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0541 SHOOTFLYING HILL RD
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Town of Barnstable Building z Post This Card So:That rt,s V+s+ble From:the Street=Approved;Plans MustbeReta+ned on Job and,this Card Must be Kept * Posted Unt+I Final Inspect+on Has Been Nlatle Permit i6�4 v % 1 1 lilt - Where a Certificate of Occupancy is Requ�retl,such Building shall Not_be Occupied unt+l a Final Inspect+on has been made r Permit No. B-20-49 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 01/07/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: 07/07/2020 Foundation: Location: 541 SHOOTFLYING HILL RD,CENTERVILLE Map/Lot: 193-026 Zoning District: RD-1 Sheathing: z� Owner on Record: MCKEAG, DONALD P Contractor Name `.HOMEOWNER IS APPLICANT Framing: 1 Address: PO BOX 702 Contractor License EXEMPT 2' EstProjt Cost: $2800.00HYANNISPORT, MA 02647 Chimney: Description: Repaired Rot on Front Door Step and Added 7x24 P.T. Deck. Permit Fee: $ 110.00 Insulation: Project Review Req: i Fee Paid, $ 110.00 Date 1/7/2020 Final: ��2Y Plumbing/Gas ` - 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 a_,er:issuance. All work authorized by this permit shall conform to the approved application and the;approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures 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 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 the permit. Minimum of five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection _ g 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 SCANNED 1AN 17 2010 (/e� Prl Appli6ation Number. 4 ... ........... MASS. Permit Fee.......................................Other Fee:....................... 1639. ✓ Total Fee Paid............... 06............. ...... TOWN OF BARNSTABLE Permit Approval by.... BUILDING PERMIT .............P=el......01�Map........ . (.p.................. APPLICATION '/"A Section 1 - Owner's Information and Project Location Project Address:5-10 JV2 A Village V1 L Lt. Owners Name— Owners Legal Address 149-16 %f6 City. State /� � Zi -' Owners Cell# 6� E-mail -0 Section 2 —Use of Structure Use Group �_ ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Stru6ture under 35,000 cubic feet ❑ Single/.Two Family Dwelling Section 3 —Type of Permit F New Construction E] Move/Relocate E] Accessory Structure EJ' Change of use El Demo/{entire structure) EJ Finish Basement El Family/Amnesty ET Fire Alarm Rebuild Er Deck Apartment El sprinkler System ❑ Addition E] Retaining wall Fj Solar El Renovation El Pool El Insulation. Other-Specify. Section 4 - Work Description V 7 Last updated: 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction % cd 60, 6V Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist. ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing Er Gas ❑ Fire Suppression Heating System - ❑ Masonry Chimney ❑Add/relocate bedroom 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 ❑ No Section 7—Flood Zone i Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ 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 Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No, Last updated: 11/15/2018 ®F Town of Barnstable Conservation Commission ADMINISTRATIVE REVIEW FORM a0 4DM�K 1. Fee $25.00� ❑.Fee Paid Address/location of proposed project: Lpmacne/cell: eet: � -; / . /� / Villa-e: ,U/ 1; Map. Parcel: ner/Applicant: / iling address: 0 &517 _J —��� Email: H� G�6G �i9'r � � � Fax: T Contractor/Agent: F Address: Phone/cell: Email: A ' Associated File# Protect description:°At ach`additional sheet if necessary,along with photos and a site plan if available(include distance from resource). "7 �( 2 1. Will the proposed work take ace within any of the following resource areas? (If"yes, please check the following - resourcer °areas). . ❑ Town coastal bank;, ❑ State coastal bank; ❑ 1,00-year flood plain (land subject to coastal storm flowage); ❑ Salt . marsh; ❑Beach;,❑Dune; ❑ Vegetated wetland El Lake; ❑ Pond; ❑ Stream; ❑`Intermittent stream; .❑Estuary; ❑Ocean; ❑Land under said waters. r 2. Will the proposed work take place within 504ei of any of the above resource areas? ' 3. Is excavation by machinery required? 10. _ 4. Is foundation work proposed? 5. Is removal.of vegetation proposed? -ElUnderstory ❑Groundcover ❑shrubs 6. Is regrading proposed,'either,the addition or removal of soil? ~ 7.- Is tree removal proposed? . t If so, why? ❑ Water,view ❑Aesthetics. ❑Safety issue Are trees: ❑ living ❑dead ❑ dying(please suPP1Y Photos) 8. Is planting proposed? If so,please supply a plan which includes species. 9. _Is removal of poison ivy proposed,or other invasive species removal/control proposed? If"Yes,"please explain on additional sheet: w 10. Is the use of erbicides propo e `Applicant signature: Date: Reviewed by:, Date: Q\regulations\admin policies procedures\adminreviewform 7 1/Z017 / 214-O Parcels FY2ozo -0 xgk- 071T0O 123-456 Address Street Numbers .` '� ,m," �•° #. ,Ie. 0 nuns Town Boundary w � rn a . DM is Approx.Building Buildings o 193 236 { . � S K - Decks Patios14 00 Above Ground Swimming Pools ma.. r In Ground Swimming s Pool ✓✓� x` ' �r �.-x �r r ti .fit '198-237 ® Paved Walkways 84-i - u _ 40 Unpaved Walkways C;: . .`✓,�, '_ I ., _ y y w • r i - - - - Paths ® Stairways . _. .__ - ---- ___'------ �..-.-•--_�_--_ ,� . Paved Roads #.'0 �.._� O^,y Unpaved Roads y �.-� -�• r: Paved Driveways >, Unpaved Driveways 193-049 Painted Lines . .s xxs „a t #521 QPaved Parking LotsLs a r § 193-261-002 Unpaved Parking Lots Bridges - �.:-? •.�-r7 R Railroad Fences T- Guardrailsiy € 3 193-026 * � —0— Retaining Walls �o Stone Walls �=�.,r�s r r.. 193 025 =�''��., ., za�� .+. '•�:- .�� � Other Walls �r W' �.� � . � Hedges � a� tr, �- �fi:��. - y 4 E)0 Sports Areas w GolfAreas rF 193-261-OOT ' Docks/Piers �ic y � nr o Boardwalks V #g / 50 • -5 Jetties l _ _ a 4 193-023 ry ,= „ Streams #$55 .¢ d mta + Drainage Ditches •t i d �l+l ' + �. _ f���"� � lit d� I5, Marsh Areas Water Bodies Spot Elevations(NAVD88) f+ y 1:._... ,'F{ ' '" •. _ nS O Topo 10 ftContours(NAVDDg8�8) " - .jrff4& %&N AV T ees eet r aK +"'. r •5 y c ,�,�,•ra �,; za .t t xCatchbasins _. h f. ( Monuments - '1 v` ,� .` rc. ` '• 3 y;. TFl-`(1N g - Lamp Posts „-- ,: + O Satellite Dish �• - w 'f r g~' 193 029 — �= Manholes a .� - } , •.r - y, . M. .N Fuel Tanks "� " �� t • 193 030 - � Ș O Utility Poles ,g '✓ ." .� + ," �■Water Tanks ' . Sig. t:�'. 44 69 Ws.��`,+& ,m r �, "r" ir► ,:" v.., `•` �...___� '+ �o-$"' ria ,,,,,_. �� Flagpoles sµ193031193-262 l 52 552 , Town®g le Data Source Human-made features, Disclaimer This map is for planning purposes only. It.- 1 inch=30 feet N hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination Feet �1E tjOn D$Vi,d®n interpreted from 2014&2008 aerial photos representations of Assessor's tax parcels.They or regulatory interpretation.This map does no and may have been updated from more current are not true roe b y O 5 l0 20 30 4o W E http://www.town.barnstable.ma.us property rty boundaries and do not represent an on-the-ground surve . 200 Main Street,Hyannis,MA 02601 sources.Parcel lines were digitized from represent accurate relationships to physical Enlargements beyond a scale of 1"=too'may f The Commonwealth of Massachusetts Department of InduyttialAccidents 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/OrganizELtim/Individual): Address: S rAL r 441_YI'l �Lc,ity/State/Zip: P hone#. : 5 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an aci employees and have workers' Y capacity. 9. El 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. Plumb repairs or additions 3�-i am a homeowner doing all work ❑ P myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs a insurance required.]t - C. 152,§1(4),and we have no . employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees.they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:' v 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 fo ce coverage verification. I do hereby certify a and penalties of perjury that the info 'on provided ab a is a and correct ' 7 i store: r ate: / 6. Phone#: 507 J`o�y—oaEr, ' Official use only. Do not ivrile 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 constrict 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,liy checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit4icense number which will be used as a reference number. In addition,an applicant that must submit multiple pemuttlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would bike 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: 4 The Commonwealth of Massachusetts T, 1 Department of Industrial Accidents . Office of Investigations t 600 Washington Street , Boston,MA 021.11 Tel.#617 727-44QQ ext 446 or 1 877-MA.SSME Revised 4-24-07 Fax#617-727-7749 : s Www�mass.gov/dia mass.gavfdia a E ' Town of Barnstable Building Department Services Brian Florence, CBO Building Commissioner BARNSTABLE. 200 Main Street H annis MA 02601 XNISIONS.MILLT!OStE0.V111F•N6fBM:STABLE 7 Y f 1639-2014 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Donald P McKeag and all persons having notice of this order: As property owner or tenant of the property located at 541 Shootflying Hill Road,Centerville, Assessors Map 193 Parcel 026 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 12/31/2019 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On 4/29/2019the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically, construction of a deck done without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: obtain a building permit(along with any other applicable permits),and successfully complete all required inspections.. And, if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of.the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed,action to abate this violation has not comme,med, further action as the law requires may be taken. By Order, Oefr y L. Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us 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 Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.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 H.I.C... Signature Date Section 11 —]Home Owners License Exemption Home Owners Name: Telephone NumbeN Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State ode. I understand the construction inspection procedures,.specific inspections and documentation requir 6b C and the Town of Barnstable. ignature Da 4' P,4 ANT SIGNATURE Signature _�� Date Print Name ��1 G�� ' Telephone Number j 5 E-mail permit to: Last updated: 11/15/2018 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 z t . Y ^w Last updated: 11/15/2018 oFtHE A Town of Barnstable Inspectional Services a Brian Florence,CBO ��A i639• A�m°i` Building Commissioner MAt 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 541 SHOOTFLYING HILL RD, CENTERVILLE Case# C-19-291 Inspection Type : Violation Inspector-: lauzonj Description.. . Date.rv.�_.._ ,_.........Unit. . ..._w__ Status.._ ..�.__. ...... __._._. _-...�..__._..�._.. .—_.._.._ ..._.. ___.__._..�.._._ p Comment Violation 01/24/2020 PASS BUILDING PERMIT ISSUED 1/7/20. FINAL INSPECTION DONE 1/24/20. CLOSE RFS. Inspection Type Violation Inspector: lauzonj Description Date Unit _ Status Comment Violation 12/31/2019 FAIL New deck no building permit. Notice of violation sent.Property posted with notice of violation. _ .._..._......._..._.-_.._.-_ ..-_._.._.. ..........._-.�__.__.__--.--.. .-.-._�_-_ ..._...-.. _._._._ I C3 . r- nj Muumuu- rLi a ; Ln Certified Mail Fee f- $ Extra Services&Fees(check box,add fee as appropdare)r I ❑Return Receipt(hardcopy) $ U I D C3 •❑Return Receipt(electronic) $ I rrV m. Postmark ® ❑Certified Mail Restricted Delivery $i r• O zHBie O ❑Adult Signature Required $ ) n ❑Adult Signature Restricted Delivery$ ! • n p Postage C7 O $ \ n Ir ) Total Postage and Fees j N � \ 3L`jf $ r seer q �FL{�---------------------- a Sliest end Ap o.,or Pb Box No. 7 r` -----��_ �1--76-Q------------------------------------------------ City,State, P+4 ry On7 ' o��o r3Fj?TFwT,r,VVmijj1 . r rrr•r• . . .. Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return Wcefpt,see a ietafl. ■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or,attempted return receipt for no additional fee,present this. delivery. -r USPS®-postmarked Certified Mail receipt to the ■A record of delivery(including the recipient's retail associate. signature)that is retained by the Postal Service- Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: -Adult signature service,which requires the ■You may purchase Certified Mail service with signee to be at least 21 years of age(not , First-Class Mail®,First-Class_Package Service®, available at retail). or Priority Mail®service. RU3 Adult signature restricted delivery service,which ■Certified Mail service is not aVailable for requires the signee to be at least 21 years of age International mail. !i; F and provides delivery to the addressee specified ■Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is . insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.ff you don't need a postmark on this -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. Ps Fom,3800,Apdi 2015(Reverse)PSN 7530-02-000-9047 ' ij p . . ■ Gogrpiete fterr ,and 3. ' A S7Y� ■ Print y0ulrtatrt address on the r"evetse �so that we, nfeful n the card to you: : X0 Addressee ■ Attach;#his card to the back of the mallplece, B. ive Pri ame) C.Date of Delivery or on the front if space permits. 1.. Article Addressed to: D. Is delivery address different from i m 1? ❑Yes I / If YErenterier.�address below: p No �6/1't�d P lne'<2 CcCR iIVA ga 2 2020 II I illll IIII I'I I III III I I I I I I II I I I I(III II III ❑Adul0 Priority,— t 8 Signature 'r elive El Registered red MailTRFs-gi d Certified WHO ��/D slivery 9590 9402 3630 7305 3406 44 ❑Certified Mail Restricted Delivery ,Return Receipt rur ❑Collect on Delivery" 111rchandise 2._Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM rinsured Mail ❑Signature Confirmation 7 017 1000 0000 6757 2270 Insured Mail Restricted Delivery Restricted Delivery lover$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPs rnacKNO P. First-Class Mail EPostage&Fees Paid M Permit No.G-10 9590 9402'�3630 7305 3406 44 United States •Sender:Please print your name,address,and ZIP+4®in this box• I PostalService I I TOWN OF BARNSTABLE i BUILDING DIVISION 200 MAIN ST HYANNIS, MA 02601 ` Sy/.Sao �� • r� a'C. Town of Barnstable Building Department Services Brian Florence, CBO -dv� - Building Commissioner 1 BAMSTABLE 200 Main Street Hyannis, MA 0260I BAkNS aBE FMf0.VILLE•CONR•X FNNIS BARN Y5-UI a OSRAVILLf mn BIAN Nis � Y � iS39.2014 www.town.barnstable.ma.usDg Office: 508-862-4038 Fax: 508-790-6230 Notice of Building Code Violation(s) and Order to Cease, Desist and Abate: Donald P McKeag and all persons having notice of this order: As property owner or tenant of the property located at 541 Shootflying Hill Road,Centerville, Assessors Map 193 Parcel 026 and known as residential structure,you are hereby notified that you are in violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section(s)R105.1 and are ORDERED this date 12/31/2019 to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: �? On 4/29/2019the Building Department observed violation(s)of 780 CMR of the Massachusetts State Building Code Chapter 1 Section(s)R105.1; specifically, construction of a deck done without the benefit of a building permit. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: obtain a building permit(along with any other applicable permits),and successfully complete all required inspections.. And, if aggrieved by this notice and order; to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal (specifying the grounds thereof) with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143 § 100. If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires may be taken. By Order, Are . LfEzon - Chief Local Inspector (508) 862-4034 Jeffrey.lauzon@town.barnstable.ma.us �oF1HE t Town of Barnstable 0 ' Inspectional Services MUatvsraBLE. ' Brian Florence,CBO MAM a 619. `0m Building Commissioner M 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 541 SHOOTFLYING HILL RD, CENTERVILLE Case# C-19-291 Inspection Type : Violation Inspector: lauzonj .......... _ ........... Description Date Unit Status Comment Violation 12/31/2019 FAIL New deck no building permit. Notice of violation! sent. Property posted with notice of violation. 'vi.fPkv?�ni X1 NQse Mb[mt/ % }mG7n.'ryw l�U' a� dM�S "R .3-%fl d4 4 IE k�ifr S,7,: 4P "S _ Et Not— viewnforce.cbWapp.neVCadeEnf m entJCaseH start'aspxitld-67aTratlangNo T 19-291 a;��".. ;,,v�lum.,, UnJ., ,.Guu coo wmuasea toes eMorcpnle�tt �L lauzonj Inspeetton Xhtory, Pcemq N,btorY.% C}so Nlstory-+�.. Inspection History for: C-19-291 at 541 SHOOTFLYING HILL RD,CENTERVILLE ,sane emau Pont AU Inspections - Overall - Event Date Inspector Time In Time Out WIN Overall Inspection Comment Status OW]9i1019 �eonl 12:12:79PM I l i Send EMM Inspector Notes - _, Seven trV nv ry hur lool d k an Irunl I h apPeara t b --- w constr h 1 ��glytY{Ymss oFt r Town of Barnstable *Permit W'P Ze Expires 6 mor es rom issu date yT ^ Regulatory Services Fee r r * BMWSTABM Richard V.Scali,Interim Director 'OIFnN+o+°' oK Io�ZgI13 Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50.8-790-6230 EXP S PERMIT APPLICATION - RESIDENTIAL ON Y 3 Not Valid without Red X-Press Imprint Map/parcel Number Property Address © Residential Value of Work$ el0 Mini um fee of$35.00 for work under$6000.00 Owner's Name&Address (/ tie Contractor's Name K h_ ,-d fo-ey?�e Telephone Number �2 f'-9-2w Home Improvement Contractor License#(if applicable) /_?0ZU Email: Construction Supervisor's License#(if applicable) L�'— ®62?y� ❑Workman's Compensation Insurance Check one: X I am a sole proprietor ❑ I am the Homeowner Ewa ❑ I have Worker's Compensation Insurance Insurance Company Name �� or Workman's Comp.Policy# CT 2 9 2013 Copy of Insurance Compliance Certificate must accompany each pernut. Permit Request(check box) TOWN OF BARNSTABLE ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value 0..3 (maximum.35)#of windows o2 #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 re uire V SIGNATURE: ge Q:\WPFILES\FORMS\building permit fonns\EXPRESS.doc Revised 061313 Hie Commoniveak h o•f Massaehusetts Deprrtruent o,f bulusfiial Accidents - 01TWe.o,f investigations 600 Washuigton&reet Boston,MA 021I1 wttnn.ivass:goWdia Workets' Compensatian lnsarance.4-fftdavit:.Builders/ContractorsMectricians/Plumbers Applicant Information Please Print Igihly 1 Name(Busine 6Fganizationlfmdividnal)_ �, lkr/ &Q! rr74 Address: City/stateMp: s 2� phone Sam 12B- g�yy Are you an employer?Check the appropriate box: Type of o'ect(required): ❑ 1-El I am a employes with 4_ I am a��contractor and I 6_ New oonsfruction employees(full and/or part-time).* have hired the sub-contractors. 2.® I am a sole proprietor or partner- listed on the attached sheet 7 ❑Remodeling ship and have no employees These sub-contractors have g ❑Demolition w forme in an capacity employees and have workers' working y aP`a t3- 9_ ❑Building addition [No workers' comp.insurancee comp_insurance_, required-] 5. ❑ 'We are a corporation and its 10..❑Electrical repairs or additions 3.❑ f am a homem ner doing all work officers have exercised their 11_.❑Plumbing repairs or additions myself. [No workers'comp- right of e2w tion per MGL 12_.❑Roof repairs irisu anre required-]1 c_ 152, §1(4),and.we bH%,e no 1at�1s ff�' employees_[No workem' 13_.©Other W IA( lr7 comp_insurance required.-j *Any appUc nt that checks boa#1 mast also 5ll out the section below showing their workers'compensation policy information. T Homeowners crbo submit this affidavit Mdicating they are doing all weak and then hire outside contractors moil submit anew affidavit indicating such- !Csstracturs that check this bm must attached an additional sheet showing the name of the sab-cogs and state whether ornot those entities have employees. If the sub-contractors have employees,they must pnA ide their works'comp.policy number. I am an employer that is providing it�orkers'cotttpCcimLt ort iirsuraare for#zy etrrglnyecss Belau is Ste paHcy and,job site in rmalYon. Insurance Company Name: Policy 9 or-Self-ins-Lie-#:. Expiration Date: Job Site Address: �� t l l' �i ,1 l� CitvlstatelZip: Attach a ropy 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 bead to the imposition ofrriminal 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 hnestig;;ations of the DIA for'insurance,coverage cation_ I do hereby cerd nder lie ns andpenalties ofperjury that the information pratided above its true/and correct Si tore: Date: to Phone#: ll•facial use only. Igo not write in this area,to be completed by city or town official City or Town: PermitUcense It Issuing Authority(circle one): 1.Board of Health. 2.Building Department 3.Cityll`own Clerk 4.Electrical Inspector 5.Plumbing.Inspector 6.Other Contact Person: Phone t#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iocal 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 auy 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-coatractor(s)name(s),address(es)and phone number(s)along with their cez I.?icate'(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required.. Be advised that this affidavit may be submitted to the Depatuent of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'I.t 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 fhe 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 a zda.vit indicating clurent 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 iilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would Ile 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 Gommanwealth of Massachusetts Depaitnent of Indusbaal Accidents Office of luvestigations 600 Washington Stz,=t Boston,MA 02111 Tel.#617-727-4900 W 406 or 1-977-MASW-E Revised 4-24-07 Fax# 617-727-7749 www.mass-gov1dia oFYHETot, Town of Barnstable Regulatory Services EARN Thomas Thomas F. Geiler,Director 39.i6 �� rEv.39- Building Divisi6n Tom Perry,Building Commissioner .200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder (.7� , as Owner of the subject property hereby authorize RIIJI!qJ' FA �(/ to act on my behalf, in all matters relative to work authorized by this building permit S `I / ✓' lV / /lL � f (Address o Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. e ` Signature of Owner Signature of Applica . A'd Ad &41'141 Print Name Print Name Dat Q:FORM&OWNERPERMSSIONPOOLS 6/2012 �1. FTHE try, Town of Barnstable Regulatory Services + BARNSTABLE + . MAas Thomas F.Geller,Director 163,.�16 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNTER': _ name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Offracial,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s) for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 11 S) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons.'In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currenti3,used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decolli}:\AppData\Local\Microsof'A'�67indows\Tempor-uy Internet Files\ContentOutlook\QRE6ZUBN\EXPRFSS.doc Revised 053012 r e t a eu2js;noga!nt p!len;oN .Cae;aaaasaapan - ' Z� $49Z0 bW 'SIIIWSNOlS2ibW 1S 1f1NldM 174Z 8t/00j OHVH018 01Z0 Y 1I luo}so.g > .118HJ lj 0j(] 121 04IS allnS-ezeld 31aed OI 1enPlniPul IZ u o!;e�!dx3 .` M uoi;eln2ag ssau!sng pue sa!e33V aautnsuo,73O aag3O V60Z/8Z :ad�(1 E�LEOE �. o!:o;u.tn;a e.1;s!6aap !da a oa Ob21N001N3W3w0dWCluo asn lnp!n!puiro3 p!l¢n uo!; OHe iasua41 u -23sat , oO e u 9 Massachusetts -Department rtment of Public Safety Board of Building Regulations and Standards Construction SuperN isor License: CS-063941 // 3 RICHARD P FOGOTY 0111-C 254 WALNUTT.MARSTONS MiaS M48 Expiration Commissioner 11/11/2014 r� Town of Barnstable *Permit# �.� Expires 6 Months from issw ifam . : Regulatory Services Feed alp s ,m$ Thomas F.Geller,Director Building Division P Tom Perry, Building Commissioner X= �:.- 200 Main Street, Hyannis,MA 02601 _ Office: 508-862-4038 7 M=A Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTWVW�& Not VaUd without Red X Press Imprint lap/parcel Number roperty Address k IZ4/ /I Residential` Value of Work /, G6 4fee of-$25.00 for work under$6000.00 )wner's Name&Address .ontractor's Name Telephone Number(�S lome Improvement Contractor License#(if applicable) w .onstruction Supervisor's License#(if applicable) ]Workman's Compensation Insurance Check one: Ej I am a sole proprietor RSLII am the Homeowner I have Worker's Compensation Insurance asurance Company Name Vorkman's Comp.Policy# ;opy of Insurance Compliance Certificate must be on file. 'ermit 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) Eg Re-side ❑ Replacement Windows. U-Value (maximum.44) *'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. signature :Forms:expmtrg :ev W63004