The URL can be used to link to this page

Home My WebLink About0015 GOSNOLD STREET _� r ,. �� ip 1 fQ N � i i M. 07 ry ai Y. 1 a�1s W a 11/14/14 Thomas Perry, CBO Town of Barnstable Building Division 200 Main St Hyannis, MA 02601 RE: Insulation Permits Hear Mr.Perry, This affidavit is to certify that all work completed for insulation work at 15 Cosnold St(application #201401467)has been inspected by a certified Building Performance Institute(BPI) Inspector. Afl work performed meets or exceeds Federal and State requirements. Sincerely, ` C Conor McInerney ConserVision Energy c,n . m 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f6C � Map jo&%A Parcel aso A ication # Health Division Date Issued 73 1 f1 f L Conservation Division Application Fee Planning Dept. Permit Fee �2 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address �,o�.�o�� •�.E�1 Village •oa .. .� .g Owner C .eayA.acav(.y. Address ft Telephone_ Permit Request ...�S.v.Z•w.da.:z.m�. ou .� ..� �.--�� c.�.....�...ose .,� p►-�1.c+ . � ,.s�:a► ``. �. -L(o C..6`��..o�4� .� 3...o'P a . �s-+'��A..�.. �. ��'� r�'� � \, �it►C�.w�w1P Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain 'Groundwater Overlay Project Valuati0 z.co �b Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family UXO'- Two Family ❑ Multi-Family (# units) Age of Existing Structure iS6L Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Li-Full ❑ Crawl ❑Walkout ❑ Other ®1 Basement Finished Area (sq.ft,) Basement Unfinished Area (s F Number of Baths: Full: existing 3 new Half: existing -m. newer Number of Bedrooms: (0 existing _new Total Room Count (not including baths): existing new First Floor Room Count " Heat Type and Fuel: UrGas ❑ 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 Ca%bam. v4.c_-, Telephone Number +oc$- 'a3- %%%%.N Address '%�(- License# __ZcZ� 8 n z!S Le' Home Improvement Contractor# \-A% Lsa Email Worker's Compensation # mac_ S ce S 3n ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C \ DATE [ 3 's FOR OFFICIAL USE.ONLY APPLICATION# DATE ISSUED t MAP/PARCEL NO. • ADDRESS VILLAGE a r OWNER.- DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH := FINAL FINAL BUILDING t P, DATE CLOSED OUT ASSOCIATION PLAN NO. r ' f 4, OWNER AUTHORIZATION FORM Lynne Cavanaugh. (Owner's Name). owner`of the property located at 115 Gosnold. Street (Property Address)` Hyannis, MA 02601 (PropertyAddress) hereby authorize; ( cJ (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain:a buildi g permit and to perform work on my property: L nna CavanAugn(Feb 25. 94) Owner's Signature Date - Office of Consumer Affairs&Business Regutatiori License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration.date. If found return to: Istration• 171251 Type: Office of Consumer Affairs and Business Regulation iratlon¢ 3/1/2016 Partnership: vp 10 Park Ptaza-Suite 5170: Boston,MA>01116 CON-SERVE;ENERGY CONOR MCINERNEY 376 ROUTE 130 SUITE C; g SANDWICH,MA 02563 Undersecretary Not.valid without signature Mass.ac usef18 -Depar?me?t Oi Board of Building Reguiatfohs-;nd!Stzindaals cease.CSSL ti02778 .} CONOR D NICEq"EY 39 SWCONSET llRIVE- SAGAMORE BEACH MA 02562 C.bmi trss{a er 08M912014 I: "1 CONSENE-01 MVAUGHAN Rv� CERTIFICATE OF LIABILITY INSURANCE �3sarsl�o 3 n 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.CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER, IMPORTANT: 0 the certificate holder lean ADDITIONAL INSURED,the poAcy(les)must be Endorsed. N SUBROGATION IS WAIVED,aublect to, the terms and condtllons of the Polley.:certain po!lotse may Nqulre an endorsemenL A statement on this certificate does not comer rights to the: cerdgeate holder In ilea of such endorsement(*). FR0o1 czTEVC, Strategic Business Unit 4Ro�� royIns.-�nnlaBranch PN E 608 398-7990 8T7 818.2166 South Dennis,MA 02060 INS "FoR0 w COMERWE NAIB I -: - INSURERA:Selective Ins.co.Of the Southeast .INSURED. 'INS1AiPAB.i - Con-Serve Energy.Inc. wsuaenc dba CorroeWhfon Energy NNwReto $07 Main$L Hyannis,MA 02601 UUURede: COVERAGES CERTIFICATE NUMBER: REVISION NUMBEfL_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 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 70 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE RSURANCE.AFFOROEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. UR TYPEOF YAWAMCE POIA.Y 01 lfF - LY{TS eEeERAltaeamr EACHOC4VRAENCE s 1100010 A X cotIMERCMLDENERALUAeuTY 0112" 3M4P10'I3 3N4121)14 PREMISES uwmnc S 100, UAIM3,MAOE rXI OCCUR 10,00 PERSONALa ADV'INJURI': b. 1.00010111 - GENERAL AG W41XIATE. $ 3,000,00 EENLAGQtEGATELAUTAPPUESPFA: - PRODUCTS-COMPJOPAGO S - 3,000,00 - . X PONY 1GC 1 . AUTUNOREUABHrrY ANYAIrtO BODILYIWURY W'aDerwrU i - AlJ W D SCKEDMED AU - 8001LYINJURYIPaemwem S-. kCRED AUTO$ ! - - UWRE 1AUAe EACHDOaIRRENCE S . At;CiRED4rE DED METIWA wommempemim ENt�w AMD EURAYFAS`LIAWrY A ANl EYrN O 9XCLUCWr ® NIA - E1W1p1ACCIDENr S 600, _ E.IOLSFASE-EAEAHIME S 600,00 OFAPER0kVMbtloi+`. ...... ...-. .. E.L.WrASE-POUCYUMR 5 600;0 N 77 - OESCRIDTIeN OF ODERAl10NarIAr:A710NSrVTiBGESlAt1�AGOFD ICI.AN�IoudRanrlu-8dr0eY.�mnt�fpaesp n•ab+�'. .. .. .. . .. �: .: ::: "EXCLUDED OFFICERS UNDER WORKERS COMPENSATION:COMA S COURTNEY MCWERNEY"NOTE THAT BLANKET ADDITIONAL INSURED COVERAGE APPLIES TO THE COIL AMC1AL GENERAL LIABILITY(IF A WRfTTEN CONTRACT IS OBI PLACE). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABO/E.DESCRIBED POLICIES BE CANCELLED BEFORE - - RISE,Engineering THE EXPIRATION DATE THEREOF, NOTICE VIIILL BE DELIVERED IN 1341 EImw00d Ave. ACCORDANCE VATH.THE POLICY PROVi=NS. Cranston,RI 02910: AUTI OFMO NEPRESE MME 01989-2010 ACORD CORPORATION. All rights reserves:.: ACORD 26(2010105), :The ACORD name'and logo,are registered marks of ACORD i I ' The Commonwealth of Massachusetts Print Form ' Department of Industrial Accidents Office of Investi ations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(BusineWOrganizarionftodividua):Can-Serve Energy,Inc dba.ConserVision Energy Address:376 Route 130 City/State/Zip.-Sandwich, Ma 02563. Mone.#: Are you an employer?Check the appropriate box: Type of project(required): 1.:1 1 am a employer with 8 4. ❑ I am a general contractor and l employees(full and/or pan-time). # have hired the sub-contractors 6. ❑New construction. 2.❑ 1 am a.sole proprietor or partner= listed on the,attached sheet: 7. ❑Remodeling These sub-contractors have ship and have no employees 8. ❑Demolition working for me in any capacity, employees and have workers' comp.insurance.* 9. ❑Building addition [No workers'comp.insurance P• required.] 5. ❑ We.are a corporation and its io.❑Electrical:repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself.[No workers'comp: right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(.11 and we have no l 3. ✓❑Other Weatherization 2013 employees.;(No workers' comp.insurance required.} *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submitthis affidavit indicating they.are doing all work and then hire outside contractors must submit a new affrdavit'indicating such.: tContractors 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. tf the sub-contractor:have employes,they must provide their wo kers'comp.policy number: I am an employer that;s providing workers':compensadon insurance for my employees, Below is the policy and job site information. In Company Name:Selective Insurance Co.of the South-t8t Policy#or Self-ins.Lic.#:WC7956539 Expiration Date:3/14/2014 Job Site Address: City/State/Zip: . Attach:a copy of the.workers'cotnpensatioa;pohey declaration page(showing the policy number and expiration date)., Failure.to secure coverage as required under.Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a. fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerri :under the airs and penalties 4*dury that the M ormadot7 provided above is true and correct Si e: katc= 2013 Phone#:508-833-8384 Official use only. ;Do not.write in this area,to be completed by city or town of ciat City or Town:: Permit/License#' issuing Authority.(circte.bne):: 1.Board of Health 2.Budding Department 3.City/Town;:Clerk 4.Electrical Inspector 5.Plumbing inspector'_ 6.Other _. . Contact Person: Phone#: j �� PeJ ft- E -7�u ! :.s Assessor's map and loft nu r• .,.3.�... .!...r?d...�.� :® "' s� I SYSTEM Ns rD �. tN COMPLIANCE •INVAL LED TATE v ' t ";TiCLE Ii S .- IT�1 A•. • S6vaa Permit number ............ �.. .... G4!"��1L 1 g `1 �� ITARY CODE AND TOWN *• �OFTHET�� TOWN OF "BARNSTABLE BARNSTABLE, i I M6 qlay N 0U1LrDIH'G INSPECTOR ` APPLICATION FOR;PERMIT TO ...rwa ................... .... ,+�� /......... ®Y�-. !.�./. ........................... TYPE OF CONSTRUCTION ...:......L/.�.P�C�..QL ,�" =� r�............. . :......191% ..4� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit.according to the following information: Location ........../57........ d�. ....... s ...... .. . M .,n.j.*5 ........ 1.................. Proposed Use j.. .. •••• Zoning District ......../\..13 ............................................:.......Fire District .....:..ry� .G�!f/a�I/��..5................................. ine Name of Owner .j�..p�.l4d.... .1�.':.. ..I.Address Fe3;..aA F& ...V .. . Name of Builder .... 11:.... Ig.� �. ! /f.Address . ... ....V .. ..44. 46vt. �/ Nameof Architect /� kl��' �—................ ...... Address .................................................................................:.. Number of Rooms ....... ...................................................Foundation rA�Pgke�.......4��• ..I"e....... Exierior e,�. :&, .z........5A.)... ...Ae.5.....................Roofing ..... ....... /..... � .... ... LOrh G. G�..r .......................................Interior ...... Floors �� erg............................................:..... Heating Plumbing ........./..!...4r ................................................ � 45 Fireplace .............. .............................................Approximate Cost ' F....::................................. Definitive Plan Approved by Planning Board ----------_---------------------19________ . Area .........�a.. ......................... Diagram of Lot and Buildingwith Dimensions ....................... Fee �jS.I..er�J SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name.. L.......................•......... 324-05b-0 Sun & Surf Motel Addn 2 Rooms -No .18.5.52..... Permft,for tun..&..Su.r.f..MQte1. ................................................................................ Locatio4 ..!qq.§nold.. ................ .................................... ....................... Owner ...SYn....kAurf..Mpte,I...,.................... Type`.oi Construction ......Wood..Framr e.............. ................................................................................ Plot .............................. Lot .............................. Permit'Granted July. 3.0......19 76 Date*of Inspection ......................................19 Date"C8mpletecl 4, ...................19 PERMIT REFUSED . ............. -19 ................... ................................................................................ �' �/ _ 't ' - . ...............................4................................................ ................................................................................. ................................................................ ............... "Approved ................................... ............. 19 ................................................................................ .......... ax: pr P. 01 Boston College Rocker Conte Forum - Chestnut Hill,MA 02467 Tel: 617.552.3028 www.bceagies.com Fax: 617.552.0029 T- RAfllTlg# 9F EXCELLENCE 1949 NCAA CHAMPIONSHIP 2001 NCAA CHAMPIONSH ' 2008 NCAA CHAMPIONSHIP 21 NCAA Frozen Four Appearances 28 NCAA Tournament Appearances 41. Ist Team.AHCA .All American Selections To: A#rL; I -2 v From: , Pages: (including cover) Date: A ax: 1 - 2-0029 Apr 1 2010 09:07 P.02 N � .r HOCI(EP Head Coach Jerry York Associate Coach Mike Cavanaugh 4/1/10 Assistant coach Greg Brown Assistant Coach Jim Logue To Whom it May Concern, Hocksy Operations John Hega►ty NCAA l give Michael Ostrowski power of attorney to make all building and construction CHAMPIONS g P y � CHAMPIONS 1949 2001 decisions at my house located at 15 Gosnold St, Hyannis, MA. 2008 NCAA 19M 1987 1949 1989 Sincerely, 1950 1990 1954 1991 1956 1998 19 1999. 198363 2000 1965 2001 Michael Cavanaugh 1968 2003 C1111MOPNER JWEPH IACOI 1973 2004 µptary PuDNC 1978, 200 1 CWw"Woft v1 1984 84 20086 Julio,2012 1985 2007 l v 1986 2008 BEANPOT CHAMPIONS - 1954 1965 1956 1276 1957 1983 1959 1994 1961 2001 1963 2004 1964 2008 HOCKEY EAST LEAGUE CHAMPIONS 1985 1991 1986 2001 1987 2003 1989 2004 1990 2005 HOCKEY EAST TOURNAMENT CHAMPIONS 1987 2001 1990 2005 1998 2007 1999 2008 Gonfe Form•148 Cammmon An ow 1#281011M1•M815069fn 02407 7 tot 817 552-X28-fax.617-552-0079 � z 'i 3-29-2010 4:29PM FROM M. QSTROWSK I I NC. 608 362 -�1608 P. l Pia.. J1. tiny 4.V4rai Fawn of Barnstable Repl story SeMce Fee, i � '"'� Thomas V.GeUer,Director. BuiYdin=IDarrihioo Ton PtM,CB0, )ltWtftg COsosr ISM0osar 2W Meda SVm-%lyymni4 MA 02601 wWW,10wn.bartl0eb1e.tna.tss Office, 5N-8674032 Fax:503-790-6230 �ic��p�Rl 'APB .�TItDl� ,Y wot Yaltd rebtpur lted Xh=8mprk! MM*Paxaj Number Pm"Address C�ASt•'�� Ci VZ k S� Beside ntial Vmluc at Wont, P�Ftwl�sssltsq fee of 57.5.0Q for work{gttder 9600A.fi0 t Owner's Norms&Addrssss L-Li/ Csattrecter'si tvamc - 6�G1 f ]fslspltane ATumber �.`�(� ^La7 �j 4R i3otet 1mpEovetmeiRt Contractor Liceme if(if appilcablo) Con�tsstl®n,up�iaor'e Li�se 0(if:;gpliseblt) `��"_-�,� ��,_ ��Norktsteta•3 Gompw*M;on I t APR 1 2010 Cbc*onr: 9 am a snte proprietor TOWN OF BARNSTABLE l tftil�Wo�kaE'S CgrrapanaBt60n YlfttiPao6C teaareQ=Company Name Warkmen's Catrtp.Polldy Copy of Iauasraves Campliance Certirkate mud acminpany est b permb. Permit 4iequast(cif box) Q Re-roof(Wipping old sbiulles) Al)cmatructioa debris will be taken to Re-roof(scot stripping. Going over cXki irlg ix+yers of raoo [1 Risglacemont Windows1doords idm.U-Valae (asax'M=,44)#of windows emote teaa�taQ, lam aim of this P"Mit deft Dot cxMP aarglitncc with alter taws dint te`ufadob.it.Moak.Ctramma m,etc. 0" tote, Propc M Owner woes sip Property Owner l.athr 01''emis2ioa: A copy of flse:Rome Improvaes4e etars L"+tsrsle a Coustretttion Supervisor'uccust is regained. SIGNATURE: Q:t�1PF0.>SS1fbRAILK11�llduf6 ysttnk t:3s due Revised 090909 L L la729-2010 A:32PM t=R04 M.OSTROWSKI INC. BW 362 38ra8 P.3 Md t. 11. tU tU 4'U4rM No. 043 F. 1 •, TAe Coa�stsoar.vtA?tld<ofltfia:saelsweJts Dqmt&vm of In&dfrial A coVents office ofinvegigedons IF I 00 WashittWah Sftd Boston,AM 02111 WWmmd;s goWWi2 Workers;'Compenstioa Imursuct Affidsvit.-Soilders/Contractortmeetriciaas!Plumbers d aaasN�®tat Itefforamatiota Phew Pt•ittt Lt:e E% Name(s +o�s.mri�.r}: i ern r►c.- S�I�CF{ ��.- Cr�4�J - Phone Ara you as tjopfoW.Meek the appropriate bolt: Type of pmje(r egaue*: 1.M I sin a evtoyar with 4. S am a pnersl contractor and 1 have hived dsa sub-c'musetoss 6 0No+i+ooaeusicticn Plop (fitll aadla hart sns).a twed on dw sttaelysd abaci T- ❑Rettt+*ft 2.❑ Y�o sole pQoprie0o�t Or ptntner• , g*mod)mv+e no engdoyets These:sub4omuUvs lava S. ❑DewlWcm Working hr ate it employees and havo worltats' �'fah+- 9: [�$uildieg ai�ition Iwo workew to".des comp.Wo maets.t too* a J I❑ We we a oo:poratm stud its 10.0 EWCWcat M*s or additions 3. I am a bmtsommr doiq all wars: oflicen ltm axes WA tba r I I.n Phnobing repairs cradditions saE o wprkats' �of a oa Per MGL ro( - .—� o ISZ,$!j$), dwa havitno I2. Rooftspeizs t (No wodws• 1313 odor coup.iosutum fcq?irG&) `Mv Qtet taeaks!a�Iq a>1gt a>so 1W eat 6ta,aetipp be►o� at�r�aafatY oteipust+oe patnry igfineasidos. }ttomtc Wmft yr*await to weir-it itW-6j tbw m4vin@ A a otk ad am Lie m►uideceeawws vw sAmtt a mew rffAmu ieftshc a st X =C oWAk m*A am&this bins mm dudat maddMhmd OAO a w&=&gta sam orate gmb�matmatam 004 WSW mar pot tbm attitirt br a etogees STtia bt"o oapttgaxr, maM Peov?da Nttbtmt' ta+ Y camber. tat an ��psow'di�tw�er�r' �+tseN�t+as�saee jer� >� Betow k dbe peigey eae�OS �,�a�ttxct ,►rla�: Policy o or st irs.Lic.dr: Date: Job Sits:Addtaatty/Blrttet?ap Attach s copy of the Wet otrs'couVanflon,policy daclarabou pate(sbowlag this policy uuaaber and aplrstiov dste} Fferi!►at to a0ctas t ovata�a es tttsgttired Sacden TSA of MGL a 152 na iced to tbcmpmibm of t tidal paaaltias of a fma up to S l,d0o.00 ad*oaoy►ear ku6sommk as weft m civil pomakim in the!brat of a SPC?P 11Vou ORDER W a fine ofup to SM.00 a dap against the violow. Be advised to a copy ofibis Matamot may be forwarded to the office of lnrestigatioas of to MA for bmwesCo COWMAC Yaicitim .Ida Wy rat Abe IsfamodbORNW&W nbowt 6 trm*and Cosrrat- `' . nets ,3111 oskm m mt)L Do aeiWrik is 6*a�to be eOMpfe(td by�or t�adlelet City or Towat Ptrn:4t/Liraase# i+raiasg Af3sho tp(circle one): 1.Board of 11makh S.Bulldhaj)D�pts►aut 3.City/Tm ov Clerk 4.1lseuieai iuspeetor S.Ruatbiag Inspector !6.Other Coataet Peraoe: Pl►easld: j0'd 2I:OZ OZOZ t� jpW 6Z00-ZSS-Z19:Xp3 J,3ADOH 393703 NOlSOS 3-29-2010 &:32PM FROM M.OSTROWSKI INC. BOB 362 3808 P 2 fvldr. )i. iviv 4:!l)rm lia. �543 r• Town of Barnstable RgWat®ry SerViC93 � 'i'>antoet�'.Ge9R,�eetar wf ftg lD ov L ftom Li/era MA 02601 adye/reryn.�aTtiftftlt!`.al�ata9 Otficgr 508-M2-4039 Fait: s08-190.6230 vte,.o t?rsau tonSUM NoMEDwuMM! L � nowe�ne� �o+tpboa�s evtjAWrou ILD10fit►; Salta zap Dane The alnr�t won For' 'vva=mltmdod to include of six Wits at less and m dow bamwwnwk m eqm w individual for bite who dooa mot powvo a b �cO1M°cr l�&u gs oroomtowmm posm(s)who a%=s pmvW of ha&ou vbich hdie mudcs or bftids to reside,an igbA these A.or is itWu W to b0,a cafe w r*v-titer 4weUw&aster or duke d ateaetaraa accalmy so swnb rice Awym Sm a moDmm A person Tha conomb I nam$>srla am ttom in a two-Y pe&d shall not ba eaesidaW a hamtovaW. Such 'Iocaaossa''sw anbaoit to Me Bwft OMCia1 on a fa=sccepta&to tht$tl MU4 offidal,that bet, L �Ct o ft far aft itch weds tN+a�rm wsdaciheb>sAtd�l (SaCttett E09-1.1} IU Vo&=Nmd"how saw fespombdit7 ftrr c*Wj4me with%a Stets Hwldb%Codo uA odw apptoebta eaft bytaates,ranks a"reffideliow. The mad"h@mwwQw,cUdW%a hdabe to t%. nds the Im of l3arnelnbla Snsldim Deptfosaat atioitnwe � peoeedurer taad to and that hw%be nail a with a" end �dI nppes�utodt3nildfeg Now Tma-faody d nRmg,s c mmb*e 35=cubic Hutt or larger wM be fogd and to eozWY vAth ft Stm Bui d Coda$aeries 127.0 Comtm im Coafti. rdtamtow1V Is lawn 7N luefv uses net. "Ar tdpneaw%w pnrtbexeiee.a&fee wj%h o awl"pace&IS mplaaftl De ftm eta siovitiom of this adma=Sae&M lm.1.1.tuft of eawww6doD k> "i1&G haasamm move e+pemo*)for leeem de e& waft answig Mmom +raw"pasm wpmriemr tW)romeoWAW Of=DOM ash an &t"ON"FORM ft MOORN' e�iao of*sa�ieat(cans/1pp�a Q. t:uta fts"iom*w UWdims CWAMA&D&*Woi"5ea6pa 2.1 A?Die D1ot ar"W m"on mas in main m robte ok Dams+kft sabca tAe?4meorlaratlslsss mcsba�aad 4teeeoms+.��cw.ewr�oaed a>aesl B,etdae t�diannttaase4 tad4tOt►er h rwtA tavim a Deeuaod Supsttwar.T6el+om0000oreolSamaa�epete'lroalaulel�sSe��opc►Dti To meh rs 1145 eaqutrr m 9prt aletae Wmit appl cw*m d►a 111t tlomsovaa>ae:xuf�r tTatl amdes�sal tl!&tap�ln�la of a<5�� Os elan tpR pI jC�t�iuue it a�eatrseaa�sumo tA' sevml eo n. Yaf soy 001=mid and wevt WA a boa for tme is year eommaity. �a tjoe i0'd Zt:OZ OTOZ T� J2w 6Z00—ZSS—ZT9:xP3 AD30H 393700 NOiSOH a G Boston College Hockey Conte Forum Chestnut HIII,MA 02467 Tel: 617,552.3028 www.bceaaies.com Fax: 617.552.0029 9F BTELLEACE 1949 NCAA. CHAMPIONSHIP 2001 NCAA. CHAMPIONSHIP-14''' 2008 NCAA CHAMPIONSHIPe ' 21 NCAA Frozen Four Appearances 28 NCAA Tournament Appearances 41 1st Team AHCA. All American Selections , ' rn To: A41rc u From: z� Pages: (including cover) Date: TO 'd ZT:ZT OTOZ T Jdd 6Z00-ZSS-ZT9:xPj ,, NDnH �iq nn- l:-1 Nn I snR m N OF BARNS 8801Y _ Head-Coach g� 0 Jerry York DIVI, ¢ Associate Coach Mike Cavanaugh 4/1/10 Assistant Coach Greg Brown Assistant Coach Jim Logue To Whom it May Concern, Hockey Operatlona John.Hegarry I give Michael Ostrowski power of attorney to make all building and construction NCAA CHAMPIONS decisions at my house located at 15 Gosnold St, Hyannis, MA. 194920082001 NCAA 1948 1987 1949 1989 Sincerely, 1950 1990 1954 1991 1956 1998 19 2000 1963 63 2oD0 1965 2001 Michael Cavanaugh 1968 m03 CH(dGTppH1:R JWPH IACOI 1973 2004 1lolary Public 1976 2005 tbwnan�eaNh d 1984 Zoos Ju16.20i 19886 8 6 (( BEANPOT CHAMPIONS 1954 1965 1956 1976 1957 1983 1959 1994 19s1 2001 1963 2004 1964 2008 HOCKEY EAST LEAGUE CHAMPIONS 1985 1991 1986 2001 1987 2003 1989 2W4 1990 2005 HOCKEY EAST TOURNAMENT CHAMPIONS 1987 2001 1990 2005 1998 2007 1999 2008 Coale faram•140 Cammaaivealth Avenue Chestaal Hill•IOss28hase0s 02487-3861 tel:517-552-3020•W.817-552-8020 ZO 'd ST:ZT OTOZ T .add 6Z00-ZSS-ZT9:xPd ADDOH 391-POD NO] 09 __ r ,00W 'Town of Barnstable *Permit# OErpires 6 monthsfronrissue date ' Regulatory Services Fee BARNSTABLE, ► r MASS. Thomas F. Geiler,Director 1639. A�Q, lfnrnat RESS PERMIT°- Building Division , Tom Perry,CBO, Building Commissioner MAR 3 1 2010 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma,us TOWN OF BARNS TABI Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 Z`i©SC) Property Address t &O eUOL- Residential Value of Work J <7) Minimuikee of$25.00 for work under$6000.00 pp ` Owner's Name&AddressLANK.) ►vim C i{ic-�Z �r F-� Contractor's Name— \ Telephon Number Home Improvement Contractor License#(if applic(ble) • Construction Supervisor's License#,(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ' I am the Homeowner I have Worker's Compensation Insur ce Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to • ;XRe-roof(not stripping. Going over__existing layers of roof) ❑ Re-side #of doors ❑, Replacement Windows/doors/sliders. U-Value (maximum .44)#,of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. II 'Note: Prope Owner must sign Property Owner Letter of Permission. A co of the Home Improvement Contractors License&Construction Supervisors License is quir d. SIGNATURE: Q:\WPFILES\FORMS\building emut forms\EXPRESS.doc Town of Barnstable F'tHE Tp� y " Regulatory Services o� t • Thomas F.Geiler,Director swrwsrwsl E, MAss. 9g, 1679. ,m� Building Division PT�D �a Torn 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 1 Please Print DATE:_��` 1U JOB LOCATION: number ,q street cj village „HOMEOWNER": L ( (�EE rA U �� -2 /'(ll—� Z, nanU home phone# work phone#1 CURRENT MAILING ADDRESS: �l D 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 inspe tion procedures and requirements and that he/she will comply with said procedures and requiremen . Sig a re Ho a er 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 dQ 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 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 form/certification for use in your community. Q:\WPF.ILF-S\FDPMS\bomer--xempt.DOC THE row , Town of Barnstable do i Regulatory Services BAMSTABLE, ' Thomas F. Geiler,Director Muss. 019. � 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 ProT.)erty Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. *t The Commonwealth oflYlassachusetts Department of Industrial Accidents Office oflnvestigations I' t500 Washington Street '! Boston, MA 02111 1`vww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): 1-t3 `c Address: I C> (. 69po t- City/State/Zip: Phone #: 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 construction employees (full and/or part-lime).* 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 Workingfor me in an capacity. employees and have workers' y p y• 9. ❑ Building addition {No workers' comp. insurance comp.insurance,$ • required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or addition 3 I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or addition myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 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. lContractors 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 p4viddingkers compensation insurance for my employees. Below is thepolicy andjob 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 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 fin 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 t ains and penalties of perjury that the information provided above is true and correct. Signature: Date' 7J� 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 S. Plumbing Inspector 6. Other Contact Person: Phone M .4nformation and. Instru0ions 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,constriction 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 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 affrdavit. The affidavit should be returned to the city or town that the application for the pen-nit 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 permit/license number which will be used as a.reference number. In addition,an applicant that must submit multiple permitflicense applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home.owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 4-24-07 www.mass.gov/dia of The Town I Barnstable 9 MAE& Department of Health Safety and Environmental Services s63g. �0 Building Division 367 Main Street,Hyannis MA 02 Y 601 Office: 508-790-6227 Fax: 508-790-6230 Ralph Crossen Building Commissioner January 22, 1996 Donald F.Henderson, Esquire 776 Main Street Hyannis,MA 02601 Dear Attorney Henderson: Please be advised that the following properties are considered single family homes from a zoning perspective and must be used accordingly: 1. 493 Ocean Street 2. 503 Ocean Street 3. 511 Ocean Street 4. 525 Ocean Street 5. 549 Ocean Street 6. 557 Ocean Street 7. 565 Ocean Street 8.. rT5-Gosnc ld-Street-� I trust your client will properly disclose this at the upcoming foreclosure sale. The new owners must contact my office to arrange for a conversion back to single family homes. If I can be of any further assistance,please do not hesitate to call. Sincerely, 1ph M. Crossen Building Commissioner RMC%km To: Ralph From: Kathy Re: 1/26/96 auction of 7 Ocean St.properties+ 15 Gosnold St. Your letter is included as the last page of the attached"Memorandum of Sale"package-which I requested a copy of. Attorney Henderson said that this package was given to all registered bidders for 565, 557 and 549 Ocean St.and that a similar package was given to those bidding on the other 5 properties. There were no extras of that one but he showed me the last page,which also was a copy of your letter. In addition he made a statement,before he started the bidding,that it was the building commissioner's opinion that all 8 properties were single family homes,period-but that any purchaser would have rights under the Zoning By-law to go to the ZBA. In.answer to questions,he also said that there were some provisions under the ordinances for renting to lodgers but that the Building Dept.would have to be consulted in that case. The bank bought back the first 4 for$80,000 each(individually.) (My feet got too cold to stay until they auctioned them as a group.) w TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel `�5� Application # 4:�kxe(91 8(90 , k Health'Division Date Issued Conservation Division NA/ adkAApplication Fee Planning Dept. Permit Fee ' a F _ Date Definitive Plan,Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address 1 G'o5I)o L 6 5 2B;!rT Villages A N ti Owner . M%(- -.Z L 0 1ZNj,3 A-0 tf Address ..SA-Mi✓ Telephone 12 1 Z y' 2-99 j Permit Request Zvi L Ec--k <tJ Ox i P4=Toc 4 Ta-kELL� Square feet: 1st floor: existing Jo kproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation oou. co Construction Typed z Lot Size .L A-e, zs _ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) x, Age of Existing Structure LA 6�ttt.5 Historic House: ❑Yes ;kNo On Old King's Highway: ❑Yes 4No J Basement Type: ❑ Full f Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) A,14 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 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: A Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stover©Yes �VNo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing q�new:;:size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: -.�-1 n5 =? Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -Y Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 7`� Name c N�tz2. A-�% ►}N r'FJ G it Telephone Number C,0 Address Lli L42, Oq-�y• 5 �N,i I License # ✓A A ca 2-t i t� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE YU 0 Ag DATE A OC� k FOR OFFICIAL USE ONLY ` APPLICATION# U. ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE -OWNER -DATE OF INSPECTION , FOUNDATION FRAME INSULATION FIREPLACE y, ELECTRICAL: ROUGH FINAL g PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • r Town of Barnstable Regulatory Services ZAIVi�TAIS` MAS& `E Thomas F.Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: &1-I ✓rtiy'I g a I1 Map/Parcel: 32 Quo Project Address 4� rros-,voco fit, t��tirN�s Builder: 4*e, o w.�E� The following items were noted on reviewing: 4?k) i°��i►/ .V&C--1 Tn A� -410X tcr M 6JI)VN07- Reviewed by: 4Y Date: Q:Forms:Plnrvw R r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors(Electricians/Plumbers Applicant Information A Please Print Legibly Name(Business/Organizarionnndividual): At C R-A-CiI-I- Address: -ZL' k A2 � -- S T 0(0n T l City/State/Zip: Lam,+oti vt4 A- C)Z116 'Phone.#: Co C1 -Z44'( 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 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' • t 9. ❑Building addition [No workers'comp.-insurance comp'��ce' 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P 3.1 1 I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myselL[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.ory LAOther bSLG� comp.insurance required.] *Amy applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ZContrrctors that check this box must attached an additional sheet showing the name of the subcontractors and state wbcther or not those entities have employees. If the subcontractors have=Mloyws,they must provide their workers'comp.policy mamba. 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 certi under the pains•andpenalties ofperjury that the information provided above is true and correct a o� Si atnre• Date: Phone k Le 17 --L Z-y--:69 Official use only. Do not write in this area,to be completed by city or town officia[ 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 • t' 1 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to 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 fok 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 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 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 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 born 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 Cammonwmlth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TO. #617-727-4900 ext 4.06 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia tHE Town of Barnstable OF tp� Regulatory Services BAmsrABLE, Thomas F.Geiler,Director y MASS. 16s9• Building Division �jED MAC A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 K,".town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 91 JOB LOCATION: i 5 &CS,5&L S1 rl�1aA'Nt��S number street village "HOMEOWNER': t'"ll c L (' -/A—*) (!7 1 -7 Z ZL name Aome phone# work phone# CURRENT MAILING ADDRESS: A_o•A or, f AA- 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 pernut. (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 re uireme ts. Signature of Home wner 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 constivction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, XL� 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. A 1 oFYHEr� Town of Barnstable Regulatory Services BAMST9HAS&"Bi'E� Thomas F.Geiler,Director 1639. ArFoya 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 Prop e ty Owner Must Complete an Sign This Se ion If Usin A Builder I, s Owner of the,subject property hereby authorize to act on my behalf, in all matters relative to work authorized by t s building p mit application for: (Address f Job) Signature of Owner Date Print Name 4 If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 0•R(1R RA Q•(IUJNF R PP R M1C C 1()N r Ft"E r Town of Barnstable 0 Department of Health Safety,and Environmental Services rt r P Y� SARNSTABI.E, 9� MASS.0- Conservation Division s63q. ♦0 ATfD t"��s 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX: 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION Iqt NVA41)A-10&4 CO l 7- Property Owner Telephone number Mailing address Gosw�z i S+_ 32-N �o5o Project location Map/Parcel# k— ✓�2 >c c S J1>•^�Cr iLL� S Project description The following minor activities will be reviewed,under Art.27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank. * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement,6"above grade * Conversion of lawns to decks,sheds,or patios that are accessory to single family homes,as long as: -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet. -sedimentation and erosion controls are used during construction * Stonewalls(this d, of include stonewalls for retaining wall purposes,grading and/or fill) Signatur Date /o G Reviewed by Da e _GIS Plan Attached(fee charged for plan) Q/WPFil es/Form/MinorAct #26 Gos og' r t X 4.42 _ ---- 1 32411�5 a E r i j i j r 1 _ j 324110 #23 ! x � r !! i i > i fir.X i j X x� ------------- _ 24044 ! -NOTE:PARCEL LINES MAY NOT BE ACCURATE The DISCLAIMER This map is for planning purposes only. It — —_._ ___ parcel lines on this map are only graphic representations of may not be adequate.for legal boundary determination or #21 r _ 0 5 10 20 Feet F` Assessor's tax parcels. They are not true property regulatory interpretation.This map does not represent an i 324 - boundaries and do rwt represent arcuate relationships to & on-the-ground survey. tit physical objects on the map such as building locations. 1 inch equals 20 feet aWMNMN ..,A �..:., 441g, c ^'r¢±� tq � r tl F,�`r ^ }l�o•','i✓ - � r } �{ �.r;� � #1� tr�a��4��a '.f�yr+ � 1}1;��""' '�f, '�F•g�f`Jg " ai� Jy,��r�r.�: z�� t� ' +rti{. ?#F z '��ii=�iC$�i � = n�r1�j il�.rr � �t"3��Y 1f��`� /+�'"! '• r�, iT 5A' All r, r+zl it -.... ie..r.r.Y.�t.�.f:• �.x"ws.,.r;�sx _,.�.,•-.��`r<" rN i7C�' `�:�`:'r»;..+�w'�� ; s #''.+k+,A��.� .��J! 4 �',^y-oe.>� r�- ¢' �, �� ._ .,� ��.-A�x� � � ..� —..� r �� !'�3 �•� �r *'� ,gyp, $.� !„�:• <^�'.:.v��wrn:.rrs rz.cw.+�+.; w-. -q��•�` �'��`�" .��1 y f'�`4 ;�,�- �T'y'�f r S �' -� ¢Y '� '.s#t%# F�.� sA sr �.� _,..•..:....:_.. ..._ .._...,......... :.. � S+%'6+�:Y'�" � E'�Y4` ' � Yatp�:. *4't�� `,� Fos ' ��y.. � 'n ti`.� t� �`a 4Py*it fir• "&�+q�44�'k5 +►� '4�"� '..tp.�E f tL?';s 3 sryk fK ti1 ITAO.. f�W .!0. ,t *$ r�; 4a.� yC t _ ' ', ,w %Y '!�: s a��..�t� �,pL3►� it-i�. '�°{�l a � .+� � s a '�+c" .z:. , Irk .. a j:` + F , t ■ `s _a GOS�VOLD STREET � 81.10 N89 06"30"E — —------t- ?, t w, r gip : a.}:� Go LOCUS O HA IYFS IS 3 HYANNIS O�. o LOT 2 LOCUS MAP O PLAN REF." 18964F (0. CERT REF." 159087 EXISTING ;;;;;;;; ti ZONING. RB ' HOUSE;;;"""' SETBACKS. 20'-10"-10' FLOOD ZONE." ,.A9„ PANEL NUMBER 250001 0006 D DATED. 07-02-92 EXIST/NG CONC PLOT PLAN OF LAND DECK _ LOCATED AT 15 GOSNOLD STREET EXISTING CONC PAD •�� TO BE CONVERTED TO �O °`� HYANNIS, MA. A DECK ti SHED �~ LOT 1 PREPARED FOR: ASSESSORS MICHA ELL L. CA VA NA UGB MAP 324 PARCEL 050 1 ARE A=8,846ts F LOT 3 APRIL 21, 2008 S�pl6 4p REV 6990, , ` REV." - r REV." YANKEE LAND SURVEYORS" GRAPHIC SCALE & CONSULTANTS LOT 12 zo o W zo 40 90 P.O. BOX 265 UNIT 1, 40 INDUSTRY ROAD MARSTOIVS MILLS MA 02648 / )E-W r J.cD s't CD J A `C-4 2 1 I ,v s I i f I �r j • T LLJ - i i �S C7 h _ _1 cn 1`) I i 1 i I 1 fI I i C/ .. w � ' 0OM� QN Z 36Y''!J M0139 rr0-.t, ap 'SJ13 3gniVN05 rrZ l ..NOGJWN r S1S(' '1'dOIX Z d3DdDl aNIH39 Sd30ddS r� � -_.'�-I9NVH /M �- �Uia 319C1 G6N] H109 0 Gd30NVH 'ISM GiGOd X lViIN 'g dll GOdIS '0'0 rr9l roJ G1109 Jdl 'Aldo ,r9 X ,,Z/l y; w_�_ _ LL_ -�.�� i � � `b ,�� -� � � �� -v� � - . � � � � 1 � � f -�.. r R� � o! � d N� � � � � �` �� - - �__�- -- ...._.�._r__ _ , coo 3 � � � I i i �_l.__ --_— .-. i i 1 1 I i I I I 1 I I j V I I I I I I m = = CS> za a n M M tTt i L (D (3) Ao - _ _ X � QQO np ZCS� � m M 73 Ohm 4> M r- �7 --A�a � CS� � Q � � rn � O � HO I m M '- Z x C) CSC x -'• � fi� z rn �" _ O z73 7o �` 7Z C) �n pi'` • Lti� 1Vi 44 � M 1411 � F ,.� (css ►hs��rG. . J or r h 3 _�s Sill, C.)144. /��/� Uq--(s )fir 1 r 1• S 17 6w, CYJ 1 -,r, 1 - v �..,� �.:� �� f �� ;1 �.. �,� � �� _ _. i :.�� J j Q .,- 3 �� tt � / i � ` ' f / �� f 4�� i �� _� , I � � � �� /� �' _ .� ,,,,� �� , . � �.�. . � � F.,�. i ., '.; p i v �.� i � l 1 %'� � �� ', -- Iilli i , � ; � ! I I li � � � � � � � y a i { y _�--.�.. _. 3 .. _ .. � � •� ��A; �.: >: �•. t.e: . S `, r. ,t �? _ °s .... .�"<, '.. �V ��``� � �� ]�� .� —re 4w ,�. N rt r { 0C1 \�O ®rb ` v i n o! i _ _ 4 to [..� ad LO x V� U , v ,i /r/S 414Yi e1 yl ti/v��s � side. wevfl %'�,oh a �k��i�R- icwAf�r wszr�P k J /f,/O�E A/� l✓Oo4L ,4�7G/ ca%i�1 u� .2-A 9 C ra 7 r e 7x T X i.UG, /UA//F �Yy t�.�11 S fps oop- 6 si 1/ --► . �a E v w - u IL lz Ci �9 � M � r'6 U + 0o rp _y i a I d O y . J Ln 1-1 w a 0 { 00 o d OD � x � a � � o O `t C T �o � . The Town of B• MAM _ arnstable 16 9. `0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Fax: 508-790-6230 Ralph Crossen Building Commissioner January 22, 1996 Donald F.Henderson,Esquire 776 Main Street Hyannis,MA 02601 Dear Attorney Henderson: Please be advised that the following properties are considered single family homes from a zoning perspective and must be used accordingly: 1• 493 Ocean Street 2. 503 Ocean Street 3. 511 Ocean Street 4. '525 Ocean Street 5. 549 Ocean Street 6• 557 Ocean Street 7. 565 Ocean Street Vct. l 5-Gosnold-Streett- I trust your client will properly disclose this at the upcoming foreclosure sale. The new owners must contact my office to arrange for a conversion back to single family homes. If I can be of any further assistance,please do not hesitate to call. Sincerely, 41pph M.Crossen Building"Commissioner RMC/km �tp Town of Barnstable *Permit# 2bD�6D12 � Expires 6 months from issue dates Regulatory Services Fee try * sUMsreat a Thomas F.Geiler,Director F A.O� Building Division -PRESS PERMIT Tom Perry, g CBO, Building Commissioner Fr 200 Main Street,Hyannis,MA 02601 MAR 7 200� www.town.barnstable.ma.us TOWN OF BARNSTABLE Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 L zl O SCE , Property Address Residential Value of Work 'SCE, cc.:) Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 00 i G 14(A-L L- .f LL�e-3 0 E L�, -v A t� .4 V 6 H' Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor fWI am the Homeowner - ❑ 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 gRe-roof(not stripping. Going over existing layers of roof) Re-side Replacement.Windows/doors/sliders.U-Value (maximum.35) *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. I k�-�t SIGNATURE: t Q:IWPFILES\FORMS\building permit forms\EXPRESS.doe Revise020108 L The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeL-ibly Name(Business/Organization/Individual): b4 nt- A-i-A-u&A Address: l (-T b s.uC_,L� City/State/Zip: OLL2 c, Phone.#: ) 7`% %Ll 'ill "2 — Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2:❑ listed on the attached sheet. 7.. ❑Remodeling Lam a sole proprietor or parfner-' ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P ty• $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. 10. Electrical repairs or additions required.] 5. ❑ We are a corporation and its ❑ P officers have exercised their 1 L Plumbing repairs or additions 3. I am a homeowner doing all work ❑ g P _ - 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. TContractors 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.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 DIA for insurance coverage verification. 1110 hereby certify un r the ins and penalties of perjury that the information provided above is true and correct Si ature: 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 representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to 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 number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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 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, I please do not hesitate to give us a call. The Department's address,telephone-and fax number: �1 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 r � Town of Barnstable Regulatory Services an' �E MAS& Thomas F.Geiler,Director Mass. 9� .q i63 `0� iOTE Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property ProP e Owner Must - . Complete and Sign This Section If Using A Builder I, , as Owner of the subject property I 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 pen-nit please complete the Homeowners.License Exemption Form on the reverse side. Q:FORM&O WNERPERMISSION Town of Barnstable �OF SHE Tp�� y�P o� Regulatory Services BARNSfABLE, Thomas F.Geiler,Director 9 MASS. 4,,, 1639• Building Division lEn �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 5 61 CAS P'D0 S number street vill e ."HOMEOWNER!':� l G E'�(f�k� L � L LQ 1�� C.•'�I�II�I�'(,CT�' ' / name home phone# work phone# CURRENT MAILING ADDRESS: !4'� 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 require en Signat a of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions, of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly. when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with'a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns.. You may care t amend and adopt such a fomi/certification for use in your community. Q:forrns:homeexempt Town of Barnstable Regulatory Services sn MA�i E Thomas F.Geiler,Director v $ E16. 66. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize _,.__ to act on my behalf, in-all matters-relative to work authorize 'y this building permit application for(address of job) ig tore 6L0kner Date Print Name i t +' k a S �^ `C�'_ . _ � � W �.S f i a � ' \rev �� ' � � �' �'cam, �'�' -�1 � ,� p ,: - � � ijt y ��'� � l u � r p d 4 JJt �7 P�oFtME rati Town of Barnstable *Permit# �. O� Expires 6 months from issue date aAMSTABLE, Regulatory Services Fee 6�6 00 MASS. a 9� s639. ,0� Thomas F.Geiler,Director Building Division T Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 MAR 6 2003 Office: 508-862-4038 Fax: 508-790-6230- TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 5`— & /1 0 s Residential Value of Work Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Z/( V/ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ' Check one: I am a sole proprietor ❑ I am the Homeowner ' ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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 Windows. U-Value (maximum.44) ❑ Other(specify) *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. Signature Q:Forms:expmtrg Revised121901 BOArRD OF BUILDING REGULATIONS 4 License: STRUCTION SUPERVISOR Number 010001 i r !It iit 1�?130 r� ; xEt6J21�/2b04 Rest0 Tr.no: 27132 j CARL W BERGF' I, 69 ALLYN LN BARNS -ABLE, MA Administrator ..-.--- j -71w � e ✓1 Board of Building Regulations and Standards HOME INI&OVEMENT CONTRACTOR Reg"-ralug tcE+tt�Ib` 0 ' .:�`Exp��rt1oR ?Of,�O/03 . I";� 1 Ype A $4 idual CARL W BERGFC CARL BERGFORSc ^� , N ALLYN,LN BARNSTABLE,MA 02630 Administrator Date ;.. ,yHbur To HILE,..YOU WERE OUT i Of hone 2.7? 9� Area Code -Phone Number Telephoned Returned Call Left'Pakage.. Please Call Was In Please See Me, . Will Call Again Will Return Important Messa e;' L- ai . t `Signed AVERY FORM NO.50-h&`%+ PRINTED IN USA r V PROJECT AGREEMENT . (FALMOUTH PROPERTY) THIS PROJECT AGREEMENT is made as of the 12th day of June, 1997, by and among JOYCE D. BLISS, an individual with an address of 334 East 65th Street, #54,New York,New York 10021 ('Bliss"), MICHAEL CAVALLO, an individual with an address of 15 Chatham Road, Plymouth, Massachusetts 02360 ("Cavallo"); and STEPHEN G. FLEISCHMANN, an individual with an address of 141 East 89th Street,#7-C,New York,New York 10128 ("Fleischmann" and,together with Bliss and Cavallo,the "Members"). WITNESSETH: WHEREAS,the Members are the sole members of Fresh Start Enterprises,LLC, a Massachusetts limited liability company which filed its Certificate of Organization with the Massachusetts Secretary of the Commonwealth on June 6, 1997("Fresh Start"); . WHEREAS,pursuant to the Operating Agreement of Fresh Start dated June 5, 1997 (the "Operating Agreement"), Fresh Start was organized to acquire,.invest in,renovate and sell certain real properties located in Massachusetts; WHEREAS, Fleischmann and the United States Department of Agriculture ("USDA") have entered into an Invitation, Bid, and Acceptance Sale of Real Property by the United States Agreement(the "Purchase Agreement")dated May 17, 1.997, pursuant to which Fleischmann has agreed to purchase from USDA certain real property and improvements commonly known as 10 Jamie Lane, Falmouth, Massachusetts (the "Property"); WHEREAS, Fleischmann has assigned his rights under the Purchase Agreement to Fresh Start; WHEREAS, Fresh Start will purchase, renovate and sell the Property (the "Project"); WHEREAS, the Operating Agreement provides that all profits, losses and distributions of Fresh Start are to be allocated among the Members as provided on Schedule A to the Operating Agreement, which Schedule A states that the Members may enter into separate agreements as to particular projects undertaken by Fresh Start to determine the rights of the Members as to the allocation of profits and losses with respect to such projects; WHEREAS, the Members desire to set forth their duties with respect to the Property and their rights as to the profits and losses with respect to the Property and the Project; and WHEREAS, capitalized terms not otherwise defined herein shall have the meanings set forth in the Operating Agreement. NOW, THEREFORE, for value received and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged,the Members agree as follows: 1A a 1. Fleischmann has contributed Sixty-Nine Thousand Four Hundred Thirty-Seven and 96/100 ($69,437.96) (the "Fleischmann Initial Investment") (receipt of which is hereby acknowledged), which Fleischmann Initial Investment is to be applied toward the purchase of the Property and any expenses associated therewith including, without limitation,the payment of taxes, legal fees, title insurance and other items incidental to the purchase of the Property. 2. Bliss shall act as construction manager for the renovation of the Property and individually or through her agents shall be responsible for obtaining all permits for the Project, hiring a general contractor for the Project and overseeing all aspects of the renovations to the Property. Bliss has contributed One Thousand Dollars ($1,000)toward the purchase of the Property.. 3. Cavallo shall act as registered agent for Fresh Start; open all checking accounts for Fresh Start; with the approval of the other Members,handle business matters with respect to Fresh Start and the Project; and shall contribute up to Five Thousand Dollars ($5,000)at any one time outstanding for the payment of expenses related to the Project. 4. The Members may be called to make additional financial or other contributions during the course of the Project. 5. Upon completion of the Project and the sale of the Property, the proceeds of the sale shall be allocated as follows: a. FIRST,to the payment of all expenses incidental to the sale of the Property including, without limitation,payment of taxes, assessments, utility charges, brokers' commissions, legal fees, recording fees,tax stamps, amounts owed to contractors that have filed mechanics liens or notices of intention against the Property, any other amounts necessary to clear title to the Property, and any other expenses, fees and/or charges incidental to the sale of the Property; and b. SECOND, to the payment of all outstanding expenses related to the Project including, without limitation, permit fees and all amounts owed to contractors associated with the Project; and C. THIRD,to the payment of all outstanding expenses or amounts owed by Fresh Start which are not associated with the Project, including without limitation, legal fees, organizational expenses, banking fees and all other expenses and amounts owed by Fresh Start; and d. FOURTH,to the reimbursement of Fleischmann for the Fleischmann Initial Investment, together with interest thereon at the rate equal to the prime rate, so called, of Fleet Financial Group from and after July 1, 1997; and e. FIFTH,to the reimbursement of all other amounts contributed by the Members which have not been previously reimbursed,together with interest thereon at the Prime Rate from the date of such contribution;and 2 f. SIXTH, one half of all remaining proceeds to Fresh Start as an Additional Capital Contribution from each of the Members, such Additional Capital Contribution to be deemed to have been made in equal amounts from each of the Members; and g. SEVENTH, the remainder to each of the Members, in equal proportions. 6. Before a disbursement may be made under any of the categories set forth in Section 5(b)through Section 5(g) above, all amounts due and owing under any category immediately preceding such category shall have been paid in full. 7. In the event that the proceeds from the sale of the Property shall be insufficient to pay all amounts set forth in Section 5(a), Section 5(b) and Section 5(c) above,the Members shall make a pro rate Additional Capital Contribution sufficient to pay all such amounts. 8. The Members agree that, to the extent that a matter is not addressed by the terms of this Project Agreement(including, without limitation, the making or the failure to make Capital Contributions or Additional Capital Contributions), the terms of the Operating Agreement shall apply. 9. The Members hereby authorize Fresh Start to pay all out-of-pocket expenses, costs and charges incurred by Fresh Start (including reasonable fees and disbursements of counsel) in connection with the preparation and implementation of this Project Agreement. IN WITNESS WHEREOF, the undersigned parties have executed this Project Agreement as of the date first above written. J ` e . Bliss, ember Michael Cavallo,Member Stephen . F 'schmann, Member I H:\FRESHSTARTTALMOUTHPROP\PROJAGMT.LWP 3 w l ,'_ _ T/(�• U�111110J1 t1+C 1 (l . QJ.1Llc useffs Depart rent Of Industrial Accidents ' -�'" i• 61111 I i'asbim-tan Street .• �� ••'_ '• Bnst��n.Atus� (1?III Workers' Compensation Insurance AlTd:n•it Eli nntinnk ntntirin• Please PRINT': _ ....- _ ie�+ My �k rr 1>r csti�n� K C6 (4- Q am`a omeowner performing all work myself. Tam a soil: proprietor and have no one-working in any capacity I m an mplover providing workers* compensation for m}•employees working on this job. enlimati • nnmc! addrecc• cin nhnnc tl• incnr�nrc cn. Holley 0 [; I am a sole proprietor. neneral contra one)and have hired the contractors listed below who nay the following workers compensatio — cnmrintty Hamer ti adrlrcccr cir- nhnnc�• iwmr-inrc rn Halley e cmmn.inv mare �tltlrccc• P -it.•• nhnnc fit•�• nuurnnee cn Holier•tl lttach additional sheet ifnecesia - •� —+ •y•��.--- --- •'• _ "•••• '•�•^�" �- -' —-- a��ure to securr coveraze as required under section ttioonn 3A of AlGL 152 can lead to the imposition of criminal penalties of a line np t 5150U.UU andiur ne A cars• imprisonment a.svell as civil penalties in the form of a STOP WORK ORDER and a fine of5100.00 a day against me. I understand that a ON 'if this statement ma% he furrn•ardrd to the Once of Investications of the DIA for coverare verification. do herchi•crrrift•:under r/ne p�aitrs and penalties ofpedurr:/tat the information prosvded above is true and t /correc. ..aturr �1�iC ��, ^,�, Date l • ` / 'rint name / ► ' I cha e. ` l�a va— !y Phone 0 nflicial use univ du not write in this area to be completed by city or town olTcial city or town: permitilicense# r•ttluildine Department ❑Ucc=in;Board �. check if immediate response is required Qseleetmen's Officr ► C:ticallh ocpartment contact person: phone k MUther Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to pmvtdc workers' ctimpc11s2ti01t f employees. As quoted from the "taw~.an e'ntploree is defined as every person in the service of w'ltctthcr under:: contract of hire, express or implied. oral or written. An rmph rer is defined as an individual, partnership, association. corporation or other legal entity. or any Iwo a the foregoing_ enga_=ed in a joint enterprise.and including the legal representatives of a deceased employer. or tf rccciv er or trustee of an individual , Partnership. association or other legal entity, employingemployees. Howe- owner of a dwelling house haying not more than three apartments and who resides therein. or the occupant of th dwelling house of another who employs Persons to do maintenance , construction or repair work on such dwclli; or oft the __rounds or building appurtenant thereto shall not because of such employment be deemed to be an em; MGL chapter 152 section =5 also states that even state or local Iicensing agency shall withhold the issuance renewal of a license or permit to operate a business or to construct buildings in the commonwealth for an- applicant who has not produced acceptable evidence of compliance with the insurance coverabe required. Additionally. neither the commonwealth nor an} of its political subdivisions shall enter into any contract for tite performance of public work until acceptable evidence of compliance with the insurance requirements of this cfia been presented to the contracting authority. � --..__.�«..r.._. ..._ _�`_: ._. +s:.. �: .._. , ..,...... �•• _:f'.�.:+•i...ai .w..,-�� `L�-•.fie-�^.:... >li>r1 ca nts ll Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation supplyin_= company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the afCdavit. T]te 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 rec l•. please call the Department at the number listed below. to obtain a workers' compensation polic City or Ple—qe be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottc the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permitilicense number which will be used as a reference number. Tile affidavits may be retur. the Department by mail or FAX unless otherarran_ements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any que Please do not hesitate to give us a =11. T. The Department's address. telephone and fax number. Vvl The Commonwealth Of Massachusetts Department of Industrial Accidents _.. Office of lmrestl9ations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 • TOWN OF BARNSTABLE i BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE �• �� JOB. LOCATION CAI n s Number Street address Se on of town "HOMEOWNER" ` • . Name Home phone Work phone - PRESENT MAILING ADDRESS ity town State Zip code The current exemption for "homeowners" was extended to include owner-occupiec dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, 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 Offici on a form acgeptable to the Building Official, that he/she shall be responsii for all such work performed under the building permit. (Section 109.1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the St Building Code aid other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL ote: Three family dwellings 35, 000 cubic feet, or larger, will be required 0 comply with State Building Code Section 127. 01 Construction Control. Engineering Dept. (3rd floor) Map G/ - 'Parcel ®u�p�Ra Permit#- ' ouse# ��12 Date Issued ��co "SC,a�G3✓l �ec� �(Jg � ��OBTAIN A SEWE Board of Health(3rd floor)(8:15 -9:30/ 1:00-4:30)`,� b7.nigONNBCTION PERMR(FgOM T i0N OR TO Conservation Office(4th floor)(8:30-9:30/1:00-2:00) N % GhQo_&dmin ldg.) - �.ME h efini ' n p Enning Boar 19 BARNSTABLE.MAM ' FD MP'�A`u TOWN OF BARNSTABLE Building Permit Application r 'e tr tAddress _1 1 Ctin,s Owner j-r,rs��• � f' �h 4erDn�s Address ' ac.40- e`'d A 4n�_ C Telephone Permit Request -Cu•, �,s S� rzmp rc 4 ee 'a� 12t] &J v �u, &A-L LYirst Floor I Ow square feet Second Floor ;�by square feet Construction Type W Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes p'No On Old King's Highway ❑Yes af4o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing .3 New 3 Half: Existing — New�_� No. of Bedrooms: Existing New 5� Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 2-Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes 2No Fireplaces: Existing New Existing wood/coal stove ❑Yes io Garage:'❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) prone ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Y 1 Builder Information Name_ <4*1„e 4S cL.X- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �� SIGNATURE /X" 0jWd& DATE I ` /D BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) f _ FOR OFFICIAL USE ONLY 40 PERMIT NO. �-�_(� �, • • ��I 1 DATE ISSUED _ MAP/PARCEL NO. , r 1 ADDRESS ' VILLAGE I OWNER i DATE OF INSPECTION: r ' ; _ -• : FOUNDATION FRAME. INSUL-Rifi 31 , FIREPL*4 ' ELEC ,,RWAIL: ROUGH FINAL PLUMBING;; ROUGH FINAL _ GAS: n ROUGH FINAL FINAL BUILDING i t 3/ 9 K ' t DATE CLOSED OUT , i ASSOCIATION PLAN NO. .�- �' / �. ��\��, \v • iK V � V 1 1 j. � -' _ �' / / 1 _ .�_�� . �`� y . F ;� � . �Y � � -- I 8 w - � ., _ � __ - / �`� T _ i �. • 1 r. F a Y • � _. .. t.�hF t er,�,�a 2 5/dw��` Z 203 500 438 US Postal Service ` Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to Street&Number Post Office,State,&ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address TOTAL Postage&Fees is Go M Postmark or Date tL 0 Cn (L A I i Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). I 1. If you want this receipt postmarked,stick the gummed stub to the right of the return I address leaving the receipt attached, and present the article at a post office service y window or hand it to your rural carrier(no extra charge). m r 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. ', r LO 3. If you want a return receipt,write the certified mail number and your name and address °) rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the, gummed ends if space permits. Otherwise,affix to back of article. Endorse front of artic+fe a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. GGD Cl) 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. o LL 6. Save this receipt and present it if you make an inquiry, t o25s5-s7-B-ot 45 a f oFr+r The Town of Barnstable sntuvsxns�, • KOR 1�' Department of Health Safety and Environmental Services F1639. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 17, 1999 Fresh Start Enterprises 2 Royal Crest Drive Apt. 1 North Andover,MA 01845 RE: 15 Gosnold Street,Hyannis To Whom It May Concern: This letter is in regards to the work which your corporation performed on the above address. The deck that was supposed to have been installed over the first floor low pitch roof was never done. The roof over this area also seems to have been improperly installed and needs to be corrected. Please contact me at (508)862-4034 and let us know how you are going to correct this situation. Very truly yours, Thomas Perry Building Inspector TP/cah Via Certified Mail Z 203 500 438 g990602b v a a I 1 \ I j < I .� ��.. _ ___ - _ --�..._r..__ _ _ __l �s ° � � �' + �� c� � � ,� � I � _n o � i � � � c � I �. Z m SENDER: I also wish to receive the � ■Complete items 1 and/or 2 for additional services. m ■Complete items 3,4a,and 4b. following services(for an ■Print too ou.ame and address on the reverse of this form so that we can return this extra fee): card ■Attameh this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address perm ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery CO ■The Return Receipt will show to whom the article was delivered and the date ., c delivered. Consult postmaster for fee. a, v 3.Article`Addressed to: I 4a.Article Number a e$�c cS �`� Y� 4 2 0?� 3 � �{ 3 E o � � — � 4b.Service Type I to ❑ Registered ertlfied ¢ Im w fi = ❑ Express Mail ❑ Insured w V- ❑ Return Receipt for Merchandise ❑ COD C 1 7.Date of Deliv w `z 4 M4 2 0 5.Receiv By Print Name) 8.Addressee's Ad ress(Only if requested and fee is paid) t `-'- H 6.Sign •( nt) -o ig i •� I PS For 1994 102595-97-B-0179 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box• Town of Barnstable Building Division 367 Main St. Hyannis,MA 02601 r' Z °FTHE 1 ,_ . "�. The Town of Barnstable • iasxsrnei.E, • 9 '&659. � Department of Health Safety and Environmental Services rEo " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 2, 1999 Fresh Start Enterprises 15 Chatham Rd. Plymouth,MA 02360 RE:'15 Gosnold Street,Hyannis Dear Mr.Cavallo: This letter is in regards to the work which your corporation performed on the above address. The deck that was supposed to have been installed over the first floor low pitch roof was never done. The roof over this area also seems to have been improperly installed and needs to be corrected. Please contact me at (508)862-4034 and let us know how you are going to correct this situation. Very truly yours, Thomas Perry Building Inspector TP/cah g990602b Y dk co r CA-0 o o.�Al P_/1.�_ � I4 1 1 � � I � � I � f � k � � ' � , iI � � i � � � � � � . j � � i � � i � � 1 1 �. � � ` � } f F `` ff � I I � � i 1 1 f � k � � i 1 i � � i i # � � � f 1 �, � I � i i f � 1 � � t � f � I I j � � ` � � � � j � � i � � � I � ' ( � ' , , � � i E f � � � ► r � � � � � a E � � ! # # 1 � �. ' i , 1 ! � , I � � t , a � � � � � �. � � , a i � � � � � 1 � � � ! II � � I � � i � � � � i t I � � � � i � � � � � � � � � I � � � � � ► � i � , � � t � ® -- - � - The Town of Barnstable • .�srrsrear� , '� ®�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures,which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. CDate ype of Work: Est.Cos ddress of Work• wner's Name of Permit Application: �� f 17 hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied —Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Q l . i`0 `g v,1 Date Contractor Name Registration No. OR nnta Owner's Name oF� The Town of Barnstable MAM 9e�A 16 9. Department of Health Safety and Environmental Services 'FCMo�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 21, 1999 To Whom It May Concern: Please be advised that no occupancy permit has been issued for renovation work accomplished under building permit#25864 as this office did not receive a request for such. Sincerely,. Alfred E.M in -- Local Inspector AEM/km `� �..�.--` �. vV)� o� -��`� � � �, � � �� - �, ��_ --5�� LAIRAJA, KANAGA AND BOTT, P.G. ATTORNEYS AT LAW 46 SOUTH ORLEANS ROAD RIGHARD A.LARAJA - BARNSTABLE,MASSAGHUSETTS OFFIGE: GHRISTOPHER W.KANAGA POST OFFIGE BOX 236 3267 MAIN STREET(ROUTE GA) ANTHONY R.BOTT ORLEANS,MASSAGHUSEITS 02653-0236 (508)362-4200 BENJAMIN E.ZEHNDER - OF GOUNSEL: (508)255-5500 AFFILIATED WITH: RIGHARD D.WALSH FAX(508)255-8844 SHANE&PAOLILLO NEWTON,MASSAGHUSETTS PENNINGTON&HABEN,PA TALLAHASSEE,FLORIDA March 6, 1996 Ralph M. Crossen Building Commissioner . Town of Barnstable Building Division 367 Main Street Hyannis, MA 02601 Re: 15 Gosnold Street, Hyannis, MA 493, 503, 511, 511, 549, 557 and 565 Ocean Street Hyannis MA Dear Mr. Crossen: This is to inform you that this firm represents Secured Capital Corp. of N.Y. , the prospective purchaser of the above properties. I would like to schedule a meeting with you to discuss any outstanding or ongoing building code, occupancy or zoning issues concerning the premises. Please call me at (508) 255-5500 to schedule a meeting at your early convenience. truly yours, min E. Zehnder BEZ/lmb cc: Secured Capital Corp, of N.Y. David B. Greenman 1 ' }.; ..i _- � , *.., .. .. .., ;� ` _ � ..�, -i} ', '. '^. t .� � 1' _\\r\\J ' V .l w �.! \^ • _ .. � E `r � J � � � ., S a ti I iI II � N II �; w° , �. , ' .� r r _y � . r �- 1 , a { t 'r, �` Ilk i + , � n - ., ` a. r r �. ,...�_w ^mot_ _.. - ,�, ✓ , t f r ( II, I t I � i f r _ 1 i � � i ► 1 ► �� ` = � It ,� fl ► .38 :., - /ram, j � II f ► � 1 � \ .��.... ._. __, .... tv �`' • 3 • PAVED PARKING lim ter► �_��, ' �♦ v � ��. �; a\..�� '� ice` � • • . . 3/27/96 Sun `N Surf Apartments All correspondence and documents - see file for 525 Ocean Street, Hyannis i GOS'NOLD STREET i N89 06'30"E 81.10' LD GOS LOCUS rn w o - HA IYES HYANNIS LOT 2 LOCUS MAP PLAN REF 18964F CERT REF 159087 ;;;;;;;;EXISTING .. .. HOUSE%�� ZONING. RB , - . , - . . � �� SETBACKS. 20=10 -10 FLOOD ZONE• A9 PANEL NUMBER: 250001 0006 D O DATED. 07-02-92 EXISTING •� EDECK G coNc PAD PLOT PLAN OF LAND 3C9 LOCATED AT EXISTING CONC PAD .�° 15 GOSNOLD STREET TO BE CONVERTED TO �o HYANNIS, MA. � A DECK. � - SHED b�' �~ i LOT 1 AssEssoRs b�®d®•®�,�� PREPARED FOR: MAP 324 PARCEL 050 MICHA ELL L. CA VA NA UGH AREA=8,846fS.F. `s�018, LOT 3 a oC STE°HEN ® APRIL 21, 2008 Ln DOYLE REV REV n REV.• YANKEE LAND SURVEYORS GRAPHIC SCALE O & CONSULTANTS- LOT 12 20 0 10 20 40 BO P. O. BOX 265 ' 1 1 1 1 UNIT 1, 40 INDUSTRY ROAD AfARSTONS MILLS, MA 02648 LOT 4 IN FEET TEL• 508-428-0055 FAX 508-420-5553 ( ) 1 inch = 20 ft. SHEET 1 OF I JOB 54361 JF