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0009 STAGE COACH ROAD
�7T C� 2 C O GZ G6- -7�d, u _ All a o f a r . i 4 e i st ' , r r h ,.s ° ° y.. y a . r r n, ^ ° ^ . U � +r ° A W t - G n• ,p h r , + n a.. .j i F[NE► ���� - o .4 Printed On 51181202d o Com.plal6f,",C l Report BAANBI'ABLE. � ', a 9°STAGES-COACH ROAD D, CEN�TE�RVI�LLE ,� ��6�y �0� �'f M w 2 . M,Gas e# C-20-164 .�a.�,,...-......�9.._....�.:�:. .t «.-�.'="-...,..--.,-._.-.tea...-.t...,. .�5.. �..«,��"°�.`�.• .,�«.. ...«.z _ ... ....�....�..«- .-ems`:"- Case#: C-20-164 Address: 9 STAGE COACH ROAD, Date: 5/18/2020 CENTERVILLE Owner Info: Property Info: FULP, MATTHEW B MBL 9 STAGECOACH RD 172-111 CENTERVILLE MA 02632 Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Zoning, Medium Priority Dept Referral Complaint Summary: BPD has numerous responses to this address_ for issues between tenants and tenant& landlord. Unsure of status as a reg rental. Action History: Action Taken Date Description Fee Inspector Inspector Assigned to Complaint: carterj Filed by: andersor Comments: Comment Date Commenter Comment 5/18/2020 andersor Refer to Health for over crowding/and register rental status. ; .�,,m, ,., .:,•;,�.. . ;,, .,... v . .�.# : _ .�a.. . .��,.., ...max._.,. Date.' 518120211 �. , Town of Barnstable sVAi*mw"^nmrrny B1 : td9t F4kX a»., ,`{4 ^"� • C 7 (�fjV 0a T7, �t - j�- ��� '� Jj i/�/J�,, ' Town of Barnstable • uilding iPost This Card So That it is Visible From the Street-Approved Plans Must'be Retained on Job and this Card Must be Kept AWFA iPosted-Until Final inspection Has Been Made: YlJd �ymit ib�4. ♦ - Y p y' q g l be Occupied until a FinaI Inspection has been made. IWhere a Certificate ofOccu Occupancy is Required,such Building shall Not Permit No. B-19-2852 Applicant Name: Craig Orn Approvals Date Issued: 09/24/2019 Current Use: Structure Permit Type: Building-Solar Panel'-Residential Expiration Date: 03/24/2020 Foundation: Location: 9 STAGE COACH ROAD,CENTERVILLE Map/Lot: 172-111 Zoning District: RC Sheathing: Owner on Record: FULP, MATTHEW B Contractor Name:'NCRAIG M ORN Framing: 1 Address: 9 STAGECOACH RD Contractor License: CS=080034 2 CENTERVILLE, MA 02632 Est. Proj ct Cost: $20,662.00 Chimney: Description: Installation of an interconnected rooftop RV,ystem and energy t1 Permit-Fe e: $155.38 storage system. 33(29ow) panels 9.57 KW DC and one(1) LG Chem it Insulation: 5 KW Lithium Ion Battery Fee Paid:, $155.38 Dater 9/24/2019 Final: (� Project Review Req: Plumbing/Gas Rough Plumbing: �-,- Building OfficialA. Final Plumbing: r within ix months afterissuance. This permit shall be deemed abandoned and.invalid unless the work authorized b this permit is commenced t s P y P e 3 (', v construction documents for which this permit has been ranted. -Rough Gas: I this permit shall conform to the approved application and the a ro ed All work authored by i s pe t pp pp� e pp � P g All construction,alterations and changes of use of any building and structures shall lie in compliance with the local zoning;by-laws and codes. h r 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. . .. ...,�-..-, .e. Electrical 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: ` Service: 1.Foundation or.Footing ° Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection " 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. ri 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT pN � Final TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel V ` 'Application # � g�� Health Division Date Issued 3 to Conservation Division Application Fee V- 1 LV Planning Dept. , Permit Fee , Z0. Oa Date Definitive Plan Approved by Planning Board - t P6 A— Historic - OKH _ Preservation /Hyannis Project Street Address Village Owner ..r 1" I Address 9 Telephone 410Cry So��,0,14 S2 Permit Request 1' e Square feet: 1 st floor: existing f 4q2.proposed 2nd floor: existing _proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation OOJ°° Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �I Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl '-U Walkout ❑ Other Basement Finished Area(sq.ft.) y2- Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing �d new First Floor Room Cou ' Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other -„ — ao Central Air: `W Yes ❑ No Fireplaces: Existing New Existing wood%coal stove: 4-4s ❑ No Detached garage: ❑existing ❑ new size Pool: ❑existing ❑ new size~� Barn: ❑ xisting3 net size r Attached garaged existing ❑ new size"Shed:)@ existing ❑ new size 6 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 eyes Telephone Number SOi 3 6 O i Y S 2, Address SI&A& License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO v�n SIGNATURE �� DATE Z O i FOR OFFICIAL USE ONLY � it APPLICATION# DATE ISSUED MAP/PARCEL NO. _ ADDRESS VILLAGE f OWNER DATE OF INSPECTION: FOUNDATION 5ex65 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL A' PLUMBING: ROUGH FINAL ; GAS: ROUGH 'FINAL-' FINAL BUILDING = DATE CLOSED OUT ASSOCIATION PLAN NO. 9 t ' T t � et . Vie Commonwealth of massachusetts Department oflndustrialAccidents Office of Investigations 600 Washington Street BoStolz, A.CA 02111 . '� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Aplolicant I)Iformatiori Please Print LP-OblY Na Mr, (Busi.nesg/Orkanization/individual): rAg,#�ev Fvin • Address: � �' � . City/State/Zip: `;Q•,�A�Ja�IQ / � 0 2 6 2 Phone.#: L; 34 o Are you an employer? Check the appropriate box, Type of project(required): 1.❑ I ara a employer with �• ❑ I a general contractor and I 6. ❑New construction . 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 haveno.employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' $ 9, El Building addition [No workrn'.comp.-insurance comp. insurance. 5 10.[]Electrical repairs or additions re . [] We are a corporation and its quired.] . 3,R'I am a homeowner doing all work ot�cc'n have excrcised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,[] Roof repairs insurance required]1 c. 152, §1(4), and we have no 13.❑ Other . cmployees. [No workers' comp,insurance required.] *Any applicant that chmi a box#1 must also fill out the aeetion below showing thcir workcra' compensation policy information. t Hommvmtav who submit this affidavit indicating tbry arc doing all work and then hire outride contractors must submit anew affidavitmdicating such. xContracton that check this box must attached an additional sheet showing the name of thc sub-contractors and state whether ar not those entities have employees. If the sub--ontraetom have cmploycas,they must providt their workers'comp.policy number. ram an employer tlsad is providing vorkers'compensation insurance for my employees Belov is the porky and job site informadom Insurance Company Name: Policy# or Self-ins. Lic.#: Expiration Date: Job Site A-ddress: City/State/Zip: Attach a copy of ffir 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 S1,500.00 and/or one-year imprisonment, as well m civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advise---d that a copy-of this statement may be forwarded to the Office of Jnvesti ations of the bIA for insuramc coves e verification. r do hereby certify under the pains•a'rtd penalties of perjury that the information provided above is true and correct. Si ature: Date; ONO Phone Official use only. Do not write in this area, to be completed by city or town ofjlclaC 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 Phone ContactPerson: #: r Massachusetts General Laws chapter 152 requires all employers to provide workers' comp unction foco ehua�It of�c, Pursuant to this statute, an employee is defined as ...every person in the service of another y express or implied, ora l or written." ' or an two or morc An ernpLayer is defined as "an individual,partnership, association, corporation or other legal entity, y of the forcgoing,cngaged in a joint cntr-rprisc, and including the legal representatives of a deceased employer, of the e to ees, Howevcz the receiver or trustee of an individual,partnership, association or other legal entity, employing mp Y owner of a dwelling House having not more than three, apartments and who resides therein., or the occupant of the work on such dwelling house d ellin house of another who employs persons to do maintenance, construction or repair employer." w g or on the gzo,.nnds or building appurtenant thereto shaL1 not because of such employment be deemed to can MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance ar renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h has not produced-acceptable evldence of compliance with the insurance coverage required." AdditionaIly,MGL ohaptcr 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 cvidencc of compliancc with the' surarlce requirements of this chapter have been presented to the contracting authority. Applicants please fill out the workers' compensation affidavit completely,by checlring the boxes that apply to your situation and, noccssary, supply sub-contractors)namc(s), addresses) and phone au abcr(s) along with their ccrEdGatc(s) of insurance. Limited Liability Companics*(LLC) or Limited Liability Partnerships (LIP)with no employees other than the members or partners, arc not required to carry workers' compensation insurance. If an LLG or Lam' 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 aurgbcr listed below. Self-insured companies should enter thee self-z asuraar license number on the appropriate,line. City or Town Officials Please be sure that the affidavit is'corzrplete and printed legibly. The Department has provided a space at the bottom of tho 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/hecnse number which will be used as a reference number. In addition, an applicant that Tnust submit multiple permit/Liccasc applications in any given year, need only submit onp affidavit indicating current policy information(if Pcccssary) and under"lob Site Address" the applicant should write"all locations in (city or town)."A cbpy of the off davit that has been officially stamped or near ccnsas�A ncwe Gity or town laay aEdavi must beroyidcd toMed out each applicant as proof that a valid affidavit is on file for future permits or li year.Whero a home owner or citizen is obtaining a license or permit not related do any business or commercial venture p. a dog license or•permit to bum loaves etc.) said person is NOT required to complete this affidavit. .Tbo Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions, please do not hcsitato tc give us a calL The Department's address, tclephone•and fax number: The CoEamonwe4th of Massuhu,��,M Department of lndus�4 Accidents Office of Szzye,#igat1.ans 600 WaL h gtQn Strtet Boston, MA 02111 Tel: # 617-727-490.0 e?t 4.06 4r 1477-MASSAFE Fax# 617-727-7749 Revised 11-22,06 www-.m�S..gov/dia �,. r ' ` 'own of Barnstable w� op THE Regulatory Services Thomas F. Geiler, Director t BARNSrABEX. hfASS. g Building Division PJF4 ryilding Commissioner A Tom ferry,Bu 200 Main Street, Hyannis:, MA 02601 wwtY.town.barustable.r`na.us Fax: 508-790-6230- Office: 508-862-4038 HoAJEO.WNER LMENSE EXEMPTION Q ^ A Plense Print DATE: ' 1t JOB LOCATION: Village number street �/� + So - 20— i0 3 o 1 q f "HOM)✓OWNGR": � " N hone V name home phone 9 CURRE14T MAILINO ADDRESS: -Q�1 �t",IQ A 02-632s. slate zip code city/town The current exemption for"homeowners"was.extended to include owner-occupied dwc1lings of sixunits 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. DEk7NITI0N OB FI011IEOwNER Persons) who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or i intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm sauctures, A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such homeowner shall submit-to the Building Official on.a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit, (Section 109,1,1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules.and regulations. ent The undersigned "homeowner"certifies that he/she understands the Town of Barnstable Building Depar rn 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 jg0M:E0"ERIS EXEMP ION The Code slates that: "Any.homeownerperforming work for which a building permit is rcquircd'shal)be exempt from the provisions of this section(Section log,).1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for•hire to do such work, that such HDMCO)Vner shall act as supervisor," Many homeowners who use this exemption arc unaware that they are assuming the responsibilities is a supervisor(see Appendix Q, Rules.&'Regulations for Licensing Construction Supervisors;Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed parson as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of hisAcr responsibilities, many communilics require,as suepar is s a form currently used by the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue several towns. You may care t amend and adopt such a fOmS�certification for use in your community. �0FYH5ro�L Town of Barnstable Regulatory Services r IARNSTAHLEI Thomas F, Geller, Director v mkS& 659,�prFa �a`� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 wNYw.toivn.ba rnsta ble.m a.us Office: S08-862-4038 Fax: 508-790-6230 Property Owner Must Complete and. Sign. This Section If Casing A Builder 1, ML." w �'j � , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners 'License Exemption Form on th'e reverse side. O N ; rr' (%j y vl - o 00-`� o •l.- a �� l G J 1-0 �= JIf QL { LOCATION OF STRUCTURES) `r i • - BASED ON LINES OF OCCUPATION ONLY.A MORE ACCURATE LOCATION WILL REQUIRE AN INSTRUMENT SURVEY. A 4' f" Scale: A PROFESSIONAL LAND SUfiVEYOR, ' DO HEREBY CERTIFY THAT THE rAMERlCAN SURVEYING COMPANY ABOVE S MORTGAGE INSPECTION 1264 Main Stfeei,Waltharn:MA 02154(017)893-6477 �~ PLAN WAS PREPARED FOR. C I Tt Z�LT 15: M TYi,GU k h IN x. , CONNECTION WITHANEyyMObTGAGE y�q AND IS NOT INTENDED ORER iVlortgage Inspection Plan SENTED TOM A LAND OR PRO6PERTY •' ["' - " • LINE SURVEY:NO CORNERS WERE THE LOCATION OF THE ORIGINAL RECORDED AT AF'N5 ti"Ik SET. IT CAN NQI•BE USED FOR ES- DWELLING SHOWN HEREON EITFtER BOOK � h LCOUNTY ,�REGISTRY_O_F_DEEDS FABLISHING FENCE, HEDGE OR WAS IN COAAPLUWCE WITH THE LOCAL PLAN AEFERENCEPAGr\1C Z g S 1 4 S 3 BUILDING LINES.THE LAND ASSHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF HEREON IS BASED ON CLIENT,FUR. FECT WHEN CONSTRUCTED WITH RE- MAP I _ PARCEL x 1 1; I i ASSESSOR'S NISHED INFORMATION AND MAY BE SPECT TO HORIZONTAL DIMENSIONAL ADDRESS: TP,C;E r_p DATED - SUBJECT TO FURTHER OUT-'SALES, REQUIREMENTS ONLY),OR IS EXEMPT P4 St' l G TAKINGS,EASEMENTSANDRIGHTSOF FROMVIOLATiON ENFORCEMENT AC- BORROWER: GI'T1Cfa1 WAY. HQ RESPONSIBILITY$ EX. TIONUNDEAIiASS.G.LTITLEVILCHAP. 1= 11�IC• b TENDED HEREIN TO THE LANDOWNER 40A, SEC.:7 UNLESS OTHERWISE SUBJECT DWELLING LIES IN FLOOD•ZONE NT G OR OCCUPANT,IT IS NOT IN1I NDED NOTED OR SHOWN HEREON.A CON- AS SHOWN ON NATIONAL FLOOD INSURANCE PROGRAyy��FLOOD R. TO BE RECORDED. FIRMATOR`�i1NSTRUMENT SURVEY INSURANCE RATE MAP DATED--- RUG. 1`jl 19 SS DATE Imo_ZI_ IS ADVISED:WHEN STRUCTURES ARE CoMMUNITY_PANELar Z�000 I po IS C y CLIENT O'cril--i LIB SHOWN TO BE 1' OR LESS FROM CLIEN7REFS 97G•Zg�---- PROPERTY: REQUIRED IONING BV �QAAFTEO KEDJ.O.a? 1 J u p� ;,:;.. SETBACK LINts LDATE �FIELDED ;17 F,B. pGE N V � `��`�`.'`� -..�^''`•��`t �'-:may ;%`"'� \ _ � � • - �� _.-ter..- � �,�._,,-.- --, t� y � d n. r - 1 d-w p _ ui a r _ y 0. . • . 'a ON, r 9 Jos— }$ i j PAO— �,►+� Town of Barnstable *Permit# Nl yol S doal p Expires 6 mont s from issue date Regulatory Services Fee s�xrtsrna�. Richard V. Scali,Director Building Drv><s><on PRESS PEF Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 0 0 SEP 2 5 Z015 www.town.barnstable.ma.us 1 OWN OF gq R Office. 508-862-4038 NI & 790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1 i Map/parcel Number Not Valid without Red X-Press Imprint 0 Property Address J�o�he, CvA 4 I��g AA n.432 EA Residential .Value of Work$ L50o Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Mak.,V YU C-05'A pocd -CeA.- i, AA OZ632 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner ❑ I have Worker's Compensation_Insurance Insurance Company Name Workman's Comp.Policy# 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 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side © Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ 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 required. SIGNATURE: F,11_4� 3 C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Inter Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 The C'omi mozzwealth of Massucliusetts "-97;77=71 Deportrrr nt of Indristriall Accidents Of we of Invesfigations 600 Washington Street - Boston,AL4 02111 itrl%17.NUTS- g(llirdittd Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busiuessorgenizstionnndmdnalj: . Address: wit City/State/Zip: �• rv°��e.: ��, 32 Ph e# 3—o t' 4�—q qq Are you an employer?Check the appropriate boss: Type of project(required) L❑ I am a employer with 4. ❑ I am a general contractor and'I have hired the sub-contmetods 6.employees(full and/or part-time). 0 New ccnstruction 2.❑ I am a sole proprietor or partner: listed on the attached sheet_ 7. Remodeling. ship and have no employees These sub-contractors have 8_ ❑Demolition working for me in any capacity: employees and have workers' [No workers'comp.insurance- required] ' comp.insurance.Z 9. ❑Budding.addition 5.❑ We are a corporation and its ME]Electrical.repairs or additions 3. I am a homeowner doing all iiork officers have exercised their l l.❑Plumbing,repairs or additions workers' right of emotion per MGL myself �o �mP• 12.51Roofrepaira insurance required]l c. 152, §1(41 and we have no employ.[No workers' 13-K Other booms comp_insurance required.] ;AnyapplicautthatcheckiboxNarm also fill out the section below*showing their waters'compensation policy infmmatiob Homeowners who submit this afiida it indicating they are daio .all work and then hire outside contractors mass submit a new affidavit indicating such k'anumtors than check this boa.must smched an additional sheet showing the name of the sub-contactors and state whether or not those entities have employees. If the sub-contractors have employees,theYmm pmtiide their workers'comp.policy number. I am an employer that is pro i&Wg workers'couWansallon inuirancefor�,p emptolvim Below is t1i poticy rtFacd job site . informado . Insurance Company Name: Policy#or Self--ins.Lic. Expiration Date: . . Job Site Address: Cty/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 Bxie up to S 1,300.00 and/or one-year imprisonment as well as civil pe$alties ine iFtn of a STOP FORK ORDER and a fine of up to$250.00 a day against the:violator. Be advised that a copy of this statement may be fgiwarded to�e Office of Investigations of the DIA for insurance coverage verification_ _ ......... Ida Iceneby�cR}rh�y nnder tliepnins and hi es o pejury that the informidion prm2(d]erl hbmre is bite and correct Signature: /%a' _ hate_ Phone#: 5"� — Official use only. Do not write in this area,to be completed by My or town offidal. City or Town: PermitUceuse# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citygown Clerk 4.Electrical Inspector S.Fhambing Inspector 6.Other Contact Person Phone#: Town of Barnstable Regulatory Services op Richard V.Scali,Director Building Division ELMNST"L& ' Tom Perry,Building Commissioner MASS. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION r1/I C/ Please Print DATE: `� 6 JOB LOCATION: ;J tp,0,Qa c 0ozh P160i 31. number street village "•HOMEOWNER":/'�A 10\w l L,4 FV f® So 8-Y2-0-9 S9 S name Q� home phone# work phone# CURRENT MAILING ADDRESS: AA o2�32 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility,for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map — Parcel 11Z Application ?') I ' ) Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ,ewtawl�d Project Street Address ea,6A Village ���` Owner ', LG Address Telephone Permit Req7-e st c( -t C C 1 /'7 L fy" 0 zj�:t J��J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio' 3 4 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach,-supporting-docuffibntation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) K 70 Age of Existing Structure ! ! Historic House: ❑Yes ❑ No On Old King's'Highway:=❑Y_el ❑ 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) A Name f l I C�J LIP PQ� Telephone Number ��� 6 1 Address License#LmA-M-4 Home Improvement Contractor# / Email can Worker's Compensation #1'i6rZ&91L'y10?d10_ ALL CO STRUCT N DEBRIS RESULT NG FROfW THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 4! ` ��� FOR OFFICIAL USE ONLY } APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH 'FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 7 'own of Barnstable Regulatory Services 'Richard's.Scti,14 Dii-ector i6Sy. nWlaua g DiAnoi� Tom Perfy,]wilding Conmaimloner 200 Main Street,Hyxmis,MA 02601 www.town.barnstable-ma us Office: 508-862-4038 Fax: 5M790.-6230 Property Owner Must Complete sand Sign This Secti'm �f�Jsincr- Build-er I, �h w �•• + ..as C)V.►Mr of-the propery hereby audio&x_ rA act.on mybehalf, in 2U man=relative to work authofizedby tins buldin;;pemau application for ----------- Pool fences and alarms are the responsibilryof it eapplicant.Pools are notxo be.filed or ulil zed before fence is ins shed and all fiilaj inspections are pefoirned and.accepted. igmmm of Owner V Suture of:.Aopho nt Prix:Name Pi nt Name 3 :9 lo ]date Q,EORI�'TS:Otv1dF,RPER1�[I5S10NP.QOLS � r T7se Ce�eto�xl�ilr�a1� 11rursse t of Ind tr�d�lAa� 1 Ca AL., 1 B000%MA;02114-3017 1pp ���fte A'Waft 8ui1d ypr umberL Tm PZUUrrMG ADTff0jjY. Name(Budn Tup Co i1C A& mw. WA NWIrm Drell Rd City/S MZlp; WON YatrnaWh,MA 02M P>yol�e#: �8.778.0111 7mw yw�,p 1. 1 yuat; j'eofa p eorac 7. El Now caret mP paadh O wwwai_formeto [Nowotloayeoao a"n4�] S.ORel�oddi� 3.II!em almenooaa�er �� 1 f INo u�oo�iree�'ee®p„ 1� $ ❑Demal�iaa. 4�lama end.wIDbehhietismCaww8u.wa&onmy,Pt y-lwu 100`BdWmsWdWon e'tittt ea` trays w tam ae�e sole. ❑Blt►ctricel ln�tietanaathao !1. `sor�itvoue 301 o .dTbmWmashsffn&ftftW.HaganQwjmA �e 12.DPI g'r,%mwdr "as;ad These�ub eo°�"eo"!a`°`mnpf"m and 6tl+a-V*m,mV-laeumm.0 '13.DtOof rbp5iT6 6.0 We gee a ewpmaleon gad Its ofttems have cmef tip A*opt ye mm e. I4. ✓ Waa#wubm$on tS2,¢i(4?,sad 6a�e ao t ❑OtlleT •m9�.[l�Io"Wa:loeer•oonq,latdmmoc now •t Y Rt6ai aooall!mastabo wow"MOSsiaa.b�towshoev�>dirwaelcaos' Haan wko u�ffite ���ear P��Y 3aSeeaoatam. tliu al�dc tMs ba:meat ��l wmie�d"man edo owe caaf�,em�a.mo�a�tt a"see,a ,�. •_IYthD spDlatmpp tla;aune oftko"ni�e�e�j�,q�err6e�erux nat doretyimi�iUtva- ° °!" �Y oD�+4vide theft ..OGHEV .a+mgtier. f � sQ��a{p etaptayses, Busty�a zee pnl�q,aetjbib:�ee lnenrattce Y:Naeoe:AEtC Policy 0 or Self-ins.Lie.t W0050OM30IMleA 701g117 7ob.sitamd..r 9 Stage Coach Rd Expug�l�. Attwhitttpsit►lthewmlo�e'oemPeaoetl p 9 dwtrwl n ah►/s+ ip:SQenterviIle MA 02632 PW-, (dwift dw PO&Y RM*er gad o piewan deft) FWlm to:"cmn coveiago es ngWmd larder b(GL e;132,PSA is a aW&9 vj0M0n puWAbiW'e by w fun up to$1,500.40 md/or mlm jm w vr4n M civt'Lpea W i in dte form of aday WkAthe a STOP WORK 08DF,&s®d a fine of up toSZ30:�s - viol�r.A eapY of tbi�atetemeat the be fioraaa�to Z?teO�soe Of lrtvaeti - coverage.vmi�tia, Y cf tlia ID1A fcs e .doh A +py two dre el+r►vsita.twa+ i _ - 8i 4/7/17 o�aJ'+�r o»!y► :no®lror�r,�r,�bite ae.�,a1�ay�,►er e,�ct� Ciwat Taws: . PermitlLi e d 3aemag Authority(dr&may; 1.8owrA,ofgsallb II.Buittd�SDWftMW 3:ClAY/rOM Cleat 4.Ei l " ]Plmbft Coatul perwoa: Phone#; CERTIFICATE DATE(MUtDWYYW) • L...� OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT 11/28/2016 ION ONLY AND CONFERS NO RiGH7S 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: 8 the Certificate holder is an ADDITIONAL INSURED,the policyges)most 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 Ilex of such endorsements. PRODUCER Lb Ashley Paiva Southeastern Insurance Agency,. Inc. PUONE , (508)997-6061 F % 439. $tat.e Rd. Ne.(sogE99a-2731 P.O. Box 79398 AD L SS;apaiva@ southeastertsins.com. INSURE AFFORDING COVERAGE NAIC0 North Dartmouth: MA 02747.INSURED INSURERAArbella Protection Insurance 41360 Trapper construction Co LLC INSURER B Boston Insurance Brokerage Inc 54 6A Higgins Crowell Road INSURER C INSURER D t West Yarmouth. NA . 02673 INSURER:E I S RP: COVERAGES CERTIFICATE NUMBER.2016-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO.THE"INSURED NAMED.ABOVE'FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR,OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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. I AD L R TYPE OF INSURANCE SUBA MPOOLIICY EFF OLI EXP LIMITS. R COMMERCIAL GENERAL LIABILITYPOLICY NUMBER CL/UMSfitADE 'OCCUR A E EACH OCCURRENCE S 1,000,000' A ED PREMISESEeccmj S 100,000 95200d520,8 11/1/2016 11/1/2017 MEDEXP(Anyone rson' g 5,000 000 GEML AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY S 1,000, R POUCY❑ LOC GENERAL AGGREGATE' S 2,000-i000 OTHER: PRODUCTS-COMPfOPAGG S 2,,000,000 . AUTOMOBILE LKBUTY S Ea aocidern LE S 11 000;.000 ANY AUTO (Per Person) S A BODILY INJURY AUfOLL OSS R :AAUTOVMEDEBDIAED'- 1020009369 i12/1'2016 42/1/2017 BODILY INJURY(Per aooident) S $ HIRED AUTOS R AWNED P OPr2F—D"IAGE S I Uronsured m6W9 Bi s 5t Hink $ 250,OOO UIi1BRELLAUAB: OCCUR EACH:OCCURRENCE S. - 1'000 000 4ANY EXCESS LAB CLAIM84JADE AGGREGATE g DED RETENTIONS a600058368 11/1/2016 11/1/2017' $ ORKERS COMPENSATION- ND EMPLOYERS'UABILITY Y f N STAT T PROPRIETORIPARTNERIEXECUMVE OFFICER/MEMSEREXCLUDED?. NI.A E.LEACHACCIOENT S 2- 000.'000 13 (MaedatoryIn MI) WCC500S593012014h 10/3/2016 10/3/2017 E.L.DISEASE-EA EMPLOYE S 1;000 000 If yyes,descdba under DESCRIPTK)N OF QPERATIONS DelOw E.L.DISEASE-POLICY LIMIT S 1 000,000 DESCRIPTION OF OPERATIONS/'LOCATIONS I VEHICLES(ACORD 10f;Addl8ollal Remarlaz SeEwOule,may tto attached N mope spars IS required). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF,THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only. THE EXPIRATION DATE `THEREOF,,NOTICE WELL BE 'DELIVERED ,IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATWE Ashley Paiva/AMP m 1988-2014 ACORD CORPORATION:,All rightsreserved. ACORD 25(2014/01}. The ACORDname:arid logo are registered marks of ACORD INS62601314nis. Office fcfConsummeAAfrs and Business Regulation 10 Park Plaza.-Suite 5170 Boston,Massachusetts,:02116 Home Improvement CIO Registration a -° Reglshow 1784N LLC ^ - apirs�on: 411812Qi6- TO 496291 TUPPER CONSTRUCTION CO, LLC RICHARD TUPPER b- W A HIGGINS CROWALL RD W. YARMOUTH, MA,:02673 , UP"Addrest and r+etarn A4 15 �19EJ'It �,. �..� ia!$.M'21'$ �OClbBaj�p{ warr� �-``Address � Itmar►al Q Bmpbyment {]LoetG'ard Ofda orC.aessmer im cusnaffmg 6i gltloa or . 816lP stration Va1k1'for iadh!i8ue!.aw only R 11ENi� before the"Fi2doa deim Yf fiend r�rre.ts: � ori.'•`�`17643a ExP►ralPon: 4Htil�pl.8 ' �Ca imerAB rs and Alshmu Regal tiou is suite 5t70 UPPER ' t` CONSTRUCRSiM ,U.C. :ICHARD TUPPER-'. 46 A HicaWS ° CROWEL't;f !.YARMUM AAA 09i6j." , v NofWkwoftestun tl 3/1S/10I8 E tW-- hum., 13WLMNG9 P INC tEfil R B�BF IOR ' ( _Eme �,� wea chuse is Department of"Public Saf, ,4 } Board`oi.Building.Re guiaitonai�afed'Siten"�anis 4 'IM OF License.,C34MMM ` COrmtrucdon Supervisor RCHM S TUPPER ., 64ti'AIEQAUtSCRI { W6s;T YARMOUi]i NIA�t�B�'8 , tiepes>�rgsiaiRt� tci�r� ara,�, , �y,� ..�11•.wy ix C,. J ra01E1101ppp 'i'�K �"(• j w .ar irsion: Cominlsalaner P `; 1?l31>t!ti18 ; 31 2017 01.22PH Tupper Construction Co, 15087785010 page 1 r?S"'*jTUPP1== FV CONSTRUCTION CO.LLc , 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 WWW,TUPPERCO COM Date: - c /� 7 Town of Barnstable Thomas Perry CBO 200 Main Street Hyannis, Ma 02601 _� (508) 790-6230 fax CD J Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application Issued on 6/3/ t -7 has been inspected by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements.. Sincerely, Address: 0-1 Lau. Richard Tupper License # CS-69058 = TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I Permit# '7 4- Health Division vs b Date Issued / - 23-6 _ Conservation Division Fee /Q 06) Tax Collector Pp, r ee Treasurer Planning Dept. Checked in By EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board Approv� ,� MS Historic-OKH Preservation/Hyannis Project Street Address �e, Village Cer&!4; Ito-, e r-1 r Owner _ W o fo f Lo Address Sul.. Q_ Telephone nv yl r e y , Permit Request L r Square fe@t: 1 st floor: existing 10® proposed 1001 2nd floor: existing 1M1 proposed lm'i Total new jValuation ��0�� Zoning District Flood Plain Groundwater Overlay Construction Type "R Lot Size 0.1-0 Acirms Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure 32yrs Historic House: ❑Yes 0 No On Old King's Highway: 0 Yes a No of Basement Type: 0 Full ❑Crawl ®Walkout ❑Other Basement Finished Area(sq.ft.) 7 26 Basement Unfinished Area(sq.ft) 2- Number of Baths: Full: existing 2, . new Half: existing new Number of Bedrooms: existing 14 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ®Other A �.°���� e.S Central Air: 0 Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes W No Detached garage:❑existing ❑new size Pool:N existing Cl new size 'Sl x3 t, Barn: ❑existing ❑new size Attached garage: ®existing ❑new size Shed:191 existing ❑new size TA 12 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded Cl Commercial ❑Yes Cl No If yes,site plan review# Current Use _ _ Proposed-Use--- = BUILDER INFORMATIONS1j �` � y S�a Name 8 . Fu 1 A Telephone Number �SA 1 920 91q c{% Address License# � ll a,TQc4; a ('R 02(3 2 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE oo FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED - 1 MAP/PARCEL NO. l 1y •� ^ ADDRESS — VILLAGE OWNER r DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING -+ DATE CLOSED OUT ASSOCIATION PLA_N'NO. r ' m r v CQ The Commonwealth of Massachuseds Department of bidsisti ial Accidents ' ` Office.of Investigations : 600 Washington Street Boston,MA 02111' www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Alp icant Inform ati Please Print Legibly on Name (su�iness/Orgamzation/Individual)• r\ a,.� Address• to/Zi tj 2, Phone#: ��� � 9'. . City/Sta p: r Q 02 S - Are you an employer? Check the•appropriate box:. ,Type of project(required): 1,❑ Z am a'eroployer with • 4. ❑ I am a general contractor and I 6..❑New cotstruction employees (fun and/or art time�.*' have hired the sub-contractors 7� Remodeling I am a sole proprietor or partner- part-time).* listed'on the attached sheet.$ � 2.[] ship and have no employees These sub-contractors have 8. Demolition workers comp.insurance. g. Building Working forme in any'capacity. ' i ildin❑ g addition ' [No workers' comp.insurance l 5• ❑ We.are a corporation and its 10.[] Electrical repairs or.additions required-] officers have exercised their t of ex lion per MGL 1'1.❑ Plnnibmg repairs or additions 3. I am a homeowner dotting a1l.work�. � p myself:[No workers' comp. c. 152,§1(4), and we have no.. 12.❑ Roof repairs insurance required.]t employees. (No workers" 13.0 Other comp.insurance required.] *Any appliosat that checks box#1 must also 611 out the section below showing their workers'compensation policy information: t Flomeownet6 who submit this affidavit indicating they are doing all-work and then hire outside contractors must submit anew affidavit m cating such tContractass that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'•comp.;poliq+'ia�on. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,job site. information. ' Insurance.Company Name: Policy#or Self-ins.Lic.#: Expiration Date- Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and•expiration date). Faihire to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminalpenalties of a fine up to$1,500,.OQ and/or one-year imprisonment, as well as,civil penalties in the form of a STOP VOPX ORDEA and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si atare: Phone# Offlcial use only. Do not write in this area,to be completed by city.or fmvn official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other ContactPerson: Phone#: Information Mid Instructions to provide workers' compensation for their employees. Massachusetts General Laws chapter 152 requires all employerserson in the service of another under any contract of hire, Pursuant to this statute, an employee is defined as"...every p express or implied,oral or written" two or more artpership assO*ti9n,Mora, or other legal tity,or any , An a mployer is defined aS`.;;n a�•,p 4 10 er,or the' of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased emp. Y association or other legal entity, employing employees. 1:Iovteyer: .e receiver or trustee of an individual,partnership, of the owner of a dwelling house having not more than a apartments��v'��o a��woo'k*Ooccupant dwening house o to persons » er wh emp ys p employer." dwelling house of anoth . or on the grounds or building appurtenant thereto shall not because of such employment deemed be as emp y MGL chapter 152,§25 C(6)also states that"every.state or local licensing agency shall withhold the issuance or renewal of a license or pew to operate a b"ness or to construct buildings in the commonwealth for'ed. a plicant who�has not produced acceptable evidence•of compliance with the insurance cover age required.". , p ter 152, 25C states"Neither the commonwealth nor any of its-political subdivisions shall Additionally,MGL chap .. $ (� 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 Plea se fill out the workers' compensation affidavit completely,by checleng the boxes that apply to y9in situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with their certifieate(s)of insurance. Limited Liability ComPanies(LLC)or Limited Liability Partnerships(LLP)with no employees other than-the members or partners; e�sation insurance. If an LLC or LLP does have are not required tv catty at thus affidavit maybe submitted to the Department f Industrial employees,a policy is required. B.e advised . . . . of insurance coverage.. Also be sure to sign and date the affidavit Accidents for confirmation . The affidavit should returned to the city or town that the application for the permit.or license is being requested, not the Department of be required to o�itainawo?�e�' Industrial Accidents. Should you have any questions regarding the law or if you are compensationpolicy,please call the Department at the number listed below, Self-insured companies should�rtheir 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 fin out in the event the Office of Investigations has to contact you regarding the applicant cense number which will be used as a reference number. In addition, an applicant Please be scare t4 fill in the P Year,need only submit one affidavit indica g tin cturen t that must submit multiple Permitli/ cense applications in any given y policy information(if necessary)and under"Job Site Address"'the applicant should write"all locations in_(�tY or ed or marked by the city or town may be provided to the twivll)"A copy of the•affidavit that has been of f'ccially stamp _ applicant as proof that a valid affidavit is on file for;future oermoit not related to any es.,Anew affidavit or cobmmercr'al venture year,Where a home owner or citizen is obtaining a hcense p (Le.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit lions would like to thank you in advance for your cooperation and should you have any questions, The office of Investiga Please do nothesitate to givens a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts _ : ;; :• Department of Industrial. Accidents Investigations ..Oce of Ijavestig f. b00-Washington•Street V BOst6n,MA 02.111.. h Tel. #617-727-4900 ext 40.6 or-1-877-MASSAFE Fax#617-7274749 Revised 5-26.0 w•ww.mass.gov/din E Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, . improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: —A + '�� Owner's Name: ►v`to e.✓ to 1 Date of Application: ��1.✓ 0 J� I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. 9i 22 0f _ R Date Owner's Name Q:forms:homeaffidav Table ALlb(eoutinued) Prngriptire Paeicagaa for One and Tyro-Family Residential.Buildings Heated with FMO Fuels • MAXIMUM MINIMUM Wall Floor Bas==i Slab HeasinglCooli e Gluing Glazing Getting perimeter Equipment 1tfidmey' Area'(�•) U-valuc= R-valud R-valwi R-valU2 W� �' . Package R-values R valuer 3701 to 6500 Heating Degree Days' Q 12% 0.40 38 13 19 10 6 Normal R 12•/. U2 30 19 19 IQ 6 Normal S t27 Q-SO 38 13 19 10 6 115AFUE --—T— . --�3.t.—.._�.36._�.__ _38 umW 13 2S NA _ N/A 0.45 38 19 19 10 6 —Normal- - ---- - '=NIA 85.AFM- . y.::...:.,. :.-•15'/• • ' • 0.44 • . 38 �. .. .. 13� � 23 N!A .... ... W .I5•/4 om. 30 19' 19 10 6 8S AFVE X 18% 032 38 13 25 NAN!A Normal. y :12% ' 0.42- 38 19:' 25 NIA NIA Normal Z . 18•/. 0.4Z 38 13 19 10 6 90 AFITE AA 19% 0.50 30 19 19 10 6 90 AFUE 1.-ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3. SQUARE FOOTAGE.OF ALL GLAZING: 310"5 _ ... . 4. %GLAZING AREA(#3 DIVIDED BY#2): e 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE.INvoLVED METHODS OF DETERMMG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL'- YES: NO: q•forms-980303a 780 CMR Appendix J Footnotes to Table A2.1b: e area of the glazing assemblies ('including sliding-g lass doors, skylights, and a Glazing area is the ratio of th basement windows if located in walls that enclose totallazin dares may be exclude from the U-valu space,but excluding opaque doors)to e irementi area,expressed as a percentage.Up to 1/o of the g g For example,3 f of decorative glass may be excluded from a building design with 300 fl of glazing area. :After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NMQ test procedure, or taken from Table J1..5.3.4. U-values are for whole units: center-of-glass U-values cannot be Tte.ceiling.R-values 30 not assume a allse�ofr oversized uty compression, m deconstruction.ulation may be substituted foulafion achievesr R-38 insulation:thickness over the:exterior walls P ;_...,__ insulation and R 38 insu1afion may b6 sttb�tituted`for`R=49=insulation: Ceiling R-xalues-represent•tl:eiacedsum•�.been . insulation Plus insulating sheathing(if.used).For ventilated ceilings, insulating sheathing must..be..p in P of. ditioned s ace and the ventilated portion of the ro � • • of include` the con P if use ... Do n 4 Wall R values represent the um.of the wall cavity insulation plus an R 95h �ire�nent could'be met EITHER .For exam .req • 'or siding, structural sheathing,.and interior drywall P eats apply to exterior g all requirements Y . W PF - caul insulation plus R 6 insulating sheathing q� insulation OR R 13 cavity caul m . by R 19 t?' wall constructions,but do not apply to metal-frame construction. wood-fiaine or mass(concrete,masonry,log) The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlipaces,basements, or garages).Floors over outside air must meet the ceiling requirements. 'The entire opaque portion of any individual,basement wall with an average depth less than 50%bers-of cgaade must d. meet the same -R=value requirement as above-grade walls. Windows and sliding g.. • basements must be included with the Other glazing. Basement doors must meet,the door.U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use eCO l more compliance of cooling equipment, the equipment with lowest than one piece of heating equipment or more than o p efficiency-mvistmeet.or exceed the efficiency required by the selected package. . 'For Heating Degree Day requirements ofthe closest city or town see Table J5.2:1a NOTES: a)Glazing areas and.U-values R v are maximum acceptable levels.Insulation alues are minimum acceptable-levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-vac a no greater than u.350Door U-values must from the door be tested and documented by the manufacturer in accordance with the rating for that door is not available, include the value in Table 11.5.3b. If a door contains glass and an aggregate glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(I o may have space wall component includes two or more areas with • c)If a ceiling,wall,floor,basement wall,slab-edge,of craw pto different-insulation levels,the component complies if o e door components comply if the ar area-weighted average R-yalue Is ea-weight d averageeafer than or eq�alU- the R-value requirement for that component.Glazing value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable P� o� Regulatory Services L sax • Thomas F.Geller,Director ta11MASM 63%639 Building Division ' �� Tom Perry,Building Commissioner 200 Mafia Street, Hyannis,MA 02601 www.townbarnstable.ma.us Nice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print j DATE: � / 2 / . Q. ' JOB LOCATION, J S JO�o.4 �no�h number street village ••HOMEOWNEX':� Ll20 Za name j /-home phone i# work phone# CURRENT MAU WG ADDRESS: r��'f9. / • l L1 R 02� 3� city/town state up code The current exemption for"home_ owners"was extended to include owner-occuuied 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 su eg rvisor. DIZMITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be re�onsrble for all such work performed under the buildin¢permit. (Section 109.1.1) sumes responsibility for compliance with the State Building Code and other The undersigned"homeowner"as 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. tilr 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 perfornung work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. in this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i i tix tie 2s 3xw xi--6®z YT2 U 7 ��. b�-�.0 (9�(1�� tS'Q�1� �•�•�stn1 �e1GQS � '���� N V �"1 h `'2.�SYQ (�� e 2x U i • r i rY u� Assessor's map' and lot number ........ .... ....:...........',. ..:: .... BIOTIC. SYSTEM MUST BE ` o INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE:. Sewag a Permit number .. .. SANITARY CODE~AND MWX ;. REGULA1TIQx,& y�F7MEr��♦ � TOWN OF BARNSTA.BL:E rj i ZRX5TSDLE, • w� c; 9 MU& 039. � DUILDING INSPECTOR .,. '—f C' a " APPLICATION FOR PERMIT TO .... ... .... ??... .. .. . . . . . .... . ... ........ ,r.............................. TYPE OF CONSTRUCTION .......lw...t!J. . .. . . ....................................... ...... ........ f.... .. . ... . ........19.2.r l TO THE INSPECTOR OF BUILDINGS: The undersigned fhereby applies for a permit according to the Ilowing information: Location ......ATZ.4..... .. .. .. ........... ............................ Proposed Use ...... ..�/�..'.......... .... . .............................................................................................................:............................. ZoningDistrict ........................................................................Fire District ............................................. Name of Owner ...5./� .... . ..............Address+ty �. . .. .... ...... o5Cko V E Name of Builder, Address d'2tT ........ : .:. �,............. Nameof Architect ..................................................................Address ............................................................................. Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior .. .............................................................Roofing .................................................................................... Floors Interior ...................................................................................... ............................................................ Heating ..................................................................................Plumbing ........................ ...................................................... Fireplace ...............Approximate Cost Definitive Plan Approved by Planning Board -------------------____---------19________. Areaa � . . .................... 0- 0 Diagram of Lot and Building with Dimensions Fee _— SUBJECT TO APPROVAL OF BOARD OF HEALTH !© 0 � o ► e - I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......................... Bolton, Mrs. Eliaabeth No .................17149 Permit for. ......private swi iug ...................... ...... pool ............................................................................... Stage lZoach Road Location3........................................................... Centerville ................................................................................ A Elizabeth Bolton Owner ........................................ .......................... -Type of Construction ....private. . . ...pool................ . ...... . ...... . .............................................................................. Plot ............................ Lot ................................ e 4 74 Permit Granted ...........Jun 1..... .... ....... 9 Date of Inspection ............................ 19 7112//f/ Date Completed .../.............7.......... ...19 PERMIT REFUSED .........................................................y.... 19 7 ............ ............................................................... . ............................................................ ............. ..................... ......... . ................................................. 4................... Approv6d ............................................. 19 ............................................................................... C/ X" ........................................................................... Assessor's map and lot number ....... ......,.. �...:a ..:.... Sewage Permit number .... THE T TOWN OF' BARNSTABLE Z BARNSTABLE, i "b q o w BUILDING INSPECTOR �. ar°r' -f APPLICATION FOR PERMIT TO .........: ?"`?-�..... .................................. .. TYPE OF CONSTRUCTION ......L ^ .{x-e `` TO THE INSPECTOR OF BUILDINGS: F� The undersigned hereby applies for a permit according to the following information: Location ...................... ............................ ............ „� .....1'..:......::f?........................................... ProposedUse ..................................................................................................................................................................... Zoning District ..................................Fire District ............... ...... ..... 1 1 f 1 { Sl ....;; .!!'7?'_nm.-.ell ,/1".=/ ,{ ........�lie/10 Name of Owner ...: .. ..... ....... ........Address;.....:.... .... .... ........... .. ........ N Name of Builder ,t��e. Q;,.f,f ... �.gym! .,+ x 1`........Address _. .. ..... - n?�??....! fi s, I Nameof Architect .................................... .........................Address .................................................................................... iJ Number of Rooms ........................................Foundation Exterior ! ` ...Roofin [........................................... Floors ' ........Interior �,� Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate Cost p 6. ............ pp ........... t�r . ............................................ Definitive Plan Approved by Planning Board ________________________________19________ . / f Area " ..� ��.. ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH r � b 0 0 c u I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ( --- Name �.. .. .............................................. Bolton, Eliaabeth No .... 17149 permit for ......swimming pool ................. ............................................................................... Location ..........Stage. . ..Roach. . ..Road ................... ...... . .. .... . .... ......... Centerville ............................................................................... Owner E.lizabeth. . . ...Bolton .............. .. . ...... . ...... ............. Type of Construction ,. Private pool ................................ ................................................................................ Plot ........................ Lot ................................ A. Pormit Granted .........,Itl.1 aP...1.4...............1974 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ...............................................................:................ ............................................................................... .................................................................:............. Approved ................................................ 19 r' ............................................................................... ............................................................................... ] ] [R172 111 . n ] TAX ACCOUNTING [ ] 13058— [ 1019631 RECEIPT NO. PAYMA TAX YEAR/B:G. AMOUNT DATE TYPE PID 0 [ ] A ] 1ST DUE A9701] A 1, 119 . 76] A1212961 [1] ] [ ] A ] FULL DUE A9701] 2, 239 . 52] A1212961 [F] ] ------CERTIFIED OWNER------ TAX DUE 2, 239 . 52 ] OUTSTANDING 2, 239 . 52 JASSET, DAVID A & LINDA L ] TAX CODE 300 ] CITY 101 DISTRICTS CO ------JANUARY 1 OWNER------ ACTION ] MORTGAGE CODE A0000] JASSET, DAVID A & LINDA L ] ----CERTIFIED VALUES---- -------CURRENTOWNER------- TAX EXEMPT . 00 ] JASSET, DAVID A & LINDA L ] TAXABLE . 00 ] 2 STAGE COACH ROAD ] RESIDENT'L 161, 000 . 00 ] CENTERVILLE MA 026321 TAXABLE 161, 000 . 00 ] 00001 OPEN SPACE . 00 ] ] TAXABLE . 00 ] -----LEGAL DESCRIPTION----- COMMERCIAL . 00 ] #LAND 1 28, 4001 TAXABLE . 00 ] #BLDG(S) —CARD-1 1 123 , 7001 INDUSTRIAL . 00 ] #OTHER FEATURE 1 8, 9001 TAXABLE . 00 ] #PL 9 STAGECOACH RD CENT ] J #DL LOT 7 ] ] LEGAL DESC CONT'D f / V 1� QUERY PROPERTY: QUE END QUERY PROPERTY PENTAMATION----------------------------------------------------------- 07/30/96 PARCEL ID 172 111 GEO ID 10196 LOT/BLOCK 7 DBA PROPERTY ADDRESS OWNER JASSET 9 STAGE COACH ROAD DAVID A & LINDA 2 STAGE COACH ROAD Centerville CENTERVILLE MA 02632 PHONE DISTRICT CO DEVELOPMENT STATUS C ASSESSOR' S CODE CAPACITY(NOTES) ZONING DIST/ZOC RC SEWER SYSTEM FLOOD PLN/ELEV. WATER SYSTEM OKH? ## BEDROOMS ZBA DECISION FAMILY APT LOT SIZE 17859 . 6 OPER/MGR NAME WET LANDS MULT ADDRESS USE 101 (N) EXT / (P) REVIOUS / NO (T) ES / PER(M) ITS / (V) IOLATIONS / (G) EOBASE / (E)XIT ] ] [R172 111 . ] POSTED PAYMENTS [NXT] [ 1019631 TYPE REAS/CNCL PAID ID POSTED -RECEIPT-- AMOUPPAID INT/DISC APPLIED TAX YEAR = 19971 BILLING GROUP = 11 ROLL NO. = 130581 LAST ACTION = ] TOTAL TAXES DUE = 2, 239 . 52 ] OUTSTANDING BALANCE = 2, 239 . 52 ] TAX YEAR = 19961 BILLING GROUP = 11 ROLL NO. = 130591 LAST ACTION = ] TOTAL TAXES DUE = 2, 192 . 82 ] OUTSTANDING BALANCE _ . 00 ] D 9 05/06/96 06/28/96 99 90000001 2, 192 . 82 . 00 2, 192 . 82 CONSOLIDATION *F1 050696 051296 80 735 1096 .41 . 00 *11 121595 121595 5C 41 1096 .41 . 00 TAX YEAR = 19951 BILLING GROUP = 11 ROLL NO. = 131461 LAST ACTION = ] TOTAL TAXES DUE = 2, 097 . 83 ] OUTSTANDING BALANCE _ . 00 ] D 9 06/27/95 06/28/96 99 90000001 2, 097 . 83 . 00 2, 097 . 83 CONSOLIDATION *F1 062795 062995 5C 730 1121 . 05 . 00 *11 120994 120994 80 1273 976 . 78 . 00 ary{;.:. 'T::.;& ATT `,e,. ;..,.,, ?o;�„..r p aYi. •`,Gi{•ww 'e''Ati,��•�`'P ,..r FOU.NDATION BSM, IC t.1 = r ,.: ;PLUM BING,? ,t try - a. .... - :.-•: ,... .. .L•'ANgi;COST fi? t** r::-a/ "3e3s.. rr fiS sc.k.:.rw' Wy sswa++:;*"i*+'4' - '?-*"„e :t',.7•'!I:'r�'s ,cv,} :Coot:Walls- IFm:^Bsmt.'Area , �f..r Bath Room ,f E E 4rYs x- �: ,4 .1,tF m ,e,�• ; r d q t ,> ;SV,. .- BasagIf tj .t' r'-•, - xa Z'=' , - 3. 'tk,' +.f r�k'}�'' = '. . , `' BLD ♦.COST,.;., .�; c. ":xti:,y '�Y �t ,r-° t'h e . . y },' :� n IY4: 11 ,4. ec.Room x, it a t 1+ t a• Ci. .p =1 e Y t 14e..1? r• , Co c:B. ;Wa s,-hrr^1' 'Bsmt::R St. Shower Bath s, ''I ,S' "i., ♦,.r '�:- �F,� ,,�4J, ,s..,z i:•, _¢,. ,c'� x r, !• .t?.' + PURCH-,DATE ,./ �^ i'+ r �� wr�'S�«i 2 � s• . C6nc::FSlab. a'<x r",:. B t.Gara a r" a 5[n H .k. .r; $t. Shower Ext.' ,t... ,,.. 't % { ,;r -s, , .,.:.,.,.,;:• .. . , WaIIS,,R';� .: _ SM'.•:.., :"' «.P PRICE B ick-Walls,",, Attic Fl.&Stairs +: +7 Toilet'Room I,. .„ tfi.4a ;+ .k•,G:r k. Roof , 1. •.11 r+ t �'.R E NT t a ix f.. lee ^' q4f ,', , r , .. .- F.:..,1,:; -.. ;},i:', ;. .'.P."<;,«,c.-3 '.e~ >r„ . .,:., .. 1,:;. . . Stone-Walls y.,, , Fn.Attic,. - ,a " ..Two Fixt. Bath I'-.d r 1 r :,.- f e .L t 1 w: 1 Floors '.`r "GF'{3,9♦ },'9r, - 2xr* r.� ,s ,'r .'a. '-- �4 -• -3r't ,iwps,M. ."$.�sr,'. '�Y i•r t....,:.., -INTERIOR ya•,: ".� - :-. ::,: h2; ,,>: =.i#;•' ye 7r'# y =1YM1 Xw,w ,it INTERIOR FINISH ° 'lavatory Extra ,:: ,r,,l mj •j.x r t, y . .a. p .f i a s!',.t G ZkAAlt \#; Y i I p p �pp..,, �. �'� •1:. ,[..:1�-..�;._ c7t+ f2 X"; 2 `3` Sink �; a 'R" v.4iaC,••1' •, ,\��'Y t g'�`.?,. s:.z .+�tr� ..��':.,,4z,� z ✓ V. £I 1 #{• f n, 7 ..A� 1r,�oQ,• �_-- ti. ,r c• x >6, >i .. 3 ,.,a* Attic. s s #, a t e: x a �,� 1 3 ...1' 4 E* 4 ... :; ".:.,... 'hr :..: -. .::.4' :. .. ..•_x a ,�:., :: r ,...n,. 1, e="4''"'k :t:. ➢ n:♦'„♦E' I#: '�.:. �,1:. R.5'J. rG"*+rRf .-+�,e. s/:..... Plaster :,._.:, ,;,. G,,,,q ,, :Watar•Clo. Extra , ,p?Y 3 -,t�,. _> pp ,,. ._. rr �}.. a. s �• q :x>:T'.•a+� �:, ;!. .�•,» I. +it i>y 9 � t�}' t '°�� '7� �f .. i ..,. -:t d t a EX 1 Kno 'Pine r Only , t; 1" /f. ia..:E .t. .+1,1. 'i �'+a ,IC 1.�• ax{ F : K} # ip > .. R QR'WALLS- ttY ir_. .s: Wate O Y f> :r i hx ss a tr»r vai. k "1T 1 T ` OPuDIa:Sidin t'.> PI ood No Plumbing. g. Bsmf_'Fln:•fir a, 4 i lT sr=k r L+ + aM ✓ _ a S^ ; 45 dasiY g >r Yw g 4�. 3 r. T� 7 1 �r , a.. N F s s� ` /} ` ; :5�', ,'.+„ "3:- J�.. °�, i;., d ,:. W/ ° 1 •fi.: �-4i !� #fir% t +� y•;>*a �'�i ''tii'.+,• t. .J,: Sin'IeSidiri ; Plasterboard`° 3i Int-Fins;,. S si.g ;: Rt f:. }^i+rx_ .. #v: a•.aau'�' :edwK� ftitiyy: tMly.fS.,•k:•. `-t.l i aa Shin les '"'`'. �'•r##�' d?.>�� ;I m c' k�4 i+ir91A'y- �K.•s; y, i'kcst� .epat•�•>a�ci 'F 8 `/ :}' TILING A y,3 #deTw�;•X £tS Qonb^}Blk° Gv :F `P Bath Fl.1 IrtiYt �: tF - .w /f K ��f lw 1 2 'Heat. •30 r.• i -, rSt',s,- 'R:,,.W(/yG `5-.,,kz�t!++slypa}.`„•{ _ s�.�t r 't,. i•k•_ ., r v3.. rar.• ,'"�, »* y•,' - ,. .l;:n.. ', 17;- FaceBrk On,-+' Intl Layout Bath Fl..&Wains.' ? rr a :r;r r d. f Z _ q "1 O,: 1 wr4tx , c r Auto.Ht.Unit war.,2 2� rg r, k:'°r s<.,}3 y s }s .4 .G� '>e" {.nr[' _ A y- `s_Ia ` ^ Veneer Int.•Cond. Bath Ft.&Walls Fireplace tl' 1 " 1� 8'SO a Y w x axr 4 *r? a r HEATING :' ," Toilet Rm. FL a - ti"' s.�a earn E n Plumbing f �'�y t a...... .,, b. „. :. :: _ .- • .}. •. t. .rY'.1 t„E! 'i, Y"':A76 ';#ia.ti-: il'^ y 1 ,S:_ r 4� 4r Tdl y'i.� ��� Solid Qom Brk HotA9r .Toilet Rm.Fl.&Wains., Lr+;"t. r E.'s x 0 } :v41 :. ..a .,c #.,. a 5 „ -43......,t •TM Y'.-r,:r'' " r 'r ci.•L:�...>' x� '1 ...a Tiling: }. 7 I;,,5 g _ :& �'5b .. :* t �yr..j' ��:. ..:..y,: rF..:t t. -<x< .r� :r i,, � _ .,Yf ri;»K.. r„ �y?! _ q .+n,M,.. g Steam r'f •>>: *.Toilet Rim Fl.&Walls qg _ -.. +' 1"t n`'r p.."p,,' � ,�`.}t�'�" Y4�+' 1�1+• <.. .,..' .,, -.>. ,-_ .- :S a._.� -. 'e. . :• `'S.fi ,l. t -d£"x'-'.. � +.f�' i";'s� .'i Ye. ..1 .,.�•:., s :2. .a r4, n ,; .. _...,. 6�♦: +»... .,... .• .., .9 .; -8.ri; r .. : .. fir.•iY''�`=,. ..-i5.•r�r+2?, �?e°5G•,"s�ks•.'r Blanket Ins. Hot Water. _: .. >«.. 'St Shower . : -{ yt•;. r r:K, a _ e }b3 a _. ::x' .y '#�_ .;.t�_aq %Y 3Y-. <�Sk� F 3n'- 3-"1 ' : .,s1 •n". xdt V1.. a-1 - _:: , - ,.. Total )) '' `ar..-} c- o :;u .i ,;,ur, .� ,.:..}•- ,...-- .4 e. r'Y;. ., 8'-';:;'. ra�7a :,;..1 ` '.:n # S..f.'x,',w tdk'•.1T. ..r'-•4. ! ,-.f<. r °;F-.. Roof.lns.t�ka. AIr,Cond.4S ,. + r ,4. Tub.Area a a , t w. tR (a,•, b: ae.2xr: .3 it r F. �s i 4� r �: a ...:.. _. -. ... ',.:. ..;;...: .: t. 4! r..,: r ,< i''...;;•a r. i,:d,:ry,<,.�<Y,t �. �gr, �"�„� y'i _-:-:,. a. ":,,.x .; :.. -' rz•,. -. :fu , ,. a-,f' r#::r a 4...:t:.L A t }. r n.. ,:7'.,'` ' `�',-rH'- ..r Ts a'.r � ki -,�., ,Floot,Furrf.€=..,_,t:., ,a=r ,'y,,. +.�;.ta, - -. 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STREET-PRICE :DEP.TH FIiONTFr PRICE „',TOTAL ;, DEPR. - CO : INF. 4 .:: "•VALUE'"rlat :r,i, H C• �?h.FRONT r" y DERTH %' t, x "y1B q,aF r Yw �J R1 ti4„?TO.W,IV 3 tra+ r'LAND Y t I L R ' i .3 :�. :�BLDGS. `�kx ,,.• G? =••R, .r.-t,�r rr-.>'�` ., 4,. ,elt.e,. �, �,.,i1 ��,..A' rtF. .,��^ .e,�R �S�ROtUGH ^..f., .�: � �, TOWN»W.ATER, •� .+��.�- r - 9.P' ,,ks, a .. - -«,.: ,.. , :,;✓ ::.. d 3Sr, , .,t, a. d EM„u, • ak; sr v , . •..- .I,„ ,li :r .n,y..a .}. 4�'i;. pp �:. ,�€S 1 -- `a 3 HIGH.: ,'` �, , .:GRAVE0,RD t 7oTAL;r _ ,' ?•*„`� •! `' /'�.'„ ;...! .: '/'? -... 'Yn'<h«:r.;......,i -a':., F_.;.:•.: .. .;:. iyd,I}^tt> c. .,1 ;' #{•..it. {.+n .� i�%,t :,` +,�.a -:- s:. 'i y+ to:. 7' #„ "r>t'TA. °:. 'u '-5c+' _; tip" ." § 1` .,,A'....• „vh.:, „_ :..'..,. t, _.:.,. ;a 4a,. _ ,:: .. ,, ... S C S :�`• :.«, ;,„,.., ,Qy. ..� .``: .'E.• y{• .Malr ak�xL ==x. .� 3 ..,> ..,r•,,,.-, a v. 3 t_..a': i,":.k-..: r..i�tn ,,'1� P,{ ,. LOW' DI '.ibW fb..,, 'p, ND.o �3. n,.i' CN'ut•va,'it,+"d„'F„ti... .+.*.'.r;�z:r'.+Ytw.>:.. ,..:t.p"ri.2',z.v-..t .:.:r c::>.,..,..a 3P, U"«r; °;�:Su4•'1`cE1 ., 11:,X...{dth- '.`Y!]ra€,.' _ RTRD.«,� �r 'riyvdq.?. .:,.�Y+Ss% X<,.. c+. �aH:2i' ,y:,:..., -,c.'+r. -,r •:.-,',. Ye ,. ..,.,. ., - ,_ _:,,.. -.:._ ,,... a cr.:. w. rr.,. .: .•'r.�. g .- , � ':i ,:'w:3m: - '.L-. t i*{'.. !,„•,,t.,u y+Y.. ,t. .. r,:,'+. ..-as,....,, �'.... 1, ..,l:,...._,. ...„... L SF „ii.0.,,e ,Tfr . k�:, '..-.„:. :a, .. ;�',�' „.. :.�,,�-.- ,.s`,} •r �'h �: A': .. #....�.,><.• Y '« s•, ..;:4 ,�',�:�.'"« ,#,„q.,,x ..�--.r,a..,:x, ... .s.:�r.�•.L,.a,,.b "'i....,.,. ,,:,<-. t a....,rls5 JPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I PCS I NBHD KEY NO. CLASS 0009 STAGE,COACH:ROAD 10 RC- 300 . I000 07/09/95-1011 .00 36BC R172 111. 101963 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT ADJ'D.UNIT Lane By/Date size Dimension LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description JASSET. DAVID A & LINDA'L MAP— CD. FF-De th/Acres #L A N D 1 28,400 CARDS IN ACCO'`' 10.1BLDG.SIT:,1 , X . .4 :=10 173 39999.9 - 69199.99 .41 : 28400. #BLDG(S)-CARD-1 1 123.700 01 ' OF 0 #OTHER FEATURE 1 81900 U Xi C= 100 7000 OC 7000.00 . 1.00 7000 8 #PL 9 STAGECOACH RD CENT 4ARKET 107500 • A:BSMT:RM S X _ C 100 38:8C 38.80 . 1008 39100 8 #DL LOT .7, INCOME FIREPLACE U X' C 100 3100.0 3100.00 1.00 3100 B #RR 1524 0143 1174 .0116 JSE A RPI :POOL'VL• S 20 Xc 40 1975 C . 53 F : 1 - ,21-1 11.10. 800 8900 .F #SR 'OLD `STAGE ROAD PPRAISED VALUE D J _ ' 161P000 U - ARCEL� SUMMARY S AND 28400 LD'GS 123700 T —IMPS 8900 m OTAL 161000 E N CNST T _ DEED REFERENC io pe DATE Sal" R I O R YEAR VALUE Book Page Mo. Yr.D ic. AND 28400''' S C134.553 IEI 7/94'L 124000 3LDGS 132600 . C133186 Ib3/94 L 99400 rOTAL 161000 C69599 :00/00 BUILDING PERMIT Number Date Type Amount LAND LAND-ADJ INC ME SE SP—BLDS FEATURES BLD-ADJS UNITS A" 28400 01 8900 49200 B16530 8173 ND Cons'. Total r B'tl Norm. Ob. j Class Units L'nils Bese Rate Atlj.Rate A I Age D.pr Conn CND Lac 4e R.G Repl Cost New A.I Rapt Value Stories Height Rooms Rms Bath It Fitt. Partywep Fec. 01C. 000 115 115� 57.50 66.13 73 75' 19 80 . 100 . 80 154594 123700. 1.0 7 4 2.0 7.0 Description R.I. Square Feet Rapt.Cost MKT.INDEX: 1.DD 1 "SCALE: ELEMENTS CODE CONSTRUCTION DETAIL BAS;100 66.13 1008 66659ICE fXMILT FSF. 90 59.52 350 20832 STYLE 01 1AISED RANCH 5.0 FFG 30 19.84, 672 ' 13332 ESTGN-AtiJMT- UZ 5 E51GN-6J DST_-1U:0 K` FWD; 85 8.50. 80 680 XT-ER-WA-L S-- QT i DVU-FRAME-------110 LMP 55 5.50 658 3619 THIS HOUSE CONTAINS ANGLES- OTHER-THAN RIGHT iEAT/AC-TYPE- -02 A-Y----------------U-O j FWD 85 8.50 32 272 ANGLES :AND- CANNOT.BE -VECTORED ; BY'THE COMPUTER NTEER:FZNISH QO ------------------U.-O PLEASE ASK.: FOR: THE SKETCH:CARD IF :YOU WISH'TO NTE-R:LAYOUT- 79T ------------------U.-O SEE BUILDING DIAGRAM! NTFR:4U-A—TY- 02 AME-A -ERTFR:-"U.'0 +---------------------+t LOUR-STlR_UCT- -GO ------- -----D-0 ! L0-0"R-CO1fER - -GO-------------------- ETotal Areas Au,_ 1442-Bea._ 1 358 ! ' SEE ABOVE ! 00E- TYPE'---- -GO ------------------�=D T - BUILDING DIMENSIONS ! NOTE! ! tE-C"TRIt711 -UD U D ! OU"ATIVAt--- (70 -"---------------99--9 q . --------------- --- ---------------------- +---------------------+ -----NEIGIMORH D 3"C-CENTERVItLF-- L LAND TOTAL MARKET PARCEL 28400 161000 AREA 1229. VARIANCE +0 +12998 <;_ 2 r l 0.4 ' HENRY L. MURPHY, JR. MURPHY AND MURPHY TELEPHONE J. DOUGLAS MURPHY (SOB) 775-3116 COUNSELLORS AT LAW G. ARTHUR HYLAND, JR. 243 SOUTH STREET F A X(508) 775-3720 SUSAN MERRITT-GLENNY ' LOCK DRAWER M ALSO ADMITTED IN CONNECTICUT HYANNIS, MASSACHUSETTS 02601-1412 NOTARY PUBLIC PLEASE REPLY OUR FILE NO. December 24 , 1996 11656 Mr. Adam Cox 9 Stage Coach Road Centerville, MA 02632 Re : Property at 9 Stage Coach Road, Centerville, MA Lease from David A. Jasset and Linda M. L. Jasset to Adam Cox Dear Mr. Cox: Please be advised that this office represents Mr. and Mrs . David A. Jasset with regard to your Lease Agreement dated June 1, 1996 for a portion .of the above referenced property. You are requested to leave the premises you now rent at the above named property. You have fourteen (14) days from the receipt of this notice to leave or I will have no option but to seek the assistance of the Court to evict you. Please note that this notification applies also to any sub-tenants presently occupying the premises . The reasons the Landlord wishes to end your tenancy is because you have not paid rent for the months of November and December 1996 . As you know, you are obligated to pay rent in the amount of $700 each _month and you owe a total of $1, 400 at this point . In addition, you and/or your sub-tenants must also vacate the premises since the Town of Barnstable has notified my client that the portion of the premises which you presently are renting may not be rented as a separate unit due to the zoning ordinances of the Town of Barnstable . : Since my client is in violation of local ordinances, I ask your cooperation in vacating the premises as soon as possible . 0 • �► r_ Under normal circumstances, you would be able to stop any eviction process by paying your Landlord the full amount of the rent which is due on or before the day the answer is due in a Summary Process Action. However, although you still owe the money pursuant to your Lease, due to the illegality of the apartment in this single family residence, we would be unable to allow you to remain in the premises under any circumstances . Please feel free to contact me at your convenience. Very tr ly yours, G. Arthur Hyland, Jr. GAH:bb cc :Mr. & Mrs . David A. Jasset Leila A. Bruce, Leased Housing Coordinator Gloria M. Urenas, Zoning Enforcement Officer' Christina Kuchinski, Board of Health Certified Mail P229801878 00 6' 6-- HENRY L. MURPHY, JR. MURPHY AND MURPHY TELEPHONE J. DOUGLAS MURPHY (SOH) 775-3116 COUNSELLORS AT LAW ' G. ARTHUR HYLAND, JR. 243 SOUTH STREET F A X(506) 775-3720 SUSAN MERRITT-GLENNY LOCK DRAWER M • ALSO ADMITTED IN CONNECTICUT HYANNIS. MASSACHUSETTS 0260 1-14 1 2 NOTARY PUBLIC PLEASE REPLY OUR FILE NO. December 24, 1996 11656 Sascha Jarvis 9 Stage Coach Road Centerville, MA 02632 Re : Lease of 9 Stage Coach Road, Centerville, MA Jasset to Sascha Jarvis Dear Ms . Jarvis : Please be advised that this office represents the Landlord in the above referenced Lease . My client has recently received notification from the Town of Barnstable authorities that there are several violations on the premises which need to be addressed as follows : 1 . Lease of separate apartment to Adam Cox - I have begun proceedings on behalf of my client to evict Mr. Cox so as to eliminate the separate apartment in this single family residence; 2 . Illegal installation of water heater; 3 . Illegal installation of gas dryer; 4 . Relationship of wall to heating unit; and 5 . Repair of downstairs shower. With regard to items 2 - 5, my client needs to gain access to the premises in order to make the appropriate repairs . Would you please call this office and advise when an appropriate time would be to gain access to the premises . In as much as the Town of Barnstable would like my client to make these repairs as soon as possible, I ask you cooperation in calling me at your earliest convenience . l Thank you for your cooperation. Very truly yours, Cb� Arthur Hyland, Jr. GAH:bb cc :Mr. & Mrs . David A. Jasset Leila A. Bruce, Leased Housing Coordinator Gloria M. Urenas, Zoning Enforcement Officer Christina Kuchinski, Board of Health Certified Mail P229801878 kkk}k}kkkkkkkkkk.X;:k;,^•.kkkkkkkk'kr}�k tt . ::k»r RIA 7:<k :rkk»;ktirt .tt, 2kkktit Is I Is kkkk2 kk�kkkkkk:`.kkkkk}xkkkrk: �;�:>+4k2k,>.; `kkkkkkr ti;;;kkt" '`?`t ''i�-' :x::.:.'tiy::;.'`ykv � y',lrr,',k .:::tr::{': •:• ••:'<''''> ''+?'Y"' ' `'>''' M1':` y�'? ``?<<v?<k? ' k222 `t} ?'`>.?r:;;..»::..;..,},kkkkkk<k::>:>.;.r:`.•:;;;. 7Gs1 '..: . „:<<::«;; :DAVID ASSETT x '<S.•.•.-•.�.rrr:.r::.r:<.r:;;kr:.r:;.r::.............. ,,:k:.r. ...::.:.............,.:::..k\.,�;..,::i::kki,::::#::;:i:::kkti:;:tititititikktik}}k>.:::;::iskk}::kk::::isri'k;;{::::;;;;;yy:.r..;;;,;•;•;;..r.:;:.:;,;nr::rrrSr+::rrry::;<r,,.r:;,,r;;,,..;:;; ,rrr:;,.t::,,,„»»..,,tt ;.,;::»,•::.,•:.,tt: t »,k:;k::;•.xtfirrkkti222}}kkk}kkkk:}r: G COA•-,H,:, •}r;.v;.;•.;,•.,,,,,•::;:::.:•:::::.......... ........................................ .......... ttitiYtiktititi kti y�}2ktik"` `kkk•"` too,..<., ;tik:.kkk tiff»?}'.. . 4;.».nv:.tk}}tiLtikkkkkkkk ilk>.kkk: vf;:ki':;i:;:;::>;.::::ti::tiS+vy>.ti:.,•:::`.•:;;}rrrrtiti�:�:�:::::::`:•:: u.tttvvvv:.::»»v.,:,•:.:,•.vv: :,,k,•.,,•.,•:.,,•:.,•:::.,,,:•:.:•.,:tik""kkkkkk22;tkkk22k j';tititikkYttiti;k;;ti: :vrw: 2kkkk',•`.kkk'<'ttitikkt:�i ::n:w:::::n,,:v::.vv»v»vv:.v»»w:.,vvv»»:::::::::w:::n,• ::::::::::nw.vvv::v.:»,»,•.::vnvnvvvvvvxv.,:vvv..•:.{m.::n ••••••• ••• •:••:•••.••. :::::: •:.»:::v,v:..:::i::ti kr:•r:•r:•}'•:R;ry'}::•-.;•kti ti:ikti;i:tiy:;titititititi n<NO r ': <>> :SCHLADT ji 3 STAGECOACH EN:: ..........,...,:r.r....... C TERVILLEvv >: >.:}};;;;kkkr:};;;a:;a`.;•^.tit.;;;;`.:`.:: ,:,......,.»,..........::,,,,.,,,.,..., •:"vtititikkk:fi} h. X. POOL IN A VERY DANGEROUS IM :.SITUATION NOT COVERED. 01 kY}2 21 x> .i2 <2Y ............ • .:.:: s J eW fs � os a�t < <€ > tom' p� 1 pp tJ�cf � n a G L Q LVv` 1 c "s 6 b o s } > ::::>•rrrr:.r:.::>'rr::r-::.::. ,..,.:::.:�:::. :::::;;.::.:.r:.:::;.r:.r:.:;:,:.::::.�.,t ti>ti t,tt ttty .:.r:•r:•:;;;•:;::.:r:•tititi::::r:::::tik::,•..::.:,•::•: •r:;•x,:::•::•:::.tt:•.y:r:::.t•.,,•.,,. .x...........>......r.:rrrrr.»r.:......:rr::...... Health Complaints 19-Nov-96 Time: 2:50:00 PM Date: 10/23/96 Complaint Number: 499 Referred To: CHRISTINA KUCHINSKI Taken By: CHRISTINA KUCHINSKI Complaint Type: CHAPTER II HOUSING Article X Detail: Business Name: Number: 9 Street: Stage Coach Road Village: CENTERVILLE Assessors Map-Parcel: Complainant's Name: Adam Cox Address: 9 Stage Coach Road, Centerville, MA Telephone Number: 420-3914 Complaint Description: Pager#327-4267. Tenat not able to use shower and other housing code violations. Actions Taken/Results: CK inspected the property and found several housing code violations. Sent order to correct to landlord, Daniel Jasset. CK had to wait several days to make the inspection because the tenant was not available. Investigation Date: 10/29/96 Investigation Time: 10:30:00 AM 1 I , i E . J - i - C�� re � a{� �`b^�a.�� '�'��a Sroyo��a`�� `"a.�•Y�.9�>!3`u�q"-,F ��� e': 's �:,,a,�w'y ".."''t;. ...��-�^e�� �,': f i�t � ' •-;z�`'+*� � ._g�:s�..'�,.�:�"_`` � ,.;>>_ �'`4'•r�°i 's.r,Y•-a��,"=z eac�3;s �� SA ' t 1 � i M Pre.".. NO ON ON Ulm- Ell /. P���. Is O . P 339 592 3.17 US Postal Service Receipt.for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to - Z'- (.• Street&Num er S8, 13li Pcist Office,State,&ZIP Code Postage $ 2 Certified Fee Special Delivery Fee Restricted Delivery Fee uO Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0000 TOTAL Postage&Fees 4.$ M Postmark or Date 0 U) . a Stick postage stamps to article to cover First-Class postage,certified mail tee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. CIC LO 3. If you want a return receipt,write the certified mail number and your name and address;i rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article C a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. to 6. Save this receipt and present it if you make an inquiry. a oFTMe • BARNSTABLE. • 9�prE039. A��� The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 23, 1997 Citicorp Bank Attention:Mr.J.Nicoletti c/o Realty Executives 1582 Route 132 Hyannis,MA 02601 RE: M-172/P-111 Dear Property Owner: Our records indicate that your house at,9 Stagecoach Road,Centerville,MA,is currently being used as a two-family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single family home 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family You must contact this office immediately to tell us what direction you wish to take. Sincerely, 9oria M.Urenas Zoning Enforcement Officer GMU:lb CERTIFIED MAIL-P 339 592 317 f970311a P 229 : 805 •3Z4 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse t to Street&Number, 7! � Post Office te,&ZIP Code ,Y�L�' Q.1?irrl Postage $ r Certified Fee Special Delivery Fee 61 Restricted Delivery Fee Return Receipt Showing to *' Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ M Postmark or Date � z. to d Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. LO 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q h4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this 9 receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ko 6. Save this receipt and present it if you make an inquiry. n. I SENDER:1 v ■Complete items 1 and/or2 for additional services. I also wish to receive the a, ■Complete items 3,4a,and 4b. following services(for an I ■Print your name and address on the reverse of this form so that we can return this extra fee card to you. 4;1 I ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address 01 4) permit. d ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery rn r,—The Return Receipt will show to whom the article was delivered and the date .. c° delivered. Consult postmaster for fee. a d 3.Article Addressed to: 4a._Pocle Number c f E 4b.Service Type r 1 ❑ Registered ❑ Certified iCn rn °? ( c2 � ❑ Express Mail ❑ Insured S cc tF _ ._ Q� ❑ Return Receipt for Merchandise ❑ COD 7.Date IDclivery 0 0. p 5.Received By:(Print Name) 8.Addressee's Address(Only if requested � w and fee is paid) t ¢ p� c � c 6.Signature, (Addressee or ent) DEC 19 1996 a. X T to PS Form 3811, Decembe 1ss4 Domestic Return Receipt 1 i UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • I � I I I Town of Barodable Bntldin0 BMWon ' WMdn$t lb=b,MA 026M i °pSHE *1te Town of Barnsta le = BARNSTABLE, « 9� 1659. Department of Health Safety and Environmental Services AtEp�.(A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner December 12, 1996 David Jasset 711 H-2 Sunny Pine Way West Pahn Beach,FL 33415 Re: 9 Old Stage Road,Centerville,MA Map/parcel 172/111 Dear Property Owner: A review of our records,including the permitting history of 9 Old Stage Road,as well as the Zoning Board of Appeals records indicates that the use of that address as anything other than a single family home is illegal. You are hereby ordered to discontinue the use of the above referenced property as it is now being used and restore it to a single family home. You are to accomplish this work and notify this office to inspect within 14 days of your receipt of this letter. A building permit must be applied for to redesign the layout to accommodate the conversion. You must do this before you make any changes. You have the right to appeal this decision. If you so choose,we will be more than happy to help you. If we do not hear from you within the 14 days,we will be forced to seek criminal action against you. Very truly yours, Gloria M.Urenas Zoning Enforcement Officer GMU/lb cc: Barnstable Housing Authority CERTIFIED MAIL P 229 805 314 R.R.R. J g961212a l i Q960712B 11-05-1996 12:16PM FROM BARN HOUSING AUTHORITY TO 97906230 P.01 >I 'I'`�R�'�'Y Tel�no (808) 771-7222 ROUSING � 146 sovTx STRUT�erns MA o2wr Leased Housing Dept.: (508) 771-�292 FAX#: (508) 778-9312 FAX TRANSMITTAL SHEET DATE: j ATTN: FAX #: Wo are faxing you the following items: Copy of Letter Copy of Lease/Amendment Release of Information Form Other: REGARDING: COMMENTS: From: - Number of pages(Including cover sheet): CONFiDENTIALr1Y NOTE The documents accompanying this FAX transmission contain information from the Offices of the Barnstable Housing Authority and are confidential and privileged. This information is intended to be for the use of the individual or entity named on this transmission sheet. if you are not the intended recipient,be aware that any disclosure, copying,distribution or use of the contents of this inbrmation Is prohibited. if you have received this FAX in error, please notify us by telephone immediately so that we can arrange for the retrieval of the original documents at no cost to you. Rev. 3/96 j 7Q- T l/ I �,� �c �- j�� Assessor's map and lot number .......................................... . �7 /7,3 Raw elfCOMPLIANCE Sewage Permit number .... . • �`'1 'H A;i1" CLE 11 STATE SM41TARY CODE AND TOWrt yo`TNEro�� TOWN OF RAIN' ABLE 10 i 33AWSTABLE, i aABIL b 9 BUIk010 1NSPE1070R �F�NPY fh• � , a , APPLICATION FOR PERMIT TO ... .. ..................:............. TYPE OF CONSTRUCTION ...... .... ........:.. v ..................................... ...............19 .7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ... ..... �. - ......Cl- Location ... .. ...... .......................................... ProposedUse ................................................................................................................... ......................................................... Zoning District .........2 ..........................................Fire District ............. .........( ........ Name of Owner .. ........Address .. c.... ... k .•...•. Name of Builder P��-` . ..............Address -5- - .......................................................... Nameof Architect ..................................................................Address .................................................................................... c, Number of Rooms/f1C.vc-r..�>...' r.. ... ......... ...........Foundation /.b... �,t�... ... � �` ' Exterior ..(� ,t✓..fr ✓.. .�r� ..............................Roofing ..... : tea ..4....................................................... Floors ........:-e-��T -............................................................Interior K..,........ .............................................................. Heating ....................................................Plumbing ...............Q........ f Fireplace ......./..........................................................................Approximate Cost ...y 44:'�.:.tx—t74....... .................... 0 : Definitive Plan Approved by Planning Board ________________________________19_______. Area a...... ......... ... .:... Diagram of Lot and Building with Dimensions p Fee ...............�../.....®......... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 f ° 3 E � cJ �PLI I hereby agree to conform to all the Rules and •Regulations of the Town of Barnstable regarding the above construction. � G� Name .. ..G,�!:�'2�G:�;::::.•. ��z� . ........................... r Bzltvae Elizabeth i No .16798..... Permit for add breezewa , .......................... . & ara a to dwel ' ......g....................li??g...... .r. . ..... Stage Coach Road Location�............................................ .... ........... Centerville ............................................................................... Owner Elizabeth...Bolton .................... ... { Type of Construction f.rame .. ...................... Plot ......................... Lot .................. #7................ I Permit Granted .........................December..i.....7........19 73 r } ���L/Date of Inspection .. .. 19 Date Completed .7./X PERMIT REFUSED • r ; t. ............. ./................................................ 19 _ r 0....!. ..... .............................................. ......................................................... ............... r , . ....................................................... f , i 1 Approved ..,............................................. 19 , .........................................................f.................... .................... ......................................................... C ....,,y.-••..n..•x�,;..ww.+--•..cxyF�'s..ns+..,*+...-aern�!+?4+u+r.+Y�..!'w;.-nyiL1-.�V"'° Ai.-..r•?rr.•�vr•.au':l.•,Tf�''"",+'•,.,..�;�"`,'l`eY•s!'aH,T'W"Qv%3;.,"L•+4'�"nF�31e:1'�r=r+s;'LN���' FEE r1 rp�� TOWN 0. BARNSTABLE, ' MASS. 16 I �V 19 ` THIS"IS TO {CERTIFY THAT -A F?ERMIT IS HEREBY GRANTED TOx- (PROPHRTYOWNER) xi '1, IADDRE981 vrwmonpy" p .. _. x :, /h{ IBUILDI spq ,J{(ALTHRI Tru I a j. ar� Y„({�RHPAIRI \"t.d A 1F7 ` •Rrs � .. ra t3+{rISNYi*'tU },"•__. y t' t•�� J'^ R NY ,. ,+ F7W J — -ITY PE OF'BUILDING) IAP,P;R�Ory%)MATH 812H1 / �pppppplpppppp`� t r r �.irir �" -RjEf `MCJ , �Dj°. G ' `+ a' w'� Cl♦A,a.4u. rTt �/ 4, LOCATION 8TR[HTtAND NUMBfiRI %1 3 IVILLAOHI r ap yy `. NAME OF BUIlLDER OR CONTRACTOR _ hid APPROXIMATE COST` � �� I s a ° � j, II HEREBY AGREE TO',CONFORM TO ALL THE RULES#AND REGULATIONS OF THE TOWN L OF BARNSTABLE, REGARDING THE ABOVE,'CONSTRUCTION' Ii ir� dd a r 'r 1 '� n • n. , t t . rx C.r ! .. 'f.n ..: rt t.t )OWNER) jJ,}•i a. r' + P` �.t`f )CONTRACTOR) ••4 1 t�"Ot+,., of i / •e u �. }x*�' + ,i �'tR �µ}7r / I x r „� ;r V hw�1� Y nd:.� i ' t '•7 48}' '.N $tJY . r ' "` r" C ~ H' i "x <3 �.•f� lei y . y BUILDING INSPECTOR '�Sublecl to IApproval,of Board oVHealth rt1 r w T. a ", i i ins + .t-.a Y..it';T. }�f,tt.. .:',�f".. r5'1 ,....�.�'i� £.n ,+.. %.,.T ,.7..n..�..•1. {'4:.4 J., ..,H v4, rS'mY4 1.9.n,r' Jk2nl ....hyv. u.! .r .... .._. aLR .v. x .. i Assessor's map and lot number TIC SYSTEM MUST BE Sewage Permit number �.. .. 31ALLED^IN COMPLIANCE .................................... " 7Id A7?TIU,LE 11 STATE C'ANITA 7�Y CODE AND TOWN y0F7HET0�♦ TOWN OF BAR.NSr C3LB tE b�P ti o� BARESTAIILE• i t 4639. ,,� BUILDING INSPECTOR 0 YPY a' c: APPLICATION FOR PERMIT TO ......... .......................... . .................................................... "f TYPE OF CONSTRUCTION ......... ���.U... .... .:e.......................................................................... ............. .. ... ....................19*2.. TO THE INSPECTOR OF BUILDINGS: . The undersign ereby applies for a permit according to the fN-0-7 g information: Location .... ....... Lj .�.� L.?................................. ............................................... ......................... ................. n ProposedUse ....... 1'Y ............. ................................................................................................................................. C{e lam, 11 Zoning District ............�.:. ............................................F're District .............�`"i'..................... .....� ....................... Nameof Owner :. ............ :..... Address ...... ............................................................................ Nameof Builder ...... f �1 `.............................:.....................�....Address ..................................................................................:. Name of Architect ..... ............................:......Address .........: s.t� 7�..w ................................................. Number of Rooms ..............6...............................................Foundation ...�, /`.. �-.........................................I....... l J ' �..?�''.... Roofing ................Exterior .......rl-AJ..4!.. ........6....... ....� �sh.�.�"�...................................... Floors �.!.......... .. ... ............. .................Interior .....G -::�^ f/'. ............ ............. ................................... Heating ...................................... . .. .��..................Plumbing ....... .dl..' ��,..?............�.... ......... . Fireplace9.................................................... ................Approximate Cost ............... ..................................... Definitive Plan Approved by Planning Board ____ ___________ ______19__���_�Z� Area 1..�.0. .. .%� . Diagram of Lot and Building with Dimensions Fee . SUBJECT TO APPROVAL OF BOARD OF HEALTH ?� 7;7-,4 13 �s,� , QQ m 114 0 t I hereby agree to conform to all the Rules and Regulations of th#Twn Bar stable r rdin the aboveconstruction. Name .. I .................................. .. .................. ! � ' ' ! ' . ' ~ - | � . " , { ° ' � . - ' - . ' ~' ` � � . SUBURBAN DEVELOPMENT 9 INC. one famikv-wood frame Owner Type of Construction ...jkq4jrame Date Completed ... 19 PERMIT REFUSED -----------^—^-----' ............................................................ ' . ^ - - He TOWN OF BARNSTABLE DAH34TUL i MASSACHUSETTS MY Solid Fuel Stove Permit DATE OF APPLICATION .........LW......... .,........�...1.�.�.......... ��DEPT. ISSUING PERMIT q.1.:.1�.: .. . ............ NAME (owner) �'�`-W�.t � f � ......• NAME (Installer) ..: f1J. ..U.cJ;............... !1-$..t............ 4 ADDRESS ........ .'" .. ADDRESS 4d..•...�J(��t ,•! '............................. .....•.......•....•.............. 4c . .......................... . ........... STOVE TYPE ...............(AJOOD..................................................................... CHIMNEY: NEW ........................ EXISTING .............. L7........:,� t.n.I' CHIMNEY: Masonry Manufacturer ......... .•... ..r..rxr .............................................. y ..•......... ..................................................................... Mass. Approval .............. .. J'........ ... ... ......................................... CHIMNEY: Metal �„ cz r!. This is to certify that the above installer has permission to install a solidL fuel burning appl,j i e at the listed address in accordance with an application on file with the . . . T '. ............................................. Wlir-� Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. IssuedBy: ................................... ..... ...%.........�'Oa'A,.•...................•........................Title .......4f! ...........: ..........•..... Date ...................... ..f.. S'� Permit to install expires 60 days after issue date Stove ................. .Y.-tvl .C4.......... ,f�S .r ... .................•..�Q....•......!Y..-i �t: : .............:........................................•.....................................................•......................... •r:: )�qsl......... 1 \.�.: ..........•....•..................Stove Clearance .....•.........•....•........ . . ........ .......... . ......................................................•............................................•............................•.•.••... Floor ........................................................................................ ................................................................ .... .......... X.: ....... .......5 � ..................�.....�� SmokePipe ....................................I -f--Yl a�ft.............�x\.Z-04-4..........•.•.................•...............................................................................................•........................................... M Smoke Pipe Clearance .............. ...........•......w.\ R...•::.....•.................................... Chimney ................................................. ..............•.................................................................•................•.............................•........................................................•...••..................... SmokeDetector ..................... ....................•..........•...........................................................•............•................................•.....................................•....•...................••...........•...................•..•... The undersigned hereby certifies thatthe installation of solid fuel burning stove and equipment made under au- thority of permit dated ......,[�n........Qk� ,...1.q1tVt has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto .... � ..................••.•........................ Installer INSTALLATION APPROVED !4m ^ 1..�. L... B,y:......... :. ........................� ... � ....... ..Qs^..-r........ ....................... Title. ....... ............ ..... 6, date WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT