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0076 THREAD NEEDLE LANE
' _ �:+. b.., .. �,., a?3� '-.Y• ';. n„ . Y�r4 1 2.: � kw Ay �: y, �t R ��� ':�'�'. t S .. , ACT D a a NA FOFFENDER �� - 'E O ,, _ BAR 7 .7 TOWN OF ADDRESS OF.OFFENDER - BARNSTABLE 11�STATE VTEZZIP ICODE O r �.1HE )j 1 U7 MV/MB REGISTRATION NUMBER • OFFENSE HARNSIAY.HI ' y, I k t 1 i i6yq ,.� ."`+ / 1 'i '.;;1: I jl 4i ` l� rya aA �`�; ui a r r O lfD IAKt L J 1"A W TIME AND DATE OF VIOLATIO( LOCATION OF VIOLATION 1 W NOTICE OF ,'y (A.MP/ P.M.)ON T%.AAt �5.2oU`i �`� I I�t.,��:� ��i�� t.. ��m��e�v 1�1�� {��i SIGNATURE OF ENFORCING PERSON - - ENFORCING DEPT.- BADGE NO. - - W VIOLATION ' �_ 61 cofD OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain si nature of offender. �W Date mailed } "� �� THE NONCRIMINAL FINE FOR THIS OFFENSE IS ic � w W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL 4 DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LU REGULATION (1)you may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M. Monday through Friday,legal holidays excepted, < LU before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. Box 430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNS TABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose'a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature - k - �f Zinov denies drug charges By AMY ANTHONY aanthony@capecodonline.com July 31,2014 2:00 AM BARNSTABLE—A Centerville man serving time in prison for a 2011 shooting was arraigned Tuesday in F Barnstable Superior Court on unrelated charges stemming from a December raid at his family home. Ilya Zinov,26, pleaded not guilty to three counts of possession of heroin with intent to distribute,six counts of possession of cocaine with intent to distribute and one count each of illegal possession of steroids, conspiracy to violate drug laws and possession of an electric stun gun. On Dec. 5,the Cape Cod Regional Law Enforcement Council Special Weapons and Tactics Team served a search warrant at7 6 Thread Ned Lane in Center Zinov's family home, after a heroin distribution investigation focusing on Zinov anTocco,22,whom police identified as Zinov's girlfriend. During a search of the bedroom allegedly shared by Zinov and Tocco, officers found four digital scales,a bag with 1,300 grams of a horse tranquilizer commonly used to cut heroin,three cellphones, a stun gun and an electric grinder coated with cocaine residue,according to a police report. Barnstable police Detective Lt. Sean Balcom said drug processing equipment was found with dried heroin and cocaine on if. At the time of the raid,Zinov was out on bail on charges stemming from a 2011 shooting at Ying's Sushi Bar and Lounge in Hyannis. In April,Zinov was found guilty by a Barnstable Superior Court jury of the shooting and was sentenced to 12 to 15 years in state prison. He is now being held at Massachusetts Correctional Institution-Shirley, a medium-security facility. Zinov is scheduled to return to court Sept. 10 for a pretrial conference. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/Pbcs.dll/article?AID=/2014073 1/NEW S/407310342... 7/31/2014 Town of Barnstable Regulatory Services oFs"E�,. . Thomas F.Geiler,Director • Building Division v mass Tom Perry,Building Commissioner s639. ��0 Mpc 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax- 08-790-6230 Approved: f P -8 Fee: 0- 0 Permit#: a0/20 00S/ HOME OCCUPATION REGISTRATION Date: '60 (o2 Name: al?0�`'��—Z-J y ll Phone#: � C d l Address:_ (e 17M OiO A EEQ1&z L /V village: l.-E-NTRPy 1JJC Name of Business: DYE Y E WIDE l D E CLEINI' `&-• Type of Business: ( . � n ft N a�"ap/Lot: &U c DVITNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation Within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundvaater pollution. After registration virith the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditioim • The activity is carved on by the permanent resident of a single family residential dwelingg unit,located vaathnin that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary ii residential buildings,and there is no outside evidence of such use. • No tnaffnc will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,Nabration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or Hazardous materials,or flammable or explosive materials,ii excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not vzthin die required fi-ont yard. • There is no exterior storage or display of materials or equipment. 0 There are no commercial vehicles related to the Customary'Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation... • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be iicluded. • No person shall be employed is the Customary Home Occupation vvho is not a permanent resident of the dwelling utni. 1,the undersign e re d and agree with die abo ' vas for my home occupation I am registering. Applicant: Date: /te C�' Homeoc.doc Rec.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your.Information: Business certificates (cost$40.00 for 4 years). A,business certificate ONLY REGISTERS YOUR NAME in town (which you "f must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st. FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: �0 c� y J� / Fill in please: APPLICANT'S YOUR NAME/S: LI7)5,eE ft i N 0 V Y fir° ' BUSINESS YOUR HOME ADDRESS: 7/p MRit-PO NEAF-0LE 11N 2- "' -M TELEPHONE # Home Tele hone Number 4 — �7J — 7071 sz a "t p NAME OF CORPORATION NAME OF NEW BUSINESS — LL� C /\l�!\T( TY E OF BUSINESS IS THIS A'HOME_OCCUPATIOIV? YES N4 ADDRESS OF BUSINESS :— 111� P pARCEL_NUMBER f�' �60- (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING.COMMISSIONER'S OFFICE This individual has been informe f any permit requirements that pertain to this type of businesMUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO A thorized Sig re** COMPLY MAY RESULT IN FINES. COMMENTS: 2. BOARD OF HEALTH This individual has peen eta p�the permit requirements that pertain to this type of business. _ MUST,,;OMPL`I WITH ALL l V 4 V) HAZARDOUS MATERIALS REGULATIONS Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICEN NG AUTHORITY) This individual h s f the 'c�ging,req ire en th p rt in to this type of business. Authorize S nature** COMMENTS: Date: (o l o� �l' 13 =- TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: BUSINESS LOCATION: -7b, Ph,)E -=)i Li Fff I i�- / N) INVENTORY MAILING ADDRESS: -7/(, TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: Fl j)1)I;4 H 2.I N(')V EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum JV /� Antifreeze (for gasoline or coolant systems) h Z iMiscellaneous Corrosive ❑ NEW ❑ USEDCesspool cleaners nA Automatic transmission fluid i Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides f ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) / Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) AN A Diesel Fuel, kerosene, #2 heating oil % ❑ NEW ❑ USED � Miscellaneous petroleum products: grease, Photochemicals (Developer) �/ �� lubricants, gear oil ❑ NEW ❑ USED jDegreasers for engines and metal H Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine / Battery acid (electrolyte)/Batteries Lye or caustic soda ` Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes . I Fertilizers A Asphalt& roofing tar PCB's ` A Paints, varnishes, stains, dyes r Other chlorinated hydrocarbons, _ Lacquer thinners (including carbon tetrachloride) Any other products with '.poison" labels ❑ NEW ❑ USED ' (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): / Metal polishes i I rl/11 j ("". r=F--.IV 11ll(lAt JT Laundry soil &stain removers ),`� (including bleach) i /\I.'ILL k F1 j1,l14)l f �K 1201 )(•1 Spot removers &cleaning fluids 7 7(dry cleaners) � Other cleaning solvents Bug and tar removers �2I `7 / -� ��` IT� ('IV i Windshield wash ; WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signa urea' - 1 Staff's Initials ' orc (v�13�136L WR OF.BARNSTABLE INSULATI0 iIBDGLASS SSAMl1S! SP:AY 0AM SUSYINSD Ipll$ DDRI!! INULAiIO CEILINGS DIVISION Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &' completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass . Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) { ) ( ) ( ) ( ) 4 iV-e r--j y (VO r !l FWo,-ro r,1eol Sincerely t VHry E ssration, sident Insc. 1 TOWN OF BARNSTABLE BUILDING PERMITAPPLICATION Map Parcel ��o S ,`{; Application Health Division Date Issued Conservation Division -Application Fee Planning Dept. r Permit Fee r Date Definitive Plan Approved by.Planning Board 3/Zzr1/L Historic - OKH _ Preservation / Hyannis Project Street Address G &d Village Owner . Z�yyV Address Telephone Permit Request Square: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 22®®_ 01 Construction Type_ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family -91" 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 F; t o Central Air: ❑Yes ❑.No Fireplaces: Existing New Existing woodCpoal stove Y❑Y(Es; ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn ❑C—ex,sting 4new maize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �. / I rn Commercial ❑Yes` ❑ Pao If yes, site plan review# Current Use Proposed Use y APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address License # 60, Home Improvement Contractor# Worker's Compensation #' ikf g7 ALL CONSTRUCTION DEBRIS RESULTING FROM S PROJECT WI L B TAKEN TO SIGNATURE < DATE Z I r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAR/PARCEL NO._ p ADDRESS VILLAGE - 7 OWNER x r DATE OF INSPECTION: _.FOUNDATION FRAME j INSULATION'' 'a� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' FINAL- GAS: - ROUGH ' i FINAL FINAL B_U'ILDING.1l.. k i 1 DATE CLOSED OUT -- ` r ASSOCIATION PLAN NO. f f : 10 Park Plaza'- Suite 5170 Boston; Massachusetts 0211.E Home Improvement Contractor Registration: r Registration:,.'•153567 Type: Private Corporation ' N, t Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATIO INC HENRY CASSIDY jr 455 YARMOUTH•RD:.. HYANNIS, MA 02601 ;Update Address and return card.Mark reason for change, E Address ,0 Renewal, Employment•, Lost Card DPS-CAI 0 50M-04/04-G101216 - •+ - Office ,/6h-,�Co mer Affairs Bu§"ne Regul tion License or'registratlon valid for ird idu!w e HOME fNfP i before the expiration date._If found return to a Registration: 153567- Type: Oftce of Consumer'Affairs and Business Regulation Y Expiration: 12/15/2012 "Private Corporation � .10 Park Plaza-Suite 5170 9,)� o Boston,MA 02116D INSULAT_IQN, INC gn HENRY CASSIDY _ s 455 YARMOUTH RDA _ C' �•�� r , IN HYANNIS, MA 026011 z ` Undersecretary ' t alid ith t si tune J a ` Mftssachu's'rtts- Department of Public Satcty " F Board of Building Regulations and-Standards i onstruction C Supervisor License License:1CS 100988 r. F � '�� -e. '• ^k, `;tea ' - , HENRY CASSIDY r ` .8 SHED ROW,'. ' # WEST YAR'MOUTH, MA'02673 rExpirationi 11111/2013" ('oumlisiuner }e. Trl#: 7620 I, e Client#:4597 CCINSUL ACORD rm CERTIFICATE OF11ABILITY INSURANCE DATE(MM;°o,YYYY) 2102/2012 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. IMPUKTANT:it e certificate holder Is an the po Icy Ies must be endorsed'ff 1.5 WAIVED,su 1ec o 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 endorsement(s). PRODUCER. E:.•.•.NAM MargaretYOung. . Rogers&Gray Ins. -So. Dennis iPHONE FAX A/C No,Ext):508-760_4602 '< _^ _INC, 77 816-2156 434 Route 134 Mh�L INC, No) P.O.Box 1601 R` :'ADDRESS:youngma@rogersgray,com PRODUCER South Dennis,MA 02660-1601 + • CUSTOMER ID#: , ` INSURER(S)AFFORDING COVERAGE NAIC 9 INSURED r INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc 455 Yarmouth Road INSURER B:Ohio Casualty Insurance Coin .pany ` INSURER C:Atlantic Charter Insurance. Hyannis,MA 02601 • INSURER D:Comme'rce Insurance Company 34754 • `' 'INSURER E - INSURER F: COVERAGES CERTIFICATE NUMBER: f-.' - 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. NSR ADDL SUBR POLICY EFF POLICY EXP Ll _. A GENERAL LIABILITY CBP8263063 7 04/01/2011 '04101/2012EACI+occuRRENCE s1,000,000 GE X COMMERCIAL GENERAL LIABILITY DRY SES(OEa RENTED + P CLAIMS-MADE X OCCUR F T MED EXP(Any one person) $5,000 ,a'+° „ r - :•.) •�,. _ PERSONAL&ADV INJURY. $1,000,000-° + GENERAL AGGREGATE i $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: - r PRODUCTS-COMP/OP AGG $2,000,000 PRO-ES-F r .. -. . $. , D AUTOMOBILE LIABILITY - t 11 MMBCKVMK ,04<01/2011 O4/01/2012 COMBINED SINGLE LIMIT ANY AUTO F (Eaaccidenq 1,000,00o BODILY INJURY (Per,person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) X SCHEDULEDAUTOS r . ._-. .. . PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS . Y •,$ B UMBRELLA LIAB X OCCUR 0001254514645` >; 04/01/2011.04/01/2012 EACH 000URRENCE $1 000 000 -- EXCESS LIAB CLAIMS-MADE I ' -- .-_ - •. , AGGREGATE �, $11000,000 DEDUCTIBLE - X RETENTION $ 10000 C WORKERS COMPENSATION - A00525902 a`06/3O/2011 WC STATU- OTH ' AND EMPLOYERS'LIABILITY Y/N WC 06/30/2012 X....,TORY LIMITS ER r ANY PROPRIETOR/PARTNERIEXECUTIVE E L � �� + EACH ACCI DENT ' :'$500,000 x. OFFICER/MEMBER EXCLUDED? 4 m.'.I N/A (Mandatory in NH) ± El.DISEASE-CA EMPLOYEE$$00,000 If yes,describe under - - - -POLICY LIMIT r DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) + Workers Comp Information Included Officers or.Proprietors + . CERTIFICATE HOLDER , e r CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN a ` ACCORDANCE WITH THE POLICY PROVISIONS. 1: AUTHORIZED REPRESENTATIVE I , 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) ' 1 of 1 The ACORD name and logo are registered marks of ACORD ;#S77368/M68179 MEY , ., �\ The Commonwealth of Massachusetts' Department of Industrial Accidents Office of Investigations, t 600 Washington Street A , Boston,MA 02111 t www.rrtass:go "v/dia 4 Workers' Compensation•Insurance Affidavit:Builders/Coiitractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): CA IN rl' A}��[ �Q7^I Afr Address: S�J A n f1 O / t City/State/Zip: AA Phone #: Are you an employer" ChIch the appropriate box: ` Type ofproject(required): 1.X I am a employer with ZC7; _ 4 ❑ I,am a.general contractor and I* , * _ have hired the sub-contractors 6. ❑ New construction employees(full and/ part-time). . � , 2.❑ I am.a sole proprietor or partner- listed on the attached'sheet. • 7: ❑ Remodeling ' ship and have no employees. These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees"Ad have'workers'.; [No workers''comp. insurance comp.•insurance. 9. ❑ Building addition required.] -5.Y❑;We area corporation and its"' =10,❑ Electrical repairs or additionst 3.❑ 1 am a homeowner doing'all work .. offtcers'hAe exercised their I I.❑ Plumbing repairs or additionsfi ' myself o workers' com '. Fright of exemption per MGL Y � p• 12.❑ Roof repairs- •, C. 152, 1 4 and we.have no w.- insurance required:] t � � • § O 13.❑ Other Y!F• . W '• • employees. [No.workers', �`, comp.insurance required.] '- *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ' rr t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit,indicating such, lContractois that check this box must attached an additional sheet showing the naYme of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their•.'workers'comp.policy number. • . I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: T ( 3 * /� ( gt Policy#or Self-ins. Lic. #: G(„i r,A inn ,0 Expiration_ Date: 3Q I Z"°. `• t a c $• r j /Y V• a Job Site Address: �-r %�>0�(/t City/State/Zip: Attach a copy of t workers' compensation policy declaration page(showing the policy number and expiration date). . Failure to secure coverage as•required under,Sectioil'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 u e pains nd penalties of perjury that'the information provided above is true'and correct.,, w 9 -, � Si nature: Date: v/ �• Lam• 4 Phone#: Official use only. Do not write in this area,to be completed by city or town official • City or Town: Permit/License# r Issuing Authority(circle one): fi t 1.Board of Health 2. Building Department_3.City/Town Clerk '4.Electrical Inspector 5. Plumbing Inspector 6. Other . P Contact Person ti Phone#: c 4 fill 40 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at y (Property Address). (Property Address),. herebyauthorize C-C4 cc (Subcontr tor) an authorized subcontractor for RISE Engineering, to act on my behalf,to obtain a building permit and to perform work on my property. Owner's Signature Date' JAN 1 9 2012 stance Listnct t;ourt I Lapet-oavnnne.com rage j Ul j /. FERREIRA,,ReinaIdo,,32, TRO, Belarmino, 52, 39 Hiramar Road, Hyannis;four counts assault with a dangerous weapon and three ts threatening to commit crime, Oct.30 in Barnstable,dismissed. 32A Dartmouth St., Hyannis;assault and battery and intimidating awitness, Dec.28 in stable, dismissed. HUSBAND, Donald,54, 112 Center St., Hyannis; assault and battery with a dangerous weapon and assault and battery with intent to intimidate, Sept. 14 in.Barnstable, dismissed: MANOLOULES, Christopher E., 18,Southboro; murder and attempting to commit a crime, Sept.29.in Barnstable, not prosecuted;defendant indicted and arraigned in Superior Court. PARKER, Jeffrey A.,51,22 Marks Path, Hyannis; assault and battery with a dangerous weapon and assault and battery with intent to intimidate, Sept. 14 in Barnstable, dismissed. PINTO, Rafael,25, 588 old Shoofflying Hill Road,Centerville; assault and battery, Oct. 18 in Barnstable, dismissed. WILSON,John C.,54, 100 Tupper Road, Sandwich;assault and battery;Oct.23 in Sandwich,dismissed. rZINOV, Ilya, 21,76 Thread Needle Lane, Centerville; intimidating a witness and trespassing, Nov.5 in Barnstable, . dismissed. ,ZINOV, Irena,43,76 Thread Needle Lane, Centerville; intimidating a witness,Aug.2 in Barnstable,six months pretrial probation. ARRAIGNMENTS (The following pleaded not guilty.) ALBERTI, Justin,26,78 Higgins-Crowell Road, Yarmouth; breaking and entering in the daytime to commit a felony, Dec.6 in Barnstable. Pretrial hearing Feb. 18. BITTING,Joshua, 29, 126 Pine Grove Road;Yarmouth; assault and battery with a dangerous weapon (shod foot), two counts assault and battery,two counts malicious destruction of property of a value more than$250 and intimidating a witness,Tuesday in Yarmouth. Pretrial hearing Feb. 19. ROBINSON, Peter H.,39,56 Sierra Way,Yarmouth;three counts indecent assault and battery of a person 14 years and older, Dec.9 in Barnstable. Pretrial hearing Feb.24. TOOMEY, Marcus A.,22, 36 Powderhorn Way, Centerville;aggravated assault and-battery,Tuesday in Barnstable. Pretrial hearing Feb. 1.6. WAYMAN, Janelle,22, 7 Anne Lane, Bourne;two counts home invasion,two counts larceny from a building and attempting to commit a crime,Tuesday in Barnstable. Pretrial hearing Jan.29. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. I • http://www.capecodon"line.com/apps/pbcs.dll/article?AID=/20100123/NEWS/1230330/-1/... /a/25/2010 S e District Court CapeCodOnline.com rage L of LMA, Kellyanne, 19,270 Nyes Neck Road,Osterville; possession of Percocet and larceny of a value more than $250 Thursday in Barnstable. Pretrial hearing Feb.24. PERKINS, Scott M.,33,31 Snake Pond Road, Forestdale;assault and battery of a person 60 years and older or disabled, Nov.4 in Sandwich. Pretrial hearing Feb. 19. PIRES, Penny`L.,20, 576 Main St., Dennis;possession of Clonopin and shoplifting,Thursday in Yarmouth: Pretrial hearing Feb.26. THERIAULT, Melvin N.,51,27 Dutchland Drive,Yarmouth; larceny of a value more than$250 and breaking and entering a boat or vehicle in the nighttime to commit a felony,Tuesday in Barnstable. Pretrial hearing Feb. 19. WRIGHT,Joseph J.,30, 108 Camp St., Hyannis; malicious destruction of property.of a value more than$250, Thursday in Yarmouth. Pretrial hearing Feb:5. WRIGHT, Renne,23, 108 Camp St.,.Hyannis;assault and battery with a dangerous weapon(glass vase)and assault and battery,Thursday in Yarmouth.Pretrial hearing Feb. 5. ZANGRANDE,Vinicius,26,47 St..John St.,Hyannis;assault and battery, Sept. 12 in Barnstable. Pretrial hearing March 5. i ZINOV,Anastasia L.,22, 119 Emerson Way, Centerville; heroin/morphine/cocaine trafficking and possession of, cocaine with intent to distribute,Thursday in Barnstable. Pretrial hearing Feb. 19. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.conVapps/pbcs.dll/article?AID=/20100125/NEWS/125031l/-1/.�..� 1/25/2010' 1Me rp .Town of Barnstable. Regulatory Services BARNSTAB MASS. E " Thomas F.Geiler,Director .� Mass. g' , .� 3q i6 �0 AiEC39 Building Division. Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street; Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 March 30, 2001 Dmitry Zinov ' .. 76 Thread Needle Lane Centerville, MA 02632 Re: SPR 020-01, 500 Yarmoutli'Road, Hyannis (R344-007) m Proposal: Establish sales and display area for used cars (MBM Auto Sales) Dear Mr. Zinov: �7 Please be advised that this application was approved at the Site Plan Review hearing on March 29, 2001 with the following conditions: • The applicant will restore graveled area-to rear of building, • Front drainage shall be cleaned &repaired to ensure working order. • Removal of underground storage tank shall occur within 60 days per BOH. • No vehicle washing, maintenance, or repair to occur on this site. • The applicant shall plant the area containing the sign with low growth shrubs. `• In the event that a dumpster is necessary,it's location shall be 10' from the property line, on an impervious surface and screened from view (unless located-inside the bay). Sincerely, �C. Robin C. Giangregono SPR Coordinator Q:B1dg\sitep1an\2001\C&Ig1ass. oFIMETpk� Town of Barnstable A Department of Health, Safety, and Environmental Services i ' 1639. Public Health Division 9� `0� ATED ,ts 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean FAX: 508-775-3344 Director of Public Health June 10,2004 Ms.Irene Zinov and Mr.Dmitry Zinov 76 Thread Needle Lane Centerville,MA 02632 NOTICE TO ABATE VIOLATIONS OF THE STATE SANITARY CODE,CHAPTER 2,105 CMR 410.00, THE STATE ENVIRONMENTAL CODE, TITLE 5 AND THE TOWN OF BARNSTABLE i RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 38 Hawser Bend Road, Centerville, MA. was inspected on June 10, 2004 at 8:05 a.m. by Thomas McKean, Health Agent for the Town of Barnstable because of a complaint regarding overcrowding. The occupant, Ludmila Burdeljova, stated that there are eight occupants living within this dwelling. The following violations of the State Sanitary Code, 105 CMR 410.00, 310 CMR 15.000 State Environmental Code,Title 5 and of the Town of Barnstable Rental Ordinance,Article 51 were observed: 310 CMR 15.00: There were a total of six(6)bedrooms observed in this dwelling;three were observed on the first floor and three were observed within the basement. However, the existing septic system capacity is designed for a maximum of three(3)bedrooms total 105 CMR 410.450: Three sleeping areas (bedrooms) with beds observed within the basement without adequate emergency egress provided to each of the three bedrooms. [NOTE: One person was observed sleeping in the south-east comer bedroom during the inspection]. 105 CMR 410.481: Posting of Name of Owner: Name, address and telephone number of owner not posted on a twenty(20)square inch sign outside the dwelling adjacent to the main entrance. You are ordered to remove the bedrooms from the basement by removing entrance doors, by removing the beds, and by opening all door-way entrances (by partially removing walls) to each room in the basement to minimum of five feet wide openings within twenty-four(24) hours of your receipt of this letter. You are,also ordered to post your name, address and telephone number on a twenty (20) square inch sign outside the dwelling adjacent to the main entrance within twenty-four (24)hours of your receipt of his letter. This dwelling was previously inspected on July 28, 2003 by Donald Desmarais, Health Inspector for the Town of Barnstable, because of a complaint regarding overcrowding. The same violations existed at that time. An order letter was mailed to you on July 29,2003,received by you dated July 13,2003 (according to the certified mail receipt). You may request a hearing before the Board of Health if written petition requesting same is received within seven(7)days after the date the order is served. Non-compliance will result in the issuance of non-criminal ticket citations of$100.00 each. Each day's failure to comply with an order shall constitute a separate violation. Attached are four$100 non-criminal ticket citations for the violations observed on June.10,2004. IWE R O BOARD OF HEALTH McKean Director of Public Health f P�oFtHE A Town of Barnstable *Permit# Expires 6 months from issue date + BpBr15rABLE, i Regulatory Services Feeb%AS v , q:� Thomas F.Geiler,Director'ArEc"A°�`a Building DivisionkppTom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 T� IW4 ly O IT Office: 508-862-4038 At O �00J Fax: 508-790-6230 F EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY�R�ST�� Not Valid without Red X-Press Imprint �e�� Map/parcel Number O(X/6 Property Address 7,6 /1)6F_oZ� L%✓, e_4:r7:,(U I—YEA U/ nl� � �� ��Z Residential Value of Work Qz1,Q, c�� i Owner's Name&Address _-C__ VF1VW- �M17-VY -Z /;/® t// Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor 1 I am the Homeowner have Worker's Compensation Insurance f" Insurance Company Name Workman's Comp.Policy# Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (matim_um.44) ❑ Other(specify) *Where required: Issuance of this permit d of exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro 0 r t sign Property Owner Letter of Permission. Signature y Q:Forms:expmtrg Revised121901 a 4 L . Lis The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print f' DATE: ©1/2> d P� JOB LOCATION: 7� r r7 /� /V L�, C-��/� number street i village HOMEOWNER": . 7D°7'7 ('.W)772—oMop name / beliie phone# •work phone# CURRENT MAILING ADDRESS: ,✓ �� L ti city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an 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.codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department inspectio rocedures and requirements and that he/she will comply with said procedures and r quir ments. Signature of Homeowner Approval of Building.0 ial Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply x, u 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. , Many homeowners who use this exemption are unaware that they are assuming the responsibilities of.a supervisor(see o Licensing Construction Supervisors,Section 2.15 This lack of awareness often results in Rules&Regulations for t Constru Appendix Q, gu g p � ) 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. f To ensure that the homeowner is fully aware of his/her responsibilities,many-comrnunities 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 " X " The Town of Barnstable STAB , Office of Town Manager 9 MASS. $' QUA i639• 367 Main Street, Hyannis MA 02601 TED MA't A Office: 508-862-4610 John C.Klimm,Town Manager Fax: 508-790-6226 Joellen J.Daley,Assistant Town Manager MEMORANDUM TO: P*12, 2001 ng Commissioner FR: Jtant Town Manager DT: D RE: Form of Notice of Casualty Loss to Building Enclosed are two Insurance Forms of Notice: both are for Dimitry&Irena Zinov Thank you. J 7� 7h,e � JJD:Imb Enclosures FORM OF NOTICE OF CASUALTY LOSS -TO BUILDING UNDER. MASS. GEN. LAWS CH 139 SEC 3B T0: BUILDING COMMISSIONER OR BOARD OF HEA40 �',' tt` LE� •. INSPECTOR OF BUILDINGS BOARD OF-SELEC�NIEN "''t `` '`� Barnstable Town Hall COMM Fire DeparDhentF -q y - 7 367 Main Street ADDRESSES 1875 Route 28 Hyannis, MA 02601 Centerville MA 02632 ATTENTION: FIRE PREVENTION RE: INSURED: ZINOV, Dimitry and Irena PROPERTY ADDRESS ,w76-Thread-NeedTe'Lane� 4Cent lle 7MA-02632 s POLICY NO. HOM 1063189 LOSS OF Burglary on November 14, 2001 FILE OR CLAIM NO. CP0111042F. CLAIM HAS BEEN MADE INVOLVING LOSS, DAMAGE OR DESTRUCTION OF THE ABOVE- CAPTIONED PROPERTY, WHICH MAY EITHER EXCEED $1,000.00 OR CAUSE MASS. GEN. LAWS CHAPTER 143, SECTION 6, TO BE APPLICABLE. IF ANY NOTICE UNDER MASS. GEN. LAWS CHAPTER 139, SECTION 3B IS APPROPRIATE, PLEASE DIRECT IT TO THE ATTENTION OF THE WRITER AND INCLUDE A REFERENCE TO THE CAPTIONED INSURED, LOCATION, POLICY NUMBER, DATE OF LOSS AND CLAIM OR FILE NUMBER. SIGNATURE Paul F. Vaughan r T.M. SEGER CLAIM SERVICE, INC. , 459 Washington St - PO Box 277 - Duxbury, MA 02331 Telephone (781) 934-9770 Fax No. (781) 934-9194 ON THIS DATE,: I CAUSED COPIES OF THIS NOTICE TO BE SENT TO -THE, PERSONS NAMED , ABOVE AT THE ADDRESSES INDICATED ABOVE BY FI T S MAIL. i - r • 12 03 2001 SI & DATE Charlen E. Seger, Secretary FORM 13 (5-1999 ,at f FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS , CH. 139 , SEC. 3B TO: BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS BOARD OF SELECTMEN lowf; r r' 'ARE !L,fN .gl t A 1CF: Barnstable Town Hall COMM Fire Department 367 Main Street ADDRESSES 1875 Route 28 '01 G - 117 Hyannis, MA. 02601 Centerville, MA 02632 ATTENTION: FIRE PREVENTION RE: INSURED: ZINOV, Dimitry and Irena PROPERTY ADDRESS: 76 Thread Needle Lane Centerville, MA 02632 POLICY NO. HOM 1063189 LOSS OF Burglary on November 14, 2001 FILE OR CLAIM NO. CP0111042F CLAIM HAS BEEN MADE INVOLVING LOSS,-DAMAGE.OR DESTRUCTION-,OF THE,-ABOVE CAPTIONED PROPERTY, WHICH MAY EITHER EXCEED $1,000.00 ;OR CAUSE- MASS:- GEDU.- -LAWS 'CHAPTER 143, SECTION 6, TO BE APPLICABLE., IF ANY`NOTICE 'UNDER MASS-' GEN. LAWS CHAPTER 139, SECTION 3B IS APPROPRIATE, PLEASE DIRECT IT TO THE ATTENTION OF -THE WRITER AND INCLUDE A REFERENCE TO THE CAPTIONED INSURED, LOCATION, POLICY NUMBER, DATE-OF LOSS AND CLAIM OR FILE NUMBER. SIGNATURE Paul F. Vaughan T.M. SEGER CLAIM .SERVICE, INC. 459 Washington St - PO Box 277 - Duxbury, MA 02331 Telephone (781) 934-9770 Fax No. (781) 934-9194 ON THIS DATE, I CAUSED COPIES OF THIS NOTICE TO BE SENT TO THE PERSONS NAMED . , ABOVE..AT THE.ADDRESSES _INDICATED ABOVE,BY FI T SS MAIL. �- �. }� �s, 12 03 x -ST & DATE ,Charlen rE.,rSeger, WSecretary FORM 13 (5-1999) - - c .. Assessor's map and lot number `. �.:'`, ,e�' � ` 7 S Sap_/ GY$ " INSTALLED IN BE . hM Sewe a Permit number .. . .. 4fIT,iY ARTICLE 11 STATE QyofTNE.r TOWN OF BARN ,- i S'MIS DLE, i 16 q .�� BUILDING INSPECTOR 7 I / O ...T -3..-.7,R1 9y .... �i ���'!/...................................................... APPLICATION FOR PERMIT ., TYPE OF CONSTRUCTION .... ................ ............. ........................................ ` ........19.7!.�' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... ... I� .... ................. ................................... ProposedUse �.......:.:.........-_ ........6..........................................................................:................................................... Zoning District ..4r . ✓i'/ Fire District � . � ........ ' ................. Nameof Owner 4 .F`��2z Y J ?r ,�...............Address ........... .......................................................... Name of Builder ...........y���, .�..........................................Address ...................................:................................ ................ Name of Architect � �``� .............................................Address .................. Number of Rooms ......�.�`.........................................................Foundation !�°�'..!':?`�!.�......:................................................... Exterior `N.......•.......... 1..............................................Roofing ..��. ................................................................ Floors ` ?/ ......................................:......................Interior' �.... ................................................... Heating `5� ......................................................................Plumbing Fireplace AAte�...... .....Approximate Cost 7*PC"�!Yl .................. . ................................... ......................................................... Definitive Plan Approved by Planning Board -----------—------—-----------19--------. Area x�& ..... ..v s' Diagram of Lot and Building with Dimensions Fee _ SUBJECT TO APPROVAL OF BOARD OF HEALTH 34 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name d—�� Bornstein, Stuart � / / - � 59�No l7 � ... ` --`�..—. . =". = ' __.. ................ Location � . , � . ^ Locohon .K����� .I���.---- ^ ---.-----' � -------- ....................... � —. ��--. . Cwr%, ---..S.Wax.t..���������------. Typo of Construction —..fn�own--------.. ^ . -----.--.._.-----------..'---. | ' Plot ..... :------.. Lot ----------' . . . Permit G�o lA �5 ~ / | n,eo —.. � � Dote of Inspection .1i�/.�.�..cz.". . �.��.lA `' Dohs Como|e�e6 — ----]P ~� v . i' | ^ . - \ | | PERMIT REFUSED . -----,--.---^^..—..----~— lV ~ ~ , . . . '. .............................................................. ~_'-----^^'—^~-------^^'------'' ' i ' . ' .—.---~------..~.~---,--.—..—.—.. . ' | Y —.--.--.--..----_,,,,,___.___�... / - ' . . . ' � Approved ................................................. 19 ^ ' �� | ----~--'----------^--^--'—^—^ \ . ~ � Assessor's map and lot number ... .. / " 2 j ! T 75 Sew cr a Permit number �oFTNETo�y TOWN OF BAR.NSTABLE • SAWST"LE. i "6 ON BUILDING INSPECTOR `, •F �r APPLICATION FOR PERMIT TO .......... TYPEOF CONSTRUCTION ............................................................................... .............................................. ........................''.......t.............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: t) / .. ..f 35 s r7 t7i!'... V...... 1.- /'v' .. ........'.1 ^ti 1•�/ r 4 Location ......................._..........,.................................................................:'..:.......-,... ................................................................. ProposedUse .�'S:................................................................................................................................................................ toning District ., :..'?. " •�'%''-�f'.....................................Fire District Name of Owner v � t���yv ..........................Address ....... Nameof Builder"'"�....:........:.....................................................Address .................................................................................... r . .....................Address -'Name of Architect ............................................... .................................................................................... Number-of Rooms . ...Foundation "' '''....:.......................................................... :.............,............................................................ Exlerior .............:......................................................................Roofing ....-' ...:........................................................................ I Floors .........................Interior .. m -, 1.nG?e!aC................................................... Heating ....ri-} ...........................................`...........................Plumbing .................................................................................. .. ,�-Fireplace .. ost . :...............................................................App Definitive Plan Approved by Planning Board --------------------------------19--------. Area J' `......................... ................ Diagram of Lot and Building with Dimensions Fee �........................ .... SUBJECT TO APPROVAL OF BOARD OF HEALTH t � 1 I x i , t F. t 1 � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......: "�'�'.:�:.�"..�-:.:_��`�."r`..��...`......./.......^........?..f.... Bornstein, Stuart 17595 add to single No .................permit for .........................I......... .......... ami lv..dwel ling.................................... Location .. . .t.Threadneedle Lane .................................... .......................Centerv„i l le........................ ...... Owner Stuart Bornstein ...................................................... ........... Type of Construction .... KAme........................... Plot ............................ Lot ..... .......................... Permit Granted ..........Feb ary 28_ 75 ....................]9 ' Date of Inspection ......... ..........................19 Date Completed .......................................19 P 4IT REFUSED ....................... ..................................... 19 ..................... ......................................................... ................... ............................................................ Approved ........... 19 ............................... ............................................................................... ............................................................................... -, rxr�.Yam � �, bi3y, ,r,,.r„�:.�b-. �..t ., �-_'`._• i'.+�"'•'.�,F-:�...Y it- ^�...r ..�Jn...+ •.^.:d..,�....�::,.-.3n+r+,. Assessor's map and lot number ........ G��/ �C�— y Sewage Permit number .. ' �'"�c!^..................... ..... .. . .. TOWN OF BARNSTABLE L CF THE <; Z BA"ST"LL mug:,,- == BUILDING INSPECTOR ts?y APPLICATION FOR PERMIT TO :............................................................................................................................ TYPE OF CONSTRUCTION r'_1%m' +: ............19.� y- r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a. permit according to the following information: Location ...�� �?%'16�!'� 19L 1 ? ... �... >✓l!?�/� ...................... .....................................................................................:....... ProposedUse �........................................................................................................................................................ Zoning District .......... S.J�............................... ....................Fire District � ... ... . Nameof Owner F � `-y'...................................................................Address .............................................................................:...... Nameof Builderz.,67*4"'n....-�`.�'. ill..........6- ...................Address .................................................. ............................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors ................................................:....................................Interior ............................................................................... Heating ..................................................................................Plumbing ..................•................................................................. Fireplace ...................Approximate Cost ....... ..a..lJ!......................................... Definitive Plan Approved by Planning Board _______________________________19________ Area .....�...........��............... Diagram of Lot and Building with Dimensions Fee ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH A ,,,,•, l } I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name....�...%"i............................... y.��,...... Bornstein, Stuart A=210-161.-' 19196 pc ate swimming No ................. Permit for .................................... .............pool.............................rx' W'.6................... Threade44,e Lane Location ....................ne................................. Centerville ............................................................................... KXHXX Stuart Bornstein Owner .................................................................. Type of Construction ....................... ................................... ............................... ............ Plot ............................ at .............. ................... Ma) 11 77 Permit Granted ............... .......................19 Date of Inspectio ....................................19 Date Completed ......................................19 PERMIT R FUSED . ................................................................ 19 .......... ....... . ... ........................................... ........... ..... ... .............................. ......................a..... ........ .................................. ...............;r......... ............ ..................................... Approved ................................................. 19 .................................................................... ................... ...........................................................