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0338 SEA STREET
i 1 i i � I i 3 8 Ste- F �,e I { al- 1 ,j�- Cl— Town of Barnstable �P "p Regulatory Services t # snxxsTaei.E, : Thomas F.Geiler,Director AjF A 2. 21 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 1 Office: 508-86 038 Fax: 568-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER I O (Permit required in order to process inspection), Today's Date 7.1 Requested Date of Inspection-'- I, Lie a vtx 1,4 CC ri hereby request an inspection under Massachusetts General (Elec 'clan) Law chapter 143, section 3L and 237 CMR 4.02(3). �` The installation is complete and ready for inspection at 33 O Q i5cf4t Jj' . (Property Location) Type of inspection requested: , ❑ Temporary Service ❑ Service Re-inspection ❑ Excavation ❑ Rough Re-inspection ` ❑ Service Inspection ❑ Final Re-inspection ❑ Rough Inspection for �.Final Inspection for: �`L✓'QO'vt, ('G f%'c7 G -7 Gam- rr ❑ Other Owner or tenant__ d2.✓ d `w 0 el. —< , Licensee's name,address, and phone•OA_ 23 f, l- �clGt f��u License numb ?,5 Licensee's Signature r1. This section to be completed b' rnstable Inspector of Wires - InspectionJUL 17 2003 date Approved []Not Approved This work was not approved for violation of the following Articles and Sections of the MA Electrical Code: Q:WPFi1es:B1dg:E1=equest Town of Barnstable y�OFIME rp T OWN Ui BARNSTABLE Regulatory Services .. BA NSTABLE Thomas F.Geiler,Director 1003 PAY 28 PH ! 29 9 MASS. g q, 039. Building Division ATED MP'�A Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601'"' "--_4'�V i S f ON Office: 508-862-4038 Fax: 508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER (Permit required in order to process inspection) Today's Date i, v Requested Date of Inspection (" /v I G��l � y— � hereby request an inspection under Massachusetts General . (Electrician) Law chapter 143,section 3L and 237 CMR 4.02(3). ✓ (�� The installation will be ready for inspection at �C (Property Location) Type of inspection requested: ❑ Temporary Service Service Re-inspection ❑ Excavation Rough Re-inspection ❑ Service Inspection ❑ Final Re-inspection ❑ Rough Inspection for ❑ Final Inspection for ❑ Other Owner or tenant nX l l A Licensee's name,address,and phone License number Licensees Signature 1 . AY This section to be co y Barnsta a Inspector of Wires Inspection date�' ` ��03 Approved , ❑Not Approved. This work was not approved for violation of the following Articles and Sections of the MA Electrical Coder Q:WPFiles:Bldg:Elecrequest., .� Wit' �,:-�• _ Town of Barnstable IQ . P o Regulatory Services Thomas F.Geiler,Director atv sesznste, " _ MASS. 9� 1639' Building Division ArED MAC a Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: .508-790-6230 REQUEST FOR ELECTRICAL INSPECTION ELECTRICAL PERMIT NUMBER 0 - (Permit required in order too-process inspection) Today's Date S -2 7-U 3 Requested Date of Inspection I, hereby request an inspection under Massachusetts General (Ele�) Law chapter 143, section 3L and 237 CMR 4.02(3). C The installation is complete and ready for inspection at v k " (Property Location) Type of inspection requested: t ❑ Temporary Service ❑ Service Re-inspection �- ❑ "i Excavation El Rough Re-insE lion x ,, . '21, ❑ Service Inspection ❑ Final Re-inspecton ❑ Rough Inspection for rrrt ' r - . Final Inspection ford �� I L9 !/t C 5 p ❑ Other % Owner or tenant v2 Qi ,Licensee's name,address,and phone � A u f I. ^: License number 1 Licensee's Signature This section to Xqarnstable Inspector o fires - 14 date " Approved of Approved ,Inspection This work was not approved forvioj atio f the following Articles and Sections of the MA Electrical' Code: Q:WPFi1es:B1dg:E1ecrequest ,- , Commonwealth of Massachusetts officiat Use only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [Rev. 11/991 (leave blank) ` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK, All work to be performed in accordance with the Massachusetts Electrical Cod�e,,(MEC),527'CMR 12.00 I�'l (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-7 2,00 City or Town of: Barnstable To the Inspect r of Wires: By this application the undersigned gives n tice f his or her int ntion to perform the electrical work described below. - Location(Street&Number) 3 3 6L cs Map Parce 3 R Owner or Tenant e f/i ® n e Telephone No,/7 �f I5-Y 1 Owner's Address Is this permit in conjunc i n writh a building permit? Yes No ❑ (Check Appropriate Box)'-." Purpose of Building tC6 e Utility Authorization No. Existing Service t Amps 1 /Z1{yVolts Overhead Uridgrd❑' No.of Meters _ New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity l�✓�7� Locatioq and Nature of Proposed Electrical Work: r e°&od- /©.,�,` "G e 0. ,�' �5 receotgc e— LCLE r'' 1 om letiott of thelfollowing table nzay be waived b `�e InsPeictor of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of % Total Transformers -� KV'A No.of Lighting Outlets No.of Hot Tubs Generator -�� KVMA Above In- o.o ruergency ig mgg No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I P0 of Zanes No.of Dete ion and— r No.of Switches No.of Gas Burners Initiati 1 9Devici?l m No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons' No.of Waste Disposers Heat Pump Number Tons KW Y. No.of Self-Contained ...... ... ........................................................ . p Totals: IDetection/AlertingDevices No.of Dishwashers '� Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Sec No ofystemDevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassage Bathtubs No.of Motors Total HP Telecommunications Wiring y No.of Devices or E iva e OTHER: - Attach additional detail if desired,or as required by the Inspector of Wires. _INSURANCE COVERAGE: Unless waived by;the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) -Estimated Value of Electrical Work �� (When required by municipal policy.) - - Work to Start: 5 Inspections to be requested in accordance with'MEC Rule 10,and upon completion. I certify, under the pains and penalties of pnr that the information on this application is true and complete."FIRM NAME: VA-(V1 �� LIC.NO.: Licensee: 6�D(,u; Signature LIC,NO.: " ^(If applicable, enter "exempt"in the,license,number lute.) ,. r Bus.Tel.No e Address: Alt'Tel.No.- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my.signature below,I hereby waive this requirement., I am the(check one) ❑'owner _❑owner's agent. Owner/Agent Signature Telephone No PERMIT FEE:$ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / 2 Map C? Parcel Permit# Iealth Divisiorin - 7('� � �1Uj Date Issued Conservation Division Application Fee 9�'�` Tax Collector Permit Fee Treasurer 3AL Planning Dept. AoMCANior PERMITFROM WER '^TIZ ENGLNE"nINu�I`� lG,1 aI�. . ;0 Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Se A Sal Village t S Owner v*,t�, \�t S�u \ O 10, Address Telephone Q7�S 4 O =ZC Czl Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 4 Project Valuation 40, o0o Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family �Q, Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type:`aFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new '7 Total Room Count(not including baths):existing new First Floor Room Count ".,.Heat Type and Fuel: VLGas ❑Oil - ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing. New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:O 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 ,C.. u/ w_x) Telephone Number Address -tC'-[ �� � License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE _S- /— FOR OFFICIAL USE ONLY PERMIT NO. 1 DATE ISSUED r t MAP/PARCEL NO. ADDRESS VILLAGE OWNER r sR r DATE OF INSPECTION: FOUNDATION FRAME 6fAn6rplaf163 'V m ` INSULATION 6/,V.'O Q A (pAz 6 1Q FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ®Iot 3 A DATE CLOSED OUT ASSOCIATION PLAN NO. ' 1 .,r The Commonwea-lth of Massachusetts :-= Department of Industrial Accidents 600 Washington Street _•'.v; T Boston,Mass. 02111 ` Workers' Compensation Insurance Affidavit i location LA1�- T"'�LK, —41� �[ VA city W L X..�� Y-L-=�— 1Q -w On� I phone#� of 1 �6 ❑ I am a homeowner performing all work myself. ❑ I am a sole etor and have no one workin in ca achy I am an employer providing workers' compensation for my employees working.on this job. contraanva ; ' >�<2� >2%a [ ...... cites hn ❑ 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; conoariv n m ......... ::................?}:iii:}:Yy:,� ;::y:�:� '•:O i'}''in v::..............:......,�.:.....:. .. >::A:•......�:::.:::::::..i:i:}:::•:}ii:.}::is i:N.:>:ii:........... ....i;:};:i:iii:;iYiciiiiiiiiiii:•iii}::;i:iii:}i::;i}iiiiiiiiii iiii::iJ}iii iii:•i ';{n}:iiii:•::.iii:::•::::::•:::::::::w:::::::::::.�.:::.:.�:.::�:::.:::�::::::.�::::::::•ii•: .......... .............. ..... .................................. ..... ...... ............................ .............:::•::...............................::::::n�:................................:...,.,.................:.... ..... f •::•}:::.>:{.:•:::.}>•::::::.:::•. .:............:.................... ..• ....... RRone 4J : R:•::,: ,fi}i:}:;::;:}:i'j:v:{�.ii'riii::ii:iii:•i:+•i}i:v:^:4::i. ............... •{{vi}:•:{{J:i:4:{.:}:';is{.:i:::v:•:}i}i}:{4v.{:::.{;•}:!}}:;:{{J:i:'L:+::t:}ii:v.i`i:{i:;i:ii:;i;;}�Y ^:{•iXj.:iii:{4ii:i}:«•::4:'ii: viiyj}i ii}`i:{:'viii:•i:�}iiii i:vnv.�::•:.v::: :::•:::::::::nv::{J{.•:.... .... ...... w:::.v:.... v:::..v.�:.�:::::::: :v:: ... hgttratt :.;:{:::;:::.::;::;:;:�:.:i:;•.;:•;•:•;}:::;i:.}.:::;:..:::.}:{.;::•;:i•;::.;::.i:::••i:�:.;;.;..•.. i •:<}:::.�.:;::;::.:::;:.::;::.i:;•::.:::;:.;::.:.:;;:;.i.::.;:.ii:-•:.�.;::.:~;;:>:>>::i::':i:�;:::::>:: %/ c as n ..... .. _:....: ti aim: c#ti" rah a�atan i. Fafim a to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Hue rap to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 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 o ury that the information provided above is twee and correct Signature Date �_— r "'07 Print name Phone# Si 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 ❑checkif immediate response is required ❑Selechnen's Office ❑Health Department contact person: phone#; ❑Other (ymud 9/95 PJA) 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`oiher 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 W. 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 maybe 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 permi0icense number which will be used as a reference number. The affidavits may be retwrhRl 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 Deparement's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of lavesdUallons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 °FtKE,°,fy Town of Barnstable Regulatory Services MASS �xs ' Thomas F.Geiler,Director - 9�pr 039. �� 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: Cost Address of Work: 3L20 Owner's Name: S-eVA_ L� �� O�• Date of Application: '— l 03 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied 70wnerpulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PEPJMT 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. OR Date Owner's Name i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings_Additions $50.00 Alterations/Renovatons Building Permit Amendment $25.00 FEE VALUE WORKSIiEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= 47 C. .0031= �6 plus om below(if applicable) GARAGES (attached&detached) square feet x$32/sq.ft.= x.0031= 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 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00 (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming-P001 $25.00 Relocation/Moving $150.00 (plus above if applicable) .S Permit Fee ' 05/01/2003 12:49 19787447786 BEACON INS PAGE 03/04 Travelers - 1'''°l�Y A.MaMtd[7avJffga.y J WORKERS COMPENSATION A EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC o0 00 01 ( A) POLICY NUMBER: (6KUB-763X620-7-02) RENEWAL OF (6KUB-763XG20-7-0i ) INSURER: THE TRAVELERS INDEMNITY COMPANY 1. NCCI CO CODE: 11347 INSURED: PRODUCER: MALONE, KEVIN C DBA K C MALONE BEACON INSURANCE AGCY IN CARPENTER-CONTRACTOR 528 LORING AVE 325 EASTERN AVE SALEM MA 01970 LYNN MA 01902 Insured Is AN INDIVIDUAL Other work places and Identification numbers are shown in the schedule(s) attached. 2. The policy period is from 06-26-02 to 06-2G-03 12:01 A.M. at the Insured's malling addresss. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA S. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed In hem 3.A. The limits of our liability under Part Two are: -�` Bodily injury by Accident: $ •100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee == C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: e� SEE ENDORSEMENT WC 20 03 06 0. This policy Includes these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE i� 4. The premium for this policy will be determined by our Manuals of Flules, Classifications, Rates and Rating Plans. All required Information is subject to verlNoation and change by audit to be made ANNUALLY. DATE OF ISSUE: 06-24-02 WC ST ASSIGN: MA OFFICE: ORLANDO INDUS AFF 161 PRODUCER: BEACON INSURANCE AGCY IN 72KNP t9A 05/01/2003 12:49 19787447786 BEACON INS PAGE 02/04 �c��a CERTIFICATE OF LIABILITY INSURANCE KA DATE(MM/DDryYYY) PRODUCER 06/01/2003 TJIIS Beacon Insurance Group, Inc. ONLY CANDP—CERTIFICATE RIGHSUED AS TS MUPON HE INFORMATION CERIIAT Ave. TH DOES NOT TEND OR Salem, MA 01970-4222 HOLDER. THIS AFFORDED BY THE POLICIES SELOW, INSURERS AFFORDING COVERAGE NAIC# INsufteO Kevin C. Malone wSUkERA: TRAVELERS INDEMNITY COMPANY 25658 325 Eastem Ave. INSURER B: Lynn,MA 01902 INSURER C! INSURER D! INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION E MAY BE ISSUED OR OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAT MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANl7 CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCES BY PAID CLAIMS, TN—SR SRO TVEr.OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY E P EMISES oceura 9l CLAIMS MADE OCCUR MEO E)P one person $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY 7 PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Eswtkent) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Par person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Par ecddeni) PROPERrYOAMAGE $ (ParaooMent) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE , RETENTION 8 X WORKERS COMPENSAT(ONAND 6KUB763X620-7-02 06/26/02 06/26/03 T CRyTATU• OTH- EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNEWEXEmmvE E.L,EACH ACCIDENT S 100000 OFFICERIISEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ I+yes,tlescnhe under 500000 SPECIAL PROVISIONS b.I. E.L.DISEASE-POLICY LIMIT $ 1 OOOOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SEVEN HILLS FOUNDATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN BO HOPE DRIVE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL WORCESTER , MA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RPPR ATIV ACORD 25(2001/08) 0 ACORD CORPORATION 1988 MAY. 01. 2003 (THU) 13:53 PAGE-2/2 Town of Bimstable Regulatoq, Services �aAnrt�A��s' Thomas F.C WHer,Dirnetor ]BUMIng Division Tom Parry, Building Comn*sione)r 200 Min S{1r�ut, Hy nain,Uk 02601 Moe: 508.862 . 38 Fax: 508-790.67.30 Fxu caty CWner Must.COMplete and Sign This Section if Vsing A Ruiider I, W _ Ack er of the ro subject P Pew' heb a .�- _ a� su behalf, in all rr�a rs �lalzve ro aorid bythis bwCing pernauitpplicatio or(ass of Job) , �Nx ve,aw a�atwre Ownex /{'(lS �.5 �7ate Pxint NM 0 _.. P BOARD OF BUILDING REGULATIONS ;License: CONSTRUCTION SUPERVISOaR Nurolber .CS : 070528 3 Bfr�t�hd�te-:0�/22t1�95'5 �` E>HRaGes; �121OQ3 Tr.no: 52I5 KEVIN C MALONE 325 EASTERNL VE I LYNN, frAA 01902 Adm,nistrato"r • r, ✓�ie i�airvi�za�uaeac a�✓vlcr4oac�u�ael�6 LN V UV Board of Building Regulations and Standards HOME IW RQ0VEMENT CONTRACTOR Registrsatio-ft 5786 (,l�xpf.6'ip 3/f M4 7>� A K.C.MALONE CP 1� Q6T RnVTAALONE - 325 EASTERN AVE yes e <i LYNN,MA 01902 " Administrator y" �� - --- - _ -_- _- ---- ---_ _- _._........... __...-- -- ------ ------------ ----__-- j , u ' �.i'-'�..�` ��-` .� � ,-'�^5y"+x'�7�'t• .siv�"M1*"+�"_"_i'�'�r ,gr-.:. .... s ,�s .. _...-..... .___.._....__.._. — .. — __... RV : _ w a;' d .......... _ - --- ._-..__.._.___. _ ...._ _. ...._ ...__.._ . as e y �.m • i,� 'Engineering Dept. (3rd floor) Map 3,n 6 Parcel c)0J•,6kD Z: Permit#-� 36 b l 1 � 011 q House#- 3$f - Date Issued - T a?m CONNECTION T?SRTAIN A SEWER Board of Health(3rd floor)(8:15 -9:30/,1:00-4�9) �'C1NNE(Tto r:. Fe&o" THE ad ) Pr. Conservation Office (4t'h floor)(8:30-9:30/1:00-2:00) P THE 19 BARNSTABLE. ` / t MASS. P - �rf0 MAC p`p9 TOWN OF BARNSTABLE Building Permit Application Project Street Address V 3 j r /SZ r . Village t Owner C J0 rrn 0,n Address i i 61331 Telephone (q-1 `31 L�y 1 13(IS H �- -Permit Request rd M 2 S First Floor square feet Second Floor NON) -. square feet Construction Type ?R CYVA� F C{ ►✓Z, �} ' Estimated Project Cost $ Oo� Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family a/ Two Family ❑ Multi-Family(#units) �. Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing oZ New Half: Existing ] New No. of Bedrooms: Existing New Total Room Count(not i luding baths): Existing New First Floor Room Count R Heat Type and Fuel:(not ❑Oil ❑Electric ❑Other Central Air ❑Yes Q No Fireplaces: Existing New Existing wood/coal stove ❑Yes , No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) fLa None ❑Shed(size) ❑Other(size) Zoning Board of Appeals A thorization ❑ Appeal# Recorded❑ Commercial ❑Yes Appeals If yes, site plan review# Current Use Proposed Use A Builder Information Name �,�� k a �� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?C SIGNATURE DATE L �" BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ~ ` FOR OFFICIAL USE ONLY PERMIT NO. c. DATE ISSUED MAP/PARCEL NO. '14 + = ADDRESS s VILLAGE OWNER DATE OF INSPECTION:' FOUNDATION FRAME i P INSULATION FIREPLACES f , • w ELECTRICAL: I ROUGH FINAL - E PLUMBING: ROUGH FINAL GAS: u ROUGH FINAL _. • s FINAL BUILDING , 4 DATE CLOSED OUT,r - r , ASSOCIATION PLAN NO. ° f IngOR •••��t .ter . _ •; 1 1 i � ► . � I '1 AP WOWA � � � � '� � ' •'� :�;;: �_ �� ,fir Tip Q Ina i �.: ��YY {y�- � 3." �, .� � 3`�••. `yak - :- < � ' ✓ :. .a' %s3^.rh s,,rg- a, nr i r rSb x. ,�^ V., r dF mZ£ ,za-t':.*.. 't.`'` 1: '�:_` {,�.a=..<*�+'_k - rs.:,• s x.+` r °c#,:. ab7, ;� •' <TM�. ,. :q.. .kda�r+}' '+ *�s� utr err= �x ; } :',.x 4Y F ' '.1 .`' .`.r;F 'r •..� /wws2sY . �.: y ,-'"� Y- r _:. 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't T � 1 r 'Ti•w'4 x _ j '�,.t TFr .r� -M`it �4 y. p- `••t,+`.s'.Si tr�' 'Y' ?� l,..j4 ,,,� ry��r` V,.L•^'S t �G'", „E 5+x'i a � � 1 ' y �'� *x� .�� •E1 4 �^'.�*�✓ r�� �f l ._f "� �— �"' z y i is #- i� t a` ♦; K' •2 F{.-d „R{ 1P 5 t�e4'1. ,l ox } £ _^#. E < -�?�^ :r ^'s 3 1 t' `y'Y'f � r N .,,y 4f'• ifs !" •,o• .y.Y3t r.. ; Y U :±X• 'i r - y t.A r ,q x�,<„ xy -t hs .! �• a k a �n fr' _ > .c S L�, x - >S�:• ��' rP t r t �� f �"siA 'M� '� .}-. .,aay " d� r �„;� c jjA er - Y rRyJ1 i. O 4 N L' nj ;3 CA Lpi41 - �. CA. a -� • T' - ILA sr o ' . r-- LA £ }.�� !1♦ ! �Y4' �'"b .- try' -t � ��fi' � � .. . - TA PIA rA L s4Att+ ` Thc U �FC- -. Ict`° It s off f 5( c,�� N p , j kE7 w i LL b E bu i L+ wAAN t Afs(42C ` jo-j4te _o wcv0 AA.4 {� aRc`� A LL tkf Y� A�l��., s t�1�s �nE s, A.1�3_& -/9)ll,rz&IC,,) Tcwq Ko'S GS 4 - Y � I _ n a-a a ' I J y ti _ _��`_B� The Commonwealth of Massachusetts ,0 ltn ._xis.-- y �) Department of Industrial Accidents ((� 01me offn�eslfgations \� '_.-. - s-� 600 Washington Street V, 1 Boston,Mass. 02111 � �. Workers' Com ensation Insurance Affidavit name: location: city ) phone# ❑ I am a homeowner performing all work myself. ❑ I am a sole ro rietor and have no one workin in any capacity (y I am an employer providing workers' com ensation for my employees working on this job. com an name. I1 i i ✓1 c7P r o { address' :. 1� �'LU1�Yf✓, 1 (�Y1' ►0�'� -rP . city' N�.t t� flD r b $'410 plane#. ���� �� 5�< insurance co. Il—Yl olicv# O /%. ❑ 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: comyanv name.:: address: .: cites .:>. phone#. . camAanV name -- address: .r I # t tt iol #rce oiilsria Failure to secure coverages,required under Section 25A of MGL 152 can lead to the imposition of crLninal ����� r copy of this statement msy be forwarded to the Office of Investigations of the DIA for coverage verification I do hereby certify under the pains/annd�penalties of perjury that the information provided above is true and correct Signature ai�i,r�t 1 0�'�7.�I`�'-) Date �I J t{ �Ai _ . Print name ✓��f�/1�/.)�/"1 Phone# (5- K � �3 — _3(a(a .1111101� 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 Im ❑check if Immediate response is required I ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PIA) Y . • Y 11) 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, constriction 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 pi number which will be used as a reference number. The affidavits may be returned 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 Office of Investlgadona - 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r +uooq FILE No.448 0423 '98 13:17 ID:Konica FAX 9635 FAX: PAGE 1 lSUbbHbNlf WORKERS' COMPENSATION AND.EMPLOYERS' LIABILITY INSURANCE POLICY w., INFORMATION PAGE lent 1N5UR AlV(_:1�, zed FAIRMONT 1NSURANCE COMPANY. 03951.8 ADMTNTSTRATUR OFFICE, :L12V1Ncy, TX 75039 Insured's Name and Address .,. POLICY IDENTIFIER ENGLAND RESIDENTIAL. - SERVICEB, TNC- Office Location Policy Symbol INDEPENDENCE SQUARE MO WC'P 200 HARRISON AVE. NEWPOItT, 131. Policy Number 0065.�548 Previous Policy Nr:,w Producer Code 271282 Producer MANAGEDCOMP, INC. EIN: 0422954YO ITN: The Insured is CORPORATTON Other workplaces not shown above: SF.F. SCHEDULE W403!i3 2. The policy period is from 01.-01-1.99$ to insured's mailing address. U1-01-J_a99 12:01a.m. Standard Time at the 3. Q Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law of the states listed below, SEE SCHEDULE W40446 B. Employers' Liability Insurance: Part Two of the policy appl iss to work in each state listed in 3.A. above. The limits of our liability under Part rwo are: Bodily Injury by Accident 5 s0o,00o.0o each accident I Bodily Injury by Disease $500,000.UU policy limit, $50o,000.00 each employee C C. Other State Insurance; Part Three of the policy applies to the states, if any, listed below: AL,I, STATES EXCEPT NEVADA, NORTH DAKOTA, OHIO, WASHINGTON, WEST Vlr2GINIA, ` WYOMING, MAINE,, AND STATES DESIGNATED IN ITEM 3A OF THE DECLARATIONS. D- This policy includes these endorsements and schedules: SEE SCHEDULE W401713 4. CLASSIFICATION OF OPERATION PREMIUM BASIS RATE SEE EXTENSION OF INFORMATION PAGE MA INDUSTRIAL. ACC.TDFNT ASSESSMENT-1'1-ZIVATE: 99,292 X .040 - _ $5,243) Minimum Deposit Total Estimated r Premium $750.00 Premium $1-39,994.00 Annual Premium $139,994.00 Direc If indicated, interim adjustments of premium shall be made:t. Bill - Manl.hly i ) Semi-Annual I ) Quarterly • .l ► Monthly Countersigned By WC OD n0 01 A A Copyright 19R7 National Council on Compensation loeyrorruo W 18917 01-27-1998 10-sa INSURED'S COPY APR-23-98 THU 12:52 PM P. I OpTNE The Town of Barnstable • m►srrsrxec� • ARAM �e� Department of Health Safety and Environmental Services s ��,,, • Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commission: 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 Work• 1 Est.Cost 30� • m ` Address of Work• �� n\ Owner's Name V f)✓mGt�'1 �" ,Y�� Date of Permit Application: y I hereby certify that: I 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 PROGZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. y D e Contractor'Name Registration No. OR Date Owner's Name • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION �LO n Number Street address SjActinn of town "HOMEOWNER" T 9- Name Homd phone Work phone - PRESENT MAILING ADDRESS -ko i M�9 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFfINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or .is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Officiz on a form acceptable to the Building Official, that he/she shall be responsib_ for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Sta Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner certifies that he/she understands . the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE , � - APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35 , 000 cubic feet, or larger, will be reuired to comply with State Building Code Section 127. 0, Construction Controlq HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which a^ building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person (s) for hire to do such work, that such Home OwnE shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a. supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home " wner acti as supervisor is ultimately responsible. ,. To ensure that the Home Owner is fully aware of his/Fier responsibilities, ma communities require, as part of the permit application, that the Home Owner 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. AGREEMENT TO LEASE Date:/ y S' In consideration of the mutual promises, obligations and agreements herein set forth,the parties hereto agree as follows: 1. PARTIES Norman G. Brodeur 627 Spring Street, Athol,MA 01331 (978)249-9684 (Name) (Address) (Telephone No.) hereinafter called "Landlord",hereby leases to New England Residential Services Inc. PO Box 1308 Saaamore Beach,MA 02562 (508)833-0366 (Name) (Address) (Telephone No.) hereinafter called"Tenant",and Tenant hereby hires from Landlord,the Leased Premises described in Paragraph 2. a� 2. LEASED The Leased Prenuses consist of the land and the buildings thereon now known and numbered PREMISES 338 Sea Street (Street) t Hyannis J , Massachusetts 02601 (City or Town) (Zip Code) 3. TERM This Lease shall be for a term of three 3 years,beginning on April 1, 1998 and ending on March 31, 2001. 4. RENT Tenant agrees to pay rent to Landlord at the rate of One Thousand Six Hundred Dollars ($1,600.00)per month on the first day of each and every month in advance so long as this Lease is in force and effect. All rent shall be paid to the Landlord by check mailed to the address of Landlord set_, forth above or as otherwise directed in writing by Landlord 5. CLEANLINESS Tenant shall keep the Leased Premises in a clean condition. Tenant shall be responsible for the proper storage and the final collection or ultimate disposal of all garbage and rubbish, all in accordance with the regular municipal collection system. Tenant shall not permit the Leased Premises to be overloaded, damaged, stripped or defaced,nor suffer any waste, and shall obtain the written consent of Landlord before erecting any sign on the Leased Premises. The toilets and pipes shall not be used for any purpose other than those for which they were constructed. 6. PETS No dogs,birds or other animals or pets shall be kept in or upon the Leased Premises without Landlords prior written consent obtained in each instance. 7. GROUNDS Tenant shall be responsible for normal grounds maintenance during the Term of this lease. Without limiting the generality of the foregoing language,Tenant shall promptly remove snow and ice from the driveway,walks and steps of the Leased Premises,and shall keep the lawn and all shrubbery neatly trimmed,healthy and of good appearance. 8. INSURANCE Tenant understands and agrees that it shall be his own obligation to insure his personal property. q: Tenant shall not make or permit any use of the Leased Premises which will be unlawful,improper, or COMPLIANCE contrary to any applicable law or municipal ordinances(including without limitation all zoning, WITH LAWS building or sanitary statutes,codes,rules,regulations,or ordinances)or which will make voidable or increase the cost of any insurance maintained on the Leased Premises by Landlord. 1.0. ADDITIONS Tenant shall not make any additions or alterations to the Leased Premises without Landlord's prior OR written consent obtained in each instance. Any alterations or additions made by Tenant at his expense ALTERATIONS may be removed by Tenant at or prior to the termination of this.Lease,provided that Tenant is not in default under this Lease, and provided further that Tenant repair any resulting injury to the Leased Premises to their former condition. 1]. Tenant shall not assign or sublet any part or the whole of the Leased Premises,without first obtaining SUBLETTING, on each occasion the consent in writing of Landlord. Notwithstanding)any such consent,Tenant shall NUMBER OF remain unconditionally and principally.liable to Landlord for the payment of all rent and for the full OCCUPANTS performance of the covenants and conditions of this Lease. 12. UTILITIES Tenant shall promptly pay all bills for water, sewer, fuel,heat, electricity,gas,telephone and other utilities famished to the Leased Premises during the Term of this Lease, and shall keep the Leased Premises adequately heated during the normal heating season. Upon request of.Landlord,Tenant shall. promptly deliver adequate proof of the payment of utility bills to Landlord. Landlord and Tenant understand and acknowledge that the following utility equipment has been rented or purchased on credit by Landlord: NONE and tenant agrees to pay the sum of$ N/A per month directly to for use of such.equipment during the Term of this Lease and if Tenant shall.fail to pay such sums as set forth herein,then Landlord may pay such sums for the account of Tenant and Tenant shall reimburse Landlord therefor upon demand, as additional rent. 13. ENTRY Tenant shall permit Landlord to enter the Leased Premises prior to the termination of the Lease to inspect the same,to make repairs thereto(although nothing contained in this Paragraph shall be construed to require Landlord to make any such repairs), or to show the same to prospective tenants, purchasers,or mortgagees. Landlord shall also be entitled to enter the Leased Premises if they appear to have been abandoned by Tenant or otherwise, as permitted by Law. Any person entitled to enter the Leased Premises in accordance with this Paragraph may do so through his duly-authorized representative. Wherever possible,Tenant shall be informed in advance of.any proposed entry hereunder. At any time within three(3)months before the expiration of the Term of this Lease, .Landlord may affix to any suitable part of the Leased Premises a notice for letting or selling the same ; and keep such notice so affixed without hindrance or molestation. 14. KEYS AND Locks shall not be changed, altered, or replaced nor shall new locks be added by Tenant without the LOCKS written percussion of Landlord. Any locks so permitted to be installed shall become the property of Landlord and shall not be removed by Tenant. Tenant shall promptly give a duplicate key to any such changed,altered,replaced or new lock to Landlord,and upon termination of the Lease,Tenant shall deliver all keys to the Leased Premises to Landlord. 15. REPAIRS Subject to applicable law,Tenant shall keep and maintain the Leased Premises and all equipment and fixtures thereon or used therewith repaired,whole and of the same kind,quality and description and in such good repair, order and condition as the same are at the beginning the Term of this Lease or may be put in thereafter,reasonable and ordinary wear and tear and damage by fire and other unavoidable casualty only excepted. If Tenant fails within a reasonable time to make such repairs,or makes them improperly,then and in any such event or events, Landlord may(but shall not be obligated to)make such repairs and Tenant shall reimburse Landlord for the reasonable cost of such repairs in full, as additional rent, upon demand. 16. LOSS OR. Tenant shall indemnify Landlord against all liabilities, damages and other expenses,including DAMAGE reasonable attorneys'fees, which may be imposed upon, incurred by, or asserted against Landlord by reason of (a)an failure on the art of Tenant to perform or comply with v Y P an covenant r aired to p mP Y Y «1 be performed or complied with by Tenant under this Lease, or (b)any injury to person or loss of or damage to property sustained or occurring on the Leased Premises on account of or based upon the act, omission, fault,negligence or misconduct of any person whomsoever other than Landlord 17. EMINENT if the Leased Premises or any part thereof, shall be taken for any purpose by exercise of the power of DOMAIN eminent domain or condemnation or shall receive any direct or consequential damage for which Landlord or Tenant shall be entitled to compensation by reason of anything lawfully done in pursuance of any public authority, then this Lease shall terminate at the option of Landlord or Tenant; and such. option may be exercised in case of any such taking,notwithstanding that the entire interest of Landlord may have been divested by such taking. If this Lease is not so terminated,then in case of any such taking of the Leased Premises rendering the same or any part thereof unfit for use and occupancy, a just and proportionate abatement of rent shall be made. Any termination of this Lease pursuant to this Paragraph shall be effective as of the date aim which Tenant is required by the taking authority to vacate the Leased Premises or any part thereof, provided however that Landlord shall have the option to make such termination effective upon, or at any time following,the date on which said taking becomes legally effective. 1.8. FIRE, Should a substantial portion of the Leased Premises be substantially damaged by fire or other casualty, OTHER Landlord may elect to terminate this Lease. When such fire,casualty,or taking renders the Leased CASUALTY Premises or any part thereof unfit for use and occupancy, a just and proportionate abatement of rent shall be made,and Ternant may elect to terminate this Lease if Landlord fails to give written notice within thirty(30)days after said fire or other casualty of his intention to restore Leased Premises, or if Landlord fails to restore the Leased Premises to a condition substantially suitable for use and occupancy within ninety(90)days after said fire or other casualty,provided however that nothing contained in this paragraph shall be construed to require Landlord to make such restoration. 19. DEFAULT If Tenant shall fail to comply with any lawful Term condition, covenant, obligation, or agreement expressed herein or implied hereunder,or if a petition in bankruptcy has been filed by or against Tenant or if Tenant shall be adjudicated bankrupt or insolvent according to all or if any assignment of Tenant's property shall be made for the benefit of creditors,or if the Leased Premises appear to be abandoned,then, and in any of the said terms, conditions, covenants,obligations, or agreements,the Landlord without necessity or requirement irement of making any entry may(subject to the Tenant's rights under applicable law)terminate this Lease by: 1. a seven(7)day written notice to Tenant to vacate the Leased Premises in case of any breach except only for nonpayment of rent, or 2. a fourteen(14)day written notice to Tenant to vacate the Leased Premises upon the neglect or refusal of Tenant to pay the rent as herein provided. Any termination under this section shall be without prejudice to any remedies which might otherwise be used for arrears of rent or preceding breach of any of the said terms, conditions, covenants, obligations or agreements. 20. Tenant covenants that in case of any termination of this Lease,by reason of the default of Tenant, then: COVENANTS IN A. Tenant will forthwith pay to Landlord as damages hereunder a sum equal to the amount by which EVENT OF the rent and other payments called for hereunder for the remainder of the Term or any extension or TERMINATION renewal thereof exceed the fair rental value of said Leased Premises for the remainder of the Terns or any extension or renewal thereof, and B. Tenant covenants that he will furthermore indemnify Landlord from and against any loss and damage sustained by reason of any termination caused by the default of, or the breach by, Tenant. Landlords damages hereunder shall include,but shall not be limited to,any loss of rents, accrued but. unpaid prior to termnation; reasonable broker's commission for the re-letting of the Leased Premises; advertising costs;the reasonable cost incurred in cleaning and repainting the Leased Premises in order to re-let the same and moving and storage charges incurred by Landlord in moving Tenant's belongings pursuant to eviction proceedings. C. At the option of Landlord,however, Landlord's cause of action under this Section shall accrue when a new tenancy or lease Term first commences subsequent to a termination under this Lease,in which event Landlord's damages shall be limited to any and all damages sustained by him prior to said new tenancy or lease date. Landlord shall also be entitled to any and all other remedies provided by law. All rights and remedies are to be cumulative and not exclusive. 21. SURRENDER Upon the termnation of this Lease,Tenant shall deliver up the Leased.Premises in as good order and condition as the same were in at the commencement of the Term,reasonable and ordinary wear and tear and damage by fire and other unavoidable casualty only excepted Neither the vacating of the Leased Premises by Tenant,nor the delivery of keys to Landlord shall be deemed a surrender or an acceptance of surrender of the Leased Premises, unless so stipulated in writing by Landlord. 22. ATTACHED The forms,if any,attached hereto are incorporated herein by reference. FORMS ADDENDUM TO LEASE HOME CONDITION STATEMENT 23. NOTICES Notice from one party to the other shall be deemed to have been properly given if mailed by registered or certified mail,postage prepaid,return receipt requested,to the other party (a)in the case of Landlord at the address set forth in the first paragraph in this agreement or any other address of which Tenant has been.notified, and (b)in the case of Tenant, at the address listed in Section 1, or if said notice is delivered or left in or on any part thereof,provided that there is actual or presumptive evidence that the other party or someone on his behalf received said notice. Notivithstanding the foregoing, notice by either party to the other shall be deemed adequate if given in arW other manner provided or recognized by Icnv. 24. LIABILITY In the event that Landlord is a trustee or partner,no such trustee or partner nor any beneficiary nor any shareholder of said trust nor any partner of such partnership shall be personally liable to anyone under any term, condition, obligation or agreement expressed herein or implied hereunder or for any claim of damage or cause at law or in equity arising out of the occupancy of the Leased Premises,the use or maintenance of said building or its approaches and equipment. 25. DEFTNTTIONS The words "Landlord" and"Tenant" as used herein shall include their respective heirs,legatees, devisees, executors, administrators, successors,personal representatives and assigns; and the words "he", "his",and"him",where applicable shall apply to Landlord or Tenant regardless of sex,number, corporate entity,trust or other body. If more than one party signs as Landlord or Tenant hereunder, the conditions and agreements herein of Landlord or Tenant shall be joint and several obligations of each such party. 26. WAIVER The waiver of one breach of any terns, condition, covenant, obligation,or agreement of this Lease shall not be considered to be a waiver of that or any other Term,condition,covenant,obligation,or agreement or of any subsequent breach thereof. Y :J 27. If any provision of this Lease or portion of such provision or the application thereof to any person or SEPARABILITY circumstance is held invalid,the remainder of the Lease(or the remainder of such provision)and.the CLAUSE application thereof to other persons or circumstances shall not be affected thereby. 28. ADDITIONAL See ADDENDUM TO LEASE PROVISIONS EXECUTED as an instrument under seal in duplicate on the day and date first written above,and Tenant as an individual states under penalty of perjury that he is at least(18)years of age. 4an rd Tenant Norman G. Brodeur Veronica Wolfe,Executive Director New England Residential Services,Inc. Landlord TENANT:REMEMBER TO OBTAIN A SIGNED COPY OF THIS LEASE r i ADDENDUM TO LEASE 1. USE OF LEASED PREMISES The Tenant intends to use said premises to operate a group home for four(4) developmentally disabled individuals. One or more of the individuals may require the use of a wheelchair during the term of the lease. 2. TENANT'S IMPROVEMENTS The Landlord agrees that the Tenant may make alterations to the leased premises to meet the standards set by the Commonwealth of Massachusetts—Department of Mental Retardation(DMR)for the operation of a group home for developmentally disabled adults or the Commonwealth of Massachusetts—Architectural Access Board(AAB)provided . the Landlord consents thereto in writing, which consent shall not be unreasonably withheld or delayed. The Landlord hereby gives permission for the following improvements/repairs to be made by the tenant at the tenant's expense: a. Modify existing wheelchair ramps to meet AAB standards. Construct a wheelchair ramp at the front of the house. Tenant will submit plans to Landlord for review prior to beginning construction, approval will not be unreasonably withheld. 9141-n 10 Tv g6- AfE-r„01,/e-p A-7— =wD of Ts NA-�c Y. xe--'C. Install additional handrails on stairs and in hall way. ( /o E- RE m b j/ � ,-I T�-u-0 64 7'e-N ,o..v A•v 0 W�4u.S d. Change locks to a type that will not lock automatically on exit. Tenant will provide Landlord with keys for the new locks. Install grab bars in the bathrooms. .To rg L- 2 Urnod -O 14-7— erN O 6 14- The Tenant will not fi y the Landlord and give him the names of all the intended workmen to be used to make the aforesaid improvements, subject to the approval of the Landlord, whose approval will not be unreasonably withheld. The Tenant will hire and be responsible for the workmen for any improvements. The cost of all listed improvements .shall.be the sole responsibility of the tenant, with the exception of those detailed in Section 3 below. n. 3. LANDLORD'S IMPROVEMENTS The Landlord agrees to make the following repairs to the leased premises prior to occupancy, to meet the standards set by DMR for the operation of a group home for developmentally disabled adults, as well as the Commonwealth of Massachusetts Building Codes. a. Screens will be provided for all windows. b. Remove any debris left by previous tenants from house, cellar and yard prior to occupancy. c. Cleaning and inspection of heating system within six months prior to occupancy. 4. TERMINATION OF LEASE The Tenant may terminate the Lease for the following reasons: a. If the premises are not available to the Tenant, free of occupants, on the date specified in Term of this Lease. b. If at any time during the term of this Lease, the Tenant loses its funding for the program to be conducted at the Leasehold premises,then upon the Tenant's written notification of this fact to Landlord, said Lease will become null and void provided that the Tenant provides at least 90 days notice or pays the Landlord a sum equivalent to three(3)months' rent in lieu of notice. 5. YARDWORK AND SNOW REMOVAL Tenant will be responsible for maintaining the yard(ie. cutting lawn, raking leaves), as well.as snow removal. 6. SECURITY DEPOSIT r Upon signing of lease, Tenant shall provide the Landlord with a security deposit in an amount$1600. The security deposit shall be kept in a certificate of deposit account,with interest paid to the tenant annually. J 7. DAMAGES &REPAIRS Tenant agrees to be responsible for repair of any damages to the premises directly caused by its clients or staff,with the exception of normal wear and tear. In the case of repairs or replacements needed due to normal wear and tear or systems failures, Tenant will notify the landlord of the need for repairs/replacements. All such repairs/replacements shall occur within a reasonable time frame. 8. LEASE RENEWAL At the end of the initial three year lease period(i.e. March 31, 2001.)the lease shall automatically renew for an additional period(s) of 1 year unless the Landlord or Tenant gives at least 90 days prior written notice (i.e. prior to January I'of each year)of its intention not to renew. 9. OPTION TO PURCHASE If the Landlord decides to place the property at 338 Sea Street, Hyannis, Massachusetts on the market,the Tenant has the first option to purchase said property. Tenant is to have sixty days to respond. The purchase price shall be determined by the average of three appraisals conducted by appraisers agreed to by both parties with the expense of these appraisals to be shared equally by both parties;unless the Landlord and Tenant can agree upon a price without the appraisals. If sale is consummated, a comnnission of 6%is due from the Landlord to Harvard Realty Associates as Broker. Harvard Realty Associates is protected with this Tenant for a period of one hundred eighty days after the expiration of this lease or any extension(s) thereo.�if the Tenant purchases the property. The Landlord agrees to pay a broker's fee of$1600.00 of the total rental to Harvard Realty Associates, 17 High School Road, Hyannis, Massachusetts. . i Signature of Landlord Date Norman G. Brodeur by: Signature of Tenant Date ~ Veronica Wolfe Executive Director a ' • Ni eering Dept. (3rd floor) Map 30,;� Parcel L®3-6!1 Permit# House# S/ ��JG Date IssuedCvrp Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 90N Prm—Yusyg 'DA �• ov Conservation Office (4th floor)(8:30-9:30/1:00-2:00)��� ° O�IVISMpN R 'AJUR TO OptME 19 ' BARNMBU. MAM �Fo 59. TOWN OF BARNSTABLE Building Permit Application rPr7ojecret Address 3 3 AW _,,9" sT,e a 7" Village /9/V it/1 S Owner s n?f9 d l2 Address _6;?Z S}0121.0r, Telephone •gyp F— a V9 96TV Permit Request First Floor square feet Second Floor square feet Construction Type 7T2e,47,!!Fj3,. Z>e rla r2� 4;(Xx6 Estimated Project Cost $ 1,3 6 ® --- Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family IQ( Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use a Builder Information Name n) /� c�A/212y/ Telephone Number Address 7 ALIgg 7- .y,0AD License# 2 6 d a 9� S. V" 4u1`!��yyl� 0 Z6.&V Home Improvement Contractor# 1/6/7 � Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �iM10 SIGNATURE @ DATE JT J q 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED MAP/PARCEL NO. VILLAGE ADDRESS OWNER DATE OF INSPECTION: L �� FOUNDATION FRAME INSULATION FIREPLACE lo ELECTRICAL: ROUGH /" FINAL PLUMBING: ROUGH FINAL ROUGH FINAL GAS: _ � 6 • FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. "E''Dr''�• d The Town of Barnstable KAM�$ De artment of Health Safety and Environmental Services ��. P Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 'Ralph Crossen Fax: 508-790-6230 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 Work: Baal 1) D EG lC Est.Cost Address of Work: SSA -577 &JAI NIS Owner's Nam i O C ak Date of Permit Application: 7— 7— I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME B"ROVEMENT 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. 7— 7— e //&/7�} Date Contractor Name IF Registration No. OR Date Owner's Name The Conttnottivealth of Massachusetts Department of Industrial Accidents ` t. Office ollttvestfgaUORS ''L' 6011 {i'ashitrrton Street - ,,46 Boston, Mass. 02111 Workers' Compensation Insurance Affidavit applicant tnforma{0,tion: a Please PRINT leb�y�,� name: _� 10 /•�C L7/1�t/"t Rg � locition• 3 7 I;SIGINF1Ir fi2ogp city phone# I am a homeowner performing all work myself. lam a sole proprietor and have no one working in any capacity .._.S.:. :.�: -.+n--...-n�^-'a!--:•S .4'4'9j.?!7P�.e..{wr„Rw9,f,� _.s�--�R�.� � �*'�'�'»�.- ?�`!4-.«.ww.�y�*+�r^7�",--""-t'7--'-'^'-a::,. .�` ^1*'�-..�.'.'.���..._'.�•..��'{ I am an employer providing workers' compensation for my employees working on this job. company name: address: city: phone#- insurance co _police# 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: company name: address: cirv: phone#• insurance co polio•# ,'• a -' �/YAi>«` 'ri�oa��-_r,•y "T�c.Y,vf"�:9�,,,;`_:.�r^.� e'r-r"ab'a. ^, 7�.f1 �'^„fii'x,}+'.,' •.'.r++: 7r..+••ea-^^••`fh:"'"e �.,.-..s, -.._._...-_.ter-.. __-._.:�s.�• - ----.:,..r.arw ,► "'::t ^�f"+n+�... :.a�iC L. .a.i..z;:as company name: address: city- phone#• insurance co colicy# :Attach additional sheet if neces_sa_rx•��"� +" i��`" �.� r �� *•�'�"'":%e 'T �''w " ^�� '�'"� -•. /...na.�: xY••"'•7`w _Mris�aa �'- `""•s7srtr.n:J'i`,.�!!,.kt:c;:..�+[f. Failure to secure coverage as required under Section 25A of A1GL 152 can lead to the imposition of criminal penalties of a line up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the OMcc of Investigations of the DIA for coverage verification. I do herebv certifj•un 1, t/re pairs and p raities ojperjun'that the information provided above is true and correct. Signature � Date 7— 17 9,/1 Print name O k tV m e (57"WeI24 Phone# 62602- -52 6-6 F. official use only do not write in this area to be completed by city or town official city or town; permitAiccnsc# riBuilding Department Licensing Board check if immediate response is required Selectmen's Offace ` [3I1calth Department contact person: phone#; slOther (Mised 3;9;P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compepsation for their employees. As quoted from the "law", an eniph wee is defined as every person in the service of another-under anv contract of hire• express or implied, oral or written. An empinrer is defined as an individual, partnership, association, corporation of other-legal entity,-or any two or more of the foregoin�g enga�_ed in a joint enterprise, and including the legal representatives of a deceased emplover, 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 d\vellino house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the .:rounds 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 reneival 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 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. Tile affidavit should be returned to the city or town that tite 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. a 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 eive,us a call. • .A.4•.�^'.PR�7"Sl1R.n-��•••�•�^•fRn+fir'_'RR•inwy-RN*[-!•"eC4�,�n!.•r�fT +".,w..yw�,ys'../f!I•'1'JwifR'lf.?"•-1'tVTF•w,'IiNMr-i -ia4Rf The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 11 �-- I SNAct:2.�3co�i<_ SI°GAcES._ _._AertMs OtlJrlE�;� 1012 �'8�zo.nc�2, _rSEa' S�-KJ'a_nlNis,Wtll _ j —'Li4GSG�2v�1" V i I I ' ; I I T_ { Al F174,_O 7l.m' de -I— , f--- -�--�_ NOTES t I `_ i—li.R rno�vEl tzArnas_FRda►�t six b DEcK7'll? L RA*t P ' I I J. — _ RetSOYAD-RAmP_Ft?orYt_i ' 42t3tE RA;n- _fs 1 N_Ew_D_Act<_, -- �1?�t�SsNt2E_?Je�T'f�fuw -- lw.ocUte_T_IJo-r 7�iyAlkirs,Ee W IfN � � � S__t. � - �- - 'r 1 ' � � � ;i • ► f 1 � � � ,ate�= � � �- , � , � ' 1 -�� I �r• F'a"^-tea^ A_: }, :..,. .......,�..ir }i- { �}, � ��._' +- _ _ �- F , 1 - n '9 } t GRADE i—_t—' -L. L_ 10t�ET'1�4rT, 1 ,--E -- ?E.IMOVk.- ' ---�-•----�----� r -,{-.�-..' � � ' � t ._�___..;_-_._i._ ;__.-.. i,.-,-_t?E t?t A c e_W�T_N_N�.�''D s c�c:,. -- ' � �;,� 11 _�GAR2)% -_ I i t t t r F { � � I I i � i i � 1 • i t !T i « I r . Y 1 �1 y� ' ► 1! 'GIs � ��' �I • s �•�-: � :A ,� _ �� ��w Imo— ---�'—/� � - - - __.�. _.r���Y•�_ COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY. OF ;ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 .. LICENSE EXPIRATION DATE C O N S T R.. /2$/ 9 9 5 EFFECTIVE DATE LIC-NO. RESTRICTIONS 1G 05/01/1993 060294 1 9 2 FAMILY HOME IOHN H MCGARRY 114 OLD COLONY DR SS 373-26-7558 MASHPEE MA OZ649 . PHOTO(BLASTING OPR ONLYQ FEE: O o O NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR-SIGNATURE OF THE C'.MMISSIONER - HEIGHT: -"° DOB: 10/28/192 THIS DOCUMENT MUST BE '_ CAARIEOON THE PERSON OF SIG-' THE HOLDER WHEN EN- OTHERS p U C/iURE OF i t - -RIGHT THUMB PRINT GAGEDINTHISOCCUPATION. ,fwT� IJ `4� iSS10N _ __- _ '-s•A, - -- _ram_. _ _ _ r�/e'�o�nma�w�eu/.l�aMo���aaaac/uaelld MM HOME IMPROVEMENT"CONTRACTOR Al y k.. Registration116174 ,.Type ;INDIVIDUAL Ezpiratioo '05/25/98 �.+ MCGARRY CONST CO MCGARRY eeM co , ADMINISTRATOR ASPINET RD SO YARMOUTH MA 02664 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS W Print your name,address,and ZIP Code in the Com 11 ple s items 1,2,S,and 4 on the reveno. e Attach to front of article N space permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE.$3W e Endorse article"Return Receipt Requested" adjacent to number. RETURN TO Mr. Joseph DaLuz, Building Commissioner Town of Barnstable (Name of sender) 367 Main Street (No.end Street,Apt.Suite,P.O.Box or R.D.No.) Hyannis, MA 02601 (City,State,end ZIP Code) SENDER: Complete items 1,2,3 aqd o Put your address in the"RETURN TO"space on the 3 reverse side. Failure to do this will prevent this card from being returned to you.The return receipt fee will provide -+ you the name of the person delivered to and the date of delivery. For additional fees the following services are c available.Consult postmaster for fees and check box(es) for service(s) requested. 1. ❑ Show to whom,date and address of delivery. 2. ❑ Restricted Delivery.. v U, 3. Article Addressed to:: Mr. Norman Brodeur 627 Spring Street Athol, MA 01331 4. Type of Service: Article Number 11 Registcred ❑ Insured p 0_42 998 639 ❑ Certified ❑ COD ❑ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. C 5. Sign 0 pro—Addressee m 6 ignature—Agent A X m 7. Date of Delivery c Z 8. Addressee's Address(ONL°Yifrquestedand fee paid) M m , n m V JosL�PH'D. DALU2 v� a TELEPHONE: 775-1120 Building Commissioner EXT. 107 TOWN OF 8ARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 September 2, 1986 Mr. Norman Brodeur 627 Spring Street AThol, MA 01331 Re• 338 Sea"Street, .Hyannis _j • A=306-203-2 Dear Mr. Brodeur: I have received a written complaint re the apartment which you are alleged to be renting. I invited your rental agent, Mr. Dennis Carey, to my office and he advised me that you do have an apartment in your dwelling located at 338 Sea Street, Hyannis. Please be advised that your dwelling is located in a Residence B zoning district and only single family dwellings are permitted. Since you added the apartment you are in violation of the Town of Barnstable Zoning By-Laws. Anyone convicted of a violation under this by-law shall be fined not more than One Hundred ($100.00) Dollars for each offense. Each day that such violation continues ,shall constitute a separate of- fense. Unless a satisfactory resolution is received by this department within fourteen (14) days of this notification I shall be forced to take action in the First District Court at Barnstable. I trust that such action will not be necessary. Peace, Jse7phD. >DaL z rt Building Commissioner 6 JDD/gr cc; Town Counsel Board of Selectmen Mr. Alan Fletcher r r . i r o �. I Juty 28, 1986 Building I ns pec ton Banns tabte Town Hatt Hyannis, MA 02601 I Dean Sit: 1 woutd ti.ke to bite a 4onmae eomptai.nt against my neighbor, Mt. Norman Btodeau, 338 Sea Street, {got v.i eation o6 Town Buitdixg Codes. " A{t. Bnodeau is tenting out his home and .in-taw apartment to s epatate patties not te.eated to him. Five (5) on six (6) 6emates neat the main house and a mate tents the in_'tmv:apartment. Sevelcae veh.ictes 6nom this address Mock the deeded night o6 way to the drive- way. Veh.ictes also back .into my paAii:ng area and onto Sea Street .to get out. T o,. 338 Sea.Stteet have damaged my, pnope ty`and 'use -i t dai Cy• .to j�anli;pn, back out 05 thei L par.Ficung .spots. (_Deeded night o6 u!ay:to drive!uay).. I woeU titre youA o6�ice to investigate the untaw¢,ut use o6 338 Sea Street as a guest house and thge kenti:ng out o6 the in4aw apartment. The safety o6 my 4am.i ey avid the pubtie .is .in serious jeopardy with att the tna6Sic coming and going glom 338 Sea Street. The Driveway which' 1- tepa ted .last year .is in need o4 tepaA again because o4 the heavy tna66 c at 338 Sea Skeet - Tta64ic .is constantey backing .into my d iveway to turn aAound. The present use o6 338 Sea Street is ittegat and 1 woued be witting to go to count an heaung as,'a. 4tna.� to.the-'above, buitd.ing-code:.v io.ea ti:ovus, at 338 Sea ¢Stir.eet.: S incaeey; Atari G, Ftetchen 342-.S,ea Skeet H yann",' Ma Phone': 17-.;$566 8 Ma 2 rig Y Addic'e,�s5 4 Dunn Avenue ' Ho.eyolie� p4A 01040 Phone': . (413).' 536 ,4411 Ae October 20 , 1986 Building Commissioner Town of Barnstable Town Office Building Hyannis , MA 02601 Dear Mr . DaLuz : This letter is to confirm our telephone conversation of October 8 , 1986 concerning our dwelling , 338 Sea Street , Hyannis . Per your instructions , the stove and ventilating hood have been permanently disconnected from the kitchenette and subject appliances have been physically removed from the premises . In the future , the dwelling will only be rented as a single residence in conformance with the zoning by-laws for our property location. We would like to take this opportunity to thank you and your staff for the courtesy afforded us . Our first ex- perience with Hyannis municipal officials was certainly a very positive one . Please do not hesitate to contact us if there is any further action and/or information required . Looking forward to our next meeting . Sincerely, Audrey ; No man Brodeur 627 Spring Street Athol , MA 01331 Tel . (617) 249-9684 -home (617) 544-7803 -business TOWN OF BARNSTABLE Permit No. ___2-5 3 4 O ---------------------- Building Inspector BAWSTM Cash mum. 6yq. Sara+� OCCUPANCY PERMIT Bond /_X D ,� _ Issued to CaFricorn Realty Tr'uSt Address Lot_,1.A3 '. 338 Sea Strut, Hva�lal; Wiring Inspector + �;,L Inspection date ` Plumbing Inspector _ ✓ ) Inspection date Gas Inspector C1 A (4 ^, s Inspection date 2 5 e_pl. ;Engineering Department Inspection date Board of-Health' l� ^ ��E�7..__y Inspection date g p�{ THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE JOCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0,o OF THE MASSACHUSETTS STATE BUILDING C. -/ � 10/25/83 APPROVED FOR SINGLE �` -,fILY �Gv'�;T.LING ONLY 1 No apartxner +/ry ✓�3- .................... ............................y I9 1 T ................................................... Buildina Inspector t N 4 . A op- Q 63 -� h -r 4Ills, 4 A ILl b, v ` y 1_ ti�• - - Pti.rti+eL' BPCEILEW A-I a e-A M G . OwELL11G N � l s•_o.oBZ FND EL = 6.5 M Flo i N 3 ti woo Ln M w ail n E L T-q 5 d SU,u tb Q, 7 on C.),n--1 1 LEGEND EXISTING SPOT ELEVATION OAO CERTIFIED PLOT PLAN ��oF As EXISTING CONTOUR ——— 0 - - - e� FINISHED SPOT ELEVATION 9.0 FINISHED CONTOUR 0 APPROVED :BOARD OF HEALTH 4 ® H IN SHIM fAS L ,,W ass* SUR��'y DATE AGENT SCALES / "=3 U DATE , G CO.E DLDL REDGE ENG1NE'ER/NIN rl?AA✓fv — CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J08 N0, 83 n�� BUILDING SHOWN ON THIS PLAN CIVIL LAND ,,,- CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BYt OF BARN.STABLE , MASS. 712 MAI N STREET CH. BY, -�, R.E, HYANN I S MASS, ' SHEET� OF DATA DREG LAND SURVEYO- R r - - Est: Q -J Q Lo-r 4 Q � � o 134•.`t`� - o _ 1ti I 19'f 43 ,ss I6.0 51.9 N 4 u ,1.1 ► � m . 45 t u 35 f - Q N _1 E ASEr EA' A T M'T- - x LoT io,000 5.. F 10, S s. 5, �. OF CERTIFIED PLOT PLAN 3 ;} Ito NO su i SCALE' I "= / DATE, -1 t4A3 CERTIFY THAT THE Fo�'saQ�T'c�-1 CLIENT SHOWN ON THIS PLAN 13 LOCATED ESISTERE RE®1STER6D �. �. 83cA0 ON THE GROUND AS INDICATED AND CfVll LAND R,� I CONFORMS TO THE ZONING LAWS iI�NGINEER ME OR.®Y$ ... 9F ®ARNSTA® E , AA 38. 712 Mq1 N STREET H YA N�11 S, MASS, RPIMEEI'.,;; cw �... DATE R LAND SURVEYOR . ssessor s map and lol} I � �Ct�l THE rod Sewage Permit number ...... ............................ .............. House' number ......:........... .. .... ....... :.....:.......` �raea L B E, i 9 i639, 9� _ CFO MPY Ar TOWN OF BA~fRNSTABLE BUILDING . 11SPECTOR ; APPLICATION FOR PERMIT TO .......construct Single Family, Dwollina �-6 srol? „ . TYPE OF CONSTRUCTION ......Wood Frame ....... ......... ........ lot ' ..June ...........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1A Sea Street Location ............I!R....... ..................................................................................................................kly. X1rJ�.5.�...M�............. ProposedUse .................................. .............................................................. ............................... ................................ H annis MA' Zoning District .....R.. .... .......................................................Fire District ......y.............�...........:........:. .......:...................... Name of Owner Capricorn fealty .Trust ...........Address .2 5...Falmouth Road,•. H�ranni s Name of Builder-Franco Real Estate„Dev. COAddress 6 „Fa11�10 }th,,,Road, U,�rAnn.a s„•_....•..... .T11C. Nameof Architect :............................................... .................Address .................................................................................... Number of Rooms Six ................................ . ....... .....Foundation P. C.�................................................................. Exierior .......C1«pb0ard„and/or shingles Roofing .Asphalt Shingles Floors ..Car .et............................................. .................. Interior Sheetr.oc.k ........................................................... Gas ... F.W.A. ..Plumbing ..Two....- Copy'er....... .................................: Heating ..................... ..................................................... Fireplace ..Nqne......................................................................Approximate Cost ...... 0...0.. ................................... , /s48 Definitive Plan Approved by Planning Board ------------------__------------19--- . Area ........... Diagram,of Lot and,Building with Dimensions Fee a7./..�... SUBJECT TO APPROVAL OF BOARD OF HEALTH, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam . .......... res........ 000989 _r ! ,CAPAICORN REALTY TRUST '�3 4 0, One Story 11V0 .. . .......... Permit for .................................... Single Family Dwelling ............................................................................... Location ....Lot t...1.A......3.3.8... ea a.....................S tr eet 3. Hyannis ............................................................................... Capricorn Realty Trust 0 e ................................................................wn r ... T of Cons'truction ...Frame ...................................... ........................................................................ 1122 P .W P it Granted` .....j.. y. ,�. 1.,...............19 83 qw .....ul. D of,Kspection .....................................19 Completed 29.Date ed .../ ............ ...............19ik/ 4 Assessor's map and Clot number . . THE o Sewage Permit number.. ........................................................?, Z BARNSTADLE, i House number ................ ... . ...................... 9 O MA86 p�i6 9. 0� 3 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......Construct S�;?�L�'le..�'amiTt1 TYPEOF CONSTRUCTION .......WAo ...d Frame... ............................................................................................................. a Uune...23.. ...19$:�..........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............LA la ..A Sea a"I;Xee..t........................................................................ ...:N1ran .i. > ............. ProposedUse ............................................................................................................................................................................. Zoning District nn�a R.B!........................................................Eire District ....l.. ...............MA............................................. Name of Owner ..Capricorn TealtX..DZIA .:..........Address ..'�6��...Eg;];TC�c�;t th..Rnad.a...Hyan.n s............. Name of Builder-Franco. Real Estate Dev. qqA—ddress ..7..65..FA1;mmm'fh R��d.A ��2lKtrit� Inc ..................... . .......................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .......................................................Foundation ....P. . ...SiX........ C ................................................................ Exierior .......G`13pboa d arid�e� shin Roofing ..�•:a1�h „Sh�ingl ........................ ............................................................ Floors Car�3e t .........Interior ..SheotroCk.......................................................... .....A...� ......Plumbing TY1Q — C�`oppe_r-'--"—rrearrng ..................................................................... Fireplace NOne .........................Approximate Cost $4 O.O.q•00 Definitive Plan Approved by Planning Board ________________________________19________. Area 4#46..sq..!...ft............. Diagram of Lot and Building with Dimensions Fee .......110 . .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH IDE i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. —`� CAPRICORN REALTY TRUJ. reett 306-V"013 r vb4, ,2� 3_ 0JZh(�� — 25340 One tP' No ................. Permit:{or ............ . Single Family Dwel Location Lot lA, 338 Se..................HXann i s................... Owner ...C.a rico. . . rn....Realty. . . Trust .. .. .. . .. ....... .... .. . .......................... i Type of Construction „Frame ................................................................................ Plot ........................ Lot ................................ Permit Granted .......July 21, 19 8 s Date of Inspection ....................................19 Date Completed ......................................19 1 , 1i ' 1 C - _ .E