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Home My WebLink About0379 FALMOUTH ROAD/RTE 28 i I -- Date: Nov. 29, 2017 To: Building File From: Robin C. Anderson, ZEO Re: Inspection Complaint: Auto Repair/Noise Complaint Location: 10 Alicia, Hyannis Also Present: Jeff Lauzon, Chief Local Inspector , Prop Owner: Augusto Netto Zoning: RB Conditions: Sunny, dry& mild 55 degrees Reported to subject property on Weds. 11129117 at 9:30 AM. Property: The subject lot is vacant and consists 0.41 acres. It is clearly being used as an extension of the owner's developed property at 379 Falmouth Rd. That property is 0.18 acres with a 3 bedroom, 2 bath dwelling constructed in 1956. The subject vacant lot serves as the rear yard and entrance to 379 Falmouth Rd. 10 Alicia has a large hoop house (exceeding 200 sq ft) on a cement pad with a wood stove. This un-permitted structure is situated within the 10'set back area. Back1round: A number of complaints concerning noise and auto repair. Access of Alicia is gated. Was able to respond.as soon as call came in this morning. We found the gate to be open. No one answered at the hoop house door or at the dwelling. A small dog was inside the house. Exterior &Yard: Found a large RV —Dutch Star MA 4970 G Grand Caravan: White 575.654 Commercial plate/with pipe rack Piece of a car carrier with remnants of an accident on bed. A camping vehicle with Brazilian plate and camping references. Humvee Black MA 866RRH (near dwelling) Conclusion: Jeff will address the building code violation with regards to the permanency of the Hoop house, the installation of the wood stove and the setback violation. As no one is working on site and the owner has.previously stated this is for his personal use, there is no mechanism that trips the apparent activity place of business Action: A cease and desist order is on file addressing commercial activity (which was Previously denied. Augusto Netto does have a place of business in Hyannis (He was on Thornton Drive). 1 Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language 1 Assessing Division Property Lookup Results - 2017 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< "�lPrint Friendly i Owner Information-Map/Block/Lot: 292/080/-Use Code: 1010 � Owner Owner Name as of 1/1/16 NETTO,AUGUSTO Map/Block/Lot G/S MAPS 17 UNCLE AUS WAY 292/080/ I. Property Address HYANNIS,MA.02601 379 FALMOUTH ROAD/RTE 28 Co-Owner Name I Village:Hyannis Town Sewer At Address: No GIS Zoning Value:RB Assessed Values 2017-Map/Block/Lot:292/080/-Use Code: 1010 { 2017 Appraised Value 2017 Assessed ValuePast Comparisons Building $101,800 $101,800 Year Assessed Value Value: }Extra $13,700 $ 13,700 2016-$184,800 Features: 2015-$183,600 2014-$183,600 2013-$183,700 Outbuildings:$1,400 $ 1,400 2012-$183,500 j 2011 -$188,600 i Land Value: $64,900 $64,900 2010-$222,800 2009-$245,300 2017 Totals $181,800 $181,800 2008-$270,800 I 2007-$270,400 I i I Tax Information 2017-Map/Block/Lot: 292 1 080/-Use Code: 1010 Taxes i j Hyannis FD Tax(Residential) $445.41 Community Preservation Act Tax $52.03 Fiscal Year 2017 TAX RATES HERE 1 i Town Tax(Residential) $1,734.37 $2,231.81 Sales History-Map/Block/Lot: 292 1 080/-Use Code: 1010 i History: Owner: Sale Date Book/Page: Sale Price: i NET10, ,kUGUST0 2013-06-20 27476/315 $132000 http://www.townofbarnstable.us/Assessing/propertydispIayscreen17.asp?a... 1 l/29/2017 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 FROSTHOLM,STEPHEN H SR&MARGARET F2000-02-29 12855/207 $105000 1 j FROSTHOLM,STEPHEN JR&JILL 1985-12-30 P1315-El $1 I PLUNKETT,ANDREA L 1983-04-22 3721/286 $0 Photos 292 10801-Use Code: 1010 There are not any photos for this parcel Sketches-Map/Block/Lot:292 1 080/-Use Code: 1010 1 'BLai pen u^`�` wn ' e N�b''t�Uli" 4 �` .cn 4�Q�k1 2V�lYdwiy" { dyLf a TO 20 t Si 6 It i I I As Built Cards-.Click card#to view:Card#1 � Constructions Details-MapBlock/Lot:292/080/-Use Code: 1010� # Building Details Land T ( j Building value $101,800 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $149,678 Bathrooms 2 Full-0 Half Lot Size(Acres) 0.18 Model Residential Total Rooms 6 Rooms Appraised $64,900 Value E Style Ranch Heat Fuel Gas Assessed Value $ i 64,900 i Grade Average Heat Type Hot Air Year Built 1956 AC Type None j Effective 32 Interior Floors HardwoodCarpet 3 depreciation Stories 1 Story Interior Walls Drywall E j Living Area sq/ft 1,538 Exterior Walls Wood Shingle I Gross Area sq/ft 2,458 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp E Outbuildings&Extra Features-Map/Block/Lot: 292/080/-Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value PAT1 Patio-Average 320 $1,400 $1,400 BMT 600 $13,700 $13,700 http://www.townofbarnstable.us/Assessing/propertydisplayscreen 17.asp?a... 11/29/2017 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 L� Basement- Unfinished i Sketch Legend f Property Sketch Legend i B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only i 1 I f i BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium i I BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) i BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) 33 CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) 4 FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story ( (Unfinished) I FEP Enclosed Porch MZ1. Mezzanine,Unfinished UUA Unfinished Utility Attic f FHS Half Story(Finished) PIRG Pergola UUS Full Upper 2nd Story (Unfinished) I FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio i i I t....._.._. ....___.............._ .__- y� Print Friendly Contact Director Edward F.O'Neil,MAA P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. 367 Main Street Hyannis,MA.02601 Public Records Ann Quirk Public Records Re nest P 508-862-4022 367 Main Street Hyannis,MA.02601 Helpful Links to Downloads Abatements http://www.townofbarnstable.us/Assessing/propertydisplayscreen l 7.asp?a... 11/29/2017 Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 SALES LISTINGS Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium VV.Barnstable FD Residential Exemptions Parcel Consolidation Questions about values FY17 Combined Tax Rates Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps FY17 Tax Maps Owned and Operated by The Town of Barnstable-Information Technology Home Departments&Services I Boards&Committees I Residents&Visitors I Doing Business Town Calendar Phone Directory I Employment Email Town Hall http://www.townofbarnstable.us/Assessing/propertydisplayscreen 17.asp?a... 11/29/2017 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �-:209 3 S`b Map Parcel /application # -Z, Health Division Date Issued 1 ` Conservation Division Application Fee Planning Dept. Permit Fee > 2 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Y.1,& gA UT 1?7. Village Owner i/Z IS�/t I(AO, Address 1 Telephone gle Permit Request f/ //i�/�', aOD�i�,�',�efJ// lJ'> (I� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new:. .Zoning.District Flood Plain Groundwater Overlay Project Valuation �50W Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) �� o Age of Existing Structure Historic House: ❑Yes ❑ No On Old Ki g` Highways ❑-Yes 15 ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Otherxa Basement Finished Area(sq.ft.) Basement Unfinished Area (sglft) Number of Baths: Full: existing new Half: existing new w! Ul Number of Bedrooms: 3 existing _new ` 'o n Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # - Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION - - — - (BUILDER OR HOMEOWNER) Name `19#2 Telephone Number 7Z!/ 905,610 5 Address i License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE/ ,i — — DATE �ZX? Z6 i FOR OFFICIAL USE ONLY APPLICATION# DATEIISSUED_ L MAP/PARCEL NO. ADDRESS. VILLAGE OWNER 1 II' DATE OF INSPECTION: 0DUNDAI.ONaI:;fa ik: ry. u �s FRAME - - - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - - F . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION,PLAN NO. + 27te Commo valth of'Massachusefts Department+�,f ludastriul Accidents - Office of Ill{xa igadons 600 Waylzarigton&reet Boston,MA 02111 n"tiv.znas&goWdia Workers' Compensafionhwnunce kffidauit:$uildersfCantractorsMectri.cianslPlumbers Apphm nt Information Please Print Legibly Name qlus�Oiganization(lndividnal7: Address: ,/IC�(l / City/Sta&Zip: / Phone jg �`1��GL 7 61,6L Are you an employer. eck the appropriate bow Type of, oect r. I atri a c ] (required): 4 I.Q. I am a employer with ❑ contractor and I 3 P='6_ ❑New cons5tiiation employees(full andlarpart4ime)* have hired the sub-contractors 2-El am a sole proprietor or partner- listed on the attached sheet y- ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for mein any capacity employees and have workers' 9_ ❑Building addition [No workers' comp_insurance comp.insurauml -] w 5. ❑ Vice area corporation,and its 10..❑Electrical repairs or additions � 3-` am a homeoner doing all work of Ei=ha-um exercised their 1I..O Plumbing repairs or additions myself [No workers'comp- right.of a motion per MGL 12.0 I�of repairs insurance required.]F c_152,�I(4),and we have no employees-[No workers' 131:1 Other comp.insurance required.] *Any appbomt that checks box A must also fill out the section below shouting ffi&workeis'compensation pokey IMEbr-2tion. T Homeowners who submit this ETUbrdt indiuffmg they are doing all wo&and diem hire outside contractors nmsi submit a new afd3vit mclicatiag suds =Cimtcacmrs that check this box mn=attached an additional sheet sba ing the name of die sub-moors and state whether or not these eafities have employees. If the subtonttactm have employees,they must provide their warless'comp.policy numbez lam an emplaper that is prmdding workers'compensation insurance for pity emptayeas. Below is Ste policy avid job site informadom Insurance Company Name: Policy;9 or Self-ins.Uc k ExpirationDate: Job Site Address: City/State/Zip. Attach a copy of the workers'compensation policy declaration page(shossing the policy number and expiration date). Failure to secure coverage as regaireduades Section.25A of MGL r 152 can lead to the imposition ofrrirninal penalties of a flue up to$1,500.Oa 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 y catitn- I do hereby cetjo jnderthapofsandpenaldes afpedury thatthe information prtxtzded above is hue and correct Si lure: Date: .� Phone#: t7,,,f ju;ial use only. Do not write in this area,to ba completed by city or town officiaL City or Town: PernfitUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.Cityfroseu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#_ 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or IocaI licensing agency shall withhold the issuance or renewal of a license or permit operate a business or to construct burldurgs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants _ Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their ceri_ficalc(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 Indusirial 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 Deparment of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licease applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filed 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Depastmeut of Industrial Accidents Office of kvestigatiGas 600 Washington.Strut Boaton,IAA 02111 Tel.4 617-727-4900 Qxt 406 or 1-9 MASWE Revised 4-24-07 Fax## 617-727-7749 www.mRss-gov/dia r 1"UVVu Vl Lasn�...v Regulatory Services �t Richard V.Scali,Interim Director • fig'' f �, Building D1vtslon . Tom Perry,Building Commissioner t m MA 026 01 1 200 Main Street, Hyans, 1659, www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 HOMEOWNER LICENSE EXEMPTION Please Print DAM � 1 om�h- village JOB LOCATIO14 street number tld ,v 7711 , � AOWNER: home phone# �C J work phone# 'HM nam C CURRENT MAILING ADDRESS: /town ' state zip code ed gs of six ts or less The current exemption for.`home owners was extended to include possess a license,cu provided that the owner acts as sup an. s o ow homeowners to engage an individual for hirr. e who does DEFINITION OF HOMEOWNER use and/or farm structures. A person who constructs more than one Person(s)who owns a parcel of land on which he/she resides Suinhtends to reside,on which there is,or is intended to be,a one or two- Person(s)dwelling, attached or detached structures accessory to shall in a two- eain r period shall not be considered a homeowner. Such all sumch workeo ' erformednunder the buildin Oeerrmit- (Secticial on a on home Y acceptable to the Building Official,that he/she shall be responsible o + 109.1.1) . e undersi ed"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, Th gn bylaws,rules and regulations. ersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection The and gn procedures and requir ents that he/she will comply with said procedures and requirements. e of oven Approval of Building Official dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Note: Three-family g Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION construction Supervisors);provided that if the homeowner The Code states that: "Any homeowner performing woofrk for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing engages a person(s)for hire to do such work,that such Homeowner shall.act as supervisor:' uming he responsibilities of a Many hom eowners who use this exemption are unaware that they r Section 2t15) this la k of awareness often r . (see Appendix Q,Rules�&Regulations for Licensing Construction Supervisors,, our Board er hires r results in serious problems,.particularly when the homeO�nsed Supervisor. TheThe homeowner acting s Supervisor s cannot proceed.against the unlicensed person as it would with a licensed ultimately responsible. To ensure that the homeowner is fully'aware of his/her responsibilities, he responsibilities*tie of ammuniSupery Supervisor. on the last ties*require,as part of the permit application,that the homeowner certify that he/she underst 0 f this issue is a form currently used by several towns. You may care t amend and adopt such aform/certification for use in. your community. Q;\WPFILES\FORMS\building permit fbrms\EXPRESS.doc Revised 061313. :, �TME Town of Barnstable Regulatory Services MASS g Richard V.ScaI4 Interim Director ' s63q. �0 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 Complet and Sign This Section If sin A Builder I, as Owner of the subject property hereby authorize to act on ay behalf, in all matters relative to work authorized b this building pe t (A ess of Job) * Pool fences and ala s are the responsibility of the applicant. Pools are not to be filled or utili d before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applic t Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 10/13 . �d ro b �- a �. hq (go �o R 1O E €4C1 P; i 0 ME U VN J 01 I 7 i V � h r m Fctse b i EI 17 :11 ' 1ST M �O AA I- �t I `� F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map °� 080 Parcel - Permit# '/ 4) Health Division Date Issued ll a'zi` ea Conservation Division Feed 0 0 Tax Collector Treasurer Planning Dept. Date Definitive.Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 7!� 40" I ►u .C� Village l/// Owner Alf f 4 /0l S ':P f 06 bo I Address 379 F' /y►11 a UA 63 Telephone Permit Request Sib� Q c) )- S`�o �:vi i n si• g 6 Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Estimated Project Cost .5S_0Q Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family 3/ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing O new size . Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®'No If yes,site plan review# Current Use Proposed Use ' '\ } BUILDER INFORMATION Name V-� t �1, CVv �J pl S ZF Telephone Number 503 - —76 y - C/� d s Address_ �O co, h L� J License# S �� `M v -� ��(, Home Improvement Contractor# /4 Ion Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 7)0 im SIGNATURE DATE _ fJ0 .R 3 FOR OFFICIAL USE ONLY ' s w PERMIT NO. DATE ISSUED MAP/PARCEL NO. _k a e ADDRESS VILLAGE k OWNER • DATE OF INSPECTION: FOUNDATION ' FRAME r INSULATION } FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING Y DATE CLOSED OUT ASSOCIATION PLAN NO. ,� ----_ The Commonwealth of Massachusetts Department of Industrial Accidents �ceollarestigatioos 600 Washington Street - - Boston,Mass. 02111 Workers' Com ensation Insurance Afridavit name: tc A C v U,h s location �� Ccp 1 Q4 the city CI � iM a J \6 phone# ❑ I am a homeowner performing all work mysdL I am a sole rietor and have no one.worldn many aci ////�//O///.��rd��•°' w�.�cr��G,Dom/////,dGi%�'��//��i!�,��''�////.�'�/////i�y0//%%//i�/////.�/%%%//%%%///,�//////.�'//�///%/%%�%%/�%/%/�''9//i� ///////O/�', ❑ I am an employer providing workers'compensation for my employees working on this job. contosmr46im . ..............:........:.::......:....... ................................................... ..........:.::.::....:...::....:.........:.:..........:........................................................................................ ii:isistititi?<::?;{iiiiii::i:!:i:::+ii::?:$jj}:?ti:.iiii:isii•';iti:ii:'::ii?:ii;{}:;is�;i�:j;::;!i?:;i:::iiiiiiii:tiG::::ti:};:ii:ti:ijiii:v ?:!<:•i iii:?.......is ii Yi?iii?{ {::i:ti'SF i:;i:?i:S ::: _ ,:.:. _ ::........................:?::::::.:,::.::::::::::..::::::..:::..,.::::,:.;-::? .V:%::!:ii:�i::viiri:i:!•:}:!}??}:^?:4:^?i?:i???:":?}??}i"???i??:•??i?:•ii:?4:;viiii?i:%} . ?::::::......................0 iiiiii??:•i::..... 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OBntidingJDeparbumtDldcensinebekifhnmedfate response fs regdred OSdec6neOHed&D contact person: abe pbe #; ❑Other Onmed M5 PUS 1 1 1.1 .. 11 11 1 11 1 - • a1 it 1 I i1 iM1 •1/ Pol III r I i1It1• • • • • • • •111•:11 ,11 •It • • :1•III • ii� • • i1 • •111 11 .1/ J I/ / • ll i• :i 1 •11 11 1 • 1• tit t •it 1 •1.1• • 1 :•�• • 1111• i• • • 1.1:11 • I / / L • - •11 i/ ,11 11 •1 •1 • U i) 1 1/ •« .1• •II • •• .1• • 1 • • 1:1 •Y• i111• • .11 •'• • t1• • I • • • 11 • ill 'X• • i1 11 • /1 �lll I •11 • 11 I 11 • 11 'J% - • i•,it l l vl• ti • •i6Ti.: i• it I1U • a 61 II if • • • 1 1/• •1 I U it III• •« .1• •11 •I • 1 a - 'y i11111 i1111 r • 1 • �11111 • • • 1 • •' /it I • • ^1 • 1 • 1 11 ' 1 • 1/ • - 11 ,11 1/1 _ •U .1 I11 i111A .11 • ' 1 • i�Y • 11 fill • 11 - • 11• rl • I t MIPI II 174, • • 1 • OW41• illtll • r i1 •11 • / • 11 IIIIi1 .11 r r•II • 1 MI •II •1 / • •. •II 1 1 • • - 11 • 1 • • •11 11 •J • 11/ • • / • 1 • .11 I 1 .11 11 11 it 1• 1 I / • 1_✓.11 •) 1 1 i1/111 • 11 illl • 1 ii1/1 i• • ► 11 i1111• • ii 1 .1• a iM• •II • Y.11•.� 11 .1 fi:04019r1 1 1 1 1 I 1 1 1 1 1 1 I •/' / / ' I -11 1 1 1/ I I 1 1 1 i1 1 : 1 1 1 •(' 1 1 11 1 : I r 1 11 ' II 1 • 1 1 1 1 �1 r 1 1• •II I 1 ill/1 a 11 •11111•11 • �: 1 1 1 •1 ,11 •) I1. 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I III w•Y.I • 11! u - •1 • i• IU i/ lA • 1 Y.111 • I11.•ti/- •111111�•ILY,II •11 / • ii. 1 V ✓• I /1 1 7o, Ill till .1 II 1..... t. li• / �: . 11 ./ .1 /1y- :• 1 • 1 r111111 wl .11 , • •1111_1 ..'I 1 1 1 , q 111 wl$ffy I tj q,14, .i/ I I,_ «- .1 11 . . r •111 i• I 1 •I ' r I rll 111 11 11 -•11 11 , :r r •) 1 '-. I '✓.1• /11 1 1• r1111✓. « •• 1 .••Y. 1111 • 1/ r • K111 • 11 I• :11 II /1 •�111111 •'�.1 111111 1 ••1 ' tl «1 I / 1 i• a a ill III111 r�1 I •• 1 I•- 11 I • - 1/1.1 i1 11 1 111/illl I ' 11 II 111 -�. • 11-1 .1• •11 `�i.1/ ..11/. 1 I fill10IIY. 1 1 , .• • I I 'Y.11 •II '• 1 I I II .11 I I 11V.1fil.r.11 r' • • I •• •_1 .II III I 1 1 • • • I .11 • I ■ •11 1 1 I .1 I11 till • •I k I' • 1 •1/ .11 • ✓► 11 111 •.n ' 1 •il 1 1 1 1 � 1 1 I C I • 1 1 ' 1 1 r l 1 1 I 1 , I 1111 1 ' III I1. I11 . AWE A a � .•'Y The Town of Barnstable RJARP rears. • ' �0� Department of Health Safety and Environmental Services . '6►roe'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, an owner-occupied demolition,or construction of an addition to y improvement,removal,d pre-existing P P 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. p l Type of Work:"Re riQQ f -p Ce �eS Estimated Cost 5S0 U Address of Work: 3 6 VA 6 � n`�l�� ► 5 Owner's Name: ./vl !Z f ` 6 U S Yld Date of Application: �U 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 E"ROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby1 apply for afpermi r. }t as the agent of the owner �c.tiv. l�C� I S r 6? k4-- Date Contractor Name Registration No. OR bite Owner's Name q:fomis:Affidav �—• �., x � m i o t, a F: w i Cr .r o —4 x o ;^q.ay c a i I - r M \ D W N 7C N O `e a o I