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0141 WAYLAND ROAD
i� Application number �QF Fee ................ 3.5................Qk............... s Z �. BUILDING DEPT. Building Inspectors Initials.... ............... ! r JAN 2 2 Date issued:.......-.( .�.-:.:.... .... .. TOWN OF BARNSTABLE Map/Parcel.............:............C). . .a.................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: NUMBER STREET VILLA E Owner's Name: � yS . !�. �P ��r �� Phone Number 5 0?— Z 1J 6 Email Address: —�� USZ- °t,�M Cell Phone Number Project cost$ o° Check one Residential _ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building'permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK 0 Siding Windows(no header change)#_9 Insulation/Weatherization 91 Doors(no header change)#4_ Commercial Doors require an inspector's review 13 Roof(not applying more than l layer of shingles) Construction Debris will be going to. L/0 k Moyrw 0/S POI AL , CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY11S 1N A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION.NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or> Yes No ,if yes, a gas permit is required. Natural Gas Yes No , if yes,a gas permit is required. r If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9.30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number — �,[, 1 Cell or Work number O$ 7, (, 0 6 :) I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit appKcadons are subject to a building official's approval prior to issuance. rJ 1 - 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): ��'VA Address: i{ W 6 paj D City/State/Zip: M S l W A 02Jo I Phone#: 5-<) " Z 6 ' 0 40 Are you an employer?Ch ck 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, ❑ Dem6lition working for in an capacity. employees and have workers' g Y P tY• 9. ❑Building addition [No workers'comp.insurance comp. insurance.$ required.] 5. ❑ We area 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 employees. [No workers' .13.❑ Other comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 ce under the pains and penalties of perjury that the information provided above is true and correct: Si Mature: Date: ID 2 ' 'Z Phone Official use only. Do not write in this area,to be completed by city orlown official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)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.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable Building Department Brian Florenoe, CB 0 Building Commissioner 200 Main Street,kyannis, MA 02601 wwvr.town bamstable.mans . MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO . COMPLY MAY RESULT IN FINES. Pre-application for Business Certificate Date _ _ Map 91L Parcel j2%Lp%�. Applicant Information Ap hcants Name "1Z S �c) VN --- p . _... Applicants Address. ILA I LPN ib OD 1 S- 41 Email Address PDX S�s,)- TelephoneNmnber �- �� '` �� Listed❑ Unlisted ❑ Business Information New Business? --------------------------------------- Ye No Business is aregistered corporation? ----------------------- (Ye No If yes Name of Corporation 01 1 S. � P06 CQ D o I h)G Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ---------- No If yes then a Home Occupation Registration is regaired��—„„See Division Staff Name of Business �0 ( ,S ' CAP Business Address ��l 1 ��PM LD�� l Nis. O 2 (o 01 T e of Business W i M mi N Fed S thug on O ce U e O conditi0 1 d. Building Commissio rDate r Q— Clerk Office Use Only Town of Barnstable Building Departmen>MUST COMPLY WITH-HOME OCCUPATION �oFTHE r°�'f� Brian Florence,CBO RULES AND REGULATIONS. FAILURE TO Building Commissioner COMPLY MAY RESULT IN FINES. BAMSTABLE, : 200 Main Street,Hyannis,MA 02601 MASS. 1639. ,0� www.town.barnstable.ma.us ��EG MA'S A Office: 508-862-403 8 Fax: 508-790-6230 p Approved: Fee: 0 Permit#: HOME OCCUPATION_ REGISTRATION Z Date: y Name: ;l/�.�frOs TAR 1 I VA Phone#: � Address: Village: Name of Business: Is D CAWTJJG 3 Sw Type of Business: J MIYI i► �5 _Map/Lot: y yJj -Z 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 `Z U alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal .2 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 2 within that dwelling unit. v . Such use occupies no more than 400 square feet of space. Q 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. 01 . 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 V) 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. C No person shall be employed in the Customary Home Occupation who is not a permanent resident of the • dwell' unit. 1,the undersigned, ve read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Hyannis Sun Self Storage 270 Communication Way Bldg.7 Hyannis,MA 02601 508-790-1552 Payment Receipt Date Printed July 23,2019 Tenant Marcos DaSilva Payment Date July 23,2019 1:34 PM Company Quality Pools of Cape Cod Inc Unit C003 address 141 Wayland Road City,State,Zip Hyannis MA 02601 Paid Thru July 31,2019 Receipt Number 104801 By SG Date Unit DescriQtion Charge Discount Tax Total Payment Method 07/23/19 C003 Security Deposit 160.00 0.00 0.00 160.00 160.00 Visa 07/23/19 C003 Rent 7/23-7/31 46.45 0.00 .0.00 46.45 46.45 Visa Taxes 0.00 Payment (less tax) 206.45 Payment Subtotal 206.45 Credits Applied 0.00 Refunds Applied 0.00 Total Applied to Account 206.45 Paid By Visa *****4244 Paid Thru Date July 31, 2019 Transaction Type Sale Authorization 739440 Reference 73111 I agre pay the above amount according to the card issuer statement. x I I Hyannis Sun Self Storage 270 Communication Way Bldg.7,MA 02601 (P)S08-790-1552 (F)S08-790-3687 hyannls@sunseffstorage.com THIS FACILITY WORKS WITH GENERAL LAWS OF MASSACHUSETTS 105A MANDATORY NOTICES OF LIEN: THE MASSACHUSETTS SELF-SERVICES STORAGE FACILITIES ACT GIVES THE OPERATOR OF A SELF SERVICES STORAGE FACILITY A LIEN ON OCCUPANT'S STORED PROPERTY"FOR RENT,LABOR,INSURANCE,OR OTHER CHARGES IN RELATIONSHIP TO THE PROPERTY OR REASONABLY INCURRED IN ITS SALE PURSUSANT TO THIS CHAPTER." PROPERTY STORED IN THE,LEASED SPACE IS NOT INSURED BY THE OPERATOR AGAINST LOSS OR DAMAGE. IT IS THE OCCUPANT'S SOLE AND EXCLUSIVEAESPONSIBILITY TO INSURE OCCUPANT'S PERSONAL PROPERTY AGAINST LOSS OR DAMAGE. OCCUPANT'S PROPERTY MAY BE SOLD TO SATISFY THE LIEN IF OCCUPANT 151N DEFAULT IF RENT AND OTHER CHARGES ARE NOT PAID WHEN DUE. A LATE FEE MAY BE CHARGED BY THE OPERATOR FOR EACH MONTH THAT THE OCCUPANT DOES NOT PAY RENT WHEN DUE. LIMITATION OF VALUE: THE$S,000 LIMIT OF VALUE CONTAINED IN THIS AGREEMENT IS DEEMED TO BE THE MAXIMUM VALUE OF THE PROPERTY STORED IN THE SPACE AND THE MAXIMUM LIABILITY OF THE OPERATOR FOR ANY CLAIM. WE DO NOT PRORATE ON MOVE OUT WE DO NOT REFUND Tenant Name:Marcos DaSiiva Tenant Company Name:Quality Pools of Cape Cod Inc - Address:141 Wayland Road City:Hyannis State:MA Zip:02601 Phone:(H)508-246-0647 Work Phone:(W) State:MA E-Mail:Marcosys27@hotmall.com RENT IS DUE ON THE 1ST OF EACH MONTH RENT PER MONTH:160.00 Occupancy starts:July 23,2019 LATE FEE of$20.00 will be applied on 11th day past due. Unit#:0003 Unit Size:10.0 x 15.0 VEHICLE:Yesj LEASE NUMBER:6496 Are you,a member of your.family or significant other a member of the military service or National Guard: Yes NO Branch: If YES,please provide the following information: Unit Name: Unit Commander: Unit Phone No.: Unit Military Address: Unit E-mail Address: MILITARY:In order to comply with SERVICE MEMBERS CIVIL RELIEF ACT it is Occupant's obligation to notify the Operator in writing that Occupant and any Occupant family member or significant other storing goods at the Facility are in active military service or in the National Guard,in order to determine Occupant's qualifications under this Act. If Occupant's military status or Occupant's family member's military status changes,Occupant is required to notify the Operator in writing of this change immediately. This information is required to assist members of the military on active duty,according to 1077 of thjeSCRA(50U.S.C.App.107). (Signed) IV i A Occupant Alternate Contact: Name: Address: City: State: Zip: Phone: E-Mail: The alternate contact shall only receive notices pursuant to Agreement or Chapter 105A of the laws of Massachusetts as may be required. This designation shall not provide an alternate contact with authority to access leased space except as provided by law or with written consent of the occupant and as provided herein. 1 Hyannis Sun Self Storage (hereinafter referred to as Operator)hereby rents to Tenant(hereinafter referred to herein as Occupant)and Tenant accepts the leased space indicated above pursuant to the following terms and conditions: 1. TERM: Occupant agrees that Occupant is a"month to month Occupant"and that the minimum rental term is one full month. At the end of the initial rent period,the rental term automatically renews on the"Rent Due Day"as mentioned on page 1,thereafter in increments of 1 full calendar month at a time only,until terminated by either party with at least a thirty(30)days'advance written notice by Operator to the Occupant and a ten(10)days'notice before the Rent Due Date to the Operator in accordance with the terms hereof. 2. RENT: Rent shall be the amount stated on page 1.Rent is due each month on the"Rent Due Day,"as stated on page 1,in advance and without demand or invoice. Operator reserves the right,in Operator's sole discretion,to require that rent and other charges to be paid in cash,good check,certified check or credit card. Operator may Increase the monthly rent or other charges by giving Occupant thirty(30)days;written notice,in advance,by first-class mail at the address stated in this Agreement. The new rent shall become effective on the next date rent is due. If Occupant has made advanced rental payments,new rent will be charged upon the exhaustion of the prepaid rent. Operator does send Invoices for monthly charges. Should you ever request an Invoice and do not receive it,it does not excuse you from a timely payment. Partial payments will not stop the accrual of late fees or limit Operator's remedies. Mailed payments must be received by Operator by the rent due date. Units are rented by price. Unit sizes may vary slightly from size stated. For calendar months with less than 31 days,Rent Due Dates for months of 29(twenty nine),30(thirty)and 31(thirty one),will be considered as having a rent due Date of the last calendar day of the month to keep accounts accurate and/or to properly close a calendar month. 3. SECURITY DEPOSIT Tenant shall deposit with Hyannis Sun Self Storage a security deposit equal to one(1)month's rent of 160.00. Said deposit shall be returned by mail to tenant within fourteen(14)days after termination of this agreement providing the tenant is not in default hereunder. Hyannis Sun Self Storage shall have the right to retain all or part of said deposit in partial consideration of damages sustained by Hyannis Sun Self Storage requiring expenditures for cleaning,repairs,and damages for breach of this agreement. No interest shall be paid on said deposit. 4. CHANGE OF ADDRESS: Occupant(s)must provide address and phone number changes to Operator in writing. Such changes will become effective only when given to Operator:by Mail,in person to Operator at the office of the Operator,by email,or by a website password protected account. It is Occupant's responsibility to verify that the Operator has received and recorded the requested change of address. S. COLLECTION,CHARGES AND OTHER FEES: Occupant agrees to pay Operator the late fee indicated below if rent is received the number of days after the rent due date as indicated on page 1 of the Rental Agreement. Occupant shall pay the Operator the indicated fee for each letter sent to Occupant,notifying Occupant of the default. Occupant agrees to pay Operator the fee indicated below as a declined payment charge plus all bank charges for any dishonored check,declined credit card charges,or other fees assessed against Operator as a result of a declined payment. Occupant agrees to pay all other default fees and charges listed below,if Operator is forced to provide such services as a result of a default by Occupant. These fees are considered additional rent and are to compensate Operator for labor and other cost of collection. in the event of default,Occupant agrees to pay all collections and lien costs incurred by Operator. Late Fee $20.00 Certified Letter Fee(per Letter) $6.59 Cut lock Fee $25.00 Returned Check Fee $35.00 Lien Fee $50.00 Trash Removal Fee $300.00 Violation of Gate Hours $100.00 6. TERMINATION: The term of the tenancy shall commence on the date indicated on page 1 and shall terminate on the same day of the following month. Either party may terminate the tenancy for any reason: Operator upon thirty(30)days'written notice given,in advance,to the Occupant. Shorter notice maybe given by the Operator to the Occupant for illegal activities,breaking rules or regulations:Occupant with a 10 day notice to the Operator before the Rent Due Date. Operator does not prorate rent. Occupant shall leave the leased space broom clean and in good condition and remove Occupant's lock. A leased space left with lock in place will continue to incur rent and any other charges/fees. Occupant shall be responsible for any and all damages caused by Occupant or Occupant's agents,guests or invitees in or about the unit. 7. DENIAL OF ACCESS: Operator shall have the right to deny Occupant access to the leased space if any rent or other charges due hereunder remain unpaid for five(5)consecutive days after the Rent Due Date or otherwise in the event of a default of Occupant's obligations hereunder. Operator shall have the right,in addition to any other rights and remedies available under applicable law or under this Agreement,to"lock over"the leased space,deny Occupant,Occupant's agents,guests and invitees gate access and assess a late charge. S. OCCUPANT ACCESS: Occupant's Access to the leased space and the facility may be limited as reasonably deemed necessary by Operator, including,but not limited to,requiring identification from Occupant,limiting hours of operation,limiting use of gate(if applicable),or requiring Occupant to sign-in and sign-out upon entering and leaving the facility,Including the temporary closure of all or portions of the facility for repairs,maintenance emergencies,health and safety issues,weather,evacuations,power outages,police/fire activity,and system failures. Operator may change the times and methods of access to the facility with a thirty(30)day written notice to Occupant. in the event of an emergency at or around the facility,Operator may require Occupant to enter only when escorted by Operator's employees or agents. Operator shall not be liable to Occupant for Occupant,Occupant's agents,Occupant's guests or Occupant's invitee's'nability to gain gate access due to a mechanical failure,misuse of access code(s)or any other reason. Occupant's Initials 2 9. USE OF LEASED SPACE: The leased space shall be used only for storage of personal property owned by Occupant or which Occupant has permission to store,and for no other purpose. It is expressly agreed that the Operator is under no duty to maintain any records of the property stored in the leased space. Occupant hereby acknowledges and agrees the Operator is not a warehouseman as defined in Massachusetts General Laws Chapter 10SA or Article 7 of the Uniform Commercial Code. Occupant shall keep the leased space in a clean and sanitary condition free of rubbish,liquid waste or refuse.Occupant shall not use the leased space or facility for the use or storage of any food;animal feed(including seed);explosives;highly flammable,dangerous,hazardous or toxic materials or substances(as defined below);noxious smelling items;items that deteriorate;contraband or illegal substances;items which are volatile,or which are hazardous when exposed to moisture,or which burn with extreme rapidity,or which when burning or subjected to heat produce toxic fumes or gases in quantities and under conditions harmful to the safety or health of an y person;or unlawful purpose of any kind. Occupant shall not store any property that includes combustible dust,explosive gases,flammable and r any combustible solids,flammable liquids,poisonous,corrosive or fumes or hazardous substances described below. Occupant shall not engage in any activity in the leased space which produces such prohibited materials. Occupant ant shall I n the operation of any commercial,industrial or manufacturing business. These items include,but are not limited to,the followingspace for any unlawful purpose, A. ANY ITEM PROHIBITED BY LAW: Occupant shall not store in the leased space any items which shall be in violation of any order or requirement imposed by the Board of Health,Sanitary,Police or Fire Departments,or any other appropriate governmental dy or do any act or cause to be done any act which creates or may create a nuisance in or upon or connected with he space. Further, Occupant shall not use or allow the leased space or facility to be used for the release,storage,use treatment,disposal or other handling of any hazardous substance without prior written consent of Operator. The term"release"shall have the same meaning as ascribed to in the Comprehensive Environmental Response Compensation and Liability Act,42 U.S.C.Section 9602,et seq.,as amended("CERCLA"). The term"hazardous substance"means: a. Any substance defined as a"hazardous substance"under CERCLA; b. Petroleum,petroleum products,natural gas,natural gas liquefied natural gas,and synthetic gas,and C. Any other substance or material.deemed to be hazardous,dangerous,toxic,or a pollutant under any federal,state or local law code,ordinance or regulation,nor use the Space for the conduct of any business or for any human or animal habitation. S. FOOD,PERISHABLE GOODS: Occupant shall not store any improperly packaged food or perishable goods,or other items that may attract rodents,vermin or other infestations in the space. C. GAS POWERED ITEMS: Occupant shall not use the leased space for storage of any gasoline or other fuel oil,grease,or any other lubricant,tires,or batteries,or any other accessories except for such gas,oil,grease,or other lubricants as may be contained in the operating parts of the items stored in the leased space and in such shall store the item with a FULL TANK OF GAS and a drip pan or absorbent pad designed to absorb petroleum products under the stored item to retain any leaking and NO PROPANE may be stored in the premises including canisters. Occupant shall also be liable to Operator for cleaning. D. OCCUPANCY: Occupant shall not live or sleep In the leased space or at the facility. Occupant shall not keep or store any animals in the leased space or facility. Any pets Occupant brings to the facility when Occupant visits shall remain in Occupant's vehicle at all times. Children must be supervised. E. PROPER USE: Occupant shall all use the leased sp ace for storage of personal rty only and shall not use the leased space for any manufacturing,industrial or welding operation. Occupant hall not use the leas pace for any exhibit,display,rehearsal or for any other purpose which would bring an audience to the facility. F. SENTIMENTAL OR EMOTIONAL PERSONAL PROPERTY: Occupant shall not store any personal property which is an antique, collectable or irreplaceable and shall not store anything with sentimental or emotional value and Occu n eby waives all c for sentimental or emotional attachment)and shall not store anything which would be damaged by fluxation in theemperature in s the leased space. G. PROPERTY NOT OWNED BY OCCUPANT: Occupant agrees to store only nd ex owner. Operator shall not be liable to Occupant or any third person for the removal or ale of personal property which is not dusrve Occupant's property or upon which a prior lien has been attached. 10. INSURANCE:Occupant,at Occupant's expense,shall maintain insurance against loss or damage to Occupant's stored personal property in an amount at least equal to the actual cash value of stored property. Insurance on Occupant's property is a material condition of this Agreement and is for the benefit of both Occupant and Operator. Failure to carry the required insurance is a breach of this Agreement and Occupant assumes all risk of loss to stored property that would be covered by such insurance. Occupant expressly agrees that the Insurance company providing such insurance shall not be subrogated to any claim of Occupant against operator,Operator's agents or employees for loss of or damage to stored property. 11. RELEASE OF OPERATOR'S LIABILITY FOR PROPERTY DAMAGE: All personal property stored within or upon the leased space by Occupant shall be at Occupant's sole risk. Operator and Operator's agents and employees shall not be liable for any loss of or damage to any personal property in the leased space or at the self-storage facility arising from any causes whatsoever. 12. RELEASE OF OPERATOR'S LIABILITY FOR BODILY INJURY: Operator,Operator's agents and employees shall not be liable to Occupant, Occupant's agents,guests or invitees for injury or death or any other damage or claim as a result of Occupant's use of the leased space or the self-storage facility. 13. INDEMNITY: Occupant agrees to indemnify,hold harmless and defend Operator from all claims,demand,actions(including or caused of action attorneys'fees and all costs)that are hereinafter brought by others arising out of Occupant's,and Occupant's guests or invitee's use of the leased space and the self-storage facility,including claims related to Operator's negligence. 3 Occupant's Initials 14. LOCKED SPACE,STORAGE OCCUPANT'S RISK: Occupant is required to keep the leased space locked using ONE LOCK PER DO Occupant shall,in Occupant's sole discretion,select a lock Occupant deems suitable for use for the leased space. Operator shall not retain a key to Occupant's lock without written consent from the Occupant. Occupant shall place only one lock on one hasp,the other hasp is reserved for the Operator's use. If Operator finds a leased space without a lock,Operator will notify Occupant,.and Operator may, but is not required to,lock the space with Operator's lock. y, 15. RULES AND REGULATIONS: Operator shall have the right to establish or change the hours of operation for the facility and to promulgate rules and regulations for the safety,care and cleanliness of the storage space or the preservation of good order on the facility. Occupant agrees to follow all rules and regulations now in effect or that may be put into effect from time to time. Gate Access Hours:6AM-9PM,7 days a week. Annex Gate Hours lam-7PM Office Hours: Monday-Friday 9AM-SPM, Saturday and Sunday SAM-4PM. Office will be closed in observance of the following Holidays: New Years,Easter,Memorial Day,,Jul 4th,Labor Da yy,Y Y Thanksgiving,and , NO BLOCKING GATE. No Smoking. No Alcohol Consumption Allowed on premises. No Dumping. Pets must remain in vehicle. One car at a time through gate. No Piggybacking. Children must be supervised and not allowed to wander. No sleeping in units or vehicles on the premises. No cash in rent drop box. No loud music. No violation of gate hours. Violation of Gate Access hours will result in a$100.00 Fee per incident. 16. DEFAULT,OPERATOR'S REMEDIES AND LIENS: Time is of the essence in the performance of this agreement and in the payment of each and every installment of any rent or any other charges to be paid in accordance with this agreement. If any such rent or other charges shall be due and unpaid or if Occupant shall fail or refuses to perform any of the covenants,conditions or terms of this rental agreement, AND IF SUCH DEFAULT CONTINUES FOR MORE THAN TEN(10)DAYS,OPERATOR,AT OPERATOR'S OPTION,MAY(a)terminate Occupants right to use the leased space;9b)double lock the leased space or otherwise deny Occupant access to the leased space and/or facility;(c) open the Occupants leased space for the purposes of taking photo inventory of the property stored and(d)enforce Operator's lien by selling the property at a public sale in accordance with the provisions of the General Laws of Massachusetts,and apply the net proceeds from such sale to the payment of all sums due to Operator hereunder at such public sale for any amount of money more than is reasonably necessary to satisfy Operator's lien. 17. NO SUBLETTING: Occupant shall not assign or sublease the leased space without the written permission of the Operator. Operator may withhold permission to sublet or assign for any reason or for no reason at Operator's sole discretion. IS. OPERATOR'S RIGHT TO ENTER: Operator,Operator's employees or agents and the representatives of any governmental authority, including police and fire officials,shall have the right to remove Occupant's lock and enter the leased space,without notice to Occupant, to take such action as may be necessary to preserve Operator's property in the event of an emergency,or to comply with any applicable law,governmental or court ordered,warrant,subpoena or to enforce.any of Operator's rights. For the purpose of this rental agreement, "emergency"shall be defined as any event which jeopardizes the health,safety and/or well-being of any person or the facility or any of the buildings or any other personal property stored at the facility. Operator shall further have the right,on a non-emergency basis,to remove Occupants lock and enter the storage space with reasonable notice to Occupant to make any repairs,replacements,other desirable improvements or conduct any inspections of Occupants personal property(hereinafter referred to as"the work'). Operator will endeavor to give a minimum of three(3)days'notice to Occupant of the work and,if Occupant is available,will schedule an appointment with Occupant to remove Occupants lock to allow the work. If Occupant is unavailable or unable to provide Operator access,Operator may cut or remove•and replace the lock,after the work has been completed,with a lock of similar quality at Occupants expense. Occupant may obtain keys to the replacement lock from Operator's office during office hours. 19. PROPERTY LEFT IN THE LEASED SPACE;ABANDONMENT: Will be subject to a$300.00 removal fee. a. Occupant agrees that Operator may dispose of any property left In the leased space or on the storage facility premises by Occupant after Occupant has terminated Occupant's tenancy by giving authorizing notice of removal of Occupants lock. Occupant is responsible for paying all costs incurred by Operator in disposing of such property. b. An abandoned space is I. A leased space that the Operator finds unlocked and empty or unlocked and containing personal property with a value less than$300,in the Operator's opinion,or ii.A leased space,which possession,all rights to and any personal property within,has been affirmatively surrendered to the Operator by the Occupant. Pursuant to Section 105R:9,in the case of abandoned leased space, the Operator shall have the right to take possession of the leased space after fourteen(14)days and dispose of any personal property in the leased space by any means so long as the Operator has attempted to contact the Occupant on two(2)separate days,at least three(3)days apart,or,-if unsuccessful,has attempted to contact the secondary or emergency contact,if one was provided,to discern whether the storage is abandoned. 20. WAIVER OF JURY TRIAL,OPERATOR REMEDIES: Operator and Occupant waive their respective right to trial by jury of any cause of auction,claim,counterclaim,or cross complaint,in any action brought by either Operator against Occupant,or Occupant against Operator,or Operator's agents or employees,on any matter arising out of,or in any way connected with this Agreement,Occupants use of.leased space or this storage facility,or any claim of bodily injury or property loss or damage,or the enforcement of any remedy under any law,statute or regulation. This jury trial waiver is also made by Occupant on behalf of any of Occupants age ts,guests or invitees. In the event of any breach of this Agreement by Occupant,Operator shall have the right to pursue any and all reme ie available at law and equity and shall be entitled to reimbursement of all costs and expenses,including attorney's fees. (\' Occupant's lnitia !.) 4 r 21. SECURITY TYPE SYSTEMS: Operator employs certain measures to protect Operator's facility referred to as"security operation or failure of any type system installed by Operator shall not change aforementioned liability for an ty type systems." The Occupant and shall noway release Occupant from Occupant's obligation of insuring Occupant's personalproperty.ytype These securiof loss incurrty type by systems may include:gate codes;cameras;lighting;alarms. Occupant acknowledges that these measures re for the protection of he Operator's facility as a whole and not the individual space or for protection of the Occupant,that video cameras and alarms f applicable) are not monitored at all times,and that all these systems may not operate properly in the event of a mechanical,electrical or software ( failure: Further,video cameras may not record specific events or may not record at all times and may not record all parts of the facility. 22. NOTICES:Except as otherwise required by law,all notices under the rental agreement from Operator to Occupant shall be mailed by first class U.S.mail,postage pre-paid,to the Occupant's last known address,or e-mailed to the e-mail address provided by Occupant in h terms and conditions section of this rental agreement and shall be conclusive) ave n t e business days after mailing or upon ema€ling. Default notices shall be emailed to Occupant ifOc Occupant provideeen receives by aasseent foremail ee(3) notification for Default notices on page 1 of this rental agreement. All notices from Occupant to Operator shall be mailed by first class U.S.mail,postage pre-paid,to Operator,at the Office mailing address listed on the first page of this rental agreement,or delivered to the Operator's office(f applicable): Occupant is responsible for notifying Operator in writing to the facility office or in person on a form prescribed by Operator,of any change in Occupant's address or of intent to vacate at the end of the term. 23. EXCLUSION OF ALL WARRANTIES: The agents and employees of Operator are not authorized to ma and the Facilityreferred make warranties to in this Rental Agreement. ORAL STATEMENTS BY OPERATOR'S AGENTS AND EMPLOYEES DO NOT CONSTITUTE WARRANTIES. Such Statements shall not be relied upon by the Occupant and are not part of this Rental Agreement. The parties hereto agree that the IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE and all other warranties, expressed or implied,ARE EXCLUDED from this transaction and shall not apply to the Leased Space and the Facility,and that Occupant accepts such Leased Space and access to the Facility AS IS AND WITH ALL FAULTS. 24. MISCELLANEOUS: This Agreement represents the entire agreement of the parties with respect to the subject matter hereof and may only be amended by a written agreement signed by each of the parties hereto. This Agreement shall be governed by the General Laws of the Commonwealth of Massachusetts without regards to laws governing conflicts of laws. 25. PEST CONTROL: Occupant is advised that Operator may use chemicals at the facility including around the leased space,for pest control. For this reason,no pets are allowed. The only extermination provided by Operator,if at all is in common areas of the facility. 26. AGREEMENT TO MEDIATE: Operator and Occupant agree as follows: With the exception of non-payment of Occupant's rent and Operator's right to conduct a lien sale,declare an abandonment,dispose of personal property,or evict as a result of default under this rental agreement,or apply the security deposit,if any;that any litigation,claim,dispute,suit,action,controversy,proceeding,or otherwise("claim")between or involving Operator and Occupant,whether arising out of or relating in any way to this rental agreement and/or any other document,an alleged breach of any duty,or otherwise will be submitted to a non-binding mediation for a minimum of eight(8)hours before any mediation organization approved by Operator and Occupant located within fifteen(15)miles of the facility. In the mediation,Operator and Occupant shall each be represented by an individual authorized to make binding commitments on their respective behalves and may be represented by counsel. In addition,Operator and Occupant may,with permission of mediator,bring such additional persons as are needed to respond to questions,contribute information and participate in the negotiations. The fees and expenses of the mediator and/or mediation organization shall be shared equally by Operator and Occupant. The mediator shall be disqualified as a witness,consultant,expert or counsel for any party with respect to the dispute and any related matters. 27. DEATH OF OCCUPANT/SUCCESSION: Upon notice of death and verification of death of Occupant by Operator,the leased space will be over locked. Access will be denied. Operator requests that the legally appointed representative of Occupant's estate contact Operator as soon as.possible. Operator will have a lien on the contents of the leased space. Payment will still be required to preserve the assets of the estate. All provisions of this rental agreement shall apply to and be binding upon all successors in interest,assigns or representat€ves of the parties hereto. 28. ENFORCEMENT: If any part of this rental agreement is held to be unenforceable for any reason,In that any circumstance,the parties agree that such part shall be enforceable in other circumstances and that all remaining parts of this agreement will be valid and enforceable. 29. TEMPERATURE CONTROLLED: Massachusetts law does not define the term"temperature controlled". This provision defines the responsibilities of Operator for providing temperature to the space. If the space is leased under this agreement as a temperature controlled leased space,only if indicated on page 1 of this rental agreement,then Operator provides heating and air conditioning to the building containing the space. Occupant recognizes that under certain circumstances including,but not exclusively,mechanical failure, material shortages,electrical or other utility blackouts,brownouts,or other failures,acts of god,labor and materials shortages,strikes, malicious mischief,and fire,that the temperature may deviate from the desired temperature and Occupant understands that heating systems and their power sources are not redundant. Further,the temperature in the building containing the space may vary from the temperature of the space,Occupant agrees to release Operator from any and all liability arising from any such failure of the heating and air conditioning systems which occur as a result of a failure outside of Operator's direct control. 30. INCLEMENT WEATHER WAIVER: Occupant understands that during inclement weather,that by accessing this facility,Hyannis Sun Self Storage,that Occupant is solely liable for any injuries,accidents or any other mishaps that may occur while Occupant,Occupant's agents, Occupant's guests or Occupant's invitees are on the property. Occupant further agrees that this facill is Ke7rty. fr any liability that may arise as a result of Occupant or Occupants agents,Occupant's guests or Occupant's invitees acc si t Occupant's Initials 5 31. LIMITATION OF VALUE: THE OCCUPANT AGREES THAT IN NO EVENT SHALL THE TOTAL VALUE OF ALL PROPERTY STORED BE DEEMED TO EXEED SS,010.00 UNLESS THE OPERTOR HAS GNEN PERMISSION IN WRTIN G FOR THE SUCH VALUE THE OCCUPANT AGREES THAT THE MAXILXCEEDING MUM VALUE FOR ANY CLAIM OR SUIT C BY TCC TPANT INCLUDING BUT NOT LIMITED TO ANY SUIT WHICH ALLEGES WRONGFUL OR IMPROPER FORECLOSURE OR SALE OF THE CONTENTS OF A STORAGE U SSAM.00. NOTHING IN THIS SECTION SHALL BE DEEMED TO CREATE ANY LIABILITY ON THE PART OF THE OPERATOR TO THE NIT IS OCCUPANT FOR ANY LOSS OR DAMAGES TO THE OCCUPANT'S PROPERTY REGARDLESS OF CAU5E. 32. VEHICLES: Vehicles(including,but not limited to autos,trucks,trailers,mobile homes,boats,and campers)may not be stored overnight without permission of the Operator. A charge will be levied for such overnight vehicle storage. Any Unauthorized and Unattended vehicle will be towed at owner's expense.,Any Vehicle blocking a storage unit or space will be towed at owner's expense. Any vehicle stored will only be allowed in the space allocated and referred to in this Agreement by addendum. Only one vehicle may be stored in each marked space,no loose items may be stored outside of the vehicles. Only vehicles with a current license and inspection tags will be permitted unless otherwise agreed to by the Operator. A copy of a valid registration or title must be kept in Occupant's file. In the event that any motor vehicle remains stored in the leased space after termination of this days,and in addition to all other rights and remedies available to Operator,Operators authorized to ca0use such vehicle to be removed by a person regularly engaged in the business of towing vehicles,without liability for the costs of removal,transportation or storage or damages caused by such removal,transportation or storage. Occupant acknowledges that Occupant has personally been given notice that the vehicle is subject to removal at the Occupants expense. Operator shall incur no liability to Occupant for causing the vehicle to be removed pursuant to this Section. 33. PERMISION TO COMMUNICATE: Occupant recognizes Operator and Occupant are entering into a business relationship at the Facility. As such, Occupant herby consents to Operator phoning,faxing,e-mailing,and using social media to communicate with Occupant with marketing and/or other business-related communications,including automated calls or texts. Occupant agrees that notices may be given by e-mail if Occupant elects to provide an e-mail address. 34. RELEASE OF INFORMATION: Occupant hereby authorizes Operator to release any information regarding Occupant and Occupants occupancy as may be required by law or requested by governmental authorities or agencies,law enforcement agencies or courts. 35. FINANCIAL INFORMATION: Operator does not warrant or guarantee that any financial information(credit card,checking account)will not be stolen or otherwise compromised. Occupant waives and releases any and all claims or actions against Operator for damages arising from the use of said information by others. 36. CHANGE OF TERMS: All of the terms,charges,conditions or covenants of this agreement as SUBJECT TO CHANGE SOLELY BY OPERATOR UPON THIRTY(30)DAYS'prior written notice to the Occupant. If changed,the Occupant may terminate this agreement on the effective date of such change by giving the Operator ten(10)days'prior written notice to terminate. if the Occupant does not give such notice,the change shall become effective and apply in accordance with the terms of this notice. 37. RELEASE OF LIABILITY: NO BAILMENT IS CREATED BY THIS AG EEMENT OPERATOR IS NOT A WAREHOUSEMAN ENGAGED IN THE BUSINESS OF STORING GOODS FOR HIRE. THE EXCLUSIVE CARE CUSTODY AND CONTROL OF ANY AND ALL PERSONAL PROPERTY STORED IN THE LEASED SPA CE SHALL REMAIN VESTED IN THE OCCUPANT OCCUPAN AND ALL PROPERTY STORED WITHIN OR ON THE SPACE BY TOR LOCATED AT THE FACILITY BY ANYONE SHALL BE STORED AT OCCUPANT'S SOLE RISK. Occupant releases Operator, Operator's employees,agents,successors,and assigns from any and all liability for Personal Property damage or loss Personal Property;for damage or loss from,as examples,fire,water,the elements,mold or mildew,Acts of God,theft,burglary,vandalism, malicious mischief,mysterious disappearance,and rodent or vermin damage;or the acts or failure to act or negligence of Operator, Operatots employees,or agents. Self-storage insurance is strongly recommended. The only insurance that covers the Personal Property stored in the Leased Space is that purchased by Occupant. Occupant understands that this Release of Operator's liability is a bargained for condition of this Rental Agreement and Operator's consent to enter into this Rental Agreement,and that N Operator were not released from the liability as set forth in this Agreement,a much higher Rent would have to be agreed upon or Operator would not enter into this Rental Agreement. 38. RECEIVING SHIPMENTS/AUTHORIZATION TO HOLD KEYS: Receiving shipments to C003,Occupant agrees that the shipments will be only in the name of the Occupant and that the Operator and Operator's agents and/or Operator's representatives is released of any and all responsibility or liability to inventory the shipments,be with the delivery person as they are placing the shipment into the above specked leased space,to accept shipments in which the delivery person refused to deliver directly to the specified leased space and/or any damages that may occur,and Operator and Operator's agents and/or Operator's representatives has authorization to deliver said shipments to the aforementioned leased space. 39. NOTICE TO OCCUPANT: DO NOT SIGN THIS RENTAL AGREEMENT BEFORE YOU READ IT AND FULLY UNDERSTAND THE COVENANT AND CONDITONS CONTAINED HEREIN. OCCUPANT IS ENTITLED TO A COPY OF THIS AGREEMENT. KEEP THIS AGREEMENT TO PROTECT YOUR LEGAL RIGHTS PHOTO ID SECURED:YES NO LEASE NUMBER:6496 Operator:Hyannis n Self Storage OCCUPANT'S SIGNATURE: By: T4Naarcos Da511va Print Name: 1 ey Graham DATE: 7) - Ip1 DATE: 6 Hyannis Sun Self Storage 270 Communication Way Bldg.7 88 Iyannough Road Hyannis,MA 02601 508-790-1552 Unit#C003 Gate Access * 13855478# The following amendment is for your reference. It contains some important suggestions and pertinent information about the policies of this self storage facility. 1. Your fee is 160.00 and is due on the first(I8)of each month. 2. Automatic payments available online-www.sunselfstorage com You may pay a in the office or use the night mail slot. 3. If we have not received your payment by the 6th day of the month your gate access will be denied However,we will not charge a$20.00 late fee until the I1th day of the month. 4. Any unit(s)placed in lien will be processed in compliance with MA General Law 105A. 5. A partial payment will not stop fees or offtcial,procedures.Access is always denied if there is any oast due balance. 6. A$35.00 fee is automatically charged for all returned checks as well as applicable late fee(s).All future payments must be made by cash,money order or certified check. 7. . We do not assume liability for.the goods you store.Adding stored goods to an existing policy is generally inexpensive,we recommend contacting your insurance agency. 8. Do not use the rental unit for anything but STORAGE.Do not store any food,flammable,explosive or illicit materials.The unit is to be used for storage only. 9. The storage unit must be vacated on or before the last day of the month for which rent has been paid and all terms and conditions of this agreement are met by the tenant. 10. The storage unit must be clean,emptied,in good condition-ready to rent. 11. Tenant's lock must be removed upon termination of occupancy.Failure to remove lock will result in your being charged the next month's rental and late fees. 12. Access everyday including weekends and holidays as follows.Gate hours are from 6:00 am to 9:00 pm_ Annex gate hours are 7:00 am - 7:00 pm The gate will not open after 9.00 pm please be out on time.*** Please do_not try Your access code more than 3 times if the Fate does not open see the manager for assistance during office hours oni. 13. Office hours are from 9:00 am to 5:00 pm Monday thru Friday---8:00 am to 4:00 pm Saturday+Sunday Management is on the property after hours for security reasons only.*** 14. DO NOT ENTER THE FACILITY WITHOUT USING YOUR ACCESS CODE. ***The gate m§J close and you may not be able to exit.*** 15. We do not prorate when you vacate a unit. If your unit is not vacant on the first(19)day of the month,a full month's rent is due. 16. Only one lock is allowed per door latch. If more than one lock is found,you may be subject to a$30.00 administration fee for the removal of that lock. 17. Please keep us updated of any address and/or phone changes.Until we are notified in writing with your signature,the only valid address and telephone number present is on the lease. 18. Please leaves aisles clear-do not block another tenant's door. 19. Delivery drivers are to be met promptly and are not to block the front driveway 0r gate under any circumstances. 20. We will strictly enforce all policies and conditions in our rental agreement/contract and addendum.We do not make exceptions. 21. Forklift service is available during office hours,see manager for details. hank you! We appreciate your business.If we can be of further help,please let us know. 712311 kan s Signature Date copy received Operator's Signa r `"E' Complaint Call Report erintedon:�nai2o,s 9. a 141 WAYLAND ROAD, HYANNIS foMp+°�00 Case# C-19-546 Case M C-19-546 Address: 141 WAYLAND ROAD, Date: 7l5/2019 HYANNIS Owner Info: Property Info: DASILVA, MARCO AUGUSTO MBL: 141 WAYLAND ROAD 271-223 HYANNIS MA 02601 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning, Building Code, Medium Priority Phone Complaint Summary: Constructed new very large shed (15'-2.0-long by 1Oft wide) near the property line/fence and about 10 ft from neighbor's bedroom window. Owns pool company(Quality pools). Operating a business Action History: Action Taken Date Description Fee Inspector Order Letter Zoning 7/8/2019 Operating a business in a $0.00 mckechnr RB zoning district.Also in a WP overlay district. Inspector Assigned to Complaint: mckechnr Filed by: andersor Comments: Comment Date Commenter Comment 7/9/2019 mckechnr Notice of Zoning Violation processed 07/09/19 for operating a business. Copy in street file. Date: 7/18/2019 Town of Barnstable MARCOS SILVA 141 Wayland Rd. Hyannis, MA 02601 TO WHOM IT MAY CONCERN: Chemicals removed from shed: 5 -Cases of liquid shock. 2 -5 lbs. of PH reducer. 2-5 lbs. PH increaser. 1-5 lbs. Alkalinity booster. 3 qt. Pool clarifier. 2 qt. Algaecide. 2 -6 Lbs. Stabilizer. All being stored safely in the work Van. DATE: 0-7 -,)-o m .. • m m r OFFICIA-LUSE Ir Certified Mail Fee /,42`Ie'-1L '` Er $ FJdfa,.Services&Fees(check box,addtee as appropriate) 4,� ❑Return Receipt(hardcopr-Iy) $-n.,y ❑ReturnRecelpt(electronic) �$> A P t tmark 0 ❑Certified Mail Restricted Delivery ($) �J ire 0 ❑Adult Signature Required $ ❑Adult Signature Restricted DeliveCd ry *4 Postage N 0�A�" N $ 05 raV Total Postage and Fees Q w $LO Sent To r-I StreetandApt.N.,orA oxNo. """"""""" """"""""" 5'i City,St e.ZlP+4�'�.��L '-------------------------------- 717 e"O Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this 'r delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that Is retained by the Postal Service' Restricted delivery service,which provides fr, for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agentA M Important Reminders. Adult signature service;which requires the -.J ■You may purchase Certifled Mail service with signee to be at least 21 years of age(not -a First-Class Mall®,First-Class Package Service®, available at retail). or Priority Maii®service. Adult signature restricted delivery serviee,which ■Certified Mail service is not available for requires the signee to be at least 21 years of ado- international mail. and provides delivery to the addressee specified:7 ■Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agent; with Certified Mail service.However,the purchase (not available at retail). w; of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a J certain Priority Mail items. USPS postmark.If you would like a postmark on M ■For an additional fee,and with a proper this Certified Mail receipt,please present your t, endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for F•r the following services: postmarkirig.If you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portton L of delivery(including the recipient's signature). , of this label,affix it to the mailpiece,apply F-- You can request a hardcopy return receipt or an. appropriate postage,and deposit the mailpiece. M electronic version.Fora hardcopy return receipt, complete PS Form 3811,Domestic Return , •` Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. Ps Form 3800,Apd1.2015(Reverse)PSN 7530-02-000.9047 ' Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and Abate: Marco Augusto Silva,141 Wayland Road, Hyannis,MA 02601 and all persons having notice of this order: As property owner or tenant of the property located at 141 Wayland Road, Hyannis,MA, Assessors Map 271 Parcel 223,you are hereby notified that you are in violation of Part 1 of the Town of Barnstable General Ordinances,Chapter 240-Zoning, and are ORDERED this date 7/9/2019,to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 7/8/2019, I observed a violation of the Barnstable Zoning Ordinance Chapter 240 Section 11 Specifically, operating a pool business,Quality Pools, in the RB Zoning District. f Summary of Action to Abate Violation: } a` In order to abate this violation and to avoid further enforcement action by this office,commence within 48 hours upon receipt of this notice the following action: Cease and desist the business use on the property. And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of Barnstable, specifying the ground thereof within thirty(30) days of the receipt of this order (in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires will be taken. By Order, Robert McKechnie Local Inspector �_ .$ -.. y.;. rxa � -y ¢� EyNa.� �'..' '�i� li M,rY1,=. tE�N' '14—a„ Bq°va .aw� �vi dewy,., �.fHE► , , r rAlp :Punted-On 7/18/2019 Complaint�Callr Report C0 4"Www ;9m.a 141 WAYLAND KUA;D- YANNIS 14 CaseAVI :# .h �c � , r. ten . w�xr s a - A Case#: C-19-546 Address: 141 WAYLAND ROAD, Date: 7/5/2019 HYANNIS Owner Info: Property info: DASILVA, MARCO AUGUSTO MBL: 141 WAYLAND ROAD 271-223 HYANNIS MA 02601 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning, Building Code, Medium Priority Phone Complaint Summary: Constructed new very large shed (15'-20-long by 10 ft wide) near the property line/fence and about 10 ft from neighbor's bedroom window. Owns pool company(Quality pools). Operating a business Action History: Action Taken Date Description Fee Inspector Order Letter Zoning 718/2019 Operating a business in a $0.00 mckechnr RB zoning district.Also in a WP overlay district. Inspector Assigned to Complaint: mckechnr Filed by: andersor Comments: Comment Date Commenter Comment 719/2019 mckechnr Notice of Zoning Violation processed 07/09/19 for operating a business. Copy in street file. auni a dm r 7/18/2019` , `� �` �� Y � F� _ `,Town,of�Bar_nstable_° Date u r y 4,^ ?v wP am u E`�i.t ary�a 51+xt I c$ k,s 4ti 0 ' *Pnnt6&0n 7/18/2019�«`: o� � Cornq p ainti-CIF 1I"Rep6rt� Piip ` t�$�qy k ' yi i ° afar r � � 1' K,5�h }@„�, ra � ,.� 141 WAYLANDx ROAD;�HYANNIS � k n ��� '��' �� � �Case# C 49 545 Case#: C-19-545 Address: 141 WAYLAND ROAD, Date: 7/5/2019 HYANNIS Owner Info: Property Info: DASILVA, MARCO AUGUSTO MBL: 141 WAYLAND ROAD 271-223 HYANNIS MA 02601 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning, Building Code, Low Priority Phone Complaint Summary: Constructed new very large shed (15'-20-long by 10 ft wide) near the property line/fence and about 10 ft from neighbor's bedroom window. Owns pool company(Quality pools). Violates set backs? No pemits? Operating a business? Action History: Action Taken Date Description Fee Inspector Order Letter 7/8/2019 Work without permit, $0.00 mckechnr construction of shed not meeting setbacks. Inspector Assigned to Complaint: mckechnr Filed by: andersor Comments: Comment Date Commenter Comment. *. 7/1E8/2019 .° , ,w ` ;�� ;Auw M oft, TIown�ofRBaristable f. Dates ��.0 Ygv .. i �o`rtle s TOWN .OF BARNSTABLE 2459 bJ e Permit No. _ -- - - -- Building Inspector.;;. .tlna 5' Cash - -- OCCUPANCY : PERMIT Bond. ___ _ _ ___ Issued to Capricorn Realty Trost � Address Al Ant _416 141. WgN71 and Rnaci. -Nvanni n Wiring Inspector Inspection date Plumbing Inspect r/ ? p i. ; Inspection date Gas Inspector ? . Inspection date 7:3cB Y, z98Z. ;Engineering Department r Inspection date . `�� Board,of Health .. , 'Inspection dateSr/ �' THIS PERMIT WILL NOT BE VALID, AND THE x 3.1ILDING 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.. , �Gi/�s� 19 :........., ..` . .... .......................... .......... »» Building .Inspector 011c, PLO- �l9/sue Assesftor's map and lot number... .•7 ...... ,,o�, Sewage Permit number 0 Z... ' �55 1 i SYSTEM `°`�Q y" Z, B6BMASIL E i House number ...... :.. /........4... . a... .......... � ti'I 3 s LE. CC3�d = 39 WITH TITLE 5 �'Q YPy pENVI " TOWN OF BARNS U A �1�3� s BUILDING . INSPECTOR APPLICATION FOR PERMIT TO Construct. Single Family Dwelling TYPE OF CONSTRUCTION .........Wodd Frame................................................................................................. F TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according)to the following information: Lot # (� 1 '�?�..�Location ................................:.... !!� H_vaT1t11Sa... ...........................................:.: , ProposedUse ................................................................................................................:............................................................ Zoning District . R B Fire District ..Hera,nnis......................................................... Name of Owne'rCapricorn Realty Trust address .......7.65. Falmouth Road, Hyannis ..... Name of Builder-Franco Real .state D2V. C0Address .......765 Falmouth Road,•. Hyannffi griC. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms S1X .....Foundation P• Exterior Clapboard and/or shingles Roofing Asphalt shin,gles ................................ ................ Floors ......................................................................................Interior .................................................................................... .- 'Heating Gas- F, A...... ::.:...:.. lumbi g��:..Twp: -..:CoP.P.e ... '.__...."................... - ............... .. .. .......... ......... P n c Fireplace None „Approximate Cost $4.0,000.oo Definitive Plan Approved by Planning Board ________________________________19________. Area ... .ft...... 4 Diagram of Lot and Building with Dimensions Fee "' . SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 ............ ,— CAPRICORN REALTY TRUST _ 4 1 j ^ fJo 245.59 � permit for „One 2 Story ............... ......... ."q e...k'.amz.l�r...i?We.1ling........... Location Lot #36 141 Wayland Road- ...................... k 1 .................Hyannis..................... ........I......... r ..; Capricorn Realty Trust Owner # , .......................................................... (! Type of Construction Frame ............. .......... .................................................................. Plot ......................... Lot ................................ s Permit Granted November 16 , 19 82 + ' Date of Inspecti 2 ...r ............t 9 j Date Completed R � f 1 } 1 t 1f -ra� Gyc. IL.gCr I�y�BL Assessor's map and lot number. .. �I..~'.. a.. ` ..... C� ';�' t f1L14�' ,.. OFTHerO Sewage Permit number .................................. .-........f„ ............. Z oBAR35TO D Hou&e number .... ............` rase ... .�.... LE, i o 163 �0 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...Construct Sind. Faddy Dwellina . ........................................................................................... TYPEOF CONSTRUCTION ........Wodd FY.am.e.................................................................................................. ......../.......................................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap'pliess for a permit according to the following information: Location ... ? .. ......��.. �,.... . .:................ ......&6�...................... vaxaxa?: ...... ?A........ ProposedUse ............................................................................................................................................................................. Zoning District .R.B.............................................................Fire District ..Hyannis Name of ownenapr earn Realtv `'rust Address .....765 Falmouth Road. Hyannis. .............. ......................... ........................................... ..... Name of BuilderFranea Real Estate Dev. _Co Address .....7.�3..5..F mouth Road,, H,yannt! .... ........tYYt:. .... .................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms SAX ....Foundation ..P.'. •................................... .................................................................... Ex,eriorClapboard and/or shingles Roofing ..Asphalt shingles ................................................... ................................................................. Floors ...............................................Interior ................................. Heating Gas...-..�. ..A.. Plumbing umbin . WO ... CBpper Fireplace None............................................................Approximate Cost � O OQO.00 Definitive Plan Approved by Planning Board ________________________________19________. °` Area - O'S� St# • fit. r ..... Diagram of Lot and Building with Dimensions Fee ...........n...'............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 1� yA OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform toall the Rules and Regulations of the Town of Barnstable regarding the above constructio6. Name .......... CAPRICORN REALTY TRUST A=271-223 24559 One 2Story No ........ .....— Permit for .................................... Single Fami1X Dwelling :� ................. IT Location Lot #36. ....141..Wa land Road N� ...................... ........ ...... .................... .................Hy A ani S............................................ Owner ....! qp?�icorn Real. ty...TKM��-�..... ....................... ..... Type of Construction ....EKAMe......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....�.ovember .....................1..6.1......19 82 Date of Inspection ....................................19 Date Completed ......................................19 e5+ 43 oc -0 E 0) 0 r - F f CDT 3 � /®994 s,F �T �\ ion 37 5 331 qj N 83,9 4 P 2'tiS ------- f\f ,s 05-8 V z //-✓ J 2 0' r� OF� s S. a CERTIFIED PLOT PLAN aa� Lvr36 /, • y1. NEW CONSTRUCTION ONLY $ o sucr► TOPS OF FOUNDATION IS F T IN � ABOVE LOW POINT OF ADJACENT ROAD. SCALE, / "= 30 ' DATE ,� ,QGE ENGIN ECG Co-/2 " 2gnr�o I CERTIFY THAT THE vL ✓yA 7 pan. �"L�� T�--�---�-- SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED 404�#0• 5 Oy-.. ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.AY�, OF ®ARNSTA E , `ASS. j c2 tco i+ v v T R E E. r :. ^! P U ��.. '� K—off__ -C ,•. H YA N R I S, MAS St SHEET.J.O�'..! ATE 0. LAND SURVEYOR z - _. -- Communicat1on _ResuIt Report ( Aug, 21. 2014 12;43PM ) 2) Date/Time ; Aug, 21, 2014 12,43PM File Page No. Mode Destination Pg (s) Result Not Sent --------------------------------------------------------------------=------------------------------- 3959 Memory TX 915087718089 P. 1 OK Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer - E. 4). No facs`imlle connection E. 5) Exceeded max. E-mail size L T- 3-7 /0994 s,F N n � w 35 ti o . J 3 A Q a. lN�l YLA N/0 R-O A D ��'�G 40'r✓ic?E- PQ�RrE. y to "•r- - Df Mar - o sae CERTIFIED PLOT PLAN qeH ur36 Wivy��w'D ;POAn - -NEW CONSTRUCTION DNLYJ 4'resuxJ NYA./nrlS ABOVE LOWTOP OF HDATPOINT OFSADJ ADJACENT SAARSTAISL9,MASSS►• ROAD. SCALE,P-go'DATE, LORE116E ENGlNELR/N9 CO IA Fkljdco 1 CERTIFY THAT THE �IKHT---�^•— BNOWN ON THIS PLAN IS LOCATED E013TERED REGISTERED 8/z0,� ON THE GROUND AS INDICATED AND - • I CIVIL LAND ,Op "'°�, CONFORMS TO THE ZORINB LAWS DR. ENOINEE SURVEYOR 6T!'AA.hj. OF-BARNSTA E1 A88. . 712 6 A I N"S'f REEL - OIL'SYp..; - HYANAISr MASS. BNICT-LOF JATE G. LAND SURVEYOR engineering Dept. (3rd floor) Map Parcel it# 3�� House# � � � Date Issued (J '7 '9 �$�rd of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee 42S I� Conserves' 4th floor)(8:30- 9:30/1:00 2:00) 41annin7min .(1st floor/School Admin. THE n Approved by Planning Board _ 19 BARNSTABLE, ` y �1E01AP�p`� TOWN OF BARNSTABLE Building Permit Application Address 1 J4 WAVIOMA El. Village Owner Address'25 1�-'(c.YV and [M. �r(Mmt oal7b Telephone Permit Request 6 C First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use r i� Builder Information Name iL� � (� � Telephone Number Address License# M6: Home Improvement Contractor# jt Worker's Compensation# -7 PU C350-7 R L4 LJq Q NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS- PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO/�7 SIGNATUR DATE BUILDING P MIT DENIED FOR THE FOLLOWING REASON(S) 1 FOR OFFICIAL USE ONLY I PERYvIIT NO. 1, 8 . -r DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ; ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Coaunonwealth of.4tassachusettc Dcpartnunt oJlitdirstrial.4cciJents office 01100estIffs offs 600 11 asitington Street Bovon,Alas. 02111 Workers' Compensation Insurance Affidavit _ �pnitcant tntormationAA• � �/p_- Please PRiNTIe�+�jy =, • , name loci ion. VA I W&•V C(M'l m - cite l 1 (LA VI (S / A phone#59 -7 I— 00-73 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one worl.lng in any capacity .__t>.:•"a.wSy-^^--•�----r-'2':- Ae..+ra!a..w.S�_.. ,,.T'�^�I+�*-_..r�.-*_�..:. :...- . ._�_..._ .. »..,,-_..- "`•^"!�"""•""""t.."''."n•("'�"_..e•�. I am an employer roviding workers' compensation for my employees working on this job. , om any name: (J r l addrecs• �4�JGt insurance co T_r� IT.am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have ❑ P P i the following workers' compensation polices: companv nnme- iddress• city phone#• insurance co nelicv# �- - , ... ._... ur•Yi!:: -.rras-='-+-r•::-T'R'«F-,•'�,en.=�._...-nr�•.-.•�ar�?.�;',rJ!:•,r,.w.!�61..,�.::'t`"..::e�!r�v.:.•--�+-.-•w�:-;^'e--r..--r _._..._......�. -- -__...tea•• -- - - -"--- ---- - �.r�.-• - .._._�-•_- a.rsi comnanv name: address- City. phone#• incurince co policy# Attach addi_tionai sheet if necessary + :''_1--y�^tr^tasyYFi :-:.�..�! .....,,rY..•..+..• +•r•.+�� .,. �' _�'"cr!''" Failure to securr coy-rage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andiur unc •cars'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that n cope of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. ' 1 do herebt•cerrify der the pains and penalties of erign,that the information Provided above is true and tort ct. 4 Si_nature4 Date O Print name Phone# a 70fffirld2lse on do not write in this area to be completed by city or town official wn• permit/license# Building Department Licensing Board check if immediate response is required C3Seiectmen's Office C3I1callh Department contact person: phone#• nUthcr )n.i.cd s;os rt.v) Information and Instructions {� Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers ccmrpensation for-the employees. As quoted from the "law". an ernplt tvee is defined as every person in the service of another under an,%, contract of liire, express or implied, oral or written. An etnpinrer is defined as an individual, partnership, association, corporation or other legal entity, or any two or mor the foregoing enLaged in a joint enterprise, and including the le-al representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However th owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwcllin`g house of another who employs persons to do maintenance , construction or repair work on such dwelling_ he or on the u'rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe MGL chapter 152 section 25 also states that every state or local licensing agenc,% shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any aippiicant ��-ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should 960 have any questions retarding the "law' or if you are requires to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pie: be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any question please do not hesitate to give us a call. . r'a...,..w�.-- ....... .....rv,....- ,-+....e..�...•v-...r.-..v!.r��...,.r,.....--a"' ..:.... _ _ _ -r�.vn..�.w.►,.��... The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 nhnnr #• (617) 727-4900 rvt_ 406. 409 or 375 The ,Town of Barnstable _ � _ KAM Department of Health Safety and Environmental Services } �.•$ D P Building Division E0�AO� 367 Main Street,Hyannis MA 02601 Ralph Crossen . Building Commissioner Office: 508-790-6227 Fax: 508-790-6230 For office use only Permit no._--- _ Date AFFIDAVIT HOME MWROVEMENr CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION requires that the "reconstruction, alterations, renovation, repair, modernization, MGL c. 142A q re-existing conversion, improvement, removal, demolition, or construction of an addition to any units or to owner occupied building containing at least one but not more than dwelling �g contractors, with structures which are adjacent to such residence r building be done by registered certain exceptions,along with other require Type of Work: �-F Est.Cost • u�a I�+�d 61 Address of Work: /1 I Owner's Name :�\A Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,00L Building not owner-occupied Owner pulling own permit Notice is hereby given that: OR DEALING WrM UNREGISTERED OWNERS PULLING OWN 110rM nyiPROVEMENT WORK DO NOT HAVE FOR APPLICABLE HOME DER MGL c.142A CONTRACTORS TION PROGRAM OR GUARANTY FUND ACCESS TO THE A�� . SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Registration No. on ctor Name Date OR. Owner's Name nnTp i fi,Q !I I TO ICOCIC MY 1 F!G r!IOF 1C NO. F-00 775 77C.3 Oct- 03 100G 00!2?qM 72 Tt��Aexslr►surance A M-mba d Ti avele►s'GWUPT CERTIFICATE HOLDER AMENDMENT NOTICE POLICY NUMBER (7P-U3-807K449-O-96) REINSTATEMENT EFFECTIVE DATE: 09-27-•96 Reinstatement Please take notice that the Policy Number Notice: designated above has been reinstated as of the Effective Date of reinstatement stated above, notice of cancellation heretofore issued being hereby withdrawn as null and void. Insured: Certificate Holder: HITCHCOCK CONSTRUCTION INC CONTINENTAL CONSTRUCTION PO BOX 211 BREEDS HILL ROAD WEST BARNSTABLE MA 02668 HYANNIS MA 02601 WRITTEN NOTICE IS HEREBY GIVEN TO YOU AS THE PERSON TO WHOM A CERTIFICATE OF INSURANCE WAS ORIGINALLY ISSUED. THIS NOTICE IS GIVEN ONLY BY THE COMPANY OR COMPANIES WHICH ISSUED THE POLICY DESIGNATED ABOVE, DATE OF ISSUE: 09-27-96 SS ST ASSIGN: MA OFFICE: DASSIGN 701 DISTRICT: C-01 • 3 S S fl i o f, 0 0 L �7 �J� ffJdOiQ/19�8C1AB �a.� dflc�2E1 _ _ �: Ul. - �� L�FR3ri &11 � L€151C�r'1CCf�` o �30a1T OTRAT M H ' e 0n� A ►bu on Piave bmm -.1301 V Ewstot:: Ma�sa�hust�s. 42,d8 HOP� MPR01dEMl vi �e.�i.s�v�atxaa 1.p65��8€ - Exparatx.ar� GE�/27'/9�- ' - � 0 Type HOME.IMPROVEtiEN COURACTOR i Re9istratior. 100918 n -Typo. DBA: i`HQDfRE LiTGHG©CK:: w� _ Expirat�an Oi127/98 TH 00,0RE L : Hi> TCH CO"CK:, pQ .80X 21 ti I55: L I SA Li�l THEODORE L. HiiCHCOCK W BARNSTABLE: MA 42668 1HEODORE L. HITCHCOCK _ ©X 211/55 LI -8A'RNS6A9t£. MA 02668, o c, w v� • l.J =0 < 0 R1