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0309 SOUTH STREET
r f y JI M/ + I, r .- k: . F T rA # v� ,7; 3" t, ... (:. iMI: �:� Mil ) ::.t Consultin Structural Enigine;er 9. x 123 Cottonvdaod Lane,Centerville,Massachusetts O2632-1§1 •(508)771 7601+Fax{S08) !1-7163 z . . mcutliio@omcastnet ... : �-, ., .. '' . .:: March 31,2641 ,- -:: .. _. r .. -J:i'- _ . .-.- ,; - _., ' Totiti n of Barnstable z l3uftding flepartrtient r Hyannis,M 02601 r :« Attention::Mr Pau(Rarna Budding Commissioner `` RE EGRESS"iMSPECTION. ANGEL IibUSE 3J9 SOUTH ST,FlYAtdNlS;MA'y, b `; bear Mr."Roma, , ?.:._ . . _... _:::.. Please be advised that this:office reviewed;as-burst cans#ruction on March 28,2C}17,.providetl list of items to .., correct,anc reviewed email photos provided by the representative,and find ail work completed_satisfactorily k t a , r k,. _ � , i ,This office.h inspected ail exterior wooden stairWays,,fire escapes and egress components for'structural integrity and_. v� safety,and finds them ade:quate,_as amerided Sincerely ' . : .r.. a + } y. r ra f € .. ., .. f td���l �.1— -: f cF a icheie Cudilq P E i a CC Keith TrottF4` c, r Housing Assistance.Corp ;lCHELE ' Gtfl)iLC3 124A 72 v T�tJGTU 1 1. to Nth 3477 '. . '.y ti , rs,, , k F x sio�tnt ' , : r � - .. y " .:: ... a },`� .. `t kt f. = - ... - .. . . . .. �, _: _... , „- .... t' _. • . ... . ... :, ,.. .� a - �. . a . . :- _ _, re ae ... _. .. '::.�. _. a --: :.: ... .. .. .... �' _. ,.. r— . .: .� .e .,n 4 .. .�. k .: .. ., is. {' , .,... 5 .`a .... B = ` Application number............................................ P +7Y Qi► a® ` . Fee y/^� >uVsrA. AUG 0 9 i NAM ��i:j Building Inspectors Initials....... ....... .. .................... TOWN O� 8AUU NS B [ Date Issued: & r ... ................... Map/ParceI.......�.,.,3Q .. ....................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDINGAWINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION '.., Address of Project: 5O 1� - j Oct i=I-A-. f NUMBER STREET VILLAGE Owner's Name: 140 05 t 'A E&m43>(PPhone Number -ZO`Ab Email Address: L!) ell Phone Number Project costs l �D� Check one Residential commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize ' to make application for a building permit in acc ance�with 78 C ' , - Owner Signature: Date: -77 TYPE OF WgRK 0 Siding 0 Windows (no header change) # F-1 Insulation/Weatherization 0 Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than I layer of shingles) Construction Debris will be going to iZ?+&J i CONTRACTOR'S INFORMATION Contractor's name (3 Home Improvement Contractors Registration(if applicable)# /0? % J (attach copy) Construction Supervisor's License# -�, �/'7 (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A FII4TnRlr ni.STRIrT- Vn►l M►L4T nRTAIN HI.STnRIr APPRnVA1_ RFFnRF A PFRMIT rAN RF KV 1Fn_ APPLICATION NUMBER............................................................. *For Tents Only* . Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes;a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles front <back _left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities 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. Signature Date APPLIC 'S SIGNATURE Signature Date V All permit applications are subjeItto a b 'ding official's approval prior to issuance. f'� • 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 Legibly Name (Business/Organization/Individual): O V S i 6.0` 'Address: q 10 D W Lrn A t City/State/Zip: �k.� l S if'RiQ- oz L,®(Phone#: 1!� 0 _ 26 k( Are y an employer?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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑P70of bing repairs or additions myself. o workers' comp. right of exemption per MGL Y P c. 152, 1(4),and we have no 12. $ repairs insurance required.]t § employees. [No workers' 13.❑Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C_4-03 l A.f G 0 i2VtV C_ Policy#or Self-ins.Lic.#: (h Co23®S'[� f�Expiration Date: ID-l --1 Job Site Address: �� S 9)e 9&Z-4 T City/State/Zip: OaRlure h a copy of the workers'compensation policyeclarationp ge-(showingpthe policy number and expiration date). to secure coverage as required under Section 25A of MGL c. M-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 DIA for insurance coverage verification. I do hereby certify un er the pains a penalties of perjury that the information provided above is true and correct iSi attire:^— Dater Phone#: �� e" 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.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 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 cant'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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: ti The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#61.7-727-7749 www.mass.gov/dia a- K � (r .1 013SIIUU.IOo�, i e ® r � £9S.Zu. HOIMONVS, r' . 16 XOB Od 0111_H)i f]�t�N00 .' ur $ 0ZOZlL0166 tiL65L0-S0 t _ _ _ -;j S• µme" s"s„„. .. ltJ S hJOSIA spy 6ulplin8lo pje�o8 . epainsuaa�leuo slsalWd,fo uoislAlQ x r=, s;;asnyyesseNl;o 4ileannuowwo0 .t r T � r ea r ^ w Office of Consumer Affairs and Business Regulation y 10 Park`Plaza - Suite 5170 n' $. Boston, Massachusetts 02116 n�to.ntractor:Registratrion 'Home - Improveme �C � ,- "� Type: Individual h . m � Registration:_ �182134 DONALD K.TROTT m �:¢ Expiration: , 001/2019 s° n . . . k P.O. BOX 97 7( " SANDWICH,MA 02563 k 9 e - `Update Address and return card. Mark reasortfor change. SCA 1 0 20M-05/11 Registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 a Boston,M 0 116 r �... Notwa id/fiiithout signature VDAC C H U B all WORKERS COMPENSATION AND .` EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00.00 01 ( A) POLICY NUMBER: (6S62UB-1 K62308-1.-18) REWRITE: DF .(6S62UB-2E:47732=2-18) INSURER: ACE AMERICAN INSURANCE COMPANY 1. NCCI CO CODE: 12165 INSURED: PRODUCER: HOUSING ASSISTANCE CORP ROGERS & GRAY INS 460 WEST MAIN ST 434 ROUTE 134 HYANNIS MA 02601 SOUTH DENNIS MA 02660 Insured is A CORPORATION Other.work places and identification numbers.are shown in the schedules)attached: 2. The policy period Is from: 1.0-i 8=i.8 to 10-18-19 12:01 A.M. at the.Insured's mailing address: 3. A. WORKERS COMPENSATION INSURANCE: Part One ofAhe policy applies to the Workers Compensation Law of the state(s) listed here: MA �s B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work In each state listed in' Item 3.A. The limits of our liability.under Part Two are: Bodily Injury by Accident: $ 1000000 Each.Accident - Bodily Injury.by Disease: $ 1000000 policy limit 0= Bodily Injury by Disease: $ i 000000-:Each Employee C. OTHER STATES INSURANCE: Part Three.of the policy applies to the states, ff any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B mEM= e� D. This policy Includes these endorsements and schedules ow SEE. LISTING OF ENDORSEMENTS -:EXTENSION OF INFO: PAGE 4. The premium for this.policy will be determined by our Manuals of Rules, Classifications, Rates and Rating -- Plans. All required Information is subject.to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 09-28-18 AN - ST ASSIGN:.MA OFFICE:' RMD CHUBB 24M_ PRODUCER: ROGERS. &' GRAY. INS :23TSF 009713 VDAC C H U B B" WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE. AR . INFORMATION PAGE WC 00 00 o1 ( A) POLICY NUMBER: (GS62UB-1 K62308-1-18) CLASSIFICATION SCHEDULE: PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER$100 OF ANNUAL CLASSIFICATIONS CODE NO REMUNERATION REMUNERATION PREMIUM SEE EXTENSION OF INFORMATION PAGE SCHEDULE(S) SIC-CODE: . 9531 NAICS 925110 STANDARD TOTAL ESTIMATED ANNUAL STANDARD PREMIUM $ 32396 PREMIUM DISCOUNT NONE 0900-20 EXPENSE CONSTANT 338 TERRORISM 1270 TOTAL ESTIMATED PREMIUM 39187 TAXES AND SURCHARGES 1213 DEPOSIT AMOUNT DUE 40400 A/R (WCIP) # Minimum Premium: $6OO EMPLOYERS. LIABILITY. MINIMUM: $ 75 ST ASSIGN: MA DATE.OF ISSUE: 09-28-18 AN OFFICE: RMD CHUBB 24M PRODUCER: ROGERS & GRAY INS 23TSF CH U B B° WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF..INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (6562U8-1 K62308=1-18) INSURER:. ACE. AMERICAN INSURANCE COMPANY. 12165-MA , INSURED'S NAME HOUSING ASSISTANCE CORP RATE BUREAU ID: 000037674 EXP.. MOD. EFFECTIVE DATE 1.0-18-18 RREMIUM BASIS. I . ESTIMATED RATES ESTIMATED . TOTAL ANNUAL PER $100 `OF ANNUAL CLASSIFICATION CODE. REMUNERATION REMUNERATION PREMIUM. _ . LOCATION 001. 01 FEIN 237431255 ENTITY CD.001 HOUSING ASSISTANCE CORP 460.WEST MAIN ST . HYANNIS, MA 02601 : SIC CODE : 9531 NAICS: 925i10 1167 PHINNEY'S LANE • CENTERVILLE, MA 02632 ate . SIC CODE : 9531 NAICS: 925110 . CONTRACTOR EXECUTIVE ^-= SUPERVISOR OR CONSTRUCTION SUPERINTENDENT 5.606 63977 1:.47 940 CARPENTRY - CONSTRUCTION OF �= RESIDENTIAL DWELLINGS NOT EXCEEDING THREE STORIES .IN o= HEIGHT 5645 IF ANY 7.10 INSPECTION OF RISKS. FOR INSURANCE OR VALUATION . PURPOSES NOC; 8720 245711 84 2064 a� SALESPERSONS, COLLECTORS OR MESSENGERS - OUTSIDE 8742 396776 .12 4.76 o� CLERICAL OFFICE EMPLOYEES c NOC 881:0 1952943 .07 1367 DATE OF ISSUE: 09-28-18 AN ST ASSIGN: MA SCHEDULE NO: 1 OF MORE 009114 WORKERS COMPENSATION C �"'.� u � 8 0 AND EMPLOYERS LIABILITY POLICY EXTENSION OF INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (6S62UB-1 K62308-1 -18) PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER $100 OF ANNUAL CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM LOCATION 001 01. (CONT'O) HOTEL: ALL .OTHER EMPLOYEES & SALESPERSONS, DRIVERS. 9052 _ 1573259 1 .49 23442 HOTEL: RESTAURANT EMPLOYEES 9058 IF ANY 1 .38 SEWER CLEANING & DRIVERS . 9402 IF ANY 3.92 WAIVER OF :SUBROGATION-VILLAGE GREEN II LLC 0930 . 3487 .02 70 LOCATION 002 01 FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE .CORP 940'WEST MAIN ST HYANNIS, MA 02601 SIC CODE : 9531. NAICS 925110 HOTEL: ALL OTHER. EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 003 01. FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE CORP SUMMERSIDE LANE HYANNIS MA 02601 SIC CODE : 9531 NAICS: 925110 DATE OF ISSUE: 09-28-18 'AN ST ASSIGN: MA SCHEDULE NO: 2 OF MORE C? CHUB E30 WORKERS.COMPENSATION, AND EMPLOYERS LIABILITY POLICY EXTENSION OF. INFO PAGE-SCHEDULE WC 00 00 Ot ( A) POLICY NUMBER: (6S62UB-i K62308-1-18) PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL. PER .$100.OF ANNUAL CLASSIFICATION CODE REMUNERATION" REMUNERATION PREMIUM LOCATION 003. 01. (CONT'D) .. HOTEL: ALL OTHER EMPLOYEES &.. SALESPERSONS, DRIVERS 9052 IF ANY: 1 .49 LOCATION 004 01 FEIN 237431255 ENTITY CD' 001 HOUSING ASSISTANCE CORP 87 WINTER ST HYANNIS, MA 02601 : SIC CODE : 9531 NAI CS 925110 HOTEL:. ALL OTHER EMPLOYEES & SALESPERSONS., DRIVERS 9057 IF. ANY 1 .49 LOCATION 005 01. — FEIN 237431255 -ENTITY:CD"OOi HOUSING ASSISTANCE CORP o— : 92 ROSARY LANE HYANNIS, MA 02601._ o� SIC CODE: 9531 NAICS: 925110 HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS,. DRIVERS 9052 . : IF ANY 1 .49 a� �r= LOCATION 006 01 — FEIN 237431255 ENTITY CD 001 " o� HOUSING ASSISTANCE CORP 294 OLD MAIN STREET _ NORTH FALMOUTH, MA 02540 SIC CODE: 9531 :NAICS: :925i.10 DATE OF ISSUE: 09-28-18 AN . ST ASSIGN: 'MA SCHEDULE NO: 3. OF MORE 009716: WORKERS COMPENSATION EHuBB AND EMPLOYERS LIABILITY POLICY ..EXTENSION OF INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (6S62UB=.1 K62308-i-18) PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER .V OO OF ANNUAL CLASSIFICATION . CODE. REMUNERATION REMUNERATION PREMIUM. LOCATION 006 01. (CONT.'D) HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS., DRIVERS 9052. IF .ANY 1..49 LOCATION 007 01 FEIN 237.431265 -ENTITY CD 001 HOUSING ASSISTANCE CORD 30 MAIN STREET, UNIT A,B,G . HYANNIS, MA 02601 SIC CODE : 9531 NAICS; 925110 HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 008 01 F FEIN 23743i 255 ENTITY CD 001 HOUSING ASSISTANCE CORP 428 MAIN ST, UNIT 1-07, 2-08 WEST DENNIS, MA 02670 SIC CODE : 9531 NAICS: 925110 HOTEL: ALL OTHER'EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 009 01 FEIN 237431255 ENTITY CD 001 . HOUSING ASSISTANCE CORP 420 WEST MAIN STREET HYANNIS, MA 02601 SIC CODE : 9531 NAICS: 925110 DATE OF ISSUE: 09-28-18 AN ST ASSIGN: MA SCHEDULE NO: 4 OF MORE C H U B S° WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (6S62UB-1 K62308-1-i 8) PREMIUM BASIS ESTIMATED RATES ESTIMATED. TOTAL ANNUAL. PER $100 OF ANNUAL CLASSIFICATION CODE REMUNERATION. REMUNERATION PREMIUM, : LOCATION 009 01 :(CONT'D) . HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 010 01 ` FEIN 237431.255 ENTITY CD 001 HOUSING ASSISTANCE CORD 9 VICTORY DRIVE SANDWICH, MA 02563 SIC CODE : 9531 NAICS 925110 HOTEL.: ALL OTHER EMPLOYEES .& SALESPERSONS, DRIVERS 9057 IF ANY., 1..49 ; m� LOCATION 011. 01 FEIN 237431.255 ENTITY CD 001 o= `. HOUSING ASSISTANCE CORP off - 120 MASSASOI:T AVE o EASTHAM, MA 02642 SIC CODE :, 9531 NAICS: 925110 . HOTEL: ALL OTHER EMPLOYEES &. SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 d� LOCATION 012 01 +�-- FEIN 23.7431255 ENTITY CD 004 o HOUSING ASSISTANCE CORP o� 812 ROUTE 134. �= DENNIS,. MA 02670 SIC CODE : 9531 NAICS: 925110 DATE OF ISSUE: 09-28-1,8 AN . ST ASSIGN: MA SCHEDULE NO:, 5:' OF MORE 009710 C H U B° WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (GS62U8-1 K62308-1-18) PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER $100 OF ANNUAL CLASSIFICATION. 'CODE REMUNERATION REMUNERATION PREMIUM LOCATION 012 01 (CONT'D) HOTEL: ALL OTHER EMPLOYEES &. SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 013 01 FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE CORP 309 SOUTH STREET r , HYANNIS, MA 02601 SIC CODE : 9531 NAICS: 9251i0 HOTEL ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 01.4 Oi FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE CORP 300 FALMOUTH ROAD, UNIT 80 MASHPEE, MA 02649 SIC CODE : 9531 NAICS: 925i10 HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 015 01 FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE CORP 317 PALMER AVE FALMOUTH, MA 02540 SIC .CODE : 9531 NAICS: 925110 DATE OF ISSUE: 09-28-18 AN ST ASSIGN: MA SCHEDULE NO: 6 OF MORE C H U B S" WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF. INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (6562UB-1 K62308-1-18) PREMIUM BASIS ESTIMATED RATES . ' ESTIMATED. TOTAL. ANNUAL. PER $100.OF ANNUAL CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM LOCATION :015. 01 (CONT'D) HOTEL : ALL. OTHER EMPLOYEES & .. SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 016 01 FEIN 237431255 ENTITY CD 001 ' HOUSING ASSISTANCE CORP 570 OLD BARNSTABLE ROAD MASHPEE, MA 02649 SIC CODE : 9531 NAICS.: 925110 _ HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS DRIVERS . 9052_ IF, ANY 1 .49 LOCATION 017 01 . " FEIN 237431255 ENTITY CD 001 o HOUSING ASSISTANCE CORP o� 1029 ROUTE 132, UNIT 12 HYANNIS, MA 02601_ o= SIC CODE : 9531 NAICS: 925110 HOTEL: ALL OTHER EMPLOYEES &. SALESPERSONS,. DRIVERS 9052 IF ANY 1 .49 LOCATION 018 01 57. FEIN 237431255 ENTITY CD 00T o;= HOUSING ASSISTANCE CORP 422 WEST. :MAIN STREET ' W� HYANNIS. MA 02601 SIC CODE:: 9531 .NAICS: -925.110 DATE OF ISSUE: 09-28-18 AN ST ASSIGN MA. SCHEDULE NO: 7 'OF MORE 009717. C H U EB B" WORKERS COMPENSATION AND ' EMPLOYERS LIABILITY POLICY EXTENSION OF INFO PACE-SCHEDULE WC 00 00 Oi ( A) POLICY NUMBER: (6S62UB-1 K62308-1;=i 8) PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER $100 OF ANNUAL CLASSIFICATION CODE REMUNERATION REMUNERATION PREMIUM LOCATION 018 01 (CONT'D) HOTEL ALL OTHER EMPLOYEES & SALESPERSONS,, DRIVERS 905.2 IF ANY 1 .49 LOCATION 019 01 FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE CORP 484 WEST MAIN .STREET HYANNIS, MA 02GOi SIC CODE : 9531 NAICS: 925110 HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 020 Ot FEIN 23743125E ENTITY CD 001 HOUSING ASSISTANCE CORP 1252 ROUTE 28A CATAUMET, MA 02534 - SIC CODE: 9531 NAICS: 925110 HOTEL ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY 1 .49 LOCATION 021 01 FEIN 237431255 ENTITY CD 001 HOUSING ASSISTANCE CORP SURFSIDE DRIVE NANTUCKET; MA 02554 SIC CODE : 9531 NAICS: 925110 DATE OF ISSUE: 09-28-18 AN ST ASSIGN: MA v SCHEDULE NO: 8 OF MORE C H U E B WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY . EXTENSION OF_INFO PAGE-SCHEDULE WC 00 00 01 ( A) POLICY NUMBER: (6S62UB-1 K623O8-1-18) PREMIUM BASIS ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER. $100..OF ANNUAL CLASSIFICATION CODE REMUNERATION= REMUNERATION PREMIUM LOCATION 021. 01 (CONT'D) HOTEL: ALL OTHER EMPLOYEES & SALESPERSONS, DRIVERS 9052 IF ANY: 1:.49 LOCATION 022 .01 FEIN 237431255 ENTITY CD. 001 HOUSING ASSISTANCE CORP 77, WINTER STREET HYANNIS, :MA 02601 : SIC CODE : 9531 NAICS: 925110 HOTEL.:. :ALL OTHER EMPLOYEES & SALESPERSONS:;� DRIVERS 9052: IF. :ANY 1 .49 LOCATION 023 01 : FEIN 237431255 ENTITY CD. 001 o_ HOUSING ASSISTANCE CORP 1028 FALMOUTH ROAD ° HYANNIS MA 02601 . o� SIC CODE : 9531 NAICS: 925110 HOTEL : ALL OTHER EMPLOYEES & SALESPERSONS,.:DRIVERS 9052 IF :ANY 1 .49 v� LOCATION- 024 01 FEIN 237431255 ENTITY CD 001 o� HOUSING ASSISTANCE CORP 1167 PHINNEY'S LANE CENTERVILLE, MA 02632 SIC. CODE : 9531 NAICS: 925110: DATE OF ISSUE: 09-28-18 AN ST ASSIGN: MA SCHEDULE NO: 9 OF MORE 000M. C H U B B° WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY EXTENSION OF: INFO PAGE-SCHEDULE .WC 00 00 01 { A) POLICY NUMBER:. (GS62U6-1 KG2308-1-18) PREMIUM BASIS . ESTIMATED RATES ESTIMATED TOTAL ANNUAL PER $100 OF ANNUAL CLASSIFICATION CODE. REMUNERATION REMUNERATION PREMIUM LOCATION 024 01 (CONT'D) CLERICAL OFFICE EMPLOYEES NOC 8810. : IF ANY, .07 o � ' 2.00% EMPL. LIAR. INCREASED .LIMITS(9812) . $ 566 TOTAL PREMIUM SUBJECT TO EXPERIENCE MODIFICATION 28925 MERIT RATING/EXPERIENCE. MOD: 1..12.MODIFIED PREMIUM 3239G TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 32396 i6.00% ARAP MODIFICATION. PROGRAM (0277) 51.83 EXPENSE CONSTANT(0900) 338 0.0300 TERRORISM (9740) 1270 . 3.83% MA WC SPECIAL FUND AND TRUST FUND. 1213 TOTAL ESTIMATED PREMIUM 40400 DEPOSIT AMOUNT DUE 40400 DATE OF ISSUE: 09-28-18 AN ST.ASSIGN.:. MA SCHEDULE NO: 10 .OF LAST. U1 PENTAMATION----------------------------------------------------------- 09/02/97 PERMIT NUMBER 23869 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC COMMERCIAL ALT/CONV DESCRIPTION REMOD OFFICE TO 2 LIV.UNITS/l WHEELCHAIR ACC CONTRACTOR PERMIT FEE 213 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE 1 APPLICATION 06/19/1997 EXPIRATION VALUATION 35000 . 00 DATE ISSUED 06/19/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT PENTAMATION----------------------------------------------------------- 09/02/97 PERMIT NUMBER 23151 PARCEL ID 308 235 309 SOUTH STREET, ' PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV j DESCRIPTION REMOD @ BLDGS .A/D/&C (see application explan CONTRACTOR PERMIT FEE 170 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 05/16/1997 EXPIRATION VALUATION 55000 . 00 DATE ISSUED 05/16/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I� NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ iE) XIT N. rvA S\� 1 f� ' �J Assessor's Office(1st floor) Map' �j� Lot o`Z � r'`1S Permit# � Conservation Office(4th floor) S� HM Date Issued Ito 7 `a Sc��T JUe- " ,l�ea�3rd floor)(8:30-9:30/1:00-2:00) 96 '] (---)S Fee' 0/76 , Engineering Dept. (3rd floor) House#I -30'1 `'-'JA Planning Dept.(1st floor/School Admin. Bldg.) RARNSTABLE• Definitiv la Approved by Planning Board 19Fo +'�� TOWN OF"BARNSTABLE Building Permit Application Projec reet Address .30 Cj So Village 4 S Owner Sr Address dzewuem_ Telephone .S71 8� 72Z 5)V�0 Permit Request ]3[.1�G ��� j J14,0 77 Total 1 Story Area(include 1 story garages&decks) square feet 7 It— *ea- Total 2 Story Area total of 1st&2nd stories square feet C' Estimated Project Cost $ S'S,po�P 04f;. Zoning District /ePj Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use , i L S9_ ol,�,T � Proposed Use 5�_ee- -A-n Construction Type JA 80» d,7Z2 a� Commercial _✓ Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure 6r.1ev_ Basement Type: Finished Historic House Unfinished AtL�,_ Old King's Highway o ,Number of Baths No.of Bedrooms Total Room Count(not includin baths) First Floor 'OHeat Type and Fuel Central Air Fireplaces hG�ara e: Detached PA) ,, Other Detached Structures: Pool Attached �' Barn None Sheds Other J Builder Information Name /V Telephone Number Address %% License# Home Improvement Contractor# Worker's Compensation# - LAC /Z)7 7,9107 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 1 FOR OFFICIAL USE ONLY s PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE { OWNER DATE OF INSPECTION: It FOUNDATIONS c. FRAME ' INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING r _ _.- J ph DATE CLOSED OUT ASSOCIATION PLAN NO. t • I r_ The Cummon"'C111111 Of Atassachusctrs 1� Department af111ditrtriul.9cculctrts 0>lee of la vestlgallons \�_' ::'r -� 600 !f'ushiirrtnn Street y ' Bustin, Ataas. 02111 Workers' Compensation Insurance Affidavit - AIRtc;n-t information• _ Plcnse PRINT Ieb jy r name location 1 am a homeowner performing all work myself. 71 1 am a sole proprietor and have no one working: in any capacity [I I am an employer providing.N orke mpensation for my employees working on this job. snot mm, name} adrlrccs• 2- cin•1 nhnne#! insurance cn Q [I I am a sole proprietor. general contractor. or homeowner(circle otte) and have hired the contractors listed below who nz the following workers compensation polices: cmmn:inA* natnc• 1ti tl Tess citn•• nhnnc#• nails, _ insurance rn comnan,• name: addrecc� rite- nhnnc t!� insurance ce, Attach additional sheet if neccs_ia_ry-.::•.. ,_,;;�;�,* ;-•:5:. - �� ~ Failure to secure coreraec as required under Secuon:SA of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1.SDU.UU andiui arse cars imprisonment:,s well:ts ci,•ii penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a dag against me. I understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do hereby cerrift•railer the pr 'ns and et !tics of pwr uty that the information provided above is true an correct. Date Sianature Print natnc O�/�N �t l y /J,.a Phone>r .'1officiai use univ do not,Trite in this area to be completed by tiny or town official sin or town: permit/license i! r-111uilding Department . :lUcensing Board Scicctmcn check if immediate response is required 's Ufficc -. 011calth Department _ phone 0: nUthcr�� -, � contact ncrson: - - - - - 1 rt rorr uttun anu rnst,ructtorts T MassachuseUS General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "Imv". an emplitree is defined as every person in the service of another under any contract of hire:express or implied. oral or written. . An enzplt trer is defined as an individual. partnership. association. corporation or other legal entity. or anv two or more the foreaoinu enuaged 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. Ho\+-ever the mvner of n 6velling, house haying not more than three apartments and who resides therein. or the occupant of the d\%rliirt`_ house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hous :)r oft tite __rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL cliaptcr 152 section 25 also states that every state or local licensing agency shall withhold the issuance or ene��al of a license or permit to operate a business or to construct buildings in the commomvealth for am• ►hpiicant who has not produced acceptable evidence of compliance with the insurance coverage required. %dditionaii;. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the �crformance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha :een presented to the contracting authority. .pplicants ;ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and applying, company names. address and phone numbers as all affidavits may be submitted to the Department of :dustrial Accidents for confirmation of insurance coyera_e. Also be sure to sign and date the affidavit. The -tidoyit should be returned to the cif,' or town that tite application for the permit or license is being requested. )t the Department of Industrial Accidents. Should you have any questions regarding the "law- or if you are required obtain a workers' compensation policy. please call the Department at the number listed below. ity or Toivils =ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/iicense number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. e Office of Investigations would like to thank _you in advance for you cooperation and should you have any questions. lase do not hesitate to uive us a call. e Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of investigations �w,• 600 Washington Street Boston,Ma 02111 fax #: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 2 �y * g y NONE INPROVENENT�CONTR C T 0 R RegistraIfIon 1.03690 � pi�tiort 47%0Me 9 98• r, ?: CUSTON VILDER j h hase RdT p;(1DMINIS�RATOR *,E 56ndalCh..NA a2531 ° 1 . �,_� v—..r v.'..:"mc^•'!1^MI"�si aa.hr...w A .-. .r...._�`�I.'.'T- •. DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Nuaber. Expires: Restricted Ta Jw 00 ,—' 9BAL A PRATT 42 CHASE RD y ��� E SANDWICH, MA 02537 K r' - PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23151 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION REMOD @ BLDGS.A/D/&C. (see application explan CONTRACTOR PERMIT FEE 170 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 05/16/1997 EXPIRATION VALUATION 55000 . 00 DATE ISSUED 05/16/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT �a (qC)ell � 0 C, of PENTAMATION----------------------------------------------------------- 07/03/97 ►, PERMIT NUMBER 23151 PARCEL ID 308 235 PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION REMOD @ BLDGS.A/D/&C (see application explan MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN BFRM BINSU PRESS ESCAPE TO END DISPLAY h • PENTAMATION------------------------------------------------------------07/03/97 PERMIT NO 23151 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMOD DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID RESVALUE 0 . 00 170 . 5.0 170 . 50 TOTAL CHARGES FOR PERMIT 170 . 50 CTRL-0 UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT TOWN OF BARNSTABLE f CERIFICATE OF OCCUPANCY PARCEL .ID 308 235 ' GEOBASE ID 22212 ADDRESS;_. 309 SOUTH STREET PHONE (508)771`' 5400 HYANNIS ZIP LOT BLOCK LOT SIZE _ DBA DEVELOPMENT. DISTRICT HY PERMIT 26521 DESCRIPTION CERTIFICATE OF OCCUPANCY ' PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY . CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: 1 BOND $.00 OxjME ( CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P ;�;3?E_�`� * HARNSTABLF, • I MASS. 39 Ep NIA �° BUILDS � BY DATE ISSUED 10/23/1997 EXPIRATION DATE r r t } J 13 TD 30,t3 ju rADI S 3Gt ��� g ,; y.7.L1:y.6 r: w ° I T'� t _ 1:�1ait•.l-,L.L' n �'�.71.1 F:.I t 1 W`y� +`.4: S v?-ir.L c� l Rli,+',t4J 7.1 Fi ^[�L' ��• rid�1 t.4. T�1 �T �..1 Y,.4,,it rel .. i 1?'+`.:.7'+�X - JmK-` �' r1 It xCr+ 'b f� l-10LL�. �'X �' C t AL �^� i F , � Al `Department of�Iealth,.'Safety; '��. � , and Environmental Se�vgces" � �' la ,,r 7n t Ytp v i +'t' Clo i. �V IWFkztjl0 t� Ar?1� '£:(J� BAAPiSfABME bv♦s�',' 4 �F !�i. l°i��� � s lr�`,il�Z r .`rl� BUILDING DIVISIONS I)AT , ISST} D 1r a'' 1 '+. kI�u^�A'a THIS'`PERMIT CONVEYS;NO.RIGHT_TO OCCUPYANY STREET;,ALLEY OFI SIDEWALK OR ANY'PART.THEREOF,;EITHER TEMPORARILY OR PERMANENTLY,'EN-- CROACHMENTS,ON;P,UBLIC PROPERTY,NOT SPECIFICALLY:PERMITTED 11 UNDER THE`BUILDING CODE,;,MUST BE APPROVED'BY,THE'JURISDICTION.STREET OR ALLEY GRADES'AS WELL AS DEPTH AND LOCATION OF'P.UBLIC,SEWERS MAY BE OBTAINED FROM THE;DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF..THIS PERMIT DOESNOT RELEASE THE APPLICANT FROM THE+CONDITIONS OF'ANY APPCICABLE'Sf16DIVl$ION RESTRICTIONS:'_; :MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK APPROVED PLANS+MUST-BE RETAINED ON-JOB AND WHERE APPLICABLE SEPARATE,: 1.FOUNDATIONS'OR FOOTINGS THIS-CARD KEPT POSTED,UNTIL FINAL:INSPECTION PERMITS'•,PRLIC REOUIRED;'FOR 2. PRIOR TO.COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE,A'CERTIFICATE:OF OCCU- ELECTRICAL,PLUMBING"AND , (READY TO LATH).. PANCY'IS REQUIRED,.SUCH BUILDING SHALL,NOT`•BE ANICAL INSTALLATIONS 3:INSULATION :`" �'.= i_; OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE" ;, '4:FINAL'INSPECTION-BEFORE OCCUPANCY y rx ® m BUILDING INSPECTION APPROVAL'S • PLUMBING INSPECTION APPROVALS; ELECTRICAL INSPECTION APPROVALS f - Y . 3. 1 ' ATINGINSPECTION`APPROVALS ENGINEERING'DEPARTMENT; 5 _ 'OARDOFH H SITE PLAN REVIEW APPROVAL OTHER ....r I Z WORK SHALL N *� E'gj =�� WILL` x �D VQID (EO , S,;INDICATED ON THIS t THE INSPECTOR ASTF# ` N W ,Ax;S� TEQ'L IN ANGED FOR BY Y (Y VARIOUS STAGES.. TR OF,� Env D' ITTEN NOTIFICA Muff I'fr� V I r ~ °F"E The Town of Barnstable + 1AMSTABM • - 9� ` Department of Health Safety and Environmental Services ArFDMA'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 f Building Commissioner September 5, 1997 TO WHOM IT MAY CONCERN: At the request of the Housing Authority,I made an inspection of the ridge venting on the four buildings located at 309 South Street,Hyannis,MA. I observed the following: Building A The felt paper is covering the vent on the main roof. The back section of the roof is not cut. Building B The main roof needs to be cut to a 1"wide slot. Building C The main roof is not cut. Building D There was no access so I was unable to see if this is cut. These roof caps should be pulled in order to see if,or how wide,this is cut. Sincerely, _ Thomas Perry Building Inspector TP/km Q970905A TOWN OF BARNSTABLE ` CERTIFICATE OF OCCUPANCY/DAY-CARE OFFICES i PARCEL ID 308 235 GEOBASE ID 22212 ADDRESS 309 SOUTH STREET PHONE (508)771--54001 HYANNIS ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31940 DESCRIPTION PERMIT TYPE BCOO TITLE< CERTIFICATE OF OCCUPANCY . CONTRACTORS: Department of Health, Safety ARCHITECTS: , and Environmental Services TOTAL FEES: BOND $.00 tHE � CORSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 2 PRIVATE Pt ', ':) T * BARNSl'ABLE, • MASS. 039. A�O� ED MA'S BUILDIN VISION BYA DATE ISSUED 07/06/1998 EXPIRATION DATE ' ,> WILIDING PERMITr �... J "Ai R-1, ID 308 h2 �3?` yk I 1 O7A E ID Z2 2,j.21 ADDRESS, ti309 SUt3 ... 1�2EHT' PITONX, (508)771-5400 UANNI S _ f �<�'� �:s` 1,I P ;r LOT BLOCK �" ' LOT S1,t ; \ DBA, DST ; PME" ' ' f�. DISTi CT Ry a PERMIT . 29603 DESCRIPTION COMMER.A.DD'N OF .I:IOIA ER/VINTERIZING 1FLR&2VLR. PERMIT 'TYPE, BADDI TITLE BUILDING PERMIT ADDITION � � COST AC s€ S' PR.AT`T~, NEAL A � �, CTS` Department of Health, Safety and Environmental Services ' TOTAL FEES: $444.6 , BOND $ 0 oxt CONSTRUCTION COSTS $72,900.00 4311 IN0NRFS./N0NHS P DD/"CONV 1. PR,IVATE`Pr I*)`?F�; * BARNSTABLE,639. �► MASS. BUILDING'y SION; - BY=, _DAT E I'SgUED 03,,tn/iB9d EMPIRATION DATE., r z THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION: OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 , 2 3 1 HEATING SO ECTI APPROVALS ENGINEERING DEPARTMENT 2 . PO H '7 8' 0 17�� OTHER: tkE SITE PLAN REVI W A16PROVAL WORK SHALL NOT PRO ED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS-INDICATED ON,TH&It THE INSPECTOR HASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR,BYc`E, VARIOUS STAGES OF CONSTRUC MONTHS OF DATE.THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA' ' ' TION. .' NOTED ABOVE. TION.. 3 1 C(C4O 4t ' BUILDING PERMIT � 1 - Ap r 3- Asses sor's -map' an d lat'number ....:. `3. ... .: + • t Se`.wage-�Permit number ... -10': TOWN O F B A•RN STAB LE r Z I!AWST"L' i "AS& tz DULLDING 0 M INSPECTOR �E Py APPLICATION FOR PERMIT TO .... ............ . ................................. ........... TYPE OF 'CONSTRUCTION ' � ...................... ...• .• .. .... } a ....... .19.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to t^hee following information: Location ...... .. . .G�...'........_GQ..4 .......C�..../.....,.. .................................................... Proposed Use .........5—al.. ... ... .fir.C .......... ZoningDistrict ...... .......................................... District .... ... ........................................................ Nameof Owner ..................Address ......... ..... ... ............. ............. .. .... �� Q /� Q ' �,� ....Address' CJ. :,P.�. � .. !'�. ..:.. �/.. Name of Builder L ...... . ..... ��................... Name of Architect ..:............ .................Address Number .of Rooms .........:.............::.........................:....:....:.....Foundation ................................................................ Exterior ......................:'.............................................................Roofing ................................................................................._.. Floors ......................................................................................Interior ..................:.........:....................................................... Heating .................................................. .............................Plumbing ........................ ..........................:..............:.......... 50/ Fireplace .......... .............................Approximate Cost .............7®..�..:....m....d.......................... Definitive Plan Approved by Planning Board _------------------------------- _______ Area ... .y ................. Diagram of Lot and Building with Dimensions Fee SUBJECT. TO APPROVAL OF BOARD OF HEALTH ileu � ,hereby agree to conform to all•the Rules and Regulations th Town of Barnstable regarding the above construction. ` Name . Janisse, M . T. r 18323 add deck to No ................. Permit for,,`.................................. dwelling ! = ..............�. .. ..309• South *Street'.....e............ Location ........... :..................................... _ : . a Hyannis ..................................................... ........ .......... 1 C1 M. T. Janisse Owner ...................................................... r ; ` frame' Type of ' YP . . .....................�:.......:............ s � I•ter. .. � .�. _ `„ _� ` . `. ? 2 Plot ............. Lot ................................ 1 Permit Granted fail 20....�r 76t f. 3 �h7 lam- `Date of Inspection ................ ...w ...19 Date Completed !? . /zeal 9 PERMIT REFUSED' ..................... .................. t : .19 .... ........ ........ t ............................................................ ...........� ..................... .......... _ .............. ...........: . ......................................... •`f,. 1; `�- i ,� ■ r - G-:. 4 - R- Z Approved ................................................. 19 .......... ................................................. ...... .................... .....................................:.............''.. ; e � Assessor's -map and lot number n . Sewage Permit number .....%V,/,. Ii,, rr . .-.- . ..r' ...,J.. .............. .... THE t TOWN OF BARNSTABLE Z HA$HSTADLB, i � . Mb q 'BUILDING ' INSPECTOR 'r ^APPLICATION FOR PERMIT TO ..........I ^..� ...� .. .......................................................... ...... ............. .. TYPE OF CONSTRUCTION .............................. ........ .. C .......:;........ ......................... ..............:e:"'.'c�!!v`................19......... . 1 TO THE INSPECTOR OF BUILDINGS: The Undersigned hereby applies'for a'�Fpermit according tothe following information: Location ......... ...... .. ......... ...............................'.......l........................................... Proposed Use ..................................................... .... ............ ..............C... ............................................................ Zoning District ' 15..........................................Fire Distract ............... ... ..................................................... .. ..... Nameof Owner :......................... ............. Address ....:............................................................... ............... Nameof Builder r..:....-......................... ................................Address ..................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ............................................................................... Exterior ....................................................................................Roofing .................................................................................... Floors ...............:......................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................... Fireplace ..................................................................................Approximate Cost .............. .5:... ...:....1.r............................ , Definitive Plan Approved by Planning Board ________________________________19________. Area ............. ..... ...`................ Diagram of Lot and Building with Dimensions Fee c , ................��...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �a I l I hereby agree to conform to all the Rules and Regulations of t e,Town of Barnstable regarding the above construction. Name A AA ,,//J , 1 Jooloae, M. T. A=308-235 �---- ' / / ^ . ` . 18323 add deck to No ................. Permit for .................................... . - dwelling —..--..�---------.------------ - . 3U9 3m—otb S� Location ---.�.---- ---.----.----. ^ ' ' . ' Hyannis ..—.--.-.---.'. ����-----`-------- ' . . . � l�~ �. Joo1oae ' ' Owner .------------ ame _ � ~ / or Construction. ~. ' . � ' ' � �p Permit Granted Inspection . � / ^ . ' y --- -__--- . . . ' ^ � . E~~~. ' ' > . . —. --. --. . ' ^ - � »� �� ^/ - -..�—a—,n. ^--x.~c..��—r --- . ~ ��.� ' . y . . . -_.------------.-- ...................... . . ` . . -~--'-----'--------^—^--'---^^ . . . Approved . ................................................ YA ' ` . -------.---------.-----.---.. ' . ' ------------------------.—.. - ' , � [ Assessor's office(1st Floor): Assessor's map and lot number Board of Health (3rd floor): Sewage.Permit number • Engineering Department(3rd floor): DAH'.isDLC House number °o 'bso Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR 1 APPLICATION FOR PERMIT TO C f9 CC f SS TYPE OF CONSTRUCTION Co Lcy`tff\ 19 f / TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ,:�Q ! So V ( h 14 4 a r, n f S Proposed Use Zoning District +'�� Fire District N/yyS Name of Owner n !!�n I �Fl�l Address �6 �] 50 . S� � �1 P���n �5 Name of Builder ,)i 7'C� ► ►) C, Address lad (YI141n 5 T Name of Architect p'/W$Un Z, + CO Address YJ(o�� s� �Nn n ^ Number of Rooms 3 Foundation Exterior �PT I)dL C►',t2 earo Q S Roofing I' Floors � � Interior 3 Heating Plumbing I �n � T I3C► �C� �'S Fireplace Approximate Cost Q �� Area '' 0 114 L4 CWG• Diagram of Lot and Building with Dimensions Fee 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 v ►"b2r� V � e r Construction Supervisor's License (!7)0 3 a SOUTH BAY C R S A=308-235 ' ' No 34312 Permit For Build Handicapped Access Ramp Location 309 South Street Hyannis Owner South Bay C R S Type of Construction Frame Plot Lot Permit Granted April 29, 19 91 Date of Inspection 19 Date Completed 19 PERMIT COMPLETED TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O0 Parcel pplication # I Health Division Date Issded 3-&/'/q P9 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address "527 So Wit/ 97- Village J2i /AA )_S Owner Z�0z ,t ,c ,ASS J5-7-W,tJC- C�7�� Address �60 Telephoned Permit Request �— � �F" 3S �2Q AzrpE,ti4.c_'� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting docurrrtation. Dwelling Type: Single Family` ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King`i4iighway: �0 Yes ❑ No 710 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other r 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: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use eerS/ Proposed Use IVV C&4-AJ6 e---- �c--tir T1�eA) Z e' - - -- - _ - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4! 4e ldoi St-97r <70_AWsdA1 Telephone Number i5'©.k 5!9'S' 6'F39 Address 2Y 000cdj Z ,eAre.(-- &P License # G$- 071 88'd Home Improvement Contractor# /9e23i( ma ia ° seo?i/,1/,0A_" C6AfCR�S?,NeWorker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C9ou4rjEe2 SIGNATURE / DATE 3^ `1 FOR OFFICIAL USE ONLY OPLICATION# ' _DATE ISSUED { fMAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: - L RFOUNDA�TtO.N�Ljxt' IK,4ti;!i.,.w4 ., FRAME F „INSULATION. :_ FIREPLACE ELECTRICAL:, ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �� The Commonwealth of Massackuselts Deparhnent of Industrial Accidents Office of Investigations +600 Washuigton Street. Bastarj MA ©ZIII fvww.masmgovldia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plambers Applicant Information Please Print E.oibly Name MusinesslOpgautz mdnbzidnal}: L61 A ess: City/State/Zip: 5,` ®2 Phone## 5©F `�' Are you an employer?Check the appropriate.b z T of project r 4. am a general contractor and I 3'P'e Pam] (required): 1.❑ I am a employer with 6_ ❑New construction employees(full and/or part-time).* have hired the sub-contractors I am a sole proprietor or partner- listed on the attached sheet; y- ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition e and have worloers' working forme in airy capacity. �1i° 9_ ❑HuUng addition [No workers' comp.insurance camp.insurance-1 required-] 5. ❑ We are.a corporation and its. 10_❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11_.❑Plumbing repairs or additions myself [No workers'comp- right of exemption,per MGL 12.❑Roofrepairs insurance required.]F c.152, §1(4),and we ha,.m no employees-[No workers' 13.❑other - t� 0� comp.insurance required.]. *Auy app)bc=that checks boa#1 muss also fill out the section below showing their workers'compensation policy infarnutim T Hameowners wbo submit this affidavit indicating they are doing all mo&and then hire outside contractors nmst submit a new of idsvit indicating such. lCout actors thst check this boa must attached an additional sbeet 6howing the rime of the sub-contactors and state whether or not those entities have employees. If the m&coutactors hate employees,drey must provide their workers'comp.policy number. lam an employer ttat is providing n orkers'compensation irimrance forma*employees Belau is the policy and job site information. Insurance Compaq Name: Policy 9 or Self-ins.Lie.4: Expiration Date: Job Site Address: sc!)!2 u r5b� -.57T City/State/Zip:A!6 J #7A- Aftach 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 ofcriminal 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 ORDERand 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 Izivestigations of the DIA for insurance coverage verification. I do hereby cerhfy render thapirins andpert 'es o, ury,that the information protRded above is true and correct Sienature: Date Phone#: Official use only. Duo not write in this area,to be completed by city or town ofciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 ,mot , Town of Barnstable $ .. . $ Regulatory Services MASS Thomas F.Geller,Director, Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable:ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign.This Section If Using A.Builder I,.. J off t_l✓ 5 as subject to er.of the sub' c P�7 hereby authorize t/�/ ! //j� V ep�J. 044"Iof / 1 P to act on my behal f in all shatters relative to work authorized by this building permit � S (Address of job) **Pool fences and alarms are the responsibility of the applicant. Pools ate not to be filled befoF6 fence is installed and pools are not to be- Utilized.until all final inspections are.perf6rined and accepted. Sf&nAture of Owner Signature,of Appli jcm, Print Name Print Name • Q:Fokms:OWNE"ERMISSIoNMLS Mass,. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary of the Commonwealth of s yw t HOME DIRECTIONS CONTACT US Search S@C.State.ma.uS ''; Search Corporations Division Business Entity Summary ID Number:2374312SS Request certificate 1 New search Summary for: HOUSING ASSISTANCE CORPORATION The exact name of the Nonprofit Corporation: HOUSING ASSISTANCE CORPORATION Entity type: Nonprofit Corporation Identification Number: 237431255 Old ID Number:000008165 Date of Organization in Massachusetts: 12-18-1974 Last date certain: Current Fiscal Month/Day:/ Previous Fiscal Month/Day:00/00 The location of the Principal Office in Massachusetts: Address: 460 WEST MAIN ST. City or town,State, Zip code,Country: HYANNIS, MA 02601 USA The name and address of the Resident Agent: Name: Address: City or town,State, Zip code, Country: The Officers and Directors of the Corporation: Title Individual Name Address Term expires PRESIDENT JOAN BASSETT 18 NAUTICAL WAY S. DENNIS, MA 02660 USA 2015 TREASURER MICHAEL SWEENEY 460 WEST MAIN STREET HYANNIS, MA 02601 N/A USA CLERK EDGAR MANGIAFICO 912 MAIN STREET#307 CHATHAM, MA 02633 2016 USA EMERITUS WILL ROBIN 386 SHOOT FLYING HILL ROAD CENTERVILLE, N/A MA 02632 USA EMERITUS JOSEPH POLCARO 11 SHERWOOD ROAD W.WAREHAM, MA 02576 N/A USA CO CHAIR SPENCER HALLETT 381 OLD FALMOUTH ROAD,SUITE 36 2015 RESOURCE MARSTONS MILLS, MA 02648 USA DEVELOPEMENT COMMITTEE EMERITUS JACK DELANEY 271 PLUM STREET W. BARNSTABLE, MA 02668 N/A USA EMERITUS LINDA NASSAR LAVIN 36 MSGR. LYDON WAY,APT. 1 DORCHESTER, N/A MA 02124 USA CHAIR CATHY GIBSON 1241 ROUTE 28, FRONT S YARMOUTH, MA 2014 CONSTITUENCY 02664 USA COMMITTEE - CO CHAIR MARY LECLAIR PO BOX 1173 MASHPEE, MA 02649 USA 2016 RESOURCE DEVELOPEMENT COMMITTEE VICE PRESIDENT ROBERT CIOLEK 325 GREEN DUNES DRIVE WEST 2014 �. HYANNISPORT, MA 02672 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.a... 3/5/2014' Mass, Corporations, external master page Page 2 of 2 DIRECTOR ELAINE GOOD 366 DAVISVILLE ROAD EAST FALMOUTH, MA 2015 02536 USA DIRECTOR DAVID AUGUSTINHO 426 NORTH STREET,SUITE 9 HYANNIS, MA 2014 02601 USA DIRECTOR PATRICK PRINCI 29 WAYSIDE LANE WEST BARNSTABLE, MA 2015 02668 USA DIRECTOR NATE RUDMAN 178 CAPTAIN SAMADRUS ROAD COTUIT, MA 2016 02635 USA DIRECTOR PETER FREEMAN 86 WILLOW STREET, UNIT#6 YARMOUTH 2O15 PORT, MA 02675 USA DIRECTOR ANDREW YOUNG 97 CRANBERRY HWY ORLEANS, MA 02653 USA 2016 DIRECTOR PAM PARKER 5 SURRY LANE WEST YARMOUTH, MA 02673 2014 USA DIRECTOR RON SCHUYLER 159 WINTER STREET HYANNIS, MA 02601 USA 2014 DIRECTOR P.J. RAINWATER 26B PINE STREETS. DENNIS, MA 02660 USA 2015 DIRECTOR MAGGI FLANAGAN 20 FRANKLIN LANE WELLFLEET, MA 02667 USA 2016 DIRECTOR ANNIE LYLES 428 MAIN STREET, UNIT#1-7 WEST DENNIS, 2016 MA 02670 USA DIRECTOR MARGARET HAYES 12 HIGH RIDGE DRIVE BOURNE, MA 02532 USA 2015 1 DIRECTOR LYSEITA HURGE-PUTNAM INDEPENDENCE HOUSE 160 BASSETT LANE 2014 HYANNIS, MA 02601 USA DIRECTOR RANA MURPHY EASTERN BANK 375IYANNOUGH ROAD 2015 . HYANNIS, MA 02601 USA r Consent r Confidential Data r Merger Allowed r Manufacturing Note:Additional information that is not available on this system is located in the Card File. View filings for this business entity:,ALL FILINGS ` Annual Report Application For Revival : s° Articles of Amendment i iArticles of Consolidation-Foreign and Domestic View filings Comments or notes associated with this business entity:, New search ...__................ . . ........ ..... William Francis Galvin,Secretary of the Commonwealth of Massachusetts Terms and Conditions http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.a... 3/5/2014 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T%&=-RTtFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFlCATE 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),AUTHORIZED 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 and endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: HUB INTERNATIONAL NE LLC PHONE FAX 125 ROUTE 6A (A/C,No,Ext): (A/C,No)- E-MAIL SANDWICH,MA 02563 ADDRESS: 78CNB INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA T L HITCHCOCK CONSTRUCTION SERVICES INC INSURER B: INSURER C: INSURER D: 933 FALMOUTH ROAD INSURER E: HYANNIS,MA 02601 INSURER F: 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 PAN CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MMDD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY e DAMAGE TO RENTED $ CLAIMS MADE [:]OCCUR. PREMISES(Ea occurrence) IVIED EXP(Anyone person) $ PERSONALP &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS _ BODILY INJURY , $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) ` NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) TUMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ AAWORKER'S COMPENSATION AND WC STATUTORY OTHER, } EMPLOYER'S LIABILITY Y/N UB-513892512-13 03/26/2013 03(26/2014 X LIMITS ANY P ROPE RITOR/PARTN ER(EXECUT IVE OFFICERIMEMBER EXCLUDED? N/A - E.L.EACH AEE,IDENT 4 140;000 (Mandatory In NH) - E.L.DISEASEZEA EMPLOYELT�t 10,000 It yes,describe under E.L.DISEASE..'POLICY LIMIT 1.$ 5O'o,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERAT10NS/LOCATIONSIVEHICLES/RESTRICTIONS/SPECIAL ITEMS c; THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. nn 7 y w CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 200 MAIN ST IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENT/} VE ' HYANNIS,MA 02601 f: ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. S , . d t { � r��r��i,ur«rrarrnr•n1/f i�^ffr.i.inr�rc;c/% :Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR k egistration: .120234 Type: ; Expiration: 11/7/2015_ -. Individual WILLIAM SCOTT JOHNSON WILLIAM JOHNSON 24 PLOUGHED NECK RD. g � I E.SANDWICH,MA 02537 Undersecretary ense CS-021880_ ' WILLIAM S JOH$WN f r, 24 PLOUGHED.NECK Rbl E SANDWICH MA 02537 ` - v 04/16/2014 a i t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 30 U Parcel A. 13 6 Application # Health Division Date Issued O l C) Conservation Division Application Fee X60 Planning Dept. :: Permit Fee I Date Definitive PlanApproved by Planning Board P/ Historic _ OKH Preservation/Hyannis Project Street Address 309 S MA+� Village Owner ASSC Address ` C1 Telephone 1508"�l l - ( J 54 0 0 a �� Permit Request S�-a�1o�-h: y �0� r Avy0 4a- C 0JAf_1 S iv 0 I-e-d on ran-cs 13Ui cfin 6 q- p Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ 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 Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: Lr'_Ybs ❑ o Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn-,0Pexisting:u° ndR size Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' p Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 4u rn Commercial ❑Yes ❑_No If yes,-site-plan review'# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) a� Name O��I �0`0��' Telephone Number �0 �' 14 2) �— O '1"`- J Address �� ®� �� License # D OQ l � HA 0%o(3 S Home Improvement Contractor# 14 0 a �1J Worker's Compensation # 4 a a 3g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PRO ECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 1 INSULATION K FIREPLACE Y r ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. l nw.LJ �n ni r r r nd!CT\ n� n � ' 1 I t d 3a Town o, arnsialp.le Reu:I2to ry Svc TYs"z�cfoe- rr��A Builditz Dlyisiu a a Tam,pees-y. g-'` i —U7 4 i'r t4 9:nz-5 is 9 i us -„,W A,P. L _ _ - a-. a• ,r .r rFic^¢pri ..-.a=-'=-'-- - ,.�.. -_- ..� -=r___ =..,_v„_,-.-:�.j._ i f__asik�;,t*i9ci7:.LiE 3�•l:;i;�a�:;: u j,i:;. _ a :011 he e=;R 0f . - a 9 4 E .�-- ra i - :`?. t t�'e Y-. ?.`0Ln _, F�£'�' 5 ., ... i - s a ® u Massachusetts - Department of Public Safetc Board of Building Regulations and Standards Construction Supervisor License License: CS 102975 Restricted to: 00 CHRISTOPHER PETERSON 41 THATCHER HOLWAY ROAD MARSTONS MILLS, MA 02648 Expira t�n: 10/7/2012 �:_ 75 ✓ s 03/30/2010 08:28 7813127208 DBUNKER PAGE 02/02 GRANITE STATE INSURANCE COMPANY 0072808-00 WC 003-49-5161 13102 ------------....---------_._._..-..... 013-66-0310-00 Mllln�k ram COTUIT SOLAR LLC C H A R T I S 64 OLD SHORE RD COTU I T, MA 02635-0000 A Chartis companV EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE WC990610 175 Water Street New Vork, NV 10038 DON BUNKER INSURANCE AGCY WORKERS COMPENSATION AND EMPLOYERS PO BOX 221 LIABILITY POLICY INFORMATION PAGE HANOVER, MA 02339-0000 ER LIM TED LIABILITY COMPANY RPEENEWAL� 007422369CY OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE-WC990610 ITEM Z POLICY PERIOD 1201 A,M,atanda,d time at the inaured's mencogada�s FROM 03/26/10 r 03/26/11 ITEM 3 A. Workers Compensation Insurance:Part One of the policy applies to the Workers pen9ation Law the states listed here: MA S. Employers liability Insurance:Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liabilltV under Part Two are: BodlIV Injury bV Accident$ 500,000 each accident RediiV Injury bV Disease S 900,OQO poliey.limn Bodily Injury by Disease S 500.000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE ,ENDORSEMENT - WC200306A D. This policy includes these SEE EXTENSION OF ITEM 3.0.OF THE INFORMATION PAGE WC680¢42 I►EM The pvamium for thliP patllMy vuNl be dtrminedy oar Manu1 Rubs,:Clastleations;Rats aeeq Rasing Plena. All igr4orm>a to cf$ phe►sge by audit, Estjmelep Tcl pate Per Eg91m�1t}d Gla$gi4iCeilQfl£ COd@ ldUn7l�8f Riim Ft pnerallaq E10Q of r PromIU ® AnhN®!®8 Yq;f MWIV? ,911 EX]Annu61 3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $283 EXPENSE 00MAtdr IM(Cr;"WMEM APPI.ICAaLE By STATE) MA MlNIPRUM PREMIUM $500 MA i'ern6ssnnaaaEoar+aMluM S4, ,� 9// € r A..-.. 03/12/10 ASSIGNED RISK 6 %� •,—i a:6` � Issue Date Issuing Office — � Autllarlrad Representative we 0 00 01 MS01 law'd riAvl The Coniimonlvealth of Massachusetts Department of Industrial Accidents Office of Investigations r 600 Washington Street 9�t Boston,MA 02111 4 wrvil.tmassgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Bleetricians/Plumbers Applicant Information Please]Print Le ibl NaTne(Business/0rganiratioN(ndividuat): OT Address: 0 0) City/State/Zip: 1 W iWA-1 W Voq�235 Phone.#:(50 0— 'n� Are an employer?`Cheek the appropriate.box: Type of project(required): 1. I am a employer with 4. n I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 5. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [:]Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition 1 ees and working for me in an capacity. employees have workers g y a comp.lnsurance.t 9• ❑Building addition [No workers comp.insurance p• ` required.] 5.[] We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.El am a homeowner doing all work, 11.0 Plumbing repairs oradditions myself [No workers'comp. right bf exemption per MOL. 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.[]Other comp.tusurance required.] 'My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeo%vaers who submit this affidavit indicating they are doingall workand then hire outside contractors:mustsubmit anew affidavit indicating such. lContractors,that check this box must attached an additional sheet showing tlie name of the sub-connxctors and state%vhetlter or not those entities have —play=- If the sub•eontractors-have employees,they must-provide their workers'comp.policy number. X oat an employer Heat is providing workers'compensatioie insurance for my employees Beloit is the polity and job site information. Insurance Company Name:'rft..�V C;S�aye —Murmce Policy#or Self-ins.Lic.#: Uo-7 9Z--) 0 q Expiration Date: i3 o tP l, Job Site Addresss. Gary/State/Zip: n't r AIM Alm)to 01 Attach a copy of the workers'compensation policy declaration page(showing the policy num er and expiration date). .) Failure to secure coverage as required tinder Section 25A of NGL 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 Investi atio2ts of the DIA for insurance 01crage verification. I do hereby certify under the pains an e nalties erju►y that the uiformadon provided above is true and correct. Si azure: 'Date: /D _ �honeAt: `1 L(- ichat use-on y. Do not write hi this area,to be completed by city or town ofjPciaL City.or Town: Permit/License# Issuing 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#: Town of Sandwich-Revised March 2008 ?g 05/27✓2010 15:28 781312720E DBUNKER PAGE 01/02 l' (((XV L t • "/V�O�D� a DATE(MM(DD A:� ..... 05/27/10 PRODUCER " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DOn Bunker Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g y HOLDER, THIS CERTIFICATE DOES NOT AMEND EXTEND OR P.O. -Box 221 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Hanover MA 02334- COMPANY (781 ) 312-7206 ( ) - A Nautilus Ins. Co. INSURED COMPANY Cotuit Solar LLC 8 Arbella Protection Insurance Co. P.0: Box 89 COMPANY 64 old Shore Rd. c Cotuit MA 02635- �PANY THIS 16 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, co L A TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMtts DATE(M YY)M/OD/ DATE(MMIDD/YY) A GENERAL LIABILITY GENERAL AGGREGATE s2, 000,000 X COMMERCIAL GENERAL LABILITY T/b/A 0 6/01 /1 0 0 6/01 /1 1 PRODUCTS-COMPIOP AGG S2,000,000 CLAIMS MADE ®BUR PERBONAL&AOV INJURY $1 ,000,000 X OWNERS d CONTRACTOR'S PROT EACH OCCURRENCE S 1 0 0 0,O 0 0 _ FIRE DAMAGE(Any one fire) b 50,000 MED EXP m dne sewn) S CJ O O O B AUTOMOBILE LIABILITY ANY AUM 26916400003. 04/30/10 04/30/11 COMBINEO SINGLE LIMIT 11_000'000 A I.OWNEDAUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X MIRED AUTOS ODDLY INJURY 8 X NON•OWNEDAUTOS (PeraaidenO F OPERTY DA4aAGE $ GARAGEWBILITY AUTO ONLY-EA ACCIDENT S ANY AUTO / / / / OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE $ A EXCESS LIABILITY EACH o=RRENcE s2,900,000 UMBRELLA FORM T/B/A 06101110 0 6/01 /1 1 AGGREGATE s2,000, 000 X OTHER THAN UMBRELLA FORM 10,000 S WORKERS COMPENSATION AND CSTATU OM- A :.; :� ••;�•. EMPLOYERS'LIABILITY EL EACH ACCIDENT S THE PROPRIETOR/ INCL PARTNERSIDfECUTNE ELOISEASI;-POLICY LIMIT S OFFICERS ARE: EXCL EI,DISEASE-EA EMPLOYEE $ OTHER enera Ia Icoverage app ies nn.A p.imary& non(-centributory basis & includes the Massachusetts Clean Energy'technology Center,the System Owner, &as applicable the Host Customer as additional it,sured.General Liability& Umbrella policies include coverage-for independent or sub-r:ontractors&"Residential"work. ,• ,, >tHl ANY OF THE ABOVE DESCRIBED POLICIES 0E CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Massachusetts Clean Energy 3 0 DAYS WRITTEN ffOrOE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Technology Center BUT FAILURE TO 14AIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR uABILITY 55 Summer Street, 9 t h Floor OF KIND UPON THE COMPANY, ITS AGENTS.OR REPRESENTATIVES. Boston NA 02110 A ORRE REPRESENA COTUIT SOLAR P.O. Box 89 • Cotuit, MA 02635 • 508-428-8442 • Fax 508-428-8441 • www.cotuitsolar.com 309 South St—Angel House.Building B 32 solar photovoltaic panels flush mount 2 '/2 lbs/ft2 L � i Aim M P . 6 d' A«.. x� . a T ¢ jf -19 Quality"renewable energy "° " ` I s�ar11 systems since 1988 ��' ER FIED Reft 1OSi �►{ Installer Design, installation, service Solar Thermal PV Wind r .Cert#031409-40 ' ' Cert#ST032407-B Conrad Geyser Conrad Geyser (OTUIT SOLAR P.O. Box 89 • Cotuit, MA 02635 • 508-428-8442 • Fax 508-428-8441 • WWW.CotUitSolar.com 309 South St—Angel House Building D 14 solar photovoltaic anels flush mount 21/2 lbs/ft2 a M Quality renewable energy :, "'�V" F CE MRM$ CERTIFIED solar PB systems since 1988 ;sCSttii ' l31 7 +a installer/ 'r4 Installer � Design, installation, service i Cert#031409-40 Solar Thermal, PV, Wind • Conrad Geyser Cert#ST032407-B Conrad Geyser r evergreen sol�rl. Think Beyond. ES-A SERIES 200,�205 & 210 w Best power,tolerance available photovoltaic panels . i A range of high quality String Ribbon TM solar panels offering exceptional performance,cost effective' t instaIllation and industry-leading environmental t =: credentials made with our revolutionary wafer technology. I •Noipower below nameplate _ Y. H Never,pay for power you're not getting j # s � i •Get up to 5W more than nameplate* : t For enhanced field performance i •Industry's lowest voltage per watt rating Delivers the most cost-effective installs ' s - t •UL4703 certified cables t, For use with the highest efficiency transformer-less inverters t • • New extended length cables f Eliminates home-run wiring Y j •New lockable connectors** i Complies with the latest codes for accessible arrays •Most extensive range of mounting options Allows installs virtually anywhere and anyhow •Smallest carbon footprint;of any manufacturer_ i + for the greenest of the green I * 1 • 100%cardboard-free packaging i Minimizes job site waste and disposal costs »- •5 year workmanship and 25 year power warranty*** Born in the USA 'Maximum power up to 4.99 W above nameplate rating;**Locking sleeve not supplied with the panel. '**For full details see the Evergreen Solar Lirnited Warranty available on request or online. This product is designed to meet UL 1703,UL 4703,UL Fire Safety Class C,IEC 61215 Ed.2 and IEC 61730 Class A standards. String Ribbon is a patented technology and registered trademark of Evergreen Solar,Inc Electrical Characteristics Mechanical Specifications Standard Test Conditions(STC)1 PANEL M ID LABEL ES-A-200 ES-A-205 ES-A-210 -oo -fa2* -fa2* -fa2* 2.2 4.9 Pmp2 200 205 210 W ° ra ° ` o ` o Ptolen- -0/+4.99 -0/+4.99 -0/+4.99 W AL JUNCnON BOX % � (IP65) � - Bz 0.16 Pm 1 p,maz 204.99 209.99 24.99 W S�ALNUMBER EL HOOIENDING o O Pmp,min 200.00 205.00 2:'0.00 W Tlmin 12.7 13.1 13.4 % ° ° Ppa3 180.6 185.2 189.8 W CABLES(10 AWG. A ° 03, Vmp 18.1 18.4 18.7 V Pv-WIRE) Imp 11.05 11.15 11.23 A 4 Voc 22.5 22.8 23.1 V ° 70,e.Z6 12.00 12.10 12.20 A PA1 MOUNTING HOLE Isc ID LABEL FOR Y'BOLT Nominal Operating Cell " Temperature Conditions(NOCT)4 ° i MC^LOCKABLE TNOCT 44.8 44.8 44.8 °C ffiififi I o CONNECTORS o Pmax 146.4 150.1 153.7 W o (-) P) ° Vmp 16.7 16.8 17.0 V ` 1 CLEAR ANODIZED 1 12z FRAME Imp 8.76 8.93 9.04 A I o ALUMINUM FRAME o°I DRAINAGE HOLE 1! T V. 20.5• 20.7 21.0 1 V lu 9.60 9.68 9.76 A {� 11�1.8(+o.ov-0) 3zs°-0.1r-----�{ '1000 W/m',25°C cell temperature,AM 1.5 spectrum; ,�• t All dimensions in inches;panel weight 41 Ibs 'Maximun power point or rated power ) 'At PV-USA Test Conditions:1000 W/m',20°C ambient temperature, i Product constructed with 114 poly-crystalline silicon solar cells, anti-reflective t m/s wind"peed tempered solar lass,EVA enca sulant,polymer back-skin and a double-walled '800 W/m',20°C ambient temperature,1 m/s wind speed,AM 1.5 spectrum'• P 9 P P Y f-framed,a-low voltage,2-matt blue(textured)cells anodized aluminum frame.Product packaging tested to International Safe Transit Association(ISTA)Standard 2B. All specifications in this product information sheet Low Irradiance conform to EN50380. See the Evergreen Solar Safety,Installation and Operation The typical relative reduction of module efficiency at an Manual and Mounting Design Guide for further information on approved installa- irradiance of 200W/m'both at 25°C cell temperature and tion and use of this product. spectrum AM 1.5 is 0%. Due to continuous innovation,research and product improvement,the specifica- tions in this product information sheet are subject to change without notice. No rights can be derived from this product information sheet and Evergreen Solar Temperature Coefficients assumes no liability whatsoever connected to or resulting from the use of any a Pmp -0.45 %/°C information contained herein. a Vmp . 1--0.43 %/°C r.• r - Partner: a Imp -0.02 %/oC. a V« -0.32 %/°C a Ix -0.003 O/ °C System Design, Series Fuse Ratings 20 A Maximum System Voltage(UL) 600 V 1 S Also known as Maximum Reverse Current. I iELECTRICAL EQUIPMENT ES-A_200_205_210_US_010908;effective September 11 2008 CHECK WITH YOUR INSTALLER +Worldwide Headquarters Customer Service-Americas and Asia 138 Bartlett Street,Marlboro,MA 01752 USA 138 Bartlett Street,Marlboro,MA 01752 USA Evergreen Solar,Inc. T.+1 508.357.2221 F:+1 508.229.0747 T.+1 508.357.2221 F:+1 508.229.0747 www.evergreensolar.com info®evergreensolar.com sales®evergreensolar.com Sit v Ir OL� � � 1 II a . Va. e VI NCI & ASSOCIATES Structural Engineers CUEN T: Professional Solar Products,Inc 1551 S.Rose Ave.,Oxnard,CA 93033 Tel:805.486.4700 y Building Department Note:NOT TO BE SUBSTITUTED MTN STANDARD STRUT OR COUNTERFEIT PRODUCT. Subject: Static load test results for the following: Minimum Mounting System Module Maximum Frame Maximum Frame Frame load Equivalent Wind Speed Manufacturer length (in.) Width (in.) Height*On.)` Obs/ft)2 (mph)** Rooffrac® , Evergreen 65.0 37.5 1.80 55 { 130 : TEST SETUP(as shown in attached drawing detail):Three Evergreen modules,as specified above,were bolted to 136"x1.5"x1.5"Professional Solar Products(PSP)RoofTrac®support rails using an assembly of 5/16"stainless steel bolts, lock washers and proprietary aluminum clamps and inserts.The RoofTrac®support rail was attached to the PSP TileTrac® structural attachment device with a 3/8"nut and washer at six attachment points.The setup was attached to 2"x6"wooden rafters using 5/16"x 3"Stainless Steel lag bolts.The attachment spans consisted of 48".front to rear with structural attachments spaced 48"on center. TEST PROCEDURE(as shown in attached drawing detail):The test set up was top loaded to 55 Ib/ft2.The setup remained loaded for an approximate period of 30 minutes.The maximum deflection and any signs of permanent deformation were ` recorded.The test setup was then inverted and loaded to simulate the uplift condition..The test set up was re-loaded to 55'C, , Ib/ft2.The setup remained loaded for an approximate,period of 30 minutes.The maximum deflection and any signs of, ;s permanent deformation were recorded,' ' t TEST RESULTS: The maximum top load deflection was recorded at 0.438",with no permanent deformation. The maximum uplift deflection was recorded at 0.250",with no permanent deformation. Building Department Note: I^ This document certifies the'RoofTrac®mounting system used with Evergreen modules,as NOT TO BE SUBSTITUTED specified above,withstands a 55 Ib/ft2 static pressure load,equivalent to a wind speed of WITH STANDARD STRUT OR approximately 130 mph**. The mounting system performed as expected. ' COUNTERFEIT PRODUCT. " Sincerely, r James R.Vinci,S.E. z This engineering report verifies that Vinci&Associates has provided independent observation for load testing as described in this report resu 'this load test reflect actual deflection values and are generally accepted as the industry standard fortesting module mounting systems.Vinci t does not field check Installations or verify that the mounting system is installed as described in this engineering report.-tSolar <`' To assist the building inspector in verifying the authenticity of this proprietary mounting system,a p ane adhesion,silver reflective'RoofTract'label,as shown,is . placed on at least one of the main su ra I Roof TaC. e pro r ,. Structural attachment Lag bolt attachment should be installed " using the proper - pilot hole for optimum strength.A 5/16"lag bolt requires a 3/16"pilot hole.It is the responsibility of the Installer to insure a proper a 3e0A� attachment is made to the structural member of the roof. Failure to securely attach to the roof, structure may result in damage to equipment personal injury or property damage. This office does not express an opinion as to the load bearing characteristics of the structure the mounting t system/modules are being installed on. ICC accredited laboratory tested structural attachments manufactured by Professional Solar Products(including,but not limited to FasUack®,TileTrac®,and FoamJacke)can be Interchanged with this system. . *Modules measuring within stated specifications are included in this engineering t **Wind loading values relative to defined load values using wind load exposure and gust factor coefficient "exposure C"as defined in the 2006(1BC)/2007(CBC) t 31324 VIA COLI"NA'S STE 101 WESTLAKE VILLAGE, CA 6136 ' Page 1 of 2 PSP:RT EG_2 �--- 4ir ' 37.5" -> I .: 136" I Building Department Note: NOT TO BE SUBSTITUTED WITH STANDARD STRUT OR COUNTERFEIT PRODUCT. ' C E / 5/16"Stainless '� Steel Hex bolt Ll i, s. _ Top Load Deflection: 0.438" ` r5/16"Stainless Steel Lock Washer Aluminum ProSolar T Inter-Module Clamp " _ C RE lA T Aluminum ProSolar Channel Nut I Aluminum ProSolar - Up lift Deflection: 0.250" RoofTrac@)Support Rail �.- "'- 3/8'Stainless Steel Hex Bolt and Flat Washer •. Aluminum ProSolar FastJack®Roof Attachment ;, :•: ,: ,,1, 5/16"Stainless Steel Lag Bolt /Y and Flat Washer '-• •:,_ Professlonal Solar Products RoofTiae Patent#6,360,491 RoofTrac® Photovoltaic mounting system Evergreen Solar odules Static load test illustration Page 2 of 2• PSP:RT EG 2 ? e , 91te ce o Consumer Afa n'd%S�usm �Reg�ulatiL O j 10 Park Plaza - Suite 5170 0•r° Vp Boston, ssachusetts 02116 Home Improve ontractor Registration Registration: 146276 " Type: Supplement Card COTUIT SOLAR Expiration: 4/8/2011 I"it' CHRISTOPHER PETERSON 3800 FALMOUTH RD. � MARSTONS MILLS, MA 02648 ; Update Address and return card.Mark reason for change. DPS CAt sonn oaoa ca�o�z�s Address Q Renewal Employment, Lost Card �'!ze �Donvnoauuea/,Lyi a�✓�aaaaclicaelld • &. Office of Consumer Affairs&Business.Regulation License or registration valid for individul use only VqOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r" ;, Office of.Consumer Affairs and Business Regulation Registratio, ;?76 10 Park Plaza-Suite 5170, Expi - �__ 1 Boston, 1 i. � rs`�nt Card COTUIT SOILA�r10-- CHRISTOPHER 4 Rc BOX 89 COTUIT,MA 02635 ""'�Ys Undersecretary of valid without signature 14 ! Hyannis Main Street 'Waterfront Historic District Commission n�ss�g 'g, 200 Main Street 1639. &� Hyannis,Massachusetts .02601 TEL: 508-862-4665./FAX: 508-862-4725 Application to Hyannis Main Street Waterfront Historic District Commit&ona in the Town of Barnstable for a W Wit_ i.a - ERTIFICATE OF-APPROPRIATENESS- Application is-heleby made, in triplicate,for the issuance of a Certificate of Appropriateness under M. G.L. Chapter 40C, The Historic Districts Act-for proposed work as described below and on plans, drawings or photographs accompanying this application for: PLEASE CHECK ALL CATEGORIES.THAT APPLY: 1. Exterior Building Construction: El New Building ❑ Addition &Alteration Indicate type of building: [House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: ❑' 3. Signs or Billboards; ❑ New sign ❑ Existing stgn ❑ Repainting existing sign 4. Structure: ❑ Fence • `E]Wall ❑ -Flagpole 0 .Other S. Parking Lot: ❑ New Building ❑ Addition ❑.Alteration (Please see the guidelines for:explanation and requirements) TYPE OR PRINT LEGIBLY DATE ASSESSOR'S MAP NOI ._30 ASSESSOR'S PARCEL NO. 2 35 /� APPLICANTHOksi nq Assi - a ce 0)1-7. ' TEL.NO..rjOQo '7'T I"SA100- oy- WesE:M6�;h-S+ *iann�S, MA oa-bo1 APPLICANT MAILING ADDRESS ADDRESS OF PROPOSED WORK PROPERTY OWNER ThOU . TEL.NO;5a III TDO CD OWNER MAILING ADDRES S.4 G D Wes+`.M OAiV%'S} V o-n h i S, Mq 0.001. p ____ FULL NAMES AND MAILING ADDRESSES OF ABUTTING OWNERS.Include name of aadjacen property owners across any,public street or way. This information is b t o fain �aty�l�ie ot�+„� e 's J'n Office. (Attach additional sheet if necessary). Fl Q e see: +4 li-% ' HISTORICrPRESERVATION b f� AGENT OR CONTRACTOR Ca�Ur� SOtar... TEL:NO. S D O"q ADDRESS Po.Box 8q Goit4s'K, A 0;1b35 f k r - DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features as: foundation,chimney,siding,roofing,roof pitch, sash and doors,window,and door frames,trim,gutters- leaders,roofing and paint color, including materials to be used,if specifications do not accompany plans: In-the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet,ifnecessary).'1rns,+k1t0 Ji0r. pr' 46. Shcar ?%10k0 0J'jCLi c POLne[.3 be9rid -{-ied32 ors r �oo 0� Ome�3 are 2 l21bsJ-P+z aA8 are ecured 00era_i Ov\s n-ee +0 loe ,� d ade `0 exiSiiV\ 'or c f e. Signed caner ontracto Agent . (CIRCLE ONE) SPACE BELOW LINE FOR COMMISSION USE Received by HMSWHDC Date U�C. E 0 V E This Certificate is hereby . �j,0117 Time Date 1� By Sign TOWN OF BARNS A LE HISTORIC PRESERVATION IMPORTANT:If this Certificate is approved,approval is subject to the 20-day appeal period provided in the Ordinance. CONDITIONS OF APPROVAL '" i ADDT-?M1FD I I 1%J V L-9-0 i ID i i r COTUIT SOLAR P.O. Box 89 • Cotuit, MA 02635 • 508-428-8442 • Fax 508-428-8441 • www.COtuitSOlar.com 309 South St Hyannis—Angel House Solar Project 46 panels to be mounted on site (32 flush mounted on back roof of building B and 12 flush mounted on flat roof of building D) 326010 308084 76 �. ��` 4• M:� � Z.,p ,.� !bO ®m „�Sk�s [9 iy�""} �I •� Ys� t� .p� ilk 308101 -, �- ✓ � �'�,�. � - h"� -' �, ,+., � a v f#�., r r' 328009001 BUlldin 0'I f Yy y iV 09238 Yt s n �ryy s .N 309 k g 7 145 i :fir, 82 3D8247 r t` a ��i �'c ��j�`;�"-.�•a Building DA pr%M'0V I h E C E W E A L ELJ APR 21 TOWN OF BARNSTABLE HISTORIC PRESERVATION Quality renewable energy •��� C FIM'$ systems since 1988 .►' CERTIFIED Solar PU Installers Design, installation, service ' Installer.,i Cert#o3�aos 4o Solar Thermal, PV, Wind ��••,�� TM Conrad Geyser Cert#ST032407-B Conrad Geyser I p EEC ,W/O APR 2 1 ors � TOWN OF BARNSTABLE HISTORIC PRESERVATION_ COTUIT SOLAR P.O. Box 89 • Cotuit, MA 02635 • 508-428-8442 • Fax 508-428-8441 • www.cotuitsolar.com 309 South St—Angel House Building B 32 solar photovoltaic panels flush mount 2 '/2 lbs/ft2 S r nR„s r � T _. ILA. f 4 4-4 _ r •i 1 „Q) �j G+ r 3 l _ f _w CL t 7 . Quality renewable energy'" "" �4:s �FV a systems since 1-988 ' CERTIFIED '► 111suller/ ���",Halal Installer installation, service �6r koaus�� vxa►�" n Cert#031409-40 Solar Thermal, PV, Wind' Conrad Geyser Cert#ST032407=B Conrad Geyser 42 COT.U-IT SOLAR P.O. Box 89 • Cotuit, MA 02635 • 508-428-8442 • Fax 508-428-8441 • www.cotuitSolar.com 309 South-St—Angel House Building D 14 solar hotovoltaic anels flush mount 21/2 lbs/ftz r ` lu 4 , p E C E E- ��o APR 2 1 4" TOWN OF BARNSTABLE HISTORIC PRESERVATION -Quality renewable-energy ""' ""'`�� s stems since 1988 �' MIRED ICEBTIRM Sela�PU% y .1441L Installer �14 Installer - Design, installation, service � Cert#03140940 Solar Thermal, PV, Wind •�„�� n Conrad Geyser Cert#ST032407.8 Conrad Geyser i f. evergreens -� . .i x Think Beyond': E S—A SERIES 200; 205 & 210 W ; photovoltaic panels Best power tolerance available F r a A range of high quality String RibboiTM solar panels offering exceptional performance,cost effective installation and industry-leading environmental . s, credentials.made with our:revolutionary wafer t ' technology. . d ii s •No power below,nameplate - Never pay for power you're not getting n j I •Get up to 5W more than nameplate* i For enhanced field performance F�r • -k I 1 Industry's lowest voltage per watt rating ; Delivers the most cost-effective installs ;, •UL4703 certified cables For use with the highest efficiency,transformer-less inverters •New extended length cables Eliminates home-run wiring P t • New lockable connectors** Complies with the latest codes for accessible arrays • •Most extensive range of mounting options Allows installs virtually anywhere and anyhow I 1 —`y j.' •Smallest carbon footprint of any manufacturer For the greenest of the green a r • 100%cardboard-free packaging Minimizes job site waste and disposal costs i •5 year workmanship and 25 year power warranty r D Born in the USA APRPt ROVET% AT®TOViISNOFB) RV N A L J, *Maximum power up to 4:99W above nameplate rating;;*`Locking sleeve not supplied with the panel. - ***For full details see the Evergreen solar Limited Warranty available on request or online. This product is cesigned to meet UL 1703,UL 4703,UL Fire Safety Class C,IEC 61215 Ed.2 and IEC 61730 Class A standards. f String Ribbon is a patented.technology and registered trademark of Evergreen Solar,Inc. Electrical Characteristics Mechanical Specifications Standard Test Conditions(STC)1 PANEL _ ID LABEL ES-A-200 ES-A-205 .ES-A-210 - - r„o O -fa2* -fa2* -fa2* z.z 4.9 ~I I•- I M PmP2 200 205 210 W °° ' ° ' ° Ptoleraace -0/+4.99 -0/+4.99 -0/+4.99 W i JUNCTION BOX " i � (IP65) ax 0.16 PANEL Pmp,max 204.99 209.99 214.99 W SERIAL NUMBER HOLE GROUNDING 0 0 Pmp,min 200.00 205.00 210.00 W rlmi° 12.7 13.1 13.4 % ° ° Ppta3 180.6 185.2 189.8 W CABLE(10 AWG,UL4703, Vmp 18.1 18.4 18.7 V w-WIRE) Imp 11.05 11.15 11.23 A 4 Va 22.5 22.8 23.1 V 0 o ° 10x 0.26 1. 12.00 12.10 12.20 A PANEL MOUNTING HOLE ID LABEL FOR Y."BOLT Nominal Operating Cell Temperature Conditions(NOCT)4 ° TNOCT 44.8 44.8'' 44.8 .DC ° CONNECTORS CONNERORS ° (TYPE 4) Pmax 146.4 150.1 153.7 W j- ° (-) 1.) ° Vmp 16.7 16.8 .17.0 V- Imp 8.76 8.93 9.04 A A UUMINUM FRAME ANODIZED o DRAINAGE HOLE ZN°I V. - ,20.5 . 20.7,-, , 21.0. V �I III '° ° I Imo-- 35.9 1M Isc 9.60 9.68 - 9.76 A 1e(w.ovo) '1000 W/mr,25°C cell temperature,AM 1.5 spectrum; All dimensions in inches;panel weight 41 Ibs Maximum power point or rated power ' USA Test Conditions 1000 W/m',20°Cambient temperature,1 m/s wind speed constructed poly-crystalline Product nstrted with 114 silicon solar cells, anti-reflective 1 4 800 W/m2,20°C ambient temperature,1 m/s wind speed,AM 1.5 spectrum I tempered solar glass,EVA encapsulant,polymer back-skin and a double-walled f-framed,a-low voltage,2-matt blue(textured)cells anodized aluminum frame.Product packaging tested to International Safe Transit r Association(ISTA)Standard 2B.All specifications in this product information sheet Low Irradiance conform to EN50380. See the Evergreen Solar Safety,Installation and Operation The typical relative reduction of module efficiency at an Manual and Mounting Design Guide for further information on approved installa- irradiance of 200W/mz both at 25°C cell temperature and ; tion and use of this product. spectrum AM 1.5 is 0%. _ •• - Due to continuous innovation,research and product improvement,the specifica- tions in this product information sheet are subject to change without notice. No t rights can be derived from this product information sheet and Evergreen Solar Temperature Coefficients assumes no liability whatsoever connected to or resulting from the use of any a Pmp -0.45 %/°C dinformation contained herein. a Vmp .-0.43 %/°C r Partner: a Imp -0.02 %/°C' a Va -0.32 ,%/°C, r a 1. -0.003 %/°C System Design Series Fuse Ratings 20 A Maximum System Voltage(UL) 600 V f s Also known as Maximum Reverse Current. t i QELECTRICAL EQUIPMENT i CHECK WITH YOUR INSTALLER ES-A_200_205_210 US_010908;effective.September 11 2008 Worldwide Headquarters Customer Service-Americas and Asia 138 Bartlett Street,Marlboro,MA 01752 USA 138 Bartlett Street,Marlboro,MA 01752 USA Evergreen Solar,Inc. T+1 508.357.2221 F:+1 508.229.0747 T+1 508.357.2221 F:+1 508.229.0747 www.evergreensolar.com info@evergreensolaccom saleseevergreensolaccom F 00 °F tHE Tp� bo Town of Barnstable *Permit � P� ti Expires 6 months from issrr�date Regulatory Services Fee * BARNSTABLE, « MASS. g Thomas F. Geiler, Director ArfD MP't A ' Building Division Tom Perry,CBO, Building Commissioner ® tea 0 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862`41UJJ a��i — 4 2009 Fax: 508-790-6230 TOWN -PRESS PERMIT APPLICATION - RESIDENTIAL ONLY OAHNSTAEXE Not Valid without Red X-Press Imprint Map/parcel Number-30_'i�_ R &S Property Address ❑ Residential Value of Wort. �j ,�5 Minimum fee of$25.00 for work\under$6000.00 Owner's Name& Address �1A5 i/� t 4GL .0-17: l'C3 110 Contractor's Name So f.(due_ q ..�utn D r!�uey \A j Telephone Number �` 775 't-7 7 3 1 Iome Improvement Contractor License 9(if applicable) J 0 3 ?S Construction Supervisor's License # (if-applicable) C.S �p(0 43 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ; ❑ 1 am the Homeowner 5� I iave Worker's Compensation Insurance c Insurance Company Name A'�'�CCi s� � O (� 'A Workman's Comp. Policy# NTC_ "7 M, 'A f y 3b I aCC) Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side replacement Windows/doors/sliders.-U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A c . f t me Improvement Contractors License is required. SIGNATURE: \A Pl-111S\1'0RMS\building permit forms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 60.0 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �Jr7f /y]L� HOvY�tt_ J:vv�0roV.e1N12_A Address: Ic19 .fir r1s_k173I>. Ro c City/State/Zip: t1 v acn In Phone #: ..59�, 7 7 5 1 1 -7 2 Are pu an employer?Check the appropriate box: Type of project(required): 1.E`- 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.El am a sole proprietor or partner- listed on the attached sheet. $ ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. workers'comp.insurance. Y p ty• 9. ❑ Building addition [No workers' comp. insurance 5. ElWe are a corporation and its required.] officers have exercised their ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L R Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box 01 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name: 4SSOC i CJ eA 1,.5 C i g� mf Policy#or Self-ins.Lic.#: 0 QC -]OS) S9 y 30 J_00 I Expiration Date: Job Site Address: �3a� S L City/State/ZipA401AVkiS MR vgot Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance verage verification. I do hereby certify d r ai enalties of perjury that the information provided above is true and correct. r Si ature: Date:" ~� � Phone#: 7 7 t-7?, Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i tla,, Town of Barnstable Regulatory Services gut NSrAR s.$ Thomas F.Geiler,Director 06. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize 5 (,aUe S,fV-1nrWeWW_A— to act on my behalf, M all matters relative to work authorized by this building permit application for: (Address of Job) 9 Sim6e o er ./,y� � / Date Print Name �— If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. !1•Fl1RM.C•f1WNF.RPFRA.fT.CC1l�N ' � s :- �iLI:�'3�i :��i►Yi�iH�i►�: I�I:Q�a:Iul�:ul�:u► � T �.fi- >� 12/31/2008 14:18 Bryden & Sullivan Insurance 'D6nnaSeviour41Y[argo 1/2 DATE(MWOONYYY) AcoRo CERTIFICATE ®F LIABILITY INSURANCE OP ID Ds° SPRIN-1 F 12/31/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden & Sullivan Ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW: Hyannis MA 02601 - Phone: 508-775-6060 Fax: 508-790-1414 ' INSURERS AFFORDING COVERAGE ' p NAIC# INSURED . - - INSURERA Associated Industries-of MA. - . INSURER&.. Spprinkle Home Improvement Inc. INSURER CI 1�I9 Barnstable Rd INSURER0: Hyannis MA 02601 _... � ,. INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN,RED_UCED BY PAID CLAIMS: INS INSR POLICY EFFECTIVE POLICY EXPIRATION - - LTR' NSRD - TYPE OF INSURANCE- POLICY NUMBER DATE(MWDD/YY DATE(MWDD/YY) LIMITS - - G,VNERAL LABILITY EACH OCCURRENCE S ' COMMERCIAL GENERAL LIABILITY `,... . - - PREMISES Es occurence .. - - .CLAIMS MADE OCCUR :. - � � ° MEO EXP(Any one person) PERSONAL 6.AOV INJURY - g.-. GENERAL AGGREGATE 4 GEN'L AGGREGATE LIMIT APPLIES PER: "f _ - PRODUCTS.COMP/OP AGORO- S POLICY 7JE LOC AUTOMOBILE LIABILITY t COMBINED SIN OLE LIMIT' ANY AUTO - - (Ea accident) S - ALLOWNEOAUTOS - BODILYIWURY (Perperson) - S -SCHEDULED AUTOS HIRED AUTOS 80DILY INJURY - NON-OWNED AUTOS - (Per acdDenQ. - - ' - - t - PROPERTYOAMAGE - - - (Per accident). S CARAGEUABILITY, - .AUTO ONLY,EA ACCIDENT.:„_ S . ANYAVTO - - OTHER THAN`. EAACC S _ AUTOON e... AGG S ... EXCESSIUMBRELLA LIABILITY - - - EACH OCCURRENCE - S -� OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE f - - RETENTION S.. C SLNT TAT ll OTH- WORKERSCOMPENSATIONAND TOWRYUS ER EMPLOYERS'LIABILITY _ .. .. . A =ANY PROPRIETORIPARTNER/EXECUTNE AWC7004943012009 01/Ol/09 01/01/10 E.L.EACH ACCIDENT s 500000 ,. .� � - OFFCER/MEMBEREXCLUDED? -- E.L.DISEASE•_EAEMPLOYEE s 500000 9 yes.oescrtbe under - - - - SPECIAL PROVISIONS below E.L.DISEASE-POUCYU14T s 500000' OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SpRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL - 10 DAYS WRITTEN Sprinkle Home.Improvement, Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL Fax #508-775-1350 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Margo Mack 199 :Barnstable Rd. REPRESENTATIVES. Hyannis MA 02601 AUTHORIZED REPRESENTATIVEKelle FA.Sullivan ACORD 25(200V08) O ACORD CORPORATION 1988 .,... 'Sg 3�,� (iJYI'7/7/NC(Y?4!»G fI /f(CtXJIX!' f1tlL°. ij t k r pa�cAaf 3uildrggR lkkg ons{andS ndacd� �qoyastrtinSupervQFLice�se ,- E:`c�ii•a�lcztr r , rYl �42�f ' t, s n BR'AD'K rSPfi21NKL� r Ngi LC Hint S LAIN JV?Bf'M T B'LEnlU17a�02663 Ctot riz�`ssd4ncx N ' r 1<A► 1�$S�S'�1'����j' 1G 1 2etnllty a) ons'.' 4' 3 £ ilatre to g9�sss a ou+�C? tf Cie. f 1V.�a&SYi4�•ttsotts State''1'f`utl�$Jq" �R,�,+� ` ! r rs5oause�fa,r re�oea�tton Qi'�tli�is�filz����:: F .. ✓� �ornrnaricf�fcltii �✓'12�arlaaT��.fae%l�i f =Board of Bmld�ng?Iiegul`7ion5 an"d Standards µHOME IMPROUEMENaT CONTRACTOR � RegiskFation 103757 ExpilationY9t2010Tr#z 2r71033 TKpe'�F�ll tab Cor pora ion , SP�ZV E F1Q,Mm IMPR�Q TvTEf�ITY INS Bra" �Si6t<le t Y x I`993arnsfablQ�Rd .. a...� Hyannis�r`NI�02G01 '� Ak7lmrn�sfrakor -fir r ,� k'�• - .. a, E License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards .i One Ashburton Place Rm 1301 "�A Boston,.Ma.02108 C7 1 Not valid wit out Sig tore i F TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY/DAY-CARE OFFICES r PARCEL ID 308 235 GEOBASE ID 22212 ADDRESS 309 SOUTH STREET PHONE (508)771-5400 HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT - DISTRICT HY PERMIT 31940 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: INE BOND $.00 fr CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY 2 PRIVATE P Q T t HARNSTABM + MA83. i639. A� ED M1`►I BUILDIN O BY DATE ISSUED 07/06/1998 EXPIRATION DATE TOWN OF",Q AM.1.A 8.Ld f r y - �a•�yy T /�r7o• s �+yys �y r iy rR t ,p,eye �r ~ g+' �t p t•.., --µ `lsl'..+RT—IF1 ,.tS. E O . t.r�iC+tf, 'th�9 `,A,,!d kT,'Lf.s ,Rrt;'}' • 'O Fd.CES , '•: _ - PARCEL ID 308 235 GI+;O8 tE� T+D4 ADDRESS'R 5' 303 SOUTH `I?R `- 22212 PHONE 4�:5D )'1 �400 HYANNIS ZIP V' . 4, ;_. ° �Yr7i;�+yA•t�IYK �l�y(�l¢�'• LOT SIZE..�., DISTRICT,. liBA r tMl`�1. r 7. 3194C3 3? 8101 IPT O PERMIT TYPE BCOO CERTIFICATE OF OCCUPANCY CONTRACTORS f Department of Health,.Safety. ' and Environmental Services TOTAL' BOND +" a F CD THE CONSTRUCTION COSTS ,rt° $,00 756 CERTTFIC;ATR 09 OCCUPANCY 2 PRIVATE P �", ,A T,�* HARNSTABLF, s _ y►t{ MASK. wi 46gq. 10� BUILDING-rDIVISION BY T7`�'7C ISSUED' C}'7D5/ID€3 ICIi`�"T(� I DATE :.w THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EW CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.' MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. • ® ® e • 0 2M__ BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I I • I 2 2 2 I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT -1 I 2 BOARD•OF HEALTH I 1 OTHER: SITE PLAN REVIEW APPROVAL 1 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN.BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE'PERMIT IS ISSUED AS TELEPHONE OR WRITTEN'NOTIFICA- TION. NOTED ABOVE. TION. I BUILDING PERMIT Hyannis Main Street Waterfront s &UMTABM : Historic District Commission M 16"3 230 South Street Hyannis,Massachusetts 02601 508-790-6270—FAX:508-790-6288, Application to - ? = Hyannis Main Street Waterfront Historic District Commission in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under M.G. L Chapter 40C, The Historic Districts Act for proposed work as described below and on plans, drawings or photographs accompanying this application for. PLEASE CHECK ALL CATEGORIES THAT APPLY: 1. Exterior Building Construction: ❑ New Building ❑ Addition )] Alteration Indicate type of building:❑ House 'Q Garage ❑ Commercial -Q Other ofZ,griNA4A.LH lta6O e93 A �A2f4(a-� , �`-ioQ6 �ECEsq�-y 2. Exterior Painting:❑ h-a A I c-2GA: c O•a 1614 A /3 3.Signs or Billboards:❑ New sign ❑ Existing sign ❑ Repainting existing sign LE^'?o 2- 4.Structure:❑ Fence ❑ Wall ❑ Flagpole ❑ Other S. Parking Lot ❑ New Building ❑ Addition ❑ Alteration f • (Please see the guidelines.for explanation and requirements) TYPE OR PRINT LEGIBLY ADDRESS OF PROPOSED WORK 3 0 9 S-11T)4 -W. ASSESSORS MAP NO. OWNER 40 WSrNG A-Z'Z Isrn�1Jc-r- C04 P. ASSESSORS LOT NO. j-m S Z 3q d- HOME ADDRESS q(a co r,J . /k.AA e ': TEL.NO. -7-7/ —5`f o o Y 2 -4L-Ja,.►PJ/s FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way.(Attach additional sheet if necessary). 3� (, - //. 1')-) r�2io,J 8 C 001)1 • yo 5KS.4.1 C—, 000y *;Lq1 3 2(, • /z �3a2�✓a �R•..G' <d3:K� V�-�T►,e r�r Sow+ �r, !�iJ�.,.�A�is AGENT OR CONTRACTOR /=. ?A� 0-0 TEL.NO. � 7 / -S-q o o ADDRESS s 0 (-4 A—t-- (p O W . I,I DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done, including detailed data on such architectural features foundation, Chimney, siding,roofing,roof pitch,sash and doors,window and door frames,trim, gutters leaders,roofing and paint color, including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). 5 E e /l� 77-,4 h( C 4 to C- 67-S Signed ���� l" c�� Owner-Contractor-Agent - (4A C Space below line for('om iscion use. Received by HMS V1 J rED JAI 2 0 1998 Date Time 13 TOV F R ASLE y HISTORIC PRESERMATOM 0N. The Certificate is hereby: Approved Disapproved ❑ Date _ IMPORTANT: If this Certificate is approved,approval is subject to the 20 day appeal period provided in the Ordinance. rt N�.Fr HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION ***SPECIFICATION SHEET*** ADDRESS OF PROPOSED WORK 3 O r1 5 o v7-14 FOUNDATION SIDING TYPE V I N`1 W o 017 COLOR W t4+r T-G CHIMNEY TYPE — COLOR ROOF MATERIAL 1' r/3 CvLAss S,H G-i-G COLOR R 6 0 - .a--COO PITCH CAL D Zoo o P.,Tr-ij S 1 -G 1) WINDOW D o u A iC / -u m(r COLOR (j l q , G rGdl i o ti C(1 , s TRIM COLOR W h - n DOORS � G`I W r ���r COLOR C U R/L6�%L� r✓ /� �•c SHUTTERS GUTTERS DECK Iva GARAGE DOORS N r COLOR NOTES: Fill out completely, including'measurements and materiawcolors.ao be,used Three copies of this form are required for submittal of an application',along with three copies each of the plot plan,landscape:plan and elevation plans,when applicable.The Plot plan need not be"Certified",but should show all structures on the lot to scale. 4 R r <t PLEASE SUBMIT THE FOLLOWING 1NFORMATIOk1AND/OR MATERIALS WITH YOUR APPLICATION TO at THE HYANNIS MAIN STREET WATERFRONT HISTORIC DISTRICT COMMISSION. ' THREE(3)OF EACH.IN THREE(3)SETS APPLICATION: All sections must be completed SPEC SHEET. Complete applicable information PLOT PLAN. Show all structures on the lot and any proposed additionstchanges. Certified plot plan for new homes only DRAWINGS: All Elevations and please include Landscaping plans for changes in eristing footprint and in new homes only. ADDITIONALLY THE FOLLOWING MAY BE SUBMTTTED: PICTLfRES: Of area(s)affected;Street view for additions/changes. SAMPLES: Of materials/colors(i.e.color chart) THE FOLLOWING FEE(S)MUST BE SUBMITTED WITH THE APPLICATION UPON FILING MADE PAYABLE TO TOWN OF BARNSTABLE CERTIFICATE OF APPROPRIATENESS $20.00 CERTIFICATE OF EXEMPTION $10.00 CERTIFICATE FOR DEMOLITION OR REMOVAL $10.00 ************************************************************************************* IF YOU HAVE ANY QUESTIONS REGARDING APPLICATIONS PLEASE CALL PAT ANDERSON AT 790fi27o BEYNEW8 A.M:AND 12 NOONM=F i -w 'YEARNING CENTER RENOVATIONS AT 309 SOUTH STREET y ADDENDA, REVISED 1/2/98 GENERAL CONSTRUCTION: 1. Provide hook up to Town water, sewer to serve bath,children's water play area and sprinkler system. 2. Install gas service to building with separate meter. Contact Lester Wade at Colonial Gas to make arrange- ments as he is familiar with this property. 3. Install residential sprinkler system according to code throughout facility. 4. Comply with all requirements of the Hyannis Fire Department. 5. Electrical - install outlets to code, include overhead fluorescent lighting adequate to light all spaces. Install sufficient outlets at each built-in on the first floor to accommodate computer hookup and desk lamp. First floor overheads,excluding bath and crib room, should be switched from the main entrance. Lights in the crib room should be controlled by a dimmer. On the second floor,there should be motion sensitive exterior lights for each staircase, and an interior entry area light switched by the door. FIRST FLOOR: 1. Insulate and carpet floor of main room. Carpet should be 26 z , arp o . olefin, commercial grade, level loop, owner's choice of color with 30 oz. pad. Bathroom floor and sink area should be insulated, covered with ceramic tile, owner's choice of color. 2. Configure main entrance door as needed to permit wheelchair access. Change hardware to accessible handle. 3. Install half bath, wheelchair accessible, with accessible lever handle. Installation should include mirror,lights over mirror, towel and soap dispensers. Bath should meet A.D.A. and Mass Architectural Board standards, using whichever is the more stringent in the case of conflict. 4. Construct crib room with half glass in door and two walls (not bathroom wall). Door should be lever oper- ated with 36"door. 5. Repair walls in remainder of room, paint. Retain built in cabinets. Refinish where needed. 6. Install minimum 75,000 BTU direct vent gas fired heater with two zones, one for each floor. Install direct vented 20 gallon hot water heater to serve bath and sink area. 7. Paint: owner's choice of color. 8. Replace picture window asssembly with two sets of mulled double hungs to match those in buildings A,C and D. 9. Repair acoustic ceiling after installation of the steel beam. Replace tiles, paint, as needed to achieve"like new"appearance. SECOND FLOOR: 1. Install steel beam and supporting members to reinforce floor. 2. Construct dormer, offices and conference area according to plan, including insulation as specified on plan.. 3. Carpet floor with 26 oz. olefin commercial level loop carpet with 30 oz. fiber pad. 4. Construct walls according to general specifications and according to plans. Paint walls and ceiling, owner's choice of color. 5. Construct exterior staircases at each end of the building according to plan of pressure treated wood: Extend the platform, if necessary, to clear exterior first floor door. Access to staircases by steel Stanley door with divided lights. 6 ., 4 T1--1-ro o I-) _ 4/ 73N e,N rJ c.4 ::Z N r.! Imo 7-p /t (4 a T6 //J N x ,y l�. N S <� t �O a (.I-e ,J (1'1�ZsC G_G o 1D �J l IA-11 �o S �_ 4 Co } ' a `s i i `7 7 t }#j S 1 4 t t . I ✓�ie iiJarivntaruuectll�i o�✓�ac«urJel�341,; a DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE ' Number Expires: 4- - Restricted-.To BB ,d! NEAT A PRATT a` I 1 42 CHASE RD ;T E SANDWICH, NA 02537 t V e Y: FIRS & STRUCTURE PROTECTION: P98-01 Governing Criteria: 6th ed. State Building Code -- Classifications: B (Office) & I-2 (Institutional) IAW Paras. 304.1, 308.3. 1 & 424.3.1 - Construction Type: 5B (Unprotected) allowed IAW Tbl. 424.4 .6 - Limits from Tbl. 503 for B & E Use are not exceeded: Area; 720 sq ft <= 7,200 sq ft (enclosed) Height; 2nd story allowed IAW Para. 504.4 - Separations: B (Office) Use allowed on 2nd floor IAW separation requirements of Para. 424 .4.2.2 (b) Mixed Use- Existing Building. . These specify either a 1 hour rated ceiling/floor assembly or an interconnected smoke detection and alarm system Notes (& Exceptions) : Table 602 I Rating I Note ------------------- 1. Exterior Walls; > 10 ft from Property I 0 I i I I 9. Structural Members Supporting Walls I 0 I I 10. Floor Construction & Beams ( 1 I (a) (b) 11. Roof Construction & Supports; < 15 ft ( 0 I Notes to above: --------------- a. Reference Design - Factory Mutual W1A-1 hr (5/8" Fire-shield) b. Para. 424 .4 .2.2 (b) calls for 1 hr rated floor/ceiling assembly 03 a whole building interconnected smoke detection and alarm system EGRESS & OCCUPANCY LIMITS: P98-01 Governing Criteria: ------------------- NOTE: Office of Children allowance of 35 sq ft net/child is more restrictive than Building Code 20 sq ft net/occupant for both E (Education) and I-2 (Institutional) use. E (Office of Children) Occupany (665 net area) = 30 Children I-2 (Office of Children) Occupancy (605 net area) = 17 Children Total for Building Use = 95 Children based on square footage Allowances, Limits & Restrictions: Sec. 424.0 Day Care Centers -------------- ----------------- 1. Overall egress unit widths and travel distances comply. There are two separate egress ways directly to grade from I-2 space 2. Exits need signs and lighted egress pathwayss 3. Exitway doors must be 36" wide I certify that this information is in compliance w/ the prov' sions of the State Building •OF Ascyd 9 O T. VP.RNUM PHILBROOK ------ o MECHANICAL T. VARNUM PH I LBROOK No. 30690 Mass. Reg. No. 30690 A9 9E61STE�� �FFSSIONAI E��'� i Zk . .................................. .I✓.y:.� .r � � j . � �oNr eLevArloN 5 j I....»........ Ca a m-aeF,7 FLAN o P 57 �/�T� - F-IGHrCLmy^rloly rr ------ ---r -------t----------- ---o .... 4 v .Y Mill ' ' ��4�eaoh�p rLOoFe.FLAN uuww me ' w;;..,.....r.�c�.�...w...r.to smT � Leer eLevArlaN A200 ' rr r-•.I_w�u.,�� ra.Y:r."r y..V rrr/wr..rrr.. V _ ' /r"rrr.rNrryr.i •..w1.V rW«.M Vu4rrr. � V . r..+tiwWr •f0 r"o rMn�..Ho � .. VL-Iy-- ,. Iw. N.rrV r4rL.� . 0 r1r�u�rvn,tG hearer 4 CMMIIS IYPE 1l Au rwv.r..rk..o�r,.r•.�or.,✓.ro SWETPARWR FIRE & STRUCTURE PROTECTION: P98-01 Governing Criteria: 6th ed. State Building Code W- Classifications: B (Office) & I-2 (Institutional) IAW Paras. 304 .1, 308.3. 1 & 424.3.1 - Construction Type: 5B (Unprotected) allowed IAW Tbl. 424.4.6 - Limits from Tbl. 503 for B & E Use are not exceeded: Area; 720 sq ft <= 7,200 sq ft (enclosed) Height; 2nd story allowed IAW Para. 504.4 - Separations: B (Office) Use allowed on 2nd floor IAW separation requirements of Para. 424.4.2.2 (b) Mixed Use- Existing Building. These specify either a 1 hour rated ceiling/floor assembly or an interconnected smoke detection and alarm system Notes (& Exceptions) : Table 602 I Rating I Note 1. Exterior Walls; > 10 ft from Property I 0 1 i 9. 'Structural Members Supporting Walls I 0 I 10. Floor Construction & Beams I 1 I (a) (b) 11. Roof Construction & Supports; < 15 ft I 0 Notes to above: -------------- a. Reference Design - Factory Mutual W1A-1 hr (5/8" Fire-shield) b. Para. 424 .4 .2.2 (b) calls for 1 hr rated floor/ceiling assembly 03 a whole building interconnected smoke detection and alarm system EGRESS & OCCUPANCY LIMITS: P98-01 Governing Criteria: ------------------- NOTE: Office of Children allowance of 35 sq ft net/child is more restrictive than Building Code 20 sq ft net/occupant for both E (Education) and I-2 (Institutional) use. E (Office of Children) Occupany (605 net area) = 30 Children I-2 (Office of Children) Occupancy (605 net area) = 17 Children Total for Building Use = 95 Children based on square footage Allowances, Limits & Restrictions: Sec. 424.0 Day Care .Centers --------------------------- 1. Overall egress unit widths and travel distances comply. There are two separate egress ways directly to grade from I-2 space 2. Exits need signs and lighted egress pathwayss 3. Exitway doors must be 36" wide I certify that this information is in compliance w/ the prov' sions of the State Building "OF �gsscyd. 9 T. VARNUM � PHILBROOK .. ------------------- o MECHANICAL T. VARNUM PH I LBROOK No' 30690 Mass. Reg. No. 30690 A9 9EOISTER�'G�``�� ��FSSIONAL E� ............................. -.... --r '^ a FRI �' \P9IL�PLOO�PLAN x .................................::.. ,FIA, --------------- ii -lilt rm �O •Vr.w. i Z d 0 w.....w f 0 p9AyrA r1 e t_el-r ea_ovArloN SMTMRSM A200 I` ,.•q....r...hh.i .. yrl.�.M.rY.r ..��1 U ........✓.......Y........., lei .+..,✓ _..rrY... . =r-;.w..jr JrN'_~Y.ry wlwy..� put-vtNG�CGTbN it �Zt SWrrNLWKR �i TI1r Cunnrrutrll'euhlr of 1fussuchuticttr %r•• �- _ DeIrurtrrrcrrt njludustriQl.4ccidetrts 608 11 4-1hbigrurr street Bustarr.MUSS. 02111 Wurlurs' Compensation Insurance ARd:avit � iic::ntinfnrnta inn: •--- - -- - - Inc nn I am a homeoµ•ner perforr;in_ . 1 work myseif. 1 am a sole proprietor and !rave no one workin-L in anv capacity rV 1 am an -nipiover providing workers' compensation for mp employees working on this job. y ltirlrr<e e 60 1 elA � nftnnc#. in nr^nrr n nnlirv0 —/3[ ar z soic props ie:or . men contractor, or homeowner tcircle oriel and have hired the cont�c:ars listed bei0` he ;he oilo�vin= workers' ;.cm=nsa:ion police:: cmm�'1-1� '71rn('• 1rltlrrcc• . a in,"r--trr rn ._..._._ .._ ..—.—....... ..»—ter.—.- —�....�-- ;trl t!rr<<• f1TP• - nhnne�' _ in��rr^•tic rn neiic�•� _ Atr:^.auditio_nsisneetifnrtesaan---,;,�...-;..� :,�.:::__:• ......�:,;....... •._..___.. '_.......,..,—._..._,._....;_ ..—.__•_. F:,nurc to secure cuvcr.icc as rcotrrrcu u uer ection'_SA of AIGL 1S3:aa lead to the imposition of criminal penaiues of a line up to S1.!OU.UU anu:r. unc I.cars imprnnnmenr:t.% wcil as civil penaities in the form of a STOP NVORK ORDER and a fine ufsloo.00 a da} against me. 1 understand that-- cop} t,i this aatc:ucut mat be funtardcu to the OlTce of invcsticztions of the D1A for coveritge verification. l uo i:rrcbr ccriir urtrie file prrirrs a rd p ra ies of perjurt•drat the itriormariort prorided above is truce and correct. Date d — _Phone 9 le otTtctai use univ do not write in this aria to be eompicteti b� cin or town olTiciai t city ar:nwn: permitilicense d r—tluildin_Department r rUCcnsin_ Huard Selectmen's Ufticc r- - cncc>; if im:ncdiatc respunsc is revuircd C — [tleatth Dcnartmert phone t:• -Uthcr Information and Instructions Wssacf;usetts Gene—if Lzws chapter IS'_ section _'S requires all employers to provide workers cnmrr::sa:icut ;;. entnlovees. .4s quoted from the "law-. an cmzph rer is defined as every person in the sun-ice of another undo- c011.1.1_= of hire, express or impfied. oral or written. An em piarer is dcfinccd as an individual. partnership. association. corporation or other legal entity. or any M10 or the fort zainu cn__a_%:d in a joi,ht enterprise. and including the le�`al representatives ofa deceased cmpiove: or:;:c rcCC:vCr or tntstce of an Individual . pnnnership. association-or other legai entity, employing employes. Ho.••e�' m+•::er of a dwelling house Navin_ not more than three apartments and who resides therein. or the occ-rant of:he d%%cilin`_ house of another ilo employs persons to do maintenance ;construction or repair work on sucih dive flin or an the _rounds or Building .:ppunenant thereto shall not because of such employment be deemed to be n em-r.: MOIL Jiarltcr ! section :5 also states that even,state or local licensing agency shall withhold the issuance c. 1.al of a license or hermit to upertte a business or to construct buiIdingr in tine commollAvezlth for uny c::ttt Who (has not produced acceptable evidence of compliance iirith the in co TV required. neither the commonwealth tior any of its political subdivisions shall enter into any contract for:he acr:--:rmc::ce of public work until acceptable evidence of compliance with the insurance requirements of this C:=-7- hc2n ,:,rc::c::tcd to the contrc:ing authoring. a{:i:iic�nts P;zcsc .'iii in the workers* compensation affidavit coJnpietely, by checking the box that applies to your situa:icn c: sUE-7. in_ =otn"a:h%• natncs. :ddre�s and phone numbers as all affidavits may be submitted to the Department of :ri:i .-\ccide^ts for comirmation of insurnce coy era_e. Also be sure to si;!t and date the affidavit. Zite .z•.•it _fcuid be returnezi :o the cin, or town that the application for the permit or license is being re r ::hc Dcca^ahe::t of Indus:r iai .-\ccidents. Should you have arty questions re_ardine the "law"or if you are rer'c: %.•crkers cocnpe^sZtien policy. please call the Department at the number listed befo,.t,. Cite )r Fwxns �e urc :ha: :he affida� it is compiete and printed legibly. The Department has provided a space at the bon::T. ti:e 'aztvit for you to fill out in the zvent the Office of Investigations ihas to contact you regarding die applicant• to till in the permitiiicense number which will be used as a reference number. The affidavits may be recur-:: :e De=rtment by mail or IFAX unless other arrangements have been made. re fi:ce of Ins estivatJOJ]S ,vouid like to thank you in advance for you cooperation and should you have any ques: .asc do not hesitate m uive us a caf1. 1 i ,-,n !2 Decarent'S address. to:ec-ihone and fax number. The Commonwealth Of Massachusetts Department of Industrial accidents -: :- Office cf Investigations -} 600 Washington Street Boston,yMa. 02111 (617) 72;-7749 �'r,une =. 6 i'-', --'900 406. .109 or , , y� �-..��,N w iyle•1a2v:� 1t?`.iJrQ:ssa.Ux.l%&.<.�r.a P-L'-se 4se;.no�x.t"•_ '-,' fie �anvnzaacueall� a�✓'�a�aa�utet7:: DEPARTMENT OF PUBLIC SAFETY .; CONSTRUCTION:SUPERVISOR LICENSE ' +; Null erAM— v Expires: ' _v . .,.._ Restrtcted o BO =s NEAT:A PRRTT . 42 CHASE..RD' _ E SANDWICH, NA 12537 f 10 �n�aldfiySy✓�aaaaa4 GNOME IMPROVEMENT CONTRACTOR ReOISWti0nEJe'103690 r �. Type'7,VDBA Y N, �"•trT""S�j�� E pirat on��V/09/98 . EAL A TT :'CUSTOM BUILDE Nealp:"Pratt �' RAT°R E San+�dwic�h MA 02537�}`�`, x� • .i�a�rs �'�✓ tr"+'(�4vT'�$^A7i S4f5 Y 7. x�� OD RECYCLED PAPER Contents:40%Pre-Consumer•10%Post-Consumer Page No. of c Pages 1 Q �tt 0 & S REFRIGERATION HEATING & COOLING P.O. Box 750 CATAUMET, MA 02534.0750 (508) 563-1010 (508) 759.9272 PROPOSAL SUBMITTED TO EPHONE DATE STREE NAME CITY,STATE and ZIP E JOB LOCATION 02.��3,7 30f 7. A�*VA14�4 ARCHITECT DATE OF PLANS JOB PHONE MP PrOPOSP hereby to furnish material and labor—complete in accordance with specifications below,for the sum of: M ) Payment to be made as follows: dollars($ All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from specifications be- Authorized low involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire,-tornado and other necessary Note:This proposal may be dl insurance.Our workers are fully covered by Workman's Compensation Insurance. • withdrawn by us if not accepted within C� days: We hereby submit specifications and estimates for: . s .. Cl ILI )_ � �: ..._.. . . _. ... . . rzr� ..... �� , __ ................... � � ........ ........ ?-� ..... :. �;�� �. .^L% � jf��. �� 1 .. ....... ............ . . . ......... ............... 1 fy�..... _ ..__._ . . . ........_. _ .... ......_.... ............ _ .. ...._ . .... .... . t _ ___ ....... ............................... .. ............ .................. . .............. ... ............ .................................. ................. . s _. ArrPptunrr of Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. -Date of Acceptance: Signature RECYCLED PAPER - g� Contents:40%Pre Consumer•.10%Post-Consumer Page No.. Of Pages .. ra o�ttl ; 0 & S REFRIGERATION HEATING & COOLING_ P.O. Sox 750 CATAUMET, MA 02534.0750 (508) 563.1010 (508) 759.9272 ' .PROPOSAL SUBMITTED TO PHONE W- ��. � DATE STREET /� JOB NAME /v�,� s�sr,- C�o`L� CITY,STATE ZIP�'' j�JI AI— /"" �+J 3/ JO3dA�N SO V 7—h. ARCHITECT / DATE OF PLANS JOB PHONE We Propose hereby to furnish material and labor—complete in accordance'with specifications below,for the sum of: z Y 4 dollars($ ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a.workmanlike \a� manner according'to standard practices.Any:alteration or deviation from specifications be- Authorized - low.involving extra costs will be executed only upon written orders;and-will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner.to carry fire, tornado and,other necessary Note:This proposal may be /} insurance.Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within, days. ` We hereby submit specifications and estimates for:: Z lip b N. tt _ x �. 4, Arreptunre of PrupDR11 -The above prices,specifications-v and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work'as specified. Payment will be made as outlined above.. ! r Date of Acceptance: Signature Engineering Dept.(3rd floor) Map c�QY Parcel Permit# - �2 House#: 4 Date Issued ,�! _190 90 _ F `� e Board of Health(3rd floor)(8:15 -9:30/1:00-4:-V /—I L-i r Ar_ ► �/ �`� Conservation Office(4th floor)(8:30-9:30/1:00 2:00) r,,,,. �, NsNRERINC PQA11rOar�.4 SEAR SUCTION DIVIsm RO Planning Dept.(1st floor/School Admin. Bldg.) t Definitive Plan A k o ed by Planning Board 19 i -11 .f, BARNS' LE. �- �> r. . MASS ' : _ TOWN OF ARN5TABLE rEo10 . . t 4 t � Building Permit Application _0� g o r Project Street Address _3v IF Village Owner e��//i�d 16 Cam/)�2 Address 1/ lid• �Q�Lc S�✓� /X V Telephone $' ' 7 - 5 40 Permit Request 4,PVY".6-e "�is�>IU� 9,57 `,Y / 0,04e jl rze 426A)6- Ir sic, -,First Floor square feet Second Floor S 02t S square feet Construction Type I P )oe — a� oa Estimated Project Cost $ ' 2o?, Zoning District Flood Plain Water Protection Lot Size h Grandfathered ❑Yes ❑No ' 'L DwellingType: Single Family ❑ Two Family ❑ Multi-FamilY(#units) T,l�� +''V P P77111x r Age of Existing Structure Sd f Ykl;; Historic House ❑Yes g No On Old King's Highway ❑Yes ;�(No Basement Type: ❑Full ❑Crawl Walkout Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Aepy.?- Number of Baths: Full: Existing New B Half:' Existing'- New No.of Bedrooms: Existing cO New O Total Room Count(not including baths): Existing Z New _�First Floor Room Count z. Heat Type and Fueh 5(Gas ❑Oil ❑Electric ❑Other Fo j G Central Air ❑Yes P(No Fireplaces: Existing New O Existing wood/coal stove ❑Yes ONO Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) $None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial @*Yes ❑No If yes, site plan review# - r Current Use Proposed Use ,1 �,t»i W1 L',o yv�� 4- a �/ CAS Builder Information Named (— jq- > J Telephone Number s?) Address L (, /'�s License# ®3® 90) 21&62 / e 141, /'�� Home Improvement Contractor# 1 Worker's Compensation /p Z, 20_ly 9 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. "- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUREIva DATE Z BUILDING PERMIT DENIED FOR THE FOLLO ING REASON(S) . FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION- FRAME INSULATION - y FIREPLACE I 3 t ELECTRICAL ROUGH f FINAL PLUMBI ROUGH FINAL ' GAS: n ROUGH FINAL' - FINAL BUIL`-DI_NG cr DATE CLOSED--OUT. / ASSOCIATION PLAN NO. der . r TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 308 235 GEOBASE ID 22212 ` Yr ADDRESS 309 SOUTH STREET PHONE (508')771-5400 HYANNIS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRTCT 9 PERMIT, 23933 DESCRIPTION WORK COMPLETED ON BLD B UNDER BLD PMT #2386811 PERMIT�JYPE BCOO . TITLE CERTIFICATE OF OCCUPANCY � I CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEk5.= I BOND $.00 px CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARNSPABLE. + MASS. OWNER HOUSING, ASSISTANCE CORD ADDRESS % MICHAEL PRINCI WYNN&WYNN ED M1� 310 BARNSTABLE RD BUILDII IStON �" HYANN I S MA BY , DATE ISSUED 06/23/1997 EXPIRATION DATE Engine ring Dept. (3rd floor) Map;... 3,oD Parcel Q -'S S � Permit# House# 13 o g A Date Issued 9'9 DP2 54--) •B6ar4,@ft19Mff(3rd floor (8-15-9:30/1:00-4:30) gO ? "D Fee ,5 d • 8-D Conservation Office.(4th floor)(8:30-9:36/1:00-2:00) D rl T -� Planning D t. 1st floor/School Admin. Bldg.) �ZHE,gy Defi tive P n roved'by Planning Board 19 r • BARNSTABLE• � TOWN OF BARNSTABEE Building Permit Application Pr 'ect Street ress 3 0 9 '5 0 v � r L2 l �of Village `Y A�AJ A!! 5 Owner 1-4o w 5 G A-0 Se's 77VJ or. Co t P Address Al 6,0 W , RA <4 Telephone 1-7 OCR Permit Request (2_0 V 6 TJZ,f!c_r— Ad 6 7'0 96 P.�. L� x i s 1 rA G i� � �� P �t'aa-i S I t2 CIS e) M A�4 e X 1 s c, -1 F CAI c . First Floor square feet Second Floor _ square feet Construction Type Woo F 0&M g Estimated Project Cost $ , o o 10 Zoning District R a Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure / S® y 2� Historic House Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type �►j Full ❑Crawl ❑Walkout ❑Other �/ Basement Finished Area(sq.ft.) ��" Basement Unfinished Area(sq.ft) py. Number of Baths: Full: Existing.g P/ _, 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 0 New CD Existing wood/coal stove ❑Yes No `Garage: ❑Detached(size) — Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial-p Yes ❑No If yes, site plan review# S P R d 1 ®LJ - Current Use `111 U r•Tt • P-R M +pk_. Proposed Use MUJ 7-1 - P-r4M i 4'�c J Builder Information Name GA-z- A . PR_XT Telephone Number r ga • i 20 4 Address C 1+A-:s r-_ 20 Nb License#_ <Z) 3 ®f p 1, �=', nA^J p W t cf--J P N A Home Improvement Contractor# 1 0 :3 (9 9 b 0 2L S_ 3 Worker's Compensation# d,ke 1 D 2 `7 o (�9 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE2LZ DATE � �2�, BUIL r II\G�PERMIT Ro tOLLOWING REASON(S) y 0 T FOR OFFICIAL USE ONLY - PERMIT NO... .. DATE ISSUED y i MAP/PARCEL NO. ADDRESS •VILLAGE - - -, OWNER DATE OF INSPECTION: / FOUNDATION FRAME INSULATION , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. j M1— ; J UL._UL—70 1 V G 1.-. GG l _M_ • ...�/.ii,c..tt �.� - • • - �. �j1:YQ >�f � '1' �'l �.� _C� 1)•:rt. �. � r ,- . .�!D•�•.b:f•' r.-!, •t.. 'Y•• � F. YtrT�i.,�1C�:��'1� .> t`f••,f�'�. /.1 " •. •..i F• ,-• v�l.!-'•'�' ♦, ap i. —I kT lj P r i Z �•. x _ Q 6 ^ O o � a Lo C .'�y, -•J icy i �� �; �(aw"./ ; 44 1.>.t'•��\I•• ' �ti •\ �•�' 1 _r /� '�• { 4 "{/`lam •,'•sdo* JUL C:✓ CA 07- G4AA/ - n\':•"�✓._:ate'.^•_•,y4•.fJ �.,•�.r/�' ..�•.•-�✓i•i� V��I.'G /q.�.��^`T/HL�SIJ�. Comments."=`','„'-.......... sze�nz�al.axtiax::exzPx ,�. .�.. � '� ` .._..�... _.�+L-..t.�v..�.+.-Y- "c-'•'L�.•�.-..J..�\tl•t.:.1�'�.J. � ,. . . •.i�.17.�..�..n'.jA. rT'�'� Io O0 3 $ m s A c.aM1a m � l /���xis1 inq hT6 ONl7 FLOOD pLJ4N .....,...w• o0 etc O o.,o o0 ED K m 3 6 ----------------------- ------------ _.. Pr�..�.r g$iF!p3 iGiGiG G '•« ' �i r..w..J,,..0 ...y oo ro6ale: 1/4" 1'-O" 1 �Z�.vd. GONE. UG 10 �L 11 N1NC1vPE. _. _ r� r N �Yp.TION °� w•.• rPant How. Not.: ' wrr.T.•�•r.P�.Mr,,, AIIHMu'.m.M61 PIm.nglpM.rs to ' b...H....r'Fi.d by 4.nvwl GoMrw.tcf RNUMOEO: at time cF amvtPuat'wn G�00 • +`-• The Commonwealth of Afassuc h useav Department nt of Industrial Accidents Oficeo/Investigations `� iiw tw I . 600 11 a.vhim;tott Strcct Bovo►t, Afa.vx 02111 Workers' Compensation Insurance Affidavit i li ant information: Please PRINT Ie�i�l j . b name: location: cit%•_ nhone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity . .. -.y- «._ww_.�:7nM..�.t�IV�,T„l'T.�T.•./'�:!I.7:_iITT...wow,✓w+�.�.,�Y.��.+.�ww�.w.niwY^'.'....a 7!.,.Y...w..�.�..�M..._....—_w..... Cj 1 am an emplover providing workers' compensation for my employees working on this job. conmany name: address• • t city: nhone#• insurance cn• noiicv# [) I am a sole proprietor. general contractor, or homeowner(circle are) and have hired the contractors listed below who have the followin_ workers' compensation polices: comnany name: address: city: Phone 0, I insurance Co. Polio•# comnnny name: address- nhone#• insurance co nolicv# .Attach additional sheet if nccc"-'-w- %_ '�T �: .ram" �-' -- ---... "• - =..r..�:: si:ti •.�s i..:n. Faiiurc to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S'1.500.00 andiur une%ears- imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement ma% be forwarded to the ORcc of investigations of the DIA for coverage verification. 1 do heretic certif-trailer the pains and penalties of perjuq that the information provided above is true and correct. Si_nature Date Print name Phone .y�T •r+�rr official use onh do not write in this area to be completed by city or roan official city or torn: permit/license it r tBuilding Department Licensing Board [ rr I]check if immediate response is required Selectmen's Office f. k.. E311calth Department contact person: phone#; r jOther Inform tion and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thci employees. As quoted from the "la\\`. an ctnploree is defined as every person in the service of another under anv contract of hire. express or implied. oral or written. An eynph rcr is defined as an individual, partnership, association. corporation or other legal entity, or any two or more the foregoing cn,Za�_cd in>a joint enterprise, and including the lei-al 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 dwcllinu ho, or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: 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 an• applicant who leas not produced acceptable evidence of compliance with the insurance coverage required. Additionaliv. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter I- been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 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 requires y, please call the Department at the number listed below. to obtain a workers' compensation polic City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o. the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Ple,- be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to give us a call. . _ r..y...-.-...-_... ...�_.--..:...... ..-.w..v.-�.•.:-_t.�.v--n-,!_...--....-..n•r*w.•.+.�w•a...w=.....:.. ... w—�..•pa.c.w..r�.ww■.9*'- M -^- The Department's address. telephone and fax number: The Commonwealth Of Massachusetts ,. Department of Industrial Accidents Office of Investigations 600 R'ashinaton Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 r GTE-���' �✓�'�°°�z"� I: \ DEPARTHERT OF PUBLIC 'Al", 4' CONSTRUCTION SUPERVISOR LICENSE CS... Restricted:-,To"., to . _MEAL A PRATT 42 CME RD 02531 SAADWICH, HA =HOME IMPROVEMENT CONTRACTOR Registraion' 43690P^ U .` n TrpeeA ♦ , x` Eipir tloit 0.7/096 ` ` 'f; NEAL k PRATT, CUSTOM BUILDER fs� tNeal A ':PrattL noMlNlsiRnloR Sandwich MA 02531 : $ wt F ' s�s t�k .T .•:;TIC i iF PENTAMATION--------------------------------------------------------- 07/03/97 PERMIT NUMBER 23868 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC COMMERCIAL ALT/CONV DESCRIPTION REPLACE METAL FIRE ESCAPE W/WOODEN STAIRWAY :i CONTRACTOR PERMIT FEE 50 . 00 VARIANCE Q STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE 1 3 APPLICATION 06/19/1997 EXPIRATION VALUATION 2000 . 00 DATE ISSUED 06/19/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT Lk e� o 0 a JJ ty �f PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23868 PARCEL ID 308 235 PERMIT TYPE BREMODC COMMERCIAL ALT/CONY DESCRIPTION REPLACE METAL FIRE ESCAPE W/WOODEN STAIRWAY MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN BFRM BINSU PRESS ESCAPE TO END DISPLAY PENTAMATION------------------------------------------------------------07/03/97 PERMIT NO 23868 't PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC R� DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID COM FLAT 50 . 00 0 . 00 50 . 00 TOTAL CHARGES FOR PERMIT 50 . 00 CTRL-O UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT En -ineerifi Dept. 3rd floor Ma g Parcel ��^ g g P ( ) P `Permit# _ HHoousse# 130 IF- f Date Issue 6 / Bba�(3rd��or(8:15 -9 30//100-4:30) 9-0 Cb P�J Fee 3 Dd Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) G J/ ' Planning Dept.(1st floor/School Admin. Bldg.) THE Defin' iv n Approved by Planning Board 19 • TOWN OF BARNSTABLE Building Permit Application Pr 'ect reet Address 3 00 Sou°Tr4 C.-Of�C.l- Village 14�=j t,,J ki 1 Owner Llc AsrtvG A-6S1sT7t-wCr,=, C.es&P- Address (oO ti , 46y'_4 -hc, Telephone '7'7 !- S y �— Q Permit Request �►uo0r.1, ® �1` SCE f�u I- i�i"N Co ( AJ-d ®2 OdA- C►l A C cr.sS' , 64G 4 First Floor square feet Second Floor square feet Construction Type fN 00 D (, 2A�-Atilt. Estimated Project Cost $ v� 0 ® o Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family Multi-Family(#units) Age of Existing Structure /00 4 RS Historic House ❑Yes _'N No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl. ❑Walkout "'�Other 2 P,c r-,a-z_ _ 0 2 q w '_ S P A-?- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing U New C— Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing_ A New First Floor Room Count Heat Type and Fuel:-"3 Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes --QNo Fireplaces: Existing CD New Q�) Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) _-t3 None ❑Shed(size) " ❑Other(size) `f 9 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ . Commercial Yes ❑No If yes, site plan review# i o`4 - 9 b _ Current Use F C,f-:L O Proposed Use &6 fZ k m N G U rJ L'Y Builder Information Name �,J EA-z R P R-A-5-"r- Telephone Number 20 to Address 4 Z C ld'YkSE (Zo AO License# 'pg 1 lk-4 4 Home Improvement Contractor# O A S-3 7 Worker's Compensation# �,ej,i o rn , W C 10 2 7 0 b NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. o ALL CONSTRUCTION DEBRIS RESULTING F OM T S PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 0 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED - - r MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION _ a FRAME _ r 1 INSULATION FIREPLACE i ELECTRICAL: ROUGH t FINAL PLUMBING: ROUGH FINAL- GAS: ` ROUGH FINAL FINAL BUILDING ` Z( - i�' AJ DATE CLOSED OUT ASSOCIATION PLAN NO. t - The Commottivealth of Massachusetty AT i -•-. 1;_-: Department of Industrial Accidents a '� ,,, i OffICe#M7iestfgZI1Bos \ ;"' =r 600 fi uAinrtun Street Boston.Alas. 02111 Workers' Compensation Insurance Affidavit i li tn int rm t n• Pl P JVnon . , Lticition• Z2, �-� CM, Z24 Chone 0 I am a homeowner performing all work myself. i] I am a sole proprietor and have no one working in any capacity I am an emplover providing workers' compe ation for my employees working on this job. (7om tanv name: L /ce ," address city' i a hop #' insurance co. policy# 7 1 am a sole proprietor. general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnanv name: address• cits•: phone#: incur-ince ro. nolicy# _ .t.::•-... y.. - _ +'rY.. •- - -- -- -ram----:�:.-�.r �T•'r�w�,.;y- ...^�^•-_- _—_....►.r.....�...._...-..r' comnans- namr: address: city: phone#• II h insurnnce co ` noliev# (,'',,6, I-to.?/ C) Attach addititinal sheet neCCSSatx� :� -di 7�77 �"`ir. -- --_.. •.:.��T - =r�...�.i Z�ti Jr •--�+..- .aur?.t'a�u.w.:.�i+x: Failure to secure cuveraim as required undcr Section SA of NIGL 152 can lead to the imposition of criminal penalties of a line up to$1.500.00 andior one N cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be fornarded to file OMCC of Investigations of the DIA for coverage verification. I do herehv ccrrif-tinder the pare•and • allies of per'un•that the information provided above is true and correct. Sienature Date Print name 1; _ Phone# 17c rr official use unIy do not write in this area to be completed by city or town official * ,� cite or town: permit/license# r113uiiding Department �Liccnsing Board if immediate response is rcyuircd selectmen's Office C3I1ealth Department contact person: P hone#: r'10thcr reaaea 3:^?P1V Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted from the -law-. an enlplqree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. , An enrplurer is defined as an individual, partnership, association. corporation or other legal entity. or ally two or mor the foregoing enflaged in a joint enterprise, and including the legal-representatives of a deceased eiiiplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However th owner of a dwellin(i house haying not more than three apartments and who resides iherein.-or the occupant of the d\\--cllin�,, house of another who employs persons to do maintenance , construction or repair work on such dwelling do or oil the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe 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 eliter into any contract for the performance of pub Iic-work until acceptable evidence of coin piiance.with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. ,Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town',tltat 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 requires to obtain a Nyorkers' compensation policy. please call the Department at the number listed below. City or rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom c the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. Pie: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questior please do not hesitate to uive us a call. r•'y.--.-+...,... ...__.._....:...-- •.-.............rw..:e....�.v..--v�.�....-.....-.+�+.Rw.�.r...+_aaww.wwRw ,.—"-•.-.w, - Y Tile Department's address. telephone and fax number: e The Commonwealth Of Massachusetts y Department of Industrial Accidents Office of Investigations -- 600 Washington Street F Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 JVL—GL—JO / VC 1-� _LV t�ItiK(- • .-..-r••.•�n ,- ••� __ - •-•� 1 . ceo OAS ` � - --�Vic: �`��,:•�• � /� _ le ck o 116 lip CA oc, CL 41, 194 CIDMMd*n IS'. 'f. r/l: ji- � •�"vim ti ::+F(i,����J. f Y.t�-<!w''iC'�I rI•,w. Yh''�-f:••• :�'.♦ .. t u.'G�ic:_ �'� � �•'"'' ail= :•�`.��L"S r-GCE ' - /w'S-'•'�✓..:a•..•w._1.YQ f-� w'i^'r/�• w•-/✓i•i' V��r G /Q.�:•�•��'/-i L�Y�'. YI..Old Mg.A.flubatant�aL.c�rlisz•.�exx�z Z.'�"�►,4. ,,�,- �yy� _l: f .. .. _•gt.wti•t•Y�`,�. •Y1�y�1.:•i'•�i�_V J.'ry:1'�.•..L'�,)•i.-1:•. vim. � •�.����•���..A\\/ t•f"1 0 e•-o•x�o-a• ° t f. �Exi.skin9 FI'�—yJj"FLOOD�'L#.h� �e11'' '� i d �r s = z EEiF�L Y p o Y o 'e i •�E u-o- -m Effyas ° • �a� x •ip oR,wENc nrE: P.D.puildnq ��FI��T FLOOD-pL�t.� �..na.ar�onPi.n. �.a, hrbUil+Ptocr Pl.n. wale: I/4" t'-O" hn h.+ manr.�Dima�s�o,».u•.+o b.sirs�arifiad by Ganard Gontrwr.+a LiEA r✓UMBERi .t+im.of aon.+YW+Ipn A 9 00 I -76 ��J����� c■ � to.• k r �0 s � S �r �t��Cxiskim 1 yCGot�P'LOO�PLAN_ t .4 O 0 5 �---- a � ��hBGaNP f-L V PLAN ouYiHc m.: hGala: 1/4"• 1'-�" t � P.O.Pugdinq p.anovwF'wn Plwns NWa: A.--bud+rL—Pl— � All ryw. maM.Ivimwn.ions wrw+o ' ba srtw K�iwd by 4anwr..l GOMr.efa 1HFR NUMBFII: wt flma of ew»,Kuoflon i A 2 01 r , • r DBPARTHBAof IC SUETY LICENSE COASTRDCTIOA SUPERVISOR Auaber, .. Bzpires: . ! Restricted T'd'. 00 REAL A PUTT 42 ME AD 02531 B SAADWICH, KA r a r a:�xsx uQeQ3 -HOME IMPROVEMENT CONTRACTOR , ;:Registration 103690 7 , Expiration O7/49(98 • tn4?z ` NEAL A`. PRATT,'CUSTOM.BUILDER T 'A. Neal A "Pratt E Sandii'ch MA: 02537 _ b , f , PENTAMATION------------------------------------------------------------07/03/97 PERMIT NO 23869 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID COMVALUE 0 . 00 213 . 50 213 . 50 TOTAL CHARGES FOR PERMIT 213 . 50 CTRL-0 UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT a � Z PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23869 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC COMMERCIAL ALT/CONV DESCRIPTION REMOD OFFICE TO 2 LIV.UNITS/l WHEELCHAIR ACC CONTRACTOR PERMIT FEE 213 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE 1 APPLICATION 06/19/1997 EXPIRATION VALUATION 35000 . 00 DATE ISSUED 06/19/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT �i PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23869 PARCEL ID 308 235 PERMIT TYPE BREMODC COMMERCIAL ALT/CONY DESCRIPTION REMOD OFFICE TO 2 LIV.UNITS/l WHEELCHAIR ACC MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN _ BFRM BINSU PRESS ESCAPE TO END DISPLAY 2(3, 5� TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 308 235 GEOBASE ID 22212 ADDRESS 309 SOUTH STREET PHONE (508)771-5400 HYANNIS ZIP -- I�LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 25390 DESCRIPTION WORK COMPLETED ON BLD D UNDER BLD PMT 11237441 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY ARCHITECTS: : Department of Health, Safety ARCHITECTS and Environmental Services TOTAL FEES: BOND THE CONSTRUCTION CASTS $.00 753 MISC. NOT CODED ELSEWHERE * BARNS!'ABLF + MASS. OWNER HOUSING, ASSISTANCE CORP i639. ADDRESS % MICHAEL PRINCI WYNN&WYNN FD MICI 310 BARNSTABLE RD HYANN I S MA , ,t ,�°' - - BUIhDING DIVISION i DATE ISSUED 09/03/1997 EXPIRATION DATE BY ��, Engineering Dept. (3rd floor) Map_ "30 Parcel Permit# ' S House# O Date Issuued -7 Board f Health(3rd floor)-(8:15 -9:30/1:00-4:30) , S ee !� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) 1 4 ni Planning Dept. (1st floor/School Admin. Bldg.) �tNE Definitive Pla Approved,by Planning Board 19 ; BARNSTABLE. ` TOWN OF BARNSTABLE lfDMA�� Building Permit Application Proj ct Stceet Address 3 c� 9 S o Li�=1 �� _q � Village �J y Arm S Owner No os'/,S G kK)S 7-?N-N CE C0 P Address (ate �,,� /�/N S C". f�J�4►J D.l� Telephone �6_0? - -7 -7 /- o D Permit Request 2 tih CS-- i 7--) / D(7 -1N,,tM E 0_ 4 8&" -RE P 1-. rc, E'r n , C-s c. W/ P �r woo p First Floor square feet Second Floor square feet Construction Type W 150 0 Estimated Project Cost $ 16 ! O o O Zoning,District (Z Flood Plain Water Protection Lot Size Grandfathered ❑Yes 'U No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes "'W 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 a New_� Half: Existing New No. of Bedrooms: Existing L4 New / ( Total Room Count(not including baths): Existing New �_First Floor Room Count `0 Heat Type and Fuel Gas *Oil 'N-El 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) '�W None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercials Yes ❑No If yes, site plan review# P O`-/ 9 _ Current Use G-P-0 U P E Proposed Use /Z-G U O VA4 e- Builder Information / Name N 64-4- t�2/a-�T- Telephone Number Address 1k`Z- CHA-5 E fLo PO License# 2) 3 b � O 8 W t ct.,l 14 Itl A Home Improvement Contractor# O 3 b D 2 Sri Worker's Compensation# W C. to-1- 7 4 6 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 12 SIGNATURE A Y - /�//)a/ �, DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) i 3 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED — MAP/PARCEL NO. , ADDRESS VILLAGE — s OWNER - ~ DATE OF INSPECTION: FOUNDATION t FRAME _ INSULATION FIREPLACE ELECTRICAL: ROUGH f. FINAL PLUMBING: ROUGH FINAL GAS: ROUGH }FINAL J FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. t Assessor's Office(Ist floor) Map 0 S Lot v`�3J� �Js Permit# - ConsIL ervation Office(4th floor) ��, SI f 4(c, Date Issued- ' —WO S ArGLT Ala, - � 3rd floor)(8:30-9:30/1:00-2:00) $� `] t` S Fee Engineering Dept.'(3rd floor) House W .30 1 r f Planning Dept.(1st floor/School Admin.Bldg.) SMARN BLS. Definiti 1 Approved by Planning Board 19 TOWN OFBARNSTABLE i - Building Permit Application Projec reet Address 3� lid Village Owner S r Address 01A .Telephone _57?1 77f-' SX©e) _. Permit Request 13GY�G ��� _4;1(f10 r�,�r Total 1 Story Area(include 1 story garages&decks) square feet W1'fl. f�/'e�x Total 2 Story Area(total of 1st&2nd stories) square feet (�G�(, - Estimated Project Cost $ " S'S 40 Ob Zoning District Flood Plain Water Protection Lot Size Grandfathered .. Zoning Board of Appeals Authorization Recorded Current Use &2EL S� /" oed2 �,�fPvk/l. Proposed Use �-c�Yyt P - Construction Type_ Fyd, •� Commercial tr Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure�����_�7a ; . Basement Type: Finished —.,.,.Historic House Unfinished EOld King's Highway D umber of Baths y No.of BedroomsXjs j�iL , Total Room Count(not includin baths) First Floor Heat Type and Fuel (.� Central Air Fireplaces WMI Gar a e: Detached _Ar Other Detached Structures: Pool 'y /V Attached Barn i None Sheds Other ,Builder Information Name Telephone Number S-D -' Address License# D 3O 47P Home Improvement Contractor# J t)3&qD ©a S Worker's Compensation M - Ly e_ 10 70 4 7 7 , NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DAB j BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) -Q-� �✓L- — tea. �ILIK '—ftial. sue' P.� Gxiskin h�GoNl719-0o PL/I•N ' ��� i �o•-r% -r• I 3 C ra ------------------------------------------- ol i V Y , 4 , fii tj u aropxn, - .,i...r ouMr"e rrve /.,-Wilt Pb,x pl..nr j• Not,: �."n,NAtlOn RM, �1heGoNr�FLooy FLAN Ni 1IM,r,m"M4ID'rcn�n,i°n,ir"ta Dw•m�r 4,atinn. b",iF,+%rif'uJ by Cynrd GoMr,ator ^^_^NUMN� GJLAIs: I/A"� 1'-0" �t times of nw.,truatbn b d f ^- .fVL-VG-7O 1U= 1J GV V"KG . VV..I1GI�.+-.��•••• ir AL Q y...�,.�,- jl •�:I�'lfi�-1 i'j. �I'�:•Iw��. /,1 "••,!• :•.i• Imo. •- `�Ri!_'•�11{.x[!�•J •••• ::' Fite Of- :•K���'�1.1r�'e-.•'�• -~ , +����.:�• ��• +•1 ••!y f J • "i l.� � 1'�r• IM- cto • C :. •• • C ti . b t • 1 r- Sl • r • t.:.; .,l dam,, �4 L�, -�• , � •. .r•/�s• .r• t J %% Act sir 1•+• '�'• C-�♦ r I JG- 1• '•J•• � t � •`��_ of IF .044 JUL 6 :~�;.;�;'•�i�• ',a- tj♦ - .� I " it tr� •r%1 Nre /lOVn,G�•` RXIST• aL;C- �°�'` t '1; ��11•' !J.�d!r �:l ! 1'w/ 1.1 1`f 'y•Ir•`,� -. �7.._ r 1r. —"z•__•-� '1�...�. � v�..s�Qjg&..aubsxar�znl..oxtisx• vextPr .:a" ,►.� ', 1116 �A� e a x$ �o I A5, Allow i w • Tlic• Curer u(mire 7lth of Massachuscttr - ., ! �'`.�- • '•• Departll Wzy of laclustrial.4ccidents • � ; t" ' �i'��~ . plficE�lJayestlgatlons \- •:�+I 6111I !f ushilr(;lulr Slrect A Compensation Insurance ARd:avit Workcrs Comp --.,._..�..- � . i�ii n f rm ion• . ..._ ._Pl _._. z _ F— ❑ I am a homeowner performing all �vori: myself. ❑ I am a sole proprietor and have no one working in any capacity ......... I am an employer providing workers' co pensation for m�•employees working on this job. mn ,am• nomr- - r � I / add rrcc r� ��/ ltnnr 1!• 6�6 S ��f'rr cit,•• a n, lie.•t! __.� incnrnner rn. ❑ i am a sole proprietor. ecneral contractor. or homeowner(circle alte) and have hired the contractors listed eio«• •� the following workers' compensation polices: rem anv Warne• adtirccc• inc„r:tnrr rn. _ _,a... :1_._._r.— _-<<-�•..,-..-.s• r.-._,. rem inv natnr• uldrrsc- hnne Ilt rite•• O& incunnc n = ' Attach additional sh et if nec-'. • " "- - Failure io accare ca�'esare as required wader 5ecttoa 3A of AIGL IS_can lead to the tmposttioa of cnmtnal penalties of aline up to S1SOU.UU tone+cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of SIQ0.00 a day a¢ainst me. I ttaderstanc copy of this atatemcnt mai be forwarded to the Olrce of Im cstiteations of the D1A for corent e verification. 1 rlv ltrrcbr ccrti(,t• a rhr pnius a d p ics ojperjurr that the injormmion prot-ided above is true Date Signature Phone; Prim nantc '�officiai Ilse only do not write in this area to be completed by city or totrtt ot[icial nermittlicense 0 r-�tiuiidinq Department city or town: E:Uccnsinc iluard (��zizztmen s 0MLV DB?ARTlIBSDPBRVISORILICBASE �, COASTRUCTIDA 1 Restricted To 00 . ABAI,A PUTT 42 CHASE RD 02531 � 1 SANDWICH, KA. F F �• c '�s • 01 u 4 • RIegis 'ra iVoEnM ENT„' NTRACTOROMEIPOR 03690 K cPIT&lon OT/04 98 `' l Y } NEAL A PRATT USTOM BUILDER J�iil-k'Pratt oa e I lo, a y. ADMINISjRAlOR , T Sandwich MA 025374.1 3 r QUERY PERMITS-- .,QUERY END QUERY PERMITS - PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23744 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC COMMERCIAL ALT/CONY DESCRIPTION BLDG "D" -ADD DORMER/BATH,REPLACE FIRE ESCAPE CONTRACTOR PERMIT FEE 152 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE 1 APPLICATION 06/13/1997 EXPIRATION VALUATION 25000 . 00 DATE ISSUED 06/13/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT nc i 4,, a QUERY PERMITS : � QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23744 PARCEL ID 308 235 PERMIT TYPE BREMODC COMMERCIAL ALT/CONY DESCRIPTION BLDG "D"-ADD DORMER/BATH,REPLACE FIRE ESCAPE MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN BFRM BINSU PRESS ESCAPE TO END DISPLAY PENTAMATION------------------------------------------------------------07/03/97 PERMIT NO 23744 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID COMVALUE 0 . 00 152 . 50 0 . 00 TOTAL CHARGES FOR PERMIT 152 . 50 CTRL-O UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23744 . PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC COMMERCIAL ALT/CONY DESCRIPTION BLDG "D"-ADD DORMER/BATH,REPLACE FIRE ESCAPE CONTRACTOR PERMIT FEE 152 . 50 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE 1 APPLICATION 06/13/1997 EXPIRATION VALUATION 25000 . 00 DATE ISSUED 06/13/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT U 4 PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 23744 PARCEL ID 308 235 PERMIT TYPE BREMODC COMMERCIAL ALT/CONY DESCRIPTION BLDG "D"-ADD DORMER/BATH,REPLACE FIRE ESCAPE MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR • BFIN BFRM BINSU PRESS ESCAPE TO END DISPLAY i PENTAMATION------------------------------------------------------------07/03/97 PERMIT NO 23744 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMODC DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID COMVALUE 0 . 00 152 . 50 0 . 00 TOTAL CHARGES FOR PERMIT 152 . 50 CTRL-O UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT f� Am .............................................: .......... -t # FRI I I -4 =__ �1 FT-oNT CLMVATloN I �1�Itz�P'L oo�PLAN ° heals: 1/4"- 1'-O" —I P _I .1....,, iJ iJ iJ I• SIGHT'eLevp.TlaN �t_______ _________ FRI tHi � 5 ,o ..�.... - t-Loor—PLAN liq I6 i Q »,w. •." heals: I/4" 1'-O" li ✓ Nar.' - LCT;T CL.P.�y/A7'IOIj{; _ b t.��'awN4..w.I Ga�� s'avm,Meta heals: 1/4". 1'-O" dr:m.araa.»rr"ara., a A200 TOWN OF BARNSTABLE CERTIFICATE OF OCCUkNCY PARCEL ID 308 23V GEOBASE ID 22212. ADDRESS -300 SOfJTH STREET PHONE (506)771--5400 ,1 Hyannis ' ZIP - i LOT BLOCK LOT SIZE,.,` _ DBA DEVELOPMENT DI.STRICT HY x PERMIT 23933 DESCRIPTION CONSTRUCT NEW FIRE P.T.WOODEN FIRE ESCAPE PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: , �« Department of Health, Safety ARCHITECTS: I and Environmental Services TOTAL FEES: BOND THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * • * BABNSTABLE, MA83. OWNER HOUSING ASSISTANCE CORP. , i639. ADDRESS ED 460 WEST MAIN STREET HYANN I S, MA BUILDI1 (,D,IVISIO BYaa� DATE ISSUED 06/23/1997 EXPIRATION DATE TOWN OF .BARNSTABLE CRRTIFICATE. OF OCCUPANCY PAKLgt; ID`808 235( GEOT3ASE 11` 2221Z. ADDRESS `309 SOUTH STREET PHONE (503)'771-5400 LOT BLOCK LOT S 17 E, — �. DBA DEVELOPMENT DISTRICT HX PERMIT f 23933 DESCRIPTION CONSTRUCT NEW FIRE P.T.WOODEN FIRE ESCAPE. PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS= Department 'of Health Safety ARCI�I'rECTS: ' , and Environmental Services TOTAL FEES BOND t° :oa try CONSTRUCTION COSTS $.00 756 CERTIFICATE Off' OCCUPANCY � BARN3TABLE, w OWNER HOUSING' ASSI STANCSE 'CORP y . 1 .39. ADDRESS w 460 Tn1EST MAIN STREET `. . .:. HY.ANNIS"MA . BUILD NGODMSIO BY DATE' ISSUE 06/23/1997 EXPIRATION DATE . .- THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT,SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.,. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE.APPLICABLE, SEPARATE FOR 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. o • i M a BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1: 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS, THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS.STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT-IS ISSUED AS, TELEPHONE OR WRITTEN NOTIFICA-' TION. NOTED ABOVE. TION.. C _ 3 tr " r E��. ���� ngineering Dept.(3rd floor) Map Parcel Permit# ' House# Date Issu lth(3rd floor)(8.15 -9;30/1:00-4:30) Fee Conservation Office.(4th-floor)(8:30'- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) BIKE T �. Definitive Plan Approved by Planning Board 19 • BARNSTABLE. �tED IAA p�� TOWN OF BARNSTABLE Building Permit Application Project tr Add ess��®q Village f Owner T j Cf� Address WO JQS� r1b S-4 rG,.t n j Telephone Permit Request �� �a,��A,r� ��//��� u �c,`f�� ! "/co) _-�0 /9 1 &&A First Floor . square feet Second Floor square feet Construction Type Estimated Project Cost boo 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 Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information 9 NamJ�Jj ! Telephone Number Address v License# d 0 Y/3 r Home Improvement Contractor# Worker's Compensation# _prA_ri NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DE IED FOIE LLOWING REASON(S) r FOR OFFICIAL USE ONLY PERMIT NO. r ` DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION ' FRAME ' INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. ' -•'i► The Town of Barnstable KAMMe�axsr�stE, • 9 ,m�' Department of Health Safety and Environmental Services 039. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only , Permit no. Date t AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW j 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: 4�1,r,a I Y'eynp-( • Est.Cost 450 Its_ Address of Work: 30�'i Se d4 Owner's Name "d!g Date of Permit Application: 7 .�/ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 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 ermit as the agent of the owner: Date Con act Name Registration No. OR Date Owner's Name r . Thc CommonItacalllt tt, *Jtassachusctls Dcparlment of 11WItstrial Accidents :.\ {i'j� 600 f1 ushiu�-Ivn Street _ Workers' Compens2ti0n Insur2nce Amdavllt i ii an in f rni itin• --- P�- � -�.--�.._....-•.�--..�--.......,....._._=... ---- �._ name, :w4cajj location. ys VlJ(L-f•-c►� 7C tv �' v t Anne 40 I am a omeowner performin_all work myself. I am a sole proprietor and have no one worl:in_= in any capacity ' �r.. -..�.��.� w.. _. �-�:lN.s.-•w�.>•K7ww.*^/7P!R'��r7Tw w...��...r...w.�..-�.�..�.r�....... am an emplover providin_workers' compensation for my employees working on this job. sour inov name: citw �^ ✓��Qdf phone ft• insimiore ro. nolier 0 7 1 am a sole proprietor. ;eneral contractor, or homeowner(circle one) and have hired the contractors listed below who have the tollowina workers' compensation polices: comminv natne- adrlrcs�: sin phone 0- in-urnnrr ro Holier f! 1 ...T__..-. Yw-,._-. - �.�t..- - �_ _- �r�.Yi.� t�i T"f!7.w•S.♦ ��.:.� -�_ .�...�.�._...._. cmmrianc name• Idrlrccc- rite phone Of: insurance co policy N Attach additional sheet if neces_iirv� Z. •s ' "+•... Failure to secure coverage as required under-section 25A of AIGL 152 ran lead to the imposition of criminal penalties of a line up to S1.500.00 andiur une N cars' imprisonment:u Well:ts civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a cope of this statement mac he forwarded to the omcc of Investigations of the D1A for coverage verification. !do herchr cerrij•tintler the pains and penalties of pedun•that the information prorided above is true and correct. Si_ramre Date Print name Phone r; offcial use onh do not write in this area to be completed by city or town official + sit) or town: permit/license# r'111uilding Department C3Uccusing iivard l: ri check if immediate response is required C3Seleetmen's Office 1• �tlealth Department contact person: phone#: M011ter s. ter.-__---- Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for th emploYecs. As quoted from the -Jaw-. an empluree is defined as every person in the service or another under any contract of hire. express or implied. oral or written. An emplrrrcr is defined as an individual. partnership, association. corporation or other legal entity. or ally two or me the forduoinue, enanued in a joint enterprise.and including the legal representatives of a deceased employer. or tite receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However t? owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the d%%!cllim; house of another wiio employs persons to do maintenance , construction or repair work on such dwellin`_ he or oil the_arounds or buiiding appurtenant thereto shall not because of such employment be deemed to be an employ MGL chapter 152 section 25 also states that even state or local licensing .gene}•shall ��•itlrlrold tile issuance or- rrenewal of 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 tlae commonwealth nor any of its political subdivisions shall enter into any contract for tlae performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. ! _....�..�....�.... ....�. •�� ... h:.. �_ .:... ... •�_••_' .a- : :„•.::.i•..;tea,•_ ;w..,='.ti :L��. ^'::.... ...—.... Applicants Please fill in the workers compensation affidavit completely, by checking the box boat applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date floe affidavit. The affidavit should be returned to tine 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 require to obtain a workers' compensation polic}•. 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. Pl: be sure to fill in the permit/license number which will be used as a reference number. 77te affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to ;Live us a call. r-a✓�..+••. ...� .��.w+. .�.�.w�•..ww•rtl�r.�-.�1r..i«.��7-r�!�++��_ - . ..�bn. •.. .. - .�., ••��A��. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ;. Boston,Ma. 02111 fax #: (617) 727-7749 t '"' Phone #: (617) 7217-4900 ext. 406, 409 or 375 Eir ring Dept.t 3rd floor) Ma Parcel 0726 L�- k Permit# r oZ 3foS�'- ( P`� � House# 10 Date Issued /4 ,9 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee (e� - V ice.(4th floor)(8:30- 9:30/`1:00=2:00) floor/School Admin. Bldg.) owed by Planning Board 19 * BARNSTABLE. MASS. +s TOWN OF BARNSTABLE PfDMP�s Building Permit Application 9 reet Address S7 � ' Village Owner / t V S, 7W6 SS�C.� (°on2 JD Address { W. �� Telephone Permit Request E1/Z`� J oA11- C1 CL - First Floor - 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 Hous<iie ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded L) Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name g &"A-77— Telephone Number } 5y 5 Address �� !7- 60k- License# / 7� S/�0�( ✓M� O��,,� 9 Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS 1 PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ` BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r° FOR OFFICIAL USE ONLY - ry PERMIT NO. DATE ISSUED. MAP/PARCEL NO: ADDRESS VILLAGE OWNER - � _ �` • i DATE OF`INSPECTION:� FOUNDATION i d FRAME - INSULATION R + r FIREPLACE _ x ELECTRICAL: ' ROUGH FINAL.` PLUMBING: ROUGH s ° FINAL GAS:F' ROUGH FINAL, FINAL BUILDING , DATE CLOSED OUT ASSOCIATION PLAN NO. s ' k 0 The Commonwealth of Massachusetts William Francis Galvin,Secretary of the Commonwealth Massachusetts Historical Commission 27 March 1997 Steve Bamatt Deleading Contractor Altara Construction& Lead Paint Removal Systems P.O.Box 1228 Dennisport,MA 02639 RE: Lead Abatement of 309B South Street,Hyannis,MA; MHC#18928 Dear Mr. Barnatt: Thank you for supplying the Massachusetts Historical Commission with information,received March 18, 1997, regarding the proposed lead abatement project referenced above which has received funding from the Get the Lead Out Program. The property,historically known as the Captain Albert B. Coleman House is included in the MHC's Inventory of Historical and Archaeological Assets. MHC staff understand that the proposed project involves the removal of all the existing windows and their replacement with six-over-six true divided light wood windows, except for the small dormer windows which will be four-over-four wood units,and the large first floor window which will be an eight-over-eight wood unit; lead abatement of the front and side doors and trim; and miscellaneous interior lead abatement. MHC staff also understand that the exterior of the building has previously been covered with artificial siding and that many of the original windows have been replaced with two-over-two window units. After review of the materials submitted, it has been determined that this project is unlikely to affect significant historic or archaeological resources. No further review is required in compliance with M.G.L.,Chapter 9, Sec. 26-27c,as amended by Chapter 254 of the Acts of 1988(950 CMR 71.00). If you have any questions, please contact Karen Parker of this office. Sincer ly, Allen F. Johnson Director of Architectural Review Massachusetts Historical Commission cc: Barnstable Historical Commission Pat Fiero,Housing Assistance Corp. Andy Nelson,DHCD 220 Morrissey Boulevard,Boston,Massachusetts 02125 (617) 727-8470 Fax: (617) 727-5128 TDD: 1-800-392-6090 L Ale -P 64800 t , DEPARTMENT OF PUBLIC SAFETY P A 1 D ONE. ASHOURTOPd PLACE, RPO 001 V ROSTON. 00I02108-161F3 V . 06 '96 CONSTRUCTION SUPERVISOR LICENSE Number_ E>:pires MPS. CS 4�`T''448 06/17 /1998 ; R t� t;r i c t e d I'o: 16 ..: w_ti. �. _ _ _.___..___._.�.____ _ �_.._ _____._..___.._____.__.._. .K s STEPHEN 5 BARNA i - ^D�ir cis notroln, fold , siyn on—v—__.___."__..__ 7 OLD PINE TRAIL. EXT � r.:s w._..__:; bz'ck,, and laminate .license card. OENNISPORT, MA 026:39 Keep top for receipt and change �f address notification. WA We Vom�naizuiea�i o�' �avoaetuaelta Restricted To: 1G 640000 DEPARTMENT OF PUBLIC SAFETY CONSTRL%CTION.SUPERVISOP, LICENSE BB - None Number: Expires: 1G - I & 2 Family Homes Restricted To: iG Failure to possess a current edition of the Massachusetts State Buiilding Code STEPHEN S 8ARNATT is cause for revocation of this license. -7c v 7 OLD PINE TRAIL EXT ' DENNISPORT, MA 02639 ` a a 'Xgfyn °`3 sgJyyw+ t r t.rah ,srr. .r,,.�s ... 4isJ y 4, �' to,%nk'iF� `4is,�, i as `a Yr f 7 �Ar "j w tom , on.;ipplication. YS,a'}¢ t t' �ht . . _ � to thm hsnte`r ;"rt, f..� t,15• .i'� '"t+.; �, > , r 7a w �, ,�#, '� t § j ,si ,k? 1, K, .. r�` ' r �-ri...3L��"'s� _�� ��" .t�s`F��,F '+' a -"} ,�,,�� a*$ � t Ps•'�,� �h �+ �f "L j��5. «r-��+ "'a•xt�i+r � ,� s»- �� '>W,"dr'� kF�' 7r,E �w '�a.e}FN`x& � 9 WT x,c�C r T ,µ'f y}•s'r �� '',p 2 1 Y 'rX¢�+4,�,�: + 4i+•fi9i' "fir S x ;r a 3 4 a v + rta 7 nt:. ❑LOSt Card ❑�theI µif k„ {�-�.' ,���e. 'efi 3 1#�. 4 ,. t',,,.j�' 5n:P5's"l" �' :��y,�w �1+• �i r :_"i{, •M'd"i` ti F '" "�" rr 1dk.§k1"F r, t .T. ,£@, % � 37s '"rd.'�' dM.t ,r s 7 7 pv`x�` ay,'` LYl . ' a� �^¢' xyr HOME I1�IPROVENENT CONTRACTOR ' t ? 5 a hY�� is��, ' a Registration 101927 t ' �,FTYPe ZINDIVIDUALF 9<a '*,wlu Wa, i£_ Z �F EAPiration �? Qb/29/98 s rr 1 , Ft a n.r ,+a 3; ,S's -}" '��.<_.:iC'���•s` 211 ST EPNEN S IARNAtT„� .:=.PO oz-1228/7 Old Pine rri�Ez �,. M3, �t47✓l eo "i7 ,� w Emis ort MA 02639 ADMINISTRATOR P 5 a ZIP " ° I r s � YAW 'z s. >ta. 3 a � F K zt:.•s a.�..;�e :e a i �'"sar �ayrW�rn v, �Y z ,f The Commonwealth of Alassac•husetts Dc purtnunt njhnlustrial.4ccidutts �_ Office ofinyestigatfons 600 N ashitrrtun Street Btrston. 31uu. 02111 _. Workers' Compensation Insurance Affidavit ;` At�nitcant information: „_ Please PRINTIe;j�jy name: location: city Chone tr I am a homeowner performing all work mvself. I am a sole proprietor and have no one working in any capacity .:-.+.. ...^+w•�....e--_�0._..,w•.-........,.�„—. >.r.4JM r.E+iwY7C1�T.lwlT'.'J.E'?7;..A TT�.. ,�,.�..'R'a� wwMrs .a -;�-.Y..�wn....f.wT,.f..�.-....�.....:. I am an employer providing workers' compensation for my employees working on this job. I company name: �Q address: / to e2,6 3Y Phone#-insurance co. policy# I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the followin! workers' compensation polices: company nntnc: address: city: 11honc#: insurnncc co. policy# ' ..:riJ:'-._. .Yw=-.-�...�..� 1 -1••;Y•^,j:-',i:.__..,��__��'_��cK _ _ .'STvww.y .��.y.�_:x.. --. ��'-:`i'...._.. . __..__._.... .-.. ....�._.�.-..._. _1_Vr..�Y.-..-.._w..al�.rirllr.�wr.Jrti�irrrr— :ll � ,4 ice• � _...���.�JVYL'�.' .a.��.� compnny nntnc: address: city: Phone#: insurnncc co. nolicy# Attach additional sheet if .�W. - u.iJal.YJ J.tlL� - - •�y. -��rsR"rbi nee a ' _ . t-i secure coverage ns required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to 51.500.00 andior one s ears' imprisonment as well as civil penalties in the form of a STOP NyORK ORDER and a fine of 5100.00 a day against me. 1 understand that a COP) of this statement mn% be forwarded to the Office of investigations of the DIA for coverage verification. 1 do herehr c t' ins rd perraltics nj ty that the information provided above is true and correct. Si_^_nature7 Date VlG/ `y 7 Print name )IFlo— a i Phone# ' otTiciai use only do not write in this area to be completed by city or town official ` city or town: permit/license# MBuilding Dcpartmcnt;:r,. C3Liccnsing Board check if immediate response is required Selectmen's Orficc ``;-.. t l-. t 011calth Department-• contact person: phone#: rjOther � . r. 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 :mother under arty contract of hire, express or implied. oral or written. An einj&�rer is defined as an individual, partnership, association, corporation or other legal entity. or any two or more of the foregoing, crium,ed 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 haying not more than three apartments and who resides therein, or the occupant of the dwellin- house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even, state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hay been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance covera`e. 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 Dave any questions regarding the "law' or if you are required to obtain a workers' compensation policy. please call the Department at the number listed below. City or Towns Please be sure that tite affidavit is complete and printed legibly. Tile Department ltas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations leas to contact you regarding the applicant. Please be sure to fill in the permit/license number wliich will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you Dave any questions. please do not hesitate to give us a call. y.••y,v.-n_...... ..__-..-...v:.....-. ._��w.Vr'•rR•.:+/4'�.._.-.r-�..•!�•..i�_,�..'-T-tX•.�^^`".\�anw,.�M.VRs...T.w.+�-!f'.��.1_+Mom..-..+nw.'wlw.'/-TawMi-1!T'..T'v'A."•Ffs�o�v.in� The Departinent's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 `N`ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 22365 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMOD RESIDENTIAL ALT/CONY DESCRIPTION REPLACEMENT SAME SIZE WIND. (88 SASHES) `'� CONTRACTOR PERMIT FEE 61 . 00 VARIANCE STATUS A ACTIVE CONSTRUCTION TYPE 437 GROUP TYPE APPLICATION 04/14/1997 EXPIRATION VALUATION 10000 . 00 DATE ISSUED 04/14/1997 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT G s. e i QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 07/03/97 PERMIT NUMBER 22365 PARCEL ID 308 235 PERMIT TYPE BREMOD RESIDENTIAL ALT/CONY -� DESCRIPTION REPLACEMENT SAME SIZE WIND. (88 SASHES) MASTER PERMIT INSPECTION REQUIRED REQUESTED SCHEDULED INSPECTED RESULT INSPECTOR BFIN BFRM BINSU PRESS ESCAPE TO END DISPLAY PENTAMATION------------------------------------------------------------07/03/97 PERMIT NO 22365 PARCEL ID 308 235 309 SOUTH STREET PERMIT TYPE BREMOD A DESCRIPTION FEE CODE FLAT/BASE FEE TOTAL UNIT COST AMOUNT PAID COMVALUE 0 . 00 61 . 00 61 . 00 TOTAL CHARGES FOR PERMIT 61 . 00 CTRL-0 UNITS CHARGED/ CTRL-W PAYMENTS/ CTRL-V VALUATION/OTHER UNITS/ ESC EXIT �INe rqy, • IARNS MU, • p 16 A The Town of Barnstable rFD MA'S Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner December 30, 1996 Patricia Fiero Housing Assistance Corp. 460 West Main Street Hyannis, MA 02601 SPR-104-96 Housing Assistance, 299-309 South Street, Hyannis (308/234& 235). Proposal: HAC seeks to house the Angel House program, a program for mothers recovering from substance abuse. Significant staff support is provided. Dear Ms. Fiero, The above referenced site plan was reviewed at the November 21, 1996 meeting of Site Plan Review and deemed approvable. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Department. Should you have any questions, please feel free to call. ZRespeufly, Ralph Crossen Building Commissioner I . . ° The Town of Barnstable BAMSTABM 9� 16.19. Department of Health Safety and Environmental Services ArEDMA'tA Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 19, 1996 Frederic B.Presbrey Executive Director 460 West Main Street Hyannis,MA 02601 Re: Angel House 309 South Street,Hyannis,MA Dear Rick: After carefully reviewing your letter of December 17, 1996 concerning the Angel House,I am now able to agree that the dominant purpose is educational. In arriving at this conclusion,this analysis had to be done. Many educational activities previously thought to take place off site,according to your letter,will take place in the compound including educational instruction,GED training,alcohol treatment education programs and various other similar activities. Based on this letter,I can now say that your program is exempt from zoning under 40a Section 3. If your program changes in the future or in the event you would like to open another,similar,program,please contact me in advance so that we are able to help you early on. You now are ready to take out your building permit. Best of luck. Sincerely, Ralph M.Crossen Building Commissioner RMC/km Q961219A l i The Town of Barnstable • BARNSPABM • 9cb "l Department of Health Safety and Environmental Services ArEc �a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 13, 1996 Rick Presbrey Housing Assistance Corporation P 0 Box 652 West Yarmouth,MA 02673 Re: Angel House Dear Rick: I would like to begin by commending you in your efforts to assist the homeless in this community. I admire what you do and forward my sincere offer of assistance any time you need it. I truly mean that. My job,as zoning officer and Building Commissioner,is sometimes very difficult to do. When someone wants to establish a new use in a particular neighborhood and zoning is clear that they are allowed to do it, my job is very rewarding. The applicant is happy and we are happy. Many other times a proposal may not appear to fit neatly into an"allowed"category and we are the bearer of bad news. When this has to happen,there are a lot of hard feelings. This sometimes makes the job extremely difficult. Whatever the result,the only fair and consistent way to consider a request is to look at all the documentation submitted, information obtained from any other sources and the Zoning Ordinance and make the most logical decision possible. In making my earlier decision that you had to go to the Zoning Board of Appeals,this process was followed. We looked at the cases your attorney supplied as well as several others in arriving at our decision. In particular,the following cases were examined: 1) Fitchburg Housing Authority v.Board of Appeals,Fitchburg 2) Gardner-Athol Mental Health v.Zoning Board of Appeals,Gardner 3) Campbell v.City Council of Lynn 4) Kurz v.Zoning Board of Appeals, Reading 5) Cummington School of Arts v.Board of Assessors 6) Commissioner of Code Inspection v.Dynamy 7) Whittinsville Retirement v.Northbridge 8) Trustees of Tufts College v.Medford 9) Watros v. Greater Mental Health and Retardation Q961213B Rick Presbrey December 13, 1996 Page 2 In determining what is educational and what is not,I must make a determination based on guidance from the above cases among other things. What is educational to one group may not be for another. See,in particular,the Cambell v.City of Lynn case where the judge said,"the proposed facility would fulfill a significant educational goal in preparing its residents to live by themselves outside the institutional setting. Instruction in the activities of daily living is neither trivial nor unnecessary to these persons ." The evidence you submitted before was not adequate to support an exemption from zoning in my opinion. You have asked that I reconsider this and I certainly will. In order to do this,I will need additional information so that I can review the information as I have previously discussed. Particularly,each aspect of the Angel House that you believe to be educational will need to be explained in detail. Will it be done in the compound or outside? Will it be done in all cases? I will be looking at the list you provided of educational aspects of the program for elaboration and clarification. Please address how the teaching of life skills in particular is education for this group when elaborating on each category. After you supply this information,I will be more than happy to look again at your proposal to see if it may be exempt from zoning under 40a section 3. I stand ready to help you in any way I can. One other aspect of this that could help in the future would be to amend our local ordinances to exempt a broader assortment of uses. Under zoning,the Town,as well as a group of ten or more citizens may propose a zoning change. If you would like to discuss this, I will do so any time at all. Attached is a draft proposal that you may use through your attorney. Please let me know if you would like to proceed in this fashion. In closing,I hope you understand that my job is to enforce the zoning ordinances fairly and consistently for all segments of the community. I try to carry out my duties only after I have researched all sides of an issue. I have, in this case,and will continue to make decisions that are well founded in the language of the ordinances and all other applicable sources. Sincerely, Ralph M.Crossen Building Commissioner RMC/km cc: Thomas Geiler,Director of Health, Safety&Environmental Services , Robert Smith,Town Attorney Attorney Michael Princi Q961213B t PROPOSAL: Amend Section 2-4.1(2) Now reads under Unrestricted Uses: 2) Educational use(public,sectarian,religious,denominational). Change to: 2) Educational uses(public,sectarian,religious,denominational and non-profit)provided that any part of the proposal is educational in scope. The above words can,of course,be modified as your attorney sees fit. The proposal needs ten signatures of residents and needs to be sent to the Town Council. Q961213B s pfVE tp The Town of Barnstable • •AMSrABM • 9$ MAS& Department of Health Safety and Environmental Services ATEDNIo'1A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 19, 1996 Frederic B.Presbrey Executive Director 460 West Main Street Hyannis,MA 02601 Re: Angel House 309 South Street,Hyannis,MA Dear Rick: After carefully reviewing your letter of December 17, 1996 concerning the Angel House, I am now able to agree that the dominant purpose is educational. In arriving at this conclusion,this analysis had to be done. Many educational activities previously thought to take place off site,according to your letter,will take place in the compound including educational instruction,GED training,alcohol treatment education programs and various other similar activities. Based on this letter,I can now say that your program is exempt from zoning under 40a Section 3. If your program changes in the future or in the event you would like to open another,similar,program,please contact me in advance so that we are able to help you early on. You now are ready to take out your building permit. Best of luck. Sincerely, Ralph M.Crossen Building Commissioner RMC/km Q961219A �j/I• ��� ��r3!�2y� E',e�cvrr�e �iYee+rrt . Gee- 7 Sires a �-- 10 OZ C�l `L-� � � • ��" Tel. (508)771-5400 o HOU SINIG ASS' CORP ice (508)255-5507 (508)477-0301 460 West Main Street, Hyannis, MA 02601-3698 FAX(508)775-7434 December 17, 1996 Mr. Ralph Crossen, Building Commissioner The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street Hyannis, MA 02601 Dear Ralph: I appreciate your willingness to consider our request to recognize the educational nature and purpose of our organization and the educational focus of the Angel House program for the purpose of exempting our use of the property at 309 South Street in Hyannis from zoning requirements. Housing Assistance Corporation has operated educational programs for many years at numerous facilities throughout the Cape. We have tried to keep abreast of the evolving interpretations of case law regarding the education exemptions and the position of the Cape's town attorneys. The generally accepted legal view is that the interpretation of "education" has broadened in the last four or five years. We have always been successful in citing programs within and outside of the Town of Barnstable and qualifying for the exemption. The Angel House program has at least two elements which I believe make citing even easier: 1) the disabilities of the clients involved, and 2) the intense educational program which prepares some very unprepared families for independent living. We also believe that the past use and location of the property supports our intended use as permissible. It may be helpful for you to better understand our agency's focus on education if I briefly describe some of the educational activities which we have undertaken in the past. Although we have been involved in building and/or rehabilitating a fair number of properties on the Cape and Islands, we are primarily a housing related "services" and "educational" organization. One program A focal housing partnership organization operating between 1978 and 1982 involved teaching eighty-six families to build their own homes. We organized families into groups of about eight and each group was supervised and taught by a construction supervisor and teacher. Each family put in about 1000 hours of work and training over a one year period before the houses were completed. Homes were spread throughout the Cape and Martha's Vineyard with approximately 25 built in the mid-Cape area. By coincidence, one was featured on the front page of the Cape Cod Times on December 12. By building the homes themselves families proved how much they wanted and valued a home and how much they wanted to learn. They also developed skills needed to maintain and ' improve their homes. The program ended when land prices sky- rocketed. Through the years we have- also continuously conducted educational workshops for tenants and occasionally for. landlords. During our twenty-two year existence more than one hundred training sessions have been held. We currently have completed a preliminary design for a new series of property-owner workshops to begin later this winter probably in conjunction with the Cape Cod Property Owners Association. For several years we have also conducted educational . workshops for first time homebuyers. We usually conduct about four workshops per year at locations around the Cape. . Attendance averages about forty persons per session with about one out of four following through (with individual training and help from us) to the point of actually buying their first home. As you know, we also operate family shelters 'which have generally become, like summer camps for children, "specialty" shelters. In Falmouth our family shelter, which has always been named the Carriage House Family Life Education� Center, "Carriage House" for short, specializes in the problems faced by young and first time mothers. Bob Vila, of "This Old House" fame even converted a small horse barn on the property into .a year round classroom building at no cost to us. The Summerside Family Life• Education Center in Hyannis, which we turned over to the Community Action Committee a year ago to operate as a specialty shelter for victims of domestic abuse, was operated by HAC for � ten years with more than fifty different courses being taught on site by the staff and by representatives of nearly twenty other organizations including Cape Cod Community College. During the last six years that we operated the facility, classes were held in classrooms which we had added on to the main building. During the past ten years we have conducted educational and training programs for homeless families in finding, securing, and tenanting rental housing. We have more than 3000 successful graduates who -found and leased year round housing. During the last five years we have helped more that 700 families who were about to lose their homes avoid homelessness partially through our educational efforts which help them better understand how to meet their financial obligations and how to negotiate payments with 2 property owners, banks, and utility companies. We believe that people are their own best resource. Unfortunately, most of our clients in recent years need outside help to learn basic life skills. Only when they do, can they hope to get or keep a good job, maintain family life and secure basic needs and have a reasonable chance of achieving greater self-sufficiency. At HAC we seek a greater involvement in "educating" our clients during the next five years because of three factors: 1) the increasing level of need families have when they come to us; 2) shrinking federal and state housing subsidy funds; 3)increasing complexity of what people need to know to be successful tenants, owners, and/or employees. (See the goals listed HAC's Educational Plan for its family` shelters, page 1 of which is attached. ) WHOM DOES ANGEL HOUSE SERVE?" Angel House opened five-and-a-half years ago to assist and"educate homeless women who are recovering, from addiction to drugs or alcohol. After short-term detox, these women come to Angel House with their children to prepare for independent living while staying free of drugs _and alcohol. The educational program is long, intense and structured because of the severe and 'complex needs these families have. The educational program teaches basic skills, because of the very low level of life skills many families entering the program possess. However, each of the women entering the program has made a life changing choice and a commitment to change as evidenced by their voluntary enlistment in the program. The average Angel House family consists of a single mother between the ages of twenty-two and forty with two children. - In all cases there has been no financial. support provided for the children by the fathers. The sole source of income for these families comes from the Department of Transitional Assistance (DTA) through Aid to Families with Dependent Children (AFDC) and Food Stamps. Referrals for entrance into Angel House come through DTA. We have witnessed certain common behaviors with the families in our program. Some of these behaviors are as follows: * Daily schedule in reverse - desire to sleep during the day and be awake all night. This is indicative of a past life style of drug use. * Poor personal hygiene for themselves and their children - many of the families have not had a visit to the doctor or dentist in years resulting in immunizations deficiencies and poor dental hygiene. We see children with "bottle mouth"they have been left for extended periods of time in a crib with a bottle of juice and their teeth have become rotten in 3 f ront. * Domestic abuse - 100% of the women which have been serviced by our program have been victims of physical, sexual or verbal abuse. Many of the women were raised by parents who were. active alcoholics and/or addicts. As a result, they grew up in a family system where neglect, deprivation and abuse were the norm. * Post Traumatic Stress Disorder (PTSD) - As a result of the trauma which these women suffered as children or as adults, many of them suffer from Post Traumatic Stress Disorder. This disorder - is characterized by: quick startle response, irrational anger, eating disorders, insomnia, promiscuous behavior, clinical depression and hypochondria. A typical family profile is described as follows: Sabrina (not her real name) is a.thirty-three year old female. She arrived at Angel House with her two children. She had .a seventh grade education. Although her children had the same father, Sabrina and he had never married and he has not supported them financially. He was, and still is, an active IV heroin addict, with at least two other children by unmarried women who he does not support. Sabrina was first exposed to drugs and alcohol through her relationship with this man. He was physically and verbally abusive to her and the children were victimized by witnessing this abuse on an almost daily basis. Due to the outrageous nature of the abuse, neighbors called the Department of Social Services (DSS) and the family became involved with DSS. At some point, - DSS was made aware of Sabrina's addiction problem and the children were removed from the home and placed in foster care. Losing her children was Sabrina's final incentive to seek treatment. She ,entered ,Norcap for seven days. to detoxrwhere it.was determined by DSS 'that she*needed furtherIt support. . The' Department of Transitional ' Assistance was ` contacted and' because there was a situation with severe domestic violence involved, it was determined:4that the ,family would qualify for long term treatment and education in a safe ' environment. Angel House had a vacancy and they moved in. Once Sabrina and her children entered Angel House a Family Life Advocacy Plan (FLAP) was done to assess her needs and those of the children. It was immediately noticeable that the two children a boy, age five, and a girl, age eight - were both extremely hyperactive. A period of adjustment was allowed, but when their hyperactivity did not subside, we made referrals to professionals. The children were both seen by the pediatrician who agreed that the range of activity was above the norm. Both children were also bed-wetters and 4 insomniacs. Another referral was made to a pediatric psychiatrist who tested both children and determined that their hyperactivity was not- classic ADHD, but as a result of PTSD. He placed both children on medication to deal with this and the bed-wetting. A referral was also made by our certified teacher to the school system for a full CORE evaluation, as both children were deemed to be special needs. The also had been retained twice by the school system and was in second grade and still not reading.' The boy also suffered from bottle mouth and was seen by a pediatric dentist who subsequently pulled four of. his front teeth. Both children were behind on immunizations which we ;also updated., Sabrina was able to live in a safe environment for the first time in ten years. ', At Angel' House'she.'was able to participate , in the program,, set' goals, make progress, complete-, the program, move, into her own home, increase her education, and stay clean. From time-,to time she comes back-to visit. WHAT IS ANGEL HOUSE? Angel House is a facility for homeless women and children who are in recovery from alcohol or other drug abuse. The facility is staffed twenty-four hours a day, seven days a week by a staff which is fully trained in the issues of , homelessness and chemical dependency. Since recovery is a primary goal of the program, the house is highly structured and supportive of the recovery process. Recovery is both an individual and family process. To that end, group, individual, and family learning programs are available on the premises every day. Daily -AA or NA meetings -are mandatory. Educational groups -are .developed to help families understand the ..- impact of chemical dependency on the family as a whole, to achieve an appropriate family system in the absence of alcohol or drugs, and to help the family develop the needed skills for independent living. Recreational activities are- available to develop sound bodies and minds and to promote healthy interaction. A recreation coordinator is on staff and planned family outings occur every Saturday to support this philosophy. The program helps families heal and develop suitable relationships fostering self-esteem. Mothers are educated and supported in their -parenting skills. Upon completion of'.the program the staff works with the families to allow that the transition into permanent housing be as smooth as . . possible. A network of community services in-.utilized to achieve this goal. Prior to the actual move an. individual aftercare plan is established for each family and is facilitated by an aftercare coordinator. The aftercare plan includes a weekly group aftercare therapy session, individual home visits by the coordinator, and individual therapy established off-site with an approved drug and alcohol therapist. The aftercare -program is in effect for a minimum of six months following placement into permanent housing. 5 Education without therapy would be futile. WHAT HAPPENS AT ANGEL HOUSE? Housing Assistance Corporation and .Angel House realize that there are many reasons for homelessness. They also realize that unless the reasons for homelessness are addressed by way of education and retraining, the clients we service are likely to return to the system again. In order to facilitate this philosophy, Angel House has addressed the primary learning components which tend to be road blocks in the progress of these clients towards total self- sufficiency and permanent independence in their own housing unit. Learning Skills Housekeeping - Many of the women we service come to us lacking the most basic skills in daily living. To address these issues we have developed concrete, workshops and educational methods to train them in these aspects. One such aspect is the setting up of daily and weekly chore assignments which are then rotated each week. The basic elements of each chore are taught and reviewed to each client with the efficiency monitored by staff. Shopping, nutritional menu planning and cooking - As part of the weekly chore rotation, one client is assigned grocery shopping and menu planning. This is done on an individual basis with a staff member. Input from other residents is gathered by that ,client as to which meals -they: will cook and- the -entire weekly menu is balanced for proper nutrition. The staff person also works with the client on shopping within a budget and saving money whenever possible by coupon clipping and taking advantage of sales. Staff work with the mothers to assist or educate-on cooking skills where necessary. The weekly chore rotation is set up in such a way that each mother has an opportunity once every five weeks to receive individual training in this area. With this training mothers become quite able in menu planning and shopping within a budget. Budgeting - Working with their Case Manager families establish a Family Life Advocacy Plan (FLAP) . This plan is designed to address specific goals for each family. Goals may include the reduction of debts including utility bills, overdue, excise tax, or credit card debt. Experts in the field of debt .resolution volunteer their services, conducting workshops on site. After debts are addressed, we encourage each mother to save $1000 towards the purchase of a reliable used car. This is an important step towards independent living on Cape Cod where there is . limited _public transportation. For those who do not have a driver's license, the staff tutors the . client in the - "Rules of the Road" manual ` and transports them to obtain their Learner's Permit. The program also assists in arranging driving lessons with an accredited driver's education school. In the last year our program has been instrumental in 6 assisting three women who had previously never had a license in obtaining one. Others were able to have their licenses reinstated. While some of the skills taught seem very basic to you and me, the achievement of these women and children_ is more educationally challenging you or I obtaining a college degree. Gaining Skills GED Preparation - As part of our intake process and FLAP we- determine if a client has obtained a high school diploma or GED. If not, the case manager develops a plan for obtaining a GED during the client's stay in the program. We have a Massachusetts State certified teacher on staff wlio works with each."client',individually on a tutorial basis-. She administers.pre-tests in specific subject areas as stipulated in the GED preparation book. She then tutors the client in the- specific areas of need and administers, a post. test to check for. results.�� When_ the, client is sufficiently pre pared, she helps them find a-'convenient- time sand place `to take the test. Recently two of our clients successfully passed the GED. Job Readiness Skills - Once a plan is developed for obtaining a : GED, clients are sometimes referred to JTEC 'or Mass Rehab for job training. In some cases the women choose to further their education by beginning courses at the Community College. Our case managers work with their clients to gain entrance into the Women in Transition (WIT) program at Cape Cod Community College. As part of the job readiness program we also offer educational workshops on site in: Interviewing/Role Playing, Resume Development, and Computer Skills: Learning Family Activity Skills The goal of our -program at Angel House is to create family systems which are healthy and have balance. To that end, we have addressed the concrete needs of day to day living as stated above through life skills and employment skills education. It is also necessary for families to learn how to interact and play together. -Educational family outings are planned, for each weekend by the Recreational- ,Coordinator. These outings include trips to the Boston Children's Museum, local museums, nature walks, and camping trips. All of these provide valuable education outside a classroom setting. Understanding Alcohol and Drug Education Alcohol and Drug recovery work is a psycho-educational process. Daily educational groups are facilitated by a Licensed Clinical Social Worker (LCSW) who has a Masters Degree and is affiliated with Cape Cod Human Services. The line staff deal with concrete skills education and the therapist deals with the development of - other life skills which. are more complex to address. Examples of skills addressed in group therapy are: decision-making skills, cooperation, assertiveness, empathy, conflict resolution, self- control, and the grieving process. Other issues which are covered in daily groups are: the effects of alcohol and drugs on the body, the disease concept, progression of addiction, defense mechanisms, and relapse symptoms. The LCSW also meets with each client once weekly for an individual session. The educational goal for this session 'is relapse prevention management. Specific areas covered are developing good communication skills, stress management, and relationship management. The Family System component is conducted by means of a weekly session involving., mother, and child(ren) . The emphasis is on educational techniques. and.themes including, story-telling, drawing, sand-play, dollhouse, puppets, and roll-playing. Themes covered are: autonomy vs. dependency, safety vs. harm, mastery vs. help- lessness, respect vs. danger, and affiliation vs. loneliness. The LCSW and staff at Angel House work as a team and, as such, address the fact that addiction is a family problem and, therefore, recovery must be a family solution. All psycho-educational work is done on site. Learning Parenting Skills . This program is a nurturing program for-families in chemical dependent treatment and recovery. The parenting curriculum is made -up of seventeen units. Each unit is designed to be presented` in ninety minutes with a specific set ;of goals, and objectives'. to meet,, and specific materials and criteria' for use.' The program is built on the principles of relationship development. It is the belief that success and satisfaction of parents and children improve as certain essential factors become more vital and pervasive within the relationship. " It is the belief that these factors of mutuality, authenticity and empathy are essential to the development and function of all parenting relationships. The ultimate goal of the parenting, program is to provide a framework for .exploring the developmental process of recovery, starting with establishing a trusting relationship and moving to parental competence and beyond. By taking this approach, we believe we can help parents enhance their understanding of themselves and their children. 8 EXPERIENCING THE AFTERCARE PROGRAM After successfully completing the residency program,. clients receive continuing support through the aftercare program. Clients are taught in the areas of relapse prevention, relationship issues, parenting issues, communication skills, and general daily living skills. This continues and reinforces the concepts which they were exposed 'to while in 'residence at the program. When working with the client, it is important that they are -able to identify certain behaviors and then verbalize any concerns that would jeopardize -their sobriety or their children's safety. After identification of ' problem behaviors and verbalization of any concerns, is the final' step -of -the process - to learn how to make changes. The women learn that only, when they learn to do this are' they able to make a- happyand productive life for themselves and their children. This process begins, with. individual and group meetings with the. Aftercare Coordinator. The clients are also given written assignments and educational hand-outs through this process. As these life changes begin to develop peer support is extremely important. The clients meet at Angel House on a weekly basis for this support and communication, sharing their concerns and ideas sharing about what works or doesn't work for them. In the new setting residents would have the option of .going into the after-care program housed on, site. In this last phase families would have an opportunity to transition back into the community while still receiving the strong support of the program which they have depended on to help them make a crucial change in their lives. CONCLUSION The goal of the Angel House program' is to assist families :in their recovery from chemical dependent issues while providing a safe, sheltered environment. This is accomplished through _a program intended to educate the families about the issues surrounding chemical dependency (to address these issues in general and in the specific for each family member) , to reestablish family bonds, to offer shelter, to teach basic life skills, and to assist each family to develop the ability to locate and maintain a viable tenancy. The relocation of the program to 309 South Street will provide the opportunity to improve the program by- serving more families, by allowing aftercare to be provided on site, by providing handicapped accessibility. The two large "houses" on the property will serve as sheltering space and will also offer larger and distinct space for program activities. Client stays will be done in phases (as they are now) which will begin with an' introductory period requiring constant staff supervision and structure. After approximately four months families will have an opportunity to 9 1 "advance" where they are allowed limited autonomy while still meeting the prescribed schedule of the program (i.e. daily group meetings, daily 12 step meetings, all classes, and individually specific programs such as driver's ed, ) . After satisfactorily completing the approximately nine month program, residents at 309 South Street location will have the option of going into the after- care program on site. In this new last phase families will have an opportunity to more slowly return to the community while still receiving, on site, the support of the program. Angel House is a program which is well run and works despite the limitations of its present facility. The site at 309 South Street will enhance our ability to better serve our clients and,. thereby, the community. I hope this adequately answers. the questions you posed in your letter. Please let me know if there is additional information you need. Please be. aware that time is of the essence. for us in fulfilling our obligations under the Purchase and sale agreement with the seller. We look forward to your decision and appreciate your prompt response. Thanks for agreeing to revisit this issue on our behalf. Sincerely, F eri B. esbrey Ex c tive Dir ctor Enclosure cc: Michael Princi, Esq. 1 i 10 Housing Assistance Corporation Education Plan for Clients 2-19-93 Statement of Philosophy Housing Assistance Corporation recognizes that there is a complex interplay between homelessness and economic poverty. We do not shrink from confronting the problem which is faced by the guests in our shelters and other facilities,but assert that programs that emphasize the uniqueness of the individual may prove effective in reducing the level of poverty and the need for future shelter support. Education programs designed for the clients of Housing Assistance Corporation have as their foundation a profound respect for the dignity and worth of each individual,regardless of age,sex, race, religion, wealth, physical or emotional wellness, or educational attainments and a profound belief in the capacity of each individual to learn and grow in a supportive environment. Education and training programs must provide opportunities for the individual adult, the child and for the family as a whole. The ultimate goal of the education programs is to help each individual become self-sufficient,while recognizing that we all are interdependent. The end goal for all educational opportunities offered to our clients is the achievement of self-esteem, self-confidence,and self-sufficiency. Overlaying program objectives is an appreciation of the impor- tance of the family unit,of the value of good parenting skills and strategies which support the develop- ment of healthy families. The goals of HAC's educational programs are five-fold: • to assist each adult in developing long-term goals; • to facilitate, in each guest, growth in self-esteem and self-confidence; • to encourage clients to take back authority for their lives; • to develop skills which will enable each parent to feel skilled as their children's first teachers; _ and • to encourage in each child a sense of competence and wonder, a delight in learning and explor- ing, and appropriate confidence in the love and support of her/his parents. Success of the educational program will be Incasured by the guest's achievement of the goals they have set In a timely fashion. f 310 Barnstable Road Hyannis,MA 02601 s" (508)775-3665 EWy:nnn &Wynn, ,,.%,,. 3; ' Telecopier(508)775-1244 ATTORNEYS - AT - LAW } N®(i 96 V 19 a Affiliate Offices - Raynham 90 New State Highway Raynham,MA 02767 (508)823-4567 November 26, 1996 Boston Six Beacon Street Suite 915 Boston(617)7,2-7146MA 8 Via Facsimile 790-6230 (617)742-7146 Providence (401)453-5500 Ralph M Crossen, Building Commissioner Fall River The Town of Barnstable (508)678-5639 Department of Health, Safety New Bedford and Environmental. Services Building Div. (508)999-6969 367 Main Street Hyannis, MA 02601 Elizabeth K.BalasBennett hak RE: Angel. House Mark W.Bennett Thomas M.Grimmer Our File No. : 9 7 2 5*4 0 Douglas A.Hale Gary P.Howayeck Patricia F.Keane Dear Mr. Crossen: Catherine M.Kuzmiski* Hon.James F.McGillen,11(Rec) Brenda J.McNally Thank you for taking the time to meet with Rick Presbrey F.Mills Thom this morning. Thomas J.Minichiello,Jr. Charles D.Mulcahy Hon.James J.Nixon(Re[.)John J.O'Day,Jr. Rick informs me that you have obtained a legal opinion with Kevin J.O'Malley respect to this project and it supports the position set forth in James J.O'Rourke,Jr.*Paul G.O'Sullivan your prior letter. I would appreciate you forwarding a copy of Thomas E.Pontes the legal opinion which you have obtained. Michael J.Princi Rebecca C.Richardson Janice E.Robbins My clients feel very strongly that you have either William Rosa*Luke P.Travis misunderstood the nature and extent of their non-profit charter Michael F.Walsh or, alternatively, the educational nature of the program. Paul F.Wynn Thomas J.Wynn I am looking into all avenues to ensure that the individuals Of Counsel who are in training under our various programs are afforded the Hon.Robert L.Steadman(Ft.) opportunities within the Town of Barnstable. Christopher J.Muse James J.Lombardi,III In addition, if you have any supplemental information, which was not made part of the site plan review file, I would appreciate your forwarding copies to me forthwith. *Admitted in Massachusetts and Rhode Island T+ Ralph M Crossen, Building Commissioner Page Two November 26, 1996 Thank you for your anticipated cooperation and assistance in this matter. Very truly yours, Wynn ynfC 1 MJP/j bm cc : Client E:\MJP\HAC\SOUTH\CROSSEN.2 I f 1 310�Barnstable Road Hyannis,MA 02601 (508)775-3665 Wynn &Wynn, I CTelecopier(508)775-12443t ' N ATTORNEYS • AT • LAW NO 2 y; j 6 Affiliate Offices Raynham 90 New State Highway Raynham,MA 02767 (508)823-4567 November 25, 1996 Boston Six Beacon Street Suite 915 Boston, s (617)742-7146 Via Facsimile 790-6230 2-7146 Providence (401)453-5500 Ralph M.Crossen, Building Commissioner Fall River The Town of Barnstable (508)678-5639 Department of Health, Safety New Bedford and Environmental Services Building Div. (508)999-6969 367 Main Street Hyannis, MA 02601 Elizabeth K. hak RE' Angel House Mark W.Bennett ' Thomas M.Grimmer Our File No. : 9 7 2 5*4 0 Douglas A.Hale Gary P.Howayeck Patricia F.Keane Dear-Mr; Crossen: Catherine M.Kuzmiski' Hon.James F.McGillen,II Met) :..'. Brenda J.McNally Thank you for your recent letter regarding the Site Plan Robert F.Mills Review matter- on South Street . Thomas J.Minichiello,Jr. Charles D.Mulcahy Hon.James J..O'Da, Ret.) We appreciate your prompt response • however, there appears John J.O'Day,Jr.)r. � � Kevin J.O'Malley to be some misunderstanding regarding the non-profit status and James J.O'Rourke,Jr.* educational program on the Site. I sensed at the presentation Paul G.C,Sullivan Thomas E.Pontes that you had some pre-existing reservations about the educational . Michael J. Richardson character of the program; however we , had hoped that our verbal Rebecca C.Ricchardson �h � JaniceE.Robbins presentation and supplementary submittal would be persuasive. William Rosa' Luke P.Travis Michael F.Walsh This project is extremely important to Housing Assistance Paul F.Wynn Thomas J.Wynn Corporation, the Community and the recovering mothers . Rick Presbrey would like. to meet with you on Tuesday, November 26, Of Counsel 1996, to review your concerns . Hon.Robert L.Steadman(Ret) Christopher Lombardi, I As you may remember, we met with you several months ago and James J.Lombardi,III Y i Y g outlined the nature of Housing Assistance Corporation and the characteristics of :the Program. Nothing has changed since that initial presentation. We do not know whether you have been given conflicting or incorrect, information about the program; however, before this matter moves to another level, Rick feels that a face-to-face meeting would .be helpful . I have asked Rick to telephone your off ice today to make the -,appointment . 'Admitted in Massachusetts and Rhode Island Ralph M Crossen, Building Commissioner Page Two November 25, 1996 Thank you for your continued interest and cooperation with respect to this project . Very tr ly yours, W n W P.C. i h e J. rinci MJP/jbm cc : Client (via facsimile) E:\MJP\HAC\SOUTHST\CROSSEN.LTR 3I0 listnxablc RnsJ Hyannis, M.A.02601 o(m)775.7665 '1'clecupior($Qb)77S•1244 Al' fURN1;l'S AI'• LlV6' Em:- Affflate Offices Raynhain 90 Nov 5r;iw Ilighw.ly K;�Ynhnnll MA Il).T61 (5N)RZ 3.4567 Holton November 25, 1996 Slx Roci n Street SLUre 91 S I(t'Wt, Mno2tus 742'Jt46 via Facai ile 790-6230 fr,17? ProviJ'ncc (411i'IS11110 Ralph M.Crossen, Building Commiesi.oner fall River The Town of Barnstable (50,S)678-5639 Department of Health, Safety Nc.v liotifortl and Environmental Services Building Div. 008)'M6969 367 Main Street Hyannis, MA 02601 Eli:rk W.h,Ijrrti011i„M.,a Mark W. RF, Angel House d,cu , ,uwas M.Hummer Our File"-No. 97 5*40 unul;i:ae A.H'4'! - Ual�P.HoWM rk KaAnr Dear Mr. Crossen Uarl,av'lr M.Kurmiskt, HUI,,Jamrs F.Mc(iillen,11(Raj KrefldaJ.MMnlly Thank you for your recent letter regarding the .Site Plan FdriI P.Mills TllunslsJ.Alldicliiclll,•Jr Review matter on South Street. i:hnrl+a L).M"I"Ily . Hein.jomoLNisn„(It,,..l we reciate Jplul),U;)ny,Jr. appreciate your prompt response; however, there appears kwill1.i.lybli..y to be some misunderstanding regarding the non-profit status and RIU1'.0.I"'I'llli'1ulJl','� _ educational program on the Site . I sensed at the presentation that you had some pre-existing reservations about the educational Mlrhnrl I.rrin"` character of the program; however, we had hoped that our verbal x�t>I,,,,c,Ki,fiilr.Lsl;ti lanimU.Ib,1,Li»s presentationi' and supplementary submittal would be persuasive. William Rs:t, lilt!,•P.Travis Mirl+F.wylin This project is extremely important to Housing Assistance Thomax J.W rmll F.v.Wynn Corporation, , the Community and the r.ecovering mothers. Rick Pre8brey, would like to meet with you on Tuesday, November 26, III 1996, to review your concerns , I ici,.R"liva L. tjhri::nqh;rJ.Must . J:iluoJ.11»nlr,rdi.III As ydu may..remember,. we met with you several months ago and outlined 'the- nature of Housing Assistance Corporation and the characteristics of the Program. Nothing has changed since that initial presentation, we do not know whether you have been given conflicting or incorrect information about_ the program; however, before this matter moves to another level, Rick feels that a face-to-face meeting would be helpful . I have asked Rick to telephone your office today to make the appointment , i •ndmll,,.1 rl�.r,l.l.l:.i,.:.u.,....a na,d,rd.,llli ZO' d VTO' oN Si: ZT 96rSZ AON VbZT-SZZ-80S: QI SINNUAH NNAM i3 NNO r, Ralph M Crossen, Building Commissioner Page Two November 25, 1996 Thank you for your continued interest and cooperation with respect tc this project . Very t my yours, Wy n �W; P. C. e J.��Pt'inci MJP/jbm cc: Client (via facsiatile) E:\MJP\HAC\S0UTHST\CR0SSENATR 20' d VT0' ON Si: Zi 96, S71 AON SINNHAH NNAPI 8 NNAM Ft 3l0 Beenstabte Road Hvennis,MA 02601 i508)771--1665 Teirtopter(308)775.1244 federal Identification Number 04,2679741 Affiliate O(fkes ) Reynhar" 90 Ncw;rate Highway Raynham, MA 02767 A'I"r O R N B Y•s• A`r• 1.A W (508)82)4567 Boston 84 State Street Huston,MA 02109 ;617) 742-7146 Fall River 222 Milliken Buuievati) N.O. Box 640 F211 River, MA 02722 ,508)6784639 N ovidence 3 One Citizens Fla2a Suite 620 ptnvidence, RI 02903 (401)41)•5500 . DATE ; November 25, 1996 TO: _Ralph Crossen, Town Of Barnstable FAX NO: 790-6 . 0 NUMBER OF PAGES: �3 (Including Cover Sheet) RE: South Street ADDITIONAL NOTES/MESSAGE: Reaponse to your letter Of November 22, 1996 . SENDER: WY N. & WY P. DEPT/IND:. REPLY TO: MICHAEL PRINCI. ESQUIRE/Joanne MCPartlan Please contact the SENDER AT 508-775-3665 immediately if less than the required number of pages arrived or if a transmission error occurred. rho documents transmittod by this facsimile massage may contain confidential and/or privileged information, which is intended only for the use of the addressee named above. If you are not such addressee, any disclosura, photocopying, distribution, or use of such documents or information is prohibited. If you have received this facsimila message io error, please immediately notify us by telephone so that we can arrange to retrieve such documents. shank you, tiU' � bT0' oN b� ZI 96, S7 AUN trb�l-S��-SUS i1I SINNUAH NNAM NNAM .; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WATROS v. GREATER LYNN MENTAL HEALTH, ' 37` Mass. App. Ct. 657 ( 1994) 642 N.E.2d 599 GARY WATROS & another[fnl] vs. GREATER LYNN MENTAL HEALTH AND RETARDATION ASSOCIATION, INC. , & others. [fn2] No. 92-P-1406 Appeals Court of Massachusetts Middlesex February 17, 1994 - November 22, 1994 Present: ARMSTRONG, PERRETTA, & LAURENCE, JJ. Zoning, Educational use, Special permit, Appeal, -Person aggrieved. Practice, Civil, Summary judgment, Zoning appeal, Standing, Parties. Education, Zoning. 3 A Superior Court judge incorrectly failed to address the jurisdictional issue of the plaintiffs' standing as aggrieved parties under G. L. c. 40A, 17, to challenge a board of appeal's grant of a special permit; . on the basis of the undisputed record, the judge should have ordered summary judgment in favor of the .defendants, where the plaintiffs did not set forth specific facts to establish their standing. [661-667] [fn1] Roberta Watros. [fn2] John A. Prokos, Nancy M. Dingman, and Matthew H. Lynch, in their capacity as members of the town of Winchester board of appeal, and Emanuel S. and Barbara A. Miliaras. CIVIL ACTION commenced in the Superior Court Department on January 17 , 1992 . Motions to dismiss and for summary judgment were .teard by Katherine Liacos Izzo, J. Further appellate review granted, 419 Mass. 1105 ( 1995) . Samuel A. Vitali for Greater Lynn Mental Health and Retardation Association, Inc. Frank J. Frisoli, Jr. , for the plaintiffs. Scott Harshbarger, Attorney -General, Donna L. Palermino & Stanley J. Eichner, Assistant Attorneys General, for the Commonwealth, amicus curiae, submitted a brief. LAURENCE, J. Emanuel and Barbara Miliaras own property in Winchester at 12-14 Mount Pleasant Street, in a neighborhood zoned for single-family dwellings. On the Page 658 Miliarases' parcel sits a two-family house and near the rear lot line is a barn, or carriage house, "that has- been used exclusively for ,storage since 1962 . The use of the house as _a two-family residence is a nonconforming use under the .Winchester zoning by-law, and the barn_, , i constitutes a nonconforming structure because 'it fails to meet the by. -law's minimum setback requirement. In July, 1991, the Miliar,ases leased the barn to the Greater Lynn Mental Health and Retardation Association, Inc. (GLMHRA) , a private, nonprofit corporation established under G. L. c. 180, which engages in educational activities, for a five-year term at a nominal rent. GLMHRA planned to renovate the barn for use as a group home for three mentally retarded autistic men. [fn3] As at similar group houses that GLMHRA has implemented elsewhere, the Winchester residents would attend day programs, receive instruction in cooking, personal hygiene and household tasks, and be provided with occupational, speech and physical therapy by GLMHRA staff and assistants. GLMHRA petitioned Winc ter .board of appeal for a special permit to use the barn as a roup home as required by 3.45 of the zoning by-law. After appropria a ice and a public hearing, attended by numerous abutters, neighbors, and concerned citizens who spoke with respect to the petition, the board granted the special permit in early January, 1992 . In its written decision, the board acknowledged that .G. L. c. 40A, 3 (the so-called "Dover amendment, " inserted by St. 1975, c. 808, 3) , entitled GLMHRA to use the barn as of. right for the -conceded educational purpose of a group home but concluded that a special permit was nonetheless required because of the proposed change in the nonconforming structure. Cf. Campbell v. City Council of Lynn, 415 Mass. 772, 777 n.6 ( 1993) . The board recognized that, in order to grant . - the permit, it had to find, pursuant to 3.45, that the change in the nonconforming structure (the Page 659 barn) must "be equally or more appropriate to the neighborhood than the existing nonconforming structure. " The board also noted that 8.5 of -the by-law authorized the board "to grant a special permit only where such conditions and safeguards as required by this By-law have been met .and only after a determination that such grant would comply with all other provisions of this By-law and would not adversely affect the public health, safety, welfare, comfort, or convenience of the community. " The board ultimately made all of. these required by-law determinations in - ' GLMHRA's favor. In granting the special permit, the board particularly relied on its findings that 'satisfactory arrangements had been made by GLMHRA for ingress to and egress from the property and the proposed structure, off-street parking,` refuse collection and disposal, screening and buffering, signage, and open space; that the number of vehicles allowed to park on site would not increase from the previous limit of nine; and that there was general compatibility of the project with adjacent properties and other property in- the district, particularly because the neighborhood already contained numerous similar barns or carriage houses and many nonconforming structures. Additionally, the board found, in support of the permit, that the proposed barn renovations would not alter the "footprint" of the structure; that there would be no external alterations to the building except for new stairs on .the front and side; that only limited site work was to be done, including construction of a retaining wall and stone 'rip-rap on two sides of an existing parking .area,,_ r erection of a six-foot high fence along the rear and side lot -lines, planting of six ten-foot evergreen trees along the rear lot line forscreen the building and the parking area, and some walkways on the front and side of the building; that ,the.. parking area would remain unpaved; that there would be no external dumpster; •no signs would be posted; and that no town L • officers or boards had commented adversely on the project. The board attached conditions to the permit, as authorized under G. L. c. 40A, 3, the most significant being that no Page 660 more than three persons could reside in the group home at any time; no more than the current nine lawful parking spaces could be used; and the barn could be used only as a group home and only so long as GLMHRA operated the facility as a nonprofit organization under license by the Department of Mental Health. The Watroses, alleging ownership of property at 10 Mount Pleasant Street that abutted the Miliarases' lot, appealed the board's decision by unverified complaint against the Miliarases, the board, and GLMHRA, filed in the Superior Court pursuant to G. L. c. 40A, 17, in mid-January, 1992 . [fn4] The Watroses challenged. the decision on the grounds that no executed lease was in existence when it was rendered; that it violated the zoning by-law by effectively dividing the Miliaras lot into two distinct properties used for two different purposes; that it adversely affected "the comfort and convenience of the community" because "the new use is clearly more intensive than the prior use" [fn5] and because it was "proximately ' located" to other dwellings; that the new use was inappropriate to the neighborhood; and that it permitted an increase in on-site parking beyond the nine previously allowed. Timely answers of the defendants denied all of the complaint's operative averments. Additionally, GLMHRA's answer denied the Watroses' standing and asserted as an affirmative defense that the Watroses were not persons aggrieved with sufficient standing to give the court jurisdiction over the complaint. On June 10, 1992, the board, stating that no genuine issue . existed as to any material fact, moved for summary judgment •on the basis of. the pleadings, affidavits, the board's special permit decision, all documents and Page 661 exhibits received in connection. with .that decision (including the zoning- by-law) , and "other discovery developed during the• course of this litigation. " The Watroses swiftly responded with a cross motion 'for summary judgment, which agreed that "there is no dispute as to any material fact" but construed those facts as requiring the "court to determine as a • matter of law that the plaintiffs are entitled to judgment on the merits of their appeal. " A few days later, GLMHRA filed its "support of [the ' board's] motion for summary judgment and opposition to [the] plaintiffs' cross motion for summary judgment. " Almost a week later, GLMHRA also filed a "motion to dismiss" the action "for lack of jurisdiction" and failure of the complaint "to meet the [standing] requirements of [G. L. c. 40A, 17] . " In support of the motion, GLMHRA relied upon "the record of [the] -proceedings and pleadings herein. After a consolidated hearing on` all of the outstanding motions on June 22, ' 1992, at which the judge acknowledged that "the material facts are undisputed" and only issues of law remained, the motion judge denied GLMHRA's "motion to dismiss" and the defense motions., for summary judgment . , and allowed the Watroses: cross motion for summary judgment on the ground, ,! that the board had exceeded its authority in granting the special permit. GLMHRA has appealed. on. the ground, among others, that . the judge erroneously . decided the issue of the Watroses' standing. I We agree. [fn6] We need not expatiate upon the substantive issues presented on appeal, dealing with the relationship between G. L. c. 40A, 3 and 6, and zoning regulations and the permissible scope of nonconforming uses under the special permit. The judge should have addressed the jurisdictional issue of the Watroses'- standing on the entire record Page 662 before her and should have entered judgment in favor of the defendants because the Watroses did not sustain their burden of establishing their standing as aggrieved persons under G. L. c. 40A, 17 .- Although erroneously labelled a "motion to dismiss, " GLMHRA's motion challenging the Watroses' standing expressly relied upon the board's findings and decision as well as the entire record before the board, which was already before the court on the cross motions for summary judgment. Having presented matters outside the pleadings, GLMHRA should have denominated its motion as one for summary judgment under Mass.R.Civ.P. 56 (b) , 365 Mass. 824 ( 1974) . See Mass.R.Civ.P. 12 (b) , 365 Mass. 754 ( 1974) . [fn7] Not only were such matters "not excluded by the court, " id. , but the judge announced at the beginning of her memorandum of decision that she was considering the undisputed material facts -- which she then summarized, including the board's key findings supporting the special permit -- "for purposes of both the motion to dismiss and cross motions for summary judgment. " The judge, however, proceeded to address GLMHRA's "motion to dismiss entirely in the abstract, as if the only information before her was the Watroses' unverified complaint and as if all the conclusory allegations therein, including favorable inferences, were true under the generous and indulgent criteria for determining rule 12 (b) (6) motions announced by such cases as Nader v. Citron, 372 Mass. 96, 98 ( 1977) . On that basis, the judge declared that "the Watroses have asserted facts from which it can be inferred that they will incur tangible harm as a result of the special permit. " The judge specifically relied on the Watroses' erroneous complaint allegations that under the permit the proposed use would result in more people on the locus and that there would be additional parking, as well as her own conclusions Page 663 (unsupported by the board's findings or anything in the record) that "traffic" would increase and that it was "self-evident" that there' would be "a higher intensity of use. " [fn8],. Treating GLMHRA's challenge to the Watroses' standing and the court's jurisdiction under G. L. c. 40A, 17, as if it were a disembodied and' unsupported motion to dismiss not only was a formality that made little sense in light of the procedural actualities facing the court; it was 'also erroneous. When matters outside, the pleadings were explicitly presented to and not excluded (indeed, were accepted) by the judge, the matter should have been handled as a motion for summary judgment, so that the judge could look beyond the unverified pleading and apply dispositive legal principles .- to the undisputed facts and avoid unnecessary further proceedings.. See Mass.R.Civ.P. 12 (b) ,- 365 Mass. 754 (1974 ) (in such a procedural posture .' "the motion [to dismiss]` shall :be treated as one for summary judgment" [emphasis added] ) ; Cousineau v. ° Laramee, 388 Mass. 859, 860 n.2 ( 1983) ; Davidson v. Commonwealth, 8 Mass..,App. Ct. 541,. 542 n.2 ( 1979) ; Carter V. Stanton, 405 U.S. 669, 671 (.1972) ; ,Gibb v. Scott, 958 F.2d 814, 816 ( 1st Cir. ` 1992 ) . In the instant circumstances, there could be no issue of prejudice or inadequate notice to the Watroses resulting from such a mandatory "conversion" of a motion to dismiss to a motion for summary judgment. GLMHRA's motion clearly stated its reliance on the entire record, as well as the pleadings, as the basis for its arguments against the Watroses' standing. All the parties, including the Watroses, had either presented or cited to that record before the board and had an opportunity to be heard on all issues. Compare Stop & Shop Cos. v. Fisher, 387 Mass. 889, 892 ( 1983) (party relying on extra-pleading material on a motion to dismiss Page 664 deemed to have "constructive notice" of "conversion" ) ; Moody v. Weymouth, 805 F.2d 30, 31 ( 1st Cir. 1986) . The Watroses have conceded the propriety of deciding standing on the basis of all the documents before the court. They explicitly contended (as the judge had noted) that there was no dispute as to any essential material fact regarding the standing issue; that all evidence needed to adjudicate standing was properly before the motion judge; and that GLMHRA had simply failed to sustain its burden in contesting standing under the standards of rule, 56 and Community- Natl. Bank v. Dawes, 369 Mass. 550 ( 1976) . Cf. In re G. & A. Brooks, Inc. , 770 F.2d 288, 295 (2d Cir. 1985) . It was the Watroses, however, who fell short in discharging their burden of establishing their standing to maintain an appeal as aggrieved persons under G. L. c. 40A, 17. This court has recently outlined the standards for determining whether abutting plaintiffs have met that burden: 'Aggrieved person' status is a ;jurisdictional prerequisite. Unless brought by a municipal officer or board, a court has jurisdiction to consider a zoning appeal only if it is taken by an aggrieved person. Although abutters and abutters to abutters enjoy a presumption of aggrieved person status, the presumption is rebuttable. Once a defendant in a 17 appeal "challenges the plaintiff's -standing and offers evidence to support the challenge -- as the defendants -did' . here -- the jurisdictional issue is to - be decided on the basis of the evidence with no benefit to the plaintiff from the presumption. The plaintiff then has the burden of proof on the issue of standing. Satisfaction of that burden requires proof that the plaintiff is one , of the limited class of individuals who are entitled to challenge a zoning board's exercise of discretion. To qualify for that limited class, a plaintiff must establish - -by direct facts and not by speculative personal opinion -- that his injury is special and different from the concerns of the rest of the community. He must show that his, legal rights have been, or -likely, will Page 665 be, infringed or -his property -interests adversely P affected.- Subjective and� uns ecific fears about the possible P ssible impairment •of ' ' . aesthetics or* neighborhood� appearance, incompatible architectural styles, the diminishment of close neighborhood feeling, or the loss of open or natural space: are all considered insufficient bases for aggrievement under .Massachusetts law. Even when positing •legiiimate .zoning-related, concerns, including '' possible vehicular traffic .increases, anticipated parking problems, and the potential for litter, a plaintiff must nonetheless offer more than conjecture and hypothesis. He must provide specific evidence demonstrating a reasonable likelihood that the granting of a special permit will result, if not in a diminution in the value of his property, at least in his property or legal rights being more adversely affected by the activity authorized by the permit than (a) they are by present uses and activities or (b) they would be as. a result of the uses and activities permitted as of right on the defendant's locus. Otherwise, a would-be plaintiff lacks the . requisite standing and cannot maintain an appeal under G. L. c. 40A, 17, even if his property abuts or is very near the property subject to the permit. " (Emphasis added) . Barvenik v. Board of Aldermen of Newton, 33 Mass. App. Ct. ` 129, 131-133 ( 1992 ) (footnotes omitted) . These principles have been reiterated, in- a summary judgment context, in Cohen v. Zoning Bd. of Appeals of Plymouth, 35 Mass. App. Ct. 619, 621-622 ( 1993) ( "the challenged plaintiff [opposing , summary judgment] . . . must come forward with 'specific facts' to support the assertion of status as an aggrieved person" demonstrating special injury to his own private rights or interests) ; Marashlian v. Zoning Bd. of Appeals of Newburyport, post 931, 933 ( 1994 ) . See also Lujan v...Defenders of Wildlife, 112 S.Ct. 2130, 2130, 2136-2137, 2139 ( 1992) (standing at the summary judgment stage requires that the plaintiff can no longer rest on the mere allegations of the complaint but must set forth, by affidavit or Page 666 F other evidence, specific facts showing actual, perceptible harm to the plaintiff in a personal and individual way) . Under these controlling standards, the judge should have allowed GLMHRA's motion attacking the Watroses' standing. Their presumptive standing as abutters receded and their burden of going forward on standing sprang up when their unsworn complaint assertions as "to aggrievement were directly challenged by the denials and affirmative defenses in the defendants' answers. See Rafferty v. - Sancta Maria Hosp. , 5 Mass. App., Ct. 624 , 626 ( 1977) . They submitted no affidavits or other material to establish the requisite adversity of. impact to their peculiar rights. The unverified allegations of their complaint were entitled to no consideration in evaluating the matter,. see Godbout v. Cousens, 396 Mass. 254, 262-263 ( 1985) , and provided no specific facts as to the impact of the proposed project on them in any event.` See 4-5 .,and note 4, above. The judge made no findings with respect to their standing but erroneously relied solely on those naked allegations. The Watroses point to nothing in the record before the motion judge which even - suggests, let alone establishes, that the permitted project will diminish or adversely affect their property or legal rights, or that any effect on them would be more adverse than it would be as a result of continuation of the present use of the Miliarases'. ' - property or as a result of additional-roses and activities permitted as of right. : On the contrary,. to the extent the- record discloses relevant and uncontradicted facts, derived from the board's findings, they militate against the Watroses' standing;` since they indicate no increase in parking,, traffic, or permitted persons resulting from the permitted use on the Miliarases' property, nor any_ physical' changes, incompatible with the existing character of the. area. Finally, " [e]ven assuming that the anticipated . . . increases [in parking, traffic, and population] . will result, there [was] no specific showing [by the Watroses]. that "[they] will 'either be injured• [thereby] or that such an injury would be special and different from that which others throughout the zone would experience Page 667 Even read generously, the [complaint] does not meet the requisite' test of factual substantiality. " Cohen v. Zoning Bd. of Appeals of Plymouth, 35 Mass. App. Ct. at 623. Accordingly, the judgments denying GLMHRA's motion to dismiss and granting summary judgment in favor of the Watroses are reversed; and a new judgment is to be entered dismissing the Watroses' complaint. So ordered. [fn3] One of the original three residents was to have been the Miliarases' son. That individual, however, appears to have died sometime prior to the commencement of this litigation. [fn4] The Watroses did not allege any facts particularizing their abutting status, such as their proximity to the rear lot line; or their ability to see the barn or the parking area or the two-family residence or " anything else on the Miliaras lot; or their susceptibility to noise from the premises; or the impact on them of vehicular traffic in and out of the . . Miliaras property; or the likely effect on them of any spill-over off-site parking. [fn5] The Watroses erroneously asserted that the decision authorized residence by "a minimum of four adults. " See above and note 8 below. [fn6] We do so, with respect to the issue of' standing under G. L. c. 40A, 17 , on grounds different from that argued by GLMHRA but squarely presented by both the record before the motion judge and that same record before this court. See Mass.R.Civ.P. 12 (h) (3) , 365 Mass. 757 ( 1974 ) ; Litton Bus. Sys. , Inc. v. Commissioner of Rev. , 383 Mass. 619, 622 ( 1981) ; Foley v. Lowell Sun Publishing Co. , 404 Mass. 9, 11 ( 1989) ; Flynn v. Contributory Retirement Appeal. Bd. , 17 Mass. App. Ct. 668, 670 ( 1984) . ' [fn7] It is, of course, the substance of a motion and not its technical name or label that determines its nature and legal effect. Smith & Zobel,. Rules Practice 7 . 11 ( 1974) ; 2A Moore's Federal Practice 7 .05 ( 1994 ) ; 5 Wright & Miller, Federal Practice `& .Procedure 1196 ( 1990) . t [fn8] Not only was, the Watroses' complaint wrong in alleging that the special permit allowed a minimum of four persons to live in the group home rather than the board mandated maximum of three; but the judge also, erroneously assumed that the three additional persons represented an increase in the number who could live on the premises as of right. Under the zoning by-law, up to four unrelated persons could reside on the "property, along with the two .families already in residence. Page 668 ., `f` �7 S CrOK 1 OFtNE 1b�,._ . "'�. The Town of Barnstable • snttxsrnBi.E, • 9� 1�6J9. Department of Health Safety and Environmental Services ArFDMA'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 22, �97 Attorney Michael J. Princi 310 Barnstable Road Hyannis,MA 02601 Re: Angel House proposal Dear Attorney Princh Based on your Site Plan Review application,you are deemed approved subject to the recommended changes suggested at your hearing involving the fence and the closure of one curb cut. You will need to give us a plan showing these changes so that we can sign it and send you on to the Zoning Board of Appeals. Your proposal,as submitted,requires Zoning Board of Appeals action. I have reviewed your articles of organization and your narrative and I am of the opinion that you are not a non-profit educational corporation and,even if you were,your primary function is not educational in nature. Arriving at a decision such as this is not easy as the proposal is extremely meritorious,however 40a and our zoning leave me no choice. Sincerely, Ralph M.Crossen Building Commissioner RMC/km a, i+ r 3!0 Liarnstahl�Rvnd Ffyannis.MA 02601 (50N)775.3665 } } ! } Ycfccut/irr(503)775.1244 Affftlatc Offices Rav,d,am 90 Ni% ti41bt ftil<hw,iv Raynf,:m,N1A 02?0? 82 -4561 December 2, 1996 9t 7)'1, 1-7142;_n via Facsimile 790-6230 Pruv;dcncc WN0 0f 5500 Ralph M. Crossen, Building Commissioner F,II!Rlvcr The Town of Barnstable 678.5639 Department of Health, Safety New Bedford and Environmental Services Building Div. i5:lsi 367 Main Street Hyannis, MA 02601 blak'x/.Rc,1nl,•:p. ,irik RE. Angel House 11mrrr i'honaam.Sihmmrr Our File No. : 9725*40 Dear Ralph: ::d.hcriuc M.}au.rrd:;l.i' luu,l:nnur;I'.Atrl li�il1,li(il.cf.) • 41.n.6 Apparently, my clients have presented some additional Th'a, FAll material to('h<�e�;�,1.141inie�,irllr�,J,., your department seeking a reconsideration of your Ck,ded1..mldrahy Angel Mouse decision dated November 22, 1996 . Your -letter of ohn.!.,,„:�.r,i:<..„ut<ra J November 22r 1996 has devastating affects on a number of John)!t?'u:w,jr.. K':"`t,I:)*m,ln,:7 educational programs offered by Housing Assistance Corporation patilG c'SIINl"'•f and other non-profit ,r:ll,lci.c��ti��iiir;,,, pgroups within the Town of Barnstable . W�, Tlumnic h:.Vol' .q appreciate and understand the necessary scrutiny of. proposals of Mkkid;.f rin;i this t ItPN,,;,1 ;Kichnnla„il type. Notwithstanding, the overwhelming weight of the .Eacts l,lnircL,Rul,iliou and authority suggests that the women with children in the Angol wdll..lrqR-m, House Program are learning- daily how to deal with real life, bike 1'. r,:,,i, mi<indF.wlIjj problems, many of which may be triggers for their chetttical NOF.V/pn dependency. The terms "education" is to be given broad - 'rh:n,ar interpretation under all of the cages in this area. The Fitchburg case in particular provides us with a near perfect tl;,,,.Itr�(-vttL.5trmlmanili,(,) parallel to the offerings of Angel HOUSP-0 riw i i,rr J. A1unr While there may be a societal tendency to discriminate against those who have difficulty with even the most basic taska, the education of basic, life skilli is the essence of education. We must recognize that the ability of Angel House to- graduate women in to the.mainstream of society, equ, pped to deal with their children, landlords, employers., public oFficials' and recovery, deserves the Town' s recognition and support_ . •n,b,,,m,!„;,r:,:,rh;ueva dnd it7;,ir Llm•,,i M ' d 900' ON Sb : bl 96 ; 7,O SINNUAH NN.0 18 NNA19 Ralph M Crossen, Building Commissioner The 'Gown of 2arnstable Page Two December 2, 1996 Thank you once again for your on-going consideration of this proposal , Very truly yours, 6dynn & Vi my P.r 6 hl'chaal . . r Princi , MJP/jbin E:\MJP\HAC\SOUTH\CROSSEN.3 20' d 900' ON 6b : bI 96, G0 03I SINNUAH .NNAN NNAN i� 310 Barnstable Road Hyannis,HA 02601 (506)775-8665 Telmpicr(506)775.1244 Federal Identification Number 04.2679742 AffilUte Offices Rayohsm 90 New State Highway Kaynham,MA 02767 A y"1'0 It N F Y'S A'1'• i.A W (W8)823.4567 }!oaten 84 State Street iloston, MA 021U9 (617) 742,7146 Fall lover 122 Milliken Itoulevatd P.Q, Box 20 Fall Rivet, MA 02722 (508) 678.%39 Providence One Citizens Plaza Suite 620 Providence, ltl 02903 (401)03-5100 December 2, 1996 TO: Ralph Crosaen, Town of Barnstable FAX NO: 790-62. NUMBER OF PAGES: 3 (Including Cover. Sheet) RE; South Street ADDITIONAL NOTES/MESSAGE Response to your letter of November 22, 1996 . SENDER: WYNN & WYNN P DEFT/IND: REPLY TO: MICHAEL PRINCI. ESQUIRE/Joanne McPartlan Please contact the SENDER AT 508-775-3665 immediately if less than the required number of pages arrived or if a transmission error occurred. The documents transmitted by this facsimile message may contain confidential end/or privileged information, which is intended only for the use of the addressee named above. If you are not such addressee, any disclosure, photocopying, distribution, or use of such documents or information is prohibited. if you have received this facsimilo inossage in error, please immediately notify us by telephone so that we can arrange to retrieve such documents. thank you. IC' <j 900' ON 8b: bl 96, Z0 D3iI SINNb-AH NNAM NNA111 FILE No. 034 11/26 '96 17:56 I D:LEGAL SERVICES 4 CC A I SL 15087903955 PAGE 1 paswa Fax Note 7672 i`) No.of Pagan 63 Time i�d'/L I�Lg HOUSING ASSIStANCECORPORAIION� LocaGen Wolvxm Owr ' /y„_,.c�/.L�f,Ie /] [_,,res aSOnEStMA!NStRffMt'^''. ge Hw%:41S.MA 02601-3F�q�pp Faso 7�� ier Far� -TelephaneY Usposdnn, El Desaoy LiRetum 11l;ue rtt pcktry �• r.—-cro 10o WT..MIMI zf h-nr-Mm tUi1p Talltmattlapatti, of , ttoondjusettil JOHN F.X.DAVOREN Secretary of the Corr montveedth STATE HOUSE BOSTON,bens&02133 ARTICLES OF ORGANIZATION (Under G.L.Ch.180) Incorporators NAME RESIDENCE Include given name in/ull in cast 0/4"fural perspna,•in tw»o/a corpom0an,gins Mate o/ineorporudon. Clara Roderick, 56 ":abrook Road, Hyannis, Massachusetts Virginia Johnson, Blue Rock Road, South Yarmouth, Massachusetts Robert E. Terry, 17 Ponces Avenue, East Falmouth, Massachusetts The above-named incorporator(s) do hereby associate (themselves) with the intention of forming a corporation under the provisions of General Laws,Chapter 180 and hereby ststa(a). 1. The name by which the corporation shall be known is:" HOUSING ASSISTANCE CORPORATION 2. The purposes for which the corporation is formed areas follows: a, to receive and administer funds exclusively for educational and charitable purposes without pecuniary-profit, either direct or indirect, to its member _; . ; .b.• to assist in the planning an&,-develvpmtnt of projects: ,under: takings, studies and other activkbieacbat,improve.the housing and living conditions of low-income families in ee operation:and conjunction with local, state, and federal I'avernment'and civic bodies in the Counties of Barnstable, Dukes,"4n0-Kai,4i4Cket;_ : C. to purchase, or otherwise acquire, lease as lessee,`'lnv'est t1., .. hold use, lease as lessor, lease as agent, encumb.e.i.—Is.e11:,...._ ; exchange, transfer, and dispose of property of-any,:des_cripti.on or any interest therein, by authority and action o£°its -Board' of Directors; ; d. to borrow money, and issue,- se}rl., and- pledje_iis'notes,� bends.,. and other evidences of indebtedness, and to. secure any"cif i*t-s obligations by mortgage, pledge; or deed of trust of all or any of its property, by authority and action of its Board of Directors ` NOTF,:If p:,>visi.rn;h rwhich Oc space provided urcer A rricles 2,3 and 4 is Not sufficianttaddiUCn3 sh,:.ulJ bF ca out on conttnu:nwn sliest:to bt au:tbc:cd!A.2G.ctr..!:;;Iieatc uedrr each Artiel::vhr.:c the p:o•ision is M out.Coutiaualion sheets ihail be Cn S%"x 11"pope r and must have a left-hand margin 1 inch wide for binding. Only one side shou!d be used. I - FILE No. 034 11/26 '96 17:57 ID:LEGAL SERVICES 4 CC.BISL 15087903955 PAGE 2 e. to acquire, construct, provide, and operate rental housing and related facilities suited to the special needs and living requirements of low income persons; f. to acquire, improve, and operate any real or personal property or interest or rights therein or appurtenant thereto; f g, to do all things necessary and appropriate for carrying out and exercising the foregoing purposes and powers as permissible under the provisions of the Internal Revenue Code of 1954, or any other successor thereto, ae amended from time •to time with- out jeopardizing the- state or federal tax exempt status of the corporation; h. all or substantially all of the activities of this corporation shall be carried on within the Commonwealth of Massachusetts; i. no substantial part of the activities of the corporation shall consist of carrying on propaganda or otherwise attempting to influence legislation, nor shall the corporation participate in or intervene in (including the publishing or the distributing of statements) any political campaign on behalf of any candidate for public'office; j . the corporation shall have all powers conferred upon non-stock, nonprofit corporations as prescribed by Chapter 180 of the General Laws of Massachusetts, as now-'enacted or hereafter a- mended, except that (1) the corporation shall neither have nor exercise any power which would prevent it from obtaining exemp- tion .from federal income taxation as a corporation described in Section 501 (c) (3) of the Internal Revenue Code, as now enacted or hereafter amended, or cause it to lose such exempt status; and (2) the corporation shall not be operated for the purpose of carrying on a trade or business for profit, no divi- dents shall be paid, and no part of the net earnings of the corporation shall inure to 'the benefit of any member, director, officer, trustee or *private- person; provided, that nothing here- in shall be considered as preventing any member, director, officer or trustee from receiving reasonable compensation for his services -to the-.corporation. r IFILE No. 034 11/26 '96 17:57 ID:LEGAL SERVICES 4 CC.BISL 15087903955 PAGE 3 ..... ........... 'Cl,:Uhon•o. appointaaent, the duration of membership and the qualification and rights, including voting e . of she members of each class.arc as follows.-- There shall be one class of members. • 4. Other lawful provisions, if eny, for the conduct and regulation of the business and rf eirs of the cor- poration,for its voluntary dissolution,or for limiting,defining.or regulating the powers of the corporation, or of its directors or members,or of a»y class of member,are as follows:— In the. event of the dissolution of the corporation or the winding up of its affairs or other liquidation of assets , the corporations' s property shall not be conveyed to any organization created or operated for profit or to any individual for less than the fair market value of such property, and all assets remaining 1 after the payment of the corporation's debts shall be conveyed or l distributed only to an organization or organizations created and operated for non-profit purposes similar .to those of the corporation. ' U there arc nu pr;„i.it,n� sae. ^None FILE No. 034 11/26 '96 17:58 ID:LEGAL SERVICES 4 CC.&ISL 15087903955 PAGE 4 The effective date of ogan+;.xtion of the corporation shall be the date of filing with the Secretary of the Commonwealth or if later date is desired,specify date.(nu:more than 30 days after date of filing.j 7. The.following information shall not for any purpose be treated as a permanunt part of the Articles of Organization of the corporation. a. The post office address of the initial principal office of the corporation in Massachusetts is- P. 0. Box 652, West Yarmouth, Massachusetts 02673 b. The name.residence,and post office address cf'each of the initial directors and following offices of the corporation are as follows: , NAME RESIDENCE POST OFFICE ADDRESS President:...Robert E. Terry, 17 Pontes Avenue, East Falmouthr Mass. -same Treasurer: ..Clara Roderick, 56..Slsabrook..l�tas�...iiya�nis,. Mass. -. same. Clerk: ...Virginia.Johnson, . Blue. Rack.Road,..Sauth.Xa>rmouth,..MAS'i -..Same Directors: (or officers having the powers of directors) Robert E. Terry Clara Roderick Virginia Johnson r e. The date initially adopted on which the corporation's fiscal year ends is: December 31 d. The date initially fixed in the by-laws for the annual meeting of members of the corporation is: 3rd Thursday in October e. The name and business address of the resident agent,if any,of the corporation is: IN WITNESS WHEREOF and under the penalties e: perjury the above-named INCORFORATOR(S) sign(s) these Articles of Organization this day of �� • 197y Robert E. Terry . . . . . ........... . . . ... .. .. .. . .. ... . Clara Roderick Virgil-ilt -i nnson Mltt \t��;!��tifC J vidi lncogioralor u IS nv: a ;13111r31 1JC1'SOiI 11111sl tic 6y an Int'lrlttual Who sh::!: - ca,�acit� I+c acts and by signinY shall r�presinl under 11:c penalties of perjury chat he is c:1:iy aut%onze.: 10 sign ice5c articles of Organization. I FILE No. 034 11/26 '96 17:58 ID:LEGAL SERVICES 4 CC.&ISL 15087903955 PAGE 5 �y cZi p Tomatu=palth of M assArhusptts _ A MICHAEr J. -CM&OIJA FEDERAL IDENTIFICATIO °d Seererary'of start NO. 23-7431255 ✓ .:; - _ ; ; v,;.f. K^ -,%E,AS BU,•TRN•.PrLACE,$O.UP -MASS. 210 Q-, ass i s+ 7 .�•®k. +¢ '3. v' �e• j�Y`��`""+• . $o rf.y '�- .""• _t . ;.car:i ,,�,; ukARTICLES OF:IAME General Laws,Chapter 130,Section 7 This csrtNtcate must be submitted to the Sevetary of the Commonwealth within sixty days after the date of the vote of members or stockholders adopting the amemment.Zoo forfliing this certificate is$10.00 as prevalbed by General Laws.Chapter t80.Section 1tC(b).Make eneck payable;*the Commonwealth of Massachusetts. we, Joseph C_TPolceriK =-• ,President/Vice President,and - Lee Canto. xefsey .Clerk/Asshunt Clerk of Housing Assistance Corporation INNM of Corporations ._........_ .....».._......................................... .proved 460 1 P-st Main Street, Hyannis, MA 02601 located at _...- ------.,, .. ...._......•..........__.....-_........................................ ......».................._...I................. _..__.. do fteby certify that the following amendment to the articles of organization of the corporation was duly adopted at :meeting held on January 25, _ ,1989 ,by vote of...,...10.._.--- ......me mbery ..........,shareholders, being at least two thirds of its members legally 9tialified to vote in meetings of the corporation (or,in the cast of a corporation having capital stock,by the holdeas of At least two thirds of the capital stock having the right to vote thereon): Section 2. d. Now reads: - to borrow umey, and issue, sell, and pledge its notes, bonds, and other evidence of indebtedness, and to secure any of its oblicaations by rortgage, Pledge, or deed of trust of all or any of its property, by authority and action of_ its Board-of Directors; Section 2, -a. leas.been changed to read: ` ❑ to borrow and:lend-amey, and issue;- sell, and pledge its dotes, bands, and other evidences-of indebtedness, and to secure any of its obligations by - nurtgage, pledge, or deed of trust of all or any of its property, by authority and action of its Board of Directors; C, Note:11 the space provided under any article or item ott this form is insuRcient.additions shall be set separate 814.1 11 sheets of paper leaving a left band margin of at least I inch foe binding.Additions to more than o ag1rTaTy2 ntinued on a siagle sheet so long as each article requiring cacti such addition is clearly indicatcd. 6 ,�,� tot -YITC Q, �` o FILE No. 034 11/26 '96 17:59 ID:LEGAL SERVICES 4 CC.BISL 15087903955 PAGE 6 ANGEL HOUSE FAMILY LIFE ADVOCACY PLAN (F. L.A.P. ) NAME: # DATE ENTERED PROGRAM: EXPECTED GRADUATION DATE:_,,,, NUMBER OF CHILDREN: NAMES OF CHILDREN D.O.B. S .S.# WHILE AT ANGEL HOUSE MY PLAN IS: 1 . To. participate actively in all aspects of the program in. order to graduate on schedule . 2. To establish a network in the AA/NA system to include getting a sponsor. 3. To participate' in parenting discussion group once weekly. 4. To enroll my children in school when age appropriate. 5 . To have my child screened by Early Intervention if age appro-- priate. (under three years of age) . 6 . To establish a primary care physician for myself and my children obtaining a physical exam for any or all of us as needed. 7. To establish a dentist for myself and my children. S. To agree to participate in the aftercare component for a minimum of six months upon graduation. : 9. To work actively with the Housing Search Department in the hopes of obtaining a certificate prior to graduation. FILE No. 034 11/26 '96 17:59 ID:LEGAL SERVICES 4 CC.&ISL 15087903955 PAGE 7 10. To work actively in the last three months of the program on either obtaining a job or acquiring the necessary training to get a job. *** SEE VOCATIONAL/OCCUPATIONAL/EDUCATIONAL GOALS TO FOLLOW VOCATIONAL / OCCUPATIONAL / EDUCATIONAL QUESTIONS &GOALS Do you have a valid driver' s license? Do you currently own an automobile? If no, what is suspended? Not renewed? Do you need to take driving lessons? Do you have outstanding fines or excise tax to pay in order to have it reinstated? If yes . how much exactly? _ Do you have a High School Diploma? G.E.D. ? Are you interested in obtaining a G.E.D. ? What type of career would you like to pursue? What do you need to do to reach this goal? EMERGENCY. PERSONAL INFORMATION Next of Kin: Address: Telephone: PERSON YOU WISH CONTACTED IN CASE OF AN EMERGENCY: Name: Address: Telephone: Would you like us to contact your child/ren's father in case of an emergency? CHILD' S NAME FATHER'S NAME TELEPHONE NUMBER 1 . 2 . S. 4. Do you or your children have any medical issues that we need to be aware of? If yes please describe and include any prescription medications which you take_ regularly or occasional-- ly. Is D.S.S. involved with your child/ren? Do they have legal custody? Do they have physical custody with you having physical care? What is your D.S.S. worker 's name? What office are they from? Office Telephone #— FILE No. 034 11/26 '96 17:59 ID:LEGAL SERVICES 4 CC.&ISL 15087903955 PAGE 8 DO YOU HAVE ANY OUTSTANDING WARRANTS OR ARE YOU OBLIGATED TO APPEAR IN COURT AT ANY TIME? IF YES, PLEASE ELABORATE IN FULL, OTHER ISSUES PARTICULAR TO ME MAY BE AS FOLLOWS AND MAY INCLUDE LEGAL/BAD DEBT PROBLEMS OR OUTSTANDING UTILITY BILLS OR DAMAGE CLAIMS. PLEASE INDICATE AMOUNTS OWED. THEY ARE AS FOLLOWS: Is there any other issue which you would like to work on while here at Angel House? To the best of my knowledge this information is true and correct as evidenced by my signature below. Client Signature Date: Staff Signature Date: • FILE No. 034 11/26 '96 18:00 ID:LEGAL SERVICES 4 CC.&ISL 15087903955 PAGE 9 p ANGEL HOUSE Angel House is a facility for homeless families who are in recovery from alcohol or other drug abuse and preparing to assume the responsibility of long term affordable tenancies. Mothers and their children live in the house for up to twelve months. Since recovery is one of the primary goals of program the house is highly structured and supportive of the recovery process. Recovery education is both an individual and family process. To that end group, individual and family education and counseling sessions are available on the premises every day. Daily twelve- step meetings are also mandatory. Educational groups are held to help families understand the substance abuse family system as well and to achieve an appropriate family system in the absence of substance abuse. Recreational activities are also available to develop healthier bodies and minds and to promote healthy family interaction as part of the overall curriculum. The facility is staffed 24 hours a day, seven days a week by a staff fully trained in issues of homelessness, substance abuse, life skills and family life. A certified teacher is on staff as part of the supervised curriculum for the children and to teach mothers ways to improve parenting skills. When families leave the program to move into permanent housing within the community, the staff remains supportive and helps the family utilize community resources to facilitate a smooth transition. IFI LE No. 034 11/26 '96 18:00 I D:LEGAL SERVICES 4 CC A I SL 15087903955 PAGE 10 V�c J s e,> «PF s fW--- (fib /-- ,�;o�.�l���� � HACbeat r�� KWSLE M OF HOUSING ASSISTANCE CORPORATION VOLUME 2 ISSUE a MAY 28.1993 Angel House;Making a Diffe-rencq„�� HAC EXPECTS F°Y '93 LOS a/5 by Judy McManamon At Angel House ow focus is recovery and parenting on a The RAC Board and Management Team announced a daily basis. In effect.the whole family is in recovery.As series of cost cutting measures recently as part of the FY the mothers are at times preoccupied with the day to day 1994 budget process.According to Executive Director or hour to hour struggle with life in catty sobriety and its Rick Pmsbmy the cuts are being made in response to thew forma responsibilities,it is sometimes difficult for �'000 per month losses now and possible new revenue them to see progress In other sph=of then lives. With losses tearer year. staff who work so closely with these families we,too, q� to 1'resbrey the poor economy has caused btxomemyoplcaodtt�dtoatepbadttog�aclearpicwn is tax revenues at the stale and federal levels Of the growth wWch has occurred. reductions revenuesmultinBinprogramcuts,'Woreandmomofourprograms A lass in point is T____. We'll just call her Tee as out am losingmmeY and fewerand fewerofourprograms are PZ0generously funded." according to Presbrey. Shelter old, Sh came us 1.three months ago, having been in programs have been level funded for five years by the old. She came to us there months agol having been to state.In order to make up the difference,or to create new foster taus for six mondrs,end was finally reunited with Programs in lieu of federal and state help.the agency had bar mother here. turned to local fundraising which hasbeeatvery successful At the time she arrived she could only single but not successful enough. speak y � gle words. She txuld say"Juke"or"please",but not"juice please" The Board approved cuts include salary reductions, Wgtaher.She bad dassicurrible-two tantrums,throwing medical hisurance changes,and the elimination of sam i e n f on Boor and wailing;crying out for attention positions. Efforts were made to maintain the present s any form., quality and quantity of services to clues. Each day has bulb a challengel Everyday is a day long According to Pftsbmy,dropping unprofitable programs vocabulary le=n. "What is this,Ten?""Can you say isofmnotdwuwwerbwAuacofthabA=co5toflosiag ouat,Tee?" SayJuIW-now say please•Now say"Juke, aiticauy heeded services.Programs a substantial Please. and evela thme herdevmonths shebanbeenwithuswe ataotmtafmmteytbisyearam707/AMVPttnddwCarriage look back sad marvel at her development Tee brings to House Programs heavily 07cmicat on Aind}aising are her mother 0d1veryoae at Angel House the hope fora NOAH and Eighty-Seven Winter Street bttuerUile•afresbstart.Now whensfiegetsatwominute . • • "n°e , fCtwmgnu tty,dwg' glu!u�rwu Eighty-Seven Winter Street to Clos ,�j and ao►x her fate,but not without scolding me by saying"I'm golag to tell and momtmyl" And f reply EIgblY_�,enWinterStr ,41MC's&sthomclesssbelter, "Flood,Tee.you do tlsttl"and secaetly I laugh and tbhhk 1!!DL�IE�IlIAd to slags title sea,:' Sa to mYse4f"'000d Job.evcryum.-rota'@ a SIX WORD " ,iamb.,.qqa siroltcr, SENTENCEI-Such progress!-But my real joy is when vArdr open in June of 1994,has provided shelter to she armomrces to anyone who will listen,"MY JUDY", more than 1 SO homeless families.In recast years mostof these families have been headed by young first-time As a footnote,fow months have lapsed since this article mothers. was originally written. Tee had been referred to early The may from dv Department of Public Welfee, interveatlon whoa she first arrived here because of Iles which fiends the facility,will COathaie to be available for tlaguag sad developmental delays. A battery of HAC to nee to sleltcr Ito meloss ramitim in scaaered site,asnessmeuts were done indicating that she was plivatcly owned transitional lousing.Itis estimated that develola,whichAll ustadytIssuweantial bsbehlad dzncwprogmmwMbeableto"tcruptotwiccomany nchtxtule,which ap must admit>s svbstarutal tiring families at a time as the cur mat program, bar age of two and one hall: Espy Intervaltion mat with her Y � staff and her wMylad mother lndwweeksbtdorethefacilityelosesprogramgucstswill dlidthtdt� I.ae llL ItcBarlyin gsagdse mli=SummcnikkorCarriageHouseirAoUanddonat to of Itcama esnosubut hou ft,orinto pamranem rental u1111L Once the fadlity at�y ns that Tea bad made mtmumahtsi gains.but w what obgrea, we couldrh't have a closed.c o struction work will begin to convert the haeginodl Vile were building lato six untts of SRO(single room occupancy) Wormed that she trod gone from being six to twelve housing for those leaving the NOAH shelter. months behind to being three months .ahead devetopivacually.7'histetrificludhadm.deapprvximately ���,c"V�1�lA�!'��sta�wi�,w�leteposl;�ble. (Angel House. p.2) be offered jobs in other parts of the agency. w IFILE No. 034 11/26 '96 18:01 I D:LEGAL SERVICES 4 CC A I SL 15087903955 PAGE 11 Seven Housed with Kudos for the Section 8 $1,500 Grant Inspection Department For fiscal year 1996,O'Neill was granted $1,600 The Section 8 Inspection Department could from FEMA (Federal Emergency Management possibly be the most audited program within Agency) to use for rental assistance for the men HAC. Every quarter DHCD(the agency formerly and women of NOAH. Since March, nine people known as EOCD) is here for two days inspecting have been placed into housing using these funds. units which have been inspected by either Bob The average expense for each person was $160. Shea, Ronnie Hall or Paul Talbot within the Of the nine persons placed, seven have proved to previous four months. be stable placements. Two returned to the shelter for a brief stay but quickly moved again, one to After each audit, we receive the results as the original housing and one to a comparable site. compared with our sister nonprofit housing The success of this program is especially notable agencies throughout the state. We always score because in previous years NOAH-O'Neill was not higher than most, but this last quarter's results granted funds for rental assistance as FEMA showed HAC with the fewest number of findings awards were focusing on food provisions. than any other agency. Congratulations and Though a small amount, $-1,500 has become thanks to Bob, Ronnie and Paul! substantial when considering the positive effect NOAH - Continued from page 1 this has had on so many lives. -Second, two new staff will be assigned to the O'Neill center soon by the South Middlesex Opportunity Council in Framingham, which, in Warning: collaboration with HAC and one or two other Time sheets are due in the Finance Office agencies, received a state-wide federal grant to on Mondays before paydays by 10:00 a.m. provide housing search and job services in conjunction with homeless shelters. The additional capacity to provide services is a dream Success Through come true. Education H40,&A -- Third,HAC management has put getting adequate by Janis Byers 15 ,* '3 funding for NOAH at the top of its advocacy list �'1`"� this year. NOAH, long underfunded, has raised Residents at Angel House are encouraged by the more than a million dollars locally to support staff to think about what t'liey are doing now and 'operations since it opened ten years ago. The to plan for the future. As they maintain their funding shortfall has resulted in both extra work sobriety, confidence and self-esteem increases for management and little in the way of salary and they begin to see themselves as capable people. increases for staff. Both DTA and key state legislators are aware of the problem. This could This month,Felicia is preparing to take her GED be the year NOAH gets adequate funding! examination. When I asked her why she-was doing this, she said that she always wanted to Finally, efforts to develop the *farm" concept are work in the medical field and now that she was moving swiftly. Bob Johnson, consultant, is on sober she could do something about it. Her first board_ Two responses from farms on Cape Cod(!) step is to earn a GED. As the women complete the came in as a result of the article in last month's program at Angel House, each makes plan to find HACbeat. One, in Sandwich, was visited this a job or to go back to school. Right now we have past week and holds promise. Discussions about two residents preparing for their GED tests as the second, in Barnstable, are planned for this well as having Angel House graduates at Cape weekend. In Farm-planning activities, Cod Community College and Fisher Jr. College. philosophy, values,and mission statements have Graduates are also working in retail, as home been drafted, three year project goals have been health aides,as child care providers,and as staff established, and more than fifty possible farm at Angel House. activities have been identified by the planning c9mmjiisu during their meeting on soptAr#hjV 5. Education gives many families hope for the future (Lonignued on Page 11) and the ability to financially care for themselves. 2 IFILE No. 034 11/26 '96 18:02 I D:LEGAL SERVICES 4 CC A I SL 15087903955 PAGE 12 Letters to the Editor TotheEdiwr admiration. Your commitment,dedication,compassion and love not only healed and inspired clients but me as Although it makes it no easier,it seems appropriate that well. I say good-bye and thank you with Christmas just days away. Each time I have taken a new position I focused on what I was bringing to the work. As I leave HAC I am Deciding to leave HAC was one of the most difficult reminded I always leave with much more than I bring. decisions I have had to make. What eased the sting was knowing 1 am not leaving empty handed or empty hearted. Happy Holidays and Best Wishes in the New Year. Few others have had the opportunity to work closely with so many programs. Time after time i stood in silent Thanks.... John MacDonald December 13,1993 To the Editor. recovery seriously. I'm willing to do whatever I have to STAY SOBER FOR ONE MORE DAY. During my treatment at Angel House 1 benefited from the Program in many ways. I remember the day I arrived I was full Being here has given me hope that the empty feeling I walked of fear and thought I could get through treatment without in with is slowly being filled. I wish everyone here could feel exposing toomuchoftpyselfandnotdeal with feelings orissues the way I'm feeling right now. The gratitude I feel is in my life and for a long time I didn't. It was easier.I thought, overwhelming. You believed in me when I didn't believe in for me not to. I found it was harder. One of the hardest things myself and you never gave up on me and I'm grateful for each I've had to do is get sober and stay sober. 1 used to think that and every one of you. putting down the drink or drug was the hard part. For me.the hard part is not picking it up again. Being responsible is something I need to work on. I have a msponsibilitytommain sober.Anotherpartofbeingresponsible I know that I don't ever have to pick up again no matter what is responsibility to Matt and Kate. I need to be consistent in happens in my fife. I know today that I have a choice and the what I do with them. I need to ensure that they have a safe and Choices I make in my life not only affect myself,but Matt and healthy environment to grow up in and that their needs are Katie as well. If I pick up it's not because of what's going on in taken care of,from bathing them to making sure that they're my life,it's because I choose not to deal with it or the feelings given their medicine on time if needed. They also need to be around it. nurtured and loved. They deserve to have happy lives. If I work my program and stay sober I can try to give them a good Being here I've learned it's O.K.to have feelings and feel them. lift. A lot of times I don't like feeling them,but it's part of what I need to do to stay sober. One more thing that I'd like to touch on is the dangerof keeping secrets. If I'm keeping secrets I'm not being completely One patt of my recovery is honesty.Being honest is hard forme honest.When I came here I swore I'd never reveal apart of my -it meams I have to look at myself or what's going on around me life to anyone. I felt vulnerable and was afraid of what people and a lot of times that's painful for me. When Matt was taken would think.I struggled in here with it foralongtitre endthen I blamed everyone. Even after I moved hen I still blamed I took a risk and what I thought would happen didn't and everyone else,and then I finally got honest with myself. I lost nothing changed. Keeping secrrts is what will get the drunk. MAUbccause I was active and I had to stop blaming people and Talking about how I feel,being honest about who dam,what take responsibility for what happened. I work on being honest I need to do in my life,and working my program is what is rut only with the people around me,but with myself as well. going to keep me sober. Ididn't end up here because my life was so wonderful-I'm hen I'm in transitional housing as of yesterday.December 12th, because I'm an alcoholic and an addict and my life becomes with my children. Now of this would have been possible unmanageable when I use - that's what I always need to withoutthehelpofAngelHow.HappySMYearroeveryone remember. especially my family and me. My to6ty is the most important thing in my life. I don't Sincenl , always show it,but Ido take thisdiseaseseriousl and hake m y y Gayle OiBona Angel House Graduate 4 FILE No. 034 11/26 '96 18:03 I D:LEGAL SERVICES 4 CC A I SL 15087903955 PAGE 13 r Angel House Educational Program Educational programming is offered as part of the Angel House Program on the following topics: 1 • Alcohol and Drug Education • Family Therapy • Driver's Education • GED Preparation • Nutrition Education • Housekeeping Skills • Abuse( Sexual, Physical, Emotional) Prevention Education • Budgeting Skills • Life Ski11R • Shopping Training • Parenting Skills Education • Job Readiness Training • Interviewing Role Playing, Resume Development: Employment Skills • Housing Search Education • 'Ihnant Skills • Computer Skills • Sewing and Craft Lessons • Cooking Lessons ✓ S� Ali`' p -'-►.� 2// S c ' 1� � ` s) of a /V 1 FILE No. 034 11/26 '96 18:03 ID:LEGAL SERVICES 4 CC.BISL 15087903955 PAGE 14 ANGEL HOUSE RULES I . Alcohol , drugs. and weapons are prohibited on the premises. No one may use alcohol . and/ or drugs and remain in the program. Substance abuse education will be provided. 2. Guests agree to weekly random drug testing for as long as they remain in the program. 3. Education groups around the effects of smoking and second hand smoke will be provided during group time. Smoking is allowed outside and on the front porch only. There will be no smoking in the house. Cigarette butts are to be disposed of in the proper receptacle. 4. Guests must be up, dressed, and downstairs with their rooms in order by 8:00 a.m. with the exception of Sunday which is a free day after the meeting. 5. Bedtime rules are reinforced during Parenting Classes and are as follows: Children 8 years and under - in rooms by 7:30 p_m.and in bed by 8:00 p.m. Older children in their rooms by 8:30 p.m, and in bed by 9:00 P.M. or earlier at the discretion of the parent. Adults must be upstairs in their rooms by 11 :00 p.m.or after the 11 :00 p.m. news if they so desire. Friday and Saturday curfew is 12:30 a.m. 6. Residents will participate in Housing Search. Job Training and Completion of a G.E.D. program if client does not possess a high school diploma. Workshops will be held in these areas. For this reason. no T.V. is allowed until after supper with the exception of occassional educational shows at the discretion of the staff. 7. Meals must be prepared and eaten during the following times: Breakfast 8:00 a.m. 9:00 a.m. (on own) Lunch 11 :00 a.m. - 1:00 P.M. ton own) Dinner 4:00 p.m. - 5:30 p.m. (in community) ALL RESIDENTS ARE ENCOURAGED TO EAT THREE WELL-BALANCED MEALS PER DAY. ALL RESIDENTS ARE ENCOURAGED TO SIT WITH THEIR CHILDREN AT MEALS AND TO CLEAN UP AFTER THEMSELVES AND THEIR CHILDREN. SNACKS WILL BE PROVIDED- B. No one is allowed to carry large sums of money on their person or have money in their room with the exception of a small amount of spending money. �. tach guest is encouraged to set up a budget with their case manager, according to the house procedure, with the expecta tion of saving $999.00 during their stay. Budgeting workshops as well as individual counseling with advocates are held to address clients' needs in this area. FILE No. 034 11/26 '96 18:04 ID:LEGAL SERVICES 4 CC.&ISL 15087903955 PAGE 15 10, Telephone calls must be limited to 10 minutes. The calla may- be made between 8:00a.m. and 10:00 p.m. and only during free times. Calls will begin after the initial period is' over and with staff approval . 11 . Visitation of family and friends must occur during scheduled times and with staff approval . 12. Attendance at daily A.A. meetings is mandatory, to include a step meeting once weekly. 13. All are expected to share in the cooking, cleaning, shopping, and general upkeep of the house and grounds. Appropriate workshops and trainings will be held on these subjects and must be attended. 14. No food or drink is allowed outside of the kitchen/dining area with the exception of the porches, if desired. Everyone is expected to pick up dishes and food items after themselves and their children. 15. Physical discipline, or verbal abuse of any kind (name calling, screaming, sarcasm) is not allowed. Time out and non-abusive discipline must be used with children. These issues are discussed and alternate means of discipline are suggested, practiced and role-played during weekly parenting classes. 16. Parents are required to supervise their children at ALL times unless attending scheduled program-related meetings, work shops or classes. 17_ Each resident is responsible for their own laundry and laundry supplies. Laundry times will be assigned. 18. No sleeping is allowed during the day without the permission of the .staff on duty. 19. Food stamps belong to the house and are used for the purchase of common food. Nutrition classes along with menu planning and budgeting classes are held to help clients deal with a fixed income. 20. Each guest will participate in exercise a minimum of four times per week. Aerobic exercise classes by means of educa tional video tapes are implemented as well as a HOUSE member ship in the YMCA which allows weekly VqV Qt th@ pUU1 qnd nautilus equipment . 21 . No gambling is allowed to include the purchase of lottery tickets. FILE No. 034 11/26 '96 18:04 ID:LEGAL SERVICES 4 CC.BISL 15087903955 PAGE 16 22. All are required to attend daily group counseling, weekly workshops and classes as scheduled by staff. Residents are to be on time for their appointments, workshops, and classes. 23. No one will leave the premises without staff, with the exception of A.A. meetings which will be attended with a sponsor with staff approval . 24. Personal and house radios are to be kept at a reasonable level as determined by staff . No personal T.V.s are allowed. 25. Prescription and over-the-counter medications must be kept in the office and dispensed by staff. Any and all medications will be turned over to staff upon entering the program. including vitamins, aspirin, and aspirin substitutes. 26. Violent or abusive language or behavior will not be tolerated and may jeopardize your right to remain in the program. 27. All guests are expected to participate in all parts of the program to include: daily A.A. or N.A. ,therapy, workshops, classes. and outings as scheduled, unless approval is given by staff. Resident Name Date Staff Name Date y - --�• DEC-06-196 FRI 14:50 ID:ATTY GENERAL PPB TEL NO:617-727-5762 4194 P01 �A; 1 q/" V/I/W SCOTT HARSHBARGER eJ6J44 I1� o 02��8-�t�8 ATTORNEY GENERAL Uq ts»I n7-22oo FACSIMILE COVER SHEET i TO: DATE: /oZ "G 9 NAME OF FIRM: _ FAX NO: Sa �190•-G.Z 3 U TEL.NO. FROM: /y .lJiJ PAGES SENT(Including Cover Page): _ Q 31RGENT ❑REPLY ASAP ®PLEASE COMMENT JkfOR,YOUR REVIEW T REGARDING: MESSAGE: Lid ❑ ORIGINAL IFILL NO FOLLOW. TIME SENT: A.M. JKORIGINAI,&LLFOLLOW VIA; �GUL,AR MAIL Q OVERNIGHT DELIVERY HAND DELIVERY ® OTHER CONF TIA OTE *• The documents accompanying this facsimile transmission contain information from the Office of the Attorney General which may be CONFIDENTIAL AND/OR PRIVILEGED. The information Is intended to be for the use of the individual or entity named on this transmittal sheet: If you are not the intended recipient,be aware that any disclosure,copying,distribution or use of the contents of this information is prohibited. if you have received this facsimile In error,please notify us by telephone immediately and return the original message to us at the above address by First Class Mail via the U.S.Postal Service. Thank you. IFTIJERA B i2E VIN . S TRANSIT ITTA r VASE CONTACT NIDER a. DEC-06—'96 FRI 14:50 ID:ATTY GENERAL PPB TEL N0:617-727-5762 #194 P02 C) � 6W 441dalwwt "Plam SCOTT HARSHBARGER ATTORNEY OENERAI (017)727.2200 December 6, 1996 YIA FACSIMILE AN"- CLASS MAIL Mr. Ralph M. Crossen Building Commissioner The Town of Barnstable 367 Main Street Hyannis,MA 02601 Re: Angel House and C.i,,, c. 40A Dear Building Commissioner Crossett: In our phone conversation of December 2, 1996,you indicated that you would find it useful if I were to share with you my understanding of the relevant state law concerning "educational uses" under Ch. 40A. When the Attorney General established the Disability Rights Project,one goal of its goals is to ensure that the legal rights of individuals with disabilities are protected. The Project has emphasized the importance of community education to improve people's understanding of and compliance with state and federal fair housing laws,including where relevant,the Commonwealth's zoning statutes. As Director of the project, I have been actively involved in conducting trainings on such fair housing issues. Toward that end, I am pleased to share with you our current understanding of the case law interpreting Chapter 40A. You should note,however,that because actions or inactions on the part of municipal officials could potentially implicate municipal liability, we typically encourage municipal employees to consult with their town counsel. finally,you should also be aware that this letter does not constitute an "Opinion of the Attorney General,"which are formal documents rendered pursuant to specific statutory authority. With that understanding,the essential issue is whether the proposed use of the property at 309 South Street for a project entitled "Angel House,"falls within the"educational use" exemption of Section 3 of Chapter 40A. The Supreme Judicial Court held in GU-Athol ol Am 1 Health oci v. Zoni oardAppeals,401 Mass; 12, 13 (1987),that Section 40A, § 3, "denies to a municipality the right to restrict by zoning `the use of land or structures ... for educational purposes...by a nonprofit educational corporation."' As you correctly noted in our phone conversation, determining whether any particular program falls within Chapter 40A's exemption,involves a two-part analysis. The first issue is whether the entity is "a nonprofit educational corporation." The second is whether the program's proposed I --1— DEC-06-'96 FRI 14:51 ID:ATTY GENERAL PPB TEL N0:617-727-5762 #194 P03 Mr. Ralph M. Crosson Building Commissioner The Town of Barnstable December 6, 1996 Page 2 "use of land or structures"is for an educational use. You had asked me specifically to address the related issue of whether a use is a"primary"or"dominant"one,in contrast to a secondary use. As you will see from the discussion below, the Supreme Judicial Court has directly addressed that issue in its holdings, In fact, the issue,of whether a proposed use must be primary or not, is different for the two different parts of the Chapter 40A requirements. 1, Non-p rofi ed ional com cation: In the er case, the SJC had to address the issue of whether an agency was"a`nonprofit educational corporation' within the meaning of G.L. c. 40A, § 3," (Apparently, the Zoning Board did not a dispute the fact that the proposed use of the property was for an educational use,) Gardner's Zoning Board of Appeal had argued that education had to be "the dominant purpose or primary purpose of a nonprofit corporation," Gardn at 15, in order to qualify as a nonprofit educational corporation under§ 3 of Chapter 40A. The Supreme Judicial Court explicitly rejected that argument, holding that there was no support for it in the statute, -Garduer at 15. The proper test in deciding whether a nonprofit corporation is an educational one is whether its articles of incorporation permit it to engage educational activities,a question easily answered by a review of documents filed with the State. (Emphasis added.) QXA=at 15-16, The proposed educational activities must be within the corporate purposes of the nonprofit corporation--there is no justification for adding a requirement that the corporation's activities be primX in education. Qdngr at 16. In this instance,the Articles of Incorporation for Housing Assistance Corporation(HAQ, a copy of which I believe you have reviewed, lists the first purpose of the corporation as: "a, To receive and administer funds exclusively for educational and charitable purposes without pecuniary profit,either direct or indirect,to its members." Applying the test enunciated by the SJC in Q8 , it would certainly appear as if HAC meets the standards to be a nonprofit educational corporation within the meaning of§ 3 of Chapter 40A. 2. Public Edu.�rot Use; As to the second prong of the two-part test--whether a Iprogram is an educational use--the SJC has held that in order for it to qualify,the issue is ' 'whether the dominant activity will be educational." ch u i A or' v. ar f 'i chbure, 380 Mass, 869, 874(1980). In the same case, however,the Court made clear that it "has long recognized `education' as `a broad and comprehensive term,",�}, ` DEC-06-'96 FR,I 14:52 1D:ATTY GENERAL PPB TEL NO:617-727-5762 #194 PO4 Mr. Ralph M. Crossen Building Commissioner The Town of Barnstable December 6, 1996 Page 3 Thus, "inculcating a basic understanding of how to cope with everyday problems and to maintain oneself in society is incontestably an educational process. F' ur at 875. The fact that past and continuing emotional or psychiatric problems may determine the character of the training does W signify that the facility is medical,nor render it any less educational. [Ld. The fact that the proposed residents would be adults, That the nature of what is to be taught would not fall within the traditional areas of academic instruction,that the facility would provide residential accommodations, or that the instructors would not be certified by the state, does W interfere with its educational use. Utc�at 873-875. As you noted in our phone conversation, in a later case,aQQiC1ensville irement '. Inc y NorthbridoP, 394 Mass. 757,760(1985), the SJC further reviewed the Wu requirement that an educational use be a primary or dominant propose of the entity seeking to come within the protections of Chapter 40A. In�1itten Ile,the SJC.held that a nursing home, which,according to the statement of the facility's own witness,had no educational facilities and "no structured programs of instruction or training(other than perhaps a crafts program),,, was not an educational use. Rbitte_� nsviIk, at 761, n.2. Where,as was true in Whittensville,there is only an element of education,"it did not constitute an educational use within the meaning of e. 40A, §3. Whittensville,at 760. Applying these principles to Angel House is instructive. A comparison between the utter lack of educational programming in Whittensville (at best, a crafts program)with the description of the educational programs to be provided at Angel House,a copy of which you indicated you received, draws a stark contrast. There are eighteen different components of educational Programming listed,including instruction in basic life skills such as handling money, dealing with landlords, acquiring consumer skills, completing job applications and handling interviews, cooking,and working towards a GED. In addition,the program apparently is slated to have two full-time instructors with most training on premises. Again, as the SJC noted in Fitchburg; Court"accepted as a definition of education `the process of developing and training the powers and capabilities of human beings,' and embraced the idea that education is the process of preparing persons `for activity and usefulness in life.' (Citations omitted)."F'rtchbu�r��, at 875. i Application of that definition to the program to be offered at Angel House would strongly indicate that the program meets the test for an"educational use"within the meaning of G.L.c. 40A, § 3. W4 I hope that this letter is helpful to you as you consider whether the Angel House program would be"the use of land or structures..-for educational purposes:.. by a nonprofit educational �eorporation."&V&Q&Wne at 13. As I indicated in our phone conversation, our Project has a DEC-06-'96 FRI 14:52 ID:ATTY GENERAL PPB TEL N0:617-727-5762 #194 P05 Mr. Ralph M. Crossen Building Commissioner The Town of Barnstable I December 6, 1996 f Page 4 history of having successfully worked with more than a dozen municipalities when such fair housing or zoning issues have arisen acid has been able to resolve the issues informally. I trust and hope that we will be able to do so in this instance. If you have any questions about my letter or if T can be of any further assistance, please contact me. Thank you for your time and attention. Sincerely, V� Stanley J. E er Director,D' ility Rights Project Assistant Attorney General cc: Robert D.Smith,Esq. (Via facsimile) Michael J. Princi, Esq. (Via facsimile) Ae (V , d 6)'P "/ Me '&"wwl t One WdAk,&" Aave , �2 SCOTT HARSHBARGER 02408-46'�98 ATTORNEY GENERAL (617)727-2200 December 6, 1996 VIA FACSIMILE AND'FIRST CLASS MAIL Mr. Ralph M. Crossen Building Commissioner ' The Town of Barnstable 367 Main Street Hyannis, MA 02601 r . Re: Angel House and G.L. c. 40A Dear Building Commissioner Crossen: In our phone conversation of December 2, 1996, you indicated that you would find it useful if I were to share with'you my understanding of the relevant state law concerning "educational uses" under Ch. 40A. When the Attorney General established the Disability Rights Project, one goal of its goals is to ensure that the legal rights of individuals with disabilities are protected. The Project has.emphasized'the importance of comrnu'nity`education to improve people's understanding of and compliance with-state and-federal fair-housing laws, including where relevant, the-Commonwealth's zoning statutes. As Director`of the Project, I have been actively involved in conducting'trainings on such°fair housing issues. Toward-that end, I am pleased to share with you our current understanding oft he case law interpreting Chapter 40A. You should note, however,that because actions or inactions on the part of municipal officials could potentially implicate municipal liability, we typically encourage municipal employees to consult with their town counsel. Finally, you should also be aware that this letter does not constitute an "Opinion of the Attorney General,"which are formal documents rendered pursuant. to specific statutory authority. With that understanding,the essential issue is whether the proposed use of the property at 309 South Street for a project entitled "Angel House,"falls within the "educational use" exemption of Section 3 of Chapter 40A. The Supreme Judicial Court held in Gardner-Athol Area Mental Health Association v Zoning Board of Appeals, 401 Mass. 12, 13 (1987), that Section 40A, § 3, "denies to a municipality the right to restrict by zoning `the use of land or structures ... for educational purposes... by a nonprofit educational corporation."' As you correctly noted in our phone conversation,determining whether any particular program falls Within Chapter 40A's exemption,involves a two-part analysis: The'first'issue is whether the entity is "a nonprofit educational corporation." The second is whether the program's proposed f Mr. Ralph M. Crossen Building Commissioner The Town of Barnstable December 6, 1996 Page 2 "use of land or structures"is for an educational use. You had asked me specifically to address the related issue of whether a use is a"primary"or"dominant" one, in contrast to a secondary use. As you will see from the discussion below,the Supreme Judicial Court has directly addressed that issue in its holdings._ In fact,the issue, of whether a proposed use must be primary or not, is different for the two different parts of the Chapter 40A requirements. 1. Non-profit educational corporation: In the Gardner case,the SJC had to address the issue of whether an agency was "a `nonprofit educational corporation' within the meaning of G.L. c. 40A, § 3." (Apparently, the Zoning Board did not a dispute the fact that the proposed use of the property was for an educational use.) Gardner's Zoning Board of Appeal had argued that education had to be "the dominant purpose or primary purpose of a nonprofit corporation," Gardner at 15, in order to qualify as a nonprofit educational corporation under § 3 of Chapter 40A. The Supreme Judicial Court explicitly rejected that argument, holding that there was no support for it in the statute. Gardner at 15. The proper test in deciding whether a nonprofit corporation is an educational one is whether its articles of incorporation permit it to engage educational activities, a question easily answered by a review of documents filed with the State. (Emphasis added.) Gardner at 15-16. The proposed educational activities must be within the corporate purposes of the nonprofit corporation--there is no justification for adding a requirement that the corporation's activities be primarily in education. Gardner at 16. In this instance,the Articles of Incorporation for Housing Assistance Corporation(HAC), a copy of which I believe you have reviewed, lists the first purpose of the corporation as: "a. To receive and administer funds exclusively for educational and charitable purposes without pecuniary profit, either direct or indirect,to its members." Applying the test enunciated by the SJC in Gardner, it would certainly appear as if HAC meets the standards to be a nonprofit educational corporation within the meaning of§ 3 of Chapter 40A. 2. Public Educational Use: As to the second prong of the two-part test--whether a program is an educational use --the SJC has held that in order for it to qualify,the issue is "whether the dominant activity will be educational." Fitchburg,Housing Authority v. Board of Zoning Appeals of Fitchburg, 380 Mass. 869, 874 (1980). In the same case,however,the Court made clear.that it "has long recognized `education' as `a,broad and comprehensive term."' Id. Mr. Ralph M. Crossen Building Commissioner The Town of Barnstable December 6, 1996 Page 3 Thus, "inculcating a basic understanding of how to cope with everyday problems and to maintain oneself in society is incontestably an educational process. Fitchburg at 875. The fact that past and continuing emotional or psychiatric problems may determine the character of the training does not signify that the facility is medical, nor render it any less educational. Id. The fact that the proposed residents would be adults,that the nature of what is to be taught would not fall within the traditional areas of academic instruction,that the facility would provide residential accommodations, or that the instructors would not be certified by the state, does not interfere with its educational use. Fitchburg at 873-875. As you noted in our phone conversation, in a later case, Whittensville Retirement Society, Inc., v.Northbridge, 394 Mass. 757, 760 (1985),the SJC further reviewed the requirement that an educational use be a primary or dominant purpose of the entity seeking to come within the protections of Chapter 40A. In Whittensville, the SJC held that a nursing home, which, according to the statement of the facility's own witness,had no educational,facilities and "no structured programs of instruction or training (other than perhaps a crafts'program)," was not an educational use. Whittensville, at 761, n.2. Where, as was true in Whittensville, there is only "an element of education," it did not constitute an educational use within the meaning of c. 40A, §3. Whittensville, at 760. Applying these principles to Angel House is instructive. A comparison between the utter lack of educational programming in Whittensville (at best, a crafts program)with the description of the educational programs to be provided at Angel House, a copy of which you indicated you received, draws a stark contrast. There are eighteen different components of educational' programming listed, including instruction in basic life skills such as handling money, dealing with landlords, acquiring consumer skills, completing job applications and handling interviews, cooking, and working towards a GED. In addition, the program apparently is slated to have two full-time instructors with most training on premises. Again, as the SJC noted in Fitchburg,the Court"accepted as a definition of education `the process of developing and training the powers and capabilities of human beings,' and embraced the idea that education is the process of preparing persons `for activity and usefulness in life.' (Citations omitted)."Fitchburg, at 875. Application of that definition to the program to be offered at Angel House would strongly indicate that the program meets the test for an"educational use"within the meaning of G.L. c: 40A, § 3. I hope that this letter is helpful to you as you consider whether the Angel House program would be"the use of land or structures...for educational purposes... by a nonprofit educational corporation." See Gardner at 13. As I indicated in our phone conversation, our Project has a Y w' Mr. Ralph M. Crossen Building Commissioner The Town of Barnstable December 6, 1996 Page 4 history of having successfully worked with more than a dozen municipalities when such fair housing or zoning issues have arisen and has been able to resolve the issues informally. I trust and hope that we will be able to do so in this instance. If you have any questions about my letter or if I can be of any further assistance, please contact me. Thank you for your time and attention. . Sincerely. Stanley J. E er Director, D. a ility Rights Project Assistant Attorney General cc: Robert D.Smith, Esq. (Via facsimile) Michael J. Princi, Esq. (Via facsimile) J The Town of. - - Department of Health Safety ai. uxt' Building Di I 367 Main Street,Hyan / Office: 508-790-6227 Fax: 508-790-6230 ��. ner \q - Cl November 22,v67 Attorney Michael J.Princi 310 Barnstable Road Hyannis,MA 02601 Re: Angel House proposal Dear Attorney Princi: Based on your Site Plan Review application,you are deemed approved subject to the recommended changes suggested at your hearing involving the fence and the closure of one curb cut. You will need to give us a plan showing these changes so that we can sign it and send you on to the Zoning Board of Appeals. Your proposal,as submitted,requires Zoning Board of Appeals action. I have reviewed your articles of organization and your narrative and I am of the opinion that you are not a non-profit educational corporation and,even if you were,your primary function is not educational in nature. Arriving at a decision such as this is not easy as the proposal is extremely meritorious,however 40a and our zoning leave me no choice. Sincerely, Ralph M.Crossen Building Commissioner RMCflQn gbd2y� i � f) ,. � \ i _ . � i , _ . � I - - .. 4 F � . OF THE The Town of Barnstable • anxrrsrnBM • 9cb ' Department of Health Safety and Environmental Services ArFONIo'tA Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 �`g Building Commissioner �1 November 22, 1,k Attorney Michael J.Princi 310 Barnstable Road Hyannis,MA 02601 Re: Angel House proposal Dear Attorney Princh Based on your Site Plan Review application,you are deemed approved subject to the recommended changes suggested at your hearing involving the fence and the closure of one curb cut. You will need to give us a plan showing these changes so that we can sign it and send you on to the Zoning Board of Appeals. Your proposal,as submitted,requires Zoning Board of Appeals action. I have reviewed your articles of organization and your narrative and I am of the opinion that you are not a non-profit educational corporation and,even if you were,your primary function is not educational in nature. Arriving at a decision such as this is not easy.as the proposal is extremely meritorious,however 40a and our zoning leave me no choice. Sincerely, Ralph M. Crossen Building Commissioner RMC/km I - - Nov-21-96 03: 31P Housing Assistance 508 775 7434 P.01 •r P"t4t' Fax (Vote 7672 Na of Pages TnAays Date une To• ,(�is���� ' �D�',� / /�i/I From /"i/9~% �=lam•'P�a� Cvwnxiny Lowtion Locality, Dept.Charge Fax I Telephone# Pax# 7alephunc# Comments, :riginal ��Ckwlroy I Rrlu[n __J Cap 1tv pickup !hgpr>�nlrn7: J ANGEL HOUSE Angel House is a facility for homeless families. who are in recovery from alcohol or other drug abtiNe and preparing to assume the re- sponsibility of long term affordable tenancies . Mothers and their children live in the house for up to twelve months . Since recovery is one of the primary goals of program the house is highly struc- tured and supportive of the recovery process . Recovery education is both an individual and family process . To that end group, individual and family education and counseling ses-. sions are available on .the premises every day, Daily twelve-step meetings are also mandatory. Educational groups are held to help families understand the substance abuse family system as well and to achieve an appropriate family system in the absence of substance abuse , Recreational activities are also available to develop healthier bodies and minds and to promote healthy family interac— tion as part of the overall curriculum. The facility is staffed 24 hours a day, seven days a week by a staff fully trained .in issues of homelessness, substance abuse, life skills and family life . A certified teacher is on staff as part of the supervised curriculum for the, children and to teach mothers ways to improve parenting skills . r When families leave the program to move into permanent housing within the community, the staff remains supportive and helps the family utilize community resources to facilitate a smooth transi- tion. t Nov-21 -96 03: 33P Housing Assistance 508 775 7434 P .02 Angel House Educational Program Educational programming is offered as part of the Angel House Program on the following topics: • Alcohol and Drug Education • Family Therapy • Driver's Education • GED Preparation • Nutrition Education • Housekeeping Skilla • Abuse ( Sexual, Physical, Emotional) Prevention Education • Budgeting.Skills • Life Skill, • Shopping Training • Parenting Skills Education • Job :Headiness 'IYaining • Interviewing Role Playing, Resume Development: Employment Skills • lioufiing Search Education • Tenant Skill • Computer Skills • Sewing and Craft Lessons • Cooking Lessons i �—� bs� 1 '1� 1 .(i ( 11 . a c , v a�,v ` 7 ( 1 r •} 11 ➢v{r 11 11 � -t 1p 1= - � f it . �f i � t ti�R,y 1 r• t � it � al t 1 r m,.'!P ya � .S,ri � r0�ii'' ter 1 d' _ s e �l r:: .,s..w�,i^_• 1',ai�._. - .v.:..,yta .,..i .. .r_J<. w. z Alf. y" y.J >>'4y.4>��Gy.! 3 ql": • t �y - _..i3 '�'� JANISSE, M. T. ., `A=30S=235 ° FEE S 6.50 a b a NQ 18 US�� TOWN OF -.BARNSTABLE, S. Apr 20 i9 76 a . . t TH19 18 TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO �a°v M. T. Janisse ,1' �H._...w�_.._ XA 1 yannis ed (PROPERTY OWNER) >' .7 cis ,( g��. + 1,.. (ADDRESS) To , Add. deck to duelling w '.: 3 b _.___... p IBUILD) .(ALTER) - (REPAIR) S.inctle family dwe11ing x 280 sq. ft. w (TYPE OF BUILDING) (APPROXIMATE SIZE) LOCATION _. 309 South Street Hyannis m - Jul ' (STREET AND NUMBER) 7 .�y- (VILLAGE) NAME OF BUILDER OR CONTRACTOR George Perry..:i 0 CIA 0:9 APPROXLMATE COST $400 0 9 I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION (OWNER) (CONTRACTOR) !3 BUILDING INSPECTOR 's Subject to Approval of Board of Health. 7-,�5;- • ,�ti r:?I� -4?�r; v �ti :i A�>•f�r4e � - ,� •',�i ( •�. ° - i1_. �,+ -Sv .r p•Y.d. r>'!t a. •�M y- •' ;a`�P�•dr Kt1 i�i• t• -��:i Yr, s •ti,�)a+1� r • •� ,� _. r, { f 'a'i:' ;'1 .14. --,J.,.4 .Sr� � r_ I f - �•�by �,''. + a ) Y / V.s