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FTHer Printed On:6119/2019
Complaint Call Report
4 132 WHITEHALL"WAY, HYANNIS
MASS, 04
'Case# C-19-508
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Case#: C-19-508 Address: 132 WHITEHALL WAY, Date: 6/19/2019
HYANNIS
Owner Info: Property Info:
PAULINO, DANIEL&JULIANA& MBL:
FARIA,
763 WEST YARMOUTH ROAD 272-005-016
YARMOUTH MA 02675
PORT
Owner Notified?:
Complaint Details:
Type of Complaint Classification of Complaint Method of Complaint
Zoning, Medium Priority Dept Referral
Complaint Summary:
Resident is operating a bakery from SF home. Traffic becoming a problem.
Action History:
Action Taken Date Description Fee Inspector
Inspector Assigned to Complaint: mckechnr Filed by: andersor
Comments:
Comment Date Commenter Comment
6119/2019 andersor Kathryn reports the owner used to have a bakery called hone Cakes at 115
Corporation Rd, Hyannis (closed in 2017).
f Bar
Date: 6/19/2019 Town onstable
Citizen Web Request Page 1 of 1
7 .'.
F.!:."_"1'. Status:
Citizen Request Management - Internal Use
equest ID: 70073 Created: 6/19/2019 10:26:26 AM
Assigned To Staff Assigned To: Desmarais, Donald
Health Office
Article X- Food : Illegal
Anonymous: Yes Category: Operations
E.C. Date: 7/3/2019
Created By: Soto, Kathryn Citations:
Health Office
Time Worked: 0.00 Response Time: 0.00
Requestor Details:
Email:
Request Location:
132 WHITEHALL WAY
Hyannis, Ma 02601
Parcel Number: Map: 272 Block: 005 Lot: 016
Request:
Caller reports there is a bakery being operated out of property.This has been going on
for a while but now it is constant with cars coming in and out all day with cakes/baked goods
Request Work History:
-Internal Note History:
Entered on 6/19/2019 10:26:26 AM
by Soto, Kathryn
The owner of the house used to have a bakery called Ivone Cakes at 115 Corporation Rd but
closed up their shop at the end of 2017
System entry on 6/19/2019 10:26:26 AM:
Assigned to Desmarais, Donald.
https:Hitsgldb.town.bamstable.ma.us/CitizenRequest/WRequestPrint.aspx?ID=70073 6/19/2019
Citizen Web Request Page 1 of 1
/ e t� ,
ox
Citizen Request Management - Internal Use
a s.Y.-..._ p..fs
Request ID: 70073 Created: 6/19/2019 10:26:26 AM
Status: Assigned To Staff Assigned To: Desmarais, Donald
Health Office
fj
Anonymous: Yes Category: Article X- Food : Illegal
Operations
E.C. Date: 7/3/2019
Created By: Soto, Kathryn Citations:
Health Office -
Time Worked: 0.00 Response Time: 0.00
n�
-Requestor Details:
-Email:
Request Location:
132 WHITEHALL WAY
Hyannis, Ma 02601
Parcel Number: Map: 272 Block: 005 Lot: 016
Request:
Caller reports there is a bakery being operated out of property.This has been going on
for a while but now it is constant with cars coming in and out all day with cakes/baked goods
-Request Work History:
-Internal Note History:
Entered on 6/19/2019 10:26:26 AM
by Soto, Kathryn
The owner of the house used to have a bakery called Ivone Cakes at 115 Corporation Rd but
closed up their shop at the end of 2017
System entry on 6/19/2019 10:26:26 AM:
Assigned to Desmarais, Donald
https:Hitsgldb.town.bamstable.ma.us/CitizenRequest/WRequestPrint.aspx?ID=70073 6/19/2019 .
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 7 a Parcel 5 0 Permit# 1
Health Division g -4: cr7 10131 Date Issued ld'�ls -Jraa
Conservation Divisions' l� � Application Fee
Tax Collector ,S Permit Fee S r3
Treasurer
Planning Dept. � CANTXMT OBTAIN A,SEWR
CONNECTION PERMIT FROM TrIE
ENGINEERING Date Definitive Plan Approved by Planning Board cons �iUG°!'1011t;DIftOm PRIOR TO ft_
Historic-OKH Preservation/Hyannis
Project Street Address !
Village VAU Oa Al )
Owner Address
Telephone b S _ a
Permit Request mac A c1,S�- 1`� �� t,�ik�\ G i� o rv211
+L
Square feet: 1st floor: existing proposed 2nd floor:existing RO y proposed Total new (13 5
Zoning District Flood Plain R(_ Groundwater Overlay
-�Project Valuation •_14,®o 0 e Construction Type Ujc��n
Lot Size 15,Oy 0 Grandfathered: ❑Yes 0 No If yes, attach supporting documentation.
Dwelling Type: Single Family IP Two Family ❑ Multi-Family(#units)
Age of Existing Structure )_�s4gA( 5 Historic'House: ❑Yes 2 No On Old King's Highway: ❑Yes ANo
Basement Type: ❑Full ❑Crawl ❑Walkout (40ther
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _
Number of Baths: Full: existing new Half: existing 0 new
Number of Bedrooms: existing_ new
Total Room Count(not including baths): existing new First Floor Room Count _7-3
Heat Type and Fuel: V Gas ❑Oil ❑ Electric ❑Other
Central Air: 0 Yes 5'No Fireplaces: Existing X New Existing wood/coal stove: ❑Yes ONo
Detached garage:❑existing ❑new size Pool:❑existing O new size Barn:❑existing ❑new size
Attached garage:❑existing new size �yX a `�Shed:❑existing 0 new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes 14 No If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name Telephone Number ( Sou
Address ^3? �_ 2 t2. License# (�
TG� r\.cJ 0AAy,*11 MA. D63 Home Improvement Contractor# �9 3
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
T
t FOR OFFICIAL USE ONLY
PERMIT NO.
DATE'ISSUED _
MAP/PARCEL NO. -
ADDRESS- VILLAGE
OWNER ,.' `•, - r .+ � - -
DATE OF INSPECTION: '
FOUNDATION ® � � 7 _G 3
f
FRAME
INSULATION _
FIREPLACE
ELECTRICAL: ROUGH FINAL
f F.
PLUMBING: ROUGH FINAL '
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT -
j r -
ASSOCIATION PLAN NO. -:
4
lit
n G en,
STDr7 :9F D
s . P ,3
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings,Additions $50.00 �d
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq.foot= x.0031=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq.foot= x.0031=
plus from below(if applicable)
GARAGES(attached&detached)
9 3 square feet x$32/sq.ft. �� x.0031 c�Q�
ACCESSORY STRUCTURE>120 sq.ft.
>120 sf-500 sf $35.00
>500 sf-750 sf 50.00
>750 sf 71000 sf 75.00
>1000 sf- 1500 sf 100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
Relocation/Moving $150.00
(plus above if applicable)
Permit Fee
projeost
°F� r Town of Barnstable
ti
P Regulatory Services
9MAM Thomas F.Geiler,Director
s639• ♦0
prED MA'S Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and.Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize T� .Q� to act on my behalf,
in all matters relative to work authorized by this building permit application for:
Y�o
(Address of Job)
Signature of Owner Date
Print Name
A.T;/1D T!C.!1\S IATR D Dir T)1.ATC C Tr%WT
°fYHE f°� Town of Barnstable
ti
Regulatory Services
BARMABLE. ' Thomas F.Geiler,Director
MAn
9`bA,0 9. ��� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME MROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. Iw
Type of Work: Gcif0.G•F I A d-q LL) fh �4a g p9P (bpyy _&tnnated Cost U O 0
Address of Work: W h;-k 1 la I W
Owner's Name: i n u y e n
Date of Application: l O 0 3
I hereby certify that:
Registration is not required for the following reason(s):
OWork excluded by law
❑Job Under$1,000
[]Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PEPJvHT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
p 3 p 3 Ci rYl '3
D to Contractor Name Registration No.
OR
Date Owner's Name
Qlb ms:homeaffidav
The Commonwealth of Massachusetts '
-> -'-- Department of Industrial Accidents
Office Of/OYestf98tle/Is
600 Washington Street
Boston,Mass. 02111
' Workers' Com ensation Insurance Affidavit
name 17 M 1��� ►'1'1 S
location: c Cnn r
ci c a-5 3 to phone# 5 Oa 5 6 3- S c N2
I am a homeowner performing all work myself.
I am a sole netor and have no one worlds in capacity
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❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who
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the followin workers' compensation polices:
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Faflnre to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to SI,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify under the and penalties of perjury that the information provided above is true and correct
Signature
Dare i ea/e3/6Y
Print name
(�i'fy) k eamS Phone# Sq�r S 63 P 5 y�Z
Official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑ceding Department
❑Licensing Board
❑checkif immediate response is required ❑Selectmen's Office
❑Health Department
contactperson: phone#; _ ❑Other
Uaviged 9195 PIA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees.•As quoted from the"law", an employee is defined as every person in the service of another 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 as 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 section 25 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,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
,1
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 along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of fimirance 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
cidents. Should you have any questions regarding the"law"or if you
being requested, not the Department of Industrial Ac
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and Printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returnR*io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
'The Depart ient'�address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Imlesugatloas
600 Washington Street
Boston, Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375 .
�� u 74 Tpom�mzoouuea�i a�
n; BOARD OF BUILDING REGULATIONS
i License: CONSTRUCTION SUPERVISOR
s 067558
¢ Numbers
i � atilt ra 1,165
02005 Tr.no: 5709
R@ RFE-t@f1:� ,i ire✓
TIMOTHY J
�. 37 CUTTER
• E FALMOUTH, MA 02 6" Administrator
I
S
17�
Board of Building
Regulations and Standards
HOME IMPROVEMENT
CONTRACTOR
Registration: 122938
lot E P�a41on -i`1/6/2004
t
� #'�YA�• LaB,q
TIM REAMS BUILpIy� i=
TIMOTHY
REAMS.
37 CUTLER DRIVE
E.FALMOUTH
-'-' Admin�ctxator.
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il` N
EX3 0 ED
MOM
MOM =
RIGHT ELEVATION
FRONT ELEVATION
DATE: 24 SEPTEMBER 2003 PROPOSED 14�On X 24 � GARAGE for CHING YUEN
o. W.P.L.
Iw SHEET OF 4 SCALE 1l4°= t'0"
132 WHITE HALLWAY ROAD,HYANNIS, MA. FRONT&RIGHT ELEVATIONS
\ BUILDER: TIM REAMS, EAST FALMOUTH, MA.
RIDGE VENT ROOF PITCH TO MATCH
/ EXISTING HOUSE
-THREE TAB ASPHALT SHINGLES
15#FELT PAPER
1/2"PLYWOOD SHEATHING I
HICKS STARTER VENT
2 X 8 COLLAR TIES 18"O.C. .cam
2-2XSHEADERSW/PLYWOOD � ----1X8FACIA
BETWEEN GLUED AND NAILED 1 X 8 SOFFIT
® ROOF PITCH TO
MATCH EXISTING 5/8"FIRE CODE SHEETROCK AS REQUIRED I �
HOUSE ON COMMON WALL WITH HOUSE
I
2-2X4 WINDOW SILL
PLATE -
3/4'T 8 G PLYWOOD SUB FLOOR 2 X 4 STUDS I I
2 X 4 SOLE PLATE
I
R-30 INSULLATION - I
2 X 10 JOIST 12"O.C. 2-2 X 4 TOP PLATE
2 X 10 LEDGER W/JOIST HANGERS SECURED [FIRE CODE
TO EXISTING BOX W/1/2"LAGS 24"O.C. RATED DOOR I
I
3-2 X 10 HEADERS W/PLYWOOD WALLS
AND CEILING
EXTERIOR
WALLS AND CEILING
BETWEEN GLUED AND NAILED I I
R-131NSULLATI IOIN I "NIINYLSIDINO
5/8"FIRE CODE SHEETROCK AS REQUIRED I I
ON COMMON WALL WITH HOUSE I 2 X 4 STUDS 15#FELT PAPER
II
�2 X 8�PT SILL PLATE 2 X 4 SOLE PLATE SHEATHING OD
I
PROPOSED 4"POURED CONCRETE
FLOOR W/8"X 8'WIRE MESH
\PROPOSED 48"POURED CONCRETE.FROST WALL
EXISTING HOUSE W/DOWEL PINS TO EXISTING FOUNDATION - -
FOUNDATION
- - - _PROPOSED 8"X 18'FORMED AND KEYED - - -
CONTINUOUS POURED CONCRETE FOOTING
REAR ELEVATION
CROSS SECTION
(DATE: 24 SEPTEMBER 2003 PROPOSED 14��° X 24�ou GARAGE for CHING YUEN SHEET 2 OF 4 SCALE 1/4" 1'0"
DWG. W.P.L. 132 WHITE HALLWAY ROAD,HYANNIS, MA. REAR ELEVATION AND CROSS SECTION
cHK. BUILDER: TIM REAMS, EAST FALMOUTH, MA.
14'-0"
1
1
I
1 ° M
REBAR DOWELS PINNING NEW I I 1I
——-N FOUNDATION TO EXISTING
DROP WALL UNDER I 1 FOUNDATION WALL DROPPED
SLAB FOR DOOR UNDER DOOR OPENNG
I 1
I I EXISTING DOOR
I I 1
8"X 1S"FORMED AND KEYED
CONTINUOUS POURED I q�
CONCRETE FOOTING I EXISTING HOUSE NO WORK "
4"CONCRETE FLOOR WITH S"X S"WIRE
EXISTING FOUNDATION I I PROPOSED IN THIS AREA MESH PITCHED TO 9'D"WIDE DOOR
I 8"X 48"POURED CONCRETE I 1
NO WORK PROPOSED IN I I FROST WALL
THIS AREA
BACK FILLED TO GRADE-4"POURED
CONCRETE FLOOR WITH S"X S"WIRE
MESH PITCH TO 9'DOOR
/ I
I DROP WALL UNDER I I - I FOUNDATION WALL DROPPED I -
I S SLAB FOR DOOR I- I / DOOR OPENING I
I — I \ L=� UNDER
---------
-- -------- I \\ eoTo
— ------- \
SZ-Z — —— 2''2" § \\ '1114`S}�--B'-D" '4 1/4
——— I 13'-81@"
REBAR DOWELS PINNING NEW \
FOUNDATION TO EXISTING FOUNDATION PLAN \\ FLOOR PLAN
D
ATE: 24 SEPTEMBER 2003 PROPOSED 14�0° X 24'0° GARAGE for CHING YUEN sHEET 3 OF 4- SCALE 1/4"_ 1'0"
G. W.P.L. 132 WHITE HALLWAY ROAD,HYANNIS, MA. FOUNDATIONBFLOOR PLAN
R: TIM REAMS EAST FALMOUTH, MA.BUILDE
• I
1
1
1
1
. , 4
I In
UP
I
1
1
1
1
1
1 2 X 8 RAFTERS 16"O.C.
1
1
1
1
2 X 10 FLOOR JOIST 12"O.C.
1
N
EXISTING HOUSE NO WORK §
PROPOSED IN THIS AREA 2 X 10 RIDGE N
' 2 X 8 RAFTERS 16"O.C.
1
I
I
I
6
_ 3-2 X 10 HEADER WITH 1/2' I
PLYWOOD GLUED AND NAILEDJWWWWWH .
(.
1
1
SECOND FLOOR FRAMING 1 4
1 �
1
I
1
r
ROOF FRAMING PLAN
,
SHEET 4 OF 4 SCALE 1/4" 17
DATE: 24 SEPT 3 PROPOSED�4�On X 24�On GARAGE for CHING YUEN =
DWG. w.P.L. EMBER 200 � 132 WHITE HALLWAY ROAD,HYANNIS, MA. SECOND FLOOR&ROOF FRAMING PLANS
CHI BUILDER: TIM REAMS, EAST FALMOUTH, MA
Assessor's offioe (lst floor): ` ry�_ o*TWETo
Assessor's map and lot n mbef .......................
Board of Health •(3(d floor): -- •_ _ ,` fO� o .
Sewage +Permit number � .... .�... f a
i,�.....:> ............... .. Basa9TAX .
MAM6
Engineering Department (3rd floor): �o
House number ........................'...........t5 ..
0
..;..� ........ ' _ o,,� �nY.p`0�
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wAPPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only:,
TOWN OF BARNSTABLE g ,
• BUIL.DI,HG INSPECTOR
APPLICATION OR PERMIT TO ............. ... ..�..�.. '� Uf.f/(e /l r L1�o............ x
TYPE OF CONSTRUCTION v el(
...........................................................................................y..........................................
..............
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
" -7
Location ............:...::<::.r?.. ..........................................................?......... .........., !` ''r ........................................
Proposed Use ........................................::��.../,.1,*'-'/ �..........:FA, -��..:.+'� r"............................................................................
....�.........
Zoning District ..................... C ...............................Fire District j1 !r^...,!"--I
; .. ...... ...........................
...
-.Name of Owner 0 i't' t�.p,` !�..../tin {j c)k'�f . t�°,W. C /t /
t` Name of Builder P� ' .....................................................................Address ....................................................................................
x
t,
`Na.me of Architect ..................................................................Address ....................................................................................
t � J
Number of Rooms .........................t -c ................... .............Foundation ............... 1Jt� ....... . TF2. •° -.......
Exterior i! t r.�'f.J -5 "!!. ,t`^......Roofin .5 P7/44 1( � 7
................ g
.......... .
Floors .................. ,. ........................Interior .......................... a� +
Heating g r..... .'.. ....... ........ .!.... .................Plumbin ........................a.......%. '..
Fireplace ".................................................................................Approximate Cost .................... .. .......................................
Definitive Plan Approved by Planning Board ____f__4----_----_.-_-_--_-_19--_ Area ............. /� 5.�.................. ........
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
'i
J
L
. 00CUPANCY PERMITS REQUIRED FOR NEW `DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable iegardi-hg the above'
construction.
/ f f
zf Name 7I �.. �g
.............
Construction Supervisor's Licensee ! �..t,�
k .. I
A t
THE GREENBRIZR CORP. A=272-005 . 016
No ..32362 Permit for ..1 z Story
Single Family..Dwelling
Location ..L t...#j4.1......132... hitehall Way
.................H,yann .s.....................
Owner ......The Greenbrier Corp.
.............................................
Type of Construction Frame
. ...............................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ....October 17, 19 88
Date of Inspection ....................................19
Date Completed ......................................19
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C d �.v t t
f,x, � .•.T• �:.:4'. r,,..r.q.�,�,.. r:.,.;... ..�. :...� .,r,., w-- r^.. ;`�':'r°'ys, w.,,�.o'�� -.u.w.^',kr� �,,,,,.",..«R—+---- .;ar _ ., {w, .> ... ,. ,...
pi 7NE>o TOWN OF BARNSTABLE Permit
BUILDING DEPARTMENT
{ 18"r I TOWN OFFICE BUILDING Cash .
...
■Yl
HYANNIS.MASS.02601 Bond ..... .� .
CERTIFICATE OF USE AND OCCUPANCY
Issued to The Greenbrier Corp.
FF Address Lot #34, 132 Whitehall Way
Hyannis, Mass.
USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR ,.UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND,IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE. ,
January 10, 89
............... .......... 19................. .........................................
Building Inspector
t
47
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
_ XMIST
rua 0 TOWN OFFICE BUILDING
�
i639' �� HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE: 13//�9
An Occupancy Permit has been issued for the building authorized by
BuildingPermit #.....`���.`�.. ..��--:.........................................................................................................................................._.._.
issued to (`?/ ,rJ�✓'1/s /.,L,,, /�? ,-3�� -����-..�� �/ LG...... . _�
Please release the performance bond.
BUILDING PERMITTOWN OF BARNSTABLE, MASSACHUSETTS :
A=272-005.016 October l $�3 � (/gsc�' '
•� (� DATE 19 PERMIT NO. '��I 23 '"f�
APPLICANT VW]1LY
ADDRESS
' I INOJ (STREET) (CONTR'S LICENSE)
PERMIT TO Build dwellinb 1 JiIL .Ta.E✓ iamii, d6,elling, NUMBER OF 1
(_ STORY DWELLING UNITS
{ (TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
of 34
; ZONING
iten:l!;. tJ«;�: HyaTTnis RC t AT (LOCATION) DISTRICT— j
. � (NO.) (STREET) _ _ "
BETWEEN
AND
I (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: )f_30 �0
I
VOLUME AREA OR Ci .6 SCi, i;_. $ UU,GI)0 FPER
EEMIT s 65.50
ESTIMATED COST
(CUBIC/SO UARE FEET) .�
The Greeabnlur
OWNER P C, ii3tt-YVl.i.i,�, �1.•5. - BUILDING DEPT.
ADDRESS BY /� / YI .'i
bF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
.INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS,
2. PRIOR TO COVER)NG STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
'OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 ) z
i
I
HEATING INSPECTION APPROVALS % ENGINEERING DEPARTMENT
OTHER
r-(2C���
VORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE
OR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
'` ONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
L
b �
� I
I'vV 1
v 0 29
h� I � o0o S.,� ^•
0
3a
CERTIFY THAT THE
�UvN�,4 Ti owl � �'•
U�EEN132/c,e SHOWN -ON THIS PLAN IS
1
t
CLIENT LOCATED ON THE GROUND PAULA.. ryN
JOB NO. u LEVY.
S,� AS INDICATED i
DR.BY:�_ No. 10617,
SHEET!OF 9
DATE RE. TERED LAND SUR YOR
LEVULDREDGE 8 WAGNER ASSOCIATES,INC. A.R PLOT P1 A
ENGINEERS - LANDSCAPE ARCHITECTS Lo i 3� WhL,rEhf�LL W�Y
PLANNERS - LAND SURVEYORS IN
889 WEST MAIN STREET /5,4ZNSTA3.4E, /Y,4
CENTERVILLE, MA. 02632 SCALE DATE: ZZ �8
Assessor's offioe (1st floor):
E Assessor's map and lot number .....
Board of Health (3rd floor): e�Sewage' Permit number ......... .` .....�941�� g
pp�� � �`pp �' ZB9BII9TODLE,Engineering Department (3rd f►oor): �i �' /� 'moo ,rb 9
House number ✓ V 3 �e
APPLICATIONS PROCESSED 8:30'9:30 A.M, and 1:00-2:00 P.M. only
y
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ................ ...O•!V..S. . 2G .....i.N��..........................
TYPE OF CONSTRUCTION ................................ .Q .f/.1...........n.�.l.A!.-e..... ......................................
....... '. 3�.---.....19... 0
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fora permit�according to the following information:
Location .............................L----o. ....✓.....
....................................... ......... .��/.
c
ProposedUse ......................................S.�A, .-C..........�,�9 ./ ............................................................................
Zoning District ......................!..\..C..-.1...............................Fire District ............... � !., ....
............................
Name of Owner .74%!! ...�p.r'V A�.blwcl�...`O. .....Address .....................P..(:)k......:��C)...
`
T"
Name of Builder C .......Address
Nameof Architect ..................................................................Address ................................................/..1.................................
Number of Rooms ......................... ..................................F/oundation ............... 0 .....S. .Qt��! .r'�:-::..
Exterior ............... ......a f h C(/1�f...-F..�!�,f,.....�'Ki� ��tf 1"' C . ..Roo ng .....................X.� ....... .......
Floors -1p �l�✓ L .......................�. ... f ./j dG ...................
.................�./,.�.1.!-/.............�..... ....y........................Interior .. ... .......
Heating !...............F-.., .��......X........6.4. .................Plumbing ........................02....IT.1,c7 A-s............................
Fireplace ........................ ................................................Approximate Cost ......................4, (D ....................
) ..... ...
//fi�rr A p
Definitive Plan Approved by Planning Board ----_1__ 1 _-___---__19---!�_� Area . f..............So....-...
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
� I
! lz �(00,1.5
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab d' the above
construction.
Name ...................................................... ................
Construction Supervisor's License ..........
THE GREENBRIER CORP.
No ..323 ...... Permit for ..1.1...Story..............
Single Family„Dwelling,,,,,,,,,,,,,
Location ....Lot #3,4.........U.2...Whiteh,a.11 Way
...................Hyanni.s..........................................
.............................................Owner . The Greenr rp............. r Type of Construction ...E KAMe...........................
...............................................................................
Plot ............................ Lot ................................ +' � � Y r.
October 17 88
Permit Granted ............I..................... .....19
Date of Inspection
Date Completed �-�
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� � .T. ��' ''' .mow �. ✓� i .s�
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To vn of Barnstable � P >< 1 f
1 Expires 6 months front issue to
Regulatory Services Fee �- C
� BARNSTABLE, � - ..
r� 1639. � Thomas F.'Geiler,Director
Building Division
Tom Perry, CBO, Building.Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us `
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
/Not Valid without Red X-Press Imprint
Map/parcel Number .�� a db
Property Address ul t
❑Residential Value of Work ���� �)• �' Minimum fee of$25.00 for work under$6000.00.'
Owner's Name &AddressZ Li
Contractor's Name Telephone Number '
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#.(if applicable) 'M 1
❑Workman's Compensation Insurance m PER IA
Check one:
16
4 I am the Homeowner, �AR.
I have Worker's Compensation Insurance y gARIVSTABL
-TO\jVN OFInsurance.Company Name .L
t
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit..,
Permit Request(check box) ,
Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping: Going over existing layers of roof)
• V
Re-side
#'of doors
❑ Replacement Windows/doors/sliders. U=Value (maximum .44)#.of windows
.*Where required: Issuance of this'permif does not exempt compliance with other town department regulations,i.e,Historic;Conservation;etc.
***Note: . Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required/
SIGNATURE:
Q:\WPFILESTORMS\building perrrrit forms\EXPRESS.doc - "
The Commonlvealth of Allassachtisetis
Department of Industrial Accidents
IT-1 Office of Investigations
I' h00 Washin-ion Street
c --� •., Boston, MA 02111
y wfvm niass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information {, Please Print Legibly
Name (Business/Organizationnndivi dual):
Address:
City/State/Zip: Phone #:
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ 1 am a employer with 4. ❑ I am a general contractor,and I 6. ❑ New construction
employees (full and/or part-time).* * have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet.. 7, ❑ Remodeling
ship and have no employees These sub-contractors have g• ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y P Y• 9. ❑:Building addition
[No workers' comp. insurance comp.insurance•1
3:4required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or addition
I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or addition
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' 13.0"0ther
comp.insurance required.]
*Any applicant that checks box 41 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.
iContraclors 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 irnprisonment,'as well as civil penalties in the form of a STOP WORK.ORDER and a fin
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.
1 do hereby certify, under the pains and penalties of perjury that the information provided above is trite and correct.
Signature 2J R Date: —
Phone#
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector
6. Other
Contact Person: Phone#:
14 iv
Information acid 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 locaHicensing 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 peimiWicense number which will be used as a.reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or.
town). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i,e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 4-24-07
www.mass.gov/dia
Town of Barnstable.i i
" Regulatory Services
1
uxrasrAsre.
Thomas F. Geiler,Director
* „
Building Division
1659• ,
oTED �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
j Please Print .
DATE: 3 Z'o
lSZ 6)OB LOCATION: D
number (' street % —7-7V village
"HOMEOWNER":
name home phone 4 work,phone.4
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,alicense,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 w
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages.a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, .
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when.the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
er acting as Supervisor is ultimately responsible
Supervisor. The homeown .
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
form currently used b
the last page of this issue is a y Y
' that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On p g
several towns. You may caret amend and adopt such a form/certification for use in your community.'
Q:\WPFILES\FORMS\homeexempLDOC -
r as
d'(HErp� Town of Barnstable
Regulatory Services
anxxsrnsLE. Thomas F. Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I , 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.
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P.O. BOX 364 WEST FALMOUTH, MA 02574
LOT 30 (508) 540-7733 ph. (508) 540-3022 ph.
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ASS.#272-05-16 DATE: 1011103
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