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0068 YARMOUTH ROAD
aoo \ C Town of Barnstable. Building Department Brian Florence, CBO MUST COMPLY WITH HOME OCCUPATIOd� Building Commissioner. RULES AND REGULATIONS. FAILURE TO 200 Main Street;Hyannis,MA 02601 COMPLY MAY RESULT IN FIIrIE& www.town.bamsiable.ma.ns Pre-application for Basiness Certificate Date 0 P 62 G Map N Parcel Applicant Information Applicants Name _f�d S ' v4 a y of el z: S_.�cr y c'h r- Appliraata-Addreas. G Q r� d / �I 9`4 aIniliS Ema1 Address 6,r e m-4 g9 h ex>- u r 7 � 4— may. G D M Telephone Nanbea FD 1 2 °L 2^y 3 Listed Unlisted ❑ Business Information NewBusmess? --------------------- ----------------- .No Business is a registered corporation? ----------------------- Yes if yes Name of Corporation Does business opmate under the reed owporate name? Yes ON Is the business a sole proprietorship or homeoaaipation? --------_( No If yes then a Home Occupation Rapatration is regaard—Sea Building Division Staff. Name of Business )9 n2-e r Q J,% U e 02 r-e)Js P yn Business Address C .1 9L Y^ m o u / h / �D Type of Business H o n P_ Bmlcling ommissioner Office use Only W11u1LL0 n . . Building Commissio Clerk Office Use Only q �J �.� Asse or map and lot number .... 9 r, SEPTIC SYSTEM MUST BE Sewage Permit number ................. 0.. ........ INSTALLED IN COMPLIANCE WITH ARTICLE I,I STATE,' �F THE ta4 w; AND TOWN, t TON OF. �BARNS' T ��` z %A86 r a ct t 639` GU ,LDIG f INSPECTOR vP.NPY a `, a c APPLICATION FOW PERMIT TO P `'.6�:..!� ' f C> /1., ................................................... TYPE OF CONSTRUCTION ....... :.�?.:!�... '. g. �..................... ... s t ........... .....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies'for a permit according to the'foll ing information: Location ....... ..d.. ...:.. f 1.. .1 ..1..... ......:........... ... ........ ......... ...... ........................... ProposedUse ............ Ir 1.2.1(L...�`.LI........................... ............................................ ........................ .Zoning District ................ .................... ...Fire District ...W ......00/1. ...... Name of Owner 1 /......t / !��" ..Address .. d...... ®./ . �. .../G .. . ...... .� Name of Builder �� . ... ? .... � � �� '.Address `� s� i'u �/......................................' r Name of Architect ..................................................................Address Number of Rooms ............................... ..............Foundation ... / ''� .......... Exierior ..........(,. "4...............Roofing ...........oX ...... ... ��.. ..... Q / � Floors �J f.. .� Interior ....... �d �,(..,... �''.��...... ... .. ........ ....................... �....... ............... Heating .................. ...............................................................Plumbing ...........Mad. c....... ...................... �..�' ............................0T� Fireplace ..... .. ,t �... .................. . ::............................Approximate Cost ...: .............. Definitive Plan Approved by Planning Board __ ___________________________19________, Area ............,1.� "... ............... Diagram of Lot and Building with Dimensions Fee .19 ......... SUBJECT TO APPROVAL OF BOARD, OF HEALTH f I Y _ 01A - -� . I hereby agree to conform to all the Rules and Regulations of the Town ar stab a regardi .g the Above construction. 'Nam ............... ....... ........................ J � � 1 r, Harrington, Daniel trio "20400.... Permit for .....addition. . and.... .... ........... . .... ....... alterations to d*el.liug .......................—......................................................... Location ...........68 Yarmouth Road..................................... ................ Hyannis ................................................................................ Owner ......Denie.1...Har.ring.t.on...................... .. ........ . ...... ........ . .... Type,of Construction. .............frame.................... ........ ...................... ........................................................ tt � 4 - - Plot ............................ Lot ................................... Permit Granted .......... Uly............1..9.................19 78 Date of Inspection ....................................19 Date Completed ................. 19 PERMIT REFUSED ................................................................ 19 ......................................................:......I................... ................................... .............. ............. i...................................................................... ........................................................................ ,Approved ......................................... 19 ' ............................................................. Approve.............. ............... ........................................................... p ....:................................... 'i' Assessor's ma and lot number li ,l>7 Sewage' Permit number .......................................................... d�QyO*?NE'p0�y� TOWN OF BARNSTABLE Z ."NSMULE, i " 9 0 NO BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPE OF CONSTRUCTION ........... r, si a f f ..:... 19.. ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......ram.. .........1' rI //! e f 1.. .. ...................fl .................................................................................. Proposed Use '; 1 / / ...................................................................................................... .... ................... ..:.................... Zoning District �i `f .4A,A.,I ,�,,,,,, f�:.......................................................................Fire District ..................................... ........... Name of Owner ..j ...../�1........ 1� � �i �d .Address ?/ . Name of Builder !`� . ,//r/t � 1t //fiU.... �/ �/� S /' .�rUdC/ .....�`.t7�..................... i Address ......... ..............:......... r t Nameof Architect ....................- '-".............................Address .............................. ..^........................... .....-...,,.......-�.�........... -lr Number of Rooms .........Foundation /o 1 ( !,� l�, ............................................ .......................... + r z/itr/7lYi! t /7 .. Exterior ........... .......................................................................Roofing ..................................................:...... ..... . ........... Floors .iJDC] Interior .................................................................................... • Heating �.{ 1 . .. ..................Plumbing ' / ...... ............... Fireplace �� ;� ..Approximate Cost -t p ............:�.. .........:)..........+.'�............ Definitive Plan Approved by Planning Board ------------------- ��f ` -- - 19 - - Area ........................:................. Diagram of Lot and Building with Dimensions Fee ..... .............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 - N. N1 37 ISM � t I ► I I hereby agree to conform to all the Rules and Regulations of the Town of;Barnstable regarding the.above construction. / Name .....`a"............................................................ y Harrington, Daniel A=327-166 0400 - addition and No.�;................. Permit for .................................... alterations to dwelling ............................................................................... 68 Yarmouth Road Location ................................................................ Hyannis ............................................................................... Owner Daniel Harrington .................................................................. Type of Construction frame .... ............................. ....................................... Plot ......................... . Lot ................................ July 19 78 ' Permit Granted ............... ........................19 Date of Inspection........................19 Date Completed A................................19 PERMIT REFUSED Ali 19 1 Is-11 .................................. . ................................... F •- ............................................... .............................. Approved ........ 19 ........................................ A ................................................................................ ............................................................................... ` C TMETp TOWN OF BARNSTABLE Z BARNSTABLE, f 9°' '�639 �•�� � b BULDING INSPECTOR ` APPLICATION FOR.PERMIT TO ..a.).. l.Y!p. L........ ...:f/.�. t: .: ....................................... TYPE OF CONSTRUCTION .........j() .. ............ Vf±,.H.. ......if4..... .................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fo a permit according to the following information: 04 Location ..... ..0.... 1 �Ly . . ' ... .i�. ...:....... ................................... ProposedUse .. ?.... .i�'.�'nt .m..i=)A...._.:................................:.......................................................................... Zoning District ....� .. 1....O........... .................... .....Fire District - .1fq.1�.;.:5.. .......................................... g Name of Owner P .rt -... :. ....ftfdd ... Address / 4?.4� ..Jfo............................... L Nameof Builder �—N..(7.11.�.. .....................Address ......:............................................................................. a Nameof Architect .......................................... .....................Address .................................................................................... .� t� 4 Number of Rooms 5T). 1.d.�Zt...Q.. c�.P�!�.. .......� 'r.Foundation .....C,Q.IY.C.&a a............................................ Exterior .......................................................Roofing ..... p..4 .1..t...................:.......................� Floors ......#(t.R.O.W.PV4 ...............................................Interior ....P1/��.fF.: ek..................................................... Heating Oj. . .IC ! ..................... Plumbing 1� hI.........�. .... f .. Fireplace ..........N.0................................................................Approximate Cost .... 4!. .2.. .� ................... .................... Definitive Plan Approved by Planning Board ---------------____-----------19 . Vd e Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 'y J LIS +Ij O < :t U) � W 0 G co ep Cr-, C � O � O ��OOOD 2 W Ca w,to Ul U ` � Q N Ca W }---' t = � Q __j ,� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �`+/i�? �`�.°. �!�f �' .......... � l �nA� remodel to \ No -. Permit for .................................... � duplex � | ----'—^--^'—`'~^'--~'—^^--'—^~^—^— l � -_ / Location --..68..]��ronnzth..Road______.. ....................... - � Owner ---. ..P... ---' � Type of Construction .............f��p��-----.. ----.—.---..-----.------.----- -- �� Plot ............................ Lot ................................ ~� Permit Gnzn*a6 ...Deceobwr..J2............lA 72 Dote of Inspection ~~'~ Completed 07-19 PERMIT REFUSED ~ `- -----.---~.~-------..-- lA �� ----------.-------.,.—.— ---- _._._,____________,,,____,__._ ----.—.------...—.~--...—..._--. - | ' ----..—.—.—~...—.—.-----..--.—~. .� ' Approved ,--------------... 19 . | ^ � ---------------'-------^—^—'' > ----------------------^''^^^— \ ^ k � - J N I-. N O m LDH CB FND 11&74' �+ 156_31 C RO C KER ST. (33' UNDEFINED TOWN N87'08'58'E 12 �75' l CB TO 11.25 (145' DEED) 142.80' (CALC) dh V BE SET hn N i U j EXISTING 1 STOPY D.HAR INGTON t i 01 W/F BUILDING BK. 27 PG.. 309 . � + rn Cc) g N ------------ (� Q� h. 2V ROR�SE rq o L 0 T 0. ' 1 188 — 0 23,708 S0. FT. _ LCB FND N87'011'59'E 123.75' BE SET 1.25 DH 135.00' LCB S fn d 0.01 0 3 s 0 LCB o I � � Q 167 �a 0) O E. ROY N to E3K. 707 PG. 546 N �i 1 Assessor's of ice,(1st floor): J122— Assessor's map,and lot number ....... / b Q Board of Health (3rd floor): � ... d Sewage Permit number ........... •..•.•• ::L.............•MUST CONNECT TO TOWN SEWE L BAHd4TODLE • Engineering Department (3rd floor): MA L House number ..... ........: .. ..... ....... ...... .. ...�.� r' 'fO.YAY M1. -Definitive Plan Approved by Planning Board _-------------______________ 19 _______ .APPL-ICATIONS PROCESSED 8:3.0-9.30.A.M. and 1:00;-2:00, P.M.; only 4 4� - TOWN , , OF BARN-STABLE` BUILDING INSPECTOR :F. APPLICATION FOR PERMIT TO. � ✓„� t ... !3. :... ?�+�+ TYPE OF CONSTRUCTION ........................ .ac�o."..��. �1 ' 5......:.:...... .................... .........................19.-V-J TO ,THE.INSPECTOP OF BUILDINGS: The undersigned hereby applies'.•for."a permit according to the following information: Location .........1�..$........� .""'LJvL.r7..:...'`�/..• .....0... '......'.� LN..f.� ','! /V ` .. ............. Proposed Use, ........ �!r � (47. .11� �1.. . ........ Clu Zoning District .. ....... ... ........Fire District .. :. ...: ��� 'Name of Owner .......... b • f1�42tifil/b rUlV �i�l ddress ..........�i....:...y!�l!!ti!ti0 !. .... .. ........................... ....... �. Nam_ e of Builder .. ....W �......„ 4ftm...Lf— .,,Address �dk �.b.. W `Z:� Name of Architect ' .................. .....,.:Address ........................ ... ............... Number of Rooms ...:.......... .......... r ..:..?....................Foundation /"�ww,.. ..��^��!'Z.!.... .S�'`. Exley for ........1�..�II.....:GXIr✓`'.�. ........... .....RoofingNfq:` '�J..... �J a Floors .................... :.... /: ......... .............................:Interior .. ................. ............................... ... ....... i Heating ;AS.... Plumbing L �3 ,. !ti ............. ........ ... .. ..... �. P .................:.. Approximate Cost ............ . (jUo f Fireplace N .... .. ' � • •t Area ...' ..... �.... Diagram of Lot and.-Building with Dimensions Fee S OCCUPANCY PERMITS REQUIRED FOR NEW :DWELLINGS I hereby agree to.conform to all the Rules and 'Regulations of&e ��.,.nof Barnsta a ,re a ing the above construction: 'Name . .... 419 /11 ( iL it tj 6 Construction Supervis'or's License ........ ..,........ z..�.► Z. HARRINGTON , DAN & LORETTA ADD OFFICE TO `y No .32766: Permit for DWELLING .............. - Professional Office .. ...} .......................................... . . 68 Yarmouth Rd'. libcation rr„r w+• Hyannis c...... ............................... ............... Loretta Dan & Harr-ington Owner ..... ... ... .................. Wood Frame Type of Construction _ s�• ir, n� I ... .. -/ �.. ......... ... •...:... ......'............... - ice'. � '~ � Y Plot ' •r� „ r G.� .y 7 ' .......... .... Lot .................... �` •+i. .. •i"!.` .- ✓r• � +..,' - •. _. ,,:, 1. � - 8�� :4 9 A r'i 1 ,. Permit- Gran,ed,... ...P...........�. .f..............19 •!^', � .` Y. Date of Inspection,:.......... ......1./....:.........19 ' Date Car^`',pleted ....... .... . .....19t • �..,.. _- .. ..- +'4- S -#i. �-r - .S'!' .rM� .. tl ter.` �� `rr✓ r � ,�- .r• `.J jam' - +`�� .. y ap go • -" �x.�, • - ,`��: �' �-.:. "� . ...--' �:': .ate: w f , ♦ � � ter`` w r - Printed 6 1/8/2020 4 F , � �� C.o m p I a�intuCa l l Repo:rt � r , , 68 YARM�QUTF, � �� ;9 ��ys a; a. � TED Mp+° .. ;•t, m. r "�" k'.w�° < $° -3. .nA Case# C.20 1 1 ,,, t. Case#: C-20-11 Address: 68 YARMOUTH ROAD, Date: 1/8/2020 HYANNIS Owner Info: Property Info: DUNROVIN LLC M8L: 51 JOYCE ANNE ROAD 327-166 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Gas Medium Priority Phone Complaint Summary: Assessing photos on line revealed possible venting issue. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: duffyr Filed by. A andersor Comments: Comment Date Commenter Comment 1/8/2020 andersor Duffy will check site to confirm safety not compromised -and all required distances are satisified. ao - � :h Town of Barnstable CFTHE Tp� Barnstable Inspectional Services ,�rica BARNSTABLE. q MAgs. Public Health Division 1 1 �p i6g9• �� 2007 TFD N1°�A Thomas McKean, Director 200 Main Street Hyannis, MA 02601 f Office: 508-862-4644 Fax: 508=790-6304 June 4, 2019 DUNROVIN LLC MARK IAN HANSEN JACQUELINE JOY HANSEN 51 JOYCE ANNE ROAD .CENTERVILLE, MA 02632 As of October 1, 2006 a new rental registration ordinance was put into effect requiring all property owners of rental units to register them with the Town of Barnstable Health Division as you are aware. This includes all Summer Rentals. According to our records, you own the rental properties at 27/31 CROCKER ST (A-D) AND 156 WINTER ST (A-D) IN HYANNIS and have not registered. Enclosed is an application. Please use a separate application for each rental unit you own. Should you need more applications; go to the`website https://townofbarnstable.us/ Click on Departments > Inspectional Services > Health Division > Application & Forms > Rental Registration Application. You may print out as many as you need for both 2018 & 2019 and return them to the Health Division with the appropriate fees included. This must be completed within (14) fourteen days of your receipt of this letter. There is a fee of$90 and $25 for each additional unit. A $10 late fee is assessed for each unit that is late registering after January 31, 2019. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any questions, please feel free to call 508-862-4072. Thank you in advance for your cooperation. Kathryn Soto Rental Registration Public Health Division Direct#508-862-4072 i :aw Town of Barnstable Building Department Bz an Florence, CBO MUST COMPLY WITH HOME-OC',CUPATbIt Building Commissioner. PULES AND REGULATIONS. FAILURE TO 200 Main Street;Hyannis, MA 02601 CprOf:'I Y MAY RESULT IN I"INE-S WWWA w Lbanstable.mLas Pre-application for Business Certificate Date 0 2 0- MIT-7 panel Applicant Information yr it,�� A/�r y a P �:a ✓'ey► C r ct .,.n_. .. .. ..... Applicoft-Addmu G Q y,: m G a / b 2 fV� Email Ad&rss 6,r n N r _h �- u 7� i�o G o M Telephone Nmnbw F o V Z 31— 5 2-Y 3 Listed 6"- ' hli ted ❑ Business Information New Business? ------------------------------------------ No Business is aregistemdemporation? ____-____--------------- - Yes If yes Name of Corporation Does business opexafe under the registered omporabe name? Yes ON Is the business a sole proprietorship or home o=zpation?,---------g No If yes then a Home Oomipatim Registration is regnuud—See Building Division Staff Name of Business Business Address9L Y Yn o u / h Type ofBusiness r Building Commissioner Office Use Only Conditions Building Commissioner Date Clerk Office Use Only ' i MUST COMPLY WITH HOME OCCUPATION' Town of Barnstable RULES AND REGULATIONS, FAILURE TO Building Department COMPLY MAY RESULT IN FINES. �oFZHe tOk,�, Brian Florence,CBO Building Commissioner LU NSUBLE, « 200 Main Street,Hyannis,MA 02601HAM ,. 9� i639. 10� www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: RR Fee: 3 S. Permit#: HOME OCCUPATION RIGISTRA.TION Date: O / -6--2 O Name: 01 a 1 Phone#: 2 3 2 5 2S .3 Address: '� Q r»�D lj R T) H N a»22. Village: Q r Y1 / d . Name of Business: rirP, 1'r cY� pro U Lo m a Yl/ Type of Business: ffn M P 12 Y®V e Yh P / Map/Lot: �� I INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1 A of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. 'After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is,carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are.not customary,in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • There is no exterior storage or display of materials or equipment. There are no commercial vehicles related to.the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. •• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant Date: 0 2 Homeoc.doc Rev.10/17 :nTr-++r.-Y:t;,s::r.:.aw•K,^was--..,!nstdva+..->„'..y .a..3'x A' .:,.� ..� • ,. "- 6Y r. r r ,A•a�*ertx2#•"TSnI x. .�..,... d .+. ...JFa �+,�+.i•'^.o'd.+eti e��.;.::f'"�e:v`!�.�a...5 g.r�t.�'Mt"�„: ::� ..:k_ Assessor's office .(1st floor): > THE Assessor's map and lot number .... /,�� . ypFTOh Board of Health (3rd floor): e�Q ♦� Sewage Permit number 333AR33TAM E. Engineering Department (3rd floor): rasa 0 O,s, S9• House number *........................ ........................ ......... 'FaYP�fry! Definitive Plan Approved by Planning Board ___________� `y_____._______19________ , APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............................. ........................... 1........:. .:. i.. r' t. + .J f / T 1 .............. ...... ........t / 7... TYPE OF CONSTRUCTION ....................................... ........ .... .::.:..:..... ...........................��. �~ 5............... ...................................`...`----....19........ TO THE INSPECTOR OF BUILDINGS: _ The undersigned hereby applies for a permit according to the following information: Location .........( �........c1 '.��..........�:/.f 1.1......s..°f.........:.............�•...�.�f�':.`.:..r :........... ....................................................... .. .:.. Proposed Use . � ZZonis District �` / ���� oning ..............................................LOZ�..........................Fire District .............................� Name of Owner �.. ►^ , rry Address '�/it, ��j .I Name of Builder ../j ..................!...../:: �.�.:r. � ..�.�......4.?..Address ....�y... ............t.r..... .........f..' :.:.? Name of Architect ........................ .r '�..............................Address _� ..fit �.... .............................. ..... ...... .....�.,.'.. ..................�....~............... • ., ..l Number of Rooms ........ Foundation •..'. .... Exterior ..........t ,; , 14, ...................l.....t. ....... ................ r...:..F........Roofng ......... ..............t..................f.l..►.�....(...l................ ....I...t.../... r Floors ........-. ......................................................Interior ........:........................................................................... Heating ........................ .... .................................................Plumbing ..........! �............... ......j. ............................................ Fireplace f:. '." Approximate Cost l Area ...............}.......we................ a Diagram of Lot and Building with Dimensions Fee ............................................. /4`/10 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable rega�ding the above construction. � � Name ...r........:.r.......:...... ...........+.. .... .`.r s.....":.:... •e t1�► � r�' C� l, Ihl � Li Construction Supervisor's License ........... .......... HARRINGTON , DAN & LORETTA ` A=327-166 ADD OFFICE TO DWELLING No .32........766.... Permit for ..... ................................ .:. Professional Office ......................................................................... Location 68 Yarmouth Rd. ............................................................... Hyannis ............................................................................... Owner Dan & Loretta Harrington .................................................................. Type of Construction Wood F r ame ........................................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .Ap.r i l 4....................19 8 9 Date of Inspection ....................................19 Date Completed ......................................19 ��i //NO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 42- r Map Parcel Application # Health Division Date Issued: Conservation Division Application Fee A DIG Planning Dept. Permit Fee Date Definitive Plan Approved.by Planning Board Historic -.OKH _Preservation/ Hyannis Project Street Address Villageih Owner e,G 'Address Telephone / Permit Request b9d A0114 ru-e/ kYA cell n� 4�1� v,1 n ;41n 0 1�h v rL-Ck 6 A 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation kn 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 -J 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: BUILDING ®EPT. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes J-No If yes, site plan review# NOV 3 0 2016 Current Use Proposed Use TOWN OF BARNSTABLE APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name l Telephone Number 4- 1 /r� q Address License# Home Improvement Contractor# 35� Email Worker's Compensation ' C ALL CONSTRUCTION DEBRIS RESULTIN FROM THIS PROJEkTVWILL E TAKEN TO r � SIGNATURE DATE fC �2 � y FOR OFFICIAL USE ONLY f � APPLICATION # i DATE ISSUED L .4 MAP/ PARCEL NO. i. i i ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: k I ; FOUNDATION I' FRAME INSULATION j FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. RISE Engineering Program Installation CLC-HES RISE - A division ofThielsch Engineering Client# Receipt ENGINEERING' 5 Dupont Avenue,South Yarmouth,MA 02664 223844 508-568-1926 X-6610 FAX 508-568-1933 Work Order 03602 Page 1 Contractor: 0044 Cape Cod Insulation Contract Date Start Date Address: 11/10/2016 Primary Contact: RONALD BOURGEOIS Phone: Alt.Phone: 5083944446 Auditor Service Address: 68 Yarmouth Road DDU=Darrin Duty Hyannis,MA 02601 Home Phone: (508)394-4446 Work Phone: Cell Phone: 508-360-0039 Email:. jodi@bassriverproperties.com FRONT UNIT TO THE HOMEOWNER:If you would like to have RISE Engineering conduct a Final Inspection of the weatherization work completed at your home,please call 508-568-1926 ext 5 or,email us at CapeLight CompactInfo@RISEengineering.com to schedule a convenient time. Start CFM50 End CFM50 BAS CFM50 Worst Case Depressurization pascals CAZ Limit pascals Spillage: Yes or No Draft Failure: Yes or No CO Levels: Pass or Fail The following areas were sealed,as directed by RISE Engineering: Attics Kneewalls _Attic Hatch _Kneewall Hatch Attic Ducts _Dropped Soffit Top Plates Chimney Chase _Plumbing Gaps _Wiring Gaps Basement Crawlspace Sill Plates _Open Bottom Plates - Plumbing Gaps _Wiring Gaps —Duct Register Gaps _Basement Door P Door Weatherstripping - - -_Door Sweeps _Ducts _Joist Transitions Exterior Areas Sealed: Other Areas Sealed: AIR SEALING: Install Q-Ion weatherstrip to(1)full-sized door(s). Install best sweep for the application. VENTILATION: Provide labor and materials to install(1)exhaust hose with wall mounted flapper vent to exhaust existing clothes dryer(s)through band joist or wall. BASEMENT DOOR: Insulate the back of the basement.door leading to the bulkhead with 2 rigid board that meets the sections R-316.5.4 and 316.6 requirements of building code. Seal all edges and seams with FSK tape. CRAWLSPACE:Install 275 square feet of 6 ml polyethylene over open ground in designated crawispace/earthen basement areas. Lap the poly 6 up the side walls and seal with polyurethane caulk or equal. Seal poly seams with air barrier tape. 11/10/2016 12:55:04 PM RISE Engineering Program Installation CLC-HES A division of Thielseh Engineering Client# Receipt RISE ENGINEERING 5 Dupont Avenue,South Yarmouth,MA 02664 223844 508-568-1926 X-6610 FAX 508-568-1933 Work Order 03602 Page 2 CRAWLSPACE: Install(680)square feet of R-21 closed cell spray foam insulation to the crawlspace perimeter wall sill and band joists. Then install a spray applied ignition barrier over all exposed foam. Any crawlspace access within the perimeter wall needs to be weatherstripped and insulated to 11-21. Any present crawlspace vents need to be permanently sealed and insulated to R-21. INCENTIVE:RISE Engineering will apply all applicable eligible incentives to this contract. You will be billed only the Net amount. Currently for eligible measures the Cape Light Compact offers 75%incentive not to exceed$4 000 per calendar year and an incentive of 100%for the Air Sealing measures. For the safety and health of your home s indoor air quality we will be conducting a blower door diagnostic of the available air flow in your home both before the work is begun and after the weatherization work is complete. We will also conduct a diagnostic assessment of the combustion fumes in the exhaust flue of your heating system and water heater.This has a value of$90 and is at no cost to you. The Permit will be secured by the insulation contractor at no additional cost. It is the homeowner s responsibility to close out this permit by contacting their municipality at the completion of this work. 1 confirm that the measures listed above have been completed to my satisfaction.I have received a copy of the Certificate of Completion and hereby authorize the release.of any final payments to the Contractor.1 understand that this Authorization of Completed Work does not in any manner void any warranties provided to me by the Contractor. Inspector's Signature Customer Signature DATE DATE 11/1020 1 6 1 2:55:05 PM �-- i Massachusetts Department'of Public Safety Board of Building Regu�latlons,and Standards License: CS..100888 Construction Supervisor % • HENRY E CASSIDY\\ ` ��7 •, `; . .0 6HED ROW WEST YARMQUJHUSA v1 ' r s ' Expiratlon: Commissioner, 11/1112017° F Office of Consumer Affairs and Business Regulation -10 Park Plaza Suite S l'70 ' x Boston, Massachusetts'02116 r . Home Improvement C6ntretetor.Registration` E "Rog lstrallori: '153567 t Type: Private Corporation • 4 �• ,' Expiration-. 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY, 18 REARDON CIRCLE SO. YARMOUTH, MA 02669 --- Update Address`and return card, Marlc reason for than e g Address scAI !; �oM•os[n � m�, �, �, L].Renewal -Employment''r(- Lost C'aril V/[8 1p017Y17b0�L[UBCbu2 o�Q/�lLd4![v�f[de�2i1' ...., • Office of.�onsnmcrArrnlrs�C Duslncss Regnintton License or registration Yalld for lndlvldul use only ° OME IMPROVEMEW' CONTRACTOR ' before the expiration date,'df found return to: \ e Istratlon: Office of Consumer Affairs and Business Regulation r 9 '1"59507 Type; �� xplrallon; :;1:145I�30:1:8 ;Private corpora ilon 10 Park Plm•Suite 5170 CAPE C00 wSULATtbf Boston,MA 02116 a r HENRY CASSIDY x f 18 REARDON CIRCLE 4 S0.YARMOUTH,MA 0204 Undcrsocretery fV Yalld Yvl ut sign e • t a . .. a ..�. - A a f _ '_. . � r R •M f 'i The Conirnonwealtlt ofli�lrrssachusetts r Department oflnrlustrtrtlAcctdents I 1 Congress Street Suite 100` Boston M � -� •+- A 02114.2011 . Is�vw,MMs,go-011n lfiwl•kcrs' Compensation Insurance Affldavtt; $tl(lders/Contractors/Ef TO BE FILED WITH THE PERM ectrlcians/Plumbers, scant Information PERMITTING ORI_ TY, Name(Busin6ss/Orgenization/individual)' It Please Print Le ib� Address. CI /Stat 2� e/Zi Phone Arc you an employer? eck the appropriate box:' I. 'lamaemployorwith �employeos.(full aneorparl•timo.' ' TYPO Of proJeet(required-'2.[]l am a sots proprlotor of partnership and have no employees working forme in F anycapeeity,(No workers'comp.insurance required.) T (�'tVev✓construction erne homeowner doing all V '� Remodeling se1f.( o workers' comp,insurance required.)l 9. �] Demolition a I am a homeo+user and will be hiring contractors to conduct all work on m 4 an3M that all contractors either have%vorkerV compansatfon insurance o►pro 10 Q $uilding addition P ny I Will proprietors with no employees. �! (. S.Q 1 am a general contractor and I have hired the sub•conlri+elors listed on the t 1t3CtrlCBl repairs Or addihcn These sub•contractors..havo employees and have workers'comp.insurance.i ?'(�.plumbing repairs or additif-"I; attached sheet. �—•� 1.3,QRoofrepairs 6 l_.1 We are a corporelton and its officers havo exercised their right of exemplton pat MGL c: 14. ` 152,¢1(4)•and we have no omployoos (No workers'comp•insurance(oquirod.) Other 'Any applicant Thar _�G/✓,J�/� �`�j,�c chomAbox o must also fill out the section below showing Choir workers'compensatto 'Homeowners who submiClhis affldavtl indicating they are doing all work`and then hire (Contractors that check this box must attached an additional sheet showing the name of the su , n policy Information. -- employees. Irthe sub•conireclors have employees,they must provide Choir works outside contraolors must submit a now aflldavit indicating such. b contraolors ind slate whether or not those entities have. I ens an i»fornratlon. ' obey number.mployer that is provrllrg wrkers'oouspetreton licsrancefor ' a e1nployees, Below is the policy end job sue, Insurance Company Name• 'Policy#or Self•ins. laic. Job Site-Address: Expiration Date: Attach a copy of the work rs' cornpr:nsntion policy declaration a e C1tytState./Zip; Failure to secure coverage a required under MQI,c• !Se §25A is a cif ` ^�^ p $ (sbowing the policy atttn� rand expiration dates. - and/or one-year imprisoment, as Well as civil penalties in the form of a STOP W moral violation punishable by a fine up to$I,SOG�r� day against the violator. A copy d'(tl;is statement may be forwarded to the Office ORDER and a one of up to$250 Uu _ coverage verification. ' Investigations of the DIA for insurance - I(to hereby ce p • . y n`�y currier the rct�rs-rrnrl pertaltte$of perjr{ry that lire lt(/ortttatton r i natu ,!' , --pro n eve true and correct ' ho N - Official ure•orlly, Do,�IRor•ivrlle'ln flits area, to be corrrpleted by city or tolvrr -- offlclel --.-�-- City or Towne l , Issuing Authority(circle one)l` Permit/License Il 1, Board of Health 2, Building Department 3. C(6, 01her ty/Totira Clerk 4, Eles!cnl Inspec t or S, Plumblig III ' r Inspector Contact person; y ::phone�' " � `� ]� ,.• CAPECOD-27 CLEDDLIKE ACORO" CERTIFICATE OF LIABILITY INSURANCE`` DATE 7/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this Certificate does not confer rights to the Certificate holder in Ileu of such endorsement(s)• PRODUCER CONTACT NAME: DeLawrence Rogers&Gray Insurance Agency,Inc. PHONE FAX lift 134 c Exit: ac No): South Dennis,MA 02660 ADDRESS:bdolawrence@rogersgray.com INSURERS AFFORDING COVERAGE "NAIC q INSURER A:Peerless insurance Company INSURED INSURER B:Safety Insurance Company 39454 Cape Cod insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yerm' h,MA42684 INSURER E INSURER F COVERAGES C9.ATIFIC l NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF;INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, YEAW1611,CONDITION OF,ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.:j?OI AIN, THO::INS0AN4E AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHROLICIES,LIMIT-S'SHOWN.MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L7R TYPE OF INSURANCE POLIGY.-NU M BER MMIDDIYYYY MMIDD - .LIMITS i A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 0 OCCUR CBP8261,063 04/01/2016 04/01/2017 DAMAGE TO RFRTElT__ PREMISES Eaoceunenoe $ 100,000 f. MEO EXP(Any one person) $ 6,000 .` • PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPI PER GENERAL AGGREGATE S 2,000,000 X POLICY D j � LOC OTHER: PRODUCTS-COMP/OPAGG $ 2,000,000 ' AUTOMOBILE LIABILITY a COMBINED S1WUI.E LIMIT B, ANY AUTO 6232707COM01 04r01(2016 V0 /.1TU2017 BODILY INJURY(Per person) $ 1,000,00 ALL OwNEO" X SCHEDULED AUTOS AUTOS ` —w BODILY INJURY(Per aeddenq 8 NON-0VVNED . X HIREDALROS X .AUTOS R P ccident RTY AG Per a X UMBRELLA LIAR X OCCUR 6ACH'.000URRENCE $ 2,000,000 (,'• EXCESS LIAR CLAIMS-MADE EXC7.0006635001 0410U21)16 04101/2017`•AGGREeATE $ _ DED X I RETENTION$ 1.01000 Aggregate:.. $ 2,000,000 WORKERS COMPENSATION •• -•• AND EMPLOYERS'LIABILITY Y pN t :` STATUT't ER ❑ ANY PRoaRIETOR/PARTNERIEXECUTNE CEOO431902 0613012016' '0613012017OFFICERIMEMBEREXCLUDED? NIA ; yCHACCIDEN7 1,000,000 (Mandatory In NH) Ityyes,describeunder :: ; E.L.DISEASE..EA-'.EMPLOYE $ 11000 OESCRIPTiON OF OPERATIONS below 000 E.L.DIS E�-:POL'ICY LIMIT'.:,$: 1,000,000 l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLE'$ (ACORD 101,Additional Remarks schedulB,meyybe•atfaoflAd1(lnore apace Is required) , Workers Compensation Includes Officers or Proprietors., Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agrearnent with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION �''" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Vaith-"(g�. uje� Iders .' THE EXPIRATION DATE 'THEREOF, NOTICE WILL BE DELIVERED IN, 94A Co RTerce Park Sout�th ACCORDANCE WITH THE POLICY PROVISIONS. Sou hatham,MA 0266$`�:` AUTHORIZED REPRESENTATIVE m 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) _ The ACORD name and logo are registered marks of ACORD IFK ' Town of Barnstable Regulatory Services etnss Richard V.Scab,Director rb'a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,4i4 02601 »-%vw.town.barnstable.ma.us Office: 508-B62-4038 Fax: 508-790-6230 Property Owner Must C:ompletc and Sign This Scction _ If Using ARW---der !, ul 'e,��,�`.--- _.,as Owner of the subject proix:11.), herebyatnho&-e _ e--C--C to act on my behalf, in all matters relative to wn authorized by this building pernlit application for (Address of jobj'...... -- *Pool fences and alarms are the responsibility of the applicant. Poole are not to he filled or utilicrd before fence is installed and all final. inspections am.performed and accepted. Signature of^'Mr Signature of Applicant y Pnnt Name � Print not Name Y lath , \ Dace Q:FJRMS:OIi NFdtP:.R.ti11SSK)NPOOL\ "�•�.�..:. cal , r� own of Barnstable Regulatory Services �SFIE Tp� o .Richard V. Scali,Director * snxxsr�sri. • Building Division MASS. Tom Perry,Building Commissioner 9 . i639� ,�� ' 39 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: ��aC����J ��L�"�t�S Phone#: Address: �� �`aC(t1�V. c�, �rl �A4n ge: , c Name of Business: q Type of Business:'>rl\I%r1 �l'�c>y e-- Map/I ot: . , INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one , pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. , • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: )adtlm 96 C kaY J 3 Date: Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.DD for 4 years]. A business'certificate ONLY REGISTERS YOUR NAME in town (which you t must do by.M.G.L.- it does not give you permission to operate.] You must first obtain-the necessary signatures on this form at 200 Main St_, Hyannis. Take the completed form'to the Town Clerk's Office, 1 st Fl., 367,Main St.,-Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: ]•`L• IS Fill in please: r .. APPLICANT'S _YOUR NAME/S:. ��(ei h�,rcls BUSINESS YOUR HOME ADDRESS.�� 'farts c� TELEPHONE _#k, Home Telephone Number q a- 2,G 19 NAME OF CORPORATION: NAME OF NEW BUSINESS -54-iQt, �,,tj� TYPE OF'BUSINESS can ins u IS THIS A'HOME OCCUPATION? ✓ YES NO ADDRESS OF BUSINESS k 6 ` d On A Lh4ck r v�1_5 MAP/PARCEL NUMBER f0 [Assassin g) ' When starting's new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This farm is intended to assist you in obtaining the.information you may`need. You MUST GO TO 200 Main St.'— (corner of Yarmouth Rd_ & Main Street) .to make sure you have the appropriate permits and licenses required to legally operate your business in this town. - 1. BUILDING COMMISSIONER'S OFFICE *- This individual has been informed'of any permit requirements that pertain to this type of business. Authorized Signature*.*. COMMENTS: . 2. BOARD-OF HEALTH This individual has.been informed.of the permit requirements that pertain to this type of business, ry COMMENTS: Authorized Signature ------------- 3. CONSUMER AFFAIRS [LICENSING AUTHORITY] This individual has been informed.of the licensing requirements that pertain to this type of business. Authorized Signature** -,:' COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel10L Application ®� Health Division ' Date Issued ; �- Conservation Division `" . „. Application Fee /( Planning Dept. Permit Fee Date Definitive Plan Approved'by Planning Board ' f Historic'- OKH _ Preservation / Hyannis Project Street Address �, ✓`g r en d�A Village PP99 Owner R e✓+a I dl Address Telephone 3 I Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation z�� 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 p Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count. Heat Type and Fuel: ,4 Gas ❑ Oil ❑ Electric ❑ Other 4 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood%coal stogie: ❑ s ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing Q nepp size_ M_ rill Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use _APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name `--� !� f' 4 Telephone Number� l Address e117 License# 7� Home Improvement Contractor# - Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FRO THIS PROJECT WILL BE TAKEN TO a"A c-q SIGNATURE ��� - ��� DATE t r FOR OFFICIAL USE ONLY APPLICATION# BATE ISSUED r MAP/PARCEL NO.. ADDRESS VILLAGE OWNER f t . DATE OF INSPECTION: 1 FOUNDATION r FRAME k "INSULATION .; ' � } FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS:-,, =t; ROUGH _ FINAL •.FINAL B�U.ILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J 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 APPReant Information Please Priest lae 'bl Name(Business/Org=zahon/indMduaI): / ICI Address:-- ( ioll7e (. City/State/Zip (/ -7 Phone#: D �'�� ff Are you an employer? Check the appropriate box 1.❑ I am a e to er with Type of project(required): ' mp y 4. ❑ I am a general contractor and I employees(full and/or part-time,,* have hired the sub-contractors 6' ❑New construction 2,r I am a sole proprietor or partner- �d on the attached sheet. 7. ❑Remodeling . ship.and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.ins=oe comp.ins uranCeJ 9.` ❑Building addition. 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 I1.❑Plumbingairs or rep additions myself [No workers' comp. , right of exemption per.M&L tea insurance regi� 12ed.]t c. 152, §1(4), and we have no ,0Ro-of repairs employees. [No workers' 13.❑ Other comp.insurance mqu md.] *Any applicant that checks box 91 mzst.also fill out the section below showing their words'.compensafioa policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must sabmit a new e�idavit indicating such #Contractors that check this box mast attached an additional sheet showing the name of the sab-contractors and stale whether or not those entities have employers. If the sub-contractors have employees;they must provide their workers'camp,policy number. I am an employer that is providing workers'compensation insurance for my employ information. ees Below is the policy and job site 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 MCIL c. 152 can lead to the imposition of crimi penalties of a fine up to$1,500.00 and/or one-year impdsonmer�as well as civil penalties in the faun 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 card under the pains d ena16es the at the inforrreation provided oNe is ue and correct Si Dater G Phone# Off-ccial use only. Do not write in this area to be completed by city or town gfcciaL City or Town: PermitUr-ease# iss¢ing Authority(circle one): ' I.Board of Health 2.Building Department 3, City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: IHE Tow of Barnstable E Regulatory Services as�+es g Thomas F.Geiler,Director 639 �ti� ►+ Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax; 508-790-6230 Property Owner.Must Complete and Sign This Section If Using A Builder as;Owner of the subject ro \ � l P Ply hereby authorize C l �� I , �o�Y� to act on mY b ehal� in 211"matters relative to work authorized by this building permit (Address of Job) **Pool fences.a.nd alarms are the responsibility of the applicant. 'Pools are not to be faed before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature Zof Applicant 91- Print Name v . Print Name Date Q:FORMS:0VNI RPERMISSI0NP00LS Office oto mer airs mess u a ion License:or registration valid for individul use onl kdOME'IMPROVEM ENT'CONTRACTOR fore the expiration date. If found return to: ,Registration 166941 . Type Office of Consumer Affairs and Business Regulation S Expiration: 7/2 012 0 12 individual 10 Park Plaza-Suite 5170J. I r Boston,MA 02.116 R RD TY F PROU _� 1 �r CHARD APROUTY 11 PINEHURST DRIVE Z WAREHAM,MA 02571:: Unders.ecreta'r }. Not valid without signature Nl tSs achusetts- Dcp irtnicnt bf Puhlic S itch Bo t;rd of 136ildin- Re-ulutions and St tnd.0 tls 3 ^;Construction Supervisor Licehse �Ll,cense., CS' 104977 i ',a+ RI.CHARD'F PROUTY j 11 PINEHURSTDRIVE �. r � ; WAREHAM, MA 02571 " i Expiration: 7/6/2014 j E'unnui.vsiimcr Tr#: 104977 SEP-19-2001 15:11 BRRNSTABLE HOUSING 1509779931'2 P.@1 Barnstable Fax i%.S) 77t-72'_'_' l Fax (5t111'i'1ti•y3I' Leased Housing Dept. (`0,Sl77t•7'_�J_ . Housing Authority f,lti South street � F[ya1111Ps. ZONING VERIFICATION TO Gloria Urenas FROM: Robert Hooper, Leased Mousing Coordinator RE: Legal Rental Unit Verification Date: _m —2Z ' l o i________—__ -----__ Address: (,��p `�a/m�� -- Village: Unit Type: 3 Bedroom Size: ..3 Map & Parcel No.: 3a -7 - 7(6 The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: ------------------------------------------ Thank ou for your assistance in this ma i nature Tint name Date VIA FAX. 790-6230 MRVP Sectfan a Rev. 9/J9 Equal Housing Oppor.unity .�.gency TOTRL P.al P. Communication Resu>it Report ( Jan. 27. 2010 10: 52AM ) 2) Date/Time : Jan. 27. 2010 10: 52AM File Page No. Mode D e s t i nat on Pg (s) Re•suI t Not Sent --------------------- -------------------=----------------------------------------------------------- 7526. Memory TX 95083944819 P. 1 OK Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) .No answer E. 4) No facsimile connection E. 5) Exceeded maxi ' E-mail .'s i ze 5U-19-2091 15 11 8a.4v5TA E 47US1N3 .15RB'7783312 P.01 Barnstable Fa111iM577k-vtl'_ - i Lc M H ;Dcp, In 1 ,171.7'v - - - Housing Authority S en SLnw.H142 ..N.u..k7Ntl ZONING VERIFICATION TO: Gloria Urenas FROM: Robert Hooper, Leased Housing Coordinator RE: Legal Rental Unit Verification Date: 9 IR Address. a 4 tip Wage: Unit Type: 3� Bedroom Size: -3 Map & Parcel No.: sla7-ib6 The owner of the above listed property is entering Into a contract with us for the rental of the property as Dated above. Please verify by signing below that the unit is legal and ' meets all zoning requirements for a rental In the town of. Barnstable. I1 It does not,please list reason here: ;ThankZtar your assistance in this m lt _ � QS. store riot name Date VIA FAX: 790-6230 MRW sxnw s x rna_P.ai M;,LS Page 1 of 3 Listing Summary Listing#20906390 68 Yarmouth Rd#3, Hyannis, MA 02601 Sold (01/13/10) DOM/CDOM: 175/175 $340,000 (LP) Sq Ft: 2523* Lot Sz: 14374.000ac* $314,000 (SP) Town: Barn Yr: 1920* SP%LP:92.35 Remarks Picture Great big 3 family. The Ws make a lot of sense. On town sewer. _4 Pic (81 � tures _ r y, N- h ..r ���l4lJ4rhurr(llJlff�r4l+hftl'il�h�Irlj/If,IIG�`��Nr1rJ1/�ll�rfr tJl Agent Ronald D Bourgeois (ID:U281)Primary:508-394-0485 x1 Secondary:508-400-4567 Office Bass River Properties(ID:BASR)Phone:508-394-0485,FAX:508-394-4819 Property Type Income/Multi Family Property Subtype(s) 3 Family Status Sold(01/13/10) Town Barnstable Commission-Other n/a Commission Sub Agent Comm. Buyer Agent Comm.Dual Agent Comm. Comments Dual Var Comm 0% 3% 3% 4.5%BRP Yes Facilitator Comm 3% Listing Type Excl.Right to Sell County Barnstable. Tax ID 327-166-0-0-BARN Year Built 1920* Year Built Desc. Actual Approx Square Feet 2523* Sq Ft Source Assessors Records Lot Sq Ft(approx) 626131440* Lot Acres(approx) 14374.000 Lot Size Source (Assessors Records) Listing Date 07/21/09 Owner Name Philip J Ellsworth All Office Remarks Please call Ronnie @ 508 400 4567 for appt as tenant occupied Directions to Property Main St to Yarmouth Rd to 68.@ the corner on Crocker St. Selling Information Selling Price 314,000 Selling Date 01/13/10 Listing Price 340,000 Pending Date 01/12/10 SP%LP 92.35 Original Price 34,000 Financing Conventional($5000) Comments Selling Agent Ronald D Bourgeois U2811 Selling Office Bass River Properties(BASR} Concessions Yes Listing Page Showing Instructions Appointment Req.,Call Listing Agent http://ccimis.rapmis.com/scripts/mgrqispi.dll 1/20/2010 MIL Page 2 of 3 General Page Zoning Res Number of Units 3 Basement Description Interior Access,Partial Foundation Block Topography/Lot Desc. Corner Lot Depth 0 Parking Unpaved Driveway Garage No #of Cars 0 Waterfront No Water View No . Convenient To In Town Location,Major Highway Miles to Beach .5-1 Water Access Harbor Beach Description Harbor Beach Ownership Public Interior Page Interior Features HU Cable TV Unit 1 Rooms 5 Unit 1 Bedrooms 3 Unit 1 Full Baths 1 Unit 1 Half Baths 0 Unit 1 Floors/Levels 1.0 Unit 1 Flr/Lvl Desc Second Floor Unit 1 Leased No Unit 1 Monthly Rent $1500 ' Unit 2 Rooms 5 Unit 2 Bedrooms 3 Unit 2 Full Baths 1 Unit 2 Half Baths 0 Unit 2 Floors/Levels 0.0 Unit 2 Flr/Lvl Desc First Floor Unit 2 Leased No Unit 2 Monthly Rent $1000 Unit 3 Rooms 4 Unit 3 Bedrooms 2 Unit 3 Full Baths 1 Unit 3 Half Baths 0 Unit 3 Floors/Levels 0.0 Unit 3 FIr/Lvi Desc End Unit Unit 3 Leased ..No Unit 3 Monthly Rent n $1200 Unit 4 Rooms 0 Unit 4 Bedrooms 0 - Unit 4 Full Baths. 0 Unit 4 Half Baths 0 Unit 4 Floors/Levels 0.0 Unit 4 Monthly Rent $0 Exterior Page Pool No Dock No Energy Saving Feat Storm Windows Exterior Features Exterior Lighting Roof Description Asphalt Siding Description Clapboard,Shingle Mechanical Page Heating/Cooling Natural Gas Water/Sewer/Utility Town Sewer Hot WaterfWater Heat Natural Gas Landlord Pays Electricity,Gas, Heat,Hot Water,Sewer,Snow Removal,Water,Yard Maintenance Legal/Tax Page Annual Tax $2615 http://ccimis.rapmis.com/scripts/mgrgispi.dll 1/20/2010 Ml S Page 3 of 3 Tax Year 2009 Land Assessments $0 Improvement Asmt $256100 Other Assessments $0 Total Assessments $256100 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 105-Three-Family Title Reference-Book 9284 Title Reference-Page 116 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Asbestos Unknown Flood Zone Unknown Warranty Available No The listing contract has not yet been validated by MLS Staff. Denotes information autofilled from tax records. Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple Listing Service, Inc.All rights reserved Copyright©2010 Rapattoni Corporation.All rights reserved. Generated: 1/20/10 12:05pm RapattonUl ' . 'i http://ccimis.rapmis.com/scripts/mgrgispi.dll 1/20/2010 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE _tY JOB. LOCATION �0� 9 i/TI is Number Street address . , ection of town "HOMEOWNER" L5ORT14 at 1719A,ff, Name Home phone Work phone PRESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(sY who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 buildinq permit. (Section 109.1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. - The undersigned ."homeowner" , certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER' S EXEMPTION The code state that: "Any Home Owner 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 a Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for .licensing donstruction Supervisors, Section 2. 15) . `;This lack of awarenes often results in serious problems, particularly when the 'Home. Owner hires unlicensed persons. In this case our Board ,cannot proceed against the inlicensed person as it would with licensed. Supervisor.._,, The .Home"Owner--'actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her.,responsibilities,.'man communities require, as part 'of the permit application, that the Home -Owner 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. YARMO UTH RD. (1962 TOWN LO- 00'SL ,00'Stt 3.*UV8 OS r— ,L*ZL r- v n _ m r Ig p m o r-zfl-o- o z 0-1 d c 7C tv 2 N 0 m p �n / 2 V pp7 I J v O� v I M• U'1 1CD o �� m o m rnm -4 o ?0 O'SL) 9T99 o g N V-881 101,l ,00'Stl 'ba SL'C6Z'l 3 Cq ,00.06 t 3.*Z.9£.COS I OZ'0 (� 3.Z0JS.*- cr o� Z v ml rn dv rn v o, U rn C I m f N r; �-y0 O 5N o < 0 A r t7 v z I v rn S07 3 O -- do 192. 3s X 3�,� �--�� �` r' '- =,. CO MM O NTWEALTH OF MASSACH USETTS T OT=I'DUSTRIA?ACCIDENTS c: games.. Ga-.:: ,c, I�C�` -h'� l � •:_�`?.._.il'S;�-_' ti Q?111 r:ss��ne WORKERS' COMPENSATION INSURANCE AFFIDAVIT (lion cc/ with a principal plan of business/residence at (City/ScatcfLip) do hereby ecrcify,under the pains and penalcics of perjury;that: [J I am an cmplovcr providing the following workers'compensation coverage for my crnployccs working oii this job. lnsurancc Company Policy plumber A r (J I am 2 sole proprietor and havc no one working for mc. W] 2m 2 solc proprietor, general conmaor o homcowncr cirdc one)and havc hired the contractors listed bdow who havc the following workers' compensation in cc po icics: I-amc of Contmaor Insurance Company/Policy Numbcr N2mc of Contmaor Insur2ncc Company/Policy Dumber N2mc of Contmaor y Instuancc Company/Policy hiumbcr D ] 2m 2 homcowncr performing all the wort:myself. NOTE Plc:sc be :•,::c t3:t wbilc borrco—=crs--o employ persons to do raaintcaancc,construction or rcp:irwork on: rwdlir.�of not more than thrcc units in v'nich the hornco—�cr also resiGcs cr on the Froua, s appurtcnamt thereto arc not Fcocr:lly eonsidcrcC to b<employers unecr the"Wor':en' GorrPcns_uon Aa(GL C 152,sect. 1(5)), application by a bomco—ncr for a license or pCrrn1T r^:v evidence the lc€.-J surus of an er--ploycr unCcr the Vorkcrs'CornpcnS:tlon AcL I unccr::anc th:e:copy of st:temer.t wiL be fo—. z&c to the Dccztmcnt of Industri_l Accidents*OGsec of lnsur:nu for.eoveraze tcrifjc:.ion:nd th:t f:ilurc to secure cAvcraa�'c zs rccul.cc ur.ccr Scctio.251.of l✓,GL 152 cart lead to the imposition of ;irtinal penalties eor,sis of: Lne of up to 5l 500.G0 zrejr r inp:�cr.—c::cf v: to .c yc: �.c 6,,:J pen:lt.ies in the form of:Stop r/ork Order and fine of S)00.00 a day agars. mc. Signcd this d2Y of e�A, , 19 9 Licensee/Pcrmi Licensor/Pcrmittor Amssor-sOffice lst floor Ma Lot /: Permit# -4�40 Conservation Office 4th floor Date Issued v uU Fu Board of Health 3rd floor Engineering Dept. Ord floor) House# °4 � Planning Dept. (1st floor/School Admin.Bldg.): NAIR .. Definitive Plan Approved by Planning Board 19 (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) TOWN OF BARNSTABLE Building Permit Application Project Street Address 6 P W/Z ,00 /Z/). -/ 0 n'17 Village "mX�Vi 6, ire District Owner 401114/A T '6"zt'SM6 "# Address ' 17 S d •d'Ap 4ye ,ti-M"O,GOxAl , Telephone / --rd �'- 71,P /177® _ Q�g� Permit Request: 7*0 C a A-'57.,E 4) C'r r Q L C PA 6-,l`.r' At �/Q )�� L utif�'# /A/ &A1 CG4/LACh J-1V P. >- X / /a-W? /��p G&.1dl6'. AAetrl-' Zoning District Flood Plain Water Protection Lot Size 2--?l X0 001 Grandfathered Zoning Board of Appeals Authorization Recorded Current Use R �y'A4'WA L R_F:1 x --AvraA L Proposed Use 9R46%' F Construction Type GrAgP j2U,46 ,r Eaistin2 Information Dwelling Type: Single Family 11� Two family W-000, Multi-family Age of structure G D YIPA#.C, Basement type r Historic House Finished Yf1 Old King's Highway Unfinished Number of Baths V No.of Bedrooms �p Total Room Count(not including baths) `/ First Floor Heat Type and Fuel S 9o, 4 MY-u/4 rkll Central Air AI G Fireplaces �d Garage: Detached Other Detached Structures: Pool yo Attached Barn W& None A/r AIA- Sheds !l Other ' Builder Information Name Telephone number Address License# Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. w ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost 106232, Fee ®,_ SIGNATURE DATE o �? .f -7? 13? BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T ELLSWORTH, PHILIP J. FOR OFFICE USE ONLY PERMIT #1-7-�-*µ6'7 ADDRESS 68 YARMOUTH ROAD, HYANNIS ' VILLAGE , . OWNER . PHILIP' J. ELLSWORTH DATE OF INSPECTION: FOUNDATION ► r FRAME INSULATION _ FIREP E ELECT ROUGH FINAL PL ROUGH FINAL GAS: ROUGH FINAL FINAL DING: ' DATE CLOSED OUT: ASSOCIATE PLAN NO. , f f � - The West Barnstable Co. . SHEET NO. 'OF .� 1170 RT. 6A- BOX 205 WEST BARNSTABLE,MASS.02668 CALCULATED BY DATE (617)362-6866 CHECKED BY DATE . . SCALE '7 7/j/ t1=, 1 /Ot( . -_. ..._.... .. ...... .. _.._._,,. t_........: ........ ....._....: ..__..... ..... .. ......I .... .:...._.. __.f.. :_..... _i —.. _. .."... .. i..... 1-1-_ .:..... .. .. .... ._._ ..... ._.. ..- ..... ... .. .. . ... .... - .... 1 .. :. , "... .. _. ...., ... . ...._. ... ..... .......... ...._. - .... .. ..... .. .... ... _. .. . ........ ..... .._... .. _ ..... .. - .....- .... ... _... .... ` ... ... .. ... ... .._ ..... ` ..... ._ .... . I. 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