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0015 WATERSIDE DRIVE
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Richard V.Scali,Interim Director 63P Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 'O/O L jo Z, Property Address — t Residential Value of Work$ i ! -� Minimum fee of$35.00 for work unde $6000.00 Owner's Name&Address _/ r 1 Contractor's Name ' Telephone Number hOS Home Improvement Contractor License#(if applicab le)1)50E 5 Email: M AaMZ'111'.Z /22,W,CAZVe Construction Supervisor's License#(if applicable) Q Ld2 9'r_T A ❑✓Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner DEC 2 9 ep a have Worker's Compensation Insurance 1`o I n l `014 - / � . NOF� �n� /Insurance Company Named',•`l •fie r u/ ���[,E _ Workman's Comp.Policy#(A/5 JZZ Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Er Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 0Q✓&(I ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Ovor Letter of Permission. A copy of the Home Imp ement tractors License&Construction Supervisors License is equired. SIGNATURE: v TAKEVIN_D�Building Changes\EXPRESS PERMU EXPRESS.doc Revised 061313 i 27re Commonwealth of Massacbusetfs: Debt of Indusbial Accidents x O ice of Invesfigadons 60O WashhWon&meet Boston,AM 02111; z nviww mass gov1dia Workers'Compensation Insurance:Affidavit::$uiiderslContractorstEtecfricianslPlumbers Applicant Information Please Print Lenbiy. Name.{B Jt)tg�rzaah dual} Address: City/State! I�haiie Are.TO an cffiployer?Cbeek appropriate box: 4. I am s. contractor aad I Type,�PmJ�'(r�' 11a Yam a to with O� 0 fa. Idew won i employees(fiill aadlar:pate-tiaae}: have hired the:s u1 coatctass. 2=❑ lama sole proptietor or partner-` listed on the attached sheet ,- p Remodeling , These m -c�tractom have ship and!lave no employees 8 Demolition and.have wodms' wotking forrme is atry capacity_ ° 9_. addition Na w F.comp:insurance` =gip a p> . -1 5 p we are a cowationand its . 10.p Etectiical repairs or:additions- El.I am a homeowner doing au:wary `officers have exercised 1 lip Plumbing repairs�additions myWE[No workers' right of ertempti�per:MGL. 12.p Roof repai m insurancer * C.152,§1(4),and we etptired j an other employ_[Na worlCess' comp:mmanc:e recluirerl:]`. *Any gpt_t Bat checks box#I mm also SRmu tt<e secdm beta showing t3�rm mkEW..c�saucanpsbcY'� am He�eoa+aers w>jo mbmit dds.affidavvit they an doing aII wmic coind thee hue o�decoauactou mansnbtnit attewsffrdaciL indicating ssch: ZCownctors On check.this boa Must attached an adduimW t shoe<stg ft name of the sub conu�ton sad sta:whedw or=those eafitiesbave emplcyen;.Iftlesob-cammctaesbsveeap s�tbeyit=piavide ewdr workers'comp;pelicymo:ober Farm as employer tliot r rm ng tvarkers'con s an nsur ce jor arty eotploy Below is tlis vtrcv andjob site information. a Insurance CbmpacyName YQ ;-vs _ Policy orSelf ins:lic:# Expizatian Date: 4Ao�� Job Site Address: 6 � knach a copy of.the workers'` flop policy ration;page(showing the policy.number and etpiradon date): Failure m setxuecoverage'as regtd under Section 25A of.MGI c 152 canlead to the m> Sition of criminal des of a fig ag to.S 1,StD0 tf0 and/orone=Year imPrisa nt as wren as civil:prenalties is the'foss of a STOP WORK tlRDER and a lure oft;ta 02565 a day'against the violates.. Be advised that a copy:of thia:stgtement maybe f nwarded to the oface of lac stigations of the DIA for insurance coven ige verification, Ida h 6dns and.A, : . 'Hrp thetthe info wawn prot=ideii above is a and correct: Z' lima Date.' 2 Phaste '. D, -d rum only. Do not wtrite in fibs area,to be compWed.bycaty or 6"o f ciai City or Town: l'er flLicease#-. : Issuing Authority(circle one} :I.Board of"ith Z.Building Department,&Citpfrown Clerk 4.Electrical Inspector S:Plumber Inspector;- 6.Otlier.- Contact Person: Phone0. 6 � r'/�e`�o�irii�aitttmttl(�t�Gllai.tClC�lt;ell:; -� Office of Consumer Affairs&Business Regulation 1— OME IMPROVEME14T CONTRACTOR 9 91strationc 130555 Type- Expiration:,,:312412016 Individual MARK C.HAMILL MARK HAMILL 11 BEDFORD ST TEATICKET,MA 02536 Undersecretary IS@ Massachuse«s-Deoarttnent�o Pub iti- Board of Building .Regulation's and sian�iarc�s Construction Sunerrisor M1 _;cerise: CS-002938 f- HARK C RAME,Li 11 BEIDFORYD STREET' East Falmouth MA 02536,.z;:'` _ -r.II.MMi Ssitone7 11/08/2015 istrati0n valid for individul use only /1 1, tmae br reg and reWr"to: 0 �Go9)ci)ealernCra�l 4�'{�7161r�Y as�� sae the exp[r&tion dute- found Regulation ece of Co11 e"r Affairs&BnsSIDess Pick er Affairs attd 13u51ness Reg ®� �>fice O COuBYIn - OME ImPROV,MENT C®MfR� i� -TM. Suite 5170 istrutlon; '30555 AO parkl'laxa- 1 ndNidual Ros4un,N1�0311� F�colt02ion.�•:�4��5 MARK C HAMILL i MARK - tore 11 BEDFORD ST �: Notv®lid without sign TEATICKET,MA 02536 Y7ndersccretarY ve Town of Barnstable ReguICAOTY Samces 's �rNc rAs►a= Bullding DWhiOtl MASL ae� , sop Ma1n wwt,Hvofw 6,MA oW1 (5 562-4039 FOX Wabs9Wtownbaflw ta.m us ��/ 1�QA._-_-_ ___ _____=ZJM 1 C _ _ f`f`'TT 4.Tr)7 17 T !7T al Woa> Upper gape Bufldung and Re' ®d lo�� Home improvements.and Renovations 11 Bedford Street Teaticket, PEA .®2536 Mr. and Mrs. Harvey Gladstone ®8®548'4299 Dec. 3, 2014 15 Waterside Drive Centerville, MA 02632 • -4G Epp .00 la1�q Total labor and material to re-roof your home is: $21,750.00 Scone of work: * Protect all landscaping, shrubs, windows and siding using tarps during the roof removal process. * Remove the existing roofing shingles, flashing and tarpaper. * Install ice and water membrane up three feet all eaves, in all valleys and around all roof penetrations. * Install new Tri-flex brand synthetic roofing felt to the entire roofing area. Install new roof flanges and aluminum drip edge. * Install Certainteed brand Landmark architect style asphalt roofing shingles in a color of your choice. * Install new ridge vents to all main ridges and cap. * Remove all old and excess material from the job site. Building permit supplied.by the builder. I am insured and have all state licenses. Thank you for considering Upper Cape Building and Remodeling to work at your home. If you have any questions, please call me any time. Upon accepting this proposal, please sign and return to me for scheduling. Sin Si A�C I DEBRIS FORM In accordance with the provisions of MGL c.40,s.54,a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly lied solid waste disposal facility as defined by MGL c 111,s_150A. This Debris will be disposed of in: (LOCA ON OF FACILITY Sign re of Permit Applicant Date IF DUMPSTER IS USED IN EXCESS OF SIX 6) COME LARDS A PERMIT FROM THE FARE DEPARTMENT IS ICE UIRED FOR COMMERCIAL"INDUSTRIAL,INSfITUT10NALAND MULTI-FAMILY RESIDENTIAL OVER 20 UNITS DEMO, RENOVATIONS OR ALTERATIONS OF THE EXISTING BUILDING: CIRCLE ONE HAVE YOU SUBM17 TED THE A006 NOTIFICATION TO THE MASSACHUSETfS DEp? YES NO .10 CER'lIFICATE Is tssu�D xs AIM�14TIHa OF �� �� tEm INS NCE ' CBMRCATE DOES'NOT R811A7)ON OML.Y AINPl INFERS NO 09Mdl i4 AS OR NEGAMMY Ri(3FI15 UPOIN THE CERi7EtCATE 14OLDM Tm BELOW THIS GEFM ICATE OF INSURANCE DOES 140T CO AMEND, OR ALTER THE COVERAGE AFFORDED BY THa FAUCIW �RESBNTAT NE OR PIWU NSTE1 UTE A CONMCT BET1� THE ESSW G INSURER v9po TeWr-If AND THE CERTIFICATE HOLDBt. i$). AUTHORIZED a holder is ao ADDmaatgL WSUREp, Vog l must be en the 4sttfte and c Mftons of•the Panay.cothdn9olides do►9etl. RSUI3ROGA"QN IS cerdllCate hoHIef in am Of=ch endora Rant(4 �Y Xe4uha en endo 1EAIVED,subject t0 F umt pho>te memer►t.A e o>t t 6 cerUBcale does not=mferrWits to the AAA&C"4M N INSURANCE AGMC:Y INC �M'Acr AI6eI3� P-0.BOX W4 Bob FALMOUTH MA 02644 swan (508)W"207 (�B88�OSb0 ' �1n�e9dsc>�rtspn,cem AFMPJ n(�Nt3tgpF NAtGp MARK WMILL _ A : 60aunf!/enioD Flfe IPimmllCB ComPafty DBA UPPER CAPE BUILDING&RMDEU NG Insurance ComPWW 94136MRDST Wswmc ; TEA71CKET MA 02636 taxMIX E ; COVERAGES CERTtFtCA-M INUMsM 28373 v THIS IS Tp CERTtE�f THAT THE POLIC185 OF itsSURANCR LISTED ElELOW HA FZEVlSIOAI INUlBBEi� INDICATED. NOTUUITItSTANDWG ANY REQU VE BEEN tSSUED TO THE WSUR� NAME ABOVa;FOR CERTIFICATE MAY BE ISSUED OR MAy IREMl TERM OR CONDITION OF ANY CONTRACT OR dTHER DOCWNg�W►T}( �iE POLICY PERIOD CW510N3 AND CONDITIONS OF SUCH POUCAIES LI INSURANCE AFFORDED BY THE PO RESPECT TO VvmcK THIS W� •IYPEOFBI30Rp� a� g� SHOWN MAY HAVE BEEN REDUCE It p S C� HEN IS SUBJECT TO ALL THE TMM A eENEM u494pY POI tCY Milt YEFB ' PotlCYw � OSHSFIQ CAI.uaeluTr 0814�g5 EACH ocpE s 4,000,a00 OLahtfS paApE a OCC '' omna,Fe s 50,0012 X 'BROAD Mr ADD IRIS MIS,ESP tqq.vmpmwnI E 5,000 TONAL&ADY INJURy S POLICY 4,000,b00 C=rN' CREBATEL1AdiTAPP>JESPM �F:RAt A66R�q� S 2,00Q00€► PoucY �O" JECT�IDSOE]!E UAHan1t LOC pm�DCTS-OOM IO.DAGO S 4000,000 AUTO Lwr g U.ow ED i''''160MEDMw �iO0�dw91 S AV�S L_1AA 60D4Y INJUR►'ferpwM) 3 HIft�AUTOS Me BODLYIAJUI{Y(Per--waeN) S i I PR 'S UMBROAA Una ODOUR e�a�n Is EXCE88 LI68 C(A(MS.A"- EACH OCCil1�� 5 -IEMION S AGATE 5 AND Ir ANY pt qtp� YIN 6W63� 08107/44 08/07nS s orRCEam n 'ronrlp� 8R S J NIA ELEACHACCIDW 5 400.000 now oro AttaNas eetow ' I I EL DWASE-FA&JPLDYeE I s 4DO,Ooo f P-L ole o=LjWT s 500,000 7iONOF0PBtAT(plySrLOCA7OM tpMS VIBOq� ACOROl07,Mgttlonat RmolkaD C�FlCATE I40LDER CAN ON TOWN OF PtgUMUTI♦ SHOULD ANY OF THE ABOVE DESCRIBED POUCIE3 BE G BUILDING DEPT l7if? EXPIRATtOIN DATE HEREOF A�1®BEFORE ACCORDANCE UNIT"TW POLICY PROVIBIWas.ALL BB DELiVERD IN mention: 90 %CORD Z5 C2040105) Bob Al6efta The ACORD name and►ogo are rE: ' farad ®'t988• 0 ACO O O TIOflL rlghEs reaetved, 903 marks orACORD TOWN OF BARNSTA_ BLE BUILDING PERMIT APPLICATION_' pp Map Parcel' i A lication 1 CPO Health Division Date Issued Conservation Division Application �G Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Yo—,�I2�'� CrHistoric - OKH Preservation/Hyannis Project Street Address i Village Owner to QQ OAQ A;�Co M Address C P_ Telephone cJ 0% _ n1 k^ a 9(D Permit Request Q9N-n6,A ^-�b a C�Gt:rn� yr coq�m��` a Square feet: 1'st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio Construction T e 1 yp �, . Lot Size (D Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes '1tNo On Old King's Highway: ❑Yes Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Batpf s� Full: existing_ new Half: existing c new Number of Bed tom existing _new v Total Room ount (not including baths): existing new First Floor Room Count Heat Type and Fuel: )kGas ❑ Oil ❑ Electric ❑Other Central Air: IXYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Q No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e`fisting new. size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CID Commercial ❑Yes ❑ No If yes, site plan review# _ �. r Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Nameoz�' Z -X ('f1� Iccx z Telephone Number p �-� GS i4� Address License# 05VS-t Home Improvement Contractor# �0®� Worker's Compensation # �C L9n 1 l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY - APPLICATION# DATE ISSUED MAP/PARCEL NO. :. ADDRESS VILLAGE OWNER , 1 DATE OF INSPECTION: FOUNDATION i FRAME INSULATION �la9 4 FIREPLACE ` -M • ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH I FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. or rb The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affica i��ec (�Qn�r�C>kgKs/Etectricians/Plumbers Applicant Information t „ �i�xes,� t ��ea� Please Print Legibly Name(Business/Organization individual): coit,! t, [VA 02635 -- e! 2, ,1 ; . &00-262-506(i Address: City/State/Zip: Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1, I am a employer with = 4. ❑ 1 am a general contractor and I employees(full and/or part-time).' have hired the sub-contractors 6 ❑New construction i 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.N�Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.t 9. ❑ Building addition required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doingall work officers have exercised their 11.❑plumbing repairs or additions myself. [No workers' comp. right of exemption.per MGL t c. 152 1(4), 12•❑ Roof repairs , insurance required.] § and we have no employees. [No workers' 13•0 Other comp, insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy informagon. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and information. Insurance Company Name: Policy#or Self-ins. Lic.' _ f v /_^ ( `"7 j ' #: _—� ` Expiration Dater f` /�`:7 Job Site Address:1(j C —X-�,CZ 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 the pains an r ry that the information provided above is true and correct. Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: PerrritiLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Client#: 47298 CAPIHOM ACORDTM CERTIFICATE OF LIABILITY INSURANCE osi`12/2008' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: NGM Insurance Company Capizzi Home Improvement, Inc. INSURERS: American Home Assurance Capizzi Enterprises, Inc. INSURER C: 1645 Newtown Road INSURER D: Cotuit,MA 02635 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MM/DD/YY A GENERAL LIABILITY MPB1075H 06/08/08 06/08/09 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY PRMM SE SO RENTED n S500 OOO CLAIMS MADE 51 OCCUR - MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 OOO 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT ANY AUTO .(Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Peraccident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY CUB1076H - 06/08/08 06/08/09 EACH OCCURRENCE s5,000,000 X OCCUR 7 CLAIMS MADE AGGREGATE $5 00O 000 DEDUCTIBLE $ X RETENTION $10000 $ B WORKERS COMPENSATION AND WC6716562. 12/25/07 12/25/08 X DR STATUS OTH- T IT EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S36540/M36539 KW © ACORD CORPORATION 1988 Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT OWN THE PROPERTY LOCATED AT . ' IN ,MASSACHUSETTS. �. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR;THE MASSACHUSETTS STATE BUILDING CODE I GIVE MY PERMISSION TO' LESSEE , TO APPLY FORA BUILDING PERMIT IN ACCORDANCE WITH 780 CMR;THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE.OF OWNER Q WNER'S.ADDRESS: .OWNER'S_TELEPHONE LESSEE'S,SIGNATURE LESSEE'S ADDRESS LL: LESSEE'S TELEPHONE APLLICANT'S:SIGNATURE:' APPLICANT'S ADDRESS 1645 Newtown Rd., Cotuit;MA 02635 APPLICANT'S.TELEPHONE:. 508-428-9518 RESPONSIBLE.OFFICER RESPONSIBLE OFFICER ADDRESS RESPONSIBLE OFFICER TELEPHONE: 3711e Board o ui in Ke laiOn�an %tan�ard�s�gg 6; One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction `Su p ervisor License License CS: 57032 Restriction: 00 Birthdate: 9/26/1963 _ i -__ ( Tr# 3801 :.7 t.2 -•=v.��" �` �-�.-; �'; Expiration: 9/26/2009 THOMAS X CAPIZZI JR � ` ^_ t 1645 NEWTOWN RD tij� - COTUIT, MA 02635 { El ,ram '1 s S Update Address and return card.Mark reason for change (� Address Renewal Lost Card DPS-CAI ar 50M-05/O6-PC8490 44 y; " + ✓fie:t�anzmomruea� rJ��/,a4daclut6P,�b t oard�.ofBuddiug.kegulat10 s and Standards ', Construction Supervisor License e Licenso: CS 57032 ! 1 < r a Birthdate , 9/26/1963 380� Tr# - 9/t2tj/2009. t i THOMAS X" CAPi 7SJN - 1645 NEWTOWN RP. - CO'rulT,MA 02635 - Commissioner ✓fee 'Coar.Urnoouuea-�C/ o�✓LLaaaacfir.:aella y Board of Building Regulations and Standards License or registration valid for i_ d o ndividut use only' Y HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Registr Expiraatio..n:, 100740 Board of Building Regulations and Standards r.ati on 6/23/2010 Tr# 267955 One Ashburton Place Rm 1301 Boston,Ma.02108 c.Type:''Private Corporation CAPIZZI HOME IMPROVEMENT'INC. Thomas J ,Ca izzi �s'v:.'` P .. - -4,a, 1645 Newton Rd. H� Cotuit, MA 02635 Administrator Not valid without ,gnat. e a i , r m P �3. gCa �tv rob- t-- h $ i - C� f3 781�-It .., ; r r CENTERVILLE-OSTERVILLE-MARSTONS MILLS�FIREtI)I,S�RIOT C'Y(� DEPARTMENT OF FIRE-RESCUE&EMERGEN SERVICES 1875 Route 28•Centerville, MA 02632-31rYj �'I°B 23 2' 192 508-790-2375 x1 • FAX: 508-790-238'5`�" John M.Farrington,Chief M_artinA�L••:-M=N—eely,Fire Prevention Officer Craig E.Whiteley,Deputy Chief Fir.0' M� Pulsifer, Fire Prevention Officer i .. February 22, 2007 Mr. Thomas Perry Building Commissioner- Town of Barnstable 200 Main Street Hyannis,MA 02601 Dear Commissioner Perry: dr Pursuant to MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of a suspected bedroom without proper egress and un-permitted apartment at: 15 Waterside Drive Centerville, MA During a recent inspection at this address,'I observed a basement apartment including a kitchen, bath and bedroom. There was a question if the apartment is permitted with the Town of Barnstable. hhaddition, a bedroom off a large media room in the basement does not have adequate secondary means of egress. There is a fire alarm permit pending for this address-for a sale/transfer of the property. The permit will remain open until your office conducts an investigation of the issues noted. Please advise me of your interpretation and any corrections needed to correct the issues. Thank.you for your anticipated cooperation with this issue. I may be reached at 508-790-2375 with questions or concerns relative to this inspection. Sincerely, Francis M. Pulsifer Fire Prevention Officer (Cc_Robn Gia�n�egorioj "Commitment to Our Community" gsr. CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 1926 508-790-2375 x1 - FAX: 508-790-2385 U01 FEB 23 Ph 2: 27 John M.Farrington,Chief Martin O'L.MacNeely,Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M,P-ulsifer,-Fire_Prevention Officer_ _ c :bl01- February 22; 2007 Mr. Thomas Perry Building Commissioner- Town of Barnstable 200 Main Street Hyannis, MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148.Section28A, I am making you aware and request your interpretation of a suspected bedroom without proper egress and un-permitted apartment at: 15 Waterside Drive Centerville, MA During a recent inspection at this address, I observed a basement apartment including a kitchen,bath and bedroom. There was a-question if the apartment is permitted with the Town of Barnstable. In addition, a bedroom off a large media room in the basement does not have adequate secondary means of egress. There is a fire alarm permit pending for this address for a sale/transfer of the property. The permit will remain open until your office conducts an investigation of the issues noted. Please advise me of your interpretation and any corrections needed to correct the issues. Thank you for your anticipated cooperation with this issue. I may be reached at 508-790-2375 with questions or concerns relative to this inspection. Sincerely, Francis M. Pulsifer Fire Prevention Officer Cc: Robin Giagregorio "Commitment to Our Community" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# Health Division Conservation Division Permit# Tax Collector Date Issued �] Treasurer Application Fee m, Planning Dept. �^ p � �� Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Addressee Village C-P W K lr* Owner K ev 1 Address S P Telephone Cj'g 7 L1 a Permit Request - Pin: a rk. V\%a Pale, Square feet: 1 st floor:existing_ proposed d 2nd floor:existing proposed C_ Total new _ z Zoning District Flood Plain Groundwater Overlay Project Valuation ?' r Construction Type CIYA �+ a Lot Size a 7`�0 Grandfathered: es ❑ No If yes, attach supporting�documentation. L i co w> Dwelling Type: Single Family WX Two Family ❑ Multi-Family(#units) Age of Existing Structure , i Historic House: ❑Yes @`No On Old King's Highway: ❑Yes 'IVo Basement Type: All ❑Crawl YIValkout ❑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 c' Total Room Count(no/Ga baths):existing new a First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air: CYYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes o Detached garage:❑existing ❑new size Pool: existing ❑new size Barn:❑existing ❑new size Attached garage:Zesting ❑new ;size Shed:&existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name- ( T,/S Telephone Number 6 U' Address �;—e co �/� } � License# Home Improvement Contractor#DTI 91 I Worker's Compensation# ! ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO t011 �/ 1�1`_ SIGNATURE DATE `vt oZ g FOR OFFICIAL USE ONLY PERMIT NO. ` DATE ISSUED l MAP/PARCEL NO. ; ADDRESS VILLAGE , OWNER o , DATE OF INSPECTION: FOUNDATION a FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 'j FINAL BUILDING 3 Z�v d1 ��� �� � - N���s Q6IL y DATE CLOSED OUT } j ASSOCIATION PLAN NO. • The Common-Wealih of Massachusetts - • Department o•flndustrial {ccidents Office ofbivestigations 600 Washington Street . ' • ;�� Bdston,1Yl� 02.Z.I1' • • ' ' wwW.massgov/dia 4'orkers' Co Ins mpensation nrAnce,AffidaYit;.Builderg/Cofitractors/Electricians/p ers' Applicant Tnformation Please Print Le Name(Business/OrgmLzation/Individual)' r • �s h'tt9c[-��'i � • • •Address: �v`� as �v�/. • - • City/State/Zip: I I Q, D f03v ' Phone.#: Are you an emiployerTCheckthe appropriate box; 1;❑ I am a employer With 4. I am a ;Type of pioj ect re en { uu eci❑ g eral contractor and T q )••. '•employees full R4d/oz art time *. have 6( hired Ne co P .) .the slab-con ❑ w nstruc tracto-rs lion . 2. I am a'solt:proprietor orpartner lisiea onthe'attached sheet: 7. []Remodeling ship andhave no employees ; These sub-contractors have `Wonting for ant;in any capacity. eruployeeo and have Workers' 8, []'Demolition:. . [No workers'comp.insuuatne comp,insurance.$' 9. []Building addition required.] 5. [] We are a,corporation and its 10,❑$lectricalrepaas oz additions 3:❑—I aara homeowner-doing-all=work'--. __ officers have exercised their , myself[No Workers'corm, right bf exemption per MGL' 11:[]Plumbing repairs or additions 4 =surance.requixed,]t c. 152,§1(4), and we have no 12,[]Roofrep*s•. , to ee � y s, o ,.1 other • •- [N workers 3•❑ comp,.insurance required,] ' *Any apP'oeat that check box#1 must also fill out t]ie sect: 'on belowabowin th ' 8 en workers compensation policysubmit rnew Homeowaers,who submit this aff�davrt indicating they are doing all Work and then hue outside contractors must submit a new effidavitindicating such. $Contractbn that check this box must attached in additional•sheet shaving the name of the sub contractors and state whether arnotthose entities have employees, If the sub-contractors have employees,they must provide then workers'comp,pogco number. lam an emProyer,that is providing workers'compensation insurance for my employees. Below is the policy and job sit., information. Insurance Corrpmq Name Policy#-or Self-ins,Lit,#:• Expiration Date: . ,ob Site Address' City/State/Zip; Attach a copy of the workers' compensation policy declaration page'(showing the policy number and e • Failure,to secure coverage as required tinder Section 25A;of 1vfGL c, 152 can lead to the ' osition of criminal'expiration.date), fine yip tb$1,500.00 and/or one:year imprisonment;as well as civil penalties in the form of a STOP WO pe sties of a of'up to$250.00 a day against flip violator, Be advised that a•c of this statement ma be forwazded to ER and a fine Investigations of lhe'bIA for insura ce coves a verification QPy y tbe'�ffice of I do hereby certify Ader th4 e pains- d enttlti o ' P f,perjury that the information provided abovg ts'true and correct. Si tore: y .Date: vZ� � • I Phone#c Offzctal rise only. Do not write in this area,fo be completed by,city or town official City or Tovrn: ' �ermit(License# . Issuing Auth-Glity(circle one);' .1.Board of Health Z,Building Department 3., Citp/Town Clerk 4,Electri' .6,Other Inspector 5, Plumbing Inspector ------------------------------- Contact Person: Phone#: Massachusetts Creneral'Laws chapter.152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"..,every personinthe service of anotherunder any contract ofhiie, express or implied, oral or written." An errzployer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or morn of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employe=, or the receiver or tmsteb•of an indivi.dnal,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 mair;tenance,construction or repair work on such dwellinS house or ontb.e grounds or building appurtemnttbereto shall not because of such employinentbedeemedto bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance ar rendwaI of a license or permit to'operste a business or to construgt buildings in the commonwealth for any applicant who has not produced•acceptable evidence of compliance with the insurance coverage required,". Additional7.y,MGL chapter-152,§25C(7)stales`2Iejther6e commonwealth nor any of its political subdivisions shall enter into any contract for,thb•perfoz�aiice'of publ a.work until aceepta IP evidence af-conlpliari a 5 t6; ie in e' requirements of this chapter have been presented'to the cordmoting authority,." Applicants , • ' Please fill out the workers'compensation affidavitcompletaly,by checking the boxes diet apply to your sitaation and,it necessary,supply sub-conthotor(s)name(s),addresses)and phone number(s)along with their certificates) of insurance. Limited Liability,Companies(LLC)or Limited Liability P artamships,(LLP)with no-employees other than the members'or partners, are not required to camp workers' co=p ens ation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to theDepartx=t 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.that the application for the pemut.or license is being requested,not the Department of Industrial Accidents, Should you have any questions regarding the law-or if you are required.to obtain a workers' comp ensation•policy,please call the Department at the nurgber listed.below, Self-insured companies should enter their . self-insurance license number on the appropriate'linad City or Town Officials Please be sure that the affidavit is complete'and printed Legibly. The Department has provided a spacq at the bottom of the•affidavit for yoit 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,geed.only submit onp affidavit indicating current Policy information:(ifnecessaty)and under"Job Ve Adcress"the applicant should write"all•loc4ons in . (city•or town)."A copy of the aff davit thgt.has been officially stamped or marl e'dby the city or town maybe provided to the applicant as proof that a valid affidavit is on file fqr future permits or licenses, A new affidavit must be fr11ed out each year.'Where a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e. a dog license or permit to bumleaves•eto.)saidpersbn.is-NOTrequired.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 givens a call. The Department's address,telephone•andfax number:. • Q .�of�mv�� ��t� ••• R aAMA02111 TO. 617-727 4W cxt 406 or I- -MASSAFB Revised I1-22-Ob. F �617 7-77.0 Zp1E 1 V YT 11 V A Jv&4J.JAP 169. "A w - ~° Regulatory Services y Thomas F,Geiler,Director AM s p 16s9, ,�' Building Division Tom.Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 www.town,b arnstabl e,m a.us fice: 508-862-403 a Fax: 508-190-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL a 142A.regC&es that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than fotxz dwelling units.oz to structures which'are adj aceat to such residence or building be done by registered contractors,with certain exceptions,slang with other 1 requirements. Type of W ork: �'� • Estimated Cost Z.{r0,0 Address of W ork' /, n y, )] Owner's Name:,_ t-Q Q V Date of Application a Icyl I hereby certify that: Registratign is aot required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ` ❑Owner pulling own permit Notice is hereby given that: OWNERS pULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent the owner: Date Contractor Signatvze. RegistrationNo. OR Date Owner's Signature Q wpfiles.forms:homeafndav Rev: 060606. r s � Town•of Barnstable P °+ Regulatory Services 9 $ Thomas R:Geiler,Director S639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 ffice:. 508=862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authotized by this building p e=ait application for: (Address of Job) ignature o er Date &C' Print Name Q:1:0RMS:OWNERPERbMSI0N -- Pm���f�� ftEGU�=AT1ONs r _ B1OARL�9F.BUILOIN U�ERV,ISOR CONSTRICTION S license: I ;� 05739:4 i Nume 962 1 Sirt 7 Tr.no: 12084 I' a G WALL; RO.BERT gce� FtOSEM'ARY L � - �ommis'sioner 101 U:ILLE, MA CENTER 1 -Pm2ooa 1}oard of Bulidin a/ — ? t;Regulations and S�� andai-4 HOME IMPROVEMENT '4 CONT�COR License or-registration is Registcapon 741991 before the'ex g tration valid for individul'use only 3 ! Baard of Piration date. If found return to: . y � j3/2003 One Ashbuuilding Regulations and Stand rton Place ards 'HAIRS, RF� �LI�� ,' Boston,Ma.02108 . Rm 1301 ROBERT WALSW V z i 250 CAPTAIN CRps f CENTERVILLE.MA BY�ROAE� _ Administrsito -.-.,. of valid without Signat ure f Town of Barnstable Regulatory Services ya'MASH'S. Th9mas F.Geiler,Director ,F1639. A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 27, 2007 Keeley Scales 15 Waterside Drive Centerville, MA 02632 EXIT ORDER RE: 15 Waterside Drive, Centerville, MA 02632 Map: 207 Parcel: 158 Dear Ms. Scales, Under the provisions of 780 CMR, State Building Code, Section 3400.5.1, you are hereby ordered to immediately discontinue the use of the cellar/basement area for sleeping purposes at 15 Waterside Drive, Centerville, because of insufficient egress. Your cooperation in this matter is appreciated. Sincerely, Robert McKechnie Local Inspector oFt�E ra,, Town of Barnstable Regulatory Services • BMWSrnste, 9 MASS. $ Thomas F. Geiler, Director jE1 MA.S A Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 February 27, 2007 Ms. Keeley Scales 15 Waterside Drive Centerville , MA 02632 Re: Illegal Apartment: 15 Watershed Drive Centerville, MA 02632 Map: 207 Parcel: 158 Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Sincerely, Lind son Amnesty Zoning Enforcement Officer Building Department gf6rms:zoning3 °Ft►*t° Town of Barnstable Regulatory Services * BMtxsenst.e, v MASS. Thomas F. Geiler,Director �p .i63q ♦0 lEc 39 6. Building Division Thomas Perry,Building Commissioner 200,Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 FAX j� FROM: Number of pages: I °pIHE r° Town of Barnstable ti Regulatory Services BAMSrABM 9 MASS. Thomas F.Geiler,Director Qje .i63q 1� rf1639 6 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 FAX qbtl, 5ag� TO: FROM: Number of pages: TRANSMISSION VERIFICATION REPORT TIME 02/27/2007 1.2:13 DATE DIME 02/27 12:11 FAX NO./NAME 95087757464 DURATION 00:01:02 PAGE(S) 03 RESULT OK MODE STANDARD ECM _arnstable Assessing Search Results Page 1 of 3 Home: Departments:Assessors Division: Property Assessment Search Results New Search ,u New Interactive Maps >> Owner: 2006 Assessed Values: SCALES, KEELEY 15 WATERSIDE DRIVE Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $389,300 $389,300 207 /158/ /; Extra Features: $25,700 $25,700 VVV Outbuildings: $ 12,900 $ 12,900 Mailing Address Land Value: $232,900 $232,900 SCALES, KEELEY Totals $660,800 $660,800 15 WATERSIDE DR CENTERVILLE, MA.02632 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $ 106.14 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commei C.O.M.M. FD Tax(Residential) $700.45 C.O.M.M.-All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Persona Town Tax(Residential) $3,538.02 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial . $2.50 Other R; W Barnstable-Residential $1.60 Commur W Barnstable-Commercial $2.46 Total: $4,344.61 ' Construction Details Building property Sketch Legend Building value $389,300 Interior Floors Carpet Style Cape Cod Interior Walls Plastered Model Residential Heat Fuel Gas Grade Custom Minus Heat Type Hot Air Stories 1 1/2 Stories AC Type Central Exterior Walls Wood Shingle Bedrooms_ 5 Bedrooms Roof Structure Gable/Hip Bathrooms 3 Full+2H http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mappar=20... 2/26/2007 arnstable Assessing Search Results Page 2 of 3 Roof Cover Asph/F GIs/Cmp living area 2992 Replacement Cost $432521 Year Built 1985 Depreciation 10 Total Rooms 10 Rooms s ` F 2 4—f Land " x ' CODE 1010 Lot Size(Acres) 0.66 Appraised Value $232,900 pp Assessed Value $232,900 ' View Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: SCALES,TIMOTHY J & KEELEY Sep 15 2004 12:OOAM C174411 $ 1 SCALES,TIMOTHY J May 6 2004 12:OOAM C172922 $575,000 ROSSO,JOYCE L TR Jan 15 1994 12:OOAM C132664 $ 100 ROSSO, JOYCE Oct 15 1985 12:OOAM C103827 $42,000 MANOOG,JOHN C III Dec 15 1984 12:OOAM C99414 $42,000 POLLENZ, KENNETH A C87212 $0 ROSSO,JOYCE L"M792 #690981 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BLA Bsmt Liv-Aver 900 $20,300 $20,300 FPL2 Fireplace 2 $5,400 $5,400 SPL2 Pool Vinyl 544 $ 11,900 $ 11,900 SHED Shed 144 $ 1,000 $ 1,000 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area (Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic Full Upper 2nd Story http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mappar=20... 2/26/2007 Barnstable Assessing Search Results Page 3 of 3 R FEP Enclosed Porch PTO Patio UUS (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mappar=20... 2/26/2007 �tME Tq� MARNgrAMZ The. Town of Barnstable 9. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner September 19, 1996 Dana Pierce 15 waterside Drive Centerville, MA 02632 SPR-90-96 Pierce Dental Lab, 15 Waterside Drive, Centerville, (158/207). Proposal: Home occupation of dental lab. Dear Mr. Pierce, The above referenced site plan was reviewed at the September 19, 1996 meeting of Site Plan Review Committee and deemed approved with the following conditions: • Applicant must comply with all conditions set forth on the Home Occupation Registration form submitted on this day, and • the Applicant must fill out the hazardous materials form from the Health Department. Please be informed that a building pernut is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Should you have any questions, please feel free to call. Respectfully, Ralph M. Crossen Building Commissioner TOWN OF BARNSTABLE Permit No. 28608----------------- Building Inspector {err Cash - --- — wa 1639- OCCUPANCY PERMIT' Bond --------x------_----------- Issued to Joyce Rosso Address lot #5 15 Waterside Drive. Centerville Wiring Inspector � Inspection date, Plumbing Inspector'" V Inspection date Gas Inspector °1g� Inspection date f �Lx w a f Engineering Department . Inspection date Board of Health � '��"� `v,�vt.) 1 r c'i r" ` ' � Inspection date f/ Gt THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. it 1 . . ............ ...................................... 9_._._... r....................... .�Buildin�..Inspector.......................___ TOWN OF BARNSTABLE BUILDING DEPARTMENT = sAHalT rua TOWN OFFICE BUILDING � HYANNIS, MASS. 02601 f� MEMO TO: Town Clerk ! FROM: Building Department DATE: c . An Occupancy Permit has been issued for the building authorized by ' BuildingPermit $ .... ..... ............�.. ..._.. ..... _. . .... .,.:.......................................................................................................................»»_. issuedto ............................_..... .... .....:.......... ... :....... ..................................................._............... .M ...................... C, r Please release the performance bond. t � SEPTIC SYSTEM E. 4� 1639- 1TOWN OF BARN S rf MUCTAL COD BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... TO THE INSPECTOR OF .BUILDINGS: The undersigned hereby applies for a permit accordingto the following formation: ProposedUse ....i�� tHt3��...................................................................................................................................... Name of Owner .. .......G ...................Add ........... ....." ....... . Numberof Rooms .............I..................................................Foundation 04-0.Q.C..�-. 7................................................. IL Fireplace ....4........................................................................Approximate Co? C2 I.C> .�........................................ Diagram of Lot and Building with Dimensions Fee ........ .................. SUBJECT TO APPROVAL OF BOARD Of HEALTH � , � � , . � ` � � � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � . I hereby agree to conform to all the Rules and Regulations ofh T of Barnstable regarding the above construction. % of Barnstable NamNe .... ....... ----------'-- Construction Supervisor's �^� License --=,',=�----. ROSSO, JOYCE 28608 ... Permit for ...One Story ` No .. Single Family Dwellin . •. .......................................................P...................... Location ...Lot 5 15 Waterside Drive - ............................................................. Centerville w' ............................................................................... Joyce Rosso �- r Owner .................................................................. - Type of Co"ristruction .....Frame..................................... it } Plot ............................ Lot ................................ _ Permit Granted .....October 29, .19 85 ` ......I......................... '. Date of Inspection ................... ........:........19 C Date Completed .............T. ..1.�.....'..`...192 fo 7/Z/ _ 'f � y 0' ru `* -i .. y ,. V1 'A r. . A x f 0A s t � f�'j .� fit•° � � -�;• s, DO N e a .ti . .s "I CERTIFY THAT THE FOUNDA TION'SHowN ON ' M1, ; _ THIS PLAN %S AS ACTUALL Y EXISTS AND; THAT PLOT. PLAN OF L ND I T CONFORMS : TO THE" TOWN OF BARNS TABL E ZONING L®CA TED IN REGUL.4.T%®Ns p EA61/ST LE — ;MASSa DA TE�� �2 f 905� 171 1 t �qq PREPARED FOR v � RICH �y�,. - -:G �. .C, DATE-.oC T. ,ez. iges SCALE. so FT. F0STER�� Q�, wr CAPE S ISLANDS: SURVEYING FLOOD ,ZONE: ,: i e`w SURV��yO TEA TICKET MASS;, sl r . TM ea CARTRIDGE FILTERS �f a Hayward Star-Clear II cartridge % filters provide crystal clear water 04�F . ga and have extra cleaning capacity to - accommodate pools and spas of all types and sizes. °- Star-Clear 11 filters feature a heavy- duty cartridge element engineered �_$ _ of high-quality reinforced polyester MAIN Poop for maximum URMN RETURN a s a SKIMMER HAro1MTlE CHEM efficiency, easier S'g'�'" FEEDER cleaning and PUMP HEATER longer life. : A single locking knob provides % easy access to the cartridgeR ® � ri element and securely fastens the z filter head to the filter tank— . ffi eliminating clamps or bolts. 4 = . _4 'j1 r Injection molded of attractive, high-strength DuralonTM, these . corrosion-proof filters set the stand- $: K and for value and convenience. r. a + 4 . aLi m W +4 � e Star-Clear 11 cartridge filters are available in i 75, 100 and 150 square foot models to accommodate pools and spas of all types and sizes. { .; a HAYWARD° Hydrogen,Oxygen and Hayward. The elements of clear waterTM Star-Clear 1 I'm Cart r i d g.e 'F i It e r s Single Locking Knob securely fastens filter head to tank,eliminating clamps or bolts. Filter Head provides easy access to cartridge element.Attractive and durable,the head may be rotated to conveniently position pressure gauge and manual air relief valve. Heavy-Duty Filter Tank injection molded of high strength DuralonT" l"1; , . for dependable,corrosion-free performance. Automatic Air Relief purges any trapped air during filter operation. Cartridge Element is engineered of high-quality reinforced polyester r " with gasketed molded end caps for maximum efficiency,easier cleaning v and longer life. Molded Center Core incorporating unique"Waffle-Pattern Design" allows for maximum flow and provides extra strength. " Elevated Filtered Water Collector and Debris Sump prevents accidental by-pass of heavy debris to pool or spa when cartridge is removed for cleaning. * 11/2"or 2"FIP,or 2"Socket Connections for plumbing versatility. '/2"FIP Filter Drain Valve provides fast draining for elevated spas and tubs.Also accepts standard spigot valve.A0 1- ; y,�... ,i F._ ... sa ,e . .. • FILTER TYPE: Cartridge element:75,100 and 150 sq.ft. j a FILTER TANK: .Injection molded DuralonT" .. FILTER ELEMENTS: Reinforced Polyester PERFORMANCE RANGE: 1/2 TO 3 HP(75 to 150 GPM) 4PAV DIMENSIONS: C-800-291/2" H x 13" W(749 mm x 330 mm) 10 6, J + C-1100-35'/2" H x 13" W(902 mm x 330 mm) IC-1500-47" H x 13" W(1194 mm x 330 mm) '�' � <d : m. Ik W MODEL EFFECTIVE DESIGN TURNOVER(GALS.) NUMBER FILTRATION AREA FLOW RATE 8 Hr. 10 Hr. EASY TO CLEAN CARTRIDGE ELEMENTS. Hayward cartridges have extra dirt-holding C-800 75 sq.ft. 75 GPM 36,000 45,000 capacity and are engineered of durable,high- quality materials to last for years with only C 1100 100 sq.ft. 100 GPM 48,000 60,OQ0 minimal care.Simply remove the cartridge element and hose off with Hayward's EC-2024 C-1500 150 sq.ft. 150 GPM* 72,000 90,000 Jet-Action Cleaning Wand to restore to clean operating condition. "Determined by pump size and piping system hydraulics. 2"piping is recommended for flow rates of 90 GPM or more. Flow rates above 120 GPM are not usually required for residential pools. I HAYWARD POOL PRODUCTS, INC. Hayward Pool Products,Inc. Havward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zoning de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B6040 Jumet,Belgium 198-92 ©1992 Hayward Printed in U.S.A. r i • .3 q -47 7- t y'3 ,IF So t 4 p I egg, i /�.�? mod" r� \ �o 1C�. \ � -e-.�s✓..�''�/-�.�G�J . . .0000 - LTZzOL .� 'I CERTIFY TH.¢,r THE FOUNDA TION SHOf✓N ON THIS PLAN IS AS '- AC3'UALL Y EXISTS AND rHA r PLOT P IT CONFORMS TO THE TOWN OF BARNSTA LAN OF L.A BLE ZONING. YVD REGULA TIONS" LOCH TED IN SARNSTABLE MASS. .� � SS. OAT - . A All of 4 JV — i E. s e 'fA J v �• 1 -� t yeti PREPARED FOR . Rii1,ARDCS E c 3l cl . L . S. D AT E• O C T. .22, 1985 SCALE 1 FL.DOD ZONE �� C�STf4E0 0 FT. Su -�° CAPE 6 ISLANDS SURVEYING TEA TICKET - MASS. 1 To Date Time W=5LEYOU W E OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message Operator oftAMPAD 23-021-200 SETS , EFFICIENCYe 23-a21-a00SETS CARBONLESS u � ' / � ~ ^ ~ -' ' and lot number .�° ........................ THE TOWN OF BARNSTABLE BUILDING INSPECTOR . TO THE INSPECTOR OF BUILDINGS: The _undersigned ^.^..~. ~.~ ~~^^^^ ~ . ~ �- ` .__ . . . ..~ . . .. ' /^��i � ... _ - Name` ' Name of """"�. + � � + ...................................................... ...................Addres�s. ........... 'Heoiing -�— ----.�.��-'�----���--'�'. ' �-`�� �`��l��... .�—��.�—.�----�.`�� ' /\ ` '' —`�—\_�����~ -----_----- - . � Fi,ep oe �—^�~--------------------'\--.App,oximooe r~~�. '�������—..r________.~.. r . \ / ` ^ ~u c—� Dafini�vePlan Approved by.Planning Board 9�1--' `An*o ��V>---' � ' \ / Diagram of Lot and Building with Dimensions ^ Fea ______ ~ � SUBJECT TO APPROVAL, OF: BOARD OF HEALTH ' \ . OCCUPANCY PER_MITS- > ' � ' . / ' � . \ REQUIRED FOR NEW DWELLINGS � _ ~ ~ _ A _ _ I hereby agree to conform to all the Rules and Regu regarding the above construction. .'_— ..._—... _—._----..-----------,^ \ l ConstructionSupervisor's License -Ty'7----. � � ROSSO, JOYCE A=207-158 No ...2$.6.0 ... `Permit for .. One Story Single Family Dwelling ............................................................................... Lot 5, 15 Waterside Drive Location ................................................................ Centerville Owner Joyce Rosso ................................................................. ' Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted ....:...QP.t.obPax...29..........19 85 Date of Inspection y Date Completed ......................................19 t i 1 The Town of Barnstable Department of Health, Safety and Environmental Services NAM ; Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Cross. Fax: 508-790-6230 Building Commissior Home Occupation Registration Date:-2 C1 Name:?I e V< 1 � ;��� _A M 4 w Q r r Address: takt r S ► Y. Village: V\11 Type of Business: A-g � ��b Map/Lot:�� � /S Y INTENT: 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 groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within 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 in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,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, in 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 within the required front yard • There is no exterior storage or display of materials or equipment • There is 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 included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: i - � Q'a t.Y Max=Flo HIGH - PERFORMANCE PUMP SERIES .f x x x t. w7�4 4'y d+ t1p�' I r _ I I St x • . :.I M Max-Flo:high performance and value with quiet operation. he new Max-FIoTM is a series of high a heavy-duty high-performance motor, and ; technology pumps that combine performance exclusive "service-ease" design for extra and value with durable corrosion-proof convenience and easier operation. construction. The Max-Flo pump series sets a new higher Designed for pools of all types and sizes, _ r standard for and as an ideal replacement pump, Max-Flo performance, has an upgraded design which incorporates durability, and swing-aside knobs for easy access to the ' value. The , MAIN POOL DRAIN strainer compartment-"„ J `" new Max-Flo ''"� flETUNN t CLEANER TOTRL CHEM and a debris basket that's the best just HRYWAflO FEEDEfl - , s�" - SKIMMEfl. SYSTEM NEATER 50/o larger. Max-Flo also got better. I PUMP FILTER features a "see-thru cover, , a HAYWARDO Hydrogen,Oxygen and Hayward. The elements of clear waterTM Max-FIOnv High - Performance Pump Series Exclusive,Swing- Lexan®See-Thru All Components Heavy-Duty,High- • Aside Hand Knobs Strainer Cover lets you Molded of Corrosion- Performance Motor make strainer cover see when basket needs Proof PermaGlassTM with air-flow ventilation for removal easy.No tools cleaning. Heavy-duty cover for extra durability and quieter,cooler operation. required...no loose gasket assures positive long life. parts...no clamps. seating for dependable Heat Resistant,Industrial Service-Ease Design gives simple sealing. Size Ceramic Seal. access to all internal parts.Motor Long wearing,and 100% and entire drive group assembly drip proof.For fresh or salt can be removed,without disturbing \_ �« water use. pipe or mounting connections,by ""- disengaging just four bolts. Rugged,One-Piece Housing with full-flow ports,assures rapid priming and continuous operation. > Totally Balanced, Corrosion-Proof Noryl® Impeller has smooth,wide Mounting Base provides openings to prevent fouling or stable,stress-free support,plus clogging.Energy-efficient versatility for any installation design produces more flow at requirement.Adapts 48 and 56 equivalent horsepower. frame motors. 440 SP-2800X5 1/2 1'/2" 10" SP-2805X7 3/4 1'/2" 105/8" t,. 'a SP-2807X10 1 1'h" 11" t 7 SP-2810X15 11/2 11/2" 12'/a" SP 2815X20 2 1'/2" 131/8" Max-Flo Pumps are also available with dual speed motors. 1 100 90 80 LU w 70 '_ EXTRA LARGE 60 CUBIC INCH BASKET is 50% z 60 larger than before for extra leaf-holding capacity a 50 and longer time between cleanings. Rigid = 40 construction with load-extender ribbing assures Q 30 SP- 815X20 free flowing operation for heavy debris loads. O 20 SP-2111OX15 Max-Flo Series Pumps are listed by: 10 SP.72 800X5 P•2807X 0 (11 HP) HP (3/4 P) 1 HP � ® IP _ 0 10 20 30 40 50 60 70 80 90 100 110 120 ® � GALLONS PER MINUTE HAYWARD POOL PRODUCTS, INC. ! Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zone Industrielle de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B-6040 Charleroi,Belgium 20-95 ©1995 Hayward Printed in U.S.A. cam S-100d � r 171 Lrrt(Il GDOo�1 ilhR p�' tllfkwttM Idt HI'min M 13011M1 DU!1M1Mtf d 1rM11110 InstlrtrlMq!tk fo""f"01124"WIb - • 4 : r-� r• 1,�1 is � d ..nr-•.f.>�• ' t 1�Id •tl ® i d [ T $ 1. Y. 'Ls 7iirtiri .... •' -� .,;;��' :.: i t """4 M L _ yob � � � Ir ell i uj o S i'i !_ - ►� 0 'Fits M e � i� a44 Will 1.10 if^ `l 410 !i ' f} d ..`1*..a,.�ay.•'s +ti• R A'. ;..xwyy�7-P.y�:e,.,�r,... .. j t� ' � �� •a � A t �n c� .W A� c < i ��� �� ;fir • ' • , - ' ._ . _ ^,. I1ll.1 t'oil IF �_ w f ems.. , _ •-� r R� _— f• IL st 11 �M•� � ,�. E � ;.� `° �11• " ,Aye'' y •` L � � .1 � ` 1 1.1(Y31•foe Mf PAMC _ «. .° ROYAL. & PfllNlE -- - , - _ = STEEL POOL DETAILS sm � l II �4 Assess -Lot f.3 Permit# Conservation Office(4th floor) /-e2 n� ,3 Z(I f r ', Date Issued 3 ' D g 6) Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) .. l' Fee, �' _' ti �, Engineering Dept.(3rd floor)-'House#1 . Z fop 0 ASS 19 TOWN OF BARN5TABLE .. Building Permit Application r Pr eet Address J S W ol e c' 1 Ae Village C. Owner JCL y1a t e L2Y' P ` Address a yye. Telephone t y. g / Permit Request ! �C 37 M rn t h Q D 6-6 Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ (d O 00 Zoning District Flood Plain Water Protection r Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use % Proposed Use Construction Type 5 ! ` Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name G OLW t—LY1GC, Telephone Number Address 13 ,� ( '7 SC h JW(_C�,_ License# _ 01_�S� Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS'WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE PaAgL4= C,Qf DATE 3 q BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY a - PERMIT NO. r DtkE ISSUED rr `" M7#SAP,/PARCEL NO. ALl£DRESS r _ VILLAGE OWNER x ` DATE OF INSPECTIONt FOUNDATION FRAMED INSULATION F' FIREPLACE - ELECTRICAL: ROUGH - ' R FINAL PLUMBING:.', ,ROUCH FINAL GAS: ROUGH' FINAL FINALBUILDINC' M. DATE CLOSED OUT4 , ASSOCIATION PLAN NO. The Commonwealth ofAlassachuseas Department of Industrial Accidents ' .0 _ r 011/ceol/nvesl/gaUoos 600'H'ashim;1on Street Busron,A1ass. (12111 Workers' Compensation Insurance AlMdavit ; 'JW-Fail tnformahon: Please PRiW'le ]y. •.._...,.r.�.,.,. �.. __ _ . b �: a __ .....a.—•--- name: �/�'it.1/'e_ >oc tion: Jcs city C8Yl'rirl-L I I,& nhonc# 1 am a homeowner performing all work myself. MI am a sole proprietor and have no one working in any capacity , sa«'-`.."g�w,�p'^�S'—.�__.•->•� .-T�?l-.+aJYr .. ._ _....• .. .. .. ..: ..: ., :..:. .,, . ....!r �-r�...'D.-+,.,y...c.:w.c� 0 1 am an employer providing workers' compensation for my employees working on this job. company name: ��C {����1�� �Q'S I Cl,ln,--� address: city: A/l tT phone#• 'S V (4 SL� insurance co. Policy# L.a...y.;++.r.wa.:.�-. <....�.. .t•,{y.... ..Y7,a,�!T.•�aeRS r,�R�"•`'�*.,,, ,„�.. .R!'�?""'"' _� .'.*.r►R;�•r,Y .,rre.. rl 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnam•name: address: city: phone#- insurance co. policy# i.,._ .'�,+ _..�..� _, 4:r,vu'.,....-:a+�•w-•�-�tti:•�r�:;�;?+�sr�y-rt-;r--,�. i;•Z,4[.�6* '•;J e�rr�7'J�ps•ri�m�a�ri^tgy�..s. -•�+s--'• �timnam•name: address: city: phone#- insurance co. policy# ;Attach additional'sheet if Failure to secure coverage as required under Section 25A of l►iGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the OMcc of Investigations of the D1A for coverage verification. I do herebt•cerlifj•under rite pains and penalties of pertuiy that the information provided above is true and correct. Signature__ l 1at'i' _ nl co Print name lave— L,OLI ill (rP1h C TL_, official use only do not write in this area to be completed by city or town official cite or town: permit/license# nBuild7DeparimentC3Licecheck if immediate response is required O5elec�Nealcontact person• phone#; nOthe (revised 3,4)5 PJA) r F The Town of Barnstable 165 NAM Department of Health Safety and Environmental Services Building Division 367 Main strut,Hyannis MA 02601 Off= 508-790-6227 Ralph Cmssea F= 508-775-3344 Building Commissior For office use only Permit no. Date AFFIDAVIT HOME IIViPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,.removal, demolition, or construction of an addition to any pre-odsting owner occupied building containing at least one but not more than four dwelling units or to s whi ttuxxnrrs ch are adjacent to such residence or building be done by registered eontractom with certain ezocpdons, along with other Type of Work ' �l ncmkr-J j2o-61 F. Cost 1 D, 0 000 Address of Work:�,S 0wner.N ant e: T�p,r rA o, CC., e-- Date of Permit Application: 3( �2(O I hereby certify that: Registration is not required for the following reason(s): r Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEM OWN PERMIT OR DEALING WITH UNREGIS'T�ED CONIRACI'ORS FOR APPLICABLE HOME IMPROVEN04T WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY -I hereby apply for a permit as the agent of the cm-ner. 3 0 Date Contractor name Registration No. OR -"[lama's name �' a � 4 � ?.� E ���✓1W ��LQ60Qd2�/O(1L10 HOME IMPROVEMENT CONTRACTOR .'. *" Y3-f Registration 113967 EXpiratioo ' 47/22/91 Yam` }y • ^1 Y ? � SANDWI�CH POOL 6 SPA ., sic p3 P,� F 54 'P •G IAWRENCE ADMINISTRATOR 331 :COTUIT RD/PQ BOX 217 ' n,tr - SANDWICH MA 02563 a ��NP IIeeGc. 1�1` 33�Sr TO ALL NEW BUSINESS OWNERS: Fill in below. ----------------- NAME OF NEW BUSINESS: tc TYPE OF BUSINESS IS THIS A HOME OCCUPATION? �A e 5 1� ADDRESS OF BUSINESS IS • a�63� MAP/PARCEL NUMBER 1 �5 5 120-7w_� If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office(Ist floor-Town Hall). . 1. GO TO BUILDING INSPECTOR'S OFFICE(4TH FLOOR TOWN HALL) This individual is in compliance and has been explained the procedures needed to start a business Building Inspector's Signature 2. GO TO BOARD OF HEALTH(3RD FLOOR TOWN HALL) This individual has been informed of any permit requirements that pertain to this type of business. Health Inspector's Signature 3. GO TO CONSUMER AFFAIRS(LICENSING AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business Licensing Authority Signature After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. T B ... €.��:..� ...�:. RI HAM Mc RENA . x..... a : a L LAB 16` fix.::WATERSIDE DRIVE CENEV :.; T R ILLE ON .>:.::.::.;::.:::.;:.;;>:;:.;:.;:.;>::.;:......:.............:.;:.;;::.::.>:::>::»::::>:::<::«:::>:::::::::«<::::::<::<: CONCERNED NEIGHBOR :>:::>::>::>::>::>::;:<::>:»:::::>::»»::>::»::>:>: :>:: :»::>:::>::>:: : »: ::::>::.....»>::>:: »»:::::;::;:<::<:::::»::::>::>::>:::::>:< OPERATING G ENTAL LAB W LOTS OF ." 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Arranged 81� a } ppICeCOnespondenCeL , .,Cross:Coections/Back Flow - « r a DR PATRICK A FAl C0 t 7 + *} rrtS `(Consulting SunreyTesting) , �praC#l[e � 1645 Rt28 Centrvl'--=-` —775.9363 i��sNP t y (tLap. �' � .. � LocaN�r E4asetlor tiuicker�iR:es, 11edUied ROU1911 r",t'a .s r e CHAIKtN RICHARD I, ,� - "Offeans 240 A400�if2r f , y 'ces To Meet Your Needs Call, v ADAMS MICt1AEL P 107 Town Hall Sq Fal 548 2442cN Ra .To PerlodonttcsB 2233 -4M Jo nesj i 3 i 75 a kx ii k ADAMSt;WM J IR `r.. COLOMBO FRANK'E JR Fall W Yarmouti� ►Deal HY eDl$ y �", �I ,ia OlNce Harrs aY ilppWntment O . 563 5052 93 Route 6A Sand-----------�88 1515 f Z c r �f J y 59 Crys►al Spring Av,N Fal CONNOR WM J t ` 77 33 AMOROSI PETER -.888.8707. r• Q Allarshall Paul K_306 Wirder;Hyl " • General Denttstryi�5,� lO.Mairi Sand ---- 1 394 2066'.COTE RICHARD J 10 Main Sahel - 88&3232' i} 8 f 1 y 4i''l ' .s2_r. . rt gfi i n,h" $Yer:Prof Bldg$,'Yar1 a iy t i t a Dental'Laborato�ies. { ANDREWS CHERYL V-V3} I i RAGG.ERIK 0 r `., t - U 87 9936'C 5 Locust Rd Od 25 5 8805 ar"vx v s.v yc d 86 Narfy Kemp WY Phan M x ._ ;r5 Bass-Rivei'Derital lab4r5ries4 'W. Wt ARNOLD C CODI�FACIAL PAIN CENTER OF CAPE ; e E.1292 At 28 Y � � 9° * General DendsdY d s. , 385 9992 ^ ^ j Coastal pental 7echs Ind yF7�539u1034 BOO MainOen ., T M 1 THERAPY ; g Ma 428 7578 ;NOFalmouth Rd Nlaslt — AUGER MARC F h 1 CARRIER lw + " CORINTHIA I gENTA LABORATORY i *� to L RICHARD A All. ER D o S , c 778 520g r 30 Tliom Av;MOR Bch-- --�---759 4083 GENERAL DENTISTRY, DIRECTOR r ;� ' " 1 �Dentalteeh`I50tt8398.4950 ? e ,? " 66 School St Hyannis slay A4 This Page .., Falco J Dental Labs South Dennis Ma-385 4471 INSURANCE PLANS WELCOMED __ 778.6118 `HATCH DENTAL LAB 527.Long Pond Dr Har-•-- 430.0505 RY :. Mattakeesett Pembroke _--617 293 3535 ` _ ` .` " Creeden Root 'Hyannis Dental Laboratory + VISA MASTERCARD, Dahlstrom Frank Al 811 Route 6A Den---385.3136 E COURIER SERVICE 14 Stewarts"Av S Den '••-- 398 4999 .1490 Im uth R - " L - a o d Centrvl- --771.0293 D'Ambrosio Hugo P Jr Documents Small Packages4 HYE-TECH:DENTAL LABORATORIES 0 s Ad Page 109 West HaNnch'Ma 800 698.3384 r -- See our Display <f}ank 8 Payroll Routesh a Innodent 720 C Main Yarmthprt 362-4697 BAKER CREED 188 Winter Hyns 771 3887 8 Bramblebush Pk Fal ---548-7644 -Ups 8 Debvery uF �k UieTHE�RYnie 'Ma S3garriore 88 OOlg BER61.10 STEVEN Ep s DARZENTA CONSI'ANTIN r+ rt ,rs pAid CepeJle`ntal Leb Inc eA" 90 87, Pract�c�Limited To PeriodontlCS f e° A �iµM ,r , 4, s, ..sa ¢:.� TEdiDrWXerk. "' gcry 888 0479 r 5 _ let •COSMETaC&FAMILY DENTISTRY; sh Rd Orthmar(n Dental Prosthebes t, i§ervlces Available In r' r } .F. .-; :+. + €r, :44Thatcher•HolwayRp;MarstnsMlsr_,.ny;-428,9101 z. Periodontal Plastic Surgery 4 l<c l3 Mom HY 771-5555 pierce Dental laboratory____•._�2 0530� Bone Regeneratlon& •SATUIjDAY APPOINTMENTS i Y '1 15 Water ide Dr Centrvl. _ Dent I Implant§ p: w, ax.. 4.w a s,r' a i4 n < _ It it m r Teehriieal'Qental tab...." .:n , tip __--- 771J020 m�rr pee �--477.0070." e easy for Buyers to.find youNr,n 76 Enterprise Rd Hyns 7112606 96 Old Barnstable Rd Mash fi_�Upper Cape Orthodontic Lab - 43 Lewis Bay Rd Hyns ...., ad your products in the,T, 1 p'b .68D Colony Dr Mashpee----477.6559 ' Id BERNARD DAVID P '': e r} Davis Robt W.77 Wianno Av Usts 28 2841 Y Yellow Pages k �4 Ir '.t Spedal�sts In Perlodondca r DEMERJIAN RICHARD$ i L r y Shopping by telephone saves both ;;n �:--588 4606:,••91•A water wds Hole 548 6655 d J `. .443 Rt 130 Sand ypu,Lurie Id enefg�Just loin to they 'Bittnch Michael r DEROSIER THOMAS E i r " t r(" t rn 5 ,e -e s r�ix} ,v T`, :`n l . See our Display Ad Page 109 210 Johes RQ.f al.. —�----540 0303 1 ;.s�r�; , ..." `class►fi�dheaair -desoripf"oPM `� ;Rc 13a oen.: 4 ,� 385 5150 DEWAN OTIS,K ` r a f „ "� F Z 1 � mrrt "z y�- • i , ;r, T t BLUMER DARW C =: oral surgery&oral Medicine ?3 ft Qr serv/ceyou deslrea� 1a � 2104aies Rd Fal —' —540A303 ' 16 8ramblebush Pk FaI T ` 5481667. 1V 1 n ' ` s ktherB b11 W/ll flr)t�a C01►venle t,s A+1 � BRAUND WM H Rt 28`A N fal ` 564 4317 Diamond VietorD- - i 3 c t •q S g{,s See Our Display Ad Page 1Q7 i r,•'• ' �� s'r lalphabet>al pst of dealers:who are r BRAVMAN RICHARD J d:.;3 Leevs Bay Rd Hyns 7714555 A ' ' `` DOWGIALLO RONALD J.376 Mam Hat----432-3118. s s... u yor' T R gRAVMAN DMD, MS 5 6 t a i to fuYill Urneads a5•. ' DUGAN FRFDI�:K°15 Plesnt Sand 888 2728 � z r" `t��n$i aka 84�, Dwyer Jeffrey 1645 Rt 28 CenWl —771 Cb05 . Oi �tl ,i YtSR coUrfeous)yana efficler►tty.asthough + BOARD CERTIFIED IN OR AL,B . F x , FAIELLA ROBT A , L g+ ou had vsrted their plaof ch your milea e r - ,�y Y MAXILLO-FACIAL SURGERY* ,a , L • a r busmesspereonell h' PRACTICE LIMITED TO' t ancil +' wi `rfu : -` k e Tell Free n16665 o perform 3 8 ; 68 Camp Hyns PERIODONTICS can yo.'u need : �a v x.j¢ r.ti ��._y4t �{�td v a Py�yf? '�u�a"`T'K' ,*A BREAKWATER DENTAI.r A���,i;�, t .:fvening&"Setiirdey Appolntmems'Avelleble7'+- _ sauna A.1�5 AK A STE 1 �i�l$el�Es , ," 1"`,. Brewster Ma Q96 5951 h s -749 Mahn Ost" "=-420.1124. ' ABOVE THE^'"f��^'• Bryans "30 Hi�ins Crowell Rd W Yar 775 8655 Toll Free 3 800 427.1124 y„E,.n,,,Y ar.,--a^••ab- ` � w-.:s' VROW�� sJ'r Campegna Gary See Our Display Ad Page 110 t •. r a r `•—432.8686 FALCO PATRICK A r b �F .{ 119 Rt 137 Har-- —� PRACTICE LIMITED TO CHILDREN CAPE COD DENTAL ASSOCIATES INC TEENAGERS&THE HANDICAPPED y` 405 Jones Rd Fal- •- `-'-"-'540 2528 _..1645 Rt 28 Centrvl•j-;775.9363 '' 255 8860 'Car a Cod Dental Health Center I k 195 Rt 6A �-- rt See Our Display Ad-Page 108 y,ilr� 7716122 657 Main WYar ' CAPE C00 ORAL&MAXILLOFACIAL listings and/or advertisements SURGERY of this Classification are cont►nued in town? a �� See Our Display Ad Page 109 771 6665 68 Cam H is Good Service Is our Creed.Refresh , t� 3 0i fa N .s our.memory regarding the name of a Your representation in the NY EX Y X Yellow Paesy`QtRrt IaloNOENnY ovu;�ED&OPERATED = ` e `ou find important a " Yellow Pages enables buyers to find hrm or Its location right here In these 1 r�r t you in a hurry.That s where they look t+ r NYNEX Yellow Pages Why wonder? Ces Wltholt rlulnng§ <, F'.S i S di g 1, e�4 �� Save our natural , � n. These allow pages will you i when they need repair work or r, Y all over town i y t:; :: r r u resources.r�iS , PBY Y put our; recall the name of the firm yod +w• r�k ; frig , s - z ,. merchandise tt sou to Y a Carpooling saves energy ( A have forgotten r r r t ar t message In the NYNEX Yellow Pages. r ; �, and reduces po llution;`�a ��.9 MAP PAR MASSACHUSETTS UNIFORM APPLICATION-FOR PERMIT TO DO PLUMBING (Print or Type) 74 Barnstable ,,Mass.' Date— -� _20 _q Permit# Building Location /�^Lr/ e r �' z. ✓ Owner's Name .•�1����o Pe of Occupancy Ne v�tlage renovation Replacement ❑ Plans Submitted: Yes ❑-1, No O� ' FIXTURES CIO cn O � co z a) 5 W �4 F CC o ± I- .cc � z p za = c .� � mrscnw � �s � rno t, d � � 0LL 0= = 0 � CC 0o = s � r''� °c � cc u_ � w a f_- d QE ijj - ` O t O F- J CC = dcc m Gn 00 u h LL c �m 0 .. SUB-BSMT, u BASEMENT I 1 ST FLOOR 2Nn FLOOD 3140 FLOG 4TH FLOOR i 5TH FLOOR I I 6TH FLOOR I 7TH FLOORI H--H 8TH FLOOR i Check one: Certificate w Installing Company Name Atjja,� s' lyf���i x'1 u Corporation ess e ❑ Partnership Addr. �� CT Firm/Co. Business Telephone_1 Z6 -' 31'� y Name of Licensed Plumber Ai,e INSURANCE COVERAGE: I have a current liability policy or its substantial equivalent which meets the requirements #MG Ch.,, 142. YekP if you have c hecked yes,- ease indicate the type'coverage by checking the appropriate`box. A liability insurance polic Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have'the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and Information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts St Plumbing Code a apter 142 of the General Laws. By Title Si •nat of Licensed Plumber City/Town e of License: Master ❑ Journeyman 0 APPROVED (OFFICE USE ONLY) ice( Number 42 17 �'/