HomeMy WebLinkAbout0052 SCHOOL STREET �2 Sc �o��, Sr�
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780 CMR: STATE BOARD OF B
THE MASSACHUSETTS STATE BUILDrN
state inspector of the Division of Inspections.
Commissioner may review,on his own initiati
on the application of any state inspector,any
or refusal or failure of action by any building o
the result of which does not comply witl
uniform implementation of 780 CMR; and
reverse, modify or annul, in whole or in part,
action except with respect to the specialized c
provided that an order or action of the Commiss
shall not reverse,modify,annul,or contraven
order, action, determination, interpretation o
decision by the BBRS or the State Building
Appeals Board.
107.4 Reports: The state inspector shall file
the BBRS reports of his periodic reviews
recommendations for improvements of bui
inspection practices. The format and due date`
these reports shall be determined by the BBRS
780 CMR 108.0 RULES AND REGULATI
108.1. Rule making authority: Under auth
granted by St. 1984,c.348,as amended,the B
is empowered in the interest of public safety,h
and general welfare,to adopt and promulgate
_ and regulations,and to interpret and impleme
provisions of 780 CMR to secure the intent the
1
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
_t f
Map v I Parcel 'vS Application#
Health Division Date Issued
Conservation Division Application Fee 5
Planning Dept. Permit Fee A Y, fL
Date Definitive Plan Approved by Planning Board
Historic OKH _ Preservation / Hyannis /A I A +
l
Project Street Address __S c2_ Sc-hook '^ ,n (5
Villages
Owner J4. P\L_--o 4\)Purr\ Address 17
Telephone 774 - 23.,( - Q'I 89 6Z �5w 775 11M
Permit Request- _ rC� f j a-o� 6htJI.(' hA/L&i;� pdZA �yU ,-y kf
0G;i,�4,�
i
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Z2•S 00,m Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: A Full U Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing 3 new ,o Half: existing 0 new
Number of Bedrooms: existing O new
Total Room Count (not including baths): existing new (c) First Floor Room Count Scs
Heat Type and Fuel: ' ; Gas 2 Oil ❑ Electric ❑Other
Central Air: ❑Yes StNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage:V, existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑existing ❑ new size —Shed: ❑ existing ❑ new size _ Other:; z_ ="
ZE
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use ,
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �zti � �'� `1,(1`�' �. Telephone Number
Address �l�� LW�+ 'f h License # C;S It') [v 1
to-'V v) 02,Ga u
Home Improvement Contractor#
Email t"S 4 2 E?Q �/A I4o o .Co►x Worker's Compensation # I'a(�R (b 2)�o i Zy I Le
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1litiX_Ubl
;e
SIGNATURE DATE Z &H ���,
i
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
1
27ze Comurarrrvealtlt of-Maswach ,setts
D.epartinerrt ofIndustrid Acciderrts
Q -ce ofImw-ligadom.
$ 600 Wasihiazgtou Street
Boston,?CIA 02HI
' k4yo.nmass goY/riirt
'"Tarkeirs' CampensafsanInsurauce ,davit:BOder-dContractars,ElectricianrJPhimhers
Applicant Inf6rmatian Please Print lk-,ibly .
rra= 1`7�r�
Address. �O1 62M tlh 6tu-t�
Cit-Y/Statel 11 W s [Plbano t
Ar a yGu an employer?Cfreck the appropriate box: Type of project(regnired)c
I.❑ I am a employer uilk 4 ❑I am a general contractor and I
* have lured:the sub'-contractors 6. New construction
employees(felt an�dlor part-time)_ .
2-Y I am a sole proprietor orpartner- listed on the attached sheet, I- ❑Remodeling
s*and have no employees. These snb-.cantractors have g- Demolition
working forme in any capacity- employees andhave workers'
[No workers'camp.insurance COMP-msuranMl 9. El Building addition
re uured] I We are a corporation and its ld_❑Electrical repairs cr ad&tbm
3.❑ I am,a homeoumer doing an want officers have e=cised their 11_❑Plumbingrepi-=or additions
self[No workers � .t of exemption per MGL'�- 17 Roafrep�
�in� nce required]Y c.152, JI(4h andwe have na -y'
employees.(No woskess' LIF 06 Cx
comp-insurance required.)
. 'Any_W,Iic Est cherksUox rl Est dm flUoutthe sectioabeIowshowiag ibP&wo&eis'compersatiaupeRu iaformsdom
Hamwwuers who submit dais sfiidavu nuffkathis they are dakg all wax and then him outside con+*a�+rsnmst submit a new affidavit iadicabag saciL
fCon>ractars that check this box must attached as additiaaal sheet showing thenane of the sub-ca wnctoa said state whether or Ilat those entities ham
employees.If the subrcaatactacshave emplUees,they mustpmsade then=rlren'-c=p.palicg number-
Iant arc eirigIa}Yrr tlirrt is prmzdireg nnorkets'camg mresrdzvn insurance f br my enrp&o--ees ffaloiv is lite policy andlab arte
hzformrdiozL
Insurance Company Name: A I 1
Policy 4 or ins-iic-# LA 1 P(h '5(b 12- Mxpiratiba Date: o
1"t 4-cit r/sb el2.tg: V� -MA. t��c/
Attach a copy of the workers'compensationpolicy de ration page(shaving the policy numb nd.expiration date).
Failmm to seam-e coverage as required.under Sectian 2 5A of MGL c. 157 can lead to the imposition of criminal penalises of a
fine up to$1,500 OG aadlor one-yearinTrisoument,as we11 as civil penalties is the form of a STOP WORK ORDERand a fine
of up to$250.00 a day against the violator. Be advised that a copy,of this statement maybe forwarded to the Office of '
Iuvestigatiow of the DIA for i'nsmance covers a-verification_
I rIa hereby c zlazdRr the pains and psrtaliixs of
FziIuiy that the uzforwafi ipna-uW abmv is true and carrect
Signature: Iyate:
Phone ik5� 3
o,,Eial use only. Do not&vrke in this area,to be comp£eted by city or to orn official ,
City or Toam.: PerzmtUcense#
Issning Aulhm icy(circle one):
L Board of Hedth 2.$uuZf rig Department 3.C1.ty town Clerk d.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
nformation and lastructiolas
M�ccar_hrzsefts GeIneral Laws rhgter 152 req� an employ=to provide workem'conzp=sation for their=PIoyees.
pthis ,an mgrroyre is defined as."Levay personm i ie service of another under any contract ofhire,
:express or izuplieel,oral orwrhnn."
An e7np&ym_is det-med as laumdividn partnership,assocrattan,corporation or other legal enfiiy,or any two or more
of the:foregoing engaged-in a Joint enfErp .and including the legal repres"afives of a deceased employer,orr the
receiver or trastee of an individual,partnership,assochfion or other Iegal entity,employing employees. However the
owner of a.dwelling house havmgnot more thin three ap art meats a ad.wh°resides therein,or the 0ccapant ofthe- -
dweLUng house of another who�p�pmsnns to do mafirbm m,construction or rep air wmk on such dwelling house
or on the grounds or building appu�thereto ffiOnotbecanse of sash employmentbe de:=edto be an employer."
MGL chapter 152,§25C(6)also sues that�every sia�or local licensing agency shah withhold ffie issuance or
renewal of a JiceFzsa or permit to operate a business or to construct buildings in the commonwealth for any
applicanfwho has notproduced acceptable evid insurance.euc=of compliance with the insurae.coverage required."
AddiiionaIly,MC=L chapter I52,§25C(�states_Neither the commonwmn nor any ofits political subdivisions shall
enter into any contract for the performance ofpubhc work until acceptable evidence of compliancevrith the i„suranc0._
mz�;r erri ems of this chaptra have been presented to the eoniractiag azuthozity."1
r
A licants
PP ,.�
Please fill out. the workers' compensation affidavit completely;by cherk�+a the boxes that apply to youth situation and,if
necessary,supply sob-contractors)name(s), address(m)and phone number(s) along with_their certifrcate(s)of
h sun re ca. Lunifed LiabB4 Companies(LLC)or Limited Liability'Partneiships,(LU)withno employees other than the
members or partners,are not regnntd to carry workers'coinpensafion in cmrnce If an LLC or LIP does have
eMployees,apolicy is required. Se advisedthatthis affdavitmaybe mbmitfnd tut the Department of Iadustrial
Accidents for confamatioa of insurance cov(-_rage- Also be sure to sign and date+he affidavit The affidavit should
be retnuned to$e city or town that fh a application for the peDnit or license is being request-tL not the Deparbnent of ;
Ldasirml Accidents_ Shouldyou have airy gaesfi°ns regardmg the law or ifyou are rvIaire to obtain a wo>3cers'
compennsation policy,please call the Depar�ent at the mmiber list>;d below. Self-insured companies should enter their
self-i gm=ce license n=.ber on the appropriate Ime.
City or Town officials
Please be sere that the affidavit is complete aadpiirdedlegibly. The Depart ient has provided a,space at the botf an
of the affidavit for you to fM out in the event the Office of Investigation has to contact you regardin g ti e applic of
Pleas a be sun a tD fM i a the p elmL t cease number which wZl be used as a reference number. In addition,an applicant
that must submit m_nli� en
le pemlitHcs5 applications is any given year,need.only submit one affidavit mdicz cnaent
policy inatian(if necessary)and under`Uob Site Address"the applicant ShorI wife"aIl locafivns in (�Y°r
forn. -
town)-"A copy of the affidavit that has been officially stamped or marked by the city or tows maybe provided to the . -
applicant as prooftbA a valid affidavit is oa file for fatal P mits or Iicenses_ A new affidavit-must be filled oi>t ea ch
Where a home owner or citizen is obtaining a license or permit not relatEd to any business or commercial venture
year.
D. a dog license orpermit to bum leaves efr.)said person is NOT to complete this affidavit
The Office of Investigations would af_-to thank you in advance for your cooperation and sliouild you have any quresfions,
please do not hesitate to give us a call_
The Department's address,telephone and fax rnmmber
The;� Ztl�of 1�Ia�ach>�tts
Depadment oflnclmtdal Agents
f�7t�e ref�t.�e�Cig��ia� .
Bwto-u.,MA 0�11I
Tf1.:'617-' -4 =t 4€6 or 1-977 MASSAFE
Fay 617-`27 7M
Revised4-24-D7 p W Ms ��d '
SHE
,�� Town of Barnstable
Regulatory Services
Richard V.Scali,Director
Building Division.. ,
Thomas Perry,CBO: .
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 s s Fax: 508-790-6230
Property Owner Must
Co' lete'and Sign This Section
-If Using A Builder
I, 6AIe LID it) /U e-V LW , as Owner of the subject property
hereby authorize 2b-� V,'�ft F_2 • ' to act on my behalf,
in all matters relative to work authorized by this building permit application for: ;
(Address of Job)
fr .
a z
Signature of Owner Date -
Print Name
If Property owner is applying for permit,'please complete the Homeowners License Exemption Form on the
reverse side. K x
QAWPFILESTORMS\MuDding permit formsUMRESS.doc
Revised 040215
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-103617
Construction Supervisor
PABLO C MARTINEZ
49 SMITH ST
HYANNIS MA 02601 ;
Expiration:
Commissioner' 11/17/2017
Construction Supervisor
Restricted to:
Unrestricted_Buildings of an
less than 35,000 cubic feet 99use
enclosed s �• 1 cubic up Which contain
• pace. meters)of .. .
Failure to
State Building
a current edition of the tD D c
uilding Code is cause for revocation
DPS Licensingation of this license, Z W I
information visit: z O <
-- w .MASS.GOV/DPS in 2 O
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Town of Barnstable *Pert# 00(o 3��
Expires 6 months from issue a CZ l Z
X-PRESS PERMIT Regulatory Services Fee
Thomas F:Geller,Director
DEC 2 0 2006 Building Division
TOWN OF BARNSTABLE
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
►ffice: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X Press Imprint
parcel Number q'j`17 k,5 I
-rty Address
esidsntial Value of Work Minimum fee of$25.00 for work under$6000.00
er's Name&Address 'en
ractor's Name Telephone Number ®f—7-7C-
ie Improvement Contractor License#(if applicable)
rvisror's-1✓icEns #{ appafilej
lorkman's Compensation Insurance
Check one:
❑ I a sole proprietor
gZ the Homeowner
0 I have Worker's Compensation Insurance
-ance Company Name
loran's Comp.Policy#
y of Insurance Compliance Certificate must be on file.
it Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to
Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission,
col of the t
e Improvement Contractors License is required.
NATURE:
-ms:expmtrg
461306
The Commonwealth of Massachusetts
r' Department of Industrial accidents
_ Office of Investigations •
a' 600 Washington Street
Boston,MA 02111
, www.mass.gov/dia '
Workers`Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers
Applicant Information ,(.Please Print Legibly
Name(Business/Orgatization/l vidual): 17'( "L A(tj���
Address:_Cx,Q o 1' P d L—J /.
00
City/State/Zip: Phonet ✓b!f: 779 7-6 �-6
Are you an employer? Check the appropriate bog: :Type of project(required):.
i,❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction .
employees(full and/or partAime).* • have hired the sub-contractors
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. Remodeling
ship and have no employees These sub-contractors have g. Demolition
working for me in an capacity. employees and have workers'
g Y P ty. 9. 7 Building addition
[No workers' comp,insurance comp. insurance.t
j�uized] 5. [] We are a corporation and its 10.❑$lectrical repairs or additions
3.�I"I am a homeowner doing all work . officers have exercised their 11.El Plumbing repairs or additions '
myself,[No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance.required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.[] Other_
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have
employees, If the sub-contractors have employees,they must provide their workers'camp.policy number.
lam an employer that isproviding workers'compensation insurance for my employees. Below is-the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic•#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date).
Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the bIA for insurance coverage verification. "
I do hereby certify under th pains•an penalties of perjury that the information provided above is true and correct.
Ai
Si tore: Af
Phone#:
E
only. Do not write in this area, to be completed by,city or town offzcia
Town: ' Permit/License#
hority(circle one):
Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
rson: Phone#:
1�1UI'I11�.L1ti11 A:illl l:ll�l,i t�t�:l.iVii� • .
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any
applicant who has not produced:acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL ehapter..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 ofcornpliznce 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-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 sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit.or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers,'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate-line.
City or Town Officials
Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city'or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture
(i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate tc give us a call.
The Department's address,telephone-and fax number:.
The CommonwWth of Mmach=tts
Department of IndusWal Accidents
Office of Investigations
• f�4�ashin�Steeet .
Rostan;MA G2111 • .
TO.#617-727 40.0 ext 406 or 1- 7-MASSAFE
Fax##617-727-7749
Revised 11-22-06 ,v.mamgovfdia
tom• -;..m•
W. Springfield, MA ,y Pittsfield, MA
(413)781-2897 (888)881-4598
Quincy, MA 'u Worcester, MA
(617)479-2619 = (888)881-4598
Mattapoisett, MA Cape Cod&Islands
(508)758-6633 E' 888)881-4598 .
Rhode Island Hartford,Hartford, CT
(888)881-4598 BUTLER (888)881-4598
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town of Barnstable Town of Barnstable
200 Main Street 200 Main Street
Hyannis, MA 02601 Hyannis, MA 02601
Attention: Records Attention: Records
COMPANY: Certain Underwriters at Lloyds, London
c/o Vanguard Claims Administration, Inc.
POLICY NUMBER: XSZ41396
CLAIM NUMBER: XS01425
INSURED: H. Carlton Neuben&Associates, Inc.
LOSS LOCATION: 52 School Street, Hyannis, MA
DATE OF LOSS: 01/07/2015
DESCRIPTION: Water
OUR FILE NUMBER: CCI15-5996
Gentlemen:
Claim has been made involving loss, damage, or destruction of the above captioned property which
may either exceed $1,000, or cause Massachusetts General Law, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313, is
appropriate, please direct it to the attention of this writer and include a reference to the captioned
insured, location, policy number, company claim number, date of loss, and clw.,7m or file nu-m. ber
<
SincerelVC4StA-
#hn
1�0
R. Gonnella =� `"s
Claims Adjuster
Phone—508-524-2277 Fax—508-758-6199
j ohn.gonnella@georgebutleradj usters.com
On this date, I caused copies of this notice to be sent to the persons named above at the address
indicate above, by first class mail.
Se retary
January 23, 2015
P.O.Box 1557,Mattapoisett,MA 02739
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.7 it does not give you permission to operate.) You must first obtain,the necessary signatures on this form at 200 Mann 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 bylaw.
DATE: 1 d 1; j 3 Fill in pleas
APPLICANT'S YOUR NAME/S: r1 C` /Y CQ
BUSINES YOUR HOME ADDRESS: ,' 1 .
TELEPHONE # Home Telephone Number 3 =5 lexe
NAME OF CORPORATION:
NAME OF NEW BUSINESS �L!' Sf` TYPE OF BUSINESS . Gl
IS THIS A HOME OCCUPATION? YES � O
ADDRESS OF BUSINESS C: pbZ ! / ml't MAP/PARCEL NUMBER 3;' [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 CO M?'se
R'S OFF E
This individ al i . e an pe mit requir ents that pertain to this type of business: �lzed Signatur
COMMENTS•
2. BOARD OF HEALTH
This individual has,be n infor e f the Pe re u ements that pertain to this type of business.
uthorized -ignature
COMMENTS:
3. CONSUMER AFFAIRS [LICEN G AUTHORITY)
This individual has en i o f the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
'FORM B - BUILDING Area Form no.
a71 7G 166
MASSACHUSETTS HISTORICAL COMMISSION
294 Washington-Street,,' Boston,- MA' 02108
Pleasant
Town Barns to bl"e (Hyannis, School Sts:�_
Address. 52. School St. , Hyannis___
- Historic' Name Capt. Benjamin Hallett
r
i \ House
Use. Original Residence
IN {
Present. Residence-office
.. Carlton Neuben
ownership. Private individual
Private organization
Public
y
, :. Original owner ('apt, RPn iami n 14@1 Teti
DESCRIPTION.:
location in relation to nearest
cross streets and. other buildings- Date. C.1844
or geographical features
Indicate north.. . Source Registry of. Deeds-Barn, Ct,y.
-ems Style Greek Revival
Architect
asbestos
Exterior wall fabric shingles
painted white
c r o Outbuildings
Cl
a a
0
r- D
D ,
o Major alterations (with dates)
G U
Dri
DID LiG'
Jtr
Q p '
Moved Date
Approx. acreage_. . .60a
Recorded by Edward L: Childs Setting RpsidPntial
-Organ ization•Barnstab1e Historical
Commission
Date May, 1981
Photo • # 24-19A-G166
(Staple additional sheets here)
Y 4
ARCHITECTURAL SIGNIFICANCE (describe important architectural features and
evaluate in terms of other buildings -within community)
This is- another of the simple styled Greek Revival homes that dominate
this section of .Hya.nnis. The gable end faces the street as is the Greek
Revival styl.e.' A Queen Anne style bay, measuring the full height of the
structure, has been added to the right front corner.A .portico over the.
doorway is supported by two small columns with little ornamentation.
The front door is simple in design. . The windows are 2/2 . A dormer has
been added to the center of the:'roof. The exterior is asbestos shingles .
painted white.
HISTORICAL SIGNIFICANCE (explain the role owners played in'. local or state history
and how the building relates to the development of the community)
Richard. Kelley, who owned most of the land . on the e,,st side of where
School Street is presently located at one time, sold Ithis parcel of land
to Captain Benjamin Hallett -in 1843. At this, time Captain Hallett had 'a
residence .constructed. Born in 1812 , Hallett was a coastal. captain who
also did. a. -great amount of travel on the Erie Canal. Duting •his career,
Hallett was in command of the schooners 'WILLIAM MORTAN, WM.R. NEWCOMBE. .
and NEW YORK. Captain Hallett died in 1889 at the age of 77. Upon the
death of his wife , Julia the home went. to Horace T. Hallett. In 1946
Horace, then a resident of Provincetown, sold the home to Halford R.
Houser. This marked the- end of the Hallett ownership of the residence,
after 102 years . Today the structure houses two offices and an apartment.
BIBLIOGRAPHY and/or REFERENCES
Tra.yser, Donald G. , Barnstable-Three Centuries of a Cape Cod Town, 1939•
Harris , Dr. Charles E. , Hyannis Sea. Captains , 1939•
Registry of Deeds-Barnstable County
Registry of Probate-Barnstable County
20M-2/80
Page 1 of 1
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Town of Barnstable
Regulatory Services
mmsTik& ' Thomas F.Geiler,Director
MAW.
9�A,E03.ta � Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
December 13,2000
Pauline A. Skiver
Liability Supervisor
P0 Box 338
Hyannis,MA 02601
Re: 52 School Street,Hyannis,MA
Dear Ms Skiver:
I have reviewed the records of the Barnstable Building Division and find no record of any inspections at
the above referenced address.
Sincerely,
Kathleen Maloney
Office Assistant
SEARCH RECORDS
STREET FILES /
PENTAMATION r
PERMIT BOOK
YELLOW COPIES ,
k
FRIEDLINE & CARTER ADJUSTMENT, ,INC:
436 Main Street , P . O. Box .338
Hyannis , Massachusetts 02601 .
Tel . ( 508 ) 771-3232
FAX (508 ) 790-2344
December 12, 2000 y
Barnstable Building Inspector
367 Main Street
Hyannis, MA 02601
RECORD REQUEST
RE: Our File Number : L1755
Your File Number : SBP1794291
Insured: NEUBEN, H Carlton
Claimant: DONEGAN, Michael
Loss Location : 52 School Street
Hyannis , MA
Date of Loss : 11/21/2000
Please note checked paragraph below;.wj-th , regard-, to- information
liF in reference caption above and proceed accordingly:
Please forward complete medical and/or2hospital records .
Please forward- all hospital/physician- bills . .
X Please forward Building and/or Board of Health Dept .
records regarding all inspections at the loss location.
Please forward Housing Assistance .
P.lease forward Police Report .
Please forward Fire Report .
Attached please find medical authorization forms . Please
sign so that we may obtain necessary medical records .
Please forward Dog Officer ' s Report .
Thanking , you _in advance for .,youranticipated .cooperation.
'.Ver-y truly ouCrs , _ s
Pau1.ne. -;A.- S.ki,ver _ ,fir
Liability Supervisor
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