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0024 JENNIES PATH
P --r/ Citizen Web Request Page 1 of 1 , Lwa `t"5: Citizen Request Management - Internal Use Hai\iE3v.,,f i� Request ID: 48804 Created: 4/8/2014 1:13:23 PM Status: Assigned To Staff Assigned To: O'Connell,Timothy Health Office : Anonymous: No Category: Chapter 54-5 Rubbishand Garbage "- E.C. Date: 4/23/2014 `a Created By: Crocker, Sharon Citations: Health Office Time Worked: 0 Response Time: 0 Requestor Details: Town Council")000c 00 Click Road List Click Road List Ma 00000 )00000000c Email Request Location: 24 JENNIES PATH Hyannis, Ma 02601 Parcel Number: Map: 250 Block: 115 Lot: 000 Request: Caller said there is constantly trash and junk in the yard(had a complaint in March- resolved)There is also a mattress in the yard this time as well. People are home now. Please follow-up with caller. -Request Work History: -Internal Note History: Entered on 4/8/2014 1:13:23 PM by Crocker, Sharon Councillor Precinct2-Eric S. Please call cell 781-859-9103 with status System entry on 4/8/2014 1:13:23 PM: Assigned to Parziale,Jim System entry on 4/8/2014 3:27:56 PM: Assigned to O'Connell,Timothy http://issgl2/intemalwrs/WRequestPrint.aspx?ID=48804 4/9/2014 FLealth Master Detail Page 1 of 1 Ell F r Logged In As: TOWN\oconnelt Health Master Detail Wednesday,April 9 2014 Application Center Parcel Lookup Selection Items Parcel Septic Perc Well Fuel Tank Parcel: 250-115 Location: 24 JENNIES PATH, HYANNIS Owner: NGUYEN,THANG D Business name: Business phone: Rental property: r Deed restricted: r' Number of bedrooms I Contaminant released: r. Fuel storage tank permit: r i `} Saue Parcel Changes k r.Return to"LookupI Parcel Info Parcel ID: 250-115 Developer lot:LOT 20 Location:24 JENNIES PATH Primary frontage: 156 Secondary road: Secondary frontage: Village:HYANNIS Fire district:HYANNIS Town sewer exists at this address: No Road index:0799 Asbuilt Septic Scan: 250115_1 Interactive map Town zone of contribution:AP (Aquifer Protection Overlay District) State zone of contribution:SPLIT Owner Info Owner: NGUYEN, THANG D Co-Owner: Streetl:24 JENNIES PATH Street2: City:HYANNIS State:MA zip: 02601 Country: Deed date:6/11/2012 Deed reference:26401/283 Land Info Acres: 0.39 Use: Single Fam MDL-01 zoning:RC-1 Neighborhood: 0105 Topography:Level Road:Paved Utilities:Public Water,Gas,Septic Location: Construction Info Building No ear Bull Gross Area Living Area Bedrooms Bathrooms 1 1983 332 1708 13 Bedroomsl2 Full Buildings value:$124,500.00 Extra features: $37,300.00 Land value: $106,700.00 J a http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=250115 4/9/2014 MM. DD YYYY ❑Delete NFIRS -1 22 1 JMA 1 1 03 27 Station Incident Number Ex Change Basic 2014 1 114=0001413 000 ❑ -IU ** State* Incident Date * P *osure ❑.No.Activity o Check thie bet.to Indicate that.the addt-. for this incident is provided on the wildland Fite Census Tract I Location* Module In Section B "Alternative Location Specification". use•only for wildland flies. 10 —�J ®Street address 24 U !I JENNIES PA ❑Intersection Number/Milepost Prefix Street or Highway Street Type Suffix ❑in front of ❑Rear of f HYANNIS �. �� 02601 1-1 Apt./Suite/Roam City State .Zip Code ❑Adjacent to I Direct-ions Cross street or directions, as applicable Incident Type * El Date & Times Midnight is 0000 E2.Shift & Alarms 111 (Building fire I Check boxes if Month Day Year Er Min SEC Local Option dates are the ncident Type same as Alarm ALARM always required - IA I 1 nl I �. 1 I n Aid Given or Received* Date. Alarm * 11 27 2014 13:59:12 Shift or Alarms District ® Platoon L ❑Mutual aid received ARRIVAL required, unless canceled or.did not arrive 2 []Automatic aid reCv. Their I Their 0�3 uI ® Arrival * I 271 L 20141 14� 04:35 E3 3 ❑Mutual aid given State CONTROLLED Optional, Except for wildland fires Special Studies. l ❑Automatic aid given I I ❑Controlled J L� Local option ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires Incident Number Last Unit Special Special d ®None ® Cleared 1031 �l L 2014[L 27.1548 Study ID# Study Value Actions Taken* Gl Resources * G2 Estimated Dollar Losses & Value ❑ Check this box and skip this LOSSES: .Required for all fires if known. Optional section if an Apparatus or 11 (Extinguishment by fire I Personnel form is used. for non fires. Non Apparatus Personnel Property $I 1 , 1 020 , 000 ❑ Primary Action Taken (1) Suppression 1 0003 1 0013 Contents $1 1005 , 000 ❑ 12 (Salvage & overhaul Additional Action Taken (2) EMS I I - PRE-INCIDENT VALUE! Optional 86 !investigate I Other 0004 1 0004 Property , 000 , 000 ❑ Additional Action Taken (3) ❑ Check box if resource counts include aid received resources. Contents $1 � , 000 , 000 ❑ :ompleted Modules $1*Casual ties®None E3 Hazardous Materials Release I Mixed Use Property Fire-2 Deaths Injuries N E]None NN $Not Mixed k Structure-3 FireI1 Natural Gas: al leak, nc--tine o 8"dat act"" 10 Assembly use Service 1� I� ❑ oes 20 Education use Civil Fire Cas.-4 2.❑Propane gas: ,2,ib. tank )_in home na Brill) 33 Medical use 7 Fire Serv. Cas.-5 civilianL_j I�J 3 ❑Gasoline: vehicle fuel tank ne poetnble acetaieex 40 Residential use _1EMS-6 tj ❑Kerosene: feel bn==ng egnipmmt er potable etoag. 51, .. Row of stores Detector 53 Enclosed mall �HazMat-7 Required for Confined Fires. 5 ❑Diesel fuel/fuel Oil:oehiole fuel tank or p—tab!. 58 Bus. & Residential :JWildland Fire-8 ❑ Office use 1❑Detector alerted occupants 6 Household solvents: Lome/office spill, aleannp only 59 Kl Apparatus-9 7 []Motor oil: from 60 Industrial use engiae or portable awtainrs ]Personnel-10 2E]Detector did not alert them a ❑Paint• fsompit Dana tot" <ss g.uona 65 �� use Arson-11 L7❑Unknown 0 ❑Other: spemal as m-t action.zegeimd or spill>Bsgal., 00 Other mixed use Plea let.the BaaMat form T Property Use* structures 341❑Clinic,clinic type infirmary 539 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 ❑Motor vehicle/boat sales/repair .31 ❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station .61 ❑Restaurant or cafeteria 41999 1-or 2-family dwelling 599 ❑Business office .62 ❑Bar/Tavern. or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant !13 ❑Elementary school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab !15 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant '41:❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) . 111 ❑Care facility for the aged 464❑Dormitory/barracks 882 ❑Non-residential parking garage 131 ❑Hospital 519❑Food and beverage sales 891 ❑Warehouse Outside 936❑Vacant lot 981 ❑Construction,site .24 ❑Playground or park 9.38 ❑Graded/care for plot of land 984 ❑ Industrial plant yard i55 ❑Crops or orchard 946 ❑Lake, river, stream Lookup and enter a Property Use code only if i69 ❑Forest (timberland) 951 ❑Railroad right of way you have NOT checked a Property Use box: 107 ❑Outdoor storage area 960 ❑other street Property Use 1419 )19 []Dump or sanitary landfill 961 ❑Highway/divided highway )31 ❑Open land or field 962 ❑Residential street/driveway 11 or 2 family dwelling NFIRS-1 Revision 03/11 99 `on/Entity Involved . 1:Option Business name (if applicable) Area Code Phone Number U LAdrian (Siguencia I ,./ck This Box if Mr.,Ms.,-Mrs. First Name MI Last Name Suffix ;�;me address as , :;Incident location. !Then skip the three 124 U LJENNIES PA duplicate address lines. Number Prefix Street or Highway Street Type Suffix INGUYEN, VINH T ( JHYANNIS Post Office Box Apt./Suite/Room City IMA 1102601 -1 State Zip Code More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary ,2 owner Same as person involved? - Then check this box and skip508 - 360 - 4338 The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number I IThang LD I (Nguyen u 7 Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. I24 I u (JENNIES PA I I u Then skip the three duplicate address Number Prefix Street or Highway Street Type Suffix lines. INGUYEN, VINH T j JHYANNIS Post Office Box Apt./Suite/Room City IMA 1 02601 J-1 State Zip Code - Remarks Local Option - - .alley Name BPD :ad ; 2014/03/27 14:04:35 -. 804 AT EVENT MANNING IS 0. :ad 2014/03/27 14:04:48 - 826 AT EVENT MANNING IS 0 :ad 2.014/03/27 14:06:33 802 AT EVENT MANNING,IS 1 :ad 2014/03/27 14:07:07 - 829 AT EVENT MANNING IS 0 :ad ; 2014/03/27 14:12:36 - 823 AT EVENT MANNING IS 0 L :ad . ; 2014/03/27 14:38.:51 - 806 AT EVENT MANNING IS 1 ad 2014/03/27 14:2.0:48 -PD .REPORTS POSSIBLE BASEMENT FIRE. BPD REPORTS STRONG LANG. BARRIER. ad 2014/03/27 14:22:32 PD REPORTS UNIT ON LOCATION AND REPORTS SMOKE COMING FROM .THE GARAGE. ad ; 2014/03/27 14:24:04 26 REPORTS SMOKE CONDITION IN THE SPACE ABOVE THE GARAGE, 826 ADVANCING A 1. 3/4 HAND LINE @ 4:06. ad ; 2014/03/27 14:33:26 OMMAND REPORTS 1 1/2 STORY WOOD FRAME RESIDENTIAL WITH A 1 1/2 STORY ATTACHED GARAGE WITH IVING QUARTERS ABOVE GARAGE. 826 ADVANCING ONE HAND LINE. ad ; 20i4/03/27 14:34-:03 OMMAND REQ. BUILDING AND ELECTRICAL INSPECTORS @ 14:24. Authorization 1198501 IMelanson, Dean L JDEP/EMT I ( 1 031 1 271 1 2614 Officer in charge ID Signature Position or rank Assignment Month Day Year K°i£ 1199002 L'anman, Thomas H. I LT/EMT-NJP I ( �� U 2014 ne Position or rank Assignment Officer Member making report ID Signature _ gnment Month Day Year charge. - _ - 3``zv+ _ •" MM DD YYYY 922 U L3 27 2014 �� 14-0001413" 000 . complete State Incident Date b t N id I- Station Incident -Narrative * - * Exposure ,�rrative: ..taller Name BPD cad 2014/03/27 14:04:35 - 804 AT EVENT MANNING IS 0 cad 2014/03/27 14:04:48 - .826 AT EVENT MANNING IS 0 cad 2014/03/27 14:06:33 - 802 AT EVENT MANNING IS 1 cad 2014/03/27 14:07:07 - 829 AT EVENT MANNING IS 0 cad 2014/03/27 14c12:36 - 823 AT EVENT MANNING IS 0 cad 2014/03/27 14:38:51 - 806 AT EVENT MANNING IS 1 cad 2014/03/27 14 :20:48 BPD REPORTS POSSIBLE BASEMENT FIRE. BPD REPORTS STRONG LANG. BARRIER. cad 2014/03/27 14:22:32 BPD REPORTS UNIT ON LOCATION .AND REPORTS SMOKE COMING FROM THE. GARAGE. cad 2014/03/27 14:24:04 826 REPORTS SMOKE CONDITION IN THE SPACE ABOVE THE GARAGE, 826 ADVANCING A 1 3/4 HAND LINE @ 14 :06. cad 2014/03/27 14:33:26 COMMAND REPORTS 1 1/2 STORY WOOD FRAME RESIDENTIAL WITH A 1 1/2 STORY ATTACHED GARAGE WITH LIVING QUARTERS ABOVE GARAGE. 826 ADVANCING ONE HAND LINE. cad ; 2014/03/27 14:34:03 COMMAND REQ. BUILDING AND ELECTRICAL INSPECTORS @ 14:24. cad 2014/03/2.7 14:38:04 806 REPORTS BUILDING. INSPECTOR ON LOC. @ 14:36. cad 2014/.03/27 14:38:41 806 REPORTS ELECTRICAL INSPECTOR ON LOC. @ 14:38. cad ;" 2014/03/27 15:14:15 COMMAND REPORTS COMPANIES ARE PICKING UP @ 15:14. cad 2014/03/27 15:26:53 802 REPORTS THE PROPERTY IS TURNED OVER TO THE HOMEOWNER, 802 IS BIC @ 15:25. E-826 "and T-829 responded to the report of a basement fire at the listed address. Call originated .from a BPD ring down, they reported a substantial language barrier with the reporting party with the initial 911 call. C-802 and C-804 also responded on the first alarm assignment. Upon arrival there was light smoke showing from the rear of the .building, BPD officers .on scene report it is coming from the room above the garage. The garage is listed as 24 'x24 ' and is attached to the main house. The garage door was open showing stairs at the rear of the _ garage to access the room above. Investigation showed smoke coming from spaces around the door at the top of the stairs. E-826 crew advanced al 3/4" hand line into the garage. the hose, was "charged and advanced up the stairs. The door was locked. It was checked for excessive heat and then forced open with hand tools. MM DD rYYY 3 27 2014 L 14-0001413 000 Complete State* Incident Date , Station Incident Number Narrative _ * Exposure * - =rsative /Is ibility was poor, all members were An full turnouts. with scba in place and operating. The and line was advanced into the space. Fire was noted to the right of the door, the hand line was put into operation, knocking down the main body of fire. Prior to opening the nozzle the window on side A of.the garage was vented by T-829 personnel. A second window was located at the top of the stairs on side C, this window was open prior to beginning fire attack. a ks visibility improved, it was noted that the room above the garage appeared to be set up as an apartment. There were two beds, a tv, and other furnishings. The fire had originated in a ::ioset built into and extending from the side' B interior wall at the B/C corner. The area was Dverhauled lightly as not to disturb the area of origin and the same area wetted down. Tentilation was established with the electric fan from E-826, power supply being. E-826. Due .o the apparent illegal nature of the apartment Town of Barnstable building and electrical -nspectors were requested to the scene. Overhaul operations were halted so that members from 'ire Prevention could investigate for a cause of the fire. 'ire Prevention's investigation concluded that the cause was due to the electric cable that ed the two outlets in this "room. It. appears that the cable .was illegally installed and that here was a break in it's insulation that over time caused the wires to overheat and/or come nto contact with each other causing the fire. The fire traveled up and out of the electric utlet in the closet igniting the contents with the generated heat and flame spreading to 'the ain room and its contents as well. portable oil filled electric heater was plugged into the electric outlet in the closet. his unit appeared to be the only source of heat in the room. The heater was found in the on :)sition with the temperature dial. at the #8 setting. The unit is a Lasko air heater., model 700, with a serial number of 7766-003259. The information tag lists the power requirements as ?.5 amps and 1500 watts.. It is UL approved. irther investigation of the fire room indicated that attempts to extinguish the fire prior > the call to the FD had been made. A coating of what appeared to be dry chemical :tinguishing .agent was noticed in the fire room. A discharged fire extinguisher .was found at. to base of the stairs leading up to the apartment. h e overhaul of the fire room was completed following the investigations by Fire Prevention .d the Electrical Inspector. This was accomplished by the crews of E-826 and T-825. 'E-823 s released from the scene by C-802 at the time noted. Materials removed .from the fire room re wet down with a forestry line from E-826. I . mpanies were placed back in service and stood by as Fire Prevention finished their terviews. A. final check of the entire ro ert P P y was performed. I reported to C-802 that sre were no operating,smoke detectors in the main house. There was none in the fire room as Ll.` C-802 reported that he as well as fire prevention were aware of this situation. ring operations it was noted that a length of 1 3/4 " hose had a pinhole leak in it. The f n se was taken out oe service and replaced upon return to the station. Hose length 310-11 (1 1.") was placed at the work bench and tagged. I� s property was released to the owner by C-802 at the time noted. Companies were released i returned to quarters as noted. j I Thomas H. Lanman, III I S Fire Division of Professional Licensure: License Search Page 2 of 130 LIC. LIC. TYPE LIC' BOARD NUMBER NAME CITY/STATE LIC. STATUS Cosmetology Registered 3035230 `ALEXIS M.NGUYEN f NORTH EASTON,MA Current Manicurist ...... ..... ........ Cosmetology Registered 3084576 ALLEN M.NGUYEN CHELSEA,MA Lapsed Manicurist Cosmetology Registered 3085684 AMANDA NGUYEN EVERETT,MA Current Manicurist Registered Cosmetology Manicurist 3009348 !AMANDEO T. NGUYEN LOWELL,MA Current Cosmetologyl Registered 3016006 'AMY NGUYEN Manicurist f RANDOLPH,MA Current Cosmetology j Registered 3029981 AMY NGUYEN SOMERSWORTH,NH Expired Manicurist Registered Cosmetology Manicurist 3030504 i AMY NGUYEN CHARLESTOWN,MA Current Registered Cosmetology 3032322 AMY NGUYEN SHARON,MA Lapsed Manicurist Cosmetology Registered 3033344 AMY NGUYEN TEWLSBURY,MA Expired Manicurist Registered i Cosmetology Manicurist 3035363 AMY NGUYEN 'LOWELL,MA Current i Cosmetology Registered 3082945 j AMY NGUYEN Manicurist MANCHESTER, NH Current i Registered Cosmetology 3029645 !AMY H.NGUYEN Manicurist DORCHESTER MA Current Cosmetology Registered 3030123 ';AMY T.NGUYEN WORCESTER,MA (Current Manicurist Registered Cosmetology Manicurist 3020932 !AMY DUNG NGUYEN RANDOLPH,MA Current Registered j Cosmetology j 3100123 j AMY THAO T.NGUYEN MATTAPAN,MA Current Manicurist Registered Cosmetology Manicurist 3025215 AN NGUYEN +PITTSBURGH,PA Expired Cosmetology l Registered 3030128 AN NGUYEN i DORCHESTER,MA Expired Manicurist Registered I Cosmetologyl Manicurist 3035169 I AN NGUYEN =WORCESTER,MA. Current Registere Cosmetology j Manicurist 3082168 AN NGUYEN DORCHESTER,MA Current -_ Cosmetology Registered 3087102 AN C.NGUYEN DORCHESTER,MA Current Manicurist r Registered 1 Cosmetology 3024024 'AN D.NGUYEN +HYANIS,MA Expired Manicurist Q._�� Cosmetology l Registered 3020625 l AN H.NGUYEN SOUTH ELGIN, IL }Expired !Manicurist Cosmetology Registered 3027470 AN H.NGUYEN WORCESTER,MA Expired Manicurist Registered Cosmetology 3030863 i AN N. NGUYEN I QUINCY,MA Current Manicurist Cosmetology Registered 3086978 AN N. NGUYEN METHUEN MA Current {Manicurist f..... .... ....... - ...... ! ......................._. Registered 'EGGHARBOR TWP j Cosmetologyl Manicurist 3031669 i AN T. NGUYEN NJ Expired f Registered Cosmetology, 3034045 AN T.NGUYEN ;QUINCY,MA Current Mamcurist ----------- - -----_--_---- --------- Cosmetology[Registered 3034391 AN T.NGUYEN DORCHESTER,MA Expired Mamcunst 1 l..... ... ..........._ .... ......... - _..... ._..-._._... -..— - Cosmetology l Registered 3080750 AN T. NGUYEN (PORTLAND,ME Expired Manicurist j ..... .......... 1 Cosmetology Registered 3086399 f AN T.NGUYEN FALL RIVER,MA Current Manicurist --------- --_ ..................._.............. - ..__.. . ......... -- -- ---- ------ Cosmetology l Registered 3087233 {AN T.NGUYEN !DORCHESTER,MA Current Manicurist Registered I Cosmetology Manicurist 3026925 AN V.NGUYEN WORCESTER,MA j Expired . ..... -... ...._. http://license.reg.state.ma.us/public/pubLicRange.asp?profession=Manicurist&1Name=nguy... 4/9/2014 Division of Professional Licensure: License Search Page 19 of 130 -r BOARD LIC. TYPE NIUMBER NAME CITY/STATE LIC. STATUS Cosmetology Registered Manicurist 3029227 DUKE NGUYEN WORCESTER MA Expired Cosmetology'Registered 3009269 DUNG NGUYEN I PEABODY,MA Expired Manicurist Registered Cosmetology)Manicurist 3010038 DUNG NGUYEN DORCHESTER,MA Expired + Cosmetology;Registered Manicurist e isteredManicurist 3015881 DUNG NGUYEN I HAVERHILL,MA Current Cosmetology Register f Manicurist ed 3016797 DUNG NGUYEN E BOSTON,MA Expired Cosmetology;Registered 3027534 DUNG NGUYEN MALDEN,MA Expired Manicurist Cosmetology Registered 3080734 DUNG NGUYEN DORCHESTER,MA Current Manicurist I Registered Cosmetology' 3084788 DUNG NGUYEN SPRINGFIELD,MA Current Manicurist i Cosmetologyi Registered 3023468 DUNG A. NGUYEN DORCHESTES,MA Expired Manicurist I CosmetologyRegistered 3026511 DUNG A.NGUYEN DORCHESTER,MA Incomplete renewal Manicurist application Registered Cosmetology 3080264 DUNG A NGUYEN DORCHESTER,MA Lapsed Manicurist i Cosmetology Registered 3083859 DUNG B.NGUYEN ORCESTER,MA Current I Manicuri W st i i Registered Cosmetology g 3014591 I DUNG H.NGUYEN HAVERHILL,MA Current i Manicurist Registered Cosmetology Manicurist 3084680 I DUNG H.NGUYEN FALL RIVER,MA Current fmm-} Registered Cosmetology' 3015211 DUNG K.NGUYEN DORCHESTER MA Expired P Manicurist I Cosmetologyi Registered Manicurist 3021187 DUNG K.NGUYEN WEYMOUTH,MA Expired Cosmetology Re istered 3081677 I DUNG K.NGUYEN RANDOLPH,MA Current ' g 1 Manicurist Cosmetology i Registered 3034093 DUNG M.NGUYEN LAWRENCE,MA Current i Manicurist Registered Cosmetology j 3022863 DUNGTN'NGUYEN HYANNIS; Manicurist Registered j Cosmetology Manicurist 3025896 DUNG N.NGUYEN ,DORCHESTER,MA Expired Ij -t----� Registered Cosmetology! 3035974 DUNG N.NGUYEN DORCHESTER,MA Current 1 Manicurist �- I Registered Cosmetology'Manicurist 3015887 DUNG P.NGUYEN i DORCHESTER,MA Expired Registered Cosmetology+ 3036311 j DUNG P.NGUYEN LOWELL,MA Expired Manicurist Cosmetology Registered 3084035 DUNG P.NGUYEN DORCHESTER,MA Current Manicurist ....... ..... t ...... ....... _........... .......- Registered Cosmetology; 3029535 I DUNG Q.NGUYEN I WORCESTER,MA ExP ired Manicurist i .-- --- Registered i Cosmetology 3081306 DUNG Q NGUYEN DORCHESTER MA Current Manicurist ....... ........ .......... ----- Cosmetologyi Registered 3083783 DUNG Q.NGUYEN LYNN,MA Current Manicurist , ............................................ Registered I Cosmetology 3015501 DUNG T NGUYEN DORCHESTER MA Expired Manicurist Registered Cosmetology 3020605 DUNG T.NGUYEN WORCESTER MA Expired II Manicurist Right to renew Registered i license has been Cosmetology;Manicurist 3121144 DUNG T. NGUYEN j MEDFORD,MA stayed by the I i I Department of i Revenue Cosmetology Registere Manicurist 3022889 DUNG T.NGUYEN I DORCHESTER,MA Expired http://license.reg.state.ma.us/public/pubLicRange.asp?profession=Manicurist&1Name=nguy... 4/9/2014 Division of Professional Licensure: License Search Page 65 of 130 LIC. LIC. BOARD LIC. TYPE NUMBER NAME CITY/STATE LIC. STATUS Registered Cosmetology 3016713 I MICHELLE NGUYEN WORCESTER,MA Current Manicurist ........ ................... ...._....--. Cosmetology Re istered 3017002 i MICHELLE NGUYEN ;CANTON,MA Current j Manicurist -__.--....-. u ....--.. ... .......... . ..--.....-- ._-.. .. _........ ..... _._--__... Registered . -... Cosmetology 3023363 'MICHELLE NGUYEN NORTH EASTON MA Current Manicurist ------ - ... --- -------- ------------- --- ..-- - Registered Current.The license Cosmetology! 3025007 1 MICHELLE NGUYEN JERSEY CITY,NJ is within its renewal Manicurist period j Registered Cosmetology,Manicurist 3027011 MICHELLE NGUYEN EVERETT,MA Current Reg istered Cosmetology; . 3028981 !MICHELLE NGUYEN DORCHESTER,MA Current Manicurist j -- -- -..... ......._.. . .. .........- - ......... ---- -- Cosmetology 1Registered 3100087 MICHELLE NGUYEN EPPING NH Expired Manicurist j ----- .. ............................._ - .. ---- _.. ......... --------..------- - - ----- Cosmetology Registered 3083022 MICHELLE K.NGUYEN Manicurist DORCHESTER,MA Current ........ .__................................................ .... -.. Cosmetology i Man'icurist 3022640 MICHELLE T.NGUYEN QUINCY,MA Current i CosmetologyRe istered 3030945 MICHELLE T.NGUYEN DORCHESTER,MA Current g Manicurist - -- - ._....... .... ---------_.-...-_ _. -.. ............... ....---------._.-._ _ Cosmetology'Registered 3081268 MICHELLE V. NGUYEN I DORCHESTER,MA Current I Manicurist Cosmetology]Registered 303557-1 I MIEN T.NGUYEN :WORCESTER,MA Lapsed I Manicurist I ; -- - - _.._ -- - - .....-- ---- ---- ...-- Cosmetology`Registered 3086495 !MIEN T.NGUYEN ;SOUTH PORTLAND, Current gY Manicurist j ME Cosmetology Registered 3086992 MIKE H.NGUYEN I BRAINTREE,MA Current 1 Manicurist ...... ......-. Registered Cosmetology 3031317 MIKE T. NGUYEN Manicurist MANCHESTER NH Expired i Registered j Cosmetology'Manicurist 3013414 MIKE V.NGUYEN SHALLOTTE,NC Current Registered Cosmetology;ManicuristC"302� 4857;-MIKE-V NGUYEN-----j HYANNIS MA-..,r Expired—� j Cosmetology'Registered gy 3082695 MIKE V. NGUYEN EVERETT,MA Current ;Manicurist I Voluntarily Registered surrendered or Cosmetology.Manicurist 3012730 j MIKE V NGUYEN EVERETT,MA agreed not to renew license Registered Cosmetology; 3021061 MIMI NGUYEN DORCHESTER,MA Current j ;Manicurist j Registered Cosmetolog y 3082804 !MIMI H.NGUYEN j LYNN,MA Expired Manicurist 1 Cosmetol !Registered ' °gy!Manicurist 3032990 MINDY T.NGUYEN DORCHESTER,MA Current Registered Cosmetology)Manicurist 3082095 MINDYT.NGUYEN !DORCHESTER,MA Lapsed ; j Registered Cosmetology{Manicurist 3029471 MINH NGUYEN WORCESTER,MA Current Current.The license Cosmetology'Re istered ! 3036041 MINH NGUYEN ;MANCHESTER,NH is within its renewal g ;Manicurist period ----------- Registered Cosmetology Manicurist 3009250 I MINH D. NGUYEN j EVERETT,MA Expired Cosmetology'Registered 3026322 MINH D.NGUYEN 1 LINCOLN,NE Expired i Manicurist I Registered j Cosmetology;Manicurist 3036734 I MINH D. NGUYEN I WORCESTER,MA Expired - _ - Registered j Cosmetology] 3084398 MINH D. NGUYEN 'WOONSOCKET,RI Lapsed Manicurist I Cosmetologyi Registered 3023439 '1 MINH H.NGUYEN WESTPORT,MA Current 'Manicurist Cosmetology;Registered 3030619 MINH H.NGUYEN 'FALL RIVER,MA Expired Manicurist http://license.reg.state.ma.us/public/pubLicRange.asp?profession=Manicurist&1Name=nguy... 4/9/2014 Division of Professional Licensure: License Search Page 67 of 130 LIC. LIC. BOARD LIC. TYPE NUMBER NAME CITY/STATE LIC. STATUS Cosmetology Registered 3029330 'MINHHIEU NGUYEN FRAMINGHAM,MA Current Manicurist ...... ..--. Registered LINCOLN, NE Expired Cosmetology 3032994 MINHLY N.NGUYEN p Manicurist Cosmetology Registered3082293 I MINHTAM T.NGUYEN EVERETT,MA Current Manicurist Cosmetology I Registered 3016940 'MINHTHU T. NGUYEN j DORCHESTER,MA Expired Manicurist Cosmetology Registered 3083207 j MINHY T.NGUYEN WORCESTER,MA Current Manicurist Registered I Current.The license Cosmetology 3024071 f MONG THU T NGUYEN EAST BOSTON,MA is within its renewal Manicurist period - -------- ----.... ....._.----- -- ..._...........---- -- ----- ----- ------ --- - I Registered Cosmetology Manicurist3021112 MONGHA T NGUYEN DORCHESTER,MA Expired j Cosmetology Registered 3083604 !NGUYEN T. DORCHESTER,MA Lapsed Manicurist •NGUYEN ........ .... ............ ....................._...... Cosmetology Reg 3024617 MONICA V.NGUYEN HOLYOKE,MA Expired Mani istered curist Cosmetology)Registered 3082412 MONIQUE T.NGUYEN HAVERHILL,MA Lapsed Manicurist j..... ................ Registered i Cosmetology Manicurist 3016655 'MOT T.NGUYEN WORCESTER,MA Current Cosmetology!Manicurist3016901 ,MUI T.NGUYEN I DORCHESTER,MA Current Cosmetology(Registered 3009174 MUIKIA THI NGUYEN i MALDEN,MA Expired Manicurist _.._. .. d........... ....... ......... , .... ........ ......... .. ....,.,... ............. Cosmetology Registered 3024804 MU01 NGUYEN HOLYOKE,MA Current Manicurist Cosmetology!Re istered (3027549 MUOI NGUYEN I NEW HAVEN,CT Expired g Manicurist ................ - ._._ . ...... ...... --...._.... I Registered Current.The license Cosmetology 3085825 i MUOI T NGUYEN RANDOLPH,MA is within its renewal f Manicurist period Registered Cosmetology 3084203 MOON-T:-NGUYEN HYANNIS,MA Current Manicurist i------------ Registered Current.The license I Cosmetology!Manicurist 3012317 MY NGUYEN NORWOOD,MA is within its renewal 1 i period I Cosmetology!Registered 3035478 MY NGUYEN LAWRENCE,MA Current Manicurist Registered Cosmetology 3084954 MY NGUYEN BOSTON,MA Current Manicurist Cosmetology Registered 3086046 MY NGUYEN CANTON,MA Lapsed Mai curist Registered j Cosmetology 3084528 MY H.NGUYEN I WORCESTER,MA Current Manicurist Registered Cosmetology Manicurist 3036132 MY K.NGUYEN S EASTON,MA Current Cosmetology Registered 3028865 j MY N.NGUYEN WORCESTER,MA Current ii Mancur st Registered Cosmetology 3030617 'MY Q.NGUYEN RIVERDALE,GA Lapsed Manicurist Cosmetology Registered 3022207 'MY T.NGUYEN DORCHESTER,MA Current Manicurist Registered Cosmetology 3027816 i MY T.NGUYEN Manicurist LYNN,MA Expired i Registered Cosmetology I 3033828 MY T. NGUYEN I DORCHESTER,MA Current Manicurist Registered Cosmetology Manicurist 3036329 I MY T.NGUYEN BRAINTREE,MA Current Cosmetology!Registered 3082965 MY T.NGUYEN QUINCY,MA Current j Manicurist 'Cosmetology Registered 3083873 MY T.NGUYEN ' gY Manicurist SPRINGFIELD,MA Current :.. ......-_.i...... http://license.reg.state.ma.us/public/pubLicRange.asp?profession=Manicurist&lName=nguy... 4/9/2014 Division of Professional Licensure: License Search Page 82 of 130 BOARD LIC. TYPE NIUMBER NAME CITY/STATE LIC. STATUS Registered Cosmetology 3035346 PHUONG NGUYEN CRANSTON RI Expired Manicurist i Re istered Cosmetology 1 Manicurist 3035925 PHUONG NGUYEN E LONGMEADOW,MA Current Cosmetology Manicurist Registered 3082799 i PHUONG NGUYEN DORCHESTER,MA Current J i Registered 'Cosmetology j Manicurist 3082894 PHUONG NGUYEN LYNN,MA Current Registered Current.The license g Cosmetology 3083083 ,PHUONG NGUYEN HOLLY SPRING,NC is within its renewal Manicurist period Cosmetology;Registered 3024768 PHUONG A.NGUYEN DORCHESTER,MA Current I Manicurist Registered Cosmetology Manicurist 3025431 PHUONG B.NGUYEN CLINTON,CT Expired Cosmetology`Registered 3028870 PHUONG B.NGUYEN LAWRENCE,MA Current Manicurist i RegisteredCosmetology Manicurist3086007 i PHUONG B. NGUYEN WINDSOR,CT Current I Registered--- —— -�----- _ _- �-- --- ----— — Cosmetology! 3029853 1 PHUONG D.NGUYEN I MALDEN,MA Expired Manicurist-- --..._ ....... .........-- .......................... ...... .. ................................ ........- Cosmetology Registered Manicurist3024062 PHUONG H.NGUYEN I FRAMINGHAM MA Expired Cosmetology Registered Manicurist3024675 PHUONG H. NGUYEN CARVER MA Expired � Cosmetology Registered Manicurist3027223 PHUONG H. NGUYEN DORCHESTER,MA Expired I Registered Cosmetology, 3027576 PHUONG H.NGUYEN SAN JOSE,CA Expired Manicurist ...... Registered Cosmetology 3029041 PHUONG H.NGUYEN 1 WORCESTER,MA Expired Manicurist Cosmetology;Registered 3029209 PHUONG H.NGUYEN MANCHESTER,NH Expired Manicurist Cosmetology=Registered;Manuurist 3083432 PHUONG H.NGUYEN 'MALDEN,MA Current I i Registered Cosmetology) 3084319 1 PHUONG H.NGUYEN I MEDFORD,MA Current Manicurist Cosmetology Registered 3085435 PHUONG H.NGUYEN !WORCESTER,MA Current 1 Manicurist 1 Cosmetology!Registered 3085958 i PHUONG H.NGUYEN WELLESLEY,MA Current Manicurist Cosmetology!Registered Manicurist 3085983 PHUONG H.NGUYEN WORCESTER,MA Current i I Cosmetologyj Registered 3016340 PHUONG K.NGUYEN i DORCHESTER,MA Expired Manicurist Registere Cosmetology Manicurist 3025807 PHUONG K.NGUYEN LAS VEGAS,NE Expired j �— 'Registered — Cosmetology1 Manicurist 3031961 PHUONG K.NGUYEN DORCHESTER,MA Expired CosmetologyRegistered 3033203 PHUONG K.NGUYEN i DORCHESTER,MA Current �Manicurist I 1 Registered +Cosmetology.Manicurist 3036019 PHUONG K.NGUYEN METHUEN,MA Current Current.The license Cosmetology'Registered 3036305 PHUONG K.NGUYEN WOBURN,MA is within its renewal 1 Manicurist period Registered„ 7 � - Cosmetology, . . ; 3080070 PHUONG K.NGUYEN HYANNIS,MA Current Imo;x Mamcunst` --i: ,� --..... .............. ----Registered Cosmetology 3084857 PHUONG K.NGUYEN j MELROSE,MA Lapsed __. Manicurist Cosmetology I Registered Manicurist 3014593 PHUONG L.NGUYEN MALDEN,MA Expired 1 Registered Cosmetology.Manicurist 3026976 PHUONG L.NGUYEN DORCHESTER,MA Expired I I Registered Cosmetology. 3027815 PHUONG L.NGUYEN LYNN,MA Expired Manicurist http://Iicense.reg.state.ma.us/public/pubLicRange.asp?profession=Manicurist&1Name=nguy... 4/9/2014 I Division of Professional Licensure: License Search Page 89 of 130 .j LIC. LIC. NAME CITY/STATE LIC. STATUS BOARD LIC. TYPE NUMBER Registered Cosmetology;Manicurist 3009739 SANG THI NGUYEN i SAUGUS,MA Expired . . ............ _ Registered Cosmetology 3085691 SANH T.NGUYEN REVERE,MA Current Mamcurist... Registered Cosmetology 3016146 SAO T NGUYEN M CHELSEA,MA Expired amcurist I gy; 3014357 SARAH NGUYEN 3 GRETNA,LA [Lapsed Registered Cosmetology Manicurist Registered Cosmetology 3035803 SARAH P.NGUYEN RALEIGH NC Expired st_ Manicuri Cosmetology, 3080669 SARAH QT.NGUYEN `RANDOLPH,MA Current E Registered Cosmetology 3035035 I SARATH B.NGUYEN MILFORD, NH Expired Manicurist Registered I Cosmetology Manicurist 3030392 ,SARINA A.NGUYEN MANCHESTER,NH Expired ' i Cosmetology`Reg 13014267 �SAU T.NGUYEN i BROCKTON,MA� 'Current Man ister icurist ed Re istered Cosmetology; g 3020216 SEN NGUYEN SOMERVILLE,MA Current t Manicurist ! C .Registered Cosmetolo gy }3028310 !SEN NGUYEN REVERE,MA !Current } I Manicurist Cosmetology Registered 3028352 :SEN NGUYEN RANDOLPH,MA Curren Manicurist --� j Registered Cosmetology.Manicurist3086366 SENDY NGUYEN 'SPRINGFIELD,MA Current Cosmetology:Registered 3026731 SHAYLA NGUYEN QUINCY,MA Current Manicurist Cosmetology`Registered 3081215 'SHAYLA NGUYEN 'DORCHESTER,MA I Incomplete renewal Manicurist application a�Registered�_- Cosmetology 3084442 !SHAYLA N.NGUYEN DORCHESTER,MA Current Manicurist I `Registered Cosmetology 3020381 SHELLA TRAN NGUYEN CEDAR PARK,TX Expired Manicurist Register SHERITA NGOC Cosmetology Manicurist 3085639 ;NGUYEN DORCHESTER,MA Current Registered Cosmetology _. 3026833 SI V.NGUYENHYANNIS,-MA- Expired� Manicurist Registered Cosmetology Manicurist3023282 SI VAN NGUYEN WORCESTER,MA Expired Registered Cosmetology Manicurist3016702 SINH NGUYEN EAST BOSTON,MA Expired Registered Cosmetology] 3081279 SINH K.NGUYEN BOSTON,MA Expired ; Mamcurist � � I Registered I Cosmetology 4 3023757 SOA K.NGUYEN TEWKSBURY,MA Current Manicurist �� --� Registered Cosmetology, 3010498 SON NGUYEN MALDEN MA j Current Manicurist I _ ....... CosmetologyRegistered 3015345 SON NGUYEN NO CHARLESTON;SC Expired Manicurist ............................ Registered Cosmetology. 3022954 SON NGUYEN MALDEN,MA Expired Mamcurist ................... .. . .................... Cosmetology Registered 3028395 SON NGUYEN MALDEN,MA Expired Manicurist �.............................. Reg istered i Cosmetology' . 3029550 SON NGUYEN GLENS FALLS,NY Expired Mamcurist i Registered Cosmetology 3029997 SON NGUYEN FALL RIVER,MA Current Manicurist Cosmetology`Registered 13084983 SON A.NGUYEN WHITMAN,MA Current Manicurist .... Registered I Current.The license Cosmetology 3100234 SON D.NGUYEN MALDEN,MA is within its renewal Manicurist } period Registered Cosmetology Manicurist 3024662 SON H.NGUYEN WANTAGH,NY Expired http://license.reg.state.ma.us/public/pubLicRange.asp?profession=Manicurist&lName=nguy... 4/9/2014 Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home > Division of Professional Licensure > ONLINE ..................................................................................................................._.................................................................................................................................................. SERVICES Check A Professional License Check a License Locate a Licensed. By the Division of Professional Licensure Professional Online Address Change LICENSEE Contact the Name: HUNG V. HUYNH Agency MASHPEE,MA NEW SEARCH More... Licensing Board COSMETOLOGY _ _ _ _ ( REFERENCES& License Type:=REGISTERED MANICURIST -� � ^^ I( RELATED INFO III License Number: 3030629 I Disclaimer Regarding Status: PROBATION Website License Expiration Date: 5/10/2014 I Searches _ Issue Date: A7/15/2002 Y _ _ _ Glossary of License Exam Date: 7/15/2002 Status Codes I School: CALI FOR NAILS ACAD More... This web site displays disciplinary actions dating back to 1993. This license has had disciplinary actions taken during this time. Click here to view this information. The page above has been generated by the Division of Professional Licensure web server on Wednesday,April 09,2014 at 2:52:45 PM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/PubLicenseQ.asp?board_code=HD&type_class=_3&lic... 4/9/2014 Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home ) Division of Professional Licensure > ! ONLINE .............................._._...._.............................................._.........................._._._._....................................._................................................................................................._...._........_...._._._...._.. ( SERVICES Check A Professional License Check a License Locate a Licensed By the Division of Professional Licensure j Professional yy ( Online Address I Change Contact the Agency NEW SEARCH More... CASE# DISCIPLINARY ACTION DATE CASE CLOSED 120080521HD363 FINE ASSESSED 4/21/2009 j REFERENCES& 120080521HD364 LICENSE SUSPENDED 1/26/2010 RELATED INFO ......... ..:. ................ ...... ...........4 11 NOTE: This web site displays only disciplinary action in cases that were closed after January Disclaimer Regarding 1,1993.Discipline prior to that date is not displayed.Open complaints,including those Website License under investigation or in prosecution,also are not displayed. If you require further information, please call the DPL Office of Investigations,at(617)727-7406. Searches i ............. Glossary of License Status Codes The page above has been generated by the Division of Professional Licensure web More... server on Wednesday,April 09,2014 at 2:53:02 PM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/licCmpl.asp?board_code=HD&type_class=_3&license_... 4/9/2014 �, ,�j�C�emPn � �� Town of Barnstable TME Regulatory Services OF taY Thomas F.Geller,Director Building Division RAM raBM 9� 1MASS. Tom Perry,Building Commissioner 639.ArEp��p`l AN 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved:_ Pee: Permit#: HOME OCCUPATION REGISTRATION Bate:7,-P — l d Name: /fll /V-&ff Phone#: o � �7 7 Address: 3 _ S - Village: Name of Business: 6 Type of Business:- IPA%,/V r L'/,J 6 Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 461.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling:-there shall be no increase in noise or odor;no visual ' alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke, dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have re d and a with the above restrictions for my home occupation I am registering. Applicant: Date: -- Homeoc.doc ICO.5/30/03 TO ALL NEW BUSINESS OWNERS Fill in ple se: I APPLICANT'S YOUR NAME: N BUSINESS ' 4 509 �,� ���� J, a YOUR HOME ADDRESS: t� �y TELEPHONE Tele ne Number Home as NAINIE OFIN W Bl1SINESS �. t TYPE Q BUSINESS PIT A HOME OCCURATION� YES NO Have you been given approval from the building division? YE NO q\ ADDRESS U-N BUSINESS i MAP/PARCEL.NUMBER ® ��, When starting a new business there are dleveral things you ust do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S ICE This individual has beVIIWormed an permit requirements that pertain to this type of business. A=ui7e nature COMMENTS: 1 V 94Wv ��✓ 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha en info ed o the,&ns' r irements that pertain to this type of business. Authorized Signature* COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town(which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **SIGNIFIES A PPRO VA L FORA BUSINESS CERT/F/CATEONL Y. Jr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � g Map 2 ✓� 49 Parcel / / S 1 '�+� 0LEermit# Health Division �93`0? m) i 03 sw St-WPD Date Issued 16 a -' Conservation Division % �e Z 0C' 4 4# Application Feed ' Tax Collector i ���,�OaQ,/L Permit Fee /� -.__.._. ..,. !FI . !Ui . SAC SYST0A V1 Treasurer >r�RST1R I.ED IN COMPILM��,��v� Planning Dept. "TH71FILE 6 itoKIAEWAL Coe Date Definitive Plan Approved by Planning Board EIr vWN REGULA410 ' D Historic-OKH Preservation/Hyannis Project Street Address o�-� �-e y1v�LeS ipGC`Fi/1i Village ffi4a Vl n t S M A- 0�(�O Owner Address Telephone Permit Request geAoSh 10, x I G r Wa Vr Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a UO �`' Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family 0 Multi-Family(#units) Age of Existing Structure Historic Houser ❑Yes ❑No On Old King's Highway: ❑Yes Cl No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:0 existing 0 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 BUILDER INFORMATION Name ,, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l SIGNATURE I bA,0 0"-x _ DATE ftf. — 2 ` ©3 FOR OFFICIAL USE ONLY a r PERMIT NO. r DATE ISSUED } MAP/PARCELNO. ADDRESS _ VILLAGE OWNER DATE OF INSPECTION- y FOUNDATION FRAME ®® 1�,�G��' 6F rx'off L y INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL- PLUMBING: ROUGH. . FINAL + GAS: ROUGH,. + ' FINAL FINAL BUILDING "j x DATE CLOSED OUT ASSOCIATION fPLAN NO. ' n The Commonwealth of Massachusetts -= Department of Industrial Accidents Office 01/8yes02980s 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit y r name 'Kk�0 A Pft&!�! location `� ,1 S kik C-s RAT 4 ci hone# 0 V3 0 - JZ I am a homeowner performing all work myself. ❑ I am a sole/p rietor and have no one workin in ca achy ❑ I am an em foyer providing workers' compensation for my employees working on this job.:::: ::::::::::: COIIiL1 Y itt�t{f�Ss::::::::•::::. ., ,e•..s N. 9nsuran oft ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices: :.:::.::::::::::::.::: ::::::::::::::::::::.:::.:::::.:::::::.:::::::::::::::.:.::.:::::::::::::::::::::::::....:•:.,.:::.,..:::.:::.::::. ;;e i' ji ?i'v`% % < <i <i'%?r iii "``ii`'i i i S i<i '' i`` ?`5?i i i_t i i>i'r i ::%:i:fir'%? i''i' `i.....:::::i.i?.i.:.i::?>iii 2asi: si%�r i2i;t2 r:.:.:;:::?:i:::;i;i;;i: {:;:°: <:; ::2fi>.:i:ii .com an nam X. h. } •SS:.<.:'.;:.:=r;:'::;.=:"::;5::<::::'`�:�2:.'• :``;`�y. y �: :::2s�::�:;: ��:;:':2_'. ?'i.:'+.'''':':':;':.:; .'.'•2 ?'f;`:%;f``%::. :':;:;`::;< :: ':;r�':`::'%:k;:;:;:' ��;'`':`;:. ;:;:;?.'?;5::;;(•;:::£�>:::i:: .::,...... Ss r >..................... .:..........I...............................:•.....,.;.;,;:.;..:•;:•>:•:::?.:•:•:;;•;:•:;•::•;;:•>;:•;::•:.•now ::.,.: . ,.•• ,::.::::: ;;. 611 :.... I. c wn4:A:;: i:ij;:i-Nx ; pp.•�r:,S'i�:.:ii:.;{<:;ii:'`':':..............i:ri:,v;:;:�'.i:C:'�ii�'�::�'•:i;,}:.::2.: :;:::� ": .....:i!;'.i:.:, :v:.`: aa VJ•Y `< "`lion M ......:::.....:..:.:.::.:.::........:.:.:....:.::...:.:........:....:...:.... :....................................:......................................... :.::......:::<.::::::.::::.:::::::::::;: ::.::.::.:.::.::::. ::::::::...:::.::::.::::.:::::::::::.:::::::::........................... b::::.;•:.....::....::.: .......:n:•;:p;r:•;;;;;::2;;f;;:':i:::;;:;r;i4ii:;;4:[:;:;::;:;':::'t ;:::i':<.`:<<::i:fi:::o-:::::::::::;:;:i:;:: - —X. -- a� ----- nmra "rill'' <` >;:;;:::;:.;;:;;;.>::.; FaOore to secm a cove:age as required mtder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a One up to S1,500.00 and/or one years'bnprisonment a,weII as dvO penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the OtHce of Investigations of the DIA for coverage verification. ' I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date 0&+- Z Print name �k�t7"1� 'lkl� Phone# official use only do not write in this area to be completed by city or town oiflcial city or town• permit/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office _ ❑Health Department contact person: phone#; ❑Other.�_- Oemad 9/95 PJA , r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers'.compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe } 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. City or Towns 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 permi license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Me of Invesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 °F114Er � Town of Barnstable Regulatory Services BWSTABLE. " Thomas F.Geiler,Director KAM 16.59. s,�� g Buildin Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: L"n a o 4 U j;tA a o in Estimated Cost 0,00 0 60 Address of Work: 9,4 -je.,AiA�P s—�+14 : tj I %a yA i'S M A-"n n Owner's Name: Date of Application: t — �•n� - 0`� I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law FlJob Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR 72 Date Owner's Name QSorms:homeaffidav Town of Barnstable Regulatory Services t Thomas F.Geiler,Director • snatvsT,+eta, 9 �. Building Division Tom Perry,Building Commissioner 200 Main Street,`Hyannis,MA 02601 )ffice: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:— JOB LOCATION: ?--4 \zyi"l e_S Uact(-k k� yl A Y)Yin S M &` 0 Z U 7 I number street village �LOI�OwNLR": K QA Pc-lAK) b __M0-00Z I `fig 360 name home phone# work phone# CURRENT MAILING ADDRESS: S1 to 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 aparcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under'the building permit._(Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with.the State Building Code and other applicable codes,bylaws,rules and regulations. The=undersigned"homeowner"certifies that he/she understands.the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with the State Building Code Section 127.0 Construction Control. _ HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ZONE �G. i .i /SOCJO 'S.r " WIDT71 , YvrvA7E yo! WrDt 0 410 c / OCo Zc.U'lYt�) -- /5 5.531 l �. LA ci �.c2T' z v N Av 2 a ro Z i7 i °F CERTIFIED PLOT PLAN ROBERT NEW CONSTRUCTION ONLY BRUCE '-IyA'Jw/� TOP OF FOUNDATION IS FEET w EL�DR!ED y IN ABOVE LOW POINT OF ADJACENT ROAD. 1D SU�fy SCALE, /"_3o DATE1 LD EDGE ENOAEERING CO. CLIENTIjA« p.-�r, I CERTIFY THAT THE Fctiry�rn.V LEINEE-R STERED REGISTERED SHOWN ON THIS PLAN IS LOCATED JOB NO. ON . THE GROUND AS INDICATED AND VIL LAND CONFORMS TO THE ZONING LAWS .SURVEYOR DR.®YP,= OF BARNSTAB E MASS. 712 MAIN STREET CH.BY$ �� - � ZZ � • HYANh11S MASS . ,urr• / wt / G���� S� Z�- 6,6 J (r �` ,� t� � ,p f � �' I (� � � � �. ___ ;- . _ _ . . ..___ � . _.,�., ._ _ ._. �-- - _. ... __.___.. �_.__ . I ff� I (� /6 l � � `� �' ._ ,,. ' `�" - �k.rx rrrs u `�'"^^,n�ac^t€v�� �^a�.y,..:�, -sie^: �nc4 � .�''w- � ,s�;v}•ar,nw.n � Y 4 ,a? h [ ' • �k ur r.;t.e w `"" -�+ �x;. .n f -ra. v � v* ,1 �, �''��' r � � �1N tom. J Y... WY _ 5k� }a`�4 "'•.'+ Z..w'f9x o-++k�<,'�A �" tinitrYR•'r' 'Td �y, l� ��:. ¢ s, r " 1 �^ `, .>.'..TM. r ';tc C S �, , �r,'�+gip y;•2' °,yG t t 1r 1 r t �9 } uy itgqc} � i� � � hMkt _ Hai � r 4 Y L r 3 1 j j 1`� '1[ J k The k elegane, o by one days ;, r 11 pp combine vvitf v rs�itil ty in the jj ; ' ! � jvm �- layout o% hi she Standa►rd fe Stu esi.include: � , 1 E f �' far�rr r a Ong double,door � { ! s ' '�� i �Twodoub ( hun wisndows ;Ir Rd With r g � E � r 4 p Ci '. p E' r 7 d` dS with scre s arkd! shatters *8'18', 8'x-10.'; and (I an ,10';` ati�i•elo ,l.r.'one,wirido . .t7 "vr i dt r ! 4ir v-1•. { t```) tr,. I,��A,F@.'.��j:,�' r,�Y:..>;".P V) .{ ✓: v .!? � ;p. � '•;'�LtE •'E:'�1 r..3:..,.:nv �kfxkb .1`}' • V'. .,i_11 'I'i"-. + -'i '� "f1. :} , Ec00000 io ix Barn;SP�ec><fzca PC: ':I r ec><f icat>< ns { „1 .N a e't a t to lurri6er- .. Tx::,4 , 'res'sur�nrea mi 1 6 �. {.�"�_:;`>• 't "r , Px. e G ;la'-'S ', •;.. t j. '. P { . n 4. x 4;. 'ressu:e treTae :lumber . : # --Foundatio ,, aP. +:, E' � a 4 2'x 4ti f 16 on cnCer t z:,: fJ FI orJ;ostsl��,,. x! , , _ t . t {,' It rs n,, fi vll , .f. .: i .r t �;•yr�,p ".a.�; ':� r �� r r =16 on..:cent� 3} 'T 1StS:. ;:' I, 2�=-x 4 4 e+� ':i ' `�' ��""� 3 � � e�{�1.i V is".s?,x 11..-Floor.,JO �-. .a � .v:, .1 -f 6 n I� i}. ,i 3�r> ��` 1 '.:�Od i�: 3 ^a� ,:� . -q . <LL,R � ..c__..; bat c3 ,.fie T' a. c: 3 ,S',8 }extenox .=ade ly�wo , n� S m tic: F s --F lOOnng /. x a �� .n center t t.� k�4 k.:, tt . , SI e, all. .tads x' 3 24 � t y. i8' r;;5. 8 ura Te r:S►dln Exte or: din : , tiD ra-Te,P ' t :� .r! Extenor.S ►ng /, p 4. II ntery". tyre a .4. .t , a 3 y Ra rs..yy uti s 2 .x 4 j '�k a �lf St x' 4.Z :( t ✓ tl, tt. .It t .i.. s,Y':x, nlx" h-',�" -:1 'k:Ao: r i:y .5,c. j �+ x�4 =16: on center a t, . Rafters f'2 3 P „r h ' d+ 'Ropryp eamiri S B s 'a rr $ 1.�#`9,_,: t. { .. b �n:vA ea`lien .L" 3- 1 :Pp r` :}v. ---Roof Sh C g .t/. P,Y i.' ;� self sealin ';as altiahin -Rclofi: 1 240 lb P ... , - �•, a,, a 1, , _ : .asalt''shln ,. �, .:. ,� I. :��'�, �• a, ��� --Roofing 24.0 lb self se .;ng P a r x °�,. lHeavy;duty and>reinfoeced with --Doors I-�eaYy dutytlanc�;,.xe "+: :. ,,.. .. ..... . ::.'. �' ,I x 4":lUmbf#r t r ; P s: „µ. 9g tl it 11 II:� t. ,1 i t. •k k A '-16 loin center . 9, y � � s..p_i i � x 4' ,J .{ �, E' @ � ;i� f A. E �� k ,Y. t� r d + � `� ' �� a ';� ' z •�1 + �rl z Roof Sheet"p_d I ht r Zi g i 1 Double ^usseted a� r a I: r i r�Pl ood 'Sel with l.xtgrio _ YH', i i i a 9 Trusses � :� Roof s. � � 9 `-,,: I r P1,, !; x 21i 'ear' tt tta �A }:yia .a �•'!;,� ''�i'> �'' , � -�'... ?I b ,��� r,':-t �t' , ,, �1 'N. �, �I ,l al'�: �§ ..�: � Y�f G3. �"� 1 t.,:.I ti {.Nl 4 Dn 1 on al�lRoofs z s for ►})e , ee 11 y h } ? U11}ty4 l l' ri�i t U j R T. f V jKy �It ''k{y�� t: 7fFin'isheoffit4 OIi all';Blldings tt yy a t - t f ens, ri � �� ., � i � w►�h Scr� Y , y �,� �"� I��,, `�k �� 41,SM � GI, 4 N tic P8 } l '� D u7��Tem � A #_1�1 tS4d� 4t S a aIld i tl10I f C�1sSl a Seared with f ii, A ! o �t t n n tt t }; R 3 l�anized nails l it i9 f . ,:.u 4x -16: on ce le.' � } ti 9 a j '; � + ':l'.� _ i tl r a 4 is �, ,�1 ,. c � �.; #' S'Years Warr,: t3',; fly� ,•.a4. t!� ��+ ;I• :r �r Ig G a.. 9t � ., :.f 1.- .il:.r a r r.^ c-9 qql :fl Ha Du� $, , r. k. 'd! k� 5.. o a a4. , a: e'ssure Treated t 5/8 ! _ � e ,1 � �G 4� � t, ti , P 4 x4 a i y r� y r, ��'C,' . Pl ood Flo�mr�g , � y °.�3 .� yy �� ,u , , , z ,!r S' Foundation Beams` 9 � � �,t� :r: , 'r {�'. a:,,;. :�.,.r i1f 2 wPlt rl a., j p ..;A'. - 'sc}f it i' }': (� :' i!!�� i7rtV" E t 7 99 fi �.:,, , ��a I Y 1 �t:.7.t i i o 6 f! '� I, i iy��� � r Y i r i'' � � �� Pressure Treatec�::S � ,��t1 �. ��� �:#,. r�i� ,.i� , hem � � t, ,. I �, t :� �> � , a:a � k. � t� R D�irya r ;� til � ��a' �" r, d: ! „ � 11 s� mbl, d , . ¢ on'�Ir6 cen . �s ,�; £ i ' � } 1►3 in �A7,��'. 2x ' 3 ,. ., : la. �!.{ E .'::"' :�:.R :. lt,. � 'X '+: 3 V t .".fir, .d '7�pp•'� !t! � _ .� L l�,b.j. ): e,,4,'f 1 �.;'i '� >f t'.. 2 i�;k r r chi Ql '' s t i r _:�k 1 'i t '` � Finneran j .a: a a }a I 4 f .j F .33 �•' n 23P"} d �:'cf ):: , .la:'a "..! ii Y� �• k _ • ::'! ! � .. 23 333/' tr f, •+r: i area L7atex Pamt I ,. '•��G , �P 4. .?:a i:� � �p ,."� �t �, t .di' ��, '.e'b,. r•. e.v5..:„!8�,. ). a d 4� �,dt3,£ .� a �` .. - i WI17T71 ---1 3,o F. S. e Ycrvq�E yot w �r 4159 w �-Yrl /,q \ U /1 N ci / W w a I P %tK of CERTIFIED PLOT PLAN LOT ROSERT NEW CONSTRUCTION ONLY , BRUC E TOP OF FOUNDATION IS FEET ELDRED ' N IN ABOVE LOW POINT OF ADJACENT ROAD. SCALE' i"= , ' DATE ' ELD OGE ENG NEER/NG CO.1 CLIENT A� I CERTIFY THAT THE EGISTERED REGISTERED _� SHOWN ON THIS PLAN IS LOCATED b� CIVIL I LAND JOe N0. ____ ON . THE GROUND A9 INDICATED AND ENGINEER SURVEYOR DR,BY',_ CONFORMS TO THE ZONING LAWS OEF BARNSTAS Ey MASS. 712 MAIN STREET CH.BY' a H YA N t S, MASS. SHEET2--OFF E z REa_ t_eun _aliwvSrvnD �"I Assessor's offioe•_(lst floor): = 'TT -� Assessor's map and lot number ...ry.� 15V /.5�:.... PvoiTHE>o�♦ Board'of Health ;(3rd floor): .�? .Q O -� Q� SYSTEM peg C1 O E °G� �Y� , r ���" 3 -STADLE 1' Swage Permit number .................. i ;Y INSTALLED IN COMPL i��;rasa Engineering Department (3rd'floor): f 1639• \0� _. =KI House number .:.:.............................................'....................... T a• TH TITLE 5 °'°�•o„a APPLICATIONS PROCESSED 8:30-9:30 A.M. :and, 1:00 2:00` P.M. only ENVIR®NMENTAL C®®E A TOWN REGULATIONS - TOWN 'OF .BARNSTABLE _ - BU'ILDIN,G�. INSPECTOR . . APPLICATIOWFOR PERMIT TO i a d a b ezewa and 2 car ara e J......... ..... TYPE OF, CONSTRUCTION fi ..........July...30...............19.86... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby„applies for a permit according to the following'information: Location ..24...Jennie I.S...�.?a.th t...HyaY nio.'...MA........0.2..01....................................:.........................................:...... I , Proposed Use ......1...breezeway..and...2...car...gad's'3.ge...��d�f�..�Q...hom.p................................................:........ Zoning District � e S ' g .......................................................Fire District ......Hya??X? .......................................................... Name of Owner ....S.h.eil.a...N1...... ac.omher.:................Address :24...JOnni.a's...F th.'...Hyannis................. . Name of Builder .... --------- ..................Address ------- . Name of Architect ....Wal.lac.e...R.ane.o...Jr.e.................Address .fc@ueen..Anne Road,: Harwich ..................................... Number 'of ,Rooms ......1.ire.ezeway/gah' e:..............Foundation '.... ,...CQ.TW ete........:...:............................... ......... Exterior Ql.apboard... roast/. h gl.d••-s1deS......Roofing ...asphalt shlrigle5 Floors Conar.ete/Camet........... ..Interior ....sheet rock ............................................................ ....electric...in..breez.eway .Plumbin .......k10.................. Fireplace ......no.......................................................................Approximate Cost :$1-5.9.00.................... . .............. Definitive Plan Approved by Planning Board ____`___________________________19________ . Area >>'Z Diagram of Lot and Building with Dimensions, Fee SUBJECT TO APPROVAL OF BOARD.-OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW.DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name !...... - Construction Supervisor:s License ....®. ....... �A MACOMBER, SHEILA M. s. r c No 29$40 permit for AD ..TO• DWELLING y 'S nAle •Family Dwelling................... Location ... ............Jen ie s•...................................ath 7- M . H............................................anis ............ c r �+ �• Sheila M. Macomber` Owner .. ....... Type `of Construction ......Frame.... cn - s .. ... ............................................................. Plot ............... ' Lot r ` a 4 Permit Granted ...Au.gust.:-26,• .119 86 Date of Inspection ............... L...... .....19�fP•> R�• _ , Date Completed 4 .p ✓ ......` 19.� `� eN cl • �- � � fin'^ m �. 4�. _ � ' •h ^�- 1 i 1�.: �; k r ^ • • ; R .. - 6 ' - . r / e Assessor's offioe (1st floor): - TN E TO Assessor's map and lot number ..............� ................... ,Board of Health (3rd floor): �� fZ: Q _ :� 6 3Q . 0 `Sewage Permit number ...........j / {J 2 HAaa9zsHLE,�. Engineering Department (3rd floor): % �o rasa O i 79• �0 House number ..................... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only Y TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... . and....2. Car �arage TYPE OF CONSTRUCTION ..................................................................................................................................... ...............cjl:l.v.--3 f---.........146.-- TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permiaccording to the following information: Location . .5....path,%...N...y.arX.1iS.p...MA.........A.26A�02.6.01.................................................................................... Proposed Use .....I...bx'.A 7 eway..a:nd....2....ca.r....ga.T'a .e..aft.ed.,tp...}.Ime......................................................... Zoning District ........................................................................Fire District .....NY PYll1,15....................................................... Name of Owner ... hel a..M.a...MaE'-.amb(?..r..................Address RTe21r1�2,*,S,.Pa;th.....Hy3n11is .............. ....7. 7..7wr.w ...... .77.77.777 a Nameof Builder ..... ..........................................................Address ............................................................................ Name of Architect ....viallan.e.-Rawao...jr.P..................Address Queen. Anne Roads Harwich ..................................... Number of Rooms ..... ?z'PPz.P-.Wu�' '<� .e................Foundation 1 conc.rete ............. .pon.c.rete................................................. Exterior Cla.2�.nc2 t c�... ?'(�xl(`SDI X1 si.d.eS.......Roofing ..aSpha�.t Sh1rigZeS ........................................ Floors C.0.X1c`r.P .P,,. G x' sheet rock �..............................................Interior .................................................................................... Heating ...P1..e(`.tr10... .r.. 1rP,P ,nkN ........................Plumbing .......no............... .......................................... Fireplace ......r,.n.......................................................................Approximate Cost .`$.. -.5.0.90.®................................................. Definitive Plan Approved by Planning Board ________________________________19-------- . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF 'HEALTH � -z l�✓ J .............................. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0A).n.e� MACOMBER, SHEILA M. A=250-115 X No 29840 . Permit for ..Add to. Dwelling. Single. Family Dwelling.................. Location ....24_.Jennie's Path ................................................. .....................Hyannis.......................................... i Owner ........Sheila...M........Macomber. . .................. ' . .. ........ . .... Type of Construction .........Frame................................. i • f i d � ............................................................................... IfPlot ............................ Lot ................................ Permit Granted .....August. 26, .........19 86 Date of Inspection ....................................19 Date Completed .......................................19 166,7 f - _ i ` . t T TOWN OF BARNSTABLE Permit No. 25571 S 7W9TAIM i Building Inspector Cash SAM �D dPY k•� T OCCUPANCY PERMIT Bond -----------X--------- Issued to t EAwaxd & Sheila Macalniae Address T,nt. 20, 24 �Tc?nni.p-q Path 14yannj Wiring Inspectors Inspection date 9r ✓� . . , t Plumbing Inspector / i�' �" �� Inspection date Gas Inspector Inspection date i4 p }Engineering Department' Inspection date f-3/ 1 Board of Health f f, ' / Inspection date THIS PERMIT WILL NOT BE VALT; D THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. _~'` Building Inspector ppr FROM I - TOWN OF BARNSTABLE BUILDING Mr. rancisf 3JCihteine �.w r 4 a,.,�r�_.� 7-v�.�*-367�L4AI N STREET .HYA N1 MA,L 02001 1, TUAM Clerk r. II Phone: "6-1120 SUBJECT: a FOLD HERE ` -DATE Fab 7. MESSAGE . .en•t ee•ce.•aq fib# 'T 94'9E - .. _ •. ' t. Work 115 been cm leed r�nc3er Mnnt. �r?$ 1 ( .& 5IeI d,ICo�nbar) . _ ... Pleas release �.�zw¢a�y .. M�� ,. � • _ _ �SIGNED- ' • DATE - _.� �".' ' •`- .k''' REPLY SIGNED Ne7-RM1 _ RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE.AND PINK-COPIES WITH CARBON INTACT. -j3/ - ", Assessor's map and lot number 6SEPTIC S T BE 3 ' 677. a . A 7- 3"-f3 Sewage Permit number ........................................................ INSTALLED ��� WIT House number a- ........plc.. ENVIRONi1!1, AND TOWN R i6' , S �MPY TOWN OF BARNSTABLE x � BUILD G INSPECTOR APPLICATION FOR PERMIT TO .. i:V4 �. ................................... TYPE OF CONSTRUCTION ........... ......t. .�...... .. ... ... . .. ..... .................................................... .................. ........................19.Q� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for tea. Qper according to the following information: /� Location ........ fit�1.1.F. ......d'�i..CA��.:....... .- ....... ... . .. X!%� �. i .. Proposed Use .............. .... ............................................................... ............................................................. .... .. ... .. . ... .. A167 )) . Zoning District ........... . ...........1.................................Fire District .... ..Ko . ......... ................ Name of Owner ............................°��, ; � G!c/i ddress ... `MU....o - ...... y.. Name of Builder ................Address .................................................................................... Nameof Architect ..................................................................Address ............... . ................................................................. Number of Rooms ..............6.................. . ..........................Foundation .. ... Exierior �:.. ... . ...............Roofing ......... . ............ ..................... ......................Interior ................Floors ................. ... . .... .. ............................ .. ....� .................. .......... Heatings ..........................Plumbing .........................;......./. ........ .... ..:... ................... Fireplace ........................... .....................................................Approximate. Cost ..... .!T�` . . ... .. .. . .. Definitive Plan Approved by Planning Board -----------______-----------19_ . Area ...... . ....... ........:.... 00 Diagram of Lot and Building with Dimensions Fee pC ........... ...`�..— ........... Z �. SUBJECT TO APPROVAL OF BOARD OF HEALTH V y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .�'..j .. ....... . . . ... .. .. ... .......... Construction Supervisor's License �'LZ........ t ' s � l MA%OMBER, EDWARD & SHEILA No ;25571 Permit for ..l z Stor .....•...••.. Single...Fam ly.•Dwelling,••,•,....•• I Location - �... ............� ?� .:. Lot•• 20, .. ................Hy.annis.............................................. Edward & Sheila Macomber Owner ......?............................................................ Frame Type of Construction .......................................... t .................... ........................................................... Plot ............................ Lot .......................... September 2 83 Permit Granted 3! ...:1,9 ''►..... ............. ! t Date of Inspection ........................ ....:;L9' !` 7' Date Completed ` �,���� ° 1• t ,_ 1, ,:4 ..• Imo/�J. �/i . Assessor's map and lot number -/- �'✓ ' �J ' �./< 3 Q�o f rot♦ Sewage Permit umber ........................................................ o� • I 9AUSTdDLE i House number cc //........... ....c/17 NAM .... .... ....s.................................... ��O 39 �a MAX tr\e TOWN OF BARNSTABLE BUILDING INSPECTOR ; / r ; APPLICATION FOR PERMIT TO d � .. /1" �..: �✓, '. 3p t- 1.i'LA..�•........................ TYPE OF CONSTRUCTION ........................... f t..... c. l,..r �!J:.................................................. ............ .......................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... �.,. ................................2/)................... .. 2:: �..........: :... oz, „:;%J2{.. �.Y;4 i ProposedUse .............. . ............ ... ............................................................... ..................... ......... .I....... ............... Zoning District ............ ..... /.................................Fire District .... t ;r t ? .......................................... Name of Owner .................�..:..� :..... .......:. ........ ........:Address .......` �� � ............ .:... .`::...... !.`/`...................? Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address ...............: �................................................................. XQ Number of Rooms ............. .................. Foundation / � .: ..............................................�. Exterior .....� ':,!: /z..` :.:.... ;...'...............Roofing ......... ..: / ? ✓.......... Floors /1.1 ,! .............................................Interior ................ .�/� .............................. Heating F/€ :.......................................... Plumbing ...� Fireplace .......................... most .....e � . Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ...... ... .......... o l� _ , Diagram of Lot and Building with Dimensions Fee 5 -0— ....................... zrC. SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 , \p. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of' Barnstable`regarding the above construction. Name . n4. . � ,1{ ...'.... :.......°/...r:::�: ....r � Construction Supervisor's license 44.........::: ........ MACOMBER, EDWARD & SHEILA , A=250-115 25571, 112, Story No ................. Permit for ...................................... Single Family Dwelling ............................................................................... Location L.?t....20,.......2.4....Jennies....Path Hyannis ............................................................................... Edward & Sheila. Macomber Owner ..................................................................... Type of Construction Frame. .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ....S.Q.Rten);?ex..2.3.,..1983 Date of Inspection ....................................19 Date Completed ......................................19 �'06 M 016 /0 3 t l� 5 t. o I7 i' s• G. `k 3a t F S,J F. pe,vgrs . moo!wIa .f U G _ • t i It /7 i CERTIFIED PLOT PLAN Sµ OF 117 A J. `� o� ROBERT NEW CONSTRUCTION ONLY BRUCE TOP OF FOUNDATION IS- FEE ELoRE° y IN 4 ABOVE LOW POINT OF ADJACENT �rT o� �� ®,�°,,� L -MASSY ' ROAD. No Su�E,y SCALE, /"_-3o ' DATE: LD DGE ENG EERING CO.Ra I CERTIFY THAT THE CLIEN ......._..,,_ ESISTERED R SHOWN ON THIS PLAN IS LOCATED EGISTERED 83..°�`�. ON THE GROUND AS INDICATED AND J08 �10. CIVIL I LAND .. - CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY O SARNSTAB E MASS. 712 MAIN STREET CH.®Y� ? HYANRIS, MASS SHEET-L-0v-L_- D AfT E RES. LAND SURVEYOR , r, 12 15' w c)7)-4 T•(3.M. 1A,L, JEn�rV/ E`'S 7P� rNl.` T 7� L _ /h V E 7 ` 10 � I �� :� � Q 2 . N. Qj P&A4nseD 3 &P _ n K.. DvJELLIMIn' FURQ.E . U V- lV C A¢Ac�E Jy N F.lo ':ff L-[c q` I- 36' Irr- -� sEPnc .tl TAa/K�.. Op• � /O U �p _ N � Lo Nk t ' CA L_ACFa.cl .j t�- 00 OF /7 I - N 0 N 74 ,0 J Mp SL'gVFv LEGEND .- . EXISTING SPOT ELEVATION Ox0 ` CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 ___ r ZH OF' s�o L a r a� �/ ti�vi "s �A7 ri FINISHED SPOT ELEVATION FINISHED ' CONTOUR 0 - M4Rs Illl APPROVED BOARD OF HEALTH ,pro 10951w0�4 /STE �� SAJM STASIAoAA S* DATE AGENT NAL�a SCALES / " 3 0 ' DATE, -7 (EL DREDGE ENGINEERING Cot INg) �•4�'""�Crz CLIENT'' ------ I CERTIFY THAT THE PROPOSED EGISTERE REGISTERE® $109 N0,. 93« _0 4 L BUILDING SHOWN ON THIS . PLAN CIVIL LAND � CONFORMS TO THE ZONING LAWS ENGI . EER RVE DR.BY OF BARNBTA®LE, MASS. 712 MAIN STREET CH. BY's J � HYANNI.S$ MASS. Z ���_g 3 SHEET.._._ OF DATE (3. LAND SURVEYOR