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0300 WINTER STREET
O p 0.� 4i` VIA � Town of Bari Regulatory Se • WdWSr BM M"ft Thomas F.Geller,Dire 0,19. A Building DiV Tom Perry,CBO, Building 200 Main Street,.Hyanni; www.town.barnstab] Office: 508-8624038 EXPRESS PERMIT APPLICATION Not Valid without Red X-P Map/parcel Number Property Address ❑Residential Value of Work$ Minimum fee Owner's Name&Address Contractor's Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance TOWN OF BARNSTABLE ' E Board of Appeals i f FRA?d1L B. BF SSE Petitioner Appeal No. _1°6 . .Lc .........-------._- . .........Qcto..ber.....l7.th ..._ 19 63 FACTS and DECISION Petitioner !�TK B BFARSE Oct. 63 . .........._............................._................................. filed petition on _..._._...._.... ._t_.:.:_ . 19 requesting a variance-pig for premises at .........3.Q.Q....WiSLR.Q '_...................._.................... Street, in the 'village Frank B. Bearse ° Manuel Amaral, Jr. , of ........ Y..anns , adjoining premises of..flay....TiC. l�.aij.a..:. s�u. ...i' .....8_Fann T. Young ..... _.._. .Y......._ ..... Florence 's. Fey John R. and Katherine L, White, Isiah D. & Joan V. Cash, Salvatore Gangs for the purpose of �ro.fe.sslonal office busldinR _..._ _..............................__.._......._......__................................._...........__...................__.._.........................................................................._...................................-.................._.....--•-- Locus is presently zoned in Business and Residence Al ....._...................................................._....................._......................_...................................................................................................................._........................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and by publishing in Cape Cod Standard Times, a daily newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. A public hearing by the Board of Appeals of the Town Hof Barnstable was held at the Town Office Building, Hyannis, Mass., at ...........1; 3.Q..............i=. P.m. c.toU,er....Ord................................ 1963 , Upon said petition under zoning by-laws. Present at the hearing were the following members: 0C --:: ,Y R Roland F O:.LY J. �_. _...:�L: �.1� Horne rr.............................. ......�?.........:..' -e ........ Pihl Chairman C; c'......................................... S THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m AtL DATA a 8F;'BA7lN3T� .- ---__.-._...._.-.�._._._._. _�__.._.......... . BOARD OF A FAtS C-UER ZONINOF G:BY-LAWS RING Appeal No. 196349 September 16 1963 At the conclusion of the hearing, the Board took said petition under Frank'.B.:Bearse Manuel,Amaral; Jr., May •McLelland,. :Paul ct4. .'Young :and Fanny .TrrYoung, John"R- ;White?and Katherine L,-White, lslah D. Cash.`and Jcan.v.:Cash;.Salvatora;Ganpl.andlor.- Irlent. A view of the locus was had by the Board. Being-:all,persans deemed.Interested-or (affected by-Ithe'Bcard 0 Appeals,.under ence Sec. 15 of Chap. e0A of General ,Laws of the Commonwealth .f Massachusetts and all amendments thereto -you-are hereby notified that Frank B. Bearse has appealed to the Board of Appeals from ...................... •�- .... 1.d................................ 19. the Board of a decision of the Building Inspector.and On 0.et.obar. 3 ' petitions for a Variance to permit con- struction of,a professional office building; 5rreefSeHyannis °Cat6u at sness�andWResl-'1S f held a pubinterlic hearing on the petit ion of Frank Ipetidence Al area. Bearse was representec. bar Roderick Smith, attorney. A public hearing, will be.given on this . tlon, in Town Office Building on October 3, 1963 at 4:30, p.m. ed that the petitioner was tale Otivrner of a parcel of land You are Invited to be present. . frontage On Winter Street and 150 foot depth. The By order of the Board of Appeals, ROWLEY J. BROCKWAY, Chairman R. RALPH HORNE eft partially within the residential z ne and partially ROLAND PIHL _ _ The zoning boundary cuts at a sharp angle 9/18,25/03 '.: :_'. . ne s s zone. dia. nr_all, across the lot . The petitioner requests permission to erect a one-story professional building which .Vrould be located within the residential zone with the parking and other facilities within the business area. The building wouldbe similar to the professional building on the adjacent parcel and would be set bacl,:� an equal- distance from the street. Because of the character of the neighborhood, and the fact that the lot is partially zoned for business, the attorney stated that the:,.,-- is an economic hardshi-o which is peculiar to this parcel of land. Home of the abutters were present at the hearing, but. presented no objections. It was the opinion of the Board of Appeals that the hardship existing in this case, was of the t-, -oe intended una-e_• the terms. of the. Statute. It is a hardship whicl_i is peculiar to this parcel of land, and use of the premises for professional offices would not be detrimental to the surrounding area. The Board further found that relief may be granted without substantial detriment to the public good and without nullifying or substantially derrogating from the intent or purpose of the zoning By-Law, and unanimously voted to grant the ;variancee Restrictions imposed: • I Distribution:— Board of Appeals i own Clerk Town of Barnstable .lpplicant Persons interested* l Building Inspector Public Information By ".:.�..�G u•. "..>I. -'f:'. 0 P^.ard of Appeals f..'_: irman �w y .J. Brockv6y. �.� ...;�. 2 �� �� � � • �, �.�'v �. f� l 's r TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION Map Parcel ;;Application # 6� Health_Division i Date Issued Conservation Division ;;Application Fee Planning,Dept: E Permit Fee' Date Definitive.Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address '®O wlw7zz Village . f 7 A411VIS Owner =�� �( 7�C-At Address -T Telephone `6 775 3T9 j L �' Permit Request 0 UL f 3 Q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new. Zoning District Flood Plain Groundwater Overlay roject Valuation G 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 73, Historic House: ❑Yes V"No On Old King' Highw,@r: ❑Yes ❑ No Basement Type: ❑ Full blZrawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area FM ft) Number of Baths: Full: existing new Half: existing news Number of Bedrooms: existing _new : c? Total Room Count (not including baths): existing new First Floor oom C-Gunt 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 ❑ ro Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) fme U��1,�t 1z`5 Telephone Number Address F 7 C/Z4Pi=i2R y 1,�Ah--- License # «� `� !�✓u� � /I/r Home Improvement Contractor# Worker's Compensation # 3A60 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO E--'r46 SIGNATURE r DATE /5� FOR OFFICIAL USE ONLY ► APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f` i I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: gZC City/State/Zip: S \-/A46Gtf4;-c4,/4A-z- Phone.#: �� Are you an employer?Check the appropriate bog: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or par mer-' 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.-insuran_ce comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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.RRoof 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 anew affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /1 A k cJ7U,/V L. Policy#or Self-ins.Lie.#: 9E;8 I-L Q�5 5'A�. 0 9 Expiration Date: L ULa 1 l Job Site Address: 3C)Cj City/State/Zip: t 0� Attach a copy of the workers'compensation policy declaration page(showing the policy nunl6er and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimirial 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 certi the ns and penalties of perjury that the information provided abo i!istVfieand correct. Si afore: Date: Phone 3a yl ZOO Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or dwtee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-conti actors)name(s),.address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit.should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured cpmpanies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 'Office of Investigations. 600 Washington Street Boston, MA 02111 TO. # 617--727-4900 ext 406 or 1-877-MASSAFE Fax# 617427-7749 Revised 11-22-06 www.mass.gov/dia T r Town of Barn-stable ti Regulatory Services HAIINSrABM MAE& g, Thomas F_Geiler,Director � . 16yqsasy �� f � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 ". Fax: 508-790-6230 Property Owner.Must Complete and Sign This Section If Using A Builder - I, �L ; as Owner of the subject property hereby authorize ��--CJ�� l�j �-LS to act on my behalf, in all matters relative to work authorized by this building permit application for. ( 1�-)c 12 5T L AN x/I (Address of job) 1 Signature of Owner IN Date i S� T Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the-reverse side: Q:FORMS:O WNERPERMISSION �P�oFzrtE r�o .. Town of Barnstable Regulatory Services " swxxsrest.e. Thomas F. Geiler,Director toss. Building Wrision Tom Perry,Buildiffg`Commissioner 200 Mairi•Street, Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village name home phone# work.phane# 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 HOMEOWWER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached-structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department mi„i,T,um inspection procedures and requirements and that he/she will comply with said procedures and requirements. a x 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 arc assuring 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 rrsponnbilides,many communities acquire,as part of the permit application, that the homeowner 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 form/certification for use in your community. Q:forms:homccxcmpt GTE -� � �✓ � � - s�� Board of Building Regulations and Standards It Construction Supervisor License HOME IMPROVEMENT CONTRACTOR '+ ,- Registration: 105179 � License t CS 44847 Expiration\7/16/2010 Tr# 0 Birthdate 7/5/1962 Expiration 7/5/2009 Tr# 17504 iTYpe =DBA e Restriction:=00 WALLS CONSTRUCTION&REMODELING Troy Walls TROY A WALLS 87CRANBERRY NEB _.- 87 CRANBERRY LN" � ;.. G'— SOUTH YARMOUTH;'IVIAF02ti64 Administrat or ` 2 S YARMOUTH,MA 02664 Commissioner • i , HER BUa 4Ian oongs" el ar ` ' One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Dome ImprovementIContractor Registration Registration: 105179 Type: DBA �, z Expiration: 7/16/2010 Tr# 0 WALLS CONSTRUCTION & REMODaELhN:G TroyWalls .. .--------_ -- ----=--.___-_- --_------—... _ --- 87 CRANBERRY LANE ----- --=---- SOUTH YARMOUTH, MA 02664 ------ — ------ --- S ' ye• Update Address and return card.Mark reason for change. Address Renewal Employment L__i Lost Card DPS-CA1 0 SOM-07107-PC8490 JAW. -C Board of Building Regula ions and Standards One Ashburton Place - Room 1301 • . Boston. Massachusetts 02108. Construction Supervisor License License CS: 44847 Restriction: 00 E Y Birthdate: 7/5/1962 / t - k;� Expiration: 7/5/2009 Tr# 17504 TROY A WALLS Vw. .- 87 CRANBERRY LN rt S YARMOUTH, MA 02664 � .; M Update Address and return card.Mark reason for change. DPS-CA1 Li 50M-05106-PC8490 Address - Renewal h Lost Card . - � .,:�, -�• ' 4 i 1. i v 15. 2009 10: 05AM Lovelette Insurance Agency No. 1254 P. 1/1 ACORD- . CERTIFICATE OF LIABILITY INSURANCE 5/115i2009 PRODUCER (508)775-4559 FAX: (508)775-4577 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Marshall K Lovelette Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE y HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 396 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 836 West Yarmouth MA 02673 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Miscellaneous Ins. Cos. 0006 TROY WALLS & REMODELING INSURER B: DBA TROY WALLS CONSTRUCTION INSURER C 87 CRANBERRY LANE INSURER D: SOUTH YARMOUTH MA 02664 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 TO COMMERCIAL GENERAL LIABILITY PREMIREMI DAMAGESESS( RENTED 50 000 P Ea occurrence $ � A CLAIMSMADEOCCUR NPP1178428 8/18/2008 8/18/2009 MEDEXP(Any one person) $ 1,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X1 POLICY F PROF LOC AUTOMOBILE LIABILITY COMBINED SING E LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJUR SCHEDULED AUTOS (Per per $ HIREDAUTOS BODILYI CRY $ T` NON-OWNED AUTOS (Per aceid$.4) T-. t PRO P. R DAMAGE gf (Per a i ent) $* GARAGE LIABILITY AUTO NLY-EA AOE D NT ANY AUTO OTH THAN kaA AC AUT ONLY: 4- AG $ EXCESS/UMBRELLA LIABILITY EA H OCCURRENC f"pZ$ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? WC131S369447018 10/7/2008 10/7/2009 100000 If yes,describe under E.L.DISEASE-EA EMPLOYEE$ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I BUILDING DEPARTMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 300 WINTER STREET FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE HYANNIS, MA 02601 I INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Timothy Lovelette/TIM �f ACORD 25(2001/08) ©ACORD CORPORATION 1988 INS025 mios).osa Page 1 of 2