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HomeMy WebLinkAbout0801 SHOOTFLYING HILL RDF�M, •r. !4 B Pi S 4 4. d 9 '� +�{ � �' 1.:fr `i J � np t�• A ,� 'J. Y' �}•,,. A aMy A`a Y,;rp '�e{.,iY^'# t vty` x di p ,r � ...{`' ry:ht + J- n• °� 1'�• 't� f �r✓' Ud - plot F� .p II ar .a" 4 eFAi n u f � � s� � �.o �'�� as '�t� � ��t r r• � .�� °� v —win ti y a N tk { D p l 1 + �t• i ! , 1 Ai" •( F ��•• p t�N.� � 4u'Vrf 9 p ,r• �! y"�, P -.dA:,!_.. ,. •.I'r ,!.;! .,a :;:µ . i1 � ,. . •'� r3. .' .'.: ,.ii, ap''?p., ''S�d,. I !"" �" '�� G.. a`„ �. t b'.N.. ..;to P• V isF d 4 S •-'!, r ,AA � aM�.1 Y i..."'0�•:.-.J .. .,....a11t a ,.,;. ,.,;�'.. .",,,' � b •p .� '1 ..•, ,A.. ,., :. ,-.,., •..,.' fi�tt,, .:;,, err-.,. ., rn.,... ,,-o- •„ +.., ..., .,. . '� r yy '� # f NY- Y, 1 9 MAI it, .,,� 1l+ � ,1 y •r r - i • ar�4ai, r r• F: .r., 'a. 1•�s' ,'+r•. bd5 9 "# Y {t•li a 'cx y �,,A•A r. { i` a• ,� �.i�. 1;> e.;' P !' �,41" }.Zr TVa y .'ii 't lr,� a •��.>.. 4� tl W i�,lt,. ,��, ..a �, �. ,�- � •�-, 'yr�. ��`erg'' r - 'aA lit; _ ! 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', r„ aY .;Y d �`9k" i _y ,,r ,I 4, A ��ii {r.: �` •,kf,�.. nay !r {�.' a,' At r '1 r ,�T� r �� .. .. .� A. .aa' � tee A + �' � i i 'r._ 7R 9 s• '#�. x YI 9 r r it _ ,n '` •� Q{•' a• Nr• "u' v •r;f..:y� c u� k, Y t v ri )•.' 1'.� u ,"� 'K ^°' d l+" ,"r !+ ,$' .,6 a. t i �.P' o• 6 f 4 a I I k il � r •rh �? �� � �:,� A� � .,4.5:.! e u '•�M•YN` •pF if l k A4," �•,a ,, fl, .� p n " A ,'!+,u2+. t +p•'4f A p ,� .a ,• p ur Ir" 8+ a t �� {�� s I• l., � 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) �( 1 { I t.� � CY 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%. C- l;�an r' $ienaturc �� littl)sJ/inail-attaclinieiit.,,00-leusercontent.com/attachment?view=att&tli=l 34ee6efed234cl... 1/18/2012 lam+ ��ypF TM E t o�4a 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"- --- - - - - ------ - ---•-- -- Y �2 �.� hayes -- -- -- — - �g � - -- - - 0.2rG_32-- - ----- - 77 - --- �-off-=� CD�- k _ i f ', v `` -` ,. � ,. ' 4. t. •1 �':` �,:� '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)