HomeMy WebLinkAbout0801 SHOOTFLYING HILL RDF�M,
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Town of Barnstable ROE
S
NAM. 200 Main Street, Hyannis MA 02601 508-862-4038
Application for Building Permit
Application No: B-17-133 Date Recieved: 1/19/2017
Job Location: 801 SHOOTFLYING HILL RD,CENTERVILLE
Permit For: Building-Siding/Windows/Roof/Doors
Contractor's Name: MARK J LEMON State Lic. No: CSSL-100207
.Address: WEST HYANNISPORT, MA 02672 Applicant Phone: (508) 737-1282
(Home)Owner's Name: SCHOONMAKER,JUDITH Phone: (585)267-9617
(Home)Owner's Address: 393 OLD JAIL LANE, BARNSTABLE,MA 02630 Fmk
Work Description: strip and replace existing roof with 30 year new architect shinglesA
�Q
CD
t M
Total Value Of Work To Be Performed: $7,150.00
Structure Size: 0.00 0.00 - 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized,agent of the property owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless otwhat might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Mark Lemon 1/19/2017 (508)737-1282
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $7,150.00 Date Paid Amount Paid Check#or CC# Pay Type
Total Permit Fee: $36.47 1/19/2017 $36.47 Paypal i Paypal
Total Permit Fee Paid: $36.47
zC
t Town of Barnstable PermiNakewt
Expires 6 months from issue date
�T Regulatory Services Fee
BAaxaT.BIA •
MASS. �� Richard V.Scali,Director �
0�., -. _ 6
Building Division AUG Q 6
Tom Perry„CBO,Building Commissioner 2015
200_ Main Street,Hyannis,MA 026W O WN OF B A��S r'
www.town.barnstable.ma.us A B LE
Office: 508-862-4038 Fax: 508-790-6230
9 2 -0/.3 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number II
Property Address f l\
Residential . Value of Work$` Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 9 ld oei
Contractor's Name U Telephone Number Z 37 e�)
Home Improvement Contractor License#(if applicable) Email: C-017,
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I 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 accompany each permit.
Permit Request(check box)
%Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken t
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side k
❑ .Replacement Windows/doors/sliders:U-Value (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate.Electrical&Fire Permits required.
*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. k
A copy of the Home Improvement Contractors License&Construction Supervisors License is
re aired
SIGNAT
i
QAWPFILES\FORMS\build' g permit forms\EXPRESS.doc
Revised 040215
The Comrnormeakh o,f Massachusetts
Deparrtwevzt of 1ndms&ial Accidents
- - dffire o,f inveSiigatioru
600 Washington S`t reet.
y Boston,M4 02111
uYviv massgvv1dZa
'Workers' Campensation Insurance Affidavit:BuildersJContractarslEIectr;cians(Plumbers
Applicant Infarmatian r Please nPrint LeaibIy
Name(B.Usmssf0TganiZ3fim fodMdaal)_ ���L� 1. � �C. �,r�.r.
A'd ess:�
3 (J ALk
�Ci /Statc!ty ZIp: Phone
Are you an employer?Check the appropriate box: Type of project(required)c
I.❑ I am a employer with 4. ❑ I am a general contractor and I
have hired.thee sub-contractors 6. �New constructionemployees(full and/or part-time),* ,
2.❑ I am a sale prqprietar or partner- Kited on the attached sheet: 7_ ❑Remodeling
I
slip and have no employees. These sub-contractors have g ❑Demolition
working for me in any capacity: employees and hate workers' 9_ ❑Building addition
[No workers'comp.ins nce comp-insurance-1
r d_ 5_ ❑ We are a corporation and its 1D.❑Electrical repairs or additions
e 1 officers have their
3�I am a homeou�er doing all work 11.❑Plumbing repairs or'sdditions
mysel€[No workers'c=p_ rat of exemption per MGL 120Roof repairs
insurance required,]T c.152, §1(4k and we have no
employees.[No workers' 11E]Other
coop.insurance required_)
*Any applicLut that cbedcs box On mast also fill out the section below showing their wanes'compensation policy infotmation- .y
T homeowners who submit this diidngt iadicatmg they are doing all wa l and then him outside coattactors omit submit a new affidavit indicating inch. r
fcontmctors that check ibis box must atmrhed an additional sheet showing the name of the sub-camtracton and state whether or not those entities have
employees.If the sub contracton have employees,they must pinide their workers'pomp.policy ntanber.
lain an insurance for my*ourpLayees Betoty is Elie paUcy and job site
irforrnalion.
Insurance Company Name:
Policy 44 or Self-ins.Lic_ F-kpirationDate:
Job Site Address: City/Statelzip:
Attach a copy of the~corkers'compensationpoliry 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$U,00 00 and/or one-year imprisonment-ai.well as civil penabies.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 ofthis statement maybe forwarded to the Office of
Investigations of the DFA.for insurance coverage verifrcation.
I do Hereby certify gander t e pauis art penahfiaes afprq'ury that the information prm ded abmw fs bars and correct
Bate:
Phone
S ' Q� 7
� xlv
Ofja'cial use only. Da trot write in this area,€a be campLeted by city ar tow n oficiaL
City or Town: PermitUcense 4
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.(tjlTowa Clerk 4.Electrical Inspector 5.Pkinbmg Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetirs Geheral Laws chapter 152 requires all employers to provide WOIIRTs'compensation for their employees:
pmsj2ntto this statufe,an.v ylg ee is defined as.--every person in the service of another uader any coi ract of bae,
express or implied,oral or wriften�"
An employer is defined as"an individnaI,partnership,association,corporation or other IegaI eutdy,or a1ry two or more
of the foregoing engaged m a Joint enterprise,and including the legal representatives of a deceased employes,or the
receiver or trustee of an individual:partamship,association or other Iegal 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 -
dwelLi g house of another who employs persons to do main bm; ce,construction or repair work on such dwelling house
or on the grounds or building appurteazatthereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also sees that"every state or local licensing agency shal[withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicantwho has not produced acceptable evidence of cdmpliance With the mcnrance.covexage required."
Additiona]ly,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter mui any contract for the performance ofpublic woik until acceptable evidence of compliance with the io�ce..
regairements of this chapter have been presented to the contracting adhoaty_"
AppHcastts
Please fill out file workers'compensation affidavit completely,by checking fe boxes that apply to your situation and,if
necessary,supply sub-contactor(s)name(s), address(es)and phone numbers)along with their certificate(s)of
insu:ra ce. Limited Liability Companies(LLC)or Limited LiabERy Parfnersbi s(LLP)withno employees other than the
members or partners,are not required to can y workers' compensation insurance- If an LLC or LLP does have
employees,a policy is regain d Be advised that this affidavit maybe submiftt-,d to the Department of Industrial
Accidents for confamalioa ofinstsance coverage. IAlso be sure to sign and date-he affidavit The affidavit should
be retzrmed to the city or town that the application for the permit or license is being requeted,s not the Department of
„ ,ctr;g Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies shouId enter their
self-insuia ce license number on the appropriate line.
City or Town Officials .
Please be sure that the affidavit is complete and printed.legibly. 'Ihe 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 sire to fill inthe peii t/ crose number which will be used as a reference number. In addition,an applicant
thA must submit multiple pernitlIicense applications in any given year,need only submit one affidavit indicating current
policy inf'brmation(if necessary)and under"Job-Site Address"the applicant should write"aU 10cafions in__� ty or
ti)wn)_"A copy of the-affidavit that has ben officially stamped or maimed by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fuizue permits or licenses. A new affidavit must be filled out each.
year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial ventlre
(Lt. a dog license or permit to bum leaves etc.)said person is NOT requked to complete this affidavit
The Of of Investigations would Izke to thank you is advance for your cooperation and should you have any questions,
please do not hesitate to give us a call
The Departs mf s address,telephone and fax number.
The Cammmwealti-of Massaahusvtts '
Department of hadustdal Aocidenta
• Q�it�e of�.�e�ghfiok>� .,; .
�Q4 T�ashi�zgtQn�
BagkmZ IAA f 1 T l
T6L 4 617-727-4900 Qxt 4-06 or I-977 M MdFF
Fax 9 617-727 7M
Revised 4-24--07 w mas,- Wdia
Town of Barnstable
Regulatory Services
�tHME rOryy Richard V.Scali,Director
Building Division
BARNSTABIP- ' Tom Perry;Building Commissioner
nU►ss. '
v 1639. ��� 200 Main Street, Hyannis,MA 02601
�pTED � www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
HOMEOWNER LICENSE EXEM TION
Please Print
DATE: J
JOB LOCATION:
number /t-r C village
..HOMEOWNER":
name home phone# work phone# .
CURRENT MAILING ADDRESS: �Cf 7J �� CJ�( ( �u ✓LC�
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occuRied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures.•A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit: (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and'other applicable'cod'es,
bylaws,rules and regulations.
t 1• f ,
The undersigned"homeo er"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
oced s and requirernefts and that he/she will comply with said procedures and requirements.
Sign ecfHomeowner !^ '
4.
Approval of Building Official t °`
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-''Licensing of construction Supervisors); provided that,if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
r ,
Many homeowners who use this exemption are unaware that they'are assuming the responsibilities of a supervisor
(see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.157 This lack of awareness often•
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case;/our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible. .
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in `
your community.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
a�
�OF�t�iiy
SA DWA M
9� ,�� Town of Barnstable
ArED MA'1�
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
" www.town.barnstable.ma.us
Office: 508-862-4038 - Fax: 5.08-790-6230
l
Property Owner Must
Complete and Sign This Section.
If Using A Builder
It-toL Go n NN&-� , as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by s building this bildi permit application for:
e.,
(Address of Jo
Sign e of Owner D e
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the .
reverse side.
Q:IWPHLESTORMS\building permit forms\EXPRESS.doc
Revised 040215
CCARTHY,
RN a ABLE
y �uIlk
cTaoN
sld °tia! and Commercial Suilcl r j ` A j t Pei 3
E3 :
fEA I7-4TII7N SpEClALIST a `
V.
"
aNih�t +
{gip
March 15, 2014
Town of Barnstable
Thomas Perry CBO
Building Commissioner
200 Main Street
Hyannis, MA 02601
RE: Insulation Permits
Dear Mr. Perry,
This affidavit is to certify that all work completed for permit application#201201557;Status A; Parcel
192013 at 801 Shoot Flying Hill Rd, Centerville, MA; Permit Type RADD and issued on 3/22/2012 has
been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets
or exceed Federal and State requirements
Sincerely,
Michael McCarthy
McCarthy Construction
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application
Health'Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee `
Date Definitive Plan Approved by Planning Board C�3/2Z- h2 !�
Historic - OKH_ Preservation / Hyannis
Project Street Address 16
Village
Owner 3(Ssh;_ i Address ��t
Telephone ;Z'0 3 C-7
Permit Request
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Totar ew
Zoning District Flood Plain Groundwater Overlay
CQ
Project Valuation Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suppbrting doWme�t�tion.
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
Number of Bedrooms: _ existing —new
Total Room Count (not including baths): existing _new_ First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size—Pool: 0 existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes YNo If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name �� ��•- h Telephone Number 5
S� License # �33 Address �L• ���. -'
I✓. 1r�n., ff ff 6.�-c 7` _ Home Improvement Contractor# J0373
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE►`�-
FOR OFFICIAL USE ONLY
r
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
s
-ADDRESS VILLAGE
OWNER ,
i
DATE OF INSPECTION:
f
L: FOUNDATION
FRAME
'INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
-.FINAL BUILDING', .4
DATE CLOSED OUT
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
Department of Industrial Accidents "
Office of Investigations
' 600 Washington Street,
Boston,MA 02111
www.mass.gov/dig
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information }_y Please Print Le 'bl
Name(Busimss/oro nization4ndividual):.
Address:
City/State/Zip: k,.► , �r��•� .J'-►,� o�.l>,. Phone.#:
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 h
loyees(full and/or part-time).
* have hired the sub=contractors 6. ❑New construction
2.9 I am a'sole proprietor or partner- listed on the-attached sheet' 7. ❑Remodeling
These sub-contractors-have
ship and have no employees T_ 8. ❑Demolition
working for me in any capacity. employees and have workers' 9 Building addition-
[No workers' comp,insurance comp.insurance.t
required.] 5• ❑ We are a corporation and its ME] Electrical repairs or additions
officers have exercised their
3.❑ I am a homeowner doing all work 1 L❑plumbing repairs or additions
myself [No workers' comp, right of exemption per MGL 12.❑ of repairs
insurance required.]t c. 152, §1(4), and we have no � pa
employees. o workers' 13. Other•1Y•yb�.�.�
Cl`l
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.
$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.
lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name:
I
Policy#or Self-ins.Lic.# Expiration Date:
Job Site Address: " � -1., :1 1�.3t 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 certify under a gins and pen ies of perjury that the information provided above is true and correct
Si 2A ature: Date: 3 t'2
Phone#: G�, -dti�GSC,
Official use only. Do not write in this area, to be completed by city or town official
or Town: Permit/License# -
Jssuing 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#:
Y
Office of Consumer.Affairs and usiness Regulation
10 Park Plaza ;-. Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Reqistration: 169393
Type: Individual .
Expiration: 6/16/2013 Tr# 213517 ..
MICHAEL MCCARTHY
MICHAEL MCCARTHY
Q.P.O. BOX 52
WEST DENNIS,:MA 02670_
ll 7
R >" Update Address and return card:Mark reason for change.
--? ❑ Address Renewal Employment Q Lost Card
DPS-CAI 0 50M-04/04-G101216
License or registration valid for,individul use only
. Office of Consumer Affairs&BQsiness Regulationg
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration 1.69393 Type: Office of Consumer Affairs.and Business Regulation,
TMIAEL
Expiration 6/162043 Individual10 Park Plaza-Suite 5170
Boston,MA 02116 MCCARTHY -
r
MICHAEL MCCARTHY
6 RANGLEY LN �= Q� - Q,
SOUTH DENNIS, MA 02660 Undersecretary 'Ydt valid without signature
". Massachusetts- Department of Public,Safetv
Board of Buildin- Regulations and Standards
ds
Construction Supervisor. License
License: CS. 58633
Restricted to: 00 �
'x
MICHAEL.J MCCARTHY ,
PO BOX 52: ,
W DENNIS, MA 02670
Expiration:, 4/10/2012 {
OWNER AU'THORIZA'rION 1,ORM.pol" l'atae I of 1.
>
Page
E V
JAN .23 2012
OWNER AUTHORIZATION FORM
(Owners Name),
owner orthc properly located at
(Property Address)
(Property Addres)
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lutd authorize r C—�.�LV 1 �' ,T > ` V��
(Subcontractor)
aut authorised subcontractor l'or RISI'i F ngincerine.to act on my hehal I to ollmin a building
permit and to perl iris work on my propch%.
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TOWN OF BARNSTABLE
t MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION G.............2-...d.............ly`l.L....... FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) S �EuCr c'4!c r1.................................. NAME (Installer) s `�.'
........................................................................... ..::..................................................................................................
ADDRESS g .. .. R ADDRESS ....rv..........S//GG 7
.�./.......5...... GT l=LYZ �FZ1,t /1............ ..........
� w�Grctr�,c..�.L........................ f'� x"y" �...........................................
STOVE TYPE L�aon . ............................................................................ CHIMNEY: NEW .....� .... EXISTING
...................................... ........................
Manufacturer V15/Z9L.�t1 I Gr4s7 � STW � XWSS� /IASOXA`
.............................................................................................................. CHIMNEY. Masonry .............................................................................................
Mass. Approval .....................�L ...................................................................... CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance with an application on file with the ................................................................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B -7 ............. /
y. ............... ... .....! .....1. 'S .................................................Title ........ tier.... . 5� Date
Permit to install expires 60 days after issue date
L
r G ®,cfT 5/r�✓
Stove .................................. .................................................... ..................
StoveClearance ............................................. .................................................................................................................................................................................................................
Floor .......................................................................... ........... . .. .. `.............................................................................................................................................................................
SmokePipe ...........................................................................�11S.!?Z/.'.t .........................................................................................................................
SmokePipe Clearance .................................................A(I ...........................................................................................................................................................................................
Chimney AVe_Te1- -
.......................................................................................................................................................
SmokeDetector .........................................................................................L�. .....................................................................................................................................................................
The undersigned hereby certifies that the installatidn of solid fuel burning stove and equipment made under au-
thority of permit dated ............ � ��a �� has been made in accordance with provisions of the Commonwealth
of Massachusetts State BuildingCode now currently in effect and pertaining thereto ..........
Y p g ........................................................
Installer
INSTALLATION APPROVED y:.. .. � L°���'t - Title: ... ...................
..............date................... B ... ........... ....................................
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
TOWN OF BARNSTABLE
06 q. MASSACHUSETTS
7 �"'ctyb Solid Fuel Stove Permit
DATE OF APPLICATION ..DC7................. ............. y.... �"....... FIRE DEPT. ISSUING PERMIT .................................................
( ) S rCtrcyv CR.g (Installer)
NAME owner :......................... NAME Installer ................ .........................................................
8 GGW m��vS
ADDRESS ..................................... rF s.c... s i2 ADDRESS .......�......r........S....�..7:7 LL
i�oz ;cv��� �f �c� ►2/J
w,rG.K...t.Y..............
STOVE TYPE �'"�O� CHIMNEY: NEW �� v..
............... ...... ................... EXISTING ............ .........
` VEi2rhOwl Gr'iST ibC s-Ti4��GE� SZ �Jip.Sow
Manufacturer ..............................................:.............................�......:............................ CHIMNEY. Masonry ..........................................................
Mass. Approval ... CHIMNEY: Metal
This is to certifythat the above installer has t permission to install a solid fuel burning appliance at the listed
address in accordance with an application on 'file with the ....................:............................................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: ..............
.71 �,,.. lJ,......r hS�' ......... ..........................Title fS W:Cl . `� AJ 5 Date ../Q/,,, G?', Zr
..�.. ...� ................... r
Permit to install expires 60 days after issue date
Stove C��r /h.Qi:T... 5/.!^!ra. ...:.....:......................................:...:....:..:.......:.................................:
....... r.........� ........
StoveClearance ............................................... ......................:................................................................:..................................................................................................: ................
Floor ............................... ............................... .............a/ ......... ..............................................
Smoke Pipe ................................... �........................ i.. ..5 0,v./�f .,/u. ...�.L................. .......................:.................:.....................................................
..........
SmokePipe. Clearance ................ ................... f '.............................. ............................:.................................................... ..................... ...........
Chimney ...`?? .T�? —'.......:.............................................. ....
Smoke Detector ....................................................................................... , s...........................................................:.........................:...........:
r ................. ................. .........
The undersigned hereby certifies` that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ............�/4 1Z19A has been made in accordance with .provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and p.er.taining thereto l
.........., .'� dXIC
......................................................
Installer
A/1
INSTALLATION APPROVED . B .............................................................. Title y. ;................ ...............�.............r_2
date
WHITE: FIRE DEPARTMENT- CANARY: BUILDING INSPECTOR - PINK: APPLICANT
r
JOSEPH P,,.DALuz TELEPHONES 775-t120
Bsr.'Ming Commissions EXT. 107
TOWN OF BARNSTABLE
BUILDING INSPECTOR
TOWN OFFICE BUILDING
HYANNIS, MASS. 02601
June 17, 1983
Mr. & Mrs. Edwin J. Keyes
801 Shoot Flying Hill-Road
Centerville, MA 02632
Dear Mr. & Mrs. Keyes:
My attention has been directed-to the activities taking place at 801
Shoot Flying Hill Road, .Centerville. The fact that you are located
in a strictly- residential area has prompted several telephone calls
by taxpayers using the street.. My observations indicate the appear-
ance of a business operation by nature of the large truck in the yard.
The operation of a business at this location is in direct violation of
the Town of. Barnstable Zoning. By-law. Anyone convicted of a.violation
under this by-law shall be subject to a fine of up to $100.00 a day for
each day of violation.
In addition, I understand that music with a decibel that can be heard
for some distance eminates from this -same dwelling. I am told it sounds
like a .music group practicing. We have an anti-noise .regulation for
which a.violation is punishable by a fine of $200.00 a day for each
offense.
Therefore, -it is imperative that I receive a _response from you within
five (5) days of receipt-of this letter. I am requesting permission to
view the property relative to these allegations.
Peace,
os6-�7
eph D. DaLuz
Building Commissioner
JDD/gr
Certified Mail 253 896 246 R.R.R.
cc: Board of Selectmen
Town Counsel
Barnstable Police Department -
June 17., 1983
Mr. & Mrs. Edwin J. Keyes
801 Shoot Flying Hill.Road
Centerville, MA 02632
Dear Mr. & Mrs. Keyes:
My attention has been directed-to the activities taking place at 801
Shoot Flying Hill Road Centerville, The fact that you are located
in a .strzctly residential area has prompted several telephone .calls
by taxpayers using the street. My, observations indicate the appear- .
ance of a business operation by nature of the large truck in the yard.
The operation of a .business at this locgtion is in direct violatim of
the Town of Barnstable Zoning By--law. Anyone ,convicted of a violation
under this by-law shall: be subject to a fine of up to $100.00 a day for
each day of violation.
In addition, I understand that music with a decitel that can be heard
for some-distance eminates from this same dwelling. I am told it sounds
like a music group practicing. We have an anti--noise regulation for
which a violation is punishable by a -fine of $200.00 a day for each
offense.
Therefore, it is imperative that I receive a response from you within
five (5) clays of receipt.of this letter. I am requesting permission to
view the property relative to these allegations.
Peace,
Joseph D. naTuz
Building Commissioner
JDD/gr
Certified Mail 253 896 2" R.R.R.
cc Board of Selectmen
Town. Counsel
Barnstable Police Department
s�
My attention has been directed to the activities taking place at 801 IShoot Flying
Hill Road, Centerville. The fact that you are located in a strictly residential
area has prompted several telephone calls by taxpayers using the-. street. My
observations indicate the appearance of a business operation by nature of the
large truck in the yard. The operation of a business at this location is in
direct violation of the Town of Barnstable Zoning By-law Anyone convicted of —
a violation under the by-law shall be subject to a fine of up to $100.00 a day— -for each day of violation.
-
`___ -- _In addifion;I`understa-nd_ that music with a de----- that cari be heard-for some -.-
-"---'-" ---distance emirates-f"rom this same dwellirig:-`I-am-told it:-sour}ds-like amusic -'
�t2,
a Vlo�ia�
-group-practicing: -We have-an-anti-noise-regulatio�-which is' punishable -by a---- --
------fine-of-$200-a--day-for-each-offense:---- --
r
- - - - - - - -- -- --- -f"- --- - - - - ------ - ---•-- --
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hayes -- -- -- — - �g � - -- - -
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'o
o e SENDER: Comple?e Rems 1, 2, 3, and 4.
'3 Add your address In the"RETURN TO"
• space on reverse.
(CONSULT POSTMASTER FOR FEES)
I. The following servlce Is requested(chock one).
❑ Show to whom and date delivered.............. 6
K) ❑ Show to whom,data,and address of delivery
2. .0 RESTRICTED DELIVERY................. .........
(The resirkled dWWrY tee/s charged In addinan
fe the return recelpl lee.)
TOTAL .S
3. ARTICLE ADDRESSED TO
Mr. & Mrs. Edwin J. Keyes
801 Shoot Flying Hill Road
Centerville. MA _ 02632
4..TYPE OF SERVICE: ARTICLE WAUJMBER
❑REGISTERED ❑INSURED x:
❑CERTIFIED El COD 253896246
❑EXPRESS MAIL _
(Always obtain signature of addressee ar a33111)
I have received the article described above.
SIGPATURE El Addresses ❑Authorized arern
DATE OF DELIVERv +' �FO5r�AARK!
Imay tra Otevg4sb.slQa1�
6. ADDRESSEE'S ADDRESS(dry if regueste6) " 83r
7. .UNABLE TO DELIVER BECAUSE: 7a AtPCOYEE's
m INITt.
A
(/e GPO-1962378593
UNITED STATES POSTAL SERVICE111111
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name,address,and ZIP Cade In the space below. u®
•Complete Hems 1.2,9,and 4 on the reverse. ®®
•Ansch to front of article a apace permits,
etbenalse affix to back at article.
•Endorse article"Return Recmpt Requestsd" PENALTY tR PRIVATE
•adjacent to number.
RET®RN
Mr. Joseph DaLuz, Building Commissioner
Town of Barnst,Batlleender)
267 Main 5*Yeet
(Street or P.O.Box)
Hyannis, MA 02601
(City,State,and ZIP Code)