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HomeMy WebLinkAbout0067 MARIE-ANN TERR pr- :{V - gale=- Arye - ' n a e s e ► Town of BarnstableBuilding Post This Card So That rt isNisible from the Street Approved Plans Must be,Retained,on Job and this Card Must be Kept snluv5,aatE = . vh ss� � Posted�Until<Final Inspection Has Been Made'., ��� �� Where a Certificate of-Occupancy is.Required,such. Building shall Not::be Occupied until a Final Inspection has been made. J Permit No. B-20-1875 Applicant Name: Thomas Lee - Approvals Date Issued: 08/06/2020 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 02/06/2021 Foundation: System. . Map/Lot: 189-096 Zoning District: RD-1 Sheathing: Location: 67 MARIE-ANN TERRACE,CENTERVILLE Contractor Name:- `THOMAS 1 LEE Framing: 1 Owner on Record: LINTZ, ROBERT M&CAROLYN R Contractor License: 172 2 Address: 67 MARIE-ANN TERRACE Est Project Cost: $1,300.00 CENTERVILLE, MA 02632 � Chimney: it Fee: $35.00 Description: Install Fire System at home 2 wireless smoke/heat detectors Insulation: combos. 6 wired co detectors. Fee Paid: $35.00 Date:, �' 8/6/2020 Final: Project Review Req: Combo required outside of first floor bedroom.Smoke not` needed in kitchen. �} 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 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. 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. - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site J�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: s Town of Barnstable i�ldlal .. s ::a ` ,s:;' z.`g" :.:.. s:'" '`�,. :� �:z..i. x '� 'r.<. °'� "� •,fit., '?• 'L`.'uu k. a 4 We`« "� r �' w+8,c`�c","§"'.';� . PostThis..Card oThat rt�s V�s�ble FromtheStceet A roved:PlansMust<:be:R tamed onJ,ob-and this Card Mrustbe;Ke t • aAxxt3CA[iLlb, • t ,. $ '. "� ''r: `� .�i 9 ,a d Pp maw '>;; d ci p .,, posted LIntIIFinal:;lns ection'H.as Been Mader ', , �� ° .16� � •.:e � ;fie. � Where a Certificate of�Oceutlanc is Re uiretl such�Buildmo�shallANot be:Occun�ed�unt�l a Final,lnsrlection has been�made *::.:.a.,� a,..�.,�->.,.#s-•-.:: ...w.e:r,�.i';�t..:N. ~,-..�_,.�Y_. .:L&.,c�;S.X2:.A' � .��$�.-.'r;�+.:'�Y Yi<.a��...:w ate...... ._�.;�:-:.,.w.EYvra ---'_:3,._,_._.:...•a�bsn...°«..;z�«r*E. :v, `.,., .Yw�,.t^...:?„� .. _ .. Permit NO. B-18-2614 Applicant Name: BARESE,ADELE C Approvals Date Issued: 09/11/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 03/11/2019 Foundation: Residential Map/Lot 189 096 Zoning District: RD-1 Sheathing: NilLocation: 67 MARIE-ANN TERRACE,CENTERVILLE 01 a Contractor Name. Framing: 1 Owner on Record: BARESE,ADELE CContractor License 2 Address: 130 MERCHANT AVENUE ` Est Pt ject Cost: $ 17,000.00 Chimney: YARMOUTHPORT, MA 02675 . - Permrt Fete: $ 136.70 l x : Description: new kitchen cabinets, add half bath in kitchen mudroom file walls . �� Insulation: P / Fee Paid.; $136.70 and floors. 2 first floor bedrooms to 1g change lar a master � s �r Date 9/11/2018 Final: bedroom. change first floor bath to master bath Update smokes IF Project Review Re NO SLEEPING LOWER LEVEL.FAMILY ROOM ONLY h ' � f Plumbing/Gas 1 q x t�' Rough Plumbing: Building Official Final Plumbing: c ` at Rough Gas: y `Final Gas: This permit shall be deemed abandoned and invalid unless the work authoriz­4777ed by this permit is commenced within sa monthsgafter issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures;shall bean compliance with the local zoning by laws-and codes. p This permit shall be displayed in a location clearly visible from access street or road andshallbe mamtamed open for pub6c�mspection for the entire duration of the Service: work until the completion of the same. � �� ' -a e- � t 7f �r Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fir"e'Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department 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). Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Thursday, September 06,2018 10:29 AM To: 'dmorinhome@hotmail.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No'TB-187-2619 Applicant, Please be advised the above application has been reviewed and is denied for the following: 1) Application is incomplete. No basement floor plans are included. 2) Application contains conflicting information. Plans show three bedrooms and the application states four bedrooms. In order to proceed;the above items must be corrected..please do not hesitate to contact the building department with any questions.Thank you. Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon aatown.barnstable.ma.us 1 c The Commonwealth of Massachusetts Department of Industrial Accidents .-Office of Investigations 600 Washington Street Boston,MA 02111 , www.mass.gov/dia " Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Q/'d Address: 1?0 e City/State/Zip: r' 140P / Phone#: d Are you an emplo V r?Check the appropriate box: Type of project(required): 1.❑ I a employer with 4. ❑ I am a general contractor and I mployees(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 g• ❑Demolition workingfor me in an capacity. employees and have workers' Y aP tY• 9. ❑Building addition workers'comp.insurance comp.insurance: equired.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions or additions 3. officers have exercised their 11.I am a homeowner doing all work right of exemption per MGL ❑Plumbing repairs myself- [No workers comp. p p 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no ��,®� � employees. [No workers' 13.❑Other� "1F�? comp•insurance required,] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their, workers'comp.policy number. 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certiffy Xu r a pains and penalties of perjury that the information provided above is true and correct Si afore: �� Date: 9 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): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,'an.employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." is defined as an individual,partnership,association,co oration or other legal entity,or an two or more An employer dual,P �P, n, rP, g t5', Y of the foregoing engaged m a joint enterprise,and including the'1ega1 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 ha�Vmg-not more than three apartments and1who resides therein,or the occupant of the dwelling house of anothei 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 f such employment be deemed to be an employer." r j 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 cons6act buildings in the commonwealth for any Pi applicant who has not produced acceptable evidence of comp.'liance with the insurance coverage required." Additionally,MGL chapter 152, §25C(n states"Neither the cc)in�monwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers compensation affidavit c1ompletely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or) invited Liability Partnerships(LLP)with no employees other than the members or partners,are not required too cart'workersl compensation insurance. If an LLC or LLP does have employees,a policy is required. Be ad 'sed that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance�coverage1 Alsofbe 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 ailk questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department:lit the,number listed below. Self-insured companies should enter their self-insurance license number on the approppatelline./ I City or Town Officials Please be sure that the affidavit is complete andpprinte, 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 numberr�hich will be used as a reference number. In addition,an applicant that must submit multiple permit/license apphcations in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job€-We�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�foi1 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;s 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. d The Department's address,telephone and fax numliier: 0, The Commonwealth of Massachusetts Department of Industrial Accidents ,Q ce of Investigatibus 640 Washington Street Boston,MA 0211J Tel.#617-727-4904 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.m=.gov/dia Application Number .�.............. # ; PermitFee.......................................Otbea Fee.................:...... MAMBUILDING DEFT ToilFee Paid..........................::::.............. ........ ............ AU613 2918 TOWN OF BARN ST ►PA OF BAD Pe�� �o, by.. . ....:..:on...`�11.! STABLE V BUILDING PERMIT .pa�.....11.1`..�1...:. ................. ...................... APPLICATION Section 1— Owner's Information and Project Location Project Address 7 , u�j e-.4ij,,j 7ewym-e Owners Name, .�d, � Pl/,O Owners Legal Address /9 State Md. Zip jo Z6 7Sr r Owners Cell# 6163 - 2 B?— '1Gb$ E-mail r W a P Z ti ld-0 /-)o , GV v� Section 2—Use of Structure r Use Group ❑ Commercial.Structure over 35,000 cubic feet ❑ mmercial Structure under 35,000 cubic feet 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 19/Renovation ❑ Pool ❑ Insulation t ` Other—SPAS' Section 4-Work Description o 7 DD ,e TAct :919=IS Application Number.................................................... "Section. 5-Detail Cost of Proposed Construction�33, >,o Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) ] 3 ot- 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors numbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑•Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: rm©&Af'% /�hoeL ,r„ I am using a crane ❑ Yes ❑ 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=date&n/201 s ,�' Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Tap License Number License Type Expiration Date Contractors Email Cell# 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.Attach a copy of your license. Signature Date Section-10—Home Improvement Contractor Name Telephone Number Address City State zip ' Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town ofBamstable.Attach a copy ofyour H.I.C... Signature Date Section 11—Home Owners License Exemption Home Owners Name:.,/dn/ [ &rm Telephone Number Cell or Work Number �� — r 1— 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. Si Date M'- APPLICANT SIGNATURE Signature Date o/,5\n� a Print N � Irin Telephone Number 0 3: 6'1 r 4 �o 3 E-3 permit to: T sar.....i nInnAia Section 12—Department Sign-Offs Health Department ® Zoning Board(if required) ❑ Historic District ❑ Site Plan Review Cif required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire deparbnent for approval i j Section 13—Owner's Authorization I as Owner of the-subject property hereby authorize to act on-my behalf in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name j a� d9 f • 1 { { a ' 7 � I Lest undated:2192018 *Permit Town of Barnstable �.� Building Department e 6"` '`ths f'°"`issue date anxNsreBLE, : Brian Florence,CBO MAM �' Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION .- RESIDENTIAL ONLY Not Valid without Red X-Press`Lnprint Map/parcel Number Property Address VIA&U ti �^�(T 1 ��c���, ���t-c� ��1 L i5 VIA [Residential Value of Work$ 2 aO D Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address I/i A 0 Z(.a 4.- Contractor's Name "oujiga'a 29ta ,`—&-a Telephone Number Home Improvement Contractor License#(if applicable) lq 51��(ia_ Email: Construction Supervisor's License#(if applicable) t©0(-'% 2 57 a: ❑Workman's ompensation Insurance. Ch one: APR 0 9 2018 I am a sole proprietor TOWN ` ❑ I am the Homeowner Ot�b�E 1l E1 8ARNS ABLE ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insuranc Compliance Certificate must accompany each permit. Permit Requ t(check box) ,y/ 7 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to a vtyq )%- -LA,,4b ❑ -r of(hurricane nailed)(not stripping. Going over existing layers of roof) -side Replacement Windows/doors/sliders.U-Value , 2,9 (maximum.32)#of windows 12 Z 2`7 #of doors: 6 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. t ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. . SIGNATURE: QAWPFILESTORMEXPRESS2017 °F'WE tok'1� Town of.Barnstable °^ Building Department BARNSTABL , ` Brian Florence,CBO .�� ArEo5� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder I, o�'l �r ✓l ; as Owner of the subject property hereby,authorize Uota h ey"N ?� 12` to act on my behalf, in all matters relative to work authorized by this building permit application for: 0Ailc i e, AgIn rya c� (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature o ner Signature of Applicant &nO Print Name Print Name 2©6 Date Q:FORMS:OWNERPERMISSIONPOOLS Rev: 10/17 Town of Barnstable OF THE rqk, Building Department , c� Brian Florence CBO Building Commissioner r (� M"M e�' 200 Main� Street, Hyannis,MA 02601 1639. ♦ v .ArED ML+" www.town.barnstable.ma.us i. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION, Please Print DATE: f { JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/tdwn state zip code The current exemption for homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an indnndual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HONIEO 1t Person(s)who owns a parcel of d on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, c I ed or detached structures accessory to such use and/or farm structures. A person who constructs more than on h me in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Bui g Official on a form acceptable to the Building Official,that he/she shall be res onsible for all such work erforme under the buildin ermit! (Section 109.1.1) The undersigned"homeowner"assum s r ponsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and re ati s. The undersigned"homeowner"certifies that h she understands the Town of Barnstable Building Department minimum inspection.procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings ontaining 35,0 0 c is feet or larger will be required to comply with the State Building Code Section 127.0 Co ction Control. HOMEOWNER'S TION The Code states that: "Any h eowner performing ork for which a building permit is required shall be exempt from the provisions of is section(Section 109. .1-Licensing of construction Supervisors); provided that if the homeowner engag a persons)for hire to d such work,that such Homeowner shall act as supervisor." Many homeowners who use this xemption are unaware that hey are assuming the responsibilities of a supervisor(see Appendix Q,Rules& gulations for Licensing Cons t ction Supervisors,Section 2.15) This lack of awareness often results in se ions problems,particularly wh n the homeowner hires unlicensed persons. In this case,our Board cannot roceed against the unlicensed pe4i son as it would with a licensed Supervisor. The homeowner acting as S pervisoris ultimately responsible To ensure that the homeowner' fully aware of his/her responsibiliti s,many communities require, as part of the permit application,that t homeowner certify that he/she undel tands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several to s. You may care to amend and adopt such a form./certification for use in your community. } { The Corrirraomvealth ojfMassr djusetts Departrntvit of lni a&ialAcciderits Office oflnvestigat'ions 600 Washington&h eet Boston,MA 02111 tv mumassgovldia Workers' Cumpensation Insurance Affidavit Bugder-dCnntractursMecticiansdllmbers AmUcaut Information Please Print E �blv Naffie(Ba�¢�► tiaizatioalFachvidusi� {�C2tcz14-{�'1 ���/� Address~ _ 1`P�� la/�.g�L ri 1�A�n� • CityfSta&Zrp:1 f2 `� 2 Z Phone 'ZCJ"` �'�£" --(.e'4 C> Are you employer?Checkthe appropriate box: ' Type of project(required): I.❑ I a employer Uith 4. ❑I am a general contractor and I 6. 0 Iqm fiim Ioyees(full atmdfor part-fiime * have]rued.fbe suFr-candsat-tars 2. I am a sole proprietor or partner- listed on the aGtarhed sheet. ?• ❑wog These sub-contractors have ship.and lrszre no employees � S_-❑Demolition forme in employees andhave wodan' °fig � 1 9_.Q Bui1dmg addition.[No w.ad=s'corV.fimurance coop_inanratar mod) 5_ ❑ We are a corporation and its 14❑Electeical repairs of adcritions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions. mysilf o workers' - dgM try Of eMM43tiO4 per MGL ❑Roof�� ,m ance e�E&j y c.152,§1(4�andwe have no _ employees_Wo warms' 13.❑Other Coup-msurane required-) 'limyWHc=tdatchet�mb=Kwm als d ofMcWtheswdmbeiawshnwingetwoskerecompensaffiwyalicgiufm�=H n_a �ffameoara�s who sabmit tEus af5da[Rt iad�icatiag they are doing sly wa¢k agd H�hoop omtside r..,n.9.e.,,z��sohmit a aem affida�t imdirathzo ratio ICon=tmff=r'hwktWsbnmastattachedssadditian sheet sbau•ingthemmeofibes&-c�amd age whe&ercffnotfhnseetzideshat emPIMes.Ifthe3 b-tan.UKctmshaveemp.Tayee%1hey=istpmvidet3&worh-ers'{map.pa]icgamabm lam an erreployer€leaf is prmdding ivarkers'eampensadion insurance f br uzy ci rpLalwi x Ra[ow is fleeptrlicy and job;Ffte informadon. Insurance Company Name: Po'ficy f,or Self-ins-Jic.;�- EpirationBate: Job Site Address CitylStafellytp: Attach a copy of the workers'conipensatiohpolicy declaration page(sheaving the policy number and expiration date). _ Failmte to secum coverage as required under Section 25A of MGL t~L52 can lead to the imposition of criminal penalties of a fine up to$150D OD andf'or one-yearimprisonmeat,as well as cif penalties,in the form of a STOP WORK ORDER and a H= of up to$250-00 a day aaatnst the violator. He advised that a copy of this statemerd maybe finwarded to the Office of lavestsgations of the DIA for insurance'coverage verificafioa I dro hemby cart f harder ' s andpereaWn afF�ff&ry that the in}oreerafiari prm,6W abm e is bare and correct Simudure: Date: Phone 9- ®` ZSI-R 1� C7 0joW L use anly. Do teat write in this area,to be completed by city arfowcn a,jj'ierat CYtij or Town.: PermEitUcense;g Issuing Authority(circle one): L Board of Health I Building Department 3.Cify1rown Clerk 4.Electrical hispeetor 5.Plumbing Inspector 6.Other Contact Person Phone it: — 6 laformation and. Instructions M»cc�etts C=,nmal Lames chapter 152 reggaes all mvloyers lm provide worms'compensation for fbeg employees. ,. Pao fhis statute,an e2npIoyw is defined as_°`..evray person in$he service of der order any contact ofhfim, eggress or inxplied,oral cQ wriitea." An Moyer is defined as -md�viaA partner,association,cmporafion or other legal eutdy,or any two or more of the:Lregoing engaged in oint etmpriso,aad inchzdmg file legal Fep.L enfa&m of a deceased employer,c r the receiver or trustee of an' per,association or other legal entity,employing employees- However the owner of a dwelling hone ' • not more�three apartmeuts and who resides therein,or file occupant oftihe - dwe:Mag house of another who Toys pessans to do maintenance,construction or repair-voik on such dwe;Mag house or oa the grounds or bm7dmg agp a thereto shall not becanse of such employment be deemed to be an employer." MGL chapter ISZ,§z5C(�also sf s ii�t¢every st`te or locat ' agency shall withhold rile issuance or renewal of a license or permit to operate a business or to co ct buildings in the cohmmoawealth for any. applicantwho has notproduced ao�eptable evidence of cd pr=re with the insurance.covexagerequIred." Additionally.MCrI.chapter I52, §25�status aNefther the nor guy ofits political subdivisions shall enter into any contract for the p CO ofpnblic work acceptable evidence of compliance with the isaram . ems of this chaptea.have Been eutPd to the airthozity_" Applicants Please flI oi3t the workers'compensation davit co letnly,'by chwIdng the boxes that apply to your situation and,if necessa y,SUpplY snb-Contractor(s)name(s), ( )and phone nnmbmr s)along with their certffiCSte(s)of insurance. Limifad LiabiIity Compames(LLC) Liability Partnerships(LLP)with no employees other.than the members or partners,are not required to cagy wa 'compensation filmmmce. If an LLC or LLP does have employees,a policy is re:ga:h d. Be advisedfbat affidayitmaybe submtfnd to the Departmemt of Industrial Accidents mr confnmation of insurance coverage: o be sure to sign and date-the affidavit The affidavit should be-rst=ed to the city or town that the application a permit or license is being requested,not the Department of . Ldus rial A cci entg- gcddYou have any gnesti the law or ifyou are requh'ed to obtain a workers' compensation policy,please call tine Department a the ea lisiad below Self-msured companies should en er their self->nsormce license rnniber on the appropriate Ime. Clip or Town Officials t - - Please be sore that tie af5davif is cauplexe f Iegib �e Department has provided a space at the bottom of the affidavit for youtD fill out mthe even of ln has to runtaCt YOU reg�g the;applicant Please be sure to fill m the peaniUliceose ow h wdI used as a refeaeace number. In addition,$n applicant fiat must submit mubt plepennWliccase app any year,need only submit one affidavit indicating cma�nt policy fi fozmatian Cif nec lazy)and under d ess" applicant should wafe"all locations in (ciLY or town)."A copy of the•a$davit that has been o ciaIIy stamped ored by the city or town maybe provided to the applicant as proof that a valid affidavit is on for fbtnre'pezm is or licenses_ A new affidavit must be filled out each year.'WhI e a home owner or citizen is o a license or not related fD any business or commercial vent (Le. a dog license or permit to bum leaves etc. said person is NOT \ to complete this affidavit Tie Office of Investigations would Elm to you ia.advance for yo cooperation and should you have any questions, please do not hesitate to give us a'call The Department's amass,telephone and fax Annber. Thy TMI of mitts ' Mt ofladustdd dents - �e of�u,�esfigkfio�� ��xshm.�Qn_fit ^ wtau MA()�111 Tc,-L 4 617-727-49W cxt 406 or 1-.977 M AFF— Fax ff 617 727'749 Ftvised4-24-07 V -mas!� g�� 3 ".... �,„.�, 1 �r�=ari�tica9Trr llir• ' C�� m a jy Office of Consumer��vs 8''�usm�s`���tl�n a HOME IMPROVEMENT CONTRACTOR -A _ Type Individual Registration Expiration xri 185646 07/24/2018 k90WAF2D L PORTERF HOWARD PORTER' 103 MAPLE LAND? �-- BREWSTER, MA10263=I Uhdersecretary , . Massachusetts Department of Public Safety° Board of Building Regulations and Standards License: C$vta09825 4 % Con strUction'tupervisor HOWAR.D PORTER 103 MAPLE LANE; BREWSTER MA 02631 ( l Expiration:Z �. r ~ Commiss�o er .04/29/2020 t _ .. --License or registration-valid-for individual "use only. 'before the expiration date. If found return to:A Office of Consumer Affairs and Business Regulation 10 Park Plaza'-Suite 5170 ,�. Boston;MA 02116 ., Not:valid.without signature 4t.. Construction Supervisor Restricted to: .Unrestri&ed-Buildings of any use group-which contain I than 35,OOO,cubic feet(991 cubic meters)of ii enclosed space. 9 } ;, Failure`.to possess a cOrrent.edition of the Massachusetts. i State Building;Code is cause for revocation of this license, :•( DPS Licensing information visit; VWVW;MgSSGQV%DPS ' l ,. a TOWN OF BARNSTABLE REGISTRATION OR FORECLO ING/�FOlC1�0 'PepRTO>�(�'ER Y Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please compel,-�' �' i a property in foreclosure (section 224-3) or already foreclosed for whic possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s) and complete section 1 (property information) and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that.the Town can review the exemption and update its records: Section 1 —Propegy Information Property Address: 67,Marie Ann Ter, `Assessors Map#: Parcel#: ss 096. M 295430 82 Land area and description Building(s) description and contents Occupied: x Occupant(s)(if borrowers so state and include name(s)) Adele C Barese - Phone: email: other: 1 r Vacant: No Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Phone email: other: Has possession been taken If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Party Information Foreclosing Party(full name/title) Foreclosure Case Court: Docket# Date filed 4/26/2017 Current Status: Public NOD Foreclosing epresentative(s) for property(entry,management,repair, etc.)(name,title,): Code Compliance " I , Company(if different from foreclosing party): MCS Address: 350 Highland Dr.Ste. 10OLewisville,TX 75067 codecompliance mcsWxom Phone:813-387-1100 email: - other: If an exemption is claimed, please do not complete the remainder.' Other representative(s) (if foregoing representative is primarily responsible for " property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information 6. e. "none"or"see above"A Name, title, other: Eric Moore Company(if different from foreclosing party): Shellpoint Mortaage Servicing Address: 41951 Remington Ave. Suite 150, Temecula; CA 92590 877-338-3791 ro ert re istrations bronine.com Phone(s): email(s).: other: Name,title, other: Company(if different from foreclosing party): itAddress: Phone: email: " other: Attorney representing foreclosing party . i Firm name (if different from attorney's name): Address: Phone(s): email(s):., other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date Name: Eric Moore Title: COO I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable Mckechnie, Robert From: Mckechnie, Robert Sent: Thursday,January 25, 201810:28 AM To: property registrations' Subject: RE: Compliance Verification The subject property, 67 Marie Ann Terrace,Centerville, MA, in the Town of Barnstable has not been registered. There are no fees due on the property. No fees are required to register the property. Thank you, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 From: property registrations [mailto:gropertyregistrations(abbroninc.com] Sent: Tuesday, January 16, 2018 7:40 PM To: Mckechnie, Robert Subject: Compliance Verification Attention Compliance Department: I am writing on behalf of Bron Inc. We are a 3rd party vendor who specializes in property compliance as it regards to Municipal Registration Ordinances. In the attempt to research every property in our client's portfolio we have found the below property is.governed by your municipality and may be subject to registration. Our goal is to ensure that all properties stay in compliance and would appreciate you help by answering a few questions. Subject Property:67 Marie Ann Ter,Town of Barnstable, MA 2632 Is property currently Registered? What date was property last Registered?. What Fees are currently owed if any? 1 -- o�fv�l12 -fa1A i � 'I apologize if this email has reached you in error. If you know of the best person(s)to answer the above, it would be greatly appreciated if you could provide us that contact information. Thank you and have a great day. Sincerely Bron Inc. Registration Compliance Dept. 877-338-3791 propertVregistrations@broninc.com #578202508 https://na46.salesforce.com/0060H000OOkRWVk 2 Assessor smap ad Tot number ........ og . 7- Ad -73 Sewage Permit number ! Q.'.....INn. &&i'c " Qy0F7HETQ�y TOWN OF BARNSTABLE i HASBSTADLI, i . MASL RULLIG INSPECTOR f -f uG- .......� ....... ......... b � ............ APPLICATION FOR PERMIT TO ....... .. �. TYPE OF CONSTRUCTION .......... .........�!�?..........................:....................... ...............7..7 ...............19.... TO THE INSPECTOR OF BUILDINGS:, The undersigned h'ere�by applies for a permit according to t'o the .following informati�onp:� t I '` Location ..............4...4.�..... .`� ... .�:�4.:.1!�. ......!.. ;c C................................................ :Y.'s................................ Proposed Use .......!.��v.4 c sg ......... '��, ....... 0...; r...•.............................................................. ZoningDistrict ................... .. . .. ............................Fire District .............................................................................. v. Name of Owner \ ( l?° ...Address ... C. �l e�� .... d�!!�... o.................. !.... ......... /- f ,, Name of Builder ....�.. - -!!4.:... .� ....Address ...:( ......l�Y� ............A.!! Nameof Architect ............... ...........,.................................Address ....................'.�..... ................................ Number of Rooms .............................." 1.." .........................Foundation .. ......................... ............. "4 ca �.��. Ctll.�o... ..Roofing I� �P.! l...� �. .„ .. Exterior .......... .. �... . ................... `.............`.. .... Floors - Interior ..... :UA ��1.0 V� [�1................................... ......................................... ....,�,....... Heating ...........!�✓. ......................................................Plumbing ...................[Y. ........................................... ... . ............ Fireplace ........... ..... ................................................Approximate Cost ........:..:......... . .......................�.a....... . Definitive Plan Approved by Planning Board -------------------_-----------19-------- Area .................. .............. Diagram of Lot and Building with Dimensions ` Fee ........... �...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 9G�e co �� . 1_ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �•� V'RJ Nam ............................................................................. Donohue, Marion No .... Permit for .......add. to 'L.. Permit- ��d to. -gar ...........................................................;......... ... brie Ann . . .. ..... 67 4rie—Ann Terra e Location ..... ............... ................... ....... .... ... :LJ!3 e ........................Centerville.................... . ........ Owner ...........Ma.rion...Donohue............................. ........ ......... ............... Type of Construction ..................frame............... ........ ................................................................................ 11P Plot ............................. Lot ................................ X C34 Permit Granted ......... ..4..3Q..............19 73 Date of Inspection ................. ....... .........19 Date Completed ............. .... .. ....7.7..19 PERMIT REFUSED L. ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... . ............................................................................... Approved ................................................. 19 ............................................................................... ................ ........................................................ J-� y SMOKE DETECTORS REVIEWED JA#BWl DIN 1-16h EPT• DATE FIRE DEPARTMENT DATE 8OTN SIGNATURES ARE REQUIRED FOR PERMITTING , Barnstable Bldg.Dept. i Approved by: Permit#: /�"Z i BA o9 O r <9J , v j . f i i j V _ 5 i 2 i eor i c - ro 0 v r r I _ 1 i I ' i r i i t -,C p s� f } f006r _ ^Yy 50 1 � 1 O\NN i - i • I (,7 e An