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0077 SUNNY-WOOD DRIVE
-77 1 S4/117 Gird L f 1 f ' f f P. 1 rt ( Dec. 30. 2015 9. 07AM ) 2) Page Pg (s) Result Not Sent ----------- --------------------------------- P. 2 OK A -----------------=------------------------------- E. 2) Busy E. 4) No facsimile connection E. 6) Destination does not support IP—Fax PAX go. P.ODI RSTONS MILLS FIRE DISTRICC E&EMERG84U SERVICES "a Application number BUILDINGFee .1 5. ............................................... &VUW MA& JUL 2 7.2020 Building Inspectors Initials.... .a........................... Date Issued......$)�2 .G a TOWN OF BARNST .... .......... ............................. ABLE / NNE Map/Parcel....R. ....".........Jul....................... SC TOWN. OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOW S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: - - 6U Kr44 ,WCrob MM C-6IMf-,1ZV1 LLF- M N 67-f"3-1- NUMBER STREET VILLAGE Owner's Name: 5 6 no _ G Phone Number i I��- I� O Email Address:Asim hlA-7,I U I I Hoo CC)M Cell Phone Number SO% ,3(,,Ll o I I of Project cost $ O0 0 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK Siding ❑ Windows (no header change) # ❑ Doors (no header change)# ElInsulation/Weatherization ID Roof(not applying more than 1 layer of shingles) ❑ Commercial Doors require an inspector's review r, Construction Debris will be going to h kA M ❑ Certificate of occupancy with no construction(complete below) Occupant/family relationship or business name or Existing amnesty apartment (attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable) # (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES.OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS IN . .....��..........r.....� .a... ...a.� ww�.... ....�r�n.I� ./f.lnfw.. nrJ-,r1hnc w nrnw..T P+..0 ni- R . `4.M APPLICATION NUMBER....................................................... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total � � r 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 w. 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 obtaina 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 1 *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: Q Am t 4u 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 own of Barnstable. Signature Date —ZQ APPLICANT'S SIGNATURE Signature Date O 2 —21b All permit app"110are subject to a building official's approval prior to issuance. r- 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/organizationandividual): As 10 11-3 f I ,y Address: q7 5U NPJ!J 1llctw b�C11/6�, City/State/Zip: 0, '' ®U31—Phone#: 90 — 6 T 0 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. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY t 9. [_1 Building addition' [No workers'comp.insurance comp.insurance. re pa required.] 5. ❑ We are a corporation and its 10.❑Electrical p ir s or additions 3.'W I am a homeowner doing all work, officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right'of exemptiori per MGL 12.N Roof repairs t insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13❑Other .S' 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: 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 cer ' under'the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: d 7, ZZ U Phone#: Official use only.,Do not write in this area,to be completed by city or town offciaL 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 carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 600 Washington,Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.govfdia i NAME OF OFFENDER nn D t '` j D(�D 9 9 TOWN OF ADDRESS OF OFFEND " J 1 1}r I . g BARNSTABLE CITY.STATE,ZIP CODE dr11"WE 1 ,� �MVIMB REGISTRATION NUMBER OFFEN E MASS'. LLI 39• NJ�y (ppy t w y f}( o. 1�6./ `+' ,;�T, y"�;k..T,r^" f rae�^s•I f ! i6.4+LrS �• W f�., f 1' +� a• R•' a TIME AND DATEO VIOL ION t N OF IOLATION i NOTICE OF ,, I (A.M./ P.M.)ON .� o �:: "gin ..%• '%_.. / S GN/,rTUREOF ENFORCINGIP RSON." e �, ENF Z1N DEP. r•'"`"""Dr ," BADG-NO. W VIOLATION , ' i. `� OF TOWN I HEREBY ACKNOWLEDGE RE PT OF CITATION X CL ORDINANCE O Unable to obtain signat of gffende ._ THE NONCRIM L FINE'FOR HIS OFFENSE IS S � Date mailed a OR YOU HAVE THE FOLLO G ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER. ER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH ESULTING CRIMINAL RECORD. to I REGULATION 1 You ZZ,2nnstable to a the above.fine,either b appearing in arson between 8:30 A.M.and 4:00 P. Monday through Friday,le al holida excepted, Q () pay Y PP A p 9 Y, 9 P to before: Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order o ostanote to Barnstable Clerk,P. Box 2430,Hyanni2601,WITHIN TWENTY ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET, ARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature TO OFFENDER: Failure to obey this notice within 21 days Place !� after the date of violation may result in a Stamp criminal complaint being issued. DO NOT Here MAIL CASH, Post Office will not deliver without stamp I, i MAIL TO: BARNSTABLE CLERK P.O. BOX 2430 HYANNIS, MA' 02601-2430 �� �► � oac3ooUa0000 � c� vaaoov400va � � : ,. 4 I � . }� � � {` � � 4� Q � f� � 8C3C} aC� 4 � � E� 4 � C� +� o a o o � TOWN Off'BARNSTABLE BUILDING PERMIT APPLICATION f l / Map ✓ Parcel Application #- Health Division Date Issued L Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Addres D Vie ageA-rJ A' — IN O T j N1 - /�C- MAMAR 4q Address=7._51j AW y Wcr0 Telephone O (Permit Request r T _�5,zdcnLg 01LV Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation V0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) I 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: ❑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 Proposed Use APPLICANT INFORMATION m (BUILDER OR HOMEOWNER) Telephone Number Address S 14 N IA MIN y0�.. License # �� � �-�-� M k/, 2, Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r ? FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. r T ADDRESS VILLAGE OWNER t - r DATE OF INSPECTION: Y FOUNDATION FRAME INSULATION `I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i 'down of Barnstable s < < a Regulatory Services ova rg� Richard V.S=b,Director , Ruflding Division: t Tom Pcrrp.Bma'Tdmg COmm==Mer 20D Mkia Sftzet Hyads,MA t12601 arm� w�tY.foWa.ba,-n,taT,.Ts*,;IIs Office: 508-8GZ-4038 Fad 508-79Q�Z30 HDIMEOWNER ra MM EXEM JaaTnre•TTCQ�L; q 7 : . eLk M A02-45- - names ham ephane0p� T CQRRENT MAIT_TG ADDRPss"� ccif9/ta�a - ap C The m==t eme opfion for°homeowner'was extended to include owner-oceQied dweMaIM of sbC twits Q Iess Md to anoW homeowners to engage an individual for hiiswho does not possess a license;yroyided that iha owner acts as supervisor. MMUMN ORHOIXOWI R ,P erson(s)who opens a parcel of land on which helshz resides or mtcnda to reside,oa which&=is,or is intended to ba,a one or two- famay dwelling,attached or detached s9 mzta-w accessory to such ose and/or farm shuctnw, A person who contacts mare than one home im atwo-yearperiod shall notbe eanddm�dahmmeown= Such'nomaawnee .sha]l sabmitto iba Budding Of vial on aform acceptable to the:Bm7dmg Of aal,thEthelsba shaU be mMansible four an sash wo&RmJh=ed ILIMf=bm7�permit (Section 109.L1) The ond=xigned`bonzeoVMCe assames rEsponsinffify for compliance viffitfiz Stator BuRdmg Coda and Of=applicablo codes, bylaws,roles and re ubtions_ - r no undersigned`hDn= nee'crtfes thathelsbe uadcatmads fba Town ofBamstabTo Bmilding Depmtmentmmim�inspection PTO ands andthathclsbe wM comply wish said pmcednres aadr*cIPI=en s. Si eozenrs App:vPdl afgm'I�mgO�rsal ' Note: Three-&ngy ftmniags m t a 35,000 cubic feet or larger wM be roclah o comply with th a Sims BmZding Coda Section 127.0 Cosistxnc a CaotmL HonMowrEXIs EMMMN The Code rbems that: allay homeowner performing worm for which a b-g permit is required shall be czempt from the provisions of this section(Secfion 109_U--Licensing of coasft z ion Supervisors);provided fliat if ffie homeowner engages a person(;)for hire to do such work,that such Homeowner shag act as saperdsonr Many homeowners who use ihiss e=mp$on are unaware fat ffiey are assum ng foe responsi iTTIJ of a supe y or (=Apper Q.R°•Ies Br Regulaf mns for Licensing Canstr'acffima Supervisors,Secfinn 2.15) This lark of awareness o$ca results;in serious problems,parficularlywhen$ie homeowner hires tofficensed persons. k ffiis case,our Board cannot proceed age st the unficeased person as it would wffii a 11ce sed Supervisar_ The homeowner acting as Superyn"is ulf=tely responsible. cmnrm k.s as art of ffie To easure feat Sze homeowner is faIIy aware of h Wher respoasr"brffifz'es,many req�re, p permit application,that the homeowner certify that hedshe nndC1JN7 LL" fhe responsr�rTrf'es of a Supervisor. Oa ffie Last page of fhh issue is a form enrreafiy by several fawns. You may mm t amend and adopt such a fb rmI=rfifi=ffia for use is your commm3iiy. Revised 06 U 13 ' o�'WET, Town of Barmtable Regulatory Services ssea � Richard P.S=H,Dhmbr r �a BIIIZding IM Won `ramrerry,Bmirmg Co ner 200 Mum Street,Hy=ds,MA 02601 WWW tDWn.7barastable ma cs Office: 50 94 62-4 03 8 Fa= 508-790--6230 Property Owner Must Complete and Sign Tbis Section- If Using ABuilder as Owner of the subject property heml�yauthonrP to act on my behalf in all Matbm Mlaiim to work atffiorized bytim budding perm apphcation for. . (Address of job) ``Pool fences anal alarms are the responsIffity of the applicant Pools are not to be faded or d before fence is installed and all final ' inspections.are performed and accepted. Sg,= of Owner Signature of Applicant Prinr Name Print Name Date . �roxa�s:a ears . . pT M AIM I.S K&0 26-L /�IQ Nlful : SFTS- dp" � 4 IL i BASEMENT f c)-f® ,-S I--z-o \ I s Ij - __� a 13EZ ROOM 4 � ir.,.,0000C1U _..- .. - /�51 N N : . 0 �kIANNIS tAA o C � PiA1bVjqL %7c If w } i t ... • 12�©ter � - � - � n - .. _ ?Tie Comrnonfvealth of-Massachusetts Department o,f irrrdr#strial Accidents -- Q,fke of mv-stigadons 600 Washington Street Boston,41A OZIII ; �tvvn�mgov�iTiri - , Workers' Caffipensation Insurance Affidavit:Bmlderm/CiantractarsXIech cians/Plumbers AL3plzcant InfGr1n2 Qn Please Print Lem IIY Nanxe(F3tfsinae�stDFganixatifmFIadidnal • S M _/.I- k C,1-Q Address- s uNoyy 2 City,/SWel Llj�_ 6� anti $- _ g - Are you an employer?Check the appropriate box: Type of project(required): I_❑ I am a employer with. 4. ❑I am a general contractor and I employees(full andl`orport-time). * 4 have]Bred the.sub-contractors 6- [:]New consfrucfion 2.❑ I am a sole proprietor arpartuer- listed on the attached sheet, 7- ❑Remodeling ship and have no.employees . These sob-codractcrs have g_ ❑Demolition Working forme in any capacity.. employees and have wodcers' 9. ❑Building addition WQ Wor�rg°comp_insurance comp,msi ran�l 5..❑ We are a corporation and its 10:❑Electrical repairs or additions ,,required-] ofdcen have e=cised their 3. I ama hameou�er doing all wails 1L❑Plumbrngrepairs or additions my [No workers'comp right of exemption per MGL. 12.❑Roof repairs insurance required-]i c.15Z§1(4k and we have no employees.[No woiken' 13.0 other comp_Insurance required-] •Aay a"Bcmt ffnt cbedubos R most also ffi out the sectionbeLowshowing the¢ cy wo3cexe compwesatiou poy infomntion- #Hinmeowmn who submit this affi tdf Mffrating they ne doing su wa¢Y sad lien hie oamide contractors zoos#submit a new afdaut ind mthig sacb- fCaaasctors that check this boas must attached as addibnnsl sheet sb m-!=g the mine of the sub-camwctors and State whelhes cr not fhnse eidtiesbRue employees.I€the sub-contractomhace employees,1heymvsrpmuule thek workers'romp.poliy number- lam an efrfpL y'er flfat is pratidilrg workers'congmLsatiarr iumirance for my enrploj�ees Below iv die policy and job site irffof-nratiarl. - - '- Insurance Company Dame: e Pare* or Self-ins-Lic-4k Ekpiration Date: Job Site Address: CitylStatdzip: Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration date). Failure to secum coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,50a OU andlar one-year imprison—t,as we:11 as civil peialties.in the form of a STOP WORK 0EMEK and a fine of up to$250.00 a day against the violater. Be advised that a copy ofthis statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification- I do her-.eby cm*, under thapains andpenaLffes ofpef jnty thatf7re informadbaprmi&dabore is bare mid correct Sitnaahlre: Date- Phone i�- - t3, idd use only. Do not write in this area,to be completed by c4 ortofrn ox7cial, City or Town: PermitUcense 9 Issuing Anthority(dude one): , 1..Board of Health 2.ceding Department 3.CityfTown Clem 4.Electrical Inspector S.Plumbing Inspector " 6.Other Contact Person: Phone#: Taformation and Instruct ors hfimsacb sets General Laws ebaprter 152 regoaes all empIoyers'fn provide warkers'compensation for their employees- p -tD this smote,an errrylnyee is defined as.`°.every person in the service of another under any contract of hire, express or implied,oral or written." An mzpTgyer is defined as"an individual,parinershir,assode i.Qn,corporation or other legal entity,or any two or more of the foregoing engaged m a joint eotmTrise,andincTn�the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees- However the owner of a dweIlnzg house having not more than tli=apartments and who resides therein,or the occupant of the - dwelling house of azciher who employs persons to do maintenance,construction or repair wolk on such dwe.1 i ag house or on the grounds or building appznfenziatthereto shallnotbecause of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also stains that"every state or local licensing agency sh&U withhold$ie issuance or renewal of a license or permit to operate a business or to construct buildings in the coramonwealth for any applicant Who has not produced acceptable evidence of cdmpfianm wide the insnran ce.covex-age required." Additionally,MCrL chapter 152,§.25C(7)states-Neither the rpm eallh nor any of ifs political subdivisions shall enter mtD any cont<arx for the performance ofpmbho,work mfil acceptable evidence of compIi.a;ace wrth fEe nm=ce. rerpzseniezrts of this chapt-zhave been presented In the contacting authority." Applicants , Please fill obi the workers'compensation arfidavit completely,by checking t-e boxes�apply to your situation anti,if necessary,supply sob-contractors)name.(s), address(es)and phone mzmber(s)along with their certificates)of insurance. LimitEd Liability Companies(I.LC)or Limited Liabi-ity-Partamships(LLP)withno 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- B e advised that this afff davit may be svbmitf:ed to the Department of Industrial Accidents for conffimation of insurance cDveiage. Also be sure to sign and date-he affidavit The affidavit should be retimmed to ihe city or town that the application for the permit or license is being requested,not the Department of Lo-dastrial Acmdents. Shouldyon have azry questions regarding the law or ifyou are regoaed to obtain a workers' compensation policy,please call the Department at the nmnber listed below. Self-insured companies should entDr their s elf-ice license amber on the appropriate line. City or Town Officials t _ Please be sore that the affidavit is complete and printed legibly. The Department has provided a space at fhe bottom of the affidavit for you to fll out in the event the Office of Investigations has to contact you regaz ding the applicant- Pleas e b e sure to fill in the pezmit/license number which will be used as a reference number. In addition,an applicant } that must submit multiple per nWHcense appjjmdons in any given year,need only submit one affidavit indicathag rent policy information(if necessary)and under"Job Site Address"the applicant should write:"all locations in (cry or town)_"A copy ofthe-af idavitthathas been officially stamped or marked bythe city or town may be provided to the applicant as proof that a valid affidavit is on file for fit z pmm#3 or licenses A new affidavit must be.filled out each year.*Wh=a home owmea or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license or permit to burs leaves ei�--.)said person is NOT rued 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 anal faxnmmberr Depaitamt of 1adustdal AacZent% ��of Xnn�e�fig�fioJt� . �Q4�asbin�an � - Bastan=MA a1 I I I ` (�L 9 617 72 7-4900 cxt 406 or 1--977-MAS F Fax 6 617 727 7749 Revised 4-24-07 .maz-gavldia Page I of 3 Anderson, Robin 7 7 )A- From: Asimnazir[asimnazir711 @yahoo.com] Sent: Thursday, April 07, 2016 6:46 AM To: Perry, Tom Cc: Anderson, Robin Subject: A humble request Dear Mr. Perry, After obtaining a permit from Town I installed a sink in the dog room of my house with the help of a plumping company. But unfortunately I was given a ticket and was instructed to remove it. In order to remove it I again obtained the permit . And it has been removed now .The reason I installed the sink because in summer I put the Intex swimming pool in my backyard for my kids, the sink there was the convenient approach for my kids and us during summers anyways,now my only humble request is to please let the counter stay so we can serve drink from there. I would really appreciate if you oblige, I am attaching the Pic of my dog room after the removal of sink and you can see the counter in Pic too. Regards Asim N Chaudhry 77, Sunnywood Drive Centreville, 02632 MA d 4/7/2016 Page of 3 i jui , Page 3 of 3 •� .R � Sent from my Whone 4/7/2016 Page 1 of 4 w Anderson, Robin From: Perry,Tom Sent: Friday,April 08, 2016 2:35 PM To: 'Asimnazir" Cc: Anderson, Robin Subject: RE:A humble request The last time it was for a pool in the yard,that's never been installed.The answer is still no. From: Asimnazir[mailto:asimnazir711@yahoo.com] Sent: Thursday,April 07, 2016 6:46 AM To: Perry,Tom Cc: Anderson, Robin Subject: A humble request Dear Mr. Perry, After obtaining a permit from Town I installed a sink in the dog room of my house with the help of a plumping company. But unfortunately I was given a ticket and was instructed to remove it. In order to remove it I again obtained the permit . And it has been removed now . The reason I installed the sink because in summ6r I put the Intex swimming pool in my backyard for my kids, the sink there was the convenient approach for my kids and us during summers anyways,now my. only humble request is to please let the counter stay so we can serve drink from there. I would really appreciate if you oblige, I am attaching the pic of my dog room after the removal of sink and you can see the counter in pic too. Regards Asim N Chaudhry 77, Sunnywood Drive Centreville, 02632 MA 4/8/2016 , Page f Page 3 of 4 # ter i MY i fi r 4 v} r SS � q t b Of In pc 1-9 It It . , 4/8/2016 Page 4 of 4 F t t%'� M r. g d �L as`L �� .y1A LPrFi;, Sent from my Whone } i 4/8/20.16 Postal, TM oRECEIPT M Dom��tic�'Ma' il Only rq For delivery information,visit our website at www.usps.cothl m m OFFICIAL US Iti Certified Mail Fee — runi $ rF Extra Services&Fees llcheckbox,add lee as appropriate) .!. 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Sign ure ■ Print your name and address on the reverse X 0 Agent so that we can return the card to,you. ❑Addressee ■ Attach this card to the back of the mailpiece, B. eceiv_ Tinted Name) C. t`of eliv ry or on the front if space permits. s 1. Article Addressed to: D. Is delivery address different from item 1? Y s If YES,enter delivery address below: O No Rs-rn 77Sonoi�c�%dod�/ c%e— 3. Service Type ❑Priority Mail Express® II I Ilil�l I'II I'I I I I l I I II II lllll I'll I I Il II I I III ❑Adult Signature ❑Registered Mail" ❑Adult Signature Restricted Delivery ❑ Restricted Mail Restricted O Certified Mail@ Delivery 9590 9403 0922 5223 8280 73 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery D Signature Confirmation.M 2,_ArTir la Number(Transfer from service label) p Signature Confirmation r ti.: 3 < `— j.7 Insured Mail 9 -`J 15 15 2 D 0 H 1 22 7 3 3°13 5 ' `7 Insured Mail Restricted Delivery Restricted Delivery lover s500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt, f? 'lR First-Class Mail I) Postap-&.Fee4i Paid USPS Permit No.G-? 9590 9403 0922 5223 828❑ 73 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service TOWN OF BARNS'TABLE BUILDING DIVISION 200 MAIN ST HYANNIS, MA 02601 ���r,lil�fl�l��l�fl►1��,1��.�f��}rear►�tl��lllll��+111irJ�lrrri� NAME OF OFFENDER YN cl t( r h V- BAR 7 9 2 9 5 TOWN OF ADDRESS OF OFFENVE'' BARNSTABLE CITY,STATE,ZIP CODE ` y 1HE►O� #' /MB REGISTRATION NUMBER OnEWE ` �h _ puss. 8. r (`"'t~ �� "� ►hw 7(. 1 d rEO MKT N 1 .1 " rP I J l I f Ad w 11 TIME A D DAT' VIOLA biY' LOCAT OF VIOLATION z `'NOTICE OF jf (A. ./ P.M.)ON e 191-A ,... ,20 (� 11 l wf VIOLATION ( S N TGRE FENFOR N RSON ENF G BADG 0. lUJI r �� OF TOWN .0, I- I HE BY.ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE 13 Unable to obtain signature of offender, ra- G-- Date mailed THE NONCRIMINAL FINE FOR THIS OFFENSE IS S w, "`4 w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, ly before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, J (Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE ggDATE OFou yTHIS NOTICE. a BMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUNou desire to contest this matter in a ►D,MAIiminal NrSTREET,BARNSTABLE,so by 02630 Attnwritte: Noncriminaluest RHeariICT ngs and enclosURT es copy of the citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER - I TOWN OF ADDRESS OF OFFEND -S (\� u - BAR 79295 BARNSTABLE CITY,STATE.ZIP CODE i tfr THE) MV/MB REGISTRATION NUMBER EN BARNSTABLE. MASS.. O i� - 14 f 'Ll I TFD IAIC 6 i • v 'L•G /�1` lyv' CL O Ld i TIME A DATE VIOLA OF TION W NOTICE OF (A. .i P.M.)ON a�^�� ,20jjT VIOLATION s N RE FENFOHC SON / EN GQEP, BADGE 0. N \ CD OF TOWN I HERU.13"CKNOWLEOGE RECEIPT OF CITATION X 0- ORDINANCE unable to obtain signature of offender - e � THE NONCRIMINAL FINE FOR THIS OFFENSE IS i -j t Y Date mailed w = OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL REGULATION D(1)You Tmay elect oION WITH 0 pay sthe above fineNG ,either NAL EbyOappearin in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted w I i g y ays a before.The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, .W.1 i Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. CL I _ B2)If you desire to contest this matter in a noncriminal proceeding,you may do so y making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. 7. ' 3 you tail to t O If y pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. i 1 P` ❑ I HEREBY ELECT the first option above,confess to the offense_charged,and enclose payment in the amount of$ — Signature < ` •t 'f f V .. t �� � � - t �' � ' .� � -�- �- ��. �. -7 - 17- 13 � �� ��� �.. �; . _ h �� �S 1 W "_. .. -- i r, -.. _ :,}� 'X '1 .f - .1� � - �_ C �,{'�� � ' � _ � �� � ... .i _ 5. IM 1 s k [ i rl y '1 �'". � • '.;`�ti� � ' i J I 1 � r � r I � ti' r, d � ' � t I � i 'I' � r � 1 � { ..�., ' IY t ''I /�� �1 �- , `y ,`� �,l I ti I �:�' �� .1, Y GG I' a �I^i I`r 1 f:;': I�{: j :��:�t `: ;�:;. _ +_ 1 �. " : Y.v k�,i� �� ��` "5�i v 1 yam, _ ,..o!_;�``sr�':;y:� `• _`-�, . �....` �r. �. � - _ . �. ���� li ,��;__ � 3� ' t _ -�Z'_ ,� � ���;: .ti. F ;c�c ._ -� � °� �3 ��.� •��.,.� -� i - - ,_ - - - - _ . U �... �.. �� . � � w �,.- -,. �, I ,�,�, - � , r K �� ' t i � r i 9'� F �¢ �+ i ; tf� M �.., 1 , � �. �► — �� �  a � � — - �. � 5 s �` M � r _�� '�.�_„ ., i � •'I � r' � ' r .� .� i 77 Sunny Wood Drive, Hyannis 12/31/2015 77 Sunny Wood Drive, Hyannis 12/31/2015 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY CENTERVILLE„ _ _ _ MA DATE 12/18/2015,____ . PERMIT# 5 U d JOBSITE ADDRESS 177 SUNNY WOOD DRIVE OWNER'S NAME ASIM CHAUDHR P OWNER ADDRESS Same . _.....j TEL 508-364-1107 ..._ ;FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL E RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:I REPLACEMENT: PLANS SUBMITTED: YES NOD FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE i DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM • _ DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN 1 FOOD DISPOSER FLOOR I AREA DRAIN , INTERCEPTOR(INTERIOR) KITCHEN SINK _. LAVATORY ROOF DRAIN SHOWER STALL m. . ._._.. SERVICE I MOP SINK TOILET URINAL WASHING MACHINE CONNECTION M WATER HEATER ALL TYPES WATER PIPING l . .._..._ OTHER .._ .... ..... . ..... _ 5 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES N07D IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY E] OTHER TYPE OF INDEMNITY E] BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E] AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. -1 Ii�1 LzC.W, PLUMBER'S NAME jfan,k W.Roderick LICENSE# 7794 �— SI ATURE MP E] JP CORPORATIONE]# 1762-C PARTNERSHIPEI#�LLC # COMPANY NAME Rusty's Inc. ADDRESSI 222 Mid-Tech Drive CITY I West Yarmouth STATE _MA ZIP 02673 TEL 508 775-1303 FAX 508-771-9310 CELL �EMAIL , MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY S C MA DATE f 3 PERMIT JOBSITE ADDRESS" A)n Nam/,21/d�- �,_ OWNER'S NAME POWNER ADDRESS TEL TYPE OR OCCUPANCY TYPE COMMERCIAL F-1 EDUCATIONAL RESIDENTIAL" PRINT CLEARLY NEW:® RENOVATION:® REPLACEMENT:® PLANS SUBMITTED: YES© NO® FIXTURES I FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM _ DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN _ INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK _ _..._ . __: _ . _. : TOILET URINAL a WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING r' • 1 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 0 NO E IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLIC�o OTHER TYPE OF INDEMNITY ® BOND s OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to a best of my knowledge and that all plumbing work and installations performed under the.permit issued for this application will be in compliance wit P vision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME a Lt I LICENSE# IGNATURE MP El JP® CORPORATION#PARTNERSHIP[j# LLC©#� COMPANY NAME ADDRESS Z25 CITY _g STATE® ZIP TEL FAX j CELL EMAIL --q-t�i <- ,�, - 4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I; Application # a� Health Division Date Issued L 3 Conservation Division Application Fee Planning Dept. p Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7 S UIVA WOOD D(� VC C v'jLL M A- 02%603 _- �&7VtFRV/�1 LLC NZS Village Owner 1361M /V C. BUD 1_fF_ Address Telephone (S_U 77/ ?773 Permit Request l�' R� &f se-M CWT Rgwy7Z c 7-0 A-5/ry4 2a Fi�mi2:y *^L.;r r Y 'ODVlg!� is f-Ft0QA 2M 0 141z1+Cnl Ale 51-6-6-PiNa 5'dAS t_0/9&WfVr,5 IA✓ 6e6OM4 i.) S,4s -W67y r• zgh ie-fo- -?J /3 C U_eFd As S�RA4ts E 12ooM c,�tv 0 tim 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 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 (sdft)� Number of Baths: Full: existing new Half: existing n� Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Counf'` : . Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other , sv 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 0 Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use -- _ .-__ -Proposed Use ~- - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) LL NName`'-)fi6/M IV C U® ffFy `"Telephone Numfjer--��0&-) 778•-!9 t11 L CAd`dress- = - License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE"- ��� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ♦ MAP/PARCEL NO. t4 1I i! ?' ADDRESS VILLAGE r OWNER 1 t DATE OF INSPECTION: F..UNDATI.OW:FA9mmiimr,-sensu*+q-t i - FRAME A+INSULATION t A#:t••.r.t FIREPLACE r ELECTRICAL: ROUGH FINAL F PLUMBING: ROUGH FINAL GAS: ROUGH FINAL x - s. FINAL BUILDING--. `r -DATE CLOSED OUT r ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston;MA 02111 www.mdss.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): AS/M N Address: 77 6t1A)N`fW0OO .yRI Vt City/State/Zip: C0NX—__F-,1C1 LLC—_, q1 A 020 Phone#: C5O0`77/-19-7 7J Are you an employer?Check the appropriate bog: 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 working for me in any capacity. employees and have workers' [No workers'comp. insurance comp. insurance. $ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.[V I am a homeowner doing all work officers have exercised their I I.❑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 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'camp.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 cerii under thepains andpenalties of perjury that the information provided above is true and correct. Si ati re: r Date: 2� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.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 Iicensing agency shall withhold the issuance or renewal of a Iicense 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 carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions.regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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: L 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-MASWE Fax##617-727-7749 Revised 424-07 www.mass.gov/dia �IKET Town of Barnstable �''�, Regulatory Services -" t anxtvSE,•Rr,R Thomas F. Geiler,Director Building Division Arfn.raxt Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Offioe: 508-862-4038 Fax:•508-790-6230 HohmowNm L1cFNSF FXFMPT oN Please Print DATE:JOB LOCATION: 77 1.Unl/u I v W D0D L)p t V 6em i RyI Lcc- nummyber street village f "HOMEOWNER": /JS//r) # 64-A(AW (50077I—?773 �f name �7 home phone# a work phone# F CURRENT MAILING ADDRESS: �7 /- / J yNiyyL4 oo p '• DR 1 VL !/ Cc-a� n�1LZ� M 0/ city/town `� state zip code The current exemption far"homeowners"was extended to include owner-occupied d i units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided,that the owner acts as supervisor. DEFINMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Bullapg Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1..l) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,roles and regulations. The undersigned"homeowner"certifies that he/she understands the TDvi of Barnstable Building Department inspection procedures and requirements and that he/she will comply with said procedures and require nts. � '1 - Signature of'Arcwner Approval ofBu ing Official F Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMFOwNFR'S F.XEMPT1ON \ The Code states that Any homeowner perfomung„work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." t Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed 1 Supervisor_:The homeowner acting as Supervisor is ultimately responsible. 1 To ensure that the homeowner is fully aware ofhis/lrerresponsibilities,many communities require,as part of the pernvt application, that the homeowner certify that helsbe understands the responsibilities of a Supervisor. On the last page of this,issue is a form currently used by several towns. You may care t.amend and adopt such a fomr/certification.for use in your community. Q:forms:hom=e:mpt Town of Barnstable Regulatory Services t RARTiCI'ARi.A__ f - MAE& Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Iiyannis,MA 02601 www.towiLbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner M st Complete and Sign T - Section If Us' A B ' der as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to wo authorize by this building permit (A dress of Job) *Pool fences and al s are the es of the applicant. Pools are not to be filled o/utilized before nce is installed and all final inspections a/peormed and accepted. Signature of ex Signature o pplicant Print N e Print Name Date QlVRMS:0fT1Y,WI-.R1YMSI0N Oo1+7 62012 SunrNy woo � C K CA vq; o i �'NT/✓4 E i .. MA 0'2-(s-t i AR4Fog k . i n _ 1 - �9 0 )l,967 �De� `k ft b y F � � I i f 1 /'OIQ QN/!ul r s 5Fr5. OPEN, Itz 3 M oa N/t4 ru.�J..r. .+r4 ,-vet.`";i,;,x�^..,i:oS-r-.i.P-tk-•i'�y"'-zi,:: '°v.,'%14�',^,a�a*wt. - ''-- .,. ,..-. .. r• .:a '�I.!', - .+ Town of Barnstable oFT"ET°w 'Regulatory Services .Thomas .V G0,1er, Director BARNSTABLE. '• MASS' g Bt ildingYDivision A'Ev nne+" Thomas Perry, CBO, Building Commissioner 200 Main Street,- Hyannis,.MA`02601 www:town.baenstable.ma:us Office. 508-862=4038 Fax: 508-790-6230 EXIT ORDER` DATE: a LOCATION: Z' 4' �cN''y �z . :, { tk ' l5' UNDER THE PROVISIONS OF 780:CMR,THE STATE .BUILDING CODE, SECTION 3400:.5.1, YOU ARE HEREB:Y:ORDERED TO IMMEDIATELY " DISCONTINUE THE-USE OF.THE CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR SIGNATURE OF RECIPIENT . ODEM DE SAIDA DATA: LOCALIDADE DE ACORDO COM O PROVISORI.O 780'CMR;CODIGO.DE CONSTRUCAO DO ESTADO, PARAGRAFO 34005.1; VOCE ESTA ORDENADO DE DEIXAR DE US.AR, IMEDIATAMENTE,-A AREA DO`PORAO/BASEMENT PARA 0 PROPOSITO DE'DORMIR. INSPETOR LOCAL AS SINATURA DO RECIPIENTE A L =� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION rF; 1 6" 3 3 Map Parcel l Application # Health Division Date Issued Conservation Division Application Fee 0s Planning Dept. Permit Fee 09 Date Definitive Plan Approved by Planning Board PP V6^ 20 _1 3 Historic - OKH — Preservation/ Hyannis •,Project Street Address 7 S-UNIVY-WOOD _D FeVt Village 86RIV L Owner /7SIM /V 61+4UDffJP-J Address 77 .SUI►NYw000 DR ✓655 Telephone (T06)36 9- 1107 Permit Request FU �3f�5�/,'���T 804 T H ROOM 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, attachsUlpportingdocuntation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) rt, Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' 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: ❑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 Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 1qS/M �'�l(}� y Telephone Number (50'9-) 36 y _i l D 7 Address —77 SUNIVY4000Q :DR( VC- License # CCIyTG-a2✓/LLC /"/I- D 2-b 3 2-- Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1p FOR OFFICIAL USE ONLY APPLICATION# n ` DATE ISSUED. 'MAP/PARCEL NO. ADDRESS VILLAGE F OWNER DATE OF INSPECTION: _AFOUNDATIONILVE-Ml MuA a-lw-tie _ F FRAME - -- - - - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. " The Commonwealth of Massachusetts Department of IndustkidAccidents Office of Investigations 600 Washington Street Boston,MA 02111 UF www.mass.gov/dia r 7 ; Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plunibers' Applicant Information Please Print Legibly Name(Business/Orgw&,ation/Individual): I M CB � k IF - Address: :S R AIN VJ Z City/State/Zip: '' hone#: Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors T 2.❑ 1 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 working for me in any capacity. employees and have workers' 9 i❑Building addition [No workers' comp.insurance comp. insurance# required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3: I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL- 12.0 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 hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state 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: -_ -_ ---- — 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$1,50.0.00 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 DU for insurance coverage verification. I do hereby certify nder thepains and penalties of perjury that the information provided above is true and correct. Signature: Date: 4_ ('o. 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. Pursuanttto 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 carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tcl.#617 727-4900 W 406 or 1-977-MASSA.FE Revised 4-24-07, Fax#617-727-7749 www.massgov/dia - N , Town of Barnstable Regulatory Services � Thomas F.Ceder,Director E ►�`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER UCENSE EXF.10MON i 3 Please Print DATE: O ! 2- — JOB LOCATION: number street village "HONMWNm7:A5/m 0±IfHU D H-EY C90%J-77147 7 3 name �/ home phone# work pbone# C LING ES JRRENT MAI ADDRS: 77 S W4„v !W D y o .DR I VCR 0jFnN3C9VjLL& f --A MI 1+ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended.to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures requirements and that he/she will comply with said procedures and-requirements. Signature ofHom er Approval of Building Of icied Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decoUik\,kppData\L.ocaliM=soft\Wmdows\Temporary Internet Files\ContmntOudook\QRE6ZUBN\A2RESS.doc Revised 053012 •�r "' � Tti . Town of Barnstable Regulatory Services • R1�NCI'ARiF ! ' MASS Thomas F.Geiler,Director 1639. 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 USiLig A Builder as Owaet of the subject property hereby authorize to act on my beh4 in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:F0RMS:0WNERPERWSSI0NP00L•S 62012 SLWA(Y 00 it $AT�1 (ZooT1 ! g � t.. z 5WIS /�OiaQNIl�j � EFTS- c��f�N i 3 c ed .f , tjv e B El Z ' • �n (Domestic Mail Only,No Insurance Coverage Provided) 0 N Fer delivery information visit y our website at www.usps.com a F £ $ Ln t QL207 Cal Postage $ Q` ru Certified Fee 0 14) ostma O Return Receipt Fee J Here C3 (Endorsement Required) Restricted Delivery Fee C,Q O (Endorsement Required) J p Total Postage&Fees rq !1J Sent To - 0 Street Apt.No.; —= ? -------- ................. or PO Box No. City,State,ZIP e,06 Q Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: • Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. } ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Retuin Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. / ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry.. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 Town of Barnstable Regulatory Services 9BAMMASTA z'E'�, Thomas F. Geiler,Director �'Orf1639. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 June 26, 2013 Asim Chaudhry 77 Sunny-Wood Drive Hyannis, Ma 02601 Dear Mr. Chaudhry: This letter is to inform you that you are currently in violation of Barnstable Zoning Ordinance 240-11. Any use other than a Single-Family home is prohibited (Basement Apartment). You must contact this office by July 17, 2013, to arrange to bring the above address into compliance or be subject to fines of no more than $100.00, per violation,per day. Sincerely, Brenda Coyle Division Assistant Enclosure cc: Robin Anderson Zoning Enforcement Officer qOMPLgE THIS SECTION . • ON . I ■ Complete items 1,2,and 3.Also complete A.,Signatu I item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse X. ❑Addressee so that we can return the card to you. Received b r. ted Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, (��U 1� or on the front if space permits. IA D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to:: If YES,enter delivery address below: ❑No 2 2 �oal �> � 3. Service Type� 7W fig-Certified Mail O Express Mail a Z 3 ❑Registered ;W--Retum Receipt for Merchandise. N ❑Insured Mail ❑C.O.D., 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 111012 r d r (Transfer from service iabeq 7 012 101 d' 0 0-0 0 J2165,11197 0 5 1 PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540 [ UNITED STATES FP TAL JER QTC.E- R1 - 00 II 3.--XJL 2013. Pm' : t-r 7 it No. I I • Sender: Please print your name, address, and ZIP+4 in this box • I I TOWW OF BA ► ,gyp I 77S , el oa b I '�te ki'iftlfi��ifiiil e,�f•i�; •:iFf�=F�°f l.:Ei�3-F3����i3=Fi�i i�il41 . I Parcel Detail Page 1 of 3 inE017 :ro ny w ,F BAIitiSTAf11.E s Logged In As: Parcel Detail Tuesday,June 252013 Parcel t_ookuo Parcel info Developer Parcel ID 1273-231 I Lot FOT 42 Location 177 SUNNY-WOOD DRIVE I Pri Frontage Sec Sec RoadI Frontage Village IIIHYANNIS ( Fire District�HYANNIS Town sewer exists at this address;N0 I Road Index F1684 � Asbuilt Septic Scan: Interactive 273231_1 Map :I� '` :� Owner Info owner CHAUDHRY,ASIM N I Co-Owner If Streets 77 SUNNY-WOOD DRIVE I Street2 j City iCENTERVILLE I State MA� zip[02632 Country Land Info _ FamMDL-0_1._ Zoning NghbdAcres0.35 use Single �RC 0105 Topography!Level ( Road jPaved _ Utilities,Public Water Gas,SeptiC I Location 11M_�_______._.__.__._.__.___._,._._._._.___._.............I Construction Info _ Building 1 of 1 Year 1 (.___._.—..__.�.__---.- Roof(�_.___._._,._..___._____... _. Exts._._.____._.,._..�.___.__. • Built' 985 Stlruct l Gable/Hip I Wall'Wood Shingle I Living-------- Roof � AC Area+1531 je Cover, TypeC Style!Cape Cod Int Bed Vwl Wall Drywall I Rooms.3 Bedrooms I 1 a „ Model Residential Int;Car et Bath i2 Full+ Floor p Rooms I � � l .�. t ___,�._.. Hea t r--_....._.___.__.,...__.._. Total Grade jAverage PlusI {Ho,t Air T ( 6 Rooms Type Rooms Stories;11/2Stones I Heat1G __._,___._ ._.._.__ ationI Fuel! as FoundPoured Cone Gros's 3642 Area .� Permit History _ _ http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21072 6/25/2013 Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 5/17/2002 New Roof 61414 $4,800 10/7/2002 12:00:00 AM 10/4/1996 Remodel 18392 $2,900 8/5/1997 12:00:00 AM 8/1/1985 1 Dwelling 11328321 $0 11/15/1986 12:00:00 AM HY 1.5 ST Visit History Date Who Purpose 4/10/2013 12:00:00 AM Geraldine Clark In Office Review 5/8/2012 12:00:00 AM Geraldine Clark In Office Review 9/30/2004 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 11/3/2003 12:00:00 AM Paul Talbot Meas/Est 10/7/2002 12:00:00 AM Martin Flynn Drive by inspection only 6/19/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 8/5/1997 12:00:00 AM Lloyd Kurtz Meas/Listed-Interior Access 12/15/1989 12:00:00 AM M Sales History -- Line Sale Date Owner Book/Page Sale Price 1 9/5/2012 CHAUDHRY,ASIM N C198085 $1 2 6/15/2011 CHAUDHRY,ASIM N &SALEEM,ASMA C194495 $1 3 8/17/2009 CHAUDHRY,ASIM N C189298 $1 4 6/23/2004 CHAUDRY,ASIM N &JABEEN, HUMAIRA C173445 $360,000 5 5/28/2003 SCARAMUZZO, SAMUEL P C169300 $345,000 6 6/26/1998 VITA,VIRGINIA M &MCNEIL,JOSEPH C149090 $144,000 7 12/15/1994 MCHUGH, ROBERT J &RUTH C135964 $1 8 6/15/1986 MCHUGH, ROBERT J&RUTH C106953 $150,000 9 10/15/1985 FRANCO, N,ICHOLAS D TR C103601 $100 10 12/15/1984 1 FRANCO, NICHOLAS D TR C99532 $011 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2013 $143,000 $34,100 $4,700 $105,400 $287,200 2 2012 . $146,200 $33.,400 $3,700 $105,400 $288,700 3 2011 $180,700 $3,700 $0 $105,400 $289,800 4 2010 $180,200 $3,700 $0 $105,400 $289,300 5 2009 $177,000 $2,700 $0 $156,300 $336,000 6 2008 $190,600 $2,700 $0 $167,300 $360,600 8 2007 $229,100 $2,700 $0 $167,300 $399,100 9 2006 $204,100 $2,700 $0 $170,200 $377,000 10 2005 $189,200 $2,700 $0 $156,100 $348,000 11 2004 $144,400 $2,700 $0 ` $237,500 $384,600 12 200.3 $1.28,000 $2,700 $0 $71,800 $202,500 13 2002 $128,000 $2,700 $0 $71,800 $202,500 14 2001 $128,000 $2,900 $0 $71,800 $202,700 15 2000 $100,100 $2,800 $0 $44,100 $147,000 16 1999 $98,300 $2,800 $0 $44,100 $145,200 17 1998 $98,300 $2,800 $0 $44,100 $145,200 18 1997 $93,800 $0 $0 $35,300 $129,100 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21072 6/25/2013 Parcel Detail Page 3 of 3 19 1996 $93,800 $0 $0 $35,300 $129,100 20 1995 $93,800 $0 $0 $35,300 $129,100 21 1994 $94,300 $0 $0 $55,600 $149,900 22 1993 $94,300 $0 $0 $55,600 $149,900 23 1992 $107,200 $0 $0 $61,800 $169,000 24 1991 $137,000 $0 $0 $47,500 $184,500 25 1990 $137,000 $0 $0 $47,500 $184,500 26 1989 $137,000 $0 $0 . $47,500 $184,500 27 1988 $91,600 $0 $0 $20,700 $112,300 28 1987 $91,600 $0 $0 $20,700 $112,300 29 1 1986 1 $0 $0 $0 $17,6001 $17,600 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21072 6/25/2013 ,nVV,y�.`rc, ';I t ySy,,:,tti,.�. a.{t_ t4.l..errt3, 3ti ,! :.a ,p..n�ro✓W. R -,s p J`- Town of Barnstable �p THE 1p� do Regulatory Services. Thomas F Geiler Dix.ector. * RARNSFABLE, 639: Building Division ` TEC Me+" Thomas,Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www:town.barnstal le mama Office:. 508-862-4038 Fax: `508-790-6230 EXIT..ORDE R • DATE: 6h� LOCATION: 7 7 u ivN �41elV 14AN�Jl S C iU T om( tGLE UNDER THE PROVISIONS O -780 CMR THE. STATE BUILDING CODE, SECTION 3400.5.:1,YOU ARE HEREBY;ORDERED TO IMMEDIATELY DISCONTINUETHE USE OF THE CELLARIBASEMENT.AREA FOR SLEEPING PURPOSES. LOCAL,INSPECTOR SIGNATURE OF RECIPIENT ODEM`DE SAIDA DATA: LOCALIDADE: DE ACORDO COM O PROVISORIO 780 CMR,CODIGO DE CONSTRUCAO.DO ESTADO, PARAGRAFO.3400.5.1, VOCE ESTA.ORDENADO�DE DEIXAR DE USAR', IMEDIATAMENTE, A AREA DO.PORAO/BASEMENT PARA O PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE �s jet_ � Town of Barnstable JOVIN OF B.A"STAlLE ,oFT"E'°w� Regulatory Services .. Thomas F.Geiler,Director * H" . 'MASS. + Building Division .� ass. m i659• � 'Dr�o Mp(a Tom Perry Building Commissioner - 200 Main Street, Hyannis,MA 02601 DIVISION Office: 508-862-4038 Fax: 508-790-6230 COMPLAINUINQUIRY REPORT Date: Rec'd by: Complaint Name: oLk J Q,�Map/Parcel Location Address: o ` 6 vl Originator Name: , Street: A Village:_Cd.�Oy�&State• Zip:. ' Telephone: < Ap", Complaint Description: fZ e�'���=-- - A et" lives � P `�' FOR OFFIC USE ONLY Inspector's Action/Comments Date: 1? Inspector: _��06L7e> / < NX&-0—sell/. OF 41V11V 6 iAir Additional Info.Attached l Engineetin ��oor) Map 3 Parcel—a ( � Permit# 3 House# f-J"S` Date Issued /® 0 $oard of,Health(3rd floor)(8:15 -9:30/1:00-4:30) - ;? Fee �. Conservation Office (4th floor)(8:30-9:30/1:00-2:00) /() " Y Planning Dept. (1st floor/School Admin. Bldg.) SEC S S7 @E6NSTALLE Definiti Approved by Planning Board 19 DE AVD � �� ' TOWN OF BARNSTABLE TOWN � �6 Building Permit Application Project Street Address Village /,p Owner Address Telephone ®.?d(V�'�'® `47A, 4 OVA Permit Request .4—e4c- ��-��✓i'L'.® First Floor square feet Second Floor square feet Construction Type o2:[ Estimated Project Cost $ 9OL-V a-Z) 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 Name 7 Telephone Number ✓'J p Address `et License# Home Improvement Contractor# � �= �� Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS Romig 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) FOR OFFICIAL USE ONLY PERMIT NO. r) ,ISSUED l PARCEL NO. ADDRESS VILLAGE OWNER j 1 , , DATE OF INSPECTION: _ FOUNDATION 'FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL _ PLUMBING: '"ROUGH FINAL GAS: OUGH FINAL FINAL BUILDING=i 'DATE CLOSED: ASSOCIATION PLAN NO. r p114E ra Town of Barnstable *Permit# Expires 6 montlu from issue date BAMSTABLE, : Regulatory Services Fee .26 A4 9 MASS. Thomas F.Geiler,Director i6gy. ♦0 �039`A Building Division Tom Perry, Building Commissioner X�PRESS PERMIT 200 Main Street, Hyannis,MA 02601 MAY 17 2002 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY + Not Valid without Red X-Press Imprint Map/parcel Number c23 4�3 I Property Address S v r 1 1,0 CD © � residential Value ofVrk ,00 C7 Owner's Name&Address Contractor's Name l..(C. Telephone Number Home Improvement Contractor License#(if applicable) o;,'G 7 Ga Construction Supervisor's License#(if applicable) CS 053 S3 7 ❑Workman's Compensation Insurance Check ,one9 I a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(c ck box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) . *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. I Signature . Q:Forms:expmtrg �70 U Revised 121901 S 770 0Z ' 5zoof • Lbr �� ,,` ZONE RC- / 10L-WCA�1 7- 34.55 Z¢�o z 0 W � � '• 08. � Q �OG1�c/�ta770Al ELEV l2•03 ap N y 73• s8 Q a N ? N 77o aZ " 4o„ /�V - 1 OF 'ygsfC. q�y srRucruRES' SHowN wERE PLOT PLAN o FRANK ATED WHITING ON THE GROUND A NO. 29869 �N s ��_ss 9E�/^TMR J�`o t SKETCH /S FOR PLOT PLAN OSES ONLY AND SHOULD j BE USED .FOR ANY FR PURPOSE-. :SSI - - ON,4L LAND SURVEY R `�`' CAPE COD SURVEY CONSULTANTS E'cr Al 03 _ 3261 MAIN ST.iROUTE 6A 8-0 PAPNIC,-A . ... . - °FVE A .•'Y°� The Town d Barnstable NL"& Department of Health Safety and Environmental Services rEo;o.��`` Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 ' For office use only , Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements.f� Type of Work: Est.Cost Address of Work• Owner's Name Date of Permit Application: 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 IlVIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I herebv apply for a permit as the ag nt a°owne /6 Dat Contractor awe' Registration No. OR HONE IMPROVEMENT CONTRACTOR Registration 115211 tlyPe _',OBA '01/10/98 ''Expiration ,A " BARNSTABLE,COONTY CONST CO ]AM WINTERESTEUF ADMINIST>aA 02501 Z. COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE Failure to possess a carfc St VX Massachaset"State mewilnv MASSACHUSETTS BOSTON,MA 02108 Code is cease for revocation _,..;..•,._ of this tiesMUTiON EXPIRATION DATE I s RESTRICTIONS EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINSTTHEFT, PUT RIGHT THUMB O T PRINT IN APPROPRIATE 6 BOX ON LICENSE. nq BLASTING OPERATORS -�-MUST I��LUDE;PHOTO:. GAGED IN THIS OCCUPATION. COU.MISSIONER • r The Commonwealth of Afassachusetts Deepartme»t of 1»dustrial Accidents Olficeof/nvestlgatloas '`-JiKJ Ia 600 (i ushitr;;tun Street Boston, A1uss. 02111 `-' Workers' Compensation Insurance Affidavit l • n of rn t l p location -, city nhone 0 ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 7 ...ta.: � .�•s.ar "t .,�" �fnCa�;r!.Kpierarr.!acw¢1p?.T^!'�".d176�?'?r;".".�'.'n.�'.'e,�P1"• '^'n'•�..�+r:n�"�Cm�-�..r�. �,...�.��• 1......n....._' ..4 :...a....++e�.ar':nw.....nr•. _ ....,_.�_.�a� .,.•.,, +9+rr.tl'Jrr..:�_,,.�::•�:1.- — —�-.�•� ... :... ❑ I am an employer providing workers' compensation for my employees working on this job. om any name: addrea city: Phone#• insur•tnce co polio•# I am ole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have ❑ P P the following workers' compensation polices: �.a comijany name• •tddress• cih nhone#• incurince ce policy # n,n'« ?1�r. .^'T•it'.'• .> ;•c_..�rr--rry MY+:_^ ,��S�.r,t':7w•.:,9Sv RFr '.T' �i u�ww.:iaoi. .a.ir:aa[i� company name: address- city nhone#- policy# insur•tnce co, _ _ -.... :Attach additio_nal'shcet-if necessary s .: i �; ti"r':f � '� "� `e"'" ' "`" -.tiJrr..t�1. . _ y ,�v.= --y_� Yli� �. " YtYtS Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51500.00 and/or one%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 forwarded to the Office of Investigations of the DIA for coverage verification. I do hereh► certif►•t der the pains mid penalties of perjun•that the information provided above is true and correct. Sit'nature Date Print name Phone# official use only do not write in this area to be completed by city or town official city or town permit/license# ri lluilding Department oLicensing Board 0 check if immediate response is required QSclectmen•s Office 0I1calth Department contact person: phone#• MOther (mised 3195 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another undei any contract of hire, express or implied, oral or written. An etnpinrer 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 dwc1ling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that 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. Additionallv, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public wort: until acceptable evidence of compliance with the insurance requirements of this chapter ha;re been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to tite Department of industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to (Tive us a call. ,..,� The Department's address-telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents - fr Office of Investigations 600 Washington Street Boston,Ma.. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 t TOWN OF BARNSTABLE Permit No. -_----_28321 -------------- Building Inspector seu�:.n ti Cash -----------------------a-- �Ob OCCUPANCY PERMIT Bond -_---___- Issued to Capricorn Realty Trust Address Lot #42, 77 Sunny Wood Drive, Hyannis Wiring Inspector �` Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department �` Inspection date Board of Health \��`_Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT-BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �� � F i !� E..,,i.r t�........................... 19 ....... ./........... ..... .��'�..":�.?................_._ Building Inspector - M •'�y��`. TOWN OF BARNSTABLE BUILDING DEPARTMENT 31AR1°TAEL ' TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit. has been issued for the building authorized by Building Permit #.....W3��.................................. ........... »»... ........... ....... .......... .......».. »..... issued toliCor/r/.... `T».....��� .»........G .7 ...... ./ iU,rJli'»»��»»QvCY Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A,C(�� C DATA ( 5s JOB WEATNE j CAr.RO_ c DATE 19 , PERMIT NO. a.z..a.:.. :`•.:::.1�. E ADDRESS (NO.) (STREET) (CONTR'S 41 .'li♦ .>_... .__... u•..+. �i�ti, NUMBER OF _ (_) STORY DWELLING UNITS - (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 4tiUC`.; J1:_.i`_,y 1 .:.i: .�. 5 ZONINGS i DISTRI ,. t (NO.) ' (STREET) J TR r AND (CROSS STREET) (CROSS STREET) LOT LOT BLOCK SIZE - -.- !E" FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN`C0' ; 4 - " • USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) . Al II .. y .. sn(-> c:.. �_. 13UyarwJ Ui.. PERMIT ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) - A._•. : s XErO NG DEPT., BY 'ONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMP® . ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, Mt IE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE • ARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE C .:ABLE SUBDIVISION RESTRICTIONS. 'HREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SE "EQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRE !TION WORK: ELECTRICAL, PLUMBIN( S OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLAT VERING-STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL ADY TO LATH). FINAL INSPECTION HAS BEEN MADE. CTION BEFORE ' POST THIS CAR® SO IT IS VISIBLE FROM STREET •INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPRi 1 1 2 i HEATING 'NSPECTING APPROVALS REFRIGERATION INSPECTI PP n0 EALT &l13k, . . - _ -- - oERM1T-W!LL BECOME NIII '- �3- � Ass ssur'9 map and lot number ...... ................................ r F7NE , �.Ps aAt . L ¢° i ..�P�Otp�o I" Sewage Permit number .........� ....... ., 4. ..... .t `S `EA NSTADLE. i House number ..... .... .:, s WI x;� ,d t ro 1639. a �� d. .. ��I� *i����a;i� L Wit. 0,M aka TOWN OF BARNSTAB�E BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......CRD.a.t.rMQ..t.. ...Dw..D.7 ling........................ TYPE OF CONSTRUCTION Wood Frame :..::................::................ ........... .axw- a.r. 1 19..8.5. t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...LA.t.4..42..;uV=Y..WoQ.d... MA.................................:........................................................ � k ProposedUse ............................................................................................................:......................................:....:::.................... Zoning District ...........'..'..:..:. ......I............................Fire District ..Hyannis......................................................... Name of Owner Capp i.earn...fealty...T >,ts.t...........Address 76 Falmouth Rd. Hyannis....,,.... Name of Builder Franco.�,.Real Estate Dev. CoAddress ..........Same ................ ................................................................ Nameof Architect ..................................................................Address ..............:..................................................................... ID Number of Rooms .............S1X.............................................Foundation ......... .....G/ .....:.............................................. Exierior .:clapboard and�gr...Shingles................Roofing ....Aspl,a.�.t...SjliTlgle.s................................. .... Floors ......... ... Carp.......................et ..............................................Interior ....;Sihe.etro.Ck.................................. .................... Heating ..... ....................................................Plumbing .....`T.WD.-.Cpp.pe.r................................................... Fireplace ........N.O.IaQ................................................................Approximate Cost ............ ..6D.rQ0.0...0.0........................... Definitive Plan Approved by Planning Board --------------------------------19________. Area ............I.Q56...Sq.....Et.. j Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH zoo a .. M 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 .�.lC Construction Supervisor's License ....�.l.J..©...`..!J..,��....... i,jCAPRICORN REALTY TRUST 28321 i..S ry................ Nd,.................. Permit for ... Single Family Dwellin�.................. ........................................................ . Lot 42, 77 S nny Wood Location ................................. Drive.......................Av e Hyannis ................................................................................ Capricorn Realty Trust Owner ......................................... ........................ Type of Construction .............................. .................................................. .................. Plot ....... .................... Lot ................................. Permit Granted ....Augus.t...-13........ 19 85 Date of Inspection ....................................19 Date Completed ..A'Im? ....... ......19 e Assessor's map and lot number ....................................... .... �oF THE Toy Sewage Permit number .........CC...�..q ..1 ....1........:. " Z BABH9TA 3 E. House number `:...:................................................ 90o 039. �0 1 Mpi TOWN OF BARNSTABLE r BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......99:gA::,r t...a J:Z'R.I.e...FAM.3.1 v„DwellLri. ................................. TYPE OF CONSTRUCTION .................L'VOod. . ...Frame ..... . ... ...................................................................................................... ,lanxTl9my .................19.3-5 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...T! t... 4? SP.n y... o„nd- r.... B...M/�MA......................................................................................... ProposedUse ............................................................................................................................................................................. R.B. . . ..................................Fire District .......aririlS Zoning District .......... ...................... Hyannis Name of Owner ?r,�. +...........Address .. 65......talmouth Rd. Hyannis ... . .....: ................. Name of Builder „.„'sta to Dev- CoAddress S.ame ........................ .... ............................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .............SIX.............................................Foundation .........k?l...r ........................................................ Exterior ..qla oard and/or Shan, les Roofing ....A..s a hi_r.�f_�e ........... ................,............................................... Floors Carp .................................. e Interior .... h ;(1 ........................................................ . Heating ua S......`.1.n.!...................................................Plumbing ....`.' ,-C ?�r� :r............................................: Fireplace ........N.......... pp `' AX�B................................................................Approximate Cost ........... :h..�(.),..(.3.().o...t?.o........................... Definitive Plan Approved by Planning Board ________________________________19________. Area ...........1 5.6...Sn._...Ft.. Diagram of Lot and-Building with Dimensions Fee S`© b �r ,r t SUBJECT TOAP to- ,,,APPROVAL OF BOARD OF HEALTH s �✓ U 7� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License � � '........................ 1 CAPRICORN REALTY TRUST A=273-231 i No „2832...... Permit for ...1 Story................ Single Family Dwelling ...................... Location ..Lot 42 n - Wood.............. .........77...Sun........I..............Drive........... .................Hyann i s............................................... Owner Capricorn Realty Trust ........... Type of Construction ....... rame ` . ......................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ..,,,,,August 13, 19 85 Date of Inspection ....................................19 Date Completed ......................................19 t r . I i F S 77 a o 2 ' 40'� lso32t � �. �J s�Tt3.dCk5 Q .SF Q Pip 0 ti/T SO.' O b � (1i S�,oc /5•' �I � 3Co•�S - go 11 ,01 - o --oaA-1D a T/OA,/ ,_o�LEV. Lr) N 7,3. 56 0 N o a e � � N N 770 02 ' ga'� `V 9s 6 s OF Mgss C. PLOT PLAN ys HE STRUCTURES SHOWN WERE CRANK WHITING y OCATED ON THE GROUND Ao No. 29869 0 /N 'QE6rSTER�� QJ�v -71v 11Q,4 �S L L40'°. �2t/STX�,BL� p MASS. " /S SKETCH /S FOR PLO r PLAN =URPOSES ONLY AND SHOULD .4uG 8 . /985 6E USED FOR ANY THER .PURPOSE. CAPE COD SURVEY -:OFESSIONAL LAND SURVEY R CONSUL TA TS 3261 MAIN ST.iROUTE 6A .o✓Ec r No o3 - BARNSTABLE VILLAGE, MA 02630 /917% 'llZ0_0,* 2 r +f i F: �� �'� a s __ _ `� ��� � 1 f � -,�----- ..,�► a i 1 • �' f � r f j r r i { � r Il r � _ � � �` ' - ' r { I` r • �� 1 2` f �} 'Ir'J..✓, �,..e..._�,, �"��,�,,l• t, p�7 •-•�V 'ice /"�•• jonn TOWN OF ADDRESS OF OFFEND i BARNSTABLE CITY,STATE,ZIP CODE y` .� �..C4 !,p / `�.IME Iph� / MV/MB REGISTRATION NUMBER OFI•EN E IIANNSIAel.t:.p �, ., f 1s�'` ..., (�j •'" d.. ,;,.., i�, ! ..�.'.j l., �. ,Y-�r.+�"� E� -`°7 f/ Lj MASS.V /:../1� c.•.. • � :`� r` f,...l�f/ rW �. W�,�•. •� 'lbt,,,/ '=.. ��.. s' '^�"J�3)'�bia{er?�� l � � Vr4''�..!�r v' ��iJr � TIM,J QND DATE Dy VIOLVI r-^^' N Of IOL ,�_ W }�e NOTICE OF i ( M ) n�. x : �o"► �:%�C.aC° �+,.. i S KATUREIOF ENFORCING+P RSON r �. '• ENF, OEP f.r"-^"'•� BADG NO. � - - VIOLATION ' � e�f >C.:t '� .. �.__.- _ �,{�. t OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITAT X "j Q ORDINANCE Unable to obtain signature f_offen9 e THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ("j •t' � Date mailed a w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH R D TO DISPOSIT OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a- , DISPOSITION WITH NO RESULTING CRIMINAL REC w REGULATION 1 You in elect to a the above tine,eit r b a earn In person betwee :30 A.M.and 4:00 P.M. Monday through Friday,legal holidays excepted, Q O Y pay Y PP 9 9 Y, 9 Y P w before:The Barnstable Clerk,200 Main eet,Hyannis,MA 02601,or by mailin check,money order or posts note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWEN •ONE(21)DAYS OFTHE DATE OF THI TICE. - Uyou desire to contest this er in a noncriminal proceeding,you mayy do so by m ing written request to DISTRICT COURT DEPARTMENT,FIRST NSTABLE DIVISION,C FIT COMPOUND,MAIN STREET BARNS TABLE,MA 0 0,Attn:21D Noncriminal Hearings and enclose a copy of this 4 citation for a hearing. i - (3)If you fail to pay above offense or to request a hearing within 21 days,or if you fail to a ear for the hearing or to pay any fine determined at the hearing to be due riminal complaint may be issued against you. /E01I Y ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ •1i 2