HomeMy WebLinkAbout0162 SPRING STREET lGZ Spnn�. S'lrecl' --
_ _ __ � —
To -- Building I _.w
sns�srwstE ;Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
v ,0� Posted Until Final Inspection Has Been Made.t639. , ]Permit;Where a'Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-3729 Applicant Name: SILVA,ANDERSEN Approvals
Date Issued: 12/13/2019 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 06/13/2020 Foundation:
Residential Map/Lot: 328-075 Zoning District: SF Sheathing:
Location: 162 SPRING STREET, HYANNIS
Contractor Name: Framing: 1
Owner on Record: SILVA,ANDERSEN Contractor License: _ 2
Address: 162 SPRING STREET Est. Project Cost: $6,000.00
Chimney:
HYANNIS, MA 02601 Permit Fee: $85.00
�' Insulation:
Description: Finish Basement to include Laundry Room,Two Storage Rooms,TV Fee Paid:., $85.00
room • ; �� Date = 12/13/2019 Final:
*doing flooring,ceiling,walls
Project Review Req: , _ �. � =yy� Plumbing/Gas
Rough Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte�`issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.
r _ Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Are`Offi6ks are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:. Service:
1.Foundation or Footing b '
2.Sheathing Inspection ` Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed "
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Perso o ing with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
�C�. All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Iq
o 4/0 1/0S, G �P; Application Number................2 ..............................
?019
09tAl
BARNBrABLF,
.............. .... 0.........MAS& ernift Fee...Jq'9.-. .Other Fee........................
1639.
2 0 VI
Total Fee .................. ......
. 9 .36
TOWN OF BARNSTABLE Permit Approval by....... ..................... On
BUILDING PERMIT
- M J�� P 0-75
ap......... .......... arcel.............................................
APPLICATION
C:Secti6n-1-- Owner's-Information and Project Location
'=Project Xddr6ss age- -4141NA/U
L A1 6 11(5- �.nz
c—oiiiers Name
cowners Legal Address
r--Siite- --Zip—oZ.6 ,
Owners Cell# 17/4 —4217— C12 41102 q
Section 2 —Use of Structure
Use Group_ ❑ �Commetcial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
Single Two Fai!nfly Dwelling
,---Section-3 —Type of Permit 3
❑ New Construction ove Relocate E] Accessory Structure ❑ Change of use
❑ Demo/(entire structure) Finish Basement El Family/Amnesty ❑ Fire Alarm
Rebuild El Deck Apartment El Sprinkler System
D Addition E] Retaining wall ❑ Solar
El Renovation ❑ Pool El' Insulation
Other—Specify
CRctidn-4Work-Description
U -
T..q-.t lindsterl- 11/1 Sn.01 R
Application Number....................................................
Section 5--Detail
g4
/00
Cost of Proposed Construction 7 " quare Footage of Project '
Age of Structure Dig Safe Number
# Of Bedrooms Existing Total#Of Bedrooms (proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
'Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
Water Supply ❑ Public ❑ Private
Sewage Disposal ❑ Municipal ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site)
Setbacks Front Yard Required Proposed
. K �, ;',
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ �No .
f
Last updated: 11/15/2018
i
Application Number..
Section 9- Construction Supervisor
r
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email Cell #.
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.Attach a copy of your license.
4' Signature Date
Section 10—Home Improvement Contractor
Name f Telephone Number
Address City State Zip
Registration Number Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature Date
CSection-11--Home Owners License Exemption
{ Home,Owners Name / � ��_(1� /1/' j ,
Telephone.Number T�]� ' k�f�r�,�7t�yCell or Work Number , ' ,9 7
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 C/r1*/y1�i`and the Town of Barnstable.,
f D !/ n
ate
APPLICANT SIGNATURE _.
t (,Signature- -. - C _r. - Date
Punt=Name �° C-*'Telephone Number.
E-mail permit to: r "
_ 9 � c:
Last updated: 11/15/201
i
P 8
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) ❑
•
Historic District ❑ Site Plan Review(if required) El
Fire Department ❑
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval
Section 13 — Owner's Authorization
I, , as Owner of the subject property hereby
authorize to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of job) a
Signature of Owner date
Print Name
Last updated: 11/15/2018
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 budding 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 constrict 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-contractors)name(s),addiess(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be retained 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 permittlicense number which will be used as a reference number. In addition,an applicant
that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)"A copy of the.affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call. -
The Department's address,telephone and fax number:
The Commonwealth of Massa&usetts
Department of Industrial Aoddents
Office ofInvestigatiow
600 Washington Street
Boston,MA 02111 -
Tel.#617-727-4900 ext.406 or 1-877 MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.nim.gov/dia
The Commonwealth of Massachusetts
Department of IndustridAccidents
Office of Investigations
600 Washington Street
Boston,MA 02111
wwM.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information ` Please Print Legibly
Name(Business/OrganizatimVIndividual):
Address: J� j/1(a-
City/State/Zip: /V8 NA 026&L Phone#: —4,?. w 7
Are you 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. El Demolition
working for me in any capacity. . employees and have workers' 9. ❑Building addition
[No workers' comp.insurance comp•insurance.:
r 5. We are a corporation and its 10.❑Electrical repairs or additions
3. I am ra homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees.[No workers' 13.❑Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information
t Homeowners who submit this affidavit indicating they are doing all work and then hue 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 most 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:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature �- -" Date: "M
Phone#: _
Ojj`tcial 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#:
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40 -f L_4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to oper . ..•.ou must first obtain the necessary signatures on this fon-n at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: —I LI —Z 15 , p Fill in please:
;' APPLICANT'S YOUR NAME/S:
" , + BUSINESS YOUR HOME Ff { r5�CP r 3G
TELEPH�NE # Home Telephone Number o ^ 3 o I (.{
it ti� EI
NAME OF CORPORATION:
NAME OF NEW BUSINESS ry 12 —sZ S r\) TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO
ADDRESS OF BUSINESS 2_ 0 S �f MAP/PARCEL NUMBER [Assessing]
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO MISSIO ER'S OFF E
This indivi all h ' e n in . ed of any erm' re uirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
u or' S'gnat *. COMPLY MAY RESULT IN FINES.
COMMEN S: _ ok
Tk
a
2. BOARD O EAL H
This individual has been informed of the permit requirements that pertain to this type of business. "
Authorized Signature*
COMMENTS:
AIRS LICENSING AUTHORITY
ER AFFAIRS
3 CONSUMER J
(
requirements that pertain to this e,of business.
licensing tYP
-This individual has been informed of the lice g q P
Authorized Signature**
COMMENTS: x
Town.Of Barnstable
n
�-ME_ Regulatory 5ery.ices
o Richar'd V.Scab;Director-
f Building Division
Tom Perry,Building Commissioner
'OTEn nna� 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
�3
Fee: �3 s
]Permit#: O/s:-
HOME+OCCUPATION REGISTRATION
Date: �
Name' /V mac, (�• ��( I. �a" Phone#:
Address: 4 2 !�: P k �<7 A-ro N S A2 illage:
Name of Business: tyc- KL U�)V, Cdu A
Type of Business:-K O ru 5 y e-1 &J Map/Lot
IN'I=: It is the intent of this section to allow the residents of the Town`of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4=1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;'no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the. .
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within '
that dwelling unit
Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is .
no outside evidence of such use.
No traffic will be generated in excess of normal residential volumes.
• The use does not mvolve'the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required'front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than.one van or one
pick-up.truck not to exceed one ton capacity,'and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation. ,
m If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I,the undersigned,have read agree the above restrictions for my home occupation I am registering.
Applicant Date: ( "l—"
Homemdoc Rev.103113 7
i
- F-. Town of Barnstable
'THE Regulatory Services
F ram, ..
o Thomas F. Geiler,Director
Building Division
BARNSPABLE,
r� MASS. Tom Perry,Building Commissioner
iOlfD MA'S sN0 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 ax: 508-790-6230
�•
Approve&. 4-�,
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Date:
Name: 0 t 2. �2A-C—A Phone#:
Address: 16 0 SP1,W ' S't Village: /,�/44W<5 .
Name of Business: ���Z G�j� � i tV.gr� z21r1PSf!y,,q-rv1-
Type of Business: P12 m4r Map/Lot:_12,+0
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided,that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes; and no increase in air or groundwater pollution.
After registration with the Building Inspector; a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit, located
within that dwelling unit:
• Such use occupies no.more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings, and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors, electrical disturbance,heat, glare,humidity or other objectionable effects.
• There is no storage or use of toxic or,hazardous materials,or flammable or explosive materials, in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.-
0 There is no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed,one ton capatit}�and one trailer not"to exce"e"d 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Hcme Occupation.
• No sign shall be displayed indicating the,Customary Home Occupation.
• If the Customary Home Occupation is listedEor:adv4ertised as busn'es ,the street address shall-not be '
included.
I
• No person shall be employed in the Custo jar,Homee\Occupationtw,ho.is not a permanent resident of the
dwelling unit.
I,the undersigned,1pve read and agree with the above'restrictions for my home occupation I am registering.
Applicant: Date: %J/!�-/4
Homeoc.doc Rev.5/30/03
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does-not give you permission�to ope.rate.) Business Certificates are avai Main Street, Hyannis, MA.02601 [Town Hall) table at the Town Clerk's Office, 1° FL., 367
a�Wti n4c�:eN�w,6WI,W YL'k9S G�"•- " .. � GATE: -" s/ O .
. a%OR Fi1I in phase:
e � APPLICANT'S YOUR NAME: �Oi7 C- �4Cr--�
G BUSINESS YOUR HOME ADDRESS: 160 5`T-3i s f-aa SF
TELEPHONE # Home Telephone Number
NAME OF NEW BU31NEs5 4-,
• •TYP . . BfJ . 'S:�� rPi
IS THIS A HOME OCCUPATION?' . YES. _NO"
Have you been givep apP"r.'oval fr orn the build rng division? YES• NO
ADDRESS OF.BUSINES51�`� �n/� ;w� S_t. k f yu4`�°�•S i�af- c9 f 7) m
MAP/PARCEL NUMBER
When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you May need. You MUST GO TO 200 Main St. — (corner of Yarmouth
Rd. & Main Street),to make sure you have the appropriate permits and licenses-required to legally operate your business in this town.
1. BUILDING COMM_lSSIQNER'S OFF E MUST COMPLY WITH HOME OCCUPATION
This individuaf h s bale .infer' .eckof n ermit re uirements that attain to,this e q P typ dF
VD REGULATIONS. FAILURE TO
�? Gr COMPLY MAY RESULT IN FINES.
Au ized Sig.a ure** '
COMMEN S :
2. BOARD OF HEALTH
This individual has been info -ied of the it requirements that pertain.to this type of business.
Authorized Signature*
COMMENTS:
3 'CONSUMER AFFAIRS:[LICEN I G AUTHORITY)
This individual has b inf rMo f a licen ' qt!��Ijnts that pertain to this type of business.
Authorized Signat
COMMENTS:
a •
I
i
r
Commonwealth of Massachusetts
Town of Barnstable
Constable
Lou Gonzaga,Ph.D.
Constable,Nob"PWWc
162 Spring Street Hyannis,Massachusetts,02601
Celt 774r487-726S 1 SOB-771-6036!a=508-771-6036
E-maik 1.
fl
} O Effective Date: June 15, 2006
F ��®
F
f y
F y
Western Surety y
y
B y
CONSTABLE'S BOND
B y
B F
Bond No. 70119664
F il
F J
Luiz Gonzaga , as Principal and WESTERN SURETY COMPANY,as Surety
4 y
F y
The undersigned Principal and Surety are held and firmly bound unto the Collector-Treasurer of
Town of Barnstable, Commonwealth of Massachusetts in the sum of
Five Thousand and 00/100 DOLLARS($ 5,000.00 ),
to be paid to said Collector-Treasurer to which payment well and truly to be made they jointly and severally bind
themselves,their heirs, executors, administrators,successors and assiDns.
The condition of this obligation is, that if the undersigned Principal, having been appointed and confirmed a
Constable of Town of Barnstable, Commonwealth of Massachusetts , to hold office for
the term ending June 15, 2007 , and until another be appointed and confirmed
in his place, shall faithfully perform his duties as Constable in the service of all civil processes committed to him, this
obligation shall become of no effect,otherwise it shall continue in full force.
Signed, sealed and delivered June 19, 2006
In the presence of
By
Witness Principal
WEST Q S U R COMPANY
� G-�— � 0teo�- Surety
Y1.
Paul T.Br „=Se ni M, P� ent
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
STATE OF SOUTH DAKOTA
County of Minnehaha ss
On this 19th day of June 2006 before me appeared
Paul T.Bruflat ; to me personally known,who being by me°duly sworn, did say that he
is the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that the seal affixed to foregoing '
instrument is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said "
corporation by authority of its board of directors, and said officer acknowledged said instrument to be the free act and
deed of said corporation. '
F
6 thyyyyyhhyyyyhheyhyyyyhs�+
s D. KRELL s ;
SE� NOTARY PUBLIC E43 i
��SOUTH DAKOTAN�$ Notary Public y
F , y
" J
tyyy5yyyyyyy�,yhyhg5yyyha t
My Commission Expires November 30, 2006
' Form F4743-5-2002
B
Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota,.and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan,Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America, does hereby make,constitute and appoint
Paul T. Br flat Of Sioux Falls
State of South Dakota ,its regularly elected Senior Vice President
as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute,acknowledge and deliver for and on
its behalf as Surety and as its act and deed,the following bond:
One ONS R .-TOWN OF R RNSTART, . bond with bond number 70119664
for LUI Z GONZAGA
as Principal in the penalty amount not to exceed: $5,000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force,to-wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds,policies, undertakings,Powers of Attorney or other obligations of the corporation. The signature of any"
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Senior Vice President with the corporate seal affixed this 19th day of June
2006
ATTEST WEST R SURET COMPANY
By
'It.Nelson,Assistant Secretary Paul T.Bruflat,S nior Vice President
STATE OF SOUTH DAKOTA '` Z Nw ,"'fir
ss
COUNTY OF MINNEHAHA ti 11114° .•......
On this 19th _ day of June 2006 before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who, being by me duly sworn, acknowledged that they signed the above Power of Attorney as Senior Vice President
' and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
• +y5hhhyhyyyhhyhy�,hhhhyy5h+ •
D. KRELL s
sQNOTARY PUBLIC SE l — — - _SOUTH DAKOTA�s _—
+yyhyyy5y4.yyyyyhahyyhyy i Notary Public
My Commission Expires November 30:2006
- os
Form F1975-3-2006 ��M
a ,
i
THE E COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
To: Luiz Gonzaga, 162 Spring Street,Hyannis,MA 02601
I, John C. Klimm,Town Manager of the Town of Barnstable,MA by virtue of the authority
vested in me by the laws of the Commonwealth do hereby appoint you to serve as a Constable
r in the town of Barnstable to serve from June 15,2006 until June 14,2007.
Given at Barnstable o
John
C. Klimm
_
Recorded:
Attest: o _ _ . ,Town Clerk
T
• f
Town of Barnstable
��THE yam,
Regulatory Services
Thomas F.Geller,Director
Building Division _
serwsi°Asr.�, • .
y KASS g Tom Perry,Building Commissioner
19
200 Main.Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
A.nproved:
Fee:
Permit#: Z 00
HOME OCCUPATION REGISTRATION
Date:
Name• .� o Z ZAC—o1 Phone# JL 774 6
Address: /6 2 S Ra i of G- St Village:_ l-r A.04 ai 3 f.ii41F4 O Z 66 1
Name of Business: )?4,�S r AoSL
Type of Business: PC-'f e E f 'L ' 11'fa r%t-1'Y S1�Z;�,t z S Map/Lot: 3 2 0.7 S'
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
Y. The activity is carried on by the permanent resident of a single family residential dwelling unit,.located within
that dwelling unit.
e &uch-use oecupiesno-moFe-than-400-sgu-are feet-o€space.
a There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside evidence of such use.
• No trafficc-will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
9 There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
® Any need for parking generated by.such.use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
o There is no exterior storage or display of materials or equipment.
• There is no commercial vehicles related to the Customary Home Occupation,other than one van or one-
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
® No sign shall be displayed indicating the Customary Home Occupation.
® If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
® No person shall be employed in the Customary Home Occupation who is.not a permanent resident of the
dwelling unit.
14 I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant —Date: -2— 1 Z `
Homeoc.doc Rev.5130108
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates [cost$30.00 for 4.years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does-not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 .
Main Street, Hyannis, MA.02601 (Town.Hall)
AR°& Fill in P!case:
APPLICANT'S YOUR NAME: ,642A�sXAS ��
L
�'S "' BUSINESS YOUR HOME ADDRESS:_ /G Z SPa,;JV Si-
' TELEPHONE # Home Telephone Number .S-of3- 77/-C o 3C��� �iae .Sc'?-3�a "�2 0`4
NAME OF NEW BUSINESS TYPE OP BUSINESS. Fisk,- o e-c r-
IS THIS A HOME OCCUPATION?, YES NO .
Have y.ou been given.approval from the building.divisions YES NO -
ADDRESS OF BUSINESS A Z Se:2 faJ c -5c- 2� -7
MAP/PARCEL NUMBER
When starting anew business there are several things you must do •in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the:information you fray need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street).to make sure you have the.appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFIC
This individual has been i f rmed f ny permit requirements that pertain to this type of business:
Authori d SignaturAr
COMMENTS:_
2. BOARD OF HEALTH
This individual has bee p� formed th ermit requirements that pertain to this type of business.
A horized Si nature*
COMMENTS: ,
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual ha ggen inforol� 'of the Psi��� ehts that pertain to this type of business.
Authorized Signature.*
COMMENTS:
- t ,
EXISTING EXIT WINDOW WELL .
113'-412" 6'•0"
LEGEND
® PROPOSED BATH VENT FAN -
\/ PROPOSED HEAT DETECTOR ' f
5 PROPOSED SMOKE/CO2 DETECTOR
EXISTING WALLS L. g
.E PROPOSED WALLS e l
I I �
' A E.sr rvo EEAww a,rs^ I I +.ti"` .ti k
Barnstable Bldg. Dept.
Approved by:
Permit #: /� 1799
� II.
BASEMENT j -
m +I
b s. - , - _ - n'+'s, - .. • REVISION
` r
`k I _ 3' 9" � 3 6
a
2' 912" t S?
! u •. - !
r
FP
,
e
t 2'-312'
1 ■ NOTE '
e
:mtiF-
l�P, THIS DOCUMENTS USE BY THE OWNER FOR
• .. ,. • °' �� OTHER OJECTTSOR FOR SCOMPLETIONOF
FT4ISOR PROJECT BYOTHERS IS STRICEY
FORBIDDEN.PROJECT
BUT UL IN C BE CO
TR
WITH THIS PROJECT Sf41LL NOT BE CONSTRUED
' I ��. t( AS PUBLICATONIN DEROGATON OF
a - •: n� - - - - THE DESIGNERS RIGIRS. i
f y�
t i -------------------
EDI' b t ■ PROJECT _
i.
EL L
4im
`� ILVA,ANDERSON
Ir p I + �a: %NGUYEN,
I i a HIEP&HOANG,
I - HIEN&NGUYEN,LINH
• c,.:y ,
�' ■ 162 SPRING STREET,
4". .`:.: ._,......,.:�. HYANNI MA 02" } ` S 4•m 9,
PLAN-
PROPOSAL
- ■ PROJECT NUMBER 1
r1 BASEMENT FLOOR - zr-e 12 _ • SCALE 1/T=V-0• 11J042D19
'I12"=1'0" ■ DRAWN AN
A - 23'.11 1/7 A 1 .0
n �/\1
/V//,(2 / /// 0/ { ► • SEAL DRAWING
!'' / �/Q/fall
}
i
LEGEND
® PROPOSED BATH VENT FAN
PROPOSED HEAT DETECTOR
PROPOSED SMOKE/CO2.DETECTOR
O EXISTING WALLS -
p PROPOSED WALLS
10'-B,.
BEDROOMb1 ' BEDROOM 2 '. b -
" - Qf= - -
CL CL
.. - LIVING ROOM FP
.REVISION
'�—.► _ 'i.. #. GAT -
KITCHEN
UF
- _ • 4-2nn
w. a 1s-z•
m
HALL.
•-5•• "* .. o NOTE
———•-CV-1.! - i THIS DOCUMENTS USE BY T!ff OWNER FOR
` -0' 11' 1 OTTER PROJECTS OR FOR COMPLETION OF
` STRU
v... ' .... / .. ON
TON OF
THIS PROJECT BY OTTERS IS STRICTLY
f
FORBIDDEN.PROJECT
SHAUL NOT BE -STR
AS PUBLICATION IN DEROGATION NOT BE CON ED
_ THE DESIGNER'S RIGHTS.
31
+ - FAMILY ROOM
F y CL a PROJECT
SILVA,ANDERSON
%NGUYEN,
HIEP&HOANG,
-`� - HIEN&NGUYEN,LINH
5'-3' 13'-81rr ■ 162 SPRING STREET,
. - HYANNIS MA 02601
FIRST FLOOR
PLAN-
01 FIRST FLOOR - EXISTING
a PROJECT NUMBER i
' ■ SCALE 1/4"=1'-0" 11/04/2019
r �. ■ DRAWN AN
A1 .1
• � ■ SEAL DRAWING
f
Q
Qh•
O� � ��
`� _� � ��Q' __
� Jo ��
Q'
.� , =p O
��
,`O
I
_r
+}
r
� ��
*�
i _
��'^
4
1