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HomeMy WebLinkAbout0045 BETH LANE ��� j Y' } i U . i 513 0 _ grzz I I I �/i I ���� i i ���� w � ate'`' �� ��� � � � � f ��-�--�- TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map Parcel Application# Health Division Date Issued: 10i� Conservation Division Application Fe Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Ltd Village �641 V- J"X�=. _ IO Owned Address S � ,� Cho ��v /I 7— S 3 o ' Telephone Permit Request �hl 1A OA U11MA rtcA s--r-AA Square feet: 1 st floor:existing 8A 7_� proposed 817-. 2nd floor:existing proposed Vhia newa/0-e Zoning District Flood Plain Groundwater Overlay Project Valuation 50 Construction Type vtn� Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Y"—Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes &lo On Old King's Highway: ❑Yes C9'I�lo Basement Type: 2-rull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) a�2_. Basement Unfinished Area(sq.ft) <n> Number of Baths: Full:existing '24— new Half:existing 0 new Number of Bedrooms: existing Pew Yry4U V" .�— Total Room Count(not including baths):existing new First Floor Room Count /� Heat Type and Fuel: Uf Gas ❑Oil ❑ Electric ❑Other m Central Air: ❑Yes ❑No Fireplaces: Existing d New U Existing wood/ stove: (3 Yes`r; 6<0 Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ 3ting mew Sze Attached garage;❑existing ❑new size Shed:Vexisting ❑new size 6X 1 y Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ - -- Commercial :❑Yes----❑No-- If yes,site-plan-review# Current Use Proposed Use BUILDER INFORMATION Name �A'16,a\ 'tk Telephone Number Address 9.0. fox )JAY AS CQ k_6 f tQ 0n License#CS 105 2>Cl ft�h,or-e- -t t814. &?_(e !f 9 Home Improvement Contractor# Worker's Compensation# VW C tg6( is I-0 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO tcr Pj ra ( SIGNATUR DATE ( e ( b x FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ' i . 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. ' 4 i t Y The Commonwealth of Massachusetts r Department ofIndustrialaccidents Office of Investigations r 600 Washington Street Boston,MA 02111' www.massgov/die ' Workers'Compensation Insurance Affidavit:Builders/Contractors/Eleetricians/Plumbe.rs Applicant Information .Please Print Legibly Name(Business/Organin ion/7ndividual): AC� C� •Address: L City/State/Zip: C Phone.#: 013 L D Are you an employer?Check the appropriate bog: :Type of project(required):, 1.[] Tara a employer with 4. (] I am a general contractor and I 6. ❑New construction Znv *• have hired the sub-contractors . loyees(full azEd/or part time). R emode 2. I am a'sole proprietor or partner- listed on the'attached sheet. 7. 0 � • ship and have no employees yees These sub-contractors have g, demolition emplo and have workers �vorldng for me in any capacity. $. � 9. ❑Budding addition [No workers' comp.insurance comp'insurance' 10.0 Electrical repairs or additions required.)' 5. [] We are a corporation and its . officers have exercised their 11.[]Plumbingrepairs or additions 3.❑ I am a homeowner doing all work ' myself[No workers'comp. right bf exemption per MGL 12.0 Roof repairs insurance.requited.]t c. 152, §1(4),and we have no 13.0 Other employees. [No workers' comp.insurance required.] *Any'applicant that checks box#Lroust also fill out the section below showing their workers'compensation policy information. t Homeownas.who submit this affidavit indicating they are doing all work and tlienhire outside contractors mutt submit anew affidavit indicating'such. (Contractors that check this box mutt attached en additional sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. if tho sub-contractors have employees,they must providb their workers'comp.poHc'y number. I am an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: N Policy#or Self-ins.Lie.# L(lir- 0 t 10 f Expiration Date: Q Job Site Address: /► �..�9 City/State/Zip: NAIJI Attach a copy of the workers,compensation policy declaration page'(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK•ORDER and a fine of up to$250.00 a day against the violator. Be advis ed that a copy of this statement may be forwarded to the Office of' Investi ations of the CIA for insurance coverage verification. I do hereby catily ear t e psi d nalties ofperjury that the information provided above is true and correct Phone Official use only. Do not write in this area, tb be completed by,city or town official City or Town: ' Permit/License# Issuing Authority(circle one): '1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other ' oFtTo,,, Town of Barnstable Regulatory Services RARNSrABLF, MASS. � Thomas F.Geiler,Director 1639., Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:- 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I I as Owner of the subject property hereby authorize 0"� G ��,Q ��2 ��P_(; / to act on my behalf, in all matters relative to work authorized by this building permit application for. eft 4 ke- W4 k 14 (Address of Job) 6 Signatu f Owner Da 1 - Da v,I'.l Print Wme If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 'IHE Town of Barnstable Tp�� ti�P o� Regulatory Services " Thomas F.Geiler,Director BARNSPABLE, ` p MASS. �p 16_19. Aim Bu lding Division .Tom Per Building Commissioner 200 Main S eet, Hyannis,MA 02601 www.to n.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER\ICENSE EXEMPTION Pirint DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include own -occu ied dwellin s of six units or less and to allow homeowners to engage an individual for hire who does not posse a license,provided that the ownefacts as supervisor. DEFINITION OF HOMEOWNER, Person(s)who owns a parcel of land tin which he/she `resides or intends to rest e,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to s ch use and/or farm structures.- A person who constructs more than one home in a two-year period shall not be co 'dered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the But ing Official, that he/she shall be responsible for all such work performed under the building permit: (Section 109.1. The undersigned"homeowner"assumes responsibility for compliance with the State B ' ding Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Bu ding Department minimum inspection procedures and requirements and that he/she will comply with said proc ures 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. r 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." w 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. �fze Var�mwou�ea�i o�'��aasac/ivael�a Board of Building Regulatioffiis and Standards Construction Supervisor License License: CS 65891 i Expirafi n,__V/9/2009 Tr# 9350 �ReStriCtion 001P � l- MICHAEL A DEDECKO ` s :, PO BOX 2384/CARL;TON DR �J MASHPEE, MA 02649 Commissioner \ ✓�e eowwwwaiea" Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 138653 Type: Private Corporation Expiration: 5/1/2009 Tr# 129940 COMPASS REALTY DEVELOPMENT CORP MICHAEL DEDECKO P.O. BOX 2384 MASHPEE, MA 02649 Update Address and return card. Mark reason for change. Address Renewal Employment Lost Card DPS-CA1 is 50M-05/06-PC8490 ✓tie �amnaoruueaCf�i o�✓��aasac�i�caefta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 138653 Board of Building Regulations and Standards Expiration: 5/1/2009 Tr# 129940 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: Private Corporation YP p COMPASS REALTY DEVELOPMENT CORP MICHAEL DEDECKO 25 CARLETON DR. [;�agU,Q a .� D I—D MASHPEE, MA 02649 Administrator Not valid without signature DEC-12-2007 WED 11 :58 AM FAX NO. P. 03 Town of Barnstable s Regulatory Services Thomas F.Gefler,Director • tiwaW.85. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis.MA 02601 Office: 508-862-4038 Fax: 508-'i 90-6230 April 3,2006 Gilmar Chaves 45 Beth Lane Hyannis,Ma 02601 Re: illegal Apartment Property M: Map 272-Parcel 174 Locus: 45 Beth Lane,Hyannis Dear Mr.Chaves: A review of our records, including the permitting history and the Zoning Board of Appeals records,indicates that the present use of your property located at 45 Beth Lane. is limited to that of a single-family home; any other use, specifically an independent accessory dwelling unit is illegal. You are hereby ordered to immediately restore the subject property to a single-family residence. A building permit is required in order to reconfigure the space and convere the property to its original state including the complete removal of the kitchen and the elimination of the bedrooms in the basement. As the accessory unit lacks the proper and adequate weans of emergency egress you must not only comply with this notice but inform all perspective buyers accordingly. This work shall be completed by April t4, 2006. You must arrange for a site inspection to confirm the restoration. Be advised that you have the right to appeal this decision. If you so choose,I will happy to assist you with this process. Please contact me by April 7"'. You may reach me directly at 508-862-4027. In the event that you choose to ignore this notice I will be forced to seek criminal action against you. Your anticipated cooperation is greatly appreciated. S carely, Robin C.Qiangregario�`' Zoning Enforcement Officer T•r 1sVltegat Apartrr,antzW5 BcM LM-t70C c«c¢noa„mit coos 1820 000a 64792091 P � Iz IMP t k A �� I III I �', I, , III' ill'll � � �� � � ,�' � ICI iII ''I ', I I II i ..t j v ill I I, I I I' I�I ICI � I, ilI I �I I � Ili i I v� s 6 A r ew O i . L i� ' it I� �'I I '� � IIIiI I I �i �� Town of BarnstableBuilding ' Po st:This Card So Th'atit is 1/�sable;:From the Streetx ,A�proved;Plans Must,be RetainedF"'JoP -' $ Permit ;• �" Posted Until:Final Inspection Has Been Made �o Wh,ere a CerticateofOccupan�cy is Required,suchByrldmg shallNotbe Occupetlntil�ainal Inspectionahas�beenamade xµ r.� Permit No. B-20-592 Applicant Name: Steve J Spengler Approvals Date issued: 03/04/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 09/04/2020 Foundation: Location: 45 BETH LANE, HYANNIS Map/Lot: 272-174 Zoning District: RC-1 Sheathing: Owner on Record: DASILVA,FABIO&GOMES,MARLUCE P Contractor Name VIVINT SOLAR DEVELOPER LLC.. Framing: 1 Co�nt'ractor.License-�.1�70848 Address: 45 BETH LANE 2 HYANNIS, MA 02601 s Est Project Cost: $ 17,600.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems;25 panels Permit Fee: $139.76 8kW � Insulation: eePaid ` $139.76 �- Final: Project Review Req: ; Date. 3/4/2020 Plumbing/Gas 90 a Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed,by this permit is commenced within six rrionths'after issuan Final Plumbing: All work authorized by this permit shall conform to the approved appli at on;and the�approved construction documentsfor which'this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zon ri by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or roa3d and shall be maintained open for A blic'mspectioi for the entire duration of the work until the completion of the same. , Final Gas: )k. The Certificate of Occupancy will not be issued until all applicable signatures by the Bwlding and Fire Officials are provi fed on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work '' PER 1.Foundation or Footingx Service: 2.Sheathing Inspection , Rough: 3.All Fireplaces must be inspected at the throat level before firest flue.I HiOs insta le ld g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �t Town of Barnstable *Permit# o06 bS- p�' Expires 6 months from ismie da!e BARN B Regulatory Services Fee LEv S?S 63� ,�$' Thomas F. Geiler, Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number L( Property Address \� P ❑ Residential Value of Work , 6n0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address — C` Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) p n g- . DERPRIT �. ❑Workman's Compensation Insurance Check one: .J U N 1 0 2009 ❑ I am a sole proprietor [g-l"am the Homeowner TOWN OF BARNSTABLE. ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Zeplacement Windows. U-Value (maximum .44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. H6^me Improve t Contractors License& Construct Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\Express\EXPRESSPERMIT.DOC Revise06O4O9 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 s� s" www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): \ vim Address: City/State/Zip: Phone.#: ���S C) C) Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a er w employer '. 4. ❑ I am a general contractor and I p y 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietoror partner-' listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.insurance comp. insurance.$ �equired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job.Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andnpenaaltt ies of perjury that the information provided above is true and correct. Siznattire• .PF` t/` Date: Phone#: ac> dJL� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local lieensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter-have been.presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(I.LC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit(license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"I.he applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to-thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 Tel. #617--727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia Town. of Barnstable Regulatory Services . - BARNSTAHM Thomas F. Geller,Director >'�. ��� Building Division �rFD Tom Perry,Building Commissioner ...._.200 Maiii Street,—Hyannis;MA 02601 www.town.barnstable-ma.us Office: 508-862-4038 Fax:' 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: �—A 5� � C C�nuumber street %; vil ge "HOMEOWNER': .�! A\— ` `R^�� ►« "� ��J name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTITON 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 Ho wncr 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 persons)for hire to do such work,that such Homeowner shall ad 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 personas 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 responnmbilitiea,many communities require,as part of the permit application, that the homeowner certify thla hdshe 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 fonn/certification.for use in your community. Q:forns:homccxrrnpt zT, ti Town of Barnstable ■ r Regulatory Services r s rPAAB&iE$, Thomas F.Geiler,Director a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign%This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n.r-nn i r n_nn n rcn ncn r rrnnrnwr r" �t T Town of Barnstable *Permit# 'r�;4co8ba.-7 'b Expires 6 months from issue date O Regulatory Services- Fee �r---- saxxszABM ► Thomas F.Geiler,Director Mass. �b i639. ,�� Building Division Tom Perry,CBO, Building Commissioner f4l 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �As 5��� ❑.residential Value of Work t 00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address '.q- Contractor's Name i Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance PERMIT Check one: �" ❑ I am a sole proprietor 21 am the Homeowner MAY 1 20�$ ❑ I have Worker's Compensation Insurance TABLE Insurance Company Name TOWN OF BARNS Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side [Replacement Windo s/doors/ iders.U-Value (maximum 3 "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. t 80 SIGNATURE: �� add I Z ��6UQl �`��Yn.��P �—CT� Q:\WPFILES\FORMS\building permit fomms\EXPRESS.doc Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston, lM,4 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AuPUcant Information Please Print Lesribly Name(Business/Orgatuzaiion/Individug):� Address• L\:C-1 V-15 City/State/Zip: Phone.#: �St>Q� ` 5,0^ ,CX:>—1 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New constriction employees(full and/or part-time).* have hired the stab-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees •These sub-contractors have g; ❑Demolition . �P , working for me in any capacity. employees and have workers 9 ❑Building addition [No workers'comp.-insurance comp.insurance t • �] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself; [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance reqiire&]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp,insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compansation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box rmut attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractor,have employees,they must provide their workers'comp.policy numbs. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: .. Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify_under the pains•andpenalties ofperjury that the information provided above is true and correct Simature• � r �� Date: Phone#• Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or-on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL m chapter 152, §25C(7)states`Neither the comonwealth�nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,i.f necessary,supply sub-contractors)name(s),address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Towp Officials. Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit trust be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The CammonwWth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass go�r(dia Town of Barnstable �oFttle r�� Regulatory Services saiwsrwac> Thomas F. Geiler,Director 9 MASS. Building Division Tfn � Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: { �\1�Cc3;e. \_ JOB LOCATION: lr"kA number street ` village ..HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the-owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to" be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. n A7 --� Signature of&neowner 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. i+ M �F11HErq/• Town of Barnstable Regulatory Services BMMSTABNAM M Thomas F. Geiler,Director AlenMn'�° Building Division Tom Ferry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Farm on the reverse side. 3 TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION Map Parcel l Application Health Division Date Issued a" &0 Conservation Division Application Fee ��� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis Project Street Address 5::�, `e7� L-In�ir_Q_ Village Owner e.r Address Telephone Permit Request _ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �I S0 .60 Construction Type Lot Size / �V Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Tvpe: ❑ 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 i cluding baths): exi ng �5 new First Floor Room Count Type Heat T e and Fuel:(not ❑Oil Electric ❑Other Central Air: VYes ❑ 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 (BITii.n�R HOMEOWNER) Name Telephone Number S U 9 C 7 7 o " 70 Address XALicense # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY x _ , APPLICATION# , i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER I t DATE OF INSPECTION: I FOUNDATION I r ' FRAME INSULATION FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING l DATE CLOSED OUT I ASSOCIATION PLAN NO. 'i . r i S The Commonwealth of Massachusetts Department of Industrial Accidents 0. Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Q Address:City/State/Zip: AaA / _Z3 Phone.#: 50 /q y� /Z Are you an employer?theck the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a•sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition o workers' comp.-insurance comp.insurance.t e ] 5. We are a corporation and its 10.❑Electrical repairs or additions 3. , I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself.[No workers' comp. right df exemption per MGL 12 [j goof repairs insurance required.]t. c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also M out the section below showing their workers'compensation poficy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have.employees,they must providb their workers'comp.policy mmnber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: -- Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine Up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the.Office of Investigations of the WA for insurance MDVera a verification. I do hereby ce under th a sand en ' s of perjury that the information provided above:is true and correct. Si ature: Date: Phone#� SUS` y 1 / V 01 Official use only. Do not write in this area,to be completed by city or town offuiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: •Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing.engaged in a joint enterprise,and including the legal representative's of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However.the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance With the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers) along with their certificate(s)of insurance. Limited Liability Companies*(LLC)or Limited Liability Partnerships(LL.P)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or TowU Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially staffed or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for firiure permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a-dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The Commonwealth of Ma=r uselts Department of Industrial Accidents Office of Investigatim 600 Washington Street Boston,MA Q2111 TO. #617-727-4900 ext 4-06 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia i Town of Barnstable �Op the tp�� Regulatory Services " Thomas F.Geiler,Director sARNSTABr.e, '. MASS. q, ►ex9. Building Division �1f01AAtA Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 'c,�\.� JOB LOCATION: `-1,F-" number _ street q villa "HOMEOWNER! name home phone# work phone CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered.a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum ins a pro dunes an requirements and that he/she will comply with said procedures and re it nts Signa 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. oFtKEra,, Town of Barnstable Regulatory Services iE Thomas F.Geiler,Director ArFo �a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230. Property Owner Must' Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in altmatters relative to work authorized by this building permit application for: (Address of job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. THE rgyti Town of Barnstable, Regulatory Services * g ry * BARNSTABLE. v Wins. g Thomas F.Geiler,Director '°fFo�,tp�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at 1A' , hereby certify that � C'�- q-P�\ �-2�2CJ� is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# -D Mn 0 3�y,issued on i 20� I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. P PERTY OWNER DATE q/forms/newcontrowner reference R-5 780 CMR rev:011608 11 1 111 1 : CD CD 0 m Cl C H 3 . 1 N Z ' s€... y� (b m `DI o n o � N C a n O N Certified Mail Provides: A mailing receipt (asianaa 6 uu i ZooZ eunr'006od Sd s n A unique identifier for your mailpiece e A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Ma51®ur Priority Mail®. a Certified Mail is not available for any class of international mail. ® NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811 to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the maiipiece with the endorsement"Restricted Delivery'. o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. I Town of Barnstable p1HE� Regulatory Services Thomas F.Geiler,Director * BARNSTABLE, Building Division 9 MASS. g �p 1639• Tom Perry, Building Commissioner AlE p � 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 3, 2006 Gilmar Chaves 45 Beth Lane Hyannis, Ma 02601 Re: Illegal Apartment Property ID: Map 272 -Parcel 174 Locus: 45 Beth Lane,Hyannis Dear Mr. Chaves: A review of our records, including the permitting history and the Zoning Board of Appeals records, indicates that the present use of your property located at 45 Beth Lane, is limited to that of a single-family home; any other use, specifically an independent accessory dwelling unit is illegal. You are hereby ordered to immediately restore the subject property to a single-family residence. A building permit is required in order to reconfigure the space and convert the property to its original state including the complete removal of the kitchen and the elimination of the bedrooms in the basement. As the accessory unit lacks the proper and adequate means of emergency egress you must not only comply with this notice but inform all perspective buyers accordingly. This work shall be completed by April 14, 2006. You must arrange for a site inspection to confirm the restoration. Be advised that you have the right to appeal this decision. If you so choose, I will happy to assist you with this process. Please contact me by April 7th. You may reach me directly at 508-862-4027. In the event that you choose to ignore this notice I will be forced to seek criminal action against you. Your anticipated cooperation is greatly appreciated. Sincerely, Robin C. Giangregorlo Zoning Enforcement Officer J:\Illegal Apartments\45 Beth Lane.DOC Certified mail 7005 1820 0004 6479 2081 f Town of Barnstable OF 1HE Regulatory Services Thomas F.Geiler,Director * BARNSfABLE. Building Division 9 MASS. g i6;9. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 April 3, 2006 Gilmar Chaves 45 Beth Lane Hyannis, Ma 02601 Re: Illegal Apartment Property ID: Map 272 -Parcel 174 Locus: C45_-Beth'-Lane;Hyannis Dear Mr. Chaves: A review of our records, including the permitting history and the Zoning Board of Appeals records, indicates that the present use of your property located at 45 Beth Lane, is limited to that of a single-family home; any other use, specifically an independent accessory dwelling unit is illegal. You are hereby ordered to immediately restore the subject property to a single-family residence. A building permit is required in order to reconfigure the space and convert the property to its original state including the complete removal of the kitchen and the elimination of the bedrooms in the basement. As the accessory unit lacks the proper and adequate means of emergency egress you must not only comply with this notice but inform all perspective buyers accordingly. This work shall be completed by April 14, 2006. You must arrange for a site inspection to confirm the restoration. Be advised that you have the right to appeal this decision. If you so choose, I will happy to assist you with this process. Please contact me by April 7th. You may reach me directly at 508-862-4027. In the event that you choose to ignore this notice I will be forced to seek criminal action against you. Your anticipated cooperation is greatly appreciated. Sincerely, Robin C. Giangregorio Zoning Enforcement Officer JAIllegal Apartments\45 Beth Lane.DOC Certified mail 7005 1820 0004 6479 2081 U d_6 4JIOuS '/L Page 1 of 2 x C� _ Listing# DOM Listing Price St# Address BD T n Village&ZIP Yr Status Type Listing Office BA(FH) Lot Sz Sq Ft Tax ID 20603267 17 $344,900 45 Beth Ln 3 Barn Hyannis 02601* 1980* Active(03/10/06) Single Family Elite Real Estate 1 (1 0) 15246sgft* 960* 272-174-0-0-BARN /r Charming 3 Bedroom,2 bathrooms Ranch.Wall to wall Carpet.Private Deck. .Convenient to shopping, .� School,Major Highway and golf course.Full finished F " - basement.Move right in!!! P Listing Price Sellinq Price Address Listing # $344,900 45 Beth Ln, Hyannis 02601* 20603267 Agent Alessandra D Gualberto (ID:U1157)Work:508-790-0074 Cellular:508-776-8500 1st Fax:508-790-0266 Office Elite Real Estate(ID:ELITE)Phone:508-790-0074, FAX:508-790-0266 Property Type Single Family Property Subtype(s) Single Family Status Active(03/10/06) DOM 17 Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0% 2.5% 2.5% No Facilitator Comm 0% Listing Type Excl.Right to Sell Owner Name Dolores Chaves County Barnstable Tax ID 272-174-0-0-BARN Beds 3 Baths (FH) 1 (1 0) Structure(approx sq ft) 960* Sq Ft Source Assessors Records Lot Sq Ft(approx) 15246* Lot Acres(approx) 0.350 Lot Size Source (Assessors Records) Year Built 1980* Publish To Internet Yes Listing Date 03/10/06 All Office Remarks Easy to show Directions To Property Route 28 to Pitchers Way to Beth Lane Listing Page Commission-Other N/A Showing Instructions Call Listing Office General Page Zoning RC1 Year Built Desc. Actual Total Rooms 5 Total Levels 1.0 Basement Baths 0.0 Level 1 Baths 0.0 Level 2 Baths 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Full Foundation Concrete Fndation Wing Width 0 Fndation Wing Depth 0 http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPr... 3/27/2006 _;i Page 2 of 2 Irregular No Lot Depth 120 Lot Width 0 Association No Annual Assoc.Fee 0 Assoc.Fee Year 0 Garage No #of Cars 0 Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Golf Course,Major Highway,School,Shopping Miles to Beach 1 to 2 Beach Description Other-see remarks Beach Ownership None Street Description Paved,Public Interior Page Fireplace No Number of Fireplaces 0 Living/Dining Combo No Kitchen/Dining Combo Yes Floors Wall to Wall Carpet Exterior Style Ranch Pool Unknown Dock No Exterior Features Deck Roof Description Pitched Siding Description Shingle Mechanical Heating/Cooling Natural Gas Water/Sewer/Utility Private Sewerage,Town Water Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax 1418 Tax Year 2005 Land Assessments 135700 Improvement Asmt 98700 Other Assessments 0 Total Assessments 234400 Annual Betterment 0.00 Unpaid Betterment 0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book 18300 Title Reference-Page 145 Land Court Cert# 0 Underground Fuel Tnk No Lead Paint No Asbestos No Flood Zone Unknown Information has not been verified,is not guaranteed,and is subject to change.Copyright 2005 Cape Cod&Islands Ri 1pa►fto Multiple Listing Service,Inc.All rights reserved Copyright©2006 Rapattoni Corporation.All rights reserved. http:Hccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME=MLSPr... 3/27/2006 i� .' Par,!:-,el Detail Pagel of 3 n. Logged In As: Parcel Detail Monday, Marc Parcel Lookup Parcel info ......... Parcel ID�272-174 Developer Lot LOT 47 .......... ___._ _.._ ...__. .....,,. ._ _ _. . ..._.. .__ ._ _..,...______.�. ....,.. Location 45 BETH LANE Pri Frontage,125 Sec Road I Sec Frontage ._......... village 1HYANNIS Fire District HYANNIS .......... ___. Sewer Acct Road Index'0119 Owner Info ____ _....._ ... .. .._...... ... ............ _. ., ..._ _.... ._ __.. __._ Owner CHAVES, DOLORES V Co-Owner. Streetl 145 BETH LN Street2 City HYANNIS State MA zip;02601 Country Land Info ......... ......... ................................ ......... ........_-_ _.,,,..._._.: . Acres 0 35 Use:Single Fam MDL zoning RC Nghbd 0105 Topography Road Utilities Location Construction Info Building1 of I Year 1980 _ RoofGable/Hip AcNone Built, Struct Type Effect,. Roof Bed 1060 Asph/F GIs/Cm 3 Bedrooms Area Cover Rooms Int. Bath Style Ranch Drywall . Wall ' Rooms i y __..... Total Model Reside 15 Rooms Rooms 6 SMT 3 Grade ;Average Ior Bath 1 Floor Style stories 1 Story Kitchen Style ExtWood Shingle Heat Bath Wall Fuel . Split> 9 Heat .__ .., Found Type Hot Air ation :Gas http://issql/Intranet/propdata/ParcelDetail.aspx?ID=20813 3/27/2006 Parcel Detail Page 2 of 3 Permit History,___. _.._ .. __.. ._ ... ..._ ... Issue Date Purpose I Permit# Amount I Insp Date I Comments Visit History Date Who Purpose 2/6/2006 12:00:00 AM Gary Brennan Drive by inspection only 8/4/2004 12:00:00 AM Paul Talbot Meas/Est 6/6/2002 12.00:00 AM Paul Talbot Meas/Listed 6/15/1991 12:00:00 AM ML Sales History Line Sale Date Owner Book/Page Sale P 1 11/29/2005 CHAVES, DOLORES V 20519/018 2 3/9/2004 CHAVES, GILMAR V 18300/145 3 6/8/2001 CROWE, JOSEPH F 13919/134 4 12/14/2000 PACHECO, SHANE 1 3429/1 1 0 5 10/15/1996 BRIDGES,ALBERT W& STACI A 10420/286 6 8/15/1996 GOODELL, SCOTT E 10366/332 7 BROCK, JOANNE R 3397/325 Assessment History _._ Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2006 $102,400 $0 $0 $149,800 2 2005 $98,700 $0 $0 $135,700 3 2004 $80,100 $0 $0 $135,700 4 2003 $73,000 $0 $0 $41,400 5 2002 $73,000 $0 $0 $41,400 6 2001 $73,000 $0 $0 $41,400 7 2000 $55,000 $0 $0 $27,200 8 1999 $55,000 $0 $0 $27,200 9 1998 $55,000 $0 $0 -$27,200 10 1997 $48,100 $0 $0 $27,200 11 1996 $48,100 $0 $0 $27,200 12 1995 $48,100 $0 $0 $27,200 13 1994 $48,700 $0 $0 $30,600 14 1993 $48,700 $0 $0 $30,600 15 1992 $55,300 $0 $0 $34,000 16 1991 $60,000 $0 $0 $47,500 17 1990 $60,000 $0 $0 $47,500 18 1989 $60,000 $0 $0 $47,500 19 1988 $45,800 $0 $0 $20,700 20 1987 $45,800 $0 $0 $20,700 21 1986 $45,800 $0 $0 $20,700 http://issql/intranet/propdata/ParcelDetail.aspx?ID=20813 3/27/2006 Parcel Detail Page 3 of 3 IL_L2_Ll985 I $0 1 $0 1 $0 1 $0 1 Photos _ _... . I , http://issql/Intranet/propdata/ParcelDetail.aspx?ID=20813 3/27/2006 � ,ATM`>♦ —TOWN OF BARNSTABLE 2°2059' f � Permit No. ----------- - 1»n� Building,,Inspector �! Cash v //J OCCUPANCY PERMIT Bond 7 A "No building nor structure shall be erected, and no land, building or structure s all be used for a new, different,'changed, or enlarged use without a Building Permit therefor first having been obtained"from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the'Building Inspector," Issued to C & F Buiiders Address Fal.r.4outh Lot #4 7 45 Betii sane Hyannis Wiring Inspector Inspection date Plumbing rasp ctor-A � Inspection date Gas Inspector Inspection date �� Engineering Department �F Inspection date �(�� j e' THIS PERMIT WILL-NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL' SIGNED BY THE/BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Vx Building Inspector . .../ /7�®'" e , THE ., stsor's map and lot number .... l a - SP. T SNouvinEM NMol aNv 3aoa ielN3WNoai Sewage_�ermit number ...................... .Z..................... 9 31111 H11M t BAHB$TADLE, i House number .........................................:...IA .................T 33NV11dW0:) Ni a311VJL 039 39 ism W31SAS MJ31Si °YPY'a � l TOWN OF BARNSTABLE I , BUILDING INSPECTOR APPLICATION FOR PERMIT TO . �v!✓ iv�.................................................... ........ ............... ............................................... TYPE OF CONSTRUCTION ....................... ...D :... ........:............................................ ... .. r!......... ...19`.l TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following`information: Location ...............� .... ��....... �/, ...... .Pr ! !Y.. .:... .......:...... Proposed Use ... ....................?!!Y... fl. ........A? y> ....�//Y. . ... .. ... ......................................................... Zoning District ..................... `-'.../.....................................Fire District ......... . �/!/� ` .. .� ........................... Name of Owner .....................Address Name of Builder .......` -. ....1....., ............Address Name of Architect ................. ......................Address le- 011/ Number of Room 5 ........................................Foundation ...... .. ��� Exterior ....G'!!/.!i/ (� L ZGc�l/ //l(4 �...........Roofln �/ ..� . ... ........................................... .. ............... .. ... .. ...................................................... 9 Floors �'��Gf/ 4-•��� Interiorf���� . ....... ... ... . . ............................ ........................... .... ... .............................................. Heating ......./' ................................Plumbing ................/ '5 .-/.�.:... ......................... Fireplace lY...Osl!1.�...................................................Approximate Cost ............✓...</.,.�l. o: .................... ............. . ^^ Definitive Plan Approved by Planning Board ----------------_---------------19________° Area ........... Diagram of Lot and Building with Dimensions Fee ' �7 ....................... .................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ��✓ -e I hereby agree to conform to all the Rules and Regulations of the Town of BarnstaAreg.arng the a, ove construction. Name .. .. .............................. i�� _ � � � .. C 6 F BUILDERS � - ` . . . . - 2.2A - or Siog�. - . - ..Fgm il __.. r DvveIIxog . .i __________ . , . Location Lot...�J&3...45..J�at.h...Laase,---` ..............Hl�-:1�2ai.�--._------------ ^ Owner --C...8,..F.,-Bzzildex:m.................... ' ! Typo of Construction ....Frame......................... �` _---.----..�----------------- � ' ^ ` . ^ Plot �..---.----. �� .---_------. ` ' . ^ . ! � ' ^ C Permit Granted .x---.lA 80 � Date of Inspection ------------i9 . . ' �-_- --mpleted .......... a//-�: 19191/ �� ! ' ' ^-^ uj PERMIT ' / . . REFUSED ^ ,- ............................................ .lg C) ~`--------^--------' ' 1 | -- � . LU - ..................................................... ' .................................................... ` , . /\ pr6v'&6 ....... lg^, ' ' �--`�--.�-..-'-----~..--.--....-.- ~ , - ` ' . | ' ------ ....................................................... ' / . � '/ Assessor's map and lot number �=Ile l` G' /r/ 1-2 1�7 - 3 7 f THE TO Sewage Permit number ........................................................ ro Z 13AUSTABLE, i House number 7 rasa �FE AIPY a TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � ............ TYPE OF CONSTRUCTION414J0 �`/ ................................................� �. 7 q 1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:: Location ............... ...: .. ?...,........ /J ...... ! /t/L : .:... .. ............ Proposed Use .. ....... � � IsAX�a lllw ZoningDistrict ........................................................................Fire District ........../1,,....... ....... lJ' ................................ Name of Owner �7s�i!/! ./ �?......................Address ...:/!,l.. :.., G Name of Builder / .... .... ` � ............Address 107. J ... Nameof Architect ..............:5 VIO.......................... .................................................................................... Number of Rooms ................... ........................................Foundation ,/l/ Exterior G'f/�/// t�.... r�Lt!/ �/Y�If1�...........Roofing ................ Q/ ...................... .... ................ ................. ........................................ Floors ......1'11a�... //l" � Interior Heating ....... �.=.......................................................................Plumbing ...............% / .. ..1.`..: .................. Fireplace Approximate Cost ............................ .................................................................... Definitive Plan.Approved by Planning Board ---------------_-----_---------19--------. Area ..... r%-.5 ......... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 5j I I hereby ,agree to;conform to all the Rules and Regulations of the Townlof Barnstable regarding the above construction. Name .... //1� '. %�!f!//�1 .../ ........... �'J=J72-l/4 C 6 I� BUILDER' V\ � No 3.2.A§4.... Permit for ...S ' le.-----. � . __I���.iln..DvvelIi��.___________ ' . . � - Location ....Lot...#47......4.5_Betb_I��g��_. - Hyannis ' --------------------------. Owner /� Z.-Builders ' . � ''- of Const_-r__n . , Plot ............................ ` � . \ ' Permit^ Granted Date of Inspection 19 Date Completed � ERMIIT REFUSED ' l� ' � -. --.� -----. . / / ' -'-~"~''--'-' ............T''r----_____.. .--,..-..-.-�� .-.-.--.-...-.-.-.-. ~ �� � -------------.~-.-.-..-----.. ' Approved ................................................ 19 . ---------------^^'---^'-~^--- -----------'------~~-~^'--~-' ' v T \ _ a • C AREA PLAN SCALE : 1 � LOT -* 47 BE7H9 S LANE 151 o a, F" 1 i N S 76 ° 3-4' 0,2" ,E :z t /2 of 74 f h y �* 51101 7 •n, t ooa C;AL./ 27 (f,'ONT) QT.P. TigIN& 3 B,R D157" /ST ss.0 FADl3 1Q I 1 « - nor - w � . � 1 ---- -�- N T� ` .:,•��v.�"'�t� -F-- , .o _ ..��XC��..��� . .,ter . �.._.._ ,�.. _ _..�._ ---� T.�._._ - - - . "r CERFIFY rHAr rHk- McOPOSEo HOM-c .SNDWAI ON rtIIS PLAAf COVFOk".s TD Thy rOWAI OF 8a9usr ZOA J"4!1 iPESULAT/l��tlS,/' p,L AM fE'�r�". ' 27/ -46, 94 19 pF MASS,q k OWNERS BUILDER Charles D. N SP0IHR / p r o� p No. 7468 CL A k: k � !" L Y AJAJ 4,.�p 014.D Erk,5 /sTER Q/Q CO" FARM R0,9D ' °F ss N r4 L.MOO 7-H) ref,QS5• B. M. NOTE * ALL FLEY.S. R,,95ED 0A1 PAYFMe"r e©Oe L o r E-t.,F1✓ +,5-o. oo ' AREA PLAN NOTE: LOT /s nt07 fN PREPAkED reo" ,SuQVEY PI-A kl ���ti�'T��L� ��oo� ��>�� �! . Foe c , � F. OWL-���-1�,� s cA�.,�` t ��-� 50 OCT. 79 8 Y CAPS' e f 5LQh/4)S SUeVEY Co,,' 2 7Z I I / 74 4 a LMAP I SEC P CL LOT HOUSE TO W&I W� 7-EF�' '