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Town of Barnstable
Building Department Services
Brian Florence, CBO DST ,
Building Commissioner BARNS LE
200 Main Street, Hyannis, MA 02601 "� ° @ "�
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www.town.barnstable.ma.us 575
Office: 508-862-4038 Fax: 508-790-6230
Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and
Abate:
Edward A. Rosario and all persons having notice of this order:
As property owner or tenant of the property located at 12 Longview Drive,Hyannis„Assessors
Map 252 Parcel 074,you are hereby notified that you are in violation of Part 1 of the Town of
Barnstable General Ordinances,Chapter 240-Zoning, and are ORDERED this date 2/7/2019,to:
CEASE AND DESIST all functions associated with the following violation(s)on or at the above
mentioned premises:
Summary of Violation:
On 2/7/2019,I observed a violation of the Barnstable Zoning Ordinance Chapter 240 Section 14.
Specifically,a residential structure with a principle dwelling unit and two unpermitted apartments
in a single family home in the RC-1 Residential Zoning District.
Summary of Action to Abate Violation:
In order to abate this violation and to avoid further enforcement action by this office,commence
immediately upon receipt of this notice the following action: Cease the use of the two apartments.
Remedy: seek available zoning relief or restore to single family with a Building Permit
And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of
Barnstable, specifying the ground thereof within thirty (30) days of the receipt of this order
(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the
expiration of the time allowed, action to abate this violation has not commenced, further
action as the law requires will be taken.
By Order,
Robert McKechnie
Local Inspector
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■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
■Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
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signature)that is retained by the Postal Service— Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
Important Reminders. Adult signature service,which requires the
■You may purchase Certified Mail service with signee to be at least 21 years of age(not
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international mail. and provides delivery to the address a specified
■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail CeeV'ice does not change the ■To ensure that your Certified Mail receipt is
insurance covemge automaficallg included with accepted as legal proof of mailing,it should bear a
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endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
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of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047
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Town of Barnstable
Building Department Services
Brian Florence, CBO
Building Commissioner BARNSTABLE
200 Main Street Hyannis, MA 02601 """"�`�""� E"�'�"rt'wu
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Y 1639-2014
www.town.barnstable.ma.us ��
Office: 508-862-4038 Fax: 508-790-6230
Notice of Building Code Violation(s) and Order to Cease, Desist and
Abate:
Edward A Rosario and all persons having notice of this order:
As property owner or tenant of the property located at 12 Longview Drive,Hyannis,Assessors Map
€ 252 Parcel 014 and known as a residential structure,you are hereby notified that you are in
violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section 105.1, Chapter 3 .
Section R310 and are ORDERED this date 2/7/2019 to: CEASE AND DESIST all functions
associated with the following violation(s)on or at the above mentioned premises:
Summary of Violation:
On 2/7/2019 I observed a violation of 780 CMR the Massachusetts State Building Code Chapter 1
Section 105.1 and Chapter 3 Section R310 Specifically,Finishing the basement without permits,
Chapter 1 Section 105.1, and constructing sleeping rooms without emergency._escape or rescue
openings per Chapter 3 Section 310.
Summary of Action to Abate Violation:
In order to abate this violation and to avoid further enforcement action by this office,commence
immediately upon receipt of this notice the following action: Cease all sleeping in the basement and
initiate the process to permit all work.
And, if aggrieved by this notice and order;to show cause as to why you should not be required
abate the violation in this notice,you may file a Notice of Appeal specifying the grounds thereof
with the State Building Code Appeals Board within forty-five(45)days of this notice in accordance
with MGL 143 c. 100 and 780 CMR: If, at the expiration of the time allowed,action to abate this
violation has not commenced,further action as the law requires may be taken.
By Order,
Robert McKechnie
Local Inspector
Building De +z,rtment
Barnstable
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Hyannis,f 026011 wK E .,1,9 / i�,ao
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Edward A Rosari+J
12 Longview Drive �lcTi�
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or on the front if space permits.
1..Article Addressed to: D. Is delivery address different from item 1? ❑Yes I
If YES,enterdelivery address below: ❑No
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Town of Barnstable
Building Department Services
Brian Florence, CBO
Building Commissioner BARNS TABLE
200 Main Street Hyannis, MA 02601
Y 7 1639.3019
www.town.barnstable.ma.us
l
Office: 508-862-4038 Fax: 508-790-6230
Notice of Building Code Violation(s) and Order to Cease, Desist and
Abate:
Edward A Rosario and all persons having notice of this order:
As property owner or tenant of the property located at 12 Longview Drive,Hyannis, Assessors Map
252 Parcel 074 and known as a residential structure,you are hereby notified that you are in
violation of 780 CMR,the Massachusetts State Building Code Chapter 1 Section 105.1, Chapter 3
Section R310 and are ORDERED this date 2/7/2019 to: CEASE AND DESIST all functions
associated with the following violation(s)on or at the above mentioned premises:
Summary of Violation:
On 2/7/2019 I observed a violation of 780 CMR the Massachusetts State Building Code Chapter 1
Section 105.1 and Chapter 3 Section R310 Specifically, Finishing the basement without permits,
Chapter 1 Section 105.1, and constructing sleeping rooms without emergency escape or rescue
openings per Chapter 3 Section 310.
Summary of Action to Abate Violation:
In order to abate this violation and to avoid further enforcement action by this office, commence
immediately upon receipt of this notice the following action: Cease all sleeping in the basement and
initiate the process to permit all work.
And, if aggrieved by this notice and order;to show cause as to why you should not be required
abate the violation in this notice,you may file a Notice of Appeal specifying the grounds thereof
with the State Building Code Appeals Board within forty-five(45)days of this notice in accordance
with MGL 143 c. 100 and 780 CMR. If,at the expiration of the time allowed,action to abate this
violation has not commenced, further action as the law requires may be taken.
By Order,
01
Robert McKechnie
Local Inspector
Town of Barnstable
Building Department Services
Brian Florence, CBO
Building Commissioner BARNSTABLE
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200 Main Street H annis MA 02601 man="� ' "`�' 'R.Y'"
!t+Y;�`NS HiiS•w—nam;u.wEr: 'n u
� Y '/ 1534-]014
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and
Abate:
Edward A. Rosario and all persons having notice of this order:
As property owner ontenant.of the property located at 12 Longview Drive, Hyannis„Assessors
Map 252 Parcel 074,you are hereby notified that you are in violation of Part 1 of the Town of
Barnstable General Ordinances, Chapter 240-Zoning, and are ORDERED this date 2/7/2019,to:
CEASE AND DESIST all functions associated with the following violation(s)on or at the above
mentioned premises:
Summary of Violation:
On 2/7/2019,I observed a violation of the Barnstable Zoning Ordinance Chapter 240 Section 14.
Specifically, a residential structure with a principle dwelling unit and two unpermitted apartments
in a single family home in the RC-1 Residential Zoning District.
Summary of Action to Abate Violation:
In order to abate this violation and to avoid further enforcement action by this office, commence
immediately upon receipt of this notice the following action: Cease the use of the two apartments.
Remedy: seek available zoning relief or restore to single family with a Building Permit
And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of
Barnstable, specifying the ground thereof within thirty(30) days of the receipt of this order
(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the
=expiration of the time allowed,action to abate this violation has not commenced, further
action as the.law requires will be taken.
By Order, �� l
Robert McKechnie
Local Inspector
Building Department
Town of Barnstable
200 Main Street
Hyannis,MA 02601,
Edward A Rosario
12 Longview Drive
Hyannis, MA 02601
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of�Ne r Printed On:812212019
Complaint Call Report
MAE& _ E IYA'N N Ca ��
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Case#: C-19-100 Address: 12 LONGVIEW DRIVE, Date: 2/812019
HYANNIS
Owner Info: Property Info:
ROSARIO, EDWARD A MBL:
700 YARMOUTH RD 252-074
HYANNIS MA 02601
Owner Notified?:
Complaint Details:
Type of Complaint Classification of Complaint Method of Complaint
Zoning, Illegal Dwelling unit Medium Priority Dept Referral
Complaint Summary:
2 un-permitted apartments in the lower level of dwelling.
Action History:
Action Taken Date Description Fee Inspector
Inspector Assigned to Complaint: mckechnr Filed by: andersor
Comments:
Comment Date Commenter Comment
2/12/2019 andersor Inspected 2/7/19 with Bob McK and James (Health). Advised owner to come
in to discuss propsoed use (Amnesty/Family/Restore)and start permit
process. He appeared 2/12 spoke to Ann in Planning and left with Amnesty
paperwork.
Da te: 812212019 Town,of Barnstable
-
Zoning Board
Barnstable Town Hall
367 Main Street
Hyannis , MA 02601
I am writing as a concerned citizen about
the following addresses :
12 Longview Drive ,
Illegal basement apartment housing
restaurant employees of the owner .
240 Longview Drive , Centerville
There are B-10 vehicles parked in the
driveway and out front including 3-5
commercial vehicles .
24 Jennies Path , Centerville.
Muliple vehicles including 2-4 commercial
vehicles .
We
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O,REVER/USA6
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Zoning Board
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Barnstable Town Hall
367 Main Street
Hyannis , MA 026.01
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�"WE, Town of Barnstable *Permit#
Expires 6 months rom issue date
Regulatory Services Fee ,
SARNSfABM
M`'S&16.39. Richard V.Scali,Director
ArED MA't A
Building Division ,'°
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Tom Perry,CBO,Building Commissioner N
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us IOw% Q ice°
Office: 508-862-4038 Fax:508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number d
Property Address w *--z
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�-Residential Value of Work
r$��C�Q Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address C-Lr c u a-r-C 12 S a r-I d
�S t_- ( d Telephone Number-S-��3G1`'-SS 1�
Contractor's Name a,-- •
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name /.;-I
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof(hurricane nailed)(not stripping. Going over . existing layers of roof)
❑ Re-side
replacement Windows/doors/sliders.U-Value 0 ��maximum.32)#of windows ..�
#of doors: /
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Owner must sign Property Owner Letter of Permission.
opy of Home Improvement Contractors License&Construction Supervisors License is
uired.
SIGNATURE:
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AnT�p�-is d ed as,an.indrvidaal,pm,won,cxirporafmn os oiire�SE naI edify,yr any ttvo or more
off m wing engagmd m a}oi at Mtrr e.,and the Segal Wives of a deceased eavployq-or fhe
receiver ctr trope of an niffnffimL partomsh p>mzD�w Dtbm legal edify en, rplDymg cmPloy=s- However fife
Droner of a dwellimghDuse havfiignotmcae f3m three apart net s and who resides tii=in,or the oceupm±of the
dwelbng hDIIse of anher who.==ploys persons tD do constuction,or repair wm$on such dwelimg house
or on f2j--grounds or biding agpVIICnat¢ffi=tD shall not because of snrh MOPIDyme>it be deemed to be-an.euPlo51 es."
MaL cha 152, �25g6)also sues that¢every,staff or local licensing agency SIiaII wrFbhDld$ie issaance or
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renewal of a Hmwr e or permit to opexmte a.business or to corisPmcd bn affligs is the commonwealth for any
applicant who has not prodgced azMPtable evidence of cniapEaace with-the ia=-�nm Coverage regim-ul
AirF#m a ly,16M chapter>52,§25C(7)stafns-Tei her fbe commonwealth nor aay of ifspolitical subdivisions shall
enter i o o any ccmtmrt for ibe pmf3=Bn ce Df public work until acceptable evidence of compIianm with the in=a ce
r equ rcmezLts of this chapter have been preseni>:d to fhe c=tactng aofh ority
4P3icantr
Please fll out fie wadce m'wropeasafion affidavit completely,by ChC66 ttie boxes that apply to your sitindan and,if
necessary, suTply sub-conirar(s)aame(s). adckess(es)and ph®e rnanbea{s)along with their cxa��ncate(s).of
-duce_ Liability Compamts(LLC')or Lmittd.Liabl7itp Parineishigs(I I P)Wi hno emplDyees other i�aan the
members ar pa-b c is,aim notmquired to carry wail='compeusion ja=a Ice If an LLC or LLP CID=have
employees;a policy is required_ Bc advised that this affidavitmay be submmd tit the Depa-daneat of Indvstiial
Accid=tS for confrmaiion ofTnSulance oovezagC-. Also be sure to sign and date the affidavit. The affidavit should
be ret mned to the city or tDwn that fhe aPplication for the permit or licrmse is being irgliestetl,not>Ire Department of
IndmtriaY Accidents. Should you have any questions reo r the law c�ifyou are inquiced to obtain a v*orkers'
cau Ll)=SatiDn policy,please call the Department at the n=ber Fisted.below. Self insm-ed companies should enter their
self-;near =license num5cr on the appropriate:line.
- City or Town OificizIs
Please be sure i�$ie affidaYrt is complete and pt�d Ie�ly_ TI Department ices provided a space at the br�f a
- of toe aiidavif for you is fll out in the event fbe Offim afh7esii nri. has to contabt.yon mgn-di og$o-e applicant :..
Please be=;e to fl.in the p ermhh;==M=bez Nhirh WM be used as¢reference nmnber. In addition,an applicant
fhat must submit multiple pemiit'Bcen e appliicafinns iia any given year,need only snbmif one affidavit indicating cuaent
policy infunnafion(if necessary)and under., Site Aess ddr 'the applicant should write¢all locations in. (city or
town.).-A copy of the affidavit that has been officially StE mpe 4 ur madmd by file city or town may be.provided to the
applicant as proof that a valid affidavit is on file for fviare permits or licenses Anew affidavit must be EICd o�±each
year_Where a home owner or citizen is obtaining a li==or permit nut r clabed.to any business or commercial ventrae
Cie,a dog license or permit to bran leaves etx.)said person is NOT r=jakcli to completes this affi.da:)Zt
The Office of Investigations would like tD ii�gnI:you in advance foryour cooperation and should yDu have azry.qursEons,
please do ncthesriste tD givens a call.
The Departmeacfs add_ cess,tElephone and faxa=be r.
ao w-, I1iz of IWS3 hu
• �`tit .� -
Ba5t
n=MA G2I II
R=4 6I7-727- 49�
Revised 4-24--07
i
s
+ BARNSfABM
�. Town of Barnstable
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section.
If Using A Builder
I, (/*'? �� as Owner of the subject property
hereby authorize N �/�o S o to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPHLESTORMS\building permit forms\EXPRESS.doc
Revised 040215
r -
Town of Barnstable
Regulatory Services
�oFsr TWy,� Richard V.Scali,Director
Building Division
3AMSrABIE. ' /Tom Perry,Building Commissioner
MAM
0,59. ��� 200 Main Street, Hyannis,MA 02601
Eo s www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION: �� e.
number street r village
..HOMEOWNER":_
name ) / home phone# work phone# .
CURRENT MAILING ADDRESS: D V Z
Cep e ��7le /n DZC 3Z
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The rsigne " 'certifies that he/she understands the Town of Barnstable Building Department minimum inspection
pr ce es a quirements d 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.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 040215
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map �� Parcel D fk "RN Application # ��
c� 1 J
Health Division Date Issued
Conservation Division Application F e
Planning Dept. Permit Feeg I ®()
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address � rI C_ i'v lI e a ZZ 3 i
Village s s (-e_ A414no
Owner P/I.X/" �CU`��J Address
Telephone 5'0F`
Permit Request Ae nlu-G ce z /o 6-,(,_ le�,OlaI�c
c�. 1� j Fe9UA/
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation d0 0 . 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 ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
,01
— - - C
Name CG-r� /2,) Telephone Number �o -.3
Address w VY e t v2: License #
/� t
-A — Home(l'e /�2 �!2� Home Improvement Contractor#
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE 7 /�
FOR OFFICIAL USE ONLY
APPLICATION#
_ r
DATE ISSUED
w
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
e'
I DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
s
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
1
AWC Guide to Wood Corrstrucddu in Higlr )end Areas: 110 mph ff tnd Zolie
Massachusetts Checklist for Compliance(780 CLIR5301.Z.1.1)'
Loadbearing Wall Connections
Lateral(no.of 16d common nails).„...........................(Tables 7.)................................._.............__
Non-Loadbearing Wall Connections
Lateral(no.of 16d common nails)..__........_........._.(Table e)._.....__..._.___.._._..................._.`
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans ................_....._.„..._._....:.........._.(Table 9)...........___._„.„.._. _ft m_ . 11'
SIR Plate Spans ......„...._..„....._.....„..„„..__......._.(Table 9)„...__......._....._..........._ft in.e.11'
Full Height Studs (no.of*studs)..._..............._.„:.„......(Table 9)...........„.„.._._....._........._----------_ )
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9
Header Spans..'......-....... —ft—. ins 17
Silt Plate Spans.......___.._.....:._._.......„..„.........„_„.(Table 9).._...._:..._._......_......._ft in S 12"
Full Height Studs(no.of studs)..._..„._...._._..__.......(Table 9)......._..........._..._....._..........._
Exterior Wall Sheathing to Resist Uplift and Shear Simuftaneousty4.
Minimum Bolding Dimension,W
Nominal Height of Tallest Open ingz ...............................„.............:„...._......._........._.. 5 6`I3' .
Sheathing Type_.............. ._.___._....._....(note4):.,.._.......................
_. _...._.
Edge Nail Spacing._........_. .` ..........(Table 10 or note 4 if less)........... ... In.
Feld Nall Spacing....................... ..._....(Table 10)..........................._. _.._ in.
Shear Connection(no.of 16d commo Ils)(Table 10)... ....� ...•.. ...................
Percent Full-Height Sheathing.._-_:_.......: .(Table 10)...----.-.-...._---. .•----------._----- _%
5%Additional Sheathing for Wall W ening>.SW(Desig -•�oncepts)....._......._....
Maximum Building Dimension,L "
Nominal Height of Tallest Openi ._.ngZ-. ......._................... ...... ............................._ 5 67 `
Sheathing Type„._............_.................._._...(note 4).............. ...
„.........._...._....._...._
Edge Nail Spacing........................ (rable 11 or n 4 9 less).............._...... WL
Feld Nail Spacing.....„. 11)... ...._._..,.„-------
...
Shear Connection(no.of 16d common nails)(Table 11) ............................._....._............... _
Percent Full-Height Sheathing..._.;_._...„_.._(Table 1 ..._.._._...._......
......_._..._....:.„.__%
5%Additional Sheathing fnr Wall with Ope ng>B'B'(Design Concepts)_.........._.....
Wall Cladding
Rated for Wind Speed?......._........_.....r..__._...._..... ........ ....._......„..._......
._.._._.._..._._._........_
5.1 ('tOOFS
Roof framing member spans checked?......... (For Rafters use AWC Span Tool,see BBRS Website) .
Roof Overhang .............................;............... ....(Figure 19).__........._ft 5 smaller of 2'-or U!3
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift...„. _...............„...._.:._..(Table 12)............................................U= plf
Lateral„ _............._....„._.._..........(Table 12)...._---------------------------------L= plf
Shear._..._.._....._............_ ....(Table 12)..............._............_...._._...S= -plf ,
Ridge Strap Connections,if collar ties not 1:rsed per page 21... (Table 13)......_...................-T= plf
Gable Rake Outlooker............. (Fgune 20)............. ft s smaller of 2'or L/2 '
Truss or Rafter Connections at Non-Loadbearing Walls'
Proprietary Connectors
Uplift_....._............................._...---.(Tablel4)._..._..._._...„..._..._-------..„_U= lb.
Lateral(no.of 16d common nails)_.(Table 14).......................................L- lb.
Roof Sheathing Type......._._._...__..._._...._._....„__.(per 780 CMR Chapters 56 and 59)............
Roof Sheathing Thickness..............„........_._._---......::_.........._.__..........._._......_—in.z 7116'WSP
RoofSheathing Fastening.............„._.....................:(fable 2)_................................_................._„_
Notes:
•1. • This dumidist shall be met in its entirety,excluding the specific exception noted In 2,to comply with the rEquirem -a n t
760 CMR 5301.Z i.t Item 1.!f the checklist is met in its entirely then the following metal straps and hold downs are not
required per the WFCM f 10 mph Guide:
a. Steel Straps per Figure 5
b. 26 Gage Straps per Figure 11
m Uplift Straps per Figure 14 '
d. All Straps per Figure 17
e. Comer Stud Hold Downs per Figure 18a and Figure lab
2. 'Exception:Opening heights of up to B ft.shall be permitted when 5%is added to the percent fulkheight sheathing -
'requirenienfs shrnm In Tables 10 and 11.
3. The bottom sill plate in exterior walls shall be a minimum 2 in nominal thickness pressure treated#2-gra0e. '
T
f •
A FYC'Gurde to Food Construction ui High I nd Areas:110 t iph «nd Zone
Massachusetts Checklist for Compliance(7so nfRs3o1•2.i.I)1
P1 Cheolk
Complianco
1.1 SCOPE
WindSpeed(3-sec gust)._.....»._.»..................»...».....».._» .....».»_».._... ..:............._. ..110 mph
Wind Exposure C • ' • _
Wind Exposure Category...............Engineering Required FotEnfireProject................................... -.0
12 APPL_ICABIU Y
Number of Stories(a roof which exceeds B In 12 siope shad be considrer d as story) stories 5 2 stories
RoofPi6r#�............_..»..__........._............»....»..__........... .(Fi9 2) ............... s 12:12
Mean Roof Height-»......._....__....»._»....»...._..........__(Fig 2),�............_---.............._._._ ft s'33'
BuldingWidth,W........_..__.._..._.».....:._...».._......»..._:. �9 3)_..i....»......:.................__:._..—ft s BO'
BuildingLength,L' .:....».._.._......._......».»........».__._..»..-( l 3)_-' ................................_.:.._ ft s BO'
Bulding Aspect Ratio ..................
. F <
Nominal Height of Tallest Opening ........ ..(Fig 4)...._... .__....:........---.........._. 5SW
1.3 FRAMING CONNECTIONS
General compliance with framing oonnecti .(Table 2)........__. .............................................
2.1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404.1
Concr-ate....................................................:..........................................................................
ConcreteMasonry..........__._._»..__._........._...»...._...».....�..».»..._.._--.:....._.............._..__.................
2.2 ANCHORAGE TO FOUNDATION113
5/8'Anchor Borm4mbedded or 5/B'Proprietary Mechanical Anchors as an alternative in concrete only
Bolt Spacing-general..................................»_...:.(Table 4)........__..........................__ in.
Bolt Spacing from end(oint of plate...__...........».»»....(Fig 5)..-._..»..»..:................. In.15-6'-12'.
Bolt Embedment-concrete.»......._..._».._....».._..._. (Fig 5).........................:.......:....__». in.z 7"
Bolt Embedment-masonry. ._.......... .....__.........-(Fig 5)..._ .t_..................... in.2 15'
.......
Plate Washer..:.._._................._...._.___.....»._.... .(Flg 5)............._......._...:......_».....,_>3"x 3'x'/.'
3.1 FLOORS
Floor•framing member spans checked ...__.._..........._.......(per 780 CMR Chapter 55)......_.._.._...».....:_._._
Maximum Floor Opening Dimension...:.»_.............._._...»..(Fig 6).....__...;.................................... ft:5 12'
Full Height Wall Studs at Floor Openings less than 2'from Ezferior Wag(Fig 6)..:.............:......... .........
Mt3xdmrim Floor Joist Setbacks
Suppoiting Loadbearing Walls or Shearwall...._........»(Fig 7)........................ ft s d
Maxdmum Cantilevered Floor Joists T
Supporting Loadbearing WandorShearwall...._..».---..(Fig 8)_................................................. ft sd
F1oorBracng at Endwals..»......_.____.:..._..»._...._»..»_...»»(Fig 9)_-_------------------------------___»...._. ......_.
Floor Sheathing Type ..........
................_...»....-__._(per 780 CMR Chapter 55)..............................
Floor Sheathing Thickness.-.....».»._..»......._......_...._:..._(pdr 780 CMR Chapter 55)....._....»....._... In.
Floor Sheathing Fasts ing.............................................(fable 2)__d pals at in edge/ in field
4.1 WALLS Wag Height
Height
Loadbearing walls....._......:.....__.........».............._.._.(Fig 10 and Table 5)_......... ft s 10'
Non-Loadbearing walls.._.....».:»...._. ...(Fig 10 and Table 5)......................._.. ft's Or .
Wan Stud Spacing ......._................. ..........._..»._......._(Fig 10 and Table 5).__--..............—In_s 24'o.c.
Wan Story offsets .(Figs 7&8)_.........................
4.2 l=XT'ERIOR WALLS'
Wood Studs
Loadbearing walls.»._._.............................._._.._.......(Table )....._._.................-.2x --ft—in,
Non-Loadbearing walls ..................._»........_......:(Table 5)._.........................2x - ft In.
Gable End Wall Bracing — — —
Fun Height Endwall Studs.._......_.»».........._._... r 10
WSP•AttcFloorLength___.»._..::_....»_:......_....».....(Fig 11)..._..._............».:_._»...._.... ft?:W/3
Gypsum Caft Length Cif WSP not used)....:._......._:.(Fig 11)»._.._».........;».»...:.........:...—ft a 0.9W _
and 2 x 4 Confinuous Lateral Brace @ 5 fL mm_(Fig I)....:.........................._......
_». .»._,.». .
or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft-spacing in end joist or truss bays
Double Top Pic-& -
Splice.Length .._.._._.:_:..».._»..._.._....».�.....»..(Fig 13 and Table 6)................ _ft
S nce Connection no,of 15d common narZs able 6 »._»-.:_.»_.
ft FYC Grude to Wood Construction hi Hi,,,h Wind Areas: 110 mph f71h one
Massachusetts Checklist for Compliance (7811 CM _01.2J:l '
P )
4.
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect go,determine Percent Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of,7/16r and be i led as follows:
i. Panels shall be Installed With strength axis pares I to stud .
11. An horizontal joints shall occur over and be nailed to
61. On single story construction,panels shall be attached bottom plates and top member of the double
top plate.
Iv. On two story construction, upper panels shall be a ched to the top.member of the upper double top
plate and to band joist at bottom of panel.Upper a chment of lower panel shall be made to band joist
and lower attachment made to lowest plate at firs fidor framing.
v. Horizontal nail spacing at double top plates,ban joists,and girders shall be a double row of Bd
staggered at 3 inches on center per figures bet :Vertical and Horizontal Nailing for Panel Attachment
S. Glazing protection:a)new house or horizontal addition—requi if project is 1 mile or closer to shore(generally,south of
Rte.28,or north of Rte.6)
b)vertical addition—not required unless there is extenslve renovation to the first-fioor
c) replacement irviridows—needs energy conservation compliance only(chap 93)
6.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B maybe obtained from the American Wood Council
(AWC)webske.
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P�EDME AOIJBtE W&MME SPAC RM MaXL
See Detail on Next Page
Detail
Vertical and Horizontal Nailing Vertical End Horizontal Nailing
' for Panel Attachment for Panel Attachment
�.
it .;
- . - � - � ,.
Deparkner!t'offnd=trWAcdde&&
Office o fI= .
600 TYaskington Street
Bestm MCA 92M -
w�ww.rr=gv /&a
Workers' Compensation Iwmmice A' flAmb BmldmrJConfracfursMect ricians/Plmnbers
Applicant Information �a � Please Print I,e�h•'
Name
CifY/S�ate!Tp: Phone#:
Are you an empkgrx?Check the appropriate boa; Type of protect(required):
1.El am a mnploprr wifh 4. ❑I am a general contractor and I
employees(fnIl and/(3r part tone).
* have hired the sob-contracbm' 6. ❑New camst action
2.❑ I am a sole pmprietor or perm¢- listed on the affsched sheet 7. ❑Rzaodeling
ship and bane no argdayees Mese�ban S. []Dem 74iian
woddng for mein any capacity croPloyees and have work=
[No wortm.cxi3p.ice comp,iosM „�,t 9• ❑Bmldmg addition
�) 5. ❑ We are a txuporafinn and its 10_01 Electrical repairs or adds ions
3. I am aharowwner doing all work offices have�cised their 11.11 Phanbiagrepairs or.additkm
myself [No wori=s'cam. right of exemptionper MQ. 12.E]Roof repa's
insot�ce requirmLl t e.IA§1(41 aad we have no
employees.[No wads' 13.❑offer
CMxqL
* ny aP Bmuttbat ahee M box#1=st also fM otttbe section brIw sbawing feswu�'eompeasst oa Po�P
t H==uw==who m m�rtthis Rffibm t M=fln g fry=doing 0 wo&and tbm bee�e w�rdema Est submit anew affidavit iadimfin Mrh
tCoaimdrrs thtcheckthis bax mmst ntisehed an addiComil sheet showhgthe name ofthe and sttatc whcd=or notthase mfift have
CMPIDYCM Ifthe sab eanf a have emP�9 P mustPtwide they wmk—'cm3p P0r-9n=ubQ
I mn as employer that is prmd&nffVarkere conT=advn i=r=ce far jV emPloJ'ee� $elo�is the poky and job sub
. rnfortrration, .
I=nmc a Company Name:
Policy#or Self-ins.Lic.# ExpirationDate:
Job Site Address:
Afiarh a copy of the workers' compensation policy declaration page(showbag the policy number and corpirgdox,date).
Fame to secure cove rage as requuzdnader Section75A ofMGL a 152 cam leadt o the imposiiian of coal penalties of a.
Etna lip to$1,500.00 and/or one-year is p isommnot as well.as cirU penalties in tba f b=of a STOP WORK ORDER and a fine
of trp to$250.00 a the violator. Be advised Ihat a copy of this stat= may be fin-warded to the Office of
kmt'Lg the I A coverage vedfrcaiian.
I do hereby afp�y tYtrxt tYie mjoraruiiart pravideli ab a is 15-rtE and correct
S- Date S
Phone#:
Ofjiriai use only. Do net Hite in this arch to be earn
Pkfed by city or tmm ogZdaT
City or Town: Pel'mii/r.irr+irar.
-Iss Authority(cycle one):
L Board ofllealfh 2.Bm1dnagDepartmeat 3.My/Tawn Clark 4.X[ecfticaib7spector EPlnmbingImpectnr
5 Other
CQniac�Person: Phone
Information and Instructions '
Massaroeft Gc=ral Laws chapter M mgtmes all employers to provide wodams'camper far their employees.
Pm mmtto this suit,an mpkyre is defined as�.eveay person m f ie sm-nm of Mather uad any c mftsd ofhfi
express or implied,oraI or wIItftmL."
An rmployM-is deed as can hxUViffiU1L pe trasbip,association,corporation or other legal mtdy,or any two or more
of the&,%Ming gaged is a joid mirrpdso,and including the legal r�uesro�fives of a deceased employer,or the
receiver or tmstee of an mdividual,pmt rdbip,association or omen legal emtity,eznploymg employees. However-ibe
owner of a dwelling house having not more than tree apertmers and who resides fmeia,or the occogant of the .
dwelling House of another who employs persons to do mare e;car stcnction or repair work an such dwelling house
or on the grounds or building a;ppm�thereto shall not because of sack employmmrt be deemed to be an mnployer."
MGL chapter IA§25C(6)also sfates that aevezy siafe or local Hcensing agency shall withhold 1he issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for airy
applicantwho has not produced acceptable evidence of edmpIian.ce,with the insurance-coverage required.."
AddWDna.Ily,`MGL chapter 152, §25C(7)states'Teitmr the==qxwealth nor any of its political subdivisions shall
_ cuter into any contract for the performance ofpnhho wotic until acceptable evidence of compliance with the;,mmmm.
requirements offbis aaptrahavt beenpresentedin the cWhWting anthor$y."
Applicants
Please 0 ant the workers'compensation affidavit completely,by c=king the boxes that apply to your Zt aiion and,if
necessary,supply name(s), addresses)and phone mrmber(s)along with then certificstr(s)of
insurance. Linuted Liability Companies(LLC).or Lbirted LiabUity Pmtamsbips(LLP)with.no employees othcr ihan the
membcas or part =s,are not required to easy workers'compensation insaranm If an LLC or I.P does have
eanployees,a.policy is regained. $e adyisedthdiEs afffdavkmaybe submititd to tiro Deparfmcmt 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 peonit or lic m=is being requesitd,not the Deparimeot of
Industrial A c_a dente Should you,have any questions regarding the law or ifyon are regoired to obtain a worms'
compensation policy,Please call the DeparI f at the number listed below. Self-mso ed companies should miter their
self-insurance license number on the appropriate line.
City or Town Officials
c
Please be sure that the affidavit is campletL-and primed legibly. The Depm rent has provided a sPacc at fho bottom
of tiro affidavit for you to fM out in the event the Office of I ymfgatiorts has to coniac-t you regarding the applicant
Please be sure to fill in the pea�rt/licrose mzmber which will be used as a reference number. In addition,an applicant
that must sabmit multiple pe nMicense applications m any gives yeazi need only submit one affidavit indicating current
policy fi fanuation.(if necessary)and under"Job Site Address"the applicant should write"all locations in * (city or
town)."A copy of fheaffi&vit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for firI permits or Hc=ses. A new affidavit must be filled of t each
year.Where a home owner or citizen is obtaining a license or pew not r@dcd fo any business or commercial venture
(i_e. a dog license or pmonit to bum leaves etc.)said person is NOT required to complete this affidavit,
The Office of rrv�g-ons would Irke to thank you in advance fur your cooperation and should you have say questions,
please do not hesitate to give us a call.
The DeF tm=fs address,Wephone and;ffic nrmmbmr:
h.C0=MMWed&Of Rch -
Depacfmmt cif lndustdal AODidents
office Of jAVe&# Ptio=
6Q4�ashingkan
Boston,IAA 02111
Ted.,#617 727-49W mt406 or 1-977-MASSAFE
Fax#617-727 7749
Revised 4-24-07 - -rgId
14 r ti Town of Barnstable
Regulatory Services
rt ReRN�.I'�RT^ f
r MASS. $ Richard V.Scab,Director
1639.
Sec. Building Division
Tom Perry,Building Commissioner
200 Main Street Hyannis,MA 02601
www.townb arnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorize this building permit application for.
( dress of Job)
..Pool fences and are the responsibility of the plicant. Pools
are not to be filled r utilized before fence is installed d all final
inspections are p o=d and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date .
QTORMS:O WNERPERMISSIONPOOLS
I
Town of Barnstable
Regulatory Services
oFT rory� Richard V.ScaIi,Director
13auding Division
t sABa xsnss
A Tom Perry,Building Commissioner
.
� 200 Main Street, Hyannis,MA 02601
www town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEIV ITON
Please Print
DATE: 7
JOB LOCATTOAL �� �S'[//P�-J Y� �d PJvdLP�c/I I ✓Z—,
number s(nxt viillago
nano home phone# work phone#
CURRENT MAMING ADDRFS S:
city/town state rip 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_ -
Th dersigned `homeowner"certifies that he/she.understands the Town ofBarnstable Building Department minimum inspection
p oced s an ements he/she will comply with said procedures and requirements.
r
Sign ofH eowner
Appmval of Building Official ti
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 EXEMMON
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 Iast page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILE.STORMS1bm9ding permit fomzsEURESS.doc
Revised 061313
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Town of Barnstable Geographic Information System July 27,2015
252085
#943 Q L2520654
252169 '
#935
252073
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#925
252072
#31
252071
#39
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DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:252 Parcel:074
boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel
1'=100'may not meet established map accuracy standards. The parcel lines on this map Owner:ROSARIO,EDWARD A Total Assessed Value:$280300
are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.37 acres Abutters
boundaries and do not represent accurate relationships to physical features on the map
such as building locations. Location:12 LONGVIEW DRIVE Buffer ��/
I
Building Detail - Page 1 of 2
My
Logged In As: Building Detail Monday, July 27
2015
Parcel Lookup Parcel Detail
Building 1 of 1
14; .;
2 O.zr,Or BAt'
26AR
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Code Description Gross Area Effective Area Living Area
BMT Basement Area 864 0 0
FHS Half Story 864 432 432
BAS First Floor 1224 1224 1224
FEP Enclosed Porch 330 0 0
GAR Attached Garage 440 0 0
WDK Wood Deck 225 0 0
Extra Features
Code Description Units Unit Year Price Built Value Comments
GAR Attached Garage 440.00 30.00 1995 $101 500
BRR Bsmt Rec 100.00 7.40 1995 $600
http://issgl2/intranet/propdataBuildingDetail.aspx?PID=18709&... 7/27/2015
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----------------------
YOU WISH TO.OPEN A BUSINESS?
For Your Information: Business certificates(post$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which
you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1`FL,367
Main Street,Hyannis,MA 02601 (Town Hall)
DATE:
Fill in please: ACV
APPLICANT'S YOUR NAME:
BUSINESS YOUR HOME ADDRESS: 12- v e"w Q
361; 5Y7 Xeoc1,1Xe o,> r 3 Z.
TELEPHONE # Home Telephone Number
NAME.OF NEW BUSINESS 7 w:y /b%e � �a/e s TYPE OF aUSINESS;,Al4 Sa /e S
IS THIS la:HOME O OUPATION? YES
I Lave you 6'ear�.given.approval from the'buildin .di 4sjbh?.YES NO .
F �.. p
ADOR 59(3F BUSIN S �Wo�.{�r�:: T?ao �,»A,'�— ,_MAP/ CEL NUMBER S'S !D av l
When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFI
This individual has been informeq.Of any permit requirements that pertain to this type of business.
Auth riz 191inature*
COMMENTS:
2. BOARD OF HEALTH.
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
4+ Authorized Signature*
COMMENTS:
I Assessor's map and lot numbers ....r/!.t •P ..../-...1 :!
ypFtNEtp�f
P
r Sewage Permit number,f...........r..... ...".. ........:. .:....:�. , d�' o�
Z 9AHB9TADLE. i
House number .. .......9.....'........... ... ............i.... 'oo SAMi639 •�
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO �:....5.....:...............�...�:./...�.........................................:.........
TYPE OF CONSTRUCTION .......................... .......
/': /��fC�.�f ........................................................
........
. :. ...... .: .............19... —
TO THE INSPECTOR OF BUILDINGS: (/
The undersigned hereby applies for a permit according to the following information:
Location ..... 4 ..... a` /L:..�-�/..... !. /...1 ,........ fa /!'✓k''..//„/,G f�-� /"/ri............
Proposed Use .......... ................. ............................
r
Zoning'District ..............................�c-r.... ....................I.......Fire District .................:............................................................
f `
Name of Owner rlJ �/1/�J..rlc..!�. .1!.,SAddress ..•.� ��. 1r,5 r1 �
Nameof Builder .................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ..................................................................Foundation ..... ..,.�`>...4'✓?'.. ......�.....¢
Exterior ................. .7.. ..s... .............................................
Roofing .....................;...........
f- i/ !�! /i l� /� :',G ... ,/ ,cam
.....Interior ......................... .......�,�....�.,.�./..li.'..............................
Floors ....................................... .........................................
Heating f�......................................Plumbing .............................................r i �� G
........................./� ..�?. ..... :..
Fireplace /��! r1...�. ...................Approximate Cost 'i................. r.................................................................
.......................CJ. ... ... j
Definitive Plan Approved by Planning Board ________________________________19________. Area ........ ...�J..k..f�...........
Diagram of Lot and Building with Dimensions f� Fee /.. e..
SUBJECT TO APPROVAL OF BOARD OF HEALTH
2V
v
r
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.
it
�,. Name ..�,.C..-�............................ ... ..
Y• y
Construction Supervisor's License .... :��
BELISLE, ARMAND A. A=252-74
25359 ENCLOSE DECK
No ................. Permit for ....................................
Single Family„Dwelling.............
Location ...12 Longview„A>i.i�V. ................
end. V .]. . ................................
Owner .....Armaf}. ..P z.... ��.7,5 .................
Type of Construction ..Fr.aMa..........................
Plot ............................ Lot ................................
Permit Granted ....July 2.8..1 19 83
. ................
Date of Inspection ....................................19
Date Completed ......................................19
► Assessor's map and lot number
J O � yDi TN E
r Sewage Permit number ... . .... ..... ........... .... -
PBA23STLBLE i
£ House number ...... ... ............ . �� ras9
i6
Q VPY M1�
TO N OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....
/�,CPS..�=..�1......... 1. .(...1...................................................
TYPE OF CONSTRUCTION ...........IV. e..O.e........ 1 ' ,r'. .....................................................
.... .. r...........19. .F3
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....f ..... f7�J1��. .. ../l�`�/.. .........CC.-,v.... .../......... ..............
ProposedUse .......... ........ ......................................................................................................................
ZoningDistrict .................... /............................. District ..............................................................................
Name of Owner ..,O. f.!91a..44,,..<&.71I..f-Address .. .�1 f... ... ..... ...>........Cd.f�..G1.�.�—�...
Nameof Builder ...... ................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .......... .....................................................Foundation ..... ..Ce. 1G..a...lr.!�f�$
Exterior .................(,T., .�l.,5..`J........................................Roofing ..................�/�1�.. �6,r
Floors ................. ......................Interior .................../•... ..1,/..�/..Q
Heating .......................... ..............................Plumbing .....................................
Fireplace ................................... ..................Approximate Cost ......................Z l>
..%......U..�0. ... .;F j
Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area ........Z..U..X.J�r..............
rD
Diagram of Lot and Building with Dimensions Fee 0.. .................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH .Z f
� r
v
i
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 .. .... ... .. ... ......a....
Construction Supervisor's License .....11..:C�C.r�.c`'/f'
BELISLE,; ARMAND A•.
CK - -
25=3`59 ENCLOSE: DE _
No for Permit..., .. ...............
- i
-
Gexi .eua.lLes
caner JA r >
O P.cx axlr�:.A....B 1. sloe ........
T e of:Construction '-Farame ....
Plot = Lot ,
" _ y
_.
8,3
Jul _ - -
P.ermit Granted Y 2"8i 19 Date of'Ins coon �_m%z�z . :19: }
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7
' ... :9
Date Completed .r,
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TOWN OF, BARNSTABLE
NA13STA]BIL
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1
0 BIJI10ING . INSPECTOR
APPLICATIONFOR PERMIT TO ..............................................................................................................................
TYPEOF CONSTRUCTION .......................................................................................................................................
. ................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned'hereby applies for a permit according to the following information-
Location ..../-z.....L.0,02.f... ....... ............... �... /4vsS
ProposedUse ....... ........ ..........................................................................................
ZoningDistrict ........................................................................Fire District ........................................
Name of Owner
Name of Builder 4/ .4c.A..7..44 4 t..0.4— 44.P.Address ............................
Nameof Architect ..................................................................Address .....................................................................................
Number of Rooms ............./...............................................Foundation .... .......
Exterior ........ ........ 0 A�s
Floors ....i.t.,6/ a,.4 .interior
.......r1i.r ....... ... ......
Heating .... ......40.�#V./XKPIumbing ............................I�- td.........................................
Fireplace .............
..................................................Approximate Cost .............:V�...ep..a a .......... .
Definitive Plan Approved by Planning Board -------------------—-----------19--------- /t
l�/73.SEPTIC SYSTEM MUST
Diagram of Lot and Building with Dimensions INSTALLED IN COMPLIANCE
WITH ARTICLE -11 STATE
SUBJECT TO APPROVAL OF BOARD. OF HEALTH SANITARY CODE AND TOWN
REGULATIONS.
ee-
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00
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . .. I I .. . I . . .......... .......
_
Belisle, Armand
family dwelling
Location 12 Longview Drive
Armand Belisle
Owner
� _____,_`___________..
-------.. ,
Mct ............................. �� � -
----------.
~ ' '
Permit Granted
. �
_/�
' \ . .
Date of | �j
'
-_- Completed_ ~.
PERMIT. R I EFUSED ` '
-----_.`.......................................... lA
'
� | '
--------'^-----'------~-----
—..-----._------.--... ----
-- —'
—'----^------------`—~-----
'---------.-----------.--.....
+,
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Approved _--------------.. l� , ' ^ ` � 2 .z n
_._________________________
. ~
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------------------------.—..
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j
PERMIT PAYMENT RECEIPT '
,; TOWN ,OF BARNSTABLE
` BUILDING DEPARTMENT
'
..- 200 MAIN STREET
HYANNIS, MA '02601 -
hAV:• 08/07/06
13:16
-------TOTALS-------r-_---_---
PERMIT $ PAID 25.00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
APPLICATION.NUMBER:
PAYMENT METH: CHOCK
'PAYMENT REF: 2084
t
Town of Barnstable *Permit# 001 31(0
'� Expires 6 months from issue date
�S PE��V1i Regulatory Services Fee !�D
Rt 2op6 / Thomas F.Geiler,Director
auG " LE Building Division 0
OF BARNSTAB Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.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 0 Ye
y
Property Address
❑Residential Value of Work Y Z4" Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address (rccla 4 $ cz-d<d
Contractor's Name ZS<✓ste Telephone Number .� —�fGf/�ifSaF
Home Improvement Contractor License#(if applicable)
-Cons--- ense-#--(f applies --- --- -- ----
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
tlI have Worker's Compensation Insurance `
Insurance.Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
[-Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: issuance this pe of exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Pr er m t sign Property Owner Letter of Permission.
o the H ment Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
t'
�\ i ne t ommonweairn UJ lYlussua;nmyeitai
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
y' www-mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plulnbers
Applicant Information Please Print Legibly
Name Business/organization/individual): C_-d Cam G�-� /res a.rz.al
Address: l2_ Low i ve'
City/State/Zip: (fe, .- , //V__ �tA 3 ?--Phone
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4• ❑ I am a general contractor and I
6. New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sale proprietor or partner- listed on the attached sheet $ 2• ❑ Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
working for mein any capacity. workers' comp.insurance. g, ❑ Building addition
[No workers' comp. insurance 5• ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.El am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152,§1(4),and we have no 12; of repairs
insurance required.] t employees. [No workers' 1.3.❑ Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information'
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside cont ctors must submit a new affidavit indicating such
FContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information.
I am an employer that is providing workers compensation Insurance for my employees. Below is the policy andjob site
information.
Insurance Company Name:
Policy#or Self-ins.Lie. #: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the f ' suranc coverage verification.
I do hereby certi r pain ands of perfury that the information provided a ove 's true and correct
Si attire: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspecter �I
6. Other
Contact Person: Phone#:
Information and. Instructtorns
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their empiloyees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual,partnership, association, corporation or other legal.entity, or any two.or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the '
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall.withhold,the-issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavlf- The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the DeparEment of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials .
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom.
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permitgicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in . (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, NIA 02111
Tel. 74r'617-727-4900 ext 406 or 1-0077-MASSAFE
ran 617-727-7749
Revised 5-26-05 w Av.mass.gov/dia
The Town of Barnstable
Department of Health, Safety and Environmental Services
= • = Building Division
rr�ea
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Cms
Fax: 508-790-6230 Building Commissic
Home Occupation Registration
Date:
Name: � O Zh CO
Address: P- LOP(r\/I cS-W
Type of Business: (-Pl�0 LS-f Map/Lot: .2
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home
occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance.
provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or
odor, no visual alteration to the premises which would suggest anything other than a residential use;no increase in
traffic above normal residential volumes:and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject
to the following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,
located within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,
and there is no outside evidence of such use.
• 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 hannious materials,or flammable or explosive materials,in
e:=s 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 repaired fivnt 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 creKd 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 fisted or advertised as a business,the strex address shall not be
included
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of
the.dwcftg unit
I, the undersigned,have read and agree with the above restrictions for my home owapation I am registering.
Date: