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0382 MAIN STREET (CENT.)
,Kjr, i, N VT`%A 4 I'll 1-1 WWW S! , 'Alp'a;Irl, MAIII m""I P k AP X m4 dim 4VI ,z x unu 1",� 7 1) 7W, �7. Ml� -."WTA L, 1� qk" `111!11.,ly 0 Qt V,';Al ,�4 `4 ifl�i? IlOLOi`" �A' l, , m 0 1," �t�t�ot I V �A` x. . ITWMI ti 1; 1.4 G,i 44 4 i Iwd t; §�l -4 , "t",f , I ,,�, I 1�,; i"j� 'i g V1 4 jV4 tj "A f ilfjttj�pj h I"a�i li'l 'L-i fi M 10M U11 v. N M M4% �1, -4 Z,' �Ylr .3 ?7h i�T? D ly" R1i11Bo,(,W1AVt1A,go "f�4 1 ��i.�'J U�'i�i� I itu f lik'i "P JK �t' WIN I.I"A,1��I '-g IWO, VI 4 tAPT�W N1 r4j,I �,l-f,IA g i ITN -1 "i �lf�t i 41, ;f j,;j MITI' Air. 'A q,X1U �, 'i 9 -Wr jrlg�,tit A ,I 011 il -1 if All 11 All IM 1,j I VT�ft';' -"fyig RAI it kL4,,�I��' yo gi Il!4'N I NJ IMI �c IPA I i lrg off 5mc A 7 viVvAii AR qj� V1, IVAN, UVI V M § -yaA , , ""L "0 , I ,III .lf",#V 3 R 5M T'i jgq I gi Mfl�11 5 1 ,,� j ,, MUM It 11!'M, to fu jit?)v Aj �j p i 1 4041 �,T NTI.qit I 14 1 p erjj "Al,0��; ;:�V ,�AM p.k 3* -115"631 �VM "AW fill �VN 07 f"I"ll t'A�i A W1;A; 6W, Ri V�1� 1 4 ij 4 0 , 'j "�% '4 Mffl 411�1i-iirlkqm;,j�Cjq�q lihnl: VIA, koR A EU Mil"I Av3,j--j I! f 1 l In, ,ol (lilruA, `4NII ;4 *T AA 1,�V 'UXiliT W�jglu ,4 Air, q'i lq� Town of Barnstable Building °'�� �� � � "'=Visible'�From"theStreet A �roved£`.Plans-Mustabe Retamed3on lob�and�tfiis,Card Must�b�eKept� 6" Posted UntilFinal Inspection Has BeenMade F sy. .' . ; 39 `yam .` a .,;. .> :. � Permit. -�� Wherea Certificate;ofOccAupancy isRequired,such Buildrng�sh�all�Not:be Occup�eduntl£a Final Inspection has�been made^�� , Permit No. B-16-1262 Applicant Name: Joyce Frederick Map/Lot: 208-043 Current Use: Zoning District: RD-1, Date Issued: 07/08/2016 Permit Type: Deck Expiration Date: 01/08/2017 Contractor Name: Location: 382MAIN STREET(CENT.),CENTERVILLE Est Project Cost: $2,000.00 Contractor License: Owner on Record: FREDERICK,JOYCE r °Permit Fee $110.00 - Address: 382 MAIN STREET �4 Fee Paid $110.00 CENTERVILLE, MA 02632 Date. 7/8/2016 Al Description: Tear down &re-build deck on the courtyard stleof the h�Ouse(north side). Project Review Req : Tear down &re-build deck on the courtyard side of the house(north side) x Building Official s�m,� '` ��;� s.m Sri ,a,%�; .�`e';•s, This permit shall be deemed abandoned and invalid unless the work authorized y th s permit iscomrrienced w b ithin six months after issuance. 71 All work authorized by this permit shall conform to the approved application and the,approved construction documents for h this permit has been granted. All construction,alterations and changes of use of any building and structures shall be m eompliance with-thelocal zoning bylaws and codes. This permit shall be displayed in a location clearly visible from access street"'"or oaAnd shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ` 1.Foundation or Footing x� 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue Immg is',iipsstalled x 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspect onr 5.Prior to Covering Structural Members(Frame Inspection) M 6.Insulation ' 7.Final Inspection before Occupancy 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. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z o Parcel Application #_ U y Health Division ,r " Date Issued Conservation Division J � - Application Fee co Planning Dept. �. Permit Fe T Date Definitive Plan Approved by Planning Board t Historic - OKH _ Preservation/ Hyannis Project Street Address , 51' sec ON1 C_ Village C(jhT \Jlu Owner rOYEV R,670m4l C_JJ' Address %Q dA(VJ -'Y C&�)TX\JIL : Telephone .Permit Request 6AD44nofe) RC,&n OVA r)6A,/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 5Qno'° 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 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 ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C�Z� �D � C`1 bv1 Telephone Number Address License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE " DATE S— i 3 -Z-©\5 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE h 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. s. = ok Commonwealth of Massachusetts 'Sheet Metal Permit . Maparcel Date: �./ Pemut#O? � Ydg71 Ekimated Job.:Cost:*$ / ::P) 24201, P YES NO Plaits Submitted: Plans Reviewed: YES NO .N, Business License# Business Information __ ,.. PropertyOwner/Job.Locatign Infon.nation: Name: FWM0UIh ChirraW SwW r Name: IG1C Street. Tit, Ma W536 Street: MA),j S I City/Town: City/T'own: u LL O 16 3,)-- Telephone:_ ;e 7c�i _ Telephone: Ila 18 ®!j S Photo ID.required/Copy of Photo ID. attached: YES. NO stiff Initial J-1/M-i-unrestricted license (70 7 i i - I J4 I M-2-restricted to dwe ' gs 3-stories or less and commercial p to 10,000 sq. ft !2-stories or less t Residential: 1-2.family _ Muni-family Condo!Townhouses Other Coi- mercial: Office Retail Industrial Educational Fire Dept APP rovid Institutional_ Other i Square Footage:. under 10,000 sq.ft. over.10,000 sq.fey Nuuiiber of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC _ aMetal Watershed Roofing Kitchen Exhaust System Metal Chimney!Vents y Air Balancing i i Provide detailed description of work to be done: f - �C��� /. �- Cry s' ��. � � �`�°`�� �/� 'r • f' .INSURANCE COVERAGE: I I'Fiave a current insurance policy or its equivalentwhich meets the requirements of M.GL Ch.i12 Yest�Nc❑ if you:have checked Y-,:indica'te a type.of coverage by checking the-appropriate.box below: A lial iiity`insurande"policy .-Other#ype of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this pennit application waives this requirement. Check One.:Only Owner [T Agent f Signature.of Owner or Owner's Agent - A I in this a iicatton.are true and o e re rd '!s �d info anon i have submitted r 9 PP ere certr that all of the details an nn ( r>ter'ed) 9a B �heckin this bo ;I h by -fy . Y g accurate to.the best of`my knoWledge and that ad sheet metal work and installations performed under the permit-issued for this application will lie in compliance with ail perfl ierit provision of the.Massachusetts Building'Code and ChapW-112 of the General Laws. Duct inspection.required.prior to.insulation installation:YES: NO Prowess InMections Date Comments' . Final TnWection Date Comments Type.of License: 3Y ❑Master rifle ❑Master-Restricted �Atyjown OJ.oumeyperson - I Signature of Licensee ❑J.oumeyperson-Restricted License Number..90 =ee S ❑ Check at www.mass.00vldnl I 4 ns*eetor SignWmie:of Permit Approval l r The Commonwealth of Massachusetts Department oflnduswd accidents Dffice of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia ' Workers'Compensation Insurance Affidavit:Builders/Contractors[Electricians/Plu nbers Auylicant Information Falmouth C law Sweep Please Print Leelbly Name gh ne organ zadorvbdivid4: P.O. Ow T Teatiekot, Me-02536 Address: City/Sta&zip: Phone#-,S J� Are you an employer?Check the appropriate box: Type of pioject(required): 1.El I. m a a employer oifh _ 4• [] I am a general con iractar and I ' "' * have hired the stb-contractors New constrachau . . employees(fiill and/or part time).. . � 2..❑ I am.a'sole liropzicbm or.partner- hsted:on the-afiached sheet. 7. ❑Remodeling Theso sub-co�xactois have ' ship and have no employees 8: ❑Demolition working for me ia-any capacity, employees and have workers' co a,_ �rr#' 9. ❑Biding addition [No workers comp.insurance �• . 4 �) 5. [] We are a cmporatioa and its 10:[]Electrical repass or additions '3.ElI ama horneownrr doing all work officers have exercised their 1I.❑Plumbing repairs or additions . myself(No workers'cam. �df exemption �R per MGL Iz• oof airs memanrr. ]f c. 152,§I(4),.and We haw nfl 13_] Other employees.(NO Workers comp.insurance regimed:J l `Ant applicant that cbeaks box A most also f4 out d=sectiasbelaw,showing 6cirvork='cmqxnsadm policy.infurmatica. t•Homeowners who subs i this affida tint caring they are daing an'wor L and d=hoe outside contractors must submit a new affidavitbdicatmg such. :contactors.ah i check t#as box must atiaehed an additional sbeet sbowurg d=name of thi aa)- utractarc and sbft whether ornot those eutities ban employees. If the sib•con4acta¢sbavaemployees,they mtistprmvidbthea wodoas-comp._pnEcyn®ber. I am an employer that is providing workers'compensation insurance•for my employees. Below is the polity and joh site information, j Tncmm=companyName' v 1? t, Policy#or Self-ins..Lic.#: /I w C 7012 12 76 '710 �:Z01 '4iration.Date: f� Job Site AddreLM 2 MA/Af,9!• OT IO LL E city/Statm P:- ! tQc:S JL 0 Aftach a copy of the workers'compensation policy declaration page'(shovr ng the policy number and expiration date). Fmla re,to scc=coverage as required under Section 25A ofMGL c. 152 cart lead to the imposition of a is�al penalfies of a fine tip m.$1,540.40 and/or one-year imprisommc as WeIl as civil penaltiEs in the form of a STOP WORK.ORDEP and a fine of up to$250.00 a day against.the violator. Be advised that a.copy-of this.statem-A-may be forwarded to tine Office of Inyestit ons:of the DU.for insurance coverage verification. I do hereby certify under the.pains•and peonies f pe;iury that the information provided above i s true and correct -�Ilvllzx Si Date: Phone# " Q.ffuial use only. Do not write-In this area,.tb'be completed by city or town offWaL City di.T~otvn: Permitllaeense' Issiriug Andiority(circle one): J.Board of Health. Z.Building Department:3.City/Town Clerk 4.Electrical Inspector:5.Plumbing Inspector Other r Contact Person: Phone#: • i t IK Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Divisron Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 62601 www.fown.barnsteble:ma.us Office: 508-862038 Fax; 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder Ci < '> ' ' as Owner.of the subject property hereby authorize A.LJA00734C i M S tI-W to act on ray behalf; in all matters relative to work authorized by this building permit 3s�. jSST C6N-,�1 (Address of Job **Pool fences and alarms are the responsibility of the,applicant. Pools are not to be filled before feme.is installed and pools are not to be utilized.until all final inspections are performed and accepted. Signatke o et J Signature of Applicant o q Cg cam, N'T_-:'�NTZ) Jr Print N6e Print Name �A_ I 4 Date QFORM& ME WERNMsroNPoots M - Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 3CEenFIID #361 License: CS-024158 ;SWEEP JOSEPH BENTO/ 1 Valid Thru POBOXT 01v December TEATICKETMR 025 Y ` Expiration Commissioner 01/01/2016 <i Falmouth Chimney Sweep Teaticket, MA coMMOPIWEALTH OF MASSACHUS�TTS SHEET METAL WORKERS exeW—Wiloou�ca ala&jadtvoela S A MASTER=#tNRESTRICtTED OffceoiConsumerAffairs&Business;Regulahon i9SUES�J iE}ABOVE L19ENSE TO - OME IMPROVEMENT CONTRACTOR egistrationL149 Type r J 0 S E P H BENT„0 J R ,5� >s Expration: 117./20'_ifi DBA x P O BOX T 3. 1 3� R �= r FALMOUTH.CHIMNF�YME EEP— i *x t - } 4> l s ' JOSEPH BENTO JRf k TEATICKET �MA, 02536 `0200 440 LOCUSTFIEL.D RD- / 01/28/ 5 E.3"Z 3:3= FALMOUTH;MA 02536L Undersecretary- Fold Multiple Times Along Peddrations Before r Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD"'"") C SU NCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAAMEACT Wendy Knight Veracity Insurance Solutions, LLC. PHONE (801)763-1375 a u:(801)763-1374 260 South 2500 West, Suite 303 AD�eS•wendy@veracityins.com INSURERS AFFORDING COVERAGE NAIC# Pleasant Grove UT 84062 INSURERAArch Insurance Group INSURED INSURERB:Certain Underwriters at Lloyds, Joseph Bento Jr. , DBA: Falmouth Chimney Sweep` INSURERC: PO BOX T INSURER D: INSURER E: Teaticket MA 02536 INSURERF: COVERAGES CERTIFICATE NUMBERCL1463022372 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLSUBR POLICY EFF POLICY EXP TR POLICY NUMBER M DD MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMA E S( EN ED PREMI E E occurrence) $ 100,000 A CLAIMS-MADE ❑X OCCUR L0014825-00. /8/2014 /8/2015 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 i- GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,OOO,OOO X POLICY PRO- AUTOMOBILE $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION I WC STATU- OTH- AND EMPLOYERS'LIABILITY -YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional 6 Pollution P00130 /8/2014 /8/2015 General Aggregate $ 100,000 Liability Pollution $ 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Evidence of Insurance Only. Covers liability arising out of the operations of the named insured, subject to all policy terms, conditions and exclusion. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D Stafford/ADMINS ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 oninnsi ni & Thn Anon n*mn nnrll Innn nrn mnie*nruri morlre of Arnpn ACO® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/21/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND_EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER NAMEAc Martha O'Meara Lawrence Carlin Insurance Agency PHONE (508)540-7100 lfidc No,:FAX (508)540-8426 ,IC230 Jones Road EMAIL ,martha@lawrencecarlin.com INSURERS AFFORDING COVERAGE NAIC# Falmouth MA 02540 INSURERAA.I:M. Mutual INSURED INSURER B: Falmouth Chimney Sweep, DBA: Joseph Bento Jr. INSURERC: PO BOX T-T INSURER D: INSURER E Teaticket MA 02536 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1381600295 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS.SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A DL UB POLICY NUMBER POLICY EFF POLICY n( LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RERTE15 PREMISES Ea occurrent $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS ' UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4EXCESS LIAB CLAIMS-MADE AGGREGATE $. 1DED RETENTION$ $ A WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS'LIABILITY FR ANY PROPRIETORIPARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? NIA C7027074012014 /10/2014 /10/2015 (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN" Town Of Falmouth ACCORDANCE WITH THE POLICY PROVISIONS. 59 Town Hall Square Falmouth, MA 02540 AUTHORIZED REPRESENTATIVE David Lawrence/MEDWAR ACORD 25(2010/05) O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(2o1005).01 The ACORD name and logo are registered marks of ACORD Town of Barnstable Regulatory Services * snxxsTns[.e. MASS. Richard V. Scali, Interim Director 1639. ♦0 ArEow,NrA 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 September 23, 2013 Joyce Frederick 382 Main Street Centerville, MA 02632 Ms. Frederick: This letter is to inform you that you may currently be in violation of Barnstable Zoning Ordinance 240-11; any use other than a Single-Family home is prohibited. You must contact this office by October 14, 2013 to arrange to bring the above address into compliance or be subject to fines of$100.00 per violation, per day. Sincerely, Robin C. Anderson Zoning Enforcement Officer /blc Inspection Report— Building Department Date 10 -- 10 Address �e C—) ST- Referred By Purpose of CalUinspection 1 J "c o f Reported to Site with (� F e /1 G�?b�� Observations & Notes (If A-AOlf C (/ r14 i-) w j . r��moJ Town of Barnstable /JI VE Regulatory Services Thomas F.Geiler,Director • Building Division , �mexsr�,sm,�. f v� '& IN Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: �--D Permit#: mil HOME OCCUPATION REGISTRATION Date: J l 2 Na mme_A4-JJ0�J to-) T(+10 UA1 Phone#• 3 Lf 1 6(7 ?6-176 Address:3 K_ M a i rJ ST W Village: Name of Busuiess:_A7 S r— I v/l t\J �` Type of Business:SK D 1411 N G 4 2%)t CF-- Map/Lot: 2080 H IlVT'FN'I': It is die intent of this section to allow the residents of the Toi-i m of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of die Zoning ordinance,provided that the activity shall not be discenlible 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 follovndng conditions: . • The activity is carried on by the permanent resident of a single family residential dwellumg unit,located vvithimm that dwelling rut. • 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 h no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve die 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,ui excess of normal household quantities. • Any need for parking.generated by such use shill be met on the same lot contauhuhg die Customary Home Occupation,and not widen tie 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 sane lot containing the Customary Home Occupation. • No sign sliall 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.slhall be employed in tie Customary Home Occupation who is not a permanent resident of the dwelling unit. I,time unidersi red lave read and agree with die above restrictions for my home occupation I amn registering. Applicant: Date:_�� 2 Homeoc.doc Rev.01/3/08 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 -- Main St. H nnis. signatures on this form at 200 M a obtain the necessary s not. s y must do by M.G.L.-it does_ not give you permission to operate.) You must first ry g Main St. Hy annis, MA 02601 (Town Hall) and et the Business Certificate that is rk s Office 1 st FI. 367 g Town Clerk's Y Take the completed form to the w required by law. DATE: Fill in please: 'APPLICANT'S YOUR NAME/S: A NT O Ne ems, 7(�{0'U AS rJ BUSINESS YOUR HOME ADDRESS: `;�2 ArI S'�• l'F TELEPHONE # Home Telephone Numbers NAME OF CORPORATION: 2�P�Y�c�5 Ff c71 !`' NAME OF NEW BUSINESS i t1 f2 t TYPE OF BUSINESS SX"f ol-ji N G 5e--g—y"Ce-3 IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BU SINESS 342 F C 7. 1U, MAP/PARCEL NUMBER -ji (Assessing) o be in compliance with the rules and regulations of the Town of s you must do in ord er t 9 there are several thin P When starting a new business g Y 'n the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth assist you in obtains Barnstable. This form is intended to ass g Y Y . B Y Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO 2hs ER'S OFF E This indivi uan inf r ed f y er re uire ents that pertain to this type of bushS�T COMPLY:WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURETO u orized Si u COMPLY MAY RESULT IN FINES. VT TS: I Cf 2. BOAR F HEALTH This individual ha info th erm't'r uirements that pertain:to this type of business. Authorized nature* COMMENTS: 3. CONSUMER AFFAIRS(LIC,9NSING AUTHORITY) sin req uirements that pertain to this t, a of business: I has be n nform o lioen YP This individual P 9 q Authorized Signature* COMMENTS: Town of Barnstable ;ME Regulatory Services Thomas F.Geiler,Director • Building Division * BAxxMBLE, 9 Mom• g Tom Perry,Building Commissioner 1639 �m t�Mpt a 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 8-790-6230 Approve �•, Fee: 35'� Permit#: l c1c�� HOME OCCUPATION REGISTRATION Name: W-t-teas�...,, l / _Phone#: Address �� � iMv�✓1 ��� Village: Name of Business: C�V1-O S�C�{'��i J I N� � ✓1 i!iG Type of Business:_',-2�S4Qk/I.a)9J 'yam`2 UC.-('IDI) Map/Lot: aQ 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 divelling: 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 carved on by the permanent resident of a single family residential dwellirng 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 ui 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 har/-lydous 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-,,an or onie 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 die same lot containing die 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., I,the undersigned,have read and agree with die above restrictions for my home occupation I am registering. Applicant: Date: S�j v Homeoc.doc Re%•.01/3/08 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. DATE: ll. Fill in please: APPLICANT'S YOUR NAME/S: S �. BUSINESS YOUR HOME ADDRESS: 7: i $E HONE #3 Home Telephone N �7 umber r?.fo�$ ..7 _R.301? NAME OF CORPORATION: r,: �' _ NAME.OF NEW BUSINESS S(C IV i i TYPE OF BUSINESS SKT,. ilio r nSj�c rT� IS THIS A HOME OCCUPATION? YES _ NO ADDRESS OF BUSINESS s� gtjje i a 63 MAP/PARCEL NUMBER OC>Z O q {Assessing) When starting anew business there are several things you must do in order to be in compliance_with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO. MISSIO R'S O .,ICE COMPLY WITH HOME OCCUPATION This indivi all h ee infor eYi o an er it require ents that pertain to this type of b0AW&3Ts. RULES AND REGULATIONS. FAILURE TO � Aut or' s' rrat * ^p► ny MAY RESULT IN FINES. MMENT A Q v t 2. BOARD EALTH This individual has , een i rmed f the permit requirements that pertain to'this type of business.. uthoriz Sgnature* COMMENTS: 3. CONSUMER AFFAIRS( CENSI AUTHORITY) This individual has n inf�e o he licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 4 oFz r Town of Barnstable *Permit# Expires 6 mont s fro i iss ate yT Regulatory Services Fee `* ttntuasrABLF; MASS1639�- Thomas F. Geiler,Director C0010 .eIED MAC A 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 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number. Property Address Gt Z (1 lib!A! Sf, C elAtr y I 1 I f grY 4. O Residential Value of Work Minimum fee of$35.00 for Work under$6000.00. Owner's Name&Address T U 1' A-L,ri I rvs Contractor's Name / ^- ool, 11., Telephone Number �% 2 -Z Home Improvement Contractor License# (if applicable) .Z F Construction Supervisor's License#(if applicable) ` V ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor AUG 3 0.2�1� ❑ I am the Homeowner NSTABL� I have Worker's Compensation Insurance (( TOWN OF BAR Insurance Company Name Workman's Comp.Policy# .W W C 3 Lo 0 Copy of Insurance Compliance Certificate must accompany each-permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction.debris will be taken to Cl III ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .35)#of windows *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. r; SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doC Revised 0721 10 The Commonwealth of Massachusetts Department oflndustrialAccidents fi J` li° Office of Investigations 600-Washington Street Boston, MA 02111 sy wwl•v,mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I�e�ibly Name (Business/Organization/Individual): Address: i S1 ve . tate Zi V �1,4 � Phon #'City/S / p � Ii Are you an employer?Check the appropriate box: Type of project(required): Aeffiployc6s'(full I am a employer with 4, 0I am a general contractor and I 6 New construction and/or part-time),* have hired the sub-contractors _. 2:❑ I am a sole proprietor.or partner- - listed on the attached sheet.' 7. ❑rRem odeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp: insurance.$ required.] 5. [� We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a bomeowner,doing all work officers have exercised their I LE] Phimbing repairs or additions . myself, [No`workers' comp. ` right of.exemption per MGL 12. Roof repairs required.] t c. 152, §1(4), and we have no insurance re q ] employees. [No workers' 131:1 Other comp. insurance required,) *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees, If the sub-contractors have employees,they must provide their workers'comp.policy number.. I arn.an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information nn C Insurance Company Name: �V�On) � t t�^' U jt_X;' — Q Expiration Date: Policy#or Selfins..Li c.#: 6��4yvf OD Job Site Address: " Z �J s1 l` e Wy1 11L City/State/Zip: I'`4- 3 Z 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 statement may be. forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldo hereby certify u i he pains and penalties of perjury that the information provided above is true and correct. •Signature: Date`. �j Phone# S y�j' V t-0 2Z� ZU 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 Z.Building Department•3, City/Town Clerl< 4. Electrical Inspector S. Plumbing Inspector 6. Other " - Contact Person: Phone#: 03/18/2010 13: 30 5034209227 MARK W S'YLVIA PAGE 02 AC 'RQ,r, CERTIFICATE OF LIABILITY INSURANCE D�TE(RfV2010 o3neu2oto rR.oUCER (508)42, -O"o THIS CERTIFICATE IS ISSUED AS A PAATTER OF INFORMATION Mark Sylvia Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE T71 Main Street HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Oslerville MA Q2655 INSURERS AFFORDING COVERAGE NA1C 4 r SURM- West Bey PropertywsUK6 A: Montpelier US InS Co Property Management Trust ._ --- Adam Hostetter,Trvetee INSURER B: Wesoo Insurance Co 770A plain 5•.reel 1N3URER c: OsteNflle,MA 02655 r_NeUReR D: _._.... �,. INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED SE_OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FCR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIaEO HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLITIES.AGC-REGATE LIMITS SHOAAN MAY HAVE BEEN REDUCED BY PAID CLAIMS. fIN R DO' — T- -••. �TR IMSR iwF()c_II�UpAp� f POLICY NUMBER _ CY EFF TIVC PO t Y Ex01 TI LIMITS A I i OENERALLV+aILITY EACHOCCURRENCE _ 9 1.000,000 PAPOOO0001OD2077 L COMtdERCIALGENE4ALLa91Lm I 9214/20D9 12/4/20t0 tTi EiR�p7ElT— " I r 100,000 turena?) s `LJ CLAIMS MADE OCCUR IPBEMISFs MED EXP A?&2 Pper>n) S _ 5`000 I PERSONAL&ADVINJURY s 1,000,000 I--I - QENERAL ACCIF.EO�r> ® 2,000,000 GEM L AGCREGATE LIMIT APPLIES PER; YCMP/OP AGO S . PAODucT3•r 2,000,000 —_� X I POLICY .PIEO'P �LOC — i AU7OMMILEI„IABILITY IE0 SINGLE LIMIT ALL CWNED AUTOS ANY AUTO (Ea aocictenr) $ I0 IN — —' BODILY INJURY• I SCHEOU:EDAUTOS (Perpcvnon) S- I I HIREDAUTOS _ _ •' -•"' I— BODILY fNJURY NON-0wNED AUTOS �- (Par kiwanI) — S PROPERTYDAMAGE S (Par Rxldenl) G-kRAGELIASILITY f ONLY •eAACCLITO •eAACCENT S ,ANYAUTO EEIjT Y— OTHER THAN _LA ACq _ M I AUTO ONLY; _ AGO,$ ---- .. i 0CESWIVIRRELLALIABILITY EACHOCCURRFNCE OCCUR 0 CLAIMS MADE AGGREGATE I$ DEDUCTIBLE ffi' I 1 kETENTION 5 —' WORK5R6 CO,LSPENSATION ANU V+,WC3D09920 3 TATU• X OTH• 9 HlAPI.QYERS'unan,rrY rZ3J2040 3/23/2011 1Br1t1$._ ER ANYPROPRICTORRARTNER/F,XECUTIVE I E.LEACHACCfPENT s 500.000 OFFOfRTAEM6EREXCLUOEDI El DISEASE-EAEMPLOYPt. $ 5OO,ODO It yea.UNlChbO undBr - .. _I SP6•:IAL PROV16IONS belay EL DISEASE-POLICY UMI i i &OD,0p0 i 7ESCRIPTIDN OF 0P9F.4T'ION$/LOCATION9I VENCLMS/EXCLUSIONS ADDED 9Y ENDOP4MENT/SPECIAL PRNISiCNS andsW;)eorder:ing, painting,carpentry .FRTIFICATE HOLDER ^__ —,CANCELLATION . �. SHOULD ANY OF THE ABOVE beSCRISEO POUCrES BE CANCELLED BEFORE THE EXPIRATION Hostetter Horms DATE THEREOF,THE ISSUING INSURES WLL ENDEAVOR 10 MAIL DAYS A RTEN 770A Main Street NOTICE T9 THE CF,gT�FECATI=HOLDER NAMED 0 THE � E LEFT,AIJT FAILURE TO OD SO SHALL 06teNllt®, OZsJ.S IMPOSE NO OBLICIA.TION OR LIAR UTY OF,ANY KIND UPON THE iNSURBR,ITS AGENTS OR REPRESENTAf>VEs. AUTHORI7•E D REPAFBENTATI VE ¢ (:t7R f7 29(2001/08) V ACORD'CORPORATION 1968 F- - — - O CD _ U1 LU O N1assachu,ctt"- llr1 t:u•tntrnt ��1 Puhli� Im 13iiartl of 13uildin_� Ki'-tiLttiun; ;uxl �t uitl:rrtl� , .. ;isor UCense ConstrLlf License: CS 94302 Restricted to: C)o _ ADAM HOSTETTER 770 SUITE A MAIN ST OSTERVILLE, MA 02655 Expiration: 12122/2011 138s7 Tr,: IREr, Town of Barn-stable ` Regulatory Services RARNS'rASLY- y MAS& g Thomas F. Geiler,Director 16�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 Using ABuilder AL I, ; as Owner of the subject property hereby authorize �`� Gt�-� to act on my behalf, in all matters relative to work authorized by this building permit application for: nA (Address of Jab) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:0 WNER-PERMISSION THE ray Town of Barnstable Regulatory Services RARN; Sr Thomas F. Geiler,Director MAIM � jL639. " Building Division prEn FM't Tom Perry,Building Commissioner 200 Maui Street, Hyannis,MA.02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOV NER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMFOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code t 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 HONMONVNER 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 constrgcts 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 uader•the buildingPermit. (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 r t.l y e Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the S'tate Building Code Section 127.0 Construction Control: HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building pernrit is required shall be exempt from the provisions Of this scction,(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 an unaware that they are assuming the responsibilities of a supervisor(see Appendix;Q, Fulcs&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 responnbilities,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 scveral towns. You may care t amend and adopt such a form/ccrtification for use in your community. C:forms:homccxcmpt i r " / Certified Mail#7008 3230 0002 5177 9251 KE ley - Town of Barnstable Regulatory Services S* BARN+CAHI.F.) wAss. Thomas F. Geiler,Director � x63q. 1�� pt€b Ah a' Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax:. 508-790-6304 July 21, 2010 Adam Hostetter 770 (B) Main Street Osterville, MA 02655 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY. . CODE II —MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE CODE CHAPTER 170. The property owned b you located at 382 Main Street Centerville was inspected C p p Y YY P on July 21, 2010 by Timothy B. O'Connell;R.S., Health Inspector for the Town of Barnstable. This inspection:Was conducted on the basis of a complaint received at the Town of Barnstable Health Division.. F The following violation(s) of the State Sanitary Code were observed: 105 CMR 410.500 -Owner's Responsibility to Maintain Structural Elements: Broken windows m many different locations throughout this dwelling. Windows within enclosed porch area are in the need of replacement due to excessive rot. Bedroom on first floor had windows that were to leaking. It was also observed that ceiling within iving room area was damp to the touch. This is due to either a faulty pipe or a breached roof 105 CMR 410.480 = Locks:. Windows within first floor bedroom are not capable of being locked, 105 CMR 410.100 — .Kitchen Facilities: Stove not working properly. (Shuts off randomly). 105 CMR 410.750 Conditions Deemed to Endanger or Impair Health .or Safety: . Observed human feces on floor of bathroom within garage. Also observed feces within toilet which was not functioning properly (will not flush). Q:\Order letters\Housing violations\Rental ordinance\382 main street Street.doc You are directed to correct the violations listed above within Thirty(30) days of your receipt of this notice by repairing all the broken windows throughout property; by replacing windows within enclosed porch; by replacing or repairing windows within first floor bedroom so they no longer leak; by alleviating all sources of chronic dampness (i.e.roof, leaking plumbing);by repairing or replacing stove so that it works as intended to. You are directed to correct the violations listed above within twenty four(24) hours of your receipt of this notice by insuring all windows are capable of being locked; by removing all feces in garage bathroom and sanitizing.said bathroom using best industries practices. You may request a hearing before the Board of.Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will t result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you have any questions regarding the above, violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. PER ORDER OF THE BOARD OF HEALTH ... Thomas A . McKean, R.S., CHO Director of Public Health Town of Barnstable a Q:\Order letters\Housing violations\Rental ordinance\382 main street Street.doc The Town of Barnstable Permit . Massachusetts _ • Date CAM `ag SOLID FUEL STOVE PERMIT o Fee .2 ., This constitutes an official stove permit after inspection and approval by the building inspector. Owner'N��� t �'^i tip_ Telephone no. Cq,�n 1 S (Vex Address of Propery Village Location and Stove Type V11 L0 Ci1 6'`p-a- C L,\e-52 Date: et, S Building Inspector The solid fuel burning stove at the above location passed: failed: inspection. Tllc• CU/1rI11U1111'Cu1111 of:)tasruchuscltr Di piirflyzelrt of Indilstrial Accidents ONCZOfIJV9Sr/gatlons riiiv{ 608 11 us11iii-ri a S/rea Buser»r.:1fuxs: 03111 Wanccrs' Compensation Insurance AMdavit Ann-iic ntintnrm�tinri f Ic^�e f RI'�'T'ledii nor VWP-I\Ci� ' �V, i .n 5 e. I am a homeowner performing ail Ark myseff i am a soie proprietor and have no one tvoricinL am, Can in am, am, an enipiOver providing Nvorkers' compe:tsatian for my empiovees working on this job. rnn,r,••n�' n•i•nc• 1ti•r�r•a• Cfi nhnne d- ins rr-•ire rn nniir� soie procrie:or. ;enerri contractor. or ome6wnert 'rcic on .' e; and have hired the con.... a s iist d be - ace ^e '011ON n^ .vorKe.-.' ce:^..onsaaon poiices: �1azc �ti:�rr«• �.... nhnne rn^ _ n nrnr rrt• nhnnc�• n� ^rc n. nniic� __ r�tt�:.•: auditionai sheet if necesiin�_ T '...� .. ... ._.......r. .... ..r...�v�� i._.—�..� . —' Fanurc:n secure cover Ce as requircu Hoer_ecnon=cA of,11G:. 1S.can lead to the imposition of criminal penaiues of a line up to S1_00.!!0:nu:cr uric c-rs ;mpri.unment:is %%cil:ts civil penaitics in the form of a STOP WORK ORDER and a fine ufS100.00 a da%.against me. I understand th:t c:11.% :ircnicitt mat he furnardeu to the Qllice of lm•estie-�tions of the DIA for coverage verification. ccr. fi•rurrirr rlfe prtius rvia prfr cs of perjure:har the informarion prorided above is true and correm •„ Date n.._. _ Phone it r atTiciai use univ du non write in this area to be eompictetl b% cin•or town official � , t t cite.-r:nun: permitiliecnsc# r'13uiidin_Department CUcensin_board �eiertmen's UfGcc t- c,-rcx ii iminediatc respunsc is reuuircu C if - [Health Derartmcat phone c: -Uiher Information and Instructions ISZ �s mot,, . � . N�� • McssacaUseltti Genend Lz%%,s chapter iSZ section 25 requires all employers to provide work-en cn►npe:a.::i;:n ennnim-ces. .4s quoted from the "iaN%'". an C111F urer is dciined as every person in the service of :.ntlthcr,�nccr cc:::r,:c: of hire, =press or i►nplied. ornl or wrinen. An empiurer is dc5mcd as an individual. partnership. association. corporation or other legal entity. or ainN• 'WO Cr the !urcuoin_u cnunx d in a joint enterprise. and inc'udin__ the,le_.^1 representatives of a deccase-.l employer. or rcC_,:ver or tnistce of an indiN,idual . partnership. association or other le`ai entity, einploving employees. Ho'•�'e'.': 0•1\1i:c7 of d%vellin;_ house havin! not more than three apartments and who resides therein. or the occupant of:i:e d«ci?in__ !louse of an other �viio employs persons to do maintenance ;construction or repair work- on suc?: ?:::_ or -n the __rounds or building .appurtenant thereto shall not because of such employment be deemed to be ::n �lnantcr '�= section :s :Ian states that ever- state or local licensing agency shall withhuld tlhe issu ante I of a license or Permit to operate a business or to construct buildings in the commomi calth Car::r•.' :c::clt 1%•lio lens not Produced acceptable evidence of compliance with the insur•anee eovera;e require?. ,c ..ion;.11�. neither the �omnnornweaith nor any of its political subdivisions shall enter into arty contras: far cc of puulic worn: aril! acceptable evide::ce of compliance with the insurance requirements of this tc,4 to the contrac:inc authorin•. All !,iIC:�,nIS ;�LEc :iii in :he %vorkers' ceinpe:aation affidavit coinple:elv, by checking :he box that applies to your situa:`c:-, c: ire com��ny names. address and phone numbers as all affidavits inav be submitted to the Departmcn: c 'r iai .AccidC!, rnJ' �enrirma:ion of insurance cove�_e. Also be sure to sign and elate tite atTida�ii. ill�e �. itt Jhouid he re:url:ed :J the yin or town that the appiication for the permit or lice::se is beinc req'.iest--- r loui:hne::t of'IlndL'Siriai accidents. Slhould you have any questions r e_sdine the "law" or if you are c «cri:ers' call the Department at the number fisted beioti�. comet^sa:loin policv. please Lai t li`xns P'- 7,e _-arc :hz: :he -ff16--vit is coinpiete and printed ?e_ibly. The Department has provided a space or you to fill out in the event the Office of Investigations has to contact you re__rdin^ tlhe appiic:n:. :o rill in the pe.rnnitilice^se number which wiiI be used as a reference number. The affidavits may be nt-u-' ::e ,:carme:a by mail or FAX unless otlicr arrangements have been made. of Im estications ,%!Ouid like :o thank �•ou in advance for you cooperation and should you have rrn vacs: -4:) not hesitate :o _eye us a cell. Ti c1r,;:,e^t�s address. tei�^none grid fax number. -- F- .;ti. 4 _ y The CommomveaIth Of.Massachuseris Department of Industrial :accidents 1r•.., Office cf Investigations ' 600 Wzsiiington Street Boston. Ma. 02111 fax 1: (617, -7749 is nc =. 6 1—, = --=900 c�::. -06. -'09 Or 2 . Assessor's office(1st Floor): 4 L I Assessor's map and lot number Q 3 S c moo`TN c jo° Conservation ��° ♦w Board of Health(3rd floor): t s�as�r�ncc Sewage Permit number Engineering Department(3rd floor): ~moo se3q. House number r �o asv Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only , TOWN OF BARNSTABLE ILDING :DIVISION i APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location S CO-A+'e-r At a e_ Proposed Use n isfi L /p/�/"7 Zoning District Fire District �c Name of Owner �PTi 1c 1 O Y1 M CxrC i G Address 04� s�� 1� ` �V L Name of Builder EA DA2aA� Address 2 0 � Woa i S _Id E Name of Architect Address Number of Rooms Foundation R Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost 0 d © Area ®a Diagram of Lot and Building with Dimensions Fee 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 Home Imrpovement Contractor Registration# J'® $ - Construction Supervisor's License# 0 '2 2— rZ. 6 7 HERINGTON, MARCIA - No 3 0 0'8 r Permit For REROOF , }, rt Single Family Dwelling Location S ib&gQzZRQad ` Centerville " x ' I Owner Marcia Herington Type of Construction Plot Lot- Permit Granted September 7 19 9 4 Date of Inspection 19 Date Completed a S.,n.,-.—�.-c.>,.s-�^--....='—,'.�:.ss:.:wire;s��:r:wrw. �=»�,ar—..�,k^._;.;, .--, :=•..�x.---,..��re.�r..,.,:..,,.u,..�:>��".'' .�,':=;-Ali.:.—�:.��.-.:•-:,.i TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PE R M I T A-208 043 September 7 94 N9 37008 F•A.Dalpe & Sons DATE 265 PERMIT NO. APPLICANT ADDRESS 265 Wood's Hole Rd. , Falmouth, MA 022207 (N0.) (STREET) (CONTR'S LICENSE) , PERMIT TO roof (_) STORY Single family dwelling NUMBERNG UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Q- Road, Centerville ZONINDISR CT— (.NO.) {�j r1� �(n (STREET) BETWEEN J(x/ /1[ AND (CROSS STREET) (CROSS STREET) 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: No sewageAREA OR . VOLUME No area change ESTIMATED COST $ 31P000 FEE PERMIT $ 50.00 (CUBIC/SQUARE FEET) OWNER Marcia Herington ADDRESS 4 Old Stage Road, Centerville, MA 02632 BUILDIN BY Jr PERMIT TOWN OF`BAR.NSTABLE, MASSACHUSETTS 6l��lLDIV A-208 -043 September 7 94 c�(� � 700$ ��.A.Dal &. SflA6 . DATE 19 PL4MIT NO. \ APPLICANT _ pe ADDRESS 265 Woods Hole Rd., Falmouth, MA 0222Q7 (NO.) (STREET) (CONTR'S LICENSEI Reroof Single family dwelling NUMBER OF 1 { PERMIT TO ( ) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. '9 (PROPOSED USE) Old Rflad, Centerville ZONING \ti AT (LOCATION)a DISTRICT •� (NO.) ��^^ �n� (STREET) .. �r BETWEEN- / (x/ 1n/(` AND (GROSS STREET) (CROSS.STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE / FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 1 TO TYPE USE GROUP- "n - BASEMENT WALLS OR FOUNDATION - t (TYPE) REMARKS: No tsewage AREA OR N4 area change 3�1000 PERMIT `\50.00 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) - OWNER 'Marcia Herington ADDRESS' Ol Stage Road., Centerville, MA 02632 By Old •E t'` THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TCMPORAR-ILY 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 REST RI CT IONS. 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. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELE&FICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 2 BOARD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. BUILDING PERMIT ��® IN �'®�+ _ y� Assessor's offioe .Ost floor): <i M@�E�lP �y 3�� Assessor's magi and, lot number .. �'� .g......`./3............ ` WITH TITLE 5 �� Q��iTNE TO�f Board of"Health (3rd floor): ^ US� �`� • E -�g�I��T�� �d��y �;y� o. T ®� �98 _. A _� Sewage Permit pumber ............... 9AWSTADLE. L s pw rasa Engineenn� ,l jaftm nt (3rd floor): ao 039• Housen�cci er ...:;.................................................................... ,ems Y a. ,. 'Fa YP APPLICATION§.'l, &ESSED 8:30-9:30 A.M. and 1:00-2:00 P.M,. only TOWN OF BARNSTABLE BUILDING INSPECTOR r rt APPLICATION FOR PERMIT TO ......b.1r4.1.. ....ok��l1.. ..f9M........................................................................ TYPE OF CONSTRUCTION 15 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... .......M.a...... . ..,...........Ce..M . P�.e............................................................................................. l/Vt 1 tl P jjt N d �- Proposed Use ...�.�.!!1.. �.l°.......�........ .�...................�1....... ........ ... .. .. .. ............ .... .......... � ..................... Zoning District .....I\),.D..� I. . 7!��.7�. . ire District �'e.►1 .....V.f.l� d P E!i/1•�r�• M+� .. .. M . Name of Owner Ja���..... IJ.e��.........1'1 v.....Address ..Jg...°1....�a.l�...... . ..:....... Pk?fVv(.I'�C....... Name of Builder .... ............Address .....Kgl.kFe. . Name of Architect .. a!��....... D.r'f.r..........................Address ....y�'vm17.1-4 .. ................................................... Numberof Rooms ...... .........................................................Foundation ..I'1.' ............................................................ Exterior ......WC*d........................................ ...Roofing ...... ................................................ Floors ...-Wo.Q� .....................:................Interior ..... ..1• V............................................................. ,t Heating �j.(..I.......................................................................Plumbing ......I...,[� .................................................................... Fireplace ......,�?�..........................................................................Approximate Cost .5!.1..0dd............................................... Definitive Plan Approved by Planning Board ________________________________19-------- . Area .... � .. .5`A O� ` Diagram of Lot and Building with Dimensions Fee ................©........................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................ .. ...........................I.............. Construction Supervisor's License .................................... in REELER, JAMES & BETH } • k No 30994 Permit for ,.ADDITION I ` I°Single Family Dwelling Location! .........38 ..i� .. t.................... ; a `la� �► ,fic, Centerville _ ............... ......................................................... - ` . Owner .Kamen. . .... ... & Beth. ...Wheeler. . . . ....... .. ....... . .. .. ....... ..... .... .. . .. r Type of. Construction Frame _ .............'................................................................. _ Plot Lot ................................ - Permit Granted .... ulY....1.6...................19 87 Date of,Inspection Date Completed .............................:.......:19 i • 90 _ 4 4 L - ��