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0039 LUMBERT MILL ROAD
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I i k:' t4 t .'ti,. )<. ,i { mot,.. .:y. , :p ., a r �. f Y M, :) N, - — 'R �`,�-,� ��;� � t , , _- �� ,�- _ ,l, ,� •'• 4 1' 4+ la 4 l A .E',. % �: 4�1'1;1,,tL V,, t XY di�� i �2It t5 i x cr 3 4`r s 77 Y I to , �. .A ! .x^'".��. .a -.aa.". -, �.• , .. �,. ;�:.k. a�„,. 1, _ _.. _ _. .,—,ii �y_ {�. ,,._"_���_�. ._.-,�;�; .. ,,.:_.".�,rr,�,..,4..� .,1.. ,al >t„- ad :.a._.. -z_ a, r u�ldin iv sic ri Gorn lalnts ''c E .° Complaint Number:' 27501 Taken b�:,' BLDG DEPT. 5 � Date _�, 1/19/2006 Map/pareel,i �"' ` Referredtoy JACK FITZyG-HERALD ..k t y P _f V';,- ftc �e1 `�'!(6.i 3. .y` 3 4 $ 'Y�` :.•p P ." if Subject of Cotnpla�nt �� ,��, � , Business/O,ccupant Name HOME @CORNER OF LUMBERT MILL RD.AND Number 0 r�Street 'AUTUM DR. m Village- CENTERVILLE � E 7 7 -q- - - 77 Compl nt lnformat�on ` �` ` ``� '• •° 1"IfComplainant's NameJAMES KELLY , A-dr"ess 67-LUMBERT MILL RD ,i PhoneNumber 508-4288454 Descr bon` 1. BLDG MATERIALS PILED IN FRONT YARD,2. THREE p UNREGISTERED VEHICLES IN YARD (POLICE MATTER). 1CONSTRUCTION EQUIP. IN YARD, 4. VEHICLES PARKED ALL OVER YARD IN EVENING,APPROX 11 VEHICLES � Act�anTakenlesults , � 'VISITED THE ABOVE SIGHT ON 01/1 9/2006,FOUND TEO UNREGISTERED VEHICLES @SIGHT,BLDG MATERIALS TAKING UP A LARGE PORTION OF THE YARD,ALONG WITH LADDERS,LADDER JACKS,AND BUILDERS EQUIPMENT.I WOULD SAY THAT IT IS APPARENT THAT A BUSINESS IS BEING RUN OUT OF THE HOME. THERE WAS NO ONE AT HOME WHEN I VISITED THE SITE. SEE 1: 05te�Clos�e7d mw � � C Timm ) *Print Form 1 �I\ 3V7 4 [ - Town of Barnstable Building Department / S Complaint/Inquiry Report 2 7 Sly 1 TOWhi 0F. 8,AR NSTABLE Date: Rec'd by: Assessor's No.: 2006 JAN 19 '„ Complaint Name: n R �00vn% O(w e.P It t Address cor 0 Wr G vYnix Originator Name: Street: vim. C V zip.- Telephonc: D/E _ Complaint -rO rl-S 0 s `ck Descripuon. TI) 4je ek tk jo_ Tb Descri pdon: For Of ce Use Only Inspcctor's Action/Comments Date: Inspector. Follow-up Action Additional Info. 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[' t4 Health Complaints 20-Dec-06 Time: 9:30:00 AM Date: 1/23/2006 Complaint Number: 18632 Referred To: DONNA MIORANDI Taken By: ELLEN WADLINGTON Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: Number: 67 Street: LUMBERT MILL ROAD Village: CENTERVILLE Assessors Map_Parcel: Complainant's Name: LOIS LOMBA Address: Telephone Number: x 4772 Complaint Description: multiple families noted living in house; lots of boards piled beside fence; lots of plastic trash barrels upside down; lawn mowers inside and outside building; suspected illegal use of premises (Jack Fitzgerald, Building Dept. has pictures). Actions Taken/Results: DZM investigated#67 only to find out that#67 is the complainant, Mr. James Kelly, 508-428-8454. Talked to him regarding the problems at length. He is complaining about#39 Lumbert Mill Road, Centerville. He states there are 10 men living there and they work all night coming and going with noisy cars and loads of lumber. He also states that they micturate in the backyard. After talking with Mr. Kelly DZM went to the correct house of the complaint and started taking pictures. I was then invited inside by two women. One of them being a daughter named Atlla Coelho, cell phone (508)-367-4131. She was most cooperative and stated that her parents bought the house in October 2004 as a 5 bedroom house. She states that there are only 5 people living there. DZM walked 1 Health Complaints 20-Dec-06 through the house and there are two bedrooms on the main floor with another room as a potential bedroom being used as an ofice and two completed bedrooms in the basement.Thel assessor's has it listed as a 3 bedroom house and there are no permits to go from 3 to 4 or 5 bedrooms for that matter. Previous septic inspections and permits have it stated as a 4 bedroom . On another note, the vans shall be removed in a week and they ask for a month for the unusable debris to be removed. 01/27/2006- Much debris cleaned up and fence has been put up. DZM took pictures. Investigation Date: 1/23/2006 Investigation Time: i 2 Town of Barnstable *Permit# P 3 Expires 6 months rom iss ate X,PREtSSPERMplatory SerV1CeS FeeS� DEC_2 0 2006 Thomas F.Geller,Director Building Division TOWN.01' BARN ,CBO, Building Commissioner 2 Street,Hyannis,MA 02601 ,N(J w ww.town.barnstable.ma.us " ►ffice: 508-862-4038 Fax: 508-790-623 EXPRESS PERAUT APPLICATION - .RESIDENTI AL ONLY } Not Valid without Red X Press Imprint parcel Number 4 -rty Address �J�l �f(�L .esidential Value of Work ' Minimum fee of$25.00 for work under$6000.00' er's Name&Address ractor's Name Telephone Number ie Improvement Contractor License#(if applicable) , 'an"S�roisot's-1✓icErise-#-(dfappi�atrle) rorkman's Compensation Insurance ck one: am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance ante Company Name y of Insurance Compliance Certificate must be on file. &Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License is required. vATURE: 0A a ms:expmtrg e061306 The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations d 600 Washington Street Boston,MA 02111 ww'Mmass.gov/dia Workers'Compensation Insurance davit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/1-ndividual): . II I Address: r'T m1 City/State/Zip: C I'"' o y !R>6 I-�4 l 31 Are you an employer?Check the appropriate bog: :Type of project(required):. 1,❑ I am a employer with 4. ❑ I am a general contractor and I employees( and/or part-time).* have hired the sub-contractors 6. ❑New construction . full 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition 7 rldn for me in an capacity. employees and have workers' g Y P tY 9. ❑Building addition [No workers' comp,insurance comp, insurance. aired.] 5: ❑ We are a corporation and its 10.❑•Electrical repairs or additions '3. 1 am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees, [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer.that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as,required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi n er the pains and pens of perjury that the information provided above is true and correct. Signature: Date: O` Phone#: Official use only. Do not write in this area, to be completed by,city or town official, City or Town: ' Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: R10FIRULIU11 A.HU 111Nl.1 Uk;ULU113 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or 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." AdditionaIly,MGL ehapter..152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance v�ithtlie insurance requirements of this chapter have been presented-to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-conti•actor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members'or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers,' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (c4 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 for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have-any questions, please'do not hesitate to give us a call. The Department's address,telephone-and fax number:; The CormuonwWth of Ma.aehusetts Deputment of Ind-u al Accidents Off!"of Investigations 600 washinpri Sheet B¢stonNA 02111 • . Tel. 617-727-400.0 ext 40,6 or 1. -MASSAFE Faye#�617-727-7749 Revised 11-22-06 WWw.mass gov/dia ry VIP, tF Town of Barnstable ; FTHE Tp� Regulatory Services • Thomas F.Geller,DirectorMASS 9� i6,�, ,e� Building Division �Ec 3 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERWM# R2C) 24 FEE: $ _SIdED GISTRATION 120 square feet or less Location of shed(address) Village AG,c—, r.->OfL CA e, Property owner's name Telephone number Ib � 01S- Size of Shed Map/Parcel# i tore Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District•Commission jurisdiction? Conservation Commission(signature is required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,TEERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN ' AO&TGAGE WSPECTION PLAN FILE NO.: 152452 UNREGISTERED LAND ADDRESS: 39 LUMBERT MILL ROAD, BARNSTABLE MA DEED BOOK: PAGE: ATTORNEY: GILL, DEVINE & WHITE PLAN BOOK: PAGE: LOT(S): LENDER: FIRST HORIZON HOME LOANS CORPORATION PLAN NUMBER: OF OWNER: STEPHEN V. & LORRAINE RALEIGH/RALEIGH REALTY TRUST APPLICANT: AGENOR C. COELHO REGISTERED LAND DATE: 09/17/2004 SCALE: 1"=40' REGISTRATION BOOK: 996 PAGE: 114 CERTIFICATE OF TITLE: 121674 PLAN NUMBER: 31043-A LOT(S): 17 FLOOD HAZARD INFORMATION FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL: 0016D DATED: 07/02/1992 MAP: BLOCK: PARCEL: ILL J� LOT 47 .o� o- c PP 12� ; LOT 17 r 1 0 17.071 IRON PIPE(fnd) L.O T 16 101,09' .2B' LUMBERT MILL ROAD MORTGAGE LENDER USE ONLY THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT o OF AN INSTRUMENT SURVEY AND IS.,CERTIFIED TO THE TITLE DES LAUBULERS INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. & A COCTA�' �TC• \ 40 KENWOOD CIRCLE,. SUITE 8, FRANKLIN, MA 02038 THERE ARE NO DEEDED EASEMENTS IN THE-ABOVE REFERENCED TEL.:(800)287-8800 FAX.:(508)528-4011 DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. OF MAssq THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE. NO N o I I G THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER U NL 8 s WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN o EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL T SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, information, and belief as the result of a mortg ge inspection tape survey made to the normal standard of care of.registered land surveyors 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 construction. (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished by an accurate instrument survey. (5) No responsibility is assumed herein to the land owner or occupant. Town of Barn stable- *Permit# �42 2- Upires 6 Months from issue date Regulatory Services Fee D� Thomas F.Geiler,Director a�I?A� ss Building Division Tom Perry,CBO, Building Commissioner A% 1 200 Main Street,H Tyannis,MA 02601 0WN pF 2005 � www.townbarnstable.ma.us eq Office: 508-862-4038 Faxnt9'� - 30 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint map/parcel Number , Property Address pp JJnn ❑Residential Value of Work 1, V Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1. Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am,a sole proprietor. I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Requ t(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ' ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors Licenseis required. SIGNATURE: r Q:Forms:expmtrg Revise071405 +Department oflndustrial AccidentsV • Office.of Investigations 600 Washington Street Boston,MA 02111 y�• www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/JElectricians/Plunmlbers AyMiCant Information Please Print Legibly Name (Businesslorganization/Individual): Address: LA I fl /State/Zi : P i one .C � Are you an employer? Check the-appropriate box:. Type of project(required):- 1.❑ I am a employer with 4. ❑ I am a general contractor and I ' employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet $ 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their 3. I am a homeowner doing all work right of exemption per MGL ILED Plumbing repairs or additions myself.-[No workers' comp, c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. (No workers. 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information �• t Homeowners who submit this affidavit indicating they are doing all work and then hirt outside contractors must submit a new affidavit indicating such. 1Contractors that check this box.must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. - Insurance.Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 15.2 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 aline of .p to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenalties of perjury that the information provided above is true and correct Si ature:. Date: �. Phone#: Official use only. Do not write in this area,to be completed by city.or town official, City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2..Duilding 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 employes. t of hire, Pursuant to this statute, an employee is defined as"...every person in the service of another under any contrac express or implied,oral or written. « , association,Fgrporation or other legal entity,or any two or more An employer is defined ag.,arl individt1A..partnershmp 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. Hower:tle 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 workvn such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or a business or to construct buildings in the for any renewal of a license or permit to operate applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its-political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants to Please fill out the workers' compensation affidavit completely,by checking the boxes that apply rtificates)of your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their cert insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members orpartuers' are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should enter they 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 provideda space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact ou re arding the appl Please be sure to fill in the permit(license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in (city or town)."A copy of the-.affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that-a valid affidavit is-on file for;future permits Or-licenses..A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . :. Department of Industrial.Accidents dffi�e f Investigations 4.. r 600 Washington Street Boston,MA 02111.. `Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www,mass.gov/dia P� Town of Barnstable Regulatory Services OF THE Tp� Thomas F.Geiler,Director • Building Division + BMWSTABLE, + MASS. g Tom Perry,Building Commissioner iDrFnt p�0 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Approved: Fee: dy Permit#: ' 0 HOME OCCUPATION REGISTRATION Date: , Name: '/Q =� / I Phone 0: Lsoo 6,5 / Address: ��--(,G�']� / /�77'l/ Nc Village: CYIUI-CrUl / 2`-9 Name of Business: (r � S (fJ�,s7/�l( c? / w ' Type of Business: �.. I Or/el/�a Map/Lot:� � ' C t u' > INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home o cupatioat within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided d at the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no V'isu al cn rn alteration to the premises which would suggest anything other than a residential use;no increase in traffic abo ve normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and'not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: /;� Dili '= Re,5�1'7 - Date: Homeoc.doc Rev.5403 TO ALL NIVV BUSINESS OWNERS DATE: Fill in please: Co APPLICANT'S , YOUR NAME: Co e( ko BUSINESS YOUR H ME ADD SS: .2�1q m-i b f r+ rn i l 'Rd TELEPHONE Telephone Number Home — NAME OF NEW BUSINESS 's TYPE OF BUSINESS , erno (V IS THIS A HOME OCCUPATION? YES NO- Have you been given approval fr the building division? YES NO�' I` ADDRESS OF BUSINESS ri i tt 'R J C-C r,4-frvi 1.1-e- MAP/PARCEL NUMBER When starting a new business there are several things you must do in order to be incompliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. —(corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSI ER'S OF CE This individual has ee i rmed of kny ermit requirements that pertain to this type of business. kuthorized Signature** COMMENTS: 2. BOARD OF H This individual ha-4,beelh informed of��thep i �nts that pertain to this type of business. A rized Signat * . COMMENTS: 3. CONSUMER AFFAIRS (LICENSINGAUTHORITY) This individual h een infor ed of the licensing requirements that pertain to this type of business. - Authorize Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. q TOWN OF B,ARNSTABLE i CERTIFICATE OF OCCUPANCY PARCEL ID 168 015 GEOBASE ID 9349 ADDRESS 39 LUMBERT MILL ROAD PHONE Centerville ZIP - LOT 17 LC31 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 23349 DESCRIPTION DMR RESIDENTIAL SERVICES - USE GROUP R-4 PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department.of Health, Safety i ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ox THE CONSTRUCTION COSTS $.00 753 MI SC_ NOT CODED ELSEWHERE * Hd►RNsI'ABi.E. 1VIA83. OWNER RALEIGH, LORRAINE TR 0,39' ADDRESS 600 FALMOUTH RD E�MIr►I HYANN I S MA BUILD'IN rG D SIO 6 BY DATE ISSUED 05/28/1997 EXPIRATION DATE ©4 va ems- Engineering Dept. (3rd floor) Map ( (0 0 Parcel .I Permit# 0 - . R House# � �✓� Date Issued 'Board of Health(3rd floory(8:15 -9:30/1:00-4:30)'fj ' �Fee — Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) Planningfloor School Admin. Bld Dept.P .(1st / g.) d� Definitive Plan Approved by Planning Board 19 ; BNWABLL MAIM TOWN OF BARNSTABLE B 'Iding Permit Application La r.,1-1) froject Street Address /?7/� Village Owner _ Address L�f Telephone J 7 . ", Permit Request ae c 2e2F,<7 /j,�/� 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 Struct re istoric House ❑Yes ,i�,,1(�o On Old King's Highway ❑Yes t_(No Basement Type: Full ❑Crawl Walkout Ll 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(no;rG; luding baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air ❑Yes �No Fireplaces:Existing New Existing p g _� g wood/coal stove .❑Yes o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) /5-YoU��� ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals thorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# - Current Use Proposed Use f / Builder Information Q Name 1� Telephone Number, Address &/ .4my License# A!!��A V R7V a0Q66/ Home Improvement Contractor# J 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 AA SIGNATURE DATE -7Z BUILDING PERMI DENI OR TH FOLLOWING REASON(S) v • FOR OFFICIAL USE ONLY PERMIT NO. s DATE ISSUED MAP/PARCEL NO. 1 ADDRESS VILLAGE ' OWNER M DATE OF INSPECTION: FOUNDATION FRAME . . INSULATION FIREPLACE s ' 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH s FINAL• s , GAS:. ROUGH ? FINAL 1 FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. =' The Cl1111111011 s1•calth (if Massachusetts ;-,! �'j•�;_ -�� Department of Industrial.4ccidcnts �` ;" ! OcEa!/ayestlgatlons 6110 11 aslringtun Street X. Boston.A1ass. 02111 �-' Workers Compensation Insurance Affidavit �_�,_,,� • i�li�tn int rm inn• "' name ������ l' ���i!;�d • ncn cilv/ hon• Del/ 1 am a homeowner performing all wort: myself. [1 I am a sole proprietor and have no one working in any capaciry ,�„�.L. ..�._�..eM..�._..r� CZ I am an emplover providing workers' compensation for my employees working on this job. comn•tm n•tMe Q� 19 oza phone#! in,mrincr co. I am a sole ro rietor. eneral contractor. or homeowner(circle one) and have hired the contractors listed beio« N he G P P e the following workers' compensation polices: om am• n�tnr• addrrtt• One cin•� nm in.• nnine, addr"c' cit�•� • hone 0! policy f/ ..-J•._r .. •.Ir. •H.....i..._.rs..V.br...�. 7�f•r.. •..M..l Attach additional sheet if neeesia_rv�.:_._ "-':' "''" '�"�"'�'� Failure to secure coverage as required under�eetion:SA of p1GL 152 can lead to the Imposition of cnminal penatties of a line up to 51.50U.UU a, une%cars•imprisonment as��cll as ci)•ii penalties in the form of a STOP WORK ORDER and a fine of S1n0.00 a day against me. I understand t. Copy�rf this ataicnicsit ma% be furwnrded to the Ofrtcc of Investigations of the D1A for coverage verification. !rlo llereht•ccrtif ndrr he p irrs ena1, of pctiun•drat the information prodded above is true and correct. Si=nature Dace -~ �'" J (� Phone>r Print nanic (fliciai use unit' do not write in this area to be compieted by city or town official permit/license 0rItluildisir Department city or town: Cuccnsiug Huard Velcetmen•s Orrice I: check. if iminediate response is required C31teatth Department �- nt)tt�cr Aassachusctts General Laws chapter 152 section '_5 requires all employers to provide workers' compensation or their :mployecs. As quoted from the an emplitree is defined as every person in the service of another under an%• :otitract of Hire, express or implied. oral or written. ui rnrpinrer is defined as an individual. partnership. association. corporation or other legal entity. or any two or more is foregoing cn_sagcd in a,joint enterprise. and including the legal representatives of a dcc=scd employer. or the _cciver or tnistee of an individual . pannership. association or other legal entity. employing employees. However the caner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the wcliin�_ !rouse of another who employs persons to do maintenance , construction or repair work on such dwelling: lious - oil the �_,rrunds or building appurtenant thereto shall not because of such employment be deemed to be an employer. 1GL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or ,ti0v:t1 of a license or permit to operate a business or to construct buildings in the communi•ealth for any )plicant who has not produced acceptable evidence of compliance with the insurance coverage required. Jdiiionallv. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the rformanee of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha en presented to the contracting authority. j 1plicants ase fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and plying company names. address and phone numbers as all affidavits may be submitted to the Department of astrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tlie jayit should be returned to the city or town that the application for the permit or license is being requested. the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required btain a workers' compensation; policy. please call the Department at the number listed below. - or Towns , .se be sure that the affidavit is complete and printed legibly. The Department has provided a;space at the bottom of affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas ire to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to )epartment by mail or FAX unless otIterarrangements have been made. Office of Investi=ations would=like to thank you in advance for you cooperation and should you have any questions. 3e do not hesitate to Live us a call. Department's address. telephone and fax number. The.Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 «'ashinbton Street Boston,Ma. 02111 r fax #: (617) 727-7749 phone I: (6I7) 7274900 ext. 406, 409 or 375 THE The Town of Barnstable � g Department of Health Safety and Environmental Services 19. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commit 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:ebL��� �Est.Cost IJL�• Address of Work: /c6 A0 'e� Owner's Name �� Date of Permit Application: I hereby certify that:4/65t Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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. �R V Assessor's map and lot number ... NABIL TOWN OF BARNSTABLE ~ � BUILDING � 0N0N �� N �� INSPECTOR ' �� 0N � N_N0 N ���� N ������ N� 0° � �� =� � ���� � �� _- � °=��� ���~ m ` APPLICATION FOR PERMIT TO ................. ----....................-..--------.-... ` ` TYPE OF CONSTRUCTION -----------------------------_-.—.--.. --.-. - ) -� � ' -.-...�.J. -..'. / l��P�� � --..} ~�.--. . / TO THE INSPECTOR Of BUILDINGS: The undersigned hereby applies for o permit according to the following information: �� �� i Location -�x�-~'�:\�.��t��������-]!�\.l�'����..�-..-------.-..-...-...-...-._..--...-------. ' Proposed Use --------------------.----.-----.-------'---..--------------.. --------------.Zoning District ....................................Fire District . ' Nome of Owner ..[�\ ^ .\ �{�- .. [��� ��..A66reu , � ...L/����.\���.^^^�-- ..' .\ �-.Y�� --- . ---� -'T -� ---� '-�--- ��������� ��� - --' '' ' - ---' Nome of Builder �-A66reo -.�/� .�\��.»� �`1i���r-..!m.` .\ �- .�-.- � . .Name of Architect ----------------------A6Jres ---------------------------- Number of Rooms ----------------------Foun6o/iun ................................................... Exlerior --------------------.-------.Roofing --------------------_-----,..� ` Floors -{- �����.��-^ ` -_-------.------.`-.|nkerinv ------_-------------_------_ Heating ---- ----`------------.F1umbing .....C\ ---.----,___________. ' Fireplace ...........V�XlKN..�-......................................................Approximate COSA Q.-.0 [}........................................... � �-� Definitive Plan Approved by Planning Board '------------_--'lQ_---. Area -..L`/^`-''------. �= Diagram of Lot and Building with Dimensions ` Fee _ ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ' ` ` � ' - - � [ � ^ ^ | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above � construction. | ' . Non�e . ..�../��!�����J\�������.--.--. � ` � . .. � ' � ` ' � ' � � � 22192 Addition Porch to Dwelli g am PERMIXRRIEFUSED / ........... .......... � . ......... � � ..................................K----.L. —.. ---.. ° . ~ / ^ � --------------~'/'----' (---.----.--..--.--..—.---.— \ / Approved � ---------------- lQ -----'-------^'--^-------~' � ------------------..----- '