HomeMy WebLinkAbout0083 UNCLE WILLIES WAY Y•
Q6I
Town of Barnstable
Regulatory Services
pp THE Tp�
do Richard V. Scali,Director
Building Division
► BMMSfABLE. +
9 MASS. Paul Roma,Building Commissioner .
t63q. 10
�jOTeo Mpr p 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved: -
Fee:
-10
Permit#: 1 1- 0
HOME OCCUPATION REGISTRATION
Date: ,� 2,$
Name: (f7j h _ Phone#: 5u off"-2Z. 69 TS
Address: V3LLrlC &itGG/r'e GtJAy Village: /+/AAA o G
Name of Business: Gary , A4&fnyfylpq SL�'LyIGG�l
a� 2 -3� .
Type of Business: Ji'Yli9✓l S'e��L;/te,�e Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects:
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
- • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not.to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation..
• No sign shall be displayed indicating the Customary Home Occupation.
• 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 wit the above restrictions for my home occupation I am registering.
Applicant: i Date: ,Ylt K
Homeoc.doc Rev,06/20/16
MUST COMPLY WITH HOME 0(;Uur`
RULES AND REGULATIONS. FAILURE TO
YOU WISH TO OPEN A BUSINESS? COMPLY MAY RESULT
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.) ou must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 15t FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is
_ required by law.
a OATE: ��fm Fill in please:
APPLICANT'S YOUR NAME/S: - od .� { -
"'" L L4-c ,9 y
::5('-:rc cr,:..ti•,..;� +_ ,;i.:r BUSINESS
YOUR HOME ADDRESS
TELEPHONE # Home Telephone umber -
E I N #:�� tn•;,,•;:r.�, :,, ;,;.,;r., ,i E—MAIL: v
NAME OF CORPORATION: 4
.NAME OF-NEW BUSINESS - - t - _ TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? . YE NO
ADDRESS OF BUSINESS.: _ - -
MAP PARCEL NUMBER [Assessing)
When starting a new business there are several things you must do in order to,be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TKO❑ 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 to
.� Nib N1 iins�a A ��IdA0
1. BUILDING COMMISSIONER' OFFICE ,;; i►N: `,N011tflnJ�d aNt1 S3�n�
This individual has been 3Ed of any it requirements that pertain to this type of business r.- =��' Hi
i �l 1dWOD 1snV�
A tho z i at re
COMMEN S:
2. BOARD OF HEALTH
This individual has been informed of the permit requiremenO that pertain to this type of business. .
Authorized Signature** " r
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: .
i
r
su .
Town of Barnstable
Regulatory Services
Thomas F.Geiler,Director
t R�RIVRPAffi.R •
MASS Building Division �5
659.
�� Tom Perry,Building Commissioner.
200 Main Street, Hyannis,MA 02601 P
2
www.town.barnstable.ma.us
Office: 508-862-4038 Fax; 508-790-6230
PERMIT# �
FEE: $
SHED REGISTRATION
200 square feet or less
Location of shed(address) age
LIS-
C')
. a
Property owner's name
Telephone number sF
NO
UJ
Size of Shed 4�
Map/Parcel# y
CIO
Signature Date "
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? 00
If over 120 square feet,you must file with Old King's Highway
:
CCU rvation Commission(signature is re. quired)-l ....�. <=
Sign off hours for`Conseryahon'8:00 9.30&3:30-4:30 -�
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OFTHE ABOVE
COMIYIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE �ACCOMPANIED BY A
.PLOT PLAN
Q-forms-shedreg
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hereby certt{y t}us mortgage ms#�¢ctton wasprpared�or -.
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�G�WeU.l.t'L�S�1�OVUC1� I'L2CF.0'Cl� doesticot�a;�iri,cL S�J�a� �F�E -�DO�i ; �sr �
h�xL area with.0n.eect�ve date " E♦°`of � 19 85 and.rdie loca.�tor�:o�
the dwel ` d.oes ccmarrn,Itoe 1�n Po ..
,�orung
wtt�te curie oFsonsttu�cxion. with, res�ectu horiont�d d�rnetvstona R
. Scale 1 �
ViOtQb.01'L 4 ,C�.2Yl'1�rL'�'
pate 3 ',L3 D9
dcta!ot1, under ass GaleraL 1 uws Cilu"ter40 ,Section.7 Ftte No D�j b
: 3�
PLEASE NOTE The structures as, shown on this plot ;plan are approximate only An actual survey is necessary for a precise
determination of the buildng ic�cation and encroachments if any exrst either way across pipperty;lines 'This plan must not be
used for recording: purposes or for use in preparing;deed descriptions and` must not be used :for variance of building plan
purposes This plan must;not be'used to;'locate 'property lines :Verifeatton of buiidmg locations property ;line dimensions fences
or lot configuration_can only be accomplished by an accurate �istrument survey which may :reflect diffeiei►t tnformat►on t}an what
o:i is shown hereon Please note that thi` h NO,T A BOUNDARY SURVEY aril is FOR MORTGAGE PURPOSES ONLY
C�LQNIAL LAND S[)R TEYING CC) /IPANY, INC
W
269 Hanover Street H�uover Mass 02339 Phone 781-86-7186 Fax 781-82b-4823
Efficient Buildings, LLC
October 31, 2011
Town of Barnstable
Attn: Thomas Perry, CBO
200 Main Street
Hyannis, MA 02601
re: 83 Uncle Willies Way, Hyannis, MA 02601
Dear Mr. Perry:
This affidavit is to certify that all work completed at 83 Uncle Willies Way, Hyannis, MA 02601, has
been inspected by a certified Building Performance Institute (BPI) inspector. Work included air
sealing, weatherstripping, and installation of 120 sq. ft. R-30 cellulose and 432 sq. ft. of R-18-20
cellulose in attic, and 66 ft. of R-19 FGB to sills. All work performed meets or exceeds Federal and
State requirements.
Sincerely, (�
Steve C. White
Owner/Managing Member
Efficient Buildings, LLC
C
17)
00 w_
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NJ EFI
8 Jan Sebastian Drive, Unit 10, Sandwich, MA 02563
Tel: 508-888-1110 Fax: 508-888-1109
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
�- 3:.t
Map Parcel;' Application #c)O f 6001
HealtWDivision `` Date Issued kl
Conservation Division Application Fee
Planning Dept. Permit Feed; 5
Date Definitive Plan'Approved by Planning Board
Historic : OKH Preservation/ Hyannis
Project Street,Address ` G �'
Village
Owner CIIOA'l� AO-Y&P', Address �shc �✓P/CC
Telephone %141
Permit Request •Zn5-e W'`1 e%1,ol 5e- /YN e e AW
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 7 5'00 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family;,:,x Two Family ❑ Multi-Family (# units)
Age of Existing Structure 3 3 /S Historic House: ❑Yes ANo On Old King's Highway: ❑Yes 1 No
Basement Type: >f Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing_ new Half: existing new
Number of Bedrooms: � existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas )d Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: o..Yes ❑ No
Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: O.existing :0 newj"size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:'.
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes tid No If yes, site plan review #
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name f� L�" �$ ��z!/ Telephone Number
Address /y && ��e /�'�y'�'e License# � ®
Home Improvement Contractor
Worker's Compensation # $6 741,� Yd.5
ALL CONSTRUCTION EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /Ja)"AI
SIGNATURE DATE �'���
4;
FOR OFFICIAL USE ONLY
ARPLICATION#
s�DATE ISSUEEQQ `S' -
_rMARLPARCEL�NO,�
r^^
Ifr\ -ADDRESS, VILLAGE
{
OWNER
ir
s� —
r
4 DATE OF INSPECTION:
FRAME
FIREPLACE
�z
t ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
r
= GAS 4 T ROUGH �'�' FINAL
0 E-I N A L;B U I L D I N G t L�D 44 C;Zi, .R ..
r -&DATE CLOSED;OUT _ _
ASSOCIATION PLAN NO.
S
�L -
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
't . t, r
t �d 600 Washington Street
j Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): (k' Cry C%% �� n� C*
/
Address: 7-ax .Sc'la,>`lIVIy �"Al
City/State/Zip:5a,Z,,( / /Y& G%�Se� Phone #: J_d),�r
Are you an employer?Check the appropriate box: Type of project(required):
l. I am a employer with j 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the.attached sheet. $ 7. ❑ 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
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 L❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 Roof repairs // 1
insurance required.] t employees. [No workers' 13.❑ Other .Z456, 47/Cl
comp. insurance required.]
*Any applicant that checks box#] 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 outs ide'contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. > {
Insurance Company Name:
Policy#or Self-ins. Lic. #: 0/ 7 vC 510-.: Expiration Date:
Job Site Address: r t✓/ZL'l` /,/ ///ems City/State/Zip:�y
Attach a copy of the workers' compensation policy d claration 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 i true and correct.
to //
Si ature: �w r/ •GZ—`"`'._ Date: /A ZZ
Phone#
Official use only. Do not,write in this area,to be completed by city or town officiaL
City or Town: Perm it/License.#
Issuing Authority(circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other -
Contact Person: Phone#:
i
C LI R BU1 LD1j1N1 C ' RE ODELIN . LLC 8
Jan Sebastian Dr. Sandwich MA 02563 508-888-1110 fax: 508-888-1109
January 3, 2011
To Whom It May Concern:
Please be advised that Brian McCormack is an employee of Caliber Building &
Remodeling LLC and is hereby authorized to apply for building permits. He is a licensed
MA construction supervisor(CS 90913).
Thank you,
~Steven C. White. .
Owner/member
Caliber Building & Remodeling LLC
I
DATE(MMIDDIYYYY)
Acokp. CERTIFICATE OF LIABILITY INSURANCE 09/15/2010
PRODUCER 508.945.0393 FAX 508.94S.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Eldredge & Lumpki n Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
697 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Chatham, MA 02633
INSURERS AFFORDING COVERAGE _ I NAIC#
INSURED Caliber Building and Remodeling LLC INSURERA National Grange Mutual Ins Co 14788
INSURER B: Commerce Group CIG001
147 Ridgewood Ave INSURERc: Granite State Ins. Co.-ARWC '13102
Hyannis, MA 02601 INSURER 0:
INSURER E: -
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR DO' P�UCY EFFECTNE POLICY EXPIRATI LIMITS - ---- - j
LTR NSR TYPE OF INSURANCE POLICY NUMBER 'DATE M .DATE YMIDD LIMITS
GENERAL LIABILITY I MP0273601 09/15/2010 I 09/15/2011 EACH OCCURRENCE S 1 QQQ OO
X COMMERCIAL GENERAL LIABILITY PREMISS Eg(Ea owwrence) A2,000.00
CLAIMS MADE Jlk]OCCUR MED EXP(Any one person) 10.0
A -
i _ PERSONAL&ADV INJURY i
I t ----------
GENERAL AGGREGATE 2,000,00
rGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG POLICY PEC LOC
AUTOMOBILE LIABILITY BBNVCS 02/16/2010 02/16/2011 COMBINED SINGLE LIMIT
r I ANY AUTO i I (Ea eaidem) $ _11000,000
f I I ALL OWNED AUTOS 4
- 1 FBODILY INJURY
X SCHEDULED AUTOS son) $
B HIRED AUTOS - -
--{ BODILY INJURY $
NON-0WNED AUTOS (Per accident) —_—
{ ----- I PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC S --
( AUTO ONLY: AGG $ -
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
DEDUCTIBLE S
RETENTION $ I $
WORXEAS COMPENSATION WC742540S 03/02/2010 • 03/02/20.11
i AND EMPLOYERS'LIABILITY YIN N I TORY LIMITS _ ER _
ANY PROPRIETORlPARTNER/EXECUTIVEI—I E.L.EACH ACCIDENT S S00100
C 'OFFICER/MEMBER EXCLUDED? _
1(INan6sewy in NH) ( E.L.DISEASE-FA EMPLOYEE S S00,000
!1y�aesenoe under — 500,OO
I Sx2_6Z MROVISIONS below E.L.DISEASE-POLICY LIMIT $
DTr� I
i
1::�ESC.�+^-.Mft OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Carpentry
T€HOLDER CANCELLATION
. ; SHOULD ANY OF THE ABOVE DESCRIBED POLIgE$BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL .L DAYS WRITTEN
s r * -M• NOMICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
l' of Barnstable O6EN U W'. F 'I H, OOBGATIONORBIU NY TYOFAKIND, NTHE INSURER,RSAGENTS OR
'.motion: Building Departments' R@ITATPVES
Main Street. ¢;• �� aERESENTATrvE
i s MA 02601 «'+
�. A'�a�-R.��' Presiden
01) -0 tB -SOS ACORD CORPO ION. All righffi reserved.
The ACORD name and logo are tiglsiu+id:maft of ACC= ..
rr
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1V.
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A.Ssi.s,r.1;kNCE
"P
'Y
- 1(-)R"'lk U P,�il T I (.M lii
HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE:
PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE
THE APPLICANT HOME OWNER.
IcL«r,�6 hereby consent to and agree that weatherization work may be
done by the Weatherization Program of Housing Assistance Corporation (herein after referred as,
"Agency")on the property located at:
X3 -
by
The weatherization work done will be based on programmatic priorities and availability of funding and
it may include all or some of the following measures:
Weather-stripping&caulking of windows and doors,insulation of attics,sidcwalls &basements,attic
and other ventilation measures and possibly replacement of badly deteriorated windows.In
consideration of the weatherization work to be done at my home I agree to the following:
1- 1 give permission to the "Agency" its agents and employees to travel onto or across said
property with such equipment and materials as may he necessary to perform weatherization
work on said property.
2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the
weatherized unit on an ongoing basis for no more than five(5)years after the weatherization
work is completed.
I have read the provisions of this agreement as listed and freely give'my consent.
Home Owner. (Signature)
Date: i 'L 7--1 Z r C-')
Agent:.(signature)
Date: L L -,7* i
f
HAC approved Weatherization Company:
Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Construction
Frontier Energy Solutions Lohr&Sons Peter Smith Resolution Energy
Rock Solid motion All Cape Insulation
r
Massachusetts-`Department of Public .Safet'.
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 95038
Restricted to: 00
STEVEN WHITE '
147 RIDGEWOOD AVENUE
HYANNIS, MA 02801
Expiration: 2/2 M12
C bmmi��i.rocr Tr--: 19311
_ r
"���ld� �aooawFuae�
" Boats oiB R�tdstfoa5 a�3tndards ,
HOME MVROVMWJff'CONTRACTOR
`...154359
_�11 . Trf 280764
udDility.CetporeRion
CALtlrR Btlq.Da BUNG,LLC. '
STEVEN WHITE F
147 RIDGEWOOD
HYANNIS,MA 02601 Admbdstmtor
-------------
zed•
>I or r wmvii w we only
laic`.Itfoa,d retwo to:
and Standards
One.4see [or"1ri
4.
k' zh
i
OFTNE 70�,
Town of Barnstable ;e,?n,i Xt# 63�
E.rpires 6 monUis from issue lat
BARNS-rABLE. Regulatory Services. Fee
ie& 1�$ Thomas F. Geiler, Director
1639. A Building Division
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
Property Address OnCUE W ILL\. UAM
residential Value of Work Minimum fee of$25.00 for worlc under$6000.00
Owner's Name&Address CKAGNJjA\
4Agcnn
Contractor's Name - Cx"t 'Aa�— Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor X-PRESS PERMIT
I am the Homeowner
❑ Lhave Worker's Compensation Insurance SEP 15 2U09
Insurance Company Name
TOWN OF BARNISTA
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
elf j,Re-side
❑ Replacement Windows. U-Value (maximum ,44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
ome Improvement Contractors License & Construct Supervisors License is required.
SIGNATURE:
QAW PFILESIFORMS\ExpressTXPRESS PERMIT.DOC
Revise06O4O9
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
z
' 600 Washington Street
Boston, MA 02111
Qyy www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name ( n/Individual): OUGUA
Address: rC52---�, Qr\CAC2 W`AUL_'� WAA
City/State/Zip:. Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.?�Remodeling
ship and have no employees _ These sub-contractors have g. Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
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 I LEJ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.Q Roof repairs
insurance required.].t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employces,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: '
Policy#or Self-ins. Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is tree and correct.
. /'? e. C
Signature: r Date: dfc�o!��
Phone#:
Official use only. Do not write in this area, to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152 25C 6 also states that"ever state or local licensing agency shall withhold the issuance or
P
, § ( ) Y g g
renewal of a license or permit to operate a business or.io construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
1 2 25C states Neither the commonweal
th nor an of its political subdivisions shall
Additionally,MGL chapter 5 , § (7) Y
enter into an contract for the performance of public work until acceptable evidence of compliance with the insurance
Y P
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 021 tl
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax # 617-727-7749
www.mass.gov/dia
Town of Barnstable
Regulatory Services
swatasTMEM ; Thomas F.Geiler,Director
urns.
9q, 039. ��� Building Division
ArFp�,Ip
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: pi I
JOB LOCATION: qFk y n Ge Lj), 12LC C 6 1 #`I C4,1
number street Ili village
"HOMEOWNER":
name home phone# III work phone#
CURRENT MAILING ADDRESS: "V VI(�Q1 W1 II461 ti�)
ci own state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and.that he/she will comply with,said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 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:WPFILES\FORM S\homeexempt.DOC
4
4
ai .
�1HE rqy, Town of Barnstable
~°^ Regulatory Services
sa NAB&�• Thomas F. Geiler,Director
Mass.
9� s6Sq. .�0�
fo.19.I IN 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
I, /aser he subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this g permit application for.
(Address f Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
QTORMS:OWNERPERMISSION
Date: March 17, 2006
To: Building File
From: R. Giangregorio
Re: 83 Uncle Willies Way, Hyannis
Owner: Aracy Martins
M&P: 292-314
Zoning: RB
Overlay: AP
I received an anonymous telephone complaint on 3/16/06 regarding over crowding, too
many cars, a possible apartment in the basement, debris in the back yard and a
refrigerator outside with the doors still on. I contacted Lt. Hubler regarding the
refrigerator and asked BOH to check the property.
Dave Stanton advised me today that he has been through the entire house and there is no
apartment in the basement. There is a bar downstairs but no evidence that anybody is or
has been sleeping here.
The original 1970's building permit identifies 4 rooms but a later notation identifies a 1
1/2 story Cape. During a discussion with Dave, we agreed that it is likely this may have
been a starter house with an unfinished upstairs - later finished as 4 bedrooms and a bath
without permits. As a result of Dave's report concerning the actual layout of the house
today, it seems like two rooms on the first floor may have been converted from perhaps a
den and dining room to become two additional bedrooms for a total of six. As this is not
in z zone of contribution, the only issue would be relative to whether of not the existing
septic system can legally accommodate the increase in bedrooms. Dave reports that the
number work out to be just shy of allowing 5 bedrooms. He will update me on the result
of his discussion with the Director concerning the excess number of bedrooms.
3/17/06
Christine (GM) called regarding a complaint she received in person (over at the GM
office) concerning this same property. I advised her that the FD received my request to
check the refrigerator and that Health was already out there. No violations were noted. I
told her to let the person know that this property is on radar but as of this date because we
do not regulate the number of registered cars on site and because no evidence of a zoning
violation was noted there is nothing for us to pursue. The septic issue falls under the
BOH and Dave will address that independently. All documentation will remain on file as
foundation in event other substantiated complaints are received.
JAComplaint Inv Reports\Investigate-Report\83 Uncle Willies Way.doc
a ; Hyannis MAY 209 2008
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NOTICE OF MORTGAGEE'S
SALE OF REAL ESTATE
By virtue and in execution of the Power of Sale contained.in a
certain mortgage given byAracy G:S.Martins to Mortgage Electronic
Registration Systems,Inc.as Nominee for Full Spectrum Lending,
Inc.,dated July 12,2004 and recorded with the Barnstable County
g Registry of Deeds in Book 18822,Page 296 of which mortgage.
is Bank Of New York as Trustee for the Certificateholders CWABS,
.)f Inc.Asset-Backed Certificates,Series 2004-7 is the present holder;
'a .for breach of the conditions of said mortgage and for the purpose
6 of foreclosing,the same will be sold at Public Auction at2:00_P-M.—
!d on May 16,2008,on the mortgaged premises located at 83 Uncle.
w `Milfes Way�saiHyannis,MA 02601,all and singular the premises
described in d mortgage,TO WIT: .
n The land in Barnstable(Hyannis),Barnstable County,Massachu-
setts,togetherwith any buildings thereon,described asfollows:Being
n Lot 11 containing 11,158.square feet,more or less,as shown on a
0 plan of land eniRied:"SubdivisionPlanof Land in Hyannis,Barnstable,
s Mass.,for John A.Drew,Scale'1"=.40',December 19,1975,Baxter
I- &Nye,Inc.,Registered Land Surveyors,Osterville,Mass.",which
i, said plans is duty filed in the Barnstable County Registry of Deeds
in Plan Book.302,Page 69.There is'appurtenantto said lotthe right
to use the ways shown on said plan as Masa's Place,Uncle Willies
n Way and Alicia Road for all purposes for which streets and ways
n are commonly used within the Tbwn of Barnstable,John A.Drew
n expressly reserves to.himself the fee in the aforementioned ways.
y Said lot is subject to an easement to Southern Massachusetts Tele
g phone Company dated April 14,1914 and recorded in said Registry
y in Book 326,Page 259.Subject,to an easement to Cape&Vineyard
Electric Company,et a1 dated January 13,1960 and recorded in
Book 1067, Page 120..Subject to water easement to Barnstable
Water Company dated May 28,1976 and recorded in Book 2346,
tPage 115.Subject.to an easement to New England Telephone&
Telegraph Company-et al dated June 30,1976 and recorded in Book
2365,Page 208.Subject to and with the benefit of restrictions set
forth in deed.recorded in Book 2645,Page 228.For mortgagor's
title see deed recorded with Barnstable County Registry of Deeds
in Book 18822,Page 294..
These premises will be sold and conveyed subject to and with
the benefit of all:rights,rights of way,restrictions,easements,right
d of ways,covenants,liens.or claims in the nature of liens;improve-
ments,public assessments,any and all unpaid taxes,tax titles,tax
e liens,water and sewer liens and any other municipal assessments
s or liens or existing encumbrances of record which are in force and
a are applicable,having priority over said mortgage,whether or not
k reference to such restrictions,easements,improvements,liens,or
A encumbrances is made in the deed.TERMS OF SALE:A deposit of
y TENTHOUSAND($10,000.00)DOLLARS bycertifiedorbankcheck
it will be required to be paid by the purchaser at the time and place of
e sale.The balance is to be paid by certified or bank check at ABLITT
h &CHARLTON,P.C.,92 Montvale Avenue,Suite 2950,Stoneham,
a . MA'02180,other terms and conditions will be provided at place
of sale.The description of the premises contained in said mortgage
e shall control in the event of an error in this publication:OTHER
r- 'TERMS,IF ANY,TO BE ANNOUNCED ATTHE SALE.
e Present holder of said mortgage,Bank Of New York as Trustee
e for the Certificateholders CWABS,Inc:Asset-Backed Certificates;
)f Series 2004-7,By itsAttorneys,Stephanie Caponigro,Esq.;ABLITT
e &CHARLTON,P.C.,-92 Montvale Avenue,Suite 2950,Stoneham,
y MA 02180, (781) 246-8995, Dated: 04/11/2008 (60.0795/Mar-
d tins)(04/25/08,05/02/08,05/09/08)(110228)
y ' The Barnstable Patriot
n April 25,May 2 and May 9,2008
—v
Message Page 1 of 1
Giangregorio, Robin
From: Giangregorio, Robin
Sent: Tuesday, March 14, 2006 2:54 PM
To: ehubler@hyannisfire.org
Subject: 83 Uncle Willie's Way, Hyannis
Hi Eric,
I got a complaint this morning regarding the aforementioned address. In addition to the typical stuff like
overcrowding and too many cars, I was informed that there is a refrigerator outside (complete with doors). I
am told that I should advise you about theses types of complaints. Can you please have someone check this
and let me know the status, please?
Thanks for your anticipated help!!
�p6in
3/14/2006
Message Page 1 of 1
Giangregorio, Robin
From: Giangregorio, Robin
Sent: Tuesday, March 14, 2006 10:48 AM
To: Ells, Mark
Subject: Uncle Willie's Way, Hyannis
Hi Mark,
I'm not sure who I should be addressing this to so I'm hoping you'll advise me accordingly and then forward
this on to the proper person. I received a zoning complaint this morning that happened to include a reference
to road damage that allegedly occurred as a result of a broken water pipe on Uncle Willies. The caller said
he has complained in the past and the town has previously filled it in although this is said to be a private way.
Now, he claims it's sinking again. Can someone take a look at it to assess and prioritize the problem (if
necessary)? Please advise.
Thanks!
W96in
3/14/2006
Message Page 1 of 1
Giangregorio, Robin
From: Giangregorio, Robin
Sent: Tuesday, March 14, 2006 11:40 AM
To: Crocker, Sharon
Subject: 83 Uncle Willie's Way
Hi Sharon,
Can you have someone take a look at 83 Uncle Willie's Way in Hyannis? I am informed that there is a
refrigerator outside with the doors still attached. The complaint included over crowding. At this point
the caller added that the septic has not been pumped for a long time. He declared that he has resided in this
neighborhood for many years and knows the property history; he is also disabled and therefore home daily
and as a result would likely know.
checked the assessing record and it shows there are 6 bedrooms. The corresponding street file shows a
1,000 gal septic tank with a distribution box and a 1,000 gal pit. The caller stated that the owner is renting the
basement out to multiple people but he's not sure if there is an apartment there.
Please let me know what you can do and advise me accordingly.
Thanks!
�Rq&n
3/14/2006
Barnstable Assessing Search Results Page 1 of 2
Home: Departments:Assessors Division; Property Assessment Search Results
New Search
33 UNCLE WILLIES MAY
Owner: 2006 Assessed
Values:
MARTINS,ARACY Appraised Value Assessed Value
Map/Parcel/Parcel Extension Building Value: $ 152,800 $ 152,800
292 /314/ Extra Features: $ 18,000 $ 18,000
Outbuildings: $400 $400
Mailing Address Land Value: $ 143,700 $ 143,700
MARTINS,ARACY
Totals $314,900 $314,900
83 UNCLE WILLIES WAY
HYANNIS, MA.02601
Tax Information:
Tax information is currently not available for 2006
Construction Details
Property Sketch Legend
Building
Building value $ 152,800 Interior Floors Carpet
Style Cape Cod Interior Walls Drywall
Model Residential Heat Fuel Oil
Grade Average Heat Type Hot Air
Stories 1 1/2 Stories AC Type None
W
Exterior Walls Wood Shingle Bedrooms 6 Bedrooms
Roof Structure Gable/Hip Bathrooms 2 Full !`•'
33 �7�'13i I,
Roof Cover Asph/F GIs/Cmp living area 163831
y
Replacement Cost $173668 Year Built 1978 � `�
Depreciation 12 Total Rooms 9 Rooms
Land
Lot Size(Acres) 0.26
Map requires Plug in:
http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 3/14/2006
Barnstable Assessing Search Results Page 2 of 2
Appraised Value $ 143,700 Interactive Property Map
I have visited the maps before `+
Show Me The Map
Assessed Value $ 143,700 .
April 2001 photos available
Sales History:
Owner: Sale Date Book/Page: Sale Price:
MARTINS,ARACY Jul 13 2004 12:OOAM 18822/294 $330,000
FECTEAU, DONALD E Nov 15 1985 12:OOAM 4793/244 $84,000
BOUCHER, MARY K Jul 15 1983 12:OOAM 3815/151 $49,900
Extra Building Features
Code Description Units/SQ ft Appraised Value Assessed Value
SHED Shed 64 $400 $400
BLA Bsmt Liv-Aver 700 $ 15,400 $ 15,400
FPL2 Fireplace 1 $2,600 $2,600
Property Sketch
Legend
BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished)
BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished)
CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished)
(Finished)
FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story
(Unfinished)
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story
(Unfinished)
FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
http://www.town.bamstable.ma.us/assessing/assess06/displayparce106.asp?mapparback=ad... 3/14/2006
TOWN. OF BARNSTABLE 19957
Permit No. ________—_-- _---
"�n.� Building Inspector
Cash --___---
� rua
N/A
OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall,be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to A. W. Spencer Address
lot #11 83 Uncle Willies.Way, Hyannis
Wiring Inspector Inspection date
Plumbing Inspector Inspection date.
Gas Inspector Inspection date
Engineering Department NZA Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE-OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH- TOWN
REQUIREMENTS.
................................................._., 19_. .. . .............. ...
Building Inspector
s
TOWN OF BARNSTABLE 19957
Permit No. -------------------
1 ]IMSTA.� a Building Inspector Cash ---__---
°"" OCCUPANCY PERMIT Bond _ NSA -
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to A. W. Spencer Address
lot #11 83 Uncle Willies Way. Hvannis
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department NtA, Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED °UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
............................_........................, 19—...... ..................................... ........._........_.
Building Inspector
I
TOWN OF BARN3TABLE Permit No. 1995?
Building Inspector
DAUSTMM Cash __---
''o sum .
00CUPANCY PERMIT Bond __ NIA
—__-
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to A. W. Spencer Address
lot #11 83 Uncle Willies Way; Hyannis
3 �
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
J
Engineering Department NtA '- Inspection date.
THIS PERMIT WILL'NOT BE VALID, AND,THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
................................._................ , 19_� _ ........................................ .. ................ .
Building Inspector
a '
Assessor's map and lot number SEPTIC S STEM MJST "BE
In 1' INSTALLED IN COMPLIANCE
RT L.E ! STATE
., WITH ART
ICLE
Sev agejpermit number ....� .`:Z d.............................`t....... SANITARY CODE AND TOWN
REGULATIONS.
Qyo�t"ET°�� TOWN OF BARNSTABLE
BdHHSTODLE" /
BU' LOING INSPECTOR'
A"LICATIONJOR'FERMIT TO .. ..::..` ....................................... ...................... .... ....................................
CO
TY-P,�E OF CONSTRUCTION .......... .......... � ............................. ......................... ...................................
........ / ``� ...................19. l -
TO.THE-INSPECTOR OF BUILDINGS:-
The undersigned hereby pp lies for a permit according to�the following informs ion:
�� C L / /�
Location ........4 ....................................
lJ�.l.1°.................! el... .... .. ....... ........ ...............................................
Proposed Use ......... ..`.....
Zoning District ....l .6............ ......................................Fire District ... . .............
Name of Owner . � . . 4 .-eP4............ .Address ®..Q..........b.. i ...............
Nameof Builder ...................................................................Address ............................G>...................................................
Nameof Architect ..........................................:.......................Address ....................................................................................
Number of Rooms ..........................................Foundation .
........................ ..............................................................................
Exterior ...... .. G.. .....
w...............................................................,.Roofing .....��..`... ...................................................................
Floors .....: .,,� f..'.. /!�al'...................................... .� ..`....Interior ..................................................
...Plumbin ���
Heating .......... .. .................................................... ........ g ...... . ........ .........r........... .....
Fireplace ........... � �� ...................................................Approximate Cost ...../. .............................. .......
5. .
Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ................ ............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
/ \ 1'
I hereby agree to conform to, all the Rules and Regulations of the Towr f Barnstable re arding the above
construction.
Name ... .....;4P.. ....... ......... ..... ..........................................
Spencer, Arthur W.
19957 1 1/2 story
No. ................. Permit for ....................................
single family dwelli
...................................................n.......................
83 Uncle Willies WaLocation ............ . ... . . . . . . ... y.......
.............................Hya
nnis............
..................................
Owner Arthur.W,..PjkVM"C r0r:K...............
Type of Construction ............f x:ame,...................
.............. .................................................................
Plot ............................. Lot ........ 11.................
February 13 78
,Permit Granted ........... ..............
........19
-Date of Inspection .. ........................... ..19
Date Completed ... ...........19
PERMIT REFUSED
................................................................ 19
..........................................................................
...................................... ..........................................
...............................................................................
r
...............................................................................
Approved ................................................
19
...............................................................................
...............................................................................
SAssesscar's map and lot number '" P .
• 04f SewagePermit number ...... v.....................................
TOWN OF BARNSTABLE
i 'BAB.HSTABLE;
° o�y��e�� DUILDIHG INSPECTOR
1 +
t x APPLICATION FOR PERMIT TO .. .. `...`. .. . ...................... .. ..........!I>..;........................................
TYPE OF CONSTRUCTION .......... .....`'
• ............. l!..........:...................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......:....r.'...................:....................1. ,. ..t.:.. ..... + ....:.....................: . .? ' ............
Proposed Use .. ' "�":..�.::.`...,.�...`............ ... ... .......... ...... .......................I............. .......
P ff ,' Fire District... r`..
ZoningDistrict ...... ..............................................................
Name of Owner .........?........�....... �':....°`:j.......... `...............Address ...............................................n ................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ............................................Foundation ��•��
...................... ..............................................................................
Exterior
Roofing
S
Floors ..........................................................Interior ....................
......................':...
19eatirig .'... ..............'...t.....::..-..-....................................Plumbing .....................................................................................
Fireplace ...............:.:'..:... -......................................................Approximate Cost r
�. ....................................................
Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area t..................................
Diagram of Lot and Building with Dimensions Fee ............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
s �
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. e
Name ........:...........................................................................
l
Spencer, Arthur W. A-29'-314
i
t � ,
19957 1
No Permit for 1-1/
2 story
single family dwelling
,
Location .,,,, 83 Uncle Willies Way..,....,..,.
.....................Uyannis
Owner Arthur ..W. Spencer
.. .....
I
Type of Construction frame
i yp .................................
F
Plot ............. Lot .......#1....................
\e. uary 13 78
Permit Granted ........ .....................19
Date of InspN
19
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Date Compl ..................19
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PE IT REFUSED
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ELEVATION SCHEDULE
PROPOSED SITE PLAN
INV. AT FOUNDATION
SEWAGE SYSTEM DESIGN
2 1 NV, INTO SEPTIC TANK =
iN
3. 1 NV, OUT OF SEPTIC TANK =
4 INV. , INTO DISTRIBUTION eox = /Do,4d
SCALE: I '=2o ' �
5 INV OUT OF DISTRIBUTION BOX = /DD. d6- C— G3A/
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6. INV INTO SEEPAGE PIT = 10 - CAPE COD SURVEY CONSULTANTS
ROUTE 132
7 BOTTOM OF PIT HYANNIS, MASS,
A DIVISION BCSTON SURVEY CONSULTANTS, INC.
8 BOTTOM OF STONE LAYER = �