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0150 SCHOOL STREET
/,so ���� ���� Town of Barnstable .-permit# hQY 'bpi Expires6monthsfro=issuedate 1$egu.at®ry Services Fee 5 Thomas F.Geiler,Director' 4 IX-PRESS PERMIT Buflffi lg�D Sion Tom Perry,CBQ, Buildinb Commissioner A u� 2 g 2013 200 Main Street Hyannis,MA 02601 www.town baznstable.maus � , , - < F Offxce: 508-862-4038 = Fax:508-790-6230 E"REss PEST A PPIACATION - RESWE F BARNSTABLE Not Yatid wit/wut.Ked.YPresslmprao Map/parcel Number 02.0 0'1 Z Property Address. > [Residential Value olfwork_ S 6y 0 Minimum fee of$25.00 for work under$6000-00 Owner's Name&Address 1C� Contractor's Name —rn Se y n , Y�2t Y� L C Telephone Number�� -.28 Home Improvement Contractor License#(if applicable} Construction Supervisor's License n(if applicable) +(0(0 8 . 1f wcaanani s Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner I have worker's Compensation Insurance 1 � {{ Insuzance Company Name NA+',nYja f Un ion : re lris urn,n C WorIonau's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit Permit Request(check box) e Re-roof(stripping old shingles) All con. action debris will be taken to Q Re-roof(not snipping,.Going over existing layers of roof) ❑ Reside #of doors Q Replacement windows/doorsfsliders.U-Value (maxima,,,.44)#of windows 'Where,required. Tsmanes ofthis petit does not esexapt compliance with other town department regoutions,i e.Steno c,Conservation,etc. ***Note: Property Owner must sign.]Property Owner Letter of Permission A co of the Rome Improvement Contractors License&Construction Supervisors License is Iregtm ed SIGNATURE: Q wpFMMFORMSU=7diagpermitf—\02 ESS.doc Revised 090809 .. _ .. i T4e Conmwftwwi*OfMfazachr d!e •Depmftent qfIn&;1iz at Accidents aslzin i Boston,MA 42Z7U � Workers'Ce$ Bao3 _ f Pensafioig •Af t&vi a Colitx�ctmas �ieazrt ferioaaticon 1�i' ectricians)Ph=bers ' Please Priatl Name , zganiza?onllucTxvxduaj}: r y—aS2 Y �a ns 4t Address: 71 Cityl$tate/Z3p: cslwr-f` J-( thea Are ezt as ensployss?Cheek '" Y2g p7s2�a? . � i�Pr�II7abe b°c � e Io ees —� " r'and I I. I� �(f�u1�aRG�/or�t rime + � �have lam alai the sib ��at pro,�ect(t' .d3: z.{�I am$sale } -praetors [D New oQnsh'ttation _ pmpn�'az partaez- ' iisted oathe cached sheet 7_ D Remodelu b I -hpamdbaveaoempioyees Thmmb-coiaizactoisbave workztzg for Mauyrapacity MPIOYeesandhavevvor � 8 Q]?emo3ition� , No workers'cozrrt ir=arm - =3)p jCMXa=t 9 gm� D. cog add Uon i r � 'we am a corposatim tad its Piectdcellpails 3, 1 azn a homeownerdoing all wmk "offtcem bane esm ised t� or additions mne1#;INo WD2=e cep._ right of ex=Ption aer M(3'1 I I"�21=bigrep.*,or additions insnr azice rem i t G M §I(4),sad we hWeno I2_0 Roof repaizs employees-ENO vrorkere 13.[�flthez i gyp_msnrance zequizea] 1 "�'aPP�tbatc�ecIa�ox�1 mns:akoQloatrhesr:Goabecvas 1Florceovraeavrbasabmicihua�dav:�mdie�gf�e➢'�dc- aII l�g���1CO�d0R-0��'?�`�2tioa � anacr�teekti>isbaoczmisr � iooa7shsaadsheubiazoumdesomosksubssvranewat—udavicim e�toy.eS IfthesRb-e�teaemcslaaveem tScaaQtcoF'thest�5-ednt��aadsr�ew3�osaottfioseea1��y��� f P74Y�s,'�a9'm�rsrpmvideiheavrancas..cQ� a1i •- Zarnr��vFlopa•�is rorr _ p C9sr�Ifcr_ .P �g werlreis ca •• � mfOrnrtrtrort tr�vePr a�Ott insurdreoryrry a"3P�Yees 8eimvs the poluy and job site t R.s m=Compaay-Same n, ►'ram ���ve-� �e �.�,, �'„' • I Policy�or Self-ins.Tio,#: W�O��u?�3 Jab Site Address: Aftaeb•a copy ofibe WOXkeas'coax emaffon P ction dA of-ation pap( sviag the pohry zi=ber•=d expiration date, i - Faz]Znetnsecm-eooyeZ2geasz�egrriredtmde�,Sectioa25AofMGYo 152canleadtntbe' } fine tr"s to$1,500 00 and/or one-yW i¢nprisaament as wen as eiv� �P�an of Crnt�al pies ofa ofup to$7SU 00 a day�st$s violator. Be advisecl a P •lies iafe fO=ofa 5IOP WORK ORDMZ and a fhe Iuvestigations ofdre DIA fOr im=ce cave a vLmed dtion.:�of e3is stmmeat maybe EoM.&d to the woe of 4= I dO herd cer' d eaaf8es o er'P !'bar-the vr}OrarcdOn providedWOM is arse andconea i - ___.. �►.c7aZuseort�y. .Darotsvrzfein7lxis area,fobec d °" by d&' ortvwn o eciff I Gay or Tow= t -I'eieense� . --x&9An1&orify(Circle one): 3.Soard OfHeslt 2.Bm-MingDe ,6..Other partmezcY 3.CifyfY own G7et3c'9,Edectxics9lasgecfar 5.Pita�tbing { • ContactParsaar p FRASCON-01 MOSU AC L>- DATE(MMIDDIYrM CERTIFICATE OF LIABILITY,INSURANCE' , ini-1; a12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY.AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pofiey(fes)must be endorsed. If SUBROGATION IS WANED,subject to the terms and Conditions of the policy,certain policies may require an endorsement. A statement on this ceitifcate does not confer rights to the certificate holder in lieu ofsuch endotsement(s). PRODUCER (508)676-0309 NCOANM�cT Suzette Moniz Vrveiros Insurance Agency,Inc. ac N o.Ext:508-676.0309 "Ac.No:5a8-324-9947 275 Airport Road Fall River,MA02720 pODRESS;SMoniz VIV@ICOSI1rSUra[1Ce.COIT1 rNSURER(S)AFFORDING COVERAGE NA]C 1NSURERA:National Union Fire Insurance Com an INSURED Fraser Construction LLC INSURER B: P.O.Box 1845 INSURERC: Cotuit MA 02635- INSURERo: - - INSURERS: ' -• .' INSURER F d - COVERAGES CERTIFICATE NUMBER: 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-rNSURANCE'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. LTR TYPE OF INSURANCE AD L POLICY F POLICY - l R WVO POLICY NUMBER MWDD MMIDD - LIMITS - GENE4gL LUiBIDTY _ • EACH OCCURRENCE S COMMEP.C(AL GENERAL llABIUTY PREMISES Ea oaurrencel ,S CLAIMS-MADE OCCUR • MEO EXP(Any ane person] S PERSONAL&ADV INJURY S GENERALAGGREGATE 5 GEN'L AGGREGATE UMITAPPUES PER: PRDDUGTS-COMPIOPAGG S POLICY 5RF L0C g AUTOMOBILE LIABILITY - - OM31NNa0 SINGLE LIMIT ANY AUTO -ALLOWNED SCHEDULED _ • - - BODILY INJURY(Per person} S - AUTOS AUTOS BODILY INJURY(Per accident) S H(REDAUTOS NON-OWNED PROPERTY MAGE AUTOS Peraceldent S ,. S. UMBRELLA LIABHCLAIMS-MADE OCCUR - - EACH OCCURRENCE $ - EXCESS UAB AGGREGATE S DIED RETENTION 3 S WORKERS COMPENSATION W M O R AND EMPLOYERS LIABILITY _ )( - A ANY PROPRtETOIVPARTNERtEXECUIIVE YIN WCODSS30601 - 9/2612012 9/26/2013 E.L.EACH ACCIDENT s 500,000'- OFFICERIMEMSEREXCLUDED4 NIA (Mandatory in NHI) Ifg,descnbe under . EL DISEASE-`AcMPLOYE S, 500,000 OCRIP ION OFOPERAMONSbelow E.L DISEASE-POLICY UMrr s 500,000 DESCRIP'nON.OFOPERATIONSILOCATIONS/v HicLE3(Attacn ACORD•1M,AdcWcnal Remaft Schedule,ifrmmspaeels required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OF-SCRIBED POLICIES BE CANCELLED BEFORE. Fraser Construction LLC ` THE EXPIRATION DATE THEREOF, NOTICE,WILL BE DELIVERED IN 31 $OWdoln Rd - - _ - ACCORDANCE WITH THE POUCY PROVISIONS. - Mashinee,MA 02649� AIITHORG:EO REPRESENTATIVE ©1988 2010 ACORD CORPORATION, All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks,of ACORD Massachusetts - lDepartment of Public Safety Board of Building Regulations and Standards Conch action Supersisar License_: CS-097668 9�i DEAN C FRASER 104 TWINN VIEW LM4P- fj EAST FALMOUTH MA'02536' • - ✓�r tJ/Jl�,. �t tIV V` icXplrcitiOn. Commissioner 06/07/2015 ✓/ /`(iP/ l�/�.�1�1��1i1���11.�.1G�i'i'2%/"// "t�'`/ ��4��J���l'ifr1" , J ; .E Office of Consumer Affairs and Business Regulation .' 10 Park Plaza- Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 112536' Type: DBA Expiration: 3/23/2015 Tr# 237059 ERASER CONSTRUCTION CO. DEAN FRASER 7 P.O. BOX 1845 .. 4 COTUIT, MA 02635 .. Update Address and return card.Mark reason for change SCA 1 0 20M.05111 + Address Renewal Employment F.-I Lost Card r.'�jj�e`�rirrrnrnrrran�ch�riJC.fl�r.7Jur,�trJeL/,i �- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only )PE7pirat "OMEIMPROVEMENT CONTRACTOR before the expiration date., If found returnto: stration: 112536 Type: Office of Consumer Affairs andBusiness Regulation ion: 3/23/2015 DBA 10 Park Plaza-Suite'5170 Boston;MA 02116 FRASER CONSTRUCTION CO. DEAN FRASER ` 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Undcrsecreta J ; Not valid without signature � - Fraser Construction,` LLC ::.-CONSTRUCTION* P.O. Box 1845, Cotuit MA. 02635' ROOFING SPECIALISTS' ' Email: in�frasercoristructioncapecod.com wxvw.fraserconstructioncapecod.com JOS-428-2292 FAX 1-508-428-0123 HICL#112536 CS#97668 WORK PROPOSAL ADDENDUM DATE: August 12, 2013 PHONE: 484-612-874 , � NAME: David Sigel EMAIL: sighut@aol.com MAIL ADDRESS: JOB ADDRESS: 150 School St. Barnstable, MA 02601" FRASER CONSTRUCTION hereby proposes to perform the following services in a neat, professional like manner in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing_material -Re-nail all plywood sheathing as needed. Job Description: 1) Remove existing and install EPDM Rubber Roof Membrane on low pitched Rubber Roof. Price includes re-flashing skylight, adding Cricket and flashing chimney using Copper already installed. Install Azek PVC on peak above Rubber Roof. Remove and replace right hand Rake with Azek PVC. Install Copper step flashing. Price: $4,550 Initial• --&5 2) Remove and replace White Cedar siding with Re-squared and Rebutter-White Cedar siding on back only from new shingles on left side to corner of painted on other. Does not include shower.stall. Install with Stainless Steel Fasteners and Synthetic Typar Underlayment." Price: $1,125 Initial 3) Install Azek PVC (3ft. X 4ft.) behind shower., Price: $395 ' Initial: 4) Remove and replace rotted sill on back right window. Remove and replace rotted left side casing on right Gable window. Price: $128 Initial:-- ��— All Azek PVC installed with.Cortex•Hidden Fastening.System. Total Project Cost:.$6,198 - $500 Discount - 2% Discount for Payment by Check or Cash4113.96j Total Price:,$5,584.04` Initial:-- PAYMENTS ARE DUE IMMEDIATELY AFTER JOB COMPLETION. 1/3 initial payment, remainder to be paid upon completion Payments accepted are: CASH - CHECK -MASTERCARD -VISA- AMERICAN EXPRESS *Any payments not immediately paid upon job.completion will be charged 0.605%for every day after the given 5 day grace period upon day of job completion. Possible Extra Any rotted or otherwise deteriorated trim boards,'plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$75.00 per hour, plus 20%mark-up materials. ACe -z- Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner Fraser Construction, LLC � � 9 ... .��,,. .. ......._,.........._.�. _r�...:,� a:.::�:.._..,... s.:-... _.... .... . Town of liarusta��c *Perr»lt# ��f�-3g ��F1HE Tp�� Expires 6 months from issue date NAP S o� g' �✓�- Regulatory Services Fe mnk ABLE. ' MA es. ,g Thomas F.Geiler,Director 039. SQ IT jOrfDMPyA )3UIItIIIIg U1ViStU11 - �E ,. Tom ferry, Building Coriuuissiorrer 200 Main Street,.Hyannis,MA 02601 MAY 1 8 2005 Office: 2-403];8 Fax: 508-790-6230 Y PRESS PL"+ N TOWN ISTPBLE IVIIAI1LICAION TOWN Valid Ititlrorrt Merl y-1't•ess lnrpriirt PP arccl Number n y ChDbE I i U Q/ Property Address / � ��� �' � Value of Work ('Residential IVA Owner's Name&Address C l . _ � Telephone Ntmiber _��. Contractor's Name t Horne Improvement Contractor License It(if applicable) �} Construction Supervisor's License It(if applicable) ❑Workman's Compensation Insurance Check one: ' ❑ I am a sole proprietor ❑ I am the Homeowner rave Worker's Compensation Insurance 61 I k/ V_LZ Insurance Company Name - -11 Workman's Comp.Policy Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Gouig'over existing layers of roof)v } [VJ Re-side ❑ Replacement Windows. U-Value niaximutfi.44) (� Other(specify) t exempt compliance with other town department regulations,i.e.historic,Conservation,etc. *Where required: Issuance of this permit does no Signature O:Forms:expmtrg C,APIZZI HOME IMPROVEMENT INC . SPECIFICATIONS AND ESTIMATES PAGE 6 OF 6 STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN l �'� 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 FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: I 1, 2 L APPLICANT'S ADDRESS: 1645 NEWTOWN RD. , COTUIT, MA 02635 APPLICANT'S TELEPHONE: 508f4289518-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: I� ACCEPTED BY DATE THIS PAGE IS PART OF Aa IN CONFORMANCE WITH PROPOSAL # i p v. • .. .•rjl�•l,I���'�'�•� ' •�. � �' ' r � ;,in ;� .,'.-•�.� , � .:,:• . � •tits ; ;L..:• �:.t"RYI ��.;,a^ ,• •• •If,'' �••- '7`+ ''hln�' ,l.i Ir. ,, .. �}R�Y,�Vl�1.V 1'►J� .. 1 '1,��'/1t�' �. ' l ,. �1.1"��U�/0�' PROD +I� I HIS CERTIFICATE IS 1$sUED AS A MATTER Of- INI--OC-ATION ONLY AND CONFERS NO RIGHTS UPON TE IIT+CERTIFICATE I.m��lo)�e,�Ins,r►nul�inc HOLDER.THIS GE.RI)FICATE DOES AIOTAMI�NI.), EXTEND OR 2131 Main Sltaaat, 319 ALI f-R THE COVERAGE AFFORDED BY I3JL- POLICIES BELOW Fltc.IIt)t,r�, MA07-420 42p C()mPmIES (AFFORDING INSURANC,,F. )11L�URED OOMpANY/1 GRANI1 -STAKE INSURANCE COMPANY Resflurr e Managements Inc 281 Main Street,SjAte#5 PltchbtAr%MA 011R0 THIS ID TO CERTir 1'FHAT'ML POLICIES OF INSURANCE USTM SS-LO HAVE BEEN ISWr=D TO THE INSURED NAt gi p ABOVE FOR I k TI JE POLICY PERIOD IfVDtCAT�D,NOT Wi MSTANDING ANY REQUIREMENT.TERM DR CONDITION OPAt�IY CONTRACT OR fl77iER DOCUMENT W"pES1'EGT7o WIjICH THIS CERTIFICATE MAY Bl=ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCMBEED HEREIN IS SUaJI7-CT TO ALL TM--TERMS,EXCLUSI(3No AND CONDITIONS OF SUG#•3 POLICIE°°.LIMTS SHOWN MAY 'AVE BEEN REDUCED BY PAID CLAIMS. bral3vrumcr PDLx-yNUmER ProuCrGrr-r_-C7tvsaAT1� roucrm7JtanoxDQ TE r'tQTM YGiW1b[uiY RlnTN Y� f:'•i•' .2i' :: >� I3 C Group 'I2J281Z004 1212v r/200� r ll - �4��1l .):�, , .. 0477192 '!J r•::rl j. �s B�wPanrwuA�nsOn1Y, :- "1•" 'e=,• CM ACCIbBdT , - 5 ti}D,0 Isws�POLICY LtAfiT 5 SOD,0 IrSORIP'(IOIV OF LIP�RAT1DtI;iR111>S'H1CI�6/�}�GIAL I7�1�� 5 'i0D.0 COVERS THE EMPLOYS OF THE NAMED INSURED LEASED T1D:CAi'=HOME WPR0Vaq 14 S INC,1645 NEVI'TOk ROAP, GERTIPIOATE HOLDF-R ANCr—z"TION CAPS HOME IMPROVEMENTS INC a+tcwwArzrOg meaetiveplSeCrtuslmPnuelesRt<rasi,c uSoe6rD IM 1645 NEWTON ROAD D,?PATIDtA DAYETt .TM MUIND COnmAWWi-i-Pinsn%,IDR TO RIM, COTU tT, MA 0263E DAyr'wRRTr:N t4O=E 7n-OiF CU rV:ICATE HMIXR K W'W TW-1 -BUT .. -finttuttSTo MAIL3UGIi ntcmce stinti tntrOStHo oatranTm>J oR�,e>�'-ar_.�_': - �,_— _.-_-- _._-_-- --- - -- AW"'MUPDN7MQDMRANY,ITS A(3rNTS-ORMPrT- WTA'i'NES, AUTHOR2ED 1B'RLSENTATIVE J3ward :033 e . > > �y; k��••./I' . I�sJ�l�l��-ii�r� J J��cc; )3osi.on_ Mas;,�a;c]luselts 02108 ]3oln Impi-ovement Repisllafion: 100740 l ype: Private Corporalion CAP1771 HOME 1MPROVEMENT, .1NC. C>,pirafion: 6/2312UU6 Thomas Capizzi, jr. - 1645 NeMon Rd. CO1.Uii, MA 02635 update Address and relurn card.Mnrk reason for c)rsin El Address Renewed Employment ❑ Lost t ✓2r, t�in�rrmrairu�ea�(� o�.//l�ctaaar�iue�l7� ' ' I3aard of Duildiug ltcgu)afions and Simndnrds ��.J 1' `•an HOME liJ1PRDVEA9EI�T CONTRACTOR License or registrafion valid for individul use only � �'Y• -- !� N, beforethe expiration date, if found return to: - Reg)stration: 100740 Board of Building Regu)alions and Standards --r� Expiration: 6123/2D06 One Asbburton Place Rm 1301 TYPe: PriVBle Corporation Boslon,Ala.02108 CAPIZZI 1-)01✓E 110PROVEMENT,) n Yf?omas Capiui,jr. 1645 l4evdon Rd. Coluit, MIA D2635 Adn3inisiraior Nol va)id withoul < _ »a BOARD OF-BUILDING REGULATIONS ' a" License: CONSTRUCTION SUPERVISOR Number: CS 057032 _... _ Expires:09/26/2005 Tr.no: 7171.0 Restricted: 00 THOMAS X CAPIZZI JR �.------ COTUIT, MA 02635 Adminisirator .,. ....s.. r.....aw,.a-.r,... m-.�-.....__...-w.. - {.,.-._•.r-.. a.. .+v_H.,...}__....._.._....«.._..:„._._..♦........ ...._,..... -.-....-.. _.... --... r ...w-.-.. .—.. .--_.ww ._.a...-.—.�..+.#..i__ war.w>-d+_ ♦ _ - _ - The Commonwealth of Massachusetts Department of Industrial..Accidents-a Office of fnivesuffougl1S " 600 Washington Street, 7'6.Floor. Boston,Mass 02111, Workers'Cow ensation.In'surance Affidavit:Buildin%Plumbin %Electrical Contractors• name: 1 174 r dd i1I D � y { g j• } A4 A• t CI .>�` "lw�5`Y 1 , tv n I state F zip U✓�!'� # phone t� l n� assr t ! F .� s.:$ G 1 r�+ 5 work site loe tion full address + � 'I' Lll,. I 1 g Xe. .x""Y 5''..� '�._1 iJ#;ft„+"e s.: *...,�f r., ❑ I am a homeowner perf'ormmg_all work myself. ;hl + Project Type:: . New:Constvction Remodel ,f-:t �:: I am a sole ro rietor and have no one workitt in an ca aci . Buildin Addition I am an employer providing workers compensaton fo'rmy employees working on this fob ' �' 4 ' t.1 r- *�,..a�{a"y' {dta ' s._n 7� ��...{ il r y� �5 .> r(�4'% fi `'''` �"/ � #,.s`�� Efs-..-�� ,y �., f s tar•axe r%- COiR an name ! lll/ hhfi/�Vlfl >�..,.. i �A k:� x"�,w a:if. t ! :,i`� �--./,•.ri"S r "t 3...�d�"s'1 :+.,lv ..s s� -:,� s. �e :� �e r s :. £F�-` 'R: f'� d V . - I LISUratlCe�. �� �^J:' �_�t. `.'�.?�Uti.�•''= t - �` '� •'" OIi ..#_'`�. § �'_� � ,I:�. ",:'[ s''r�`?�a- '"-=3� e ma P p g I am a sole ro netor eneralcontractor or homeowner(circle one).and have hired the contractors listed below who have the following workers'compensation polices: _. . K' r:�`�.�,'4 °-..,( s� ,�.';�it� {' ::.a z..,�;f L§ z�.* r'ua." �t•;v �'ga»�� Srt�Cw3k....�;..• ,.:��;s. `�•.+:F.'.�,�< .�..1�:�53� ."e' :. `.� �,�..�,a� y .-... a �. '• ...'Cr ;.a'� ;..; .. Addreis: - ..ram'.„�s : �.,lL :; ti ��S'.i,iE i7^'-*'ri"-�.s-...��-`{�+'- -'s "9s,.�s1 � ??T@t �`F"' �' �.��'c�•r: y`. t i a.+-.n s+-:.' tic, :-"; ';0-I ?r,"iF..•f z. xo��:}. r�� ej•'#�"*a ' e`,. dtv: i. s t 1 x S 3'�• n,S' g r yse• „ z t D1leRe# X. .^.s a rr r Y'i ,,..P 1�, r;NT, ,.xrk.?% ,3R�i surance'Co. �.,F 't .s_8n^w 9i a=4 )� -. S t r: i�t,i G:<• 9k 7��j �{s is er Y �t• i'€"k Y :.t x: k .r v a*¢Y'Y, '���, * air� �;i�r�qr ��` ••a�,����+,�+� .k"._ � ��-t •y '��i �" i w 4"[°F.i'xi,:'k.s � � r '3 'u i� � e ! r x .c[� � r h - � r ..i,t• q4i. - `. , •r 'xs ro F t : .? -.i ,r�t s 4k r r * a r COmi?anV..RaQIC.`"' � �.�,�+ x �" ;�P'3.t cr .- �•. '� � s,.e�- � : r` 4s�•..c_a. :s�xea,..;.arav•�,•«+w .sc.:. ���Yi�y�," ,�,sw:ktr::�••�+ v� a a-f -�zwt-- �+..�«:,.�... .i r+,. �..�s..-- ad�r'eSS:- - 4 kY r4.,{ § a -sw' a,.{<• a t tun-a,`•f't -""d? 4 r• 2 ee y <. .1; ,4t�k• nib A s £ 3 s u�'Itb'hesk�� 3 r :r-+—^t+'�!*e5+�re3 ,,,i r 4 -} a:•:+.,•.�• ;a-S_Z ) Failure-to—secure coverage as required under Seaton 25A of MGL"152 can lead to the imposition of criminal penalties of a fine up to 51,500:00 and/or_._ qt-one•years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a f ne of 5100,00 a d��gainstme I.underatand_:that a •�:. �T.'- '' —copy of this sta"tementmaytietorwarded to the Office ofdnvestigations ofthe DIA forcoverage vert[ication.`xT Ido hereby certify under the pains and penalties of perjury that the mformakon provided above is true and correct 1 � Signatoie Print name Phone#y. l) 1 t — official use only do notwrite in this area to be completed byxcityor town official city or town tvRpermit(license# 'Y ' Building-Department [3Licensing Board check if immediate response is required _ _ n a, __ u-.,�_ _ Selectmen'-s.-Off►ce--� contact ❑Health Department. phone#, ❑Other (icviaed Sepl 2003) � r c ` _.r - �.�-..._ .r ..w .. .- �-ti.-��,,. �+.-.. - �t ...al-..�......�.-.n.,�„_,�,....^'.a�. y.. .. .'e+�. . �.Y,+.,�--.r'111.� y...^...-.�+'..✓�.,,.-^-^.^v.rr, Assessor's map and lot number f .... M .• . BE INSTALLED IN CrO APPLIANCE ,,/ WITH ARTICLE- 1f r STpSeyage Permit number SS,�4ITA xy CODE AND TOWN 7NE TOWN OF BAR- , TBLE y0F t0 I 123>HH9TLHLS, i aM Ar. BUILDING INSPECTOR PERMIT TO ...........P: �. ..��.. �� APPLICATION FOR P � •� TYPEOF CONSTRUCTION ....................� .. ..f4"�r.:.............................. ...,......................................... TO THE INSPECTOR. OF BUILDINGS: The undersigned e y applies for a permit according to the following informati :t Jam ...............................`l. ..................................................... - Location ........... .. ................. ...... . ProposedUse .... ... ... ...... ...t...............: .:.... ...........:.............................. ............................................................... Zoning District .................... .. ..... :...................... �,.... ...jr District ...... .....� Name of Owner .. !(.:.. .G?- erg. Y ....... . ress ..... :•.••• 2:@. ...... ....... ................ ✓7S c f�.. ::��..:�..i../ ........ ress ............` .... Name of Builder .� . . ...... ................. ..................... Nameof Architect ..................................................................Address .................................................................................... Foundation � :.. .. . Number of Rooms ................................................... .............. Exterior ....... .s9. („� Roofing ... .....^ ................... fir.,.... �. G, ........... !. ` . . . ... ..... ".z Floors ......................:............:.............................Interior ..... .......:.............. . Heating ..... "' J........................................................Plumbing . .G�� � .... .... 1.......... ....... Fireplace ............:.. .. ..... .........................................................Approximate Cost ...... ........... ............................................ r NY Definitive Plan Ap oved by Planning Board -----------_-----—-----------19--------. Area ..... Diagram of Lot and Building with Dimensions Fee ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH Q I hereby agree to conform to all the Rules and Regulations of the To of Barnstable regarding the above construction. ,t .......... Name ...... `.... .......... ................. 20 42 Elizabeth Hayden Location Frame j Date ofiInspection PERMIT REFUSED --------------------..—..—...— � ) � ` - Assessor's map and lot number . .:...:........... .. ......... Sewage Permit number .!�.....! f f.fd!..�l�,�. ... ... ti T"ET°�y TOWN OF BARNSTABLE Z BAUSTADLE, i o�Y-ae BUILDING INSPECTOR M APPLICATIONFOR PERMIT TO ............lr.............. ................................................................. ................................ TYPE OF CONSTRUCTION f� ljli� ......................... .............................%.f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the /following information:" Location .................................................................. ...........................................................,...................................................... c''J`-Iri �.......................................................................................................... Proposed Use ..........:.... •... ..............:..............:.`� ... .. Zoning District . ....................�q!...................... Fire District E Name of Owner ... ................ / .1ll dress ......!/...0.. �f�...... ....`........!. .f�.... . .....;` !� r Name of Builder ... !...�...1..�7'�,?.!!'. Ad'dress ...................................' ><—'' � r ................ .... .................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ........................................ .�Z .............Foundation .. ` ` -' . ....................... ............................................................, J Roofing ....,��t .. .... .��......................................�.. ........ Floors/ _ t ......................................... . ...................Interior Heating.. ........ ` .......................................................Plumbing ....':. *` ..............................." �....�..f{�`.. .... ..... .. Fireplace ............... :: f`-'�................................................Approximate Cost ....... .. .......` ................................... Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ....../-�- X.. ........... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ---- r ft I I i I � S 1 I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �J 1 Name . . ................................. ................. 20 42 Eli-zabeth Hayden Permit for -.BR-MQ4A1..*..Ad.d..Yx ............................................................................... Location ....... Cotuit ............................................................................... Owner ......E14.zabe.t.b..Hay-don......................... Type of Construction ......p.r.&rp e......................... ................................................................................ Plot .....2-0.......4-2...... Lot ................................ Permit Granted ............Or-tw.bex..V;......19 74 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ..................1-1........................................................ Engineering Dept."(3rd floor) Map Parcel� Permit# �' ` House# Date Issued t "T /B,oard of Health(3rd floor)-(8:15 -9:30/1:00-4:30) 9/-S69 44,k4--F /�1F_eZe (pot -a-v. Conservation Office(4th floor)(8:30-9:30/1:00-2:00) R LoZ 1 � - floor/School Admin. Bldg.) SEPTIC SYSann oar - ►+e. %T BE roved by Planning Board 19 INSTALLED I NCE .. WITH TOWN OF BARNSTABL IN N EN i6 AND C . S �I'®WN REGULATIONS Building Pe it Application P tree, ddress d Village Owner - _ - Address O• aow Telephone / — 6 f - 6-if 99 6 Permit Request a First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ D71? Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing S;u'll * 5 2Q �'' Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing_� New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: Ueas ❑Oil ❑Electric ❑Other Central Air []Yes l N�o Fireplaces: Existing _ New Existing wood/coal stove ❑Yes l�o _ Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Att ched(size) ❑Barn(size) None ❑Shed(size) _ ❑Other(size) s Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name 07,(nZaw' Telephone Number Address License# 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 DATE 1 Z BUILDING PERMIT DENIED FOR OLLOWING REASON(S) FOR OFFICIAL USE ONLY 0-7 PERMIT NO. r DATE ISSUED =_. MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: F - FOUNDATION FRAMEfi INSULATION FIREPLACE ELECTRICAL: RO.I_JGH,1T3 FINAL PLUMBING: ROUGI _ FINAL GAS: RO'UI FINAL FINAL BUILDING '_ • y DATE CLOSED OUT -=-° Ro ASSOCIATION PLAN i tHE The Town of Barnstable anxxsznBce. 9cbMAS& ,0�' Department of Health Safety and Environmental Services AlEDMA'�a Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner , For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION r MGL c. 142A requires 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 four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with ther requirements. Type of Work• r Est. Cost A'�;& Address of Work: -X52;'xi dn_� Owner's Name: p_.-,,_��� 411" Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Jobunder$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 IMPROVEMENT 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 owner: Date Contractor Name Registration No. OR 2-z 7e Date Owner's Name The Cummottrvealth of 1hissuchusettt Department of Industrial Accidents ` tr Office 011nvestigal/ons •�� 3.;�,. __r ;y' 600 Nashinrtott Street .` Boston. Ma.cv. 02111 Workers' Compensation Insurance Affidavit Annucantinf rm i n• Pl P E' m • loc t' cit"• �-��J� nhonr# ✓Y"� — 7�, I am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity r _ I am an employer providing workers' compensation for my employees working on this job. conrhnny name: address: city Phone#• insur•tnce co Policy# I am a sole proprie p. beneral contractor, homeowner(circle otre) and have hired the contractors listed below who have the following workers compensa Ion po Ices: company name• iddrew city phone#• __ insurance co polio•# _ '.. _. ..:rl'r:':!:.. .>1K^^._�..-..,.. :-�-'��....,,:... ...__^_`r �..^.'.M-.�..�.1_1'7,'••r��^,.!sy�. _ _.�..iY�Y .i.�_.� company nainc• address- city- phone#• insurance co policy# Attach aJ iti ...__:. .. _....'—'�^^'_"^"^'-'^...""+'—..>. 4.; �.^•.—•••�*�-.•r,,r�� J Onal sheet if necessSrx'.:s'r�.:�' `... :::i+:Ti =:: .,e �,a;�t£,s:r „�_w per..• � �.�...,, 4" rr r:.ir•.ye:�:�::+s: Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one%cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that n cop} of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I herehr certify a tjler the p lees and pe re n perjure that the information provided u e is true and correct. Sim afore r pa j 'ZZ Print name A /�) — � tip1 V - Phone# .7 94 official use unly do not write in this area to be completed by city or town oRcial city or town: Pcrmit/liccnsc# riBuilding Department ❑Licensing Board C]check if immediate response is required ❑ selectmen's Office F .. ❑Ilcalth Department contact person: phone#; nUtlicr 5, i,nncs; ;PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the an emploree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An enrplorer is defined as an individual, partnership, association, corporation or other legal entity. or any two or more the fore�_oin�� en��aged in a joint enterprise, and including the lei-al representatives of a deceased emplover, or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwellings house having not more than three apartments and who resides therein, or the occupant of the dwellim, house of another wilo employs persons to do maintenance , construction or repair work on such dwelling_ hou: or oil the`srounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL cha iter 152 section 25 also states that every state or local licensing agency shall withhold the issuance of- renewal of a license or hermit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hL been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and suppiving company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have an\ questions regarding the "law" or if you are required at the number listed below. - � workers' compensation olicy, lease call the Department to c btain a or P P � p ................ ---- City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Plea be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned v the Department by mail or FAX unless other arrangements have been made. The Office of investigations would like to thank you in advance for you cooperation and should you have any question, please do not hesitate to give us a call The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER. LICENSE EXEMPTION .Please print. . print. DATE - -y- 9 7 r JOB LOCATION SQ - Number Street address Section of town "HOMEOWNER" N Home phone Work phone - fir• - PRESENT MAILING ADDRESS 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, 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 acGaptable 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedur and requirements. HOMEOWNER'S SIGNATURE ell APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction' Supervisors, Section 2. 15) . This lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "dwner' actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier responsibilities,, man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. i FORM 494 _ SUMMONS WITH OFFICERS RETURN HOBBS WWARREN. INC PUBLISHERS -" _ DUCES TECUM REVISED DEC. 1971 - BOSTON; MASS. - Lop TuuttttunxMealt4 of fttsstt.d4use is Barnstable --•---..•--•-..-•-• -••---•--••••--•-•---..... ..ss. , Mr. Buddy Martin, Building Department,- --•--------------- ••------- ------ .------------ •------------ ••--------- Town of Barnstable, 367 Main Street, Hyannis, MA 02601 ---•-•-•-•..................................................:.........................---------•-------•------------••-----------------------------------•---- ----------------------•-------.....--•..........--••--------•-•------•--•-------•-•------•----...••--•-•----•......-------•-•-•-•----••-•---------•---•---••--- ............................................. . -----•------------greeting. 10Qu are hereby rommanbeb, in the name of The Commonwealth of Massachusetts, to appear before the----Barnstable District Court holden at......$anrstable Barnstable within and for the county of .................................................... ------ on the..........Eleventh............................................day of..... July -•----•--at 2.00 o'clock in the. after. noon, and from day to day thereafter, until the action hereinafter named is heard by said Court, to giz,•e evidence of what you know relating to an action of------------------------------------------then and there to be heard and tried between.......................................... Cathar.ine Hayden Plaintiff and Marion Newton .............. ...............Defendant , and you are f urther required to bring with,you.................................••...._...._...._..._. ------------------------------------ -••-------------••------••--•-••-•••---••------•-•••...•----••-•-•---•-•--••-•----.....---•-----•-----•--•....----•-------....-•--•-•----•. ------------------- -•.............•---•------••----•--......----•----------••------ .............. -••--------....-----...---------•------- •-----•---------------- ------------•-------------------------------•-•----....----............--••----...-•--•-------•--------.... ................................................... -•------------------•----•-----=-•----•-----------•-•----•------------••---.........-------••----------------•----------•-----------------------....------ --•-----•-----•--......-•••-•.......................•-•--....----•--•----••-•-•---•-------•-------•-•---•--....----........------••--•---------...------•-----. -•••-•-••-•-••--------------••--••••----------•---•-----•-•----••-•--••-....----•--•--•-••••••----•----•----.....-•-------•-•------•-------......_....•---_.... -•----------------------•-------•---•------------------------------------•...--------------••-•------.....-•-•--....-----......-----------•-•-•--.._...--.•---- JjPrrof fail not, as you will answer your default under the pains and penalties in the law I n that behalf made and provided. ]Batrb at ....Centerville------ ...............the day of Ju_ne....... A. D. 19 96 .. ......... ..... ....... ..... ........................................ Notary Public—J cq RETURN OF SERVICE I this day summoned the within named Buddy Martin to appear and give evidence (it Court as ivithiv. directed by delivering to........................... ......... ................ -in hand,—leaving at last and usual place of abode, to wit: No.......................367.Main-Street--- .......... ................ ......... ...... ...........................Street, in the............................_......District of said, an attested copy of the subpoena together ivith_............ ... .........................fees for attendavee and travel Service and Travel Police Offlcer, Corstable, Deputy Sherig Cop. I'd. Witness It being necessary I actually used a motor Hotor Vehicle vehicle the distance of................miles in the service of this process Police Officer, Constable, Deputy Sheri/ f Subscribed and sworn to before me............... .......................................... ....... .................. ........... ........... This day of 19 .................................................... ..................................... Notary Public 19 My commission expire JEFFERY JOHNSON ATTORNEY AT LAW TWELVE CENTER PLACE 1550 ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632 (508)790-5776 (508)775-6029 TELEPHONE FACSIMILE July 9, 1996 Mr. Buddy Martin Town of Barnstable Building Department 367- Main Street -- Hyannis, MA 02601 RE: Catharine Hayden 150 School Street, Hyannis, MA Dear Mr. Martin: I herewith enclose a subpoena, an unfortunate formality to appear at 2:00 P.M. at the Barnstable District Court. As you mayor may not be aware, Catharine Hayden, the owner of 150 School Street, Cotuit, is attempting to evict her tenant, Marion Newton. I understand that Ms. Newton has called your office several times, and any testimony requested of you will be regarding your conversations with Ms. Newton, Ms. Hayden, and your professional opinion of the code_ violations, and severity of same, of this home. Please call my office and let my secretary know where I may reach you if I have to call upon you for this Thursday hearing. Thank you for your. ant:icipated aooperaLi on. truly urs, oJee y on, Esquire JJ/mbl 75. y . ( 2 ) ROBERT L. JOHNSON Building Inspection Services 459 Boxberry Hill Road East Falmouth, MA 02536 508-564-4006 June 10, 1996 Marian Newton Re-Structural Inspection at : P.O. Box 1944 150 School Street Cotuit , MA 02635 Cotuit, MA Dear Mrs. Newton, , The following is a report of the inspection you have .requested to be done at the above address . The results of this inspector ' s observations are 'on_ the original building frame only. 1 . The dimensions of the floor joist are only 2 -0 x 4M1"-0 and are spaced at 24"-0 on center as compared-. to' 16"-O .on center, - which is the normal spacing. In -one area -the joist, were spliced together with no supporting girder below for support. , 2. The 4"-0 x 6"-0 girders that , support the floor joist are 14 ' -0 in length. The ends of the girders (at certain locations ) have been notched down over the foundaton walls which weakens the girders. There are notches also at mid ,span of the "girders. 3. The span of the girders is'. too great at several locations • , between walls and existing column supports. , This causes sagging and weakness in the floors. Also, - there may not be the necessary - cement footings under the floor that can.' carry the weight of the building frame above. r 4. There are obvious sags in the (roof) ridge "line. 4 - , 5. Sagging is also visible in the upper section of therear- roof. 6. The building' s front wall is ..out of plumb as, much as 14" . (The location is at the left corner board. ) 7. There is rotting wood, prior insect damage,' cracks and holes in the framing members and obvious carpentry work of poor quality in the first floor framing . system. Based on the aforementioned defects and _shortcomings 'of. the building ' s framing system, . it- is the opinion of this inspector that- the section of the building that .,has the full` basement below the first a floor, is not structurally sound and that. a structural' engineer should be contacted concerning this -matter. Very- truly yours, RLJ/cav Certified Building,Inspector' e Buildin Code Consul t _: °pWE 14 The Town of Barnstable snBxsTneze. 9� Department of Health Safety and Environmental Services ArFDMA'�p Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 21, 1996 Ms. Catharine Hayden 160 Pine Street Apt.#20 Newton,MA 02166 RE: A=020=042 Dear Ms.Hayden: The work recently completed at the above referenced location was found to be in compliance with the Massachusetts State Building Code requirements. The present tenant still has concerns with the floor system because of its unusual amount of deflection. Therefore prior to the issuance of any additional building permit for this structure,the floor joists should be evaluated by a qualified engineer or licensed builder. Very truly yours, Al ed E. artin Building Inspector AEM:lb g960521a Map - Parcel # / b a2 Conservation Office(4th floor)(8:30-9:30/ 1:00=2:00) J 10 Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Engineering Dept. (3rd floor) House# !s yGC�C _ THE' Nil V • BARNBTABLE, ` 19 SiPTIC SY MAS& INSTALLED 011 PLIA SCE TOWN OF ZARNSTABLE vwTH TlTL_P a - /Building Permit Application ENWRONFAENTAL CODE AND Address 500z TOWN RCULAnOg P Village (' /��✓, / c Owner 4a7-�—�i� y��g �v Address Telephone p/� Permit Request _ f �✓�iaLV /"G(�. /JO B/— �—/�/9-/l r��S' /�' ��}.lCh-inn I 1 ��/�� �S•���✓s�-i�, First Floor square feet Second Floor square feet Estimated Project Cost $ ®�B Zoning District Flood Plain Water Protection ,Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type 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 �e7y �-�' Telephone Number Address S� � a!/?jffC 5% License# y%,`Z _7 Home Improvement Contractor# �p? 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-f3 �f�id SIGNATURE DATE S^� 9� BUILDING P MIT DENIED FOR THE OLLOWING REASON(S) ~ FOR.OFFICIAL USE ONLY , PE MIT NO. D I E ISSUED MA P/PARCEL NO. ADDRESS VILLAGE , OWNER DATE OF INSPECTION: FOUNDATION FRAME{ INSULATION p ° FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH• A FINAL GAS: ROUGH*-! ,-- FINAL ° FINAL BUILDING + DATE CLOSED OUT ASSOCIATION PLAN NO. + Catharine Hayden 160 Pine St. #20 Newton. MA. 02166 April 30, 1996 Timothy Cray Building and Remodeling 15 Tobisset St. Mashpee, MA. 02649 Dear Tim, Enclosed please find $1,000 towards work to be done'at the Highland Cottage, 150 School St., Cotuit. It is more than you asked for because my brother - who had said he would take a look at the floor joists - now says that whatever you recommended there is probably just what it needs. You have the equipment (saws, nail guns, etc.) which he doesn't have. So: we go back to square one, when we first started talking, which was something like $2,800.00. (Only I can't remember what that was for, so you need to call and tell me one more time!) But first, let's satisfy the Town of Barnstable. Start with the door, and talk tome about the floor joists later. Dave Coleman, electrician, has been notified of the work to be done when the door is being installed., He will call.you so you can agree on a time that's good for everyone. The door work really, really needs to be done ASAP. My numbers: (617) 433-8276 (Wlq and (617) 969-5198 (HO). Thanks! Sincerely, Catharine Hayden Catharine Hayden 160 Pine St. #20 Newton, MA. 02166 April 16, 1996 Mr. Jerome Dunning Town of Barnstable Health Department 367 Main Street t Hyannis, MA. 02601 Dear Mr. Dunning, Thanks for returning my call today re: cottage at 150 School St., Cotuit. As I told you, building contractor Tim Grey has reviewed the door, door placement and step platform' with me, and is scheduled to be at the cottage this Saturday, April 20, 1996. I appreciate very much the time Buddy Martin has taken to go to the site and review the proposed door placement (April 2, 1996). 1 trust that with this, and with the replacement of the wood column in the basement, that the cottage will have met both the Board of Health and the Building Inspector's requirements. will call you as soon as the door and step platform are in place. Sincerely, Catharine Hayden cc: Buddy Martin, Building Dept. Marion Newton Highland Doorinst.4120196 Catharine Hayden 160 Pine St. #20 Newton, MA. 02166 n May 3, 1996 Mr. Jerome Dunning Town of Barnstable Health Dept. 367 Main Street Hyannis, MA. 02601 Dear Mr. Dunning, Thanks for your call on Thursday, May 2, re: cottage at 150 School St., Cotuit. I enclose two letters: one was written (letter of 4/16/96) and not sent before now as I was informed on completing this letter that Ms. Newton would not allow my contractor on the property on Saturday, April 20, 1996 as referenced. I send it now for your files. The other letter follows a conversation with my contractor Tim Gray, and was sent to him, After sending the letter, he and I talked again and he was to be at the cottage Friday, May 3 and Saturday, May 4, 1996, to complete both the door installation and the platform exit. As soon as he confirms the work done, I will call you to inspect. Obviously; I would like the work completed and the matter resolved immediately. ; Since ly, Catharine en c: Buddy Martin, Building Dept. Highland 78am 513196 a7 �Cainiwox�o ollffawadweM o DEPARTMENT OF PUBLIC SAFETY Ciceasr EBIISTRUCTION SUPERVISOR i lobt —� irea 1= BRAY ei" 1ORISSET STREET MASMPEE, NA 01649 COMMISSIONER L COMT RUNR AwY' UILDpfi i REMOD ,mtrariistR 026 9 '� Department of Industrial Accidents 1/I//tiV9111Y9WMATIN . 600 Washington Street Boston,Mass 02111 Workers, Compensation Insurance Affidavit locatiom IT city Liu� � 1A A V Atf)35 phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity Z?-Tam an employer providing workers' compensation for my em loyees working on this job. r: address. situ �YI�IfI�L�G . '�'"'" . -. . nsurance CO. � .. I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: r address: stty. :Q t 649stone.# �Qs T64 company name: address: city: :.Qhone#: insurance co. oG #,.. Failure to secure coverage as required under Section 25A of MGL 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 WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of Investigations of the DIA for coverage verification. I do hereby certify nder the ns and p Ides of perjury that the information provided above is true and correct Signature Date 4-7 r� 2 Print name I r Phone# `i — 33 f r official use only do not write in this area to be completed by city or town official city or town: permit/license 0 nfluilding Department - Licensing Board ^i C3 check if immediate response is required �Seleetmen's Office t� �llealth Department contact person: phone M; nOther i (revised 1.9e P)A( - - - �: The Town of Barnstable • BARxsrnM.e. • MASS. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT 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-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions, along with other requirements. i , Type of Work: Dw Av D Gct-t. Est. Cost "aa Address of Work: i 5D \S A 6_L CTM ET iUl Owner Name: 1�aAd a 4(11 cl�p i--� Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied O%Nner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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 owner: loll Date Contractor name I Registration No. OR Date Owner's name Oki . $ The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner TO: Jerry Dunning,Health Dept. FROM: A. E. Martin,Building Inspector G REGARDING:. Tenant complaint- 150 School Street, Cotuit(A=020-042) DATE: April 3, 1996 I met with the tenant, owner and the builder contracted to install the required egress door at the above referenced dwelling. A west facing location was chosen and the building Mr. Tim Gray agreed to proceed as.soon as possible. While on site,the tenant,Ms.Newton voiced her concern regarding floor structural problems. t I advised the owner, Ms. Hayden to contact a qualified engineer for an evaluation as safety was our uppermost concern. If I can be of any additional assistance regarding this matter,please contact me. lb/ cc: Ms.Marian Newton 150 School Street j Cotuit,MA 02635 t g960403a : . The Town of Barnstable • a�er►er�u, ; "6 Department of Health Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner TO: Jerry Dunning, Health Dept. FROM: A. E. Martin,Building Inspector REGARDING:. Tenant complaint 150 School Street, Cotuit(A=020-042) DATE: April 3, 1996 I met with the tenant,owner and the builder contracted to install the required egress door at the above referenced dwelling. A west facing location was chosen and the building Mr. Tim Gray agreed to proceed as..soon as possible. While on site,the tenant, Ms.Newton voiced her concern regarding floor structural problems. I advised the owner,Ms. Hayden to contact a qualified engineer for an evaluation as safety was our uppermost concern. If I can be of any additional assistance regarding this matter,please contact me. lb/ cc: Ms.Marian Newton 150 School Street Cotuit,MA 02635 g960403a j i v ' �ti�� i r I Town of Barnstable , � Health Department """ 1 367 Main Street, Hyannis, MA 02601 Office 508-790.6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health February 29, 1996 M.S.,Katherine Hayden 160 Pine Street No. 20 Newton, MA NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE RENTAL ORDINANCE,ARTICLE 51 The property owned by you located at 150 School Street, Cotuit was inspected on February 23, 1996 by Jerome Dunning, Health Inspector for the Town of Barnstable because of a complaint. The following violations of the Town of Barnstable Rental Ordinance Article 51 and the Sanitary Code U were observed: 410.481: The owners name, address, and telephone number was not posted near the main entrance of the building. 410.482: No Smoke detector provided. i 410.450: No second means of egress provided. You are directed to correct the violation of 410.482 within twenty-four (24) hours of receipt of this notice. You are also directed to correct the remaining above listed violations within seven (7) days of receipt of this notice. You may request a hearing if written petition requesting same is received by the Board of Health within seven (7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH C::�Qomas A. McKean Director of Public Health ,cc: Buddy Martin, Building Dept. cc: Cotuit Fire Dept. cc: Marion Newton tenant f -R020 042 . A P P R A I S A L D A T A KEY 8146 HAYDEN, CATHERINE M LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RF 35, 400 16, 100 1 A-COST 51, 500 B-MKT 49, 900 BY 00/ BY /00 C-INCOME PCA=1011 PCS=00 SIZE= 744 A JUST-VAL 51, 500 LEV=200 CONST-C 0 ----COMPARISON TO CONTROL AREA 03AB -- TREND EXCEEDS STANDARD " NEIGHBORHOOD 03AB COTUIT PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 354001 LAND-MEAN +Oo 515001 97665 IMPROVED-MEAN -840-. 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%1 LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADDS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] f R020 042 . P E R M I T [PMT] ACTION[R] CARD [000] KEY 8146 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT [B17387] [10] [74] [AD] A ] [ ] [00] [00] [000] [NEW ] [CO ADD'N ] [ ] [ ] [ ] [ J ] [ ] [ ] [ ] [ ] [ ] [ ] [?] [ ] [R020 042 . ] LOC10134XX SCHOOL STREET CTY101 TDS] 200 CT KEY] 8146 ----MAILING ADDRESS------- PCA] 1011 PCS] 00 YR] 00 PARENT] 0 HAYDEN, CATHERINE M MAP] AREA103AB JV1271182 MTG10000 120 PINE ST SPl] SP21 SP31 UT11 UT21 . 18 SQ FT] 744 AUBURNDALE MA 02166 AYB] 1800 EYB] 1950 OBS] CONST] 0000 LAND 35400 'IMP 16100 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 51500 REA CLASSIFIED #LAND 1 35, 400 ASD LND 35400 ASD IMP 16100 ASD OTH #BLDG (S) -CARD-1 1 16, 100 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE OL 150 SCHOOL ST COTUIT TAX EXEMPT #RR 1433 0135 0711 0164 RESIDENT'L 51500 51500 51500 #SR HIGHLANDS ROAD OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 12/83 PRICE] 38000 ORB] 3970/297 AFD] I LAST ACTIVITY] 08/05/87 PCR] Y :,, w �` ; 1 �' ,. . ., � , .� i ,. ` � ,� y ��� t' �" // �. !,, -�` �� �' �- -- � `�� 1 / C.