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', ,"i,, ",�,7'� , C , ,,,t�,�,�� 1��` '�,, ,�-, �,,� � - , , L'_ _1 , -�,��,"".''.--�,", "�Y"A ny V 4,� �,',�� ­�i"'_',;�,� �, -,,�,,,-,, �,,�,,,, 4,�I � _ "?,�, _11,,`_�.�,'I � �"i;,i I, ",,,� , , � - , , , - �_ ,- , , � - ___�__ , i�� ,-, , ,� ; ,,,�""", ,f, , ", � , ��,,�,,� i __ 1 -� . , � . , ., , L __--__ __ - __ - . __ _ - ____ ,I, - __i� 4 Shea, Sally From: Florence, Brian Sent: Monday, August 31, 2020 9:07 AM To: Bender,James M. Cc: Quirk, Ann; Shea, Sally Subject: RE: Application for a Federal Firearms License Investigator Bender, Thank you for your email, I am sorry for the delayed response. As the zoning enforcement officer and Director of Inspectional services for the Town of Barnstable Mr. Talin would be required to communicate directly with me concerning the matters you discuss in your August 20, 2020 email. Please be advised that to date I have not been contacted by Mr. Talin. It is important to note that the property located at 7-B Glen Eagle Drive in Centerville is located within a residential zoning district (RC), as such the only as of right use permitted in that district is a single-family dwelling. However, in accordance with the Barnstable Zoning Ordinance § 240-46 Home Occupation - (1) & (2)—a permanent resident could operate a home occupation provided that the activity is a_type customarily carried on within o dwelling unit. The proposed use lacks details to support a home occupation....lacking such details I am unable to determine whether or not the proposed use is of a type that is customarily incidental to a dwelling unit. Based upon the information provided in your email and lacking sufficient details from Mr.Talin I am forced to determined that the proposal to move a manufacturer of firearms license to the premises located at 7-13 Glen Eagle Drive, Centerville, MA is NOT a use type that is customarily carried on within a dwelling unit and would therefore be prohibited under the zoning ordinance. Please be advised however that this determination is subject to change should Mr. Talin contact me directly and provide details of his operations that would support a "customarily incidental" designation to the manufacturing operation. As I said, short of direct communications with Mr. Talin I am forced to make the determination outlined above. The only other option (besides communicating with me) available for Mr. Talin to get an approval for such a use would be to obtain a use variance from the Barnstable Zoning Board of Appeals. A use variance is not likely but should Mr. Talin decide to pursue a variance under the Town of Barnstable Zoning Ordinance § 240-46 (1) & (2) as well as § 240-34 Groundwater Protection Overlay Districts - G (2) (e) he would need to communicate with me first and potentially make an appearance before Site Plan Review. I would be happy to assist him with that endeavor. As the zoning enforcement officer I see no prohibition within the ordinance that would restrict Mr. Miller from being a user of firearms. I hope that this information has been helpful. If you have any further questions please feel free to contact me. While our offices are closed except by appointment only, I am happy to have a teleconference with you at your convenience. Regards, Brian Florence, Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 (508) 862-4038 Brian.forence@town.barnstable.ma.us From: Bender, James M. [mailto:James.M.Bender@usdoi.gov] Sent: Thursday, August 20, 2020 8:32 AM To: Florence, Brian Subject: Application for a Federal Firearms License Building Commissioner Brian Florence Barnstable MA Building Department Good day. I am writing to you to confirm that you are aware that that Jonathan Talin has applied to relocate his firearms manufacturing business license to a premises located at 7-B Glen Eagle Drive, Centerville, MA. The applicant will operate the business as a Limited Liability Company under the name of Talin Rifle Company, LLC. By our regulations the business is required to ensure that it is in compliance with all local zoning requirements prior to commencing operations as a Federal Firearms Licensee. I would like to know if the business is able to operate as a seller of firearms from this location. I would appreciate if you would inform me about whether your department has any other requirements with which the applicant needs to comply. Your attention to this matter is appreciated. Jim Bender James Bender,Senior Industry Operations Investigator Bridgewater Field Office 1 Lakeshore Center,Room 201,Bridgewater,MA 02324 Office: 508-697-2891 Cell: 617-413-5398 akW�}rt.�i� RbNoay„ p.YtC9't'I�G"TY'PP+C: TI^i;l� �[.D2'3I.Y vKRvrna(- C:?r.rR tJA�riC-)N CAUTION:This email originated from outside-of the Town of Barnstable! Do not click Cinks, open attachments or reply, unless you recognize the sender's email address and now the content is saf k e. 2 Town of Barnstable Building �.}' *+w��Y'ig `Y�: s e t -Ey+ a,. ..-. »a .... ,. .... . s-. w:� raattPost,Th�sCacd So That it is Visiblerom the Street ,Approved Plans"Must be Retained on Job an�d.'th1. �s Card Mwllust be Kept „r v '"` Posted Until`Final InspectionHas Been Made • ib3P ♦ " a �e� it +tar�ala Where a Certificate of Occuparicyas Required,such Bu�ldmg shall Not'be Occupied until a Final Inspection has been made Permit No. B-19-3433 Applicant Name: Steve J Spengler Approvals Date Issued: 11/05/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 05/05/2020 Foundation: Location: 7 A GLENEAGLE DRIVE,CENTERVILLE Map/Lot: 191-166 Zoning District: RC Sheathing: Owner on Record: Corey Sibbio Contractor Narne: STEPHEN J SPENGLER Framing: 1 i Address: 7 Gieneagle Dr Contractor License: "CS-071546 2 Centerville, MA 02632 `Est. Project Cost: $ 16,720.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems,""24 panels Permit Fee: $ 135.27 7.68kW Insulation: t Fee Paid:` $135.27 Project Review Req: Date 11/5/2019 Final: Plumbing/Gas Rough Plumbing: icra This permit shall be deemed abandoned and invalid unless the work authorized by this-permit is commenced within six;months:after iss an a Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents;for which this permit has been granted. All construction,alterations and changes of use of any building and structures'shall.be in compliance with the local zoning by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access streetbe road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 1 Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials.are pro�wdecl ri this permit. Electrical i - Minimum of Five Call Inspections Required for All Construction Work:i 1.Foundation or Footing Y, Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is jnstalled' F ram„; Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final:Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered.contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ' ONLy,J '. Town of Barnstable Building Post This Card So That�t is?Visible Frorn the Street Approved,Plans Must be Retained`on Job and this:Card Must be Kept 1ARNABLF: `'_MAS& ' ,:. 4�, � P • ibsa ti Posted Untlf Final,lnspect�on Has Been Made a y „_ 'E �F s Far ° Wtie ea Certificate'of O cu anc is.Re uiredsuch�Buldrn shalf'Not be Occu "ied until a=Final,lns ection has been made er �t Permit No. B-18-3709 Applicant Name: Craig Bishop Approvals Datelssued: 11/08/2018 Current Use: Structure 2019 Foundation:08 Date:Expiration 05 Permit Type: 'Building-Insulation-Residential Ex P / / Location:= 7 A GLENEAGLE DRIVE,CENTERVILLE Map/Lot: 191-166 Zoning District: RC Sheathing: Owner on Record: COREY SIBBIO: Contractor Name: Craig P Bishop Framing:. 1 Address: 7 GLENEAGLE DRIVE Contractor License: CS409777 2 CENTERVILLE, MA 02632 Est. Project Cost: $2,687.00 Chimney: ..:Description: Air Sealing&Weatherization Permit Fee: $85.00 Insulation: Project Review Req: INSULATION/WEATHERIZATION ONLY Fee Paid: $85.00 Date. 11/8/2018 Final: Plumbing/Gas Gas g/ `v Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six'months after.issuance. Rough Gas: All work authorized by this permit shall conform to the approved application-aand£theapproved construction documents•for which this permit has been granted. All construction,alterations and changes of use of any building and structures`shall be in compliance with the local zoning bylaws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street.o`r road and shall be maintained open for;.public inspection for the entire duration of the work until the completion of the same. ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: <� 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed' Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund".(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6^0*X-- 5 6.,T Town of Barnstable Bliildlil/}j1 s_ .:.'may ""�'"$° . iw� ... 'rt^s+ „,: '."*. ..r. -.=n,."... •,.•.,'°"`...Y""'"`n,". '...s,_ f .........,;:.u.* .c.�.;;,.^.,+...+^w«a.+: _ ' PostwThis�Card So That if is Visible From the Street=Approved Plans Must be Retainetl on Job and this'Card Must be Kept, _�, V Permit yam � k �� Where a Certificate of Occupancyryis Required,such Building shall Not be Occupied' 1 el t � until a:Final Inspection hasbeen�made. �,'. Permit No. B-18-556 Applicant Name: SAMUELSON-SIGALL, LORRAINE V Approvals Date Issued: 03/27/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/27/2018 Foundation: Location: 7 GLENEAGLE DRIVE,CENTERVILLE Map/Lot: 191-166 Zoning District: RC Sheathing: Owner on Record: SAMUELSON-SIGALL, LORRAINE V ," Contractor Name:` ., Framing: •Contractor License: --T Address: 241 SILVER STREET 2 AGAWAM, MA 01001 ' Est Project Cost: $9,000.00 Chimney: Permit Fee: 95.90 e K Description: make garage a work shop-add toilet and sink on A1st floor. $ m r :_ Insulation: sn/11�jvtt�k— s�� kneewalls on 2nd floor frame 3 closets add 5 windows arid;entry Fee Paid: $95.90 door. remove 2 garage doors Date 3/27/2018 Final: Project Review Req: Plumbing/Gas s „ Rough Plumbing: ti..a ruSwa w c «_I Building Official ~*, Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months.after)ssuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the�approved construction documents for which this permit has been granted. All construction,alterations and changes of use,of any building and st ructures shall be in compliance with the local zoning by-laws and codes. Final Gas:- This permit shall be displayed in a location clearly visible from access street`:or.road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. ' r Electrical 77"" ' r - q The Certificate of Occupancy will not be issued until all applicable signatures by the Bwlding and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction WorkY , Rough: 1.Foundation or Footing I; 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property.of the APPLICANT-ISSUED RECIPIENT Q� .Application Number..� b f :: � . + + BARNUM= ` \�-�\0 .Other Fee. ........ ��® Fee...... ............... MASIL 059. 4>, Total Fee Pai .... ^.... ...................... ...... TOWN OF BAR STABLE PermhApmvW 0^.................on..... BUILDING PERMIT Mv ....�i... ...................Parce1.. i . .................... : APPLICATION Section I — Owner's Information and Project Location Village "/t�rclz y?j%C f Project Address 7 6-L rlu Eii oL c D R , Owners Name L0R2,4iry r !Z �l g13/U Owners Legal Address 7 6-zt5;l Eo z 1��Z City CLt}7-6f2V�111,� State Y Zip Owners Cell# 11,6 o S' E-mail Section 2—Use of Structure Use Group ❑ Commercial Sttvcture over 35,000 cubic feet Commercial Structure.under 35,000 cubic feet ZSingle/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool Insulation . Other—Specify Section 4 Work Description Add, 7'olt-e ,duce Sij/c onu /67- 0240/Z lCA)�F- w ,4116 aN anVd fiLoort A t . Tact imdafnd-?J92018 Application Number............................. Section 5—Detail Cost of Proposed Construction &6 0 v * Square Footage of Project 00 S Age of Structure 3 Dig Safe Number i #Of Bedrooms Existing _ 10 6 pJ C Total# Of Bedrooms(proposed) /U 0/y E 110 MPH Wind Zo ne a Compliance Method MA Checklist WFCM Checklist Design P ❑ Section 6-Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors I I [� Plumbing ❑ Gas ❑ Fire Suppression I Heating System ❑ Masonry Chimney ❑Add/relocate bedroom 1 Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility; I am using a crane ❑ Yes Ed No a Section 7—Flood Zone Flood Zone Designation r Within or adjacent to a wetland, coastal bank? Yes ❑ NoJ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard' Required Proposed Rear Yard Required Proposed Side Yard R uired Proposed � P Has this property had relief from the Zoning Board in the past? Yes ❑ No T...rt.....i..a�.i.nInnn70 --� J sue. y. I i j LN ' ,ETEC OAS RE VIE E 15 B NST'ABL BU LDI G D PT. ATE -D OT r €s fayEl- I I _ _ I . r 17 41 z. ►.� - _.Aff- I I Coos r - wi� 410-it-) IJ — Y 771 n 1 4. - The Commonwealth of Massachusetts ' Department of Industrial Accidents ' Office of Investigations ..600.Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information' " Please Print Ueibly Name(Business/Organizatiordlndividual): 1,5A EJ. / /z) Address: D12. f , City/State/Zip: Glza.)7—a2 Grp Z lF' . MA 6;6.V,_Phone Are you an employer?Check the appropriate bog: k Type of project(required): 1.❑ I am a Y emP to er with 4. I am a general contractor and I _ 6..0 New construction employees(fiill and/or part-time).* have hired the sub-contractors, 2. I am a sole proprietor or partner- listed on the attached sheet: 7. ]Akemodeling ship and have no employees -These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' any tY 9. 0 Building addition comp.insurance# [No workers comp.insurance,. . . ' required] 5. 0 We area corporation"and its 10.§gElectrical repairs or additions 3. I am a homeowner doing all work officers have exercised their ' 11.0 Plumbing repairs or additions myself. [No workers' comp right of exemption per MGL ` 12.E Roof repairs insurance required.]t c. 152;§1(4),and we have no ., emplo :13 yees;[No workers' .0 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 submits 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 isproviding workers'compensation insurance for_try employees. Below is'thepolicy 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 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 f I do hereby certify under thepains andpenaldes ofperlury that the ' ormadi nprovided above is true and correct signafore: t Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one):: 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing'Inspector 6.Other 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(IM 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 futme permits or licenses..A new affidavit must be filled out each year.Where a homeowner 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: F .. The Commonwealth ofMassachusetts Department of Tndustrlal.Aceldents' office of Znvestigatiom s 600 Washington Wee Boston,Iv1A 021 It Tel;_ 617-727 4900 ext 406 or 1-977-MASSY Fax 9 6.7-727-7749 Revised 4-24-07 wv€w.m&,SSS,gbv/d a Application Number........................................... Section 9—.Construction Supervisor. Name Telephone Number Address City State Zip License Number License Type. Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Contraction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section.10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your HIC...' Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number. ed 6 �' y6o 5� Cell or ork Number 6.411 C I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation r ' by 780 d Tow7oarnstable. _ Signature , - ate a7 3 APPLICANT SIGNATURE Signature _IWAP Date 9 3 Print Name c_og Cy Telephone Number 466 ex60 E-mail permit to: /'CC6VAJ5M1r#1,U feGM14 , Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department,for approval Section 13—Owner's Authorization L , 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 .. X 7 Last uvdat:&2/9/2018 Anderson, Robin To: mmacneely@commfiredistrict.com Subject: Gun Smith Hi Martin, The property at 7 Gleneagle Rd (corner of Old Stage) has the benefit of a home-occupation for a gun smithing. repair/refurbish shop. The ATF requires that the activity associated with this industry as well as the storage of equipment and required materials shall be located in a separate structure having its own independent address. Please take the necessary steps to officially amend the address to be 7A(residential) and 7B(home occupation-shop). The subject party, Corey Sibbio will be contacting you directly to arrange for your inspection and determine what else he made need to do in order to satisfy your requirements. Thank you 0�qhi Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 w 1 Town of Barnstable Regulatory Services FSME Tp� tic Richard V. Scali,Director Building Division EAMSTABLE, v MASS. $ Paul Roma,Building Commissioner s6gq. �m °lfo► ° 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: a U Fee: , Permit#: HOME OCCUPATION REGISTRATION Date: l , Name: 0—®R C 1/ Phone 91 4�91"_4/604' Address: 7 6:L E/U rA 1 F RcX Village: 0_EA;_1r4 VI II Ac Name of Business: FD RT 12 oQ E v e LIS r0M S j Type of Business: �ElNSiy1 i wiiu X, kPAi Map/Lot: 1 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution., After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage'or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. 1,the undersigned, have read and a ee with the above restrictions for my home occupation I am registering. Applicant: oiz,61, Date: Homeoc.doc Rev.06/20/ 6 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40,00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-.it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. Mu, DATE: Fill in please: APPLICANT'S YOUR NAME/S: CoR Si 8 to BUSINESS YOUR HOME ADDRESS: 7 GCeN FgL� IZ e T68 69� o ' %6 �I& rvtA o;�� Z E TELEPHONE # Home Telephone Number _S'o5? d KS-- `16og 05- u NAME OF CORPORATION: t/ NAME OF NEW BUSINESS raKre-crACy e. 6rOMS TYPE OF BUSINESS 6uaAJ.5M,,r9 6- .i23 IS THIS A HOME OCCUPATION? X' ES NO ADDRESS OF BUSINESS L^1E� t C A v1• v it MAP/PARCEL NUMBER l � I — I k� (/ o. (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSIO ER'S OFF E This individu I h en i ed of n er it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION kilRULES AND REGULATIONS. FAILURE TO ut, orize ig atu COMPLY MAY RESULT IN FINES. 1 OMMENTS: �) r - 2. BOARD OF ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) .This individual has been informed of the licensing requirements that pertain to this type of business.- Authorized Signature** - COMMENTS: .i �-(! 7 P� Town -of Barnstable *Perini Regulatory Services Efee 6 ARM PMM Richard V.Scali,Director 059. En Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-86274038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number. Property Address / a lY,Oj 9 34C sidential Value of Work$ to res Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Co-j. Contractor's Name 14-o-d�J /�.�a'�-� �� Telephone Number Sy 3-3t Home Improvement Contractor License#(if applicable) A-1 4�5-6 Email: Construction Supervisor's License#(if applicable) D 5-yyZt3 Ej�rkman's Compensation Insurance Check one: ® ` Dram a sole proprietor ` 'Faso ❑ I am the Homeowner El have Worker's Compensation Insurance pJ}U� 8 2� l Insurance Company Name 7ro c�u�(�� % ������� '��UA ,i P YI Ih9B,LE Workman's Comp.Policy# 02?L i:1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request check box) 5;�Ie-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to I+tc 4, e-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *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.. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Fav QA)ATFILESWORMSUilding permit forms\EXPRESS.doc. O1/25/17 . 27w Commorrt!veaWz ofMasyadjusetts ���t�erzt cr,�'l�r.�r�.ctriol`�cr�eFats . � Q}�c�af'.Tm. galEoru • 690Yasauigtox: treet Boston t AM02111 4 fPFvmmrnmgoP1dia Warlmrs' CGlmpensaf anInsu=ce Affidavit:Builders/CanfractmrslEIecfdcians/Phm:Lhers AppEcamflufwmation Please Print Na=(Bustuessl xxmiz� .aaz- Ago Address: C el t atel ig �-Pl�o�` Pham u 5^89G Are you an emplayer?.Cfi..ckthe appropriafe baa= ' Type of project(required): 4. I am a general contractor and I ❑ I.El �I yees(fialf an�d ❑ 6. New oonsirocti� for part-timed* Ira,:a hired*a sub-contractos 2. am a sole grcp:ietor orpartaer- b tTisfed anfhe attached sheet y- ❑ a delmg These sub-conracors have ship and fame no employees 8. 0 Demalifioa la dhave wo&ere war�ag far ffiPr lit any wig. : emp � �an $ 9. �Building addition [No titipd:ers' comp.insurance comp-'^su'a�' rewired-1 5. ❑ We am a coaporafiou and its 1O-❑Ele#cal repairs,or adds 3.❑ Z am a homeoun-ar doing RU work officers trove exerdsed their 1 L 0 Pinmbiagrepairs or additions. set€ u v► Saers' rim of egempfion per M(M � - c.152 1 andwe hwe no -'-0 1 Roofrepaim El in ��e refired j Y § employees-[No wormers' aOtfier coin-insurmce required.] }*AayRwffcrrst6accbedshaaff1 sim fill oattheseceoabelmshuiaagdie¢workeeam3peassliaupoTicyir5MnAaL I Sameownerswlso S4b�Et i'fI1S�aFli industigg they 9I2 i�n7IIg 8g W0�8a�fbffihiIE outside rm,+.��a,r��SVlfal]r fi neW a$d1ESt o sack fCaatracfos�sCehecYthisb=M=sttar1V =addiSnnal shad ftvdagtha"mneofthesat-ce ssndstoewhedmarnotftseeahtiesbwe emp9oyees.Ifthesnircaatradaeshave empIo�Zs,dieyumstprmidttheit txvrkes'rnmp.paltry mmebrs ' I arrt arr srrrp�ar t7arrt is pra><zdiirg workers'zantperrsrdzan i�srira�ca,fnr rri}*amFln3�ees $elo�v is YJ�g paficy�ar�ri jQta sate . inforrarrliats. InsuranceCompanyi ame: ��I����.� <-S Policy,--,or Self-sirs.Tic_4 Yy l3 OL��r N ( �piratianDafe: Job Re Adam 2 City/staterz:ip: Attach a copy of the workers'compensationpacy-dechration page(showing the poficl*number and expiration d'afe)-' Failure to secure coverage as regaired vtsder Section 25A of MGL c.15-2 can lead to the imposi# of criminal penalties of a fine up to$l5aa oa andtar one gear impdso—t,as well as civil penalties is fire form of a STOP WORK ORDERand a r= of up to$250_00 a day aaaind the violator- Be advised dizaf a copy of this statemennt.may be forwarded fn the Office of Inestigatians of the DIA for iflsuraac coverage vmrificu#ion_ 1 do Tier-aby Convy UJUI r tbg p61s zmd psrjaU&s Q .perjury thatHis ircfar sta#rim>pr-wzrT,ed abat,a is trus and arrrect Bate lJ��7 .01 Phone t3fi%daL use wily. I7�a not arrita in ri�irxea,&t be corrrp�etcut bg cafy arta���u m�j`aeiQL City or Town: PermitUcense# Issuing Authority(ch-de once): L D©and of E eaIfh Building Ilep=tm=, t 3.CitylTum Clerk 4�Electrical Inspector 5.Phrmbmg Inspector &Othier_ Contact P•ersan: Phone#: — - - 6 vrmation an' d lnstru, ORS Msicearhzse Gam. gLaws O I52 requn-es all eraglDy= 1�& 'c3p=W ion far their e¢tployees- p {a ,an a lvye�is defined as."—CVetyperson jm Ifio service of another under ray co�xa�t ofbae, express or impliD4 oral or wsiit e� An �rrplayer is defined as_an in ividnal,partner,assoc�ion,cmpm Lion or other legal may, �y LwO or more of the foregoing is a3omt ,andmclndmg the legal=presenfatim of a dcaeased employer,or the rereivm or trustee of an individual,paztneMbip,association or other legal enfitn eMP'oymg eamPlDY=s- However the owner of a dweIli;gh=ehav ngmtmarotb=l ree apartments andVjho residesii�m,orthe oc ofthe- dwelling house of an Aft who employs persons to do maw cc,cansizacI on or repair work on such dwelling house or on the gronn& or building appurftmztihe mb shall notbecanse of such employmeut be deemed to be an em?loyM A MGL chapter 152,§25C(6)also stains ffid'everysfain ar Iocal licensing agencyshanwithhold•he issuance or renewal of a license or permit to operaf$a hnskess or to construct b-uldings fa the corumonwealth for any a-Pplicantwho has notproduc ed acceptable evidence of compliance with the h=rance-coverageregm re Addi&nally.MC-chapter 152,§25C(7)sfates=ND tb=the canna wran nor any of its political subdivisims shall eziter into any contract for theperfomzanco ofpubhowmkmttl acceptable evidence of compli==W>tIi lhe ft m-anca. ems ofthis c332ptesh3ve1ieemprMentndfin th.e eoafractrog.aotboihy.' Agplicaats - Please filI out the W011='compensation affidavit'completely,by chec.Img-fl a boxes that apply to your sitnaiion and,if necess, t ,supply sob�ontractor(s)na ne(s), a&kms(es)and phone nnmber(s)along with their=tifrcate(s)of insra-ice. Lmmited Lm1?>Tiiy t=OmPanes(LLC)of I.�dLiabilifp Partaes�htps(LLP)W n° employees other ii�o the members or partners,are not reqah-ed to catty W023U ' compensation;n saran ce. If an LLC or LLP does have e�pIoyees,apolicyisregnued. Be advised Ent thisaf &-Vkmaybesnbmhtedto the DepartmentofIndmstial AccideJs for conE maflm of fi=r nce coverage: Also be.sore to sign and daft�3ze affidavit. The affidavit should beretmned to$e city or town that the application for the permit or license is being regres A not the Department of L.dustxial,4-cci dents. shonldyou have any gnestzans regarding the law or ifyon are regoired to obtain a Workers' compensation pofiey,please caIl the Dep arfinent at the mmnber listed below. Self--i' - com3p3nies shonId.ea tr�X thr r . self-msar`�ce U.cense mrmber on 13ie appiupxiate line. • City or Town Cnfi als c Please be sure that the aTidavh is complete andpriated legffily- The Departmenthas provided a space at the butt= ofthe.affidavit for you to fill out in the event tie Office oflnvestigat"ms has to corrisctyormmgardmgtbe agplic ant- Please be sure to f M in the penmgiYIicewe number which Will be used as a referonce nmabe r. In.addition,an applicant that must submit multiple p�itllicense aPpIrca$ons in any givea year,need only submit one affidavit indi g ODn�Tt p olicy m fbrnatian (if n ssar3')and®der"lob S Ad&ese the applicant should write`311 locations in - (may Or town)"A copy of tie-affidavit that has been.officially sped or marked by the city or town may be provided to the - applicant as proof that a valid affidavit is on file for fuim 'penni!or licenses A now affidavhmztst be:filler out esa eh year.'Where a home owner or citizen is obtaining a license or permit not re'Isted to any business or commercial ve:ne (ie.a dog license or permit to bum leaves etc.)said person.is NOT reqpi[ed to complete this affidavit Tie office ofInvestigafions would.Elm to thank you in advance foryotu•coopeaailon and shozcld you have any questions, plmsa do not es�to to give ns a call The D•eeparimemfs address,telephone and fax znm be : . Depar[met oflifttda.1Agents RAM&F III TeL:'61 7-72749W mt 4-06 ar I 477 MA�AFE Reviseri424--07 ' �nv vr�• a. wv nw 11 RUSSO ROAD WEST YARMOUTH, MA 02673 508-775-3799/508-385-8801 Barry Merrill & Paul Merrill Job Site Address CC I I Mailing Address Name: e av�� J���iD , Name: Street: � j� Street: City: C 1� City: Telephone: Telephone: We hereby propose to furnish all the materials and all the labor necessary for the completion of: �.. replacement of the dwelling at the above address. Mid Cape Roofing proposed to remove and dispose of the existing roof. The roof will be replaced with CertainTeed Landmark shingles. Aluminum drip edge will be installed alongthe gutter line. Ice&WaterShield installed on bottom edges to protect ice back-up. 15 pound felt paper will also be applied. The shingles will be. installed using 1% inch roofing nails. New pipe vent collars will be installed. Ridge vent will be installed along the ridgeline of the roof to provide proper venting of the attic space. . Mid Cape Roofing guarantees the workmanship for a period of 10 years. All walls and landscaping will be protected from damage;the property will be raked and cleaned of all debris. e All material is guaranteed to be as specified and the above work is to beperformed in accordance with...specifications...submitted_ for above -work-and-completed:-iri. a.s.ubstantial--wo.r_kman.like manner for the sum of: 25'00-All discounts have been applied. Payment made as follows: Deposit of: 2600 b 00 the`day job is started and remainder paid on completion. Any alteration or deviation from the above specifications involving extra costs will become an additional charge over and above the estimate and will be discussed with the homeowner.. Respectively Submitted by Mid Cape Roofing NOTE: This proposal may be withdrawn by Mid Cape Roofing if not accepted within 30 days. Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. Mid Cape Roofing is hereby authorized to perform work as specified with payments made as outlined above. Accepted: Massachusetts Department of Public.Safety Board of Building Regulations and Standards Licgnse: CS-054428 ' Construction Supervisor f' • �rr'' t �o�w: i BARRY B MERRILL 312 SKUNNKETT-RD CENTERVILLE MA 02 .32 = Expiration Commissioner 06/21/20% C��c e�o�nvnaaruaea�a�G�/�ar�aac»ic�eCta ,,: Off-a n Cor seen r_r.Affai s&..u_.ness 0*gulat1,g1 i HOME IMP11")VEMENT CONTRACTOR L Registration valid for individual use onhi �'- Type: Partnership- before the expiration date. If found i e uqn ts-: ' _ Office of Consumer Affairs and Businrtrs Re0,;kE- ,, { Registration Exbiratic i _ �E7458 11/U9/2013 0 Park Plaza-Suite 5170 I] = 1 Boston,MA 02116 �vik•Cap .Roofing y� l rry Me rill { Russo-Rd r�. l2C.GG r4 r. 4 -es!Yar r,outh, Undc secretalry ,t: t valid withoutsigraaitr 1A'i ssage Page 1 of 2 Anderson, Robin From: Brigham, Anna Sent: Tuesday, May 09, 2017 10:09 AM To: Anderson, Robin Cc: Jenkins, Elizabeth I -- -� Subject: RE: 7 Glen Eagle © � PC-- Hi Robin, I spoke with Elizabeth and we agreed that there is no provision in the Ordinance that would allow him to seek a Special Permit from the ZBA. Section 240-46 C. states"A home occupation may be permitted in the RC-1 and RF Single Family Zoning Districts provided a Special Permit is first obtained by the Zoning Board of Appeals subject to provisions...". This locus is in the RC Zoning District. If the Building Commissioner determines this use is allowed by right,then the provisions of 240-46 B. (1)- (16) are the required conditions. We are unsure about(2) and possibly (9). "Please feel free to pop in and review this information with us anytime. Thank you, 40. Anna,Brigham PrincipW,Plan Town of Barnstable g 200 Marl Street e Hyannis,MA 601 . ` � annal6r� �tarrr�te� �n.b�cnsta `e,r�a.us - - Are Town Website • Business Barnstable • HyArts• Barnstable iForum From: Anderson, Robin Sent: Monday, May 08, 2017 2:29 PM To: Brigham, Anna Subject: 7 Glen Eagle HI Anna, stopped by to see you but you were not in so I am writing to ask for your opinion. I have an inquiry from a person who is trying to buy a single family home with a detached garage 5/9/2017 4essage Page 2,of 2 the purposes of having a home occupation as a gun smith in the garage. (There is an ATF requirement that the business aspect must be completely separate from the dwelling.) The gentleman in question would work only M, F, & S as he is an employed plumber and actually earns his living in that profession during the rest of the week. The question is: Would the ZBA be receptive and consider gunsmithing to be eligible for a home occupation by special permit? The applicant sometimes has a client pick up or drop off weapons or parts and that is why I suggested that he explore the special permit provision. Gunsmithing focuses on repairs or customization of weapons. He does not test them on site and he does not stock ammo. His specialty is repair or replacement of parts. He refurbishes antique/used weapons or dismantles & re-builds to order. He has no employees and he declared that he may see 1 client a day on the days he is not plumbing but often doesn't see anyone in person at all. It appears that this proposed use would not be an intense use by any means nor does it appear to adversely impact or increase the vehicle trips per day. Because the applicant would be committing to a purchase and sales for a property with this appeal in mind, he wanted a feel for whether or not it might be considered approvable. If , you suggest that there is a strong possibility that he could be denied, he will move on to' another town as he is in the market to buy a property that will afford him a place to live as well work. pl�gbin Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 508-862-4027 i • / /201 59 7 I Message Page 1 of 1 `Anderson, Robin To: Brigham, Anna .Subject: 7 Glen Eagle HI Anna, I stopped by to see you but you were not in so I am writing to ask for your opinion. I have an inquiry from a person who is trying to buy a single family home with a detached garage:_ for the purposes of having a home occupation as a gun smith in the garage. (There is an ATF requirement that the business aspect must be completely separate from the dwelling:) The gentleman in question would work only M, F, & S as he is an employed plumber and actually earns his living in that profession during the rest of the week. The question is: Would the ZBA be receptive and consider gunsmithing to be eligible for a "home occupation by special permit? The applicant sometimes has a client pick up or drop off weapons or parts and that is why I suggested that he explore the special permit provision. Gunsmithing focuses on repairs or customization ofweapons. He does not test them on site and he does not stock ammo. His specialty is repair or replacement of parts::. `He refurbishes antique/used weapons or dismantles & re-builds to order. He has no employees and he declared that he may see 1 client a day on the days he is not ,'plumbing but often doesn't see anyone in person at all. It appears that this proposed use would not be an intense use by any means nor does it appear to adversely impact or increase the vehicle trips per day. Because the applicant would be committing to a purchase and sales for a property with this appeal in mind, he wanted a feel for whether or not it might be considered approvable.. If you suggest that there is a strong possibility that he could be denied, he will move on to;, another town as he is in the market to buy a property that will afford him a place to live as;, well work.. dLob Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5087862-4027 =r 5/8/2017 Off-duty officer thwarts garage fire in Centerville CapeCodOnline.com Page 1 of 1 l 6 Off-duty officer thwarts garage fire in Centerville By K.C. MYERS kcmyers@capecodonline.com August 07,2013 8:11 AM CENTERVILLE-An off-duty police officer driving home at 3 a.m. spotted the beginning of what could have turned into a major fire. Officer Armando Feliciano drove by 7 Gleneagle Drive at 3:14.a.m.after working the 7 p.m.to 3 a.m. shift at the Barnstable Police Department. He saw a fire outside the garage at the house and dialed 911, said Sgt. Christopher Challies. The homeowners had been grilling earlier in the evening,and failed to sufficiently douse the charcoal, said Captain Sean Greene,of the Centerville-Osterville-Marstons Mills Fire Department. When the officer drove by,"the flames were kind of licking up the wall of the garage,"Challies said. "It looked like the garage was getting ready to go,"Greene said. Copyright @ Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130807/NEWS 11/130809754... 8/7/2013 OFTHE Tp� Town of Barnstable *Permit# - Expires 6 months from issue dnt Regulatory Services Fee • BARNSTABLE, v MASS. .Thomas F. Geiler, Director vo ib39' M rfD A't A Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY. Not Valid without Red X-Press Imprint Map/parcel Number... Property Address . 1 C t,.&—fo�� C11_E P�Z �c�iVi L2:y\l�i� Residential Value of"Wor c 50c) Minimum fee of$25.00 for work under$6000.00 Owner's Name &Address O, )qt c: Soot_ y,�kro V,0 _bEnLi AR ®as(pa Contractor's Name ��lC-�Tt"r��� ��T� Telephone Numberrjb� 1 lome Improvement Contractor License#(if applicable) 15 9(P3(za Construction Supervisor's License# (if applicable) X.PKMOO �]Workman's Compensation Insurance 2009 Check one: APR 9 . e I-am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I.have Worker's Compensation Insurance Insurance Company Name ray ,eaR'r� IiVt7J�; iC OF Workman's Comp. Policy # J U)LUC) I gco tf)o` acoZ) Copy of Insurance Compliance Certificate must be on file. 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) ❑ Re-side tJ}L��Ltls+t� 1�Z)Ul ie�ii tl� V Replacemen Window doo hsliders. U-Value ,5 (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. A copy of the Home Improvement Contractors License is required, S1 'NA,rUl2E: ).'\k Pl-II.l:S\1:01RMS\building permit Corms\EXPRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations- 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ° ' Please Print Legibly Name(Business/Organization/Individual): �'`P�Ct fi f) W, OV N?T7 bo%LsDytc G e�Y-i�t oo cu�G- Address: City/State/Zip: ; CR(A-%t1R&NV Phone.#: EH060 Are you an employer?Check the appropriate bog: Type of project(required): L❑ 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 stab-contractors 2: I am a'soleprpprietor or partner-' listed on the attached sheet. 7. .❑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 '10.0 Electrical repairs or additions officers have exercised their 11.❑Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152,§1(4),and we have no 13.P OthcrSKRl.iGl[( employees. [No workers' comp.insurance required.] 1ULHER� *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. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have amployecs,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: CSF Policy#or Self-ins.Lic.#:�VJ( lO:Z L j C50 Expiration Date: Job Site Address: C�t�fl,r R y L De- city/State/zip: v Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure io secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fint;tip 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 er the pain and p allies ofperjury that the information provided ab ve is trrue and correct 1V Date: St tore: Phone# -i 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#: s mainnd ItrInfort Suctions 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 omt-ente��c dm" e le al-re resen�ahVe3�f- deceased i _ e=.__---- -'- -" g g� g g J rP � � g P imp -. . . . receiver or tiustee 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-contiactor(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 LW or LLP does have employees,a policy is required Be advised that this affidavit maybe 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 r rya___.r__ a_ C71 a• al... A,-11FT. ru„ o..urt8�.^,n5 h'.n t`n� fm�t•rnn rPOnri4;n0'the apnlTr�lt, Ol a ii111Ud V111U1 yUU LU 1111 UU�LU LUl t Y(ul LLLI VLllVV Vl +.w 6 ��� -p--a— r Please be sure to fill in the permit/license number which will be' used as a reference number. in addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all-locations in (city or town),".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that'a valid affidavit is on file for future permits or licenses. A new affidavit.must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io 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 ffic Oe of Investigations 600 Washington Street Boston,MA 02111 TO. # 617-727-49-00 ext406 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass_gov/dia 04/29/2009 09:47 5086689609 MAP INSULATION PAGE 01/01 IKE Town of Barmstable Regulatory Services XAM Thomas F.Gailmr,Nrector Tom Perry,BuUdNg Comma [aner 2DO Main StroZt,HAnnis,MA 02601 t�'w'w.tofwxk.baxynstable.►nx.+us a a : 508-8624035 rrx : 508-79p-Fi230 Property Owner Must Carnplete and Sign This Section If in Builder • Qom' ,as ov;=;r of the subject property here by aut�imimff- rkp+�\ t4 act O xa beh , in aU=ttels xe t t ro x rXCa xonzed by this bt ld+ gporn appl%car a for. -(Address of job) S' tare df I print martyr 2 r is �ppl�ngfor perm t please complete the if R�p Hotneo ers Lketise ExeMption Vann on the Mve>rse sxde� TO/TO 39dd Z99tLtE9T6 00:01 609Z/6Z/00 tti�,rchuscrtti _z �Bo,u ��)rrrtrncnrot` rc c1ot.Bwltlr.n�JRe,r Publ ' Co r .ulert►4ns,rnd S ttch ►lstruciiOn Supervis St icense: an L or d rr clti: CS 83500 License Restricted to: 00 NATHAN W. CANTO 1. L R MURpHYS WAY so CHA7HAM, MA 026 M. 59 \ f'ununL..tiiuncr Expiration: 7/24/2010 rr#: 28445 r 9/t e Boar o uilding Regulat ons an tan ar s One Ashbur ton Place - Room 1301 i Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 159632 Type: DBA Ex 'r n: 5/ 010 Ti# 268287 NATHAN W. CANTO BUILDING AND�REMO, NATHAN CANTO 18 L.R. MURPHY'8 WAY SO. CHATHAM, MA 02659 Update Address and return card.Mark reason for change. DPS-CA1 0 50M-07/07-PC8490 Address Renewal Employment Lost Card n G-levi WILLIAM E.DACEY,JR. REALTOR •CONTRACTOR 100 West Main Street,Hyannis,Massachusetts 02601 •(617)771-4400 August 17,1983 Mrs.Durban McGraw 47 Glen Eagle Drive Centerville,MA 02632 Dear Mrs.McGraw: I acknowledge the fact that you have called our office on two or three different occasions and wish to apologize if our construction site on the corner of Glen Eagle Drive and Old Stage Road is,at times,not as neat as we both would like it to be..We will do our utmost to keep it clean and picked up on a daily basis. I do want you to know that on several different oc casions your good neighbors on Glen Eagle Drive and its environs have dumped their rubbish on the lot rather than carry it to the dump. For your further information,regarding the water drainage problem that has existed at the corner of Glen Eagle and Old Stage Road since the road was built,rather than add to the problem,my company has volunteered our cooperation to the Town in an attempt to alleviate the problem.I am enclosing copies of correspondence that we have had regarding same.Please note the dates. Perhaps in the same spirit of cooperation,you can carry this further than I obviously can., Sincerely yours. William E.Dacey,Jr. WED/mbm Enclosures P.S.Please give my regards to your husband. cc: cc: Board of Health,Town of Barnstable . Building Inspector,Town of Barnstablb^ "a Cape Cod tradition" •-•jv •v: M homes WILLIAM E.DACEY,JR. REALTOR •CONTRACTOR f 10(1 West Main Street,Hyannts,Massachusetts 02601 •(617)771-4400 July 11,1983 Mr.Frank Campo Superintendent Department of Public VJorks > Town of Barnstable ^,v Hya'nnis,MA 02 601 Dear Mr.Caiapo: •>:••'n';,,.•• I bought a lot and am building a house on the corner. of Gleneagle and Old Stage Road in Centerville.I have ,, noticed in the past and more particularly since I started work on the lot that there is a big problem in drainage right there at the corner.Over the years you must have heard from the residents of Gleneagle Road concerhingV;ilt. I would like to work with you in rectifying it,perhaps ., granting the Town or whomever,an easement to come onto:' my lot for drainage or a large leaching field-I am sure / the residents of the road and the Town would be weLl served by correcting the problem.If you are interested in ; something like this,please get in touch with me beforoW.; the house is completed and the landscaping and so forth is done. Since Vy&lliam E.Dacey,Jf. WED/mbm 'a Cape Cod tradition "t f uip' i, \ r > BABH3TABL COMMISSIONERS: KEVIN O'NEIL.CHAIRMAN JOHN J.ROSARIO,VICE CHAIRMAN THOMAS J.MULLEN MILNER D.MELODY PHILIP C,McCARTIN %y^adAftc^€tAe^&02601 {6f7)775-1120 ExL 123 July 28,1983 JOSEPH J.CAMPO,P.E. SUPERINTENDENT Mr William E Dacey,Jr lOO'West Main Street Hyannis,Mass 02601 Dear Mr Dacey: Please be advised that the drainage problem on Gleneagle Road is not within the purview of the DPW because said road is a private road;consequently,the DEW has no authority to participate in your endeavor. A more appropriate procedure is to petition for better ment. SincerelyI CAMPO JJC/bw DACEY HOMES 100 West Main Street HyanniS/Massachusetts 02601 ATTENTION:DATE--;.'i" (617)771-4400 • Urgent •Please Respond hy • •DATE; • No Reply Needed r ..:r.7V TO:I— Selectanan Martin Flynn Board of Selectmen Hyannis,MA 02601 ~1 J SUBJECT: Old Stage v'v-A.;. II MESSAGE: .Deaj:.Mr...Flynn.:.. wm/rnhm/Anr^ REPLY: •:"•• For.your,files./.I.am enclosing,corr^^ndence regarding.drainage prplDl^w:...; the comer of Gleneagle Drive and Old Stage Road in Centerville,between my office ''V and the"Department of•Public works.• DATE: Sincerely:/. SIGNED:William E.Dacev,Jr^ mmmmmdemmmmmmBmammmuammmmmm SIGNED: w i • wmi \^ mil, FORM t12 Milss Kimboll.Oshkosh.Wl 54906 1-8p0-5e8-0220,In Wl 1•600-242 0344 RECIPIENT: RETURN THIS COPY TO SENDER.,,