Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0733 WEST MAIN STREET
�� _%n _ - -� .. �� __ __ -- i i� � 16 f _� i own of Darnsiapie Building Department Services oFtKe ram, Brian Florence,CBO o� Building Commissioner 9 200 Main Street,Hyannis,MA 02601 MASS. � 030. �� www.town.barnstable.ma.us pl f F Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: —' Q HOME OCCUPATION REGISTRATION Date: 0L11 24Z Name: ��ae r�s �c�?/ �S Phone#: -50 F .3 6-0 Address: .33 )YI,J:`;V _Sc, 7 &le' C Village:_ �Yy22 -n 1-5 Name of Business: Type of Business: PiQ 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 bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: f lcta �D�, Date: el Homeoe.doc Rev.06&0116 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 ears . A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission t--o• e ate r .) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601. (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: { La;.i . '�z APPLICANT'S YOUR NAME/S: _AhideA 0,2 t{ I,.da::;;i;,•>.i:s;ir': yr'.: ;t>,F:' BUSINESS YOUR HOME ADDRESS: 3 Vi/P �` �'7Z I;L_L' vtivU73 Lilriid'�•,''S'J:r �� (J TELEPHONE # Home Telephone Number. (' E-MAIL: '% r17r1LL�uE:R7 L'L:�i.'ut:fl . �'r'.: ,,,_Jr;,,u.�.n",+•i1xkT;•a;� EIN #: Bg — NAME OF CORPORATION: TYPE OF BUSINESS NAME.OF•NEW BUSINESS gel ��'� n _ IS THIS A HOME OCCUPATION?-- #YES )C-s — � ADDRESS OF BUSINESS. . 3WeS� �i7 _ MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - corner of Yarmouth ' Rd. Main Street) to make sure yoga have the appropriate permits and licenses required to legally operate your usiness,in this town, MUST- COMPLY WITH HOME OCCUPATION 1. BUILDING COMMISSIONERS OFFICE RULES AND REGULATIONS, FAILURE TO . This individual has bee of J• bd of an t requirements that pertain to this type o usinessOMPL,Y MAY A UhT IN FINES. u o zed Signature** ,p COM ENTS: i'" jv VA 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: , 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: . 114E 5VS Application Number.... b. ..... .......!.............................. BARNSTABLF, Permit Fee... ...................................Other Fee........................ MASIL 1 CU 6 C) TotalFee Paid............................................................... ...... TOWN OF BARNSTA13 t rz Permit Approval by � ............OnD.. .... -M BUILDING PERMIT A, Map........ ...........................P=el...... ....... APPLICATION ..... Section I — Owners Information and Project Location Project Address=11WRRRffi62** 723 t, ,nVillage /Alri 1 It-1A 6.1. 01 Owners Name le-itt'l-la rd V-Se"Diw-1 Owners Legal Address ► City State zip Owners Cell# C6 E-mail Section 2—Structural Use ❑ Single/Two Family Dwelling El Commercial Structure over 35,000 cubic feet i(Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction E] Move/Relocate E] Accessory Structure E] Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System F] Addition E] Retaining wall F] Solar El Renovation EJ Pool El Insulation . Other-Specify "/� '/7aal Section 4-Detail Cost of Proposed Construction l l 2,6V Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 NTH Wind Zone Compliance Method EJ MA ChecklistE] WFCM ChecklistE] Design Ij Last updated: 11/7/2017 Section 5 - Work Description L b o i/ , r1�� P On"l. M}0f � VI U P l G G1.P in G�� Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District [] Hyannis Historic District ❑ Old Kings Hig;No Debris Disposal Facility: (� 01NIIJUV)G� I am using a crane ❑ Yes Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/7/2017 a Section 9—Construction Supervisor Named CAS Telephone Number 7-7 Y -2.3?j -�-S 3 7 Address 35 " ,D tnaJ �Q City Ce,nNr�Nti State y'^1 Zip 0214?2 License Number /0 6 0 S 1 License TypeCSSI '/Zi�7 Expiration Date /U "D( 1 Contractors Email &f 6,,j 044j,1 Aq 62 fav-y jgAtntS Q, AAz,I I Cell# 77 41239 3 7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation r ed by 780 C an e Town of Barnstable.Attach a copy of your license. r, Signa e-�� Date -7 Section 10—Home Improvement Contractor Name SG3o m (- r��� Telephone Number _ -7 -7� 436 �9 3-7 Address S �cQi D �oc c4 City Cc vi e r jX e`/J State 'A kQ Zip /Q 7,4 3 Registration Number `7 ( 3 3) Expiration Date 36 n I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re uired by 780 CMR and Town of Barnstable.Attach a copy of your H.I.C... Signa Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signatur Date Print Name Telephone Number 7 7 V 3 7 E-mail permit to: 1'k)fb 5b7 6Yj1Cj 0A r0 , /V r( ( 's Last updated. 11/7/2017 Section 12 —Department Sign-Offs Health Department 0 Zoning Board (if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 —Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner . date Print Name i i i i i Last updated: 11/7/2017 High Pine Condominium Association P.O. Box 771 Hyannisport, Ma. 02647-0771 8-29-17 Town of Barnstable Building Division 200 Main Street Hyannis, Ma. 02601 This is to authorize Herbst Home Improvements to obtain a building permit to perform a roof replacement at 70 Pine Street Hyannis,Ma. 02601. Respectfully yours, v' C�v Edward H sepian, Chairmen Board of rustees elk 09 , ffite 01 Consumer Attar T CO HOMEIMPROVEMfN TYPe Registration-,,_41,1g1331 GLC } EXPiration 32 HOME IMP"''�O G LC HERBST T -- § JASONHERBS _� T. . g TOAD RD 35;PEEP Unded,secreCary. CENTER ILL-E,MA'02632 - 1 Mas�'achusetts Department of Public Safefy {. Boa of Building Regulations and Standards License: CSSL-106051 rstruction.-gupervisor Specialty s JASON HERBST 35 PEEP TOAD ROAD CENTERVILLE MA 02"2 r�ejzcK- Expiration: Commissioner 10/01/2018`- } Herbst Home Improvements LLC 35 PEEP TOAD.ROAD CENTERVILLE MA 02632 774-238-2937 www.herbsthomeimprovements.com PROPOSAL SUBMITTED TO: WORK PERFORMED AT 70 pine street Hyannis 02601 We herby propose to furnish the materials and perform the labor necessary for the completion of: New roof Remove one layer of shingles Inspect roofing deck for loose plywood Install ice and water shield at edge Install new drip edge Install certainteed diamond deck roof paper Install CertainTeed Landmark shingles Install CertainTeed Landmark PRO shingles,,,,. Replace all plumbing boots Install cobra ridge vent and CertainTeed cap shingles Clean all debris daily Any plywood being chanced will be an extra of 75.00 per sheet remove and install Older existing skylights will only be warranted to flashing against roof deck Estimate for all 3 units would have to be priced for unit options All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted And completed in a substantial workman-like manner for the sum of:eleven thousand two hundred dollars Dollars($11,200.00)with payments as follows:deposit of half for jobs above ten thousand and remainder upon completion *Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an extra charge over and above said proposal. RE SP FULY SU 7 11 Herbst ACCEPTANCE OF PROPOSAL The above price,specifications and conditions are satisfactory.I herby accept this proposal. You are authorized to do the work and payments will eb as s ified above. SIGNATURE,. _ 49A *This proposal may be withdrawn by said company if not accepted within 30 days. The Commonwealth of Massachusetts Department of Industrial Accidents - - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print Legibly Name(Business/Organization/Individual): Ar' -, , =6111 Po),-C,vA&' al"_ Address: to ud /�_d City/State/Zip: f,2( �L 4 O Phone#: '7 ��/ �3� 02q 3 Are you an employer?Check the appropriate box: Type of project(required): 1.�Kl am a employer with 4. ❑ I am a general contractor and I employees(full and/or rt-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance. � required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑Other employees. [No workers' comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: GnL, Policy#or Self-ins.Lic.#: 4414RA ,3LI)o 6170 Expiration Date: `� l'�n�7 Job Site Address: City/State/Zip:�Ty Ud1!///s�� 0.2,b d 1 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 painZandpena ' s of perjury that the information provided above is true and correct. Si a Date: Phone#: 77`?' 2, -3 2-13 7 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 an two or more P P rP g n' Y of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in ' (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington.Street Boston, MA 0211.1 Tel.. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia •� CERTIFICATE OF LIABtLrTY INSURANCE 1 ,4=1 THIS CERTIFICATE 18 ISUIED AS A MATTER OF NFORMAYMN ONLY AND CONFERS NO RIAfTS UPON THE CERTIFICATE HOLDER,THIS C£fMnCATE DOES NOT AFFtRUALTtVELY OR REGATtVELV AMEND, Z#f0 OR ALTER THE COVERAGE AFFORDED BY THE POLMES BELOW. THIS CERTIRICAT'E OF iNUIRANCE DOS NOT CONSTITUTE A CONTRACT f3ET ETl THE$SSUPNG IN SiURFP44 AUMORMED REPRESENTATIVE OR PRODUCT R4 AND THE CERTIFICATE14OLDER, tftW09TANt 0 fho h0d0r.Won AD"Off"ff"INSURED,th0 raag be endorsed. H,WIJO tt1C4AT ON FS,WAIVFA s" to "tm M Ciood'x 100 of tits P*GtY, iie PeIW" t V*ale ondatSOMMiA tint tub cwwjrAft dAit;s-r►aI*ahw rl"to a* P3CNti�Ia4t�t fr!ir<kl�ctP:at�xetlrPt how w�tKxtiii _ _ �l�i C�PeAPa. Iisse ':erus trot BBS AdAl9k STREET 3tT E I euasi■ _ OSTERMLLE _ tart ACADlAJWS: N Iw HEROST HOME IMPROVEMENTS LLC: PC!acx 25A z. FORESTDALF. tsLA COVERAOSS CERTIMATIE NtMER: 21 REIPFSION mUmmem.. ThIS IS TO CJERnFY THAT THE POLICIES OF II SV- MCE fi R L BELOW HAVE BEEN ISSUED TO FME WSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,.N0TY MMTAND$NG ANY REQUIREMENT,TERNS OR CONDITION OF ANY COMTRACT OR OTHER DOCUMENT n'f RESPECT TO WIC!,T144S C ERTOCATE MAY BE JWVED OR MAY PERTAIN,TIME INSURANCE AFFORDED BY rKE MSS DESCAMEO wEREW 13 Sty CT TO AU THE ITRALS, EXCLUSlOI4S.AA D CONVIT903 OF SUCH FrKIIUCtES.UMfTSSPOWN MAY HAVE BEEN REOUCli-o BY PLAID CL A US; rnPE'C4NBt .;_. tska3in.1[taks tit Al.U0.$iLPrY - E*fOIXttt•MrtM -5 wit - WA Ira A Pit Atha 9k Fmcv on Elm cmpJOP �asaae�u,�enuri` � o f WA 6004Y WOWfr rrA&IM AUTOS s ' Prr�lL� ;A:tATtt9 . VNINUAILIft _ etIt ... tes rur. Emcmum a W# Ana I zs IPe>Qasr �axxue� � a ' �Pv�n� err Prr Yfu urvrae�ruiawt � �� ��Ni � T fitlb. Ji r�oCt N6A :euA tt#A+RR t9ttETf6 9t11tT ,--, ,,.�-� Ars��,snherl .,... PF.�:�OIffL,R3�aEAE s..'Lt1D.ktfi�. W41 4 t7F AdiAY4PSti&Flttpi:✓NTH$4Ptia,aiA�Askmai�npats�f�edlC ;iaaoe } vftgww t:�l Nor t iQ1ooft t4ft` in 8 for us"Y31;�ft9 nsw4yeLt ItsrBSor NitTtkFP fBtcTstts vm �s�o FrNIa56APtLS ThS CotOTG t6 of rnstWdott CRstnwr �y Ww Ar ft eater th N#%4 o2�rdt is T ared( ien pt0 wr? ft d op gottiy: Nto Issue date of this cedgl d Insuraree). T'e st"m Of this Cxormap ew to fftW i d y t . ,5 ft Prod of CwmWe-Comsp Vertf rww tttrih too ej'ar►vaa > CERTIFICATE HOLDER CANCELLATION SHOULD AMY OF THE ABOVE DESCOHD a LIC&S BE CANCELLED no talitt St om: AtrrnaPrtl at rvE Hyannis ALAI 02wi C: ? $2rVPtE80rrRM 3A 4tR 049J9.=4ACQRDCO.RPORATJO1i. AlldabESNesbvW. ACOAD Z JW W g The ACMO uarae wd faro are r"lsiere.d marks a ACOR[ I FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: ( Building Commissioner or Inspector of Buildings O Board of Health or Board of Selectmen ( ) Fire Department TOWN OF BARNSTABLE TOWN HALL HYANNIS, MA RE: Insured: SILKS, John M. Property Address: 733 W. Main St. Unit 5 Hyannis, MA 02601 Policy Number: DWP00098351 , Type of Loss: Fire Date of Loss: . 9/20/2016 File#: 125785 Claim has been made involving loss, damage or destruction of the above captioned. property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, ' please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. . On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. 03 t C. WALLACE Adjuster 9/26/2016 t i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map L- Parcel. Application # Health Division Date Issued F- 7-1 T Conservation Division Application Fe Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project�eet Address -`'J7 33 LJ - -Sr Village' 4YA-N,✓% 5 Address -73 3 G✓ i. Telephone �Pe m t R quest Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay CP_roject.Valuation 5� d'� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woGdlq.oal stover ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 e1 isting D new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ . c Commercial ❑Yes ❑ No If yes, site plan review# ,-O r (xJ Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name tJ P/A-rJ r"f'_Telephorie Number 78 9-<--?- FFa"S E 4 e6►-JSTW4c'70►.J ce . �Add r"Li cenress *'e R .. � se# D i S's'3 3 (8"O,C Ci/l WF,f i'v,L/w A Home Improvement Contractor# a�-y93 Email FC C6 w LD S(r� G.wA rL emr, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE FOR OFFICIAL USE ONLY APPLICATION# 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. C r YTw Cumviom ed&of Massac bust rA epnrh t nf_& sftT"d Acc idea tY -- - `ice rrl �orrs 600 WashOgtom meet Bosfoz,.MA 02M www.anus gam4dia Workers' CompensationInauranceAffidavit:Buildersf,Coafra:ctorsfEtectriciansTlumbers AppHcxA Irdormai on Please Print.Legibly Name{B p�/Fnr}ividn9n-_ Gdh1 S?�JC-�O� CO. j/ J C- �--�a qty,istat,;fzip: Tv o 7,Y Phone f: 78/ —9 s3. 96 99 A erYGu an employer?Check o appropriate box: 4- ❑I am a l contractor and I T of 1�i—I Eret}uir ep: 1�'I am a employer wrtlf 3 havehiredthe�a�ctoEs 6_ ❑Nets costa , employeesfall a4dlor #iIDe* Remodeling 7 El am a sole proprie for or partner- listed on the attached sheet ❑ ship anti have no employees These sn6-contactors have g- ❑Demnlifiba and have workers' working forme in my capacity- employees 9_ El Snildmg addition �a workers' Comp..r,�mrr�r,re camp-insurance 1 , 5-❑ We are a corpGraficaand its I0-E]Electrical repairs or additions 3111 am a homeowner doing all work Officers halm exercised thew I LD Plumbing repairs or additions myself [No R*o=Lecs'Damp: right.of eimmption per MGM 1; � c.152,§I(41 and wehneno g rxas•axx�are I T I3-❑Other � -[Na worloess' C°mp-instua m required-1, *flay say goat clu'�s bout fl must also f M ord the sectionbelow shag itaEa des'co cos prl"aT gg,, ff�nmeown�rs Rlao submit this affidsv"ff m&=tmg they are tfumg slf VM*ad&en bkE Dats C.On=etum�sS sraba3 t anewaSdmitt mrh- T0mtmctmm that rheck tbh bwc naust studied ma add]tim steeet dzwh3,;tbp-mrme of ffiE mbL-o s and state Rhether GESlu2 tl+.taSE Eaahiies l3.QL+ emplQyses Ifth:e sraFr-coaxtcacftas h��pIo}-ees,tfieg nmst ptavide their wtirl�ss'[omg.paTacy atmmbez lam arz employer that isprov&igg n orkers'coarper=t6DLn izzmrance far rtzy enti&Yeti . Helots is thepa&y and}ob site itifnrmatirx� Insm-mce CompmyNmne- Policy#or Self in£Uc-;k E,q:)im isrn Date: Jolt Site Address: CifyfState/2lp: Attach a copy of the--zsorkers'compensation policy declaration page(sheaving the poles number and expiration date). Failure to secace cayerage as mquiredunder Section 25A o€MGL c. I52 can lead to the imposition of ciitairW pees of a fm up to S 1-5QG.00 andlor one-year imprisonment,as well as civil penalties in the fig of a STOP WORK ORDER and a Em ofup to V50_00 a day against the violator- Be advised that a copy of this statement maybe forwarded to the Office of 7IIrestigations of the DIA for insmance cmi-erage;verfcation_ I do here-by aerft;fy render tics pains andpsnaWas u€pedwy that the informatian p/.r.ai i&d ahave is hwz and correct: SiMmItUrE Phone# f l3,f fz,Crir£use a2,iFy I?m nat mit:g in this arerc,tube cmmpleted by d(F or town bfic&L City or Town: PermitUcense# Lwming Anthorit y(arcle one)- L Board of Health 2.RmIding Department I CftylFaxm Clerk 4.Electrical fmpector S.Plumbing fnspmtor .6.Other Contact Perst>n Phone _ 6 .Informafion and Instfucfions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as".._every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. Fowever 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,constriction 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(�also stales that"every state or Iocal 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 numbers)along with their cerr_ficate(s)of insurance. Limited Liability Companies(L.LC)or Limited Liability Partnerships(LLP)wth no employees other than the members or partners, are not required to carry workers' compensation insurance. L 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 Deparmnent 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-insLred companies should enter their seIf-incilrance 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 m 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 permittlicemse 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 repaired 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: ' a,Comma iv,, lth of Massachuseit:s Depazfinent Qf hid al Aocid.ents . . Offim ofkvestigatiam 600 Washington-Street Rastoia,MA 42111 Tel,A 617 727-49W W 4-06 4r I4 MASS.AFE Revised 4-24-07 Fax 9 61 727-7-749 www.m=,gavldia High Pines Condominium Trust PO Box 771 Hyannisport, MA 02647 Date: August 11, 2015 To: Town.of Barnstable Building Dept. Re: Roofing of 733 W. Main St. Building Dear Building Inspector, This letter authorizes E.H. Construction Co., Inc. to re-roof the building at 733 W. Main Street, Hyannis. Specifically giving permission to re-roof the building and apply for all permits.necessary. Thank you. Sincereley, Ed Hovsepian Trustee r r , Town of Barnstable Regulatory Services Richard V.ScaIi,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. I QAWPF=\FORMS\building permit formslEXPRESS.doe Revised 061313 f U Massachusetts -Department p ment of Public Safety Board of Building Regulations and Standards Construction Supervisor . License: CS-015533 .r.'rI EDWARD A HOVAP 25 POND BROO&CBZ 00,2 I Weston MA 02493 A Commissioner Expi ration 01/26/2016 Unrestricted_ Contain 1 Bui]dn enclosed sPaCe.35 000s ub i Bete group which (991m3)Of Failure to poss State Buildin ess a current edition of For Dps Li th Code is taus censinginfor se o►►�assachusetts matio revocation of this n visit: license. W ww-A4ass.Gov/DPS EHCONST OP ID:FM ACORO� DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/11/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Waverley Insurance Agency NAME: ONE 493 Trapelo Road AICC'No. Ert:617-484-5216 (AICFAX No:617-489-4626 Belmont,MA 02478- E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:ACE American Insurance Co INSURED E H Construction Co Inc INSURERB: Edward Hovsepian 25 Pond Brook Cir INSURER C: Weston,MA 02493 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR PkDDL SUOR POLICY EFF POLICY EXP LTR - TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE FOCCUR DAMAGE To PREMISES Ea occu rence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED L SCHEDULED id P BODILY INJURY(Per accent AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE I X I ER A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6S62UB-2E772464-15 03/07/2015 03/07/2016 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? ❑NIA _ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) J i CERTIFICATE HOLDER CANCELLATION BARNSTA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street Hyannis,MA 02648 AUTHORIZED REPRESENTATIVE 'o/W9V&.-_ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD. eN TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel � 1-t Application Health Division Z13 � F ` ' Date Issued Conservation Division Application Fee 9 Al Planning Dept. ( i � 4 Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis 3 3 CJ e. l4Y1 _ Project Street Address :<n z r n s M_4 CQc00, Village &niS61C_1(A w � Address �� ynSL Owner i er� G Telephone �0 77 O"(Ll ,Permit Request 5, � <;nd W Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new -Zoning District Flood Plain Groundwater Overlay Project Valuation .00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) q_ Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address c �� License # o Home Improvement Contractor# Worker's Compensation # WC ALL CONSTRUCT ON EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I 3 1 5 FOR OFFICIAL USE ONLY APPLICATION# i DATE ISSUED MAP/PARCEL NO. r ; t c ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL "5 GAS: ROUGH FINAL FINAL BUILDING a. E DATE CLOSED OUT ti ASSOCIATION PLAN NO. 4 s APR-09-2013 17:50 From:JOHN F VIOLA 508790169 To:15089572859 P.1/1 High. Pine Condomixlium Association P.O. Box 771 Hyannisport, Ma. 02647-077 i 4.9-13 Town of Barnstable Building Division 200 Main Street Hyannis,Ma. 02601 1 am writing to confirm that Timothy Johnson of 180 Megan Road Hyannis, Ma. 02601 has been contracted to install siding at High Pine Condominium Association located.at 733 West Main Street Hyannis,Ma. 02601 Respectfully yours, Edward Hovsepian,Cbai.rman Board of Trustees High Pine Condominium Association 66 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License,: CS401696 TIMOTHY P JOR V'SO 180 MEGAN RD I Hyannis MA 02661 Commissioner .812312014 �d"for individul use only t on ya to: r !� If found retucA` lation C�jac�cu�elt� License or e�8pun date. sines Rem e c�P� � ulafaon before the ffares and�u . . er Affa►rs&Business 11eg ffice of Gansunler A5190 O.ffife of Coasnm Rp,CTOR plaza-Sai .IMPROVEMENT CON? , pe: 10 Yark 0Z11G QNiE lfoston, egis.,trat10 9982 b8A 61 4 xptratton � ,t A .0N P JOHNSON TIMOTHY . out nature OTHY JOHNSON z ? g Not li wi g TIM 180 MEGA RD Underseere. Y9 HYANNIS;gA 02601 NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES t The Co- mmonwealth ®f Massachusetts DEPARTMENT OFINDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED EMPLOYERS INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE, P.O. BOX 4070, BURLINGTON, MA 01803-0970 ADDRESS OF INSURANCE COMPANY WCC 5011456012012 11/02/2012 - 11/02/2013 POLICY NUMBER EFFECTIVE DATES Bryden & Sullivan Insurance 88 Falmouth Road Agency Inc Hyannis, MA 02601 (508)775-0476 NAME OF INSURANCE AGENT ADDRESS PHONE Timothy P Johnson dba Timothy P Johnson Construction 180 Megan Rd Hyannis, MA 02601 EMPLOYER ADDRESS 11/02/2012 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy.of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER ` � � ..,. r .. .. � - o. 6 i ,- — � r R ,. � ,. t a, i� - i s f - a f ` � � r., y - "- � 1 � .. .a -- r _ .. � .. .� r � _. ` � 9 -' � -• � _ - r i f "' � • a # [r ' � v � t+ ,� 1. -� ' � J+r ' v ' � . � .. . 4 } � � f^ _ Y ... �. 1 ,�_ � t . _ is -� � .. �, r ". _? a � , �.. � 1 �; � WX 77te Conunortwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 is-mt:mass gm,1dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electiicians/Plumbers Applicant Information Please Print Legibly Name(Busmessiorgmizationllndividual)' Address: M cepo City/State/Zip: r l -4 / Phone,# 771 D37 OMP Are you an employer?14heck the appropriate box: Type of Project(required): i.E�fam a employer with_� 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ Lam a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling These sub-contractors have - ship and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' comp.insurance. I 9. ❑Building adtiitioni. [No workers'comp.insurance °mP required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself o workers' right of exemption per MGL mY." (� �P- 12.❑Roof repairs insurance required.)F c..152,§1(4),and we.have no ,,--,,LL Q� employees.[No workers' 13.L�'vther .i� comp.insurance required.] 'Any applicant that checks box#1 also fill out the section below showing their workers'compensation policy infort2tian. 7 Homeowners who submit this affidavit indicating they are dom.-all wank and then bite outside contractors Est submit a new affidavit indicating :Contractors that check this bra must attached an additional sheet showing the name of the sob-contractors and state whew or not those emits bare employees. If the sub-contractors have employees,they tmtstpm-ide ther workers'comp.policy number. I am an employer that is prof-7dtng workers'cowrpensation insurance for my emplgyee,R Below is the policy and job site information. Insurance Company Name: <�l 4�p J�-Wztte(-,� (M=?-ral Policy#or Self-ins.Lie.#: iration Bate:` l O� Job Site Address:"73• P1 n e City/State/Zip: PL4 Attach a copy of the workers'compensation policy declaration page(showing the policy num and expiry 'on date). Failure to secure coverage as required udder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,59R.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. day gainst the violator. Be advised that a copy of this,statement may be forwarded to the Office of Investigations a for insurance coverage verification. I do hereby ce un er the pains and penalties of pedury that the information provided bot is bne and correct. Si tore: Date: V12 Phone/#_ Qfflcial rise only. Do not write in this area,to be completed by city or town.o,ffiegat City or Town: Permit/Ucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 08/01/2012 14:16 5087789312 BARNSHOUSAUTHORITY PAGE 01/01 -' tlfe � Barnstable Leased Housing Dept: 508.771..7292 .. Telephone 508.771.7222 FAX: 508,778.9312 • MAC q Housing Authority 146 South Street•Hyannis;M.A 02601 ZONING VERIFICATION U SR N C) TO: ROBIN ANDERSON FROM: ". ; ��, Teased Housing Coordinator Ln PHONE NO#: 508--771-7292 FAX 508-778-9312 w RE: LEGAL RENTAL UNIT VERIFICATION y DATE: ADDRES `n c_ A 3-3 W VI. AGE: 4 n n SZ_ " � n IT E BEDROOM SIZE MAP & P O: The owner of the above listed property is entering into a contract with us for rental of the property listed above. Please vei-i.Iy by signing below that the unit is legal and meets all zoning requirements for rental ha the to i. of arnstab e, If it does not, please list the reason b low: 0 c.i C11� �1u -e, o2, W_&n-A_. you for your assistance in this matter.. Si ture Print name Date: I Z VIA FAX: 508-790-6230 Equal.Housing Opportunity Ageacy P. 1 7jY Commun i cation Result Report ( Aug, 1. 2012 4: 15PM ) 2) Date/Time: Aug, 1. 2012 4: 15PM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 9819 Memory TX 95087789312 P. 1 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang uP or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size �srnsrahje �� uan�.s6e.4n.TM rdenFonesasTn.nu Housi-n- Authorit PAX so5.T19.9312 g y i46 South Shaet•ILYm.W,:;A 0301 ZONING VERIFICATION TO: ROBINANDERSON _ O FROM: i r n �.en�(r�.Leased Housing Coordinator i - PHONE NOft:509-771-7292 FAX 508-778-9312 S i RE: LEGAL RENTAL UNIT VERIFICATION DATE: $ t ci u�,�✓ iar�. K e�:awn ADDRES 10. {tea,ne s4 p L 73 !V S t AGE: l� 4nn:S 7 � n T A �� I BEDROOM SIZE MAP&PA O: V C I The owner ofthe above listed property is entering into a canttact with us for rental of the Property listed above.Please verify by sighing below that the unit is legal and meets all zoning requhenrerrfs for ental In the awn ofpatnstab e.If it oes not please list die reason b ow: �11o.S[ach Ctc� Ago-T —krl�n r�v, r� rW(Irnulnerc na-�z 73 l,W c you for your,assistance in this rnatter. Sig tune Print name Date: 12- VIA FAX:508-790-6230 Pgual Housing Opp-Why Agency TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 l l Parcel Application #C) Health Division Date Issued . "-/� o Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 33 . V"�G;(\ Village C1y�fn� 1 � P Owner Address Telephone i ItFermit:quests �� f � v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Val au Lion2Wa•`�o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq ft)' w 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,� E5 Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stoJef ❑Yds ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use -- Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N�arne � Telephone Number 7?14 a!97- 0?3(.® ddress Q a) License # 101 O G r l.Q<; -l13 i< V\ C XMI Home Improvement Contractor# I l 1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �I_GNATURE DATE 1 ?0 l r y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER s DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED,OUT ASSOCIATION PLAN NO. 7Ise Commvnwevith of assachuseft Dgxmhnmt a,jlndustrial tic O,, e Of invesfigafiow 600 Washmgton Stet Boswn,MA #2111 ; n*rrw isrrass`gvt��'di�r Workers' Campensatian Insurance idavit: Baders/Coiatractors/El icians/Ph tubers Applicant Infarmatian - p Please Print I;e�'bIc Name Address: Llb _ ` S City/state z p: Phone4: 7-2 Area an employer?Cheek the appropriate boa: Type of project(required): 1_ I am.a employer w1th �)- 4 ❑ I am a general contractor and I esnitloyees(full atxdfospact^time). * have.hit-ed the sub-contractors 6- ❑ eW constrrzction 2-❑ I am a sole proprietor orpartner- listed on the attached sheet', ?- modeling sbip and have no l s These sob-contractors have�P contrt $_ ❑Deuialitiou wedcing for me in any capacity. employees and have wars' No wGd=s' comp.mQirance comp_ksmanc.1 9. ❑Building addition required] 5. ❑ We are a corporaCion.and its 10.❑Electrical repairs or additions 3_❑ I am a homeowner doing ail Work afficen have exercised their 11-0 Plumbing repairs or additions myself a workers' night of exemption per lVfGL 12 insurance� d]r c_152,§1(4),and we have no Roof employees-(No woxk^ers' 13.[1 Other comp-insurance required_], *Any zwhcmA that checks boo:#1:— also fill out the section below showing theuwaskes'compm-t pommy infanmian_ I Homeownm wbo sub==this affidavit indicating they ne doing atimoot and then hum outside contactors Est submit anew affidavit mdicating sack kAMftzctars that check this box most attached as addit9mal sheet showing the came of the tub-�xtbss and Mm whedw ar not tense andties have employees. Ifthe sub-cantrmcma have�pl�ees,theymasi pmvide their workem'camp.policy number. I wn an easrnplvyer that is providing worfrom compensation in=rance far my emptn} Baiow is thepvEty and jab site inforntatio�t Tom ar=Companymie Na : L l Polley car Sew ins.uc. F�epifetioa Date: o� is Job Site Address- v tyfStateaig: CX47 AtUch a cuff of Ehe workers'ctmnpematim policy declai4tion page(showing the policy mzmb and ezpimtien date). Failure to secure coverage as required under Seciican?5A of MGL c_ 152 can lead to the imposition of criminal penalties of a fine up to$1,500_00 andfor one-year impriisonmen,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to a day amminst the violator. Be advised that a copy of this statmmt may be forwarded to the Office of Iuvestigati a D for insumace caimmge verifileaticn- ' I do hereby ce it the psis arndpanatties ofped=7 ghat the in;1oramativa prrmided hue and correct rl cm Da 9 i Phone#: 4Z`7"1 0(J VG OjVWal use only. Do not write in' this area,to be complaW by c*.$r tow]officriat City or Town: Permi#fUcense# lnuing Anthoriitp(circle one): . 1.Board:of Hralth 2.Buffiling Department 3.ChyfFown Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Othter cantact Person: phone#: I 6.1 1 NOTICE NOTICE TO TO EMpLpYEES EMPLOYEES ._ The Commonwealth of Massachusetts . OF INDUSTRIAL ACCIDENTS DEPARTMENT 60 0 Washington Street,Boston,Massachusetts 02111 617-727-4900 - h4://WWW•mass.gov/dia er 152, Sections 21, 22 & 30, this will Chapter As required by Massachusetts General Law, payment to our injured employees under the give you notice that I (we) have provided for above-mentioned chapter by insuring with: LIBERTY MUTUAL FIRE INSURANCE OM ANY NAME OF INSURA 150 LIBERTY W NH 03820 AY, DOVER, ADDRESS Of INSURANCE COMPANY 111212011-111212012 WC2-31S-382920-011 EFFECTIVE DATES POLICY NUMBER P ADDRESS HONE# NAME OF INSURANCE AGENT 180 MEGAN RD TIMOTHY JOHNSON DBA TIMOTHY HYANNIS MA 02601 JOHNSON CONSTRUCTION ADDRESS EMPLOYER EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY)DATE MEDICAL TREATMENT out of and in the sing The above-named insurer is required in uate and reasonable hospital andmedical services course of employment to furnish ad q of th in accordance with the provisions of the Workers' Compensation Aoyee ri copy select his or given to the injured employee. The employee Report of Injury must be g# the treating Physician her own physician. The reasonable cost of the services grand reasonably connected to the y will be paid by the insurer, if the treatment is necessary to ees are hereby notified work related injury. In cases requiring hospital attention, emp y that the insurer has arranged for such attention at the ADDRESS \\ NAME OF HOSPITAL TO BE POSTED BY EMPLOYER a DCC-01-2011 17:07 From:JOHN F VIOLA 508790169 To:15089572859 P.1/1 -- __...... . ._--....... Dee 01 2011, 7:37PM 701,-239-1667 1 OM-01-MU MIS From:30FW F UIOLAI SQ$7 16� _. ._...• ��.. 4._,.�- TooY813 1667 P.1,'1 High Pine Condominium Association P.O. Sox 771 Hyannispo>rt, Ma. 0264 7-0771 Town of Bamstablo Buttding Ltspecu w M0 Main Stmet Hyannis,Ma.03601 !am writing to confirm that Timothy Johnson ISO Megan Road.Hyannis,ML 02601 ha$ betn crnmaCtod to install siding At.Midh;Floe COaMminiwn Asaaoiadon looted At 733 West Mein SwM Hyaenls,MR.02601. Respaduliy yours, Bdwa HovsspieA Cbairmpn Bow d of Truste n High pine Caadon+inium Asia orlon �E THE T f Town of Barnst able ti e Regulatory'Services 1639. Thomas F.Geiler,Director TfD �A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 R WW-town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A Builder as Owner of the ro subject J property hereby authorize � M�C1r� +t� C01-� . to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of JobUV11,J F l� 9 r Sigrkure of Owner D to i Print Name II If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. r I oft l Town of Barnstable " Regulatory Services sAMUrAsre, # Thomas F.Geiler,Director 9 MASS. g =679• Building Division TfD MA't A Tom Perry,Building Commissioner 200'Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and 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&Regulatidns for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ?� �„acn�isettti - 11 " ment oT rumic'amctN e 73' a6uz�3 andt.tndard CQnstrutt, Superyi it License ' License: CS 101696 Restricted to: 00 TIMOTHY,,JOHNSON 816 OLD STRAWBERRY HILL R CENTERVILLE, MA 02632 P i Expiration: 8/23/2012 Co[fill]issiuner Tr#: 101696 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at tie Town Clerk's Office, 1" FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) gg im 0mi r DATE:1iD5/ P!,:D -5 Fill in please: Mil ir APPLICANT'S YOUR NAME/S: In1 fl G *AFL L S BUSINESS YOUR HOME AQDRESS: � � TELEPHONE # o A �sx r Home Telephone Number NAME`'OF CORPORATION: 4PG. NAME OF NEW BUSINESS: E OF BUSINESS IS THIS.A HOME OCCUPATION? _YES NO TYP t tz ADDRESS OF BUSINESS 3 .:W.ETT rJNC MAP/PARCELNUMBER 9� b` (Assessing) When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable. This form.is intended to assist you in obtaining the information you may need. You MUST GO TO 2 DO Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO , ` ISSIO R'S OFF MUST OO�IRLYIITH � OUP This individd al h b OCCUPATION ?��11 (in- ed G any` er it requirements that pertain to this type of businessRULES AND REGULATIONS, FAILURE TO ^A. t 'orized a urea' 00�11 Mii IIJi del FIJ . COMMENTS: 1 � 0Y ( ° �- 2. BOARD OF HEALTH This individual Ile formed qhe pe requirements that pertain to this type of business. 7 . Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b en informed of the licensing requirements that pertain to this type of business..Authorized Signature' COMMENTS: , w 7A� Town of Barnstable Regulatory Services o Thomas F.Geiler,Director Building Division sexxsreai.E. �� S �� Tom Perry,Building Commissioner'OTf1 � , 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:. 6U1//��—tdt'C- z- Z D J2 Phone#: S-K—�- _ 12#-Z i Address: �-23 Li?/C��1 ��iS`1 S7. �� T > -� Village: N N i Name of Business: = N Type of Business: ,t- (. (ZtOGI 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 tamed 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 mot 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-hazardou$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 is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up-tauek•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 d nthe above restrictions for my home occupation I am registering. Applicant* Date: I .,,,,,�,•r,,,,,r�,,...r..xw.M,-�}..r-+.w•--i�Y-•v'v*-r..r-ti.•v��``1,aj•.>;.n.-,r n�,=,,..^.^..••+�,-'-'�-•.^'."qy""*h'`', `"'.�.-s"'r'-rR".,,r-''"�,•�"'^.,,,,•---,,.w,.-.,�•.�.�,�,r.,t..-,,,�•!»---,�'_�""-, Assessor's office(1st Floor):_ Assessor's map and lot number CN q 46 tl: O&L moo`7101. To` Board of Health(3rd-floor): �3 lam/ Sewage Permit number Engineering Department(3rd floor): ^�,, -- t D LE House number. Definitive PIan;Approyed by Planning Board APPLICATIONS PROCESSED 8:30-9:30 A.M..and 1:00-9:00 P.M.only . TOWN : OF tBARNSTABLE 1`+ BUILDING INSPECTOR 6 APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION i�c�i:ac t Rxz</Ztd2 �X.C.Tttj!s* bee IQ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to tfie following information: Location :7 V 3 Proposed Use t 1 Zoning District Fire,District y �a61�+Sw sa s 3 3 Yv1G' r S I t W {M Name of Owner _ � a a �.� Ad8ress .�o s ST«z /yAtiM ,S Name of Builder Address MO- 1�av Ro,RJ Name of Architect AJ A Address rr Number of Rooms A., Foundation Exterior (/ Roofing Floors }]/c Interior Heating t Plumbing Fireplace i Approximate Cost 3 00 0 - r s' Area Q A C�. . .S� 00 Diagram of Lot and Building with Dimensions Fee E r I STI .F c ,10 ' t �U f1' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abov"con ion. Name Construction Supervisor's License 0161 / 7 JOHNSON, KATHY & JACKIE BROWNE rp 41 o/ ZC A=249-161 . 00E No 34656 Permit For Replace Exi ° eck. Condominium Location 733 West Main Street Hyannis _ Owner Kathy Johnson & Jackie :Browne Type of Construction Frame = f" Plot Lot Permit Granted October 23 , 19 91 Date of inspection 19 Date Completed 19 a PERMIT COMPLETED 1/1/ 9a M 7 l Assessor's office(1st Floor): Assessor's map and lot number /U�~ ff d o�THE to Conservation aeldh(3rd floor): �sON��C /� >taaxsr�nt Sewage Permit number Engineering Department(3rd floor): a i639• `off House number Rio rsr a Definitive Plan Approved by Planning Board `19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2-00 P.M.only TOWN OF BARNSTABLE BUI DING ! RSPECTOR APPLICATION FOR PERMIT TO . e �K TYPE OF CONSTRUCTION Sf S 19 y TO THE INSPECTOR OF BUILDINGS: The undersign/need hereby applies for a permit according to the following information: Location /C/ wasT Vv�a , ST c-l. H 2 Ccw005 Proposed Use ec r Zoning District Fire District Name of Owner 71H S Address Name of Builder ✓S No<t<►.�..< '�,;,1.h,A,u Address ►4Qo�T Rlzoca)r �.,T �s1 Z KA e Name of Architect Address Number of Rooms Foundation 0 Exterior Roofing �oxao Floors Interior Heating Plumbing Fireplace Approximate Cost 3S�°C.> Area Diagram of Lot and Building with Dimensions Fee _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS + I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License ✓ o t cl JOHNSON, KATHLEEN No-3 5 I 36 Permit For Replace Deck Condominium - a Location, ° West Main Street• t f ' Hyannis t Owner Kathleen Johnson , Type of Construction Frame Plot ; } 4Lot Permit Granted May', R5, 19 9 - Date of Inspection " # ' 19 # i Date Completed 19 ` �. i s o fI ' COMMONWEAITF� �' 'pTOF'P!/BLIC r• INASSAcmusEni' �+OF b1 OCOM�o ►EALTH A ..MASSs 0221,5 `(PIRATION DATE'S i r (y L 3 eEr Nt8 n v, rySTR. SopE VISQi� 'r30/1991 ` .'rRICTIONS -' ONE EFFECTIVE DATE } II UC NO. ( c it '�0b/3'0�/1989 - :I `. ... 01619 . 1-82 TROUT BROOK RD: r ' PTO(BUSTING pPR ONLY) FE - 263 t , E. S 100.0o HEIGHT:G H7: N OT VALID UNTIL SIGNED BY UCEN AND a THE DOCUMENT . I" CARRIED ON.THE PERSON BE ! q THE MOLDER 'c- RIGHT THUMB PRINT ED IN WHEN ENGA IGNA7 THIS _OCCUPA TIOf - �� `/� LIRE OF LICE 2.87.81429 co... I. 3 I i 1. 1 r�- t. n t Assessor's office(1st Floor): Cr Assessor's map and lot number ' e V .�' to G Pao%THE'To`` Conservation PROP AIECTPL D&JhT Bb uuty Board of Health(3rd floor): � f TO 7M , Sewage Permit number + /� �2(-/C SEWER PRICE '1'0 ANY t t+sa»T�ntc dONSTRLTCTION � rua Engineering Department(3rd floor): �y 2� i°�o House_number ` J �o MAI 6• Definitive Plan Approved by Planning Board 19 ' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN " OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ Dcc 19 V r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location c-s +— UVl a S+ 0 ,., r S S C' r Proposed Use Zoning District Fire District (,® up, r Name of Owner Address "7 0 We- s T fii-0a) lCh-2 78g Name of Builder 02e ,. `G^'S_r Address 8 i 00011 23 p /� IJ2ay� �n LerUr Name of Architect Address I Ln Number of Rooms Foundation d ,A v-u 7 Ug e ,r Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area Q Diagram of Lot and Building with Dimensions Fee i I � t � 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 � -- r Y—C'_onstruction Supervisor's License 6 1 SULLIVAN, THOMAS No 35502 permit For REPLACE DECK. "j Condominium Location 733 West Main Street y jl Hyannis Owner Thomas Sullivan 4 Type of Construction Frame Plot Lot Permit Granted November -12 , i9 102 a Date of Inspection 19 Date Completed 19 ¢.CA • i •r if i 60 i C X I Ov, r Assessor's office(1st Floor): Assessor's map and lot number {� . 0 Q L MUST 0*TN E TO r. ( ) Board of Health 3rd floor): � CONNECT Tp 9� 03 Sewage Permit number � ► ` Engineering Department(3rd floor): ;DSHa�as LL House number_ ?� Bar A P P R 0 °° 1639- initive Plan Approved by Planning ard APfPLICATIONS PROCESSED 8 30-9030 A.M.and 1:00-2:00 P.M.only 19 ` **, nst4b2� Conservation om��rev a` TOWN OF BARN _9 BUILDING INSPECTOR Date APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION f2 c n L A c 4 R x it 2(d 1z 7f c av beer lA.)o CLq Aj5 c S) 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location :79 4,4l Les C•Nn� _ L ' �c 2QcT t,A3 E-tf , galti+ rS Proposed Use d 0"ipCss- f' Zoning District 11113 Fire District y/idaC/�6 �'k�►t'I T4i-,$dr:J 733 �I 1►'la� S-�i. fM� � Name of Owner Address t4r Name of Builder /.°iQy / '/E"/,vson/ Address —rRa V R,,j Name of Architect Al A Address Number of Rooms ti�Q Foundation Exterior lr Roofing Floors Interior Heating r- Plumbing M Fireplace i Approximate Costtoe o e 6 Area Q E/T clw- Diagram of Lot and Building with Dimensions Fee I t !` a d 3u y / , n. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar 'ng the abov con ion. Name Construction Supervisor's License 0 16 i JOHNSON, KATHY & JACKIE BROWI, 01 :y !l✓ No 3 4 6 5 6 Permit For REPLACE EX I T. /,DECK. Condominium Location 733 ,-E- West Main Street nHyannis Owner" Kathy Johnson / Jackie-Browne Type of-Construction Frame / 1 ` Plot Lot = .4 �� r y Permit anted October 23 , • -19 91 Date of.lnspection 19 a .'-- x- Date Completed 19 CA lot Assessor's map and lot number .- /,�.,�... ,1 . M CF THE Sewage Permit number .* %....�? .!... f�., /1,�➢. d�' °� Z BARNSTABLE, i House number ......7:3. ....................................................... NAB6 spy 16 3 9.Ar 00 i .� •r TOWN OF BARNSTABLE .� BUILDING U LDING INSPECTOR APPLICATION FOR PERMIT TO ...C.,.0.0.00.................................................................................................. TYPE OF CONSTRUCTION . .................................................................................. .........2%7 ......�...............19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............. .................................�AJAIIf ......................: ................................. r. ProposedUse .............................oN.........10�......................................................................................................:................................ 7— Zoning District ........... ..................._ Fire District Name of Owner-� A..... ...... �...................... Address ` ® ... ���1�<�/� ��! �,:' `�IL,S...LC /VoU. Name of Builder ....... 11,J.).FR:......................................Address n ................................................................................. Name of Architect ..., .£ ...�L .1...T...!-/.................Address f.................. ......................... ........................ Number of Rooms ...............�........s N ?/. ....................Foundation ..... ...G.U! ..................................,....:........... As, ... Exierior C c�/UC'. ��Q`,/ ...................................Roofing A4SPI y/.� ... ............................ .................................................. Floors ......... .Interior ........ ��. .L. ........................................... ........................................................................... Heating .C'•T! /.. •.............................................Plumbing .... ...� t?'.Crf..... /TC i ,`e� / Fireplace ........... 1 ...................................................Approximate Cost ...... /.�(��r.,�Jv,C Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r S 1 r� 1 tl ^ 5 I hereby agree to conform to all the Rules and Regulations'of the Town of Barnstable regarding the above construction. Name . ..... .. .................................................. n A=249 158 / PINE TREET REALTY �24-9=161 TRUST No ...22237. Permit for ,,,Build.................... Condominium 8 Units ....................... . ................... ...................... Location Lztr1 West Main (Bldg. #733) ................... Hyannis ............................................................................... Owner ,pine Stree Realty Trust Type of Construction , ,.Masonry ................................... ........................................ + Plot ..........................� Lot ................................ Permit Granted ............June...2.............19 80 Date of Inspection/... ................................19 Date Completed /....................................19 PERMIT REFUSED , ............................ ... ...... .... 19 �. �.. ................. .................................. ........................................ Approved ................................................ 19 ............................................................................... / -W tap and lot numbe 10*THE BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned h reby applies for a permit ac r ing to t e following information: Location ........ ./,,r.. ...............!'�........ ......... ................................. Name of Architect ...AT�C/?......&.e..T.W.................Address ........... finExierior ............................................. . ................ g .............W SUBJECT TO APPROVAL Or BOARD OF HEALTH � | hereby agree to conform to all the Rules and Regulations the above � construction. � Name ..� ......... r—..z ......................................................... � / ' ^ . - ` ~ . `. � � \ ' PINE STREET REALTY TRUST -Condominium 8 Units � \ 733) ' ! � . " . . . . � - .. � ' � ~ ` � , - .� PERMIT REFUSED , - Hyannis - -------------------- - ' - . - � ....................................------''v"....�''= ---------.-----------.-----.. . Approved ' ---------------- lg -------------------------- -------------------------^^ � i a C. Ste, 2 b f • �` / � '�S rya pry t O ' ` 6 " r, J t \ . " • ,, e� % i t r i,f� i �'a� y r v..+,I+x.�rJ� w. s � '�`' •*} , / Y � :'� .._ Y 1� r ,� �a' wa.7''fit Y«°�J ° �y�.'A,• 4 � o\ k e i F > q1 U /Y./ f# , ID z _, 5 7 7 OF 41 4s C� �y 1. S-F WI G- ;T, C UR JAMES Avr� 4� F ! P. ON LAPSLEY i v s•� No.225! �O -6 Ir w M�j /Y w. I BqR/Ysr.4SL 4"4w4mviq PEA SS, •'Y 3 i i Y m 4t y4 �}}� ROUT 1 ,052. ik w s n ,r �tsa ''ram .,. .� t 1 _. .._ ..« s a+��2�•^ki���¢,rr_:r�.'s�t 3.�'W�*ra4'�' TOWN OF BARNSTABLE Permit No. Building Inspector mum 8 Cash •oo te79. ` artOCCUPANCY -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 Pine Street ,Realty Trust Address Unit "A" 731 T23t J.(airi Street. tivatmis Wiring Inspector ": 1 t Inspection date Plumbing lhspector Inspection date 1.2 Gras Inspector f' Inspection date Engineering Department �,`�` + 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 J ........... Buildingo Inspector ,�`""'• TOWN,OF BARNSTABLE_ 22 -�•� _ e _ , Permit No. ---------- - L i Building.Inspector,_ Cash �/ Q swruu ' - • rua - .- 9. °""`� 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 Pixie '"Street Realty `!rw t Address.�d C'v t ' 733 1-'est t gin Street, -11yamis ,f Wiring Inspectors / �© """"` - Inspection date � f Plumbing mspector �t Inspection date/d Gas Inspector U Inspection date Engineering Department �/ j - Inspection date,' y_14 I 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. .. ........... ...n ............_............ . ';Building Inspector TOWN�OF BARNSTABLE Permit No. _______22/237 l 3aunai Building Inspector Cash 67q. 00CUPANCY 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." r . Issued to Pine Street Realty Tn1St Address - � ► ! .r. ��.� s 4 lit, r a_ 1 nit "G" 711 Tract- htni_-n Rfrppf, HvA nnis � + Wiring PInspector*A r Inspection date �{,,� A/ Plumbing Inspector '� Inspection date Al .Z/ IF4 �f Gas Inspector Inspection date r` Engineering Department ,; / r / Inspection date -s 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 1 TOWN,OF BARNSTABLE 22237 Permit No. ________r 11W3TAU Building Inspector t Cash .�� .- 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 Pine Street Realty Trust Address Str,.--rberry Hills Condo, Centervil e 733 West fain Street, Hvaxiinis Wiring Inspector - � Inspection date�xo,/2 Plumbing Inspector Inspection date A& Gas Inspector �� � � Inspection date Engineering Department � ?1 �� Inspection date/,) - -23 '1E0 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. r � 7 J _.._.... . , 9.A ..... ;r f Building�Inspector - i !'._._ram T TOWN OF BARNSTABLE 22237 Permit No. --------_-- _-- 1 Building Inspector ■..� Cash ------____—UPI ; 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 Pine Street Realty Trust Address Tfnjt tvi 711 West NInir), Street, H_arnis Wiring Inspector Inspection date 1 Plumbing Easpect/or Inspection date va Cles Inspector. Inspection date Engineering Department 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. 190 ........................ /� Building Inspector_ . a TOWN OF BARNSTABLE Permit No. ______22237 I Building Inspector Cash 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 Pine Street Relity Trust Address Unit "C" 733 West Main Street, Uvamis Wiring Inspector Inspection Inspection date, Plumbing Invec4 r.�+- - Inspection date Gras Inspector e Inspection date Engineering Department 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. a;n ;4 ................ :.............. .- Building Inspector—�' TOWN OF BARNSTABLE 22237 � e Permit No. ` Building Inspector _ � saa�nau Cash _-- — �YL 167p. �orar► 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 Pine Street Realty Trust Address thiit "B" 733 West Main Street. Hvannis Wiring Inspector Inspection date Plumbing inspector _ 'L ^+� Inspection date Gras Inspector Inspection date Engineering Department 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. � (� 192)L 4��2� X 1 �147 7—A/1 r �� /Building Inspector • r > „o•;` . TOWN OF BARNSTABLE permit No. ___22237 Building Inspector cash __-___ � rua ,ego. 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 Pine Street Realty Trust Address Unit "D" 733 West plain Street. Hyannis Wiring Inspector `� Inspection date Plumbing InsT e f l Inspection date Gas Inspector' T Inspection date Engineering Department i� . 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 0 . 19?� -- �� C \Building Inspector b 18 10 02:05p p.1 04� Barnstable Leased Housing Dept: 508.771.7292 I: Telephone 508.771.7222 M Housing AUthOrlt FAX: 508.778.9312 �b,,rEo 16 1 iDusln y 146 South Street•Hyannis,MA 02601 ZONING VERIFICATION' TO: Linda/Robin FROM: Kim Gomez, Leased Housing Coordinator PHONE NO#: 508-771-7292 FAX 508-778-9312 RE: LEGAL RENTAL UNIT VERIFICATION DATE: T G 10 ADDRESS: VILLAGE: `�l9i1?Y�l I S UNIT TYPE BEDROOM SIZE MAP & PARCEL NO: ((C2The owner of the above listed property,is entering into a contract with us for rental of the property listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable, if it d es p ; please list the reason below: ti J U h you for your assistance in this matter. c— Si ature Print name Date: VIA FAX: 508-790-6230 1 ual Housin 0 ortunit � � � PP 5 Agency P. Communication Result Report ( Feb. 19. 2010 9: 08AM ) 2) Date/Time : Feb. 19, 2010 9: 07AM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 7839 Memory TX 95087789312 P, 2 OK Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size - Feb 18 10 02:05p .... _ ... .. .. p.2 . Barnstable erw.g+rnneey.t 5 5o08 s.711:1222 5as.naHousing Authority sae s®a,So-a•Hy.�.•ag 0 20 1 .9312 ZONING VERIFICATION TO: Lin&aobin FROM:Kim Gomez,Leased Housing Coordinator PHONE NON:508-771-7292 FAX 508-779-9312 RE: LEGAL RENTAL UNrr VERMCATION DATE: ADDRESS: VILLAGE: i�nr�YYo UNrf TYPE BEDROOM SIZE MAP&PARCEL NO: 6 5 The owner of the above listed property is entering into a contract with us for rental of the property listed above.Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town ofB I i oes not,please list the reason below: C�tU —.�•1v,o14wr.���rn �ha.rb.0 c you for your assistance in this matter. Si ature Print name V Date:_ v VIA FAX:508-790-MO