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HomeMy WebLinkAbout0839 SHOOTFLYING HILL RD ���.��� ���� E� ,, ., n .. .. � .4: � � � ' ,. � N � n u _ - � .. Y Y• � • � i .. .. :. .. ... .. ,: .. dar,.. .-:. � .. .. i .' < ..�, .. .. - � .. .,. � � .. a �x __ n �. V. � y a e _ '� _ - �'`� � � �� s� ' _ � "� ,. - - .+, ' .. � ry _ o .. .,. .. y < �, � ,. w .� ,� r .. L, r. - � ,. .. c _.y .....�. .._._.. ....,. .. ._.�.__ ._._ _ ...:.. _. _ �.,. .`x . .A+ /���. ,,�io 6����- ✓,�. . ✓�. - - �'� cam- � � - r yip T N[TO` The Town of Barnstable i fA�/fTA\LC rur. : Inspection Department � ,, 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner February 3, 1992 Mr. Carl Hakel ' 857 Shoot Flying Hill Road Centerville, MA 02632 RE: A=192-011 ) 839 Shoot Flying Hill Road, Centerville Dear Mr. Hakel: Please be informed that I spoke with Mr. MacRae on January 28th re his continued use of the property at 839 Shoot Flying Hill Road, Centerville, for business purposes. Mr. MacRae advised me that he was moving out of the Town of Barnstable no later than the end of February. If I can be of any further assistance please contact the office. Peace, I � A J seph D. DaLuz 'Building Commissioner JDD/gr jqcc: Town Manager r jq� 2-10 ���1g� /0° v /,�Uel� Y �W osi^J SW££Priv6 4elV 9. P 650_-:?-98' S - 3 Certified Mail Receipt No Insurance Coverage Provided o Do not use for International Mail UNITED STATES (See Reverse) VOSTAL SERVICE Sent to Mr. Vittorio Gentile Street&No. 139 Porter Street P.O.,State&ZIP Code Westwood, MA 02090 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee O Return Receipt Showing rn to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Address of Delivery C TOTAL Postage p &Fees 00 Postmark or Date M E ti fn tl STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). i 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier(no extra charge). m 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return 2 address of the article,date,detach and retain the receipt,and mail the article. 41 3.If you want a return receipt,write the certified mail number and your name and address on a rn return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to the back of article.Endorse front of article RETURN f c RECEIPT REQUESTED adjacent to the number. ' 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, p endorse RESTRICTED DELIVERY on the front of the article. M 5.Enter fees for the services requested in the appropriate spaces on the front of this receipt.If E return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6.Save this receipt and present it if you make inquiry. *u.S.G.Po.1990-270-153 a 1 ,A. `: The Town of Barnstable � ran. q Inspection Department i619.�'MAY 367 Main Street, Hyannis, MA 02601 �Q 508-790-6227 Joseph D.DaLuz Building Commissioner December 26, 1991 Mr. Vittorio Gentile 139 Porter Street Westwood, MA 02090 RE: A=192-011 839 Shoot Flying Hill Road, Centerville Dear Mr. Gentile: {e This office continues to receive complaints re the use of your property located at 839 Shoot Flying Hill Road, Centerville. Please contact this office immediately re the above matter. Peace, J s ph�D. DaLuz Building Commissioner JDD/gr cc: Town Manager Certified mail: P 650 798 563 R.R.R. , 1 TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date �� �� �/ Rec'd By Assessor's No. Last Name �- irst Namp (�fet/L ORIGINATOR Street , _ Town �21/C C State Zi Telephoner Home Work Descr tion: COMPLAINT INQUIRY Requestor's Signature COMPLAINT Street Address ' LOCATION OFFICE USE ONLY INSPECTOR'S Data Ins ector ACTION/ --��-- -,¢ COMMENTS dw FOLLOW-UP ACTION �J (1��vzz<— CA lo ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR,' PINK - INSPECTOR RETURN TO OFFICE MGR.) C � j46nc Ax�-) V 1�7" m� � s� � gL�. ir5c 0 z1 av,� t F 3 21 . 'Ile 0 1 i'll, L.L U t M.A.1y La,114 A TAD El S 3-------- c A j 0 11 PCs-100 Y F.--.'7 0-0 Pna E N I T V A R.E,A� 7,42 A C J V 128 -04 IT! GE E T 10 M L.YDIA I'3'E NT.r L E 3pi 1 SP2 63'Z"3 17 FT 1 1-55 4 4 "3 PO RTER ST U' T.1 7 UT I.2 S A v 7�-- -1 If 9 5 OBS f-ONST-1 1.4i rr"-S,T Yj 0 f-)D PIA 01'20-L'lo J 958 M." i 7j 1�)() 00 N"AD fit; 76,500 O-ITHER i 0 0) —.—LE-GAL: Tz"..'UE .n R' 157600 REA GEASSHIED #L -ID- , 1 .1 0 0 ASD UID .1.00 AS!") 1,11 P -ASD O'lli I 1) 0 0 T'Al #B_TLID6(5-'.)--C AR Li- 1 7 6 5'00 •D E':?C R. FT. 0 N T A x 11 P (,"U-R R E IN T E�Y E ill'!p T TAXABLE #OTRF"R FEATURE 1 10,0"10 TA-" EPIF"? p; g H n O,, F f,*y, G HII'L RD R-P 3 I D L"Y T'L, .7.5 7 6 0 1 7 6,cl o 5 7 0 UM DL LOT + 't,'ftl OPEN SPACE If, 4'�'4 165 CON-!--iE RCI AL, I tvDOSTrI ALI X M f"T 10 ill s ORB-j'J'?42 '07 ME)] T C-1 E.Acle ACTIVIT iY . tp 41PO wle -"A"7 PU4� •`' � ~r • 1 pit W ��y is ,�� Y M, A ` �� .p. �+ � � �' �.- �, It ,� L A R 0-�'D'� ` 790-6227 `JOSEPH•0. DALuz TELePHONit1ClC MXMX Building Commiuiontr >NarxM= TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 November 2, 1990 Mr, Vittorio Gentile 139 Porter Street Westwood, MA 02090 Re: A=192-011 839 Shoot Flying Hill Road, Centerville Dear Mr. Gentile: This office is in receipt of complaints re the use of your property located at 839 Shoot Flying Hill Road, Centerville. The property is in a residential zoning district and the use of the property for busi- ness is in violation of ,the Town of Barnstable Zoning Ordinance. Your tenant has been storing a .commercial vehicle on the property for quite some time. He has been advised of the violation and did agree to remove the vehicle. However, as of this date he had not done so. Please be advised that unless the premises is restored to single family dwelling status further action will have to be taken by this office. As the owner of the property you are responsible for the use of the property. Contact this office immediately re the above matter. Peace, J seph. D. Da u Building Commissioner f i JDD/gr cc: Town Manager Certified mail: P 017 014 351 R.R.R. - P 017 014 351 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) SfYr10 Vittorio Gentile Street and No. 139 Porter Street P.O.,State and ZIP Code Westwood, MA 02090 Postage S Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered in Return Receipt showing to whom, Date,and Address of Delivery ID j. TOTAL Postage and Fees. S 00o Postmark or Date M E 0 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving 4e receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) ' . If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of fn'a article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- rRits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. U.S.G.P.O.1987-197-722 JOSEP4 D: DALuz 790-6227 ' TELEPHONE,��Yti� Building Conrmiuionrr XX'K)= x TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 October 26, 1990 Mr. Martin MacRae 839 Shoot Flying Hill Road Centerville, MA 02632 Re: A=192-011. 839 Shoot I-'lying FI:II.I. Road, Centerville Dear Mr. MacRae: This letter is to confirm our on site conversation of 10/25/90 re parking a commercial vehicle in a residential area. As per our conversation you have made arrangements to store the truck at a commercial location. Very truly yours, i r (' Richard t �/ea=r-se' Building Inspector RRB/gr cc: Town Manager THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A �C(LJ IL DATA I i. 1� el TOWN OF p p� NAME OF OFFENDER: BARNSTABLE CITATION NO.: BARI 77-42. CONTACT: _ DATE OF VIOLATION:_-. L'�' % %;' ADDRESS OF OFFENDER: -��0 / L!//M/,. -/;'fl1// lt � o TIME OF VIOLATION: I I CITY: STATE: 'j} ZIP: W � � unxsv7nx+.F.• � a MASS. # rE0N1P�A, YOU HAVE BEEN OBSERVED VIOLATING: uj NOTICE OF — (specifybylaworregulation)By: w 4 Wu VIOLATION _ (act constituting violation) to AT: FINE AMOUNT: % o OF TOWN (place of violation) ` a I HEREBY.ACKNOWLEDGE RECEIPT OF CITATION: < BYLAW OR � `'. REGULATION BY:' w (signature of offender)` '"./r a 5�::...'_,_,n•.,:- ;. �.:f,•.:�... BADGE NUMBER' �'!!� W (signature of enforcing person) N w � YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER. � (1) You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:30 P.M.,Monday through Friday,legal holidays excepted,before: THE a CLERK•MAGISTFIATE,District Court Department,First Barnstable Division,Court Compound,Main Street,Barnstable,MA 02630,or by mailing a check,money order or postal note to the Clerk-Magistrate WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.This will operate as a final disposition of the matter,with no resulting criminal record. (2) If you desire to contest this matter in a noncriminal proceeding,you may do so by making a written request to the above CLERK-MAGISTRATE for a hearing.A determination bya Judge or Clerk-Magistrate will operate as a final disposition,with no resulting criminal record,provided any fine imposed by that officer is paid within the time specified. (3) If you fail to pay the above fine or to appear as specified,a criminal complaint may be issued against you. I I'HEREBY ELECT the firsboption above,confess to the offense charged,and enclose payment in the amount of$ .Signature 1 i vy� r Ei. E� i r its _--I- - au-u - - Aw , E � s � i ilE ,�� ,, ��� E�� �� _ _. - 'I - ---- -- __. .. - --- -- - _ ..___- -- - -- - __-._._ _ �- - - - --- - ------ �� �� �� 'i i :!� i� -- '� - - -- � ----"'-'^--- -. -,.�._._ � _.--mow_ _ -- -- - - - - �-`^`---'--'• -- ._� �..-_---- - -.__ '---� ._r..._._ .__ � __ .�...._ _. _...I -- ------.__ _ �.- - - --'- -� � __ � _ _.�. _ _ __ _ _ _. _ _ _ .-�-- -- -- �� II� '! JOSEFH D. DALUZ 790-622/ Building Commhtiontr TELEPHONE%XftXJIX O X]4i9'X TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS. MASS. 02601 December 6, 1990 Mr. Martin MacRae 839 Shoot Flying Hill Road Centerville, MA 02632 RE: A=192-011 839 Shoot Flying Hill Road, Centerville Dear Mr. MacRae: I just want to reiterate our telephone conversation re your illegal business activity at 839 Shoot Flying Hill Road, Centerville. I mentioned to you that we would be monitoring the illegal parking of your truck-even on weekends. The citation you received reflects the surveilance. The threats you made to your neighbor, Mr. Hakel were unwarranted. I have asked Mr. Hakel to inform me if further threats are directed toward him. I shall also make .this letter known to the Chief of Police. The Hakels are an elderly couple and Mrs. Hakel is not well. I hope you will respect their right to live without intimidation. Peace,- Jse7p h D. DaL z Building Commissioner JDD/gr cc: Town Manager Chief Nightingale a 77 ,:.. - .. ���'({l J�' ram- �• • ��'���ty+ K:. V. ���.� � � _`f :.,:TOWN OF BARNSTABLE L [Iw`D • ' t�� ✓' 3�NOV 2' - —: BUILDING DEPARTMENT q�9 di aa= 367 MAIN STREET HYANNIS.MASS.02601 D j NOVzZ� Nell /8 90 P 017 014 351 PER. hV� � - ' zo =o a pd � } ln�Llfi ssen' �jrnSUchGetit 'a' Nn Se Sheet 'cc ~' Mr. it 'o entile �x�a'drn�frQ'R.c�p�r'Q '> 13 9 Po r e r S e e of�e1�ail In T�s Enye+por e 0 lCUIN NOTILL stwood 90 r + \ SENDER: Complete items 1 and 2 when additional services are desired, and complete items ` 3 and 4. Put your address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card from being returned to you.The return recei t fee will rovide ou the name of the person delivered to and the date of delivery For additional fees the ollowing services are available. onsult postmaster for ees and check boxles)for additional sp vice(s) requested. 1. ❑ Show to whom delivered date, and addressee's address. 2. ❑ Restricted Delivery (Extra'%charge) (Extra charge) U)y 3. Article Addressed to: 4. Article Number h P 017 014 351 :". o > Mr. Vittorio' Gentile Type of Service: > ; Q to ❑ Registered ❑ Insured 139 Porter Street g CD ,< Z m ❑ Certified ❑ COD n O cc r Westwood, MA 0209.0 Return Receipt O C C ❑ Express Mail ❑ for Merchandise » C W O Always obtain signature of addressee y ® or agent and DATE DELIVERED.4. < y a5. Signature — Addressee 8. Addressee's Address (ONLY if m to y C X requested and fee paid) - / 6. Signature — Agent / X / 7. Date of Delivery a / PS Form 3811, Apr. 1989 +U.S.G.P.O.19W-238-815 DOMESTIC RETURN RECEIPT GV11M CI�CK NO: �Vy. 1 9- 1 4,1.19 9 1 OMOID. DATE :ST 1NOTIt 2N0/ OTICF'" RETURN a. .. Detached from `� s 790-6227 JOSEPH D. DALUz '�,. ;[ ""t TELEPHONEVIMANXEK Building Commissioner �•" } TOWN OF BARNSTABLE BUILDING INSPECTOR i TOWN,OFFICE BUILDING HYANNIS, MASS. 02601 November 2, 1990 Mr. Vittorio Gentile 139 Porter Street Westwood, MA 02090 Re: A=192-011 . 839 Shoot Flying Hill Road, Centerville Dear Mr. Gentiles This office is in receipt of complaints re the use of your property located at 839 Shoot Flying Hill Road, Centerville. - The property is in a residential zoning district and the. use of the property for busi- ness is in violation. of the Town of Barnstable Zoning Ordinance. Your tenant".has been storing a'.commercial-vehicle'6n the property "for quite. some time:- He has been advised of the violation and did agree to remove .the vehicle. However, as of "this date he had- not done so. Please be advised that unless the premises is restored to single family dwelling status further action will have to be taken by this office. As-, the owner of the property you are responsible for the use of the property. Contact this office immediately re the above matter. Peace, J seph D. Da u r "Building Commissioner JDD/gr cc: • Town Manager Certified mail: P 017 014 351 R.R.R. LOPIOS39, SHOOTFLYING HILL R CTY]10 TDSI 300 CO KEY] 116341 ----MAILING ADDRESS------- PCA11011 PUS]OO YXI00 FARENT] 01 OENTILE, VITTORIO MAQ AREAj42AC WjW6504 MT610000 LYDIA GENTILE SPIJ SP2j SP3] 139 PORTER ST UTIJ UT2j .7S SQ FTj 1344 NESTNOOD MA 02090 AYS1195S EYQ1975 OBSj CONST] 0000 LAND 71100 IMF 76500 OTHER 10000 ----LEGAL DESCRIFTION---- TRUE MKT 157660 REA CLASSIFIED &AND 1 71 ,100 ASV LNO 71100 ASD IMF 76500 ASD OTH 10000 #BLV0(S)-CART)-1 1 76,500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #OTHER FEATURE 1 10,000 TAX EXEMPT #PL SHOOT FLYING HILL RD RESIDENTIL 157600 157600 157600 #DL LOT 2 + UNNUM OPEN SPACE #RR 1484 0165 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE100100 PRICE.] OROj22421107 AFVj LAST ACTIVITY]05130IS6 PCRJY 9/28/90 Brunckhorst/Boars Head Brand Provisions Parked at: 839 Shoot Flying Hill Road, Centerville (house is not occupied by the owner/it is a rental) Please speak with J.D.D. re this Noise from refrig. truck is very annoying to neighbors and should not be allowed. Mr. & Mrs. Hakel have called before about this & J.D.D. said he would issue a ticket. You can contact Mr. or Mrs. Hakel who live at 857 Shoot Flying Hill Road at 775-7945 ------------- ----- -------------- --------------...... r U�� i TOWN OF BARNSTABLE • C•fl�GC • • • J`' a �"., -=; °+�.�a, BUILDI' > ' .� ANT UN y `.36 DHYI 01P 65D 795 563 " t . _ RjOW Hold e �I 1 FErV ?A, lfi1;r otic® � R�dr�a�rn�6qS��C� 2ND'Notice Mr Vittori Gentile FC 070 o svc 8�t ®�n "met Return 139 Po or St �� S�chh � dr�a'` ,b off; °jai a 4r D f Uet`hed from 0 t1•� � t Westwood MA 0209 t . PS form 3849—A i SENDER: Complete items 1 and 2 when additional services are desired, and complete items 3 and 4. Put your address in the"RETURN TO" Space on the reverse side. Failure to do this will prevent this card 7rl from being returned to you.The return recei t fee will provide you the name of the person delivered to and the date of deliver . For ad iti0nal fees t e ollumng services are available. Consult postmaster for ees and c eck box es) or additional service(s) requested. 1. ❑ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery (Extra charge) (Extra charge) W 'a 3. Article Addressed to: 4. Article Number o P 650 798 563 -� a m Mr. Vittorio Gentile Type of Service: m z ® 139 Porter Street El egistered ❑ Insured Westwood, HA 02090 Certified ❑ COD H C ❑ Express Mail ❑ Return Receipt C UJ p for Merchandisep G m Always obtain signature of addressee N or agent and DATE DELIVERED. < y 0.a 5. Signature — Addressee 8. Addressee's Address (ONLY if y C X requested and fee paid) P y 6. Signature — Agent , X 7. Date of Delivery t PS Form 3811, Apr. 1989 *U.S.G.P.O.1989-238-815 DOMESTIC RETURN RECEIPT W'yofTx�ro�o The Town of Barnstable '"" GI.rub. ' Inspection Department � A i639. NXI 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner December 26, 1991 Mr. Vittorio Gentile 139 Porter Street Westwood, MA 02090 RE: A=192-011 839 Shoot Flying. Hill Road, Centerville Dear Mr. Gentile: This office continues to receive complaints re the use of your property located at 839. Shoot Flying Hill Road, Centerville. Please contact this office immediately re the above matter. Peace, J 's ph D. DaLuz Building Commissioner JDD/gr cc: Town Manager Certified mail: P 650 798 563 R.R.R. Town of Barnstable *Permit y�., # ♦ •ira 6 months rom Lwuf Regulatory Services f ° • > wsr.E, Fee s639. ,b8 Thomas F.Geiler,Director 1 �n r� CIY,hy Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town-baimstabid.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTLAL pl�,y ax: 508-790-6230 Not Paua without Red X-Press imprint Map/parcel Number Property Address 11 U Residential Value of Work Minimum fee of$35.00 for work und er$6000.00 Owner's Name&Address ' L - Contractor's Name Telephone Number 7$ r, -9 Home Improvement Contractor License#(if applicable) ry � 4 � U� iat�l Construction Supervisor's License#(if applicable) � -k AWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor X-PRESS PERMIT, ❑ I am the Homeowner (Z I have Worker's Compensation Insurance J U N 2 3 . i^! tsurance Company Name _ VOWN OF BARNSTABL�orkman's Comp. Pol icy#_V,IC,'a- i c— opy of Insurance Compliance Certificate must accompany each permit :rmit Request(check box) Re-roof(stripping old shingles) All construction debris will.be taken to T oT " ❑Re-roof(not stripping. Going over existing layers of roof) � HA QZ.1 3 ❑ Re-side Replacement Windows/doors/sliders. U-Value ! #of doors -� (maximum.44)#of windows _ "Where required: Is of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ownei must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors r License&Construction Supervisors License is required. , NATURE: 'FILESTO \building permit formsTYPRESS.doC i ;ed 070I I0 • i The Commonwealth of Massachusetts t Department oflndustrialAccidents 1. d Q -ce of Invesfigations 600 Washington Street ' 4/ Boston, M4 02111 e r www.massgov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Appficant Information Please Print Legibly Name (Business/Organizaiion/Indiviaual): Address: 15(o 10 City/State/Zip: �e •-�}` r�fl �� 7 Phone #: [01 an employer?Check the appropriate box: Type of project(required): a employer with 4. ❑ l:am a general contractor and I 6• ❑New construction loyees(full and/or part-time).* have hired the sub-contractors • a sole proprietor or partner- listed on the attached sheet.t 7•. ❑Remodeling and have no employees These sub-contractors have 8. ❑ Demolition ing for me ut any capacity. workers' comp. insurance, g ❑ Building addition workers' comp. insurance 5. ❑ We are a corporation and its I0❑ Electrical repairs or additions ired.] officers have exercised their a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions lf.[No workers'comp. c. 152, §l(4), and we have no 12.eRoof repairsance required.] t employees.[No workers' comp, insurance required.] 13.0 Other i. *Any applicant that checks box f 1 must also fill out the section below showing their workers'compensation policy information. t HomCowners 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 sheaf showing the name of the sub-contractom and their workers'comp.policy information. I am.an employer that isprovidmg workers compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: LA-% k .Policy#or Self-ins.Lic.#: `r@Gaa 3A -3555`�0_ 01 �3 Expiration Date: Job Site Address-93 11Sh 7-°r ( i,11 City/State/Zip: V��1l "A Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th p ' s and pe hies of perjury that the information provided above is true and correct: Si ature LDate: t. Phone#: Ofcial use only. Do not write in this area;to be completed by city or town official City or Town: - Permit/License# Issuing Authority(circle one): I. Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other J 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 ... very person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the fore oin engaged in a joint enterprise, g g 1� J rrn ,and including the Iegzl rerresentatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, 25C also states that"eve state or local licensing agency P� � (� "every g shall withhold the issuance or renewal of a license or permit to operate a business onto construct buildings in the commonwealth for any applicant who has not produced aeceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is-required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town thaf the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the Iaw or if you are.required to'obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the-affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. . The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations' 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 of T Town of Barnstable s�II Regulatory 5ex-vices uASS g Thomas F. Geiler,Director ` Building Division Tom Perry,Building Commissioner 200 Main Street,Hya=is,MA 02601 www_town_b arnstab le_ma.us Office: 508-862-4-03 8 Fax: 508-790-623 0 ... 1- 1 A. Property Owner Mus t Complete and Sign This Section - If Using A Builder . r-�-.ram)n G -'s=�j l-Q__ as Owner of the subject,property hereby authorize O L-q- to act on my behalf, in aI1 masters relative to work authorized bytbis building permit application for. a9 5h�-��7C1 s�►�l l ......�n-F-®� (Address of Jab) of Owner ate Print Nz= If Prop e , Owner is applying for permitplease complete:the. Homeowners License Exemption Form on :the reverse side. r- '1 f Town of Barnstable P� THE Tp�y o Regulatory Services Thomas F. Geiler,Director A!RNCr1R[,E, •.bg Btfflding Division �En { Tom Perry,Building Commissioner 200 Mani-Strctt; Ayannis,MA 02601 WWW.town-b ara.stabl e.ma-us Offf-�c: 508-862-4-03 8 Fax. 508-790-6230 HOMEOWNER UCF1dSE EXEMPTION Please Print DATE JOB LOCATION: number street village '.740MEOWNER": name bome phone# work phone# CURRENT hL JlIIG ADDRESS: eityhown state zip code The cmTent exemption.for"homeowners"was extended to include owner-occupied dwellius of six nits or Jess and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as s peryisor_ DEFRUTION OF HOMEOVV7%'ER Persons)who owns a parcel of land on which he/she resides or intends to reside, on-which.thcre is, or is intended to- be, a one or two-falmly dwelling, attached or detached structures accessory to such use and/or fa=structures. A person who constrtgets more than one home in a two-year period shah not be considered a bomcowncr. Such "homeowner"shall submit to the Building Official on a.form acceptable to the Building Official, that he/she shall be resyorisrble for all such work perfamzcd'undar the b'uldint=permit. (Section 109.1_1) Tic undcrsigaed `homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The tmdersigncd"homeowner:'certifies that.hdshe understands the Town of Barnstable Building Depart= min;mrrm inspection procedures and rr quiz-crocnts and that he/she well comply with said procedures and rcz,;remcnts. Signature of Horncmvner Approval of Building•D$icial Note: Three-family dwellings containing 3 5,000 cubic feet or larger will be required to comply with the ' State Building Code'Section 127.0 Construction Control_ E'011COWNER'S EXEMPTION The Cade states that: "hay botneowncr pef rang worn for which a b0daug pa rnnit is rzqun ed sha11 be exempt from the pFovisigns of this scction.(Seetian I D9.1.1-Limuiitg of caashvetion Superrisors),provided tha t if the homcoqmcr=gages a pasa ri(s)for hire to do such work that such Homcawn a shall act as supervisor.,• il�aay b==wnas wbo use this,reception am tmaw=that they am assuming the responsibilities of a supervisor(see Appendix,Q Ru1cs&Regulations for LincmTi+g Constrvctimt Supervisors,S=tioa 2.1.5) serious This lack of zwm=css oftr:r results in problans,particularly vh=the borncowncr hires unlicensed persons- bn this ease,our Board cannot proceed against the unliccnsed person as it would with A lieauscd ;upa visor. The homeowner acting as Supervisor is ultitrmtcly rtsponsible To emurc that the bomcawncr is fuUy away=of his/berrtsponnbilitirs,many communities require,as part of the permit application, rat the homcowna certify that bdsbe undcrstands the rrsponnbtlitics of a Supervisor. On the last page of this issue is it.farm currently used by reeral towns. You 'may care t m=d and adopt such i formkcmf cation for use in Your community. Office`orCo4me"N.1s"�"ciu1nes"s Kegu HOME IMPROVEMENT CONTRACTOR Registration: 410064 Type: Expiration: 1:OG6%2012 DBA D ARY&SON F=-a DONALD O'LEAR�, =` - 1568 HIGH ST _- WESTWOOD, MA 02090-== Undersecretary License or registration.,did for individn! use only before the expiration,date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston,Ma.021,08 1 � i 41 � ithou signature j 111"NNachusetts- Department of Public Safet, Board of Building Regulations and Standards Construction Supervisor License i License: CS 28243 Restricted to: 00 DONALDJ OLEARY 1568 HIGH ST WESTWOOD, MA 02090 ummisiuner Expiration: 10/26/2011 Tr;-: 7283 ,a►co CERTIFICATE OF LIABILITY INSURANCE 76/23/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER DUPONT INSURANCE AGENCY INC CONTACT NAME: 410 WILLARD STREET PHONE c No Ext 617 376-0795 FAX A/C No: 617 479-9121 QUINCY, MA 02169 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC A INSURERA: Liberty Mutual Group INSURED INSURER B D OLEARY& SON INC 1568 HIGH STREET INSURER C WESTWOOD MA 02090 INSURERD: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 10476780 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DD/YYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES ERENTED u nce $ CLAIMS-MADE F—IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABnY E Mac deent)SINGLE LIMIT d $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ 8 HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Peracadent) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ $ A WORKERS COMPENSATION WC2-31 S-358547-011 3/1/2011 3/1/2012WC AND EMPLOYERS'LIABILITY Y/N TORY LIMITS tK ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 00000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Workers Compensation Insurance: Part One of the policy applies only to the Workers'Compensation Laws of the State of MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN' 200 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE � s Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CERT NO.: 10476780 CLIENT CODE: 1350151 Anne Chandler 6/23/2011 5:49:36 An Page 1 of 1 This certificate cancels and supercedes ALL previously issued certificates. Young children escape house fire unscathed Cap eCodOnline.com Page 1 of 2 Hello,Robin Anderson Not you?) See the Benefits of U Help I Logout ( y pgradmg Your.Account. 4 of 10'premium clicks used this month Search.capeCodOnline.com - T � Wo ° - - 'Forecast I Radar ,! - r NEWS BUSINESS SPORTS OPINION ENTERTAINMENT LIFESTYLE' MULTIMEDIA' `COMMUNITY NEWS REPORTS VISITOR GUIDE MARKETPLACE " . Young children escape house fire unscathed Photo 1 of 1 View Photo ) ( g Text Size:A LA.I A Print this Article C Email this Article Share This " 1 a ` x d - +i " �.U 508-q77 5400 r-� i►i - - " " � mashpeetommons corn Mon Sat 10 6 Sun 11 S " Firefi hters look for hot s ots in the attic of a Shootfl in Hill Road71, home in Centerville Tuesday night. .. '-• . HOMES JOBS RENTALS I CARS ' Cape Cod TimeslRon Sehloerb � ' ' '.` - February 16,2011 $1,160 CENTERVILLE—Four young children escaped a fire that heavily damaged the back Shoot-flying,Hill Road Hyannis,MA Y 9 P Y 9 , _ �-s pr a, Cape Cod Online � - home Tuesday night,fire officials said. Classifieds " RENTAL More Details. j r At about 8:10 p.m.,firefighters from the Centerville-Osterville-Marstons Mills Hyannis and Cotuit fire departments were dispatched to 9 Shootflying Hill Road._A neighbor had spotted flames at the back of,the house and $97# banged on the dooraccording to a COMM Fire Department pressrelease.There was a baby sitter and four South Yarmouth,MA children—all under the age of 4—inside,and they were all able to escape the home without injury. r Cape Cod Online Classifieds COMM fire Chief John Farrington said the back of the'home,was heavily damaged and the'fire had penetrated the RENTaL More Details-,. attic of the one-story house.Firefighters used ladders to get onto the roof and cut a hole to look for hot spots he said. ,. The home was not habitable Tuesday night,Farrington said,adding the interior of the home had sustained smoke Hyannis,MA " Cape Cod Online r damage. Classifieds RENTA More Details.. Based on a preliminary investigation,careless disposal of smoking material is the probabie'cause of the fire,the press release states.More than a half-dozen fire apparatus responded to the fire,with nearly three dozen firefighters and police officers working at the scene. view an Featured Properties , Y ' - (What are these?) j HOME *. Ads by Google Today's most viewed articles �r U' 'a DEAL OF THE WEEK ' Play Spin To Win Cousin charged in murder of Orleans ;` 64 DEALS ONLINE TODAY „ MORE» - e . summer residents-2117,2011 ----- Free Instant Win Game Win Boston ' - Celtic Tickets and more After Business Hours-Complimentary 5 Browns dad faces sexual abuse charges www.pifinacleperks.com - - ," s, 2/17/2011 . Appetizers at the Bar 586 Bistro Et Bar Adam Wetherbee Childs,22-2117t201 r Help Power Our Heroes Barnstable High students in sync- r" 10%Off Entire Grocery Purchase of$50 or 72%Of Firefighters in the US Are. , vlilz0n More Volunteers. 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I love this place.Any place who can still hold a a solid business in the winter on the cape is tops i �Y in my... * more > posted on 2h5l2011 ,r http://www.capecodofilihe.con 2/17/2011 TOWN OF BARNSTABLE BUILDING DEPARTMENT COMPLAINT/INQUIRY REPORT Date Rec'd B Assessor's No Last Name irst Name ORIGINATOR Street Villa State ZIP Tele hone: Home Work Descr' ti:on• "CoLAINT INQUIRY d , Requestor's Signature COMPLAINT Street Address LOCATION OFFICE USE ONLY ` INSPECTOR'S Dat ACTION/ Inspector' COMMENTS bJ�A cc—Le— o,y s r 1'e /O Z y GL �►,,v� tv �i.v L FOLLOW-UP ACTION ADDITIONAL INFO. ATTACHED COPY DISTRIBUTION: WHITE -DEPARTMENT FILE YELLOW INSPECTOR PINK - .INSPECTOR (RETURN TO OFFICE MGR.) NISC1 it w .T�r ����/pz ��s�� • - ''f�, � �� # I� ;T l, �, � �� .J . _� � , ~ ' f' . r �t�- j f P�/7�9 Z ys3�� 71 a 53 �M 6 /VA;2 1 L ` A 192-011 JOSEPH DD.- 790-6227 DALUZ rKLEPHONZi)t%WY-M /lui/dinAr CosrwL�lontr 14XyO�1D1tX TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 October 26, 1990 1 ° Mr. Martin MncRnc a 839 Shoot Flying Hill Road Centerville, MA 02632 Re: Am.192-011. 839 Shoot- Fl.yfiig 11i I I Road, Centerville Dear Mr. MacRae: This letter is to confirm our on site conversation of 10/25/90 re parking a commercial vehicle in a residential area. As per our conversation you have made arrangements to store the truck at a commercial location. Very truly yours, Richard / 1 Building inspector RRB/gr cc: Town Manager F r rIle /Ge� A ele- C� C / e5S FOCI-< 7 76, � 7 ��o�L�✓ �� �,� Z Y d e