN ole�'G rr l S o/� 6rrEgrET1 Ilaov 3A A)s i' �!� " G,1/7T S Pic ItiG 5'`( OR 3 12. �oISr ��MtvF4 Aq I � N S rO o r JBF-5 *N, y c -7 lAI � �ni'�— J pP ZHE The Town of Barnstable • .nFwsrABM • 9 � Department of Health Safety and Environmental Services �Ar 1659{Aim g Buildin Division Ea►�► 367 Main Street,Hyannis MA 02601, Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPRO VEMENT 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. 04 — Type of Work: � n^°`'� D = l Estimated Cost �• �� Address of Work: 5 ,n C CKr. Owner's Name: Date of Application: I I �Q 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 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. OR Date T Owner's Name q:forms:Affidav The Town of Barnstable ,time Department of Health Safety and Environmental Services ' Building Division BARNSrABL6. ' 367 Main Street,Hyannis MA 02601 MASS. 9� 1639. ArFO MAC p Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION AA Please Print DATE: A c) I�� JOB LOCATION:ATION. number street village "HOMEOWNER": UQ0a,\<Z,M Go'k\,rAvo 1"L? name home phone# work phone# CURRENT MAILING ADDRESS: �``�'d "Co 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 Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said pro c uirements Signature of Homeo er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN The Commonwealth of Massachusetts Department of Industrial Accidents Office effarestfgatieas - 600 Washington Street Boston,Mass. 02111 workers' Cum en-sation Insurance Affidavit name: location: SV (�e-` - city 0-� phone# Z I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no'one workin in ca aclty I am an em to er providing workers'compensation for my employees worlang on this job. ::: : >:. : con an :name.>: sdress:: X. city shone# insurance co. ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following. compensation polices: g .:::::::::::::.::::::::.::::::.:::..::::::::::...:.. con any name.:: :. address.: ...:::............ .::::.;:.:.:;;.: .<:>::;:::>::::«:>; hone rit. o :::;>:.;:.::::;>:.;; ;:::.::::::;.:...:.::::.:::..:::::::.:..::::.:.:::.. . ::::::........................ - address:: : ci phone tt ansnrance.ca. # :; ... . .. i ps Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SI,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is truo and correct signature L Date Print name Qc,%\. co,h � Phone# 50 / Z - official use only do not write in this area to be completed by city or town official city or town: permit/license# Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions r ' Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in.a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Investggations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 AM Assessor's Office(1st floor) Man �1-vt I Lot 0;D Permit#_'_ 9r7 Conservation Office 4th floor Date Issued Board of Health Ord floor r Engineering Dept. (Ord floor) House# 1 Planning Dept. (1st floor/School Admin.Bldg.): NAM .� Definitive Plan Approved by Planning Board 19c ,,� (Applications processed 8:30-9:30 a.m. & 1:00-2:00 p.m.) j TOWN OF BARNSTABLE Building Permit Application s Protect Street Address e� Village Fire District Owner d' Address Telephone Permit Request: �-a1lCn//�S,eL CfOz,�i� ✓/^�' G cS> r�L dam' ?�L w�9f2. P �6&9 J Ti ddl s`�2 �5/,�-ITT-6'),Le Zoning District Flood Plain Water Protection i Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure / Basement type Historic House Aly Finished Old King's'Hijzhway 10j Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type Fuel w and ue Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information, Name Telephone number 3-7 5r- Address G ,) >' License# OzI6 J2 9 rf/7/ZZ> � oir Home Improvement Contractor# 1,ac Z O -77� /4Ae—'X� Worker's Com usation # Of-aAJ /3Gc> 3�8 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_ �_ i2i39�lTl Project Cost Fee d)) SIGNATURE ` DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T #9487 c-" FOR OFFICE USE ONLY 291.030 ADDRESS- 5 Saint Francis Circle vILLAGE Hyannis, MA t OWNER Robert N. Huckins,,--Est'.' c/o Worcester,County, Inst.Savings DATE OF INSPECTION: r ` FOUNDATION i FRAME INSULATION , 1 4 FIREPLACE' +. - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: ' DATE CLOSED OUT: ASSOCIATE PLAN NO. comnwnWealK of Ma. jacLjettj �. 2eeart meat of indusEriaf!Jdccidenl� 600 V Wind yfon Street James J.Campbell i oetoa, Mjiac"U-i 02 f f f - •Commissioner Workers' Compensation insurance Affidavit - I, censee/permictee) with a principal place of business at: (Gty/Scate/Zip) do hereby certify under the pains and penalties of perjury, that: (y)/ 1 am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number. O 1 am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors Iisted below who have the following workers' compensation policies: Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor O 1 am a homeowner performing all the work myself. at ure secure I understand that a copy under his statement will G forwarded 5 nead to the to the imp s uonn of criminal penalties coce of investigations of the DIA n coverage sisting g of a fine cation and of up to s 1,5oo!oo to ene coverage as required under Section 25A of MGL " years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SJ00.00 a day against me. Signed this / day of ,��'�� , 1gz:5 x. + Lic "Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 373 t .�. The Town of BarnstableNAM . • s„wvsrnsrE. �,g Department of Health Safety and Environmental Services 116,�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only 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 Works,• �,P�yI ��N9/ ;wuf. Est Cost c::17 ®� Address of Work: c_- " Owner Name:W-;,'-A1 A407Vzy e..4 e1/,rD Date of Permit Application: I hereby certifv 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 C tr ctor a Registration No. OR Date Owner's name tx - Assessor's map and lot number ....C.Ll..-..N.n..,I,.-,r'-.�L.,I,k:'.....t.-.UR.II.`O�,..II.,--I_.I_.I.;.P.,.�.-.N.FI.I o.,,�..I....G...,�L.��.��,,I,.i�,I,j-I�,1 1,".1..1 I��-1'1-�iT�-I I-�.,..,-'�v,..I�..,I.,.-,�.N.'�.!,.I.-��,�-,.C�.i S,I,1:...,-�1 De I.,I.-.�,';VD-,,.�I��,�I�`,.�I I,,-,,.I,i�:.,I.�'".I�,.,I,c,!,-.I.,"i"I-�Er1-.I...-_ d x e. r - - ...t.:'�.,T.L,I".I.1,�7'!.;.�."!.,..'1,,�.I.�I.,�'-_.-O.."I.--..,.-?.�1-1,.�.:I,I....,.I1.,"--.-rrI I.4.I 6ffi,,--��., H �, Tic �� srL�� rgu�T BE'. e `WIrt, a 2c3 Sewage`Permit number IN C(}1��PLI r s- NSTAk ANC I,� , Y . STATE aj#'� n �i AEiTfCLE If t P�oG TN E J., �MRlfTAR� Gdt3£ MD `OWN r z t,- }+ O re w �� sa_ I' DAS39TAD i t t i 3 #, €"r � 1 -NABB t ��° .. v ,ilk" a . " r`aY� x 11 1 sr w z INkI y'P ^t ' 9, t�, t J 1 L rR t 'L ! l'S !: 3- ! r § `.:.' r _7 :ti. 4 a} n -#� fl,-, yah 5 ti.�kSt X-;?kst M' ,'F¢r CI �I �. k ? s APPLICATIONF"F I i, s`` F r, tt �� <t � ; x OR PERMIT TO ` ! t - ," ° a i tt .? s ..... sit'.. pp�� : TYPE OF.CONSTRUCTION ..: .t k,��Y - , r 4 ° g �" k*k� S F 1 .• .. r//�/ G:.� i'F xa1 %v, s f _ ,1 .. " �Iei+ , -V%� r .-- �u�>ti s ° : . 4°t v .. w a�� °'s .,`4 tr r_'rI .r„ly, r ' r�// -s a a�' .cry^�,+P i ,+n,+;�'�,;U..,,i '; ..A....�.I_.t..-.,..!.L.-,.-..I'.....7..-7..". ".4-'.Z..-.�.A..I..-......-.-..,_.-....J.Ij....�-..._6;.'_I......I—..L...1..�.....-....-.......-.�....I.1�.-.I..I,s...I...I.�..�..f...._,-......./II__!��I A-1._�;I.1..��I�..I-.:,,�,.'..O..�.I T....P..k.....I -,,,.w; ,I...,,,-.�..?�"�.��.1 C,.-..I..,,�,.I..,.U�,.-...,..�:-,��I1��.�.'.,,._�,.-....-..,,6...�.7---..�;-.11.i.��.,..;- . ,' , TO THE INSPECTOR OF BUILDINGS: .4' ', 3 e �k The undersigrie hereby applies'for a,permit according to�the fol.lovririg mforrnation ,w_ fi fig; _ f ... ...... }3 £+v Proposed Use1..!r 1t�tk'.� ?� ,a.... ,, .. ° ,,,, Zoning N District „••� _ Fire Dis i �' trict �'I � �F . ... ... . ... 'r, ; Name of Owner .:.. (�� ' Address : v !y//� /A .. Name of Builder , :'? � Address 1 ° p.: 5:.. ' - & Name of Architect dd // ' A � h a a rrr Number of. Rooms ,, �f. /f 4 � s u Foundation .... . &r t <r • r A Mr'i ,.1 1'-..,,t,.�0..I,�.-�'_..I..;.-.-�I-�.-.-....,I�,.,.,A.�i,I-,�,,.�—,.I-.-I.7, v > a rr #��, . . ExieP ior. ... .Ll. : `' .Roofing ..... - �,, ' %„ Floors .... ...........Interior ////r/n .....1.•{..... ...• .... +� ♦ ) t Heating � . .. n � A - �G �l Plumbin - Fireplace ........1 ' ._ _._ _ _ _ _ _ Approximate Cast �' ,` - 3 "^ Definitive Plan Approved by"Planning Board t9 - - 19 r e K k n; - . ------• A,ea .. .. 5..... ti Diagram of Lot and Building with Dimensions 1.0 �c�PasP d (��._ A , '/ Fee �. °( SUBJECT TO APPROVAL„OF BOARD OF H ``7� t EALTH �. A �� ;,,,. ' ,V { w, i ,?` , '' �tl - r t' wp 4 4 • ° L u F y: ., 11 AA- II I. I. I" r . 00- N � � - , + x P�¢ 4 ,_ F +c '' g' ,�`?,A.1� z,� Y. a; fad pk s :1t. ,. ,� gib` �^ _ Q�i r , 8 /. % ,. :cr '� 1� ., n i +� ' r tv r: Aa 5 .J•'r�t7T^ p.ir f4- .�',"''T+_ ;,,.` —T �i e.. �.-r eA g' , ., $ �t• �' + ;� of r S'1 t` ,r:L +t'. !7 EVTR 4 tbi `r+y ,� } ,w. x w.^�, i�',aA-.,is i 'a s"r a a. `� t _a r -, 6 x °{,: // ,.,t ^r'. c.., r�s n + ..�;e:., 1.':i- "�9 t p .vk�,.':tr's�a ,�' �� . P f cY Ek I 1 t , 4 4,, , } r, %r f,' I I x + ,.d - .. r rr $bs .� `.s rr p �Y .r , v', x tk 4..: 4 r :P. { +'3''1 I1 C' ,,y r t 1, - r+ a �rj .a f �'� e :r t �' -r _ i'l �F a # V- ; - 5 t AAA"` A 7 + c -t .1 1� , r`' '+ I. '" 11 #- �. ;' h ereb a' ^r . e e to conf or. .` y mt 9 o all t he Rules and Re ulations of -e T 9 o a w f Ba rns �,. table re a�r, construction. g ding the above r;. ,v r / ;a f/ 'l r r •('"t.. ' --- d z ar ° —_ - m . n - k M ae�_ s ,. .. -... .-.,'. ...K... _. ,....- . T Drouin Corp. so Bermit #17135 r• June 12, 1974 Build one story frame dwelling k t 4 f`{ F ' 5} I kt Y { 4 n n, i 1 �F I P s e .r .y n y m w a g . 5 Saint Francis Circle, Hyannis �/17/07 l I ` a y s a F 4+ 5 Saint Francis Circle, Hyannis, 5/17/07 n r' x. a { r�s. i a �rh T a p, m x .I 5 Saint Francis Circle, Hyannis 5/17/07 i t. r r 5 Saint Francis Circle, Hyannis 5/17/07 r n a +� rw Zy 85 , W 'j E w x 'i r -f s�✓ wxa .�`� �� 4. , Y !� Y5�' b2:-, ` v r n 44, ,.,g 4 .'2., y— "r, "'� d" xr rt•- ' ' '.f t s� ��•x, .s t '� ..i k ,' ,'•� p* 3 `� r �•' � s� `� �s � � � i -.. +r ^,r, Sic�`"u .��*' � $ 'F, �,� '-�- x ram- s '�. s •,�9 f y M r.. y # n a ,, 4 ,x s a ' ' '« �` + a x-,v v .� t y•: Y aa +r-g #i', t^c ',r �` � �- xri.tGrx ec e, '. ,.. t{z xe h t �`��.x, �,� '� '°` ae�� p � t �, ,•. ffi�`:� �� .,i,��'7�+.�,a ` rt' �.q�. 5 %ing' . ,.�" .W # ,,.'r`, aw, ^dtk'� is�.,� a ,, •w-' w. 4 tI . +., #tam �a,.is 5 Saint Francis, Circle, Hyannis 5/17/07 J t N+ 4 4ta; "- � #�,.,s=� tea. �� sE ��.. u 4 -;•""' � - - a 4 s: a a � b a 5 Sa Int Francis Circle, Hyannis -- -`.-. 5/17/07 �MIMI I u. u v Fu yn � z 5 Saint FrancisCircle, Hyannis 5/17/07 ,. c a h 'N' M"A I I so no ng 3 i.Y' n 3 a m �t 1100m, } ga. 5 Saint Francis Circle, Hyannis &t-e,-, , 5/17Yi/07 71, "4v% ys. 4 r -f +o 2f � . 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