HomeMy WebLinkAbout0013 THANKFUL LANE /3 77jaq.�(�c�G � ANC
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 0.31 Parcef -Application # f
Health Division Date Issued
cam .
Conservation Division :' Application Fee
Planning Dept. _ Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/Hyannis ✓ '
Project Street Address Than 421 Lon ifa
Village Co-ro l —
L U '
r h Cam:
Owner Add ess� Q
� � cam. �C.- �r�� -
Telephone 'J" e- Y
Permit Request �b ��/l� Cc►�-l.� 10
G- III► - i� 19
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoni istrict Flood Plain Groundwater Overlay
Project Valuati Construction Type
Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family .❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure toric House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkou ❑ Other
Basement Finished Area(sq.ft.) sement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing new Fir Ioor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood 1stove: ❑Yes ❑ No
Detached garage: ❑ existing U new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existin ❑ new size_
Attached garage: ❑ existing 0 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
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Telephone Number
Address �0 }aJ License # A) /�--
t �TV A)S H A," Home Improvement Contractor# !�
�7Ta G Worker's Compensation # X 6 s 0/ Y 175/j
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �—
SIGNATURE DATE 3— /b a`/
3 FOR OFFICIAL USE ONLY
APPLICATION#
';-DATE,ISSUED
MARL NO.,
µ ADDRESS ;. VILLAGE
OWNER
DATE OF INSPECTION:
;='FOUNDATION 9r e - _
r
FRAME
9< �
`INSULATION);
j
FIREPLACE `
` ELECTRICAL: ROUGH FINAL
} PLUMBING: ROUGH FINAL
6AS .Z:F ROUGH FINAL
LEV
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aDA-E CLOSED...OUT._
ASSOCIATION PLAN NO:
t .
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
!. 600 Washington Street
Boston, MA 02111
4 :�• www.mass.gov/dia
Workers' Compensation Insurance davit: Builders/Contractors/Electricians/PIumbers
Applicant Information i ,,� Please Print LeLyibly
Name(Business/Organization/Individual):—A/lj�4- Yp U �/li7 . ZW44/ I/N e
Address: 6D
. 11
City/State/Zip: � �S �!/LL hone.#: 5VX' yob '6J
Arr%,am
an employe?Check tt�e appropriate bog: Type of project(required):
1,( a employer with ! 4. I am a general contractor and I ❑
employees(full and/or part-hme).
* have hired the sub-contractors
6. New construction
2.0 I am a'sole proprietor of p r-' i . listed on the attached sheet. T. 0 Remodeling
ship and have no employees 1 These sub-contractors have g• '0 Demolition
workingfor me in an ca aci employees and have workers'
Y P i tS' 9. 0 Building addition
[No workers' comp.-insurance l comp. insurance.
required] �r i 5i We are a corporation and its
10.0Electrical repairs or additions
} 1 officers have exercised their
3.0 I am a homeowner doing all work 11.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs
insurance required]t c. 152, §1(4);and we have no S
employees. [No workers' 13.�ther FiIV.
E' comp.insurance required]
*Any applicant.that checks box#1 must alsolfiA out the section belowshowing their workers'compensation policy information:
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that isproviding workers'compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name: v
Policy#or Self-ins.Li :M 5 Expiration Date: I
Job Site Address: t: City/State/Zip:
Attach a copy of the workers' coral nation 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 tip to$1,500.00 and/or one-yeaL<iniQrisonment, 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 viiolator. 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 certi under th p 'ns nd penalties of perjury that the information provided above istrue and correct
f Si afore: Dater —
r
' Phone#: 62/aa
F
Of use.only. Do not write in this area,to be completed by city or town officiaL
City or Town: I Permit/License#
Issuing Authority(circle one):
1.Board of Health 1.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Client#:431777 99001533
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE
VAMIDD1YYY)
1W01THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE,CERTIFICATE HOLDER.
IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.N SUBROGATION IS WAIVED,subject to
the terns and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAME
USI Rental Specialties 800 854-3298
P.O.Box 53310 A�/c°N1 E><t. FAAC No):
Irvine,CA 92619 1, ADDRESS` .
800 854-3298 cusroMEa ID If.
INSURER(S)AFFORDING COVERAGE NAIC S
INSUD I I American Tent&Table Inc. INSURER A:St Paul Fire&Marine Insurance 24767
P O Box 1348 INSURER C INSURER B:Phoenix Insurance Company 25623
Marstons Mills,MA 02648 INSURER D:
t
INSURER E
I INSURER F
{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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED Ok'MAY PERTAIN;THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
FOR
OR , XOLICY EFF POLICY EXP
TYPE OF INSURANCE is i WLL POLICY NUMBER LIMITS
A GENERAL LIABILITY i" CK00223M /21/2011 01121/2012 EACH OCCURRENCE $1 000 000
X COMMERCIAL GENERAL LIABILITY I PREMISES Me occurrence) $100,000
CLAIMS MADE Q OCCUR MED EXP(Arty one person) $5,000
PERSONAL&ADV INJURY $1 000,000
GENERAL AGGREGATE $2,000,000
GENL AGGREGATE LIMIT APPLIESIPER: I', PRODUCTS-COMP/OP AGG $1,000,000
X POLICY JECT PRO- LOC $
AUTOMOBILE LUU31LnY COMBINED SINGLE LIMIT $
ANY AUTO j (Ea aoddent)BODILY INJURY(Per person) S
ALL OWNED AUTOS BODILY INJURY(Per aoddent) S
SCHEDULED AUTOS PROPERTY DAMAGE $
HIRED AUTOS (Per accident)
NON-OWNED AUTOS I $
$
UMBRELLA LIAS OCCUR EACH OCCURRENCE $
EXCESS LIAB HCLi JMS-MADE l AGGREGATE $
DEDUCTIBLE $
RETENTION S 1` $
B gffgp4ITIVEb�
PENSATION WCsuABILrYXNUB5819Y97511 1/21/201101/21/201 XRIPARTNERp Y/N E.L EACH ACCIDENT $100,000
ER D:CLUDF�? WA
Q E.L.DISEASE-EA EMI'LOYEE1$100,000
H yes dIPTION OF OPERATIONS bel escribe under
SCR ow EL DISEASE-POLICY LIMIT 5500 000
DE
A Equipment Floater IM00201291 1/21/2011 01/21/2012 $450,00 Limit
ial Form j $5,000 Deductible
i DESCRIPTm of oPERATKNIB/LOCATKINB/vEH=n( IA ACOF 101,Additional ar Remks Sehedukr,if more space is required)
This certificate is issued as a matter of roof only.
{ CERTIFICATE HOLDER i- CANCELLATION
i
i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
i
i
I� AUTHOROW REPRESENTATIVE
m 19W2009 ACORD CORPORATION.All rights reserved
ACORD 25(2009/09) 1 of 1 The AC RD name and logo are registered marks of ACORD CXAJG
#S5271901/M5264603
ppTHE rq� Town of Barnstable
~' Regulatory Services
r r
&MMSTABLE,� Thomas F.Geiler,Director
iDrEn►�9. N Building Division
Tom Perry,Building Commissioner.
200 Main Street,Hyannis,MA'02601.
www.town.barnstable,ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This-Section
If Using A Builder .
-
L I( � ��r,�GZC , as Owner of the subject property
ss:
hereby authorize ( ��, f�i ��toct on my behalf,
in all matters relative to'work authorized bythis.building permit application for ' s
(Add As of Job.) /
Signature of Owner. Date
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMIS SION
�t r Town of Barnstable
ti
o� Regulatory Services T g Y
RU NSTABt E • Thomas F. Geiler,Director
Mass.
.6,30. a,0� Building Division
rE `l
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to
be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of constriction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:\WPFILES\FORM S\homeexempt.DOC
FOr+4` ;p
k ` a Ica e o am e esi ;
s a n cePAGE: 11�
Date Manufactured AZTEC TENTSt .
2665 COLUMBIA ST INV NUMBER: 0178567 ,'Y>;
02/26/2010 TORRANCE,CA 90503 P.O. NUMBER:
nl f8001 228-3687 CUSTOMER NO: AMER026 ;7 This is to certify that the materials described below have been flame retardant ,
treated (or are inherently flame retardant). en orI rame Flame =:
.e� NIA Md I ray
b I Bruin Mesh F-222 04 r }
AMERICAN TENT &TABLE INC. Camb. am-Tex 12,14,16,180z
CaliforniaCalifo F-419.01
bns . Gear vinyll6ga/20ga P.O. BOX 1348 Coated F-570.024 .
381 OLD FALMOUTH ROAD UNIT 41 DAF Clear Vinyl l6ga/20ga F-59301
DAF DAF F-593 02
Marstons Mills, MA 02648 Exclusively Expo PolySateen Uner F-434.01 J3
Ferrari Pre[ontrdin[sot F-444.01
Ferran Precontraint 702 F444.08
Phillips Textiles Phil-Tex liner F-50001
i"
' - PVC TE[h. Dew Cloth/VelOn F-504 Ol �
Snyder Weatherspan F-14001 /�r
L+fn Tn Vantage Fireslst Sunbrella F-368 05 '. a
Certification is hereby made that the articles described below hereof are made Tn Vantage Patio 500 F-121 02
Tn Vantage Big TopI F-121 10
I from a flame-retardant fabric or material registered and approved by the Td Vantage Vanguard Weblon F-069.01
d California State Fire Marshal for such use. The fabric has been tested and TnVantage weblon/coastline F-06901 1 �
i Verseidag Dumsidn B1673,61515 F-53001 -
passes NFPA 701 Large Scale. See chart to right for trade name of
flame-resistant fabric or material used and additionally referenced on the label
of the fabric panel.
THE FLAME RETARDANT PROCESS USED WILL NOT BE REMOVED BY WASHING .
David Bradley General Manager-Manufacturing :
x a Name of Applicator or Production Superintendent Title of Applicator or Production Superintendent
^ - M, =,,- 3%
ITEMS MANUFACTURED TYPE PRODUCED
40x40 2pc Series 2500 SP UW S 1
Stock#'5719, #5720
40x20 Mid Series 2500 SP UW S 2
Stock# 5721, #5722
yoYy
�,^CP* .l• Pisa
'A"' a 9
11,M
Certif trade of iffame. Reti5tance
�N
T REGISTERED ISSUED BY: Date treated ora
manufactured N...s,;i
t-"- o���►� APPucanoN AZTEC TENTS&EVENTS ,�,�
\ s CONCERN NO. v
490 ALASKA AVENUE'.8 I TORRANCE,CA 90503 l
r
CAL COMB F419.01 — f
,na _... .(310)328-5060 . ,
This is to certify that the materials described below hereof have been flame retardant treated(or are inher-
ently nonflammable)'
FOR AMERICAN TENT-&"TABLE-,;" AcoREss 381�OLD.FALMOUT.H.ROAD,...S.TE 41 9}
CITY MARSTONS MILLS STATE mA._02648
Certification is hereby made that: check "a"or "b" s
The articles described below this certificate have been treated with a flame retardant chemical approvedf '
r.�
"� ❑ and registered by the State Fire Marshal and that the applicationof said chemical was done in confor-
mance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. ;3
Name of chemical used........................................ Chem.Reg.No....... ........ :,s ?
Meathod of application............ ........................................ . ...................... .........
(b) The articles described below hereof are made from a flame-resistant fabric or material registered and
passes NFPA701-96.
approved be the State Fire Marshal for such use;Fabric has been tested and ;
h
Trade name of flame-resistant fabric or material used..Coated Fabric Reg.No.......................
The Flame Retardant Process Used .WILL NOT.... Be Removed by Washing `
(will or will not) , Rs
4 10
- David-Bradley. - Chuck Miller__- President_ �a Nae of AppGptor or Production Superintendent - .. Title
m
.�: S,�,q.^`ram,�v.. �.��• ,�-,�.'.��.�.
CUSTOMER�.ORDER-NO: - :0134713 - R134793 "
ITEMS MANUFACTURED: .
2- 10 X 10 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE,
2- 10 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE,
2-15 X 15 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE,
3-20 X 20 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE,
3-20 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE,
2-30 X 30 STANDARD FRAME CANOPY 2 PC. TOP ENDS-CLASP ULTRA WHITE,
3-30 X 10 STANDARD FRAME CANOPY MIDDLES-CLASP ULTRA WHITE.
1 l o ?� D
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Town of Barnstable
Regulatory Services
�P� o Thomas F. Geiler,Director
BuildingDivision
■Axxs•rAan e
v� 1 Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee: �-
Permit#: 000 2
HOME OCCUPATION REGISTRATION
Date: 2 /n
Name: Phone#:
Address:_ ( 3 � -�i./ </�'1n t' Village: Co Z /E;.
Name of Business: x/?2� i w f ? -717 e 9 vim`+. e"
--
Type of Business: Coy 1-1 J'y �95'1 S Map/Lot:���
Tc,
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 Aith the Builduig Inspector,a.custonn<•uy home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the'pernianent resident of a single family residential dwelling unit,located ivithin
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
norrial 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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length mid 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
velling nit.
1,the.and signned,1. e.read and agre vith the above restrictions for my home.occupation I an registering.
Applicant: . Date:
i
Homeoc.doc Rev.01/3/0$
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
DATE: -7/ 2`�I 0
i Wu- �� Fill in please:
J= APPLICANT'S YOUR NAME/S:
BUSINESS YOUR HOME ADDRESS:_ f 3 -�T-�F/-zu1<`T'vL
g
' " 7 TELEPHONE # Home Telephone Number �!�Zj 2-
NAME OF CORPORATION ,
NAME OF'NEW,BUSINESS LzClo22 Cr;r�i�.c� r� r U �, TYPE OF BUSINESS
IS THIS A HOME OCCUPATION.? YES NO
ADDRESS:OF BUSINESS ],
AP/PARCEL NUMBER t'�� Assessor
( 9)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFIC
This individual has een inform e f any permit requirements that p oom"WhWiROME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
utflorized Sign ur COMPLY MAY RESULT IN FINES.
COMMENTS:
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that.pertain to this type of business.
Authorized Signature**
COMMENTS:
Cotuit Fire Department GOT trt1-14
AIL Fire, Rescue & Emergency Services
mTI�T 64 HIGH STREET—P.O. Box 1632
'Fues�er COTUIT, MA 02635
. �'•RES0
CAPTAIN DAVID A. PIERCE PHONE 508-428-2210
FIRE PREVENTION FAX 508-428-0202
July 17, 2007
Tom Perry
Building Commissioner
Town of Barnstable Building Dept `
200 Main Street 6-41,
Hyannis, MA 02601
Dear Tom:
On July 17, 2007 this department did a smoke detector inspection at 420 Sampson's Mill Road in Cotuit
the Lagadinos residents. It was noted that there is two bedrooms in the basement that don't have proper
size windows for adequate egress. I advised the owner of this problem and would like to have your
department look into this for us.
If you have any questions, please give me a call and thank you for your assistance in this matter.
S c el ,
David A. Pierce
Captain
cn
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Af
INTEROFFICE MEMORANDUM
TO: ROBIN C.GIANGREGORIO,TOWN OF BARNSTABLE,ZONING ENFORCEMENT OFFICER
FROM: PANDORA LAGADINOS
SUBJECT: BUSINESS CERTIFICATE
DATE: 5/21/2007
CC:
Ms. Giangregorio:
The business I intend to operate out of my home is strictly consulting. I do not plan to have any
customers to my home. The purpose of the business is to review cases referred to me by attorneys.
I will give them my opinion regarding case value and other areas of insurance regulation.
I will pick up case file from my customers' offices and review them there or take them home. I
do not intend to place any sort of advertising material in front of my home.
I home this memo and my curriculum vitae are sufficient for you to grant me a business
certificate. Please let me know when I may return for approval. If you require any additional
information,I may be reached at the numbers on my curriculum vitae.
Thank you for you help and consideration.
Very truly yours
Pandora Lagadinos
Insurance Claims Expert
Insurance Claims Expert 2007 to present. 30 years experience with extensive knowledge in all areas of
claims operations. Noted for the ability to perform quality research that provides counsel the critical data
and steps needed to resolve a case effectively and efficiently. Key areas of expertise include:
• Expert Testimony of Case Compliance to Statutes 93A and 176D
Possesses up to date knowledge of the statutes and recent case law and how it relates to
policies and procedures of claims handling. Testified as an expert in Massachusetts District
Court and Superior Court.
• Identification of Key Points for Case Litigation or Defense
Ability to determine the direction of a case while taking into consideration coverage, liability,
witness credibility, evidence availability and venue. Consistently obtained successful results
through mediation, arbitration and trials.
• Knowledge of Rules of Civil Procedure,Evidence and their Application
Ability to analyze the direction of discovery and weight of expert testimony with the
understanding of admissibility at trial and the timing needed to achieve the best result.
• Medical Knowledge to Determine Client Injury Status
Comprehensive knowledge of medical records; able to review medical reports revealing pre-
existing conditions and prior injury claims.
EXPERIENCE
Insurance Claims Expert 2007 - Present
Arbella Insurance Co. Hyannis, MA 1989 - 2007
Claims Manager
Managed the daily operations, budget and a staff of 20 of a regional claims office.
• Reviewed and handled a high volume of cases (large and small)with minimal oversight
• Reduced active suit count by 50%.
• Developed close working relationships with defense counsel to establish and manage key ground
rules resulting in lower case expenses and the reduction in case lifespans.
• Created a strategy, with the claims staff, to improve case outcomes. Significantly improved case
results in company's favor.
Claims Supervisor
Supervised the bodily injury unit for the branch.
• Developed strategies for investigating coverage fraud particularly in the area of false garaging.
Strategy was adopted as a best practice plan and shared with other company claims offices.
• As a team member,helped establish bodily injury protocols and procedures for investigating
bodily injury claims. Trained bodily injury staff in other offices regarding the implementation of
new protocols.
s
Pandora Perrone Lagadinos Page 2
• Group member that created a program to detect leakage in bodily injury settlements. Program was
so successful that it became a critical part of the audit process and was implemented as a best
practice for the entire claim department.
Kemper Insurance Company 1980 - 1989
Senior Claims Representative
• Investigated claims ranging from first party losses to those involving bodily injury.
Royal Insurance Company 1977 - 1980
Senior Claims Representative
• Investigated multi-line claims including appraisal of auto, homeowners and commercial building
damage
EDUCATION
Louisiana State University,Baton Rouge, LA 1972 - 1976
BS Business Administration
Certified Property& Casualty Underwriter 1985
Vale Tech,Blairsville, PA 1977
Property and Auto Appraisal
Pandora Perrone Lagadmos, CPCU
13 Thankful Lane
Cotuit, MA 02635
508/428-9295 (H) 508/737-9299 (C)
Email: panlag@capecod.net
rl
Town of Barnstable
THE
Regulatory Services
F 1p�
w� tia� Thomas F. Geiler,Director
w Building Division
• BARNSPABLE,
y MASS. •eg Tom Perry,Building Commissioner -
1639
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: r7��
. HOME OCCUPATION REGISTRATION
Date: Z t/d 7
Name: ' /Ur o J Phone#:
Address:��J` / �/ ��7�'� �/i � Village: T
Name of Business: S
Type of Business: C7P7, i -, 4 Map/Lot:
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 Customa Home Occupation.
• No sign shall be displayed indicating the Customa7 I�dress
• If the Customary Home Occupation is listed or advertised as a b , shall not be
included.
• No person shall be employed in the Customary Hom§0o,,&p Vn is not a permanent resident of the
dwelli unit. A VW tool
1,the undersigned,have ead and agree with the above restriction home occupation I am registering.
Applicant: �/ c C, ¢�. s. (,�aABate: 3 /--/ld 7
Homeoc.doc Rev.5/30/03
YOU WISH TO OPEN A BUSINESS? '
For Your Information: Business certificates (cost$30.00 f"nor 4 years). A business certificate,ONLY REGISTERS YOUR NAME in town [which
you must do by M.G.L.-it does not give you permission to operate.) business Certificates are available at the Town Clerk's Office, 1"FL., 367
Main Street, Hyannis, MA:02601 [Town Hall)Fill in
-
;r:Nuat n:ra u;rw„it xyt•FY!W!qR�§''"" ..R'}�,.ie. '.. otaT Z/ V
.4ti p„9W^yy.+,ce `v a• APPLICANT'S YOUR NAME. ?;'9Y7')'6' -
" BUCINECS YOU HOME ADDRESS: / 3
TELEPHONE # Home Telephone Number _Q)dP- ,�' - 5 2 9 r.
I.
NAME OF NEW 6USFINESS TYPE OP BUSINESS: C zrH
IS THIS A HOME OCCUPATION? YES 1110 .
ou been glveja_approv__ �al_from the burldin'
ADDRESS OF BUSINESS MAP/PARCEL NUMBER
When starting a new business there are several things you must do in order.to be in compliance with the rules and regulations'of the Town of
Barnstable. This form is intended to assist you in obtaining the information you May need. You MUST GO TO 200 Main St. = (corner of Yarmouth
Rd. & Main Street). to make sure you have the appropriate permits and licenses required to Legally operate your business in this town.
1. BUILDING CO NER'S OFF CE
This individ al h s en e f any permit requirements that pertain to,this-type of business. MUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
Authpriz d S ature** COMPLY MAY RESULT IN FINES.
COMMENTS:
2. BOARD OF HEALT
This individu has n fo ed of the permit re uirements that pertain to this type of business.
Authorized Signatu
COMMENTS: .
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature.*
COMMENTS: