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Home My WebLink About0167 WINTER STREET ._ ___ ,,,._ �,,� ri� ` . _--- --- -- �; � M � � � � � a � � � f • � � �� J ^� , \ �J �' 1 � l it Y ,k 4 .f O �I� i . . � � � 1 � i � - ,.�,: � �. ,` � � � �� \ �� r �� ', I�' �, 3��.,__.. ._...... .. 9L g 3 4 Q �- � rti,2-� w ow��2 � ♦ i Cov -r -TC) NIL-- Ii �i r d Y} 1 0 _ P r' J . nww-r-md NO. 7521/3 I 4 � y A ] v L i + L �{Pt oz . i m SENDER: ,v ■Complete items 1 and/or 2 for additional services. I also wish to receive the w ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. 8 ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. - ■Write'Retum Receipt R uested'on the mail lace below the article number. d ram°' ■The Return Receipt willow to whom the article was delivered and the date 2. ❑ Restricted Delivery a delivered. Consult postmaster for fee. 3.Article Addressed 4a.Article Number d �^ E E 4b.Service Type s«'r 570 0 Registered ❑ Certified a 47 ❑ Express Mail ❑ Insured c �' � ❑ Return Receipt for Merchandise ❑ COD 7.Date of Delivery z � Received By: (Print Name) 8.Addressees Address(Only if requested c and fee is paid) 6.SighaL ture (A resseU/0 gent) a°. X � a� PS Fo 811, December 1994 102595-97-B-0179/ Domestic Return Receipt First-Class Mail UNITED STATES POSTAL SERVICE Postage&Fees Paid uSPS Permit No.G-10 Print your name, address, and ZIP Code in this box• �� Town of Barnstable Buiiding [Division 367 Main St. Hyannis, MA 02601 �,l' iliif.4LbilEib=; 44.}}iEflbi�,4.4 .{ .4342144�5??:.4'il.E4}{.U.'s.411 Application number...........................�..... .... Date Issued................................................................. lap MUtNSTABM 16.19.er 1�� E88 0 6 2619 Building Inspectors Initials....................................... TQW&iOFBrif1NSIML Map/Parcel------Sa6l......L!0.................................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESI EATHERIZATION PROPERTY E'ORMATTON Address of Project: 16 Z &- r NUMBER STREET VILAGE Owner's Name: :72,-eta M ,,z; Phone Number 7 7 _?,ff 7 Z Email Address:�� 5�,.,Q„Z; Cca s�,n e-� Cell Phone Number Project cost$ I Q/� — Check one Residential ✓ Commercial OWNER'S AUTHORIZATION JOI®Jl@1LZA11IO As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: See A-R'ak,,,,Q � Ti r� Date: TYPE OF WORK 0 Siding l"i Windows (no header change)#__0 Insulation/Weatherization Doors(no header change)# Commercial Doors require an inspector's review `J Roof(not applying more than 1 layer of shingles) Construction Debris will be going to a,s4 MA CONTRACTOR'S INFORMATION Contractor's name ,IPe,� - Dane ( vs Home Improvement Contractors Re stration.(if applicable)# 1l Z 7 k S (attach copy) Construction Supervisor's License# 0 700 Z 7 (attach copy) Email of Contractor . Swe,�ft S e � - c Phone number 410/- 7IV- 6.3 9 ALL PROPERTIES THAT HAVE STRUCTURE OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one:this event is a: for profit non-profit event Check one: Food served Yes . No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hovers of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval XW®OD/COAL/PELLET STOVES Y Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S ER'S LICENSE EXe`'LV'DJL. IOI'9 Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the males 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 CIR and the Town of Barnstable. Signature Date APPLICANT'S 9S SIGNATURE Signature Date All permit applicatio are subject to a building official's approval prior to issuance. Home Improvement Agreement: Page 1 Home Depot License Number(s)• Visit www.homedepot.com/c/SV_HS_Contractor_License_Numbers for latest license into MA: 107774, 112785 Salesperson Name: Janice Campbell Registration No. (if applicable): Home Depot U.S.A., Inc. ("Home Depot") or service provider named below ("Service Provider") will furnish, install or service the equipment listed below at the price, terms and conditions as outlined on this form. manzi Teresa New England South 1-9U2VJF1 Customer Last Name Customer First Name Store #/ Branch Name Lead/Customer Order# 167 Winter Street Hyannis MA 02601 Customer Address City State Zip (774) 392-3877 teresamanzi@comcast.net Home Phone# Work Phone# Cell Phone# Customer Email Address NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT HOME DEPOT USA INC., 2455 PACES FERRY ROAD, BLDG. B-3, ATLANTA, GEORGIA 30339 or EMAIL The Home Depot I @ customercancellationnortheast@homedepot.com BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENTS WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: 10/22/2018 Cust er's Ignature Date Contract Price and Payment Schedule : Paymen the Contract Price is due upon signing unless a different payment schedule is required by law, sp cified below or in a payment addendum. Contract Price: 11986.00 Includes all applicable taxes. Excludes finance charges." Sales Tax: 10.00 (If applicable) *Maximum deposit ONLY applicable in MD, MA, ME(33%), NJ, Wl(99916) Dep. 125.0 % Deposit Amount 1496.50 Remaining Contract Balance 11489.50 The Home Depot-2455 Paces Ferry Road,N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care: 1-800-466-3337 Customer Agreement(C,E,I)(31 Jan.18) v 50.1.2 Home Improvement Agreement: Page 2 * Finance Charges : Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer-is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments made payable to Home Depot. Insurance proceeds will will not be used to pay some-or all of the total amount of sale. Description of Work to be Performed : A detailed description of the work to be performed is included in the.paragraph entitled Scope of Work or Specification which is included in this Agreement. Anticipated Delivery Date/Installation Schedule Approximate Start Date: 12/17/2018 Approximate Finish Date: 01/14/2019 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if applicable. Electronic Records Authorization : You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above, you confirm that you have access to a computer that can receive and open emails and PDF documents. By ' itialing this paragraph, I consent to receive only electronic records related to this transaction. "al Acceptance and Authorization : By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to i1 be provided to You later.) By signing, you acknowledge that: (1) You have read, understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; and (iii) all rights and interests under this Agreement are solely vested in the person listed as "Customer" above. 1 X = - 10/22/2018 1 The Home Depot Customer's Signature Date Service Provider Name X 10/22/2018 1 908 Boston Turnpike Unit 1 igner (if plicab ) Date Service Provider Address Al X 10/22/2018 Shrewsbury MA 01545 'ftnstur On If f Hom pot Date City State Zip R-1-073-13-00016 MVendor ervice Provider Phone # Service Provider License Number I The Home Depot-2455 Paces Ferry Road, N.W.Bldg.B-3,Atlanta,Georgia 30339-Customer Care:1-800-466-3337 Customer Agreement(C,E,I)(31 Jan.18) v 50.1.2 Conunonweafth Of,massachusetts a Division of PtotessiOnaf licensure " So Of Building Regulations and Standards Con ' �1'��Perv#sof CS-070£i77 x � Expires. 12J3OJ2020 JOSEPFf C 1wiftRTE 15 FALL ST WAREHAM MA ift2$71 ' Commissioner M. i t Office of Consumer Affairs&Business Rt+g wuon Ka HOME IMPROVEMENT CONTRACTOR Regisha on val&t for lndivi"l�Ce anFy e TYPE:Partnership before tFte e�cpiration date..Nfound ntum tot t K. Reg#�tra�etl n_,. Exni _'on Office of Gonscim Affahsand Buss •132349 .;:;. t)i110�2021 1ifAD Wasl��ngton Street-Sups 7t0 � � JOSEPH C_DUARTE i Boston,AAA 02118` � DIBfA J&J REMODELING £ JOSEPH C.DUARTE 15 FALL ST. Ot vaffd v�fthgp. S'gtf3tuee WAREHAM,MA 02571 Undersecretary....: ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 �< Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ' D r Address: 15 F4a r Cit /State/Zi : 1025-71 Phone#: 77'fl- 766 - c2d p 5 Are you an employer?Check the appropriate box: . I am a general contractor and I Type of project(required): 1.El4 I am a employer with g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.QQ 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 �'• . 9. ❑Building addition [No workers' comp.insurance comp.insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing'all work officers have exercised their I I.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.) *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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a, fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cer 'y unde tl:e painjWjtd penalties of perjury that the information provided above is true and correct Signature. l Drone#• — - 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#: f The Commonwealth of?Massachusetts Department of Industrial Accidents Office of Investigations s 1 Congress Sheet,Suite 100 ,.� Boston,M4 02114-2017 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders!Contractors/Electricians/Plumbers Applicant Information `� Please Print Le 'biv Name (Bu:iness/0rgar=tiorvludividual): 0 � 1/ -P _ Address: I B g 8 S�vN / yAL4JR Citv'5tate/Zi : , •X r ,; 10 . o/sy.5- Phone##: 7 Are you an employer"Check the nropriat�e b Type of project(required): ]. i am a employer with , 4• LI'ana a general contractor and I : have hired the sub-contractors 6. ❑New construction !mployees(full and/or part-time). i r' I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, El'Demolition i w g for me in any caps emoiovees and have workers' or 9. ❑Bulding addition [-N-o workers' comp.msurauce comp.irstuance.*, required-] 5. We are a corporation and its i 10.❑Electrical repair or additions 1 I am a homeowner doing all wort officers have exercised their 11.❑Plumbing repairs or additions mysel`. Tlo workers' comp. right of exemption per 1vIGL L^.❑3joof rep:�rs it siaance require t 15?,§1(4),and we have no 9 ] 13.E Other in/1^ employee.. [No workers' i comp.instuance required.] I , re eta(P/ 14 •-Any apoiieart that che e cks box '_must also M out the section below showing their workers'compensation policy mformabon. .Homeowners who submitthis affidavit indicating they are doing ap work and then hire outside contactors must submit anew af8davir indicating such. :CortraKors that check this box must auadbed an additional sheet showing the name of the sub-contractors and state whether or not those entities have =pioyees. 1 the sub-cnnvaa=have employees,they must provide their workers'comp.policy number. I am an employer chat is providing workers'compensation insurance for my employees. Below is the policy and job sire information. _ �J h2stL*ance C ompanv Name: Policy#or Self-ins.Lic.#: x w (ti / Expiration Date: Job Site address: 7 A4A-/e4- City/state zip: 11VYt^,17 n 'J -,-iA ` a co of the workers' compensation policy declaration page(showing the policy number and expiration date). Attach coy P P y Faihire to secure coverage as required under Section 25A of MGL c. 153 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-13g imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fore of up to$350.00 a day a • e violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA r' ce coverage verification. I do hereby certify ua a the information provided above is true and correct S' attire: g Date: — �o Phone 4: a only. Do not write in this area,to be completed by city or town of ciaL LE6.Otber . n: PermitUcense hority(circle one): Health 2.Building Department 3.CityiTown Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone>_: u ;., ,.f ??£: rf[cr.r,ECt.+'c: � fv'�f ��f`Gfvsw'� f:1 all _-- Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Supplement Card HOME DEPOT USA INC Registration: 112785 0 2455 PACES FERRY RE) C-11 HSC Expiration: 04/22f2fl1„ AT'LANTA,GA 30339 Update Address and return card. Mark reason for chance. ❑ Address ❑ Renewa! !]Employment ❑ Lost Card Office of Consumer Affairs&Business Regulation -- HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE SUDDlement Card before the expiration date. If found return to: r=� Registration Expiration Office of Consumer Affairs and Business Regulation i 12785 04r'22/2019 10 Park Plaza-Suite 5170 HOME DEPDT USA INC Boston,MA 02116 ANDREW SWEET `,f„Ga 2455 PACES FERRY RD C-11 HSC ATLANTA,GA 30339 Undersecretary d ithou signature I Ac0 CERTIFICATE OF LIABILITY INSURANCE FDa 1220 8 THI`ERTIFICATE 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terns 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)-CONN - PRODUCER NAME NAM MARSH USA,INC. PHONE FAX TWO ALLIANCE CENTER AIc No. 3560 LENOX ROAD,SUITE 2400 ADDRESS: ATLANTA.GA 30326 INSURERS AFFORDING COVERAGE I NAIC>t CN 101642069-HomeD-GAW-18-19 INSURER A:Old-eD0c Insurance CO 24147 INSURED THE HOME DEPOT.INC. INSURER B:New Ha tore Ins CO 23841 HOME DEPOT U.S.A.,INC. INSURER C:HDmeRisk Captue Insurance Company 2455 PACES FERRY ROAD INSURER D: BUILDING G20 ATLANTA.GA 30339 INSURER E' INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-004353439.16 REVISION NUMBER: 3 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 ADDL SUBR POLICY EFF I POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMID (IMMIDOMM A X I coMMERCIAL GENERAL LIABILrrr MWZY 312717 031012018 031012019 EACH OCCURRENCE S 9,000,000 1-771 AMA R Nr 1.000.000 EDI CLAIMS-MADE OCCUR PREMISES Ea ocwnence S LIMITS OF POLICY XS r I � MED EXP!Any one person) �S EX..LUD OF SIR:$1M PER OCC PERSONAL 8 ADV INJURY S 9,00Q000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 9•0M'000 X POLICY❑PRO LOC PRODUCTS-COMPIOP AGG S 9,000.00(I OTHER: JECT S A. I AUTOMOBILE LIABILITY MWTB312718 03101018 03/012019 COMBINED aaBIND SINGLE LIMIT s 1.000,000 X ANY AUTO BODILY INJURY(Por person) IS OWNED ^�SCHEDULED SELF INSURED ALTO PHY DMG BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ) HIRED NON-OWNED PROPERTY DAMAGE S �U..M: NLY AUTOS ONLY i Per acadent S A LU18 HOCCUR EACHOCCURRENCE S IAB CLAIMS-MADE AGGREGATE S It pE� RETENTIONS S B WORIOERS COMPENSATION WC 014122577(AK,NH,NJ VT) 03/012018 0310112019 1 X STATUTE ER B AND EMPLOYERS'LIABILITY YIN WC 014122578(WI) 031012018 03/012019 5,000,01M ANYPROPRIErORIPARTNER(EXECUTNE E.L.EACH ACCIDENT S OFFICER/MEMBEREXCLUDED'� NIA $000 000 (Mandatory In NH) E.L.DISEASE-EA EMPLOY Ed Dyes E CRescrirObe N under OPERATIONS below Continued on AdrbtlOnal Page E-L DISEASE-POLICY LIMIT S 5.000.000 C Excess Auto 297-1-10011-00-2018 03/012018 031012019 Unlit: 4.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tot.Additional Remarks Schedule,may be allached if more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION HOME DEPOT USA,INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2455 PACES FERRY ROAD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS. ATLANTA.GA 30339 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(201W03) The ACORD name and logo aro registered marks of ACORD f AGENCY CUSTOMER ID: CN101642069 LOC#: Atlanta ACORN® `� ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY MARSH USA.INC. NAMED INSURED THE HOME DEPOT,INC POLICY NUMBER HOME DEPOT U.S.A.,IFIc. 2455 PACES FERRY ROAD CARRIER BUILDING C-20 ATLANTA.GA 30339 I NAIC CODE i ADDITIONAL REMARKS EP>ECTIve DATE THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liabili Insurance Workers Compensation Continued Carrier.Indemnity Insurance Company of North Amenca Pdicy i4umber WLR C64783191(AL AR,FL ID,IA TITLE-, MO.NEYi.,4D,OK.SC,SO,TN,WV,'N'y Effective Date:03f012018 Expiration Dale:03101/2019 (EL)Linn S 1,000.000 Camer New Hampshire Insurance Company Pdicy Number.WC 014122576(DC,DE,HI,IN.MD,MN,MT,NY,Ri) Effective Date:031012018 Expiration Date:0310112019 fEL)Umu:S1.000.000 Carrier ACE Amencen Insurance Company Policy Number.WCU C64783221(OSI)(A2,CA,IL,NC.OR,VA,WA) Effective Date:031DI2018 Expiration Date:031012019 (EQ Limit:S1,000,00D SIR S 1.000.000 SIR for the stales of AZ.CA,IL.NC.OR VA!NA Camer.National Union Fire Insurance Company Policy Number XWC 4595580(QSI)fCO.CT,GA,.UE,MI,NV,OH,PA,UT) Effective Date 03/01aoi8 Expiration Date:031012019 (EL)Urnil:S1.000,000 S1,000,000 SIR for the states of CO,ME,NV,PdI,OH.PA.UT 5750,000 SIR for the slate of GA S350,000 SIR for the state of CT Camer.National Union Fire InsuraoeeCompany Pdicy Number.XWC 4595581(QSI)(MA) Effective Date:03f012018 p Expiation Date:Q31012019 /�fl (EL)Limit:S1,000,00o SIR:S500,000 TX Emdoyers XS Indemnity. Camer.0finios Union Insurance Company Policy Number.TNS C491669U(TX) Hfectwe Date:o31012018 Expba4on Date:03I01y2019 (EL)Limit S10.000.0D0 SIR S1.00D.000 ACORD 101 (2008/01) 2008 CORD CORPORATION: All rights reserved_ The ACORD name and 1090 are registered marks of ACORD 7 fi a OG � �FTHE Tpk, Town of Barnstable Permit,#`- ' �- Expires 6 mo f, date ' Regulatory Services Fee ,1 * snxxsrnstE, Richard V.Scali,Director �� plFD MAC A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 \ ��"`� _www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1 Not Valid without Red X-Press Imprint Map/parcel-Number Q 9 Property Address 7— 577 ✓�L Residential Value of Work$ *"55O Minimum fee of$35.00 for work under$6000.00 Owner's Name&/Address 1 R ,S,4 M,4,,',4 ZZ YZ S t�.�n tcre-S T. Pam►-G,4 ' 1Q, 1 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: f Construction Supervisor's License#(if applicable) RA I a ®j—ifj&qa;W U. &'Ifialludu u ❑Workman's Compensation Insurance Check one: d' "r JAN 2 12015 I am a sole proprietor i lam the Homeowner TOWN OF BARNSTABLE, ' 0. I have Worker's Compensation Insurance " Insurance'Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. iPermit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles)-All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. "Going over existing layers of roof) Re-side 1 Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical`&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property,Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is S required. R- SIGNATURE: Q:\WPFILES\FORMSlbuilding permit forms\EXPRESS.doc Revised 061313' The Commonwealth�v,f Massachuset[s Deparhnent of Industrial Accidents (1'1 ffrre oflnvesdgatiom 600 Washington Street. Boston,MA 02111 orkers' Compensation Insumuce davit Builder-./ ntr-actors]EIectiicians/Piumbei-s Applicant Iuformat :on Please Print Legibly Name(Eiis-mess;'Organizat€tna i-,idual): Address: 1 7 r.•✓) n�rL�✓L S t iter/State/Zip-_ H1,4110�.S Phone 47 j/o Are you an employer?Check the appropriate box: Type of project r e - 4- I am a general contractor and I }'P F a l e4� �- 1.❑ I am a employer uritt� ❑ � 6_ ❑Neva construction. employees Mull and;•orpart-tame).* have hired the sub-contractors ?'.❑ I am a sole proprietor or partner:- listed on the attached sheet. 7_ ❑Remodeling slip and Have no employees 'These sub-conia actors have g- ❑Demolition. working for me in an.T capacify'. employees and have workers' �' x 9_ ❑Building addition jNo tvorioers' comp_insurance camp-insurance required_] 5. ❑ We are a corporation and its. M❑Electrical repairs.or additions officers have exercised their �. ] I are a faomeou7ler doizug all wor]r 11.❑Plumbing repairs or additions n13%el£.[No workers'comp- right of exemption per MGL 12:❑Roof repairs insurance rewired-] c.152,§1(4);andwe have no employees.[No workers' 13.0 Other comp,insurance required] 'tiny applicant&at checks box"1 nmst also fill out the section below shouring rhea woders''compensatioa policy infoenation_ I Fomeov veers who submit this afi3dm it hidiFanag they are doing all wcr and thea hie outside contractors mast submit a new affidavit indicating:mc] tC'ont=actors that check this box roust attached an additional sheet shorting the nm of the sub-cenumam and state whether or not those endtties have enVioyees. Ifthe sub-contractors have essa-ployees,they must provide their workers'romp.policy number_ I ain an empifnyer tttrtt is providing workers'compensal on insurance for aq,employees. Below is the policy*"id job site Pnfo.rfPEa oiL Insurance Company Name: Policy#or Self-ins.Lic-4: Expiration Date: Job Site Address: City/State./Zip: Attach a copy of the workers'compensation.policy declaration page(showing the policy number and-expiration Tate:). Failure to secure coverage:as required under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a, fine tip to$1,500.00 andlor one-Fear nu43r sonment,as well as cMl penalties in the form of a STOP T TORY,ORDER and a fine of up to$250.00 a day against the violator- Be advised that a copy ofthis statement may be faxvrarded to the Office of Invest gatisms of'the DIA for insurance coverage.verification. do{hereby*cerfifir ririder t1r:e pirirts aitd pFuattiss nfpRrjtarr tltatflee.irtfar�rintion prmricled abor�?is trite and c7arrect Siruature: Late: Phone 4: Offirtnl Lisa dnl�. Do not ivrite in this area,to be c4tripteted by city or tongs ofciaL City or Toivn: PermitlLicense Issuing Anthority(circle one): 1.Board of Health 2.Building Department 3.C itylTo nm Clerk 4.Electrical Inspector 5.Plumbing;Inspector 6.Either Contact Person: Phone#:: -- — -- -- --- - - - _ _........ -- - - Town of Barnstable Regulatory Services P�oF�Ke Toty,� Richard V. Scali,Director Building Division BA NSTABLE, ' Tom Perry,Building Commissioner 4 9 MASS. 039• 200 Main Street Hyannis,MA 02601 °lFo nnE•t n www.town-barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 7 �•t/,Z/u/ ZAA S 1 number street village "HOMEOWNER": I MESA IAN Z.L. [ 509 e/5-7— 170 name ,Q 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 notpossess, 4 license,provided that the owner acts as supervisor. .? ' DEFINITION O-fOMEOWNER , 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 u'se 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 erp "mit• (Section 109.1.1) r A' The undersigned"homeowner"assumes responsibility for compliaz e with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner" certifies that he/she understands'th€_own of.Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with saidlpocedures 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. t. 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." - V Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section.2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible.. ; �• - To ensure that the homeowner is fully aware of his/her responsibilities, many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILESTORMS\building permit forZEXPRESS.doc Revised 061313 y ?�oF THE * STABLE, 9Q i639 ,�� Town of Barnstable vArED/M'�A • Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.harnstable.ma.us Office: 508-862-4038 Fax:-508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I I as LOwner of the subject property n J p P t9 hereby authorize to act on my behalf, in all matters relative to work authorized by this building perrnit 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. Q-AWHILESTORMS\building permit forms\EXPRESS.doc Revised 061313 N, 4 Y: a tiv�p+ `+s k t yy f g ( 9 k i,' ggA k '+� 167 Winter St, Hyannis 12/18/14 tw� Igg y jf f yA •F�III ~�c w�}wf 4 �t 111'�, 4'y Q�V-�'+, I11 s � a a . ., t I �� 167 Winter St, Hyannis 12/18/14 r l i .M„ g � i rq t . F r F r «; � r s F µ 3 o � , 167 Winter` t, Hyannis T , a pip k V rv. x } } YI } -�/Ud( 167 Winter St, Hyannis 12/18/14 s AV 4 M S F F r S F 167 Winter St, Hyannis 12/18/14 1� , - . 11 tag n a � G �w z� 167 . Hyannis h w kK u. F } v C w - r. �+4 1'N � X µ- �S� F�0' � S ��j�z' ��pa � �� , k ... � - I1, • 1r c. k '9 w- k • g a R r 167 Win t Hyannis • 12/18/14 e 167 Winter St, Hyannis 12/18/14 p �1 -.a A { w y '. 167 Winter St, Hyannis 12/18f14 n , . 12/18/14 u} 'S terl r . j y Y f d K 167 Winter St, Hyannis 12/18/14 F _ wji. do a r n a t 1 i lArl ,1Fp x * v� 167 Winter St, Hyannis 167 Winter St, Hyannis 12/18/14Aw _ 4 .a, a z �.t P .4l:, A 'Y� �� tee....++r- �: •-V ..�.- _ _. _ .. .�... w r _ ". ..r.- � .ar WY w.'w �� y�1..�w.yy+PMr '^' � �. n - �:�dw✓�""". � d...+-..=--� r i Qt ..tini� I _ � k m rt; y 3: e r r n 16 ,St, H.ynrt " j a % A8Y ♦, x nx a a.f R cv"Y } _. .� p ! 1► r t w 4 �ti Y oil —0-° • 167 Winter St,. Hyannis 12/1,8/14 4 \l O �;.• - RHO t r 'i sae• Yr -" ,. `•... ,`��.1`, ;>. �•� _ i.. �� «.. Vi�c,`+.. .✓ - r yc t gym.Af VAT 6 ,•� uul•110 indt9ll OY Lf 1 v • ' w t 167 Winter St, Hyannis 12/18/14 eko+ ,S] ,n �jzr a�� a 6- +Y r S y 5��x 1P tkJ y z Y `G q y f f. 167 Winter St, Hyannis 12/18/14 ww w ' 2015 m. � l 41, x e. v v mW:. �*�{*fi..�+�' fit''F i rV r .� a ',i :�' r*�...'K. y� �r�Ve� !,5►7�i..�e�+. '�«""" �"'.-N,�. t F }'}- �'�'.+h 4 v u� � � � 167 Winter St, Hyannis a •� t e ' e V 1 ,t Y { is�r �L �� . y. pk i \� 1 �n �� ;�-� � � � �� d�Ds�� '� �� i Message Page 1 of 1 Anderson, Robin r . From: Puckett, Carol Sent: Monday, May 20, 2013 2:11 PM To: Anderson, Robin Subject: FW: Citizen Importance: High FYI Carol Puckett - Administrative Assistant Zoning Board of Appeals t# Land Acquisition i* Preservation Committee 200 Main Street Hyannis, MA 02601 ` 508-862,4185 ' -----Original Message----- From: Rudziak, Jeff Sent: Monday, May 20, 2013 12:43 PM ti _ To: Puckett, Carol Subject: Citizen Importance: High Hi Carol; A Ms. Theresa Campedelli will be calling you. As the owner, she was ordered by the Building Dept. to remove extra kitchen improvements and return the house to single family status after she bought it. This is 167 Winter St., parcel 309-1.10. 1 had her previously as an apartment structure, with 4 units total rented. for FY14; the property is 4 back to single family, even though the tenant also rents rooms out, with the owner's knowledge. She called my office because she received another income &expense request this year, which is for income-producing properties only. While that has been dealt with, she wanted to know who to talk to about making the building into. apartments now. I sent her your way. If that was incorrect, my apologies,and let me know who deals with such things, since they come up fairly regularly. Her phone numbers are 508-457.9707 (home)and 774;392-4352 (cell). Let me know if I can help. Jeff ' 5/20/2013 �` Town of Barnstable °Ft"E'°,'+, Regulatory Services ti a Thomas F. Geiler,Director Bn MASS.ASS. • a Building Division 9 1639. � MAC a Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 ®MPLAINVIN UIRY REPQ Date: Rec'd by: . Complaint Name: Map/Parcel- In " Location C a Address: Originator Name: Street: "" Village: State: Zip: Telephone: Complaint Descriptionff FOR OFFICE U E ONLY Inspector's Action/Comments Date: Inspector: y Additional Info.Attached t t 611t)14 VVV y I . 1'h':_�°`e`��i...,�'a�"r Y� � .:� q•,,Z�.k�} �°��,� "4�•S 4x••\' '�� .., + �Lys`}�r,t` ��4 �� 9�'+ a , _ . _ _ . . > . . . . r�� : � . y �� \��v: � � � � \ �_ \:��2 � \» m/\ » »2 . . mx . . ��§��» � � ~� \ : �� . \ ��2 . � . . �\�� \ - : _► . . \�\ . . . z� �§\ /� - \�\ • w�. . < \ �» � �: \ / 2\. �:�> � ��^»,�� . . . � > � . _ ��\! : .�\ � � � � � \�� \�� / . »� ! .�y .. . . \�\ � - \�yj � �� j . } \ \ ` . : � �w � � � . � � � \ ; � . �:�« ^ ' ! ^ \ /� �^` a « � • � "'-�, .� 3` � z • ; � -.�., �' ` '�� ., ,� _� � �: ® ? _,�"�' �fi � �. J � � �- 1 y �� - �, � :, . 1i STANDARD FORM APARTMENT LEASE For Property Constructed Before 1978 (Fixed Term,Includes Lead Paint CertificationIM-A ) . 1997 EDITION Date (Name) .tl-2_'5 P r�'L C 21 S 1' . 3IF fiZ !3 � M�L, �ig- .� 7(Address) (Telephone No.) Lessor.herebyle.aseslo_ W AZ M _ f-is E: L�'�'✓ h'L�M c.S r,�- `/ �1+7 ,>'y'f1•✓r-W rG 2� kI `/i},•2,rv1 a (Name) (Address) (Telephone No.) Lessee,who hereby hires the following premises, viz (Apartment) (suite) VwyS f at ) `7 vt i"U-I 1� �—,�.✓►S (street): ; (City or Town) AAA ZIp�7-61 e) (consisting of) for term of__ y 87-A a C1l beginning 3 S t 1 ------------- sndtemrfnahbgon '� The rent fa be paidby[he Lessee forthe leases prWn-sesahzObe as fo9tsws: RENT: A:The term tent shall be 3 ,payable,except as hereln otherwise provided,in installments of$ ZSCC � on the l,��/ day of every month,in advance,so long as this lease is In force and effect: However,if in any tax year commencing with the fiscal year the real estate!axes on the land and buildings,of which the leased premises are a part,are in excess or the amount or the real estate taxes thereon forthe fiscal year (herein called the-Haze.Year',and being the most recent year In Iyf IM the Lessor has actually received a real estate tax bill for TENANT: the teased premises) Lessee will pay to Lessor as additional rent hereunder,when and as designated by notice in.writing This section govems by Lessor, 'per centorsuch excess that may occur in each year of the ternrof this Lease or any extension or Rent payments_ In renewal thereof and proportionately for an so a cases. ent p p Y y part ofa fiscal year_The Lessor represents to the Lessee that the term rent set Pat) eels fry in- forth in the immediately preceding paragraph(A)does not renect any real estate tax increase subsequent to the said Base creas du,dig the Year.Notwithstanding anything contained herein to the contrary,the Lessee shall be obll ated to lease r Please 9 payonly that proportion or be sur that you such Increased lax as the unit leased him bears to the whore orthe real estate so taxed,and If the Lessor obtains an abatement andcar ihi and of the real estate tax levit d on the whole of the real estate of which the unit leased by Lessee is a part,a proportionate share and to eats sec lion Plea Initial of such abatement,less reasonable attorney's fees.If any, shall be refunded to said Lessee_ he aim when ou Hal anything contained herein to the contrary,If the teased premises are or become subject to rent control rstand and gree laws or other laws regulating rents,the Lessee shall not pay more than the maximum rent allowed under such applicable rent with this secpo . rontrol laws or other laws regulating rents. lessee's initials: X-111'at any time aRerthe date hereof the leased premises are or become subject to rent control laws or other laws regulating rents,and if the Lessons,In accordance with such laws,at anytime authorized or permittedto increase the rent for the leased Premises.and if at any time thereafter the Lessor gives written notice of his intention to implement such increase in whole or part,then,in sueh event and not otherwise,the Lessee may terminate this lease by giving notice of his Intention within thirty days after the lessors notice of Implementation. If the Lessee gives such notice within lhirtydays, this lease shall terminate on the lastday of the monthly rental period next afterthe date of such notice.If the Lesseedoes not give such notice Within thirty days,then the rent shall be Increased in accordancewith the Lessor's notice of implemen tat ion commencing with the rent payment Immediately following the expiration of said thirty day period, but in no event shall the rent exceed per month during the term hereof. LESSOR AND LESSEE FURTHER COVENANT AND AGREE: That during the term of this Lease and for such other and further period as the said Lessee shall occupy the said premises,all of the terms,covenants and conditions contained hereln shall remain in full force and effect. 1. MAINTENANCE For maintenance,if other than lessor,contact,'° d (Name) (Address) {Telephone N ). 2. ADDITIONAL PROVISIONS- o. c This copyrlehted form has been made availahie through the emrteey or iha Rental Housing Association,a dr4Wan of the fa. COPYPJGHT 01970 Greater Boston Real Estate eoard,55 Stunmer St.,Boston.MA 02110 11111111111111 GREATER BOSTON REAL.ESTATE BOARD All rights reserved.This formrrrdy not be coat or.roprodut;cd MW e„O1� in whole or In part in any manner whatsoever without the express RHA FORM 1BILP written consent of the Greater Boston Real Estate Board. 04-97 Z-d /of 6-1 gv-Rt7G UOS0J011A1 2CC'00 71 /7 i MP' 3. 1i EAT AND The Lesseeshaa pay,astheybecomedue,allbillsforelectricityandotheruttlities,whelhertheyareusedforfumishingheatorother OTHER UTILITIES purposes,that are furnished to the demised premises and presently separately metered.The Lessor agrees that he will furnish reasonably hot and cold crater and reasonable heat(except to the extent that such water and heat are fumshed through utilities TENANT: This section metered to the demised premises as stateli above)during the regular heating season,all in-accordance with applicable laws,but goyemsuti§typaymertts. the failure of Me Lessor to provide any of thle lorgohg items to any specific degree,quantity,quality,or character to any causes Be sure to discuss%A dh beyond the reasonable control of the Lessor,such as accident,restriction by City,Slate or Federai regulations,or during necessary the Lessor those pay- repairs to the apparatus shall not(subject to applicable law)farm a basis of any claim for damages against the Lessor. ments which.will be re- , quired of you for this apartment. 4. ATTACHED The forms,it any,attached hereto are incorporated herein by reference. FORMS S. CARE OF The Lessee shall not paint;decorate or otherwise embellish and/or change and shall not make nor suffer anyadditions or alterations PREMISES to be made in or to the leased premises without the prior written consent of the Lessor,nor make nor suffer any strip or waste,nor suffer the heat or water to be wasted,and at the termination of this lease shall deliver up the.leased premises and all property belonging to the Lessor in good,clean and tenantable order andcondition,reasonable wearand tearexcepted.No washing machine, air-conditioning unit,space heater,clothes dryer,television or other aerials,or other like equipment shall be Installed without the . prior written consent of the Lessor.No waterbeds shall be permitted in the leased premises. 6. CLEANLINESS The Lessee shall maintain the teased premises in a clean condition.He shall not sweep,throw,ordisposeof,norpermiltobeswept, thrown or disposed of,from said premises nor from any doors,windows,balconies,perches orother parts of said building,any dirt, waste,rubbish or other substance or article into any other parts said building or the land adjacent thereon, except in proper receptacles and except in accordance with the rules or the Lessor. 7. DEFINITIONS The words-Lessor'and "Lessee'as used herein shall include their respective heirs,executors,administrators, successors, representatives and assigns,agents and servants;and the words'he,'his"and'him"where applicable shall apply to the Lessor or Lessee regardless.of sex,number,corporate entity,trust or other body.If more than one party signs as Lessee hereunder,the covenants,conditions and agreements herein of the Lessee shall be the joint and several obligations of each such party_ 6. DELIVERY OF InlheevenitheLessorisnotaNethroughno fault ofHs own toderver the leased premises to the Lessee at the time called for herein. PREMISES the rent shall be abated on a pro rats basis until such time as occupancy can be obtained;which abatement shall constitute full settlement of all damages caused by such delay,or the lessor,at his election,shag be albwed reasonable time to deliver possession of the leased premises,and if he cannot deliver sucfi possession within 3d days from the beginning o1 sold term,ettherthe Lessor or Les see may then terminatett>ts lease bygiving written notice to the other and anypayment made under tttls lease shall be forthwith refunded,Lessee hereby authorties and empovrers Lessor to institute proceed(ngs to reooverpossesslon ofthe premises on behalf or and.in the name of Lessee. 9. EMINENT If the lease premises,oranypart thereof,or the Whole oranyparl of the building of which they area part,shall betaken for any purpose' DOMAIN by exercise of the power of eminent domain or condemnation,or by action of the city or other authorities or shall receive any direct or consequential damage forwhich the Lessor or Lessee shall be entitled to compensation by reason of anythtng lawfully done in pursuance of.any pubric authority after the execution hereof and during said term,orany extension of renewal thereof,then at the optlOn of either the Lessor or the Lessee,this lease and said term shall terminate and such option.may be exercised in the rase of any such taking,notwithstanding the entire interest of the Lessor and the Lessee may have been divested by such taidng.Said option to terminate shall be exercised by either the Lessor or the Lessee,by giving a written notice of exercise of such option to terminate In the manner described In Section 17 of lhls lease,Said option to terminate shall not be exercised by either party((a)earlier than the effective dale of taking,nor(b)later than thirty(30)days after the effective date of taking.The mailing of the notice of exercise as set forth hereinabove shall be deemed to be the exercise of said option;and upon the giving of such notice,this lease shall be. terminated as of the date of the taking.if this lease and said term are not so terminated,then to case of any s uch taidng ordestrudfon of or damage to the based premises,rendering the same or any part thereof unfit for use and occupation,a just proportion or the rent hereinbefore reserved,according to the nature and extent of the damage to the leased premises,shall be suspended or abated until,in the case of such taking,what may remain of the leased premises,shall have been put in proper condition for use and occupation.The Lessee her assigns to the Lessor any and all claims and demands for damages on accotxlt of any suchiaking or for compensation fo��ngil1�� one in pu rsuanceg fmtimetotime ed deo te Lessorsuch fasthe Lessor s hall reqprovidedrthatthe Lessdpropy a other Imprents instby l essee with Lessor s written perinlsslon. ID.FIRE,OTHER Iftheleased mises,oranypartthereal,orthewholeorasubstantialpartofthebuldingofwhlchlhcyarea part,shallbedestroyed CASUALLY ordarttaged fire or othercasualtyaRertheexecWonhereofanddunngsaid term,or any extensbnor renewal thereor,then this leaseandsal termshalltenninateattlreoptionofthel_essorbyrroticetothe Lessee.Iflfusleaseandsald term are notsoterminated. then in case of any such destnrction of or damage to the leased premises,orto the common areas of the building c ustomanly used bythe lessee for access toand egress fromtheteased premises,rendering lhesame orany partthereof unf tforuse and occupation, a just proportion of the rent herelnhefore reserved,accordlrts to the nature and extent of the damage to the leased premises,shag be suspended or abated until the leased premises shall have been put in Proper condition for use and occupation.If the leased premises or such common areas heve not been restored by the t_essor to substantially their former eondidon for use and occupancy rNitirlrl chicly days after the damage occurred,the Lessee may terrnInate this lease Iry giving notice to the Lessor within thirty days following the termination of the thirty day period within which the Lessor failed to restore.If either party gives notice of Intention to terminate under this section,this lease shall terminate on the last day of the then-current monthly rental period. 11.DISTURBANCE, Neither the Lessee nor his family,friends,relatives,invitees,visitors,agents or servants shall make or suffer any unlawful,noisy ILLEGAL USE or otherwise offensive use of the leased premises,nor commil or permR any nulsarrce to exist thereon,rtarcause damage to the ENV remises nor create any substantial intetlergloe vllrltt the rigftts comfort,safety of enjoyment of the Lessor or other•softheameoranyottterthereofglaltasandforaprhrateresitiertce.Noartictes ung or shaken from the vrindows,doors,porches,balcortles,or placed upon the exterior windowsills. 12.GOVERNMENTAL The Lessor shad be obligated to fulriii aV of the lessor's obligations hereunder to the best of the Lessors's abllly but the Lessee's REGULATIONS obligations,covenants and agneements hereunder shad not(subject to applicable law)be affected,krtpalred or extxrsed because the Lessorisunabtetosupplyorisdelay�in anyservrceortsunabletomakeorisdelayedinma{dnganyrepalrs,additions, attetatiotisordewrations,orisunebk fo supptyor(sndgelayed insupply�ngany equipment orfodures,if Lessons prev�lted ordelayed from doing so because of any law or govemmenfel action u anyy order.rule ar regulation of any govemrnental agency,(other than those reguiatir�rents)which>s beyond the Lessor's rwsnl>raWe coMrd. c'd /nil;-iQti-QnQ UOSOJ011nl eoc'Qn 7.1. 17 uer 13.COMMON AREAS No receptacles.vehicles,baby carriages or other articles or obstructions shall be placed in the hails or other common areas or 14.INSURANCE Lessee understands and agrees that it shill be Lessee's own obligation to insure his personal property_ 15.KEYS AND Upon expiration ortermination of the lease,the Lessee shalt defiverthe keys of the premises to the landlord Delivery of keys by the .' LOCKS Lessee to the Lessor,or to anyone on his behalf,shall not constitute a surrenderor acceptanoe of surrenderof the leased remises unless so stipulated in writing by the Lessor.In the event thatthe exleriordoer lock or locks In the leased emFses are PP lx not in normal working orderat any time during the term thereof,and if.the Lessee reports such condition to the Lessor,then and in that event, the Lessor shaA,within a reasonable period ai time following receipt of notice from the Lessee of such condition,repair or replace such lock or lock_Locks shall not be changed,aflered,or replaced nor shall new locks it be added by the Lessee without the written fission of the Lessor.Anyy locks so permdted to be installed shall become the propertyof the Lessor and shall not be rernoved e Lessee.The Lessee shall promptly g"five a duplicated keylo anysuch changed,altered,replaced or new lock to the Lessor. 15. LOSS OR The Lessee agrees to lndemnify and save the Lessor harmless from all liability,loss or damage arising from any nuisance made DAMAGE or suffered on the leased premises by the Lessee,his family,friends,relatives,Invitees,visitors,agents,or servants or from any carelessness,neglect or Improper conduct of any such persons.All personal property in any part of the building within the control of the Lessee shall be at the sole risk of the Lessee.Subject to provisions of applicable taw the Lessor shall not be liable for damag e to or loss of property of any find which may be lost or stolen,damaged or destroyed by fire,water,steam,defective refrigeration, elevators,orotherwise,whileon the leased premises or in any storage spacein the building or for any personal injury unless caused by the negligence of the Lessor. 17.NOTICES Written 11aNce from the Lessor to the Lessee shall be deemed to have been properly given if mailed by registered or certified malt, postage prepaid,mum recelpt requested to the Lessee at the address of the Ileeaasseedd premises,or If delivered or left in or on any part thereof,provided that if so mailed,the receipt has been signed,or if so delivered or left,that such notice has been delivered toor left with,the Lessee or anyone expresslyorimpliedlyauthorrizzedto receive messages forthe Lessee,orbyanyaduttwho resides with the Lessee in the leased premises.Written notice from the Lessee to the Lessor shall be deemed to have been proper! given If mailed by registered or certified mail,postage prepald,return receipt requested to the Lessor at his address set forth in the first paragraph of this lease,unless the Lessor shall have notified the Lessee of a changed the Lessor's address,in which case such notice"be so sent to such changed address of the lessor,provided that the receipt has been signed by the Lesser or anyone eWessly or knpliedly authorized to receive messages for the Lessor.Notwifhstandng the foregoing,notice by either party to the other shah be deemed adequate irgh en in any other manner authorized by law. 18.OTHER The Lessee agrees to conform to such lawful rules and regulations which are reasonably related to the purpose and provisions of REGULATIONS this lease,as shall from time to time be established by the Lessor In the future for the saf8tY,care,cleasillness,or orderly conduct of the leased premises and the building of which they are a part,and for the benefrt,safety,comfort and oorrrentenpe of elf the occupants of said building. 19.PARIQNG Parldng on the premises of the Lessor is prohibited unless written consent is given by the Lessor. PETS No dogs orotheranimals,birdsor pets shall,be kept In orupon the leased premises wit hout the Lessorswritten consent;and consent so given may be revoked at any time. 21.PLUMBING Thewaterclosets,disposals,andwasteplpesshaAnotbeusedforanypurposesdherahanthaseforwhichtheywerecanstructed nor shaltany sweepings,n.rbbEsh,rags,or any other improper aRlces be thrown into the same;and an damage to the building caused bythemisuseofsuchequipmeMsha[IbebomebylheLesseebywhomoruponwhoseprernfsesEtshallhavebeencaused, unless caused by the negligerxre of the Lessor,or by the negligence o an independent contractor employed by the Lessor. 22.REPAIRS The Lessee agrees with the Lessor that,during this lease and for such further time as the Lessee shall hold the leased premises or ar ypart thereof.the Lessee wig at all times keep and maintain the leased premises and all equipment and fodures therein or used therevvdh repaired,whole and of the salve kind,quality and description and In such good repair,order and condition as the same are aithe bbeegyFnning of,or maybe put in during lheterm or artye�dension orrenewalthereof,reasonable Wear andtearand damage by unavotra6le rasuatty on e�ccepted.The Lessor and the lessee�e¢to Comply with any responslbllity which either may have under applicable law to perform repairs upontha leased premises_ [essee fa[Is within a reasonable time,or improperty makes such treeppaalrs,a►rJh and in any such event or events,the lessor may(but shall not be obrtgated to)maloe such repairs and the Lessee shall reimburse the Lessor forthe reasorhat�le cost of suclt repass Irh fuN,upon demand. , 23..RIGHT OF ENTRY . The Lessor tray enter upon the leased premises b make repairs thereto,to inspect the premises,or to show the premises to prospeWve tenants,purchasers,or mortgagees.Tt�txssa may also enter upon the said premises If same appear to Have been abandoned by the t.essee or as othervuise perrnmed by taw 24.NON- if the Lessee shall fall to Comply with any lawful term,condition,covenant,obligation,or agreement elpressed herein or implied PERFORMANCE 'hereunder,or If the Lessee shall be declared baniwpt,or insolvent according to law or H any assignment of the Lessee's property OR BREACH shall be made for the benetft of creditors,or if the premises appppeea�r to be abandoned then,and in any of the said cases and BY LESSEE: notwhthstandinganylicensaorwahverofartypWbr�eachofanyotthesaldtenns,condkions,covenants,obligations,oragmermnts, the Lessor,Without necesskyor requirementoll maidrg anyenhymay(subledto the Lessee's rights.underapplicable law)terminate this lease by: 1_ a seven day written notice to the Lessee to vacate said leased premises in case of any breach except only for non- payme�t o rent,or 2 a fourteen(14)day w ien notice to the Lessee to vacate said leased premises upon the neglect or refusal of the Lessee to paythe rernttt as herein provided. Anyterrnination under this section shall be without prejudloe to any remedies which might otherwise be used for arrears of rent or preceding breach of any of the said terms,condillons,covenants,obligations or agreements. 25.LESSEE'S The Lessee covenants that In case ofanyterminationofthislease,byreasonofthedefaullofWeL,essee.thenittheopllonofLessor. COVENANTS (A)the Lessee will forthwith payto the Lessor as damages hereunder a sum equal to the amount by which the rent and other IN EVENT OF paymentscalled for hereunderforlhe remainder ofthetermor any witensronorrenenral thereof exceed the fair rentalvalue TERMINATION of said premises for the remainder of the term or any eAension or renewal thereof;and (la)the Lessee covenants thief he vvill furthermore hndemnifythe Lessor from and against any loss girt demo sustained reason of any tem*Won caused by the default of,or the breach r,ale t�see.Lessors beret niter shall hhclude,but shall not be limited to any Joss of rents;reasonabe s cornmtsstons for ttte ar the leased premises;advo Lift costs;the reasonable cost Incurred In cleanirhg and repainting the ptemm.In to m4et the same; and moving and storage c#hiuges incurred by Lessor In mavtng Lessee's beaongtnps pursuant to eviction per• fi-d inIR-jQi7-Qnc: 110So.I011nl eaG:Qrl 71. 17 Uer (C)At the option of the Lessor.however,Lessor's cause of action under(his article shall accrue when a new tenancy or least term first commences subsequent to a.termination under this lease,in which event Lessoi s damages shall be limited to any and all damages sustained by him prior to said new tenancy or lease dale. Lessor shall also be entitled to any and ali other remedies provided by law.All rights and remedies are to be cu exclusive. . mulative and not 26_REMOVAL Lessee further covenants and agrees that If Lessor shall remove Lessee's good or effects,OFGOOOS or of an Court order, Lessor shall not be liable or responsible for an loss of or dam nge toLessee' sy to the terms heand the�s act of so removing such goods or effects shall be deemed to tx the act of and for the accoun goof LLessee Hprrovidw however,that if the Lessor removes the Lessee's goods or effects,he shag comply with all applicable laws,due care in the handling of such goods to the fullest practical extent under the Clrcumstanaes• and shall exercise 27. NON- Neither the vacating of the premises by the Lessee,nor the delivery of keys to the Lessor shall be deemed a surrendef of an SURRENDER acceptance of surrender of the leased premises,unless so stipulated in writing by Lessor. SUBEETTtf= The L shall not assi n nor underlet any part or the whole of the leased rernises,nor " 11 PI{iM9�R f3f occupied for a pen nger an a em sect premises to be OOC13RAp�€6 fsase,(heirs uses;and an s spedficeflynemedin the firs paragraph or this po m during the arm o is r reiva!thecebpuit ` obtain' Ion the assent M waiting of the Lessor_, 29.TRUSTEE In the event that the Lessor is a trustee or a partnership,no such trustee nor any beneficiary nor any shareholder of said trust and no partner.General or Limited of such partnership shall be personally liable to anyone under any te conart n. Covenant. obrrgation,or agreement expressed herein or implied hereunder or for any claim of damage or cause at law rm,or in Nulty arising out a Of the Occupancy of said leased premises,the use or the maintenance of said.building or its approaches Oren tt a 30.WAIVER The waiver of one breach of any term,condition,covenant,obligation,or-agreement of this lease shall not be considered to be a waiver of that or any other term,condition,covenant.obrigalion,or agreementor of any subsequent breach thereof. 31.SEPARABILITY If any provision ofthis lease or portion of such provision or the application thereof to anyperson orcitCumstance is held Invalid:the CLAUSE remainder of the lease(or the remainder of such provision)and the application thereof to other persons or circumstances shall not be affected thereby. 32_COPY OF The Lessor shall deriver a copy of this lease;duly executed try Lesscror his authorized agent,to the Lessee within thirty LEASE afiera copy hereof,duly executed by the Lessee,has been delivered to the Lessor, rtYt30)days 33.REPRISALS The Lessor acknowledges that provisions or applicable law forbid a landlord from threatening to take or taking reprisals against any, PROHIBITED tenant(or seeking to assert his legal rights. . Ie�Se- r—r*`_IJ a+, "LIPIF',I'C,•r,P; a f= -I�eA.A\ ;- , llbl eat P Zt-lt,<s . IN WITNESSIVHEREOF,the said parties hereunto and to another instrument of like tenor,have set then hands and seats on the day and year first above written; and Lessee as an individual states under the pains and penalties of penury that said Lessee is over the age or tB years. ,,, Lessor Trustee or Agent TENANT: SUBJECT TO APPLICABLE LAW,.THE LANDLORD WILL PROVIDE INSURANCE FOR UP TO$750 IN 13ENEFITS TO COVER THE . ACTUAL COSTS OF,RELOCATION OF THE TENANT IF DISPLACED.BY FIRE OR DAMAGE RESULTING FROM FIRE. TENANT: MAKE SURE TO RECEIVE A SIGNED COPY-OF THIS LEASE. In Consideration of the execution of the within lease by the Lessor at the request of the undersigned and of one dollar paid to the undersigned by the Lessor, the undersigns l hereby,jointly and severally,guarantee to the Lessor,and the heirs,successors,and assigns of the Lessor,the punctual performance by the Lessee and the legal representatives,successors and assiggns of the Lessee of all the terms,conditions..covenants,obligations,and agreements in said lease on the Lessee's or their part to be performed or observed,demand and notice of default being hereby waived.The undcrslgned Waive all surety-ship defenses and defenses in the nature tlmireof and assent to any and all extensions and postponements of the time of payment and all other indulgences and forbearances Whic m+ay be granted from thne to time 10 the Lessee_ WITNESS the execution hereof under seal by the undersigned the day and year first,written in said lease. Adopted by the RENTAL HOUSING ASSOCIATION of the GREATER BOSTON REAL:ESTATE BOARD 4'd in/iwgly-Rnn 140SOJOIlAl emgn 7.1. 17 uer NOTICE OF TENANCY AT WILL I, William Malaspino hereby confirm that.I am a tenant at will at 167 Winter Street, Hyannis, Massachusetts wherein I have exclusive occupancy of the first floor left bedroom. I pay $400 per month to my landlord, Evelyn Walmsley. In addition to the exclusive occupancy of that bedroom, I have the privilege to use the'kitchen facilities on the first floor in common with all other occupants at 167 Winter Street. I agree that I will not cook in my bedroom which , is grounds for immediate termination of in tenancy. EXECUTED on this the day of February 2012. William Malaspino NOTICE OF TENANCY AT WILL I, Hector Ithier hereby confirm that I am a tenant at will at 167 Winter Street, Hyannis, Massachusetts wherein I have exclusive occupancy of the upstairs left bedroom. I pay$540 per month to my landlord, Evelyn Walrnsley. In addition to the exclusive occupancy of that bedroom, I have the privilege to use the kitchen facilities'on the first floor in common with all . other occupants at 167 Winter Street. I agree that I will not cook in my bedroom which is grounds for immediate termination of my tenancy. EXECUTED on this the day of February 2012. y Hector It 'er ti o NOTICE TENANCY NO CE OF TEN AT WILL C I, Frank Serowski hereby confirm that I am a tenant at will at 167 Winter Street, Hyannis, Massachusetts wherein I have exclusive occupancy of the upstairs right bedroom. I pay$550 per month, to my, landlord, Evelyn Walmsley. In addition to the exclusive occupancy of that bedroom, I have the privilege to use the kitchen facilities on the first floor in common with all other occupants at 167 Winter Street. I agree that I will not cook in my bedroom which is grounds for immediate termination,of my tenancy. r EXECUTED on this the day of February 2012. Frank Serowski s i STABLE TOWN OF ? Ali, 3 i i cr Ln Ln Postage $ rl Certified Fee MA 0 O Pos C3 . Return Receipt Fee Here Dy O (Endorsement Required) i IT 2 12 l7 (RtlMcted Mel gryl r- C 3eM .,.Total Postage&Fees r-1 Sam I,,-- ' e-rre a,r 2/ o --- - 4- nw. y or PO Box No. cros i,ziP,I I � —tol lip . u Certified Mail Provides: o A mailing receipt c- y o A unique identifier for your mailpiece ® A record of delivery kept by the Postal Service for two years Important Reminders: c Certified Mail may ONLY be combined with First-Class Mails or Priority Mails. o Certified Mail is not available for any class of international mail. m NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery..To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Retum Receipt Requested".To receive a fee waiver for a duplicate.return receipt,a USPSe postmark on your Certified Mail receipt is. required. c For and additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". to If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 COMPLETE • is Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. ❑ gent ■ Print your name_and address on the reverse X Addressee so that we Can return the Card to you. B. Received by(Printed Name) C. ate of De'very E Attach this card to the back of the mailpiece, � _ � or on the front if space'permits. G �2 D. Is delivery address different from item 1? ❑Yes ` 11../Article Addressed to: If YES,enter delivery address below: ❑No i erviceTy 5_36 Certified Mail Express Mail ❑ Registered ❑Return Receipt for Merchandise ail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number s 2 0;11 0--4 7�0 0 0 01 =4`.5 2 5 i 6- (rransfer from serdlce labbo i i i s d li PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES :v f ... wr�t s�f� �3 Y t t�1 �,. '`'•w,r», _�rii't,I10�.,30�;,,=X: • Sender: Please print your name, address, and ZIP+4 in this box • I TOWN OF BARNSTABLE I III old rffl1i11l1IlI1S`11C�f1llflI;i1I11�lf�i�III flllll6`J'Jj. r Town of Barnstable . Regulatory Services 4 sexiaszna1 e r MASS. Thomas F. Geiler,Director FD 339. Building.Division Thomas Perry, CBO.: Building Commissioner 200 Main Street-, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6236 January 20; 2012 Mrs. Theresa Manzi 425 Pine Crest Beach Drive East Falmouth, MA 02536 Re: 167 Winter.Street, Hyannis,"MA) Dear Mrs. Manzi, On December 10, 2009 a permit was issued for the'above referenced property to be restored-to a single family residence.In the ensuing years there have been four failed final inspections,the latest failure because access was denied to two rooms despite assurances that everything would be open.Please be advised that building re-inspection fees will be charged from.this time forward'. The rooms containing key lock doors, microwave`ovens, and refrigerators, combined with the history of this property,continue to promote independent living.;.This zoning.violation is subject to a fine of$100 per day until corrected. The copy of the rental agreement is needed to demonstrate compliance with.Zoning Ordinance 240-11-B. Please be further advised that this permit must be closed out by February 1, 2012 to avoid both. re-inspection fees and zoning fines: Your anticipated attention to this.matter is appreciated. Sincerely, .Paul Roma, Local Inspector y} i a � r ' p V`--' "`� \. << L f �. 4. �. �. � _ .. -�: ��W� � _ .. . �� t> H y �� _ . . � _ i' ' � �. _ X� �.i (( _ v � 4Ij } fydl I �� « ,. t * 11 -0 ' .'Y + .h i}. .. .� � _ _ k t Town of Old King's Highv AG Wednesday Se To all persons deemed interested or affected by tl District Act under Section 9 of Chapter 470, Acts hearing will be held on the following application: New Applications Hall, Chris, 45 Spruce Street,'W. Barnstable, M Construct New Deck, Reduce Size of Existing Det Rubin, Barry & Mary Jo, 144 Augusta National j Construct White Vinyl Picket Fence & Black Chain' Barnstable Historical Society, 3087 Main Street Relocate Existing Sign to New Location a Berland!, Joseph & Susan, 33 Midpine Road; B, Construct 10' x 10' Addition over Existing Foundatd Milburn, Cynthia, 108 Palomino Drive, Barnstat Replace Window & Slider TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel' U A P"lic nMaP ati . 4 Health Division Date Issued ( Z I 6 Conservation Division Application Fee {5 Planning Dept. p Permit Fee Date Definitive Plan.Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address / 7 U),,itr,.Ek 1 7 Village Y4YA A) i2 T'S Owner 25 /W4N Z Add re s /6� L� A64e- k B Telephone ®� O ? t✓a— Permit Request ��LLD L� c I c P G�C U� �- xis yam' vo � �.U� T Nei L.6 /ee_S ate° e ��e� 4 4 �, 1i1� L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation "ll& 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 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 ❑ •,_ .., ZZ Commercial ❑Yes ❑ No If yes, site plan review# ;a -) Current Use Proposed Use ' A APPLICANT INFORMATION v rn (BUILDER OR HOMEOWNER Name ZJ d rtRl LIA CC-A4-/V o Telephone Number sag JJ e [ g 76 ? Address yZ� �i cr _rv),e,4Gkf yR License# Ft F�Qd-/H 4<7tf /W, 42 534o Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 —X F-a E b L,gAlb f`u_ SIGNATURE DATE lZ ,O a FOR OFFICIAL USE ONLY APPLICATION# t DATE ISSUED ' 7 - MAP/PARCEL NO. ' ADDRESS VILLAGE OWNER j. } DATE OF INSPECTION: �j FOUNDATION(- ry FRAME w INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents l._ Office of Investigations 600 Washington Street t Boston, MA 02111 y� www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name (Business/Organizatio ndividual : _J-tf AJ Address: City/State/Zip: I'-4UX 0U /+ 6 620 Phone #: 7 7 Are you an employer? Check the apprapriate,box: Type of project(required): 1.❑ I am a employer with :4.'5--I am a general contractor and I employees(full and/or part-time).* '1� have hired the sub-contractors '. 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10:❑ Electrical repairs or additions 3.1 WI am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 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.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rti ender the ains and p nalties of perjury that the information provided above is T46 to and correct. CSi nature: Date: U Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: �'Jri y�-e m s-��13�c� i� �,as.. s.'yy � � , •. r i r k -w- �• •t � tw L � ,; r _ \ � a1 t • .` ,, • � '^\, - i r � r«. '� ._ NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES The Commonwealth of `Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900- http://www.state.ma.us/dia 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: HARTFORD CASUALTY INSURANCE COMPANY NAME OF INSURANCE COMPANY HARTFORD PLAZA HARTFORD CT - - - , 0 11 6 5 1 860 547 5000 ADDRESS OF INSURANCE COMPANY 08 WEC IS2833 t 04-22-2009 TO 04-22-2010 POLICY NUMBER , EFFECTIVE DATES NORTHEAST INS. AGENCY INC--648-HIGHLAND AVE. NEEDHAM MA 02494 NAME OF INSURANCE AGENT ADDRESS PHONE JOHN J. VACCHINO 425 PINECREST BEACH DR. EAST FALMOUTH MA 02536 EMPLOYER ADDRESS 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, N 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 NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Form WC 88 20 01 C Printed in U.S.A. F � ray Town of Barnstable �oF-T yam. Regulatory Services BARNST,,$L,E, Thomas F.Geiler,Director - � - WARS. 16.59 .$� Building Division FED Tom Perry,Building Commissioner 200 Mairi-Street, Hyannis,MA 02601 www.town.barnstable.ma.us - - t Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ,JOB LOCATION: t. l CD�Z (ICJ/!'l number ,�J� Q street village ye rHOMEOWNER': . 5 A �/�(AA)Z-! k��®��7— /2,07 name ,t �+ / home phone# work.phonc# /Q CURRENT MAILING ADDRESS: 'T J / -Lv—L P-e-5 lQ 54 u4to L,(-i AU az �5 7, city/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow hwzneowners to engage an individual for hiie who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which iherer 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 procedur and requirements and that he/she will.comply with said procedures znd re ents. � attire of Homeowner `. Approval of Building.Official K Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states-that "Any homeowner performing work for which a building permit is required shall be cxcmpt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assunung the resporislbilitics 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 Supervisar. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of hisAcT responnbilitics,many communities require,as part of the par-nit application, that the homcowncr certify that helshe 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 fonnVicertification for use in your community. Q:forms:homccxcmpt 'THE T Town of Barn-stable Regulatory Services BAYNSresM Thomas F_ Geiler,Director FD39. 16 � Building Division Tom Perry, Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: S08-790-6230 Property 0-vrier Mus Complete and Sign T ' Section If Usin A rlder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative t work autho d by this building permit application for. (Address of Job) Signature of Owner _ Date Print Name If Property Owner is applying for permit plea compl•e-� Homeowners License Exemption Form on th reverse side. Q:FORMS:OWNFRPERMISSION h'IF'lie fdit>�Toi7�S. ..,.. y. >n .s.... ♦'....R,P.. ....s:.. r„y ., �`°. .. � "^rzia . y�� y� •.�, :�..+.t'.e. � .,x:�......- �._. ., �.n: ., .2a":i. Y. 4 ne -< -Tj .ee roped � � d��. ,►�_ ..�. � ,. at'� ��arti�ner'� FIRE DEPT APPROVAL 63DO " hdit Aist6 HEALTH APPROVAL 65M 11/20/2009 TOCQ AP.PR fire escape SITE PLAN': APPROVAL 6303 .r TAX APPROVAL 6300 j; WORK COMP SUBMISSION 63DO r 77W77W77=77W77977"17--7"7W-W,77-C7'77777- ,_.,. s... N.. a �. .. -� P„>'g. '� .. ;�. ., . ate iCCIS CNS. RVTN L�EPART1'ET : .. deeded 4 ff: " . �. xa. � .. .. :.. ; ...� _.. ... - 1`171., _ r, . ��- .��: �, ,. .,.� lr�s ec�ar ..... ,. ,..4. -AM T�PANIS z ��. �. P r, :rt..� :=r., �` ,' +.;: r :' ;:>Fn. ..�w.a. ,ts .., . s >4.� :. ... _ ., x 3. .. � _t ft ramble; CONS.ERVATI{ r a .> Pt 'Status `AI?P.R A".> �i� �� - Y �: �.. .. rnrv`a ved ra�merxE ik ..,..>. �.. ,. �. m ,.: t „ : ,. ` . t..,4 ,; ., . ... . " [Text.. -,a _ ;. . > r= � Al ilk- :'. t ,t , M w : t .. ., ,;.. .: _ _ ,. g 57 . �:,.,. . � ..t .;� ,, a, F [ r - _. ; �: . _: ... .x,., ,. _. '4. , ,.,�a .� .,. ;� ,� ..�. .. ;. .. .. -. '. .�: emu.., -. ..„ .,.. ,_ m. .. IF It _ - .. .fix. b } .. AC x i' w ........... A, --,Edit Tod % N, T, � W Lf 10 :"4- 11 . a' a' ,`7 "'71" "117-a 6 e j �o,I �o.6, 6 11/20/2W3 FSTE APPR 4 yhpF CONSERV APPROVAL 6701� FIRE DEPT APPROVAL 63CH) ud ilk SITE PLAN APPROVAL 6393 TAX APPROVAL 6300 WORKCOMP SUBMISSION 6300 _3 4 a A 7— A T tfT 1r, lliallllrl W 'u, EAVTWO 4� -xv A_ �-A 11 _21"Ll Jn�s p o Till 717 A Nmv j 1w k & "%7 7 a tp ]L pormme aid 'Z - -: ,A, 11, 4 IV, W "- %�ROV -I ifi--ie A A. ALW', "A" �t vo A d at'e"R.- A Ty, iI Z Zw_ A pp W A 11920 0 mi _�,P _'A "T ''I "," . , evi 1154 A- 7o. 14, ek_1� 0, 4T- f IT :Z 4k. 1 0 "0 2 _c I§ I ;L 2, t T V a, jv A A -x k • a V i"44 C, S-4 'Fr 4 a v ig Y� % X I1�11 5-- A 1z z A25 K, �A, A w A, 1'I i': AM h4,. zy, 4_1 L.7 777177-7 -:r- 77 -147] 't 63 A N 7777f I# H, 3h- Z A, A 3 A A-; girls }1eE ,. M Fi1e A a " . ,> . tom. ING!+ ' All - N Deal rcatra :�.� ' sca °G `=G:EIIERL NTtR. �. cyn = 3 r _ a c � � :, _ ,Status, . . �" x- EIVT Itl E'lFl�aR. , -, , _ ' a 4xt�er ;Galled : .� �� _a .. �. , .'�, -�,�� r J -D- a ,eq %300"- UILOWG DEP tTNiEt�JT �: �,. • ; .,� . ,_ �.,, w_ �.: a e „ .<. __ , , �, ,�;.x CAM PE ULI JOSEPH&:�Cr to EDP r l r'k.! ,, ;.,.,. ProIec#fctrivtaty C�iTw1 ] RIAitD[�ITI�i�I ATF� TIO �, �., :� Car�tractar .C}1C0 =h . IL31 ' `. �.�R M.. s' `Descry< 'farrl f,EBUIL B, K,fIR€.�ESCIE Ttl CflDEREdTt?:J=TO.S,ING . , -_ �. - € Poly . . ,... . .� .,. ,Business, ., � , . ;Des . tarr= . . :TAITAJ'L BY; .MAf �IIUG�LflG IN MEC,Ff, NJSt�J TtJ C E�TH T ►RtQ,N`T:Lt}E a' ' '- ... ,,,.. .. : ,, �� „zf, t „ =F of ect� 11/ kd2 �,, .. . . � .,, ,^ ,, ens Parm #talisc, ,, ' . - , � �. .77 ,. "" =�. r� Pe lUse t .,.,.,, -Bus+nEss"alast .� a : � .-. - ,. r, .. . < ..Lacia 1 :.4 :�._ _ � r ;�_ .< 6astan ruse 11f _ . U�RT©'EIGFTUt�tITS Lap- Lt 9.,.Ly - ' ii.<. �-�' i"Y�Q�'-1>l��D i("0� �.�� ! � 9 � mia R.., .ESCpD'h' _ .- <. a�. � .- . __ x ._ . .. t .:.� , IHT UNITS „ , x x �° �, �..; .. � � <Praposed�:�se �.:�... . 1, _1�=. �� ..�J!��R.Tfl._= ... : -1alSectivn/Passe ,, . . '.�� gp .,�,.., ,x -.. .�. .,: .� ��".�,.. .. , �. . ,;. :. :- #fistet"r�een . ,.. �zarng FHB RES1D FPS r y 3 f. e .. . : . �,: .E�:,,. , , ,:, �„ If l ' r �. ;.� . Lacatftz dese. 'g, . :r . , a,,:_71E �,, a _., -7.._ x- SPY P_ . - ' ' an Sub-ors Flan eyjpyw. �Per�n�rJerts:,. y_.FrrepuFss a... (�lazdestryames. f .n d [ [` 0. ,. - .4$a ^r: .: :_: -.. ., w�.. .-. ,*.�, z •, ,... ..> �;-r •, =,fi-'�' ».. .; '','....,'."' .ice..< :+ ar��#�st Ins eettan oiatr©r ' _ L.�}• pRev�ewst?RenItems � 4dam7ngs. r� elated :> CJrc Irrsps �. _ � � 4 .a". , u , I ' -- f ' 'i i, %! Try w� ' j i XI I I I ------------- T Cow.pas.�� Dec �1 - --- -;— CL CL : , I - 1'-- I _ �� ( f I —_ ?Z��_�e:�►�.e,r'S_! �o _�JQ+ �Z i�-- -----�;�4'i—�-- !--- - '-- i 4 . . S�tv I - i I I i I r I r f 1 i I : : i I I _ I I , I 1 ri - � 14- I I _ I I l ( Oil I i 1 { Ir r I I i 1 1 IN IL ,/ QI r j r I { f � I I r I IN i � I I i _ I - r j r I j 1 I �� ►� I I i i W! � ! �ft i j : l I , ! i i -� ------ - ! � i I i I I , 1 I ' I l . i I I y I mi r I ( ! 1 I , _T j I . i ! I _ , J • _ .. i 60 r -- - -r I- C � ------- q II 1 i I I k , --- I e �j II i � I-;— � y ; _ b - - - it i � i ��7�.5 I`'�'1s 7'��'7Ll �i b I ��•cL` �►� I � _�� _ � _ _ ,l` i _` �i _ I ` o t r I -----+-� -- --i-----,___. .._I_—I .__._. - -- i-- ��►�� S, V O; I V1b-�__�\,�-L-�--V9 ',��-O� -�SQ- I - --._-'._.. � - I 4 � I - -- - -- - I i it -=---�-----. __ -.--- -1-- I I - 1 - 00 I I 000 -- I I I i j 1 I I Assessor's offioe .(1st floor): _ /) f� Assessor's' mooand lot number ....................... ... Q Board of Health (3rd floor)- Sewage ,•' � .. d� �" , ,...P,ermjf.. Dumber ! .......�� .. l = B9Hd9TSDLE, > . g' 3r)�;. brit (3rd•floor): 'oo 1 7 ` � 39• 9 En meenn rtm..:.,..n ....................................................... i°�o rr` House n'�m c� .:..: APPLI.CATION8`1'1 &ESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN . ;OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �-+ ✓ /A4 S_r©� ..7 �`f .............................'t� i ..... ....... ..... TYPE OF CONSTRUCTION AJ.'L f L .�.............. 17 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .,, .�'r•••....//G ,� r Ste .... r.,rd...CI�... . ... /!rasa/.5...................................................................: J ProposedUse .. 5/ ✓!........................................................................................................................................... Zoning District ... ....................................................Fire District ... ✓i1. ............................................... Name of Owner ..................Address ...�4',r''...Gl/1�l n..��...rF��'!s�/..l ............... Name of Builder .. �;9,, ,�.��e..� r�c ✓/� ........Address .............. . �f Nameof Architect ....................................................................Address .................................................................................... Number of Rooms .....�X.........................................................Foundation s. ................................ Exlerior ... '/is .. ................................:. ....Roofing ...a/.a' � ...................................................... Floors .... .�-�aT.e/. ./l�ir z..........................................Interior .... �e,yt/ ...................................................... Heating7 .. r"✓ .-.........................................................Plumbing ....... ...4.. Fireplace /Z"..................................................................Approximate Cost .............................................. Definitive Plan Approved by Planning Board ________________________________19________ . Area ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the. Town of Barnstable regarding the above construction. Name .V.. .. ... . .... .. . .>r....................................... E � P Construction Supervisor's License ........... NARDONE, WILLIAM A. /A=309- ,3a 9 No 31010 . Permit for .....1.1 Story Sincfle Family Dwelling ; Location ...Lot #110, 16 7 Winter Street . ..................................... ..........................Hyannis.................................. f Owner .,.William A. Nardone 'i Type of Construction Frame .................. ........................ ............................................................................... ' Plot ............:............... Lot ................................ Permit Granted .....July. ..22.,...............19 87 Date of Inspection ....................................19 r" Date Completed ......................................19 d r � - _ r I --��'7 _l4p� s i -- __ __— I -- � -- -- I � . OWN OF 'BARNSTABLE• .BUILDING .PKRMIx " ID 309 110 ';4OBASE ID_' 2238.4 ; 'DO. ' 167'WINTER STREET_ -;;': PHONE HYANNIS ZIP 1 BIDC$ LOT SIZE - -- DEVELOPMENT DISTRICT HY ' 40899 DESCRIPTION REMOVE RITCHHN.CABINRTS ' TYPE BREMOD TITLE RESIDENTIAL ALT/CONV FRS; PROPERTY OWNER Department of Health,Safety ECTS; and Environmental Services FURS: $25.00 . $.00 JCTION COSTS *100.00 nAKAiS b RBSID ADD/ALT/OONV : 1 PRIVAMP i i ' ❑Barnstable ❑Centery .-Osterville-Marstons Mills .0 Cottg_ ;Hyannis ❑W, Barnstable To: Head of the Fire Department: 4.- '-, r, Pt:nnit No. 3 Application is hereby mule in accordance with the rovisions of Chapter 141i, t' 3.0 / to install for the rson or p p and rcbulauons.made under au verity them): pe persons and at the location named herein, certain equipment for a fire alarm system. Thi, application is made with full knowledge of the current requirements of the regulations go%•erning such installations, whict will be made in compliance therewith.The installation of said system shall conform to plans re icwcd by the Fire Dept.: Owner/ /• 2 c Occupant Name: 0 tA y) V'/\ 2 2 tcb ? �f e Street Address(House Number Required): ' 7 W t w Yc-�a�.wi S Person To Contact For Inspection and Phone: © V�+j 0i �/e re e 2 Installer Information/Description Of Equipment To.Be Installed Manufacturer Name & Model Number: (^i Type: ( J Photoelectric (YJ Ionization [ J Other #of Dwelling Units: # of Detectors: Bsmt. 3 lst Z 2nd 3.rd,, Total: � Other Devices & Number: Heat Detectors Pull Stations Horns Othcr. Installer's Name &CompanY f � Installer's Address: Installer's Phone: VA 3 License Number. . Final Inspection By: Date: 7_ L C. ,able QCentervilleerviIle-Marstons Mills ❑ Cotuit ,Hyannis QW. Barnstable ,;riead of the Fire Department: - "r 3 Q. Permit No. 3 Application is hereby made in accordance with the provisi s o c M'and rcbulaUons made under au writ}'theme to install for the,person or persons and at the location n e e equipment for a fire alarm system. Thi; application is'made with full l:rtowledge of.the current requirem ns governing such installations, whict will be made in compliance theretivith.The installation of said system shall co rm to plans r icacd b}'the Fire Dept.. �6 —/- Owner/Occupant Name: Q 1M Lj, 2 2 Street Address(House Number Required): 4 7 (.tJ < < f C .Person To Contact For Inspection and Phone: o k C*:C9 i 4 r2 /e(,�/,.*,J c2(-0038' Installer Information/Description Of Equipment To Be installed Manufacturer Name & Model Number: r r 2 e Type: [ J Photoelectric [YJ Ionization. [ J Other of Dwelling Units: #of Detectors:. Bsmt. 0 1st Z 2nd 3rd Total: Other Devices & Number. Heat Detectors Pull Stations Horns Other. Installer's Name & Company: 2 o L,\ry c W t 1,w rZ t(cc I fcfrsry Installer's Address: �je 2K Y/+1 4►t s o S Y� t I s r►'1,q, Installer's Phone: a 3 License Number. �a a B Datc: � Nf c vim. . .. — W-P�C 7NV C Kpvs" QF— � t f .: �. K�e � R leeoc ice' -��— � , ':'= � a F '�� _ - _.._ �. _ � _--"".w...� .� 1 �� f �` a�' - � - �� - ;- - � � �_�"" - �� y�t8; 1 3 i� -. __ i .... —. — ' � ...- 9 - t .. �. � � � ' ��.YK/' - �:��' w -� _ . ... _ ..._ .. I - "fir-*2YANNIS 1118,900 ®Lfsenw. . 167 WINTER ST ;' �aOAEss EYANNIS, MA v MULTI UNIT OR Tvm RESID- *fx ws7 swom 5 (tneert Pk*m Hwo For Twao FULL STALE CAPE RATM 4 #&sATxs AM 9+ APPmx ua.0. 2400 scF mcwABE .2 xvrnosl_�rtecEt 2 m r i emW g TTMLTEft TOW z 0 W/BULKELEM wsafr FULL wrom.Ton =Nola RESID. AMNLICEWEMM aa.rvyrcar.a.« 1.1 7 2 UFF1 nAffoE X LA NO F REfIN13�q n NEAT - JLFADFANT NO a . a�erT AR flREpL,ACf MOR 7 DRIVEJ$IRE TO BEACH .o CJfaLE VwTm ACCESS .4 s eft As Fou oArmm azE 40 x :3 2' POOL LIDYi TMES1EFERDSCE B9457 P349 1u I LARGE NEKER CAPE, IDEAL FOR BIG OR' QED FAMILY #AM TAM $2295 w 3 PRESENT USE AS 2 BEDROOM APT. A Berw o �' W WI LR, K 4 BATH. 3 STLMIOS ASWLD $27,400 EACH WITH OWN BATH & '.%YWA w ASSW KDG $118,700 z 00 o E1STOFF= HURLEY CO. COM 3% Do.BARNSTABLE RD FROM UstAGs. BILL HURLEY ir AIRPORT ROTARY, 2ND R. •mmNo_ 508-778-5592 N IS WINTER ST. (BETWEEN CHESTNUT & STEVENS ST. R rAmmanulL UST" h/MM INDU113t•ETTIFT ALL U1FCON{AT"ON INS UST"AfOR ACOUFAM MIW STNMTLWAL.J**ChA*MCAL 60PIEcn?w Q NKX gY R QUALIFIED M6PECTM PoVE SI MO TTMT e11OKEM 1S AGOWT OF 7ME SCUM xT1Q TMr 611OPMft MAW AK F..a FIE PI*SE.MTA7WN OEGAIWDK�COIVQTFONOF 01H01 CC1/'CFEMT8 0R SIWUCTt"Or SMMCT PADPERTT mw $118,900 1 r ' OF-THE, Town of Barnstable Regulatory Services HAMSrnsLe Mass g Thomas F. Geiler,Director 1639. 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 October 13,2009 Ms.Theresa Manzi 42.5 Pinecrest Beach Dr. East Falmouth,MA 02536 Re.: 167 Winter Street,Hyannis,MA Dear Ms.Manzi; This`letter is in response to both your recent call and the MFIRS report sent to this office by the.Hyannis Fire Dept.regarding the above referenced address. ?building permit is required to repair the damaged exterior staircase coming from the second floor and the work must conform to the 7`h.Edition of CMR 780. Please pay particular attention to sections 1009.5.2,and 3400.4:2.3,copies of.which are attached.These and a , �<complete set of construction drawings are necessary elements of the permit application. If.you have any questions,please contact this office. r Sincerely, Paul Roma -,L.ocaf Inspector Y . r1 � }a ik } \ L w 07, ti 119 : p, in Val Awk as r'. '.� i iw �` "• Y y ' iP�I � �E.'f-aatlii �'.'�� 3'��`a 4�T3. ~?j�i, � �y��.X'•L.. • _ 1 ,a 1,1• R � i • Y an h. win �~d.Y• �• IW'.. -Je1 `R �N•afb•W�J:.,r•�'Lnf �jL dAAA ..fc - ems,_ 1��,' ��' i '� P � ...�•-��t ,� tr Y .� - 1 11• ? �'1 l �f fi { • - 1 � 11• r y �; .+r w ® " 1..y `tM Ft41, ; '�'�§P.^"I�'�4' •j`�e� �i±t At aw k�r'��,;:'��r�..�k ,,,��yy,• f�f �,.bj+�� e�j�,�-•., y,'��f�s y�y'�" s }"��S.P,7�,��•�y��yt� ", rg ®v'� 7 ''j►>t F� `w' "'� JTF gg VS Ilk oil R O� • 1 � 11• III �i - 1 � 11• i'� so y. y,Vr Y •Is t,�q,� t 44,,�''F � e✓ r! � P vssu!'T • 1 � 11• J, � �� ❑ Delete A -01922 u� 9/26/2009 i' . 00.1 ;, - • • A290867 ' �0� ❑ Change NFIRS - 1 State Incident Date Station_ Incident Number Exposure ❑ No Activity`; BaSIC 1? Check this box to indicate that the address for this incident is provided on the W Idland Fire Census Tract B Location ❑ Module in Section B"Alternative Location Specification".Use only for wildland fires. I f 40 ® Street Address 167 U° WINTER STREET ST U ❑ Intersection ❑ In front of Numbe`r/Milep`ost Prefix StreetorHighway Street ype Suffix ❑ Rear of I I (Hyannis I MA I I 62601 ❑ Adjacent to Apt./SuitelRoom City State Zip Code ❑ Direc tions ❑ 1, �� e �• Cross street or directions as applicable C Incident Type ► E1' Dates&Times Midnight is000o E2 Shifts&Alarms 461 Building or structure ` Local Option Incident Type weakened or collapsed Check boxes Month Day , `,Year Hour Min still u dates are the a wired L A ALARM aN✓ s re p Aid Given—Received same as Alarm. y q Date.' Alarm `* 09 26- 26091 123:231 platfoon No OfAlarm�istnct 1 ❑ Mutual.aid received II II ARRIVAL required,unless canceled or did not arrive 2 ❑ Automatic aid recv. U U ® Arrival 09 26 2009 23:26 E3 special Studies Their FDID Their 3 ❑ Mutual aid given state Local Option 4 ❑ Automatic aid given ' ICONTROLLED optional,except for wildland fires ' II I II r : 5 ❑ other al given ❑ Controlled u u L� N ® None Last Unit LAST UNIT CLEARED,required except wildland fire LSpecial l special TheirIncident Number ® � U � U Study ID# Study Value -` Cleared 09 26 2009 23:41 - Actions Taken r'° �-v Resources Gz Estimated Dollar Losses&Values Check this box and skip this section if an 86 I Investigate Apparatus on Personnel form is used. LOSSES: Required for all fires if known. Optional for non fires I ❑ Non ' Primary Action Taken(1) Apparatus Personnel, Properly L I I Suppression U � 0 Contents Additional lAction Take n(2) EMS 1 3 PRE-INCIDENT VALUE: optional I II I Other 0 6 Property Additional Action Taken(3) Check box K resource counts include aid ❑ received resources. Contents Completed Modules H1 Casualties ® None H3 Hazardous Materials Release I Mixed Use Property Deaths,. Injuries ❑Fire-2 Fire N® None ;. NNN Not mixed ❑Structure-3 Service 0 0 1 ❑ Natural gas:slow leak;no evacuation or HazMat actions' 10 ❑ Assembly Use ❑Civilian Fire Cas.-4 2 ❑ Propane gas: <21 lb.tank(as in home BBQ grill) 20 ❑ Education use 33 ❑ Medical use ❑Fire Serv. Casualty- I n I 3 ❑ Gasoline:vehicle fuel tank or portable container Civilian I 0 J �0 40 ❑ Residential use 4 Kerosene:fuel burning equipment or portable storage ❑EMS-6 1 ❑ 51 ❑ Row of stores. ❑HazMat-7• Detector ` ❑5 Diesel fuel/fuel Oil: vehicle fuel tank or portable storag 53 ❑ Enclosed mall . 6 Household solvents: Home/office spill,cleanup only 58 ❑ Business&residential ❑Wildland Fire-8 H2 Required for confirmed fires. ❑ 59 ❑ Office use ❑Apparatus-9 7 ❑ Motor oil:from englneorportablecontainer 1 ❑ Detector alerted occupants 8 Paint:from paint cans totaling<55 gallons 60'❑ Military use ❑Personnel-10 ❑ 63 ❑ Military use 2®:Detector did riot alert them 0 ❑ Other: Special HazMat actions required or spill>55 gal., 65 ❑ Farm use U ElI Unknown Please complete the HazMat form 00 ❑ Other mixed Use - Property Use J Structures 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehicle/boat sales/repairs ❑ 361 ❑ Prison or jail,not juvenile 571 ❑ Gas or service station 161 ❑ Restaurant or cafeteria 419 ❑ 1--or 2-family dwelling 599 ❑ Business office 162 Bar/tavern or nightclub 213 ❑ Elementary school or kindergart, 429 p Multi-family dwelling 615 ❑ Electric generating plant ❑ 439 ❑ Rooming/boarding house 629 ❑ Laboratory/science lab 215 ❑ High school or junior high. - 241 College,.adult ed. 449 ❑ Commercial hotel or motel � 700 ❑ Manufacturing plant 311 0 Care facility for the aged � ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) ❑ Dormitory/barracks 882 ❑ No parking garage 331 ❑ Hospital 519 •❑ Food and beverage sales 891 ❑ Warehouse Outside 936 ❑ Vacant lot 981 ❑ Construction site 124 Playground or park ❑655 Crops or orchard 938,❑ Graded/cared for plot of land 984 ❑ Industrial plant yard 669 ❑ Forest(timberland); 946 l❑ Lake,river,stream [3 Forest ❑ Railroad right of way 807 Outdoor storage area[3 960 ❑ Other street Look up and enter a 919 ❑ Dump or sanitary landfill 961 ❑ Highway/divided highway Property Use code only'rf Property Use 429 931 Open land or field you have NOT checked a [3 Residential street/driveway Property Use box:. Multifamily d welling§ .l, e - _� •} ., `. NFIR5.7 RevmnOW11's's 1. A290867 EXP 0, 9/26/2009 -PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT - MFIRS REPORT K1 Person/Entity Involved IC & M Realty Trust I I508-457=9707 I Local Option Business name(i applicable) Phone Number" ❑ Check this box if I J I Thearsa I u I Manzi I �� same address as �J incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three duplicate address 425 I J LPlnecrest:Beach Drive lines. Number/Milepost. Prefix Street of Highway Street Type Suffix ICI lEast Falmouth Post Office Box Apt,/Suite/Room city A I 02536 State "_. Zip Code ❑More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary.- K2 Owner ®Same as person involved? Then check this box and skip (Thearsa I I508-457-9707 Local Option the rest of this section. Business Wane(f applicable) Phone Number ❑ Check this I Thearsa I U I Manzi. '. u a if same addressss as incident location. Mr.,Ms.,Mrs. First Name MI, Last Name Suffix Then skip the three du lines.plicate address 425 � I�IP1neCreSt Beach Dr1Ve LJ Number/Milepost Prefix Street or Highway Street Type Suffix East Falmouth Post Office Box Apt:/Suite/Room City 02536 Stale Zip Code L Remarks: Local Option ITEMS WITH A MUST ALWAYS BE COMPLETED! ® More remarks?Check this box and attach Supplemental Forms (NFIRSAS)as necessary. M Authorization 198704 1 (William J Rex, Jr. I j,Captain/EMT-lj Suppression 10911 2611 2009 Officer in charge ID Signature Position or rank Assignment' Month Day Year . Check box it same as . Officer in charge. ❑ 198704 (William J Rex, Jr. I ICaptain/EMT-PI Suppression 1 0911 2611 2009 Member making report ID Signature Position or rank Assignment Month Day Year A290867 - Exp 0, 9/26/2009 167 WINTER STREET - t page 2 of 2 HYANNIS FIRE DEPARTMENT 7 MFIRS REPORT L1 01922 u'- I 9/26/2009 .L � 001 ! " � A290867 I 0 � ❑ Delete pple -1 S _L State ._L Incident Date �L,. Station Inci dent Number ,L,. Exposure Change '' Supplemental jC }C JC LR K2 Remarks 167 WINTER STREET Fire Alarm (Firefighter Nagorka) received a call from the BPD for a medical emergency. BPD reported that a patient was choking. Fire Alarm dispatched a ambulance 828. I responded with Firefighters Coggeshall and R. Clough. On arrival we met with BPD who are in the process of arresting an operating of a truck. There was no choking patient. The truck struck the a wooden deck and stairs on the "C" side. It destroyed .the stair. section that appeared to be used as a fire escape. BPD took photos of the damage_,. We put up caution tape " to mark the hazard. i The owner had been called by tenants and was enroute to the building from Falmouth. We cleared and returned to quarters. I spoke to the.owner on Sunday 9/27/2009 at 0900. She is going to have the stairs and deck replaced. I told I would follow up with the building department on Monday morning. Captain William J. Rex, Jr. r. �, s A290867 - EXP 0, 912612009 HYANNIS FIRE DEPARTMENT MFIRS REPORT N I IT 1 �.. €• _ _ .� ,�-.�.: a- r*y I� it4 } _A My File»sEd sit Tool Help fW } v u+ r _ - �- - - - . - R Detail ApphcatAon a s 41k89S ,b� +sAppkarft Status ACTIVE "` Owner17 .4,�.. f�3 Collect rr Departrnent B3#1 -,BUILDING D`EP :RTME.NT - --~ -- - — - Atv1PEDE:LLI.JOSEPH 8 Ci TAPEDE vClosel'Derr{ G ,, . - y TIALADDITION/Al-TERr'�TIO" (� Contractor PiRQPE,RTYO9lu'NiE!R F'rvject/AdAvit3 -R: SIDE:t� r; 41+orie OW Description 1 RETu104JE KITC'.HEN C :BINETS .Business Description 2 Par'kingilulisc Fees effective e , A�slgned tv k Prop - — - — P g i Pro-Coefi 'Use Nvn�anformin Dates.,Tvlisc�9 Femrts Business Mast Location `� 1 'Unit �IL�dsting se1170 �� FOUR TO EIGHT UNITS Reactivate ... _ -- ' ` 4 Street > :, ylV'INTER STREET �� - zoningED] fidjust Fees Parcel s 3415111) - ` memo Tdlunrcrpalibj HYMN HYANNIS Escrow - a _ S-Obdivision _.,.� � flood zone -t�liscCh_osROOTv11NG 8 BORDIING HOUSES , ,a .w LotectranlPhase - —•R- Pa-mtHistory .'BEtneen 'g .. zoning R'B 'RESI!D RB ;memo_, ALdrt";Iis'tary~ wt ... Location desc _ SummPermit flood zone r .9py P Frmrt;alerts ( PrerequisrteS � �Hazrd Restr Tlarnes Bands ;Sub-€4ddrs (tom T .Plan Rev ien Link`Ins s �.'Pnor l lisEory "" �j�InspEcEions w iolatia`ns j Reviews Open item- ��It�amings ��'Find Re9ated ,.� y W1 -ter Y o Maintain projectjactivit:detail for the ci erent application. My File Edit Tools Help CJetad APPlicatioraB$SS j+1 Applicant . '€ - _ .Collect Status �CT1"�� '� Owner 1+ Department &31}th-BLJ ILDtNC DEP,fiRTiIENT: p�b, ' CAMPEDELLI,JOJO; t Project/Activity S ';R:ESID'ENTIALAD:DITICiN,IALTER. TIG ". Contractor �P,ROP'ERTY4�Ji 4"+1'6Mlow Ik Descript'io�n 1 RElv1C"J'EKITCHIEIN CABINETS �� Business 4 Descriptivn2 Parkin Fees effective II39/117/1B95 g/wtisc I f �. ,assigned to .. Propetj P.roperfi,iUse Non�vnfarmrng I ,Dates/m.isc :Permits'' Business Mast - Estimated cost 1.�� Actual start/end Reactivate _ _ Y Estimated start/end 222. Z/1S9S Ne xt action -7777- Adjust Fees Application,received d1<9/07/1La T DPP ,.,� �{��_ �' Action memo ,Escrowp,Plicatian reason } n z . ` Status cede ' ACTS ,�CTI ''E APPLICATIOIJ lulisc'Chgs ,Ordinance `memo . "r - - Paymt f` Parent application; ]Submitted_"in rnulti�le pf�ases Audit'flistorf Pornt in time eff dt I i FsPermit ' F e expiation date �p k CaPY+ PP Permit Alerts �3 Prerequisites Hezrd/Restr Names _�'B onds i Sufi r"fddrs + Tead Q Plan Revieuv: I _ PrivrHistar �' ' Frnd�.Related L-7k jgsps f [�Inspections �j��rolatio�ns C3 Reviews, perr.Items i� damings I� IN {Maintain prvject(acbVity.detail for.the current application , a - I �TMe rq " The Town of Barnstable snRrsrnsie, Department of Health Safety and Environmental Services ATED �A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4031 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 19, 1999 Mr.Joseph Campdelli&Campdelli-Manzi 425 Pinecrest Beach Drive E.Falmouth MA 02536 RE: 167 Winter Street Hyannis Mass (Man#309/Parcel#UM Dear Property Owner: A review of our records,including the permitting history of 167 Winter Street,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single- family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single-family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas ZONING ENFORCEMENT OFFICER GMU/kl q-forms-g980218a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 4 ` Parcel F Permit / l Health Division � �/3 q� Date Issued Conservation Division ee �20 ' T Collector �L !`..�� ,•--. VTreasurer On� `Planning Dept. A PUCANT IW OBTAIN A him CONNECTION PERMT 110H THE Date Definitive Plan Approved by Planning Board er P=1 TO Historic-OKH Preservation/Hyannis Gvr�r Project Street Address l6 � Village Owner Z-'4&2:! Address 11as 10/2. e F__ny Telephone 3 2 - NS7 gr70-7 Permit Request 617Z'fr��l,S Square feet: 1 st floor:existing proposed 2nd floor: existing proposed Total new ` Estimated Project Cost Zoning District Flood Plain Groundwater Overlay 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 ;b No Basement Type: P 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 0 new size Barn:❑existing 0 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 BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �, `� FOR OFFICIAL USE ONLY ' tMIT,NO. , DATE ISSUED - MAP/PARCEL NO. ADDRESS • "' VILLAGE - •r, OWNER ' - s e K DATE OF INSPECTION.-.t ' FOUNDATION FRAME k , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING x- FM w a DATE CLOSED OUT i ASSOCIATION PLAN NO. 1 f ° The Town of Barnstable • L►axsrnacE. . � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION j MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal;demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost' cam^ Address of Work: / 7 1-✓fP!1 cf I Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied ww pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: r Date Contractor Name Registration No. OR Date Own e ' ame q:forms:Affidav �`— -_ "-.". The Commonwealth of Massachusetts �Y =_ " �' Department of Industrial Accidents "I , :�-•. , . f Office offm�eS998 90s - _- T 600 Washington Street --" �4;` Boston,Mass OZlll Workers' Com ensation Insurance davit name• / `/� / . location: lb '7 b6:V 3 e , J,T— city - hone# ' ) '-1"7 el -2 am a homeowner performing all work myself. . ❑ I am a sole rietor and have no one workin in anv achy %%%%%%%%%/%%O%%% %%%%/��%%/%%%%%%%/%%%///%%%%/%//%%%%%/%%/O/%%%%%//iry�////%//O,l/////////��ir/////%/%%%/%/%%%%O%/%%/G//////%//////%%/%/////�%%/% ❑ I am an employer providing workers'. compensation for my employees working on this job.: :.:.: ......... :.:: :.:::::::: ::::::: ::: compenY name .:.-.::::::•:::::::::: ................ ................. address.. : ....>::»>:«::<;:::::«:::>::<:>:::;:>.::: .........:.:.. ;:.:.::-::•::.. .... ::;.......... .:;..::..:.:';:'<;•:::::>..:..;.; <:<:>:::::>:. . ....... :>:>:::.,.'.':ahoiie#�:<>:<: .::: >:::::: ......:::::..:>:....,..:.: ... "::: insursnce.ca.. , :.. . :. .;•::... nyilcu# :.; : ' ::: ..:.......:....:...:.......:..:.::....:. , %/ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have . the following workers' compensation polices: name :.::..:.;:.;:.;:.;: .::;;.;.: ;;:;.:;:.;:. ::«::>:>;:>::::;:::::>:<::::>::>::»>;:::>':;::>:::>':;;;':;:.:;:::::.>::»:;';::;:::> »>::>::::>;:«»>:::>;;:;:<;:.;:.>::>::::::.. tomnoany� :.:...::.:::::.:.:.. ... .::....... :: a :::>::>:<::::<:;>; >: -*..:1..-..':*..-..*:..1-.'.:*....:'..:..�......-......:..................2......:..:..:...............................,..,..i..:.:*i-,1",....-�..,*":,I":.'.I:N.:-:,:,j a: :-i m-*......:�..i�..:..i.i.i..i....i.i.�i.ii..i.i..i.ii.i. :: ....::.. . ........ ..._:...:::...::.:::::.:: ;:::.: ........::................ .... ::::::....................... .. ......... ......................... ...................................................... :......:..............::.........f.;:... :::.......,- ... Mine ....................................... ::::: .::::.:::::::•:::::-.-:..:::::::::::::::..:::::.:::::::::::::::::::..::.:::..:::::::::::::::::::::::::::::::::. ::::::::::•..:.:.... tjfv ..>:.,,..: ........................................ ...... <: ....:::::::::.:::::..::::::::::::::. :::::.:{.;•:::::.:.:'-:;:::::::.:'::::::::::........::'::.;:.;':'::;:::::»;;:>:::::;:;-::::';:::-;:;•::.::.;:.:::•::;<.;::. .........................::•............................................................................{..::.�:nn..4•.�:$}:>.ii:ii:::}..•....:.:`:: .::•. :....................... ....:::::::::::::::::::.... ::::::T:?:fi;:;i$:>:i;::v:`•..•:::r:"v':i.`:vvi: ..:v.:�::•:.......................... ........v+:::.::...........................x..... ............................................................................................ ..............:::�:.w.v:.:::v...........i...................... ...wiwn:K3:.?..[w.:........ ...... i:..:.::i::•i:;•i:::iG:i;:4::{•:::::::•:::.:•::::'•::::::i::::";{i::}Y•::•:`::::::.�:.:::?^:'?ii:•::.y:}::::•::?:iii:i4y;.;.;:;;. bsnratmee.ca:,... ., ...... :..., ..:.. .., .. t1 tV#.:.: ::,. ::.::.::.:::::::.:..:.::.::-: ;:;::: _. ../l/%////%%///i ;::. ....... c anv:name:'::::::.«<:::%::::::;,::::::;;:;.:::;:::;... :,.::::::>::.::.>. .address. 2222M. — .--- � ....�....—.....I............ ..., »<: ::::::::>: I. `;:: iniiuranc i �/. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 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. I do hereby cadfy under the pains and penalties oj�er. that the injor madon provided above is btu and correct Signature Date 7/0) ` / — Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permiMicense# ❑Building Departmnent LILicensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department . contact person: phone 0*1 _- ❑Other ordsed 9195 PJA) Information and Instructions s- Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their " employee is defined as eve person in the service of another under an contract quoted from the law an em 1 every p Y As P y employees. 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 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 coati=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. i Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'Ile 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. 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 reduced to 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 Department's address,telephone and fax number- The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugadoes 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 The Town of Barnstable �FSME l °"'�o� Department of Health Safety and Environmental Services Building Division ■nar M1114 ` 367 Main Street,Hyannis MA 02601 MASS. 9 1639. $ArED MA't a Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION l Please Print DATE: f S l 9 JOB LOCATION: JAG 7 r✓JZ-- f � �'��Y/✓Js number / streett!�/ 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 12ermit (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 procedu es and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN °FtHE . . °: The Town of Barnstable `059. Department of Health Safety and Environmental Services ArFDMA'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 10, 1999 Mr.Joseph Campdelli-Manzi 425 Pinecrest Beach Drive E.Falmouth MA 02535 RE: 167 Winter Street,Hyannis.Mass.(Map#309/Parcel#110� Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring the above referenced property to a single-family dwelling. Since you do not want to comply to the Zoning Board of Appeals,we are forced to file a complaint in District Court. Sincerely, Gloria M.Urenas ZONING ENFORCEMENT OFFICER /kl q:fonns:zoning.1 THE)p The Town of Barnstable SAE.MASS Department of Health Safety and Environmental Services . f639• �e Building Division 367 Main Street, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen . Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location i/6P7 t,t) -T' Permit Number Owner Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: ee ,-,-0 C/(C 0 i t CE O S J Please call: 508-862-4038 or re-inspection. Inspected by '�_ Date l/ I , 1 i I i • � t Property Location: 167 WINTER STREET HY MAP ID: 309/ 110/// Other ID: Bldg#: 1 Card 1 of 1 Print Date:OS/19/1999 : . a. �.. g Element escripli commerciatData Elements SfTe—FI—y-p—e 14 Apartments Element Description Model 94 Commercial Heat Grade oc C Frame Type 2 WOODFRAME Baths/Plumbing 2 VERAGE Stories 1.5 1 1/2 Stories AS Occupancy 00 eiling/Wall 6 CEIL&WALLS JBM ooms/Prtns 2 AVERAGE xterior Wall 1 14 Wood Shingle /o Common Wall 2 all Height _ Roof Structure 3 able/Hip Roof Cover 3 sph/F GIs/Cmp Interior Wall 1 5 Drywall ` 2 Element Code escription actor e nterior Floor 1 14 Carpet om Px 2 Floor Adj 2 Unit Location Heating Fuel 4 Electric Heating Type 7 Elec Baseboard Number of Units C Type 1 None Number of Levels - /o Ownership _ edrooms 2 2 Bedrooms Bathrooms 1 4 Bathrooms �' ' Zk"11111 Full . ,,,..; .;_ �. a na j. ase Kate Total Rooms 7 7 Rooms ize Adj.Factor 1.25147 ade(Q)Index 1.05 Bath Type dj.Base Rate 69.64 Kitchen Style Idg.Value New 151,537 ear Built 1988 ff.Year Built 1988 rml Physcl Dep uncnl Obslnc con Obslnc 37 a o _ pecl.Cond.Code ..4 p 6 pecl Cond% lam a Description ms ercenta a verall%Cond. 54 eprec.Bldg Value 1,800 „ ." ,/ •. .::�. ` ..�,..,. `: .. . ., <..:.�.....,,. AL u.�...A, Code Description LIE Units Unit Price Yr. Dp Rt VoCnd Apr. Value 11 rUTk'' code Description LivingArea ross rea Eff.Area Unit Cost Undeprec. Value a 1 Fi—rst I loor , FHS Half Story,Finished 64 1,28 640 34.82 44,57 UBM Basement,Unfinished 1928 256 13.93 17,82 i t. Gross LivlLease Area g Val: , J Property Location: 167 WINTER STREET HY MAP ID: 309/ 110/// Other ID: Bldg#: 1 Card 1 of 1 Print Date:05/19/1999 - , j Description Code Appraised Value Assessed Value &M REALTY TRUST RES LAND 1110 21,30C 25 PINECREST BEACH DR RESIDNTL 1110 81,80C 81,80C 801 FALMOUTH,MA 02536 BARNSTABLE,MA ccoun an Ret. ax Dist. 400 Land Ct# er.Prop. UP FY00 #SR Life Estate DL 1 LOT 1 Notes: VISION DL 2 oa , ,.. 'q u:Y-v;t' x �VAMP A F - r. Code AssessedValue r. Code ssesse a ue r. o e Assessedvalue MURRAY,JOHN B&DOREEN G 9457/349 11/15/199 U I A im 1110 to 21,3Ut MURRAY,JOHN B 6488/284 10/15/1981 Q I 200,00 199 1110 81,80(199S 1110 81,80 ARDONE,WILLIAM A TRS 5813/265 07/15/198 Q V 66,00 HYNOTT,VERNON D 5094/295 05/15/1984 U V I B HYNOTT,VERNON D 4591/323 06/15/198 Q V 34,90 oa. oa. oa. Al W1111111gure acknowledges a visit ector or Assessorn I Year ype eseription mount —Code Description Number mountComm. nt. j.., Appraised Bldg.Value(Card) 81,800 Appraised XF(B)Value(Bldg) 0 Appraised OB(L)Value(Bldg) 0 oa `, , ,,, Specialp a Land Value (Bldg) 21,300 Value 3 STUDIOS 100% COMPLETE 12/87.. Total Appraised Card Value 103 100 Total Appraised Parcel Value *BID ADJ FOR SIZ Valuation Method: 1039100 E Cost/Market Valuation eI otal AppraisedParcel Value 103jou a ermit ID Issue Date Iype Description Amount Insp.Date Vo Comp. Date Comp. Date ID a. FurposelResult r c b ri Use Code Description one rontage epth _ y ni s - nit rice actor actor �. ote.s- -.djI.Special Pricing Aqj. nit rice n a ue 1 1110 4-8 Units RH 4 _ - - 21;3& "tat iand Uni 6tal Landau [ ] [R309 110 . ] LOCI 0167 WINTER 'STR `*'I' CTY] 07 TDS] 400 ICY KEY] 223840 ----MAILING ADDRESS------- PCA] 1111 PCS] 00 YR] 00 PARENT] 0 MURRAY, JOHN B & DOREEN G MAP] AREA163BC JV1408133 MTG12012 50 PARKER ST SP1] SP21 SP31 UT11 UT21 . 22 SQ FT] 2560 LEXINGTON MA 02173 AYB] 1988 EYB11988 OBS] 90 CONST] 0000 LAND 27400 IMP 118700 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 146100 REA CLASSIFIED #LAND 1 27, 400 ASD LND 27400 ASD IMP 118700 ASD OTH #BLDG (S) -CARD-1 1 118, 700 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #DL LOT 1 TAX EXEMPT #PL 167 WINTER STREET HY RESIDENT'L 146100 146100 146100 #RR 1866 0100 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 11/94 PRICE] 1 ORB] 9457/349 AFD] I TE A LAST ACTIVITY] 04/19/95 PCR] Y 117 �- . J a--C- t 4. R309 110 . •P P R A I S A L D A T 1* KEY 223840 MURRAY, JOHN B & DOREEN G LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 27, 400 118, 700 1 A-COST 146, 100 B-MKT 18, 200 BY 00/ BY ML 12/87 C-INCOME PCA=1111 PCS=00 SIZE= 2560 JUST-VAL 146, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 63BC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 63BC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 274001 LAND-MEAN +0% 1461001 61720 IMPROVED-MEAN +920 200 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%1 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] R309 110 . • P E R M I T [PMT] ACTI*R] CARD [000] KEY 223840 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [B31010] [07] [87] [ND] A ' 660001 [GB] [01] [88] [100] [NEW ] [HY 11/2 ST] [ l [ ] [ ] [ l ] [ l [ l [ ] [ ] [ ] [ l [?] Y u 4 r � FAR s . {N 2 t i r ...w.>•- •5::+...;ert,..�►n+;.:.L v«z- ,�a+a+:..�.,:tx x:t�.�f:��u.+ v*�,.a,"�"�'�`"�. `.9I '�#i"iG�.'::�+a'".,«. 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"i"y ` .at. �k �., t .a, :Jay'4 �•y' ftec.Room .. St.Shower:Bath .,' Bsmt: rConc:,Blk.Wa �#_ {; sl t t, P.,URCH.,DATE } _ ;a R't S .,t..'•� •e_,_,,,g�� IConc.Slabs ' a Bsmt Garage'•" Bt. Shower Ext„ :r. i" We s p `Brick.Walls Attic'FI.&Stairs Toilet,Room Roof RENT ?Stone'Walls "; Fin Attic. x. Two FiW Bath 4 Floors'- I Piers" �.. INTERIOR FINISH Lavatory Extra p Bsmt, F T 2 3 Sink. a/s c >rh> ter/ ` .r Plaster WaterClo.'Extra Attie 1_. P i EXTERIOR'WALLS`, Knotty Pine°w: Water Only Bsmt Fie. Double Skiing `'�, Plywood ,-^ No Plumbing :> b^ e.. Plas er o r iSmgle'Sidmg �;. t bad , r s >ShinHles>, TILING + h Conc iBlk'_ r ';; y r • G. F. P Bath FI: x ! Heat Face;Brk On .:` Int.LayouY'. Bath FIi&,Warns -,.t Auto Hit.Umt n d `�Veneer= E Int.Cond. Bath Fl,'&Walls - µ 4 ,. Fireplace _ ,+• �3• Fl. n ; ti �Com Brk On HEATING Toilet Rm. } Plumbing _ t4 Rm..FI,&Warns Solid Com. Brk.- Hot Air Toilet - -Ti ling, Steam Toilet Rm.Fl.&Walls , Blanket Ins Hot Water - St. Shower Roof los Air Cond. 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ARN 'ROPE!?TY ADDRESS ZONING I DISTRICT CODE "SP-DISTS. STATEI DATE PRINTED I CLASS I PCs I NBHD KEY NO. `7 0167 WINTER STREET 07 RB 400 07MY . 07/09/95 1111 00 638C R309 110. LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T 223840 Lana By/Dale size D�menso" LOC./YR.SPEC.CLASS ADJ. COND. YPE PRICE IT I AD�gD'CUENIT ACRES/UNITS VALUE Description MURRAY, JOHN B 8 DOREEN G >•� MAP- CD. FF. th/Acres #LAND 1 27P400 CARDS IN ACCOUNT - L 10 18LOG.S.IT. 1 X .22 =10 277 150 29999.9 124649.9 .22 27400 #BLDG(S)-CARD-1 l 1.18.700 Ol OF 01 A (BATHS 4.0 U X . i #DL°LOT 1 OST 46100 N C= 100 14000.0 14000-0 1.00 14000 3 #PL 167 WINTER STREET NY MARKET 18200 D #RR 1866 0100 INCOME A SE , Di PPRAISED VALUE A 146,100 U PARCE L SUMMARY. r S ! LAND- 27400 4 T 1 fBLOGS` 118700 M pp IMR,S E (TOTAL 146100 CNST N DEED REFERENCE Tyr DATE lade, PRIOR YEAR VALUE r T .i S+ I Bopk vage In MO. Set-Pr or AND 27400 O i 9457/349TEI111/94 A 1 BLDGS 118700 6488/284: I:10/88 200000 TOTAL 146100 5313/265: V:07/87 66000 r BUILDING PERMIT l 4 R M 2 'BR. A P T Numbe' Dale Type Amount 13 STUDIOS 1 0 0% LAND LAND-ADJ INC ME SE SP-BLDSI FEATURES BLD-ADDS UNITS COMPLETE 12/87.. 27400 14000. 31010 7/87 ND 66000 BLD ADJ FOR SIZ Class COnst. Total Base Rate Adj.Rate Year Built A e Norm. Ob_ E Units Units A 1 g Depr. Contl. CNO LOc %R G Repl Cost New AOI R.P, Value S,p. Height Rooms Rms Be,hs /fis. Perlywell Fa 000 100 . 100 68.70 68.70 88 88 6 95 90 100 85.5 138864 113700 1.5 7 2 4.0 16.0 Sc Plion Rate Sgeare Feel Repl.Cost MKT.INDEX: 1.OD IMP.BY/DATE: ML 1 2/87• SCALE: 1/00.86 ELEMENTS CODE CONSTRUCTION DETAIL _S 100 68.70 1280 87936 !GROSS: AREA, 6 FOUR FAMILY DWELLING CNST GP.00 815. 42 28.85 1280 36928 *------------ i ----4D---------------* STYLE 18 ULTI •FAMILY . 0.0 ---- - - ------------------ 0.0 i ! - B15 ! D£S.IGN ADJM_T_ 00 _ eXTER.h1ALLS 11 666 SHINGLES 0.0, HEATIAt TYPE 03ELECTRIC-------`-E_0 --- --- ------------------ 0.0 ! ! NTER.F.INISH D4 RYWALL ' _ - --- - - ------ --- 1 !A ! INTER.LAYOUT 12 VER./NORMAL 0.-0 ! INTER.'4 ALTY 02 AM_E AS EXTER----__ 0.0 ! ! FLOOR STRUCT 02 D JOIST%SEAM 0.0 D W 32 BASE 32 EFL_0OR COVER - -04 ARPET -----------0_0 Total Areaa Au.- e - - - - ---- ----- E - Base 1280 - ! DOF-TYPE 01 AB--L-E--AS--PH S-H 0__ 'i0 T BUILDING DIMENSIONS ! L E C T R I_C A L 0 i V E R A G.E 0_0 "I W40 N32 E40 S32 .. 815 N32 ! ! FDi1NDAfiION 01 OURED CONC 99.9 A W4J S32 E40 -------------- -- ------- -------------- L S LAND TOTAL MARKET PARCEL 27400 146100 AREA 2325 VARIANCE +0. +6184 STANDARD 0 1 r� 9 NC i r ul i p Vw 602 »::.:`��€� �� '�� >` I DIN 'EItVI....... IZ�._ ._... _.._.....v �t ....:yp-� 'ty r. IN 5 >>'>v �... . ::•::::. .. ..i:..; .........::::::::::ii ^:•i?iiiiii:•ii:•i:•i::•i;•.:,:;:.;::::::::::::::•:. X. S.. 2 ...,,.,.�..,. y:.}w:n�;.v::v:w:x:::::::;x vi.::::4ii:i:•:�::•'.: ...._._ �...•::::�. 0'. : :.>.::>::<:Sohn murra Y e. `'` x«:WINTER STREET HYANN>: �. IS:' .:.:::...:.::. .:.::..:.:..:.:...... . .::::::..:::::.::. :::::::::::.:...............:.....::::::::::::::.:::::::::::::: :::::::::::::._::.:.::::.:...............:.: _._ _.. :::::...::::...:.:.:.: X3E XX ................ :«:»s�� .::.......... ..............:: : ;::;dR:;fR::?:;;::::..•:.�� CAN THIS BE TURNED BACK TO SINGLE.. .....:::...:.:::::.:..:iid:22'W22`..:'•i:::42<i;::.�:: ........................... .. y .�� <� >>:FAMILY DWEL LING? NE:.:..:::: S RESEARCH r � 0 2 e ' o u SSO .`. .................:.: ..........:.:::::::.. 30BUILDING SERVICES 9tt1••1 Ott. «. .. �1 .... `�. x.... D ...... ........... ....:........:..:....::...:::::.... ......:::::::............ INTER ` ...........:::::::: ................: ..... ...::::::.::...::....:....:.... ...... ...... ............ :. ..:.::t:.....tt <?. � . . LE??•:AL. . . . I IN OWL •.:EARH::: <'>> > .xv.:xttttttttttttw.v.:�::.vuw.x:w.::.. jj!!""tt .•.:�:.xtttvi:nttt?•iwnv.v:?:... u4ii••:�Yv . :':�i �`�;L�ittii y}`:itttiyttt•ryj Q �— A=309-110 Jo •�D onLuz Bui/dimg Comminroner TELEPHONEt 775-1120 EXT. 107 it TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 January 10, 1989 Ms. Eileen Elias, Area Director Department of Mental Health 6.0 Park Street Hyannis, MA 02601 RE: #88-AD-L287 Dear Ms. Elias: First,, allow me to apologize for not responding earlier. Circumstances did not permit such response. I must address the previous activities conducted at Mary Dunn Road which is entirely in the business zone. The program described in your letter would be an allowable use at that location. You have stated that' you would meet the provisions of Section 424 of the State Building Code. The Code states: "In determining the classification for proposed use, group residence shall not be construed as being similar in any way to a. multi-family dwelling, two-family dwelling, boarding house, lodging house, dormi- tory, hotel, school or institut on_of-any kind-.—For-buildi_ng,.code purposes, it shall be treated asa�s.ingllee'_family residential building."" It is interesting that you have noted that the program is very much in need on the Cape. You also state that it will be a short-term residential place- ment facility providing residential care to mentally disabled adults who are in need of temporary alternative supervised housing. Since the Code defines group residence as a special residence for those who are capable of self-preservation and that you are additionally providing 24 hour p'yschiatric coverage and performing a self-preservation assessment at the time of referral, I find it difficult to classify the activity as a group residence under the Code. I believe I can speak on behalf of the Town that we have and continue to do our part in helping those in need of your services. The only question is, where? I further believe we are now confronted with the issue of zoning. What was permitted in the business zone is quite different in the residen- tial zone. fib.. t Admk J Ms. Eileen Elias, Area Director January 10, 1989 Page 2 I would therefore rule that the use, as described by you, would not be properly placea16kintd �r `S eSet H-y"ananns a nd would refer you to the Board of Appeals for that location. Peace, 6s�e p h D. DaLuz ' Building Commissioner JDD/gr cc: Town Counsel Board of Selectmen Hyannis ,Fire Department y�F 1NL t�s !4!'. = The Town of Barnstable io7AIJITASLt : Inspection. Department �0 yAY A' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner January 25, 1994 Mr. Stephen F. Currier President/CEO Hyland House, Inc. 285 Oliver Street Fall River, MA 02724 RE: 167-Winter Street_- Hyannis `A=309-110 ------ Dear Mr. Currier: I had a pleasant visit with Ms.. Heidi Howard in my office to discuss the proposed activities at 167 Winter Street, Hyannis. In further review of your letter of January 10, 1994, the dwelling housing the Crisis Intervention and Stabilization for. the past six years provides a great service in our Community. It also provides counseling services for those housed in the dwelling. However, it appears that you are requesting an opportunity to expand counseling services beyond the complex to assist outside clients who may need your services. This would violate the permitted use of the premise, which is residential. It is my opinion that in order to expand said services you would have to seek another location where such a use would be permitted or petition the Zoning Board of Appeals for a Variance to permit expansion of the, Winter Street location. An application for a Variance requires prior approval of Site Plan Review. r • Y Y� Mr. Stephen F. Currier January 21, 1994 Page 2. If you have any questions as to location please contact this office. We will be happy to assist you. Very truly yours, J eph D. Da. uz uilding Commissioner JDD/gr cc: Town Attorney F 1 � ��:• to tOWNdw ME ,� • 1 1 , I 1 1 � lad��. JII �.� /�♦ t �� vvim 1 TOWN OF BARNSTABLE REPORT S LDMENTABY/CONTINIIATI EPORT NAME (LAST, FIRST, MIDDLE) DIVISION roam NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL OS ETC.A Z'/ `' + Id _ ' k, 1 { 1 k q. } SUBMITTED BY d PAGE r 2/5/97 167 WINTER STREET, HYANNIS The Department of Mental Health no longer operates a short-term crisis shelter at 167 Winter Street. The owner is John Murray, 617 963-1)3-24 Property is on the Town's multi-family list. M '..' va�+.�•kM-i'"..§j`9'S1!-4Y.n tit'�'`.#Y.1 A"`• s✓3��^�.J'�wsN� � ..-�:F F371,."lJ�v :: /` R�f2,� S��yb r rl• ram, . t _ ,ti,... ..... -.rR r .tc. i v .• ,+� . s .�..� `�G+d „ ."` ' G.' ,,. "s�_. a5"� ;,i:,e sY'" ,w ..t. .. ;.: }T ,... f°i.». �' •.'-...D0. ., t y;. �e.,e .. b ;r ,1 r .�S-,.g.,��k .5. ' 7 •l' p e rj ..'r:, .:...ate.. e. :..'"� ;c��.y,e 'fin " , # ,rN-.,":x•" e�' Y'` a -�. ?, •a.i '"' orrYruor�bnea�t of�w acrac r s ax y .M ett� a TOWN OF -BARNSTABLE In accordance with the;'Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . • . . . • - VINFEN — OUTREACH PLACEMENT PROGRAM 3 Certifp that I have inspected the . . . . . • Dwelling • •• • known as . - VINFEN CORPORATION located at . . . . .167 Winter Street Village v in the . . . . . . . . . f . . . . . .HXannis. . . . . . . . . . . . . . . . . . . County o/ Barnstable • • - . . . • . . . . . Commonwealth of Massachusetts. The means of egress are sufficient/f• for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Ctory . . . 1st Capacity . . . .I . . . . . .Place. of Assembly 6 Story • • • 2nd• • Capacity . . . . . . . . . or structure Capacity Location Story Capacity �. . . . . . . . . . . 1s.t. &. 2nd Floors LThebuilding March 6, 1993 March 6 , 1994 . . . . . . . . . . . . . . . . . . . . . . . .:. te Number • • � • • • • - • • • • • • • • . Date Certificate Issued Date Certificate Expires icial shall be notified within (10) days of any changes in the above information: Building OII ia. . • • • • • • Commonbiraltb of Alag;Ewboettg r TOWN OF BARN-STABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . VINFEN - OUTREACH PLACEMENT PROGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certifp that 1 have inspected the . . . . . . .Dwelling known as . ,VINFEN CORPORATION located_-at._. . ..... . ... . . . . . . . . . . . . . . ... . . . . . . . ....67 Winter Street -:in the . . .ViJ lag.Q . . of . . . . .H.y.arizlzs. . . . . . . . . . . . . . . . . . . . County of . . . .Barnstable. . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . ,1st Capacity . . . . . . . . Place of Assembly Story . . . 2nd• . capacity . . 6 . . - - or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1st & 2nd Floors . . . . . . . . . . . . . . . . . . . . . . March .6.,. .1992. . . . . . . March 6, 1993 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . . . the above information. �jeCorttrrYoni�eutj of o��ac u�ett� TOWN OF BARNSTA.- BLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . VINFEN — OUTREACH PLACEMENT PROGRAM r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certifp that I have inspected the . . . . . . . . Dwelling. . . . . . . . . . known as VINFEN CORPORATION located at 167 Winter Street re -_ .. . in t . Mill .g. . . . . - -. . Y. . . he Villa e- of H annis County of . . .J3a3;iRs.t4l?jc. . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE' Story . . A. . . . . Capacity . . . . 8. . . . Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . or structure Capacity Location w Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1st Floor. . . . . . . . . . . March 6, 1992 March 6, 1993 Certificate Number Date Certificate Issued. • • • . • . . . .Date .Certificate . . Expires The building official shall be notified within (10) days of any changes in the above information. :lding O/fici The Commonwraltb of Ala.5,5atbagettg TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . • VINFEN — OUTREACH PLACEMENT PROGRAM 3 Certifp that have inspected the . . . . Dwell . ing. , known as VINFEN ;CQR$O.$AT.ZON , located at . . . . 167 Winter Street in the .Village of Hyannis County of . . Barnstable . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . .1 Capacity . . . .$ . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .M. . .. . . 6i. .1991. . . . . . . . . . March. .6�. .1992 . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . .dBu7cding the above information. Official �F":, { ., ..w .:,. • �' e - i }W �°. 4r 1,. f �... ..+C• ..r ,.x,.., �yw. ......w r—Il!" � �;a.�;#.,as x��•. ,. ,.., °'�'�„ Y. N.•s �.:, t..a; `TF .,�.. �, ,a•4. . �x '• .i ` tr..:Tr 4' . .. 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Y`-. a!`':� +.�.:dt, ,.c £y:P,t�k: •...::r;<. �b � e. .''r �:}.f:; ."`,,.4' S y. �i .jz - '� �... k'l�fi.,�L.4X+:.� .:}`ra sPr "•,.1- ^Y •d' ,i•t: 'T f..{. '::i • vf: :, r--,..,:,'� �-3 t,' ,_ s+ ,�:•' - - .. - :: n�Y: }n 'Y YW } i� 'tC y�: �.sa.a Yi`.�.. 4 - - .. .. ..; :.... Z., ...:�•� .h -�'+�"J.S; - aw "cam t� -— '`' ''�'- In accordance with, the:Massachusetts.State Building Code <'Sectio'n 108.15 x this _ F`;O INSPECTION ERT.IFI�CA�TE .issued to VINFEN = OUTREACH `:PLACEMENT PROGRAM 1 -erttf that 1 have ins e'ted,the . = Dwellin VINFEN CORPORATION 4 p P g.. known as" . 4 located at 167 Wi Village of nter St _ - • ' - - - - - - - • • - . . . . . . . . . reet in the. Hyannis County of Commonwealth" o/ Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE. Story - . . .1. . Capacity . . 8.. = -Place of Assembly or structure Capacity. . Location Story . . . . . . . capacity :. . . _ Story. .. . . . 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".'.� - .�C.:�. 8.- ,�. :, ,3.' :. ....,y�,.,,j>- � ...:;i 'aa .�:`L",�5+�+4�t 2•�$� .s::-��, a,.x x 's''� �"��: r - t��' � - Ti '' -- � -:. ..�''� �..4..y._:�4,t-�"`.�.!•n4"t�.u,-.t '��1�-;B�;z�.�V��•'M � _dk,P.,`"z..g0k�� a'csa.-t.....',...'t- .'•,•,'isL'.�.�.��'.:xJ sr� .�,..+s'_�:- .#.✓`�n-.� r n7 ,P_ .P,r.,�fi-',+`,.;.�,i:'.'�3'_.�`{�i•;r '•�-_ ^-:c:. �.^ r�.: r Commoubnealtb of AU95atbagett.9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . .VINFEN - OUTREACH PLACEMENT PROGRAM Certify that 1 have inspected the . . . . . . . .Dwelling . . . . . . . known as VINFEN CORPORATION located at . . .167 Winter Street in the . .Village of ?;Hyanri-is County of . . . Barnstable . Commonwealth of Massachusetts. The means of egress are sufficient for the following . number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . 1. . . . Capacity . .8. . . . . . Place of Assembly or structure Capacity Location Story Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . March 6 , 1989 March 6 , 1990 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date 'Certificate Issued Date Certificate Expires The building. official shall be notified within (10) days of any changes in ' the above information. uilding f fi i co Mir EALTH OF MASSACHUSETTS 41TY/TOWN OF APPLICATION FOR CERTIFICATE OF INSPECTION . . .Date a �S. $oj ( ) Fee Required (-Amount) ( ) No Fee Required 4 In accordance with the provisions of the Massachusetts State Building Code , Section 1.08 ,15 , I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number I(o`1 'N -rE R S lA ,n n I S Name of Premises h E!V - C. '� 'P0Q(nP_PNA Purpose for Which Premises is Used ► SID ItTfy ri n (_ .. License( s ) or Permit( s ) Required for the Premises by Other Governmental Agencies : License ..or Permit Agency - 1 ► r eV c e Certificate to be Issued to n09_A-1 Address Owner of Record of Building r Address T. o i e.yX Name of Present Holder of Certificate Name of Agent , if any Shajcjo 'Uve6FP, SIG-NATURE- OF PERSON-TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT AT INSTRUCTIONS : 1) . Make check payable to : . 2) Return this application with your check to : PLEASE NOTE: 1) Application form with accompanying fee must be -submitted for each build- ing or structure or part thereof to be .certified. 2) Application and fee must be received before the certificate will be issued 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: FORM SBCC-3-74 I N F E N OaCORPORATION 28 TRAVIS'STREET BOSTON,MA 02134 ' (617)254-7300 May 7 , 1991 Joseph DaLuz Building Inspector Town of Barnstable Hyannis, MA 02601 Dear Mr. DaLuz : Recently we received a renewed Certificate. of Inspection for Vinfen's Outreach Placement Program. This year' s certificate has an error which I want to bring to your attention. Under location, the certificate reads "1st floor. " (See attached copy. ) Although there were issues prior to the issuing of the certificate, it is my understanding we resolved any issues regarding the location of the beds . In the past , I had several conversations with you regarding this issue. I 'm assuming that thisIs a typographical error. I spoke to Richard Burs on May 6, 1991, and he suggested I write to you in regards to this matter. I would appreciate a new Certificate of Inspection to correct the error. If you have any questions , please feel free to contact meat 778-4628 or 790-2315 .' ' w Thank you in advance for your assistance. Sincerely, a Lori Nelson Program Director Vinfen Corporation LN/db Enclosure FAX: (617) 254.2313 - TTY: (617) 254-3884 - The Commonbnealtb of A a.5q;arbUq;ett!9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building^Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . _ . . ,VINFEN — OUTREACH PLACEMENT PROGRAM . . . . . . . • . . . . .. . . . . . . _ _ . . . . . . ... . . . . . 3 Certifp that 1 have inspected the . . . . . Dwelling, . _ , . , . . . . • . . . known as VINFEN ,GORPO,$A�.ZQN , located at 167 Winter Street in the .Village of Hyannis . . . , , _ _ . County of . Barnstable . . , . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE' • Story '. 1 . . Capacity $ . . . . Place of Assembly or structure Capacity Location Story Capacity . .. ... . . . . 8 : k' o . . . story . . . Capacity . . . . . . .,. . �. .:. .'.. . . . . . ...�. . . . . . . . . 1 lo. .z March 6 1'991. March 6 1992 - i. . �. . . . f. Certificate Number Date Certificate Issued Date .Certificate Expires <. The building official shall be Hots f ied within` (10) days o f any changes in � !•/*s'l• p M <. the above information. ., Bu ding Of fidal:' w d!VINIFEN OaCORPORATION 28 TRAVIS STREET BOSTON,MA 02134 (617)254-7300 October 19, 1988 Mr. Joseph Deluz Building Inspector Town of Barnstable 367 Main Street Hyannis , MA 02601 Dear Mr. Deluz: I have discussed with you our desire to open up an Emergency Shelter at 167 Winter St. , Hyannis to serve phychiatrically disabled individuals from the area. -We are currently in the process of applying for a certificate of occupancy. As I have mentioned, we would like clarification as to the appropriate section 'for such a residence. I 'm hoping that your department has reached a decision on the classification of the above property. Enclosed is a copy of a brief program description and the criteria for entry. In review of the 780 CMR State Board of Building Regulations and Standards , we feel the appropriate use classification is Section 424 Group Residence. "A group residence is a premise licensed by and operated by an agency of the Commonwealth of Massachusetts on subdivision thereof , as a special residence for those who are capable of self-preservation. " The Emergency Shelter Placement Program is designed for emergency residential placement to adults who require immediate crisis ,intervention and stabilization. This service will be provided in a family-like setting. It' s aim is to stabilize a crisis situation and will involve beginning the development and implementation of a treatment plan for the individual. This service is available twenty-four hours, seven days per week to prevent hospitalization for individuals who are experiencing an acute psychiatric/social crisis , but do not require treatment in an acute in-patient setting. The individuals to be served by this program must be capable of self-preservation, that is both physically and mentally capable of exiting the building within 2 1/2 minutes with no assistance. I am enclosing copies of a brief program description and the entrance criteria for placement in the shelter. Our mission is to provide quality crisis intervention services to members of your community in a safe environment. It remains our desire to comply with fire safety precautions including 24 hour awake staff, a fire alarm system, and the installation of a fire escape for bedroom areas. we greatly appreciate your time and efforts in dealing with this issue. we hope to be able to obtain a certificate of occupancy in the near future and begin to provide the individuals in this area with an Emergency Shelter Program. Again, thank you very much for your cooperation. Lori Nelson Program Director VINFEN CORPORATION I � O . R 6'abe Coal and Yjla d; Oomwwlq� gal _,&ea,Yid. &do 60 244:,f&w66 Y,ocamet 02,569 off./(0-9601 /sosJ 66 2 76 K600 77,s-1( J November 14, 1988 Joseph Daluz Building Inspector Town of Barnstable 367 Main St. Hyannis, MA 02601 In reply refer to: #88AD-L281 Dear Mr. Daluz, This is to further clarify my letter of 10/25/88, #88AD-L271, regarding the program at 167 Winter Street, Hyannis. The program at 167 Winter Street will provide emergency shelter and residential services to clients of the Department of Mental Health. These clients are capable of self preservation, take medications as prescribed, are not a danger to self or others and are not in need of inpatient care. Clients who will ke serviced in this residence are capable of living in the community. They will be capable of maintaining themselves independently. The primary focus of the ,-program involves educational training in many areas, according to individual needs. The 'residence will have programs focusing on meal preparations and shopping; cleaning; daily hygiene and participation in some meaningful daytime activities. Even though these clients may be experiencing some form of crisis, they have the necessary skills to respond to any emergency which could occur in the residence. (i.e. fire drills, fires, or other emergency's) . We will only service individuals who are capable of self-preservation in accordance to section 424 regulations. Sincerely, n EILEE[1 ELIAS Area Director EE/jo cc: John Peterson, Vinfen Peter Folejewski, DMH Ron Bruno, DMH 97io C W d'3o aouiz6 .C/, 60 -S Yowsset �f7/{02669 & 9F1w ,, A�./f 02601 �60d'' 663 227 6 �60W)776->Nq October 25, 1988 . Mr. Richard Burs Building Inspector Town of Barnstable 367 Main St. Hyannis, MA 02601 In reply refer to: #88AD-L271 Dear Mr. Burs I have been informed by the Executive Director of Vinfen Inc. , Mr. John Peterson, that you requested an affidavit from this office regarding the program at 167 Winters St. Vinfen Inc. leases this building on our behalf. We will be serving individuals who 'are capable of self-preservation, who will take medications as prescribed and who are not a danger to self or others and who are not in-need of an inpatient program. Clients who will be serviced in this setting are capable of living in the community. They will be capable of maintaining themselves independently. They will participate in the meal preparation and shopping; cleaning; daily hygiene; and participate in some meaningful daytime activity. Even though these clients are dealing with some form of crisis, they have the skills to response to any emergency which could occur in the Crisis Stabilization Unit (e.g. Fire Drills, Fires). s , +It is our opinion that this group of clients would fit in a use classifica- tion of section 424 group residence. Thank you for your attention to this matter. Sincerely, Eileen Elias Area Director EE/bf `. cc: John Peterson, Vinfen Inc. , Ron Bruno, D.M.H. Peter Folejewski, D.M.H. 4. OaCORPORATION 28 TRAVIS STREET BOSTON,MA 02134 C (617)254-7300 September 14, 1988 Mr. Richard Burs Building Inspector Town of Barnstable 367 Main St. Hyannis, MA. 02601 Dear Mr. Burs: I am writing in response to our phone conversation of Tuesday, September 13, 1988. As I mentioned, I would like in writing your recommended classification of the . Crisis .Unit located at 167 Winter St. in Hyannis. During your visit to the property on July 12, 1988, you recommended the installation of a fire escape to provide a second means of egress from the bedrooms. You indicated that there appeared to be no other deficiencies. You also sent me a copy of section 424 regulations. It is my understanding that you classify this property under this classification. Enclosed is a copy of the letter from the Hyannis Fire Department, as you requested. As I indicated in July and in our phone conversation, the clients who are served in this building will be capable of self-preservation. Although these clients are experiencing some form of crisis, they will be capable of responding. to a fire drill, and will be capable of exiting the building within 2j minutes. I would greatly appreciate your immediate attention to this matter. Thank you very much for your cooperation. Sincerely, Lori Nelson Program Director 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 0260� ' RICHARD R. FARRENKOPF �./ �7y BUSINESS: 77 CHIEF Stizol(in �)Ietectotj Save &(lej EMERGENCY: 7, August 22, 1988 Mr. Peter Folejewski 60 Park Street Hyannis, MA 02601 i j RE: Crisis Center at 167 Winter Street Dear Peter: Please find enclosed a copy of an inspection for The Crisis Center at 167 Winter Street. The concerns that this Department has with the type of program that will op- erate out of this building revolve primarily around the type of client utilizing I it. Whether one bases the client in crisis by: A. Housing levels as set by your Department. B. Self preservation capabilities as set by the building code. C. Common sense based on rescue squad/fire dept. experience. D. Or all of the above. One cannot disagree that the potential for disaster in the event of fire will exist from time to time. Based on all of this, the category of this occupancy would have to be set at a "Limited Group Home" as a minimum and "institutional" at the worst. In either case, the building requires that it be maintained with a sprinkler system and that no clients shall be sleeping above the first floor. Given that you do not have under your control at this time in Hyannis, a group home that would meet the necessary requirements for a. client not capable of self preservation and that the intent of this property by virtue of its name and my understanding is to relocate clients from group homes in the area, this property would naturally have to exceed all group homes in the area you serve with respect . to life safety. 1 Although I have worked hard to get a sprinkler system in the BI-IA/DMH property at 120 High School Rd. and the project at 78 Pleasant St. , neither of these buildings would be acceptable to the needs of this type of program. If you find that the layout of the building at 167 Winter Street doesn't warrant the expense of the necessary changes, I would be happy to work with you in finding a building where you can provide this type of service. I would appreciate your earliest input regarding this matter as I am witholding for 10 days the copies that will be sent to owner, vendor and AMI. I would also request that you forward to me at your earliest convenience, written program outlines for the following propertie— please include housing levels) 1. , 167 Winter Street 2. 78 Pleasant Street 3. 120 High School Road 4. 15 Sterling Road 5. 84 Bearses Way (property known as) 6. 47 Cedar Street 7. 148 Cedar Street Also: Program outlines and locations for the various day programs in which your clients are involved such as: 2,4,6 Bacon Terrace. Sincerely, i --� ERIC F. HUBLER, Fire Prevention Officer FOR: RICHARD R. FARRENKOPF, Chief Hyannis Fire Department enclosure cc: Eileen P. Elias, Area Director; 60 Park Street Dr. James Stratoudakis, Regional .Director, Taunton State Hospital Gilford Building, Hodges AvkF;. Ext. , Taunton, MA 02780 EFH/ncl I-IYANN* FIRE DEPARI'MEN'19 95 HIGH SCHOOL ROAD EXTENSION COPY HYANNIS, MASS. 02601 (CHARD R. FARRENKOPF CHIEF C E OeCINS, BUSINESS: 775-1300 FIRE PRNINPECON REPORT EMERGENCY: 775-2323 TOPERTY OCCUPIED BY:'�'ST��, r OCATION �1 I ' _C.RtSLS (' PHONE : -j?�� 'BUSINESS OWNER : S� - ��`� '4 � � ? �UILDING OWNER : PHONE: �tctR P�i�i(- PHONE :77l ' `F f 'YPE OF BUILDING CONSTRUCTION EATING SYSTEM �s C. PRINKLER SYSTEM YES NO TYPE : PSI : / . D. CONNECTION LOCATION SHUT-OFF : ERVICE CO IRE ALARM SYSTEM YES NO PANEL LOCATION: PHONE ERVICE CO UTO/SUPPRESSION SYSTEM YES NO LAST INSP. - PHONE ERVICE CO LAMABLE STORAGE YES NO PHONE LY BOX YES NO LOCATION : OWER YDRANTS (1) ( 2) (3) PECIAL HAZARDS IOLATIONS � NUT( S CORRECTION DATE 61. E CCRG �9 S O ��D �r�15. S• Cl� bL C_�AN 76. Ct)b_D (Oft-C o) : T-R r 2s C�r� CLI P c�2TIi= �MM►'�.s� l)P�(i�r> S�b U E ��C ' I 'Z� 0��,'j IZYr' ."-bCb t\QlA S 7 U tfi,rJ fVN ) y P�u RE DEPT . INSP C OR I DATE: _ - flg :CUPANT PHONE : ERGENCY PIIONE NUMBERS 1 PHONE : 2 PHONE : 3 PHONE : 1 AVINFEN . C O R P O R A T I O N 28 TRAVIS STREET BOSTON,MA 02134 (617)254-7300 CAPE COD EMERGENCY SHELTER September 1988 The Cape Cod Emergency Shelter, also known as the Crisis Stabilization Unit, is located at 167 Winter St. , Hyannis, MA. This program is a new 7 bed placemnet for clients who are experiencing some psychiatric or social crisis and need a temporary, short term placement to resolve these issues. This service is available- 24 hours a day, seven days a week. ' The aim is to prevent any hospitalizations which may occur if the crisis situation was to continue. Individuals who are eligible for this program must meet certain entrance criteria. They must be 19 years or older and a resident of Cape Cod; there are no major medical problems; clients are volunteering for the service and are willing to participate in development of their treatment plan; they must be capable of self-preservation; take medications as prescribed; and are not a danger to self or others or in need of in-patient services. The Emergency Shelter will provide a safe, structured, home-like setting where clients will be able to stay up to 72 hours in order to stabilize a crisis situation. While at the program, clients will actively work with staff to develop a treatment plan. the staff will assist in coordinating needed services to return the client to their previous placement, or find a more suitable alternative. Clients who will be serviced in this setting are capable of living in the community. They will be capable of maintaining themselves independently. They will participate in the meal preparation and shopping; cleaning; daily hygiene; and participate in some meaningful daytime activety. Even though these clients are dealing with some form of crisis, they have the skills to respond to any emergency which could occur in the Crisis Stabilization Unit (e.g. Fire Drills, Fires) . There is a psychiatrist available 24 hours to assist with all aspects of the program. There is also a nurse on duty 24 hours to monitor medications and any medical concerns. t molse�s � _ .• VINFEN CORPORATION 28 TRAVIS STREET BOSTON,MA 02134 (617)254-7300 d. . Cape Cod Emergency Shelter September 1988 CRITERIA FOR ENTRY 1. Clients are residents of Cape Cod and the Islands 2. Ages 19 - 65+ 3. Experiencing some psychiatric/social crisis 4. Clients are volunteering for the service 5. Willingness to participate in his/her treatment plan 6. Willingness to take medications as prescribed 7. Not a danger to self or others 8. No major medical problems 9. Ability to self-preserve 10. Not in need of in-patient services JOSF,PH_CJ. DALU2 TELOPHONEt 773-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 February 9, 1989 Attorney Gregory P. Bialecki Hill & Barlow One International Place Boston, MA 02110 RE: 167 Winter Street, Hyannis Dear Attorney Bialecki: I have read your response to my letter of January 10, 1989 concerning the use of the dwelling located at 167 Winter Street, Hyannis. Your letter is more definitive as to the actual activity within the residence. You outlined the primary focus of the program and following a discussion with Town Counsel I have concluded that, in accordance with the outline you provided, the dwelling at 167 Winter Street may be occupied. My prime concern is that the use of the dwelling remain as a residential program and comply with Section 424.0 of the State Building Code - Group Residence. This office must be notified immediately if any changes are made. It appears that the requirements of the Hyannis Fire Department have been met as per my conversation with Lt. Eric Hubler, Fire Prevention Officer. Peace, J seph D.*Da Building Commissioner JDD/gr cc: Hyannis Fire Department y P h Town Counsel I LI __ . . a��- :- -- - 4 i � \._ �I � __ - 1 r � `�_ ___ _-_ y` � - - - _� j I _ _ i II lli i� _ „ . �� 1' �� I I _ �E I �, �� _. __ �. �: .- �' (. - � �: �� ((, I, �� I �! i I , HILL BARLOW ONE INTERNATIONAL PLACE BOSTON • MASSACHUSETTS 02110 TELEX 94-0916 TELECOPIER 439-3560 TELEPHONE(617)439-3555 January 26, 1989 Mr. Joseph D. DaLuz Building Commissioner Town of Barnstable Town Office Building Hyannis, MA 02601 RE: 167 Winter Street Dear Mr. DaLuz : At your suggestion, I am writing in order to provide you with a more thorough explanation of the program to be operated by Vinfen Corporation at 167 Winter Street. I understand your concern to be as follows: The program would be allowed in the building on Mary Dunn Road, which lies in a business zone. The Winter Street building, however, lies in a residential zone and the program consists of, as you expressed it, "residenceplus . " It is certainly true that there is an additional component to the j program, but the added element is an educational and skills training program that falls within the "educational use" provision of the Zoning Enabling Act. The program will provide assistance and intervention in stress management, training in appropriate community behavior and in daily living skills . The clients who will be served in this residence will be capable of living in the community and maintaining themselves independently. The primary focus of the program will thus involve educational training in many areas, according to individual needs . The residence will have programs focussing on meal preparations and shopping, cleaning, daily hygiene and participation in some meaningful daytime activities . '1 Although the clients will be mentally ill persons who may be experiencing some form of crisis, they will not be going to the program for medical treatment, as if the program were an outpatient clinic alternative to hospitalization. Indeed, a client's participation in this program will rest on a determination that the person would benefit from a supervised f HILL BARLOW living arrangement and skills training instead of hospital-type care. Clients will be expected to work actively with staff and to participate in developing a treatment plan. Although clients may spend only short stays at the program, it is also expected that program participation begun at the program will be continued (through appropriate referrals by the staff) after the client returns to his living situation. The clients will be referred to the program by the Department of Mental Health. There will be no on-site diagnosis of mental illnesses and the program will not be a drop-in center for such diagnosis and evaluation. (A self-preservation assessment will be done before the client comes to the program, to ensure that the placement is appropriate. ) The staff may assist clients in taking their medication, but all such medicine will only be administered as it has previously been prescribed by the client's doctor. There will be no psychotherapy as part of the skills training. The provision for 1124 hour psychiatric coverage" simply means that a psychiatrist will be on call to provide advice and support to the program staff. In short, the program does not provide any medical intervention, just a carefully supervised living arrangement. I appreciate your concern that' a residential program have a substantial educational component to qualify for the "educational use" provision of the Zoning Enabling Act. As operated by Vinfen, the operation at Winter Street will be highly programmatic and will have an even more significant educational component than did the program at Mary Dunn Road. Due to this emphasis, a similar Vinfen program, operating in a residential neighborhood on the same short-term basis, has long held a certificate of occupancy in Brockton. Please consider this to be Vinfen's formal application for a certificate of occupancy for this program at 167 Winter Street. If we can provide further information, or if meeting to discuss these matters would be helpful, please let us know. f HILL BARLOW Thank you for your continuing assistance in this matter. L Sincerel Gregory Bialecki GPB/klb ENO cc: Robert D. Smith, Esq. Town Counsel Mr. Sheldon Bycoff Mr. John Petersen . i SF,PH_D DALU2 TELHPHONEi 773.1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 January 10, 1989 Ms. Eileen Elias, Area Director Department of Mental Health 60 Park Street Hyannis, MA 02601 RE: #88-AD-L287 Dear Ms. Elias: First, allow me to apologize for not responding earlier. Circumstances did not permit such 'response. I must address the previous activities conducted at Mary Dunn Road which is entirely in the business zone. The program described in your letter would be an allowable use at that location. You have stated that' you would meet the provisions of Section 424 of the State Building Code. The Code states: In determining the classification for proposed use, group residence shall not be construed as being similar in any way to a. multi-family dwelling, two-family dwelling, boarding house, lodging house, dormi- tory, hotel, school or institution of any kind. For building code purposes, it shall be treated as a single family residential building." t. It is interesting that you have noted that the program is very much in need on the Cape. You also state that it will be a short-term residential place- ment facility providing residential care to mentally disabled adults who are in need of temporary alternative supervised housing. Since the Code defines group residence as a special residence for those who are capable of self-preservation and that you are additionally providing 24 hour pyschiatric coverage and performing a self-preservation assessment at the time of referral, I find it difficult to classify the activity as a group residence under the Code. I believe I can speak on behalf of the Town that we have and continue to do our part in helping those in need of your services. The only question is, where? I further believe lieve we are now con fronted wit h the issue of zoning. What was permitted in the business zone is quite different in the residen- tial zone. • Ms. Eileen Elias, Area Director January 10, 1989 Page 2 ' I would therefore rule that the use, as described by you, would not be properly placed at 167 Winter Street, Hyannis, and would refer you to the Board of Appeals for that location. Peace, J seph D. DaLuz ' Building Commissioner JDD/gr cc: Town Counsel Board of Selectmen Hyannis ,Fire Department 97e Comte at tmetzt of yl&val Zeea" Ca# Ood alul clda cl Gomm ;yl�ttaL _C�r T d orw n_� &do S E L E C ! . 60 �r� �ftreet 2ocasset, 11-t 036'59 Bc J�r,anri, !/ 09601 (SO&) 3-6d-2276 V OEC December 12, 1988 Frances Broadhurst Chairman Board of Selectmen Barnstable Town Hall 367 Main Street Hyannis, MA 02601 In reply refer to: #88-AD-L287 ` Dear Mr. Broadhurst: Thank you for meeting with us on Thursday, December 1, 1988, regarding the mental health program at 167 Winter Street. I appreciate your willingness to work with us on this important program. I first want to reaffirm that this is not a new program. This program, which existed on Mary Dunn Road -or a number of years, was an emergency services outreach program with a drop-in component, some case management, money and medi - cation distribution. We discussed relocation to the 167 Winter Street site with the town, the abuttors, with the Fire Department and with the building inspector, prior to our move, in December of 1987. We have made some changes since then. Let me identify all the things that the program at 167 Winter Street is not: It will not be a drop-in center. It will not be an alternative to hoEpitalization. It will not be an overflow for the inpatient unit. It will not be a day care facility. What this program will be, on the other hand, is a program we are very much in need of on the Cape. It will be a short-term residential placement facility providing residential care to mentally disabled adults who are in need of temporary alternative supervised housing. These individuals will require temporary time out from their current living situation. They would not be at risk of hospitalization. The program will provide assistance and intervention in stress management, train- ing in .appropriate community behavior and in daily living skills. The program will be supervised and staffed with highly competent personnel to meet the short term residential needs of those served. There will be 24 hour psychiatric coverage. Activities will be constant while a resident is at the site, and there will be no time when a resident might be unsupervised. h . r Frances Broadhurst December 12, 1988 Page Two Persons who will be served in this program are capable of self-preservation. There will be a self-preservation assessment done at the time of referral to this program, and no one who cannot self-preserve will be served at 167 Winter Street. Because we will serve no resident who is not capable of self- preservation, we do not fall under Section 438 of the state board of building regulations and standards. Section 424 regulations applies, as all residents will be unimpaired. I want to assure you again that the Department of Mental Health has no intention of placing its clients at risk. The operating agency for this program, Vinfen Corp. , has a 10 year record of safe program operation, and is certified by D.M.H. and D.M.R. and is accredited by Commission Accreditation Rehabilitation Facilities (CARF) . Again, thank you for your continued support. I can be reached at (508) 775- 1199. Let me know if you. have any further concerns. Sincerely, Eileen Elias Area Director EE/pk cc: R. R. Farenkopf, Chief Hyannis Fire Department J. Daluz, Building Inspector Hyannis 1 ��i TN E TO • i )AH11 ST1HLE, i OOA 1639. TEO MTV M. 36 7 Main Street, _JJyunnw, M". 02601 December 20, 1988 TO: Xseph b Smith, Town Counsel DaLuz, building Commissioner FROM: Francis I. Broadhurst, Chairman, Board of Selectme On December lst, I met with Eileen Elias, Area Director of the Department of Mental Health relative to the mental health program _at 167 Winter Street, Hyannis. She refers to it as #88-AD-L287. In my conversation with her and others from the Area Mental Health Board, it became clear that what they are proposing is what the Board of Selectmen approved in December of 1987. I asked her to write a letter explaining what the facility is and to explain what it is not. That is contained in the attached letter. I hope that this will satisfy the questions which have been raised recently about the appropriatness of this facility. Please review the matter and advise the Board as to the correctness of the facility under present zoning. This request should be treated to top priority status. cc- Marty Flynn Bill. Friel � f Act-S, c� a-4.�2 - 1-a�- % "'era 6 .1-(, c) l N o_� S-cams --f -- -- i Carr► at � .vL ` V - � e�dliJ�i �� __ _ � -�� t a �.- __ _ I _ __ C J i rloa 7r f� At T1111-IVF U _�4- xc,7- -.—T-- — Aa - -- A CL - - ,�___. � _ - -- ---- I. I _ I I I ` I r r l; I s �' 1 -- I I _.�. ' _ ( II �� _. �. � \ _. i � « i li I� � __. � � Oa� 0001 array f -Oom,,. felmaL`G ;6�20-V1w1&5 &30 a"j oo"l 60 Itwt YorasseG -1f✓�02SS9 & anrur, .1l✓�02601 /Sod/s63-22J6 Sos/zu-1M December 12, 1988 t' Frances Broadhurst Chairman Board of Selectmen Barnstable Town Hall 367 Main Street Hyannis, MA 02601 In reply refer to: #88-AD-L287 Dear Mr. Broadhurst: Thank you for meeting with us on Thursday, December 1, 1988, regarding the mental health program at 167 Winter Street. I appreciate your willingness to work with us on this important program. I first want to reaffirm that this is not a new program. This program, which existed on Mary Dunn Road for a number of years, was an emergency services outreach program with 'a drop-in component, some case management, money and medi- cation distribution. We discussed relocation to the 167 Winter Street site with the town, the abuttors, with the Fire Department and with the building inspector, prior to our move, in December of 1987. We have made some changes since then. Let me identify all the things that the program at 167 Winter Street is not: It will not be a drop-in center. It will not be an alternative to hospitalization. It will not be an overflow for the inpatient unit. It will not be a day care facility. What this program will be, on the other hand, is a program we are very much in need of on the Cape. It will be a short-term residential placement facility providing residential care to mentally disabled adults who are in need of temporary alternative supervised housing. These individuals will require temporary time out from their current living. situation. They would not be at risk of hospitalization. The program will provide assistance and intervention in stress management, train- ing in appropriate community behavior and in daily living skills. The program will be supervised and staffed with highly competent personnel to meet the short term residential needs of those served. There will be 24 hour psychiatric coverage. Activities will be constant while a resident is at the site, and there will be no time when a resident might be unsupervised. ti. t Frances Broadhurst December 12, 1988 Page Two Persons who will be served in this program are capable of self-preservation. There will be a self-preservation assessment done at the time of referral to this program, and no one who cannot self-preserve will be served at 167. Winter Street. Because we will serve no resident who is not capable of self- preservation, we do not fall under Section 438 of the state board of building regulations .and standards. Section 424 regulations applies, as all residents will be unimpaired. I want to assure you again that the Department of Mental Health has no intention of placing its clients at risk. The operating agency for this program, Vinfen Corp. , has a 10 year record of safe program operation, and is certified by D.M.H. and D.M.R. and is accredited by Commission Accreditation Rehabilitation Facilities (CARF) . Again, thank you for your continued support. I can be reached at (508) 775- 1199. Let me know if you have any further concerns. Sirlerely, Eileen Elias Area Director EE/pk cc: R. R.. Fare.nkopf, Chief Hyannis Fire Department J. Daluz, Building Inspector Hyannis (,1 i } i 6 ry i r w s J N F c LF = i J o � � u tom ., 0. I a-yi I i �, i� VPI-I a �� ` G i k I J Z 203 495 432 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. r Do not use for International Mail See reverse Se tto reet&Nu P ce,State,&ZIP ode 0,2 osta a WL`J$ . Certified Fee Special Delivery Fee Restricted Delivery Fee rn Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Wham, Q Date,&Addressee's Address TOTAL Postage&FeesGo $ a, 1 I M Postmark or Date E `o U- rn a Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 12 Q) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address 01 on a return receipt card,Form 3811,and attach B to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article 'a RETURN RECEIPT REQUESTED adjacent to the number. I 4. If you want delivery restricted to the addressee, or to an authorized agent of the C I addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ro 6. Save this receipt and present it if you make an inquiry. 102595-97-B-0145 a THE O,e + BARNSTABLE, • WAIF 1% The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner October 29, 1997 Mr.John Murray 50 Parker Street Lexington,MA 02173 RE: M-309/P-110 Dear Property Owner: Our records indicate that your house at, 167 Winter Street,is currently being used as a four-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal four-family You must contact this office immediately to tell us what direction you wish to take. Sincerely, �12- Gloria M.Urenas Zoning Enforcement Officer GMU:lb CERTIFIED MAIL Z 203 495 432 f970311a � 't a .Town of BarnstaUle • ILAMSTnai.e. • 1�' Department of Health Safety and Environmental Services 'OrFc r�o+" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 5, 1997 John Murray 167 Winter street Hyannis,MA 02601 Re: 167 Winter Street,Hyannis .Dear Mr.Murray: As a result of your inquiry,we have reviewed the property record of the above referenced property and find that it should be a single family dwelling. You asked if you could connect it to a single family home. Not only is the answer in the affirmative,you must do it. Please contact us to make arrangements. Sincerely, Ralph M.Crossen Building Commissioner RMC/km i 1 �,, * I _.' 'FIG, f h� is ��►� ilm pT�l h Rom.. .: !-`.>Q Q '�I', .. _ .. -'�I.�(.�:.`1+..�lti"•�-•�� I P Or AnINw,77? 6 p 4. A ..�.- � � r ..� a_ � ��---A- ' i --fir-r 11 - '..,�""r,�- t..__�J !,r- � ... � - - a � � _ I �u21 ✓�1t1 5'r u3� Yl�>f All II� INS OMNI ��i�l ■Il�ili� .. ,.. Ilia r � 1 .i ��' 1 ��7 �'n v�`�" ,�`�I�"' � �. s, 'aR. � i -- - _. - - �{r i .,.. ,.�3.. � i6� �� `�- ��...-_.. F�„�,.r,,,.,�,�....�•;.y,,,e'�..+h "",s^',",�"l�r.��u.�s�µr'a„#.••--•-+^•,w;vt`- .. ..�.•-;.*--x,�"rw--�-++n,�ys^!�j.+:i+'<'�,;s,''"-±R�n•,+r-*t+�,- �-*-'�e,r-- � .._. - .,fi,. ,. .e .y. TOWN OF BARNSTABLE 31a�.o • ofTMfro BUILDING DEPARTMENT Permit No. ................ ` TOWN OFFICE BUILDING ... sea,3 Cash ■■.. K s679• � HYANNIS,MASS.02601 Bond .......... CERTIFICATE OF USE AND OCCUPANCY Issued to William A. Nordone Address Lot #110, 167 Winter Street Hyannis, Massachusetts 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. - November 9 87 ......................�...., 19................. ........ Budding Inspector Lr , TOWN OF BARNSTABLE BUILDING DEPARTMENT L se8asr : TOWN OFFICE BUILDING � rya HYANNIS, MASS. 02601 i MEMO TO: Town Clerk `F FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by Building Permit #—..L.). .5�/.................. ....,... .....................1,4 issued to ................ _ .._. ....1.. ,.. .. Please release the performance bond. ' I TOWN OF BARNSTABLE, MASSAC'HUSETTS B U l 14Q-'�' � PERMIT 3 ` 5 a,- DATE 19 PERMIT N30,_ APPLICANT {Omer ADDRESS _ 0��ti)t� IN0.) (STREET) (CONTR'S LICENSE) PERMIT TO .L�tl:�lu lL:C�.i l.is_" ;,.1;. ..1.:r li':.i.:Il1. ;:4%t3._i i.::.'"t;i NUMBER ( 1 STORY - DWELI-I;;�_UNITS ,(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) - AT (LOCATION) NING 11 ?C J_.).-0 .i.L; .-tL;_ - .. :I-.!_ , DISTRICT Y�rt (NO.) .(STREET) BETWEEN AND -(CROSS STREET) (CROSS STREET) LOT SUBDIVISION 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: iCilr'.. t. .....,.. jw� j AREA OR sq. iC. VOLUME ESTIMATED COST $ PERMITFEE. _ (CUBIC/SQUARE FEET) - Wiil ant A. OWNER - b% 1tIFtU'yU;i P'Lu :.;`!. BUILDING DEPT. ; ADDRESS BY J� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROP=RTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SVBDIV ISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR, CARD KEPT UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL M RS.(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL L INSPECTION BEFOREE ` OCCUPANCY. POST THIS CARD SO IT IS VISIBLE, FROM STREET BUILDING INSPECTION PPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ;o IV 1 1 -9 3 HEATING INSPECTION APPROV S ENGINEE I G DEPARTMENT P, 7 OTHER. -- BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT ,Y!LL BECOME NULL AND VOID IF CONSTRUCTION TINSPECTIONS INDICATED ON THIS CARfJ CAN TOR HA�IAPPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI,'. MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN' CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. a 1 doo.c�o 40.9 -PC 13311 Xo-t 2, . a 4 �ouvtclafi%on a - {. 40.6 25� ,�,,w Po&. A 1 �i I0,000 s 9 beck 39.E n ,Q /Qo•no 1 .. M Jd 1 S lluin teh S tw.e t (Countq L10 'wi de) 4I.5' 3gbG �x 8" A..C. .5 etve't _ 39,o Scat e 1 "--20 J bate 6-25-87 �ndf /%ico�-i,Le No Scale Af,L Cape £nr��ee7,i vu £ 49 /da�o2 road 8" A.C. ewe�t . Rganni4, Pla, 02601 IN,,. z 7.2h Sketch Plait o g Panic in R yanvr , Ma, 90 t Witt iam Nauco ne 13P.ivu to& Ail as ahown on a ptaua oj nh i 4. wood",tecoaded in bk /Ll pq, 4 -----� a�tvL ze �.,�_------ �----- 6 ghe oun t i on Jwwn on •thi4. ptan 4A toca-ted on the 9,wan l ai ahown heteon and meets. the 4.etback te�,t twteme.,tits. o� -the own og ga&nd table. ba to 7-13-8 7 tH OFOF Mee C y I o EDWARD d •.r �� I -KFAIi iY t�lILNE 32490. CQ aSJOMAt ��NA1 f A�70 SJ , I k 1 .6 O NEIL, O MALLEY, KENNEY & GELSON, P.A. ATTORNEYS AT LAW 33 BASSETT LANE • P.O. BOX 1 120 HYANNIS, MASSACHUSETTS 02601 MICHAEL D.O'NEIL TELEPHONE 775-7100 MARTIN J.O'MALLEY,JR. AREA CODE 617 JOHN W.KENNEY ANDREW F.GELSON June 25, 1987 MICHAEL J.HOULIHAN Mr. Joseph Daluz Building Inspector Town Hall Hyannis, MA 02601 RE: Premises located at LOTS 1, A and a triangular potion of land, (#167) Winter Street, Hyannis, MA 02601 Dear Mr. Daluz, Please be advised that this office has undertaken a search of the record title to LOTS 1, A and a triangular portion of land, (167) Winter Street, Barnstable (Hyannis), Massachusetts, said lots being shown on a plan of land dated 1924, and recorded in Plan Book 14, Page 41. My examination of title reveals that as of September 24, 1924, by Deed Book 411, Page 2, LOTS 1, A and the triangular portion of land were held in ownership separate from any other adjoining or abutting lots and have remained in separate ownership since this date. Therefore, LOTS 1, A and the triangular portion of land combined, qualify for protection as a single building lot under the zoining by-la s for the Town of Barnstable. ial ichael D. O'Ne 1, Esq. MDO/pac As5est5or's offioe (1st floor): /JO _ / /) fy THE 2J CJ t 1� Assessorts ma and lot number ....................... .................... �Q�o 0 0 Board of Health (3rd floor): Sewage.,.P ,m 0 .it dumber � !!V....... .. i B9S3sTADLE, rasa Engineenn)1':; a:rtm nt (3rd floor): '0 0' g .M ., ...............�1(0 .. ........... Ot6}9• 0 House n'Umber` :' .,. •• OYPYa\ APPLICATIONS �`PR'OCESSED 8:30-9:30.A.M. and 1:00-2:00 P.M. ,only T��N ®F --OWN BUILDING , INSPECTOR i APPLICATION FOR PERMIT TO ................ ...�-:d.......1..� / a�y..T..!�. .. �r i .. ........................... TYPE OF CONSTRUCTION ................ � �.��L......... T.../7�/a'1�L .... . ............................................... ............... ... .......19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned herebyc applies for a permit according to the following information: ol eb Location . .....�/ ....... ��Aa.%fit'...Sl..... iarzr�5.......................................................................................... i ProposedUse .. .. . ! '.x,.. .. .✓ ......................................................................................................................................... ZoningDistrict ... ..................................................... District ...�i�.°l%5.................................................... Name of Owner ..�i�:�. �i' .�....,................Address .. .�'...�i�,/j �../"o - 1 .?ia 4............... -71 Name of Builder .�� . :awe.,/ :.✓ r!�.6YL ........Address Nameof Architect ..................................................................Address .................................�..7.............1.................................. Number of Rooms .....�X.........................................................Foundation ,............. .................. Exterior ...' '�°"• ...<<l� ........................................Roofing ... Floors ... z..........................................Interior ........................................................ li��—Heating � ........................Plumbing ....`✓7.. ,�.. Fireplace l �'.......................................................... �i.yam ........Approximate Cost ...�OQ.�.............................................. Definitive Plan Approved by Planning Board --------------------- -------19________ . Area ....../........ Diagram of Lot and Building with Dimensions Fee ...,1..© (..-lid.............. SUBJECT TO APPROVAL OF BOARD OF HEALTH B6 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 .. ..... <..: :z,..r......................................... Construction Supervisor's License if....... ...... ................. - t!� „. C4WDONE, WILLIAM A. Permit for ...1.1...Stary............ S.iR9.l.e......Family .Dwe.11in Location........LQ.t...CUD.,....1.5.7...Winter—Street ........RYA Xl.ni S....................................... _ _ r r Owner Will ' am A �................�LaX:C1.Rl'��............... Type of Construction ...Fr.a P.......................... ............................................................................... Plot ............ a............ Lot ................................ f Permit Gran ed .....Tgly...2.41................19 87 . D•afe of Inspection .......... ... ..........19?7 Date Completed . ...... ( ......... ....19� r s” i