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HomeMy WebLinkAbout0048 LINCOLN ROAD I �� .� g4 N 4\i+ y', I r .. �, ,.: Date: August 8, 2018 To: Building File RE: Tree Work New Driveway Address: 48 Lincoln RD, Hyannis Originator: Unknown Owner: Maria Do Carmo &Acacio Ferreira Complaint: Cut new road in between Lincoln Rd &Tevyah. Enforcement Process Steps ® 1. Initiate local investigation: RA 2. Document/enter into system Yes ® 3. Contact 4. 5. Seek access to subject property 6. Seek administrative warrant (if necessary) ? 7. Notify state authorities of findings NA ® 8. Document conclusion CLOSED ® 9. Referred Bldg/Bob Property R269-010 Property is developed (1938)with 2 bedroom 1 bath single family dwelling on 0.38 acre in the RB zoning district. 08/06/2018 Caller was.transferred from Cindy at DPW. He inquired about trees being cut and a new road being developed on the residential lot between Lincoln &Tevyaw Rd. Although a road opening permit maybe necessary, DPW referred the matter to building. The caller stated large trucks are utilizing the"new road". 08/27/2018 Caller says they are cutting more trees down now and it may be on town property. Dispatched Bob to site on 8/27/18 to make contact with owner. Contacted Bob Golden to see if he can survey cutting area and make sure it's not on town property. 8/31/2018 Matter closed based on assessment by Bob Golden,Town Surveyor and Bob McKechnie, Local Inspector. See email attached. Anderson, Robin From: Golden, Robert Sent: Friday, August 31, 2018 8:00 AM To: Anderson, Robin Subject: Re: 48 Lincoln You're welcome. Sent from my Phone On Aug 31, 2018, at 7:58 AM,Anderson, Robin<Robin.Anderson@town.barnstable.ma.us>wrote: Hi Bob, Thanks for checking on this property for me. It is my understanding from your voicemail message that you found no violation and determined that the road opening on Tevyaw did not rise to the level that would require a formal road opening permit. You indicated that the property had been staked and no damage or cutting occurred on town property. Based on your assessment and the assessment of the local inspector who was also dispatched to check, I am closing out this complaint. Thank you for your assistance with this matter. It's very much appreciated! 0i 96& Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 1 October 6, 2015 FROM: Ruth J. Weil, Town Attorney . Town of Barnstable 367 Main Street Hyannis, MA 02601 (508) 862-4620 Ruth:weilgtown.barnstable.ma.us TO: James Brueggen Midfirst Bank James.Brueggengmidfirst.com CC: dpirgstate.ma.us SUBJECT: Massachusetts REO Property Dear Mr. Brueggen: This letter serves as a follow-up to our previous attempt to contanct you regarding Midfirst Bank's REO property at 48 Lincoln Road, Hyannis, MAthat has been identified by the Distressed Property Identification and Revitalization Program of the Massachusetts Attorney General. We are writing to determine what your intentions are as to this property and when you expect it to return to productive use. You should also be aware that the town of Barnstable recently adopted an ordinance relating to vacant and foreclosing properties, Chapter 224 of the Code of the Town of Barnstable, a copy of which is attached. As it relates to above-referenced REO property, Section 224-413 mandates that a mortgagee of a vacant property having taken possession or ownership of a property register the property with Barnstable's building commissioner and comply with the delineated maintenance requirements. You are not required to post a bond at this time. Please contact me by October 12,2015 as to your intentions with this property, including a rehabilitation plan and estimated date of completion if your intention is to rehabilitate the property. Also, please provide proof of your compliance with Chapter 224 of the Code. Thank you for your prompt attention to this matter. We look forward to working with you. Very truly yours, Ruth J. Weil Town Attorney a ,. Town of Barnstable lldiri .. x e,.. _- r A roved Plans Must be:Retairietl on<Jobind:--this Card Must be' e: t h' , ,. B, grwstt� - Ppst his . Scr ait tt � tole + F1P pA M Posted Unt�lFina Ir►Spectran Has Been Made ; Wher=.a a:Ce= icat O cu ra�1C. as Re ulred,such„Build+�a shall Notbe bccu fed-,until a Final Inspection'has°been°made. Permit No. : B-17-3192 Applicant Name: BRAULIO BRITO Approvals Date Issued- 09/20/2017 Current Use: Structure Permit-Type:::,Building-Alteration INTERIOR Woik Only- Foundation: Expiration Date' 03/20/2018 Residential Map/Lot: 269-010 Zoning District: RB Sheathing: Location: 48 LINCOLN ROAD,HYANNIS ' Contractor Name: BRAULIO BRITO Framing: 1 Owner on Record: SECRETARY OF HOUSING&URBAN DEV Contractor License CS-110548 2 Address: 29 BROOKSHIRE ROAD h Est Project Cost: $2,000.00 Chimney: HYANNIS,MA 02601: n z ° Permit Fee:'. $85.00 Description: REPAIR STEPS GOING TO BASEMENT x Insulation: Fee Paid $85.00 Project Review Req: REPAIR STEPS GOING TO BASEMENT - 3 F Date 9/20/2017 Final: .e A " Aw Plumbing/Gas ✓(� Rough Plumbing: •'' . Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless-the work authorized by this permit is commenced within six months afte issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by Laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for pubic I "'ect on for the entire duration of the work until the completion of the same W Electrical � � The Certificate of Occupancy will not be issued until all applicable signatures b theBuildmg and Fire Officialsar�e provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work ; 1.Foundation or Footing 6 Rough: 2.Sheathing Inspection - 3..All Fireplaces must be inspected at the throat level before firest flue lining is installed r Final: 4.Wi ring&Plumbing Inspections to be completed leted prior to Inspection on - - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage,Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. r Health Work shall.not proceed until the Inspector has approved the various stages of construction. Final: ':Perso_ns contracting wrth unregistered eontractors:do not.have access to the guaranty fund (as setforth;in M G L c.142A). Fir e Department Building plans are to be available on site n Fi a I: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT j TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map VL101 Parcel Application #, —� Health Division Date Issued -6 20 7 Conservation Division Application Fe (L R� Planning Dept. 1 2®,�-� Permit Fee Date Definitive Plan Approved by Planning Board��.P Historic - OKH _ Preservatio�n, `Hyannis Project Street Address io CJ!K1 to ko,wt1 sa Village Owner loulfc.. Address �� C.� cd o Telephone ® Permit Request �le2 a �t�1yt41Q. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation W00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family &/' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes Colo On Old King's Highway: ❑Yes ❑ No Basement Type: Er full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) (C�/ Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new 2— Half: existing <0 new Number of Bedrooms: 2- existing new Total Room Count (not including baths): existing T new First Floor Room Count Heat Type and Fuel: Ur Gas ❑ Oil 0 Electric ❑ Other Central Air: ❑Yes U� 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 ❑ U Yes No If yes, site plan review# Current Use Proposed Use �� �'s►, `� APPLICANT INFORMATION {� (BUILDER OR HOMEOWNER) Name 1 �---�` o �f `�" Telephone Number Address U vlot e �'- � (...�. License # ? 0 574 U ,-X15 "d, (2L 60 Home Improvement Contractor# 1 Q 0 f Email L,vt �/'�x Worker's Compensation # rr ALL CONSTRUCTI r EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 �i�l �(T SIGNATURE ► DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i S _ 0 v L of 4 COY � � U TIN N Z � - s C2rall S C" 6 4-- 5 S . M �I � v O n re .. Nam. r. .A.. ,.. �..�i/ . 'F J7.r!'!+E JJF rNK:/ZW�..CI� +F+,' 4fL7illn �a .m \ ptface'of CaasutnerHa+' g�Sls�; ynl�Han t :+ HOME 1 `PF O�M°E11�� NaiRAGT62Ft ..at C 4 �L :Itrdi�nrival S' . g�,7ta1C33BR)l"��;� C� /ems 6 t:lndeerS> r�t3ry a ' kJ. .✓'.:. Massachusetts Department of Public Safety Board of Building.Regulations and Standards License:: CS41054,& Construction Supervisor BRAULIO BRITO 25,UNCLE,STANLEY'S WAY::[ SOUTH DENNIS MA © 660 Expiration: Commissioner 05123120.20.' Town of Barnstable - Building Department Services B ` Brian Florence,CBO �`� Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs 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 IMCW i_ .� , l P pay hereby authorize Ll 0 �Fill to&%I �,1 J� �l�` �to act on my behalf, in all matters relative to work authorized by this building permit application for. ✓4� �n.(/i✓1 C s b�-�OLS (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. QWure of + er S' e of Applicant V• Print Name Print Name Date Q:FORMS:M4MERMISSIONPOOLS Rev:09/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 DAMSTAIIIA MAW www.town.barnstable.ma.us �1639. p M� Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: (�j ,r��— �'--7 Please Print JOB LOCATION: � ( �''ec.)�i/1 1 4 �5pl ? 110 number streets village "HOMEOWNER" l D E`-s Qlfl 5 — —�7 name home phon4# work phone# CURRENT MAILING ADDRESS !So— - city&Wn state zip code I 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 un�igned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules\and regulations. The undersigned"homjown certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced d re q ents and that he/she will comply with said procedures and requirements. Sign of yomeowner 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe 08/16/17 The Commomp►eakh oflilassar*usettr . Department ofIndustrid Acciderds Olfwe ofinvestigadom . 600 wasuzzoon street Boston,MA 02111 twrvru massg*ovfdia Workers' Campensaftm Immn-ance Affidavit:Bmlders/C, ntradurs/E ecftw=v?umbers Applicant Infra mat an Please Print Na= ■Icing n(�rca^'�at"s'—'1Fi'r�m'- 7''=y4 1.J�r t� / J e/tJ��Q) Addrer;s t itWStatelZig o� Av A 006�0 PJwne 1:-((- 26 5-02 06 Are you au employer?Check the appropriate bar- Type of project(required)- employees ❑ I am a employes veith 4. ❑I am a general contmetor and I 6. [:]New f project (coust equ ra employees(full.and/or part-time)* have hired the sub-contractors . 2.JN I am a sole gropfietor or parer- listed on the attached sheet. ?. ❑Remodeling drip and have no employees These sub-contractors have S..❑Demolition w adring forme in any capacity. employees andhave workers' [No[4pdrers'comp_itncrtrance comp.m¢mwv-- �. ❑Building addition.reT fired] 5_ 0. We area corporation and its 10_❑Electrical repairs or additions 3.❑ I am a homeowner doing all vm& of have exercised their 1 L❑Flumbing repairs or additions myseM[No woAers'camp- right of exemption per MGI. 1?❑Roofrepain incl m=61 &]i c.152,§1(41 and we have no i_ employees:[No workem' 13_UlOthe[ coup.tasuraIIce required.) 'Llny apprfcMtdMtcfiedrsbos f1 must also filrovtthe sectiaabe7pwshmeiag theirworkas'compeasafiaupaTieyittfoctaaaYion #Homeovrmn who submit chi€affidnit inaffcatmg they Km dOine arr work attd.tom Arta GUta&ren tr 9Ct=mms{eohmit anew affidaeyt indkwhag sucb- rCn=acEoa thzt check figs bax toast sttadted sa addid-d sheet sbawh g the names of dte sob-ca W n ct an and state whetber or not Muse a zdtks btree employees.Iftbesub-c=tmctntshaceemgioyee%iFtymusrpmuidegleir worker'comp.paritynumbeL I am au emplapr float is pratading itrarkers'compmsafiaii insrirartce for my aitip4,em Below is ilie pofcy and job site information. Insurance Company Name: Policy#or Self-tits Lit_41ExpirationDate: Job Site AAdress:4,(;L.Ck c ^ C6G.� CitylSta 4174p: N N co k:l 01G 0( Attach a copy of the warkere compensatiotr policy dedaration page(showing the policy numbs er and expiration date). Failure to secure coverage as required.under Sez-fion 25A of MGL c 1572 can lead to the imposition of criminal petsatties of a flue up to$UOa 00 and/or one-yearimpsissonrmwk as well as civil.penalties.in the form of a STOP WORK ORDERand a frme of up to 0-00 a day again the violator. Be addsed that a copy of this statement maybe forwarded fn the Office of Isrvest gations of the DIA.four insurance coverage verification. 1 afa her, 'uatder the ialfi s afped rp that tote irtformadmi protuTed abm�s is bus and correct Si> tafinre: Irate: Phoneik OBIcial um m.d. Da trot write is titis area,to be campTeted by c kfp artoirn o,#Jrc&L City or Town: PermitUcense# Tecn�Authority(drde one): 1.Board of Health 2.Building Department 3.CitylT.ova Clerk 4 Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: laformation. and Instructions 1Vf ccarjraseYs Geheaal Laws chapter M regrew all employers In provide wades'compensation for their employees. PUrSD[MMtto this stage,an MMPlayee is dewed as.`°_.every person in fie service of anther Under any contract oflike, express ar MIEPHe&oral or writhm" An ensplaym•is defined as"an incpxvidua],par(nerst ,associE[fi corPora#ion or other legal entity,or any two or more of the foregoing engaged is a Joint eufaTdse,and inclndmg the legal represcatafives of a deceased employer,or the receiv ar tra st=of an individual,partnership,association or other legal entity,employing employees_ However the er owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the = dwelling house of andher who employs persons tD do maitmamce,ca usi action or repair wok on such dwelling house or on the grounds or building appur�therein shall not because of such employment be deemed to be an employer." MG'L chapter 1522,§25C(t7 also states that"every sib or local licensing agency sball withhold the issuance or renewal of a license or permit to operate a business or to construct bwldings in the commonwealth for=T applicantwho has notproduced acceptable evidence of cdmpr=m with the insurance coverage required_" Additi onaIly,MGL chapter 152,§25C{7)states ableiiher the comet anwean nor airy of it s political subdivisions shall EM role any contract for the perfo=anw of public warjc unto acceptable evidence of compliance with foe insurance. rez==Cnts of this chapter have been.presented to the contras sathozity." Applicants Please fill oirt the woA=s'compensation affidavit completely,by checking the boxes that apply to your situation and,if, necessary,yopply sub-contractors)name(s), address(es)and phone Tun- er(s)along with their certifrcai e(s)of hinuance. Limited LiablZif_y Compa mes(LLC)or Limitad LiabslifyPartnerships(LI-P)witono employees other than the members or pmtners�are not rbgai ed to cagy workers' compensation insurance. If an LLC or LLP does have employees,a policy is regnhed. Be advised that this affidayit maybe submitted to the Deparment of Industrial Accidents for confamation of insurance coverage. Also be sure to sign and date the affidavit: The affidavit should be-mtomed to the city or town that the application for the peanit or license is being requested,not foe Department of Industrial Accidents" Txmldyou have any questions regarding the law or ifyou are rmqumred to obtam a workers' compensation policy,Please call the Dep mtneu±at the number listed below. Self-msmIred companies should enter their self-insuance license number an 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 fM out in.the event the Office of Investigations has to contact you regarding the applicant P lease be sure to fill in the peamifJlicense rnrnber which will be used as a mfmmce number. In addition,an applicant that must submit multiple permhMcense aPPRImtions in.any given year,need only submit one affidavit indicating cmxCat policy infornatioa Cif necessary)and midea"Job Site Address"the applicant s.0' wee"all locations in (city or town)-"A copy of the-affidavit that has been officially st unped or madced by the city or to may be provided to the applicant as proof that:a valid affidavit is on file for fhtare permits or licenses. A new affidavit must be filled olt each year.Where a home owner or citizen is obtaining a license or pemmit not related fQ any business or commercial veotrure (i-e. a dog license or peumit to burn leaves etc.)said person is NOT rmlaired to complete this affidavit The Office of Iuvesligaiions would like to ilk 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 er: Thy w�aj-ft of achmetts Degartmmt of 1ridug. l AGoidenta �of�.�esfrg�tiw� �4 Stan . �QstQu, E11� T6,1.*617' 7-4 *xt 406 or 14M-MA 2.4FE Fax#617 727 7M Revised 4-24-07 W mas! Wdia- , ineering Dept. (3rd floor) Map f Parcel Permit# . �d �J 7 r House# N ,�! � Date Issyuueed ,r 0 - Board of Health(3rd floor)(8:15 -`9:30/1:00-�`*`�7� Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) - Planning Dept.(1st floor/School Admin.Bldg.) �TME rq Definitiwv Approved by Planning Board 19 BARNSTABLE. MASS TOWN OF BARNSTABLE' Building Permit Application ' Project Street AddressALAM1262- i 4 Pt [q) rE Village A B PM Owner s jJ Address Telephone - Permit Request E E ' First Floor square feet Second Floor �� square feet Construction Type , Estimated Project Cost $ �� Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing -New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) 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#`�J!/U( ' / 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 BE TAKEN T C SIGNATURE DATE Zi& V BUILDING PERMIT DENIED FOR HE FOLLOWING REASON(S) �ji• v J - FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED -_ MAP/PARCEL NO. l O ADDRESS VILLAGE f OWNER DATE OF INSPECTION: • i - ' _- ; FOUNDATION FRAME I i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - - µ GAS: r ROUGH FINAL ; FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. F r '00.41I c G7 71A�/Id 3 oFT ,pk, Town of Barnstable *Permit# 7� p� ti0 Expires 6 months from issue date tszABL>E : Regulatory Services Fee 9 KAM. $ Thomas F.Geiler,Director �AtED MP'�16 10 Building Division X-PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 J U L 2 $ 2003 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Q Not Valid without Red X-Press Imprint Map/parcel Number ! Property Address n 6't+ 'J G n� [Residential Value of Work Owner's Name&Address `� "l D 1"n10/11 T. /7 ssnri15 t1tSS Contractor's Name Telephone Number ,7 yo� Home Improvement Contractor License#(if applicable) 1� Construction Supervisor's License#(if applicable) 41 ❑Workman's Compensation Insurance h k one: 1 proprietor am the Homeowne I have Workers omp ation 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) L� Ke-side ❑ Replacement Windows. U-Value (maximum.44) *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 r� 4 J 4 �SME T°y� Town of Barnstable Regulatory Services w • ' RARNSTPABLE, ' Thomas F.Geiler,Director 9 MASS. :i639. A g� `e Buildin Division pEDMA 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, / "l(i r4h d AJ d n-L73 ,as Owner of the subject property hereby authorize JOB �)L JGi'�� to act on my behalf, in all matters relative to work authorized by this building permit application for: L1 Y C3C1 , 6�Lam %S, m/14 (Address of Job) Signature of Owner ate /V o r�-h c c Print Name QTORMS:OWNERPERMISSION Nov. 2, 2015 48 Lincoln Rd, Hyannis. = Checked property file for violations. This is bank owned property. If any issues call Safeguard Properties. I spoke to Karen in the Code Compliance Dept. 800-852-8306 X8484 � r.u- �k 'kkt=_:.2'�a�•9< .a y,, '`�:� ` #' t`./ fs ate.. 7 �.S :rilye 1 B /ri���� . .' Y�7p d'" � i r �/d--�e t ,�a'er,Aff'+sr o �Yfll � f(s ", /d. G`I�y' Y1F5 pS Yj� vlwi If Y 9. yt' ,y 9 ie t .et--• 4H i iM1yiK ,�} .'`.' � Cy; , 1 7Yt 'd �r ii �T fit- '(� ft✓" '� hrtr '' S F "Et f f f r !` _ 'i -`�✓�!RAW'. , '�'�4 1 ?'� *y9' :+i!` Iy�-}FJtt.a *'` ' ✓ice :A ," Arty' i��`. ,. �i �r�S"T 9 � '.. '"' '" 6,� a !r ,r.�v�a7�i�.�'.r�iP '^'� �1` \�■�. �C"' ,�`� t r ��__�- jj'' ..,,. x..-rim�i►s` NX iq i�. �,�7f 1��� �Y � Y 4 Ik• '.�� l+'"7i�F�n Y Y£e�� , t,�, ¢, ♦ ♦ �y,�i'3 ����'ri:9 ✓ ��1�� ��z�i ��r1 a y..w i /1✓_ .---�� 'r-r 'Y�;TH i � r ,�� 4,. 1 -a hIN Aart`t7 „+ 't; P +'4r' I if r + tr ,�,r srz r 1 y t�1 )vjM o f { , FI, 4 ' '1`i; r� ` aT j�(pInd fU' ,! t .�». \�� it t.. O {' ,{`lit "J -� t �.. '-F t vt tit t}'Y,,, 1i�'• Aw i t v 4}� ,/is ' . ,r'tl` La .L�' ti t t t r,i`i at 2`+i< ,f �� y'xy'.�y �€�����t ��*+.-� T":���.a,�`�'� �a�°�t��h 2`'��`t'4�` aP t ��•! ��iy� ���� ±�l .,\ ,f.e 11 Wi l� `r5�v�/. 3�Sr�t'r., j�) ,' r� '�`'_`,�. " � y � . -' 02/25/r20/1�6. i air 'z'�.ny,..l �. ,a ,� \ G�Xv#�,-�1.:�'";�'R,;• � •`y?.l �- v r Parcel Detail Page 1 of 3 THE Logged In As: Parcel Detail Tuesday,January 5 2016 Parcel Lookup Parcel Info Devel Parcel ID 269-010 I opeo� LOT 18 & PART OF 19 Location 148 LINCOLN ROAD -- ----_--I Pri Frontage 1120 Sec Road I Sec Frontage village 1HYANNIS Fire District I HYANNIS Town sewer exists at this address,Ni o I Road Index � 0895 — Asbuilt Septic Scan: Interactive 269010_1 Map �. Owner Info Owner IDIPRETE, CHRISTOPHER M& LISA C I Co-owner %MIDFIRST BANK (le streets 1999 NW GRAND BLVD STE 100 _I Street2 _� -----� City IOKLAHOMA CITY I State`OK� zip 173118 Country F Land Info Acres 10.38 Use I Single Fam MDL-01 Zoning RB _ _ _____. Nghbd 0104 � Topography Level Road Paved Utilities I Public Water,Gas,Septic Location —� Construction Info Building 1 of 1 Year 1938 I Roof Gable/Hip Ext Wood Shingle Built Struct Wall Living 828 Roof AC Asph/F GIs/Cmp I T None Area Cover Type style(Ca e Cod p I"t Plastered Bea f 2 BedroomsIg I Wall Rooms " Int Bath Model Residential I Carpet ( 1 Full-1 Half Floor Rooms ,b Grade jAverage I Heat Hot Water I Total 4 Rooms Type Rooms Heat Found � ��� ` . Stories F1.4 J _ I Fuel FGas ation Poured Conc. Gross 1656 Area Permit History - - - --- --- - http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19636 1/5/2016 1. Z Parcel Detail Page 2 of 3 Issue Date Purpose Permit# Amount Insp Date Comments 7/24/2003 New Siding 70337 $6,000 6/11/2004 12:00:00 AM 10/28/1998 New Roof 34372 $2,000 1/1/1969 12:00:00 AM Visit History Date Who Purpose 1/17/2014 12:00:00 AM Jeff Rudziak In Office Review 6/11/2004 12:00:00 AM Martin Flynn Drive by inspection only 2/26/2004 12:00:00 AM Gary Brennan Cycl Insp Comp 1/29/2004 12:00:00 AM Paul Talbot Meas/Est 1/25/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access 7/15/1990 12:00:00 AM IML I Meas/Listed-Interior Access Sales History Line Sale Date Owner Book/Page Sale Price 1 12/23/2003 DIPRETE,CHRISTOPHER M&LISA C 18065/166 $225,000 2 9/12/2003 GRIFFIN, DANIEL M JR 17635/220 $173,250 3 11/6/2001 ADAMS, MARTHA 14414/22 $138,000 4 6/15/1984 AMSDEN, LILLIAN S 4162/52 $0 5 11/17/1978 AMSDEN, DEBORAH G 2824/185 $0 6 5/20/2015 1 MIDFIRST BANK 28878/292 1 $132,460 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2016 $58,100 $15,500 $0 $71,200 $144,800 2 2015 $67,900 $16,700 $0 $69,100 $153,700 3 2014 $53,600 $7,700 $0 $69,100 $130,400 4 2013 $53,600 $7,700 $0 $69,100 $130,400 5 2012 $54,800 $7,100 $0 $69,100 $131,000 6 2011 $61,200 $3,800 $0 $69,100 $134,100 7 2010 $61,200 $3,800 $0 $106,400 $171,400 8 2009 $71,300 $3,200 $0 $143,200 $217,700 9 2008 $74,100 $3,200 $0 $149,200 $226,500 11 2007 $74,000 $3,200 $0 $149,200 $226,400 12 2006 $74,600 $3,200 $0 $151,800 $229,600 13 2005 $68,500 $3,000 $0 $117,000 $188,500 14 2004 $61,300 $3,000 $0 $117,000 $181,300 15 2003 $48,100 $3,000 $0 $42,100 $93,200 16 2002 $48,100 $3,000 $0 $42,100 $93,200 17 2001 $48,100 $3,000 $0 $42,100 $93,200 18 2000 $40,800 $2,600 $0 $27,700 $71,100 19 1999 $40,800 $2,600 $0 $27,700 $71,100 20 1998 $40,800 $2,600 $0 $27,700 $71,100 21 1997 $34,900 $0 $0 $27,700 $62,600 22 1996 $34,900 $0 $0 $27,700 $62,600 23 1995 $34,900 $0 $0 $27,700 $62,600 24 1994 $37,500 $0 $0 $31,100 $68,600 25 1993 $37,500 $0 $0 $31,100 $68,600 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19636 1/5/2016 Parcel Detail Page 3 of 3 26 1992 $42,700 $0 $0 $34,600 $77,300 27 1991 $54,200 $0 $0 $48,400 $102,600 28 1990 $54,200 $0 $0 $48,400 $102,600 29 1989 $54,200 $0 $0 $48,400 $102,600 30 1988 $25,800 $0 $0 $21,700 $47,500 31 1987 $25,800 $0 $0 $21,700 $47,500 32 1 1986 1 $25,800 $0 $0 $21,700 $47,500 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19636 1/5/2016 r , �,►� , of Barnstable *Permit# -/ - a -- ' FEB A OF 6 atory Services fee 6,nonrns jros"�e date Maea W� U"Richard V.Scali,Director 61 A8&i1ding Division �Z till Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number o> — U lu�/ )Property Address /+' �=`� %�6 �✓ 6:�� "� j l�JIIJ�Ja Residential Value of Work$ `- '� Minimum fee of$35.00 for work under$6000.00 Owners Name&Address LJ Contractor's Name l��i� a- 6' 7a I Telephone Number"U !� Home Improvement Contractor License#(if applicable) I `t Email: b_ !�� ��u� Construction Supervisor's License#(if applicable) Vorkman's Compensation Insurance !- Check one: ❑ I am a sole proprietor ❑ J am the Homeowner rK have Worker's Compensation Insurance Insurances Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ( kRe-roof(hurricane naile gripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) , Re-side '�`aa. Replacement Windows/doors/sliders.U-Value .30 (maximum.32)#of windows _ #of doors: 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ownevfgu-h sign Property Owner Letter of Permission. A copy of t H e mprovement Contractors License&Construction Supervisors License is require a SIGNATURE: QAWPFILESTORMSUilding permit forms\EXPRESS.doc 01/25/17 Client#:38860 2EXCELBU DATE(MM/DD/Y1 M ACORDTM CERTIFICATE OF LIABILITY INSURANCE 3/29/2016 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 HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Ag PHONE 508 775-1620 Ne: 5087781218 A!C No Ext: 973 lyannough Rd,PO Box 1990 EMAIL ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# 508 775-1620 INSURER A:National Grange Mutual Insuranc INSURED - INSURER 8,Associated Employers Insurance Excel Building Systems Company,Inc INSURER C:Safety Indemnity PO Box 436 INSURER D Forestdale,MA 02644 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MWDD/YYY MM/DD/YYY LIMITS A GENERAL LIABILITY MP02774T 2/22/2016 02/22t2017 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $500 000 CLAIMS-MADE �OCCUR MED EXP(Any one person) S 1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PEA LOC $ _ C AUTOMOBILE LIABILITY 6231596 12/09/2015 12/09/201 E�accidentSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED - BODILY INJURY(Per accident) $ AUTOS AUTOS IX HIRED AUTOS X NON-OWNED PROPERTY eOacEcid ntDAMAGE $ AUTOS UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050098182016A 3/05/2016 03/05/2017 X I WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT s500,000 OFFICER/MEMBER EXCLUDED? � N/A _ (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under , DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 OOO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) ` Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN - ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD !FC`1R770R/M1R77Q7 r:Rn \ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only. { Q:. SOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 egistration: 182094 Type: Office of Consumer Affairs and Business Regulation Expiration:--5/26/2017• Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 EXCEL BUILDING SYSTEMS`& MPANY INC. 4,.lid, RENATO DA SILVA8 JAN SEBASTIAN DR.STE25SANDWICH,MA 02563Undersecretary Noout signature a !� Massachusetts-Department of Public Safety Board of Building Regulations and Standards .^.oriaruct➢on�ii;e;v`iair •- - . License: CS-098849 gift UNAM F DA SIjiW 8 Jan Sebastian DAveR Sandwich MA 02363 �["�f�] Expiration Commissioner 06/20/2017 i . The Cammomveakh qfMamwhzmdft Dgw reat vfrndavftidAcdden& Office 0frMw&4ade m. ' 600 Waskinem meet Boston HA 02111 is*P .ma=g v1dza WkWI M-1 Cazrllhe ts,.Imm-.nce Affiffirvit Bugder-s/Cun&acWrs/Ew&kansfflkmhers AppEcaud IufarmafFan Plewe Prime v Addr ® f 4 Are you an aruplUer?:Checkthe apprapriate bay L[4•I am a emplq�s with 1 4 ❑I am a general contractor and I Tppe of New co t{reamed}_ • enhplogee (fult atrdfor paz�time)_ * havelhiredthe sUb-coatractm 6- ❑lde�a ooms 2.El am a sale proprietor orpar�r- listed cadre attached sheet ?-,K ship and leave no employees These sub-contractors hive 8. ❑Deradaba woddng forme in,any capacity. employees audl=e woakers' [No vwodoe s'comp.roan-in a Camp-ilsulmno xXeTzked 4..❑Build addififla -] 5. ❑ We are a cmporafirm and its 10-0 Electrical repairs or adds ions_ 3.❑ I ama lhameDwner doing all work officers have esercrsed dmk 1L❑Pln Nngrepaim or adcli ions. Myself[No worTmm'comp rigl&of mempfim per MILL L.0 Roofrepaiis i mmacerequired-]i c.M ilM andwebaveno Hoye-[•o, S 13-❑Oilier comp-irmtraium required.] 'day apgticsu�fi�attbed�sbas imastalmafiIIwtthes�tioab a susi their�vadcedmmp�satieapeycyin5=xUmL #SameDwmm whe sahmit his d5dwrl i g fty axe doing eiFwrcaic aua fbmhae nat9&rwrhv 7= snb�.it a newaffi�rmdit�ae sari ICaataefxrtstba2eberkt&boa:m=.attnrlw asadditi®alsiseetsb=ingthen�ofthe =dstafewheth"araotf=e®ritieshaRe �yees rfthe htse emplvyers,ffieyxomstpmside tla=s 'mmp.palkF � I am as eflipIrryar flifrt isprauislutg�vexrkeas'crew a rtsrrlima g u-aa:cs�nr ac}a e>RPfa}�eex $e&hv zs ilhe#paucy aad jai she ih3,jormalrna. . Insurance C'ampany Name: 'Paficy�m Self-Cgs.Lic.�`_ l�pir�iau Rafe= Job Me Address: Ct *15fateF p: Attach 2zopy of the worke&cvmpeusationpolicy decloratum page(shawmg the poficy timber aad ezpwadon date). Far? m to secme,eovemp as requisedunder Sectim 25A of MM m 157 can lead to the imaposif m of criminal penalties of a flue up to$1,54b 00 an1for one-yearimpd onmeak as w 11 as zip pen lfitrs in to fum of a STOP WORK OR=and a Rae of up to$25&M a dap against the violator_ Be whised'tlhat a copy of tihis sblement maybe faswarded to the Office of Ianres#r,2�oftbe 1}.TA for-92019M coveraffeverificahon- Ida hereby can*Ruder andpmahhkr a prmided abmw&true and erect �ivnatnr�_ Date- d am wifj£ Du niat wrfty in&h sea,t be cauq'71eted by city artowt*jfacr 1 City or Town: PermitLieeese t 1wremgAufarky(drdeone): L Board of Hrzlth Bwlirmg Dqm mart 3.C*f1rawn clerk 4.Electrical LL%pector S.Pjumbim g>mspector 6,Other Coact Persm Phone 1 • • - • � • - � • - • • • � �� 1 1 � 1 i • • _•1 _ = ■ �� ■ � ' :r � z 1' J ,� � : r ■ r : • r. w r' w r i r4 1 � _ 1 � r. r f it 1 — f r • Z � ■ 1' • 1; : f� 7: - 1' .• T 1• • t 1 • /' : S 1 J' w - _. _ �1 • :1 • : Y i : � n : • 7 ■ i, : r � � • • • • • 1,' e t 1' L • . ... � � 'T r ': 7 � � .r � �' � : t f iS. .. 1, 1 � � tag � •� � ■ f�i •_ a �� S . • rL • t 1' • t 1 • i i • f 1' _ � • w f r 1: 1' - • 1 i _ • 1• �, • r T � ■ t • • 6.. _ . • t � � .1' r. 1. - , �� t S t. • t • • 1 • • 1 7 1 ' • ! � �' • 1 ' t • • 1' 1' • : �, • • � • 1 S • • r � S _ � � r� � • t C • �� 1 • 1. fib 1 • • 1 • ? • S 1, • 11• t ■ • ■1 w • � 1; � � � ■ 3 1' • � • ■ w : • w 1 • L � • • � 1 L _ • 1. � • � 1; 1: • •4 ! • = • 1 . w w • r • � ! E • • • 1 �' � • • '. • • � 1' • • 1� 1; 7 ', • r ' ' THE� Town of Barnstable Regulatory Services PIAMf Richard V.Scab,Director - '� Building Division. Paul Roma,BuDding Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mans Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder �- ► #:� `� �V�, yr� as Owner of the subject l property hereby authorize r) 't% '��'`' to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final insp ons are performed and accepted. 1 tore-o Owner Signature o pplicant Print Name Print Name Date QTORM&OWNERPERMISSIONPOOLS Town of Barnstable , Regulatory Services QIF b Richard V.Scali,Director 'Building Division s�►arternasa. :aura. Paul Roma,Building Commissioner � - 639. �� 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:' number street village "HOMEOWNER": - name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, . bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. 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 shaffact 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit fomns\EXPRESS.doc 06/20/16 a ate }+ �'� Z� # '� iw - s, 0 E €IMP IOU B OSIEMEM NTR-0 TORS RAG 'aiifl� Boa c UIlEd�ng�Regu�l ta�ons ari �Stahnd�s ds a '� r 0> eAshburitan P=lnace Roo �1 a3 „ * Bosto-n�filassachusetts o2xiz, I H E 'x p-, V MENT CONT#2ACTwORf ' R,�gist'�irat� o�n� �0371��, Ex��p �r-atisarr''a?/;0��0�• � _"� .I<. �� � .,� f ,t;� ..• Regi_stratro Q31:i` 5v �, �' � PAUk CAZEA�LET & ON;S� OOF�-NG •�;' �+� .�-. � yj �TyPe AR?iE-RS,ATP `�"� Paul }Jw �a�eault �n � �� .i _ EzpTa��on� 67�O4I40 �`• - �' �, ,�,� :: >s L �: y � 5 ;�, r >3 I����� i � 'iddialtR� Pn0 8oz�27,8" • ,, i - 01 F'AR'l•M1.::NT OF FII)i31_TC -1AFFTY 1.36726 ON1:: hSfIE3UR1`pN FaLAC:E, RF4 1.301 L3UST'ON5q� 1�1A 011.08--:1E�1.F3 CONSTRUCTION sUP :RV:f.SOR L.I t..F •151 NLJml)er•: 1=r:p i rns : R�rlkzri�kc M . r_s i�2i;3z 1.ni/20/1`.`3<' � :I1�g5 Restricted To: 00 .r 4 jj AP 1585 MAIN sT ; � ��_. ,. � mud � __.._.. t� { OST'E:RV:"CLEF=, MA O265s> a r� rr Kn��F� top for receipt: grid c:hangF, _....___.__.._ � . b-f addr--,ss not.i.fi.r..ai_.iori. ea� a�✓��aaaae/zuaeCla�' ' DEPART ENT OF PUBLIC SAFETY !i CONSTRA44- SUPERVISOR LICENSE F Nu�bar<� E pires: 8irthdate: CS$ 0 32 i :9 J20!1999 10�2811959 $ r nj �4�111 J'� ffAU1T i i 1585 MgIN`ST OSTERVILIE, MA 02655 _ The Commonwealth of Massachusetts Department of Industrial Accidents office 0l/ooe599191loos ' 600 Washington Street ?� Boston,Mass 02111 Workers' Compensation Insurance Afridavit J, ,, nam L e: I S Z)L ) location: / city A'It-vos— D I hone t1 ❑ I am a homeowner pert rming all work myself. ❑ I am a sole r rietor and have no one tivorldn in amr ca acity ❑ I am an emplover providing workers' compensation for my employees working on this job. compnnvname• DnrT_.. -EA99AUi,1F 88H8-•ROSFIN8 address: riri,. -M-Z1-P--CZ-'PL-NMZT I(Z P4A phone Al: 4 2 li—1 177 insurance cn. olicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address: ..:......:. .:,. city' phone Al. _. insurance cm :. olicy# :.... �k•>;»::.;:.,`. 7 . comnanv name- :: address• dtv- phone#: ::.. . . .... ...:...•: .. insurance co. :.: :;;:._:: .>.:::.:..:...oiicv# Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the Imposition of criminal penalties of a tine up to S1,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Onlce of Investigations of the DIA for coverage verifIcation. I do hereby certify under the pai#sand penalties ojerjury that the information provided above is trrrp and correct Signature �1 .�':':� —Date _ Print name PAUL CAZEA LT _Phone# a-)R_1177 . ..... .. CCI:h usenly do not write in this area to be completed by city or town official town: permit/license 0 ❑Building Department ❑Licensing Board mmediate response is required ❑Selectmen's Oftiee❑Health DeQaetment on: - phone#; ❑Other Urmw.9/95 P1A1 I` The Town of Barnstable KAM Department of Health Safety and Environmental Services 1°.1 `e Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-b227 Ralph Ctvssea Fa1c 508 775-3344 Building Commission 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,nnttmml, demolition, or construction of an addition to any pre-Odsting owner occupied building containing at least one but not more than four dwelling units or to auuctares which are adjacent to such residence or building be done by registered contractors,with certain moons, along with other mquirements. Type of Work:PAO �(ll e�o A 0-� Est. Cost v Address of Work: Alf h 1,k) C 6 ORner.Name: ii I //I Ajj Date of Permit Application: I hereby certify that: Registration is not required for the following nason(s): Work excluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH Uf1ItEGIS71�1IED ME FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE . ACCESS TO ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. I42A SIGNED UNDER PENALTIES OF PERJURY ; I hereby apply for a permit as the agent of the owner. �2aL Date Contractor narri Registration No. OR i ACORP. CERTIFICATE OF LIABILITY INSURANCECSRPAU DR LJ- DATE(MMIDD/9y 2 09/29/ 8 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Drake,Swan & Crocker Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency, Inc. 14 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orleans MA 02653-0429 COMPANIES AFFORDING COVERAGE __- COMPANY David D Rust A Assurance Co. of America I>honefJo. 508-255-321.2 Fax No. _. _ - .. -- ----- ----- II1. LIRED - COMPANY B Credit General Insurance Co. COMPANY C Paul J. Cazeault & Sons, Inc. P 0 BOX 930 COMPANY Marstons Mills MA 02648 D COVERAGES 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _"..__._... _.... POLICY EFFECTIVE POLICY EXPIRATION LIMITS (A" INSURANCE� TYPE OF INSRANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) LTR GENERAL AGGREGATE $ 1000000- I GENERAL LIABILIFY ------"-'-- 05/O1/98 05/01/99 PRODUCTS.COMP/OP AGG $ 1000000 A i X I COMMERCIAL GENERAL LIABILITY CFP25552812 ---- ---- -- CLAIMS MADE X OCCUR PERSONAL&ADVINJURY $ 500000 I----I EACH OCCURRENCE_ _ $ 500000 -_ OWNER'S&CONTRACTOR'S PROT - -- FIREDAMAGE(Anyonefire) $ 300000 ---- i MED EXP(Any one person) $ 1 0 0 0 O I I I ALIT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ I I ANY AUTO ------- j ALL OWNED AUTOS - BODILY INJURY $ (Per person) --------------.----- SCHEDULED AUTOS - --- HIRED AUTOS BODILY INJURY $ (Per accident) ----_------" NUN-OWNED AUTOS - PROPERTY DAMAGE $ _ ------ i -=I AUTO ONLY_EA ACCIDENT $- ARAGE LIABILITY OTHER THAN-AUTO ONLY: ANY AUTO EACH ACCIDENT $ i -- - AGGREGATE $ _ 1 I EACH OCCURRENCE $ -i EXCL=SS LIABILITY ..... _. .-__ ... - AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM $ �, WG STATU- OTH- i I WORKERS GUMPENSAiii)hl rkNU I _TORY LIMIT$ (._____tR __.__-._ ! EMPLOYERS'LIABILITY _EL_EACH ACCIDENT -- $ 100000 { B lit"HE PROPRIETOR/ _}{_ INCL SWC17005902 08/09/98 08/09/99 EL DISEASE_POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE EL DISEASE-EA EMPLOYEE $ 100000 OFFICERS ARE'. EXCL OTHER I i DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS ! Roofing. Corporation active 10/l/98. I CERTIFICATE HOLDER CANCELLATION 1 PEACOC 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL. 1 ! 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY j OF ANY KIND ON T E COMPANY,ITS AGENTS OR R PRESENTATIVES. AUTHORIZE EP ATIVE MWJ " ACORD CORPORATION 19E IACC Town of Barnstable Regulatory Services Thomas F.Geiler,Director BARN LE, 9 MASS. Building Division 1639. ♦0 i°iEp fit► Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINUINQUIRY REPORT Date: / 4 Rec'd by: Complaint Name: Map/Parcel Location Address: C 0 6 A/ z2x /Y� Originator Name: c'4 ;`//,ex Al G'�/,� N T���✓� Street: 74 c ./ c 0 c 1v le Village: 1,7"Y. State: A7 A • Zip: p Telephone: Complaint Description: L4 s c "g Xals-,V "Al P/4 117, N 157-A4�S C 4/:Kiv y FOR OFFICE USE ONLY Inspector's Action/Comments Date: Owla 9 Inspector: lAz L3 c�++/- Q A V / d L I}A/V C e- /3 loh Co ale 1 j 0 L Y 3/ Additional Info.Attached Q:forms:complaint Z�g r e co m F I L � S Postage $ 026�1 N Ir Certified Fee �� P� ark (n m .ere C3 EdorsetcReqpuiFred) J� 0 Restricted Delivery Fee 7' O (Endorsement Required) -f� p Total Postage&Fees S Q Sent To r9 - - ---------------------------.....--------------------------------------------- Street,Apt.No.; E3 or PO Box No. 0 4 —------------------__.____.....------......------....-.._..--___ � City,State,ZIP+ • :11 11 Certified Mail Provides: a A mailing receipt o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: m Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail: For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a.duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 I �m Ln ti ry i [� Postage $ 01 S Q- Certified Fee Lark Return Reoeipt Fee Here0 N Po4 (Endorsement Required) _ C3 Restricted Delivery Fee. W J� O (Endorsement Required) Q O Total Postage&Fees s / �y Q" Sent To ------��_j�-- ---- ----•----- rq Street,Apt No.; C3 or PO Box No. /! City,S e, /+4 ..--�7 ^- ---- 0 .. Certified it Provides: , n A mailing receipt a A unique identifier for your mailpiece -0 A signature upon delivery o A record of delivery kept by the Postal Service for two years ..Important Reminders: -a Certified Mail may ONLY be combined with First-Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. -' o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". o If a postmark on the Certified Mail receipt is desired,please present the arti- cle°at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,January 2001 (Reverse) 102595-M-01-2425 f•,... c.. .-.....7r. .,...:-...,. .-...yy4..roT':.'.+9 • .... ')f 1*.. .... -w.-... N.� .:�.D � K r .. ... The -Town b B.arnstab:le.; BARYSTAaL Department of Health Safety and Environmental Services T MASS 0' ptFDN1P�� Building �nv1s10n . i 367 Main:Street,Hyannis,MA 02601 1 Office: 508-8624038 Ralph.Crossen Fax: 508-190-6230 Building Commissioner Insp ection Correction Notice y� mil' ' � ore Type of Inspection ��G���,� ✓/.S2s� /ems -���C' l. Gzr��� � Location L/Y _Z ., Permit Number 0wner,,, a �.Le° Builder. I i One notice.to remain on job site, one notice on file in Building Department. .The following items need correcting: i '000- ley / I Cl�fl.S ��,D�G�Cs�.��✓�'3' �'G!/�/c'�'CJ��i�i' y*o^T�'/�/'UGa ..�'o i��vc/G-��c.�� c ��i��lc• �' �a°'��� �vc/ is�sio�. ���/ i s/ l/,�S/d�!_:S .c�ayG 7i'tihi f��/vy,9,✓i�� s�7'7/G N'4 �'a yc"!'-g- i Please call: 508-862-4038 for re-inspection. ,G,/��7 Inspected by i Date i The Town of Barnstable BAR`ASS. E. MASS. Department of Health Safety and Environmental Services a 639• `00 PrFDMP+� Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location ,14Z,� 7Aa%/s. Permit Number Owner-f!��,� 5, Builder One notice to remain on job site, one notice on file in Building Department. �' �'��Y�'� The following items need correcting: 77`l'el 101 611 cif zooa.✓ z! a » a site ,1c2 �� Zvi C1 - G,G�oV �,��� /�y 7�� s9-7 zy yo�'--�ooya/cG7.�a�✓� h�C Please call: 508-862-4038 for re-inspection. Inspected by 00, r Date 1:5 V 2