HomeMy WebLinkAbout0064 GEORGE STREET Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner
200 Main Street,Hyannis, MA 02601
www.town.bamstable.ma.us
Pre-application for Business Certificate
Date Map G� Parcel
e��
Applicant Information
Applicants Name
Applicants Address lk 4 -e ovoc 4jin
Email Address 1,0,\ t SC r Pe +V k
Telephone Number .50� " cc � — u?j Listed ❑ Unlisted ❑
Business Information
New Business? ----------------------------------------- Yes CN
Business is aregistered corporation? ------------------------- Yes �N
If yes Name of Corporation
Does business operate under the registered corporate name? Yes CNo�
Is the business a sole proprietorship or home occupation? -------- Ye No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business / at. °n
Business Address pvnvU I
Type of Business
Building C mmissi nerdOffice Use Only
Co ditipns 6L /v
V Cull- 104 '_4
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I -V 1/ ,,,, .
Building Commissioner Q6 Date ( Oil
v
Clerk Office Use Only
Town of Barnstable
Building Department
of SHE Tp�
Brian Florence,CBO
Building Commissioner
Y
BAMSTABLE. ` 200 Main Street,Hyannis,MA 02601
y hvss. $,
�j 1639• www.town.barnstable.ma.us
A
Office: -508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: E)
HOME OCCUPATION REGISTRATION
Date:
Name: 1 i l 1 f I I n d Phone#:_ I D,..3�o
Address: I Q -eD Vr,A419 St aQ n1n LVillage:
Name of Business: �,S CO
Type of Business: pe kmMap/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use. Z
• No traffic will be generated in excess of normal residential volumes. O O
• The use does not involve the production of offensive noise,vibration, smoke,dust or other particular a W
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. CL LU
• There is no storage or use of toxic or hazardous materials,or flammable.or explosive materials, in excess U
of normal household quantities. C) Q c1)
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home OW U_ z
Occupation,and not within the required front yard. 2 Z M
• There is no exterior storage or display of materials or equipment. O= O Z
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one = t=
pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to H
exceed 4 tires,parked on the same lot containing the Customary Home Occupation. Z) w
• No sign shall be displayed indicating the Customary Home Occupation. _J U
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be Q
included. O Z
• No person be employed in the Customary Home Occupation who is not a permanent resident of the U J
e ing t. U) J I,the undersigned_h e r nd agxe t the above restrictions for my home occupation I am registering. :D =) O
� CC0
plicant: Date:
Homeoc.doc ev. 1
YOU WSW TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.] You must fi rst obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: R _3 - I R Fill in pleas \ .
a 1:LIT �°'rr' °J I APPLICANT'S YOUR NAME/S: e 0� fyl
l fill
1"'1'' BUSINESS YOUR HOME ADDRESS:
' =r�!» 'TELEPHONE # Home Telephone Number
SOCIAL SEC R I TY OR EIN #: ( E-MAIL: , 'r • C.� r1/�
NAME OF CORPORATION:
NAME OF-NEW BUSINESS TYPE OF BUSINESS r
IS THIS A HOME OCCUPA ON? YES NO / �1
ADDRESS OF BUSINESS. MAP/PARCEL NUMBER Q �/ (Assessing]
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. E Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER' FFIC
This individual has been inr r d f offmit roquiremerits that pertain to this type of business.
Authorized Signature* l
COMMENT.- ��-� �.�U
2. BOARD OF HEALTH
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS [LICENSING AUTHORITY)
This Individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
HE Building Department Services
OFT TOE
Bri au.Florence,CB
Building Commissioner
E atxxsstsr�, 200 Main Street,Hyannis,MA 02601•
MA-I.S.
www.town.barnstable.maus
.°lp FAQ k •
Office: 508-862-4038 "U" ll � V Fax: 508-790-6230
Approved:
AUG 03 2010 Fee: .35
7-0 Per : 16 I/ —?S/
VVIV E[W mit#
UP0 :ATION REGISTRATION
Date,
Name: ,ryx, •` : �t I�I w� Phone#: 5b R i, 2
Address:
Name of Business: nfvv
Type of Bus>:Dess: Map/L.ot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the.dwelling. there shall be no increase in noise or odor,no visual
alteration to the premises which'would suggest anything other than a residential use;no increase in traffic above normal
residential volmnes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a custommy home occupation shall be permitted as of right subject to the
following conditions:
• -The activity is carved on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• " Such use occupies no more than 400 square feet of space.
• 'T_)iere are no external alterations to the dwelling which are not customary in residential buildings,and there
is no-outside evidence of such use.
• No traffic will be generatednormal in excess of residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
•: There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot confirming the Customary Home
Occupation,and not within the required front yard
• There is no exterior storage or display of materials or equipment.
• There are no canmmercisl vehicles related to the Customary Home Occupation, other than one van or one
pick-up truck not to exceed one tan capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containmg•the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the CustDmary Home Occupation is listed or advertised as a business,the street address shall not be
included
• No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the uadersigned, ave read and agree with tfie above restrictions for my home occupation I am'registermg.
Applicant
C ffL Date: J
aomeoc.doc Rev.06&0116 !�n
" i V \\ 1L V 1 J/Lal 1L1.J LL1.N iV
Building Department Services
pFTF4E Tp�
Brian Florence,trBO
�* Building Commissioner
srwffi.s = 200 Main Street,Hyannis,MA 02601
i630. k��� www.town.barnstable.ma us
Office: 508-862-403 8 �DEPTax: O'-�0,-¢?,.�0
JUN 0 g 2018 Approved:
Fee:
OWN OF6H-;i�iSr,SLt Perm]
HOME OCCUPATION REGISTRATION
1)ate:0 InRA)aAY
Name:am�" c 41 ��1� Uo r'.��i ���111/�/I/(}Phone#
Address: e:
Name of Business:
L,12 (A )L,�,
Type of Business: El- 19 1/N -map/Lot
INTENT. It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernable from outside the,dwelling. there shall be no increase in noise or odor,no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be pemmitted as of right subject to the
following conditions:
• -The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
•" Such use occupies no more than 400 square feet of space.
• There are no external alterations tothe dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat;glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupafion,and not within the required front yaid.
• There is no exterior storage or display of materials or equipment.
• .There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing tb Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall bg employed in the Customary Home Occupation who is not a pemanent resident of the
dwelling unit.
L the uncle ve read and agree with the above re ns for on I am registernag.
Appli ate:
H=eoc.doc Rcv.06&0116
c 6
i own oI ijarnsiaDie
FtHE
Building Department Services
o r
o Brian Florence,CBO
Building Commissioner
sAxNsr,�sr.E, 200 Main Street,Hyannis,MA 02601
nrwss.
9� 1659• F www.town.bamstable.ma.us
www.town.bastable.ma.us,orE
Office: 508-862-4038 Fax: 0�8�90-6230
Approved:
Fee: _5 S
Permit#:
HOME OCCUPATION REGISTRATION
Date: - 1
Name: 0 ��( /(,c / / )S' /"� /rC��Cf Phone#: 13 " �1
Address: C r 7. Village:
Name of Business:
Type of Business: (.)(n 01,o r C.(Q. I LE'C46 I Map/Lot: _ oeb
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carved on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• ' Such use occupies no more than 400 square feet of space.
• There are no extemal alterations to the dwelling which are not customary in residentiat buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton-capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing-the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included
• No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
I,the undersigned,-have read and agree with the above restrictions for my home occupation I am registering.
Applicant: ��/C��� C��( �� Date:
Homeoc.doc Rev.06&0116
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
a _ DATE: /- Fill in pleare:
APPLICANT'S YOUR NAME/S: (�"(t �Sri0f 'S ki i rCe1'7 6i
`"ni '� 4%.. ✓
3 � s BUSINESS YOUR HOME ADDRESS: 4 C-7 (2f'('c \-ts p jjil Z<ZW 1
TELEPHONE # Home Telephone Number R/
owe
NAME OF CORPORATION:
NAME OF NEW BUSINESS C n ' CC TYPE OF BUSINESS ?r nI
IS THIS A HOME OCCUPATION? YES
ADDRESS OF BUSINESS 11S /Lt' MAP/PARCEL NUMBERC2�3 Q V (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING CO MISSI NER'S 0 ICE
This individ all h n n of y pEifrmit requirement that pertain to this type of business.,,tS; COMPLY WITH HOME OCCUPATION
U �.-S AND REGULATIONS, FAILURE TO
ho Si g n altilre** 7; MAY RESULT IN FINES.
OMMEN :
1 n
2. BOARD OF HEAL
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
S?'
�4
Print Page Pagel of 3
: ,Print thisthisp ge"�:E�
• Owner Information - Map/Block/Lot: 291 / 080/- Use Code: 1010
Owner
Map/Block/Lot GIS MAPS
MIRANDA, MAXIMINO M 291 / 080/
Owner Name & RENATA SANTOS Property Address
as of 1/1/15 64 GEORGE STREET
64 GEORGE STREET
HYANNIS, MA. 02601
Co-Owner Village: Hyannis
Name Town Sewer At Address: No
GIS Zoning Value: RB
• Assessed Values 2015 - Map/Block/Lot: 291 /080/- Use Code: 1010
2015 Appraised Value 2015 Assessed Value Past Comparisons
Building $ 88,300 $ 88,300 Year Total Assessi
Value: Value
Extra $ 36,100 $ 36,100 2014 - $ 194,900
Features: 2013 - $ 194,900
Outbuildings: $ 2,200 $ 2,200 2012 - $ 210,000
Land $ 68,300 $ 68,300 2011 - $ 207,200
Value: 2010 - $ 243,900
2009 - $ 275,600
2015 $ 194,900 2008 - $ 304,200
Totals $ 194,900 2007 - $ 303,300
Residential Exemption Received= $87,192 rnQ�
• Tax Information 2015 - Map/Block/Lot: 291 / 080/- Use Code: 1010 \lT f
CC/
Taxes 1
Hyannis FD Tax $ 442.42 r '
(Residential) r
Community Preservation $ 30.05
Act Tax �
Town Tax (Residential) $,001.68 Fiscal Year 2015 TAX RAT S HERE
1,474.15
. Sales History - Map/Block/Lot: 291 / 080/- Use Code: 1010
http://www.townofbamstable.us/Assessing/print l 5.asp?ap=0&se... 5/18/2015
Print Page Page 2 of 3
History:
' Owner: Sale Date Book/P Saleage: price
MIRANDA, MAXIMINO M & RENATA SANTOS 2014-08-29 C204293 $241'
DETER, WILLIAM E JR & SYLVIA Q 2011-05-02 C 194161 $1951
COPPOLA, FLORENCE SUZANNE 2003-08-26 C 170328 $1
COPPOLA, FLORENCE S & SAWYER, MARGARET 2001-01-26 C160496 $1
COPPOLA, FLORENCE SUZANNE 1996-09-15 C 141944 $1211
PARATORE, DOMINICK J & 1986-1,2-15 C 10953 5 $142'
COLOZZI, ANTHONY E&MALVENA 1979-05-25 C78251 $0
. Photos 291 / 080/- Use Code: 1010
. Sketches - Map/Block/Lot: 291 / 080/- Use Code: 1010
' GAR
$, 11
w
As Built Cards:Click card#to view: Card ##1
• Constructions Details - Map/Block/Lot: 291 /080/ - Use Code: 1010
Building Details Land
Building value $ 88,300 Bedrooms 3 Bedrooms USE CODE 101,
Replacement Cost $105,153 Bathrooms 2 Full Lot Size 0.34
(Acres)
Model Residential Total Rooms 6 Rooms Appraised $ 68
Value
http://www.townofbamstable.us/Assessing/printl 5.asp?ap=0&se... 5/18/2015
f
Print Page Page 3 of 3
Style Ranch Heat Fuel Oil Assessed Value 68,31
Grade Average Heat Type Hot Water
Minus
Year Built 1969 AC Type None
Effective 16 Interior Hardwood
depreciation Floors
Stories 1 Story Interior Walls Drywall
Living Area sq/ft 1,265 Exterior Wood Shingle
Walls
Gross Area sq/ft 3,447 Roof Gable/Hip
Structure
Roof Cover Asph/F
GIs/Crop
• Outbuildings & Extra Features - Map/Block/Lot: 291 / 080/- Use Code: 1010
Code Description Units/SQ ft Appraised Value Assessed Value
FPL 1 Fireplace 1 story 1 $ 3,400 $ 3,400
PAT1 Patio- Average 533 $ 2,200 $ 2,200
GAR Attached Garage 384 $ 9,500 $ 9,500
BMT Basement- 1265 $ 23,200 $ 23,200
Unfinished
• Sketch Legend
Property Sketch Legend
B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only
BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium
BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure
BRN Barn GAR Garage TOS Three Quarters Story(Finished)
CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished)
CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished)
FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished)
FCP Carport KEN Kennel UTQ Three Quarters Story(Unfinished)
FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic
FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished)
FOP Open or Screened in Porch PRT Portico WDK Wood Deck
PTO Patio
http://www.townofbamstable.us/Assessing/printl 5.asp?ap=0&se... 5/18/2015
f
CAPE C06OWN OF BARMSTABLE
INSULATIO =t = :sil'=
;.:
NBER OEA55 5-;US5 $PflATIOAM SVSPFNDED
NAM GUTf4kl INSULATION QK(N05
1-800-696-6611 V If 'll
Town of Barnstable
Regulatory Services
Building Division
200 Main St � /
Hyannis, MA 02601 u v
Date:
Dear Building Inspector
Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed &
completed the insulation and weatherization work at the property listed below. Cape Cod
Insulation did this in accordance to the specifications listed on the building permit
application. All work has been inspected by a certified Building Performance Institute
(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements,
Property Owner Property Address Village
Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted
Ceilings
Cap:-V1)f
Slopes ( ) (X ) (M ( ) (X)
Floors SoIj (.x )
Walls ( ) ( ) ( ) ( ) ( )
/4,r fe
Sincerely
He y E psidy , President
Ca e Con, Inc.
i
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Application #
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board / �--
Historic - OKH _Preservation / Hyannis
Project Street Address
Village ,42AZ/1
Owner , Vl el,4�z�z:�! Address
Telephone tf"�� e 7,2,1 0 g,/a
Permit Request /Z�d C'//�.f.J / /���v f� t Za ee
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 6 Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach3s�pportingmdocur�a,�entation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) y C
Age of Existing Structure Historic House: ❑Yes .�Mo On Old King's Highway:-Q Y > B'No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Otherk
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
P-
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: _ existing —new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name Ae 4e Telephone Number
Address Zlg,:g� License #
GI /filY10 4,�k Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
� U
SIGNATURE DATE Z
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED :
MAP/PARCEL NO.
Y .
r
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION' t s
FRAME
INSULATION
FIREPLACE
,S ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS- �:••- ROUGH : FINAL
'k F_INAL BU
N ILDING
t
• .DATE CLOSED OUT
k ASSOCIATION PLAN NO.
I
01
sic X
10 Park Plaza - Sui e 5170
i
Boston, Massachusetts 02116
Home Improvement Contractor Registration
y, Registration: 153567
Type: Private Corporation
Expiration: 12/15/2012 Tr# 206433
CAPE COD INSULATION, INC
HENRY CASSIDY
455 YARMOUTH RD.
HYANNIS, MA 02601
Update Address and return card. Mark reason for change.
Address r ,I Renewal Employment I Lust Card
s-Chi 0 Sum1-o4;u4 Gio1216
0Ilicc.t oz s [l
ie Affairs Bus ne -R'eg,ulation LiLuo?e or registration valid for individu! use a:^!y
�/� '1u�etla before the expiration date. If found return to:
HOME PRtA "
Registration: 153567 Type: Office of Consumer Affairs and Business Regulation
a% lit Park Plaza-Suite 5170
Expiration: 12/15/2012 Private Corporation
v Boston,MA 02116
POD INSULATION, INC
HENRY CASSIDY
455 YARMOUTH RD.
HYANNIS,MA 02601 —- -- --- -- — ---
llnticrsecretary t alid Ith t SI lure
'= !\la..:;rhusrtts-�cpartnlcnt of Public Safct�
Boar ) t Buildin- Rc�-ulations and Stan(I:u•ds
® 4011;truction Supervisor License
rm
L•icef)—: CS' 100988 trxr t.;,t'hi,
HENRY CASSIDY
8 SHED ROW
WEST 1-ARMOUTH, MA 02673
Expiration: 11/11/2013
Tr#: 7620
l-
LvIL No, 1605 P. 1
Client#:4597 CCINSUL
ACOR0., CERTIFICATE OF L ABILITY INSURANCE
DATE(MMIDOlYYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTI LITE A CONTRACT BETWEEN THE ISSUING INSURFR(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:I----f the cerljflcata holder Is an ADDITIONAL INSURED.the policy(ies)must be endorsed.If SUBROGATION 13 WAIVED,sub)ect to
the terms and condlilons of the policy,celtaln pollcles may ruquI. un endorEumenl.A Btatement on this certificate does not confer rights to the
certificate holder in lieu of such endarsement(s),
PRODUCER ----------------
Rogers&Gray Ins.-So. Dennis NAME: %rat YounPHONE434 koute 134 ArcNo Exl0-0602 uC No. 677-816-2156
E-MAIL —
South Dennis, MA 026UU-16U1
508 398-7980 _INBURER(0)AFFORDING COVERAGE NAIC N
INSURED
____ INSURER A:Peerless Insurance �18333
Cape Cod Insulation Inc INSURERS:Evanston Insurance Company w
455 Yarmouth Road INSURER Atlantic Charter Insurance —�
Hyannis,MA 02601 UIsuRER2:.Cammerce Insurance Company 34754
INSURER E:
COVERAGES _. mWREKF:
CERTIFICATE NUMBER: REVISION NUMBER;
13 TO CERTIFY 711AT THE POLICIES OF INSURANCE NELOW IfAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFrORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWIQ MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L R TYPE OF INSURANG� ADDL SUER POLICY EFF POLICY EXP
POLIcv NUn+uER MMIDDIYYYY MMIDDNYYY LIMITS
A GENERAL LIABILITY CBP8263063
4101/2012 04/01/201 EACHOCCURRENCE $1,000000`
X COMMERCIAL GENERAL LIABILITY ENTED
RANI"E ....11 nce MU QUQ
CLAIMS-MADE �OCCUR
MED EXP(Any ono perreon) g 5 000
PER90NA4&ADV INJURY S 1 000 000
OENERALAOCIREGATF 52,000,000
tAUT
N'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO LOC PRODUCTS-COMPIOPAGG $2 000 000
ent
OMOdILEUA9WTY 12MMBCKVMK 4/01/2012 04/01/201 COMBBIINEDSINGLELIMITAIJY AUTO
ALL OWNED SCHEDULED BODILYINJURY(P.,AUTOSxAUTS _ BODILY INJURY(Par ai:cidenl) L
HIRED AUTOS X NON-OWNED PROPERTY DAM
AUTOS
S
` S
B X UMtiRkLLA L1AB occur, XONJ453512
4/0112012 04/01/201 EAcrlOCCURRENCE $1000,000
EXCES u 6 q8 CLAIMS-MADE , -
AGGREGATE $1�000 QQp
Deo X Rerelvnorl 10000
WORKER5 COMPI:NBATION —
ANDEMPLOYE"'LIABILITY YIN WCA0052500, 6130/2012 06/30/201 X WcsrATU --(Dili.
ANYPROPy21ET0 PgR7'NE ECUTIVP E
OFF(CER/MEMU EkClUO � ] NIA C.L.EAON A0010FNT 1 000,000
(Munrlutory in NH)
It yae,deecriba under E.L.DISEASE-EA EIV+PLOYEE $1 000 OLIO
DESCRIPTION OF OPERATIONS bolo.
-- E.L.DISEASE,POLICY LIMIT 1$11000,000
DESCRIPTIOR OF OPERATIONS I LOCATIONS I VEHICLES(Atlaah ACORD 101,Addhlonal RW,, rkc sshpdwa,It more sppc916 t9Nulred)
-Workers Comp Information°"
Included Officers or Proprietors
Certificate Holder is included as an additional insured under General Liability when required by written
contract or agreement.
CERTIFICATE HOLDER CANCELLATION
Cape Cod Insulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES FIE CANCELLED PEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERIED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®188 -2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010/05) 1 of 1 The ACORD name and logo aru rOgislered(narks of ACORD
NS83849/M83848
MHY
The COMIM011 of Massachusetts
Department .I! iidustrial Accidents
0jfi CT ;.31 Investigations
600 VV ,j�,'fm,igton Street
----------- Bost, ,i. 02111
VV Y1,,i I �'S.gov/dI(I
1Vorkcl`s (-,om tie iisation I iisurance A t'fio., ;i: Budders/Contractors[Ei iectricialls/1-14111.1 be rs
Please Prillt Legibly
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Z� Z AIC you 411 Vitiploycl.? Clieck (lie kippropi-ilite box: Type of pro,jeCt (1V(ILIitTd
1,011 a villployti- With 4. [:] 1 am it i,, I dcoffltrilMr and I have 6. New COIlSt I LIC.6011
clilployocs (full and/or p lal.I.-ti file.). hired ill ,I!. contractors listed on R emodelim,
the attach,-I-.11cC14 7. F
pcoprtewt of partnership Thesestim., 1iti.ICLurs have 8.
add lIUVU Ilk.) rIIkPlQYeeSvvorking for employe:,, ii,,j have workers' comp. 9. addition
mc Ili any capacity, [No vvorl�c;j-s, insurall(c,1:
CQUIP Ill"iMallCe 5, We arc:i liponation and its 10, El Electrical ropmil"ol additIOUS
officels I i:i their right of IL 0 PlUllibing i'd[.4111-S 01 additions
LJ I am a hollicowiket doing all wark exemption ji, i tAGL c. 152§(4),and 12. Roof repairs
itiyscl 1. tNo woi kci s' comp. we have 11,-mployees.[No workers' 13. 00icl
HISULIMCC C0111p, ie(]Uired.j
L. .......
\11"apph"'tilt(hit checks box #1 roust also fill out the section below h,I, workers'compensation policy infoiniation
1 Imitc"witcls Mw stltjlflit this iffliduvit irkdI0dGUg they arc doing tkit NY(iii, i-j I,,tj Ilin,out5ide contliciois VIILI5t SULInkit a no,w UffiddVit indicating such.ji k-111wc1ols that check this box must attach all additional sheet showing(1�, !,-i.- Of the sub-contractors and state whether or not those entities have emjfloyros 11
omitucwrs have'lliployccs, 111cy must provide their workers'coilq! 1-i�,s number.
am an employer that isprovidirig workers'conipensation,insioimee for my employees.Below is the,policy and job site
ltlmllilllct�('0nipmy Nam. el
e: Af I �,To' L) Lf C-6 A I
A -ation Dat
Lic. It: 0)r (3b Expii e: O'�,
Jub S11C.Addrcss.
City/State/Zip:
Aild(ll i CU[)Y of the WOVkel-S:' compensation pellsation policy declaration pig,-(;l...wing the policy number and expiration tlate).
I-Aulc ku N'CuIc. :oVC-,la6C its required undof Section 25A of lY1GL c. 15.'r.iji lodd to the imposition of citimillal penalties of a fine tip LQ$1,500,00'Ilikv,)l
011r-yCM Mil)IISUIMMIlt, as well as civil penalties in the form of a STOP\%,(wl:ORDER and a fine Of Lip to$250,00 a day against the violator. Be advised
:upy of illo sWemuiit mik e forwarded to the Office of iljvesti�,m-w,oi the,DIA for insurance coverage verification.
I do here C if under the P ins and penalties of pr r r,ry that the information provided above is true and correct
Date:
j;�l 1h-Z�
1/77'
Otfic-1 use ulily. I)u itut write in this area, to be completed oi, !11'01,town official
City or'Fowll: #
kSLlillg tljltjloyity (circle one):
1 11 ol,Health 2. Building Department 3.Cii.s/I(m it Clerk 4,Electrical Juspector S.Plumbing Inspector
(1:olt'i"
Contact Person: Phone#:
I
OWNER AUTHORIZATION FORM
a. 5el+er
(Owner's Name)
owner of the property located at
(Prop y Address)
a2�Vl.t�
,
(Property Address)
hereby authorize s COC) S Ld Q �7
(Subcont ctor)
an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building:
permit and to pe� orm work on my property.
O ner's S(
gnature
Date
U i
JUN 1 5 2012 �.
R
t
Ehzadeth A. Lynch 2
Attorney at Law
702 Putnam Avenue
Cotuit, Massachusetts 02635
Telephone:(508) 428-7560 Li
April 21, 2011
Thomas Perry,Building Commissioner
Town of Barnstable
Hyannis, MA 02601
Re: 64 George Street, Hyannis `
Dear Mr. Perry:
Enclosed is a Memorandum of Understanding regarding the above
referenced property. Both the Seller and the Buyers have signed indicating that
there is no expectation that the rooms in the basement are for anything but storage.
The Buyers have also asserted that they will not use the rooms for anything except
storage.
If you have questions or need additional information, please let me
know.
Very-truly yours,
Elizabeth A. Lynch
Enclosure
MEMBER
Mr Wr National Academy of
Elder Law Attorneys,Inc.
MEMORANDUM TO: Thomas Perry, Building Commissioner
Town of Barnstable
FROM: Florence S. Coppola, Seller
William E. Jeter, Jr., Buyer - -
Sylvia Q. Jeter, Buyer `
RE: 64 George Street
Hyannis,MA 02601
This Memorandum of Understanding sets forth our understanding of the
two rooms in the basement of 64 George Street, Hyannis.
Ms. Coppola certifies that she is confined to a wheelchair and has never
seen or used the two rooms in the basement. The rooms were in the house,pre-existing
non-conforming rooms,when she purchased the property. They have never been used as
bedrooms and could only be used for storage.
Mr. and Mrs. Jeter agree that when purchasing the property at 64 George
Street they understand that the two rooms in the basement are not,bedrooms and may not
be used as bedrooms. They certify that the rooms are for storage only and will not be
used for any other purpose.
2
Date Florence S. Coppola, Seller
Date Wi i E. Jeter, Jr.
Date Sylvia . Jeter