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0045 UNCLE AL'S WAY
�(a�� See- u -e„ Al' re btc�toorn s Ki / t fI-i- w� �s �� � �� �� � � ,, 4 �� s _ __a_ _�_ f �� I �; j I I + A 4n_ r Town of Barnstable WE Regulatory Services „ Richard V.Scali,Director * MAE& Building Division �iOrEp °i Paul Roma Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date Reed by: Complaint Name: Map/Parcel Location Address: 45— l)N COE- A(._S Ul) A Originator Name: Street: Village: State: Zip: Telephone: Complaint Description: ` 6D}P( E—� 7-0 Ve:2�, L— �f 3 i i-tom �7QSl� N VTI .L � �2�G0D� � C— pfr�� i rtG Gc� yC - FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector. Additional Info.Attached Q:forms:complaint Revised:07/18/16 YOU WISH TO OPEN{ A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. -it does not give You permission to operate.) You must first obtain the necessary Signatures on this form a.t.200 Main St `1 lyanhis Take the completed form to the Town Clerk's.Office, 1st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Ceriificate`lliat is required by law. DATE: & Fill in please: - 7i.s✓Slst a���t la i��'ri r IIlFhr.. � . xrf, l Mit�,<<I„ , APPLICANT'S YOUR NAME/S �\ - -N j BUSINESS YOUR HOME ADDRESS: - x S 4i,' ^°ilt r1lr iP� d`Il f`tf�rniEl,lfrt d34�s3 pill; Cl1T (k WA u�dt`.: rit'Ot F00,11 TELEPHONE # Home Telephone Number, c, -12 ! NAME OF:CORPORATION: E/: a ?,:;55 (` '. G, J .. NAME OF.NEW BUSINESS! TYPE OF;BUSINESSC� a IS THIS.A HOME OCCUPATION'S YES NO ADDRESS OF BUSINESS l MAP/PARCEL'NUMBER a9oL`C�L`3' �czl (Asse ssing)! When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: ;. r: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY). This individual has been informed of the licensing requirements that pertain to"this type.ofbusiness. y.0 Authorized Signature** .COMMENTS: V I ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #qo Health Division Date Issued Conservation Division Application F i Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address Village Owner r7"i AddressE� Telephone .�'��- S�� 7 !g Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overla A Project Valuation cl�f�c2—Construction Type�G �//��� -Il Lot Size Grandfathered: ❑Yes ❑ No If yes, attach:�_supporting�.docu'bntation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) -7.1 Age of Existing Structure Historic House: ❑YesNo On Old King' Highways ❑let No Basement Type: ull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing6L new _6 Half: existing new_ Number of Bedrooms: ,_�? existing 0 new Total Room Count (not including baths): existing 11� new First Floor Room Count Heat Type and Fuel: (Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes J 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 aryoyepa �WQ OPSa Telephone Number Address ��a�� f1�%� �/' 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. I ' ADDRESS VILLAGE r ' OWNER ' DATE OF INSPECTION: H_=FOUNDATION FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ��/�AC7�� �!9/,z V CS y Address: pe- f lf' v City/State/Zip: Phone#: ��� S 77 Are you an employe . Check the appropriate I Type of project(required): 1.El 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 8.,IDemolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.t required.], 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or,additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other ��"� employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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. #: Expiration Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the Pains and penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town of City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to 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 Tel.#617-727-4940 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-77749 www.mass_gov/dia .y �1 �VIE� Town of Barnstable Regulatory Services neartcrAsti.r. : Thomas F.Geiler,Director r IL6!59- ► 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 LICENSE EXEMPTION Please Print DATE: 7 GAO/ JOB LOCATION: number street village "HOMEOWNER" V t-2 l .S' 7A A S"77 name home phone# work phone# CURRENT MAILING ADDRESS: 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 regula' s. The and meo er"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proc d u' an at he/she,will comply with said procedures and requirements. Sign a of ewwner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our,Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification-for use in your community. C:\Users\decollik\AppData\Local\M=soMWindows\Temponuy Internet Files\ContentOudook\QRE6ZUBN\EXPRFSS.doc Revised 053012 r rti . Town of Barnstable Regulatory Services • R�RNCI`ART� > ASSg Thomas F.Geiler,Director . s6;q. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Z�,&—ZOSV , as Owner of the subject property hereby authorize to act on my behalf, in aIl matters relative to authorized by this buildin t ddress 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 QTORM&OWNERPEPIMSIONPOOLS 62012 °FIME� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services X_PRESS ERA , anxtvsrnene. * . 9� 6 9 1�E Thomas F.Geiler,Director Building Division JUN 2 6 2013 Tom Perry,C.BO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Intprint Map/parcel Numberc.?�C:200 d 3 00 Property Address ,a fl, a, t Residential Value o.f Work /WO-y Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name c Telephone Number 7y-b 79-QcYQ Home Improvement Contractor License#(if applicable) 5�___ Construction Supervisor's License#(if applicable) 7 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side f r #of doors —12 Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Pro a ner Letter of Permission. w A co Of t Home Impr ense&Construction Supervisors License is e SIGNATURE: C:\Users\decollik\AppData\Local\Micros \W' ows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 OF1HE r�' _ + BARNSTABLE, p[A95 Town of Barnstable rFD MtPr A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:.508-86274:038 Fax: 508-790-623:0. Property Owner Must Complete and Sign This Section If Using A Builder I; ( P.✓?�:l CJ � �� , as Owner of the subject ro er A p ry hereby authorize , �'. o ( eytn to act on my behalf, in•all matters relative to work authorized by this building permit application for: UgyConn (Address of.Job) s :Signature of Owner Date Print Name If Property.Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Useis\decollik\AppData\Local\MicrosoA\Wiiidows\Teinporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110'.. ' � ✓/e�oomvmaorwea� o�.�aaacrc%uaek3 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROV ENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrationi� _ gg Type; 10 Park Plaza-Suite 5170 Expirat 13 Supplement C d Boston,MA 02116 LOWE'S HOME - ' ROBERT ABBOT�;•�x` ` •... 136 TURNPIKE R[7z>$ SOUTH BOROUGH.*(Vf}4"Q`F7`l2 Not v d withou ignat e Undersecretary oOr • F « F { ' 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 i R Name(Business/Organization/Individual): ..>no zd� Address: City/State/Zip: )y P� ,o' Insly, Phone#: �59 3 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 -* have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 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' 9. Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1(4),and we have no 12.❑Roof repairs t c. 152 insurance required.] ,§ employees.[No workers' 13.0 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-contractom 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: N L��� l 11 1� �Zj// 'f S 6V,, .0ce wf w v Policy#or Self-ins.Lic.#: Expiration Date: L __ Job Site Address: � City/State/Zip: Attach a copy of the workers' compensation policy declaration p e(showing the policy nu er and expiration date): Failure to secure coverage as required under Section 25A of MGL . 152 can lead to the imposition of criminal penalties of a fine up to$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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA f031VYrance coverage ve ' tc 'on. .I do hereby certify and t ain nd en ju uafio rovided above ' true and correct. Sl nature: Date: Phone#: ® O Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Boated of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: CONTRACT# 0006072 Y MASSACHU$ETTS`EXTERI,- , SOLUTIONS INSTALLED SALES CONTRACT_` .^INSTALLED SALES SPECIALIST NUMBER CUSTOMER Cea, G STooT U71L,2J 9e� Ic�o C/92cbSo ' STORE NO. STREETAD DRESS/t,/7y,C✓ STREET ADDRESS aZ 37G (����•• d /� ,c 5 uticJe its, w� CI STATE 21. ...CITY NN STATE .. ZIP. ^ TELEPHONE �� r V oO C TELEPHON 0 77— 7 / , �. DATE LO FIEINE'S HOME ENTERS,INC.'S MA HIC NO 748688 cnsH o alM. -av-ia5&0 This is only a Ciuote for the merchandise and awvloas printed below.This,:�"=has an egreemem upon payment Upon payment,lie entire agreement including the speedke%wmpted paged tlds .:document the Tems and Condebns included with this doameM end eny_other atlde/de le and attachmenfs hereto shall be referred Iti hereM'astllie`Contraq,'PLEASE READ ALL TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE ANp FOLLOVy1NG�AGE&:6EFORE S16NIN0 - INS TALLATIONSTREET ADDRESS CITY ' STATE ZIP' 5 S boy wld e. _ v�b �a uw P T Te. 'ii/3��% ,7uc�%v � �. f .J C'dlun�vi�-� �61`� / '✓ST �!/G E.w'7" T�: n 1l�-moo --L O C� /1/Q b012 y1/F Contract Total p y Are permits required for this installation?: ,Yes [ )No 'applicable tax Included NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right.By signing this Contract,Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees the right to take photographs of all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide,in perpetuity. Customer authorizes Lowe's to copyright,,, e aind.publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose, ir)WG /hot limited to,marketing, advertising, publicity, illustration, training and Web content. By initialing here,Customer agrees to the foregoin [Customer to initial to the left]. Work is to commence upon reasons a ility of Contractor and/or any special or or customer de Good(s)which is anticipated to be 2L Ifilla in date].Estimated completion date is — /—/ [fill in date]. Said estimated substantial completion date is not of the essence. A statement of any contingencies that would materially change said estimated substantial completion date is as follows: A i/ _(if applicable,inserta statment of such contingencies) IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must.pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: [Customer to Pay in Full; OR [ ]Customer to use the following payment schedule: (1)Deposit $ to be paid upon siging contract.Deposit should be 1/3 the total contract price;and (2)Payment of$ to be paid anytime after this Contract is signed and before commencement of installation,I/We authorize Lowe's. to do one of the following(check appropriate box below): [ ]Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [ ]Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed;and (3)Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. NOTICE REGARDING ARB►T eTION-AGREEMENT FOR CLAIMS COVERED BY M.G.L.c 142A LOWE'S AND OWNER HEREBY MUTUALLYAGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT- IVE OFFICE OF CONSUMER AFFAIRS AND BUISNESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN G.L.V427. By. Date: Lowe s m enfers Inc. Date: Owner Signature THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWE'S PURSUANT TO M.G.L.c.142A.THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. WITNESS OUR HAND(S)AND SEAL(S)BELOW THIS a DAY OF J U e 4/,j . Lowe'c 14omie Centers c. S eciali r Above Owner Co-owner or Witness Custo er acknowledges receipt of a true copy of this contract which was completely filled In prior to Customer's execution hereof.You,the buyer,may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See the attached notice of cancellation form for an explanation of this right. FILE COPY ®zoos by Lowe's.®Lowe's and the geWY design #90981(Rev.12/101 �ro .eo «vaema�. ��_ __ v i e 0 I- F- Office of Consumer Affairs&Business Regulation License or o valid for individul use only = `OME IMPROVEM. ENT CONTRACTOR before the expi ate. If found return to: ' Type* office of Consu irs and Busmess Regulation Istradon: 1t8027 xPiration:. 12T7/2014 DBA Bin,I IMA 0- 1 170 21 KENNETH KENDALL' .. KENNETH KENDALL' ✓ r 5 WELDEN PL FAIRHAVEN,MA 02719 Undersecretary Not va thout signature _ �_•.�,.nss and Standards faast;action Supervisor License: CS-075153 KENNETH D 5 WEEDENPLACE r FAIRHAVEN MA ✓. )i�4s`' Expiration coo mssioner 0111=015 is f: r 4r. The Cos; inif'a0 nwealih of lassachUSM Departmentof IndustridAceide �' zce of Investigations f o 600 Washington Street Bostoj402111 Workers' Conrtvrvw massgov/dia Compensation nsatrance Affidavit:i$uilders/Coat i orsl ie � iieant~Information is ctriekns/Plumblers Marie(Business/Organization/Indiviaaal): Piease Print Le ibl Address: City/State/Zip: 7 ` Are Phone M s ,ou an einptoyer`�Check: f S ` %2 7 he appropriate box:1•Q I am a ern x ¢ plover with employees(full 4' am a general co €Type of project(required): ( l and/or Part-time).* contractor and I iced): 2' ' I aln a sole proprietor or ) have hired the subcontractors '6. New c Partner- listed on the attached sheet.t !7 Q construction ship and have=io employees working for me in any These sub-contractors have []Remodeling capacity. workers' ❑Demolition o workers'comp,insurance 5 cOmP insurance. iequired.j Q We area corporation and its Q Building addition am a homeowner officers have exercised their '40.11 l ='hyself. weer doing all work ; Electrical repay or additions [ to workers comp. right of exemption per MGL l.[�Plumb'L surance required.]t P c. 152,§1(4),and we have no r ing ors or additions employees.[No workers' t I2[]Roof repairs t House pike st that checks box#i must also flit oui the s coznP'insurance required,]. 4 13•Q Other Soho submit th' ection below show' tCon&aotors that check u affidavit indicating they are doing aii wor&and ing aw , e pph . d'u box m;ut attached an additional sheet showin the Name stride ion �am an ttacto��aiiistsubtait a new affidavit iadicating such. employer that is rovidin tc°orkers g af'ihe svb-o�hactors a,�d;heu worms° ePt,foP�nagtoaa. � , �A•1>�icy in#2xmaGan_ � c©mFensation irasurars�for say 4 — Insurance �FIoYe�es }4elow!s ttiieFa acid job site Company Name: { Policy#or Self ins.Lie.#: lob Site Address: �� v / Expiraozi Date: I u Attach a copy of the workers'compensation policy eclara ' city/ &`sp: �. Failure to secure covers a lion page(showing thelCY num er and e� ; a 1 fine up to$1,500.00 arid/or o ej� per Section as well as civil drat o date). coon 25A of MGL c. 152 can lead to the Of Up to$250.00 a day against the violator. Be advised that a co Penalties in the fo >mposition of criminal penalties of a �: z� i Investigations of the DIA for insofa STOP WORK ORDER and a fine urance coverage PY of this statement ma§be forwarded to the Office cf verification. I do hereby certi f under the paw and penalties o er u that the ar{�vrrnataon nova ` ; fF I p .,,r1 above is trine and correct. Ss afore: Phone 57 �_.., / Date: G ©�ffcaal arse aril Y. Do not write in this area to be coynpieted b Y wry or tvt�n City-or Town: � Issuing Permitlucense#Issuing Authority(circle one): J . Board of Health 2. Building Department 3.Cit;/ oFvn Clerk 4.Electrical Ins _ } 6. Other it hector 5.Plumbing Inspector Contact Person: t !� Town of Barnstable *Permit#ad 4 Y 3 y Expires 6 months from issue date Regulatory Services FeeHAM • s�xivsrxsi.E. . - s ,�� Thomas F.Geiler,Director r� X-PRESS PERMIT Building Division Tom Perry;CBO, Building Commissioner AUG 14 2012 -200 Main Street,Hyannis,MA 02601. www.town.barnstable.ma.us Office: 508-862-403 8 TOWNW5gBLE EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ���� Property.Address /t/ , Residential Value of Work 7�L Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number_ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one:. I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy#. Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. . Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is SIGNATURE: QAWPFILMFORMS\building permit forms\EYPRESS.doC Revised 053012 a �1HE Town of Barnstable Regulatory Services MASS. ' Thomas F. Geiler,Director 1659. �`� Building Division. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA.02601 www-town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 ! HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: ,number street village . "HOMEOWNER": [yi /eJ G'i l� ��/7 p o i� name home phone# worr one# CURRENT MAILING ADDRESS: 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. 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 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 and ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection t he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-familydwellm: s containing 35,000 cubic feet or larger will be re uired to comply with the State Buildin—Code " g g � g q PY g 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 109.11-Licensing of construction Supervisors); provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as'supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often_ results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the'homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:\wPFILES\FORMS\building permit formAE7G'RESS.doc Revised.051811 e Commonweah*o,f Massachusetts whnent o,f Industrial Accide f1,fce ofInmfigafions 60 Washington.Street Boston,MA 02111 mmassgovldia Workers' Compensation Insw once Affidavit:Buil+dersJConumchws/Ekctric ans/Ph mbe<rs Applilcant TilfdfIDa{7©Il p / Please Print b V .Name Addr : city/state/ _- phone Are you an employer?Check the appropriate box: Type of:project(required): 1.❑ I am a employer with 4. ❑I am a,generd contractor and I employees(fail aadf©:pact-time),* have hired the sub-contractors 6. ElNew conshuction 2-❑.I am a sole proprietor or parbxT listen£on the attached sheet. T .❑Remodeling ship and have no employees These sub-contractors have g- ❑Demolition wonting forme in any capacity_ eniployees;and have Workers, [No worbers'.'.com?p.insurance camp- 7 9_ El Building addition . requ�red- . 5. ❑ We ate a corporation and its 10.El Electrical Electrical repairs or additio I am a homteorwner doing all^wodc vffiic rs haves exercised their 11-❑Plumbing repairs or additions V. myseX[No workers'comp. . right of exemption per MGL 12.❑Roof repairs insurance e&]t c.152, §1(4l and we have no employees-[I+Io wazke=s' 1311 Other comp-MSM— X:e required] `AnY apphcaad that ckedss boat#1 um s<also fill bet the section bebw shouingtheu vmd ue tioap�9 mf M=iM Hanaeownes rho submit this&Tulx%t iDfxz&g:they use doing all mat and then hire outside coat win s must s an&a new affidavit indicawg such IC'mt is Yhst check tlos ban must.atMrW.=additional sheet showing the.mgme oftbe sub-camIIsctKs aod:stste vrhedw meat these entities ham employees. If the bnb-caatrattars l m mnphgees,1heg must pmvide&dr wurkess.,tamp.policy nmnber I ern an empkgwr that is providing worlrers'.compensation.insurance far my mess. Ee& is the po&cy arc d job S&ff informah'an. ` Insurance Company Name: Policy#or Self-ins.Iic.#: Expiration Date: Job Site Address: : City/StatelZip: Attack a soapy of the workers'compensation policy declaration page(showing the policy number and,expiration date). Failure to secure coverage as required under Section 25A of MGI,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 is the form of a STOP WORK ORDER and a fine of up to$250-.DD a day against the isolator Be advised that a copy of this statnnent may be farvarded to the Office of ]nvestigatinms ofthe IDA for insurance coverage'VMTXZtlodl I do hemby caWj5 thepains and p enabies ofpedur}:that the iRfotmafaon prvili&d above is t us and correct Si Bate: Z' Phone# h 1 7- 7�10 oZ. O,ftcialuse only.: Do not omits in this:area,to be-MMPWfid by ciiy or town offictat Pty or Town.-J Permitil icense# Issuing Anthority(circle one): " 1.Boa6rd of Health,1.Bud&3g Department 3.C itty1rawn Clerk 4,Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: s OPINE row Town of Barnstable *Permit# ;d06 l�(� 11 Expires 6 n the om issue to Regulatory Services Fee p BARNS'PABLE; Thomas F. Geiler, Director 7 SS. 1659• a,� Building Division lED MP't Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number afJ p? J! �5 155w,15— Property Address Residential Value of Work Minimum fee of$2S.00 for work under $6000.00 Owner's Name&Address & Contractor's Name Telephone Number /�77 .2 Home Improvement Contractor License# (if applicable) ❑Workman's Compensation Insurance ® g� Cy hpckqne: p .p °'d" G PERMIT am a sole proprietor ��--�19-I am the Homeowner AUG — 4 2008 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABL.E Insurance Company Name Workman's Comp. Policy# Copy of insurance Compliance Certificate must be on file. Permit Request(check box) P(Re-roof(stripping old shingles) All construction debris will be taken to 8t3.bZ�Vr�9�3CC- 6c �/ C/�"' ❑ Re-roof(not stripping. Going over existing layers of roof) f ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this.permit does not exempt compliance with other town department regulations,i.e. Historic ***Note: Property Owner must sign Property.Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. fIZ o kl.J fi v 1? SIGNATURE: Q:\WTFILES\FORMS\building permit forms EXPRESS.doc s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 • www_mass.gov/dia Workers' Compensation Insurance AMclav t: Builders/Contractors/El ectricians/Plumberg Applicant Information Please Print Legibly NaII1e (Busincssiorkanizahon/Endividual): z�,2-wL,v vs � Address: t � GI/.� /� 6H City/StateJZip: - Phone.#: Are you an employer? Check the appropriate bor: Type of project(required): 1.❑ I am a employer with 4_ [] I am a general c 6. Nw ontractor and I e construction ❑ . cmplayees (Bill and/or part-time).* have hired the s>sb-contractors 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 employees and have workers' working for me in any capacity. $ 9. ❑Building addition [No workers' camp.in�r„once O e a in C-orpor 10. Electrical rc airs or additior ' rtgnir�] 5. ❑ We arc a corporation and its ❑ P 3 I qu a homeowner doing all work officers have exercised their 11.C1 Plumbing repairs or addition myself [No workers' camp. right of exemption per MGL 17R�of repairs Tncr,rance r t c. L52, §1(4), and we have no ` employees. [No workers' 13.❑ Other cow,insurance required] *Any applicant that ehecla box#1 must also fill out the scc:6crn below showing their wog+='corm on policy infom-ati— t Homcavmcrt who submit this affidavit indicating fey arc doing all work and than hire outside contractors must eubrmt anew affidavitindicating such_ XCmtractnrs that cbxk this box vmst attachM as additional sheet showing the name of the sub-caut,azfnrs and st&n whctha or not thosC cnti5es havo anptoyers. if the sub-contradms have employees,they mull pmvidt thcir twrkcrs'comp.policy nemnba. I arcs an employer that is providing workers'camp ertsatiorc insurance for my employees. $elow is the poLiry and job site information. Tncnirancc CompanyNa-=: Policy#or Self-ins.Lie.#: .. Expiration Date: rob Site Address: City/statdzip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and ex-piration date, Failure to scctu•e coverage as requimd under Section 25A of MGL c. 152 can lead to the imposition of crimival penalties of. fine rip to$1,500.00 and/or one-year imprisonment; as wcIl as civil penalties in the form of a STOP WORK ORDER and a f of up to$250.00 a day against the violator. Be advised that a copy of this statm=rrit may be forwarded to the Office of Iuyestigations of the MA for.* irancc coverage verification. _ I do hereby cerf fy un e pains arcd penalties of perjury that the information provided above is true and correct Si c: Datc: ' � / ®� Phone## b �7 7 C� Z z p 1irw use only. Do not write in this area, tb be conzpl�fed by city or fawn offuiaL City or Town: Permit/License# 1s:gx ag Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other r Town of Barnstable �oF THE ray Regulatory Services anrzxsrwsr.i;. Thomas F.Geiler,Director M` � Building Division �'pTEn µay aim g ii •. ' Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.b arnstabl e.ma.us Office: 508-862-4038 Fax: .5.08-790-6230 IIOM-kO WNER LICENSE EXEMPTION Please Print DATE: 7 JOB LO AC TION: f�S � C ,9iDV/ •4 . iZ��'/ number % strce village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: e G"/9 S'/— 77 ci_ty/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 i. 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 helshe shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations: The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requireme Signature o Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be.required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 1 o9.1..1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)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 im'scrious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would Hdth a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware ofhis/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hdshe understands the-msponsibilitics 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. �oFt►+er Town of Barnstable y� Regulatory Services h rAABLE'�; Thomas F. Geiler,Director Fo;9,ya�a Building.Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section ; If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in altmatters relative to work authorize y this b ding permit application for: ( ddress ofrob Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. L Town of Barnstable Regulatory Services �tHE T Thomas F.Geiler,Director Building Division v Mass. $ Tom Perry,Building Commissioner �OrEo39. A�ro 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: _Q,6 , Q�5t) HOME OCCUPATION REGISTRATION Date: `�w Nanne:_/ e:4 a,,3 G2 Av O/i/!% Phone#: f�l g 2 0 Address: �t C: 4G,ie G 1 /✓l f L( _4 !�O Village: Name of Business: A/Lv & ,L//_-_ "�2/ A,E n'f` Type of Business: /-(oiz�r F f� ,�1/ .P Map/Lot: _ o G 6 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the prennises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase'in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • Thne activity is carried on by the permanent resident of a single family residential dwelling unlit,located within that dwelling uniit. • Such use occupies no snore than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated un excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of nornnal household quaitities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the'required front yard. There is no exterior storage or display of materials or equipment. • 1'Inere are no commercial vehicles related to the Customary Home Occupation,other than one wwi or one pick-up truck not to exceed one toil capacity, and one trailer not to exceed 20 feet ui length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation Ian registering. Applicant: Date: ur 4! o G� orb Homeoc.doc Rev.01/3/0$ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: v$ Fill in please: an w, es': 0 "` APPLICANT'S YOUR NAME/S: SIB �C/ � YOUR HOMEADDRE�: f a TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS w �,I" z2 r/�n F � TYPE OF BUSINESS /T�, �L 11C � _. IS THIS A HOME OCCUPATION? YES ND - ADDRESS: .OF BUSINESS v rr_ l MAP/PARCEL NUMBER..:: ©0 (:Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd..& Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM SSIO ER'S OFF E This individu h ' inTor e of a ermit requirement 'that pertain to this type of business. Author' d Signet ** MUST COMI�L`� WITH HOME OCCUPATION COMMEN RU Lr-S AND R.�.c�I�I,ATIONS. FAILURE TO COMP 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS ( ICENSING ALIT HORIl-, This individual ha infor. .of the I' g r uirements that pertain to this type of business. Authorized Signature* COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) mrrwxDATE:51 /� Fill in please: APPLICANT'S YOUR NAME/S: �lr� Vic% t 3�ry //6B�•Ugf SINESoe q/S((( YOUR HOME ADDRESS: �1 �4 C',S ;' v� K TELEPHONE # Home Telephone Numbe NAME OF CORPORATION. NAME OF NEW BUSINESS 1n 1✓ �Za:'�Pr_-J+1 TYPE OF BUSINESS 1S THIS A HOME'`OCCUPATI N? YES NO ADDRESS OF BUSINESS: : L501;&1_ L' t1Mev, 1y1h c�; MAp/pgRCEL NUMBERo [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended.to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. = (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE 1� This individual has be n in�or e of permit requirements that pertain to this type of business.MUST COMPLY WITH HOME OCCUPATION Authoriz Si n re* RULES AND REGULATIONS. FAILURE TO - ?COMMENT COMPLY MAY RESULT IN FINES. 2. BOARD OF HEALTH This individual n infor o the p i-pnit r. ements that pertain to this type of business. Authorize gnature** "`" l� Y COMMENTS:_ Ht4ZA8CCl� A 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n inform-4 of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: b Town of Barnstable Regulatory Services THE Tp� Thomas F. Geiler,Director i D Buildin vision &UMSrns�, : g v� 1UAaQ Tom Perry,Building Commissioner °TFp Mpv a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 c 8-790-6230 APProved. ]Fee: �— Permit#: HOME OCCUPATION REGISTRATION _ Date: Name: c_5.Q. �16 I? Phone#: / -"� 29Z 8-3 l Address:W 5 U/y d— A I 'S 14 �71� ��} ���1 illage: � tS Name of Business: VV / Mefi�l 20t��m1;iU. Type of Business: /2FP -f 2 Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town,of Barnstable to operate a home occupation vvithin single family dwelli is,subject to the provisions of Section 4-1.4 of the Zoning ordinance, provided that the activity shall not be discennible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises wlucli would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or ground-water pollution. After registration writh the.Buildulg Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located iirithin. . that dwelling unit. • . Such use occupies no more than 400 square feet of space. There are no external alterations to the dwelling which are not customary in residential buildings,and these is no outside evidence of such use. • No traffic will be generated un excess of normal residential volumes. The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • "There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities.. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not Nrithin the required front yard. • There is no exterior storage or display of materials or equipment. • llnere are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not.to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not he included. • No person shall be employed in the Customary Home Occupation who,is not a permainent resident of the dwelling unit. I, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: / �.) 0 e Homeoc.doc Rev.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must.do,by M.G.L.-:it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) {� DATE �b Fill in please: APPLICANT'S YOUR NAME/S: GL^ ifs' Z40 US,INESS YOUR HOME ADDRESS:_ <L5 0AJ6 g� .4 G s 02,601 OC TELEPHONE # Home Telephone Numbe ` NAME OF CORPORATION: NAME OF NEW BUSINESS" /�'�G DA ' .er'�i.� �'t1E11; TYPE OF BUSINESS �! IS THIS A HOME OCCUPATI N? YESi NO U 7 Zo . �� ADDRESS OF BUSINESS 'S +V' !-� Z' nr�., E��.'�� , :. MAP/PARCEL NUMBERoZ (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OF CE This individual hos ,� n in-To e of permit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authoriz Si-n re* RULES AND REGULATIONS. FAILURE TO COMMENT iJ _ COMPLY MAY RESULT IN FINES. 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Health Inspector OFtNE tp� � Office Hours �. o Regulatory Services 8:30-9;30 Thomas F.Geiler,Director 1:00—2:00 • BARNSTABM MASS. r Public Health Division 1639. �0 Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: I Z I Address: StAA I (/lS�- AJ Map Parcel 00 Name: 6 k'6'�0 Phone#: ,5 7 7 e 1- . 2a. How many bedrooms exist at your property. now? / h Are you n ina to ad an b rlr �� Tf h n ? i 2 . you plann__ g . d y e..._ooms. yes, _ow many? 2c.)4ow many bedrooms total are proposed at this property (including the amnesty unit)?V (Dw k r� )i, ' 2d. Please inc ude a c py of the floor plans or the entire proper : showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly on the plans. 3. Is the dwelling connected to public sewer? YES or NO If the dwelling is connected to public sewer,skip questions 44 through#9 below. 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution to public supply wells? 5. Is the dwelling connected to an NSITE WELL or to 1"WA 6. Is a disp sal works construction permit on file? YES or NO .tit - — c.,.a 6':`If yes,low many bedrooms were approved,according to this permit? Bedrooms. 7 Were any b:uildin&permits obtained for construction of additional bedrooms? YES or NO k' 8`ls there an engineered septic system plan on file at the Health Division? YES or NO r 9:Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO FOR OFFICE USE ONLY The Public Health Division has no objection o bedrooms at this property. �o Y p� � Special Conditions: ��oo� � n L_ Vu-'r, Signed Date: . Q;/health/wpfiles/amnestyapp '�'�� r ,,,� L7 L �FTHETpk, Town of Barnstable ' Regulatory Services > BARNSTABLE, 9 MASS. $ Thomas F.Geiler,Director �A i6;9. �0 TE039 & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 August 22, 2006 Mr. Geraldo Cardoso 67 Delta Street Hyannis MA 02601 RE: Illegal Apartment-45 Uncle Al's Way Hyannis,MA. 02601 Map : 292 Parcel : 003/005 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by September 8, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. . Thank you for your attention in this matter. By Order, Lind dson esty Zoning Enforcemen ficer Building Department Q:zoning5 To..........Board of Health From....... Linda Edson May 15, 2006 Found a Seven(7)bedroom house @ 45 Uncle Al's way today. Three on the first floor. 4 in the basement with a second kitchen. I THE Tp� The Town of Barnstable ti4'' ► BARNSTABLE, " b ��� Growth Management-DepartmpentN It 5 AM j 1 ATED"AA�A 367 Main Street, 3rd Floor Hyannis,MA.02601 Ulm} Tel:508-862-4678 Fax:508-862-4782 June 14,2006 a John C. Klimm, Town Manager Henry C. Farnham, Town Council President Barnstable Town Hall 367 Main Street Hyannis,MA 02601 Re: Geraldo Cardoso -�45=Uncle Al's Way,Hyannis;MA- a single-familyaccessory*unit Gentlemen: This letter is to inform you that the Accessory Affordable Apartment (Amnesty) Program has received a request fora project eligibility letter under the Community Development Block Grant (CDBG) Fund and under,Article II of Chapter Nine of the Code of the Town of Barnstable and the. criteria for the Local Chapter 40B Program. This office is reviewing the.request.If the Town has anyc'omments on the project,please forward them to me so that they can be addressed in the site approval letter. This letter gives you official notice of our receipt of the above application(s). We will issue a decision as to the acceptability of the sites and the consistency of this development.within the guidelines of CDBG. Sincerely, Madeline Taylor Amnesty Program Coordinator Growth Management Department cc: Legal Department Building Department Public Health Department it °FTME 1pN, Town of Barnstable ti Regulatory Services BMWSTABv MASS. Thomas F.Geiler,Director �iOTFp39n..�IN Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 May 15, 2006 Mr. Geraldo Cardoso 67 Delta Street Hyannis, Ma. 02601 Re: Illegal Apartment f45-Uncle A '-s Way Hyannis, Ma!':02601 Map292 Parcel 003/005 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. S'ncerely Li Edson esty Program Zoning Officer Building Department gforms:zoning3 Parcel Detail Page 1_of 3� I I ��� D A ex � Logged In As: Parcel Detail Monday, Mi Parcel Lookup Parcel Info .................................................................................................................................................................................................................................... Parcel ID 292-003-005 oevelopeo PCL A Location �45 UNCLE ALS WAY �_ Pri Frontage A28 .-..._.. �� ��._...�.w�..�...._..�.___ Sec Road DELTA STREET Sec Frontage=112 Village;HYANNIS Fire District`HYANNIS-.�.....�..__. __:..:-�� .x...__,_. Sewer Acct Road Index.1750•,..,..�._.__.....__.,�_,.�., ,__._.....,..._.�.._.....m__ Owner Info Owner'CARDOSO, GERALDO F TR M _ - Co-owner?CARDOSO REALTY TRUST Streetl 67 DELTA ST Street2 City;HYANNIS State j MA Zip'02601 Country US Land Info ._..._.. _._ _ _ ._ . m. �__,__., Acres 11.21 use jSingle Fam MDL-01 zoning RB Nghbd 0105 ....................................................................................................................................................................._............_................ Topography 1 Level Road I Paved ..........................................-................................................................................................... utilitiesPublic Water,Gas,Septic Location Construction Info Building 1 of 1 Year __. _.-_ Roof ___. ...__. Ext C._.._ Built i1990 Struct'Gable/Hip Wall ;Wood Shingle Effect. .. . Roof _ AC€.... Area;1295 Cover Asph/F11 I. s'r�.GIs/Cmp Type None , g Int i Bed Style;Raised Ranch wall iDrywall 4 Bedrooms —-._--- _ - - Rooms t _ 11 ' y p Model ;Residential Int Vin I/As halt Bath 12 Full ' Floor_..,,.v. Rooms Grade;Average Tlea!Hot Waterµ Total ypeRooms Rooms T ,' Heat "_ _ Found- Stones II Story Gas ation;Poured Conc. Fuel ? _ _._ - http://issgUintranet/propdata/ParcelDetail.aspx?ED=22873 5/15/2006 Parcel Detail Page 2 of 3 Permit Histo � Issue Date Purpose Permit# Amount Insp Date Comm 7/1/1991 B34475 $1,000 HY SH 7/1/1990 B33847 $50,000 3/15/1991 12:00:00 AM HY 1 -....Visit History......._... _.... .. ............. . ...... ....... ........... Date Who Purpose 2/16/2001 12:00:00 AM Paul Talbot Meas/Listed 1/15/1991 12:00:00 AM ME Sales His Line Sale Date Owner Book/Page Sale P 1 2/28/2003 CARDOSO, GERALDO F TR 16476/273 2 3/2/1998 CARDOSO, GERALDO F 11256/091 3 3/15/1996 MALONEY, TIMOTHY LEO JR TR 10114139 4 2/15/1991 MALONEY,TIMOTHY L 7447/218 5 10/15/1989 BRAINTREE CO-OPERATIVE BANK 6939/113 6 5/15/1983 PETRONI &SON BUILDERS IN 3736/209 Assessment History Save#�W Year Building Value XF Value OB Value Land Value Total Parcf 1 2006 $129,300 $21,400 $1,000 $208,300 2 2005 $122,900 $21,400 $1,000 $189,000 3 2004 $99,800 $21,400 $1,000 $113,400 4 2003 $90,200 $21,400 $1,000 $37,900 5 2002 $90,200 $21,400 $1,000 $37,900 6 2001 $88,200 $21,400 $1,200 $37,900 7 2000 $70,600 $21,400 $600 $26,900 8 1999 $69,200 $21,400 $600 $26,900 9 1998 $69,200 $21,400 $600 $26,900 10 1997 $84,000 $0 $0 $26,900 11 1996 $84,000 $0 $0 $26,900 12 1995 $84,000 $0 $0 $26,900 13 1994 $78,700 $0 $0 $32,300 14 1993 $78,700 $0 $0 $32,700 15 1992 $74,100 $0 $0 $35,900 16 1991 $0 $0 $0 $22,100 17 1990 $0 $0 $0 $22,100 18 1989 $0 $0 $0 $22,100 19 1988 $0 $0 $0 $17,600 20 1987 $0 $0 $0 $17,600 21 1986 $0 $0 $0 $17,600 23 1 1984 $0 $0 $0 $0 http://issgUintranet/propdata/ParcelDetail.aspx?ID=22873 5/15/2006 Parcel Detail Page 3 of 3 Photos r http://issql/intranet/propdata/ParcelDetail.aspx?ID=22873 5/15/2006 �4'4�A"v "� '��4"' .�� '` yr� � `�� �$q �! S< ' i p . i-:....�,� � y:, ,, � ., .T �{�y(�, •��VCr�"1t�. *THE TOWN OF BARNSTABLE 33847 .Permit No. . a BUILDING DEPARTMENT $1,000.00 �Yl I I TOWN OFFICE BUILDING Cash 7 6T9• ��rarw HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to BRAINTREE CO—OPERATIVE BANK Address lot #5,6,7,8 45 Uncle Al's Way, Hyannis USE GROUP FIRE GRADING OCCUPANCY LOAD 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, October 23 90 ` ....................... 19................. ......... t, `\ Buil in�ector .a IL THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A- � L� DATA 4 TM TOWN OF BARNSTABLE ���-' � • Permit No. ......:..:.'..... BUILDING DEPARTMENT �• TOWN OFFICE BUILDING Cash Ta .......... T HYANNIS.MASS.02501 Bond ..., CERTIFICATE OF USE AND OCCUPANCY Issued to BK'INTKEF. CU-OPl KATIVE BA^;i: Address a USE GROUP FIRE GRADING OCCUPANCY LOAD 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,_ October 23......... 19 ............. ._ /%. t.. ,�. ........ - Building inspector iC?`'P1iV vF l :6iTP'c'LE Refund to: BUILDrdC DO'�ih", S;sscsVrERS OFFICE S�6 Braintree Co-operative Bank DATE 1010 Washington Street ACCT.# 0/ a16Oao4Q Braintree, MA VENDOR# 4 AMT. PO# N APPROVED BY .. . '1'•__. _.... .., :n:,y Na+F N'.•v)Vt+;y,�P�"S'rw4ijr'r3'J;VF?U.rn. :5�;:�:..7:: ,- ,::. • �: .....: •. � - `� � � TOWN OF BARNSTABLE, MASSACHUSETTS BUIUMU Te ' . A-292--003 DATI. y L William D. KE.1l , Jr. Jul J 19 �U PERMIT NO. Q APPLICANT ADDRESS 61 Vaug—Fn 5't•, aiddlAoro, MA (NO.) (STREET) (CONTR•S LICENSE) PERMIT TO Build dwelling • ) STORY JLilglrs .t.;mily dwelling NUMBER OF 1 (TYPE OF IMPROVEMENT) N0. DWELLING UNITS 4 . (PROPOSED USE) AT (LOCATION) lots 5,6,7►E 45 Uncle A1's Way, Hyannis ZONING ' RB IN0.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (-CR O SS• ST REETI SUBDIVISION LOT BLOCK SI E BUILDING IS TO BE FT. WIDE 8Y FT; LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTII TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage 090-200 i j (Braintree CoBoperative: Bank) .1,000.00 AREA OR 1056 .3 SU,U(lU PERMIT,$' VOLUME �� it' ESTIMATED COST $ F (CUBIC/SQUARE FEET) FEE S3.00 OWNER Braintree,� Co-operative BAnk ADDRESS r BUILDING DEPT..a� BY J 1.tA 4 THIS PERMITi.:C.ONVE'.Y-SNO' RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY C PERMAN ENT LY.'ENCROACHMENTS ON PUBLIC PROPERTY', NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST 'BE Al PROVED BY THE';JUR:ISDICTiON. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATAON OF PUBLIC,SEWERS MAY BE OBTAINE FROM THE.DEPARTMENT'OF-P.UBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE FROM'THE CONDIT };OF ANY, APPLICABLE:SUBDIVISION RESTRICTIONS. IOP `.MINIM OF 'THREE,: APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE. APPLIC.A'BLE SEPARATE ��INSF!.ECTICTIONS�REQUIRED FOR OR ALL.CONSTRUCTION'woRK CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS, ARE 'REQUIRED, FOR 1. FOUNOA'TIONS=OR',;FOOTINGSr MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- 'ME_CHANELECTRICAL INSTAMBIANG AND 2. PRIOR TO•COv,ERING'.STRUC.T.URAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERSMALTS( ECTI :TO'EFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL'INSPECTION �B BEFORE - OCCUPANCY.;. - . POST, THIS CARD SO IT IS VISIBLE FROIlA STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 lo u-b g f} uq6 � 0 2 3 HEA NG INSPECTION APPROVALS i GI EN RING PA NT i v _ G' BOARD OF HEALTH' OTHER SITE PLAN REVIEW APPROVAL I - WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN E CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED-FOR BY TELEPHONE OR.WRITTE NOTIFICATION. r� /•r � /� /� ��,���_�� /._ � �; �tl� �f" .ISM l —��,. = _ 1 lih ; BukPN a r'1 ' j ✓��'!/ ri N aN MNJfI�! 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P tj -Z< sA \ o" . _ �/_.., ,ahV»n:r s<<i fAB rHINGLEc 23SAIsq. �_ _ �`� � ,;.4•'E L•IJtJt.:,ILS- � j la, --.YApo EAR0. - r c _ t ..._ 4 _J __. �' —. —_ ._ __—.. _. I�__ I _ ( IISNEc00111JG - o ' i r 1 J Lt A R i, =:r-. T1�'1 A . `} LL �ECTIQ�I 11 ,� � ;i �1 -i� __ J� I i� it I�r__.1� III �-'' I��(� ill�l � 1J ' _.—�—f�{d•I I!I ! I! _ I t . I I Miff DIAWINGS AIR Of TO It UPI"" V P O N'T . �l E Y AT I Q N , WITHOUT RPM 11RITTRN PRINISSION Of HICHAID 3. PIRLAIALI-DRSICNRI it iw ucic4 ?3% /,4, PT EEH i L j-,-7-- —i 4 1 7-..- C30 1. L � 7jT7,7,;j lu . 171 1, EM II 12-1 TG^TURS T-1 S4.-.4-L , I kTLR4AlL FPC)4T LLVkTlOW 4 - --L.v r { '3 �i a �t•' J.�—'' ._—.. _ Z-WVt'3 r IKR#taiLts .47 cTco�s--- u"It"I are WG�Tai-e ------ - -- --- -- -- _ T } I — E LEFT ILEVATION . a • .-S.6$f,YT.MST vi N��411�.0.6t O. �"eeaf YGUT I �tv .p l A�PNGLT .-L C,.A SNINGLiS 2iC�IN• I 14�GSM.IMPRE4.MY uNDiiL&Y i F u I ��—�"�I'I-- II I -j— f6f�l �SN Itl4li4 ! 1 I r — r 7 G e REAR ELEVATION u tl�1 ttAlUdi61 ltl 1Ni i1�.tBP10D0CBD ... .. ':'' � - WR1IOT tltlus NtRi1N titlllSSI1N # J ` ' W 0 510 - UNCLE -----------'I Q L ,S FOND 51 f i I 50 44'i 52 JI, 1 �51 \ LOTS f LOT 6 _ , 50 \ LOT 7 J 1� � 11i LOT ' I 1j1 I , \�. Ili i II �� I FND aK Pa -� �= ate_oo3,005 Assessor's office(1st Floor): Assessor's map and lot number 0 6 R O�ENE>O Board of Health(3rd floor): 4_. TEM MUS, e� Sewage Permit number � GvL ®'N C®1WPL • ' Engineering Department(3rd floor): ov 't J �dJS VW1N TrME,5 9?GDLL S 't' � rius House number 2E-F- �� '6w'd��� Definitive Plan Approved by Planning Board d — 19 EWAL.CODE YC REGUI.I�1�®RS APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Braintree Co—operative Bank TYPE OF CONSTRUCTION Single family-home 4 March 21, 19 90 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lots 5,6,7 and 8 Uncle Al's Way, Barnstable (Hyannis) �d Proposed Use Single family residential Zoning District Fire District ,,�``kW///Vf Name of Owner Braintree Co—operative Bank Address 1010 Washington Street, Braintree, MA. Name of Builder William D. Kelly, Jr. Address 61 Vaughn Street, Middleboro, MA. Name of Architect Richard Piekarski Address W. Bridgewater, MA. Number of Rooms 5 Foundation 44' x 24' with 2' overhang, concrete v . Exterior Cedar Shingle Roofing asphalt shingle Floors carpeting, except kitchen and bath inlakderior skim coat plaster r Heating FHW/oil Plumbing PVC and copper / ,aA-tn Fireplace one Approximate Cost $50,000.00 _ Area ma's g. f t. Diagram of Lot and Building with Dimensions Fee r r I. fql � Y p I (/ �UA 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 constructio I Name Construction Supervisor's License 003936 BRAINTREE CO-OPERATIVE BANK. No 33847 Permit For One Story # Y Single Family Dwelling Location Lots 5, 6„7, 8 45 Uncle Al ' s Way ,. Hyannis t Owne.r,' Braintree Co-Operative Bank Type of'Construction Frame Plot Lot r' Permit Granted July 9, 19 90 ' Date of Inspection 19— Date Completed d4�4 19 r d k r • ix Jp{ tc Nx A r x. r•t �.:,,.�,„�„ r.�'�R:�Y.�'wrc'.. ...w...-il�r 'eeR^w:.^:*S:n s "0 ,:+�; '�•�+wnew...+A1�fiq�xy.� ..�bels,++f: �(\����'�v�.�„'"v`'. � '`����}���' '� r��g � Assessor's office(1 st floor): y� Assessor's map and lot number ri 1 � q a 0 o 3 '5 +(r�''� �oF 7N E Tod "'Board Health(3rd floor): �i �,'�Q w � ♦w �J Sewagea Permit number '. . Z NAUSTSDLL i Engineering Department(3rd floor): = /f S MAX& House number ^ `f �1639.6�'� . Definitive Plan Approved by Planning Board �— / `� 19 �� oM&I APPLICATIONS PROCESSED 8:30-'9:30 A.M.and 1:00-2:00 P.M.only ' TOWN OF BARNSTABLE . . BUILDING " INSPECTOR APPLICATION FOR PERMIT TO Braintree Co—operative-Bank i TYPE OF CONSTRUCTION Single Lamily home March 21, 19 90 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lots 5,6,7 and 8 Uncle Al's Way, Barnstable (Hyannis) i Proposed Use Single family residential �f Zoning District Fire District �� 1 Name of Owner Braintree Co—operative Bank 4+�4 Address 1010 Washington Street, Braintree, MA. Name of Builder William D. Kelly, Jr. Address 61 Vaughn Street, Middleboro, MA. Name of Architect Richard Piekarski Address W. Bridgewater, MA. 5 Foundation 44' x 24' with 2' overhang, concrete Number of RoomsI Exterior Cedar Shingle Roofing asphalt shingle Floors carpeting, except kitchen' and- bat:i inlalWferior skim coat -master Heating FHW/oil Plumbing PVC and copper '/ r Fireplace one Approximate Cost $50,000.00 Area 1144 sq. ft. Diagram of Lot and Building with Dimensions Fee k 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 003936 BRAi.NTREE CO-0- A; 292-003 , 005 No Permit For Single Family Dwelling Location Lots 5, 6, 7, 8 45 Uncle Al s Way Hyannis Owner. Braintree Co-Operative Bank Type of Construction Frame Plot Lot J Permit Granted July 9, 19 0 Date of Inspection 19 Date Completed 19 9 .4--t r. PERMIT COMPLETED l,' ,• g/ 4 �� ' (508)79"232 FAX(508)790-6230 MASS ROBERT WESTON BUILDING DIVISION TOWN OF BARNSTABLE TOWN OFFICE BUILDING WIRE INSPECTOR ~ 367 MAIN STREET OFFICE HOURS: HYANNIS,MA 02601 8:30-9:30 i 7 I PLEASE CALL TO MAKE AN APPOINTMENT FOR INSPECTION OF THANK YOU . i . I .. r 4 - 6y.°',M`` (508)790-6227 FAX(SOB)790-6230 uenvraete. o rave era �g GLORIA M. URENAS TOWN OF BARNSTABLE BUILDING SERVICES �0 TOWN HALL y 367 MAIN STREET G HYANNIS,MA 02601 ZONING ENFORCEMENT OFFICER QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------- ---------------- 01/16/98 PERMIT NUMBER 21649 PARCEL ID 292 003 005 45 UNCLE-AL!S WAY PERMIT TYPE BESAFE ELECTRICAL SAFETY INSPECT DESCRIPTION CHECH FOR MULTIPLE USE AS PER BLD COMM. CONTRACTOR PERMIT FEE 0 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 03/12/1997 EXPIRATION VALUATION 0 . 00 DATE ISSUED 03/12/1997 COMPLETED 03/12/1997 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT NO MORE RECORDS IN THIS DIRECTION w Y �/(//` � f f 1 � �. ` i i I � I TOWN OF BARNSTABLE WIRING PERMIT PARCEL ID 292 003 005 GEOBASE ID 20191 ADDRESS 45 UNCLE AL'S WAY PHONE HYANNIS ZIP - LOT PCL A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 21649 DESCRIPTION CHECH FOR MULTIPLE USE AS PER BLD COMM. PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER . ' ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 03/12/1997 EXPIRATION DATE JA N 1_98 De m trnent of Heart, Safe: and E-ivireninentsi Servica, �/'✓VG`L /�l3 � Q BUILDING DIVISION ` 1/16/98 GLORIA A WOMAN BOUGHT THIS PROPERTY AT AN AUCTION. THEN THE SEPTIC SYSTEM FAILED. IT TURNS OUT THERE ARE 2 LIVING UNITS. I DON'T SEE ANY JUSTIFICATION FOR THE SECOND UNIT. I CHECKED WITH DEBBIE LAVOIE AND SHE HAS NO RECORD OF A VARIANCE OR SPECIAL PERMIT FOR THIS PROPERTY. THE WOMAN WILL BE CHECKING WITH YOU TUESDAY. I'M HOPING YOU MAY HAVE SOME FURTHER INFORMATION ABOUT THIS PROPERTY. APPARENTLY BOB WENT OUT TO "CHECK FOR MULTIPLE USE AS PER BLD COMM."IN MARCH OF 1997 BUT I DON'T KNOW WHAT THIS WAS ABOUT. QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/16/98 PERMIT NUMBER 21649 PARCEL ID 292 003 005 45 UNCLE AL' S WAY PERMIT TYPE BESAFE ELECTRICAL SAFETY INSPECT DESCRIPTION CHECH FOR MULTIPLE USE AS PER BLD COMM. CONTRACTOR PERMIT FEE 0 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 03/12/1997 EXPIRATION VALUATION 0 . 00 DATE ISSUED 03/12/1997 COMPLETED 03/12/1997 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT NO MORE RECORDS IN THIS DIRECTION i 4 � TOWN OF BARNSTABLE ( THE TO OFFICE OF DAA1f9TABL BOARD OF HEALTH 00 t639. \em 367 MAIN STREET �o MAY HYANNIS, MASS.02601 March 20, 1997 Mr. Thomas McLellan, P.E. Demares-McLelland Engineering 24 School Street P.O. Box 463 West Dennis, MA 02670 RE: 45 Uncle Al's Way, Hyannis Dear Mr. Mclellan: The Board of Health is in receipt of o and s. s dated March 3, 1997 to replace the onsite sewage disposal system t 45 Uncle Al's Way, Hyannis. The following information and plan revisions are needed: (1) The bottom of the soil absorption system shall be located at least five(5) feet above the maximum adjusted water table. The submitted plan only shows 3.59 feet above the maximum adjusted(USGS)water table. (2) The designing engineer shall verify the total number of bedrooms inside the dwelling using the definition of"bedroom"contained in Title 5,the State Environmental Code. Please observe the interior of the dwelling and provide a sketch of the room locations to the Board. (3) This dwelling is located within a zone of contribution to public water supply wells. The Board of Health prohibits discharges of anymore than 330 gallons per acre per day on a one acre lot. This lot is only 52,574 square feet. The submitted engineered plan states there are five(5)bedrooms in the dwelling. Five bedrooms at this site are not authorized. It is our understanding that the two additional bedrooms were constructed without a building permit. Therefore,these two bedrooms shall be removed. Please submit a revised plan to the Board of Health at your earliest convenience. Sincerely yours, Susan G. Rask, R.S. Chairperson cc: Ralph Crossen Timothy Maloney ,..T _� --- -� �i i I 1 /l� / � �. 9� y � SENDER: 1 also wish to receive the y • Complete items 1 and/or 2 for additional services. • Complete items 3,and 4a&b. following services (for an extra m • Print your name and address on the reverse of this form so that we can 2 4) return this card to you. feel: �` m • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N does not permit. a t Write"Return Receipt Requested"on the mailpiece below the article number. , 2. ❑ Restricted Delivery " The Return Receipt will show to whom the article was delivered and the date V c delivered. Consult postmaster for fee. m v 3. Article Addressed to: 4a. Article Number d '1 P 015 496 703 a M r . Timothy Maloney 4b. Service Type c PO Box 741 ❑ Registered ❑ Insured �� � o� Hyannis , MA 02601 [Certified El COD LU ElExpress Mail ❑ Return Receipt for j W Merchandise 7. Date of a very gsa 5. Signature (Addressee) 8. Addressee's Address(Only if requested Y and fee is paid) t CC 6. Signature (Agent) 0 PS Form 3811, December 1991 *U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT U S MAIL OF POSTAGE,$300 Print your name, address and ZIP Code here • TOWN OF BAR SST A B L E • BU ILD ING DIVIS ION 367 MAIN ST HYANNI S MA 02601 P 015 496 703 Receipt for Certified Mail No Insurance Coverage Provided Do not use for International Mail (See Reverse) Sent to Street and No. y(P.O.,State and ZIP Code 7. Postagr a yt Certified Fee Special Delivery Fee _ Restricted Delivery Fee Return Receipt Showing CD to Whom&Date Delivered m Return Receipt Showing to Whom, c Date,and Addressee's Address TOTAL Postage &Fees Postmark or Date M E 0 U. STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address y leaving the receipt attachlyd and present the article at a post office service window or hand it to a your rural carrier(no extra charge). I 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt and mail the article. rn 3. If you want a return receipt,write the certified mail number and your name and address on a c return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ` ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. O O 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY on the front of the article. E 0 5. Enter fees for the.services requested in the appropriate spaces on the front of this receipt.If u- return receipt is requested,check the applicable blocks in item 1 of Form 3811. Cl) 6. Save this receipt and present it if you make inquiry: 102595-93-Z-0478 The Town of Barnstable URMAIM KAM �� Department of Health Safety and Environmental Services Me.. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 11, 1995 Mr. Timothy L. Maloney P.O. Box 741 Hyannis, MA 02601 Re: 45 Uncle Al's Way, Hyannis, MA Dear Mr. Maloney: This office is in receipt of a complaint alleging that you have a family apartment in the above dwelling. The area is zoned Residential and only single family dwellings are permitted. There is no record of a Special Permit issued to you for a family apartment. Please contact me immediately and CEASE AND DESIST use of apartment. Very truly yours, Gloria M. Urenas Zoning Enforcement Officer GMU/km a P 1. la Mr. &�Ar's Ernie Smith _ (Cert#. Z O55-743-096 ) 02/17/97 45 Uncle Al s Way Hyannis Ma. 02601" It has been brought to our attention that there has been a complaint made to the j Barnstable Health Department ,Mrs Uranus. The complaint was for over- crowding at the above address. She has in turn contacted us witfi a request to inspect the property. We have informed her that there is only one kitchen,in the house and there is a agreement to rent the house (to-you and your wife and your immediate fa4 f �&hiy). Please keep in mind, from the onset'of our agreement to rent the properly to""ydu there has never been authorization issued allowing any part of the property to be sublet. I am forwarding a copy of this correspondence to Mrs Uranus;upon receiving .your Certified Receipt Returned signature card verifying your possession of this correspondence I shall grant her request to inspect with in 10 days there after. If you have any questions please don't hesitate contacting us immediately. Mr. Maloney ( 508 ) 775-6402 P.O. Box.741 West-HyannisPort;MA. 02672.. CC.Mrs. Uranus . . - Mr. Maloney .��� /�� _ �.�_ � - �. �� i�/,y� ��� ,--� ��� � � �� �i���� � � � t c.i [ -'- ] [R292 003.005 . ] LOC]0-102- T CTY]07 TDS] 400 HY KEY] 201917 ----MAILING ADDRESS------ PCA] 1011 PCS]00 YR]00 PARENT] 0 MALONEY, TIMOTHY L MAP] AREA]62AC JV] MTG]0000 P 0 BOX 741 SP1] SP21 SP31 ,F UT1] UT21 1.21 SQ FT] 1130 HYANNIS MA 02601 AYB] 1990 EYB] 1990 OBS] CONST] 0000 LAND 26900 IMP 84000 OTHER 1400 ----LEGAL DESCRIPTION---- TRUE MKT 112300 REA CLASSIFIED #LAND 1 26,900 ASD LND 26900 ASD IMP 84000 ASD OTH 1400 #BLDG(S) -CARD-1 1 84,000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1,400 TAX EXEMPT #DL PCL A RESIDENT'L 112300 112300 112300 #PL 45 UNCLE AL'S WAY HY OPEN SPACE #RR 0435 0112 1750 0128 COMMERCIAL INDUSTRIAL MGFM: 201944 EXEMPTIONS SALE]02/91 PRICE] 112500 ORB]7447/218 AFD] I LAST ACTIVITY] 11/30/94 PCR]Y �t R292 003.005 P R A I S A L D A T A • KEY 201917 MALONEY, TIMOTHY L LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 26,900 1,400 84,000 1 A-COST 112,300 B-MKT 17,600 BY 00/ BY ME 1/91 C-INCOME PCA=1011 PCS=00 SIZE= 1130 JUST-VAL 112,300 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 62AC -- --MAY NOT BE COMPARABLE— NEIGHBORHOOD62AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 10] 10 LAND-TYPE 26900] LAND-MEAN +0% 112300] 66410 IMPROVED-MEAN +26% 25% ] FRONT-FT 1] 100 DEPTH/ACRES TABLE 02 80%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC FUNCTION-[ ] STRUCTURE-CARD NO-j000] DATA-[ ] XMT[?] i Ri-92 ' 003.005 E R M I T [PMT] ACTIOW CARD[000] KEY 201917 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO . COMMENT [B33847] [07] [90] [ND] 50000] [LK] [03] [91] [ 100] [NEW ] [HY 1 STORY] [B34475] [07] [91] [AD] 10001 [ ] [00] [.00] [000] [NEW ] [HY SHED ] ?] t t RESIDENTIAL. PROPERTY MAP NO. LOT NO. FIRE DISTRICT STREET ree y, �c 1 e SUMMARY 292 3-5 _ s Fi anns LAND (P G Q H 2 BLDGS. OWNER TOTAL Q D LAND RECORD OF TRANSFER DATE BK PG 1.R.S. REMARKS: Lot #5 (n BLDGS. � � �� m __t/�e�__rr—�� Tr t [- .35 Ac Plan A 3- TOTAL LAND TM"','.`Tr y... ,! ,.,: l _ __ cm BLDGS. - le er.., c:n TOTAL Bassett, J. Albert & Bertha 97 r� Al-Bert '.Crust LAND BLDGS. TOTAL LAND BLDGS. TOTAL F LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: rn BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS UM/J BLDGS. LAND TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOYMT LAND CLEA R RONT - BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR BLDGS. WASTE FRONT TOTAL REAR LAN D BLDGS. TOTAL - LAND m BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY _ TOWN SEWER LAND £LTf3 S ROUGH ---- TOWN WATER BLDGS. S� U2✓� _ HIGH_ GRAVEL RD. TOTAL L UIUGAE LDS Ri LOW_ DIRT RD. LAND SWAMPY _ NO RD. BLDGS. ----_-. -•_----.....____ _ .. ___..._�.____ TOTAL C ode _ 'ROPERTY ADDRESS ZONING I DISTRICT CODE "SP-DISTS.I DATE PRINTED I STATE I pCS I NBHD PARCELIDFN CLASS KEY NO. T-- 07 RS 400 07HY 07/09/95 1011'.00 62AC R292 003.005 201917 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TY UNIT ADJD.UNIT Land By/Date sire D,menson ACRES/UNITS VALUE Descriphop MALONEY. TIMOTHY L- MAp— LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE #LAND 1 26�gDD / cD FF-De n/Acres E CARDS IN ACCOUNT — 10 1BLOG.SIT 1 X 1I�IJ= 8 10D 29999.9 23999.9 1d00 24000 #3LDG(S)-CARD-1 1 84'OD0 D1 OF 01 11 1RESIDUAL 1 X .2iJ= 8I 290 6000.0 13920.0 .21 2900 #OTHER FEATURE 1 16400 #DL PCL A ARKET 17600 BATHS 2.0 U 1 X C= 100I 7000.0 7000.0 1.00 7000 3 4PL 45 UNCLE AL°S WAY HY INCOME FIREPLACE U X C= 100 3100.0 31CO.D 1100 3100 3 #RR 0435 0112 1750 0128 SE A FHA FIN BSM S X I C= 10D 20.8 20.85 HO 16700 8 PPRAISEDOUE D SHED S 12 X 12 C= 100 10-OC 10.00 144 1400 F A 112.300 J ARCEL SUMMARY S AND 26900 A T LOGS 84000 -IMPS 1400 M E IOTAL 112300 CNST h I I DEED REFERENCE Type DATE Recoraea R I OR YEAR VALUE T Book Page Inst. MO. Yr.D Sales Pric. AND 26900 2/91 Y S 6939/11S V1fl0/$9 D 112501 TOTAL 112300 'S 3736/209: V:05/83 N 100000 BUILDING PERMIT DJ FOR LOCATION LAND LAND—ADJ INCOME SE SP—BLDS FEATURE BLD—ADDS UNITS Number Dale Ty 26900 1400 26800 34475 7191 Amount A peD 1000 3 Class Const. Total Base Rate Units Units Ad1 Rate A u B A ge Norm Oobnd.. CND . oDepr. Loc %RG Rapt CstN ' Adl Repl Value Stories Heigh Rooms qms Baths -Fix. I Pam-.H Fac. 01C 000 105 105 59.40 62.37 90 90 4 97 90 87 96554:: 34000 . 1.0 7 4 ` 2.0 7_0 Description Rate Square Feet RePI.Cost MKT.INDEX: 1_DD IMP..BY/DATE_ME_ 1 9-1.--- SCALE:--1/00.74 ELEMENTS CODE CONSTRUCTION DETAIL SAS 100 62.37 1056 65863 CNST _ f UFO 60 37.42 30 1123 - N *---11--* F STYLE 01 AISED RANCH 5.0 UFO 60 37.42 44 1646 ! FWD 3 ESTGN-Ati1MT- -0O ------------------U:O FWD 85 8.50 132 1122 12 12 E XTE_R.-WA—LS-- -T0 L�807-S-HINGIE---iT..O J ! ! i EAT/AC-TYPE- -09 Il=HDT WAT-ra U.O r ! N7 R:FZNISH- -04 RYWALI- -1T.0 J *--------------42------*---11--* INT-ER.LAYOOT- -T2 1/ER.77f0RMA1---U.O ! ! NTcR:vIURITY- -02 AXE A�-EXTFR---U.O LOZTR-ST"CT- -02 V_JOIN/BEAM---U:O W ! ! E LO7TR-COVER-- -06 7ARPET--"VINYL--U.-O ED ! OOF-TYPF---- -OT A1;LE=A-SPH- SH---U=O Total Area Aux= 132 BdSe a 1056 ! BUILDING DIMENSIONS 24 BASE 24 E LE-CTR ICA7L -01 YER AIDE" U.0 T BAS W15 UFO SOZ E15 NO2 W15 ._ ! ! OUVI)ATIVN- - -0T TOURED--CO NC-----9fi=9 A SAS W29 UFO S02 E22 NO2 W22 .. ! __ _ - ------- ---------- SAS N24' E42 FWD N12 W11 S12 Ell ! ! -----17EIri1iBOR OD-- 32AC-+YANNTS------- L .. SAS E02 S24 .. ! LAND TOTAL MARKET *---------29----*----*----15---*X _ PARCEL 26900 112300 *------UFO------* *---UFO----* AREA 1229 VARIANCE +0 +9031 »....,._,.._.-._,- STANDARD 25 TOWN OF BARNSTABLE 'WIRING PERMIT 4 Uhl ) PARCEL ID 292 003 005 GE-OBASE ID 20191 ADDRESSJro - PHONE - Hyannis ZIP LOT PCL A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT BY PERMIT 21649 DESCRIPTION CHECH FOR MULTIPLE USE AS PER BLD COMM. PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE OWNER MALONEY; TIMOTHY L ADDRESS P 0 BOX 741 HYANNIS MA DATE ISSUED 03/12/1997 EXPIRATION DATE March 12,1997 10: 15 A.M. INSPECTED BY R.H WESTON The following inspection results of the above referenced property: 1. The first floor contains three bedrooms 2. The• basement floor contains three bedrooms and one vacant room that could be used as a bedroom. Of H82194 S3f8V 3. Basement has refrigerator and sink DB without stove or -any wiring for one and �A*Mni tentd Services 4. Electrical panel requires 6 breakers to be changed to westinghouse type. 5. House does apprea to have two .telephone lines- ' 6. My Observation is that this is -a single family SE dwelling 7. Interior condition- need good cleaning Q 701, gt.DING 13MM011 TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORO Date S A& Rec'd B Assessor's No. Last Name First Name ORIGINATOR Street Village State Zip Telenhone: Some Work Description: _ COMPLAINT INQUIRY Requestor's Signature COMPLAINT Street Address /V � � GU LOCATION Am OFFICE USE ONLY INSPECTOR'S Date Ins ector ACTION/ COMMENTS ujof - 0 b-er foo elf FOLLOW-UPlzg ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTIONt WHITE - DEPART11ENT FILE YELLOW - INSPECTOR PINK - INSPECTOR (RETURN TO OFFICE MGR.) MISC1 I ER292 003. 005 3 POSTED PAYMENTS ENXT1 E 2019171 TYPE REAS/CNCL PAID POSTED !RECEIPT-- AMOUNT PAID INT/DISC APPLIED TAX YEAR = 19953 BILLING GROUP = 13 ROLL NO. = 8352i LAST ACTION = I TOTAL TAXES DUE = 1 , 633. 97 1 OUTSTANDING BALANCE 839. 86 :1 D 9 12/00/94 05/16/95 99 90000001 794. 11 . 00 794. 11 CONSOLIDATION *11 120994 120994 50 215 794. 11 . 00''. TAX YEAR = 19943 BILLING GROUP = 13 ROLL NO. 86633 LAST ACTION = 3 TOTAL TAXES DUE 1 , 588. 22 3 OUTSTANDING BALANCE . 00 1 D 9 05/05/94 12/30/94 99 90000001 1 , 588. 22 . 00 17588. 22 CONSOLIDATION *Fl 050594 050694 80 1684 794. 11 . 00 *11 120393 120693 80 455 794. 11 . 00 TAX YEAR = 19933 BILLING GROUP = 13 ROLL NO. 88913 LAST ACTION I TOTAL TAXES DUE = 1 ,513. 70 3 OUTSTANDING BALANCE = .00 1 D 05/03/93 12/30/94 99 90000001 1 , 513. 70 . 00 1 , 513.78 CONSOLIDATION *Fl 050393 050493 51 161 756. 89 . 00 *11 111792 111892 5D 80 756. 89 . 00 C 0 N T I N U E D *1 XMT E?l CLOCI 61812 003- BEETA STREET 3 CTY307 TDS3 400 HY KEY3 201917 ____MAIL... lG ADDRESS------- PCA31011 PCS300 YR300 PARENT3 0 MALONEY, TIMOTHY L MAKI AREA 362AC Jv-j MTG30000 P 0 BOX 741. SPI ] SP2] SP3:1 UT11 UT23 1 . 21 SO FT3 110.) HYANNIS MA 02601 AYB31990 EYB31990 OBS3 CONSTI 0000 LAND 26900 IMP 84000 OTHER 1400 ----LEGAL DESCRIPTION---- TRUE MKT 112300 REA CLASSIFIED #LAt,!J.::l 1 26, 900 ASD LND 26900 ASD IMP 84000 ASD OTH 1400 #BLDG(S) -CARD-1 I 84; 000 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 1 ; 400 TAX EXEMPT #DL PCL A RESIDENT"L 112300 112300 112300 OPL 45 UNCLE AL /S WAY HY OPEN SPACE #RR 0435 0112 1750 0128 COMMERCIAL INDUSTRIAL MGFMz 101944 EXEMPTIONS SALE302/91 PRICE3 112500 ORB37447/218 AFD3 I LAST ACTIVITY311/30/94 PCR3Y ING I I E 19 7.1 I R 2'*..-/12 C) C)0 5 1 T A X ACCOUNT RECEIPT NO. PAYMENT TAX YEAR/B. G. AMOUNT DATE TYPE PILE 6.,1 0 7 10 9 5 1 E21 I I 2ND Duc. 5013 .1 FULL DUE -`-;P50:1. I 71o951 I F] I ..I ..I E OWNE:*"' TAX D,LJl'-*:-. 7 3 OUTs**r(.*.)i\irj I NG 6 -Y 07' DISTRICTS HY MAI..-ONEY TIMOTHY L I 'T A X CODE 400 1 C 1"1 .1 I OWNER-------- AC-1"10 1\1 1 M 0 R TG('-3 E C 0(- 1 MALO1*,JEY TIMOI-HY L T A X E X E IvI P T 00 .1 MALONEY, TIMOTHY L 1 TAXABLE oo I P 0 F,0 X 741 ".1 RES I DEINA-l"-"L 1. 1:2, C)0. o 0 1 HYANNIS MA ('.):2 6,()I I TAXABLE 1 12- :3(..)C). -.1 t:at C-)0 1 OPEN SPACE 3 -1 TAXABLE u 00 1 ------LEGAI... DESCR I PT I 01\1----- COMMERCIAL ou #LAND 1 26,, 900 1 TAXABLE 00 4*RLDG(S) --CARD-:1 1. 841 (')(.)O::l INDUSTRIAL 00 1 #OTHER FF"All-URE 1 .1. 7 400 1 TAXABLE oC I #.T'L F L. A 1 -1 #PL A-5 UNCLE AL"S WAY HY I I L.-1.:--.GAI DES(::, CbI\IT---F, ACTION C,AI\ICE'L.I-.El.-., XMT E?l '7 7 7 7- 74) Nel s7e�Jc d/� ✓/� ���,''� Z —7c l G�,✓�5 � I i • Assessor's office 1st Floor): Assessor's map and lot number Board of Health(3rd floor): A �w Sewage Permit number —,"Jon ElVy� Engineering Department(3rd floor): � D9Tsnts .: House number ; n T�VyN RE ► Definitive Plan Approved by Planning Board 19 w APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only A p P R 0 V E D ' TOWN OF B A R N S T ABn�aF� Conservation Comnissz.on BUILDING INSPECT 0 R4--N\-A Signed Date APPLICATION FOR PERMIT TO ` 0v1S-•f "C'7" " (4 rt,4e-- iS Id TYPE OF CONSTRUCTION W66 CI FQAm,C- —2—U JV 7 1.9 Q/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location U S (XICIC (-�-1's �4 j55 J] UCL,n v,,,s Proposed Use S-4arcwe- Zoning District Fire District Name of Owner /)� // 16-4ev Address j 0-1 n)� Name of Builder Co Address • ctrcuws� �- Name of Architect Address Number of Rooms — Foundation Exterior 7 " I I Roofing Floors Interior Heating ty�r4 Plumbing Fireplace Approximate Cost #I e o O, d-O Area /y 9 Diagram of Lot and Building with Dimensions Fee �� I )2ePaSeJ S1�r'G�ctt S e� �S + 1,2om pvoperl�l l'^e ZOO 1 go Qti � z2 _ zya r 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 Z� i A ` r � MALONEY, TIMOTHY j t No 34475 Permit For Build Storac.le Shed t Accessory to Dwelling } Location 45' Uncle Al ' s Way Hyannis Owner- Timothy Maloney Type of Construction Frame Plot Lot - :'. Permit Granted July 19 , -.19 91 Date of Inspection' 19 Date Completed lz ----19 f' <a + I S - ...-...--r^.�1�,----•Ae;-..Lwi,,,:'�'•l Y�,.ft,�,t't�" '�''"' `4` - �,�yir+,�•.�*�=a..„„++r.:it.-,t:o,.,:, �..r.s.,.•¢.. I• �y 4� {s{. QJ Y lid Assessor's office(1st Floor): /) < Assessor's map and.iot n tuber ��� Q 3— v > THE to. - t r Board of Health(3rd Wer): Sewage Permit number q0 zo Engineering Department(3rd floor): , �/ uanLz House number' ) !: as cn�Y'6`��" Definitive Plan.Approved by Planning Board 19 Y� t APPLICATIONS PROCESSED 8:30-9;30.A.M.and 1:00-2:00 P.M,only X'=- TOWN , OF BARNSTABLE BUILDING IN PECT0Rk--% APPLICATION FORkPERMIT TO ny, STQucT c414 TYPE OF CONSTRUCTION W66 C1 FtzA",e__ Tip Iv J 7 19 Q/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location L4 S une i., i,swaqHvo Proposed Use si�me _ Zoning District Fire District. 09 e AAA,1AA1 Name of-Owner /►mo4�..� !I la�rsv�e�i Address /off Htc t -:�r �i�,,,1_ 2.c�. ._ n,J IF Name of Builder nM\Af\ Corti+ct,3cA,'01. Co • Address -28 Sjud ley Izi S'o.yuu2rnls4,_L Name of Architect Address — Number of Rooms Foundation Exterior 7 - t I Roofing o�/ 1`- Floors i Interior Heating n'Aq Plumbing N� t - Fireplace >y Approximate Cost /a.o o, az� RLr "* Area Diagram of Lot and Building with Dimensions Fee t I"t24r7OSeo �j17rG�(�c /2cc7 1S ' t2o.n ,� r v ProPer� / e, o© r i f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS t 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, 0 9 4 1'77 . MALONEY, TIMOTHY A=292-003-005 a No 34475 Permit For Build Storage Shed Accessory to Dwelling Location 45 Uncle Al ' s Way Hyannis Owner Timothy Maloney Type of Construction Frame _ t Plot Lot f Permit Granted July -19 ' 19 91 Date of Inspection 19 Date Completed 19 PERMIT OOMPLETEL. Parcel Detail Page 1 of 3 v 6 , Logged In As: Detail Wednesday, Augu Parcel Lookup Parcel Info ...................................................... ......... .........._....... ......... .......... 292-003-005 Developer PCL A Parcel ID Lot: Location 45 UNCLE ALS WAY Pri Frontage 128 ._ . ......................................�... ................... Sec Sec Road DELTA STREET Frontage 112 Village HYANNIS Fire District z HYANNIS ....... ......... ........ . ...... .... ......... Sewer Acct: Road IndexJY '1750 Interactive Map Owner Info ... owner iCARDOSO, GERALDO F TR Co-owner'CARDOSO REALTY TRUST Streetl 167 DELTA ST Street2 I City HYANNIS State' A zip 02601 Country US Land Info ......... ........ _..... .......... Acres j1.21 Use Single Fam MDL-01 Zoning RB Nghbd 0105 ...... .,._.. . ...... _._..... ___...._........ ._ _._._,m ....... Topography Level Road Paved Utilities IrPublic Water,Gas,Septic Location Construction Info Building Year! _ ......... ......... Roof _ Ext Built I Struct= Wall i 1990 Gable/Hip Wood Shingle Effect ......� Roof _,_... _ _ AC . ............ .......__ Area ':.1369 Cover!Asph/F GIs/Cmp Type;None ........ .. .......... Bed l Style`Raised Ranch v nt D all Rooms 14 Bedrooms _.. .... ................ Int, ....,,, Bath ; Model Residential Vinyl/Asphalt 2 Full Floor' Rooms Grade;Average Heat'Hot Water Total 7 Rooms Type Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=22873 8/23/2006 Parcel Detail Page 2 of 3 Fuel ation Permit Hist r it History Issue Date Purpose Permit# Amount Insp Date Comm Visit History Date Who Purpose 1/15/1991 12:00:00 AM ME Sales Histo Line Sale Date Owner Book/Page Sale P Save# Year Building Value XF Value OB Value Land Value Total Parci ��n ' . 873 8/23/2006 --r'�--�--------,--,---�------- ---' --,- -- -- Parcel Detail Page 3 of 3 11 1996 $84,000 $0 $0 $26,900 12 1995 $84,000 $0 $0 $26,900 13 1994 $78,700 $0 $0 $32,300 14 1993 $78,700 $0 $0 $32,700 15 1992 $74,100 $0 $0 $35,900 16 1991 $0 $0 $0 $22,100 17 1990 $0 $0 $0 $22,100 18 1989 $0 $0 $0 $22,100 19 1988 $0 $0 $0 $17,600 20 1987 $0 $0 $0 $17,600 21 1986 $0 $0 $0 $17,600 23 1984 $0 $0 $0 $0 Photos http://issql/intranet/propdata/ParcelDetail.aspx?ID=22873 8/23/2006 oFIHE Town of Barnstable Y ; Regulatory Services * BARNSfABLE, • 9 MASS. g Thomas F.Geiler,Director �A 1639. ♦0 lEDN1p.�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 August 22, 2006 Mr. Geraldo Cardoso 67 Delta Street Hyannis MA 02601 RE: Illegal Apartment-45 Uncle Al's Way Hyannis, MA. 02601 Map : 292 Parcel :.003/005 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by September 8, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than$300.00 per day of non-compliance. . Thank you for your attention in this matter. By Order, Linda Edson Amnesty Zoning Enforcement Officer Building Department Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �iWSXY_Parcel r�' Application# Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee 00 Planning Dept. a g ept Permit Fee Date Definitive Plan Approved by Planning Board � � Historic-OKH Preservation/Hyannis Project Street Address W LDS' 140 Y Village Owner 9 Os D Address L S /'. Telephone - Z Z— Permit Request ir/IT Square feet: 1 st floor:existing proposed=1 2nd floor:existing _ proposed _� Total new O 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 Q(No On Old King's Highway: ❑Yes d to Basement Type: ❑Full ❑Crawl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) p �. rr Number of Baths: Full:existing new ( Half:existing new Number of Bedrooms: existing .3 new 0 Total Room Count(not including baths):existing new 0 First Floor Room Count l� Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes kNo Fireplaces: Existing 0( New_� Existing wood/coal stove: Cl Yes ONO Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size i� Shed:4existing ❑new sized Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Proposed Use BUILDER INFORMATION _ Name k"C,PO C;0,124h S Telephone Number S �- JT 2 7— Address. 7 Z C� S License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 2 DATE 0zozi ti _ x 1 FOR OFFICIAL USE ONLY PERNI'IT NO. i 4 DATE ISSUED , k MAP/PARCEL NO. S ADDRESS VILLAGE f � OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents r Office.of Investigations i d 600 Washington Street Boston,MA 02111 S••'� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization%Individual): /F")9"V '69'R.P®{ d Address: 7 V X 1W s-2::*K NZEA�-1-c City/State/Zip: Z Phone#: ' - S Are you an employer? Check the appropriate boa:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5.. ❑ We are a corporation and its re uired. officers have exercised their 10.❑ Electrical repairs or.additions q ] 3. : I am a homeowner doing all work right of exemption per MGL II-❑ Plumbing repairs or additions myself o workers' co c. 152, §1(4), and we have no [N comp. 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: 'e 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 maybe forwarded to the Office of. Investigations of the DIA for insurance coverage verification. I do hereby and uenalties of perjury that the information provided above is true and correct Si afore: Date:- Phone# Ojjicial 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 dividual,.partnerslup,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 on of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should Accidents for confirmati 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..Anew 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 `lce to thank you in advance for your cooperation and should you have any questions, The Office of Investigations would h 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 v Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5726-05 www.mass.gov/dia FTNE Tey,C Town of Barnstable ti Regulatory Services R � snnxsz'AX4 ' Thomas F.Geiler,Director y WAS& g' 1639 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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ` Type of Work; O/L !J/� ��Y//!- .c / Es'timated Cost PZ2 Address of Work:. lee Owner's Name: �; � l O � �✓��®-S Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Signature Registration No. OR Date Owner's Signature Q:wpfiles.forms:homeaff day Rev: 060606 s F THE Town of Barnstable O 1p� Regulatory Services BARNSfABLE, : Thomas F.Geiler,Director MASS. 1639• Building Division Ar fo .t a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: ' /O� JOB LOCATION: number street �} village HOMEOWNER": (��I,Z/�L�7tJ ��Ay O.S P 6 Od . 57 7 ;7 name / home phone# work phone# 2 CURRENT MAILING ADDRESS: ,s r. city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws;rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requ""a&��, Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt d1fit Ir f e 16 71 AN y tl 11 4 �i s. V _ � : �� �'o SCE : i : y F*---- - LA d s ill 'Kf0\MRIYtl •"A►••* IRE PREVEMiION DIVISION ' HYANNIS FINE DEPAmME" N NO"V-Hm now■7R. NYANLIL MALL I" iF Mt, biWtJioC b, ., ,..-t.._.. 40 .666 �Bl •{ wr `'�!\ «_0M4�f14\L. .iL Jt N1 b110.0a �IO;, ,1• i i •� I , D_ININi+Pi00M• 4 t � 1 s• .�lt'Sh't •f-'�:'1 ,L•r. .RAM! �e{�wliTyiTj�iai��'". y, MAM My. AV.\r1aA �M 1e Ljig." f -41 ELT \19\L. —• pOlEb: 1•14T, ••141,. � NrAi .. +Luun, nrony.• 1,If!HALL 0a 1'N6 WILta\R4 R64►0N4,%ILIry:'r tt6lNit r4f NfaY A4066 '•d,�. 1 .'M wWr•�•� t'�'��,1��' tP►Nit"t"'At(OL01u6 10 Y4t C"41110/M4U.LLD 6.fOu{. • •� "- E.WI610OW4 IN M{AT\O AN{M MALL NAVI I1444l,6t,VL{IO\"WIWOVW4 , t"I'M 101%OVA to 010,FOIL too � � i,{1tfIMHM OOVRL 14 41-Af\0 AMYL LMALL as MR7At IH 4tlLAf a►tYY{ ! 04 14AI'WU 40LM CO\\W114 W41UA 00411, i 44 cr, • . . ^ Ildldl{S� rUlt . 1144'"$M 111111111AMP&OWN St.a "HIM ellprgq we war evot Otto • . ' •t, _s 1':�;i,y ;s• :.f�l� R8•R" 0' �.aAN(C• ,�, K1.ig,-R:t,Y' `',� biY'� 'i 61Y�jlONf Y+ 1Ot 5 e1 it;It.•Wh ',owmitr- 91 E111. 144t;tA11111� r I=1UWM W IN A 19 @MIM.:' tNO� Ilttltf I�ilftttl �IIM1and NI ' '�• vjvti , , r, ,lt,' Lt'a�,, '¢ ,,, ,. �{�.�► ', �1 9 a. '.,' •>�,,: ° ,•+ /� tAYY�"ff y�11uU��TiAEV• The Commonwealth of Massachusetts Department of Education 350 Main Street,Malden,Massachusetts 02148-5023 Telephone:(781)338-6048 TTY:N.E.T.Relay 1-800439-2370 BUILDING INSPECTION REPORT Please submit this form to the Building Inspector in your city/town and return to: The Massachusetts Department of Education Office of Proprietary Schools 350 Main Street Malden, MA 02148-5023 The Regulations, 603 CMR 3.03(5), for Massachusetts General Laws c.751) and c.93 require buildings to be inspected. We would appreciate it if you would arrange for the inspection of the school listed below and advise us whether all locations serving students meet all standards for the building code. Please be sure to include the school's use group code where indicated. Record of inspection may be documented on this form or one provided by the city/town. Name of School/Facility Cap- Address !�qa VOGin City/State/Zip c) I Inspector Remarks Required information: School Use Group Code as defined by 780 CMR 304 or 305 regulations for building codes: Frequency of inspections necessitated by the Use Group: _ Is this facility in compliance with applicable building and safety codes/regulations? Yes '4r' No ❑ Date of Inspection „ . )3. Next Inspection Date 52.j 3 v�cG 7 Name of Inspector ' �.�►-1 e� Signature of Inspector- . Address „oo VY\.2.A !�L4 , .1 ., l�rf Phone # (/c,,3 9 Please return the completed form to the school that was inspected. The school will forward the completed form to the Department of Education. Last modified:8/42006 Mm • I• L-A Ln t I- -A t T L 1. r. I A i itt yl i. ],,77 ----—----------1--fil f _ T. i f s { � i -.s � w ^ ,4 o w UNCLE AL S (PUB L I CIDE) WAY - .- 'S 70 i! 25 E 243.33 5 h ,�0 29.7 1 '68.6' N/F DRAINAGE EXISTING SKI Q, EASEMENT N JEROL D V. WASEL E I FOUNDATION , W A J 1$ 8. _ _ I W I F 0 I N/, r RANDY R. 8 JANIS R. GOLD I, i 144.'l2 t 50.8 •s4• a E S eo m r N`224.14 �, c N 74 36 i5 PA R CFL A I N/F UNKNOWN 52 5 72 S.F. , OWNER OR OWNERS s 1 .pp ,. o. a .� ,• ..< , ;. .� ►.+ .—_ _� ice _..... ra 5 , y 1 IN .�. ASB�I�� FD�NDAIIDN PLAN ENERAL' NOTES - LOC1J SHOWN AS PARCEL;,A ON A PLAN � .�. OLDS BOSTON LAND SURVEY CO ; INC. ,. Q F 5•' "" ENTITLED RE—SUBDIVISION OF A' PORTION �!r I. ?.. . ' M r'. OF BERTHA CARL ACR S N Y_NNIS KEN NET" .- 72 W LLIAM ,STREET t B NT BL MA." ,. ... .c ,. . . NEW BEDFORD MA. 02740 508 997 6494 ,r RECORDED AT BARNSTAB►_ECOUNTY �REG— ' 1S,TRY OF DEEDS IN PLAN BOOK- 471, PA E rc . UNCLE AL S WAY . PARCEL A C r , , T , 2)TOPOFFOUNDA.FOUNDATION IS ELEV. 57.61 .. ,., . NYAN� S. BARNSTABLE. MA. } . I - 3 PERCENTAGE CF LOT COVERAGE !S 2.0/o ' � n c l t 30 -Q "1 At A. . Scale i 3O feet JOB NO. OBE 811 ti 90 Sleet i of ! beets LOCUS MAP NOT TO SCALE . 3, TE 6/29/