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F # NrP 3996 CENSUS TRACT # 127 T: Atto s roabe 6 Rile DEED BOOK PAGE :Antanes B slena vieskalnis PL K G L Carol Gooh ASSE RS PLA PLOT N 0 R T 6 A G E INSPECTION PLAN of LAND LOCATED AT 108 LONGFELLOW DRIVE BARNSTABLE, MASSACHUSETTS REV: JULY 11, 1996 SCALE: 1a= 30, JULY 3, 1996 WT 42- 0 .\0 + � SNED IPwY�O I L�36 5wJ I IZZ71 96.02 RnoM LoT 37 LOT 35 *Ios - tiuse° i2a1c11 DWve I CO.JC. Witf,X f LONGFELLOW DRIVE I CERTIFY TO ATTORNEYS TOABE & RILEY, AND ITS TITLE INSURANCE COMPANY, THAT HERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS EXCEPT AS SHOWN AND THAT THIS LAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. HE LOCATION OF DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ONING BY-LAWS W .7H RESPECT TO HORIZONTA /KENNT'�H IMENSIOVAL REAUI 01ENTS. " (�r " r ?q7:R HE DWELLING SHOWN HERE DOES NOT FALL WITHIN SPECIAL FLOOD HAZARD ZONE AS DELINEATED•ON MAP OF COMMUNITY #250001-0015C DATED 1/19/85 BY THE F.I.A. NOTE-. SHED APPEARS TO BE ON OR OVER f'COO IOU. Kenneth R. Ferreira PROPERTY LINE. a Engineering, Inc. AN ACCURATE INSTRUMENT SURVEY WOULD PO.Ikiz 190..3 BE NECESSARY TO DETERMINE THE EXACT rw.,,n..w'' tSILwBedfor ,.MA02741-1903 LOCATION OF THE SHED. 906992-0020 L Fax.5089g2-3374 GENERAL MOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land amrveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, for use in preparing deed descriptions or for con. structions. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. Town of Barnstable sill i eaua�i�rniPost This Card So That it is_Visible From the Street;=Approved Plans,Must be Retained on Job and#his Card Must be Kept �Pos`ted Until Final Inspection Has,Been Made ` -11 1 �� 7 , . LWhere a Certificate of Occupancy is Required,such Building shall Not be Occupied until a I -Final Inspection has been mayde.. 1 . _ Permit NO. B-20-1507 Applicant Name: PROJECT MANAGERS LLC Approvals Date Issued: 07/07/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 01/07/2021 Foundation: Location: 108 LONGFELLOW DRIVE,CENTERVILLE Map/Lot: 189-109 Zoning District: RD-1 Sheathing: Owner on Record: GROH,CAROL A Contractor-7 'Name:``°:PROJECT MANAGERS LLC Framing: 1 E4`4 Address: 108 LONGFELLOW DRIVE Contractor License: 155863 2 CENTERVILLE, MA 02632SAx ` , Est. Project Cost: $ 13,000.00 Chimney: r Description: Remove existing living room &kitchen ceilings. Remove kitchen n Permit Fee: $ 116.30 wall creating an open floor plan. Both ceiling Insulation:'areas now one , vaulted. 2 skylights installed. Kitchen exterior)door eliminated. Fee Paid,, $ 116.30 Final: Please see frame detail.insulation,drywall &trim detail included Date: rfx 7/7/2020 Plumbing/Gas Project Review Req: f Rough Plumbing: -� -^ `Building Official Final Plumbing: ` This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six monthsafter`issuance. All work authorized by this permit shall conform to the approved applicatiorrand'the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for„public inspection for the entire duration of the work until the completion of the same. ' ' -- Electrical 4� The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided'on this,permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing a Rough: 2.Sheathing Inspection w - -v�•.. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT F ZHE T _ Application Number........ ..: ` .. /. ................... w BARMABLE, * SCANNED Permit Fee.. ...../i� r v MASK. `4.... ..............Zoning District........................ CEO 39. Total Fee Paid 1 ' TOWN OF BARNSTABLE 1� Permit Approval by......1. .. .. .......On....`... ...... BUILDING PERMIT Map...........:....... .��........Parcel....... ..�.........,.......:...... APPLICATION Section 1 — Owner's Information and Project Location Project Address —ZQ66 ��l�w9L Village (fejQAv� Owners Name 1 o L G"rLo Owners Legal Address © City State ,; - Zip © 6 Owners Cell # c0&5,365-CF-/sue E-mail ection 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet .D I 2020 ❑ Commercial Structure under 35,000 cubic feet TOWN OF BARNSTABLE � Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm . Rebuild ❑ Deck Apartment © Sprinkler System ❑, Addition ❑ Retaining wall ❑ Solar ' Ll Renovation ❑ Pool ❑ Foundation Only Other—Specify Section 4 - Work Description c�ca� t<S '�►S L,t y t o& 1ZLze� t S �� ►n�®ct-e. 1�t•����� l.��t(. �✓�e.d.-'�'�wS /�� e�(�e,� :�G�� �l�4-�-U �3��t-. Gc<< �,� /-i-�e- dy ® (v '� a ✓1 �� Ile el L(a 44s i sa (lam lC ��-c.�� Cam. �-tc�•2 c�no® �->_ �.�/t�� - �" ' A—C 1 4 �J-2�15-/2 S�� T �Pe��+�� of�e r e d`s�5 f,�L�?O c.� �•�y c�I 'CL t Q� Last updated: 1/31/2020 w Application Number.................................................... Section 5—Detail Cost of Proposed Construction Uo-D Square Footage of Project s - Age of Structure �(`ems S Dig Safe Number # Of Bedrooms Existing � Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply R Public ❑ Private Sewage Disposal ❑ Municipal L- On Site Historic District Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: \I�^-\cJ-�s- Lid 51 I am using a crane C Yes t- No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8 —Zoning Information Zoning%District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes M No Last updated: 1/31/2020 The Commonwealth of Massachusetts Department of IndusitialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciain/Plumbers Applicant Information Please Print Legibly Name(Business/Organiztion/Individua])'6)" Yk p-,V e S C G , 1-1-.•c , Address: City/State/Zip: l © Phone M 5-6 F5' ZLE Y Z Are yo an employer?Check the appropriate box: project 4. am a general contractor and I �a of1ectr p (required): �ui� 1. I am a employer with•_ ❑ I g 6. New construction employees(fall and/or part-time).* have hired the sub-contractors ❑ 2.❑ I am a sole proprietor or partner-- listed on the attached sheet. 7. odeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' t 9..`El Building addition [No workers'comp.insurance comp.insurance. required.] . . . 5. ❑ We are a corporation and its 10.[ Iectrical repairs or additions officers have exercised their 11. Plumb' 3.❑ I am a homeowner doing all�work ❑ mg repairs or additions" myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no . employees.[No workers' 13.0 Other comp.insurance required..] *Any applicant that checks box A must also fill out the section below showing their workers'eongmL%tion policy information. . t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. r I am an employer that is providing workers'compensation insurance for my.employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 6 H V(3 — Lk— R 1 6 d —U Expiration Date: .2- -Z Job Site Address: • 0 L O rLJ� d��I o� D2• City/State/Zipt""eA, c 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 4 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 u the d pen ' ry that the information provided above is true acid correct Si afore: Date: /l O . Phone vz Lt Qftial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector,5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and'including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states brat'"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into an contract for the performance of public work until table evidence of compliance with the insurance Y P P acceptable P requirements of this chapter have been presented to the contracting authority" Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)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 ties 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 permittlicense number which will be used as a reference number. In addition,an applicant le permit/license lications in an given ear,need o submit one affidavit indicating current that must submit m Y� Y � mY g �P P applications policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file fob future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: the Commonwealth of Massachusetts Department of Industrial Accidents Office of I,nvestigaflow 600 Washington Street Boston,MA 021.11 Tel.#617-727-4960 ekt 406 or 1-877 MASSAFI Fax#617-727-7749 Revised 4-24-07 WWW:maw.gov/dia I Commonwealth of Massachusetts Division of Professional Licensure w °Saar+t"of'Buitrling Regulations and Standards Const } ri� p3.rvisor CS-095981 ? ffpires: 10/2512020 -ImI N s: WILt1ANtf Pl-�ANINS,HE4 , - 15 LEXINGT64LANE� _ YARMOtifH MA 02675 Commissioner z ,� � � €f'!c6,of Consumer Affairs and Business'Reguiation 1DW Washington Street--Suite-710 Boston, Massachusetts 02118 Home Improvement<Contractor Registration T_We: LLC Registration: 155863 PROJECT MANAGERS LLC 15 LEX(NGTON LfV: _.< Expiration: 05114/2021 YARMOUTHPORT,MA 02675 : ; _ .- - Update Address and Return Card. J�ff' �ilY)t/ilCl7lG'f.`llGl�l.`{,f'!?f/rilbC/A!!/C�`1 _ IZfr=ofiCdnstdtmrAfrdiS&ousIn=PegulaWFt- HOME IMPROVEMEW,CONTRACTOR Registration valid for individual use only TYPE ILC! hdfore the expiration AL on returnto: Repj§h-tion w=; Expiraton Office of Consumer Affairs and Business Regulation 15586 _—: _.;05/1412021 loco Washington Street -Suite 710 PROJECT MANAGERSLL�_ Boston,MA 02118 WitttAMPLANtN IEfE / 15 L—IGNGTON LN YARMOUTHP.ORT,.MA-02675 Undersecretary N valid w oui signature TRAVELERS J WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6HUB-1 K86160-0-20) RENEWAL OF (6HUB-iK86160-0-19) INSURER: THE TRAVELERS INDEMNITY COMPANY OF AMERICA 1 NCCI CO CODE:13439 INSURED: PRODUCER: PROJECT MANAGERS CC LLC MURRAY & MACDONALD INS 15 LEXINGTON LANE 550 MACARTHUR BLVD YARMOUTHPORT MA 02675 BOURNE MA 02532 Insured is A LIMITED LIABILITY COMPANY Other work places and identification numbers are shown in the schedule(s) attached. 2. The policy period is from 02-25-20 to 02-25-21 12:01 A.M. at the insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA r� B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in 0 item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident: $ 100000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B m— o® D. This policV.ncludes these endorsements and schedules: 0 SEE LISTING.OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium•for this policy will be determined by our Manuals of Rules, Classifications,Oates and Rating Plans. All required information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 01-30-20 WC ST ASSIGN: MA OFFICE: RMD POOL 161 PRODUCER: MURRAY & MACDONALD INS 75NHN 000975 w Application Number........................................... Section 9— Construction Supervisor r �,./ of ,� Name W,I( i A V�( "�` 5��� Telephone Number S_0R' d q 6 Address 1-5 k8c«nc. - City AOmc,,�k Atate t'13- Zip &;;2. License Number, CS-6 CS C8( License Type U4'- Expiration Date /'P- /.;2-0 Contractors Email fAr1-C�rA c,,%, I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required y 180 C n e Town of arns le.Attach a copy of your license. / Signature Date_� �/® 124 Section 10 —Home Improvement Contractor Name_ Q-vim PIA4/=tis k4c., Telephone Number Sb&_ 4(1-6 Address_/S tag t N-s" City l ®4-tp044 State 014,#- Zip O 2- 6?S Registration Number Expiration Date S11<( /,;?-o I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 d the Town of B Attach a copy of your H.I.C... Signature Date 6 ��?_z >-A:n Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPL ANT SIGNATURE Signature Date 1 �� Print Name lyi�ll .�� "t Tel Number E-mail permit to: Fk1rUA.,AV Wi& �C� C � • - Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ I Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval. Section 13 — Owner's Authorization I, �A2nd L e:�D/ze 9 , as Owner of the subject property hereby authorize Pn-q Y L CC to act on my behalf, in all matters relative to work authorized by his building permit application for: (Address of job) i (aLMLgo Signature of Owner date Print Name F I • I . t Last updated: 1/31/2020 CERTBFB�.47 E NFT NATIONAL F16ER OarINSUL4TiON � PART I GENERAL Lam'+ BUILDING NATIONAL FIBE62 ADDRESS OF RESIDENCE: DUILDfNU CREPT NAME&ADDRESS OF INSTALLER: L � 6 -- SEP 10 2020 TOWN OFA PA B RNSTABE DATE OF INSTALLATION,COMPLETION: � PART 11—AREAS INSULATED WALLS { ! SQ. FT.). CIELINGS { SQ• FT.) RS{ SQ. FT.) TYPE OF INSULATION: TYPE OF INSULATION: I TYPE OF INSULATION: ' v MANUFACTURER: -MANUFACTURER: --------------- MANUFACTURER: - R-VALUE AMOUNT R-VALUE AMOUNT INSTALLED INSTALLED INSTALLED INSTALLED R-VALUE, . AMOUNT INSTALLED INSTALLED PART III —CERTIFICATION CERTIFY THAT THE RESIDENCE IDENTIFIED IN PART I WAS INSULATED AS SPECIFIED IN PART II AND THE INSTALLATIONWASiCONDUCTED IN CONFORMANCE TO APPLICABLE CODES,STANDARDS, AND REGULATIONS. (AUTHORIZED SIGNATURE) 7gis certificate must be completed and prominently posted adjacent to a!1 $ press which are insulated with program funds. Town of Barnstable Building BARNSrA Post This Card So.;That it is,U�s�ble From,the Street Approved;Plans Must be,Retained on Job and this CardMust be.Kept . M Postedntd Final Inspection HaseBeenMade � f ` Permit : Where a Certificate of® upan�cys Required;,such eu�ld�n�g shallN�ot be O upi�ed�until Finat Insfiption hasTbeenmade � Permit No. B-20-1005 Applicant Name: WILLIAM F PLANINSHEK Approvals Date Issued: 04/21/2020 Current Use: Structure Permit Type: Building.-Deck Expiration Date: 10/21/2020 Foundation: Location: 108 LONG FELLOW DRIVE,CENTERVILLE Map/Lot: 189 109 Zoning District: . RD-1 Sheathing: Owner on Record: GROH CAROL A Corf _t&Name ,PROJECT MANAGERS LLC Framing: 1 Address: 108 LONGFELLOW DRIVE Contractor License 155863 2 xa CENTERVILLE, MA 02632 Est Protect Cost: $7,200.00 Chimney: 3 Description: EXTEND EXISTING DECK ON BACK OF HOUSE BY 15X8' Permit Fee: FRONT DOOR TO BE REMOVED AND REPLACED WITH D00R WITH $ 170.00 Insulation: DOUBLE IDE LIGHTS.AND 42 ROUND. Fee Paid. $ 170.00 - final: sly - i If Date 4/21/2020 Project Review Rep: Check for compliant frost protection on front entry and , ` Gas compliant attachment of posts to frame on rear deck' , �i Plumbing/Gas g/ extension. I Rough Plumbing: Building Officialiu Final Plumbing: This permit shall be deemed abandoned and invalid unless the work ai Oorized"cby this permit is commenced within sic months after;issuance. All work authorized by this permit shall conform to the approved application A-81he approved construction documents for which tfi s permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and struures shall be in with the local zoningby laws and.codes. ct This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration ofthe Final Gas: work until the completion of the same. .: Y Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe BIdng and fire Off�c�a�ls;are proud o spermit. Service: Minimum of Five Call Inspections Required for All Construction Work: ° 1.Foundation or Footing a Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i C�IKE ram, ApplicationNumber.......:.. .....( ...`............/............................ '* BARNffrABLE, * ( 6 MAN. $ Permit Fee.................................Zoning District........................ 1639. FO FAA's A TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by.................................on........................... BUILDING PERMIT l Map.............l..�. ........Parcel.......... ..�..�.. ........ APPLICATION Section 1 -- Owner's Information and Project Location Project Address kp Z a^j< Xedocy 04 y-P_ Owners Name CAArt 6 f._ (lrn 1.n —SeAfiNED Owners Legal Address 1 O� L-o: , •-�e��ow Q2t y-e_ . t Ci State VYV Zip Owners Cell # s CE-ct: 15, E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure.over 35,000 cubic feet Commercial Structure under 35,000 cubic feet ROOSingle/Two Family Dwelling Section 3-Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar 0;G Kenovation ❑ Pool ❑ Foundation Only Other—Specify Section 4 - Work Description . t5 j-+ cLe 8 C_ e)w '- o­� c, +a be- cwtoued d- Rt t4c, od t_.a.. Last updated: 1/31/2020 Application Number.................................................... Section 5-Detail Cost of Proposed Construction Square Footage of Project Age of Structure e,10 Dig Safe Number N �} # Of Bedrooms Existing !V Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ,❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics EB/Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ _ Gas ❑ Fire Suppression El Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ 'Hyannis Historic District ❑ Old Kings Highway rw Debris Disposal Facility: �An��,,+w�jl,� �An��an� I am using a crane ElYes p No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 1/31/2020 a Application Number........................................... Section 9-Construction Supervisor t�t ` ,� �L Telephone Number J g�S Name c Y'l,�w S LU � P Address City flno StateMA- Zip License Number License Type LAA—V­-*�- Expiration Date Contractors Email r2wA �l� C�w•c �C'Cell# Sb� aKC� `�Z-� I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 C d e Town of B ble.Attach a copy of your license. / 9, Signature Date ��( 6�/ae Za Section 10—Home Improvement Contractor Name `t Telephone Number Sys /YC 7 Address C� c'��ti I_w City otici' State M0Q_ Zip CEP-6'?S Registration Number 3 Expiration Date I aO'7-C 1 understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building C e. I nderstand the truction inspection procedures,specific inspections and documentation required by 7 CMR d t of Bamsta le. ach a copy of your H.I.C... Signature Date (e./,tza a's Section 11-Home Owne 'cense Exemption Home Owners Name; Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature �Date / 6� . e Print Name i« PIAJU i�� Telephone umWber E-mail permit to, Last updated:1/31/2020. Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization I, C';,4 L �n�'C` , as Owner of the subject property hereby authorize Prac _7- ,-,r•,a��-s�s to act on my behalf, in.all matters relative to work authorized by this building permit appli ation for: (Address of job) Signature of Owner date nARA ra RdAn Print Name Last updated: 1/31/2020 Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601wa I639.2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 February 28, 2020 Second and Final Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Carol A. Groh and all persons having notice of this order: As property owner or tenant of the property located at 108 Longfellow Drive, Centerville, Assessors Map 189 Parcel 109 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 2/28/2020 to: ABATE all functions associated with the following violation(s) on or at the above mentioned premises: Summary of Violation: On 7/19/2019 the Building Department observed violations)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s) R105.1;specifically,a new section of deck constructed and attached to an existing deck,siding and window replacement without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: submit an application,obtain a building permit and obtain approval on all required subsequent inspections And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has not commenced,further action as the law requires may be taken. By Order, r L. Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon @town.barnstable.ma.us The Commonwealth of Massachusetts Department of Industrial Accidents Of,7ce of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EleeWdans/Plumbers Applicant Information n Please Print Lenibly Name(Business/Organization/lndividual): y'l1 C$7�-r_ L.C Address: LAa­ City/State/zip: `-A'u-�Po � MA- Phone#: IM) i Are yoWzu employer?Check the appropriate box: Type of project(required): 1. I am a with•employer 4. [] I am a general contractor and I � 6. []New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. (lemodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• `9. El Building addition [No workers'comp.insurance comp•insuranceJ 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 11.(]Plumbing repairs or additions myself.[No workers'comp. right of exemption per M(}L 12.❑Roof repairs insurancet c.152,§1(4),and we have no �') employees.[No workers' 13.❑Other comp.insurance required.] *tiny 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Y 1 am an employer that is providing workers'compensation insurance for my employees Below Is the policy and job site information. / Insurance Company Name: /ri.4, -e�- Policy#or Self-ins.Lie.#: to H O-_ Expiration Date: ate ' S�X I Job Site Address: l b� �'K-�r(a1/'C� city+/statelzip: Leila M,p-- 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 MOO 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 certify under e p enatties of p the information provided above Is true and correct Si atrue Date: Phone#: Ofj3cid use only. Do not write in this area,to be completed 6y ci{y or town ofj`iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: TRAVELERS/ J WORKERS COMPENSATION S ON AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6HUB-1K86160-0-20) RENEWAL OF (61-IUB-1 K86160-0-19) INSURER: THE TRAVELERS INDEMNITY COMPANY OF AMERICA NCCI CO CODE:13439 1, INSURED: PRODUCER: PROJECT MANAGERS CC LLC MURRAY & MACDONALD INS 15 LEXINGTON LANE 550 MACARTHUR BLVD YARMOUTHPORT MA 02675 BOURNE MA 02532 Insured is A LIMITED LIABILITY COMPANY Other work places and identification numbers are shown in the schedule(s) attached. 2:; The policy period is from 02-25-20 to 02-25-21 12:01 A.M. at the Insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA Q1� B. EMPLOYERS,LIABILITY INSURANCE: Part Two of the policy applies to work in each state listed in o� .item 3.A. The limits of our liability under Part Two are: o= Bodily Injury by Accident: $ 160000 Each Accident Bodily Injury by Disease: $ 500000 Policy Limn Bodily Injury by Disease: $ 100000 Each Employee C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: a� COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy. includes these endorsements and schedules: o— SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating •= Plans. All required Information Is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 01-.30-20 WC ST ASSIGN: MA .OFFICE: RMD POOL .161 PRODUCER: MURRAY & MACDONALD INS 75NHN 000975 Conocnrrealth of Massachusetts Division of Professional Ucensure Board of Bad li"Regjulations and:Standards Constrsa75t"sor. CS-095981 ^+� ~hk Kilires:1012&7020 IN tAlBI M F . 151�(#ntG YpWdOWIN. . . •r;O1S513O$ Commissioner Office of Consuaw Affairs and-Business Ragdation f0DD Washingtgn-Street»SWI e:710 Boston, Massachusetts 02118 Home Improvement-`Contractor Registration Type LLC Regishratimn: 155863 PROJECT MANAGERS LLC tiExpha§m 0511412021 15 L.EXINGTON LN. YARMOUTHPORT,MA 02675 '� t Uodate Address and ReUsa Card sen,.a zau:mn7 JOe 7- icvi�cct�f o�: Griatudjuyrlll-J ofrweofrcf &Bosl1055 HOME VfipROV6ME�CONTRACTOR Re fit rarsdior'u we only TYFe4 i 'f ed e.'irfioond mourn to: OWN=arconsufflerAffum awl Business Region 1558E ,.-0�14t2trL!. toff WasEimgbou Street-sty 710 PROJECT BostwS lbfA MIS 15 UDQNGTON l iV .; j'` yJ �• � YARMOUTHPORT,:MA 02675 ilndas y N VBIfd W IQ11tS�Tt [I[� o Typical EZ-TUBE Stack with Base Section & Four Upper Sections SPECS : - Upper Section Weight: 60 tbs. typ. - Base Section Weight: 100 tbs. typ. - Stack Height: Approx. 50" (as shown) - Base: 22" Diameter - Top: Accommodates up to 6" x 6" post Approx. 50 - Load Rating: 135,000 tbs. at top 1/2" dia. gaty. threaded anchor rod - 60" or 72" x 1/2" gaty. anchor rod with base plate (cut to Length on site) INSTALLATION : Dig hole or trench to the required depth (below frost line). Prep bottom with crushed stone as necessary. Thread anchor rod through base section. Place base and anchor into position. Add upper sections by sliding over Center Hole for Anchor Rod anchor rod, adding below grade rated - 8" caulking between each layer. Upper Section ow Level, plumb & align as necessary. Base —..:._e -- . 7.5" 12" Backfill, compacting soil every six - ------ inches. Keep building. 22" 11" 1 UNIVFI:SI1-Y of Nl W HAi111'SIIIk:E June 14, 2010 Mr. Brice Raynor EZ Crete LLC Re: Testing of the EZ Tube system Dear Mr. Raynor Please be advised the testing of your EZ Tube concrete system has been completed. Ten EZ Tube components were delivered by EZ Concrete LLC to the Structural High bay testing facility of the Department of Civil Engineering at the University of New Hampshire in Durham New Hampshire. These EZ components consisted of two base sections, seven upper sections and one loading head as listed in Table 1. PRODUCT DESCRIPTION The EZ Tube concrete system consists of a unique system designed to simplify the construction of a concrete foundation. The 20"diameter base section supports the 12"diameter 12"high upper sections as shown in Figure 1. The center of both sections has a 5/8"hole for the placement of a steel rod designed to hold a connection plate on the top of the last upper section to attach timber components for ease of construction. The system has a major advantage of being manufactured offsite over conventional tube foundation construction that requires casting of concrete on site. TESTING The EZ Tube system was tested to failure in a 300 Kip testing frame as shown in Figure 1. Figure 2 shows a close up of sections 1 through 5 and base A. The testing consisted of placing the loading head section, which was similar to the upper sections except it had a flat top to expedite uniform loading to the upper sections placed beneath it. Figure 3 shows the test setup for Test#1 (base B and upper sections 6 and 7). The base section was placed directly on the testing laboratory floor with the two upper sections on top. The loading head was placed on top of the last upper section then a hemispherical :. loading head with a load cell and steel shimming plate on top of it. The hydraulic ram loads the steel plate which transmits the load to the EZ Tube system. Loading Data were collected and stored on a computer as a function of time. Test#1 Test# 1 consisted of testing base B and Upper sections 6 and 7 as shown on Figure 3. The cast loading head was found to be weaker than the base and upper sections as shown in Figure 4. Upper section 7 significantly spalled during the testing. Some spalling was noted on upper section 6 as shown by the close up picture of Figure 5. The base section was cracked during the testing. 0"1.1,1:t•I (6f I+nt!*a t;rat.t rn,_.4'9�i1 I ru;i:^.•,rrgo:; n,,sl+„r: Il.fl ;f:,lict, li,•:r,i Ir;,rha;zt, :n ILns>pl t.;_.;-::m -t.IS ., _ ,..Ih,t q LJNIVEI:SII_Y of NLw HAM1'S1--1MF Test#2 Sections base A and upper sections 1 and 2 were tested in Test#2. Steel plates were used as a replacement for the broken cast loading head as shown in Figure 6. Figure 7 shows the failure of upper section 2 and spalling of upper section 1. Base section A cracked during the loading of test#2. Test#3 Figure 8 shows the preexisting crack in base A and the test setup of sections 4 and 5. The failure of upper section 5 is shown in Figure 9. The crack in base A increased in size during the testing but did not cause the section to split apart as shown in Figure 10. Results The testing results are presented in Table 3. The weaker loading head influenced the total load carrying capacity of 102,000 pounds in Test#1. Test#2 and#3 with total load capacities of 146,000 and 156,000 pounds are more realistic of the true ultimate capacity of the EZ Tube system. The average ultimate load for Test#2 and#3 was 152,000 pounds. This translates to an approximate stress within the concrete of the upper section of 1,340 psi and a maximum soils foundation loading of 35 tons per square foot. Summary and Conclusions Based upon the testing of the EZ Tube system as delivered to the UNH testing laboratories the ultimate capacity is in excess of 150,000 pounds per unit. The load transmitted to a soil foundation is approximately 35 tons per square foot at the ultimate loading capacity. Respectfully submitted, Dr. David Gress, Ph.D., P.E. Professor of Civil Engineering I,I It.I ial I-N. ];..t,"II\('. :-'No 1F1';}I(.o `k 11'tt.i. I s,Ia�:ns.tnc..i t n'ii I n!;cwei-t: Hompsl;:..e. :rn o..7na r,uA eta-r:;ires?yer.: 1 UNIVLRS1I'Y of N L W HAM PS111RF Table 1 Test specimen identification and description Test Specimens Identification Description Loading Head 12"diameter and approximately 9"high Base A 20"diameter and approximately 9"high and 140 pounds Base B 20"diameter and approximately 9"high and 140 pounds Section 1 12"diameter and 12"high approximately 75 pounds Section 2 12"diameter and 12"high approximately 75 pounds Section 3 12"diameter and 12"high approximately 75 pounds Section 4 12"diameter and 12"high approximately 75 pounds Section 5 12"diameter and 12"high approximately 75 pounds Section 6 12"diameter and 12"high approximately 75 pounds Section 7 12"diameter and 12"high approximately 75 pounds Table 2 Test sections testing order Test Components tested' 1 Base B with Sections 6, 7 and the Loading Head 2 Base A with Sections 1 and 2 3 Base A with Sections 4 and 5 Note: 'Section 3 was not tested Table 3 Laboratory testing data Test Failure Load Loading Rate 1 102,4001bs 2,2001bs/sec 2 146,100lbs 1,200lbs/sec 3 157,900lbs 1,000lbs/sec (�(:LLt: .l nl i�:�::4.t.t.;l.c: ::.x1>1'ii•:5tt.•,t S(:n . - Ihrt,e rz n•.:•rr rh t'iri�1 m;i;:rrrtna 01 Fi::rt 7,tn',f 1:,11 l n11ec trv.d I:;:rin,:nn.`+:r,'sr 9}.u,at•r9t:Tr ,'•;:: +i.:.-'-n..;,1_k .ry ... _ . ld c E yE. tiit �°4F•:h ice! �{� �'ti7 l�S-y40.� ��' {, � }�,��' T". ,- _ jots-r5 . ni -4-4 c- Kt (V p 0 5 ty-�! 2(P-x I rJ r,1'. �L ex t"'t ci Adam Svc sc t��v�r L [L _ ).a-GAJA L .. r .. uiIL J ' m 10 Mckechnie, Robert From: Willy <fairwaywilly@corncast.net> Sent: Tuesday, April 21, 2020 10:12 AM To: Mckechnie, Robert Fob Subject: Re:Application T13-20-1005, 108 Longvda Drive, Centerville Hi Bob, thanks for getting back to me so promptly. Yes there is a Stop Work Order on the deck extension. The work was done by a previous contractor and I have been hired to apply for a Permit and see to any non- code building practices that were applied. I will correct what you have outlined in forth coming inspections. Thanks again, Willy Sent from my iPhone On Apr 21, 2020, at 9:38 AM, Mckechnie, Robert <Robert.McKechniegtown.barnstable.ma.us>wrote: Good Morning, Thank you for calling about this project. The two small items that I observed on the plan. 1.) No frost protection under the posts on the front entry. 2.) Attachment of the deck frame to the posts, back deck extension, are not allowed. Frame must be supported by the post per the code. Cannot be bolted as shown. See page 10 of the Prescriptive Residential Wood Deck Construction Guide based on.the 2015 IRC to clarify. I noticed a stop work on the permit, if the work has already been done it can be corrected. I will note these two observations on the permit and you could correct them before the inspections. Please email with any questions as I am working from home. Thank you, Bob McKechnie Local Inspector r Sent from my Verizon,Samsung Galaxy Tablet CAUTION:This email originated from outside of the Town of Barnstable! Do not click links open attachments or reply, unless you recognize the sender's email address and know the content,is safe! 1 i` Coyle, Brenda From: Shea, Sally Sent: Friday, April 10, 2020 8:32 AM To: 'Willy' Cc: Coyle, Brenda Subject: RE: ViewPermit, Permit No: TB-20-1005 There may be one in our street folder I will copy Brenda and she can check at some point. Hey Brenda can you see if there is a plot plan for 108 Longfellow Drive Centerville. If we have one can you email to Willy's email shown above. He can-draw where the deck is going on it if we have one and email it back to me. Thank you! Sally From: Willy [mailto:fairwa ill @comcast.net]- - Sent: Friday, April 10, 2020 8:06 AM To: Shea, Sally Subject: Fwd: ViewPermit, Permit No; TB-20-1005 What Dept has a site plan? Sent from my iPhone- Begin forwarded message: From: Willy <fairwaywilly@comcast.net> Date: April 10, 2020 at 8:04:15 AM EDT To: "Shea, Sally" <Sally.Shea:a'town.barnstoble.ma.us> Subject: Re: ViewPermit, Permit No: TB-20-1005 Yes it's a pending Stop Work Order. I included Jeff's letter to the owner in my Permit Package. As I explained, I have been retained to cure the "No Permit ' Applied For"issue and deck built by another contractor. Where do I get the aerial shot from? Thank you Sally for your help. Sent from my iPhone On Apr 10, 2020, at 7:23 AM, Shea, Sally <Sally.Shea@town.barnstable.ma.us> wrote: Willy, I am copying Bob on this. This is,inspectors call. Can you send the town aerial showing where you are putting it to help understand where it is going related to the existing footprint. This will help make a decision I'm sure. Was this a stop work order? I may need to add fees. Sally 1 From: Willy [mailto:fairwa will comcast.net] Sent: Thursday, April 9, 2020 4:07 PM To: Shea,,Sally Subject: Re: ViewPermit, Permit No: TB-20-1005 I do not have a Plot'Plah, due'to the squaring off of the house (8ft) with a pre- existing deck already constructed as shown on plan. - Please advise? Sent from my Phone On Apr 9, 2020, at 3:59 PM, Shea, Sally <Sally.Shea@town.barnstable.ma.us> wrote: <image001.gift' Willy we need to see where on the property this is going. Do you have. a plot plan? Sally Shea Town of.Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 , CAUTION This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recogrnze the sender's ema%I a- dress and know the content is safe'! CAUTION:This email originated from outside of the Town of Barnstablo not°'click links, open, attachments or reply, unless you recognize the sender's email address and know the content is safe!' 2 Town of Barnstable • x 'Permit Building t �, Post This�Ca�d�So That�f sVis�ble�Frornahe Street A � roved�Plans Must be�Retaihed on Job and'th�s Card Must be Kept i - P M^� Posted Until Final Ins ection Has Been Made �� _ = � - br+�'�. Where a Certificate�of Occupancy�is Required,"such Building shall Not'be Occupied until a Finallnspection has been made y4 Permit NO. B-20-999 Applicant Name: WILLIAM F PLANINSHEK Approvals Date Issued: 04/13/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/13/2020 Foundation: Location: 108 LONGFELLOW DRIVE,CENTERVILLE Map/Lot: 189-109 Zoning District: RD-1 Sheathing- Owner on Record: GROH,CAROL A Contractor Name:`NPPROJECT MANAGERS LLC Framing: 1 Address: 108 LONGFELLOW DRIVE Contractor License: 155.863 2 CENTERVILLE, MA 02632 Est. Project Cost: $7,200.00 Chimney: Description: SIDING,WINDOWS 10 ¢ Permit Fee: $-123.44 i Insulation: Fee Paid: $ 123.44 Project Review Req: Date: t°` 4/13/2020 Final: Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st kuctures shall'be in compliance with the local zoning by-laws and codes. . This permit shall be displayed in a location clearly visible from access street or-road and shall be maintained open for,public inspection for the entire duration of the Final Gas: work until the completion of the same. f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by-the,Buildifig and Fir Officials are provided on this permit. m of Five Call Inspections Required for All Construction Work: Service: Minimum p q _ 1.Foundation or Footing 2.Sheathing Inspection _ Rough: a 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. ' Final "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department hh Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ,��< Final: S 01 Application number.. .� .. ...` ..`.... Fee. f1ARtikTA[iL£ Building Inspectors irntials:......... z63q. *0� A en Via! Date'Issued... 13�...................... Mapf Parcel:. ........ .................................... '�UWlT.OF BARI'TSTABLE SCANNED EXPEDITED>PERMIT APPLICATION:' ROOF/SIUING/W INDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY NFORMATION Address o. roJect ' NUM:BER STREET VILLAGE Qwner's Name Phone Number . 57P Email Addres.s: e11 Phone.'Numbez. Plc Check one Residential : �� Commercial. PTO t Jec cos $ y., OWNER'S AUTHORIZATION As owner of the above property I Hereby authorize ' ram" " M�1 ✓ `��r S to make application>for a biildmg permit?m accordance with 780 CIuR Owner Signature. TYPE'OF WORK Siding Windows(no header change)# 1,'40 - Insuiation/Weather.iization. i Doors (no :header change) # .' Commercial Doors.require an inspector's review Roof(not applyzng more than;l layer of shingles) Constwdiori Debris will be gon g t 4- vti rIlk, �•tt t ice;I�S Cerifiate of ocupanc w, /noconstructonfor i Commercial Name'and type:of,bu'sness .:` owner fail, m nmeoftheccuptofapmetndeaionshi tE1. an om �- Existing amnesty apartment.riew owner-attach new recorded comprehensive.permit CONTRACTOR?S-INFORMATION: Contractor's name Home Improvement Contractors Registration(if applicable)# ,5 3 (attach copy) Construction Supervisor's;License# - t. t ( (attach copy) Email-o€Contractor: : `W hone number 5-0 ir �t G t Ce 14. ALL PROPER7E5 TH�4T NAVE STRUCTURES OVER 75,YEARS OLD OR IF THE SLlB1ECT PRQPERTY:lS IN A H/S-TOR%GDISTRICT, YOU MUST 08TA1N HlSTORlC:APPROf(Al BEFOREA:PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected' Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached,on a separate piece of paper. Purpose of Event Check one:this event is a: for profit non-profit event Check one: Food served Yes No' Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No ,if yes,a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date AP ICANT'S SI URE Signature Date ' All permit applicatio are subject to a building offs ' approval prior to issuance. ' i TRAVELERSJ� WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY TYPE AR INFORMATION PAGE WC 00 00 01 ( A) POLICY NUMBER: (6HUB-1 K861 60-0-20) RENEWAL OF (6HUB-1 K861 60-0-19) INSURER: THE TRAVELERS INDEMNITY COMPANY OF AMERICA "• NCCI CO CODE:13439 1. . INSURED: PRODUCER: PROJECT MANAGERS CC LLC MURRAY & MACDONALD INS 15 LEXINGTON LANE 550 MACARTHUR BLVD YARMOUTHPORT MA 02675 BOURNE MA 02532 Insured Is A LIMITED LIABILITY COMPANY Other work places`and identification numbers are shown in the schedule(s) attached. 2. The policy period Is from 02-25-20 to 02-25-21 12:01 A.M. at the Insured's mailing address. 3. A. WORKERS COMPENSATION INSURANCE: Part One of the policy applies to the Workers Compensation Law of the state(s) listed here: MA 0o B. EMPLOYERS LIABILITY INSURANCE: Part Two of the policy applies to work In each state listed in Item 3.A. The limits"of our liability under Part Two are: a= • Bodily Injury by Accident: $ 100000 Each Accident a= Bodily Injury by Disease: $ 500000 Policy Limit Bodily Injury by Disease: $ 100000 Each Employee �-= C. OTHER STATES INSURANCE: Part Three of the policy applies to the states, if any, listed here: 4= COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This pollcy includes.these endorsements and schedules: SEE LISTING OF ENDORSEMENTS - EXTENSION OF INFO PAGE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All required.information is subject to verification and change by audit to be made ANNUALLY. DATE OF ISSUE: 01-30-20 WC ST ASSIGN: MA OFFICE: RMD POOL 161 PRODUCER: MURRAY & MACDONALD INS 75NHN 000975 "A Conunonwealth'of Massachusetts Division of Pro[essionai Lkensure Board of Bunding Regratations and Standards Coilsfiytb� r1 )?ervisor. , CS-095981 7 FZnires:10125/2020 � y j a4 , RU Is OF�:I30'� Commissioner Office of Consumer Affairs and-Business Regulation ` OOO Washirigton-Strom--SU te-710 Boston, Massachusetts 02118 Home lmprovementContractor Registration Type: Uic PROJECT MANAGERS LLC ReWhattion: 155863 15 LEXINGTON L -" ;, om 05M4l2021 YARMOU HPORT;MA 02675 ,� - tladafe Address and Rerun Card. SCA 1.Q 2Qk-WIT l/!c° nviicsa�cC{�Gu'n�.> 3Qd'ti�C/l-3 officeoFConsuaed•AZ*s&l essRegobd- wmr=tmpRovem CoumACM Rat 1raM for'otd+ddwl use only its.�farard return to: Rerdstisfiori :-. OWweafCo Araks arid Bu R89L" n __.a558 `= �05/f412Q21 low vvhSbhKjbDn Street-Sao 710 PROJECT NIPtNASa L ' Batoo,!RA 02178 vwvRwj MPtANHNSHEK� 15 LE70NGTON �- YARMOU MPORT,UA 02575 Unde138CMt3[Y Yalld wMiiiid S�QQR ti[� !.�t m •. • Im Ida � ._eµ. ICI Ln Cei ified Mail Fee "� Extr�ServlCeS&Fees(check box,add fee as appropriate) M 'c'^ Q G�eturn Receipt(hardcopy) $ „ �^ a ' � . � ❑Return Receipt(electronic) $ r a l R Postmark`q . M Certified Mail Restricted Delivery $ :Ayr Here �t.E � ❑Adutt Signature Required $ t ,. FEB ❑Adutt Signature Restricted Delivery$ ,,.� 2 8 202U � - C3 Postage p 1/(� �' C3 Total Postage and Fees p o � -------- ------------------------------------------- --tt p o., P Ci- --ate,-- 4 ----c----------------------------- :•• Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service'". Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name;or ze to the addressee's atithorized agent tmportent Reminders: Adult signature service,which requireke ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Priority Mail®service. Adult signature restricted delivery se4e,which ■Certified Mail service is notavallable for requires the signee to be at least 21 y ars of age international mail, and provides delivery to the addressee specified, ■Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified(Nail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.it you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.t electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Retum Receiphattach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. �PS Form 3800o April 2015(Reverse)PSN 7530-02-000.9047 Ali iA a Complete items 1,9,and 3. A. Signatu 62� ■ Print your name arr: [$'Agent so that we can return address on the reverse X rn the card toyou. ❑Addressee ■ Attach this card to the back of the mailpiece, B.Re i d Name) C. to of Delivery or on the front if,.pace permits. Z 1, Article Addressed tc. S. D. Is deliv ddress different from item 1? ❑Yes e, If YES, rdelivery address below: log,` ��d l L 17 f�'U C o3Z- II I Ililil IIII III I III I III I II l I I II II III I l I'll III 3. Service Type O Priority red Macke" ' ❑Adult Signature ❑Registered Mail?"'"' ❑Adult Signature Restricted,Delivery ❑Registered Mail Restricted O�Certified Mail® Delivery . , 9590 9402 3630 7305 4659 03 ❑Certified Mail Restricted Delivery Return Receipt for ❑Collect on Delivery" Merchandise 2 Article Number(transfer f ❑Collect on Delivery Restricted Delivery ❑Signature Confirmatioffm Om Sen!!Ce/abBD fail ❑Signature Confirmation 7 0,17 10 0 'p p p 0� 6 75 7 14 3 fail Restricted Dslivery Restricted Delivery ,7 _ 1 _0) - -- PS Form 3811,July 2015 pSN 7530-02-000-9053 Domestic Re#urn Receipt 1UTI �l111�1��Jx� - :? ,-itst-Class Mail I Postage&Fees Paid I USPS I Permit No.G-10 I I 9590 9402 3630 7305 4659 03 I I I United States •Sender:Please print your name,address,and c P+4®in this box• I Postal Service TOWN Ur SARNSTABIX BUILDING DIVISION 200 MAIN ST. HYANNIS, MA 02601 :_ v rl ,iti,Elrlrrj!}ri!lIa!l3lrrrT `�1iriprrrr I p '�� IHETr Pfllll@C� Il -'2� /2.3/2u Complaint Call Report" 92 LLD dMILL R fAD; MARST.ONS ILL 0 a ,ase,,# 9=89�T r r" u k Ke! 7i w � w r Via, � - Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner 1 BARNSTABLE 200 Main Street Hyannis, MA 02601 BA0.NSTABLE•O:NRRVILLE•[ONR•HY Fa �j MPANSTAM aWERPVILLP•4YU-HY.NISE J 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 February 28, 2020 Second and Final Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Carol A. Groh and all persons having notice of this order: As property owner or tenant of the property located at 108 Longfellow Drive,Centerville,- Assessors Map 189 Parcel 109 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 2/28/2020 to: ABATE all functions associated with the following, violation(s)on or at.the above mentioned premises: Summary of Violation: On 7/19/2019 the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically,a new section of deck constructed and attached to an existing deck,siding and window replacement without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: submit an application,obtain a building permit and obtain approval on all required subsequent inspections Andjf aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file'a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If,-at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires may be taken. By Order, or c . Lauzon L . .Chief Local Inspector _ (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us e P m •. • c0 e rU Lf') Certified Mail Fee `n Extra Services&Fees(check box,add fee as p ate) ❑Return Receipt(hardcopy) $ �W C, (� C3 []Return Receipt(electronic) $ nf 'o markGQj V J�o ❑Certified Mall Restricted Delivery $ �� Her C3 ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ O Postage CU e QQy� C3 $ Total Postage and Fees! $ Sentrq T - -- --------- -- - - Sfie t t.....o.,or P x --- ------------------------------ �Q ar rr,, :�. r ,r rrr•r. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return rece�i t,see 8 retail ■A unique identifier for your mailpiece. associate for assistance:To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service®, available at retail). or Pr or ty Mail®service. 'l r., .,i Adult signature restricted delivery service,which ■Certified Mail service is notavailablofor requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items.',, USPS postmark.If you would like a postmark on- ■for an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for the following services: postmarking.it you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopyr return receipt, complete PS Form 3811,Domestic Return a Receipt attach PS Form 3811 to your mailpiece; 1MPORTAmr.Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 i ■ Complete items 1,2,and 3. A. ature ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. ❑Addressee s Attach this Hard to the back of the mailpiece, B. Received by(Printed Name) C.Date of Delivery or on the front if space permits. 1. Article Ad ressed to: D. Is delivery address different from item 1? ❑Yes �O I / If YES,enter delivery address below: ❑No 10� ( bv1 (low (::�i JQ 3. Service Type ❑Priority Mail Express® I III�III�II�III�IIIIIIIIII IIIIIIIIIII II�III�III ❑Adult Signature ❑Registered MailR^+ ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 3630 7305 4665 28 ❑Certified Mail Restricted Delivery ❑Return Recelptfor ❑Collect on Delivery Merchandise Y 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery [I Signature ConfirmationTM I -1 Insured Mail ❑Signature Confirmation 7 017 100 0' 0 0 0 0 6 7 5 7 2 h 8`3 '<'I Insured Mail Restricted Delivery ' Restricted Delivery E :M(over$500) I PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPS TRACKING# :` , ,• First-Class Mait r Postage&Fees Paid USPS Permit No.G-10 9590 94V �IUO 7305 4665 28 United States •Sender:Please print your name,address,and ZIP+4®in this box* Postal Service TOWN OF BARNSTABLE BUILDING DIVISION 200 MAIN ST. 1.. i RYANNIS.MA 02601 .. " ii.'s.!fp Ili ill 1i,if ill,i1iii:1i":li,ilhiio,'�4tiififll�zj Town of Barnstable Building Department Services Brian Florence, CBO DST Building Commissioner BARNSTABLE 200 Main Street Hyannis, MA 02601 �"°"=T"��' """"�'`- """" Mp0.NSTQ ILLS•OSiE U-•NIT&R NIS Y '/ 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Carol A. Groh and all persons having notice of this order:, As property owner or tenant of the property located at 108 Longfellow Drive,Centerville, Assessors Map 189 Parcel 109 and known as residential structure,you are hereby notified that you are in violation of 780 CMR, the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 7/22/2019 to: ABATE all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 7/19/2019 the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically, anew section of deck constructed and attached to an existing deck, siding and window replacement without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence within 30 days upon receipt of this notice the following action: submit an application,obtain a building_permit and obtain approval on.all required subsequent inspections And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has not commenced,further action as the law requires may be taken. By Order, r . Lauzo Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us P 1 ' Communication Result Report ( Jan, 4. 2010 -1 : 0.1PM ) 2) Date/Time : Jan. 4. 2010 1 . 00PM File Page No, Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 7259 Memory TX 95087902385 P. 3 OK Reason for. error E. 1) Hang up o"r 1 i n e fail E. 2) Busy E. 3) No a n s w e r E. 4) No f a c s i m i l e connect ion E. 5) Exceeded max. E—mail size Town of Barnstable Regulatory Services i e '[homes F.Geiler,Director Building Division Tho—P—y,CBO,Building Commissioner 200 Maio Street,Hyannis,MA D2601 - - wwwanwn.barnstabB.me.os Office:509-862AO38 - Fax:508-79Db730 PLEASE FORWARD THE ATTACHED PAGE(S)TO: TO: -PC) ATTN: a' FAX NO: RE: , -7107 X 3 r5 PAGE(S): (INCLUDING COVER SHEET) 11c¢121901 - - �P�oF�HET o Town of Barnstable y Department of Health, Safety and Environmental Services BARNM MASS.LE: : Public Health Division 9 MASS. $ATEo MAC Abe 200 Main St.Hyannis,MA 02601 Office: 508-862-4644 Thomas A.McKean,RS, CHO FAX: 508-790-6304 Director of Public Health Certified mail: 70060810000035253398 Carol Groh January 4, 2010 PO BOX 308 n. Centerville, MA. 02632 4 EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger , r The property owned by.you located at 108 Longfellow Dr., Centerville, was inspected on December 31, 2009 by Donald Desmarais, RS, Health Inspector for the Town of Barnstable, after receiving a call from the Barnstable Police Department. Based on the results of that inspection, the Barnstable Health Department finds that the dwelling is unfit for human habitation. ,Pursuant to AG.L c. 127B and 105.CMR 410.831 (D), 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. The following violations of 105 CMR 410.00, State Sanitary Code II: Minimum Standards Of Fitness For Human Habitation were observed: 105 CMR 410.750: Conditions Deemed to Endanger or Impair Health or Safety (I) "Failure to comply with any.provisions of 105 CMR 410.600, 410.601, or 410.602. which results in any accumulation of garbage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease: There was a large_accumulation of garbage, rubbish, filth and other causes of sickness present at the location,including feces. There was a dead rat on the front lawn. Based upon these findings any and all occupants are hereby ordered to vacate 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(M.G.L. c. 127B), or by local police authorities at request of the Board of Health. Q:/health/order letters/Condemnations\.108 Longfellow Dr.Centerville Furthermore, anyone who fails to comply with any order of the Board of Health may be subject to fines of not more than`$500:. Each day's failure to comply witli an order shall constitute a separate violation: Once vacated this dwelling.may not be occupied without the written approval of the Board of Health. Note: This is an im ortant legal document. It may affect your rights. Si ne ----..: . J. Thomas A. McKean Director of Public Health CC: Carol Groh occupant COMM Fire Department Barnstable Police Department TOB Building Department Q:/healtli/order letters/Condemnations\ 108 Longfellow Dr.Centerville oFTHE r Town of Barnstable Department of.Health, Safety and Enviroi$'e' aOPSTaBI BARNSTABLE, MASS. a Public Health Divi nFFA pp pp �A 1639. JI91� "p lfnnnA+a' 200 Main St. Hyannis,MA 026 A� Office: 508-862-4644 Thoma s A. McKean,RS,CHO FAX: 508-790-6304 ector of Public Health DIVISION Carol Groh January 6, 2010 PO BOX 308 Centerville, MA. 02632 The property owned by you located at 108 Longfellow Dr., Centerville, was inspected on December-31, 2009 by Donald Desmarais, RS, Health Inspector for the Town of Barnstable, after receiving a call from the Barnstable Police Department. Based on the results.of that inspection, the Barnstable Health Department found that the �� .. dwelling was unfit for human habitation. Based on my verbal direction you were allowed to clean the property. -Upon subsequent inspection I have found the domicile once again fit for human habitation. Donald Desmarais RS Health Inspector Town of Barnstable CC: Carol Groh, occupant COMM Fire Department Barnstable Police_Department TOB Building Department Q:/health/ordet letters/Condemnations\ 108 Longfellow Dr.Centerville 116 k:. f U '( y F �H�1r i i , lrMM .,++ � Y% y .;�g P I,,d.'S v: 1 y Q 4 b Y i Or Fit 4 P r x V. 4 { 4 40 -------------- 6 [ e* 1 7. ^kE #r g a Hi Robin, I will be coming in tomorrow,but wanted to get this to you so you had it on the record that Carol is complying with your requests to get her tenants vacated. The tenant, "Josh Eldracher"never came back today after you and Martin left...Carol sent a text msg to set up a meeting with he and his girl friend Liz (Elizabeth Vann) at 7pm tonight. I agreed to go back over to help her get a Tenant's Notice to Vacate signed. Carol called and said they cancelled because they were having family over. I told Carol, "The more the merrier, I'm comin' over, let's get this done..." So we did it,we explained that Carol was ordered to have them vacate by you, a Town Officer. Carol gave them 2 weeks, they said that they had several different places in mind anyway and had been looking over the past two weeks as well. The Tenant's Notice to Vacate was signed tonight. I witnessed it, both tenants signed; Carol Signed and they agreed to work out financial differences. (I doubt that will go smoothly; they both tried to put on great acts, but I don't think they are as nice as they tried to be! I got out my notebook and took notes, they seemed to get a little nervous.) See you later on... 6/9/2009 O 1494 Hy The.LwWlord Protection Agency,Inc. Aoawcy T" TENANT'S NOTICE TO VACATE To: 81Z.h�b+h VAAA `.t: hnD Date: Please take notice of our intention t vacate our re 'dence cated.at i t 1 on or x beforec) � A �d CY1 CQ lC 1 l J' I The reason we are moving is _ _ C4 1 `t-h ANn 1, v� #�- �F�T� �-u it.► vnN zl=:06 � .AIL; �-M-s4 �5 Vj-,YNdAo - We_unL,ar t rid that our deposit will be refunded as agreed le r we have moved out com f ion.of the pre mises: anagement, as long as we i sl ence in cle n and undamaged coed ion'. L ti 1�.pt�Si'} r We understand that our Lease/Rental Agreement states that we have agreed to a 61-a written notice to vacate. We understand that we are responsible for paying rent through the end of the term agreed to in the Lease/Rental Agreement,J-ba f s. e a e ed i�p�ra se,,/�fin I�9�reewe will make the premises accessible ' t'an`y aME � ��� reasonable times, whether we are present or not. �'`'----- P"&'A�j ,.s t-rxl A r,•) �0�V @ c c �t d!ame sue,hF rXA"CPOt i lax Please Re#w-Beposiis=to our new address at: �. We would like to re nest a reference from you. Thank you, but we do not need a reference. Tenant: Tenant: N M+ihlc3Rfl<1V Alt J J 108 LONGELLOW DR , CENTE 06/08/09 s 108 LON ENTER I _ A N ELLOW DR , TER 06/08/09 r ,_ - ... .. ....r,�. sP' 7 ., i .� � �',t� �. .a �,�� ��. _ ti � `y'r✓'�; i �._ .. s++�.�,, _ 'r"'�� .. .. !�i7.r� --.-... ... ~� '�� W, ,�� � i R 108 LONGEL OW DR ) :�A 8/09 i Aw 11 8 LONGELLOW D� CENTER 06/08/09 a � �, . - . - . • • , , � F' � , � 1 ' � . � ' � , � y..f +3'>� �. _ .s. �; i T ��, \. � GELLOW DR, 06/08/09 jo r. 4 � et i 1 t !� F � • • • o DR, 3 TE.- ' 7 .--E l 3, lyyi �I • • • i • • • . . • � ! i t oFI E ram, Town of Barnstable Regulatory Services BAMSTABLE, « Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 13, 2009 Carol Groh PO Box 308 Centerville, Ma 02632 Re: Map 189 Parcel 109 .108 Longfellow Dr, centerville Dear Ms Groh: Recently a complaint resurfaced regarding the use of your property. It is alleged that your have one or more independent living units in your home at 108 Longfellow Drive. I respectfully request an opportunity to inspect the premises in order to close out this compliant once and for all. Please contact me before Feb. 20, 2009 in order to arrange a mutually convenient time. Failure to contact me will be assumed to be a denial of this request and I will be forced to implant other enforcement procedures. You may reach me directly at 508-862-4027 Your cooperation is anticipated and I look forward to hearing from you. Sincerely, t, Robin C. Anderson Zoning Enforcement Officer ` JAIllegal Apartments\108 Longfellow Center Crroh.DOC Citizen Web Request Page 1 of 5 TH f4�Le'rl `ti. r ����u`yG'•'lrS �t +-r' �! id ,.. +✓r' � '_. / AP/ i lk � ..� "� �y���¢�'� •emu' 1 > f t»KSEll1Ly .t4' f7T a #" + K o "_,?�k N1.A45 E•. u5 ''e Z' ta �re _ F nip I t xr l 9 a3 r f 'p"' 4+t`pK /��,�. � ',.. �c��t^`""��tvs",�� sa,. •. Y `•�!..- ..t f' �?s�v� ;{�:; ''i..1�i`,_ : � , Logged In As: Citizen Request Management Friday, Decem TOWN\edsonl Route to Users Search Requests Create Requests Request Information Request ID: 20234 Created: 08/04/2006 10:59:50 Status: Assigned To Staff Assigned To: Edson, Linda Building Dept Anonymous: Yes Request Category: Zoning - Illegal apts Routine work: No Estimate: No Date scheduled: Estimated 12/05/2008 Change Estimated Nov 2008 December Jan Completion Completion Date: — Date: Sun Mon Tue Wed Thu Fri Sat 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 1 8 1 9 10 Created By: Shea, Sally Priority: Medium Building Dept Citation Numbers: Requestor Information Requestor Request CAROL GROH DETAILS: LOCATION: 108 LONGFELLOW DRIVE Centerville, Ma 02632 Request Parcel Number Ma 180 Block: 09 Lot: 750$ ASKING FOR RENTAL,' p' CALLER WENT TO LOOK AT AN APT THE OWNER HAS 11 CATS 5 PEOPLE Parcel--Lookup INCLUDING A CHILD BOTH GARAGES WERE OVERFLOWING OF "STUFF", IT WREAKED. CALLER IS APPALLED THAT SHE WAS ASKING FOR THIS PRICE. CALLER STATES THERE ARE TWO APARTMENTS WITHIN THIS SINGLE FAMILY HOUSE. THERE ARE http://issg12/Intema]WRS/WRequest.aspx?ID=20234 12/5/2008 Citizen Web Request Page 2 of 5 THREE ROOMS IN CELLAR AND TWO BEDROOMS, BARELY A KITCHEN THERE, THERE IS A SMALL SINK, SMALL REFRIGERATOR, SHE WILL- NOT LET THERE BE A TOASTER . OVEN AS OWNER STATED THIS WAS ILLEGAL. CALLER WOULD NOT RAISE A CHILD THERE, IT WREAKS OF CATS AND GARBAGE. Email: Edit Requestor Information Track Request Progress Request Work History: Internal Note History: Entered on 08/07/2006 11:35:57 Entered on 08/04/2006 10:59:37 by Edson, Linda by Shea, Sally Will follow up after Jeff Lauzon building LIZ GRIFFIN IS THE NAME OF THE CALLER Inspector . CALLER IN BETWEEN HOMES DOES NOT HAVE update,delete CONTACT INFORMATION. - System entry on 08/04/2006 10:59:37: Entered on 09/08/2006 13:01:01 - by Edson, Linda Related Request 20233 Owner has applied to Amnesty as of 9/5/06. System entry on 08/04/2006 10:59:37: update delete Assigned to Edson, Linda Entered on 10/02/2006 11:41:25 System entry on 08/07/2006 10:54:48: by Edson, Linda Estimated completion changed from 8/8/20 The owner of this property is working with to 8/29/2006 the Amnesty program to get the basement unit to conform: Refer to Maddie in Amnesty. - Entered on 08/07/2006 11:35:57 update delete by Edson, Linda Will follow up after Jeff Lauzon building Entered on 12/05/2006 10:13:03 Inspector. by Edson, Linda - update delete Owner is in process of amnesty. This takes several months. System entry on 09/08/2006 13:00:23: _update delete Estimated completion changed from 8/29/2 to 9/30/2006 Entered on 02/28/2007 13:03:36 System entry on 10/02/2006 11:41:37 by Edson, Linda Estimated completion changed from 9/30/2 http://issgl2/InternaIWRS/WRequest.aspx?ID=20234 12/5/2008 Citizen Web Request Page 3 of 5 The owner is still working things out with to 12/1/2006 Amnesty. update delete System entry on 12/05/2006 10:13:16: Estimated completion changed from 12/1/2 Entered on 02/28/2007.13:04:17 to 2/28/2007 by Edson, Linda System entry on 02/28/2007 13:03:40: The owner is still working with Amnesty to get in the program. Estimated completion changed from 2/28/2 update delete to 4/4/2007 System entry on 04/04/2007 11:12:58: Entered 04/04/2007 11:12:34 by Edson,, Linda completion changed Estimated leti from 4/4/20 to 6/15/2007 ' This is in the hands of Amnesty. Also many BOH problems. Will take more time than System entry on 06/18/2007 13.50:44: expected. Estimated completion changed from 6/15/2 update delete to 7/23/2007 Entered on 06/18/2007 13:50:36 System entry on 07/23/2007 15:34:21: by Edson, Linda Estimated completion changed from 7/23/2 Amnesty is still working with owner to 9/19/2007 update delete System entry on 09/19/2007 10:52:50: Estimated completion changed from 9/19/2 Entered on 07/23/2007 151:34:13 to 12/10/2007 by Edson, Linda System entry on 12/10/2007 12:38:25: Refer this to Maddie Taylor in Amnesty for an update. Estimated completion changed from _update delete 12/10/2007 to 3/26/2008 System entry on 03/26/2008 12:47:03: Entered on 09/19/2007 10:52:43 by Edson, Linda Estimated completion changed from 3/26/2 to 6/4/2008 Ticketed Owner Carol Groh 9/19/07. update delete Entered on 04/17/2008 10:38:43 by Anderson, Robin Entered on 12/10/2007 12:38:15 RG does not want to visit this property wits by Edson, Linda the entire BIRST team including the PD as the owner has a reputation of being uncooperative She has been ticketed. Waiting for court unbalanced. BIRST inspections are on hold for action. now. update delete System entry on 04/17/2008 10:38:46: . Entered on 03/26/2008 12:46:53 Estimated completion changed from 6/4/20 by Edson, Linda to 7/31/2008 Rg is making site visit to this property System entry on 08/13/2008 11:03:15: 3/27/08. No cooperation at all with owner. Estimated completion changed from 7/31/2 Waiting for court date. p g http://issgl2/IntemalWRS/WRequest.aspx?ID=20234 12/5/2008- Citizen Web Request Page 4 of 5 update_ delete to 10/11/2008 System entry on 10/14/2008 10:32:47: Entered on 08/01/2008 12:38:21 by Edson, Linda Estimated completion changed from 10/11/2008 to 12/05/2008 Referred to RG for enforcement update delete Entered on 10/14/2008 10:32:41 by Edson, Linda Refered to Robin G for enforcement update delete Entered on 10/14/2008 10:33:20 by Edson, Linda Refereed to RG for enforcement. update delete Enter work progress: Enter internal note: (Viewed by everybody) -- (Viewed internal ly.only) 123 �%ra ill p II Check= F77RITe k -Add document or image link: J Browse:.: *You-can also type in a folder name to see everything in the folder Current Links: Time worked on request: F 0.501 Response time: 0.50 *,Time entries are imhours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. *,Do not include nights, weekends, and holidays in response time for most departments. Save changes iJ Check to notify town employee below to review this request. r Save changes and notify http://issgl2/IntemalWRS/WRequest.aspx?ID=20234 12/5/2008 r Citjzen Web Request Page 5 of 5 citizen* Building Dept o Close request IAmara, William Close request and notify citizen* Brief message to reviewer: *notify works if email address was given , J��I Uptlate�� F- 7"er I Public Use: Printer Friendly Version Internal Use:-Printer Friendly Version http://issgl2/IntemalWRS/WRequest.aspx?ID=20234 12/5/2008 Edson, Linda From: Taylor, Madeline Sent: Thursday, January 18, 2007 1:50 PM To: Edson, Linda Subject: RE: 108 Longfellow Cent Carol Groh I 'll be scheduling an appointment there for next week. Thanks. -----Original Message----- From: Edson, Linda Sent: Thursday, January 18, 2007 1:35 PM To: Taylor, Madeline Subject: 108 Longfellow Cent Carol Groh What is the status of this one ??? Robin needs to know. L. f 9 e 1 �M SST. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 19Z6 508-79072375 x1 • FAX: 508-790-2385 John M.Farrington,Chief Martin O'L.MacNeely, Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer, Fire Prevention Officer December 26, 2006 Ms. Robin Giagregono Town of Barnstable- Zoning Enforcement 200 Main Street Hyannis,.MA 02601 Dear Ms. Giagregono: Pursuant to.MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of suspected un-permitted basement bedrooms at: 108 Longfellow Drive Centerville,MA Secondary to an anonymous complaint relative to inadequate smoke detection, excessive storage, and illegal renting of rooms at this address,.I attempted an initial investigation without success. I have made three separate attempts to visit the property and have been.unable to make contact with the owner. The owner called our dispatcher inquiring about my visits but failed to leave any contact information. Each time I visit, there are registered vehicles in the driveway,however, none of the occupants answer the door. At this point I would recommend a joint task force to investigate the alleged , issues. Please feel free to contact me with any questions relative to thisissue"at 508-790 2375 Ext. 1. I have enclosed a copy of my report for your convenience. Sincerely, Francis M. Pulsifer Fire Prevention Officer Enclosures "Commitment to Our Community 1. AV MM DD yyyy ❑Delete NFIRS -1 101920 I U 1 12 1 1 201 1 2006 11 I06-000367" 1 000 ❑Change Basic FDID State Incident Date Station Incident Number Exposure * ❑No Activity ❑Check this box to Indicate that the address for this incident is provided on the Wildland Fire Census Tract $ Location* Module In Section a "Alternative Location Specification". Use only for Wildland fires. ®Street address 108 U ILONGFELLOW DR ❑Intersection Number/Milepost Prefix Street or Highway Street Suffix ❑In front of ❑Rear of �� ICENTERVILLE I �� 102632 '1 � ❑Adjacent to Apt./Suite/Room City State Zip Code I I []Directions Cross street or directions, as applicable Incident a �k Midnight is 0000 C Type Ei 1 Date & Times Li'2 Shift & Alarms 600 (Good intent call, Other I check boxes if Month Day Year Hr Min Sec Local Option dates are the Incident Type same as Alarm ALARM always required 4 Date. Alarm * 12 20 2006 16:08:44 �l �� COM12 D Aid Given Or Received* U U ��� � Shift or Alarms District Platoon ARRIVAL required, unless canceled or did not arrive 1 ❑Mutual aid received I '� ❑ U U I I � 2 ❑Automatic aid recv. TheiuTnl Their Arrival# 12 20 2006 16:09:42 I L'+i 3 State CONTROLLED Optional, Except for wildland fires Special Studies 3 ❑Mutual aid given P 4 ❑Automatic aid given I I ❑Controlled " " 111 I Local Option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires Incident Number Last Unit Special t Special 1 N O Cleared ( -None ❑. I 12 �J I 2006I I16:17:37 I study IDx Study Value J F Actions Taken-* Gl Resources CIF G2 Estimated Dollar Losses & Values ❑ Check this box and skip this LOSSES: Required for all fires if known. Optional section if an Apparatus or for non fires. ,Personnel form is used. None 186 (Investigate Apparatus Personnel Property $1 � , 000 0001 ❑ Primary Action Taken (1) UI I I I Suppression Contents $1 000 , 000 El Additional Action Taken (2) EMS PRE-INCIDENT VALUE: Optional U I I Other L 0001 1 0001 Property $1J , 000 1 000 ❑ Additional Action Taken (3) ❑ Check box if resource counts include aid received resources. Contents $1 , 000 , 000 ❑ Completed Modules Hl*Casualties❑None H 3 Hazardous Materials Release ][ Mixed Use Property ❑Fire-.2 Deaths Injuries N ❑None NN Not Mixed Structure-3 Fire U U 1 []Natural Gas: slow leak, no evavation or HazMat actions 10 Assembly use ❑ 2 0 Medical use Education use ❑Civil Fire Casa-4 Service 2 ❑ u Propane gas: < lb. tank Jaa in home HaQ grill) 33 Gasoline: vehiole fuel tank Residential use ❑Fire Serv. Cas.-5 Civilian[ L� 3 ❑ or portable container 4 0 ❑EMS-6 ❑ 51 Row of stores 4 Kerosene: fuel burning equipment or portable storage Detector 53 Enclosed mall ❑HazMat-7 Required for Confined Fires. 5 ❑Diesel fuel/fuel oil:vehicle fuel tank or portable 58 Bus. & Residential ❑Wildland Fire-8 1❑Detector alerted occupants 6 []Household solvents: h /offioe spill, cleanup only 59 Office use ❑X A ❑ 60 Industrial use pparatus-9 7 MOtOT oil: from engine or portable container Personnel-10 2❑Detector did not alert them 8 [:]Paint: from paint cane totaling<55 gallons 63 Military use ❑Arson-11 65 Farm use U❑Unknown 0 ❑Other: special Ha mat actions required or spill>55ga1., 00 Other mixed use Please complete the HazMat form J Property Use* Structures 341❑Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 ❑Motor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 4 1 9®1-or 2-..family dwelling 599 ❑ Business office 162 ❑Bar/Tavern or nightclub 42 9❑Multi-family dwelling 615 ❑Electric generating plant 2 13 ❑Elementary school or kindergarten 4 3 9❑Rooming/boarding house 62 9 ❑Laboratory/science lab 215 ❑High school or junior high 44 9❑Commercial hotel or motel 700 ❑Manufacturing plant 241 ❑College, adult education 4 5 9❑Residential, board and care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the ,aged 4 64❑Dormitory/barracks 882 [:]Non-residential parking garage 331 ❑Hospital 519❑Food and beverage sales 891 []Warehouse Outside 936❑vacant lot 981 [:]Construction site 124 []Playground or park 938 ❑Graded/care for plot of .land 984 ❑ Industrial plant yard 655 ❑Crops or orchard 946 ❑Lake, river, stream 669 ❑Forest (timberland) 951 ❑Railroad right of way youkhavenNOTnter checkedrapert Property Usey Useebox:onl if 807 ❑Outdoor storage area 960 [-]Other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway en land or field ❑ 11 or 2 family dwelling I 931 ❑ 962 Residential street/driveway NFIRS-1 Revision 03 11 99 COMM Fire District 01920 12/20/2006 06-0003674 r! J `+ Rl Person/Entity Involved Local Option Business name (if applicable) Area Code Phone Number Check This Box if same address as Mr.,Ms., Mrs. First Name MI Last Name Suffix incident location. I I u I U u Then skip the three duplicate address Number Prefix Street or Highway Street Type lines. Suffix Post Office Box Apt./Suite/Room City U I I-I State Zip Code More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary R2 Owner 0 Same as person involved? Then check this box and skip The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number I I I U I I U aCheck this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. I I u I I U U Then skip the three duplicate address Number - Prefix Street or Highway Street Type Suffix lines. I I I I I Post Office Box Apt./Suite/Room City State Zip Code L Remarks Local Option OIC : PULSIFER lmotte 2006/12/20 16:09:42 - 328 AT EVENT MANNING IS 1 lmotte 2006/12/20 16:10:13 FIRE PREVENTION INVEST lmotte ; 2006/12/20 16:17:47 NO ACTION 12-20-06 Recieved a call from Karen Proya, 108 Sophie's Road, Brewster, MA 508-776-3254 (calling from 508-385-6183) . Ms. Proya stated that she wanted to file a report of excessive storage, unsafe smoking, electrical hazards and illegal renting of rooms at 108 Longfellow Drive, Centerville. Ms. Proya stated that she was a previous tenant at the address but no longer resided there. She stated that she and the owner had a dispute and the owner threw her personal belongings out of the house. Ms. Proya stated that she lived at the address for approximately two years. She further stated that she has not lived there in nearly a year. I inquired why she did not report this sooner if she felt it was a safety issue and she stated she did not know. She further stated to me that "she ruined my Christmas, now I'm going to ruin hers". Ms. Proya stated that the owners name is Carol Groh and described her as "psychotic" and "an alcoholoc". Ms. Proya stated that her concern is that there is a six year old girl living in the residence with these safety issues. The six year old (Jessica) is the daughter of .Ms. Groh. L Authorization 18381 1 1 PULSIFER, FRANCIS I IFIRE PREY.- I I 1 1121 LL2j 1 2006 Officer in charge ID Signature Position or rank Assignment Month Day Year e.Xcif® 18381 I I PULSIFER, FRANCIS I I FIRE PREV. I I 11 IJ L�2j I 2006 same Position or rank Assignment Month Day Year as Officer Member making report ID Signature in charge. COMM Fire District 01920 12/20/2006 06-0003674 MM DD YYYY 1 01920 U 1 12 1 12012006 1 1 1 06-0003674 1 1 000 Complete FDID State Exposure Incident Date Station Incident Number Narrative —]— Narrative: OIC : PULSIFER lmotte 2006/12/20 16:09:42 - 328 AT EVENT MANNING IS 1 lmotte 2006/12/20 16:10:13 FIRE PREVENTION INVEST lmotte ; 2006/12/20 16:17:47 NO ACTION 12-20-06 Recieved a call from Karen Proya, 108 Sophie's Road, Brewster, MA 508-776-3254 (calling from 508-385-6183) . Ms. Proya stated that she wanted to file a report of excessive storage, unsafe smoking, electrical hazards and illegal renting of rooms at 108 Longfellow Drive, Centerville. Ms. Proya stated that she was a previous tenant at the address but no longer resided there. She stated that she and the owner had a dispute and the owner threw her personal belongings out of the house. Ms. Proya stated that she lived at the address for approximately two years. She further stated that she has not lived there in nearly a year. I inquired why she did not report this sooner if she felt it was a safety issue and she stated she did not know. She further stated to me that "she ruined my Christmas, now I'm going to ruin hers". Ms. Proya stated that the owners name is Carol Groh and described her as "psychotic" and "an alcoholoc". Ms. Proya stated that her concern is that there is a six year old girl living in the residence with these safety issues. The six year old (Jessica) is the daughter of Ms. Groh. Ms. Proya stated that Ms. Groh rents three rtooms on the basement level of the residence and has been for nearly ten years. She further stated that there is no smoke detection in the basement. Arrived at 108 Longfellow Drive to find a single story, wood frame, raised ranch structure. Vehicle in the driveway is a Red Chevrolet Cavalier MA reg. 9022DR. Attempted contact at the residence without success. Walked the perimeter of the structure to find attached garage under the structure on the "D" side with a large amount of storage. Garage appears to have lights on with a drop light close to combustibles. There is a visible smoke detector in the garage. The rear of the structure, side "C" shows exit points on both the upper and lower levels severely blocked with storage. Attempted again to contact via the front door without success. Cleared w/o incident. 12-21-06 Returned to 108 Longfellow Drive attempting to gain contact. Found the vehicle previously mentioned in the driveway and an F-350 MA reg. 466B39 in the driveway. Attempted contact w/o success. Cleared w/o incident. 12-26-06 Returned to 108 Longfellow Drive attempting to gain contact. Owner had called on 12-22-06 and spoke with the dispatcher relative to the previous visits. The dispatcher advised her to call the Fire Prevention Office on 12-26-06, which as of 15:00 hours had not. She also left no contact information. Arrived to find both of the previously mentioned vehicles in the driveway and no answer at the door. Will forward to Robin Giagregorio- Zoning Enforcement for follow up relative to possible un-permitted bedrooms in the basement without adequate egress. Will advise that a task force with Zoning, Health, Building, Police and Fire be recommended. Cleared w/o incident. COMM Fire District 01920 12/20/2006 06-0003674 ;, rr,, .� d. ,, {. . °,, j� r._ ... ,,.:: � ,,... � i • • — • � — i � • 4 c A, y' a 7 ! I. 5 � 5: a r j I } f 11, i � 1 108 Longfellow Dr., Cent. 8/31/06 42 , 11 t 4 i r .„ r' ffi r i I «. 108 Longfellow Dr., Cent. 8/31/06 FTHE 1p� Town of Barnstable �O Regulatory Services '" ASS.M ' Thomas F.Geiler,Director y nss. � GOp i639• ♦0 rEp,,,ptp 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 May 16, 2006 , Ms. Carol A. Groh 108 Longfellow Drive Centerville, Ma. 02632 Re: Illegal Apartment: 108 Longfellow Drive Centerville, Ma. 02632 Map 189 Parcel 109 Dear Property Owner: 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. incer 1 Linda son esty Program Zoning Officer Building Department gforms:zoning3 �Op1HE ram, Town of Barnstable Regulatory Services * sMWSrABLE, v MASS. Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 August 14, 2006 Ms Carol Groh 108 Longfellow Dr. Centerville MA 02632 RE: Illegal Apartment-108 Longfellow Dr. Centerville, MA. 02601 Map : 189 Parcel : 108 Dear Property Owner, This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by August 30 , 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Also no Business Certificate will be issued at this address. Thank you for your attention in this matter. By Order, 4LIinEdsoZo ning Enforcement Officer Building Department Q:zoning5 I ► ea &—-U—1 -ram 0 5 ;4s mes s z *0 b u piLc kt - P- c c U Mt ` h)4—ul 02, 1 - 6� py .A-s\),W\c 6, 'A R-15a2L� !2�2j-- f Ain A-p_ �n a nw— c2--r�'1 O�W .W-A��� A \j �V^�Icl,�Li A��� C—TY\,)- �i - �s� � m A F w-k- ice i. `� '�- • Polo �z-e. F-®(Z- - -v-v— sly _IM© �w;th —P —20-1-� - b - .G � DCL - - rJoW V1 r, � V\16�-C�o i� � y a7- (:A�tCL Ir a' a o - _ CAA.e d- ' aDv ZT11=1a r4- V-) —sk- AAL MA A `v'1' C�S• 4L J a -A _ DO vJL a W=-1 svppas booms FOP- i5�+o Ayd, off. co�- � ► -- bC-VUk-U,,/ - w tea!; I - A. Y ��LJv�_ 4(� vv �rn I SS1GYiDi1 tl�`�"�fl- �-1 ynQ . b-A U—"-,—Ads- 1>�n q-- oyid- --Qk-G+Av-\d11, "1-f-vo- ,IQ r�v►�1 a n et, h k wVS-.-e14 R�CM�Q'-zA�VJ.C�i�1� � mole.�_ -4-p� Rg�LA _ CUN ............. �E�-�Ya� Qi�h T r MRVP # Assessor's office (1st Floor) Assessor's Map and Parcel # � "t 1� d'l' '5 45 Building Department (4th Floor) Zoning INSPECTION FEE $50.00 RE-INSPECTION FEE $15.00 Request For A Housing _Inspection For Certification Under the MA Rental Voucher Program Your Name �4-RQl A , Affiliation (Circle One) Owner Real Estate Agent Tenant Your Address- Telephone ,Number (Day)(j06 -7'7/-114, Night) Address. of _Property "Where Inspec ion is Reque ted Unit/Apt o# O�b Name of Owner Qp' A Address SAN\A� •�-� �� Mailing Address (if different) P612, a, V 0aG3.1? Telephone Number (Day) SNy%,\Q_ (Night) p Will there be any children under the age of six (6) who Will be occupying the rental unit? (circle one) Yes No Was the dwelling constructed prior to 1979? es No --------------------------------------- ------------ ----- 1 FOR OFFICE USE ONLY: Certification The dwelling, dwelling unit, or rooming unit located at Lem oc� i v ' MA 02632 as inspected on by LHealth Inspector for the Town of Barnstable and was faun to be in compliance with the provisions contained withil 105 CMR 410.00, State Sanitary Code II: Minimum Standards of Fitness for Human Habitation. However, this certification does not include a determination as to whether this unit contains any lead paint because under 760 CMR 49.02 Massachusetts Rental Voucher Program, a, separate lead paint inspection must be conducted. Inspector's Signature Date i i „ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map L" Parcel �d� Permit# .3® C� Health Division Date Issued i t� Conservation Division ZA . Fee t2: 00 Tax Collector Treasurer,- ` SEPTIC SYSTEM MUST BE 14_.� _ INSTALLED IN COMPLIANCE PlanningRD.ept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANDTOWN REGULATIONS � 4 Historic-OKW Preservation/Hyannis Project Street Address 105 Lcm,!OeWbuo D(2Au Village LOa UTl��D Owner CA-gol Z2aqk_) Address I 0 g �C"CA 2 U cu,&1. �1 . 'r Telephone ��8� 7 q 44, o Permit Request QL—Move 5+0\)e, Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost 1# 300 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size_�2�' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. f Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) .Age of Existing Structure Historic House: 0 Yes ❑No On Old King's Highway: ❑Yes O No Basement Type: O 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 O Other Central Air: ❑Yes 11kNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes V(No Detached garage:O existing ❑new size Pool:0 existing ❑new size Barn:O existing O new size Attached garage:V'existing O new size Shed:I,existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use t� BUILDER INFORMATION Name I A - Telephone Number -7 0�� �� p _... Address_ ®� ` License# IN�h D 9-h Q Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE t DATE cr :. FOR OFFICIAL USE ONLY 40 }y PERMIT NO. DATE ISSUED F� t k MAP/PARCEL NO. 1 r ADDRESS', VILLAGE � OWNER DATE OF INSPECTION: T • sA FOUNDATION FRAME INSULATION FIREPLACE � r ' ELECTRICAL: ROUGH.- r q- FINAL t PLUMBING: ROUGH FINAL �+ GAS: ROUGH aZ9 FINAL cc , 1 FINAL BUILDING m , .. C) ..e _x m ' DATE CLOSED OUT ~' '�.�t� ASSOCIATION PLAN NO." i^y s w The Town of Barnstable BARNSTABM M ; �0� ;Department of Health Safety and Environmental Services TEc 59 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 ZZ> T Building Commissioner T G U r Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r" Type of Work:-(2e&M0Ve_S`�v2 RIP1621stimated Cost 4300-00 to/boy,;Sk V-)V_ % v-% Address of Work: CO$ 6QNY4,9c.1�o l�t' , QQAA4-et_u t (,Co-- VV* Owner's Name: &4"l A Date of Application: ' l I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law SLJob Under$1,000 []Building not owner-occupied %Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date - Contractor Name Registration No. A JL� Y Date Owner's Name q:forms:Affidav w The Commonwealth of Massachusetts Department of Industrial Accidents � AW - _ o ce ot/firestigatioos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name location: -7 city 111-CJIV 1 02-1a 3o� hone �'7 �� I am a homeowner performing all work myself. Q I am a sole rietor and have no one worlds in airy ca acity �/%%%//////G%/%////I%%%%//%/%%///0%%//�i�/%%%////%///%///////////////////%////O////%/////O / am an em 1 rovidin workers' compensation for my employees working on this job.:: :: ;;:<<.;::;.::.;;;:.;:.:.;::.;;;;>..... ;::<:»<,::<»>:«; company name. `ss.are ad clew insurance co: ❑ I am a sole proprietor,general contractor,o omeowner(a one)and have hired the contractors listed below who have thefollowing workers' compensation polices:oll P :.............................................................................................................,v;;.,...::,>...,>.,.;:.«N.- f .:.::..:::......:::.::.:.::.;;:.;:.:<.;::::.:.:>:.;:.::::::.::.:::::.:: :«>;>::»::»»»>:;.;::::-: :::::::::.;::.>::.:;: g............::::.:::•::: .::.::::::..::.:::..::::::::::::::::..... wm anv�name.. :....:........ :;:.::;.:.:::;:.:.:.:.:.:.:....... :..........:::::..::..::::::::.... ::....:.::.:.............. . ::.:::......................... ..............:::............ address. .................................... .:................:::::.. J :iJY•�•:Y." ..K4.r. ci ....... .. rr ✓.va::::::r�::niv v::+:r v:vr:::::::v:::::::::n:v::�:is n�i:w.�::::::::v:�:�v::::i::?�iii:ti:iiiyiii iii:iiiiiiiii:ti�iiiiri:ti�:�•::::::is::::::::::::::::::{::::•...•.•:.�.. ............... .........................�::::•......:::.�:q•:•:::•i:.::::::::.�:::::::::::::::::._:::.� ...... ....................:.................::�:vi+is•i:•ii:i•:iC•..,.........w:twn, address. .:.;a .:..... ........ ......... . lion ......................:::::::::::::.: ...:•....:....::::::::....:.:.:::.::: insurance �. F-fin—to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one y�o imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a ,Copy of this statement may be forwarded to the Once of investigations of the DIA for coverage veriflcatlom I do hereby certify a pains enolties p ury that the information provided above is&w.and Correct V Date sigoa n A Print name `' �' A- G�" — Phan# official use only do not write in this area to be completed by city or town offidsl cityor town: permit/license# ❑Bufidhng Department ❑Licensing Board ❑checkif immediate response is required ❑Health e a Office OHeslth Department contact person: phone (revised 9/95 PIA) °F VE 11 The Town of Barnstable BAMSTABM MM&. Department of Health Safety and Environmental Services 10rFv r�'t" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 3, 1999 Ms.Carol Groh 108 Longfellow Drive Centerville MA 02632 RE: 108 Longfellow Drive,Centerville(Map#189/Parcel#109) Our records indicate that your house at 108 Longfellow Drive,Centerville is currently being used as a multi-family home contrary to Barnstable Zoning Bylaws. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home. 2) apply to the Zoning Board of Appeals for a variance. 3) prove that this is a legal multi-family home. " Sincerely, C Gloria M.Urenas ZONING ENFORCEMENT OFFICER GMU/kl q:zl89.109 . The Town of Barnstable BAMSTMM ' Department of Health, Safety and Environmental Services 'efFo +" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 31, 1999 Ms. Carol Groh 108 Longfellow Drive Centerville, MA 02632 Re: 108 Longfellow Drive, Centerville 189-109 Dear Property Owner: We are sorry you have chosen not to cooperate with this office in restoring the above- referenced property to a single-family dwelling. Since you do not want to comply to the Zoning Board of Appeals, we are forced to file a complaint in District Court. Sincerel , - G oria M. Urenas ZONING ENFORCEMENT OFFICER GMU/lb q:forms:zoning1 ..:..................: .b.....::.:B ILD N FRVI Gloria renas:::::. :.:::::::::::::::::..:::::::::::::::::::::::::::::......................:::::::::::::::::::::::::::::::.::::::::::::::::::::::...................:::.::::.:.::: RUMORS: .:::::.:::::::::.>:.>:.;::.;;::.;;;;;;:.>:.;:.;:<;;::.::.::::::.::.::.::.::.;;:.;;;;;;;:.;:.;:.:;;;:.;;::::::.::::::><:»»»::>:>:>:::::>::>::>:>::::>::>::»>::::>:::::<: M. �:UMORS :: 4:. :�:::Na ...Lon::::eHow �..:: .:..........::.............................Drive :.> eNTEV•:•:•:::. .::>::. . R ILLE:::::..:. X. Ellen E en S ala ..... b .. b 15304:::.:::: ;:.. :..: ....... ... .>.:.::.:.::.::.::::.basement apartment nt forme rl use d by Pr evs ou s . owners for an ughter- .................::::::: currently being used by >:other s. ur •C tams in suggest additiona l garage >> occupancy. cars c p y observed in drivewayin <<mornin . 9 >' > i ZOk) .�E jo - o� /4 �� so J , � i -# ♦ �_ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A- C(�� L DATA F*4 C_. fgg F- 1 y I 1 (/ 5 �-� , a �C� u► ► 'h C ter, 5, roc i CUUA-�-ey- �- n�`" no S*3� c � �s IL A L,,ci_ af, .. 6 °F TFIE The Town of Barnstable BAMSTABM Department of Health Safety and Environmental Services ArFo '�° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 11, 1999 Ms.Carol A.Groh 108 Longfellow Drive Centerville,MA 02632 Dear Mrs.Groh: This office has not received a request for a wiring permit to correct the electrical wiring defects found by our wiring inspector at the above referenced location. Any action deemed necessary will be taken if these defects are not rectified within a reasonable time. Sincerely, Al ed E. Martin Building Inspector AEM:lb g99031la Fn in yig_Der+ (3u fi^^r) Map Parcel ® Cl - Permit# House# Date Issued I Board of Health(3rd floor)(8:15*-9:30/.1:00- Conservation Office(4th floor)(8:30- 9:30/1:00-2:00)� Planning Dept. (1st floor/School Admin.'Bldg.) YST TEE E I GCE Definitive Plan Approved by Planning Board - ✓V A_: 19 All � H IyE M AND TOWN OF BARNSTABLEr®WN REG m.� Building Permit Application Project Street Address Village Owner Address _'94rY .Telephone -7 Permit Request 4-c. . First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. 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 --/L- New Existing wood/coal stove ❑Yes XNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) J[Attached(size) ❑Barn(size) ❑None Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use 4 Builder Information Name _ � —- Telephone NumbF-. 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. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ?hl-71�9 BUILDING PERMIT D IE6 FOR E F THOLLOWING REASON(S) tAMMAkt% ` — FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. m I - }Y yyy • ADDRESS 94# VILLAGE P OWNER z` , • U✓p ti v { ... � ,i _ Y y�3'. ` ,.y.. j j t } - .` ' .�—r '' ro E + + } P e r f p DATE OF INSPECTION: FOUNDATION FRAME to (INSULATI,ON" r s FIREPLACE ELECTRICAL: • ROUGH y, FINAL+ PLUMBING:,i ROU H F_� t FINAL r " ' GAS: i 3 ROUGH ` '{ FINAL' ol FINAL BUILDING) .` �L�� LT DATE CLOSED OUT , ASSOCIATION PLAN NO. s • i , The Town of Barnstable Department of Health Safety and Environmental Services r� ►`° Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Fax: 508-790-6230 Building Commissions For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION' MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work; Est.Cost Address of Work: c Owner's Name Date of Permit Application: L __ / — L I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner- Date Contractor Name Registration No. OR / R 1-7 Date Owners Name f r The Commonwealth of Massachusetts 1,-m,;I Department of Industrial Accidents Office affall-estfgatians 600 Washington Street ;+r Boston,Mass. 02111 Workers Compensation Insurance Affidavit INA name: p location: D o city �A � let- P— �-� yhone# I am a homeowner performing all work myself. I am a sole ggietg and have no one working in any capacity „ ❑ I am an employer providing workers' compensation for my employees working on this job. ' cotn anv name: address: city phone#: insurance co. oiicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: tom anv name: address: phone city- #•. insurnnce co. cam any name: ;;::...::.::.:::.;::.: .: address. city- phone#: ;. insurance co olicv# Failure to secure coverage as required under Section 15A of MGL 151 can lead to the imposition of criminal penalties of aline up to 51.500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of Sloo.00 a day against me. I understand that a copy of this statement may be forwarded to the O111ce of Investigations of the DIA for coverage verification. 1 do hereby certify�tin r the pains d pe ies ojp rj t the information provided ab'ove/is truo and/Treat Signature v Dates Print name Phone# oinclal use only do not write in this area to be completed by city or town olIIcial city or town permit/license 0 • ❑Building Department ❑Licensing Board ❑Selectmen's OlUce ❑check if immediate response is required QHealth Department contact person: phone i#-, ❑Mer�� (Rwea 9 95 P1A1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of 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. i MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants ` Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. -The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesffgations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 j TOWN OF BARNSTABLE ' BUILDING DEPARTMENT � - HOMEOWNER LICENSE EXEMPTION Please print. . DATE l JOB LOCATION C,� � Number Street address Section of town "HOMEOWNER" NP-DI A - . ­77 . .�L_7 Name Home phon Work phone . PRESENT MAILING ADDRESS T)01�) ®8 ... - 02-4p 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(sj 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 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 Officia- 1 on a form acceptable to the Building Official, . that he/she shall be res onsible for all such work performed under the building permit. p (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 sai proc ures . and a ui ements. HOMEOWNER'S SIGNATURE APPROVLL 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. L ... _,I � i :� 99Y,-::'' Id:• '1 }`''",' aN 4- SW+cy F '>!.r I t .4 j :a: i � I .:rc, .i- i" xr ..�: - 'rR+.. :f- •5 <; nh "2'c5£.a,:. •-H s 1 .�C . ..,., iw,J + » .,> ... 4i W- ;2 i. '.,. • u,.. 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"'E..d: � -�'7- r ;: � ��a at. ,... r :�:j,.3 r� .. yy eF.',f .;f:.,}}�, k:. r. $- i a C'i V.yJi�} i,�- .,�, � _.......r. ... ... ,,€. rs.4^ i.. .1., .. -... ', .. ,�'@�q.t;.�. dg i�:- '..i _ i G{, 1 ���• 1 -_F�T ,.K�-3,, A:� r), h.. d I .f41�. -6.. - it ,.Yr`• ,/dl Y �. -3r', s l � .�.., ,yl f. �'" - i; .I - 1 `�, ,' +kk' -•. :..v n,. ...;: :.: w. • < �.,. .•,.,ar,. :..., Cyr: r':., �, ,ryn�t...,., .r„ ..-.,x. ,. •- s.:% :.-.�., �,� -t-_.-T a { I t I , I. v ., ..7 .,� .3•",.,.., re•.;p._....- .`+r �A:. _ 'r41Y� c b� ,f` _ f}.i f i h 0 � .3 f i tt , ff t , 0'++.1C .,, "S,{ N y,"; i,..t ,:�:, .. �•z-. ' ,ti;, r:. : .�o- 1: �.� � rl.''rn z>cri�,_a. .i d:.s^v- ,t a"� �� f 1 1 .�-._ `,x_' .•.4� �, ..�.t..�it, r...' ,w: :•t`> ya�• "1 t � z:' ,r" :'+ -'..,� st.>�`._ _ ).: - ��- -- - q-r,-- :'1-•-- I.-? 1 _ _ I -�.: 5< :J) +,n a: ;{ti. ?•� ,trk�-r x 'ate.,: >�' i `i2K ;`��: � (.. '�!- I �: r i t I I. �� e '-r, t --�, .\ :4�' 1 1 ^�`•�' 'I �.) I' , �I.4 ,� t rol;:r.r � � �`� 1 � ar'�'."'"-: 1 ,a j I � � + I + I 1's' � ' 1 I- >I "•. f r `I hv, r I ' I .y 1 II 1 1 y i f 1 I_..-` '-._.+.i.,_ •� ..1.-..., I � .i I 'E�A + `i � { t��. 4f�,1 MI �� _ .. � _ I 1 f', I : I i M I C: He:='iEL BUC:KLE"-r eU I L. DER C :11 L S5:1a- ate MASS . LICENSE NO. 006911 SPECIFICATIONS: Groh Centerville , MA MASONRY: Foundation to be 10" concrete columns FRAMING 4c BOARDING - Yellow pine , .40 pressure treated Joists, sills, and box : 2x8 Rim joists and beams: 2x10 Posts: 4"x4" FLOORING: 104" vertical Grain fir TRIM: 1 "x8" Vertical grain fir to match RAIL : Hand Rail : 2"x6" fir Ball i =_.tern: 2"x2" f i r -"..r,.s`r�-+.r1-.-y.,..7'7^..:.,i;, h: .__.a.,. , .,-,..,ti...,, 1... ,._ ;; ...: ,.I,aF •'s.1e�rv...i::l•'i"• «,.-....ray.s.an.:r:. n. �. f:.�:,1.� +t..... .;,e.-.d"i I'-..`' ..�......-.v•ae},...+.. SHE i, The Town of Barnstable RARM.TI LE, Department of Health Safety and Environmental Services MASS. t67q. �0 plEo,,,o•• Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location ^" L44tr;i (CJJ—&Q Permit Number Owner 61 16r6 l.- Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: .��-� `�., � L ��., �'''�..,L.. L-t'�c;-E'�fa � � k�- l_ ��'�Asa(' • l � �Ica � �- �� ����� �.�' �� � � ������• fi� � � �� ti -T C Please call: 5088-862(-4038 for re-inspection. Inspected by Date �� °FTFIE The Town of Barnstable Department of Health Safety and Environmental Services 'OoNa't° Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 26, 1998 Mr.Michael Buckley P. O.Box 901 South Yarmouth,MA 02664 Dear Michael: It is imperative that you contact this office immediately regarding the extensive work allegedly performed by you at 108 Longfellow Drive,Centerville.) Failure to respond to this request within 14 days will cause this office to contact the Massachusetts State Board of Building Regulations requesting a hearing to have your Massachusetts Construction Supervisor's License suspended. Sincerely, Alfred E.Martin Building Inspector AEM:lb cc: Ms.Carol Groh I g980826a MICHAEL LUCKLEY BUILDER Tel . 508-398-3695 INVOICE FEBRUARY 7, 1998 CUSTOMER NAME : Ms Carol Groh 108 Longfel low Drive Centerville , Mass 1 . remodel basement room per quote $4,000 .00 2. Additional foundation work ;new footings) 210 . 00 3. Additional electric 65. 00 4. Landscaping - 3 RR ties 105. 00 5. Electric heat 165. 00 5. Sheetrock foundation wall 120 .00 Total material and labor $49665.00 Received on account a.. of 2.:7/98 49300 . 00 Balance 365. 00 UC) _ o �d. so , 0- 1'h M IR_RV\ WHAT OUTCOME DO YOU SEEK? �(D)O -�O C)D-- k rASkad--, Oak) PRINT BRIEFLY DESCRIBE THE PROBLEM. STICK TO THE FACTS,NOT OPINION OR GUESSES. INCLUDE DATES "ATTACH COPIES OF RECEIPTS, CONTRACTS, LETTERS, ETC. IJ V�k vv: C)F UX)Oka 4kVNN S\ izD t>4�--t E 1-�,o V\AS ro+ vnp stn� o t►n `1- CS i tip, < �o �c . h2 Why N vT Lu c)P L/-� i t Le dv\-v\KdA -0 1 u\tSte\ vJO Q-Y . lOAS ��0 �/1 0 N SeJt 0CCA S ICAO s f-}E 4V}5 �+ p 01 LQ �Pr p 9\'\i t )Pot w qs s v pp ose- -(6 ******************************************************************************************** Under most circumstances,the text of your complaint will be considered a public record, a copy of which is available to any member of the public upon request. However your name, address, phone number and any other information that identifies you will NOT be disclosed. Furthermore, no part of your complaint will be disclosed in response to a request that asks spf cifically for a compl 'Vubmld b you. YOUR SIGNATURE - ATE SIGNED SIGNATURE GIVES PERMISSION FOR CONSUMER ASSISTANCE COUNCIL TO PURSUE THIS COMPLAINT ON YOUR BEHALF AND WILL SUFFICE FOR THOSE PARTIES REQUIRING WRITTEN AUTHORIZATION FOR RELEASING INFORMATION PURSUANT TO THIS COMPLAINT. RETURN THIS FORM, ALL SUPPORTING DOCUMENTS AND 2 STAMPS TO: CONSUMER ASSISTANCE COUNCIL, 572 Main Street,H-4 West Yarmouth, MA 02673 Our services are of NO COST TO YOU,we gratefully accept and appreciate your tax-deductible DONATION. PLEASE COMPLETE THE INFORMATION BELOW IT HELPS US OBTAIN FUNDING IT WILL NOT BE SHOWN TO THE PARTY YOU ARE COMPLAINING AGAINST---,- AGE:0-19_20-29_30-39'C 40-49 50-59 60-69_70-79_80+ MALEEMALE� : SINGLE PARENT?YES NO�DO YOU HAVE A DISABILITY? YES�(NO -n ETHNIC: White X Black Hispanic Native American Cape Verdean Other - FAMILY TOTAL INCOME: Under $10,000 $10,000-19,999 $20,000-29,999 y $30,000-39,999 $40,000-49,999 $50,000-59,999 $60,000-60,999 $70,000-79,999 $80,000-89,999 $90,000-99,000 $100,000 + HOW DID YOU HEAR ABOUT OUR SERVICES? p i � A \n h VCk M I CHAEL BUCKLEY BUILDER Tel : 508-398-3695 ----------------------------------------------------------------------------- INVOICE MARCH 1 1 , 1998 ----------------------------------------------------------------------------- CUSTOMER NAME: Ms Carol Groh 108 Longfellow Drive Centerville , Mass ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- 1 . Remodel basement kitchen and bath : including new countertop, , vanity, baseboard, moldings, and lioht fixtures Total material 512.00 labor (24hr)s 480 .00 Total 992.00 Received on account as of 3/10/98 700 .O0 Balance 392.00 .0a 49, z .= ®®. ®b M TA SERVING CAPE COD & THE ISLANDS Consumer Assistance Council Inc. & TOWNS OF: CONSUMER ACUSHNET • DARTMOUTH ASSISTANCE WORKING IN COOPERATION WITH THE ATTORNEY GENERAL OF MASSACHUSETTS FAIRHAVEN MARION COUNCIL A NON-PROFIT ORGANIZATION MATTAPOISETT MIDDLEBORO A MEMBER OF THE UNITED WAY NEW BEDFORD ROCHESTER TELEPHONE: 508-771.0700 572 MAIN STREET - UNIT H/4 FAX: 508-771-3011 WEST YARMOUTH, MA 02673 E-MAIL: cac@capecod.net 800-867-0701 USE BLACK INK PRINT FILL OUT COMPLETELY IF YOU HAVE HIRED A LAWYER IT IS OUR POLICY NOT TO INTERFERE AND WE CANNOT PROCESS YOUR COMPLAINT. AS OF THIS DATE HAVE YOU FILED A SMALL CLAIM ACTION? YES NO YOUR NAME ADDRESS (D 1'e_-A bui b.),k Box # ^ ' Street Address CITY/STATE/ZIP ft* Q C-(0 DAYTIME PHONE-7—)H g 4 7 U� COMPANY NAME/PERSON COMPLAINT IS AGAINST ADDRESS 610 ' Pow,} Q Box Street Address CITY/STATE/ZIP BUSINESS PHONE C,506 ) S9b-3(0'0 CONTACT PERSON `I `)LQ �C F�h�S1�1� IQUt�CL( Ll-c-�c-�� 1Y15� � �'�'lUvt Cam - PRODUCT/SERVICE INVOLVED l= COST 400 F34.od C dodgy S S �h o , w� o�til � u 1 Vx AMOUNT RAID TO DATE A 03`t,00 TRANSACTION DATE iz k 0 a/l CONTRACT SIGNEu�2U.< D' ►^n"+RIZC"� �f_ vi-Fa__Q ,� �, P° 0Q-P-tw4�, � �n �noc 1 k�c , b4fln Sl h k v�c-t- M u v1 1C ttv� o- FriA nk -1� off. , WAS 'I'HEW&UCT OR SERVICE ADVERTISED?Mail radio/tv_newspa r_telephone- Internet HAVE YOU COMPLAINED DIRECTLY TO THE COMPANY: PHONE LETTER . IN PERSON UVA TO WHOM: l ILQ VC` IL- DATE R S�ln� � 1 �1�R�=o�. ************************************************************************** **** ***** ** *********** MOTOR VEHICLE COMPLAINTSI s-� Q THIS INFORMATION IS NECESSARY �nS MAKE&MODEL YEAR Purchased: New Usdd VEHICLE I.D.# Date of Purchase Date Registered Date Inspected MILEAGE AT PURCHASE CURRENT MILEAGE TOTAL NUMBER OF BUSINESS DAYS VEHICLE HAS BEEN IN THE REPAIR SHOP FOR THE SAME PROBLEM OR DEFECT (TURN OVER TO COMPLETE COMPLAINT& SIGN) ---- l o 1,16no� �aw �Vl�-eau ► 1 u , V�&k b6�� Alp-- . UCA-IL -- Oxj o(Z AboP± — Q0-N I t-_ �c 8 tom_ -�o► o i 5-- � ' 4V\Ar -- d Ic �v� � _► , ,�v 1 �es .�/ -- � ----- � -�� -•- ���, �'��-Cep_-�-���--�.�---��--� '��-------- ------- ��i �-\v` ��Vl/1►�t��\Cam_ N©ly��_�—�(��J�n 'Q��SLc�--__ __. --- v L v\d --► -«o �« `fib\C -- f -{_(�-�o�c - OrW i VYCA OF - �(, s+!�ips J-a eV PAn�O-aWA OF 0 It r $(��.---- -- ----- T- O cAI\ - ke . oa�- -��-► - —ems 0— --- ---- - tc- ---- � --C �_s - -- - . SoVj icy c. c,. T ; 0g� ,�� THE TOWN OF BARNSTABLE 3 ABLE, ,639. a Ar. BUILDING INSPECTOR APPLICATION FOR PERMIT TO 1j. TYPEOF CONSTRUCTION ............... ............................................................................................... ............ 7..........I q.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following,information: Location ....L.6-....3.6.....� .O.-Y\15.eA.aw....Dvy.e....)... .......................... ProposedUse ....... ........Woxn. ..-e............................................................................................................ ZoningDistrict ...... ...............................Fire District ............................................................................... Name of Owner ......�..Q.O.Iak�?.'.`n..Aciclress ..... Mo.'s Name of Builder ....G.ey�a'.\A....... ..............Address ... ......................... Nameof Architect ..................................................................Address ................................................................... Number of. Rooms ....... ...................................................Foundation ..... .......Q�P.!;X . ....... L .. .... .. Exterior ... Q4�.)pVqP�'!:A.Roofing .....R.5. ....... ................... Floors ........0..0.1\41................................................................Interior ...... ....... Heating .....FO.A-.PQ.a......A0.....A .............................Plumbing .......N ............................... Fireplace ......Yes...................................................................Approximate Cost .......... .................................. Difinitive Plan Approved by Planning Board --------------------------------19-------- - /6-0 Diagram of Lot and Building with Dimensions (0 rri < 0 -70 0 L q� co M C: M 00 rri Crj f— 0 0 'Vj f-q 0 -q, 00 r) 0 171 <. M --LLJ Z' C/) Z LU G) Uj > 0 r— x L 0 14J I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ............... Goodwin, Richard E. DEC 31 1970 12495 one story, No ................. Permit for .................................... single family dwelling .................................................................... Longfellow Drive 6—�— Location ................................................................ 0 e nter vill e ..................................................... Owner .............Ri.chard-,.E. .Goodwin .... ............ .. . ............................. Type of Construction ......................frame.................... ............................. ...A C -2 V 6 qPr................................................. #36 Plot ... ...... Lot ................................ f Permit Granted ..........July.........1....6.................19 69 Date of Inspection ... 19 Date Completed ......................................19 PERMIT REFUSED .............................................................. 19 .......... .................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... .............................................................. ................ q BUILDING p Tr�c vL W Epr 'UN 15 2020 TOWN OF gARNST ABLE h le _, - taw Z x.l o� ti CU lu J co 0 lot c) . c � O 0 !Q O row 1, ice Devlin Desig—lis PROJECT MANAGERS CC, L 15 Lexington Lan® Yarmouth Port, MA 02675 '- 508-246-1476 I