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Home My WebLink About0251 SOUTH STREET .: �-�-�- ti --- ..��_i � - .. w __ . `__ _ i ,, Town of Barnstable Building " . PostThis,Card So That it is,Visible From the Street Approved PlansMust be,Retained on Job and'-this Card Must be Kept + BAR.NSTABL6, .. .,; - � \.� r� a `� '.; ''�.', a z �v � ,_y �v • MAse Posted Until Final Ins ecLron Has Been Made f >£ ' ,6w w sr z Permit Where aCertificateoO�ccupancy�sRequ�redsuch Bwldgshall"fit be Occupiedqunt�l a Final Inspector has been rna Permit No. B-19-1484 Applicant Name: GRAHAM LLC. Approvals . Date Issued: 05/22/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 11/22/2019 Foundation: Location: 251 SOUTH STREET,HYANNIS Map/Lot: 326-006 Zoning District: SF Sheathing: Owner on Record: HADDLETON,RUSSEL E ESTATE OF Contractor'Name'�„GARY C GRAHAM Framing: 1 Address: 363 SPRING STREET Contractor License CS O42246 2 SHREWSBURY,MA 01545 Est Project Cost: $4,000.00 Chimney: Description: install a new pressure treated staircase.to basement level on the Permit Fee: . $ 160.00 exterior of houses no longer serviceable. Insulation: Fee Paid $160.00 Project Review Req: �D to 5/22/2019, Final: Plumbing/Gas Rough,Plumbing: x i i i i This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months'after issuan Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shalLbe in compliance with the local zonir g by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or:road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are,provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:A. �'•' >" Service: 1.foundation or Footing . 2 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue limn is ristalled ' Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ApplicationNumber........................�........... ..� ... f � + 11ARNUM33M # MAEULBUILDING DEP ' PF=.......................................o�F�........................ ' TotalFee Paid.................................................................... MAY p 2 2019 TOWN OF BARN '6RNSTG ....oa....s Permit by....A ... ...... . ASL BUIELDINO PERMIT 4,;V Msp----. - ...... ..Parcel............ .................. APPLICATION Section I - Owner's Information and Project Location Project Address �� 50 u71- S7— VMage /�V19N/vl`5 Owners Name �t LL C_ Owners Legal Address 3 S'P"n"nl S�"• arty SjvyQ.wS State Zip owners Cell# 7 Lr7,06 3 E-mail Section 2-Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet M Smgle/Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Aparlment Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify L�7 140R STi12t5f- - Section 4-Work Description 5M11 A ►ur,,✓ Viuy5-qc. ` iziAMO -TA)icfl5.N 'T3A5&,,nb l� L C � 1 t�Yv `t 1-}i� �Xl-� t►oar Na�S � e x/51'-;L i s Q 1 6&- TActmuLgte -n/MlS I Application Number..................................................... Section 5—Detail 4 Cost of Proposed Construction 44,ov 0 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Y Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing (] Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney i ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed 'Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last imdatm-2/9=19 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/PIumbers Applicant Information PIease Print Legibly , Name(Businoworgm&-ati :,1 onlbdividual): 9YC, ( M94, - AdAklhllte. Address: ��SS3 . k�E57 Iry-ST. City/State/Zip: �% +9�n�i�j M Ali , 6�601 Phone#: $'�7g 1�6/ Are you an employer?Check the appropriate box: 'Type of projecf(required): 1.[�I am a employer with 10 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sob-contractors 2.❑ 1234 a sole proprietor or partner- listed on the attached sheet 7• 01 modeling ship and have no employees These sub-contractors have `g, Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.ms=ce.$ I required.] S. El We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself[No workers' comp. Tight of exemption per MGL 12.0 Roof repairs insurance re ed t c. 152,§1(4),and we have no 4 employees.[No workers' 13.�Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state vybether or not those entities have employees. If the sub-cofactors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees Below is thepolicy andjob site information. Insurance Company Name: ATLAryl1L' (,HD T4(Z- Policy#or Self-ins.Lie.#: UX V O !b j 0-0 b Expiration Date: /P9 Jaw Job Site Address: a5� v`�'N �g City/State/Zip: �{y►�N�`'�5 I'►1t4 ��f Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of'a fine up to$1,500.00 and/or one-year imprisomtent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certifyM7/ e and penalties of perjury that the information provided above pis true and correct. Si e � Date• y 1. fl//q Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector. 6.Other Contact Person' Phone#: �6'� ��ti j1�, s�- I��jr��►s NAM LLC. 7 v ILN BUILDING DEPT. . MAY 0 2 2019 y TOWN OF BARNSTABLE qxq ?7 I 11 1/ N �S U C,Iq(Im;AbfL S r P Spw •�sT )y"TRF&A� 1'-r a��2� Barnstable Bldg. Dept. Pp A roved by: &2�/G 1- - Permit 4: �✓!( �� 1 ('S� ,' I e (��yy V '� 1 �_ _. J � � �� • �%�< �i uunrarrr-rn�(r%o��llrrs.,rrc/r%el/; � Office of Consumer Affairs&Business Regulation r_...:..,.:_ - r i# r HOME IMPROVEMENT CONTRACTOR j TYPE:LLC r� jR gistration Expiration ia! Registration valid for Individual use only a •182219 06/02/2019 � C;�AHAM LLC.N 1 before the expiration date. If found return to:i ; "r Office of Consumer Affairs and Business Regulation ' 10 Park Plaza-Suite 5170 y Boston,MA 02118 !GARYGRAHAM�� 358 WEST MAIN ST. .. ' HYANNIS,MA 02601� e `' �- _ � Undersecretary.. --- A rt Not valid without si natulre 41 v;k r Commonwealth of'Massachusetts ® Division of ProfessionaLLicensure t# .B®ard of Building - Regulations and.Standards 4 Constru6ti"an"S'�uupervisor cs-042246 + 'f=iApires 03/2012020 Construction Su nrisor Unrestricted-Buildings of any usse•group which contain r, _ GARY C GRAM..... ., .... less than 36,000 cubic feet(991 cubic meters)of enclosed- 66 BRANT-WAY g { space. HYANNIS MA 02609 . ^7t� 777 }, .. Commissioner,}" Failure to possess a curierit edition of the Massachusetts - State Building Code is cause for revocon of this;license. For information abou��ab this license f '�_ Call(617)727-3200 or visit .rrtass.govldpl r - '` I o NE --Town of Barnstable Conservation Commission B . = ADMINISTRATIVE REVIEW FORM MASS. $ 1639. ,0 ADM19- /eT Fee $25.00 ❑ Fee Paid Address/location of proposed proiect: Street: ems ' ►1 "'" I Village: _Map: Parcel: Owne pplicant: 7��L-P'1—o1 Mailing address: Phone/cell: -Email: Fax: FAdndress:- ractor/Agent: G� C�, G ✓✓1 ` Mo CJ C Pe. Phone/cell: Email: 5"I c L LC /Ue Associated File# Project description: Attach additional sheet if necessary, along with photos and a site plan if available(includedistance from resource). Calk)� �� '1st 5 k� y Ili f G-1finul 1. Will the proposed work C/Xte v ace wit any of the following resource areas? (If"yes,"please check the following resource areas). v Town coastal bank; ❑ State coastal bank; ❑ 100-year flood plain (land subject to coastal storm flowage); ❑ Salt marsh; ❑Beach; ❑Dune; ❑ Vegetated wetland; ❑ Lake; ❑Pond; ❑ Stream; ❑ Intermittent stream; ❑ Estuary; ❑ Ocean; ❑ Land under said waters. 2. Will the proposed work take place within 50-feet of an y of the above resource areas? 3. Is excavation by machinery required? ,� f�OX7r,) 4. Is foundation work proposed? �L S!J ��S l�L� COfF S L- �l"7'`� • 5. Is removal of vegetation proposed? ❑.,Understory,.❑ Groundcover ❑shrubs 6. Is regrading proposed,either the addition or removal of soil? 7. Is free removal proposed? If so,why? ❑Water view ❑Aesthetics ❑ Safety issue Are trees: ❑ living ❑ dead ❑ dying(please supply photos) 8. Is planting proposed? If so,please supply a plan which includes species. 9. Is removal of poison ivy proposed,or other invasive species removal/control proposed? If"Yes,"please explain on additional sheet. 10. Is the use of herbicides o osed? i Applicant signature: Date: Reviewed by: Date: / Q\regulations\admin policies procedures\adminreviewform 7/1/2017 .�c d CERTIFICATE OF LIABILITY INSURANCE DA0TE 1/311 01YYYY) 01l31/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.„THIS' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR17ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 00391 001 lCO41ACT ^� Horgan Insurance Agency,Inc. I iA"'" Extt (508)775.5830 1 rfi No.: PO Box 250 Hyannis,MA 02601 r._ __ nds411i R16LAFEQRDIN t;QY PAGE ...,,..,,�N_k INSURER q Atlantic Charter Insurance Company VDAG 44326 INURED vINSUHgH 9 Graham,LLC - —--- - INSURt R..E =- 358 West Main Street ItN$t►REH Q ,__, ,_ ",_, Hyannis,MA 02601p- t - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.DEXP ILTR_T_ TYPE OF INSURANCE }I _ POLICY NUMBER .�.._...�(a�°M �rrr ) (EAMl� YYYYl. LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY € I DA.+hAGE r(J t;ENTcD y A MjES.(9A ocQVr-f r?cD) $. 'CLAIMS-MADE _ OCCUR MED E%P(Any cne porsonl $ rPERSONAL BADVINJURY ,.S I GENERAL AGGREGATE $ GEN1 AGGREGATE LIMIT APPLIES PER PRODUCTS.COMPtOP AGO $ POLICY RO._I LOC AUTOMOBILE LIABILITY 4 »•^ » .......,... ._.a....�._-._.»........»_,.._ _.......,i.•._.. �.�.,,.-.-.r- _. . CO.ABIN LIMIT UI $ (Gb.vIC£U64�i1 �._... ANY AUTO ' BODILY INJURY(Por per&Cn) F S - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident);$ HIREDAUTO. NON•ONNED PROP RYMGE I$ AUTOS �.YUMBRELLALIAB�.� OCCUR �.:. ._ ~. EACH OCCURRENCE a..=,.•.$ � •�_ EXCESS LIAR r C(AIMS MADE I 1 ;AGGREGATE _ $ _. ppKDE4p0g�p� �RNETgEpTNfTpIO $ NN `. I ��_��_..__.� :S� . 1NNyDpERMpPLOVERpPSp'�LfpApBIlN1TYTYLIARIS - 'C� A �FFICERPM �ER EXCIUSTC-�ECUTiV£Y L N I A i WCV01059006 1129/2019 0112912020; •L EACH A CIpENT .S 600,000.00 (Mandatory in NH) ---� i ( I E,L,DISEASE-EA EMPLOYEE`$ 500,000.00 Ilene y�urnfru t 1 Policy Coverage State:MA RIP rjOtV OF c7aERATIIONS eeiow 1 �� E.z DISEASE-POLICY LIMIT $ µ 500,000.00 Gary C Graham is covered by the workers compensation policy AND Laura A Graham is not covered by the workers compensation policy. I I { DESCRIPTION OF OPERATIONS 1 LOCATION)VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) A � r« CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 230 South Street BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY Attn:Mariann Hughes WILL 'ENDEAVOR TO MAIL NOTICE WILL BE DELIVERED IN Hyannis,MA 02601 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE •` s11988-2094 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER COPY LLB CONSTRUCTION Commercial Residential 358 West Main St. Hyannis, MA. 02601 508-778-1461 251 South St H annis 5Ql3?T8.17Gg ti waewr/ 7 1` 2, Q w V` J Q mQ Q � o AO ll�MAE F--, All fi.�' t JAL ti 46 w - --- - ---. - c Application Number........................................... I Section 9—:Construction Supervisor' Name ( ,A(W Telephone Number' Address (a6 BW'r City t i.)VA13 State YkX zip oc�,k � License Number 'M)a q) License Type C$ Expiration Date 3JPD b p Contractors Email 6 H0i5 6' G7"AQm LV.AV Cell# 6-0�-7917-�-b 8y . I understand my responsibulrties under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date 43'?it`� = Section-10—Home Improvement Contractor k Name L L C Telephone Number `7 2 8 Address W ri Srrn6r; City Py&A^i S State Y)l fi- Tip Oa 6 p 1 Registration Number_Expiration Date �•,�,� / I understand my responsibilities under the rules and regulations for Home Improvement Cofactors in accordance with 780 CMR the Massachusetts State Building Code. I understand the constr uctim inspection procedures,specific inspections and documentation requ�red by 780 CMR and the Town ofBamstable.Attach a copy ofyour H.I.C... ASignature rrnt 6�L Daze N130//� Section 11—Home Owners License Exemption Home Owners Name: k, Telephone Number Cell or Work Number I understand responsibilities under the rules and my reap regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature rr — D�� ate_ /.,p�1q Print Name (I lq4 C C17 l O/ Telephone Number �`� "7?t-1 qb j E-mail permit to: FYV 1 1 C" Gtzw,mm LLC AjFrr 7..-o- n mnm c 1 f Section 12—Department Sign-Offs Health Department © Zoning Board(if required). ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approvab I Section 13—Owner's Authorization I, , as Owner of the-subject property hereby authorize 6aogAhLLC. to act on my behalf; in all matters relative to work authorized by this building permit application for: (Address of job) S, I Signature o Owner date Print Name r i Last=dated:2/9/2018 • �h Sanjay Mathew Manager, Cape Cod Bay Properties, LLC 363 Spring Street, Shrewsbury, MA 01545 TO: Robin C.Anderson Chief Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, MA 02601 RE:- Property use—251 South Street, Hyannis, MA 02601 Date:June 5th, 2019 Dear Robin, This is regarding the property at 251 South Street, Hyannis, MA 02601 that) have purchased on March 27th, 2019.This purchase was made with the intention of staying in it and using it as a second home in the Cape and storing some electronics goods that belong to me,that are used in the conducting of my business 'Nantucket Sound' in Hyannis. I am here in Hyannis conducting Nantucket Sound's business 3-4 days a week and at the moment am unable to stay at the property due to the fact that there is no full bath or a kitchen. I want to request you to provide necessary approvals to licensed contractors who seek permits for adding bathrooms with showers and adding a kitchen.The property is built as a 4 bedroom single family home, but as the SF zoning of the Town of Barnstable allows for, it was used in the many past years as a professional office by the previous owner. My intention is to add everything that is needed for me and my family to make this our second home while we are in the Cape for business or pleasure.The home has 4 bedrooms and a home office in addition to a living area and two half baths at this time. r Thank you, Sanjay Mathew _ y BLAIR KROSEL r, � Notary Public Commonwealth of Massachusetts My Commission Expires April 16.2021 `gam\�'=4r• /'� . . 2� t� �� - �•.may,...\\. I E.• BOARD OF APPEALS SxuyrAn, YYR 1639• Minutes - Open-Meeting - November 29, 1978 1978-78 Richard Curley The Board voted unanimously- to grant the petitioner a variance for a residence on Pine Street, Centerville in a residence B zoned district to allow a law office with no more than two professional employees and where possible to use pervious material instead of paving for parking spaces and the driveway;with parking to be at the rear of the property and eight spaces to be provided. The Board found that due to the topography of this property and its close proximity to business that hardship does exist and allowing the variance would not be detrimental to the neighborhood nor in derogation of the spirit and intent of the zoning by-laws. 1978-79 Russell Haddleton The Board found that allowing the petitioner's request to extend a non-conforming building would not be substantially detrimental to the neighborhood nor in der- ogation of the spirit and intent of the zoning by-laws and voted unanimously to approve the petition with the 'restriction that no additional professional employees be added to their present staff. 1978-80 Linda McKeon Mrs. McKeon will re file asking for a special,permit to allow an antique shop in her main dwelling instead of in the garage. 1978-82. Architectural Conservation Trust The Board will view the premises before rendering their decision. 8 BOA D OF APPEALS )ABISTAIL i �63q. ` CYRY� Minutes - Public Hearings- November 29, 1978 - 2 - 1978-78 Richard Curley Attorney Richard Curley presented his petition which is a request for a variance to allow,an existing single-family, vacant residence to.be used as a law office. The house is new, has never been occupied, and is a one-story ranch with a walk-out basement. This property is under a purchase and sales agreement and the topography of the land together with .the close proximity of the property to business uses makes it .undesireable for 'use as a residence. The owner has had this property for sale as a residence for more than a year and has not been able to find a buyer. The petitioner does not plan any external changes and Mr. Curley and his associate Mr. Schulz will occupy the building and do not plan to add any more professional employees. At the present time, they have two full-time secretaries, one part-time secretary-with a total of five persons at the office at one time. There is occasionally a. client who will stop by to sign a will or who would be at` the office for a short time, but generally the use of the building will be limited to a maximum use by five people. The proposed use will not generate noise or congestion and the building will retain its residential appearance. Parking can be provided for ten cars and the petitioner suggested a stipulation similar to that required for the professional residential district in Hyannis which requires four parking spaces for each professional employee. The petitioner is agreeable to a restriction, requiring eight parking spaces on the property. Parking will be to the rear of the driveway. Mr: and Mrs. Catignani were present to voice their objections to the petition and said they are immediate abuttors to the property and wish to keep it residential. Mr. Richard Gould, an abuttor, spoke in favor of the petition and said that as an abuttor he had observed the traffic situation at Mr. Curley's present office on West Main Street and found that there were very few cars parked there at one ` time, in fact, no more than a residential use would have and theniore he had no objection to the petition. Harry Nickolaow an abuttor said he was in favor of the petition. Several letters in favor of the petition .were received by the Board. Mr. Curley did not wish a rebuttal to answer Mr. Catignani's objections and the Board took the matter under advisement. 1978-79 Russell Haddleton Atty. Haddleton presented the petition and said this is the former Dowling property which he now occupies and the building is on South Street in a residence B zoned. district. Mr. Haddleton wishes to add on a second story to that portion of the presently existing building which is just one-story. The change would not be visible from South Street on which this building fronts. A special permit is re- quested for the enlargement of a non-conforming use which will not be detrimental to the neighborhood nor in derogation of the zoning by-laws. Atty. Haddleton will use' the new space for his present business and will not be hiring any new employees. There is more than adequate parking for the present .employees. No one spoke in favor of or in objection to the petition and the Board took the matter under advisement. i TOWN' OF BARNSTABLE Board of Appeals in Petitioner Appeal No. ....... :L 96. . . ................................ k+�ts�;.. . 19 66, v�..... ri ACTS and DECISION Petitioner ,....,..t ':a`x;;w{+! . �;.,�.. %;st'•:zJs ti l.. .,; ,a.. ............................. filed petition on .....,: ,r ._ .. .r . . . 19 66 requesting a variance-permit for premises at ta z:7.. ...,,. .......................................:.......... Street, in the village of .......... ... ......................... : adjoining premises of....... " , ♦ -<{' ..r.l < � c _m 'l,. �....� � f _�" .S 'Yj-..G,�.Si •{•,>i�_.�..4/�-3ivvj�Fr�11 r. :y.. .'{.�:�{.•� ..H�s �ti'A..np.:'�....�':u....41.1 ..,r,.. ..F"n.�.y ) ,W�r.r..{{.�q� •y�. i:5....t.,.. FF.•.i: ................ ....n..,....... 21�..`by.t �. .Lv.... .�_T\.;. �• :.�.5,t+�' "�' 1..f 4,}Yr_"�. #`� ... i T�y.... y .......... . for the purpose of .,................. !. ,. ... "'..fi. .zi :i 1... �yt� kY.. � -. �. .�{ t^ ..L4 . ' i `.'...�:.,........ ................................................................................. ................................ ............ .... ......................................................... ...... ................. i Locusis presently zoned in ................... ,t; awrxv 6..,.P............................................................................................................................ Notice of this hearing was given by mail, postage prepaid,-to all persons deemed affected and by publishing in Cape Cod Standard Times, a daily newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town .of Barnstable was held at the Town Office Building, Hyannis, Mass., at .. M. P.M. ...._......... r ............... 19 , 66 upon said petition under zoning by-laws. E Present at the hearing were the following members: n n� ri 'i; 1L ..,. . ,.. �,+.... ' „.'w1 s �I1�....,. .�r(.TiM .41 z ,.. ......,.. ....,. rinah _........................................_....................................... .,...... .............r..................................... .....................,..,..,......,.,.,...,.,............................ 4 p.. i At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. On ........................:.................... . ............................... 19..........., the Board of Appeals found p�q ppyy ir y�yam{{ ry y p� Arco . ry Q eel, o 1 a pw pg bpi 1 o �r �R,.a�.f�....S,riln `a�K'�G3�7d3<✓A�� 1?f�:i Yx�.�4s�� Vi�IR�GY�5.7��L1 lA �� E��•�..> ��z�l.4J,4.�/ �NA pot it:ono r W-04. d o VQA0601 an 000,2' Mel r.. 3 5`;� for Una E'i �': ;v ai^.1�4t.. .w Rs�..c . -,�'h?l'�' rama 5.e.�..�ins ii7�,��.�,`�,. be primaHly acwt' 3e;,yt to the Into for of the bull Y�r H0-waver there�� Would 3q�� s r QQ yy��r.v v.5? ��yy)}t- �+(:'t ,�^),7x\yam rt ,(<k$o p e x 9 1�' garage y�� 3�.> aq c*>� �. .,t'.>+J C! rs,.V�a �T.>L' �r!F,�F b�_..�4-�R ,k 5'I > �C.e��.�1�' .Y: 4..,-:,`ix F��tid.rA:�i bo removed to t$'o P069 f:3f W PrOPC3W tQ Msiyk•. POOM W& Off'fs ±00t r Sj..:S.t4..Lx12.:;` 2.,r$. A.l.:tau`'.h�ppw1�.Tud.T,(( c�`7'�iyC�:',e{,.7-h i.I++{{7,?'��""4�v.�/c.�.J--ryry (( �''yy* {�ii:�T �.�.��^Y. r'''S5�8((..a yfit'�''w.�,�d.�V d�J�� o �[yeNq{��q9' � that f' b. f" T.r �1 Of � ;0..n� � -r a'$�}i)�fi S 110nal zooms to t1:0 f: edowin t o i He Hated ed �.�,at o S.�F�� r�Oct has t �' �' 7nt 'xi �' `�""iC Cam' i°"E, e�EE ac r a� ''� t,Tyrt .y.y,. "t1 it „fir Cannot is ��3._ •'�t;.,sx�r.:.C...�Z�:.�.�,�4 Cr .: ;,�C Cr....>�, ., t,£dv ,..,e,z � c7_��7 4.i��i' 3+,.€.�?��'r-r E.u..-.. .....GF ntain this 1.. t':Fa ,rty a VWsSenti Fv'Fl p.f.''t,Y?:'i7' t iJ L��t4.t>„� Ci ti.. t<1 7.l' v/�,'. bi o,i.. t.£-!�<:. board �_,.54 a r. a L,j o` es�,7�• K�. �._; R;.c s � �q 4 lL?€;,t,�,t,:�..�u� �(i�0.[��od ��\?C L7Ee FS4tP:?z„OMI, �+ °c,.'.1� C�?�C�t�s ,€;.�ti x�� >e 1��•� °?��'�. hood. The promisee W l et ,.,?..ed $l00-k t;hE5 k 4o r $'.5:.11 6: i:, a r o a S. E:e atroot s. public ,,i Ru ry WY c9 The- p et t.0 E ne has Made may, {a,+'3 3 ,. .<'""i:.._,f� f.6"tiQ ��.,�$�. finds that V�.'Fi. ..�a�f�'�i�'� .-� "c"' ...� � ealb—"I:a t lino C£�l:t�t�,t 3t:7ne "�'.'"?'S�5ala ��d c �'e#>'�'�.n �." '��3 pare el but• not � Bwlleva"'Lly the coming distact in Watch it ^ 3 ki.�f +.,..fix ` r2 G ;.''4, � i the T ,j7 2"�.�� would', t 3bvt..tcV0 eubs tw5 bo granted WM+IYl-✓Z.b =1' 1 010.-.;. av Sub 0001 IiaQ, °da x o t.Ll n.: g from t ho intent and J..�'r,.000 a ��10 hf3 ':1'cs� r�'��r?.�a. t�,`,+�.ss.'d u1.n��.l `V7UZ1 voted to grant SO WNW& Restrictions imposed: Distribution:— Board of Appeals Town Cleric, Town of Barnstable Applicant Persons interested Building Inspector Public Information gy �,�s -� ��' „l , - Board of Appeals Ac"', kT Chairman x o land t� TDb. Appeal No. _ THE s�P b~;, Date Received 23 � --- = EATT9T i TOWN OF BARNSTABLE PETITION FOR VARIANCE 'UNDER THE ZONING BY-LAW SPECIAL PERMIT To the Board of Appeals, Hyannis, Mass. Date November_6,M�1978 The undersigned petitions the Board of Appeals to vary, in the manner and for the reasons hereinafter set forth, the application of the provisions of the zoning-by-law•to-the following described premises. Applicant: Russell E. Haddleton -251_South Streetj_Hyannisz MA- 02601 (Full Name) (sinter Address) Owner: — Russell E. Ha_ddleton 251_ South Street, Hxan.nis, _MA_ �02601 (Full Name) (Winter Address) —Tenant (if(if any): _None (Full Name) .__(Winter Address) 1. Assessors map and lot number 3 2 6-6_-- 2. Location of Premises 251--a—cuth Street •-_•__ -_•_-._.--_--Area—Hyannis_ (Name of Street) (What section of Town) 3. Dimensions of lot _._.-.S.ep- P 1 an. -_T-_ _ l l l 8 3 7±.-..............._ (Frontage) -^-`(Depth) — (Square Feet) 4. Zoning district in which premises are located RB ._.......... 5. How long has owner had title to the above premises? 6. How many buildings are now on the lot? 7. Give size of existing buildings ------- Proposed buildings ____675 sc�.feet ,(on' second floor only) 8. State present use of premises _Law lrm ,__ 9. State proposed use of premises _._Law firm 10. Give extent of proposed construction or alterations: .increase height of—back section of buildin' to- conform with front 11. Number of living units for which building is to be arranged 12. Have you submitted plans for above to the.Building.Inspectore , yes »- —__-- 13. Has he refused a permit? pendin apEeal 14. What section of zoning by-law do you ask to be varied? ._RII_.inn-,mLfjQ-Mlplgj:t$_e,__,_,__•_ 15. State reasons for variance or special permit: �y= W tion I• 2 CC) provides that the Board .o.f Appeals may grant a specialYpermit_for a professional-office. Addition of the second floor over the- back par.t.of the building is requested in order...to make more effective use of the building - -�- Respectfully submitted, (Signature) '�� Petition received by (Andress) 251 South Street Hearing date set for ____ 19 Hyannis, MA 0 2 6 0; Filing fee of $25.00 required with this petition. This form may also he used for Appeals. . (OVER) The following are the names and mailing addresses of the abutting owners of property and the names and addresses of the owners of pnoperty abutting the abutting owners of property and the names and addresses of the owners across the street all with their corresponding map and lot num- bers according to the records in the Assessor's Officer at the date of this application: Please type or print only. MAP 326 January 1, 1978 Lots 5 Celena F. Crooks • 243 South Street. Hyannis, MA 02601 4 Commonwealth of c/o Armory Massachusetts South Street Hyannis, MA'. 1 Barnstable, Town of 1397 Main Street Hyannis, MA 8 Ora T. Dowling 80 Pearl Street Hyannis, MA " 1 Barnstable, Town of 397 Main Street Hyannis, MA " 9 Cape Cod $ Islands Child Development Program, Inc. Pearl Street Hyannis, MA 11 Marion B. Godoy 252 Asprinwall Avenue Brookline, MA 10 Arnold S.. & Beverly P. Krevat 30 MaryAlice Lane Hyannis, MA 20 Saunie Tsiknas °50 'Pearl Street Hyannis, MA 19 Roland P. ' & Sylvia T. Marcoux 46 Pearl Street Hyannis, MA " 18 Edna V. Niemi 77 Maple Avenue Stamford, CT 06902 16 Bertha M. Fitzgerald P.O. Box 502 Hyannis, MA . 02601 138 Barnstable, Town of 397 Main Street Hyannis, MA " 21 Barnstable, Town of 397 .Main Street Hyannis, MA MAP 308 89 Gladys Bond 39 Pearl Street - Hyannis, MA 02601 90 Norman -Boucher et als Trustees Scudder Bay Circle Centerville, MA 02632 87 American Nat'l Red Cross South Street Hyannis, MA 02601 88 Kathryn M. Sands 274 South Street Hyannis, MA " There must be submitted with the within application at the time of filing a plan of the land, in duplicate, (or two prints) showing: 1. The dimensions of the land. 2. The location of existing buildings on the land. 3. The exact location of the improvements sought to be placed on the land. Applications filed without such plans will be returned withoift action by the Board of Appeals. `x 6�QyOFTXfTO�4w - i BAWSTAM MASK ��o i639. TOWN OF BARNSTABLE PETITION FOR VARIANCE UNDER THE ZONING BY-LAW SPECIAL PERMIT To the Board of Appeals, { Hyannis, Mass. Date 19 66_ The undersigned petitions,the Board of Appeals to vary, in the manner and for the reasons hereinafter set forth, the application of the provisions of the toning by-law to the following described premises. Robert G. Dowling, III 80 Pearl Street Hyannis, Mass. Applicant:_.__._... __.. —_.__._„._..._......_..._� (FuB Name) (Winter Address) 1 Owner: -----------_......__..-..._.__._ Robert G. Dowling Jr. - 80 Pearl _Street_Hyannis, Mass. ...............___._..� ._._._._-_._.___._._ (Full Name) (Winter Address) —_ Tenant if an none (Full Name) (Winter Address) 1. Location of Premises ....-251 South Street_ . _ (Name of Street) - (What section of Town) 2. Dimensions of lot ..__.....__ ..P'len Area .__.__T4x733 V_ _• (Frontage) _ (Depth) (Square Feet) 3. Zoning district in which premises axe located_...._.........RA.. .._.. ___.___—______ 4. How long has owner had title to the above premises? Family property more�than_2�ears 5. How many buildings are now on the lot?.1_- . House and.Garage^ 8. Give size of existing buildings __._.___._ See Plan_ Existing.House - Garage to be removed Proposed buildings _.___________..—..».....»._._.__.__.._____.„__»____„_._.._»____.__..._._._._.____...___..._.__:__ 7. State Vae-ant present use of premises__.._._.__.___._.._._._._._.___._-..__.__�_ 8. State proposed use of premises_._-_._______Bus __._.iness Office 9. Give extent of proposed construction or alterations:__Remodelling of_exgtin2 no addition - See Plan 10. Number o£.living units for which building is to be arranged .none —_— ----_-__-__-.___._.___-__ 11. Have you submitted plans for above to the Building Inspector? Yes 12. Has he refused a permit?......yeS._. 13. What section of zoning by-law do you ask to be varied? _S > 9A_G,_gA7C�p,27�]a-............... 14. State reasons for variance-or special permit: Due to_changed-character of-this-formerly eidgntial„ngigh�Qhood,,,,,Owner_,_reguest ,varianc eeling_this_pro�ert can _...__._nQs�t_b.�_.zn.Q.sx�.xea�au;�.ly_».u�sed.._�Qz.bla.slzless.._o.�.�.�.e...__..--•-•-•--..,__...__._.�._..._._.___._.______»._._. i Respectfully submitted, Robert G. Dow. ing, III Petition received by (Signature) _.. r_ w_,._.. _.__..._._.___ _.____ —.— 80 Pearl Street Hyannis, Mass. (Address) _ Hearing date set for • Filing fee of$15.00 required with this petition. • This form may also be used for Appeals. (Over) Please type or print only. t . The following are the names and mailing addresses of the abutting owners of property and the name and address of the owner across the street, according to the records in the Assessor's Office at the date of this application: William A. Crooks 243 South Street Hyannis, Mass. Roman Catholic Bishop of Fall River - Fall River, Mass. Ora T. Dowling 80 Pearl Street Hyannis, Mass. , Town of Barnstable - Tomn Bldg. Hyannis, Mass. Verified by Assessor's Office Assessor There must be submitted with the within application at the time of filing a plan of the land, in duplicate, (or two prints) showing: 1. The dimensions of the land. 2. The location of existing buildings on the.land. 3.' The exact location of the improvements sought to be placed on the land. Applications filed without such plans will be returned without action by the Board of Appeals. � I� f R — • fi-71 .. g t t lod 1 q v t ED, � �--- I 771 " i� -It i s 4 f 11 i t I r ti 6 :. I �N M M B—.BUILDING - Assessor's Number USGS Quad Areas) Form Number A 1740 MASSACHUSETTS HISTORICAL COMMISSION . 326006 U MASSACHUSETTS ARCHIVES BUILDING 220 MORRISSEY BOULEVARD BOSTON,MASSACHUSETTS 02125 Town: Barnstable Place: (neighborhood or village) Photograph Hyannis Address: 261.South Street , - Historic Name: Charles Hinckley.House r ;F Uses: Present: Offices Original: Single Family residence 'Date of Construction: 1880-1910 - 1 i Ip dr. y Source: Historic Maps I StyletForm: Greek Revival Architect/Builder: Unknown Exterior Material:. Foundation: Concrete Wa1VTrim: Wood Shingles Topographic or Assessor's Map Roof: Asphalt Shingle 27 232 27DDf1 OutbuildingslSecondary Structures: -None. '4 Ste01e Major Alterations(with dates).- Replacement Windows '0274 I ` Side addition(after 1932) got225 43 > em, Condition: Fair tic Moved: no I I yes I I Date Unknown Acreage: .23 Setting: Located on a relatively flat lot on South. sod-° ' Street in an area characterized by institutional uses and so - former residences converted to commercial and institutional uses. , Recorded by: Julie Ann Larry,ttkarchitects 4- Organization: Town of Barnstable ,Date(month/year): September 2008 1 Follow Massachusetts Historical Commission Survey.Manual instructions for completing this form. INVENTORY FORM B CONTINUATION SHEET BARNSTABLF 251 South Street MASSACHUSETTS HISTORICAL COMMISSION Area(s) Form No., 220 MORRISSEY BOULEVARD,BOSTON,MASSACIIUSLTTS 02125 FAU711740 Recommended for listing in the National Register of Historic Places. Ifcheched,you must attach a completed National llegWer Criteria Slutement form. . Use as much space as necessary to complete the following entries,allowing text toflow,onto additional continuation sheets. ARCHITECTURAL DESCRIPTION: Describe architectural features. Evaluate the characteristics of this building in terms of other buildings within the community. The Greek Revival style building at 251 South Street has been converted from a residence to use as offices. It faces north and is located on the south side of the street. The'building retains few details of the Greek Revival Style including the side entrance and entry surround.The two by three bay building rests on a concrete foundation. The exterior walls are clad in wood shingles. The gable roofs are sheathed in asphalt shingles.The one-and-one-half story former dwelling features a front entry with a six- paneled wood door and five-light transom flanked by flat pilasters. There have been two extensions of the main building form:a one-story side(east)ell with a gable.roof and a shed roof dormer on the west elevation. Paired 6/6 replacement sash windows are symmetrically located on all fa des.To the east of the en door is a rojectin picture window with divided panes 24 . � entry projecting P ( ) The dwelling's Greek Revival style has been substantially altered by replacement windows and the side addition.The house makes a moderate contribution to the architectural character of the historic.district. HISTORICAL NARRATIVE Discuss the history of the building. Explain its associations with.local(or state)'history. .Include uses of.the building,and the role(s)the owners/occupants played within the community. _ The residences east of Pearl Street on the south.side of South Street were built on land owned.by the Bearse family(1858- 1880).According to the 1910 map,the house was owned by C. Hinckley, probably the Charles Hinckley that lived near Charles Paine(243 South Street)in 1910. Charles Hinckley was a lighthouse keeper..Charles H Hinckley served as the 2nd assistant lighthouse keeper at Bishop and Clerks Light(1856-1952)off Yarmouth from 1881-1883,then first assistant keeper from 1883- 1884,and finally as principal keeper 1892-1923 when the light was automated. Hinckley was a small man,4'-9"and reputed to be the world's smallest light keeper.After his retirement at age 70, Hinckley"was always busy,.either digging and selling a few . clams,doing an odd job here and there,or tending somebody's furnace"(Bishop and Clerks Light,2007). Hinckley married Dorinda Bearse(Dora)and they had several children including Elizabeth,a teacher,Oliver,a wagon driver, Charles,and Curtis... 251 South Street is currently[1993]being used as lawyers offices for the firm of Haddleton and Collins. It was previously an insurance agency owned by Bob Dowling and then used as.a dentist office."(Campbell and Lauer, 1993) BIBLIOGRAPHY and/or REFERENCES. Campbell, Sue and Tracy Lauer. 251 South.Street Massachusetts Historical Commission Inventory Form.B. Barnstable: Barnstable Historical Commission,1993. Town of Barnstable.Assessors Records. 1880 Map of Bamstable..Published by G.H. Walker&Co. With inset details of Hyannis Village. available online at historicmapworks 1905 Map of Barnstable. Published by Walker Lithograph and Publishing Company. With inset details.of Hyannis Village. available online at historicmapworks 1910 Map of Barnstable. Published by Walker Lithograph and.Publishing Company. With inset details of Hyannis Village. available online at historicmapworks Sanborn Fire Insurance Maps. May 1901; January 1906; September 1912;'September 1919; November 1924; October 1932; 1949. available online at sanborn.umi.com Continuation sheet I . E v . INVENTORY FORM B CONTINUATION SHEET BARNSTABI:E 251 South Street MASSACHUSETTS HISTORICAL COMMISSION Arca(s) Form No. 220 MORRISSEY BOULEVARD,BOSTom MASSACHU$ErrS 02125 AU 1740 . "Bishop and Clerks Light" 1/28/2007 http://lighthouse.cc/bishop/history.htmi accessed 9 September 2008 a� F Charles Hinckley(left) r { Continuation sheet 2 f FOP 11 B - BUILDL TG Asscssor's nwnbcr USGS Quaff !bes(s) Dorm vtunber Massachusetts F-iistorical Comission 3 z 6/ 6 Hyannis G 17�0 gcj m 80 Bovlston Street Boston, ?Massachusetts 02116 _ .town Barnstable 0-, - Hyannis a r Place (neighborhood or village) South Street Area ., `= Address 2 5 1 South Street s, z - Historic Name T.h a c h e r. Insurance Agency .... Uses: Present Of f i c e s Original Of f ices IS Date of Construction 1930 Source Town o'f Barnstable Asse;sor ' ecor s Greek Revival: Style/Form ArchitectlBuilder Unknown ' F-xterior.Nbrerial: Sketch INAap Foundation Ro u r.e d c o n.c r e t;e Draw a risap of the area indicating properties within it. Number each property for;which individual WalVTrim 'wood shingles inventory forms have been completed. Label sn-eets Roof A s nh a i r s h i n g l P including route numbers, rfan y. Attach a separate sheet if space is not sufficient here. Indicate North. Outbuildings/Secondan• Structures. Nnnr r_�[30 f�"LiCz' N Major Alterations;(v:ith Llaics) None ao . 00 . o a� Condition Good Moved R] no l] -yes Date Sue Campbell Acreage • 23 Tracy Lauer Setting Residential /business area ; Recorded by 5 . Organization Barnstaple Historical Comm. parking lot to one side ; brick war Date ;mvr:thiclav/}•ea �)/5 /92 , 6/22 /Q3 along front of house and patio leading up to front door FoLo-�•1f.u7xlriicrs I fir:c-n:.:i CcrTnLa:a+r�urr•rr 1(.mu.�f nvsrvrrnv Ja►romrurm,rrir.r-r+� B TJILDINGFORM ARC=CTTTRAL DESCRIPTION O see continuation sheet Describe architectural features. Evaluate the characteristics of this building in terms of other buildings within the community. The property is two stories and two bays wide with a front gabled root and an addition to the west side . There is a shed dormer on one side of the roof , a bay window and a side entrance with transom lights above the doorway. The windows are 6/6 and have white shutters . HISTORICAL vr1RRATIVE' O see continuation sheet Discuss the history of the building. E%platn its associations with local (or state) history. Inci::.ie ::ies.rE the Lreii�lir; and the roles) uhe owners/occupants played within the community. 251 South Streit is currently being used -as lawyers offices for the firm of Haddleton and C.. IIir-: . 1t origi.nally. an insurance agency owned by Bob Dowling and then it was used as a dentists office before Haddl.eton and Collins occuz)Ied the site . BIBLIOGR-OH1 and/or REFERENCES sec continuation sheet Town of Barnstable .Assessor ' s Records . Peter Campbell , Oral History , 41 Ch•estnut Street , Hyannis, July 9 , 1993 . c • Recommended for listing in the NationalRr,_nstcr of I3iscor.c Places. •rna :�r;u: .:::.•• Comolctcd National Rccincr Cnrcrra Statcmc:;t Joint. Town of Barnstable Building Post7his Ca'rdSo.,That rtis;Nisible,From tFe,Street ;A` roved Plans MustJbe Retained n Job and this Card¢Must be Kept „h DAM NA • ✓ ;, {, ,.„ *, :i :fRR %1 Pp ,^ °s �' �, •" M'" Posted UntilNFinal Inspection�Has Been Made y ° Where a Certificate_of Occ'u anc ;°s Re tired such 6'uildin 3shall Not=be Occu red until m�a'I;Ins act ion has,been made Permit Permit NO. B-19-1484 Applicant:Name: GRAHAM LLC. Approvals Date Issued: 05/22/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 11/22/2019 Foundation: Location: 251 SOUTH STREET,HYANNIS Map/Lot 326 006 Zoning District: SF Sheathing: ter= _ , �� Owner on Record: HADDLETON, RUSSEL E ESTATE OF ConfractorName GARY C GRAHAM Framing: 1 Address 363 SPRING STREET ContractorLicense CS O42246 2 SHREWSBURY, MA 01545 £x Est Project Cost: $4,000.00 Chimney: Description: install a new pressure treated staircase.to basementaevel on the lPerrnit Fee: $160.00 exterior of houses no longer serviceable. ��: _ �' Insulation: Fee Paid $160.00 _ Project Review Req: Date ' S/22/2019 Final: � t f Plumbing/Gas Rough Plumbing: builclinThis permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months�after is MUM suan Final Plumbing: All work authorized by this permit shall conform to the approved application,an the approved construction document f r�wh"S his permit has been granted. All construction,alterations and changes of use of any building and ste ctures.shall be in compliance with.the local zonmg.by laws:and codes. Rough Gas: ,. In e This permit shall be displayed'in a location clearly visible from.access streeC6r roa&Ad shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of occupancy will not be issued until all applicable signatures�by the 166 ildmg and.Fire Officials are prov ded on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work � ' 1.Foundation or Footing Service: _ 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest fluelmmg is installed ;= • � � Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: ' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �� Final: `.; , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel-` _ Permit# Oq 7C/ Health Division I Date Issued -20O Conservation Division Fee OQ i 'Tax Collector; S I lTreasurer L4 4A X-PRESS PERMIT Planning Dept i } JAN - 8 2001 Date Definitive Plan proved by Planning Board Historic-OK H Preservation/Hyannis ! TOWN OF BARNSTABLE ;.Project Street Address 251 South Street i i Pillage Fivann i s ; ':Owner Russell Haddleton Address 251 South St. 'Hyannis � -Telephone 5.08-771-3132 .Permit Request Remove portable air conditioner mounted. in ,wall and replace ,. ,with window similar to other windows �j Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation o7140ning District Flood Plain Groundwater Overlay Construction Type wood frame Lot Size • 230 acres Grandfathered: ❑Yes ❑No If es, attach supporting documentation. Y PP 9 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ®No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing 2 new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: CYGas , ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing O new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization. ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Office Proposed Use Office BUILDER INFORMATION Name Michael B. Gaspard Telephone Number 508--477-4826 Address 67 Pine Crest Ave. License# CS 077346 Ma shpee. 14A 02649 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Mashpee Transfer Station SIGNATURE DATE DATE 1/5/01 r Z y r � f 1 ��_.. '� ~� 'i✓!ie....anvma�ruuea,� a��aaaac�euaeli<6 ' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR z.= Number:;CS 077846 Expires 03/23%20b4 Tr.no: 77846 Restricted To. 00 , MICHAEL B GASPARD � : 67 PINE CREST AVE: -' MASHPEE, MA 02649 Administrator 1 endosed space 00 35 00' S•60L) "GL C.112 %A-�p89 only Homes 1G-1&2 Famlly nt edition of the Failure to posse a�� State Building code is for revocation ttsof th f TER: (888)344.7233 / DIG SAFE CALL CEN ,":; The Town of Barnstable • ■AnxsrABU& • MAS& Regulatory Services 'OrE059. , Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion- improvement, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: w i ndc)7 installation Estimated Cost $9 5 0 0 0 Address of Work: 251 South St. , Hyannis Owner's Name: Russell E. Haddleton, Date of Application: 1/5/01 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ®Job Under$1,000 ElBuilding not owner-occupied [Owner pulling own permit ` Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Co actor Name Registration N,o. O Date Owner's Name q:forrw:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents efffce eflolresoffat/eos 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit name: Iyl I L�GI� ( �fD1�Gl lomtion: city fi it l.s hone# 71 ❑ I am a h6riieAwner performing all work myself. Q'I am a sole rietor and have no one worldz in aav acity ❑ I am an employer providing workers'_compensation,for my_employees.worlang onthis fob. CODIDa name.. :::.;;:;;;::.::: •;:;.,; «<>;: :> DV •::.:::..::.::.:..;.::. .. .. .:, ;x.. . St..::...::..........:::...................... Insuratrce,.co.: :: ::' alley#•' ' ❑ 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:_ name. ::<:»:«.>;:::::>::>:::::::: ......:>: ::::: :... ...............i:>::: ..... ......:' k` ? > > 2 '' SM1 ` > adores .............x:nv::::.v::::::::::::::::r.•:::::::: . :::.�::.�::is i'vi}J:6ii.i..;..}J ......:�r::.........r. r , v i:::<:ii:�+i::i2;<:4i::ii:>{;•}}i'i:;:'.iiS'i.>::::•:::j;:{}`:{::i:Ji: :•.v•• x.:.....................::{::.v{:v.},x,•r{:r{?i}:{ti.J::i:ti::?{?:•:}:f.....................:,\.�6...n;:x.v{....... v. ... ..,h.:..:.. .... it\. ......n..:::v.y.:i}i:.i:•ii:{^::•:•}i:{C::?.}iii}}}ii:: • :K{?{vi}:+.�ii:.}ii}}?i:•ii:i:•::..... ...}...........n. .. .::.................................. {....... ... .....??.v..:1:.. :.. �....d4•....4:.v.i:�...... ::•:.v:.�:.:•:::.:••-.:::•:..::::::::.:�:.v:::•.�::•::::•:•:::•:::.�:::::•:::::::::::•::•:.v::::•:;},•::?•.:v:::�:w:::......::....nx..w::J.v::::::•:r:.v::w:::.v:.v:. ...r.v:.n.t.J::v:4::>::•::.yw::::::n.. :.a,. ..-:::•..... •t."•:.vw,:•:vn•.v::'o; ............................................................................ ...............................:v,;{n:}::::::.v::::.......{v..{.YA.}:.yes;.,..::}.1...................i.. 3 r.'•Y:::?�i>:>ii:i:>is ii:�S:J;:S:.r•;:::iii:::;i.^.:`}ii.Y'.•:;:ji%:;>:%�i:i: ' ?{..:)>:i'.::'^ji:4Y::y}Y::YY;>}:{:{:•::•:'•:•.::^r'<•):4>Yii:4i:i:':?:Y .... �•-Q://v:.;:.;�r:.:n}+}:{4:^;?-}?;{n'•{•}}:.}i}+Y.{•}}}N:.:}::•::{:.:.}.•:n.�.v:.�{.}Y.•}:?•:.::x.}y}:^:{�i:v:•:::: .. .....................................................................w:.•.v:::::\....0.:..... S' w:x.•.v:m::-:::. v.:.:...v.AF.O.v::F^;•{..-:*v}:Y`{'v'.T?::: .............................................................................................Y{•}:?•:w.^:•}J:•}:4}............... .::..........{{.i:{J:^:•:i•i:+.•:rJ:{•i�{{:•i:•:{>•:------------- PJiJ:ii:ii::}}::{{•:i4::::.v:.,titwa,.rx.:};.K.r.,n::.. i;. caniDamR Mum r addres : .... dtv- ...................................................:..:.. � :::::nv.:::::::.:v::{::::n:::::v va•}:::•... •.....n•.::'.V till:{:iii$i}::i??i}:??}:i}:y:. n�nrence.�co. ...,.::..... Fafl�e to secu a coverage as regmred under Section 25A of MGL 152 can lead to the imposition of criminal penal+'-of a flue up to S1,500.00 and/or one years'imprisonment as well as dvfl penalties in the form of a STOP WORK ORDER and a Am of 3100.00 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 pairs and pen aides "of�perjury that the information provided above is tnw.and coned Signature -�c��' Date 1/5/01 - Priatname Michael B. Gaspard Phone# 508-477-4826 ------------------------ Cd y do not write in this area to be completed by city or town official permitNcense if L(83D rtment d ediste response is required ce uent phone 0; (mined 9195 P1/A Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal.entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work an such dwelling house or an 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 requires of this chapter have been presented to the contracting authority. plicants ,Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and `F"ry 1 an names,address and members with a certificate of insurance as all affidavits may be a~ �P Ymg company P� �o� Y " u b mitted to the Department of Industrial Accidents for coon 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 required to obtainn a workers'compensatiam policy,please call the Department at the number listed below. amity or'Towns ?lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the �ffldavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please ie sure to fill in the peimrt/lic®se mmmbei which will be used as a reference number. The affidavits maybe retariR*io he 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. Tease do not hesitate to give us a call. he Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0MC0 Of Imstivauens 600 Washington Street Boston,Ma. 02111 " faint#: (617) 727-7749 phone#: (617) 7274900 eat, 406, 409 or 375 Engineering Dept.(3rd floor) Map Parcel Q it#)J a�a %►r 7b . House#, _ S / Date Issued 0�0 ,I —9 -7 Oro; Board of Health 0(3rd floor)(8:15•: 9:30/1:00-4:30) ��sw '�v�iJ Fe Dd )or - . 0,-2:00) » 01 IT " 19TOM OF BARNSTABLENPERMIT 1''Kxo M THE ENGINEERING DIVISION PRIOR T0, ,) ding Permit Application CONSTRUCTION. Project Street ress �� ( S(DI Village Owner ) I N a (A C!ec_c_ nJ-5 Address Telephone Permit Request I,% eU 1pTaoqftL First Floor t�po2d square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑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 Anneals Authorization ❑ Appeal# Recorded❑ Commercial res ❑No If yes, site plan review# Current Use Proposed Use ' Builder Information Name Pa v i - Telephone Number 50 8`4/E3 D- 7 3-7/ Address Wto 0#4t4,s License# 0 0 0© f q e, ,l ya4ly+c"h, Home Improvement Contractor# j o a J(o0 Worker's Compensation# IUC NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONST CTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO E_ , q SIGNATURE N DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. r DATE ISSUED- MAP/PARCEL NO. 'C t ADDRESS; VILLAGE - OWNER DATE OF INSPECTION: ` FOUNDATION FRAME - INSULATION l 7 I ��. rk AYE^_• f {e FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: t . ROUGH FINAL FINAL BUILDING 1'DATE CLOSED OUT t ASSOCIATION PLAN NO.%i f Rio r 47 7"— .. r�lllYw+wu�n �I�'` �;p� ✓fie Vb�nnrcnnakil/"o�✓�(add�"`cc ` �-� yr• h _ °t Q�'", t OEpRRIMENT OI pU6lIt S'RF �IY,(k" CONSIRUCIION SUPERISOfi ��CENS�''t' ( F ° Number` CS 000M G.,/JS/199i,,,� � f t�W X, OAK,' °ErdSp'fN 1RLEAN P0� a r . tNifldd� v, A0.'d+rpxlly.MIMW J�ar,l•• i i The Commonwealth of Massachusetts Department of Industrial Accidents OficeofinlVeSM01lons hr'l0 N'ashinr�ton Street Boston.Alas. 02111 Workers' Compensation Insurance Affidavit 1lililiFEnt information Please PR11VT le�j�i1 name Location• �S� ��t,�� ' _ City /� l� GNA/15 � /✓�/� 2D/ nhtmc# —771'J/-12- I am a homeowner performin_ all work myself. I am a sole proprietor and have no one working in any capacity ... '! 1 �• ..�... w...�....-I-.s..�.f'w��k7..w.��'17r!s+!"r�'.`r- _ "•'�.�.1�a.�•�.�Y.r�.-j'^."^.^^�.;....w•,...=..__... I am an employer providing workers' compensation for my employees working on this job. cnmit•tm• name• IJG�/i•/.� �SfNS fc rn) addr"15: ILe9Lo n lufj,, QG� city. 1�i ij i, `w i c. � AA rhonc#: 5-0?— Z/3a- -73- / incur-ince co l—t 5 i0^j 5�5 - nnlicy# 1 )G 9 — M 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: comnam• name, addre�c• cit.•: nhonc#- insurance rn nniicv# cnmpinv nimr• addresc wily: nhnne ft• insurance co nolicv# Attach additional Sheet if necessary --_ _ ..0�y•J�7- '•tea _ ... ...r..— �. _.��.tii._....��•�DYl....� ...W.'wrA F::iiurc to s rc cove tte:ts required—under Section 35A of 111GL 152 can lead to the imposition of criminal penalties ol'a line up to 51.50U.UU andior one y cars' . p icon nt as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a dad•against me. 1 understand that a cop) of tl i. tat m t n av be forwarded to the Office of Investigations of the DIA for coverage verification. l tl loch c i •r file alas and penalties of perjun•that the information provided ahoy is true nd co t Signature Date Print name Phone# ' official use only do not write in this area to be completed by city or town official citi or town: permitAicense# MBuilding Department I oUcensing Board (]check if immediate response is required 0Scicctmcn's Office t (:]llcallh Department EE h contact person: pone#: r 101hcr S: l Information and Instructions ` Massachusetts General Laws chapter 152 section '_5 requires all employers to provide workers' con pensation for tl employees. As quoted Gan the "law an empluree is defined as every person in the service of another under an• contract of hire, express or implied, oral or written. An e»rplorer is defined as an individual. partnership, association, corporation or other legal entity. or any two or m; 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 owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the d\vclling house of another who employs persons to do maintenance , construction or repair work on such dwelling 1 or out the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an empio\ MGL chapter 152 section 25 also states that everystate or local licensing agenc}•shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for an• applicant who lens 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 been presented to the contracting authority. 77- Applicants Please fill in tite workers' compensation affidavit completely, by checking the box that applies to your situation anc 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. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not tite Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are requir 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 the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P' be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnet tite Department by mail or FAX unless other arran`ements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questi,- please do not hesitate to give us a ca11. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts .... r Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax 9: (617) 727-7749 nhnnnu• (At %) 727-.19O(1 r•Yt_ 406. 409orJ/5 - --------- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r a 7 Map Parcel ' Application # e� Health Division Date Issued 7 Conservatioh;Division � Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis Project Street Address ST Village Owner evs3,11 L /f yo,0k7-d .. Address 4� /W.OkI2,,Y Z/R-o R7 C�i�h ate, Telephone _5DB 77/ 3/312 Permit Request( L.SJ 2eole,,c Lt/h/'!� �t��t.► J,641el- /9�// .0&"o 7b Yr !rre,Lei tAO►,V V// J41-yo/ev 6 �` 747 wewh ea : 1,V4 4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7r 76 d0 . °" Construction Type AJV'� �e Lot Size Grandfathered: ❑Yes' ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ;❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Roo Count 9 Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other ca! C r- C'_ Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wool oal stogy: LVes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: xistingIU new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use — --- _ ._— -- -- Proposed-Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Td Al Obeit let-�W Telephone Number Address _ 3 )6??�'ym� I r License # C 7y S l / 4J //7nmNA /r& 0a473 Home Improvement Contractor# a 70S? Worker's Compensation # _-We Zee IA7D;t ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4.47 L/9tiJ f'l! SIGNATURE DATE JuJ/ o`?f9o8 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. :x :F ADDRESS VILLAGE OWNER `z DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL # FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 7 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Les?ibiy Name(Business/Organization/IndividuaI): O Ijt� ` Address: litfd'hr" yew City/State/Zip: e 02673 Phone.#: <0,9 199 63YY Are you an employer? Check the appropriate bog: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a'sole proprietor or partner- listed on the attached sheet. 7• ElRemodelin g ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' y ❑Building addition [No workers' como.-insurance comp.insurance•$ rPz fired] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance required-1 t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'cornpaisation policy information. t Homeown=who submit this affidavit indicating they are doing all work and than hire outside contractors must submit anew affidavit indicating such. 1C—Mtractors 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-conlrwtors have employees,they must providt their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.M I Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to socure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify unde the pains•and penalties of perjury that the information provided above is true and correct Signature: Date: w ! 010 • _ Phone#- Offtcial use only. Do not write in this area,to be completed by city or fawn offeciaL City or Town: " Permit/License# Issuing Authority(circle one): Department 3. City/Town/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectorns 1.Board of Health 2.Building p ty P 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 hue, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal 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 con fiance with the insurance coverage required." apph P P P Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)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" fhe 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 lice 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 Dgmtnent of Industrial Accidents ' Office of Investigatlans 600 Tim ngton Street Boston,MA 02111 W. #617-727-4900 ext 4-06 or 1=877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia °FTHE rg4� Town of Barnstable Regulatory Services Rk"STTABIM Thomas F. Geiler,Director ' 1619., Building Division Tom,Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize za,56 6X--11W-4W to act on my behalf, in all:matters relative to work authorized by this building permit application for: O?S/ . Sq7,177 S2-. Address of Job) aignature of Owner Date i✓ 6u . t Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �oe,IHE tpk " Regulatory Services_ t, Thomas F.Geiler,Director sARNSTAer b"9 Building Division. PTED 1��A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 KNnv.town.barnsiable.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: Ia city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed.under the building?permit. (Section 109.1.1) The undersigned"homeowner".assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said 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 1o9.I,i-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 helshe 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 fom-/certification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3�z 6 Parcel DO( Permit# Health Division Date Issued Conservation Division Fee ' 0�b - 00 Tax Collector G� Treasurer Planni ept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis +, Project Street Address Village Owner �vSS�ll �f��G ��1C�e Address a.�� so' �7 Q�,:L,i s Telephone Permit Request stIel 9' we_ Square feet: l st floor:"existing proposed 2nd floor: existing proposed Total new Estimated Project Cost a-oz&V,60 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)� b Age of Existing Structure 1-/0'4ex, Historic House: Q.Yes Qd(No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ,0-Walkout - ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new • Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new, First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:❑existing ❑new size ` Attached garage:0 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 ��y Telephone Number Address FG 13eA 4 License# e�) Q 99 2 l ryyy/S CJ a�C� / Home Improvement Contractor# G/a6 P g Worker's Compensation# td CY .7-,,tS 73 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �*r � DATE FOR OFFICIAL USE ONLY PERMIT NO'. z r t DATE ISSUED MAP/PARCEL NO. -. tN ADDRESS ' VILLAGE OWNER ( ._M _ � • T - - DATE OF INSPECTION: f _ FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN.NO. ; , The Commonwealth of Massachusetts Department of Industrial Accidents - _ t 600 Washington Street y; Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name location: G � city yhone# 71 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one workin n any capacity /// ///"//0�1�//////%/%%//%%%/--- 2----%/////%%/%/ /// I am an em loycr providing workers' compensation for my employees working on this job. comaanv name.. ,. . . ? n �'G '' address �.....� :.. :. .. ..:....... �. :. city atone#': 7 . '` IXinsurance co .P oitcv ❑ 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: _....._ ............:..:.::..::... ..._.............................,...:... .. __..... ._ _ ........ ..................... ........_..........._... . ... ... address. . :. .......:.:..... . ................ ............................. ................................. ... .......:....:.::.:...........::....::........::.......:::.................. ................... one'#: city' <»>c M,>..«,........ ................ . ...................................:. ..... ....................... :::::::.:::::::,.:::::::::::.::::::•:::::.:. :::::::.:::.::.:::...........................-- :...............................:....................................................,.....................................:................................................ .....................................::;:::;:.;..........:.............................................................................................. t.f•;:.::.::::.;.::::::;:.:... .......... •:::::::..:•::..........::.::..::.;... .::::::.:::.::;:;:;.:>:> :<:>:;:>::> >:> s: >;::>:<::<:>:<:>;»:<::>;:; insurance t .:::.......... olicv# ::.....:. OMWUMNOWN address. .........:..:.......;... .:....:::.::::::..;.::.;:;:.:::.;;.:.:.::.. ..:.......:.. ...:..::.::.....:.. :. ij::i:;i:iv'::i+$ii:^::}):::i?<:;:?;•i:>;y;.;.._;''i??:ii•:is•: •..... phone# nturance co.: :..: ...... oli cv#<. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 sndJor one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is truce and coned Signature Date Print name � `l/ - ["�✓�i /� � Phone# s official use only do not write in this area to be completed by city or town offidal . ' city or town: permlocense i - :CC3]1Building Department Licensing Board ❑checkif immediate response is required S•t�+en s Onnce ealth Department contact person: Phone#; er_ (tevued 9/95 PJA) • department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissione: 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: fy'k P14 I e 16 Vie— Estimated Cost a a0 �G Address of Work: Owner's Name: / cf5-re lll' Date of Application:�� g I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under$1,000 Building not owner-occupied [30wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE _ ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. s OR Date Owner's Name q:forms:Affidav �1re �o�n�nzmuuealtl� o�/�aaoa,�/ucaetla ;;- BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r Number. CS 009975 p i ExOires:08/13/2001 Tr.no. 4334 to; ttestncted To 00 , ' BILLY E CAUTHEN 86 BETH LN m { HYANNIS, MA 02601 Administrator 1 a I; i 4 { -I - - IV rx J4r if V _ - VA,� - i ( _O - -� -- --- � ) - ' I 1 I I i I I I I G I ! f r ' c I I � I I I I ' ' I I J I 1 i I I i � I I ' ► I I I I I I ! I I I I I , I I I , I I ! i I I I I I I I I I I i l I I ' I , I I I I ( � I I I' + �I I ! 1