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oFT rq,,, Town of Barnstable *PermitMLA
��a4
p Expires 6 mo s om'irs
' - Regulatory Services ; Fee
9 M+ss s� Th'omas F. Geiler,Director.,
Ohl
i6 q
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis,MA 02'601
41
www,town.barnstable.ma us
Of5ce: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION RESIDENTL-L ONLY
Not.Valid without Red X-Press Imprint
Map/parcel NumberYi
I�
Property Address 2— (%r i OA)5 POA ) C 1✓Z C L, '
Residential Value of Work )C Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ' EA)E cloAcILAA
A
Contractor's Name_ 2 r CA 6, �A S C (mot) A n��1• Telephone Number` �o >3 l�
Home Improve Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
' SS PERMIT
Check one:
❑ I am a sole proprietor FEB 15 201
❑ lam the Homeowner
❑ I have Worker's,Compensation Insurance a
Insurance Company Name TQWN OF BARNSTABLE
Workman's Comp. Policy
Copy of Insurance Compliance Certificate must.4ccompany each permit'
Permit Request(check box)
❑ Re-roof(stripping old'shingies) All construction debris will.be taken to.
❑Re-roof(not stripping. Going over existing layers of roof)
Re-side
#.of doors '
❑ Replacement Windows/doors/sbders. U-Value (maximum.44)#of windows'
.*Where required; Issuance of this permit.does not exempt compliance with other town department regulations,i.e.Historic;ConSrnation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A co of the Home Improvement Co ctor s Lice PY nse& Co P natruction Supervisors
u is
P
ry ors Incense is
requ,
14GNATURE:
1WPFU,ESIF0RMS1bm7ding permit formslEXPRESS.doc
:wised 070110
f. Historic Construction
And Renovations
Nicholas Wand
508-317-3201
153 Bacon Rd Hyannis, Ma.
Date:02/15/2012
Customer: Gene Quaglia
Location: 22 Simons Pond Circle
Remove and replace cedar shingles on north side and south
side of house $2300.00
Reflash gutters and replace woodpecker damaged trim
$768.00
Nick Wand to supply all labor and material
Total $3068.00
Date:_ .
Nicholas Wand
gxf
Date: d lS/�vl
Gene Quaglia
Massachusetts Home Improvement Sample Contract
This form satisfies all basic requirements of the state's Home Improvement Contractor Law(MGL chapter 142A),but does not include standard
language to protect homeowners. Seek legal advice if necessary. Any person planning home improvements should first obtain a copy of"A
Massachusetts Consumer Guide to Home Improvement"before agreeing to any work on your residence.You may obtain a free copy by calling the
Office of Consumer Affairs and Business Regulations Consumer Information Hotline at 617-973-8787 or 1-888-283-3757 or on our website.
Homeowner Information Contractor Information
Name Company Name
44 E UACiL A ' • tS r� 1(, c � UC
Street Address(do not use a Post Office Box address) Contractor/Salesperson/Owner Name
A� 5jM0A)5 coCv O C1N.c-E ( .As C- WA )
Cityrrown State Zip Code Business Address(must include a street address)
t-1 A/U /U 1.S 411A I S-3 OACOA-) CZ
Daytime Phone Evening Phone Cityfrown State Zip Code
45— 9 03'-7-4 HYAPNIS A4t% UZ601
Mailing Address(lt different from above) - - Business Phone I Federal Employer ID or S.S.Number
Home r,ovement ConnmAar Reg.Nmnber Expration date
Ian srgn[tes that most home
-fid ;aa� ( 6 0 ��1 '7 0-CI of�-
The Contractor agrees to do the following work for the Homeowner.
(Describe in detail the work to completed,specifying the type,brand,and grade of materials to be used,use additional sheets if necessary
5 ( o 1 N S ► 4 ri_AC_C/4 CNT1.
�t)t2 A P D 1 T I oA)AL l IM Fo&4A A T i o/U S&C- ,A f-I-AC h&b S NEC rS
Required Permits-The following building permits are requireW Proposed Start and Completion Schedule-The following schedule will
and will be secured by the contractor as the homeowner's agent: be adhered to unless circumstances beyond the contractor's control arise
(Owners who secure their own permits will be
excluded from the Guaranty Fund provisions of leate when contractor will begin contracted work.
MGL chapter 142A.) (705,9
0 l Ike when contracted work will be substantially completed.
Total Contract Price and Payment Schedule r�
The Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of: 3 06 S t V (*)
Payments will be made according to the following schedule:
$ 0 upon signing contract(not to exceed 1/3 of the total contract price or the cost of special order items,whichever is greater)
$ 0 by /_/ or upon completion of
$ nn�L by or upon completion of
$ V'U upon completion of the contract. (Law forbids demanding full payment until contract is completed to both parry's satisfaction)
The following material/equipment must be special $ V to be paid for
ordered before the contracted work begins in order -
to meet the completion schedule.(**) _ $ 0 to be paid for
NOTES:(*)Including all finance charges(*!)Law requires that any deposit or down-payment required by the contractor before work begins may -
not exceed the greater of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material "
which must be special ordered in advance to meet the completion schedule.
Express Warranty-Is an express warranty beine provided by the contractor? 1A No❑Yes(all terms of the warranty must be attached to the contract)
Subcontractors-The contractor agrees to be solely responsible for completion of the work described regardless of the actions of any third
party/subcontractor utilized by the contractor. The contractor further agrees to be solely responsible for all payments to all subcontractors for
materials and labor under this agreement
Contract Acceptance-Upon signing,this document becomes a binding contract under law. Unless otherwise noted within this document,the
contract shall not imply that any lien or other security interest has been placed on the residence. Review the following cautions and notices
carefully before signing this contract.
• Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear.
• Make sure the contractor has a valid Home Improvement Contractor Registration. The law requires most home improvement contractors and
subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at 10 Park Plaza,Room 5170,Boston,MA 02116 or by calling 617-973-8787 or 888-283-3757.
• Does the contractor have insurance? Ask the Contractor for his insurance company information so that you can confirm coverage,or ask to
see a copy of a"proof of insurance"document.
• Know your rights and responsibilities. Read the Important Information on the reverse side of this form and get a copy of the Consumer
Guide to the Home Improvement Contractor Law.
You may cancel this agreement if it has been signed at a place other than the contractor's normal place of business,provided you notify the P
contractor in writing at his/her main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the
third business day following the signing of this agreement. Seethe attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!!
Two identical copies of the contract meat tte completed and signed,One copy should go to the homeowner.The other m should be kept by them for ,
s
Homeowner's Sign- Co r s ature
Date ' Date
r'
Contractor Arbitration
The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an
alternative to court action)if they have a dispute with a contractor. The same right is not automatically afforded to a
contractor,however. The contractor would have to resolve any dispute he/she has with a homeowner in court unless
both parties agree to the optional clause provided below. This clause would give the contractor the same right to
arbitration as is afforded to the homeowner by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract,the contractor may submit the dispute to a private arbitration firm which has been approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall a required
to submit to such bitration as provided hi Massachusetts General Laws,chapter 2A.
Homeowner's Signa ontractor's Signature
NOTICE:The signatures of the parties above apply only to th agreement of the parties to al ative dispute
resolution initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this
section is not separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer
protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners
may be excluded from certain rights if the contractor they choose is not properly registered as prescribed by law.
Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a
timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor
guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties
provided by the contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and fitness for
a particular purpose. An enumeration of other matters on which the homeowner and contractor lawfully agree may be
added to the terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have
questions about your consumer/homeowner rights,contact the Consumer Information Hotline(listed below).
•Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced
documents have been attached. Parties are also advised not to sign the document until all blank sections have been
filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to
be given to the owner and the other kept by the contractor. Any modification to the original contract must be in writing
and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of
the contract,and the three day rescission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the
homeowner deems him/herself to be financially insecure. However,in instances where a contractor deems him/herself
to be financially insecure,the contractor may require that the balance of funds not yet due be placed in a joint escrow
account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the
signatures of both parties. ,
Additional Information
If you have general questions or need additional information about the Home Improvement Contractor Law or other ,
consumer rights,or if you wish to obtain a free copy of "A Massachusetts Consumer Guide to Home Improvement"
contact:
Consumer Information Hotline
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or visit the OCABR website at htip://www.mass.goy/ocabr/
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Office of Consumer Affairs and Business Regulation
10 Park Plaza,Room 5170,Boston,MA 02116
617-973-8787,888-283-3757 or_visit the HIC website at hilp://www.mass.pov/ocabr/
Go online to view the status of a Home Improvement Contractor's Registration:
http://db.state.ma.us/homeimprovement/licenseelist.asp
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
'617-727-8400
AND/OR
Better Business Bureau
508-6524800,508-755-2548 or 413-734-3114
Version 2.1-11/22/2010
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
d 160o Washington Streef"
<< .Q -Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information A Please Print Legibly
Name(Business/Organization/Individual) A>1 C.H„L)LAS .6F
Address: I 3 rao-) R I ±1YA�/9/ n
City/State/Zip: Phone.#:
Are you an employerT Check the appropriate box: Type of project(required)::'
1.❑ I am a employer with ' "' 4:'(] :I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors
6. ❑New construction
2.Z.•I am a•sole proprietor or partner-
listed on the attached sheet. 7. ❑Remodeling
*ip and have no employees These sub-contractors have g, 0 Demolition,
working for me in an ca aci employees and have workers'
g y , P ty. 9. ❑Building addition `
[No workers',comp.insurance comp.insurance.t
re wired. 5. We are a corporation and its 10.❑Electrical repairs or:additions.
q ] y officers have exercised their 1 L Plumbin repairs or additions
3.❑ I am a homeowner doing all work k ❑ g P •
myself. [No workers'comp.. right of exemption per MGL 12.❑Roofrepairs
insurance required.]t „ cr 152,.§1.(4),and we have no
W 13.❑ Other'!
employees.:[No workers'
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 or not those entities have
employees. If the sub-contractor have employees;theymust.provide their workers'comp.policy number. .
I am an,employer that is providing'workerst'compensation insurance for my.employees. Below is the policy and job site
information.
Insurance Company Name: ._ L.
Policy#or Self-ins.Lic..#: Expiration Date:
Job Site.Address: City/State/Zip:
Attach a copy of the workers' compensation pohcy declaration page:(showing the policy number and expiration date).
Failure.to secure coverage as required under Section 25A of MGL c '152 can leadto the imposition of criminal penalties of a
fine up"! $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 DIA for.insurance coverage.verification.
I do:hereby certify undW the pains an enalties of perjury that the information provided above is true and correct
Si ature: -Date-
,
Phone#: 0i0
Official use only._Do not write in this area,to be completed-by city or town official
- City or Town:` Permit/License#
Is suing Authority(circle one).
1.Board of Health 2:Building Department>3.City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector
6.Other
Contact Person: Phone#:'
Information and Instructions
Massachusetts General Laws chapter,152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person.in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall i
enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have.been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating.current.
policy information(if necessary)and under"Job Site Address".the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone-and fax number:.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 42111
r
Tel. ##617-727-4900 ext.406 or 1-877-MASSAFE
Revised 11-22-06 Fax##617-727-7749
www.md,ss.gov/dia.
o�TKKE Town of Barnstable
Regulatory Services.
MAea �, Thomas F.Geiler,Director
16396
c Wit► Building Division
Tom Perry,Building Commissioner. '.
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
F
Complete and Sign This Section
If Using A Builder
�t
h ,as Owner of the subject property
hereby authorize to act on my behalf; '
in all matters relative to:work authorized by this_rbuilding permit
(Address of Job) ..
*Pool'fences and`alarms'are the responsibility of the Applicant. Pools
are not to be filled-before fence is installed and pools,are not to'be
utilized until all final inspections are.performed and accepted.
Signature of Owner S.gniture'of Applicant'
Print Name Print Name
Date2
Q:FORMS:O WNERPERMISSIONPOOLS
�t r Town of Barnstable
Regulatory Services
snRtvs BLE, Thomas F.Geller,Director 4
0.39. .•� Building Division
rED MA'i�
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
• JOB LOCATION:
number street village
"HOMEOWNER":
name home phone#. work phone#
CURRENT MAILING ADDRESS:.
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to
be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
I
i
i
Nlassachusetts- Department of Public'Sa#`ete
Boars! of Suiltiin� Re-ulatians and Standards
Construction Supervisor, License
License: CS 105255 ;
NICHOLAS WAND
153 BACON ROAD
_ _ F
HYANNIS,MA 02601 ,
Expiration: 12/30/2013
( nnmi,.iuiur Trt?: 105255 "
s ✓fie 1E".-"rz n- di--/4 .-(.-t eka
• Office oI Consumer arrs mess egn ahon ,
TRIC
HOME.IMPROVEMENT CONTRACTOR
Registration :160441, Type;
Expiration: t12412012 b DBA
PAINT - ,
NICHOLAS WAND-' - -
153 BEACON RD. 4
HYANNIS,MA 06201 Undersecretary L
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CTRCLE
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Numlies �Sr
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Complanaat's Name ESTHER COLBY
f� ddress�_y_ r 8 SIMMONS POND CIRCLE-------HYANNIS KR
��e ep oneumbex 771/4220
�o latac `sEi TRUCKS---MANY PEOPLE LIVING IN
M G HOUSE ILLEGALLY.
Actian�ken/Res, is HAVE SPOKEN TO MAARIE SOUZA R.E. WHO
off' �� SAID SHE WOULD STRAIGHTEN OU'4--
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ate Closed
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Complaint/Inquiry Report c
:Dace: � �� Read by
Assessor's No.•
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Complaint Name:lAcation
_�) 'Pr G L l ►4 ( � `� �C`-`
! Address: m a V) n r`C
4�7
OY
Originator Name:
Street:
,�; Statc zip:
Telephone:D/E
Complaint 12—
Description: � Ule n 11,V
o y S �e W c� li a y l l 2 G� c J e
dri U e- WA-4
Inquiry 1ZE_NTFti_- .
Description: LNj e_ fA Al 0
Tf
For OMw Use Only
Inspector's
Action/Comments Date: �p
77W A4_e,e
Follow-up
Action 9 'O/ 7
— S ter/
o.
Additional Info.AUadied
Copr Diwik don Whine-Depx=wrFile
Yellow-Inspector
Pink-Inspector(Return to Olfce:1lanagerl
12i25/2000 03:55 5084202063 MARIE 80UZA R EX PAGE 01
Mond y, January 22, 2001
To: AGloria Urenas
TOV n of Barnstable Building Dept.
So th St.
Hy nnis, MA-02601
Faix: -4230
From : ariaSouza
2-1300 x 15
Dear Gl ria:
This is t affirm our conversation of earlier today regarding #22 Simmon's Pond Circle,
Hyannis.
Please be advised that there are four(4) people who occupy the above mentioned
premise
Alynn Souza, Adam Firman, Darla Meysman, and Richard Roser.
Sworn by me on this 22nd day of January, 2001.
Respectfully,
I'
Marie Souza
II
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UECLARATIONyOF �PROTECTIVE COVENANTS,
EASEMENTS AND .OTHER TRUVISIONS
's S
I"; LARRY NICKULAS, nerei aster "ieferred,to as tnp,."Decla an'_",
!, being the owner of cer�ain` land; in,-.Barnsta51 (Hyannzsport)., s .
i Barnstable"-County, -Massacnusers, wtiich_.a.and as-_ShPwn.,as . _. -5
LOTS 6 through and ncludin4=25 on Land,Court Plan 3648s-D, which i
i. said lot o;:. lots are hereinafter'zeterred to as."premises", do
11 hereby declare that said�lota shall be and hereby are.subject to
the foi.lowing covenants e, asma its* and Other LrOViSl^n3 �rs
- -v �
3 7 m rAzt7�"Rei `
I; Y S 1
I,
Restrictive Covenants-.._.;
4,1
1. No;"buildn fences oz o*her st uctures of any.
ys or kind oz >�
addi there*o or driveways:ahall be erected., pla
*ions ced or,
allowed-,to stand"ijpon «he premises un�il *he size, plans, �4`
cpecifica«ions and locations therecf shall have_been ,
approved'-in writ nj ors this restrict on waived with respect:"
�her et0d in wrY*ln .by ?,,airy Nlckulas or such f
1 Nit 7t` .'i4' Y. .. ..
other person ar persons as the Declarant ...... ..shall fran'� 3
«tee to,*ime"appoint "' nstrumen* recorded with said
Registxy of Deeds :hecezec*ion o any approved s«rucICU
li Gri-_`lie pre1�1S2S, OACe began, Sha11 be carried forward`t0
��r�....��.
�II canple}ion w1th d1:iyence and 'any struc*ure not subs_an S i
!i tially completed"witliin�'welve (12) .nonths; af�er it is begun
shall be:removed,tpr"ovided «hm, " ve
a said (i2`j monrki
at riods during,,shll e extendd o<the en of-a m.peri a pe g
which cons*ructionoperations are prevented by governmental
re ula ions, strikes or casual iesr . No owner of said
y t t
preinises`sha1a bey x sponaible under this paragraph exceg* §
for acts and defaults while owner, nor, required'_ u Y.
F remove or al*ex;� causekof Violation of this paragraph, any
buildings, fencesAor�o«her structures or driveways erected
ownersh
.W`,.FtzgAR' @ r$4 4tfi3 `4 L s i L 1
prior to his ip
No mechanicalmPrcantile oz manufacturing. trade or bum ness
- shall he: carried on ox upon the; above descrioed' premi-�s,
and no hospital or rest hate forythe'care of the sicx,
feebleminded or insane`shall be established or' maintainedt'
��. thereon
v vy y
3 No Se ehi
'trailers, tzucks+�, ep-type vcles, boats, lettered or
rcOCK KILROY. II canmeroial vehicles'of any na«ure, Sunk automobiles or scrap
GREENma'terial�s Gna%1'°e,;,pa"ced: on or kept;on anylot; bu''.this
. �I s astoprohi h
ic*ion shalnotbe .construed so
cLAVGL/LIN r e
- vv AT ♦Vr �� y S 7 Y }.+k,4�. K' y.j�d. ,I fre' - y ; {II
Ws
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plac,ny er keeping of such things indoors ,u a garage
cellar where they cannot be seen from, the outside.
r;.
4. No ar.,mal or fowl,. except the common household pets, snagl
kept upon the premises, and these. in reasonable and usual .
numbers. Shelter for the same shall be screened tram. view.
5. There shall be no signs of any:.kind, :excepting chat signs '
denoting street naes are allowed,: excepting one sign indi=
catina the owner's name end his 'professional title at each.
dwelling-house, and no sign shall exceed six inches by
twenty-four inches (.6" x -24")
6. There shall bP no park ng. r'storage or.use of house trailers, -
!;
tents or othe'r tem.porary helters on the p em-ses. {
7. To maintain the:.residential character_ of the erea,. tne'lot s
owners there in. shall keep the .premises .prior to the
erection, or, removal :of ,a.building onto said premises,.
cleared,..of. underbrush`' and.,deb%is thati' Portion of the lot
between the front property line and *he edge of the traveled ;
I�. way abutting said lot
8. No bulldozers or other crawler and cleated 'machines engaged
it directly'arid/o'r indirectly by lo* owners shall be allowed to
�I unload on,or travel on any.,paved way , ..
i. Gar'bayc ,piiicea Outdoors shall'be kept. in covered sanitary , L i9
containers only:.±: The regular' burring of -garbage outdoors
!, hereby prohibited, but this shall not prevent the use of an
I) incinerator, constructed withih a house.
I� 10. Any lot owner, upon completion of any structure built. upon
i his premises, ':shall ..pine-reedle ,or seed all disturbed soil, ' '.
�I except that upon any lot where erosion' is a factor causing
�i clogging or filling of drainage areas and/or catch basins,
sod shall be placed in such amout ns and in such a manner so
`i as to forestal=l such`:erosion Said placement is to be made r' .
I forthwith after notice to the'I ot owner by the Declarant
I� hzs legal representative r
I; 11. Any driveway placed on the premises shall be surfaced with Y
I het-top, concrete, crushed•.stohdI- seashel?.s or other commonly., .
ii used surfacing material; 'i:t being :the .intent of this restric-+
tion that there shall be 'no dirt driveway on.the premises
12. All storage-areas for. rubbish; .trash etc., and all clothes---.,
Y• II!LROYIlines shall 1 be enclosed "with screen-t a fencing.. The ` E
I yP g'•. .
snelosure shall' be at;!a height '•adequate to screen that which'
" '" is enclosed completely from view: The enclosure itself
shall not be.'~visible.,.from any..fro-, yard; shall be placed to
T
2
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4
•
��.�. T _is" l.-`=•fj' ��Y�tS...t�,gK 4� s +i :y �.Yr.:.r t Y � `2.1 r' -F y..'S. ,..P ! -,X .r"n$:YI'f 6 J.
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the rear of any dwelling, and shall be so situated s� ag o
not encroach upon the aesthetics of any abutter's view.
The Deciarant or nxs legal representati.vP rese ves th, . lan.
to modifv or amend these restrict_ons in any 'manner. ne'
deter+.ine shall be of t)enefit to subsequent*lot owners.
Provided, however, that no. modification or amendment whim
affects any lot will be effective without the prior. written
approval of the then owner of said lot.
Common R:ahts and Easements s
and Driveway Restrictions
F G .� ♦..
• All of said lots shall have the benefit vi, aria aniu uv a �y-
and 19 shall be sub3ect to, a: five foot.wide walkway runni.nq t .
from. Simmons Pond Circle, as shown on said plan'. "to Sim.mons," n�Y
Pond, the.centerline of which is the common boundary 1"ine
between said Lots 18 and 19, for access to and use-of. :
Sir.mons Pond.
Said Lots 7 and 8 shall be.sub3ect to and have *he benefit
of a. ten foot wide carmon driveway, as appurtenan*. to Lo*s 7
and only runn-,ng frcm Scudder_Avenue fora distance of., ,_. 2' `
180 feet, the centerline of which is'the common `boundary
line between said Lots ? and 8 s ¢�
Said Lots 10 and 11 Shall be sub3ect .to and. have`.the benefit'
o'f a ten foot wide common driveway as appurt' t.,to.Lots lOr�
and 11 only running from. Scudder Avenue for a distance of 4
40 feet, the centerline of.'which is `hn n�emm�n property 1xnP'�
between said Lots 10 and 11 7r
Said Lots 22 and 23 shall be subject--to and thave 'the benefit• 9? I 4
of a ten foot wide common driveway as appurtenant to.Lots 22, ;.:;v .
and 23 only running from. Briarwood Avenue for a distance of
40 feet, the centerline of which is
common property line
between said Lots 22 and 23.
Said Lots 7 and 8 and said Lots 10 and 1.1 are hereby limited
and restricted to the use of said common driveways as their ..�
sole .access to Scudder Avenue for vehicular traffic.:
Said Lots 22 and 23' are hereby limited and..restricted to the , }f.
use of said common driveway as their sole access .to PinewoodM
Road for vehicular traffic. 3
:.{
Said Lots 22, 23, 12:. 13 and 25 are hereby restricted from
using Pitcher's Way or Scudder. Avenue, as the case may be,. .:.
fe ' vehicular access to said Lots 22, 23, 12' '13'and 25.
3
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Asf ssor'smap .and lot numbe�.. ............................. ;•4_ G / of THE rod
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Sewage Permit-nu ..... ��.`..,0.�Z-:..... .......................
Z 11ARXSTADLE,
House` number ..... '' •. 1. .... ..... t' 9 Mann
. T07WN OF B � ,.
' � � �t w• VYim�,,
• t+ � �R • y L a�D
t g� pgR69 NRp� A' �t,T°OBUILDINGIN S P
APPLICATION FOR PERMIT TO � ..c �� ` �
..... ..............................................................
TYPE OF CONSTRUCTION ......:......:........�� s. .•••.••�•.............................................................�..................... � h
........ . . .......................19../
TO THE INSPECTOR OF BUILDINGS: r
The undersigned hereby applies for a permit according 'to the following info ion:
�•'
Location .................��-�...�......�. ............. ... ./..............,:�--cad?..... ...... ....��............................................
° sue'; •. �
Proposed Use .............. �." C ..... . �!d ....... .............................. :.. :.... ...........
.
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Zoning District ,..... .......................................... ........Fire Distract .... ......,� �/•••
j
Name-of Owner........ s��.<-- ,/�..� :,,�'Cd �ddress ..:..............................:......
Nameof Builder ......... ................ ................ ..... .Address ...................... ........... ... ...........`
Name of Architect ........................................:." -...Address ......:...................................
Number of Rooms ..........Foundation .......lo...............
Exlerior ........:....:�. �. / ........:....................... .......Roofing ............ � /.!.`: .......... ...... ..
Floors 4i ..............Interior. .........;_f .a. 1.... .:� •` .... ............... ....
............. ........................................ .......
Heating ...... _6,;� � .Plumbing �`�................. .............. ..�....................
Fireplace f? -Approximate Cost.... ........... .•.•........ '.... 1.....a ... ... ... s.
Definitive Plan Approved by Planning Board __-_ "________________ ______19:______.~ Area .'......�.L. .. ...*.* A x oo „ /. ....
Diagram of Lot and Building with Dimension's Fee ...............L.f..?�...........C � °
SUBJECT .TO APPROVAL OF BOARD .OF HEALTH
Y ;,
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.
r Name ... ....... -- ......... .......... ......... ..
rr
Construction Supervisor's License .......................... ..
NICKULAS, LARRY
AL
r 'I�70 Stg
Nfo ry26�b6 ... Permit for .................r'...............
r.�'��. .Sin�le Family,. Dwelling. .............
.. ;
Location ...fit a5c 22 S?11�m4x3 :. Axit..C .xcle �~ _ `
ann ............. ..: f
Owner .....�..Nckulas........ :..........
f Type-of Construction Flv
Plot ............................ Lot ................................
Permit Granted .September l .r. ..... .19 84
1. ./
Date of Inspection ...................... .......1 f
r
Date Completed .. ......49 .. � :1 � � •
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...� CERTIFIED PLOT PLAN
R�O1BERTNJDNS/ 0Nt7
S1�CE IV/1/—S /fV?/F/ ..
EIOREME
IN
d� N SCALE, P' 40 DATE
r
GE ENGINEERING CO-INC 1 CERTIFY THAT THEFoVA/oArroi✓
F � , G18TERE� REGISTERED CLIENT SHOWN 09d THIS PLAN IS LOCATED
+ f JOB NO. f��/Dz3 ON THE GROUND AS INDICATED AND
C 1:111 L L A PiD --------
} rt� r �}, ,�} � CONFORMS TO THE ZONING LAV/3
ak ENGINEER SURVEYOR
DR.By,.f OF BARNSTA®LE , MASS
CH.SY� 'Z 1 3' D/y 712. MAIN STREET •---- —.
�µ it HYANRlS,-.MASS4-611
y
SIIiEETL
.. OF/ -
.v.., r.,.:.
DATE REG. LAND SURVEY0R
• ,_,..ram . . ., .:_ - .. . . •.
�'ayl• v , TOWN OF •BARNSTABLE ' Permit'No. __ 966
. Building Inspector r
t ' c
ash _ -.- -- - •
OCCUPANCY PERMIT Bond
Issued,to Larry.hii,ckulas. Address
/ 7.
l ni-` it^l r . -7�'�) Ci mmnrc Vnnr7 ('i-»r f o L7[rantii ennr i
Wiring.Inspector, �" " � w Inspection'date
Plumbing Inspector.' • f � ���, , , . p` Inspection date.'
Gas Inspector _ zf Inspection date ,
*.rEngineering_Department f Inspection date
N
Board of Health ' .�s r ' Inspection'date' y
THIS PERMIT•{FILL'NOT,BE VALID,. AND-,THE'BUILDING" SHALL+NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING'INSPEC TOR 1-:UPON SATISFACTORY= 'COMPLIANCE -WITH TOWN
REQUIREMENTS-;AND IN`ACCORDANCE WITH SECTION 119.0 OF.THE MASSACHUSETTS STATE
BUILDING CODE.
19 ...„._ ............................
- 1i d
.... .. ... ...
••'� Builds .Inspector
FROM•.
r _
TOWN OF BARNIST LE"'
BUILDING DEPARTMENT
Town Clerk Frauds Lahteine
To 367 MAIN STREET HYANNIS,VA, O
Phone: 775-1720-
SUBJECT:
FOLD HERE
-DATE - - - - - - - -
November 20, 19 4' MESSAGE
•Work ttas been completed under Building"Permit #26966; (Larry Nicsrulas).
Please release Bond:.
SIG ED
•DATE f ^j -
_ R E P1 Y
- SIGNED
N87-RMI - RECIPIENT: RETAIN"WHITE COPY,RETURN PINK COPY
• PRINTED IN U.S.A.
SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. '
......�,. 014- IL i�.
Assessor's map-and lot number ....... ............................
THE
Sewage Permit number ..... .............................
..6
t NAUSTAXLE,
House number .................. V MAO&
............. ............................ 039-4,
TOWN OF BARNSTABLE
BUILDING INSPECTOR
`APPLICATION FOR PERMIT TO .�........ . 000
t,* ......../..................................
......................TYPE' OF CONSTRUCTION ............. ........ ... ...................................
.......... .... ...................
19.. /............ ...........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .. . .. ��.'
.................... -- 5�� ......i. ......... .... .... ........ .... .../.../ .............
ProposedUse ............. ...............................................................................I.........................
..........
.Zoning District ...... ... ............................................................Fire District .... ...... .................................................
....................................................................................
Name of Owner ......
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ............................................................................... ...
2
Number of Rooms .......................2...................................Foundation ....... .............�a-7..r
Exterior ................. .....4..........................................Roofingf ....... - -e,r!��Xxz.................................
Interior ...........--f-X.,f-jy./............ .......
Q.....................................................................
Floors ............
Heating ................. f ...... .........................
...........Plumbing ................
rFireplace ................. /I
............................................Approximate Cost ..................7 ..........i........
l/ �`
Definitive Plan Approved by Planning Board -------------------------------19--------- Area ....... .........:�*...........
Diagram of Lot and Building with Dimensions Fee ............. ...........
SUBJECT TO APPROVAL OF BOARD OF HEALTH
'b
Iry
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.
Name ..... .. ........... .... .............
.. ........... . .. ............
Construction Supervisor's License
NICKULAS, LARRY
x .� . /76 _
No ..26966.:.. Permit for ..T'n.StR1=Y.............
........Single Fam IY...PWQ.1 1 ......................
Location .. t..J. .......22..Siaw s..Pond..Ci=1P-
`......Hys mi.5wrt...................................
Owner .... MJ;Y...WiC)CUliws................................ '
Type of Construction ....Frame......:...................
.............................................:..................................
Plot ............................ Lot ................................
r
t
Permit Granted ..September, 13...........19 84
Date of inspection ....................................19
Date Completed ......................................19
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