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1851 FALMOUTH ROAD/RTE 28
,3� ` , �S'e ..::. -<�., .,�l :. ,.�_ . .. ,;: ... ;. ,,,., ,� - � .'�'+� r,r,.. r K �..: ,�'�,�..}:.,,:'� ..,�('9, rat•,. "�'��.. •T• �k,'.-r. .R+� - � -� �n���. ... v.'C :..,. '- .-,'(P.. 0. 4+ ,:1 .`i..�i%'`:'. la ::i _�.i F ..i �:.Y � ..#- 4 � ,.�i �A��:�' �.. t-. '��:.�- �! it ,.,, s«.. ,. ..�....�r• .:.x.., ..,.:.. .. .. .., k .�t .4. ..�, L. ';4' ,a ,v e ,. ».._ fi..:d� ,_w..x ,u.. .� z '� G,, � ��:5r r •:r� + .�'.: +a r ��.�.' '3,;x'� +: 2', s� �, a� � n. ,a., +� a ;: ,- x .. •.- .�.> •--��� � a>�r.�::-1{4r ��.[h� a s .iA�¢ ���4 � w le �, Syr i5 x�j,���� ,:.�at'tlr.�. �, Y y �!-,. ., �. � ��'�ti� '� Y6}"�`�'`.,�'•rs '�r�"a� ;��F�w '3� e�� ����`-�'�t�r3t� a� ��°ti ra w�' 'd+ - e 74 , s , d n N+ _ t. A S� a n F i. u, . x 1 '� ... ' + . � •°i =r y -car � df..y 3a: ° C.. � � N` � o `�, 1 ":a.�� � `•eft^ °G� .t•./� .^�/�kCG� � ri ✓a�� a _aa _ :s.. .,aj_� i. .r Y A eacLL s ' �� (�Y l /, y�v ~4� � i� c � ��.�+/ � Ji �_� -•.� E /1 /1� G�C/ / ////�'��'(f vH _-•`� -,� YLto r/` (.`.J\!/�f Ir/`�J'[—_- , _ C�J•I' `J .V��/l� VZ•— ('�1-,1� 1 `r �� / ' C T j Y //��/ �� •i } a - � o lw. o • s S -� , 1 V Appeal '0 88 044p eal Speaal Permit Status Not Family Apt x cgnt Scannell �� [ y Addr2 1851 Falmouth Road / �/Ulage Centerville MA 02632 Aff'Rec�erued MapPar� 189057 nrngI RC earsron Granted u ---------- No#es Sent Itr&affidavit 1/5/98.SPR 36-97 Dance Arts.New letter sent 2/4/98 to remove F/A. RC? n I (((///��/CY - U l 99 MRNffAZM 19. 6, . The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen } Fax: 508-790-6230 Building Commissioner i r June 9, 1997 Nancy Thibault c/o Linda Edson 505 Main Street Cotuit, MA 02635 Re: SPR 36-97 Dance Arts Academy of Cape Cod, 1851 Falmouth Road, Centerville Proposal: Dance Studio Dear Ms.Thibault: The above referenced site plan was reviewed at the May 29 and June 5, 1997 meetings of Site Plan Review and deemed approvable under Section 4-7.4 (2) of the Barnstable Zoning Ordinance. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable.Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Should you have any questions, please feel free to call. Respectfully, G Ralph Crossen Building Commissioner &near r f 4� �• ^z � ul" ; \V t s r' 46,': , . rc f: s - .Syr � _-� •• �` [a 1 f �` r • 6 VW. 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Z .z,sr;«rrv-�he�,..+s:w.t9m `..n<- fimr + r !r aAk. f E � � .` .max y it .$e,. .. . t•* ,# �lJ�r�r c a r, � 1 � .ice,_ R � � � •� �`�y� . rf Jr s `fir•' .. - �� r P �' ,ir�i,;:.� fit- � I 11 1 t; `��._ gin, "��� � •r y� ��1: I � � 'y�4� Y. ;�'L► \, I � .i y [ 9 t • I ' i f � I { is a 1 n .W� ; i 4 i k�r'E a. k , t I I y , 'fixILIA e � 4a, , a 6' a a. c a _ v d _. - _. _- ,� �• ,. .per P � y _ t v ' 3x d. w 1851 Falmo e _ 10/10/12 ITT I¢m u it h ` . d 1 g: 1aa ,, ev C #(&ville 10/10/12 Ai - �y 1 s x Oki off. y n 1 o {". (i!`ne •�;,a w::.. '1` �'{It c � �-. 1 Ar ( a-{y�� a' pl,r. 1 ,M �. �I h.E.r,„ - ✓ s1 b�.} 11r - p 1111 E a ' i I l OF e Ake a+• I 1 ^r¢I��. ��E f� °'d� u� \:{d•� s, -1 . Ye` ii PS `' ''�` .. M - ...., m� d wg + ' ® � IR Y "1e� 1 �-�: rc',� #yy' i., � �'�.f i r._a,n ��i(r- ��� "� � ,#y,°i"�_.• #�� ' �� 9 M ' �rl �,•�4jrS• ,���, i" �'� i'�;B E '-ff^�L�F' 1.y � a'� ,� � . �..� . �� far �� 1(� f . �i' 1 ■ �.� ����.xf. •'�` .s:.:"$� 4 .. :✓"'� s`�� � g' .1 i 14, s I. r _ w 4f w f 3 mot e 4 i '" •�. - ,ey fit` - . +L ,' �a +a$ 4 S x a Y Mu� a Ti ' ���r• � �; s L^ �� i� �4 ;�' «.�,E• "ems" �. w , (mouth Rd Centerville 10/10/12 P1 1Fa , JL r �j a t IQ wJ �., i _ 4� - :. x r P47 L 1� el fit, 4 44 + T • ;yam .�, , v v�i. r; TOWN OF BARNSTABLE BUILDING:PERMIT APPLICATION, Map T n Parcel 0 5-1 Application#1 2 Health Division Date Issued' Conservation Division Application fee W Tax Collector Permit Fee Treasurer r ,f 1 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address /-1(5/ Village Owner 4;1 Address �-�/ art t s r Telephone -7 - % Permit Requestr^�n'/D�y� � r / Square feet: 1 st floor:existing proposed�� 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 00 o Construction Type Lot Size Grandfathered: ❑Yes *o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ( No On Old King's Highway: ❑Yes No Basement Type:Full 6dCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �� Basement Unfinished Area(sq.ft) ` Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing_ new I M Total Room Count(not including baths):existing 7 new First Floor Roorn=Count Heat Type and Fuel:10Gas ❑Oil ❑Electric ❑Other ' Central Air: ❑Yes I'No Fireplaces: Existing New_� Existing wood/coal tove: ❑JYes No Detac :❑existing ❑new size .❑existing ❑new size rn:❑exis ing ❑e size Attached garagepo existing ❑new size Shed#existing ❑new size Other: t, Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# wCurrentUse __ � s_-104�-1 - �Proposed-Use` BUILDER INFORMATION Name - Telephone Number -7) k1`7 q Address 2 S f G% he,� C, r�;Le, License# .0 S 3 9 g 7 t, / O Zco I Home Improvement Contractor# i Worker's Compensation# 4,i c Z-31s,.-3/>v i o J-g ALL CONSTRUC IQN DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOCL SIGNATURE DATE r t - FOR OFFICIAL USE ONLY ' APPLICATION# WE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 4l©� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING a DATE CLOSED OUT k- ASSOCIATION PLAN NO. 4. 2 1�. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street -z. Boston,MA 02111 ; www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information f Please Print Legibly Name(Business/Organization)'Individual): / / e s y6,Cl4, r✓+4 1 Y 44-ty+5 Address: 'L. _a, ne LS Cl r G 1 i City/State/Zip: �Y A-'t)n1 Se OZ 6 0 Phone. #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.A I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling 1 ship and have no employees These sub-contractors have g• Demolition._ workingfor me in an capacity. employees and have workers' Y P tY $ 9. .❑Building addition [No workers' comp. insurance comp. insurance. 10.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ 1 am a homeowner doing all work officers have exercised their 11.El 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.❑ 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.M WC Z 3 J_S' >�-L O 3 Expiration Date: A/G 3 lG� Job Site Address: s s, City/State/Zip: C't nJ v_�1&_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded'to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Sig Date: Date:' Phone#: S',7 Z , 7 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 Contact Person: Phone#: 1 Information and Instructions .Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: i defined as"...eve person in the service of another under any contract of hire, Pursuant to this statute,an employees "...every 'or express lied,oral or written." P �P 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 representative's 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." � g PP 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-contractor(s)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"1.he 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 g Tel. # 617-727-4900 ext 40,6 or 1-877-MASSAFE Fax# 6 17-727-7749 Revised 11-22-06 www.mass.gov/dia ' Tame.rs3.nn(caettiartedj . pmcripiine packsgei for dae aad?wa-F;L=ur Raldeatisl Balidiag�13este8 Witt F pels ' B4AXfMUM M�IMUM • Glazing Gla-zing Calling Waittri Floor ALxers3 Slab '13eatingJCoolin� AA'('lo) 17-ralner R-Value R-value, Ityduci Wall •laP�cit5dmcy' Pa '�3c $70I to diDO F3 t1ag be Narraal ' ' 17%. 0.40 31 13 l9 10 a R 12% M2 30 19 19 10. g I2% 0.30 33 13 19 10 6 157ifVB 036 31 13 23 WA NIA. Nomaal' T Normal U I5'fe 0.46 3$ 19 19 10 S' 0.44 31 13 23 NIA: 14/A 85 AI:UE W 13% 0.32 30 tB 19 10 6 �AL~tTE X 032 31 • 13 2NIA NIA Normal y ;SY., 0.42 39 19 23 NIA . 4A-` N0E Z 13Y. 0.4Z 31. 13 19 ld 6 90 AFUE Io*/. 0•.30 30 t5 19 10 8 S7AFV� ADDRESS OF PROPERTY: ! 2, SQUARE FOOTAGE OF ALL.EXIMUOR WALLS; - 3. SQU.AM FOOTAGE of ALL GLAZING; ' 4, % GLAZING AREA(03 DIVIDED BY•#2): �1S" g, SELECT PACKAGE(Q--AA-see chart ab ow); NOTE; 07I =MORE IN-VOLVED I TI IOD S OF DE i EP�MINIl�1 G ENERGY RE QUIREMF3�T S ARE AVAMABLE...AM.TJS FOR THIS INFORMATION, j3MD1NC!-1NSPECT0R APPRDYAL.' YES;. NO: is-©c0303a Erti Town of Barnstable Regulatory Services A rsn MASS.t E � Thomas F.Geiler,Director �fD M. 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 Us ine A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address 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:FORM&O WNERPERMISSION i Town of Barnstable �pF THE Tp�� y�P Regulatory Services. ? saRxszAgLE, : Thomas F. Geiler,Director MASS. i639. A.O� Building Division lED � 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# i work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dWellinirs 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 'r 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 construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see 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:forrns:homeexempt Board of Building Regu ns and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expirati Registrat►orj on date. If found return to: r 158586 Board of Buildingg Expiration 2010 Tr# 264154 Regulations and Standards f; One Ashburton Place Rm 1301 t � TYpe Partnership Boston Ma.02108 � l x , MASS BUILDING`SYSTEM < STEPHEN BOBOLA 24 ST. FARNCIS CIR LE / HYANNIS, MA 02601 Administrator Not va id without signature Tk ei s ' i i Board of Building Regulatiods and Standards �. w 3 Construction Supervisor License •r License CS 58987 I i Ex iratton 2/4/2010 Tr#,16188 1 lestr i 00'I1 (-�EMUfs STEPHEN E BOBOLA, 24 ST FRANCIS I HYANNIS,MA 02601` Commissioner tr, - r . - •i C D L/Y 1 L� S / I 1- 0�( �"i a vli V h o•a/! , cl w � 7, 9 J 3 z. hod a, ' `_ Z w ul a Eo od : Lu hoLu fln C3 - 0 in LlJ ¢ w +:- _ U- z o - :.." m r co I cfeiJ w z erg �A Q w W - =-r--N- ,. F- o UJ CARBON MONOXIDE ALARMS w t MASS UST BE INSTALLED PER ` - � ACHUSETTS BUILDING CODE w G IMP ORTANT UPGRADE REQUIRE® X Gil !€ STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN o ! ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. �2 NDI A SEPARATE PERF�tTIJtS� `D FOR THE l y / 0 a. fv INSTALLATION OF SMOKE DETECTORS THE ELECTRICAL vn rn o ? p.ERMIt DOES NOT SATISFY THIS REQUIREMENT. 73 `. AL-c BUILDING' EPT. DATE p s r i "c DEPARTMENT DATE y @ +7'�$! 'tATURES ARE REQUIRED FOR PERRtITTING 4/LAG T1ltiI .S Lo t. l Z / <3 G✓ l/'D r G� Al ? I a 1 s .............. x gad / 4� ✓ (4 .. ''}._: N..:�„� y 42 A ::�` e, s'„j Iq J Town of Barnstable Regulatory Services,, 'THE Thomas F.Geiler,Director Building Division` BARNSTABLE, : Tom Perry;Building Commissioner 39. 200 Main Street` H annis MA 02601" �EDMA�A Office: 508-862-4038 Fax: 508-790-6230 August 5, 2010 F Stephen Bobola 24 Saint Francis Circle Hyannis, MA 02601 RE: 1851 Falmouth Rd., Centerville, Map: 189 Parcel: 057 Dear Mr. Bobola: As you may recall, on or about March 18, 2008 this office issued you a building permit (application number 200800219)to renovate the interior of the,above referenced address. As you should be aware, among other responsibilities; the construction supervisor is` responsible to ensure all work done is in compliance with 780 CMR It is also the responsibility of the construction supervisor listed on the permit to request all required inspections. Our records show that there has been no insulation inspection, no final ' plumbing inspection, no fire department smoke detector inspection, and no.final building inspection. You must contact this office and the fire department-to arrange for the required inspections. Failure of successful completion of the`required inspections by September 5, 2010 will result in a complaint filed against you with the-Building Board of Regulations and Standards; penalties for which include, but are not limited to, suspension or revocation of CSL and/or fines. By Order, e Lauzon Local Inspector (508) 862-4034 Q:zoning5 Freeman Davis & Stearns LLC 1597 Falmouth Road,Suite 3,Centerville,MA 02632 p:(508)775-5010 (:(508)775-9105 www.freemandavislaw.com ' One Lewis Wharf,Boston,MA 02110 1>:(617)227-5070 r:(617)227-5001 March 5, 2007 Mr. Thomas Perry, Building Commissioner Town of Barnstable 200 Main Street Barnstable, MA Re: Stephen Bobola 1851 Falmouth Road, Route 28, Centerville, MA Barnstable District Court Citations BAR 725955 BAR 72596, BAR 72597, BAR72598, BAR72599 BAR 72600 Dear Mr. Perry: This will confirm that the Clerk-Magistrate's hearing in the above-captioned matter has been continued, by agreement, until Thursday, June 7, 2007 at 2:00 p.m. Further,this letter shall serve as a Stipulation on behalf of my client, Stephen Bobola, as follows: 1. There is presently only one (1)tenant in the premises, and the premises shall continue to be rented to only one tenant pending the outcome of the Zoning Board of Appeal's relief described below. i 2. Mr. Bobola will complete any building construction items that you deem necessary, during the pendency of the above,to satisfy you that the premises is being rented to only one tenant. 3. Mr. Bobola will apply to the Town of Barnstable under the Commonwealth of Massachusetts Department of Housing and Community Development(DHCD) Local Initiative Program (LIP)by March 16, 2007 for approval of the premises as a two unit rental apartment structure. 4. The Town of Barnstable will then submit the approved LIP application to DHCD. 5. Upon receiving a Project Eligibility letter from DHCD, under the LIP program, pursuant to G.L. Chapter 40B Sections 20—23, Mr. Bobola will apply to the Barnstable Zoning Board of Appeals for a Comprehensive Permit to allow the premises-to be a two unit rental apartment structure, with one of the units being a an affordable apartment as required by LIP. Mr. Thomas Perry March 5, 2007 Page Two 6. Should the LIP Application and/or the Comprehensive Permit Application be denied,the premises shall remain a single family apartment or owner occupied structure until such time as further relief is obtained from the Zoning Board of Appeals. 7. The term"tenant" is not intended to limit occupancy to one person; rather "tenant"means no more than the maximum number of legal occupants for the one unit at the premises. Thank you. Very truly yours, Stephen Bobola By Peter L. Freeman, Attorney in Fact PLF/ntrc Cc: Stephen Bobola 1 - b TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel O Application# ? Health Division 6 3� Conservation Division Permit# (') Tax Collector oce Date Issued Treasurer Application Fee 0 0- Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board s EXISTING SEPTIC SYSTEM Historic-OKH Preservation/Hyannis LIMITEDTO__41_#OF BEDROOMS Project Street Address I s P, Jn.�:-T� o 4 Village Sc n'b--f,d Owner �).2 Ike.in i 47 ! Address P9 S� �� Im-, LA Telephone 7-7 /l S 9 7 1 / Permit Request o C, Ze 1 ,ff I Square feet: 1 st floor:existing /So',,) proposed 2nd floor:existing proposed Total new---"*' Zoning District Flood Plain Groundwater Overlay Project Valuation /01, Q o Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes �No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing Z new Half:existing �� new Dumber of Bedrooms: existing new Total Room Count(not including baths):existing --� new First Floor Room Count Heat Type and Fuel:G@rGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 0No Fireplaces: Existing A' New Existing wood/coal stove: ❑Yes 41 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing O new size Attached garage4existing ❑new size Shed4existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal#. Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# . _Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE `!/ i DATE FOR OFFICIAL USE ONLY T- 1 PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ._ FRAME / lcD j j o j0(,. INSULATION (; ' 4101,0tw f -� FIREPLACE ELECTRICAL: ROUGH FINAL i n PLUMBING: ROUGH ,E FINAL �W GAS: ROUGH 0 FINAL f 4 FINAL BUILDING N DATE CLOSED OUT U tu ASSOCIATION PLAN NO. 17, O I� I Department ofbidUstrial Accidents ' Office of Investigadons, ' 600 Washington Street t Boston,MA 02111' www.massgov/dia WorkerV Compensation Insurance Affdavi#: builders/Contractors/Electaicians/Plunabers ADflicant Information Please Print LeRilbly Name (Businesslorganizationan&vidual)• Address: City/State/Zip: - C ,r, Y��,� Phone#:-- 9 of—I Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a=ployer with 4. ❑ I am a general contractor and'I ' employees (f a 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 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any'capacity. workers' comp.insurance, g• ❑ Building addition [No workers' comp.insurance 5. El We*are a corporation and its �' 10.❑ Electrical repairs or.additions officers have exercised their4equired.] am a homeowner doing all work right of exemption per MGL ' 11.❑Plumbing repairs or additions myself.[No workers' comp. a 152,§l(4),and we have no 12,❑ Roof repairs ae required.]t eft9loyees.[No workers'' other comp.insurance required.] 3'0 *Any applicant that checks box#1 must also f Il out the section below showing their workers'compensation policy infoanatiou t Homeowners who submitthis affidavit indicating they are doing all•work and then hire outside contractors must submit anew affidavit indicating such "' xContractars that checkthis.boat must attached an additional sheet showing the name ofthe sub-oontrahtors and their workers'comp,policy inforn3atiom I 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 Datc- Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiation date). Failure to,secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a fine up to$.1,500,00 and/or one-year imprisomnent, as well as civz7 penalties in the form of a 8TOP'WORK ORDER and a fine of .p to$250.00 a day against the violator, Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby cert fy under thy pains and pennaldes of perjury that the information provided above is true and correct Si tore: Date: .6' Phone#: 7 Z — -7 Official use only. Igo not write in this area,to be completed.by city.or town official City or Town: PermitUcense# Issuing Authority(circle.one): ' 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other LLContact Person: Phone#: Information and. Instructions provide compensation for their employeesv Massachusetts General Laws chapter 152 tequires all employers to pr pursuant to this statute, an employ»e is defined as"...every person in the service•of another under any contract of hire, express or implied,oral or written. ' « artners]}ip•association,Farporation or other legal entity,or any two or more An to er is defined aS::p4?mdrntiuA•;p the legal r resentatives of a deceased employer,or the of the foregoing engaged in a joint enterprise, and inclining g eP receiver or trustee of an individual,partnership association or other legal entity,employing employees. HovK�Yer:tt►e not more than three apartments and who resides therein,or,the occupant of the owner of a dwelling house having dwelling horse of another who employs persons to do maintenance,constriction or repair wo&VU such dwelling house or on the grounds orbu�dmg appurtenant thereto shall not because of such employmentbe deemed to be as 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 pew to operate a business or to construct buildings in the�commonwealth for any licant who has not produced acceptable evf dence•of compliance with the insurance coverage required." aPif MGL chapter 152, §25C(�states"Neither the commonwealth nor any of its,political subdivisions shall AdditionaIly, ��into any contract for the performance of public work.until acceptable'evidence of compliance with the insurance iequirements ofthis chapter have been presented to the contracting authority." . Applicants to ouT if Pleas e fill out .the workers' condensation affidavit completely,by checking the boxes that applC rh'fica(s) of situation�� nEcessary,supply sib-contractors)name(s),address(es)and phone nwnber(s with no employees other than the insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(L ) members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have . to ees,apolicy is required. Be advised that this affidavitmay be submitted to the Department of Industrial �P y tips of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should Accidents for the dma est not the D ar6neat of be returned to the c2ty of��that the application for the permit or license is being requ ed,, eP Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' comstrial ccidency,Please call the Department . 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 to fill out in the event the Office of Investigationa has to contact you regarding the applicant. of the affidavit for Y.ou cense number which will be used as a reference number. In addition, an applicant' Please be sure'to fin in the penmit/li need only submit one affidavit indicating current that must submit multiple permit/license applications in any givenyear, and under"Job Site Address"'tlie applicant should write"all locations in _ ' (city or • anation(if ma be rovided to the info town Pohl stamped or marked by the city or Y P. . been officially stamp of the..affidavit that has b Y filled out.each 10�)' A� affidavit is.on file for;future permits•or licenses..Anew affidavit must be applicant as proof that•a valid E year.Adhere a home owner or citizem is obtaining a license or permit not related to any business or commercial venture (i e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. in advance for our cooperation and should you have any questions, The Office ofinvestigations would like to thank you Y please do nothesitate to give us a call. The Dewy ep m=enf s address,telephone and.fax number: The Commonwealth of Massachusetts . Department of industrial Accidents .. • '. . ..Office 9f jnVeStigatigns 00-Washingfon Street . BogOn,MA 0211L•. 'Tel.#617427-4900 ext 406 or-1-877 MASSAFE . Fax#617-7271-7749 Revised 5-2645 www.miss.gov/dia i - °FINET° Town of Barnstable Regulatory Services 9 '�rE g` Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 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: �� �-� n r �C e r�c arl z / Estimated Cost Address of Work: /'r 5 1&1 isj Owner's Name: ��Y Z:n,, Date of Application: �ZD 1( 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 gwner 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. / Z R Date Owner's Name Q:fomislomeaffidav I RESMENTIAL BUILDING PERMIT FEES ' pLICATION FEE • - NowBuEdfngs $100.00 Residential Addition $50.00 AltamfiOnslRenovations $50.00 (wage of Contraotor/Builder $2 10.0 +E VALUE WORKS HE EW Lima SPACE ' square feet x$96/sq.foot= x.0041a ' pluslus fr�oxabelow(if applicable) LTERATIONS/RENOVATIONS OF EXISTING SPACE 0.0 square feet x$64/sq foot= a v l� x•0041= / 4 ;�� /plus frombelow(if applicable). �ARAGES'(attached&detached) squaw feetx$32/sq.fL= x.0041— ACCESSORY STRUCTURE>120 sq.ft. >120 if-500 sf $35.00 . >500 sf-750 sf 50.00 . >750 sf-1000 of 75,00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as newbuildiagpermit: —square feetx$96/sq,foot= x.0041= STAND ALONE PERMITS Open porch x$30,00= (number) . Deck x$30.00= (number) Fireplaee/Chimney x$25.00= (number) Inground Swimmfng Pool $b0.00 Above Ground Swimming Pool $25A0 Relocationmoving $150.00 (plus above if applicable) Permit Fee 93 , Town of Barnstable Regulatory Services ; Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Maim Street, Hyannis,MA 02601 ww•w.town barnstablema.us Fax. 509-790-6230 Tice: 508-862-403 8 HOMEOWNER LICENSE EXEmMON ' PleaaePrint ' DATE: ' JOB LOCATION: i village number street �� 77/— gK � ;7 S3��goj '�OMEOA» J j� .home phone# woTic phone# CURRENT MALNG ADDRESS: T r c { r- 1 r c C state code city/tows � foz"homeowners"was extended to include ossessca license,pr xpied o f ix units-or I and The current exemption ided that the owner acts as to allow homeowners.to engage as individual for lure who does not p su,�Y• 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 r ortsible for all such work 31 owned under the buildine vermit (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 rtigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department =jnimm inspection procedures and requirements•and that he/she will comply with said procedures and requirements. Sig►ature of Hoaneawner Approval of Building Official Note: Three-fay 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 E7XM2TION .Tye Code states that "Any homeowner performing work for which a building perrrdt is required.shall be exempt irom the provisions ovided that if the bomeowner engages a persons)for hire to do such of this section(Section 109.1.1-Licensing of construction Supervisors) pr work,thdrsuch Homeowner shall act as supervisor:' Ntarry hcmewvaers who use this exernpti'on are unaware that 0 are assurrnng the responsibilities of a supervisor(see Appendix y Rules&Regulations for Licensing Construction,Supervisors,section 2,15) This lack of awareness often results in serious probic=,p when the homeowner hires uacensed persons. In this case,our Board.caanot proceed against the unlicensed person as it would with:a licensed Supervisor. The heaawwner acting as Supervisor is ultimately responsible. that the homeowner is To enssnse fully aware of his/her responsibilities,many conranunities zequire,as part of the permit applicati on, 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 Waal towns, you may care t amend and adopt such a famVeezdficatim for use in your conz=nity. x J r- r J f A r � a t� o a X v C� > t c a v t l a NO �t T! r v i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application# �yY� t/ Health Division Conservation Division Permit#Tax Collector Date Issued s C7 (P Treasurer Application Fee " Planning Dept. Permit FeeZJ�'aO Date Definitive Plan Approved by Planning Boards pK B�Ifac Historic-OKH Preservation/Hyannis Project Street Address Village cc , Owner ,,., i a_ !�n, Address roll Telephone U Permit Request iV 'nj awe/11,ps Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District - Flood Plain Groundwater Overlay C, Project Valuation_ Q'C)I Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Famifly Two Family 0 Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes o On Old King's Highway: ❑Yes No Basement Type: ❑ Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑,Yes w No Fireplaces: Existing New Existing wood/coal stove: ❑Yes CNo Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of A peals Authorization ❑_ Appeal#. _ __Recorded:❑ w � Commercial ❑Yes XN o If yes, site plan review# � Current Use "' i Proposed Use BUILDER INFORMATION Name .5]�Zot2/_242�2 4��la X Telephone Number ,2:2 Address 1 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE DATE / FOR OFFICIAL USE ONLY t i ` PERMIT NO. DATE ISSUED ° MAP/PARCEL NO. y 1 ADDRESS VILLAGE 1 � s OWNER ' `�. DATE OF INSPECTION: `r FOUNDATION 's FRAME INSULATION a FIREPLACE , ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ell I d D D U� DATE CLOSED OUT ASSOCIATION PLAN NO. 1 ne t,ommonweativ uJ lrxaxYa.vnu.Yeuii Department oflndustrialAccidents ..� Office of Investigations A M 600 Washington Street Boston, MA 02111 ,.•' www.mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plunabers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: ` w i ' City/State/Zip: cc,n- ,P,,- V,� /�o : Phone#; Are you an employer? Check the-appropriate bog: Type of project(required): 1•❑ I am a employer with 4. ❑ I am a general contractor and I 6• ❑N:w construction employees(IL' and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or p=er- listed on the attached sheet. $ 7• © Remodeling ship and have no employees These sub-contractors.have 8. El Demolition workingfor me in an capacity. workers' comp.insurance. g y p t3'• ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.] officers have exercised their I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no 12.[3 Roof repairs insurance required.] t employees.[No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforrnation: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp•policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob 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 flue up to$1,500,00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify und he pains and pen •es of perjury that the information provided above is true and correct: Signature: ✓ Date: F//& Phone#: O 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.Electricai Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions 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 orbuilding 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),addresses) and phone numbers)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 Iegibly. 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 maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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 Deparment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-1077-M -SSAFE ran ; 617-727-7749 Revised 5-26-05 w-Ww.Il3ass.uov/(lla °F"E r° Town of Barnstable Regulatory Services BARNSTABIX ' Thomas F.Geiler,Director Mnss. ,°lFo;9.(A 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 Permit no. r 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: Estimated Cost e ` Address of Work: �j Owner's Name: � I Date of Application: 3 I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,00.0 []Building not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR O 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 Signature Registration No. Date Owner's Signature Q:wpfiles.forms:homeaffidav Rev: 060606 ram;, Town of Barnstable oFTKKE ~Q� Regulatory Services anwvszAsr.E, ; Thomas F.Geiler,Director b 9 �•� Building Division �PrfD r"p�s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us ;e: 508-862-4038 Fax: 508-7907 6230 HOMEOWNER LICENSE EXEMPTION 2 l Please Print DATE: JOB LOCATION: I O S� /_�e �y,� B C�° �� ?! I number street village ,mMEOWNER°: o���r o�a .35 3 - .11arnif home phone# work phone# CURRENT MAIL NG ADDRESS: <rrr-e 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 of 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 requireme Signature o omeowner, 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 homeowne'r performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)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:forms:homeexenTt o _ t ; vo c - r f F - 1, . � � �, { •/ t'.. � (1 ,r. -� �t� !r .. t •(1• (t/ / L�• __..`�- f ,ram � l dv !'.-. - r 13106 �G Li C al h4 >�Yi 3 �d�rilT Po s M)/ 1 > j /i i e i'P'e�.S 4/�.` e- Cal S T-c/X IVj { �eec53 a,don Jill lv�In Z" -z �h 2 do, or 7-a = e t Y / e ak It �� et i "I � �� UO I) 4 s^� -T of Town of Barnstable Regulatory Services RAMWABM MASS. Thomas F.Geiler,Director 1639.rED MA'S A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 30, 2006 Stephen Bobola 24 Saint Francis Circle Hyannis, MA 02601 RE: 1851 Falmouth Rd. Centerville, MA,Map:189 Parcel 057 Dear Mr. Bobola: This letter shall serve as response to your written request for the deficiencies found in the final inspection of permit number 20062187. The permit was to restore the building to a single family dwelling including removal of a second kitchen installed without the benefit of the proper permits. Firstly, the cabinets removed were placed in front of an exit door. 780 CMR 3603.12.1 requires a minimum three foot by three foot open floor area provided at the interior side of all exit doors. Secondly, there was no internal access from the area in question to the main body of the house. 780 CMR 3603.10.1 requires all floors within a dwelling unit to have at least one means by which a continuous and unobstructed path to the exit doors is provided. Thirdly,it is also the opinion of this office that the door at the top of the stairway is an obstruction which hinders access to the required exit doors. You may contact this office at (508)862-4034 when you correct the deficiencies to schedule a reinspection or with any questions you may have. Respectfully, Jeffrey L. Lauzon Local Inspector Q:zoning5 Parcel Lookup Page 1 of 1 j� TH E I?117- D 414. 5YillilE_ � �'1� Logged In As: Pa rce I Lookup Tuesday, Octo Road Lookup Condo Lookup Multiple Address Lookup Search Options Search By I Owner �� i Owner Name Search^ <Prev Next> Page 1 of 1 Rows/Page Parcel Location Owner Village Ma 022-012 360 MAIN STREET(COTUIT) BOBOLA, ANDREW J COT 02, 291-224 24 SAINT FRANCIS CIRCLE BOBOLA, CAROLYN HY 29 3 189-057 1851 FALMOUTH ROAD/RTE 28 BOBO EPHEN`E; CEN 18' �p 3 0� http://issql/intranet/propdata/lookup.aspx 10/3/2006 f Freeman Davis & Stearns LLC al !15 7 Attorneys at Law . 1597 Falmouth Road—Suite 3 10 Concord Avenue Peter L..Freeman Centerville,MA 02632 . Cambridge,MA 02138- 1 Vf I Joshua-Davis Janet R.Stearns (508)775-5010 (617)876-6128 Meredith YL West (508)775-9105(fax) (617)576-6612(fax) Albert E:Todino e-mail: pfreeman(,freemandavislaw.com Please reply to: Centerville September 26,2006 William Eldridge, Jr., Clerk/Magistrate Barnstable District Court P. O. Box 427 Barnstable, MA 02630-0427 Re: -Town of Barnstable vs.Stephen Bobola Application No. 0625-AC-004131 Dear Sir�Madam: l The following citations are scheduled for a Clerk's Hearing.pursuant to G.L. Chapter 218, Section 35A on October 5,2006 at 2:00 p.m.: 1. BAR 72595; 2. BAR 72596; 3. BAR 72597; 4. BAR 72598; 5. BAR 72599; and 6. BAR-72600: Confirming our telephone.call of last Friday, we are requesting that.these citations and the Clerk's Hearing_be continued for 3 months as the Town of Barnstable and this office are working out a settlement of these issues. Thomas Perry;the Building Commissioner for�.the Town of Barnstable has assented to this request for a continuance. Kindly advise this office and Mr. Perry of the new date. Thank you for your assistance.: Very truly yours, Peter L. Freeman PLF/ntrc Cc;. Thomas Perry, Building Commissioner, Stephen E. Bobola ! . * a t a a i R a t a eQ + NOW r:, F A. 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R... .<. '`� �«.\.> .'A"('�++.r r �' :� .�-: �,a+...,- �•:r x ,�•3. ,,..,. .:-sa c: ,.,.>o�w• ... > ..� - < ,.,.f!{ < -,,.� , •.. .,. �tea.: .... �:� .,,:. ;�..a '�4 .:. '� e` ,� �,� � a� 'ate C,' "',vt a3�„ J � � �� �.:'� g''�Y � � �� �� •a, .,a > ss- r . ..... s �<'�• ,. ,,. �. ,;a;'$'c a, , a.a,. '.�-•w�s a:�..-:<« s r' t r,°°n ......,... 'a:" .7SL"s �>{r°�T���y�� �:.." '?•§.� a �,av t�S`�' '�� �a**� o• a � :a ' :r , ,F, /d�g�y� �� Freeman Davis & Stearns LLC Attorneys at Law - 1597 Falmouth Road—Suite.3 10 Concord Avenue Peter L.Freeman Centerville,MA 02632Cambridge,MA 01138 Joshua saris Janet R.Stearns (508)775-5010 (617)876-6128 Meredith K.West (508)775-9105(fax) (617)576-6612(fag) Albert E.Todino e-mail: pfreeman(a freemandavislaw.com Please reply to: Centerville September 26, 2006 William Eldridge, Jr., Clerk/Magistrate Barnstable District Court P. O. Box 427 Barnstable, MA 02630-0427 Re: Town of Barnstable vs. Stephen Bobola Application No. 0625-AC-004131 Dear Sir/Madam: The following citations are scheduled for a Clerk's Hearing pursuant to G.L. Chapter 218, Section 35A on October 5, 2006 at 2:00 p.m.: 1. BAR 72595; 2. BAR 72596; 3. BAR 72597; 4. BAR 72598; 5. BAR 72599; and 6. BAR 72600. Confirming our telephone call of last Friday, we are requesting that these citations and the Clerk's Hearing be continued for 3 months as the Town of Barnstable and this office are working out a settlement of these issues. Thomas Perry, the Building . Commissioner for the Town of Barnstable has assented to this request for a continuance. Kindly advise this office and Mr. Perry of the new date. Thank you for your assistance. Very truly yours, Peter L. Freeman PLF/ntrc Cc: Thomas Perry,Building Commissioner Stephen E. Bobola t i Town of Barnstable Regulatory Services % Y x BAMSfABM MASS. g Thomas F.Geiler,Director �A 1659. rfDMA.�A Building Division Tom Perry,Building Commissioner p 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 24, 2006 Stephen Bobola 24 St. Francis Circle Hyannis, MA 02601 RE: 1851 Falmouth Rd. Map : 189 Parcel : 057 Dear Mr. Bobola: This letter is in response to your application to do work at the above referenced address as required by 780 CMR 111.1. Unfortunately, your application must be denied at this time for the following reasons: Firstly, the plans submitted show a studio apartment on the second floor in a zoning district where the principle permitted use is a single-family dwelling. A special permit issued by the Zoning Board of Appeals is needed for the use proposed. Secondly, the plans are incomplete. Doors shown in the new work do not include sizes. Only one window size is shown making it unclear if the space has proper ventilation as per code. Insulation is not shown for the conversion of the garage into living space. If you wish to proceed with the renovations you must provide this office with the required construction documents and obtain the proper permits. If aggrieved by this decision you may file an appeal to the State Building Code Appeals Board as specified by 780 CMR 122.3.1. If this office can be of any further assistance please do not hesitate to call. Respectfully, Jeffrey L. Lauzon Local Inspector Q:Zoning5 f °FIWE Town of Barnstable Regulatory Services BA1e ASS Thomas F. Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: P)ob o i a Map/Parcel: r Project Address �l Mt'A n�. Builder: D w AIC, The following items were noted on reviewing: z I rI 3 Sl.t � ��' �1 OOr W�c•�� � 'ems �� k6W Reviewed by: Date: lnl2yl (� Q:Forms:Plnrvw - RESIDENTIAL ADDITIONS OR ALTERATIONS If located: ❑ North of Route 6 - any work visible from outside- needs approval from OKH ❑ In Hyannis - If work visible from outside - Check to see if it's included in the ❑ Hyannis Historic Waterfront District- if so it needs approval from them S ❑ If ZBA relief(Special Permit or Variance is.required'for project: ❑Copy of ZBA Decision []Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date. A"LICATION PACKAGE MUST INCLUDE: [A Map parcel number Approval gn-offs from: Health Conservation(if exterior work) Tax Collector Treasurer Street address 'Owner's name & address Permit request- full description of proposed project) Square footage -proposed project Estimated project cost Complete Dwelling information for Assessor's Office Builder's information Signature Plot plan(shows location & setbacks of house) Plans—5 sets measuring 11"x 17" fully dimensionlized with foundation, floor plan, cross section, framing schedule & smokes, with a Red S (SB or SH) Home Improvement Contractor's Affidavit Worker's Comp form must include: Insurance Company's name &Worker's Comp. policy number. Copy of Insurance Compliance Certificate must be on file. Energy Compliance Form opy of Construction Supervisor's License &Home Improvement Specialist's License OR Homeowner's License Exemption Form. Application Fee ❑ Permit Fee Property Owner must sign Property Owner Letter of Permission. CHIMNEYS ❑ Need Home Improvement License ❑ No plot plan required PIERS & DOCKS , ❑ Need Construction Super license AND Home Improvement License Owner cannot pull$own permit q-forms:permits 1 rev.100804 f THE Town of Barnstable Regulatory Services XMNSfABLE. + T+ MAss. g Thomas F.Geiler,Director 039.p10 Building Division FD Mpl' Tom Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 `Fax: 508-790-6230 Building Permit Procedure for Residential Addition Or Remodel Or Dock ❑ Determine map and parcel number and enter it on application. ❑ Historic District Commission,200 Main Street, approval required prior to construction/demolition for any properties located in a Historic District:. • Old Kings Highway Historic District(north of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic District(See map for boundaries) • Historic Preservation(if applicable). ❑ If ZBA relief(Special Permit or Variance is required for Project): ❑Copy of ZBA decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date ❑ Approvals from the following departments are required and can be obtained at 200 Main St.: ❑Health Department (8:00—9:30 AM&3:30-4:30 PM {as of March 2nd, 2005} ❑Conservation Department (8:00—9:30 AM &3:30—4:30 PM) ❑Tax Collector , {can be obtained from Building Department) ❑Treasurer {can be obtained from Building Department} ❑ Permit must contain complete owner information, full description of project, correct square footage of project,valuation of project(must agree with Total Cost from Project Worksheet), building detail for Assessor's Office, complete builders information,including signature and date of application. ❑ 5 sets of reduced house plans measuring 11"x 17",scaled 1/4"= 1' & fully dimensionalized are required. Plans must include a foundation,cross section,framing schedule, insulation detail & floor plan showing location of smoke detectors(located with a Red `S'.) ****** IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING DATA MUST BE PROVIDED****** ❑ Plot plan or mortgage survey required for any addition. ❑ Home Improvement Contractor's Affidavit ❑ Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In the event the homeowner takes out the permit, subcontractors hired must supply this. Copy of Insurance Compliance Certificate must be on file. ❑ Energy Compliance Form ❑ Construction Supervisors License &Home Improvement Contractor's License OR ❑ Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. ❑ Property owner must sign Property Owner Letter of Permission. ❑. A NON-REFUNDABLE Application Fee must be paid upon receipt of application number. All checks should be made out to the Town of Barnstable ❑ CHIMNEYS: Need Home Improvement License, no plot plan required ❑ PIERS AND DOCKS:Need Construction Super License AND Home Improvement License. OWNER CANNOT PULL OWN PERMIT. Q:bldg/wpfiles/forms:R_addalt 052206 r• .::i ' P€RHIT PAYMENT RECEIPT TOUR OF BARNSTABLE BUILDING DEPARTMENT 200 RAN STREET HYANNIS, HA 02601 DATE: 10/05/06 TINE: 16:00 }"' -=---------- ----TOTALS--------------- 1. u' PERMIT $ PAID 50.00 ANT TENDERED; 50.00 � f� AMT APPLIED: 50.00 CHANGE: .00 ° >: ;i:,1 APPLICATION NUMBER,: 20993709 ` PAYMENT METH: CHECK PAYMENT PEF: 2721 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a Map/ ,I % Parcel 0 577 Application# 6240 6 01 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village -0 Owner 9- a o �� Address y 5 C, 7"c le— Telephone — 2�9 7 Permit Request / 101) o,44,o o,r a - Square feet: 1 st floor:existing proposed_0 2nd floor:existing ® 'pc posed Total new _ Zoning District Flood Plain Groundwater Overlay Project Valuation Yj 00 0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6.511 Historic House: ❑Yes o On Old King's Highway: ❑Yes No Basement Type: ❑FUII (drawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing Z new Half:existing new z, f Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes *o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size ol:❑existing ❑new size Bafohoo'❑existin ❑nevCtize ,4 Attached garag existing ❑new size Shedexisting ❑new size Other: a Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ cn or Commercial ❑Yes ❑No If yes,site plan review# w z Current Use Msn _a =Proposed Use BUILDER INFORMATION Name �� � e14 Telephone Number 2 7l r 07 Address c, s C1 r c Z e License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'b a d I(- Z. SIGNATURE DATE 6r X 6 FOR OFFICIAL USE ONLY .. . S a 4 PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE 'OWNER } DATE OF INSPECTION: FOUNDATION " j FRAME 1 INSULATION 3 FIREPLACE . F ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL ') GAS: ROUGH FINAL FINAL BUILDING N 3 DATE CLOSED OUT ASSOCIATION PLAN NO. ` " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /? Parcel PP A lication# C�? 3 fJ . Health Division - Conservation Division P6.11Permit:,# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by,Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1 _ R Village ,., �. Owner �'•�,-.���,h //�.��� �� Address � �'�*�c.?5 c Telephone 7,7I— X 7 7� Permit Request __z Alt 'I)n I/ e, II i . r Square feet: 1 st floor:existing A/.� proposed 0 2nd floor:existing 4 A proposed Total new l � Zoning District Flood Plain Groundwater Overlay (, Project Valuation 7 a 00 G Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6511 Historic House: .❑Yes P'60 On Old King's Highway: ❑Yes 10No Basement Type: ❑ Full C0`Crawl ❑Walkout ❑Other r _ Basement Finished Area(sq.ft.) Basement Unfinished'Area(sq.ft) Number of Baths: Full:existing 2— new Half:existing ne Number of Bedrooms: existing 2 new d Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes �0`No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool ❑existing ❑new size am❑existing ❑new*---*size Attached garageexisting ❑new size Shed)dexisting ❑new size Other: _ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ P CA t _ • Commercial ❑Yes ❑No If yes, site plan review# • Current-Use�' - I BUILDER INFORMATION N 1 Name �-417, 917 ����a�c, Telephone Number � 7l � - a e. , , c, S , rc ,,Address `Z � �� �" - C 1-e. License# Home Improvement Contractor# v Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L.n jr/f SIGNATURE s�'. DATE f a ' B FOR OFFICIAL USE ONLY P3 a PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f The Commonwealth of-Massachusetts Department of Industrial Accidents O,fj`ice.of Investigations 600 Washington Street Boston,MA 02111 `,4 s�• www mass.gov/dia Workers' Compens_ation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgmization/Individual): Address: C T City/State/Zip: Phone#: 7 S 7 Are you an employer? Check the'appropriate box:. Type of project(required):- 0 I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees (fun and/or part-time).* have hired the sub-contractors :.❑ I am a sole proprietor or partner- listed on the attached sheet.$ 4 Remodeling ship and have no employees These sub-contractors have 8. ED Demolition working for mein any capacity. workers' comp.inmranCe. g. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑ Electrical repairs or.additions • required.] . . I am a homeowner doing all work ' right of exemption per MGL 1'1.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no. 12.❑ Roof repairs insurance rimed•] t employees. [No workers' 13.❑ Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such .ontractars.that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site iformation. isurance Company Name: olicy#or Self-ins.Lie..#: Expiration Dater A Site Address: City/State/Zip: .ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a me 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 f up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of avestigations of the DIA for insurance coverage verification. do hereby certi under wins and enalties of perjury that the information provided above is true, d correct i atnre:. Date: 'hone#: 1 — Of cial use only. Do not write in this area,to be completed by city.or town offtciaL City or Town: Peemit/License# . Issuing Authority(circle one): 1.Board of Health 2._Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and. Instructions 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 iadlvidual,.parWership, 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 woik-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-contractor(s)name(s), address(es)and phone number(s)along with their certificates) 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 eater their self-insurance license number on the appropriate line. City"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 Min 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 orliaenses..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 bum 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 9f Investigations 600-Washington Street . Boston,MA 0211L. ' Tel. #617-727-4900 ext 406 or-1-877-MASSAFE Fax#617-727�7749 tevised 5-26705 www.mass.gov/dia • f �F'THE ° Town of Barnstable ~° Regulatory Services. BAei.NSTAMM ` Thomas F. Geiler,Director MASS. fc►3n9. )b Building Division Tom.Perry,Building Commissioner 200 Main Stredt, Hyannis,MA 02601 www.town.barnstable.ma.us )ffice: 508-8624038 Fax: 508-790-6230 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: e o eYi-G Estimated Cost�> Address of Work:. / F J Owner's Name:_ Date of Application: I°zy Zo I hereby certify that: Registration is not required for the following reason(s): 13Work excluded by law ❑Job Under$1,000 Building not owner-occupied F-U,wner 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 Signature Registration No. Date Owner's Signature Q:wpfUes.forms:homeaffidav Rev: 060606 eon a Pseseriptive Packages for Oue and Two-Family Realdentlal Baildinp'Meated with Ftr ff Fuels MAXIMUM MIMMUM Glaring Glazing Ceiling Wall Floor Baseaa g Slab '116dng/Cooling Arm'(%) U-value= R-valuer R-value' Rwalue° Wall Pesimeter Equipment Emcieacy� Parma' ge R-valuef R-valuer 5701 to 6500 Heating Degree Days Q� 12% 0.40 1 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 I3 19 10 6 85 AFUE T 13% 036 38 13 25 N/A N/A Normal U 1 I5% 1 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 23 NIA N/A 33 AFUE w 15% 0.52 30 19 19 10 6 85 AFUE K 1S'/o 0.32 38 13 23 N/A N/A Normal T 18%. 0.42 38 19 23 N/A N/A Normal t 12% 0.42 38 13 19 1# 6 90 AFUE AA 19% 0.50 30 19 M 10 6 90 AFUE 1, ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY 42): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FORTIES INFORMATION. BUILDING INSPECTOR APPROVAL: YES:. NO: q-forms f980303a RESIDENTIAL BUILDING PER MIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below�:f applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x ,0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Projcost Permit Fee Rev:063004 Town of Barnstable Regulatory Services BARNSPABLE, ; Thomas F.Geiler,Director 9 MASS. i639• .m e Building Division rF0 MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE 1D 4 JOB LOCATION: g SJ /ct, /d^i®t+ 6 `� re r� �c o�L) Ile /,e number ) j street village J "HOMEOWNER": — ��h 6i9`7 4i .5'G$ 7-21-Z 9 713 �779 '3 3 �8� name home phone# work phone# CURRENT MAILING ADDRESS: �a G)C C. �c i ity/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. SiCnature of Home er Approval of Building Official Note: Three-family dwellings containing 35,600 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 construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see 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:forms:homeexempt , J x , s n , y ED - v` -N y e v� It A IMPORTANT-UPGRADE REQUIRED SMOKE DETECTORS REVIEWED STATE HUUING CODE REQUIRES THE:UPGRADING OF SMOKE IXTECiORS FOR`TW ENTIRE`DWWNG WHEN ONE OR MORE SLEEPM AREAS ARE ADDED OR CREATED: A9' UILDING DEPT. 5� a(� DATE INSTALLATION OF smoKE �TORSS NTH ELECTRICAL PMU SATISFY THIS REQUIREMENT. FIRE DEPARTMENT f BOTH SIGHATURI ARE REQL`IRED FOR PERD U Q r i VV o i � 7 ;h- Co w . � O /e L� t I ' �a J 1 1 1 v r r a f - � a i ,J S i i i IC s. p 1 � c I � n _ x tin I f IMPORTANT-UPGRADE REQUIRED SMOKE DETECTUAS REVIEW STATE SUILDING CODE RELIES THE UPGRADING of REVIEWED SMOKE DETECTORS FOR TW ENTIRE DWELLING WHEN 5! 0(a ONE-OR MORE SLEEPING ARM ARE ADDED OR CREATED; A9' (�W �EING DPT. DATE T OM, A E PERWt IS REQUrl.FD FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL, T SATISFY THIS REQUIREMENT. ATE �FIRE3EPARTMEM';�S RES ARE REQLhgMrT N. ED FOR PERAT ti I r � �O J r Town of Barnstable Regulatory Services * BARNSrABLE, r MASS. �,, Thomas F.Geiler,Director $A .z6gq �0 rF 39 A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 30, 2006 Stephen Bobola 24 St. Francis Circle Hyannis, MA 02601 RE: 1851 Falmouth=Rd. Map : 189 Parcel : 057 Dear Mr. Bobola: This letter is in response to your application to do work at the above referenced address. As you are aware, currently there is an unpermitted apartment in the dwelling. You have chosen to participate in the amnesty program to resolve the issue and currently are awaiting a hearing. It is the determination of this office that until the amnesty process is complete and a certificate of occupancy for the apartment issued or the apartment is removed; no further permits shall be issued. Therefore, your application is denied at this time. The Zoning Board of Appeals is available should you wish to further discuss your options. If this office can be of any further assistance please do not hesitate to call. Sincerely, i Jeffrey L. Lauzon Local Inspector s Q:zoning5 r 1 0 0 Lo IOU 1 1 Zo 1 1 a. 1ti Q.i� i 4 j - e Al s � t •� � � `ems'' LL-.� _r....�... �__-�.-.,....._. - i IMPORTANT-LJPGRME REQUIRED SMOKE DETECTUAS REVIEWED STATE BUILDING CODE ROES THE UPGRADING OF SMOKE DETECTORS FOR THE.ENTIRE D'WEiING YyHEN A, 0(a OAIEOR MORE SLEEPINl;I4RE.ASAREAtJD®OR CREATED; I Ag' UItDiNG DEPi DATE INSTAUATION EM DETECTOR THE EL ECTRICAL PERMIT DOM=SATISFY THIS REQUIREMENT. FIRE DEPARTMENT SOTH S/ONATURES ARE RE Cf D E Q iRED FOR PERM17TINO .00 j rl i w � ; i I =b< , l 1851 Falmouth Road Centerville MA 02632 Incident Report: September 7,2006 In August 2005 I discovered that Stephen Babola purchased the above named property. Mr. Babola said he wanted to do a small 40B there. After he found out that he couldn't do that he told us that he was going into the Amnesty Program in September 2005. In November 2005 Jack Fitzgerald our Centerville building inspector caught Mr. Babola doing work without a permit to increase the size of the illegal apartment. He dragged his feet for months and withdrew from the program. In January 2006 I notified Mr. Babola that he must remove the apartment over the garage or be subject to fines and be taken to court for a zoning violation. After receiving my letter of January 20, 2006 I got a call from Mr. Babola on January 27 2006 stating he was living in the apartment while he renovated the main house so he could move into the main house and put the apartment into the Amnesty Program. He finished the work in the main house in June 2006. Told us he was moving into same and renting the apartment once amnesty was approved. On July 26, 2006 after I had observed several cars at the property for days, I made an unannounced visit to the property at approximately 7:30 PM. I spoke to a young man in the driveway who identified himself as Michael Atwood. Mr. Atwood stated that he lived in the apartment year round. He had just moved in and paid first last and security. I asked him if Mr. Bobola lived anywhere on the premise and I was told Mr. Babola lived in Hyannis not there. Next I knocked on the front door of the main house. Another young man came to the door and identified himself as Michael Ferrari. He stated he lived in the main house year round with another room mate. I also asked Mr. Ferrari if Mr. Babola lived on the premise and I was told"no he lives in Hyannis". The next morning I received a call from M. Babola who tried to tell me I had just missed him at the house last night. He said he was working late and I had spoken to his "room mate". I started ticketing Mr. Babola the same day. Respectfully submitted, Linda Edson Unannounced site visit 7:30 PM on Wen. night July 26, 2006. .Questioned tenant in apt upper level. Tenant Michael Atwood states he lives in upper apt. year round. Tenant Michael Ferrari states he and a roommate live in main house rear round. Both tenants state that Steve Bobola does not live on the roperty. He lives in Hyannis somewhere. I NAME OF OFFENDER / DAD 7'2 5 9 3 TOWN OF ADORES0FENDR 4l, , It M^R M BARNSTABLE CIY,STATE.ZC >qAj d/ . D1F 1NE►q,• - MVIMB REGISTRATION NUMBER OF ENSE �7(//��'� .�l.��Jyg4- y'/'� � -i4 p♦//� �^,'y7/�-1, J4LJ NAN\.'lAR1E• /'r✓ M.."'„r�. , M"""E-� "' \ ..i/ A,�'41:.. �d1 O lIA5S. �' LU TIME PO DATE Of VIOLATION /' LOCATION.OF VIOLATION Z NOTICE OF' /. (A.M.�)FfMrLU ON -E ,..�- ,2o�f/� f� / ������ � . . SIGNATURE DF;ENFOHCING PERSON -- ' ENFORCING DEPT. - BADGE NO. N VIOLATION OF TOWNEREBX AC" NK OWLEDGE RECEIPT OF CITATION X ��,a a ORDINANCE Q�Unable to obtain fg attstg of offender. ►— THE NONCRIMINAL FINE FOR THIS OFFENSE IS S W Date mailed � ,`" t W OR YOU HAVE THE FOLLOWING A TERNATI ES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION. , You ma elect to a the above fine,either Q () y pay by appearing m person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, uu before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barmstable Clerk,P.O.Box 2430, J Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNS TABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this • citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or 0 you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of E Signature NAME OF OFFENSE BAR 72595 TOWN OF +' ADDRESS OF q..FE ER"ti f BARNSTABLE CITY'S ATE,ZIP CODE pIFIowa - - MV/MB REGISTRATION NUMBER OFFENSE ] t. iJ _.eyLU I puss. pffYT A 6 j 31lIb d W TIME AND D TE,,OF1VI01 Vow _ L CAT ON OF VIOL'ATION Z NOTICE OF ' 702! (Z rMA P.M.)00 "� 20 b' .l h 17 ; ..r `ti l�� J. SIGNkTURE OF EN'_ NG PERSON _._. ENFORCING DEPT. BADGE 90. y VIOLATION.�r A/ OF TOWN( pE�g,Y..�-AC NOWLEDGE RE�EIP OF CITATION X w - Q ORDINANCE �2ab;e to obtain sJnature df fender. Date mailed U THE NONCRIMINAL FINE FOR.THIS OF IS 8/00W., _ OR YOU HAVE.-THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL CL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. H REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidayyss excepted, W before:The Barnstable Clerk,200 Maln'Strest„Hyannis,MA 02601,or by makng a check,money or postal.notego Barnstable Clerk,PO•Box 2430, Hyannis,MA 02601;WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. '+�`+� +R , a (2)If you desire to contest this matter in a noncriminal Droceedingg,you may do so by making written requesl4o DISTRICT COURT DEPARTMENT FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D NoncMminal Hearings and enclose a copy of this, citation for a hearing. (3)Ifyou tall to pay the above offense or to request a hearing within 21 days,or M you fall to appear for thehearing or.,to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. �� .. ❑ I HEREBY ELECT the first option above,confess t'd'the offense charged;and enclose payment in the amount of$ IXSignature NAI14k'I, ' BAR 72596 TOWN OF , ADDRESS'Q OFFE(IDaERsy r BARNSTABLE �Irn 6 ATE,z P C°DE i pt 1q1, - - MV/MB REGISTRFION NUMBER ,� a _ .y,/��/'J /y�Jr ,may /{/�J/q� /p }/✓ NANNIA ° !/� j��/�_ j�A. �MASS. V' �V w �,J O Ea M1K1�A`� \ J TIME AND DATE OF'VIO TIC' TON VIO TION Z LLI X NOTICE OF J _ SIGNATURE OF ENFORCING PERSON N�_ ENFO CING EPTZ r BADGE No. N - VIOLATION ,/. .r�l c rWr -_ ° C, 0.. 17 OF TOWN/ ACKNOWLEDGE RECEIPT OF.CITATION X "`.; a ORDINANCE I *unable to obtain signature of offender. � ►a— THE NONCRIMINAL FINE FOR THIS OFFENSE IS s/0 e i .,; Date mailed� w w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, Q before:The Barnstable Clerk,2D0 Main Street,Hyannis,MA 02601,or try mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of-this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature ` NAM 1 OFFELJ!(?L F b4r YAR 72597 TOWN OF ADD @EssoFO d Rr 1`�' _G--� �✓. J ,L..+'G,�"„�",.a t BARNSTABLE CIS,SKATE,Z11 COD / l OFFENSE l� ,.( �,�y/�J� Q .,r,\ //// r fj'`, �Y/5) _y/'��� �,,,�!(j, /} XAX\�I AXI.E,g! /lei , I'.. `3 ' A�it. ' '-- cb+7' E.�J __-^�"`.�,/:'. �E G. NA3% AA w QED MKt �,/a? -) 6 r �.I"Al oi..- � ��^�/Y _ ) t > TIME AND DATE OF N-SVIOOTIO f IOC/AT ON OF VIOLATION f f j t Z `. ILLI NOTICE OF - .. r'�'i - c�a'.M, 'F.M.)ON! 111) ,20 C f;�f _ �,� i i4...i1`�• , �'p"fT I SIGNATU E.DF'ENFORCING•PER§ON -..sa. �"�'"" - ENFO CI G EPT.- BADGE N0. W VIOLATIONS--� -- ' ). 0'F TOWN II HEREB KNOWLEDGE RECEIPT OF CITATION X a ORDINANCE enable to obtain signature of offender. - �- THE NONCRIMINAL FINE FOR THIS OFFENSE IS 8/64 Date mailed t++ w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL d DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION 1 You ma elect to a the above fine,either b Q O y pay y appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d UNSTABLE you desire to contest this matter in a noncriminal proceed ,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNS ABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 2/days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAMEFOFbFFENDER .^�G fv � BAR 2600 TOWN OF ADD S OFF DER �" r/{ Dnn BARNSTABLE CITY,STA_E,ZIP CODE I pf ►G.- - - . - MV/MB RE6ISPIfI0 NUMBER i 0"{j�ENSE J HAXV1°7ARI.E, W CL eVA1fLLJ TIME AND DATE F IOU 10 OGAT N OF VI °flaN Z ,NOTICE OF �(A.M P..,•) N 20 :. Y 1�G w' SIGNAT(!RS'UF<EN R NG`FFEERSONVIOLATION ENFO_BCING DEPT. ° - BADGE N0. A - W OF TOWN LHEREBY ACKNOWLEDGE RECEIPT OF CITATION X �--� a' ORDINANCE 19 Unable t .obtain s1 ature9of ffe der THE NONCRIMINAL FINE FOR THIS OFFENSE, = W Date mailed = /"J ,' Uj OR YOU HAVE THE FOLLOW ITH REGARD TO DISPOSITION OFiTHIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a REGULATION DISPOSITION WITH NO RESULTING ORIMINAL RECORD. Q (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 PM.,Monday through Friday,legal holidays excepptted,' <. before:The Barnstable CleLjj rk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Bamstabie Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET RNS ABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any.fine determined at the hearing to be due,criminal complaint may be issued against you. 0 I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER DAD _ ' (J 0•V L �' It l k/.r7'7 'fiPw...., �� BAR. TOWN OF ADDRE 9• F OFFE Deft' CAM cow 01/11, t BARNSTABLE "Walwo �tNE► - _ MV/MB REGISTRATIQ UMBER - OFENSEj^ - NAN\�TA91.& �I Wt k ., ,�f lL, ..a-. + a NSTA VT Z .639.6.'`fig . r / l' O EeLU ♦ r TIME AND DATE OF VIOLATION, LOCAT N,OF V OLATIDN) '. W +NOTICE OF ..,/ 4A.M./PM•;)`ONj ,20 t. rst.� •,•,P �I� - . VIOLATION/'`SOH I�RW ENFO CING PER�SO4 ENFORCING,NEPT. .. - BADGE NO.. '"� U .r OF TOW ,EREBY ACKNOWL DGE RECEIPT OF CITATION X �` Q ORDINANCE "',Unable obtain sir�at rfoyff der. THE NONCRIMINAL FINE FOR THIS OFFENSE IS w� (,� f W e aI ed `7i w , J LLI OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL 1s DISPOSITION WITH NO RESOLTING CRIMINAL RECORD. N REGULATION 111 You may elect to pay the above fine,either by appean'ng in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, y before:The Barnstable Cleric,2DO Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable.Cleric,P. Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. d (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNS TABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offenseL charged,and enclose payment in the amount of$ ii Signature I NAkI_ 0 ENDE - ' � - - BAR 72599 TOWN OF ADD OFOF.FE D R ` ' "�.. f ; .ll.t E. A f { a BARNSTABLE D# ►q� > D ` MV/MB RGISTRNTION NUMBER a • !t2 iJ (ItI..i. •'w'r. fu!�w.S i Y^" W�. Uj.ASS. � -- ! /4 QE{�`, ICL vp IOLAT - VtIO U\T� ! 3 W tNOTC T E A ( y — — 2 A aM.)9 N SIGNAT,URE..UF=E FORCING RSON ENFOR" EPT BADGE NO. t1J ;VIOLATION �t C3 tip,, OF TOWN E ACKNOWLEDGE RECEIPT OF CITATION X ORDINANCE ` Unable to obtain0igl�ature fdo t nder. A ►a—' Date mailed �y t� THE NONCRIMINAL FINE FOR THIS OFFENSE IS s Uj OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(t)OR OPTION(2)WILL OPERATE AS A FINAL n. DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION , vau ma elect to a1. the above fine,either b earin In person between 8:30 A.M.and 4:00 P.M.,Mond throw h Fnda le al holida exce ted, Q O Y _P Y Y aPP MgA Pe eY 9 Y 9 P W Hyannis,MA 02601 WITHIN Clark,TWENNlY-ONE(200 Main 21)Hyannis, OF DATE OF THIS NOTICC or by mailing a E.money.order or postal note to Bamsteble Clerk,P. Box 2430, (2 Uyou desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BNSTABLE DIVISION;COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or t you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you.- ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature jAq HE THANK'it K' `i'OL! CHARGE lot } v '-.Fmr flows; _ env 13 a! I i ' I ;- �.�.; ,. �. ��r ,gib+' gk�• � "non} e�' " e' E �r� +t A �• fi - 3 / s': } 's`° • i 9 qh � T iJ a 9q ,a3 p �� ;�$ qf .� da "' ''` ., ." 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E(EEEE€(�y mx i 1 p 4 do r,llt q&E cE, � E ryS 5 f�+ 6 � f &3 1 .. r s 1r A / \ YVE 3�N ,��;sti><'', '✓� .,... j.,,iE 3. �.'',':, `�� .. �:�v /fir+.��� y \ Cyi£. i kR d i. R�.x133 � b >� �r� �•` �k�'Aur t� e 3 v \Y F ERE u3 � E 2 �E k� - F� ka'.E -•�_; roc'; ''bi4 tE V =?�ti� .one:. ;� »V%4 - Yy•, p a •r�- �� ;:��:. ... ,,. .._....,,� r::.:.::._.._..... � ,. m ,a,M. '�` �k � �mE� � ,:. aYfe�Y�a�E 1Y��,,y� i�t lu l�` III 1 Ir-185--1-Falmouth Road Centerville MA 02632 Incident Report: September 7,2006 In August 2005 I discovered that Stephen Babola purchased the above named property. Mr. Babola said he wanted to do a small 40B there. After he found out that he couldn't do that, he told us that he was going into the Amnesty Program in September 2005. In November 2005 Jack Fitzgerald our Centerville building inspector caught Mr. Babola doing work without a permit to increase the size of the illegal apartment. He dragged his feet for months and withdrew from the program. In January 2006 I notified Mr. Babola that he must remove the apartment over the garage or be subject to fines and be taken to court for a zoning violation. After receiving my letter of January 20, 2006 I got a call from Mr. Babola on January 27 2006 stating he was living in the apartment while he renovated the main house so he could move into the main house and put the apartment into the Amnesty Program. He finished the work in the main house in June 2006. Told us he was moving into same and renting the apartment once amnesty was approved. On July 26, 2006 after I had observed several cars at the property for days, I made an unannounced visit to the property at approximately 7:30 PM. I spoke to a young man in the driveway who identified himself as Michael Atwood. Mr. Atwood stated that he lived in the apartment year round. He had just moved in and paid first last and security. I asked him if Mr. Bobola lived anywhere on the premise and I was told Mr. Babola lived in Hyannis not there. Next I knocked on the front door of the main house. Another young man came to the door and identified himself as Michael Ferrari. He stated he lived in the main house year round with another room mate. I also asked Mr. Ferrari if Mr. Babola lived on the premise and I was told"no he lives in Hyannis". The next morning I received a call from M. Babola who tried to tell me I had just missed him at the house last night. He said he was working late and I had spoken to his "room mate". I started ticketing Mr. Babola the same day. Respectfully submitted, Linda Edson Unannounced site visit 7:30 PM on Wen. night July 26, 2006. Questioned tenant in apt upper level. Tenant Michael Atwood states he lives in upper apt. year round. Tenant Michael Ferrari states he and a roommate live in main house rear round. Both tenants state that Steve Bobola does not live on the property. He lives in Hyannis somewhere. Barry, Lois From: Dillen, Elizabeth Sent: Monday, November 07, 2005 9:21 AM To: Barry, Lois Subject: RE: 1851 Falmouth Road, Centerville Stephen Bobola withdrew his application for the Accessory Apartment Program, so he technically can't have an apartment at all. -----Original Message----- From: Barry, Lois Sent: Monday, November 07,2005 9:17 AM To: Dillen, Elizabeth Subject: 1851 Falmouth Road,Centerville Hi Beth, What is the status of this property with Amnesty? Jack Fitzgerald, our Centerville inspector, told me that the owner is doing work without a permit that increases the size of the apartment. Lois 1 Town of Barnstable Regulatory Services * * g Y * auuvsrasLe, 9 MASS. g Thomas F.Geiler,Director �A�EDMA�A,O Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4024 Fax: 508-790-6230 January 20, 2006 Mr. Stephen Bobola 1851 Falmouth Road Centerville, MA 02632 RE: Illegal Apartment—1851 Falmouth Road. Centerville, MA. 02632 Map : 252 Parcel : 155 Dear Mr. Bobola This letter is to inform you that you currently are in violation of Barnstable Zoning Ordinance 240-11. You must contact this office by February 20, 2006 to arrange to bring the above address into compliance or be subject to fines of no more than $300.00 per day of non-compliance. Thank you for your attention in this matter. By Order, Li Edson esty Zoning Enforcement Officer Building Department Q:zoning5 e� ti oFt„Era,, Town of Barnstable Regulatory Services � MASS. Thomas F.Geiler,Director iOlEp3•�39. 6. Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 August 3, 2005 Mr. Stephen Bobola 1851 Falmouth Road Centerville, MA. 02632 Re: Illegal Apartment—1851 Falmouth Road Centerville Ma. 02632 Map 189 Parcel 057 Dear Property Owner: Our records indicate that your house at the above-referenced location is currently being used as a multi-family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a one-family home • Apply to the Amnesty Program • Prove that this is a legal two-family home. Please contact this office immediately to tell us what direction you wish to take. Since y L' a Edson Amnesty Program Zoning Officer Building Department gforms:zoning3 Barnstable Assessing Search Results Page 1 of 2 u x70 Home: Departments:Assessors Division: Property Assessment Search Results LL 1851 AL T A /RT 28 Owner: THIBAULT, NANCY J Property Sketch Legend Map/Parcel/Parcel Extension 189 /057/ � �"� 3"f 733(p(p3'3g l�1310M9� Mailing Address THIBAULT, NANCY J " r J3 r 3 405 FRANKLIN ST ry '' MANSFIELD, MA.02048 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 135,000 $ 135,000 Extra Features: $2,000 $2,000 Outbuildings: $0 $0 Land Value: $ 108,100 $ 108,100 Interactive Property Map: ap requires Plug in: Totals:$245,100 $245,100 I have visited the maps before Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: THIBAULT, NANCY J 8/29/2001 14181/131 $ 1 MILLER, MARIAN T 5/30/1997 10777/032 $ 112,000 THIBAULT, NANCY J 5/30/1997 10776/320 $52,000 MARINE MIDLAND BANK 5/30/1997 10776/315 $45,000 SCANNELL,THELMA 12/15/1987 6046/056 $.1 SCANNELL,JOHN D 1615/193 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per $1,000 of valuation) Land Bank Tax $44.49 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 C.O.M.M. FD Tax(Residential) $ 185.66 C.O.M.M.-All Classes $1.01 C.O.M.M. FD Tax(Commercial) $61.89 Cotuit FD-All Classes $1.28 Town Tax(Residential) $ 1,112.14 Hyannis-Residential $1.52 Town Tax(Commercial) $370.71 Hyannis-Commercial $2.39 http://www.town.bamstable.ma.us/tob02/1)epts/AdministrativeServices/Finance/Assessing/... 8/3/2005 Barnstable Assessing Search Results Page 2 of 2 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $ 1,774.89 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.48 Year Built 1930 Appraised Value $ 108,100 Living Area 1932 Assessed Value $ 108,100 Replacement Cost$ 198,565 Depreciation 32 Building Value 135,000 Construction Details Style Stores/Apt Interior Floors CarpetHardwood Model Commercial Interior Walls Drywall Grade Custom Heat Fuel Gas Stories 1 1/2 Stories Heat Type Hot Air Exterior Walls Wood ShingleClapboard AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 7 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,000 $2,000 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS.Three Quarters Story(Finished) http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/... 8/3/2005 IKE The Town of Barnstable saMsenaM MASS Office of Community and-Economic Development 230 South Street Hyannis, MA 02601 Office:508-8624678 Fax: 508-8624782 c„ September 15,2005 _<1 � Mr.John C.Klimm,Town Manager GaryR.Brown,Town Council President Barnstable Town Hall — �' 367 Main Street aW Hyannis,MA 02601 "' M Re: Stephen E.Bobola— 1851 Falmouth Road,Centerville- a single-family accessory unit Gentlemen: This letter is to inform you that the Accessory Affordable Housing (Amnesty) Program has received a request for a project eligibility letter under the Community Development Block Grant (CDBG) Fund and under Article II of Chapter Nine of the Code.of the Town of Barnstable and the criteria for the Local Chapter 40B Program This office is reviewing the request.If the Town has any comments on the project,-please forward them to me so that they can be addressed in the site approval letter. .This letter gives you official notice of our receipt of the above application(s)." We will issue a decision as to the acceptability of the sites and the consistency of this development within the guidelines of CDBG. ' cerely, beth Dillen Program Coordinator Community&Economic Development cc: Town Attorneys Office t/ Building Department Public Health Department �oFIKE Toffy Town of Barnstable *Permit# "1 Expires 6 oaths from issue date , , : Regulatory Services Fee � s639' Thomas F.Geller,Director p �0 lED ru't� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF SA �S EXPRESS PERNHT APPLICATION - RESIDENTIAL �)NL '��F Not Valid without Red%Press Imprint G Map/parcel Number Property Address ��S __914 I L c esidential Value of Work Owner's Name&Address � a l a, Contractor's Name J � c� 4 -4 Telephone Number "7 Home Improvement Contractor License#(if applicable) l -3 0 ) Construction Supervisor's License#(if applicable) 0 0 i ❑Workman's Compensation Insurance Check one: — ❑ I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑•Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) D;Re-side Replacement Windows. U-Value ° 3 (maximum 44) *Where required Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expn&g Revise053003 1 ne t-vmmonweacrn of massacnusens Department of Industrial Accidents ` Office of Investigations ' 600 Washington Street Boston,MA 02111 t S www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/orpnizatiowIndividuan: o� Address: City/State/Zip:_- (—� >, �,-e, r v Phone#: �: I Are you an employer? Check the-appropriate box:. 1.❑ I am a'-employer with 4. ❑ I am a general contractor and I Type of project(required): 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 8. [] Demolition working for mein any capacity. workers' comp. insurance. 9, Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its equirecl•] officers have exercised their 10❑ Electrical repairs or.additions 3. I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers'' comp.insurance required.] 13•❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information �F t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I 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.Lic. #: 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 Df up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certify under the wins and penalties of perjury that the information provided above is true and correct: 5i afore:. Date: Phone#: _7 7 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Insp 6.Other ector 5.Plumbing Inspector Contact Person: Phone#: - Information and Instructions f� 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."a individual,.papnership,,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. Howev.,er 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 our situation an if. n affidavit completely,b checking the boxes that apply toy � Please fill out the workers compensation mp Y� Y g _ address es and hone numbers along with their certificate(s)of necessary,supply sub contractors)name(s), address(es) p ( ) 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 s p 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 applicant pplicant 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 pewits 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 ,r Office of.Investigations 600 Washington Street. . . Boston,MA 0211 L. Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 www.mass.gov/ . J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 153 9 Parcel D S 7 Permit# 2 00�12 Health Division 96,35 Trva,� Date Issued _ Conservation Division t Ll ® k Fee Tax Collector o I I ID 1410Application Fee Treasurer op. M�sT � 4pt � Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis W/P tw 'ry Project Street Address Village Owner dress Telephone 77� — " -7 Permit Request a A4 0 1 �on t Square feet: 1st floor: existing p osed 2nd floor: existing proposed Total new Valuation �000 oning istri t Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Famil Two Fa ily Cl Multi-Family(#units) i Age of Existing Structure Historic House: O Yes N0 On Old King's Highway: Qy-es ONo Basement Type: ❑ Full WCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) �� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new / Half: existing .i new l _� Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count O; Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other - Central Air: ❑Yes No Fireplaces: Existing Newer Existing wood/coal stove: ❑Yes 1fil0 Detached garage:0 existing ❑new size Pool:❑existing 0 new size Barn:❑existing ❑new size Attached garage existing 0 new size Shed:0 existing ❑new size Other- Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r. Commercial ❑Yes ❑No If yes, site plan review# _ Current Use Proposed Use l _ BUILDER INFORMATION Name, � ,�,, / +7�(� Telephone Number 77 J— 9727 a , Address Z 9 S 4 License# II a » Home Improvement Contractor# Worker's Compensation# ALL CO.NSTRUC©DEBRIS RESULTING FROM THIS PROJECTWILL BE TAKEN TO <,, s 6 µ �C SIGNATUR / DATE FOR OFFICIAL USE ONLY E PERMIT NO. 5 I. DATE ISSUED MAP/PARCEL-NO. i t ADDRESS, VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME 4 INSULATION FIREPLACE ELECTRICAL: _ ROUGH FINAL PLUMBING: ROUGH FINAL 3 w GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map /1� `-7 . .Parcel Permit# ;W 6 5 a Health Division —3 �Qd rY) 0-r-,Q _.- Date Issued s,Y Conservation Division , �VP h Fee -41 Z ,9 Tax Collector 1 i n L-) 1 `� �_ Application Fee 1 Treasurer r' (�v sT t�� .S YV►F1 I f°�` Planning Dept. N Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis R!F_G25TC2 UJIA-MNE-sry Project Street Address / S Village Owner S e dress L Telephone -7 7/ - 9 7 r Permit Request 7�, 1_ e ' cc f A // a S%a�hll/ ti Yic 7i/ �l / Gc� 1l c \ x Square feet: 1st floor: existing p osed '� 2nd floor: existing proposed Total new Valuation al ay oning D�tri t Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Fa ily ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes �No On Old King's Highway: ❑Yes 4No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) " Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2— new Half: existing �� new --'� Number of Bedrooms: existing U new i Total Room Count(not including baths): existing t5 new r First Floor Room Count - g Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other � { Central Air: ❑Yes /ER-No Fireplaces: Existing New Existing wood/coal stove: ❑Yes q'No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:,@existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name.���� >> :1 Telephone Number ��,^ G 7 Address 9 < •; License# J��. » » �► �7� Home Improvement Contractor# '- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,��-.. - 4. SIGNATURE / DATE F f FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE EL ECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. !ne.c.ommonweairn of juassacnusens Department ofindustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02m Tt"mass.gov/dia Y Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/orpnization/Individual)' ( _I_e ,ote'n Address: 2 e,,-s C-tr c l k. City/State/Zip:_'R. Y, n , Phone#: 177 / 9.9 7 01 ` Are you an employer? Check the-appropriate box:. 1.El am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or paMer- listed on the attached sheet $ ?• Remodeling T 4 , Q ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9, [—] .Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or.additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. - C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' camp. insurance required.] 13 ❑ Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: N. Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractws that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. l 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.Lic.#: 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 Df up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. i do�hcreuy certify�undthe pains and penalties of perjury that the information provided above is true and correct. Si -7 Date: /Phone#: 7 — 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): L Board of Health 2..Building Department 3.City/Town Clerk 4..Electrical 6.Other Inspector 5.Plumbing Inspector Contact Person: Phone#• Information and Instructions 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,.,partmership,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 dwellinghouse of another who employs persons to do maintenance,construction or repair work-on such dwelling house to er. 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 work until acceptable evidence of compliance with the insurance enter into any contract for the performance of public 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-contractor(s)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..Anew 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 bum 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 0211 L. Tel. # 617-727-4900 ext 406 or-1-.877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/-- f �11E"T Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director �". Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 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 adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ] Type.of Work: Estimated Cos ( l®� Address of Work: 1 r Owner's Name: Date of Application: /-1/o b I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law Fl7ob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED ` CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. , A 22zL Date Owners Name Qlbrms:homeaffidav 7Wya►nnFrf +4 Table iLUb(eeatioaed) prneslptire Pscksga for One and Two-Family Rnldeatial Bnildinga Hated��Foa�11 . 1KAX�MZTM IytEY11HIJM Ceilirsg Wall Floor BasementEffiab •Heatiaglt�altna CfIa-dug Gazing Equipment Fil9deaey' Areal(°h) t1•valiie= R-valuca R value' R vatu� R � package 3701 to d500 Hftdcg Degree D Normat 13 10 8 Q• 1Z°/. 0.40 3a 19 6. Normal R 12Y. U2 30 —t9 19 10 tS. 8S f E S 12%' 0.30 39 13 19 t0 NIA --�'— <---t3�_ _03.b��;. .38 13 ZS NIA --Normal-31 19 19 0.46 - ----- - 13 23 NIA _ NtA aS:AFiT$ V. ..:.,, :.,.15'h : ' • 0,44:. . 38 '•. .. b 115 AFA W ; INS O,SZ. 30 t9 19 10 13" 29 NIA NIA Normal. ' X 13% 032.' 39 NIA Normal y 12% ' 0.42• 38 19 25 NIA I 90 AFVE Z .' •12% 0.42 38 13 19 IQ AA •• 18% 0.50 3D 19 19 10 6 90 AF1JL 1.'ADDRESS OF PROPERTY; _ 2. SQUARE FOOTAGE OF ALL EXTERIOR W _ . 5:: - - • ... 3. SQUARE FOOTAGE OF ALL'GLAZING: _ 4. %GLAZING AREA(#3 DIVIDED EY#2): , 5. SELECT PACKAGE(Q—AA-see ahort above): . NOTE: OTHER UGItE INVOLVED METHODS OF DETER1YVNING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q•farms-f980303a 780 CMR.Appendix J Footnotes to Table d5,2.1b: iassemblies (mcluding sliding-glass doors, skylights, and i Glazing area is the ratio of the area of the glazng basement windows if located In walls that enclose conditioned space,but excluding opaque doors)'to the gross wall area,expressed as a percentage.Up to 1%°e excluded from a building design with 300 if of glazing area. e total ilazing area may be excluded from the U b . For example,3 if of decorative glass may and documented =After January 1, 1999, glazing U-values mast be testdocumented by the manufacturer is accordance with . the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JI.5,3a. U-values are for . whole units: center-of-glass U-values cannot be used. ' 3he.ceiling.R-values do not assume a raised or oversized truss constriction. If the insulation achieves the full _ _ insulation thickness over the-exterior walls without compression, R 30 Insulation may:be substituted for R 38 insulation and R 38 uisuyafion may bid strb�tituted for'R-49=insulatidn: CeilingR_xabiea present th insulation plus insulating sheathing(if.used):.'For ventilated 'ceilings, insulating sheathing mui t_be.p the conditioned space and the ventilated portion of the roof. If useµ Do not include' 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing'( d). siding, structural sheathing, Interior drywall.Fbr example,an R-19 requirement could be met EITHER exterior si g, ants apply to . Wall re pP Y cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing requirements, by R-19 c ty wood-frame or rdass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The float requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces;basetnents, or garages)-Floors over outside air must meet the ceiling requirements. ' e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must Th mcet the same R=value requirement as above-grade walls, Windows and sliding glass ,doors.of basements must be included with the other glazing. Basement doors must.tneet•the door. ors requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' if the building utilizes el0tric resistance heating use compliance approach 3,4,'or 5.•'If you plan to•lnstalI more than one piece of heating equipment or more than one piece of cooling equipment,the eg#.nient with the lowest efficiency rntist meet-or exceed the efficiency required by the selected package... 'For Heating Degree Day requirements of the closest city or town see Table 1511a NOTES: a)Glazing areas and.U-values are maximum ana d ep abler levels. structural components.tion R-valaes muumuin acceptable•levels. a)Glazing a requirements are for insulation only not R oars in the building envelope must Opaque d have a U-value no greater than 0.35.Door U-values must be tested ith the NFRC test procedure or taken from the door U-value and documented by the manufacturer in accordance w in Table 11.5.3b. if a door contains glass and an aggregate U-value rating for that door is not available, include the f the door with your windows and use the opaque door U-value to determine compliance of the door. glass area ouo greater One door tray be excluded from this requirement(i.e„ma 1 s space walllcompponent includes two or more areas with lin wall,floor,basement wall,slab-edge,or p to c)If a cei g, differentlinsulation levels,the component complies if the area-weighted average R-value is greater than or eqdal he walue requirement for that component.Glazing or door components comply if the area-weighted average U- the R of windows or doors is less than or equal to the U-value requirement(0.35 for doors). yal43 f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET .NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERAnONS/RENOVATIONS OF EXISTING SPACE g,0 0 square feet x$64/sq.foot= $C -b x.0041= !9 z plus from below(if applicable). -o GARAGES'(attached&detached) 30 2� square feet $32/sq.fL= x.0041= . 1 3 o ACCESSORY STRUCTURE>120 sq.ft. Z a >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq,foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocadon/Moving $150.00 (plus above if applicable) Permit Fee Projcost T -_..A-AA A • M Town of Barnstable P��tNE� o� Regulatory Services t Thomas F.Geller,Director AM Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town barnstablema.us Fax: 508-790-6230 :fire: 508-862-4038 HOMEOWNER LICENSE EXEMPTION / Please Print jJ j // GI r� C�,�erv, JOB LOCATION a rn e u village number aired 77/ / 5 „HOMEOWNER"• ; a a home phone# work phone# name CURRENT 1vIAI NG ADDRESS:_ 2 r S C? r c,l e cityhown state zip code The current exemption for"homeowners"was extended to include owner-occuuied dwellings of six units or less and to allow homeowners.to'engage an individual for hue who does not possess a license,provided that the owner acts as sugervisor. DEF=ON OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to to such use and/or farm structures. A be,a one or two-family dwelling,attached or detached structures accessory 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 re onstble for all such work performed under the building vermit (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 flint 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 The Code states that "Any homeowner Perfomung work for wh 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 ON a building permit is required shall be exempt from the provisions ction Supervisors);provided that if the bomeowner engages a person(s)for hire to do such of this section(Section 109.1.1-Incensing of constru work,thaf 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 a Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly wbea the homeowner hires unlicensed persons. In this case,our Board•cannot proceed.against the unlicensed person as itwould with'&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 helshe 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/ccrtification for use in your community. n•en.r+e•hn.neex®t c Town of Barnstable Regulatory Services • BnxxsrnBM y MASS. Thomas F.Geiler,Director 1639. ♦0 Building Division - - Tom Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Building Permit Procedure for Residential Addition Or Remodel Or Dock Determine map and parcel number and enter it on application. Historic District Commission,200 Main Street, approval required prior to construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) Hyannis Main Street Waterfront Historic District(See map for boundaries) Z19f Historic Preservation(if applicable). ZBA relief(Special Permit or Variance is required for Project): ❑Copy of ZBA decision ❑Documentation proving that decision was recorded at the Registry of Deeds w/in one year of ZBA decision date ❑ Appr als from the following departments are required and can be obtained at 200 Main St.: lth Department (8:00-9:30 AM&3:30-4:30 PM {as of March 2na,2005}TC4nservation � - Department (8:30-9:30 AM&3:30-4:30 PM). ax ollector {can be obtained from Building Department} reasurer {can be obtained from Building Department} Permit must contain complete owner information, full description of project, correct square footage of project, valuation of project(must agree with Total Cost from Project orksheet), building detail for Assessor's Office, complete builders information, -µ including signature and date of application. 5 sets of reduced house plans measuring 11"x 17",scaled 1/4"= 1' & fully dimensionalized are required. Plans must include a foundation, cross section,framing schedule, insulation detail - &floor plan.showing location of smoke detectors(located with a Red `S'.) ****** IF USING ENGINEERED LUMBER AND/OR STRUCTURAL STEEL,ENGINEERING ATA MUST BE PROVIDED****** .lot plan or mortgage survey required for any addition. Dome Improvement Contractor's Affidavit Workers Compensation Insurance Affidavit form must be submitted for any workers hired. In . the event the homeowner takes out the permit,subcontractors hired must supply this. Copy of Insurance Compliance Certificate must be on file. Energy Compliance Form onstruction Supervisors License&Home Improvement Contractor's License F-- Pro erty owner must sign Property Owner Letter of Permission. OR Homeowner License Exemption Form must be submitted if homeowner is acting as general contractor or builder for the project. ❑. Applica ' n Fee must be paid upon submittal of application. Permit fee will be payable once 1t is issued. All checks should be made out to the Town of Barnstable CHIMNEYS: Need Home Improvement License,no plot plan required PIERS AND DOCKS:Need Construction Super License AND Home Improvement License. OWNER CANNOT PULL OWN PERMIT. Q:bldg/wpfiles/forms:R_addalt 071405 - J cl ; 1 o 1J x w o �� x 53, x a ui LL wI w I - a , z wCY `LU (� ® €a a `` .as �1 I— Q Q / EU ui L 07CO 0 /L m W. a Ir ! ... C7 p U M. zU �J~ W C�Se GC LU ui Oar, W C CO o � Q Zto c 03 CL f v� w c A=189-057 Appeal No . 1988-44 nThelma Scannell 1851 Falmouth Road Route 28 Centerville , : MA 02632 Inspected : Affidavit Filed : The Town of Barnstable BARMAIM 9MAM gym$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph C-rossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION 4 , 5-1 Ile Location of shed(address) Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date —� Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? lv Conservation Commission(signature required) THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg z tines cp� 00 t1'l Sao goo 40 lows r+ 0 o O 1p �b� � .► r � s - x I,s _ a " 7 41•'te , 9 14 : . . : The Town of Barnstable • anxrrsrns�e, • 9cbA "9 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 April 30, 1997 Re: Dance Arts Academy of Cape Cod TO WHOM IT MAY CONCERN: Subject to Site Plan Review,it is my opinion that your academy is exempt from zoning pursuant to Section 2-4.1(2)of our zoning ordinances. As such,you may locate on Route 28 in Centerville next to the C-O-MM station after Site Plan has reviewed your application. Sincerely, L Ralph M.Crossen Building Commissioner RMC/km F2 -a- 25t� Z/00,-Z, .,` i �� ;, y R / �� . k' a ` ` ' fi � r °F � . III �' 4 r '. t • J e �'1 � .. y� J f - r a Y.- Dance .arts Academy y 4 of Cape Cody April 29, 1997 Dance Arts Academy was established to instruct students in all forms of dance and related subjects. It offers courses for the very young ( age three ) to the senior citizens. The average course contains the learning of dance, the theory of dance, and its history. The Academy, also schools students in Choreography (Instructor, Marian T. Miller), Music Theory (Instructor, Donna Prypin) and , Poise (Instructor, Mariellen Coy). An average student receives training in many areas of the Arts and its related fields. A student is introduced and develo es skills in sewing, set design, staging, lighting, and instruction to create their own dance and theatre program. This teaches the student to learn the value of_ time and energy, decision making, teaching, organizational values and creative thinking. The Academy also offersy an Assistant Teacher Program where the student furthers his/hers education in the field of instruction. This Program requires additional classroom work in self-discipline and responsibility. ' It addition to learning the value of time, they learn importance of class structure. The student\teacher , relationship enables'the young adult to focus on the education of themselves, as well as others and gives them a strong foundation -for adulthood. This program requires a large commitment on the part of the student. Dance Arts Academy currently has eight ' young adults in this program. , a Y �k Furthermore, the Academy advances the education of the student by involving them in daily life issues. It exposes them to volunteering by having them help others and involves them in performing at Nursing Homes, and taking an active part in the Tabacco Control Show held annually at the Cape Cod Mall. The Tabacco Control Association stresses the education of the young to the dangers of tabacco use, and works to educate the community as well. The Academy has involved its students through dance, in the conservation of Cape Cod and the Planet Earth by working with the Cape Cod Conservation Association and performing in.Earth Day Programs. It reinforces good study habits and caring for others as well as themselves. It takes the student that one important step further to a solid well rounded education which enables them to go on to a well balanced productive adulthood in any field they choose. The academy also offers finishing courses for the young adult which reinforces in them poise and self confidence. The course establishes the importance of presence of ones self as well as in relation to others. It offers a ten week Summer Day Program in which it further explores , guides and instructs students in dance theory, music theory, set design, theatre acting, dance performing, and character building. Many students spend hours at the Academy and their values of life and its ingredients for success of ones self and community are instilled in all areas including guidance, mentoring, and occasional discipline of oneself and others. The Academy is in its 28th year of instruction. It start training as early as age 3, with appreciation for music, dance, creative movement, counting, and fairness of play are explored and taught. It teaches students throughprimary, adolesc ence, and teen years. It sends them off to college and gives scholarships throughout the I � � t years to needy and deserving students. It strives to give the student the best it can in all areas. In summary the average course give approximately 50% in education in values of life, dance theory, music theory, and self confidence. The balance of the course endeavors to produce strong healthy individuals in relation to dance and the performing arts. dP� • a�rierem�, t 619. A. The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner June 9, 1997 Nancy Thibault c/o Linda Edson 505 Main Street Cotuit, MA 02635 Re: SPR-36-97 Dance Arts Academy of Cape Cod, 1851 Falmouth Road, Centerville Proposal: Dance Studio Dear Ms. Thibault: The above referenced site plan was reviewed at the May 29 and June 5, 1997 meetings of Site Plan Review and deemed approvable under Section 4-7.4 (2) of the Bamstable Zoning Ordinance. Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Division. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner &nwan QUERY PERMITS : QUERY END QUERY PERMITS PENTAMATION----------------------------------------------------------- 01/05/98 PERMIT NUMBER 27114 PARCEL ID 189 057 1851 FALMOUTH ROAD (ROU PERMIT TYPE BELEC WIRING PERMIT DESCRIPTION WIRE GAS FURNACE IN DANCE STUDIO CONTRACTOR PERMIT FEE 50 . 00 VARIANCE STATUS C COMPLETED CONSTRUCTION TYPE 753 GROUP TYPE APPLICATION 11/14/1997 EXPIRATION VALUATION 150 . 00 DATE ISSUED 11/14/1997 COMPLETED 11/18/1997 DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR (0) PERTY/ (I) NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E) XIT NO MORE RECORDS IN THIS DIRECTION oFINE rq BnexsrBU& mma ' 159. '`� The Town of Barnstable Argo�e+°i Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 30, 1998 G. Arthur Hyland, Jr. Murphy and Murphy 243 South Street Lock Drawer M Hyannis, MA 02601 Re: 1851 Falmouth Road, Centerville Dear Art: I don't think it matters which unit was taken out of commission as the end result is a single- family use and an exempt use. As far as which is which, I think the current apartment which is on the second floor was in fact the original family apartment. As far as the educational use is concerned, it is my opinion that since it is under the "exempt use" section (as are the municipal uses) it is exempt. I believe the Zoning Board of Appeals discussed this point in the last hearing and agreed with me. Sincerely, l Ralph M. Crossen Building Commissioner RMC/lbn g980430c a� HENRY L. MURPHY, JR. MURPHY AND MURPHY TELEPHONE J. DOUGLAS MURPHY (508) 775-3116 COUNSELLORS AT LAW F A X G. ARTHUR HYLAND, JR. 243 SOUTH STREET (508) 775-3720 SUSAN MERRITT—GLENNY * LOCK DRAWER M • ALSO ADMITTED IN CONNECTICUT HYANNIS, MASSACHUSETTS 02601-1412 E-MAIL murphlaw@capecod.net PLEASE REPLY OUR FILE NO. NOTARY PUBLIC April 17, 1998 9785-172 Ralph Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Re : Property at 1851 Falmouth Road/Route 28, Centerville, MA - Assessor' s Map 189, Parcel 57 (the "Premises" ) Dear Mr. Crossen: Thank you for your response to my letter of April 13 , 1998 . To clarify your response, is it your understanding that the kitchen which was installed pursuant to the Special Permit issued for the family apartment was the actual kitchen which was removed? Or, is it your understanding that the family apartment kitchen remains while the original kitchen installed for the single family dwelling was removed? Please clarify at your earliest convenience. Also, with regard to your statement in your letter of April 14, 1998 that "the current approval (single family with educational exempt use) is lawful. for this address . " , it is my understanding that the premises is not ,"exempt" from zoning but is "permitted" in a residential zoning ,district'because of educational use . It has never been my understanding .that because an educational use was permitted that it was thereafter exempt from all zoning. o I look forward to hearing from you in the near future. X. A�rthur tr ly y6urs, Hyland, Jr. GAH:bb cc : COMM Prudential Committee •F Assessor'ss offioe`(1st floor): r ... Assessor's map and lot number.................... ....... ................. Board of Health (3rd flood- Sewage Permit number -4 `� 4. r .. '..................... Z BABd9?ADLL. L , Engineering Department (3rd floor) y� 'oo r639, Housenumber .........:.......................�...„.�,5i...................... APPLICATIONS PROCESSED 8:30 49:30-A.M. and 1:00-2:00 P.M. only �. ; TOWN OF BARNSTABLE ` BUILDING INSPECTOR APPLICATION FOR PERMIT TO- ............... ...................... ......................................................... 4 TYPE OF CONSTRUCTION ' ..................................................................................... .................. .............................19........ TO THE INSPECTOR OF BUILDINGS: ~ The undersigned hereby applies,for a permit according to the following information: Da Location ..........��J .....c '................ �V, f 4�!:r c /.... ....................................1..................... Proposed Use ......,"...... c%%f� r� ......................... � .. Zoning District ........................................................................Fire District ..... �l��.!✓./..�1�.::'(..�;:....,, 1s.d................... Name of Owner ;45� .. .....'5 '1.91v.v 11..:....Address ... - �....... � ..... s,�e�F_!t [i. ...... a..... Name of Builder ... .v&n..k.L:.......................:.Address �...... Nameof Architect ..................................................................Address. ................................................................-.................. Number of Rooms .............. ..........C.4eC41....................Faundationr, • ��..".. 'ul?`gv...b'�(ur!!?r�h,••®�!e?„ oTtis Exterior .....1. ...v ............. .. ...................Roofing ......��S�f� IT ,/. ,Q�i�S.........t ................ r• ��// C'✓2J ...g....! . �/L/A [li?').....:...Inter;ior ............... /If- T/�2c3 Floors / . .G2..'......... ......:..... -�.• ;eating ��" ,� --. ,.';"- 191's ........ r Plumbing - # ���.: ': "" ? 'r .......... .. �.x .. f ) Fireplace ..............................................Approximate Cost ........... .......................... ........ Defin ti e Plan Approved by Planning Board --------------------------------19-------- . Area ........7 wwJJ Diagram of Lot and Building with Dimensions Fee ��.............. .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Y 1 f 6 � � { a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS' I hereby agree to conform t6-.611 the Rules a,nd Regulations of the Town of Barnstable regarding the above construction, a Name .......,:,�!:.A.. .M,.n..��.... �! �' !6'✓Y1:!'?,:f. Q ....... .......... 4 rvi ' ®A................Construction Su esorstLicense SCANNELL, THELMA G. A=189� 7 No...J?0.1. Permit for ...Add. G. rage...... & Family A�artmen Location .....18 51 Ret 8 Centerville N' Thelma. G. Scannell / Owner ............... . ........... Type of Construction Frame.................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ......July.. 7 .................19 88 Date of Inspection ....................................19 ` Date Completed ......................................19 • } I i QUERY PROPERTY: QUERY END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 01/05/98 PARCEL ID 18.9 057 GEO ID 11067 LOT/BLOCK DBA PROPERTY ADDRESS OWNER SCANNELL 1851 FALMOUTH ROAD (ROUTE THELMA %THIBAULT NANCY J CENTERVILLE 1851 FALMOUTH RD CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY (NOTES) ZONING DIST/ZOC RC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? $# BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 20908 . 8 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 PROTECT DIST (N) EXT / (P) REVIOUS / NO (T) ES / PER (M) ITS / (V) IOLATIONS / (G) EOBASE / (E) XIT �� ..,�- -._ II COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, ss: AFFIDAVIT I , being on oath, depose and state as follows : 1 . ) I reside at 2 . ) I am the owner of the property located at shown on Barnstable Assessors ' Maps as : Map Lot 3 . ) On , 19 the Zoning Board of Appeals, on Appeal No. granted me a special permit to maintain' a family apartmentat the above address. 4 . ) I understand that the family apartment may only be occupied by members Of my family who are persons related to me by blood or by marriage. 5 . ) The following members of my family will be the sole occupants of the family apartment at the above address: (1) Name: Relationship to Owner: (2) Name: Relationship to Owner: 6 . ) The family apartment will be the primary year- round residence for the above-identified family members. 7 . ) In the event that the above-listed relative(s) vacate said apartment, I will immediately notify the Building Commissioner in writing. 8. ) I understand that no subletting or subleasing of said family apartment is permitted. 9. ) I understand that I am required to annually file an Affidavit with the Building Commissioner listing the names and relationship of my family members occupying said family apartment . 10 . ) I understand that I am required to comply with all conditions imposed by the Board of Appeals in Appeal No. 10 . ) I agree to immediately notify the Building Commissioner in the event of the sale of the above-listed property. Sworn to under the pains and penalties of perjury this day of 19 (Signature) T (Please Print Name) : AWE The Town of Barnstable 9e� ' 9. Department of Health Safety and Environmental Services rFo Mop' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner April 14, 1998 Murphy&Murphy Counselors at Law 243 South Street Lock Drawer M Hyannis,MA 02601-1412 Dear Mr.Hyland: I'm sorry we mis-communicated on the answer to your January 21, 1998 letter;I thought after our initial discussion that a written response was not needed. Allow me to answer your question now. The building at issue was indeed a single family home with a family apartment. Pursuant to their application for a dance studio on the first floor and the site plan approval of same,they complied with our ordinance by removing a unit and restoring the use back to a single family home.. The site plan approval was also for an educationally exempt use which as you know,was found to be in order by our zoning board. So in summary I believe that the current approval(single family with educational exempt use)is lawful for this address. You have the right to appeal this decision. If you so choose,I will be more than happy to assist you. Sincerely, Ralph Crossen Building Commissioner RC:lb g980414a HENRY L. MURPHY, JR. MURPHY AND MURPHY TELEPHONE J. DOUGLAS MURPHY (508) 775-3116 COUNSELLORS AT LAW G. ARTHUR HYLAND, JR. 243 SOUTH STREET F A X (508) 775-3720 SUSAN MERRITT—GLENNY * LOCK DRAWER M ALSO ADMITTED IN CONNECTICUT HYANNIS, MASSACHUSETTS 02601-1412 E-MAIL murphlaw@capecod.net PLEASE REPLY OUR FILE NO. NOTARY PUBLIC 9785-172 April 13, 1998 Ralph Crossen, Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Re : Property at 1851 Falmouth Road/Route 28 Centerville, MA - Assessor' s Map 189, Parcel 57 (the "Premises Il) Dear Mr. Crossen: On January 21, 1998 I filed a demand with your office with regard to the family apartment at the above referenced premises . As of this, I have not received a response from you with regard to the intentions of your office in enforcing the Zoning Ordinance as requested. Please let me know at your earliest convenience as to your decision to enforce the Ordinance or not to enforce said Ordinance . If I do not hear from you by April 22, 1998, I shall assume that you do not intend to enforce this Ordinance. Very truly yours, , ' '16- CQ) G. Arthur Hyland, Jr. GAH:klh cc : James H. Crocker, Jr. CERTIFIED MAIL: P 339 578 075 HENRY L. MURPHY, JR. MURPHY AND MURPHY TELEPHONE J. DOUGLAS MURPHY (508) 775-3116 COUNSELLORS AT LAW ------ F A X G. ARTHUR HYLAND. JR. 243 SOUTH STREET (508) 775-3720 SUSAN MERRITT—GLENNY LOCK DRAWER M ALSO ADMITTED IN CONNECTICUT HYANNIS. MASSACHUSETTS 0260 1-1 4 1 2 E-MAIL murphlaw(4rcapecod.net PLEASE REPLY OUR FILE NO. NOTARY PUBLIC January 21, 1998 9785-172 Ralph Crossen, Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 Re : Property at 1851 Falmouth Road/Route 28 Centerville, MA - Assessor' s Map 189, Parcel 57 (the "Premises" ) Dear Mr. Crossen: This office represents the Centerville-Osterville-Marstons Mills Fire District (the "COMM" ) . We had previously requested on behalf of the COMM that you enforce the Town of Barnstable Zoning Ordinance in connection with the use of the Premises by the Dance Arts Academy of Cape Cod. It has now come to my attention that this Premises was the subject of a Special Permit granted by the Zoning Board of Appeals, Case No. 1988-44 in which there was a Decision to grant a Special Permit to Thelma Scannell for a family apartment pursuant to Zoning Ordinance 3-1 . 1 (3) (D) . As you know, the Premises lies in a RC Zoning District and a "family apartment" is permitted contingent on a Special Permit being issued under the conditions set forth in the above referenced Zoning Ordinance. Sub-section (o) of that Ordinance specifically states : "Within sixty (60) days from the date authorized family members vacate the family apartment, the owner or his or her agent shall remove any kitchen facilities in such unit and notify the Building Commissioner to inspect the premises" . Furthermore, Sub-section (p) of said Ordinance states : "In addition to the provisions of Section 3-1 . 1 (3) (D) (o) above, upon vacation of any family apartment, the premises shall be returned as nearly as possible to their state prior to the creation of such family apartment . " r c fy , �Mf ' The family to whom the Special Permit was issued has been dispossessed of the Premises by reason of a mortgage foreclosure and no longer resides there . It is my understanding that the Sub- sections of the Zoning Ordinance cited above have not been complied with. I am writing to request that the Building Commissioner inspect the Premises and enforce the provisions of the Zoning Ordinance which require the kitchen to be removed from the family apartment and the Premises restored to its original state . The Premises is presently owned by Marian T. Miller who I understand resides at 160 Thistle Drive, Centerville, MA. The Town of Barnstable Zoning Ordinance, Section 3-1 . 1 (3) (D) in part requires the following: " (f) The property owner resides on the same lot as the apartment . (g) The family apartment is occupied by members of the property owner' s family only. " Please also consider this a request under G.L.c. 66 §10, the Public Records law, for inspection and copies of all documents relating to the above referenced Special Permit inspection b P Y any Department of the Town pursuant to the ordinance governing family apartments in general and this Special Permit in particular, and any documents concerning the cessation or continuance of the components of this so-called "family apartment" or the kitchen in the main residence portion of the Premises . Thank you for your attention to this matter, and I look forward to hearing from you in the near future with regard to your decision and the request for documents . Ver truly yours, Arthur Hyland, Jr. GAH:bb cc : Nestor K. Silva James H. Crocker, Jr. . Carlton B. Crocker TOWN OF BARNSTABLE II CERTIFICATE OF OCCUPANCY PARCEL ID 189 057 GEOBASE ID 11067 ADDRESS 1851 FALMOUTH ROAD (ROUTE PHONE i CENTERVILLE ZIP - I LOT BLOCK LOT SIZE. I DBA DEVELOPMENT DISTRICT CO i PERMIT 30593 DESCRIPTION CHANGE OF USE (PMT.030592)DANCE STUDIO I PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services i TOTAL FEES: BOND $.00. Ox CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY BARNSTABLE. +' MASS. I 1639. . FD INIr►I - _---- --- - ----- ---- --- ----- ----- -BUIL-D �G•DIV}SION--_ .- -f -----I BY i DATE ISSUED 04/29/1998 EXPIRATION DAT "''` I lwV E 6TI-FIG .TE OF OCCUP,t NCY .PARGEL -I:D IS9 057, ° GEO ASE 'I 11067 ADDRESS 1 T. UU`C 3 RQtITL PHONE 'CENTERV I LLE � �;;, ' Z T WT SIZE DPI "` DEVELOPMENT DI STRI Cr CO PERMIT, 30593 DESCRIPTION CHANGE OF USE,. (PMT.#30592)DANCE STUDIO PERNI`.[' TYPE BCOO TITU,,, CERTIFICATE OF ©CCUPANC' . 'CONTRc�CTIQRS: t Department of Health; Safety ARCHITECTS and Enviroriinental Services TOTAL FEEDS, oxtr� BOND. $.0.4� CONSTIRUC 10N :COSTS 756 G RT t CIS` E Q. QC(,tJ NOY` MA83. BUILD DIVIION , .DidE ISSUED 04�2b/195 IRATION DA.T � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,-EITHER,TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC'WORKS.THE ISSUANCE OF:HIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS-. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE . 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE'.;.REQUIRED. FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF:_000U ELECTRICAL,PLUMBING AND MECH- .(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS '. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS . ELECTRICAL INSPECTION APPROVALS 2 2 2 I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING-DEPARTMENT, 2 BOARD OF HEALTH I OTHER: SITE PLAN REVIEW APPROVAL WORK PERMIT WILL ME NULL AND VOID IF I N THI WO SHALL NOT PROCEED UNTIL LL BECOME U 0 CON- INSPECTIONS INDICATED 0 S THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN.SIX CARD CAN.BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS, `TELEPHONE OR WRITTEN NOTIFICA TION. NOTED ABOVE. TION. r � � p TOWN OF BARNSTABLE BUILDING PERMIT 1PARCEL ID 189 057 GEOBASE ID 11067 ADDRESS 1851 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE ZIP. - r LOT BLOCK LOT SIZE DBA ' DEVELOPMENT DISTRICT CO PERMIT 30592 DESCRIPTION CHG.OF USE SING.FAM.W/DANCE STUDIO 1 PERMIT TYPE BMISC TITLE MISCELANEOUS PERMIT CONTRACTORS., Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 THE CONSTRUCTION COSTS $.00 I 753 MISC. NOT CODED ELSEWHERE + BARNSTABLE, # MAS& 039. ED INI� � BY DATE ISSUED EXPIRATION DATE . TOWN OF -:BARNSTABLE d. BUILDING, PERMIT PARCEL .''DV 189 067, T, GEOBAS ID .. 11067 s II ADDRESS' k851 FAiLMOU114 ROAD (ROUTE P14ONTL = _ . CENTERV I LLE ZIP .LOT. PIX)CK SCOT SIZE DBA DEVELOPMENT bIST RAC` `= PERMIT 30.592 DESCRIPTION CHG.OF USE SING.VAM.€/DANCE STUDIO PEPZMjI TYPL CSC TITLE . MISCELANE.OUS PE IT -.• . CONTWITORS. Department:of Health, Safety IARCRjTECTS and Environment AU Services TOTAU FEES: INE . 009S 'R CT ON COSTS y 0 " �r3 MISC NOT COT3ED, ELE # * . * HARNSTABLE, *. MASS. ., . . DI BUI ISIO BUILDING V DAN' I SS- T (3 DATE.. : THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY:EN'c CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS'MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS.CARD KEPT POSTED UNTIL.FINAL INSPECTION PERMITS .:ARE 'REQUIRED :FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR (READY TO LATH): PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN,MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 3 1 HEATING INSPECTION APPROVALS � ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: .SITE PLAN-REVIEW APPROVAL , WORK'SHALL.NOT PROCEED UNTIL'. PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON.THIS THE INSPECTOR HAS APPROVED THE STRUCTION.WO.RK IS NOT STARTED WITHIN SIX CARD CAN,BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC— . :..MONTHS OF DATE THE PERMIT IS ISSUED AS. TELEPHONE•OR WRITTEN NOTIFICA- TION. : NOTED ABOVE. TION. I I I I BUILDING PERMIT �f g' ring Dept. (3rd floor) Map r'J Parcel Permit#- ✓6�5-7 _a House# ��� i":J.j, - 1 Date Issued /-__-Board of Health(3rd floor)(8:15 -9:30/1:00- ml02� c)o Conse . ion Office(4th floor)(8:30- 9:30/1:00-,2:00) - - SEPTI Pl mg Dept. (1st floor/School Admin. Bldg.) IN$T Y. ST eE D ve 31an Approved by Planning Board 19 = EiVvlfCE V TOWN OF BARNSTABLE'7`,!" ° ` �� s.9na E AND CC Building Permit Application ' Pr ' Street Address �J� Village Owner /Vl zf_l}�t� ( Address S Telephone �j Permit Request 1; e .First Floor ti � S� square feet Second Floor square feet Construction Type c- Estimated Project Cost $ Zoning District + Flood Plain Water Protection f� Lot Size (� 1�(/v r�� Grandfathered ❑Yes ;qNo Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes Flo On Old King's Highway ❑Yes TO Basement Type: ❑Full XC awl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing�— New 0I Half: Existing _ New No.of Bedrooms: Existing& Total Room Count(not including baths): Existing_ 4 New ^First Floor Room Count 1p Heat Type and Fuel: )OGas ❑Oil ❑Electric ❑Other Central Air ❑Yes 0 Fireplaces: Existing New Existing wood/coal stove ❑Yes )Ad�No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) R jj 'Attached(size) ��L ❑Barn(size) ❑None 2-C ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial AdYes ❑No If yes, site plan review# — c7 7 Current Use X Proposed Use Builder Information Name 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 SIGNATUR , 2V� DATE " BUILDING PERMIV&NIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY M PERMIT NO. _ DATE ISSUED MAP%PARCEL NO. + ADDRESS VILLAGE , OWNER ' DATE OF°INSPECTION: FOUNDATION ' +} FRAME' - - ' � , • 4 :� - f INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL ._. •, - ' PLUMBING: �Oulml FINAL: 'u- NON GAS:; rI'luas ' FINAL FINAL BUILDIN' DATE CLOSED OL /l to .. } , f ? •' f , 03 in ASSOCIATION PL ► •a`` '-' r •,` + ! fj t , in z Jc7seph D. DaLUZ Telephone: 775-1120 Building Commissioner Ext. 107 TOWN OF BARNSTABLE ' BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS, MASS. 02601 April 25, 1989 Thelma Scannell 1851 Falmouth Road Centerville, MA 02632 Re: Appeals No. 1988-44 Dear Mrs. Scannell : On July 7 , 1988, as applicant( s ). you were granted a Special Permit for a family apartment . "The intent of this by-law shall be to allow one ( 1 ) additional living unit, complete with kitchen and bath to supply a year-round residence for a member or members of the property owners family, . . . . . . . . . . . " In addition, the by-law also states that "The property owner, and the person or persons who wi.11 reside in the family apartment shall sign affidavits before occupying said family apartment and further, all shall sign said affidavits each year said family apartment is occupied. . . . . . It . Within sixty (60) days from the date the person or, persons residing in the family apartment vacate the premises, the owner or his representative shall remove the kitchen facilities and request the Building Inspector to inspect the Premises. It is important that, you understand that there are restrictions which relate to the applicant's family living at the same premises. The use cannot be transferred. Conviction of a violation of this by-law is subject to a fine of $ 100 per day for each day from the established date of offense and, also, subject to a criminal complaint to issue from the First District Court of Barnstable. Affidavits must be signed and filed at the Building Commissioner's office between the hours of 9:30 A.M. and 1 :30 P.M. Monday through Friday. This by- law shall be strictly enforced. Peace, r �i �6sep h D. uz Building Commissioner JDD/kiTi cc Board of Appeals .Town Counsei e. \X7 TOWN OF BARNSTABLE ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION AND NOTICE 1988-44 THELMA SCANNELL At a regularly scheduled hearing , held on June 2 , 1988 , notice of which was duly published in the Barnstable Patriot , and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts , the petitioner , Thelma Scannell , requested a Special Permit to allow a family apartment over a proposed garage at Map 189 , Lot 57 , 1851 Falmouth Road , Route 28 Centerville , . in an RC zoning district . In support of this petition , the Petitioner presented evidence that the following conditions .applied which would warrant the grant of a Special Permit . The petitioner , who is the present owner and occupant of a one story single family dwelling located on the property , presented a plan showing an attached breezeway and garage , over which she seeks to create a family apartment- in accordance with Section 3-1 . 1 ( 3 ) (D) of the Town of Barnstable Zoning Bylaw. The petitioner stated that the existing dwelling has been occupied for 17 years by her.sand her husband, who recently died . In order to maintain the property, her daughter and son- in- law will occupy the existing one story dwelling and the proposed family apartment will be occupied by the petitioner . The petitioner is aware of all of the requirements of' Section 3-1 . 1 ( 3 ) (D) of the bylaw and feels that she complies . Based on the evidence submitted the Zoning Board of Appeals made the following findings of fact : The Special Permit being sought is in harmony with the general purpose and intent of Section 3-1 . 1 ( 3 ) (D) of the Town of Barnstable Zoning, bylaw: Family Apartments . Ra Based on the findings , at a public meeting held on June . 2 , 1981, th) Zoning Board of Appeals voted by a unanimous vote to grant the c�Specia Permit to allow a family apartment . Members present and voting : 1 ) Ron Janss on , Chairman N cn 2 ) Gail Nightingale 3 ) Richard Boy 4 ) Luke Lally 5 ) Helen Wirtanen ` r✓ afgranting the Special Permi.t the Zoning Board of Appeals Imposed the following conditions , the breach ofLwhich shall invalidate the special permit being granted: 1 ) That the family apartment be constructed pursuant to the plan submitted and entitled "Plan of Land in Barnstable (Centerville ) Mass for Thelma Scannell " Scale : 1 " +40 ' . Date : April 27 , 1988 . Drawn by: Baxter & Nye , Inc . , Registered Land Surveyors & Civil Engineers Osterville , Mass . 2 ) That the petitioner fully comply with all of the provisions of Section 3-1 , 1 ( 3 ) (D) of the Town of Barnstable Zoning Bylaws, attached herein, Any person aggrieved by this decision may appeal to the Barnstable Superior Court , as described in Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing an action within twenty days after the decision has been filed in the office of the Town Clerk. Chairman I , 1 .. all Clerk of the Town of Barnstable , Barns able County,;✓Massachusetts , hereby certify that twenty ( 20 ) days have elapsed(since the Board of Appeals rendered its decision In the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk. Signed and Sealed this 'Ili day of C'' 19 �� 1 under the pains and penalties of pei jury . ��Town Jerk Distribution: Property Owner Town Clerk Applicant Persons interested `�- Building Commissioner Public Information Board of Appeals R 1 89 057 n A P F' R A I S A L D A T A KEY 110677 SCANNELL, THELMA LAND BLD/FEATURE'; BUILDINGS NUMBER ZN/FL=RC 59, 100 57,900 1 A—i_:i;ST 117,000 B—Mk:T 60,600 0 BY oo/ BY /00 C:—INCOME PCA=1 0 11 PCS=00 B I ZE= 908 JUST—VAL 117,000 LEV=300 C ON ,T—C 0 ----i OMPARISON TO CONTROL AREA 40AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 40AC CENTERV I LLE PARCEL CONTROL AREA TREND STANDARD 103 10 LAND—TYPE 591001 LAND—MEAN +("% 1170003 90837 IMPROVED—MEAN —:=6% 20% J FRONT—FT J 100 DEPTH/ACRES TABLE 02 10 %J LOCAT I��N—ADJ APPLY—VAL—STAT 1 LNR J LAND L..FT/I MP J ADJ S/SB/FEAT S TR 3 STRUCTURE ARR J AREA—MEASUREMENTS NOR J NOTE COM J MARKET I NC J I NCOME PMR J PERMITS GRR J GRAPH I C FUNCTION—C J STRUCTURE--CARD NO—C(700 J DATA—[ J XMT C'?J I i R189 057. P E R M I T IPMT3 ACTIONER] CARD 10003 KEY 110677 000000ool PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT CB320511 1073 1881 [AD] 1 300003 1 1 COO] 1001 COOOI [NEW I ICE ADD'N ] 1 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 3 1 1 C I [ I I I I I ] I I I 1 1 3 1 1 1 3 3 1 1 3 1 1 1 1 1 3 1 1 1 3 1 1 1 1 1 1 1 1 1 1 1 I [ 1 1 3 1 3 1 1 1 3 1 1 1 3 1 1 1 I 1 3 1 3 1 1 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I [ 3 1 1 1 1 1 1 3 1 3 1 1 1 1 1 1 1 3 1 1 1 1 1 1 1 1 3 1 1 1 1 1 3 1 1 1 1 1 1 1 3 1 1 1 1 1 I I I I I I I 1 1 3 1 1 1 1 1 1 1 1 1 1 1 3 1 3 1 3 1 1 1 1 1 1 1 1 1 1 1 1 E I I I I I E I I I I I I I I I 1 3 E :1 1 1 1 1 E I I I I I I I 1 1 3 1 3 1 1 C 3 1 1 1 1 1 I I I I I I 1 3 3 3 1 3 1 1 1 :1 1 1 1 3 1 IE?l R 189 057. N O T E S [NOT] AC T I ON C R] CARD C c.yc:0] KEY 11 o677 ACTION—CODES R=READ W=WRITE X=EXIT•—NO—WFR D DELETE 000000003 NOTE [FAMILY APT. ] [APPEAL 1 98 8-44 ] C I C a C ] C I C ] C ] C ] C ] C a [ ] a C ]XMT C-'] I dw The Town of Barnstable 9 � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 18, 1997 Murphy&Murphy Counsellors at Law Attention: Douglas Murphy 243 South Street Lock Drawer(M) Hyannis,MA 02601-1412 Dear Attorney Murphy: In answer to your letter of June 10, 1997,1 have the following information: 1.) In as much as Barnstable Zoning section 2-4.1 (2)allows an exemption for all educational uses I do not agree that an affiliation with a state agency or non-profit status is required. 2.) Reasonable regulation(set-backs,etc.)can be an issue for the Zoning Board,but in this case as no construction is being proposed to this-pre-existing non-conforming structure,I did not believe it was an issue. 3.) 1 do not agree that use of this house was a combined residence for the owner and dance studio business for the owner is a violation of zoning. I am sorry is this answer is not what you wanted,however you may appeal to the ZBA if you wish. Sincerely, Ralph Crossen Building Commissioner RC:lb g970618a HENRY L. MURPHY, JR. MURPHY AND MURPHY TELEPHONE J. DOUGLAS MURPHY (508) 775-3116 COUNSELLORS AT LAW ' G. ARTHUR HYLAND, JR. 243 SOUTH STREET F A X (5O8) 775-3720 SUSAN MERRITT-GLENNY * LOCK DRAWER M * ALSO ADMITTED IN CONNECTICUT HYANNIS, MASSACHUSETTS 02601-1 41 2 NOTARY PUBLIC 9785-172 PLEASE REPLY OUR FILE NO. June 10, 1997 Ralph Crossen, Building Commissioner TOWR OF BARNSTABLE 367 Main Street Hyannis, MA 02601 RE : PROPERTY AT 1851 FALMOUTH ROAD/ROUTE 28 , CENTERVILLE, MASSACHUSETTS (ASSESSOR' S MAP 189, PARCEL 57) (the "Premises" ) Dear Mr. Crossen: I represent the Centerville-Osterville-Marstons Mills Fire District (the "COMM" ) which, as you may be aware, is an abutting land owner to the above-referenced Premises . At its May 20 , 1997 Annual District Meeting the COMM voted to acquire the above- referenced property by purchase, gift or taking by eminent domain. It was brought to my attention that Dance Arts Academy of Cape Cod has made a request for a building permit through your office, for permission to effect certain construction and modifications to . the premises in order to construct and operate a dance studio. I U understand from our recent conversation that you made a determination, based upon your review of the zoning laws and substantiation-provided by the applicant, that the applicant was an "education" organization that would be engaged in an educational endeavor exempt or unrestricted by zoning. I note that this less than half acre lot lies in a RC zoning district which requires a minimum one acre lot size, a 100 foot front yard setback along Route 28, 10 foot side and rear yard setbacks and a maximum height limitation of 30 feet or 2-;� stories . I understand that you required the applicant to substantiate its education exemption by filing a written . statement describing its qualifications . I have as yet been unable to confirm that the Dance Arts Academy is a d/b/a of an individual named Marian Miller, and perhaps others, but I believe that to be the case . . 5 I have reviewed a three-,page, unsigned narrative from the file in your office, dated Apri'1: 29';, 1997 which asserts that the Dance Arts Academy engages in ' educational pursuits . However, this statement is devoid of any representation as to a) relationship to any qualifying state agency or land ownership; or b) profit status, as those matters are addressed in G.L.c 40A, §3 . If one assumes that this is a for profit, albeit educational venture, then clearly it is not exempted or unrestricted by General Laws Chapter 40A, §3 . Furthermore, I have found no evidence that the land is to be owned cr leased by the Commonwealth or any of its agencies, for an education purpose which otherwise might afford another avenue of exemption were that to be the case. I noted in driving by the property that some site work has already been accomplished with regard to driveways and parking spaces which leads me to conclude that some determination must have been made as to the requisite parking under the ordinance . If one assumes, for the sake of argument, that the proposed venture is educational, even uses which are found to be educational may be restricted with regard to lot size and setback, bulk and parking requirements, etc . Such Trelief, again assuming that the threshold hurdle of being determined an- educational organization can be overcome, should be made. by the Zoning Board of Appeals on. an application for a special permit or variance . In considering the permissibility of any construction, reconstruction, modifications or alterations to the premises, due regard should be given to setback and density issues, highway traffic hazards, in -particular the existence or requirement for new and additional curb cuts creating further congestion in close proximity to the fire department,, which obviously has emergency vehicles coming and . going at all times; setbacks (including in particular setbacks for on-site sub-surface disposal systems; compliance with the requirements of . Title 5 of the State Environmental Code dealing with sub-surface disposal systems and the requirements for adequate parking) . Under the circumstances, it seems clear that this property may not lawfully be utilized as a commercial dance studio as a matter of right; that to do so does or would involve a change in use from the former residential use' on an .undersized lot to utilize a non- conforming structure for .a, iion-conforming use . There is even now a suggestion that the use will be mixed 'residential and commercial, totally prohibited in .,the 'D'istrict . Such circumstances, should, preclude the issuance of a building permit or site plan. approval as a matter. of right and mandate that j ^ s' zoning relief be sought and obtained from the Board of Appeals before any change of use, alteration or` construction occur on the premises . Neither the Zoning Enabling Act nor the local ordinance are intended to afford unrestricted or exempt status to a for profit educational endeavor. To conclude otherwise would open up every residential zone in the. Town - of Barnstable to a plethora of commercial ventures, some in fact and others simply in the guise of education such as, e.g. batting cages, dog. training, horseback riding, musical instruments, real estate sales training, auto mechanics school, tractor trailer drivers education, appliance repair, bartending school 'and virtually a you name it basket of "educational" endeavors run for profit. No one could conceive this to have been the intention of the statute or the ordinances . You are herewith requested to enforce the Zoning By-Law by rescinding and revoking any outstanding permits which may have been granted relative to the foregoing; and in the alternative, to require that any work•or improvements done without required permits or in violation of the existing law or ordinances, (whether with or without a permit) be restored to their former condition and all activities in furtherance of the "dance studio" be halted pending a grant of relief by the Board of Appeals . In accordance with the statute, you are requested to respond in writing to this demand for enforcement . A duplicate copy of this letter is being submitted to the Town Clerk Thank you for -your considerate attention. 9ftacerely, J. MMuph/4/ JDM:rjj cc : Nestor, K. Silva, Chairman Prudential Committee Susanne B. Curran, Clerk/Treasurer 4 1 i ' S " F m . ofTMEtwy URNSrnai.E. ArE 59. The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M. Crossen Fax: 508-790-6230 Building Commissioner February 4, 1998 Nancy Thibault/Marian Miller 160 Thistle Circle 4 Centerville, MA 02632 Re: Family Apartment at Dance Arts Academy, 1851 Falmouth;.Road, CenterviL Dear Ms.Thibault and Ms. Miller, The recent approval by Site Plan Review(SPR 036-97) for Dance Arts Academy, you agreed to construct the Dance Studio on the first floor and reside on the second floor. By signing below, you agree to cancel the Special Permit (1988-044) granted to Thelma Scannell for a Family Apartment. Please sign, and return to this office as soon as possible. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner I / /�/ro3 9 _�ee to give l� up the Special Permit#1988-044 granted for a Family Apartment at 1851 Falmouth Road, Centerville. I o Ity CV Ptac-EL ARMj80121- SF I f CYI41iv t,9?. W l 1 Ukk �c ONAf 'UAf£ _ f 'C � 0 _ AfAf o rr� J Assessor's offioe (1st floor): O� CF THE t0 Assessor's map and lot number ............................................ Board of Health (3rd floor): r ( 1 Z �� -4- Sewage Permit number Engineering Department (3rd fIoorj:/ "6 9.a House number ./ U 3 `0 0 YP APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Gv�S �//GT 5 .to'GtF_ Cft/�7lLy ��I,� TYPE OF CONSTRUCTION .....:�-�...1)0.p....... C................................................................................. ....................f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....40 7...... 9-00TF C T / V� / ........................................................... ................—....................... Proposed Use / //�EitfC.�=...................................................................................................................................... ................. ZoningDistrict ........................................................................Fire Distract ......C.....Q............................ ................................ 70 Name of Owner ........................................._......... ..........:..........Address .......... 5' / !' Address -6�M e Nameof Builder .......0........................................................ .................................................................................... Name of Architect ...1: .....� / i�.......................Address ........C._.474J.1.T..................................................... ................................................................Foundation .. Q fJ .��..... � 7 .................... Number of Rooms ' Exterior /7..... ......-�...��/1J� !. ..............Roofing ..... 5. / .� T.............................................. Floors VI X4...................................Interior ....... //v .....9 ..... ���sv n / ^ .......................................... Heating (! J..FIA�FA......../0 ....4!lZr .......Plumbing ...?F!.1---:...�...C�/����' a1 -6�7f/5 ....................................... Fireplace C/)/ i4 7E....4�?1.....-/< .. "....e?/ / / ........Approximate Cost ..... �Dr.. �J ..................................... .............. Definitive Plan Approved by Planning Board ------------------------_-------19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH J 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 .✓ U /� Bayside Building Co. A=189-005 30718 two story No ................. Permit for .................................... single family dwelling .......... .. ...I.. ... .. .. ... . 2,-0 ej F� rn o o --R4;iU. -.--8 Location ...............I............tR 2 .................................... Centerville .....................................................................I......... Owner ..........B.a.y si.d.e...Bu.i.1.din.9 .... . . ...... .Co....................... frame Type of Construction .......................................... ..........I................................................................ Plot ............................ Lot .......#2 ......................... Permit Granted ............jjay...Z.................19 87 Date of Inspection ....................................19 Date Completed ......................................19 AM/1 yQF THE TOWN OF BARNSTABLE Permit No. ..39718..... BUILDING DEPARTMENTFF Cash { ....... I TOWN OFFICE BUILDING HYANNIS,MASS.02601 Bond .. r CERTIFICATE-OF USE AND OCCUPANCY Issued to Bayside Building Co. Address 1851 Route 28 Centerville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. July 21, 87 ............................ 19................. ........................... r:.•. Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT _ rsaiSTAU TOWN OFFICE BUILDING rur. tg t6jq' �� HYANNIS, MASS. 02601 �o r�r►• MEMO TO: Town Clerk FROM: Building Department DATE: ��—//aP 1— An Occupancy Permit has been issued for the building,authorized. by. BuildingPermit #.....�M.Z ...................................................................................................................................................... issued to ! l' / �', ,�'✓,f.�,a�. ... ......... •��r��...'��!✓ ... ��........_.. _.. .» (` Please release the performance bond. li r y ;. ..F'•.� � ( '• Y 1 ��:(fi � .. �y.,.b �.•. ,j•f TOWN OF BARNSTAL: �' A$S'_W,_USETTS , u k ii , ►. is -III= ►ii��■ ■ A-189-005 T II% DATE � 3v. 7 19_...... — -'ERMIT t � V � APPLICANT Owner ADDRESS _ _ owner (CONT.R'S LICENSE) AMild dwelling a , NUMSER� OF PERMIT TO 111n� ( .2 ) STORY Sin le family dwelling, DWELLING UNITS 1 (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) - AT (LOCATION) lot '#2 1.851 Route 28, Centerville ZONING DISTRCT RC • IN0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) I v LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: rpwr1 C #66--1264 - - n 100,000 ti0?vU AREA OR 884 sq. f t. � PERMIT 9.50 VOLUME ESTIMATED COST $ FEE - (CUBIC/SQUARE FEET) Baysides building Co. OWNER ,..., V. U. Sox 9J, Centerville, '`4 ; BUILDING DEPT. ADDRESS BY / t THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY. OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY. PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY ,GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. - - MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. z. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTILMEMB " FINAL INSPECTION TO BEFORE FINAL INSPECTION HAS BEEN MADE. !i 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT l L 7-30 -k? OTHER 2 BOARD OF HE TH WORK SWALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN B.E TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTIOt`. PERMIT 1S ISSUEN NFTED ABOVE. NOTIFICATION. �—t"""�----'--- r" S i N 4 � N 34 a h Lo-r ► z.3 11 a . t i t tf[r 61 1 <r CC C f 4 , LOT .Z Z - - - I CERTIFY THAT THE SHOWN OIL THIS PLAN IS �j" OF LOCA=ED OIL THE GROUND � rf� I�r1 AS INDICATED � W. L q y 13' C f IP14�77 LAO DATE REGISTERED LAND SURVEYOR EvY a ELDREDGE ASSOCIATES,INC ERTIFIED. PLOT PLAN CLIENT tZC. ENGINEERS - LANDSCAPE ARCHITECTS JOB'-NO.2Q2.; L©Z- 7- (��©� �UTL 28 � PLANNERS— LAND SURVEYORS ®R, BY, "�°" " I Ccy,Ir-E,ev/�t�� 889 WEST MAIN STREET CHKD. BY,.�. 5,4PJVST,4 t�>LEj MA CENTER�ILLE, MA. 02632 ISHEET...LOF.;,C_. SCALES-4/ =S-9.� _ DATE: // � Assessor's offioe,(1st floor):-' Q Assessor. Tc!q'and lot 'number .e5ieT....O .. ® �Ee TMET��� Board of Health -(3rd floor): SEPTIC SYSTEM MUST F Sewage Permit number 2 �.` �-' ' "` "` ' " "" " RI�STALLED IN COMPLIA AUSTADLE, a,. MA06 Engineering- Department (3rd floor / ! WITH TITLE 5 - '0s,N q. \0� House number ,..:. ... 1 ...... P ENVIRONMENTAL �E0 Y a• ,.. ENVI CODE N. ya APPLICATIONS PROCESSED 8:30.-9:30'A.M. :and"1:00-'2:00' P.M. only .� TOWN REGULATIONS TOWN.. =0F BA-RNSTAiBLE BUILDING AN SPECTOR 'APPLICATION-FOR !PERMIT TO 4,r-4 ....,/.1::...��./ ....F� ......11..� TYPE OF: CONSTRUCTION :..f .O..® ........................................................ ` f.. .TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: r . v�-� Location .....L-.Q. ........G�.........�.�VTE.....�6.............4�.'�............�......��.......:................:: ProposedUse ..../ SwE! C. ..........: ............... .............:..................................................° Zoning District ........... ....G............... .................................:Fire District ......4 ..............................................:.. ....:::.. p Name of Owner �fi yS,/� ........9446....: r.....Address ..Y.. Name of Builder mom Address /................................................ ..........................................................:......................... Name of Architect ... ...../T !✓-17��.......................Address .......c.�.7� ........ Number of Rooms ......�............T.:................. ...'...................Foundation ../ BC,a� s .l....E....... ...Q.... ..w. Exterior C4.� ,6.6443....... .... #J t/-"..............Roofing .... SP '.l.L-T - ........................... ............................. ........... Floors e ffAe..L.....e...f!-.......Y4......:...:.. Interior ....: 1 .....9 .....C7 y10J411 ) //v ................... ...... .................................. Heating �4 !.l��.. �(� .,......./ln.; ....1�v'.(.1.. 1 ........Plumbing ... V.G... .�...........:...d '�fJTt1�� Fire Iace COL!!.(-. _rE &�l ie C�{ Approximate Cost `2Q Q < .x- ,6 ! /Jnn p ................ pp f......�(.Y.............: Definitive Plan Approved by Planning Board __ :_______19 Area .......... .....D................. Diagram of Lot and Building with Dimensions ' Fee .......... .... .1........................... SUBJECT TO APPROVAL- OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS _ I hereby agree to conform to all the Rules'and'Regu lotion's "of the Town of Barnstable regarding the above' construction. .• Name ... ...f... ......... Construction Supervisor's License ...a4.2� `k. 71�) Y - 1- Bayside Building Co. - No: '30718 Permit for ......two„story. 1 *. _ .......... single family...dwelling................'.... - r Loc ion 1851 Route 28 t. [ - r ' Owner Ba s..ide...Bu.i.ldin ..Co' ............ - Type of'.Construction ......fram6� �. ...:r.............f. ....... ..........` ................................ ` Plof ".. Lot' #2 :%'Permit 'Granted ............May:..7:.... ...........19 87 . ' Date of Inspection ... ' ...... ... .19 Date' Co plete ���.......... 19 � arcs o-5b q; cr 10 fly - r y f r 'Freeman Davis & Stearns LLC 1597 Falmouth Road,Suite 3,Centerville,MA 02632 p:(508)775-5010 f:(508)775-9105 www.freemandavislaw.com Joshua Davis One Lewis Wharf,Boston,MA 02110 p:(617)227-5070 t:(617)227-5001 anei R.Steams March 5, 2007 =, Mr. Thomas Perry, Building Commissioner y. 5= Town of Barnstable 200 Main Street Barnstable, MA Re: Stephen Bobola 1851 Falmouth Road, Route 28, Centerville; MA Barnstable District Court Citations BAR 72595, BAR 72596,BAR 72597, BAR72598, BAR72599 BAR 72600 . Dear Mr..Perry: This will confirm.that the Clerk-Magistrate's hearing in the above-captioned matter has been continued,by agreement,until Thursday, June 7, 2007 at 2:00 p.m. Further,this letter shall serve as a Stipulation on behalf of my client, Stephen Bobola, as follows: 1. There is presently only one(1)tenant in the premises, and the premises shall continue to be rented to only one tenant pending the outcome of the Zoning Board of Appeal's relief described below. 2. Mr. Bobola will complete any building construction items that you deem necessary, during the pendency of the above,to satisfy you that the premises is being rented to only one tenant. 3. Mr. Bobola will apply to the Town of Barnstable under the Commonwealth of Massachusetts Department of Housing and Community Development(DHCD) Local Initiative Program(LIP) by March 16, 2007 for approval of the premises as a two unit rental apartment structure. 4. The Town of Barnstable will.then submit the approved LIP application to DHCD. 5. Upon receiving a Project Eligibility letter from DHCD, under the LIP. program,pursuant to G.L. Chapter 40B Sections 20—23, Mr. Bobola wi11 . apply to the Barnstable Zoning Board of Appeals for a Comprehensive Permit to allow the premises to be a two unit rental apartment structure, with one of the units being a an affordable apartment as required by LIP. Mr. Thomas Perry March 5,.2007 Page Two 6. Should the LIP Application and/or the Comprehensive Permit Application be denied,the premises shall remain a single family apartment or owner occupied structure until such time as further relief is obtained from the Zoning Board of Appeals. 7. The term"tenant"is not intended to limit occupancy to one person;rather "tenant"means no more than the maximum number of legal occupants for the one unit at the premises. Thank you. Very truly yours, Stephen Bobola By Peter L. Freeman, Attorney in Fact PLF/ntrc Cc: Stephen Bobola Page 1 of 2 Renle From: "Dillen, ®izabeth"<Elizabeth.DHien@town.bamstable.ma.us> To: "Renie Hamman"<reniehamman@verizon:net> Cc: "Taylor,Madeline"<Madeline.Taylor@tmm.bamstable.ma.us> Sent: Monday, February 05,2007 421 PM Subject: . RE Stephen Bobola-185'1 Falmouth Road,Centerville Hi Renie- Stephen came before the Housing Committee on January 23,2007 to present his concept for two units under the UP Programat 1851 Falmouth Road,and the Committee members were receptive to the not ell eligible to �� proposal(see minutes below).He was g participate in the Accessory Affordable Apartment(Amnesty)Program because the properly was not owner- . occupied. You are welcome to review his file at your convenience. Mr. Bobola presented his proposal to convert an existing single family home.at 1851 Falmouth Roact Centerville into two rental units under the Lac bdtiativPro�(LIP) The two.units willcons&of one 2 BB writ of at least 900 SF and one 1 BR wdt of at least 700 SF. One of the units will be deed restricted as af,fordable, and Mr:Bobola will manage the rental units Art Kimber move4 Larry Gordon seconded to support the proposal;members voted unanimous in IYPPo Mr.Bobola tivill comeback to the Committee when his I,IP application is complete for sign off. . B D&,NSp-.wF C , G-wd'M s D Town OF5.na" .. 367 Main 5 c4 Hgbnn s MA Tel Soe.e62t683 . K i -4 t T Town of Barnstable * ermtt# 6�g0co Expires 6 months ftQrn issue da aaxrrsrABLE. Regulatory Services Fee MAS&�b Thomas F.Geiler, Director t63q. ,�� Building Division Tom-Perry,CBO, Build ing'Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number G Property Address ( ct /M 4 LA !� Residential Value of Work Minimum fee of$25.00 for work under$6000.60 Owner's Name&Address Contractor's Name Y; �,,, l Telephone Number yj Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) r `W- ]Workman' Compensation Insurance Ch ck one: E E 11 I am a sole proprietor ❑ I am the Homeowner TUN 2 3 2009 ❑ I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp. Policy# l✓C -L --3 J S 71: 1 l ^0 6 Copy of Insurance Compliance Certificate•must be on file. Permit Request(check box) l/ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of rood ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not Exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro /-e gn Property Owner Letter of Permission. p nt-f'ontractors License& Construct Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\Express\EXPRESSPERMIT.DOC Revise06O4O9 'ter• oFj"Erati Town of Barnstable ° Regulatory Services y`ARN�uAe.�B�$ Thomas F.Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usina A Builder as Owner of the subject property hereby authorize S-�-Z,�'�.��, Jj , gy to act on my behalf, in all matters relative to work authorized by this building permit application for. .(Address of job) r Date ignature ofT- f Owne r� tint ZName If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n.rnnirn.ncr nrtn nr_nrrmm�v THE Town of Barnstable �n4r�yOf t , Regulatory Services -�' Thomas F.Geiler,Director r EARNcrwnrF 1KA.94. . �63¢. �•� Building Division PrFD Tom Perry,Building Commissioner ...200 Main--Street,—Hyannis;MA 02601 -.__..... www.town.barnstable.ma.us Office: 50 8-962-403 8 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 Homeowna 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 requirsd shall be exempt from the provisions of this section(Section i D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homcowncrs who use this exemption are unaware that they are assuTning the rr sponsr'bilities of a supervisor(sec Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This tack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this ease,our Board cannot proceed against the unlicensed person as it would with a licensed Supmvisar. 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 hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a fomri/certification.for use in your community. Q:forrns:homccxempt f ; � r'!ze -�omvazo�uuec�! o�../�waaaac�ucaetta � - I Board of Building Regulations and Standards. License or registration valid for individul use only ` HOME IMPROVEMENT CONTRACTOR before the expiration date: If found return to: 'Registration 158588 Board of Building Regulations and Standards ExpTiraton 2/°11/p010 Tr# 264154 One Ashburton Place Rm 1301 i i all Type Partnership Boston,Ma.02108 : j MASS BUILDING=SYSTEMS j STEPH �. EN BOB 24 ST.FARNCIS CIRCLES t ' HYANNIS,MA 02601~'�` Administrator Not va id without signature I I2 jµ ,s � P �/l�-`V/(YIJYlYl07���'�r✓l�G(lOOd�*Ll(G� '..� _ Board of B I Ing Regulations and Standards i .a I Construction Supernsor License 3 ,I m },,�,ap,. Sv't"".. - License-.CS+ 5898T Expiration /4/2010yty R Tr# 16188s; es nctl i »{ STE,PHEN�E--BOBzit • � f `` 24'ST FRANCIS;jG�R� `; A ��y(��� �-� � 'I� , HYANNIS MA 02601u`� ;. „. Commissioner " 1 _ p n ' The Commonwealth of Massachusetts Department of Industrial Accidents 9-2 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 LeLyibly Name(Business/Organization/Individual): ;A5$ Address: Z V s �� , C t City/State/Zip: / /t,g�,;,,J; /7, 0 ZX0) Phone.#: YOY - Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors ..21 I am'a sole proprietor or partner listed on the attached sheet. T. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'.comp.insurance comp. insurance.$ 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.❑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. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. / / Insurance Company Name: L I g l -6 r L� Policy#or Self-ins.Lic. M h/(-Z 3 IS --3,/7 -L1 1 03e Expiration Date: f Q 3 0 Job Site Address: / 1< /)-n o to 4�. City/State/Zip: 601A rls i 11C, /A 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 DLk'for insurance coverage verification. I do hereby certify and r' ie ains and penalties of perjury that the information provided above is true and correct. Signature: Date: czZ-Z,Z, Phone#: f c) T P 77 )— 2%7 j Official use only. Do not write in this area,16 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 Contact Person: Phone#: . Information and Instructions 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 permittlicense 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 maybe 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 bum 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 Massacbusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-72777749 www.mass.gov/dia y�i TN[rp` �S The Town of Barnstable ""'r""` ' Inspection Department � r► r, q �d MAY A� 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner March 24, 1992 Ms Thelma Scannell 1851 Falmouth Road Centerville, MA 02632 Re: 1851 Route 28, Centerville A=189.057 Dear Ms Scannell: f This office has received a complaint alleging that an automobile repair business is being conducted on property owned by you, located at 1851 Route 28., Centerville. i Also, in reviewing our records, it was noted that the work authorized under Building Permit #32651 was never completed. Please contact this office immediately re this matter. Very truly yours, ,I /�- Richard R. Bearse Building Inspector RRB/km I920324B JOSFPH D. DALuZ rELOPHONE: 775.1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE FUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 June 9, 1989 Mrs. Thelma G. Scannell 1851 Route 28 Centerville, MA 02632 RE: A=189-057 1851 'Route 28, Centerville Building Permit #3.2051 7/7/88 Dear Mrs. Scannell: This office has received a telephone complaint re a potential hazard relative to the second floor sliding door. This door should have either a permanent rail with necessary guards attached for public safety, a deck with required rails and guards or permanently seal the door shut to prevent exit. I should further note that you signed the Building Permit Application as the owner/builder. Therefore, you did assume all responsibility for Building Code compliance and any and all liability relative to the con- struction until final approval from this department. Please be further advised that an Occupancy Permit is required for legal use of the family apartment (Appeal #1-988-44) . I trust you will address this matter immediately. Peace, i�` Joseph D. DaLuz Building Commissioner JDD/gr I TOWN m" BARNSTABLG BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE U ., JOB. LOCATIOum er N f / reet addr ss HOMEOW ection o town ' " NER" I name l , one _ —- _T ome p r. P. one �• PRESENT MAILING ADDRESS oO , . G a — 1 ty town . tate The .current exemption for "homeowners" was extended 1p co e dweIlings. Of six units or ess �an to allow such homto inchude owner-occupied IN ua for hire. who does not possess a license; ro�iners to engage. an in- acts as supervisor. (State Building Code Section p ded that the owner :DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on width he/she resides :side, on -which there is, or is intended to be, a one to six farm attached or detached structures accessor to s or. intends, to re- . :side,person who constructs more than one home o a two_ im dwellire considered a homeowner, m such use and/or farm structures. Such "homeowner shall submitatoptheoBuildin d shall hot beon.a. form- acceptable to the Building 0— for all such work performed under she buildan, that he/she shall be responsible g permit_ ection :The undersigned "homeowner Building Code and other applicable n respsibi codes ,nb - ` ` �'� f or compliance with the Stale y-laws, rules and regulations. The undersigned "homeowner" certifies that he/she and Barnstable Building Department. minimum inspection procedures an the Town of 'and that he/she will comply with said procedurespand requirements' . HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note': Three family dwellings 35,000 cubic feet to comply with State Building Code Section 1?7 or larger, will be required , Construction Control _ ;tx HOME OWNER 'S EXEMPTION The Code state that : permit js r "Any Home Owner performing work for which(Section a building . squired shall be exempt from 109. 1 . 1 — Llcensln the provlsl.ons of this section Home Owner engages a g of Construction Supervisors) ; Shall act as Person(s) for hire to do work provided that If a_ supervisor . " such that such. Home Owner Many Home Owners who Use this exemption are the responsiblllties unaware for, Llcensln of a supervisor that they are assuming g Construction Su (see Appendix Q, Rules and Regulatlo., often results. In serious Supervisors', Section 2. 15) .. . This lack of awarenessns Unlicensed problems, particularly when Unlicensed persons. In this case fheY Home Owner hires Person It would with licensed SBperv�soannoThe Home Ow ; .as..SUPervlsor timately responsible. proceed against the Is Owner acting To ensure that the Home cOMMUnities Owner Is fully aware of his/her responsibllitles , rnan certit reGUlre, as part of tile Y that he/she Perm it application, that the Home y last Understands the responsibilities of j page of .this Issue is On care to amend a form a supervisor . On the and adopt such a form/certlflcateonbfoseveral towns. 'You may Use In your community . a 1 i i i S i As.25t • zo Nn, 1 Q � WiLLIANI 1 t c. A�P� .6.m.1... 1 r TOWN OF BARNSTABLE ZONING BOARD OF APPEALS SPECIAL PERMIT DECISION AND NOTICE 1988-44 THELMA SCANNELL At a regularly scheduled hearing , held on June 2., 1988 ,, notice of which was duly published in the Barnstable Patriot , and notice of which was forwarded to all interested parties pursuant to Chapter 40A of the General Laws of Massachusetts, the petitioner , Thelma Scannell, requested a Special Permit to allow a family apartment over a proposed . garage at Map 189 , Lot 57 , 1851 Falmouth Road, Route 28 Centerville , in an RC zoning di.strict . In support of this petition ,. the Petit ioner r p esented the following conditions a he grant. of t applied which would warrant the grant, of aSpecia'1 Permit . The petitioner , who is the present owner and occupant of a one story single family dwelling located on the property , presented a plan, showing an attached breezeway and garage , over which she seeks to create a family apartment in accordance with Section 3-1 . 1 ( 3 ) (D) of the Town of Barnstable Zoning Bylaw. The petitioner stated that the existing dwelling has been occupied ' for 17 years by her.:and her husband, who recently died . In order to maintain the property, her daughter and son- in-law will occupy the existing one story dwelling and the proposed family apartment will be occupied by the petitioner . The petitioner is aware of all of the requirements of Section 3-1 . 1 ( 3 ) (D) of the bylaw and feels that she complies . Based on the evidence submitted the Zoning Board of Appeals made the following findings of fact : The Special Permit being sought is in harmony with the general purpose and intent of Section 3-1 . 1 ( 3 ) (D) of the Town of Barnstable Zoning bylaw: Family Apartments . Based on the findings , at a public meeting held on June 2 , 1988 , the Zoning Board of Appeals voted by a unanimous vote to grant the Special Permit to allow a family apartment . Members present and voting : . w 1 ) Ron Jansson , Chairman 2 ) Gail Nightingale --� 3 ) Richard Boy c")O 4 ) Luke Lally _ = C7 5 ) Helen Wirtanen U1 ' d` a r `y P .In granting the Special Permit the .Zoning Board of Appeals .'imposed the following conditions , the breach of which shall invalidate the special permit being granted : 1 ) That the family apartment be constructed pursuant to the plan submitted and entitled "Plan of Land in Barnstable (Centerville ) I Mass for Thelma Scannell " Scale : 1 " +40 ' . Date.: April 27 , 1988 . Drawn by: Baxter . & Nye , Inc . , Registered Land Surveyors & Civil Engineers Osterville , Mass . 2 ) That the petitioner fully comply with all of the provisions of Section 3-1 . 1 ( 3 ) (D ) of the Town of Barnstable Zoning Bylaws, attached herein . Any person aggrieved by this- decision may,., appeal to th-e Barnstable. Superior Court ; as described 'in. Section 17 of Chapter 40A of the General Laws of the Commonwealth of Massachusetts by bringing an action within twenty days after the decision has been filed in the office of the Town Clerk. Chairman V r• I Clerk of the Town of .Barnstable , Barnstable County , Massachusetts , hereby certify that twenty ( 20 ) days have elapsed since the Board of Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Town Clerk . Signed and Sealed this day of 19 under the pains and penalties of perjury . , T o w n C l e r.kS'° _ Distribution. + i Property Owner Town Clerk Applicant x ` � • �,�' Persons interested ` , t Building Commissioner Public information ... ,f Board of Appeals x .4 (3) (E) Family apartment subject to the following: i ARTMENTS a) Not more than one (1) family apartment Is rovided. P b) The family apartment is within or attached to an existing residential structure or within an existing building located on the same .lot as said residential structure. c) The residential character of the area is retained as nearly as possible. d) The family apartment contains not more than fifty percent (50%) of the square footage of the ekisting residential structure IF being proposed as an addition thereto. e) All setback requirements of the zoning district within which the Family apartment Is being located are compiled with. f) The property owner resides on the same lot as the family apartment. g) The family apartment is occupied by members of the property owner's family only. �+ y h) The occupancy of the family apartment does not exceed two. (2) farm ly 'members at any onetime. I) The family apartment is the primary year-round residence of the family member(s) residing therein. j) The family apartment will not be sublet or subleased by either the owner or family member(s) at any time. k) Scaled plans of any proposed remodeling or addition to accommodate the family apartment have been submitted by the property owner or his or her agent to : the Building Commissioner and the Zoning Board.of Appeals. l) Prior to occupancy of the family apartment, affidavits reciting the names and family relationship among the parties seeking approval have been signed and shall be signed annually thereafter for the duration of such occupancy. m) Prior to occupancy of the family apartment, an occupancy permit shall be obtained from the Building Commissioner. n) No such occupancy permit shall be issued until the Building Commissioner has made a final inspection of the proposed family apartment. o) Within sixty (60) days from the date authorized 'family members vacate the family apartment, the owner or his orfher_..°:. w= - agent shall remove any kitchen facilities In such unit and notify the Building Commissioner to Inspect the premises. p) In addition to the provisions of Section 3-I.1(3),(D) (o) above, upon vacation of any family apartment, the premises shall be restored as nearly as possible to their state prior to the creation of such family apartment. q) The Building Commissioner shall have the right to further inspect the premises upon which a family apartment has been vacated at least three (3) times per year for three (3) Years consecutive from the time of such vacation. { STET HEN WEDISS REGISTER: OF DEEDS 10 V 71/07/88 E 000 #t0000497 - RC pD s 1a.2, i•TTL $10.25 ASFI $10•25 r CHtdG s0.00 STEFHEN WEEKES Kr CIF DEEDS 4 i •- Asse�or's offioe (1st floor}: f�Cj ® SEPTIC SYSTEM MUST Br' Assessor's map and lot number/�p.........O.J.�.—/�..... S THE T ` Board of Health (3rd floor): WITH TITLE 5 Sewage Permit number ..... '..��:v. L`�.:�. .. ....................E6;ENVIRONMENTAL CODE AN[ L BAHd9TAMU. �5 : : Engineering Department (3rd floor): ti T01A/Id REGULATIOPIS °o NAM e� * 8Sl Fs House number .....................................�................. ........... e�aY APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTAB"LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....I . .1 C ......� ..... !...1...`....`.........!... ..................... /i�,. TYPE OF CONSTRUCTION ......... .. .M. ..................... ..........................................._....19........ TO THE INSPECTOR OF BUILDINGS: .aI The undersigned hereby applies for a permit according to the following information: Location �a�l .....��:...............C-:......c/l:l. :. ............................................................. .......... Proposed Use fig✓. . GC�....... F�!�T/✓���z!1.................4�.y ..... r � V'r4 ........ s ............................... Zoning District .....lec...................................................................Fire District ..... �t1./. Z.1/l.�� ..�. ,...��bi.r.................. 1 ... ...... 9. e Name of Owner �//.�1/1J.f�....�....�G'.�!U./.�!��........Address �1....... .. ..�..... .,Z.tc��2.�`/1'�r....... Name of Builder Name of Architect .........:........................................................Address ............ Number of Room ..............1�............C�r4f4).....................Foundation.?Xi-�4�-.vu.l&.v... �..JP VIZ e K; �&ZP�—L Exleyfor A`.... . s..e.S...........................Roofing ......1�0O0er4,hl Tz f....eS 4 salee ys'.r.z..�......................... i • r Floors L?..'...e�12 ...£...'`!'�/�fJ .C��'►.........Interior ............... f.4�, .......................................... Heating.._...'e' .r . .:........ ....�.......��:�.... �...Plumbin 4 ....�''T�7T��.........1...�1 X....f7........... .4.. ......... g Fireplace ........................................................Approximate Cost ��© ....................... �,. .... .............. Definitive Plan Approved by Planning Board ___________________ _ ------------�9-------- . Area ... ........... .............. Diagram of Lot and Building with Dimensions Fee O_ SUP4 ECT T A OVAL OF BOARD OF HEALTH 4�1 I /I/ 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. 71JName .. ...- 'r.. . . m.................... Construction Supervisor's License ."................. _S„CANNELL, THELMA G. I y. o 3.2.0.51... Permit for ....Add...Gara.ge 4 ... r { 1 J " & Famil A artment ..................... ...X.....P....................../............ f Location .... Rout....28.,......................... Centerv' Owner .......Th...lma...G.....8.G.,A]7.Yl.�iZ........... Type of,Construction, .....FraMP......................... ............................................................................... Plot ...r........................ Lot ........................... - s •. I ' ; ,+F •, .Permit Granted .........Ju.J,�z...7..,.............19 $8 iDate of Inspection ' ! -'" 4 /� Date Cornpleted