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0025 COLLINS AVENUE
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TOWN OF BARNSTABLE `� s EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: __ G©I (in C � (-Pa4V-C V 1V.2 ' NUMBER STREET VILLAGE Owner's Name: t1r®LIJA Phone Number_ - 36 7— 7y� Email Address: ka-T.4-914r5 Ick 00 . e-O^-? Cell Phone Numb Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION ` As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: � Date: TYPE OF WORK © Siding Windows (no header change)# F-1 Insulation/Weatherization 0 oors(no header change)# Commercial Doors require an inspector's review 1 Roof(not applying more than 1 layer of shingles) Construction Debris will be going to Natd . &,-)( -L, CONTRACTOR'S INFORMATION Contractor's name i64 a r- (�7o d1v6i11 Home Improvement Contractors Registration(if applicable)#, ! ® � attach co ( Py) Construction Supervisor's License# (attach copy) . e c Email of Contractor C[ ckrl-.r ' o C 0/P4 one number ALL PROPERTIES THAT HAVE STRUCTURES OVER 7 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER.......................................................r.... r° F__ *For Tents Only* Date,Tent(s) will be erected Removed on number of tents total 5 Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the locations of each tent P P O Fuel source being used LP tank 20 lbs. or> Yes No ,if yes, a gas permit is required. Natural Gas Yes No ,.if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approval prior to issuance. i, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): AU STAIL LLC-- Address: Iq PO LLg� City/State/Zip: Phone#: Are u an employer?Check the appropriate.box: Type of project(required): " 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired.the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.ins rance.$ required.] 5..❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[1 Other ` comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: " Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 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 c �fygnder �andpen alties of perjury that the information provided above is true and correct. Si afore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town.official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other k Contact Person: Phone#: i Information and Instructions r,. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit 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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit 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' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked.by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www,mass.gov/dza • `�a Name- Karen Brown -Job address 25 collins ave Date- 11/17/18 - centerville MA 02632 Phone- 508-367-7420 Home address- Cell- Email- karenlisle@yahoo.com P.O. box- Job description: new roof (will be stripping off old roof) 16 We hereby propose to perform the following'services in a neat professional manner in accordance with manufacturers specifications and local building code. 1.Supply and install Certainteed brand/Landmark line (limited lifetime warranty ten year surestart protection 10 year warranty algea resistance 130 MPH wind resistance warranty)These shingles are heavy weight self sealing multi-layered fiberglass reinforced architectural style shingles featering copper-ceramic stones. 2.Supply and install Certainteed Winterguard ice and water shield at all eves walls roof vents skylites valleys and roof penatrations 3.Supply and install synthetic water proof under-layment to entire roof.deck, 4.Supply and install new stink pipe flashings ' 5.Supply and install 8"white drip edge along all fascias_(unless vented)_ }, 6.Supply and install vent along the ridge if requested $6,000.007 In addition to the above work we will also clean and remove debris from the work area daily, re-nail roof deck as needed, and clean all gutters. " Home Improvement Contractor registration#190848 Call the office at:781-217-8123 Construction Supervisor License#103265 z -lox-294 r j� "k7a=6 R9 Name- karen Brown - Job address- 25 collins ave Date- 11/17/89 centerville MA 02632 Phone- 508-367-7420 Home address- Cell- Email- P.O. box- All material and work is guaranteed to be as specified and all work will be completed in a substantial workmanlike manner for a total sum of $6,000.00 with payments made as outlined. Deposit 1/3 $2,000.00 Remainder due immediately upon completion! Please make check payable to All Star Renovations If paying by credit card please note that there will be an additional cost of 2.75% in addition to any APR that you may already be incurring. If you would like different payment options please ask. All workmanship is guaranteed. Factory warranties apply to all materials used and we Stand by the products we use and also our customers. In the event of a problem with any product used.we Pledge to stand behind our customers to resolve the issue. Any alteration or deviation from the above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. This proposal may be withdrawn by us if not accepted within 14 days. Any issue of mold in the building will not be our responsibility during or after the project. r Si nature KCk(T-4A Date of acce tance AcC-tep9anumag ®F prr®p®sa§ The above prices,specifications and conditions are satisfactory and are hereby accepted. I as the owner of the property hereby authorize you to do the work as specified. Payments will be made as outlined above. - Home Improvement Contractor registration#190848 Call the office at: 781-217-8123 Construction Supervisor License#103265 = Client#:"947 2ALLSTI GATE(MM/DDMIYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1 08/21/2018 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 pollcy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Agy HcN o EX,:508 775.1620 5087781218 AlC No 973 lyannough Road EMAIL ADDRESS: P.O.Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:A-d1amsurenceCompany 31325 INSURED INSURER B:Associated Employers Insurance Company 11104 All Star Renovations,LLC Richard Sullivan INSUR ER C 14 Powderhorn Way INSURER D: INSURER E: Centerville,MA 02632 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER"DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE DSUA ORL WVO POLICY NUMBER M EFF MPOLDIO LIMITS A GENERAL LIABILITY BOA507775915 111110212018 01/02/2019 EEAACMHp�OECCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES ERaENTrrence s 50 OOO CLAIMS-MADE a OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLAL14B HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ B WORKERS COMPENSATION WCC50050116252018A 1/02/2018 01/021201 X WC STATU- OTH. AND EMPLOYERS'LIABILITY y L1YLZs ANY PROPRIETOR/PARTNERIEXECUTIVE-I N E.L.EACH ACCIDENT s500 OOO OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If esd nder SCDRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Patriot Builders SHOULD ANY OF THE ABOVE DESCRIBED POLICIES�BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 537 MA-28 ACCORDANCE WITH THE POLICY PROVISIONS.. Harwich Port,MA 02646 AUTHORIZED REPRESENTATIVE C. 01988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2177151M217714 RPSW1 r= � eaiitmr- r«ril 0/', �«dJicr, ,rcdn//1 - - o Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE;LLC ! Registration Expiration 3 190848 03/02/2020 ALL STAR RENOVATIONS LLC` t RICHARD SULLIVAN�i'T 14 POWDERHORN WWAY u CENTERVILLE,MA 02ti32 Undersecretary t l s. Commonwealth of Massachusetts E Division of Professional Licensure Board of Building Regulations and Standards Gonstru ai$rHl bj ervisol CS7-103265 S" Ej ires:0MV2019 RICHARD P.SULLIVAN m 4POWDER;K6RN WAY , CENTERVILLE AITA'02632 COmrnjSsloner 4 i own of DarnsiaDie iKe Building Department Services F r Brian Florence,CBO o� Building Commissioner `* BARNSTABU. t 200 Main Street,Hyannis,MA 02601 v MASS. 1634. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5OA-790-6230 Approved: X ff Fee: 3 5 Permit#: -gig—i6 HOME OCCUPATION REGISTRATION Date: rtt a�' Name: �rn E J T Phone#: _�_y — 36 -7` —74;P-0 AddressA 5 i'\..5 A )P_ : Ge Irk n)t Ub IN �ViIlag0: Name of Business:.L/r m 0 6,UJ a & Gl d a�p r c a Ck e- 6z w • P Type of Business: aea el / Map/Lot: INTENTi 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 tamed 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#oduction 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 are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall bg 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. rr�� Applicant: /� ro l�h Date: rut,to d�0 Homeoc.doc Rev.06/20/16 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years).). A business certificate ONLY REGISTERS YOUR NAME in town (which you must by M.G.L.-n does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200. Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis,.MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: o � � 0 Fill in please: 1Rfflf��u91` R°n fl ," "f APPLICANT'S YOUR NAME/S• C. P�n �liL+�60iyfEdn t,, nrA ,�I�{{L�•r�r,�t � BUSINESS YOUR HOME ADDRm�s'���.�`L Vim 4� s, LEPHONE # Home Telephone Number ` +r Lr19lhN �Su -T� nrc��r. n-a. EIN''or; Email Address: NAME,OF'CORPO.RATION:' '''''' TYPE OF BUSINESS NAME OF NEW'BUSINESS �- IS.THIS A HOME OCCUPATION? 'YE NO r— cf* GoE� ADDRESS OF BUSINESS" i MAP/PARCEL NUMBER C� (Assessing) 0a 3 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'intehded 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 COM S ION R'� QFF This individu I b i to ed an er it r uire nts that p rtain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO i A th rized i u COMPLY MAY RESULT IN FINES. M . ENTS. 1 _ Tl � ' 2. BOARD OF HE TH 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: � -lb -Ik cam, s Links Contact Us Membership Application Sitemap Home BCPGIA Officers Monthly Meeting Schedule C Interpretations Applications Check a Plumbing or Gasfitter Special Announcements I Links I C r - Bristol County Plumbing we bm P. Fall Ri Copyright©2011 Bristol County Plumbing . e h-ftp://www.bcpgia.com/ftieeting.html � n l�nc�e�t,oa� out' � ��je �orrYn�or��n TOWN In accordance with the Massa(. CERTIFICA! is issued to BUILDING COMMITTEE CHAIR QCertifp that I have inspected the premises known a. UNITARIAN CHURCH OF BARNSTA located at 3330 MAIN STREET in the Y County of Barnstable Commonwealth of Massachusetts. Construction Type: 12/20/2012 HOME DEPOT CAME IN.T0 PULL A PERMIT TO REPLACE 9 WINDOWS. THEY'WERE NOT GIVEN THE PERMIT DUETO ILLEGAL APT. IN THE HOUSE HOMEOWNER NEEDS TO, RESTORE TO SINGLE- FAMILY. IF YOU HAVE ANY QUESTIONS PLEASE SEE ROBIN AND THE FILE. A STOP WORK ORDER HAS BEEN PLACED ON PERMIT NUMBER 201207912, �-o��-- CEa��.c;- � E Town of Barnstable Regulatory Services *�aniuveMASS,lE$` Thomas F.Geiler,Director o;o. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 December 13, 2012 Alicia Imparato e Sean Anderson 19 Mimosa Circle Plymouth,MA 02360 Re: Illegal Apartment 25 Collins Ave., Centerville Dear Property Owners: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home with more than 1 unit,which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record and you could be fined up to $100.00 per day, per violation. You must contact this office within 14 days(January 4, 2013)to either; • Apply for a building permit to restore the property to a one-family home. • Apply to the Zoning Board of Appeals for a variance, or • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you,wish to take. Sincerely, Brenda Coyle Division Assistant Enclosure: . cc: Robin Anderson Zoning Enforcement Officer gforms:zoning3 Official Website of The Town of Barnstable Property Lookup Page 1 of 1 Select Language® Assessing Division Property Lookup Results a 2012 367 Main Street,Hyannis,MA.02601 - - - <<BACK TO SEARCH<< 6 Print Friendly Owner Information-Map/Block/Lot:190/143/-Use Code:1010 ........ ..... Owner Owner Name as of 1/1/121MPARATO,ALICIA&ANDERSON,SEAN Map/Block/Lot G/S MAPS ° 19 MIMOSA CIRCLE 190/143/ PLYMOUTH,MA.02360 property Address Co-Owner Name 25 COLLINS AVENUE Village:Centerville ?own Sewer At Address:No .. .......- Assessed Values 2012-Map/Block/Lot:190/143/-Use Code:1010 ._._. .... ... 2012 Appraised Value 2012 Assessed Value Past Comparisons Building Value: $81,700 $81,700 Year Total Assessed Value Extra Features: $34,300 $34,300 2011-$232,500 Outbuildings: $2,000 $2,000 2010-$232,300 Land Value: $104,100 $104,100 2009-$313,500 2008-$310,700 2007-$310,000 2012 Totals $222,100 $222,100 2006-$318,900 ...... .........:...... ......... K Tax Information 2012-MapBlock/Lot:190/143/-Use Code:1010 Taxes C.O.M.M.FD Tax(Residential) $317.60 Fiscal Year 2012 TAX RATES HERE i Community Preservation Act Tax $56.10 Town Tax(Residential) $1,870.08 $2,243.78 Sales History-Map/Block/Lot:190/143/-Use Code:1010 ........ History: Owner: Sale Date Book/Page: Sale Price: IMPARATO,ALICIA&ANDERSON,SEAN12/17/2010_ 25163/247 $216000 NEVINS,DAVID L&ARNIEL F ET AL 11/30/2009 24198/153 $0 - FELTON,MILDRED E 4/15/1992 7974/274 $i FELTON,MILDRED E 8/30/1984 4233/114 $86600 i _ MILNE,JOHN H&ANNI G. 8/15/1983 3842/087 $74000 _.... .... -e. .. Photos 190/143/-Use Code:1010 a ........... Sketches-Map/Block/Lot:190/143/-Use Code:1010 AS Bunt CardS:Click card#to view:Card#1 http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 2.asp?ap=0&searchp:.. 12/12/2012 ]►t Aisetsor.'s;map and lot number THE Q Toy Rwage Permit number ....... ...................'........... ......... i 8 E i AHH4TOIIL , House number .... .`�....... .ss.C.'�..f.. !. ..tl '0 MA8 1039. �0 N a' TOWN OF BARNSTABLE BUILDING, INSPECTOR APPLICATION FOR PERMIT TO �. JL TYPE OF CONSTRUCTION ...VV-0e �?.......�'.�k-A k`.:t .....: ................ .......................... 1 ' a -+ua.n.<tM:e�,:—_s.5{.,.....•nmdl.iu S i�a.+. ,nb. 4� � t..+, �\ L'\ \� ':.0 � 4 Y TO THE INSPECTOR OF BUILDINGS: s Y The undersigned hereby applies for a permit according to the,,following information:' Location ...... ......�?. �r ..1:.J�1 . ........!. . ....... / .K .......................... ........................ Proposed Use ..... '4r +�.... '}r�1.!Z. .�� ..................... . ... ... ............... ................ .. ................ 'i' Zoning District ...... �� l .Fire District ......... .. Name of Owner....�ka.&` .AJ ...!c'1.�... j.�.lhC ..........Address a�,Ge Nameof Builder ....... :........ ........ : . ........,Address ..;.... f ►..... .►....................................................... Nameof Architect ..................................................................Address ...................................i...........................: Number of Rooms .........Foundation .....................'� Exterior .......... t!L1........... ..............Roofing. .......................................... ......................................... Floors . �' � Interior ,..:...:.. ! t S i D .......... o. 4,. .....�... . ..... ........... ......�... t., ......w ......... Heating ..<........................................................ ................. ............ .Plumbing .............. .. ........................................ ...... ...... . .... Fireplace .................................................... Approximate Cost ... ..7.d :0 .................................... DefinitiJe Plan Approved by Planning Board '_____ _�— _ ______19_�_7. Area, ... i. .. Diagram of Lot and Building with Dimensions A�_rA „ 1-('r L%> Fee a .. : SUBJECT: TO APPROVAL OF •BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ...... . _ .. ............................. Construction Supervisor's License .................................... MILNE, JOHN H. k t ,. 2-5450 Build Garage - i Permit for Single Facily Dwelling .. ........... - f j .....�l. ... ...C ... .......... .............. Location ...2..5........ollins.......................Av enue......... '. ........Centerville: f` `f Owner ................John .. Milne......:........ i f Type of Construction' Frame...... 1 t ..... ......... � .�J ........ ........ ......_. ....... .. •�, _ is� 4...' •.�� ��' � � �' �. `-' Plot .............................. Cot ................................ 4. Permit Granted August 2 2 4„� - 8 3 19 Date of Inspection-ff-A.'....`................ ..{.A.'19 Date Completed .................................... 9 `+ "l = 06, a '" ` . ce Z e'+ .. N t J 42.15 0. -'' N ,. CIO�^. � N • ... 00 1 Let 5 N Lot 6 1 Lot 7 z 13450 sf s ! i oo.00 Lot 2 Lot.3 Seale 1"=30' All•Cape Engineering CERTIFIED PLOT PLAN -P. 0. Sox 1533 ' f Hyannis- Mass.. 02601 . '` Being:,lot, #6- as- shown on a Tel..:., 77.8-005$ plan by B-darse `& Law, dated - ` Marche 19, ' 1957 and recorded in book 137 page 89. I certify that the buildin shown hereon is- ,located on 'the ground as shown on this lan and that it conforms to P . the - zoning and building laws . of the Town of Barnstable when. constructed, and to the re- �(�' -W ° : "strictiona on record. Date: 8/8/1983 t Assessor's map and lot number ...f.` �....J.A.k" /� ��...... fir;• L k, xa c -r`,A.�.t.._ J'3 �.=��._��s ru �G �_ tNEj��O • Sewage Permit number I PAWSTABLE, i House. number ..... ...,.•%�� 'S .1'i s rasa �,.. ...�.................. pO 1639• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... .4. ��.,..! r.................................................... TYPE OF CONSTRUCTION /. R.L7...... R A.An..(:::.............................................. ..................... . � .....zs�..:.........19. ��� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location '. �. ....... .. . .................................................. ProposedUse .......a.....0 4 tom-....�'� 4.f� �.��g.>�............. ................... •• ............... ............................................. ZoningDistrict .. ......... ... ... .......... ...................... .Fire District ........... ...... ..... .................................................... Name of Owner .... ..... .Address . .��A. ....�. a.. .......144>1. .ts Name of Builder .... ... .. G. .�..5 r�Q ........Address . gLA.....•;5�-A-! Nameof Architect ................................. .............................Address .................................................................................... r Number of Rooms .................................•••••............................Foundation ... � � �� ..... ........................................................ Exteriorr /J S f................... F••........�•••,.•. .........................Roofing .......... • ............'. ....................................................... Floors .!S/ T'......................................Interior ................. ........................ ........................................ Heating ................`.`..........-^.......................................Plumbing .................••••••......�............................................... Fireplace ..................................................................................Approximate. Cost 0.�?..�.................................... c? Definitive Plan Approved by Planning Board -------::Mt_,_ ---_'-------19 Area !��...........,�...!...::....:.:....... Diagram of Lot and Building with Dimensions q r z ,q 1 Fee I ,:..•:..,.... ', ......`.. ` ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH t F s J t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name /�>o��a i.,., �1?!� .::............::............ Construction Supervisor's License .................... ............ MILN.E, JOHN H. A=190-14.3 25450 BuVi!lcj e No ................. for ........ .... ,,-Permit Accessory to DwelLocation . 25 Collins Av Centerville Owner .John..H.....Mi.lne............................... Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted .,August 22 r 19 83 Date of Inspection ....................................19 Date Completed ......................................19 i 7z5 �LlG2 L f�S CA- GB Engineering Dept. (3rd floor) Map M Parcel / 4ermit# r q I "Z, House# 25 Date Issued J of Health(3rd floor)(8:15 -9:30/1:00- 4:30) Fee25, Consery Office(4th floor)(8:30-9:30 _ � � �� Planning Dept.(1st of Admin. Bldg.) 1ME a r - Defi n Approved by Planning td� 19 ` BARNSTABLE. ` TOWN OF BARNSTABLE ; Building Permit Application j- Street Address a5 00.41-/n,S 1I V e- - Village% Owner- Mrs , F-eL.,kUl) Address ,�S C04L nS 4UP_ Telephone Permit Request e l� First Floor square feet Second Floor square feet Construction Type I/p'O/, Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size .0 Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes Iklo On Old King's Highway ❑Yes ❑No Basement Type: 2 KFu11 ❑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: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes EVKo If yes, site plan review# Current Use QPS , Proposed Use j — Builder Information 7 7S-- d ?p Name �' � Telephone Number ��P' 177 ?Z Address W Ar j�p��s ,,[Gj License# CS 0,5_0 3 a 7 �?�P/'U/GL-e a1Lb/a Oa?C3� 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 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY y.1 PER6vIIT NO. r , DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER r , . DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. °*"E The Town of Barnstable 16�J¢~ �m�' 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 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. Type of Work: Est.Cost NJ Address of Work: as C'o,44// S Ayle (2p✓�,� Owner's Name 41"L-/0 n Date of Permit Application: VA(I I hereby certify that: Registration is not 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 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 /�_��—��, -- ntr�cor Naq# Registration No. &d OR Date Owner's Name The Cunununl+'cald of 4tassaclrusctts - `--_°=j;:r Department of Industrial Accidents OffIC9Of1MV9S fgalfo»s ti, 600liushinrtunStreet 14 : ;'� Bustutr. A1ass. 02111 Workers' Compensation Insurance Affidavit ApPlic to nformatian• Please PRINT le�Ul j� �<710citin, city � ,�l-d"0! )� 6) -'Z(O 3�—' phone# `1 75 ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity 1 •.--..,..-a, -•.�:-..--7--=--f.:�•gp....ur-...RTF -1•-•�.R.te-.,.7.T+•-:�_-_ - - - -- � ".�'!."}°'""`"` """'^" ❑ I am an mpllover providing workers' compensation,for my employees working on this job. compnm•name• add ress- city- phone f!• insur'lnee co 1........�.�.�.....-_..ice- ❑ I am a sole proprietor, general contractor, r homeowner circle one) and have hired the contractors listed below who h the following workers' compensation polices: cnmrins nnmc address l//�✓S Oct 1 ci�c�'r1 )�f //�"� /� G�(n �� phone#• 775 —s 020 insuranceco,L�f � ,l I1•I( "'X I Vo,2Qr5 -C P 'R rl.::•!1 .�w7S-- - .-'T•'t•'• - --� if--r-cb��.�4�7"•�:.S'•'!r"-_ ...�TS.�• -_'�� �_ i_ cmme•tm• nime' addre s- city• phone#� insur'tnce co policy if Attachaddittio_naishcetifnecESM"' +Mt="v^ �"!'^fF�s�yir ^..t.�.•�2_• :.ir,•_�+ _"'�^' 1�-t`.�+'.' .- -- - __.. ..:.:.: failure to secure coverage as required under Section 25A of h1GL 153 can lead to the imposition of criminal penalties of a fine up to S1.500.00 andi( unc%•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. 1 understand that cope of this statement may be forwarded to the Ofricc of Investigations of the DIA for coverage verification. I do herehr certif'under the pains attd penalties o perjun•that the information provided above is true and correct. Sit:natun _Date � Print name i i ^ —&- f � Phone T*7-2 6 '^S01 O I - �ofrtcini use univ do not write in this area to be completed by city or town official city or town: permit/license# riBuilding Department C3Licensing Board C3 check if immediate response is required Selectmen's Office 4 allealth Department i contact person: -- phone#• MOther Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for d- employees. As quoted from the "taN% an etnploree is defined as every person in the service of another under an\ contract of hire, express or implied. oral or written. An entplurer is defined as an individual, partnership, association. corporation or other legal entity, or any two or me the foregoing enLa`_ed in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing; employees. However owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwclling house of another who employs persons to do maintenance , construction or repair work on such dwelling I or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an emplo\ MGL chapter 152 seaion 25 also states that ever} state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any :applicant who lids 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 chapte: been presented to the contracting authority. .: Applicants Please fill in tite workers' compensation affidavit completely, by checking the boa that applies to ;your situation anc supplying 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 any questions regarding the "law" or if you are requi- to obtain a workers' compensation police, please call the Department at the number listed below. Cin- or"Towns Please be sure that tite affidavit is complete and printed legibly. T7te Department has provided a space at the botton: the affidavit for you to full out in the event the Office of Investigations has to contact you regarding the applicant. P be sure to full in the permit/license number which will be used as a reference number. The affidavits may be returner 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 questi 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 i. . TOWN OF BARNSTABLE .BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATEe ( (o JOB. LOCATION Number Street address Section of town "HOMEOWNER" Name Home phone Work phone PRESENT MAILING ADDRESS y l City townState' 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 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 Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands ..the Town of Department Building Deparment minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE � �. 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. tiA 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. I. 'To ensure that the Home Owner is fully aware of his/her 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.