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HomeMy WebLinkAbout0327 WINTER STREET W,'nr St it { oFr�t r ,�0�" n of Barnstable � *Permit# Sri � �- ti .�' 0 ) -E.rpires 6 r .i711t/r ro e(late rsarr ,. Reg>o`Iatory services Fee- . Q � )ggRygrAB[.1;. i y AASS. Thomas F.� Geiler, Director • - Building Div ision 0 n Tom Perry, CBO, Building.Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bainstable.ma.us Office: 508-862-4038 Fax' 508-790-6230 EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid ivitkoui Red X-Press`•Imprin/ Map/parcel Number 10 Z i 7— Property Address ` -2--j 1 vi 4tr_ J�- irt-N n! '4' A4 A 0Zk6O � Ej Residential Value of Work 2 506 Minimum fee.of 35.00 for.worlc tinder$6000:00 Owner's Nam e & Address l--�. • V Contractor's Name Telephone Number r Home Improvement Contractor License#(if applicable) Construction Supervisor's License#.(if applicable) - DRMIT ❑Workman's Compensation Insurance — . Check one: Kl m a sole proprietor ocT m the Homeowner �. ❑ I have Worker's Compensation Insurance - �� �� BARNS AKE Insurance Company Name s Workman's Comp. Policy# Copy of Insurance Compliance Certificate mustaccompanyeach permit, Permit 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 root) ❑ Re-side ' � o " Replacement Windows/doors/sliders. U-Value' #(maximum .35) #. f doors of *Where required; Issuance of this Permitdoes not exempt compliance tivith other town deptrnnient regulations; i.e. Flistoric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission,. ' A copy of the Rome Improvement Contra required. ctors License & Construction Supervisors License is - "IGNATURB: :1WPFILESIF0RMS1 ding permit formSIEXPRESS.doC evised 072110 r•' 4 � The Commonwealth of Massachusetts Department of Industrial Accidents _ Office,of Investigations ' d 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): :TI. 1, ,,,f Address: 5157 L^ 1 City/State/Zip: d ZC30 Phone.#:' 5-D .E-7 76 P6 S-o 1. Are you an employer? Check the appropriate b,�o Type of project(required): 1.❑ I am a employer with 4. Lld i am a general contractor and I employees(full and/or part-time). have hired the sub=contractors = 6. ❑New construction 2:❑ I am a sole proprietor or partner listed on the attached sheet. 7_EJ;Remodeling ship and have no employees These sub-contractors have g,'❑Demolition ; workingfor me in an capacity. employees and have,workers' Y P ty 9. ❑Building addition [No workers'comp. insurance comp. insurance.# required.] 5..[] We are a corporation and its. 10.0 Electrical repairs or.additions 3.❑ I am a homeowner doing all work officers have exercised their ` 11.❑Plumbing repairs'or additions myself. [No workers' comp. right of exemption per,MGL . 12 ❑Roof repairs insurance required.] t c. 152, §1(4), and we have no u 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. 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. #: 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,etV under the pains an penalties of perjury that the information provided above is true and correct x Signature: Date: Phone#: —7 7 6 6,570 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/Towri Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �s Inform-aeon and Instructro-ns--- -- ---- 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 iiecea§e �emp oyez,-ortha--' — receiver or trustee of an individual,partnership, association or other legal entity, employing employees However the owner of a dwelling house having not.more than three apartments and who resides therein,or the occupant of the dwelling house.of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permitrto 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 v�zth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),_address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies,should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in__(city or town)."..A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have.any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: t . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 r: Fax# 617-727-7749 www.mass.gov/dia F Op THE rp� r BARNSPABLE, Totivl of Barnstable i639. Regulatory Services., Thomas F. Geiler, Director, Building,JDivision Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma:us, • tt � , Office: 508-86274638 - + Fax:-508-790-623"0 Property Owner Must Complete and Sigh This Section If Using A Builder' J h , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by,this building permit application for: (Address of Job) . , ` Signature of Owner Date n Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the. reverse side. QAWPFILESTORMSIbuilding permit forms\EXPRES&doC T Revised 072110 r , I P�pIHE r � Town of Barnstable Regulatory Services " 'RAV ^BLE Thomas F. Geiler, Director ,639, A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 548-862-4038 Fax: 508-790-6230 ----------------- HOMEOWNER LICENSE EXEMPTION Please Print / DATE: ! 6 �o JOB LOCATION: 9Z? �/t�+ •�' J 7 Q vin t S number ^^�� 11__ street village "l_IOMEOWNER" �J 9 TTic•7 1 K� SD t9-776 name home phone K work phone N CURRENT MAILNG ADDRESS: S37 --S, �-✓1 ' ,v Gt-.4 r fry le- oz 6.? o city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109,1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirement d that he/she will comply with said procedures and requirements. ji4rrimeowner 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 ofconstruction 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 t amend and adopt such a form/certification for.use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc, Revised 0721 10 tt� .4c40RV CERTIFICATE OF LIABILITY INSURANCE °ATE`IaM�°D,YYYYY' �...•� 10/4/2010 � THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. N SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs1 PRODUCER cONE.CT panne Belanger William Palumbo Insurance Agency, Inc. ONE o.�. (508)428-1943 o;(508)420-4474 i 4527 Falmouth Road A'Nim abelanger@willialmpalumbo.com PRODUCERCUSTOMER ID )00092400 COtuit MA 02635 INSURER(S)AFFORDING COVERAGE NAW4 INSURED INSURER A-J+ibertyMutual Insurance CO INSURERS: Stephen Carboneau INSURERC: 169 Center Street INSURERD: I INSURER E Yarmouthport MA . 02675 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1010423400 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 4 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE I L S POLICY NUMBER MP CY EFF Pip EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAIS O RENTED $ CLANS-MADE F-1 OCCUR ' MED EXP Any are parson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE UM IT APPLIES PER PRODUCTS-COMPIOP AGG $ POLICY n JECT PRO LOC $ AUTOUOBILE LIABIUTY I COMBINED SINGLE LIMIT $ (Ea aw) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per'aceident) NON-OWNED AUTOS S $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ XCESS UA13 CLABAS4AADE AGGREGATE4:E EDUCTIBLEETENTION $ s A WORKERS COMPENSATION WG STATU- OTH AND EMPLOYERS'LIABILITY YIN ANY PRO RIETOR EXC�LUER/E E�� Y❑ NIA E.L.EACH ACCIDENT $ 100000 OFFIC(Mandatory N 2313379337010 /26/2010 /26/2011 E.L DISEASE-EA EMPLOYE $ 500000 If e DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 100000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required Stephen Carbonaro is excluded for workers compensation coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Winter Street Nominee Trust ACCORDANCE WITH THE POLICY PROVISIONS. 327 Winter St Hyannis, MA 02 601 AUTHORED REPRESENTATIVE J LaRocca, Sr/ABELAN V ACORD 28(2009109) 01988-2009 ACORD CORPORATION. All rights reserved. INS025(2om) The ACORD name and logo are registered marks of ACORD L �FtHE ray Town of Barnstable * Regulatory Services * BARNSTABLE, * - MASS. mQ Thomas F. Geiler, Director �p 1639. �m pTf°^^A�a Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-740-6304 Certified'Mail:7008 3230 0002 5177.8711 November 10, 2009 John Flanagan PO Box 1547 . Orleans, MA 02653 Finding of Unfitness for Human Habitation and Determination of Immediate Danger. In accordance with M.G.L. c.111, sec. 127A and 127B; 105 CMR 400.000: State Sanitary Code, Chapter I: General Adrninistrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Humans. Timothy B.O'Connell,R.S'., Health Inspector for'the Town of Barnstable on November 10, 2009 conducted an investigation of a dwelling unit located at 327 Winter Street (Basement unit) Hyannis. The owner's name of this dwelling unit is Mr. John Flanagan. The tenants name is Philip Light. Based on the results of that investigation, the Barnstable Health Department finds. that the dwelling.is unfit for human habitation Pursuant to M.G.L. c. 127B and 105 CMR 410.831 (D), (E) the Health Department further finds that the conditions within the dwelling are such that the danger,to the life or health of the occupants of the subject dwelling is so immediate that no delay may be permitted in making this finding. Conditions.found..within the dwelling, which give rise to the emergency finding of � unfitness and determination of immediate danger, include:: 410. 750: Conditions.Deemed to EndanLyer or Impair Health or Safety 41,0.750 (G) Failure"to provide adequate exits from said unit as determined by 708CMR 3400:5.1. of Massachusetts State Building Code: 410.750 (N)—Smoke Detectors not present with in basement unit: 410.450: Means.of Egres Bedroom was without.proper second means of egress. Q:\Order.Letters\Condemnations\327.winter st basement.doc Based upon these findings any and all occupants are hereby ordered to vacate (basement Apartment) within(24) twenty-four hours and the landlord/owner is ordered to secure the subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated they may be forcibly removed by the local Board of Health (Massachusetts General Laws C. 127B), or by local police authorities at request of the.Board of Health. Furthermore, anyone-who fails to comply with any order of the board of health may be subject to fines ranging from$104500. Each day's failure to comply with an order shall constitute a separate violation. Once vacated this'unit may not be occupied until gas, hot water and heat are restored to this unit. Note: This is an important legal document It maV affect your rights PER ORDER OFT BOARD OF HEALTH Thomas A. McKean; CHO\RS Director of Public Health Town of Barnstable Q:\Order Letters\Condemnations\327 wint&st baseme'nt.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mapes Q Parcel 1 , Application # Health Division Date Issued l i Conservation Division Application Fe Planning Dept. Permit Fee Z'C20 ` 2 � Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 3 Z1 Wl.,JTM 5IAEO`r Village 45t�o N i S Owner 01017 s12 ST• q0r^1,.r fr -ie.vs'T' Address P.O A o x d Z 16 4.Ns 7-48 A Telephone A41K6 To eE : So - "5 2 6 - 5522. - T9K Pv-c d R. ®Z�3o Permit Request R-EN101)6L Aok..)s I VaD4TIF Hlmnnrc, +- exr-Tg IC_ 3 r '�3? 2nd floor: existing '�3? ro osed 3? Total new Square feet: 1 st floor: existing_gyp Proposed g p p Zoning District Flood Plain Groundwater Overlay Project Valuation 50,69D Construction Type Woo D E o � Lot Size • 6 I A-c ' Grandfathered: ❑Yes ❑ No If yes, attach supportoi� d 5 mentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) n \: Age of Existing Structure 19.'L-° Historic House: ❑Yes J-No On Old King's Highly: Yes $No 3 Basement Type: .Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2- new 2r Half: existing 0 new Number of Bedrooms: 3 existingx new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: gGas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes *No Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes>(No Detached garage: Wexisting ❑ new size o Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) bY CLr + �> rr-g_& ,Hy 6Telephone Number 5 oT - -7-7 6 S'1Z- Name -�'1 t U�-r>-E�. � s Address T • 0 • 90Y, rB 7 License # r -S 21!�3a 1 6 fi-2NST-A-ALLr . M,A 02430 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO DQrAPSrM oN Lam' 7'� :5Am-to WICA L&L FELL SIGNATURE DATE g, Z'Y b 1) I, I FOR OFFICIAL USE ONLY t 'APPLICATION# E DATE ISSUED ; f MAP/PARCEL NO. ADDRESS VILLAGE OWNER i t . DATE OF INSPECTION: FOUNDATION FRAME i - s INSULATION 4 t FIREPLACE i ELECTRICAL: ROUGH FINAL Iz t PLUMBING: ROUGH FINAL o . GAS: <4 Pu� 5"µ ROUGH ...�,,,t - -, - FINAL =_^�FINAL.BUILDING k `o ,.T f? f,s DATE CLOSED OUT s� ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Y Department of Industrial Accidents �. Office of Investigations 600 Washington Street . t Boston, MA.02111 yy www•mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians(Plumbers Applicant Information Please Print LeEibly Name (Business/Organization/Individual): CkA,11 Y c e- S Address: P, 0. QOX City/State/Zip: 45arvts4-x614k_ ,+ - &2-430 Phone #: bsol Are o an employer?.Check the appropriate b Type of project (required): l.Are a employer with 4. VIam a general contractor and I * have'hired the sub-contractors.. 6. ❑ New construction employees (full andJorpaet-time). —- 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. VRemodeling ship and have no employees These sub-contractors have_ g, 0 Demolition workingfor me in an capacity' employees and have workers' Y 9. F] Building addition No workers' comp. insurance comp. insurance. required.] 5. [] We are a corporation and its 10.�Electncal repairs'or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.[t�P timbing repairs or additions myself. [No workers right of exemption per MGL comp. 12.[t�Roof repairs in urance required.] t c. 152, §1(4), and we have no s 13.❑ Other employees."[No workers' comp.insurance required.] "Any applicant that checks box#) must also fill out the section below showing their workcrs'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 chcck'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 workcrs'comp,policy number, I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and jab site Information Insurance Company Name: L V l l�. 1/� PAU.) , c�3, 1 `0 C Policy# or Self-ins. Lic. #: LJC "IS 3?q 337 6(D Expiration Dater Job.Site Address: 32Z �!n'It/ S�', lllgtmis MA City/State/Zip: F6112ildl MA QZ603 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $),500.00 and/or one-year imprisonment, as well as civil penalties in the form of a.STOP WORK ORDER and a fine of up to $250.00 a day against the-Violator. Be. advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury.that the information provided above is true and correct. Si nature: a D Phone#• DSO ?-Xv Official use only. Do not write in this area, to be completed by city or town official City or Town; Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: Information and bstructzons Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. PursLlanl to this statute, an etnplo),ee 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 ajoint 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, Ho"yeyer 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 conslniclion or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such'emplo.yme:nt be decmed to be an employer." MGL chapler'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 far any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGLchapler 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall. enter'into any contract for theperfoi-Yhance ofpublic•ivork until acceptable evidence of compliance with the insw anec requirements of this chapter have been presented lo.the contracting authonty." Applican tr Please fill out.the workers' compensation affidavit completely, by checking the boxes that apply to your sihiahon and, if necessary,supply sub-conlractor(s)narne(s), addresses) and phone numbers)along with their certificates) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP) with no employers other than the members or partners, are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees e policy is required. Be advised that this affidayit may be submitted to the Department of Industrial Should Accidents for confirmation of insurance coverage: Also be sure to sign and date th-e affidavit. The affidavit 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 e,workers' compensati on policy,please call the Department at the number listed beloW, Self-insured companies shou]d enter their self-insurance license number on the appropriate line. City or Town Officials. Please,b'c surelthat the affidavit is complete and panted legibly, The Department has provided a space at the bottom of the�affdavilefoi you to fill out in the event the Office of,V,'C7sf�i�atiQri's"ha�410 eor laGl y;au�regarding the applicant. t ,Please be sure to fill fin the permit/license number which will be used as a•reference number In addltlon an applicant �ihat'misi;s�9bitt mullip]e permit/License applicalifsnns:n�aaay$ivdn dear, neieel oral sybrnl one affldavil indicating current (city or policy information(if necessary)and under"Job Site Address" Lbe applicant should write' all 7ocatbensro tovrn)."'A copy of the affidavit that has been officially stamped or marked by the city or iov/o may p vided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A.new affidavi l ust be filled �u t each year. Where a home owner or citizen is obtaining a license or permit not related to any businessor commerci a 1 venture (i,e, a dog license or permit to burn leaves etc,) said person is NOT required to complete this afi'davil. nnnrratinn and should�haye any q uestions, The Office of lnveshgat�ons wou i e o ��n��nrr��db-ea3'-y�+�" • • \4\ 4, !. please do not hesiL®te In gwc;us a call. — The Deparlmcni's•address, telephone and fax number: The C0MMDnwea]th,of Mass a°chis&ts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021 N Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE Fax 617-727-7749 Revised 4-24-07 www.mass.gov/dia 4 ACORE)i DATE(MANOWYYY) RTIFICATE OF LIABILITY INSURANCE 10/4/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this Certificate does not confer rights to the cert(fi cafe holder in lieu of such endorsements} PRotwcER NNAAME.c7 Anne Belanger William Palumbo Insurance Agency, Inc. HON (508)428-1943 FAX No:tsotilaza-a47a 4527 Falmouth Road ADDRESS,SS.abelanger@williampalumbo.com PRODUCER A0092400 cotui� MA 02 635 INSUR S AFFORDING COVERAGE NAtC ff INSURED INSURERA:Libe.r Mutual 'Insurance Co' INSURERS Stephen Carboneau INsuRaltc 169 Center Street INSURER D: INSURER E: Ya.rmouthport MA , 02675 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1010423400 REVISION NUMBER: THIS 1S 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. ILTR TYPE OF INSURANCE A SWWII e FOLK Y NUMBER' . MPO�pCY EFF POLICY;EXP n oryYyy) (MUM LIMITS GENERALUABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ' DAMAGE R SESO RENTED $ CLANS-MADE a OCCUR' MED EXP one $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S .. GEN'L AGGREGATE LIMIT APPLES PER £y PRODUCTS-COMP/OP AGG $ POLICY nPECT LOC is AUTOrrOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aaMerN). $ ALL OWNED AUTOS BODILY INJURY(Per person) '$ SCHEOULEDAUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE HIRED AUTOS r (Per aorJdent) $ NON OMEO AUTOS $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $. DEDUCTIBLE S RETENTION $ A WORKERS COMPENSATION $WC S7ATU OTH AND EMPLOYERS LIABILITY ER ANY PROPRIETORIPARTNERIEXECUTIVE -y- OFFICERIMEMBER EXCLUDED7 a N/A E.L.EACH ACCIDENT $ (Mandatory in NH) 231S379337610 /26/2010. /26/2011 100000EL DISEASE-EA EMPLOYE $ Ifyes�desora:e under 500000 DESCRIPTIONOFOPERAT1ONSbelow E.LDISEASE-POLICY LIMIT $ 100000 s DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,I more space Is required) Stephen Carbonaro is excluded for workers compensation coverage CERTIFICATE HOLDER CANCELLATION „ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Winter Street Nominee Trust ACCORDANCE WITH THE POLICY PROVISIONS. 327 Winter St Hyannis, MA 02601 AUTHORIZED REPRESENTAME J LaRocca, Sr/ABELAN - ACORD 26(2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS025(2om) The ACORD name and logo are registered marks of ACORD i Town of Barnstable �pfYHEJOkL t l Reguhafory Services Thomas..F. Geiler,Director Buildin DIVISlOII: orEo yu,�' Tom Perry, Building Commissioner 200 Main-Street,—Hyannis MA:02601' .,t.. yf ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 rt - HOMEOWNER LICENSE EXEMPTION Pleast Print DATE: I o" (_j. JOB LOCATION: �jZ7 �n'I r�fir -.,. [ 1 yPrd al S number s trcet vi l l age, "HOMEOWNER": �or`W �xs�al Sob- "I16-:6 S o{ $08-326-.SS2Z name �— home phone# work phone# 1Mw�►oa� Soyu- ' . CURRENT MAJLING ADDRESS: SS Su Ir'44 Ln9. d &nIA �c .F Mho► 02.63 a city/town ' statz zip code The c> Ent 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_ SuperVlSOr. DEFINITION OF BOMEOWi TR Persons) 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 faun structures: A person who constrycts more than one horse ia'a two-year.:peripd shall not be considered a bomeoRner. Such : "bDMCOV,ner"shall submit to the Building.OfFcial on form acceptable to the Building Ofcial, that he/she.shall be responsible for all such work performed under the building permit. (Section 109.1.1) 71re undersigned"homeowner"assumes responsibility for c.orriplianca with the.State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned "homeowner"certifies tbat.he/she under'stands the flown:of Barnstable Building Department rn;nimum inspection procedures.and requirements.and that he/she will.comply with said,procedures and - requirements. Si r Homco a Approval of Building Official Note: Three-family dwellings containing35,000 cubic feet or larger will'be required to-comply with the State Building Code:Sectioa 127.0 Construction Control. HOMED WKER'S-EXEMPTION Tha.Codr states that "Any homcownq performing work for which a building pernvt is required shall.be exempt from the provisions Of this SOttiDn.(SGCnOn ]09.1.1 Licensing of construction Supervisors);provided that if the homrovymcr engages a person(s)for hire to do such work that such Homeowner shall act.as supa-visor." ]v{any homeowners who use this exemption an unaware that they arc assurning the responsibilities of a supervisor.(sec Appendix Q, Rulcs&Regulations for Licensing"Construction Supervisors,Section 2.15)•This lank of awareness oftan results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed parson as it ti'ould with a liecnsed . Supervisor. Thy homcowncr acting as Supervisor is ultimately responsible. To ensure that the homwwner is fully aware of his/her responnbilitics;many communities require, as part of the permit application., that the homeowner certify that hdshe understands the rrsponnbilitics of a Supervisor. On the last page of this issue is a form currmdy used by several towns. You may care t amend and adopt such a forrn/ccrtification for use in your community. Q:forms:h omccz cmp t THE Town of Barnstable o� Regulatory Services SAHM6TASL.L, t . p � $ Thomas F. Geiler,Director �DTED ��w Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.towri.barnstablp—ma.us office; 508-862-4038 Fax: 508-790-6230 Prop erLy Owner Dust r.y rgnThis Sect(:&y,4.� t i .1 �,,..,-r: •'"omplete anc If Using A Builder.. as Owner of the subject.property hereby authorize to act on my behalf, i.a all matters relative to work authorized by this building permit application for-. (Address of rob) Signature of Owner Date rr.vy Pant Name If Property Owner is applying for permit please complete. the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION I T Bolsle Cascade Quadruple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor Beam1F1301 BC CALC®3.0 Design Report-US 1 span No cantilevers 1 0/12 slope Thursday, September 30,2010 Build 440 File Name: BC CALC Project Job Name: Description: FBO1 Address: 3?.7 W1r4TMsr• Specifier: City State, Zip: , I .411N is AA A 0201 Designer: Customer: (p Company: Code reports: ESR-1040 Misc: " 2 , .� ..•e., �.-..,.,a. - .ors`; °r��.x..,: .gym.... 13-06-00 BO,3-1/2" B1,3 1/2" LL 3,240 Ibs LL 3,240 Ibs DL 1,746 Ibs DL 1,746 Ibs Total Horizontal Product Length=13-06-00_ Load Summary Live Dead Snow Wind Roof Live Trib.(in.) : Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 Standard Load Unf.Area(psf) L 00-00-00 13-06-00 30 10 12-00-00 2 attic Load Unf.Area(psf) L 00-00-00 13-06-00 10 10 12-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 15,706 ft-Ibs 56.3% : 100% . 1 1 -Internal Completeness and accuracy of input must End Shear 4,186 Ibs . 33.1% 100% 1' 1 -Left be verified by anyone who would rely on Total Load Defl. U326(0.481") 73.7% 1 1 output as evidence of suitability for Live Load Defl. U501 (0.312") 71.8% 1 1 particular application.Output here based Max Defl. 0.481" 48.1% 1 1 on building code-accepted design Span/Depth 16.5 n/a 1 properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2"x 3-1/2" 4,986 Ibs n/a 54.3% Unspecified or ask questions,please call B1 Post 3-1/2"x 3-1/2" 4,986 lbs n/a 54.3% Unspecified (800)232-0788 before installation.. BC CALC®,BC FRAMER®,AJSTM, Cautions ALLJOISTO,BC RIM BOARD-,BCIG, Member is not full supported at post BO. A connector is required at this bearing. BOISE GLULAMTM SIMPLE FRAMING y pp p q g• Member is not fully supported at post 61. A connector is required at this bearing. SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS@,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are Notes trademarks of Boise Cascade,L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram n , b,o- d �H OF ROBFBT L. F - a " T o BODJlf%K c " STRUCTt PuiL ll c�'l: No.31829 r • • /ST- �� ' o a minimum=2" c=5-1/2" /6 b minimum=2-1/2"d=24" Beams 7 inches wide will be assumed to be either top-loaded only, or equally loaded from each side. Bolts are assumed to be Grade A307 or Grade 2 or higher. Member has no side loads. Connectors are: 1/2 in. Staggered Through Bolt Page 1 of 1 �., ,,.�' .. ��, e � , , . — f . : , _ <. '. - L I _ � � ,__�Trt' l �- �� ��. y� .« ^l .:a: �- � -� ... 3 � � ��. t � � � � �. � w r, ` Ftlq,,, Town of Barnstable 0 Regulatory Services 9 MASS. $ Thomas F. Geiler, Director ` o M �e Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 July 19, 2007 Mr. John J. Flanagan 136 Harwich Rd Brewster MA 02631 Illegal Apartment:=-327-Winter Street`Hyanriis MA 02601 Map: 310 Parcel: 212 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor,conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. y artment Investigator Building Department gforms:zoning3 tom. <• °-�iF -•X,s_ ,. .k-,,•t -}>:dk-.�,.. ... � .,�;�`°., '+r .,�,. -.-%t. µYE.. .1-.. ,:,•.,nw- - 7-i}Y<3" Town, of Barnstable °Ft 'Ow�;a Regulatory Services . . Thomas K Geiler,,Director w BARNSCABLE: 'Y MASS. g Building Division ` t639 . ♦0 Thomas Perry,00,1luildingC6mmissioner 200 Main Street, Hyannis, MA 02601 . www.town.l arnstable.ma.'us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION: '' LA.) / I_ UNDER THE PROVISIONS OF 780 CMR,,THE,STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY DISCONTINUE THE USE OF.THE,CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. LOCAL INSPECTOR SIGNA�IIURE OF REtlCIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 780 (MR, CODI.GO DE CONSTRUCAO DO ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE USAR, IMEDIATAMENTE,,A AREA DO PORAOBASEMENT.PARA 0 PROPOSITO DE DORMIR. INSPETOR LOCAL ASSINATURA DO RECIPIENTE 07/17/2007 11:39 5087786448 HYANNIS FIRE PAGE 01 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL RD. EXT. HYANNIS, MA.02601 ICAL HAROLD S. BRUNELLE, CHIEF FIRE PREVENTION BUREAU BUSINESS PHONE:(508)775-1300 FACSIMILE PHONE:(508)778-6448 LT.DONAID H.CHASE f R.,CF1 LT.SItIC)R.HUB1"8R, CFI FIRE PREVENTION QWICER P1R8 PREVENTION 0MCER AGENCY NOTIFICATION Building ] Health -' Wiring [ Gas [ ] Consumer Affairs Pursua`nt.to,Wss general Law, Chapter 148:28kAnd 527 ency heby..a '- notifiedA. hat a hazard or viblation is believed to exist'Mtating.te,the above agency's Ju sdlctlog.) The haFard:or.violation noted is not withirYxhe.inspers cnde: ;erlforcment oir.jualsCii ion. The following has..4een reported;in person or°by phonlo�.Qn thisr'date:- 2-7 for the-.•p'r©pgrty located at: in Hyannis: loor OOF �) 3) 4) owner of record: ox � 9/�► ��y-��/ phone: Fire Prevention Office A cc_street file - rev. 1/2000 07/17/2007 11:39 5087786448 HYANNIS FIRE PAGE 02 ❑ Delete NFIRS - 1 0. A I 01922 I lv1At111� L 7/1 1/2007 l i 001 J - 4270664 C I O ❑ Change -r --I L_—._ --=-•-64 ❑ Chang Activity Basic State .�Ly Incident Iwo ; y Sfail0^ Incident Number EZDo6ure lh�ll GV Check this box to Indicate that the address for this Incident Is provided on the wldland Fire Census Tract I 40 BLocation Module in Section D'AltematNe Location Specification'.Use Only for w4cland fires. ® Street Address WINTER STREET , .— ST I —• p Intersection 327 �_ __J �._—.�� - - - I ('strWTyp< sutnx ❑ In front of NumbeUMlleposl Prefix Street or Hlgoway I ❑ Rear of _�_.. .� INyannis _. .._._—. .__.— ..._..�. _ _J .state.-. ...I Lzipcode�2601....__.. ❑ Adjacent to Apt./SUtle1Rodrn `CKY '- r❑ Directions 11corner of Walnut and winter UCross street or directions,as applicable Dates Times midnight Shifts&Alarms C Incident Type E1 E2 LoCelOption _522 Water or steam leak —� check boxes if Month Day Year Hour Min Incident Type L —__ _ __ _ „� dates a e Ne ALARM always required ( A, I I Still L _ _ Aid GIVen_RecelVBd same a,Alarm Snlftor NO OfAlarmVIsthU Date. Alarm 07 11 2007 18-22J platoon 1 ❑ Mutual aid received ARRIVAL reouired,vnl¢ascenceiaoof old not ardw �• r�71 Special Studles 2 ❑ Automatic aid r Cv. I'TheIrFO �Thefr I A n� Arrival l p7 1111 2?0071 I 1 8:27• E3 Local Option 3 ❑ Mutual aid given slats CONTROLLED aptional,except for wllalandfe" 4 Automatic aid given l 5 ❑ er al give Controlled •N None �--' p Last Unit LAST UNIT CLEARED,reaulreE e•ceDt wllAlantl rlI S al Srdy Ly S udy IDS Study Value ® 7heTr nu ont um er I Cleared L 07 a 1__ 2007I 19:16j J F Actions Taken G1 Resources �2 Estimated Dollar Losses&Values —� Check INS us OOP and ship this section i,an LOSSES: Required for all fires it known. Optional for non fires. L. Apparatus or Personnel form is used. 86 _lnvesti,.atc- None PfineryActlonTaker,(11 Apparatus Personnta Property Suppression 1 4 66 !Remove water L�_.....J contents r, Jv01fonelpctionTeken(2) EMS 0 l 0_ _ PRE-INCIDENT VALUE: optional .i '-,$4 Other 0— L 0 Properly Add81one1 Action Taken(3) Check box if resource Counts include aid ) received resources. Contents I u Completed Modules H1 Casualtle.s None H3 Hazardous Materials Release Mixed Use Property Deaths Injuries N CMNone i� Fire-2 Fire NN® Not mixed C]Structure-3 0 0 Service i 1 ❑ Natural gas:slow leak,no evacuation or HazMst actions 10 ❑ Assembly Use L--❑Civilian Fire C•as.-41 2 Propane gas: <21 lb.tank(as in home ll grill) 20 ❑ Education use ' 3 Gasoline:vehicle fuel lank or portable container 33 Medical use [] Fire Scrv. C.a.sualty-Civilian q 0 ❑ 40 ❑ Residential use (� EMS-6 - —•-•- 4 Kerosene:fuel burning equipment or portable storage ❑ 51 ❑ Row of stores L� I-#a!Mat-7 5 ❑ Diesel fuel/fuel oil:vehicle fuel tank or Portablestorag 53 ❑ Enclosed mall H2 Detector 6 p Household solvents:Homsiotfice spar,cleanup only l 58 ❑ Busineea 8 residential ❑ Wlldland Fire-8 I Requlredfor confirmedfres. 69 ❑ Office use Apparatus-9 I 7 ❑ Motor OII:hOm engine or portable Container 60 ❑ industrial use C1 I'era o n t1 e I-10 1 (3Detector alerted occupants 8 Paint: from paint cans totaling<55 gallons 63 ❑ Military use 2 Cl ;Detector did not alert them 1; p ❑ Other: Special HoWnt actions required or spill-55 sal., 65 ❑ Farm use U❑ 1 Unknown Please complete the HozMat form 00 ❑ Other mix®d use r .i Property Use Structures 341 ❑ Clinic,Clinic Type Infirmary 539 ❑ Household goods,sales,repairs 131 Church,place of worship 342 ❑ Doctor/dentist office 579 ❑ Motor vehiclelboat saleslrepairs ' [3 Church, ❑ Prison or jail,not juvenile 571 ❑ Gas or service station i6zi 1t31 ❑ Restaurant r cafeteria 419 ❑ 1-or 2-family dwelling 588 ❑ Business office, ! 213 ❑ ElementarBar/taverny or nightclub 429 ❑ Multi-family dwelling 616 ❑ Electric generating plant 215 ❑ Elementary school or highklnd gars 439 ❑ Rooming/boarding house 629 ❑ Laboratory/science lab 241 ❑ CollHig school or Junior high 449 ❑ Commercial hotel or motel 700 ❑ Manufacturing plant 311 ❑ College,adult r t 459 ❑ Residential,board and care 819 ❑ Livestock/poultry storage(barn) 311 ❑ Care facility for the aged 331 464 [1 Dormitory g g/barracks SM ❑ Non-residential parking� i ❑ Hospital_ 619 ❑ Food and beverage sales 891 ❑ Warehouse Outside —T� 936-❑ Vacant lot 981 ❑ Construction site 124 ❑ Playground or park 938 ❑ Graded/cared for plot of land 984 ❑ Industrial plant yard 60 ❑ Crops or orchard gqg ❑ Lake,river,stream 669 ❑ Forest(timberland) 951 ❑ Railroad right of way 807 ❑ Outdoor storage area 919 Dump or sanitary landfill ❑ Other street Look Up and"roar a property use 1419 ry i'rnprt Il�roAc..onl if a❑ p 9t11 ❑ Highway/divided highway y ` d J 931 Open land or field 962 ❑ Residential street/driveway oP®ny use box�ecxed e 1 11 or 2 family dwelling .. Nr,gs.,ge.41on 001•,Be t. A27 0664 - FXP 0, 711112007 PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT 07/17/2007 11:39 5087786448 HYANNIS FIRE PAGE 03 .Orson/Entity Involved 1508-776-4199 Local Option Phone Number (If ao6E�bl Check this box K (John J1 (Flanagan ......... some address as incident location. Mr.,Ms.,Mrs. F�,W—Name MI LW�—Name Then Skip the three S T wie address !WINTER --m—j - ... Street Type suffix Number/milopoll. Prefixrinse. treat or Highway Hyannis Poet Office Box L.MA'__j J_qL621 state Zip Coos More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary. K2 Owner a na Person involved j08-7764 99 Then check this box And s' p IJolln ... .........J —1............. Local Option he rest of this section. oiyollaRT Phone Nvrriber? .JR Check this cox N 'LJohu 'L—j fflau_�a an__... Suffix same oddress as L PA I' Last Name incident location. Mr. Ms.,- Mrs �irsl Name Then sXlp the three K P duplicate soorem ST ST WINTER _ —_j lines. L . 327 StreeliType Suffix Numbo(IM118posi Prefix JIyannis ------ P051 6ff-1Ce04'--- Apt.lsUlterfioom City MIA 1 '1 02601 -$lata zip CW-- LOC21 onion �s ITEMS WITH A MUST ALWAYS 13E COMPLFTEDI More remarks?Check this box and attach Supplemental Forms (NFIRS-1S)as necessary. Authorization 1198203 lRichard A Knowlton Lu!aLsaant P I Suppress.kp!�j [-07 Ll I j L2007—;' Officer in charge ID 6igneturo Pompon or rank Assignment Month Day Ye$r ,,heck box if tame a B Ofter in all 98203 (Richard A Knowlton I-licutoniant P1 Suppression! 07 . 1.1 2007 . --.- ___j . ..................... &iemoer making report ID Signature Position or rank Amignmeni Month Day Year A270664 - EXP 0, 711112007 327 WINTERSTRFET page 2 of? HYANNIS FIRE DEPARTMENT - MFIRS REPORT 07/17/2007 11:39 5087786448 HYANNIS FIRE PAGE 04 ❑ Delete NFIRS - 1S I I 0 ~A 1 9 2, I MAI I 7/11/2007 1 L.001 y1 1 A_27066_4 re ❑ Change SupplAtlterltal •1�—2� 1—�--•�...jj `.—'�.'.�_'—_ SlaGon� �InclpeniNumoer FOID y State dLi InUdenl Dela �J 1L08-776-4199 _J K1 pg�onlEntilty Involved ..._—•..�— Phone Number Locel Option Business name(0 apoicaWe) I I Flanagan 1 Suffix'--I' Check this box N I IlJohn MI .. last Name -- same address aa, tijr.,Me..Mre. Firer Name incident location, j Then skip Me throe I 1 1 1 ngNTER _ STD L Sx duDllcaleaddresa I 327 —.� �••— "'��"'—"" Street Type suffix Nurnber010, -- I J Street or Highway 1 Hyannis Post Office Boz Apt!SuitelRoom Cln I I ' 1 stole MA� It, 01 K2 Person/Entity Inv olved 1508=776-4199�� �., Phone Number I Local Oollon Business name(If ppplimba!e) j I 1. (Nichols ..-j P^I Oheck this box it _j I Leanne & Lori LB51 Nome _. _ —. I,--._o.—._.,------- s�r�K LJ sae edJreaa se '_ m incident location, Mt..Ms.,Mrs. Fifsl Name ST I � I Then skip the throe I 3 27 I I I W 1NTER J I_.., ST .J l._—. duplicate adorers � i ,— .. .. .. . _._.—. _..".—...'..——' SUeet Type Suf117( lines. .__•---...�--.__:- -- x NumbedMi sport PrefixSlraet or Hlpt way 1 I Hya.nnis ..Corimce O Box`"__. ._ .__..---. ._..�-• •-MLISufierRoorn. City MA, _ 02601 State Yip Code I wua'i woe•73 4:�70664 - Fxn n. F,S(- 7/1 tlmn7 HYANNT.S FTRF T)FPT. nano nf 1 f 07/17/2007 11:39 5087786448 HYANNIS FIRE PAGE 05 A270664_.— p D Delete NFIRS - 1S EIL 1922 J I MAJ 7/1 1/2007� L D01 J --- — . �—.� ER 'Change Supplemental $mjj ,rM Incident Date Station Indent Number EMpasure Kz Remarks �j 327 WINTER STREET We were called for a burst water pipe by the Barnstable police for 327 Winter Street, basement apartment. I ' a and were responded on 823 with Ff's Hennessy,�ptna,had shand ut offheley vwater�but that herrerrived on awas water tion sidedamage in the lbasement. mct by the occupants stating that the o ner h We found the owner, John Flanagan, in the basement tightening the water meter nut. Re stated rie the occupants came ho to end water spraying out of the joint to the meter. He had shut the water off couch, linoleum (prior to our arrival. Our investigation revealed water damage to the wall, ceiling, pe Iflooring and a computer. I requested a water vacuum to our scene. 80 and Captain Craig Farrenkopf arrived," with the vacuum and FF Hennessy and Pina started with the water removal. We were able to vacuum up most of he standing water as well as the water on the carpet. i lDuring our investigation it was apparent that this basement apartment did not meet the standards for a legal (apartment. 1 could not find any amok.e detectors in this basement nor were there any CO detectors. This i ute ar ea as the hot water heater. There is a oil burner apartment has a kitchen area with a stove in the salacatcd behind the hot water heater. There was only one means of egress, the interior, stairway. There are a lnumber ()f awning type basement windows but 1 do not believe they are large enough, or low enough to be sidered a second means of egress. I met with the occupants and the owner and explained this to them_ ladvised there that I would be required to forward this report to our Fire Prevention Officers and the Town Icon of Barnstable Building Inspector.. I explained to them that one of these parties or possibly both will be (making contact with them to investigate this further. E• �$23 secured the scene at 1916 hours and arrived back in quarters at 1919 hours. !Richard A. Knowlton, Lieutenant i P p 3c;c: H annis Fire Department Fire Prevention Office Town of Barnstable Buildzn Inspect— A270664 - EXP 0, 711 112007 HYANNIS FIRE DEPARTMENT"MFIRS REPORT PAGE 1 Parcel Detail Pagel of 3 ON d � ��✓ � 4 e a 8a+N„"': < Logged In As; Parcel Detail Thursday,Ju Parcel Lookup Parcel Info ...... .. -_......_ ......................................................... . Developer. Parcel ID 4310-212 Lot LOT 4 - BLOCK G Location 1327 WINTER STREET Pri Frontage 47 _._.. _,_...._------------------. ..... ..,,_.__..,,,,.,. .... . _........ ..........._ Sec Road-WALNUT STREET(HYANNIS) Sec 97 Frontage _... .. ............__....................................... ......... ......... .. __....... .......... village HYANNIS Fire District HYANNIS ......... ........... ...... ......... ............ .. ......... _ ......... __.. Sewer Acct.0874 Road Index 1866 s � s r f C Interactive Mapes '. Owner Info ..... ........ .......... ..... ..... _....._ owner i FLANAGAN, JOHN J Co-owner .......... .. ......... ......... Streetl 136 HARWICH RD Street2' City BREWSTER State=MA zip'02631 Country Land Info ....._.... _ .................................... . ........ ... . ...... ......... ......... .. ....... .. ....._.. . _...:.:.._ .�..�......�..._ __.. __ ... _._.. Acres 10.11 Use iSingle Fam MDL-01j Zoning:RB Nghbd .0105 Topography Level Road Paved Utilities All Publie,Gas Location ; Construction Info Building I of 1 Year I Roof'f Gable/Hip Ext Vinyl Siding Built= Struct" wall Effect l._.._._.,...,�.,.__..�..... ........_...., Roof r_.�._._. .:,.._. �... AC Area=1000 Cover'Asph/F GIs/Cmp Type None ......... Int Bed style'Conventional Drywall 3 Bedrooms wall= Rooms .. Model Residential 1 Int Bath Floor Rooms,2 Full Grade lAverage Heat Steam Total 6 Rooms Type Rooms http://issgl/intranet/propdata/ParcelDetail.aspx?ID=25759 7/19/2007 f Parcel Detail Page 2 of 3 / Heat ....... Found- ........ 8 Stories'1 Story F A Fuel Oil anon `Poured Conc. 1,- 1s ..... 2v�. Permit History Issue Date Purpose Permit# Amount Insp Date Comments Visit History Date Who Purpose 6/2/2003 12:00:00 AM Paul Talbot Meas/Est 3/13/2001 12:00:00 AM SM Meas/Listed 9/15/1987 12:00:00 AM ME Sales History __.__._.._____ _._. Line Sale Date OwnerBook/Page Sale P 1 4/20/1999 FLANAGAN, JOHN J 12210/238 2 11/20/1997 GEMBORYS, STEVEN B 11072/103 3 6/15/1986 WONG, DONG P & NANCY C 5188/301 4 1/15/1986 PACIFIC BAY, INC 4869/258 5 12/15/1983 MURRILL, CONSTANCE F 3966/139 6 12/15/1981 KREISER, BRENDA 3402/341 7 11/15/1980 TULLY, RICHARD P 3193/089 8 6/15/1980 TULLY, ANNE M 3106/210 ............ _ Assessment History _.. _..._.. ._ ._...._ w.. .... ....___ _.rc Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2007 $106,100 $9,800 $4,100 $135,800 2 2006 $97,600 $9,800 $4,200 $139,900 3 2005 $88,100 $9,200 $4,300 $102,500 4 2004 $78,100 $1,700 $4,400 $90,500 5 2003 $64,200 $1,700 $4,500 $33,400 6 2002 $64,200 $1,700 $4,500 $33,400 7 2001 $52,900 $1,700 $4,500 $33,400 8 2000 $44,500 $900 $4,700 $18,900 9 1999 $44,400 $900 $3,700 $18,900 http://issql/intranet/propdata/ParcelDetail.aspx?ID=25759 7/19/2007 'Parcel Detail Page 3 of 3 10 1998 $44,400 $900 $3,700 $18,900 11 1997 $36,900 $0 $0 $16,200 12 1996 $36,900 $0 $0 $16,200 13 1995 $36,900 $0 $0 $16,200 14 1994 $39,700 $0 $0 $19,400 15 1993 $39,700 $0 $0 $19,400 16 1992 $45,200 $0 $0 $21,600 17 1991 $50,500 $0 $0 $35,000 18 1990 $50,500 $0 $0 $35,000 19 1989 $50,500 $0 $0 $35,000 20 1988 $43,400 $0 $0 $16,600 21 1987 $43,400 $0 $0 $16,600 22 1986 $43,400 $0 $0 $16,600 Photos http://issgl/intranet/propdata/ParcelDetail.aspx?ID=25759 7/19/2007 HOME These discussions and our forums are not moderated.We rely on users to police themselves,and flag inappropriate comments and behavior.You need not be registered to report abuse. In accordance with our Terms of Service,we reserve the right to remove any post at any time for any reason:and will restrict access of registered users who repeatedly violate our terms.Click here if you wish to report inappropriate comments or behavior. View All Comments ` SakacoJuly 19,2007 1201 PM report violation Thank you arc54... people are BREAKING THE LAW�here--that's the Q issue. No one-ever wanfs to take responsibility for;their actions any;longer--there's-always,somethingyeIse,standing;in,the�way.xFullaMessage arc54July 19,2007 11:54 AM report violation why is it that no one ever:blamesthe foolbreaking the law?that mother:is scum,her:son,and:his girlfriend are scum.The police do what they do'very well for.the most part.Yes there�are,exceptions uteach situation is different.What lazy#"#mother keep a-homii,so filthy that magots are=on,ineat leff°out ewwww?come on 1 giving kids drugs?what scumand should be 1.fixed:2.jailed/off the streets 3, have her kids removed and giving a chance at a decent life. i applaud the police. Full Message ptcruzerJuly 19,2007 11:50 AM report violation s IAM'SURE RICK MY000K BARTERED SOME='SEXUAL'FAVORS FROM:THEEWOOMAN FOR RENT. HE°IS .HORRIBLE ASA ATTORNEY AND.,SHOULD BE,DISBARRED' u'll�Message ,>,,. 02532GUYJuly 19,2007 11:35 AM report violation RICK MYCOCK,THE ONLY.LAWYER.ON CAPE COD,THAT YOU CAN,PAYWITH COCAINE OR, PILLS.......AND THTA HOUSE... DOSE ANYBODY REMEMBER LYIDA�IF YOU KNOW,RICKY YOU KNOW 1 .THE REAL DEAL..LOLFull Message ku6708July 19,2007 11:34 AM �s report violation .Hmmm... Maybe Mike Vick should'join'the°Barnstable;PD ,Full Message «nomorenamesJuly 19,2007 1.1:22 AM report violation Barnstable policesuck. II hope whatever drugsythey,recovered�make up0el,cost of:smokih'g,up a house at5:30am-1 with innocent minors and pets in it,and then the loss of a pet.You suck.oh yea'and Mycock?.?•the leading lawyer; for getting drug dealers off with a slap on the wrist?PLEEEASE. Everyone knows he"wili`get�you off if you are ;caught. Full Message barcoJuly 19,2007 1.1:02 AM report violation if officers had these people under investigatiom,why didn't they.:prepare to ha've,someonethere forthe kids,and kno this will not°bellanother BOTCHED raid that will ll- et kicked out'of court who;viof LA ere,and how so that they 9 y 9 �� � �'rt,causeof.LACK OF EVIDENCE.a,nother blowfor taxpayers:.OAPEGOD OFFICERS stay out of he gym,nit the books,trairi rnore,use :more common sense,! DONT LIKE PAYING FOR YOUR MISTAKES;THE LIST IS GETTING LON'G.ENOUGH. ALREADY. Full Message _ dustyJuly 19;-2007 10:49AM report violation Native54-you gave me a good laugh!'i totally:agreel ( a CodersRSnobs sounds-`like a deranged idiot wlth;`no social class. Full Message y CLIENT: - JEFFERY HUSKA WINTER ST NOMINEE TRUST S . WINTER STREET 5'-e• A&E FIRM: . s &twmou - �s �--n - -- - -- - - r _ ° TURNING MILL B._B. aAn(Roou aosLT KRCHD+: ® ® CONSULTANT AN m INC. ® ® CONSTRUCTION MANAGERS N NPPER ROAD.UNR 0 PO BOX 1100.smowd.w onm . PHONE:OW)00�W FAK:(3001000-1140 . wwwa�minymmmnamnmm SITE ADDRESS: — FFJD CLOSEr 3z� 24 0 *"' WDMR STREET 24'-0• HYAWS,MA 02630 BEORMM. BEDROOM ,z•-r _ .. SUBMITTALS smRoom - - - A 09/23/10 ISSUED FOR B.P. . L----------- ----------- I 1 `d - PROFESSIONAL STAMP . B-B• , 1 qm d 2 SECOND FLOOR PLAN 1 FIRST FLOOR PLAN A-1 SCALE-3/B•= 1'-o' r A-1 SCALE 3/8•= 1•-0. �.. . DRAWN BY: TDC CHECKED BY: MFJ SHEET TITLE: 14 SHEET NUMBER: 1 ' i TMC 10.15 R 1 CLIENT: J&0ERY HUSKA WINTER ST NOMINEE TRUST SITE: 2B•-0' . 28'-0- „-2 WINTER STREET 9•-3- r-------------- ----- --- ---� _ ❑� I D/w • ,. �. ,. . BA. Tnaoou — - ® TURNING MILL 9._6. BATHROOM O cLosEr t-z' arcHEN ® ® CONSULTANTS,INC. DEVELOPERS.ENGINEERS AND - f •. ® ® _ CONSTRUCTION MANAGERS '68 TUPPER ROAD•UNM3 " PO BOX 110Y.BANONACH•MA 021HO - PHONE:(5W)!!6 U-PAIL:(503)00612M _ www.bminOmNmnwbnbmm • O ..CLOSET . - - SITE ADDRESS: rRloc mom 3Z'1 24._a 9TWINTER STREET HYANHIS,MA 02630 BEDROOM - •x x - - _ BEDROOM 12._2. SUBMITTALS • - - ' - BEDROOM 13-` A 09/23/10 ISSUED FOR B.P. . L_————— ———— PROFESSIONAL STAMP : SECOND FLOOR PLAN ± , FIRST FLOOR PLAN , A-1 SCALE:3/8' 1'-0' ' �• r . e A-1 SCALE:3/E'_ ,'-o'. DRAWN BY: TDC CHECKED BY: MFJ _ SHEET TITLE, r erT-5 r SHEET NUMBER: TMC 10.15 ICI