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i '�; /o� � � s Town of Barnstable *Permit# -A22m m Expires 6 months from issue date Regulatory Services anx►vsT Oix Mass. �' Richard V.Scali,Director ocr s639. ♦ I n �15 .erED �p 0 Building Division TOWN OFA 8�t Tom Perry,CBO,Building Commissioner RMS 200 Main Street,Hyannis,MA 02601 TABLE www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY q Not Valid without Red X-Press Imprint Map/parcel Number �� I ,�t)(p Property Address 1 "��.� �; [�Residential Value of Work$ ktibb c0 Minimum fee of$35.00 for work under$6000.00 � fr 1 Owner's Name&Address ' ,,t,46L fft g Y.✓t:��C Contractor's Name Lc _T l(VI rpv<Gfy1+G h T�` Telephone Number_ Home Improvement Contractor License#(if applicable) I )2 17 1 Email: Construction Supervisor's License#(if applicable) b ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner �_I have Worker's Compensation Insurance Insurance Company Name �Workman's Comp.Policy# Copy of Insurance Compliance Certificate must acco'mpany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 32LIA-4 l: ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Co tractors License&Construction Supervisors License is q ired. SIGNATURE: QAAWILESTORMS\building permit forms\EXPRESS.doc Revised 040215 t l 11 The Comrrroniveafth oflMassachmetls Departiner t oaf lnihrstrid A.ccidews Off` -ce of r£nuestigations 600 Washbigton Street y Boston,MA 02111 wrvwu nias&gavIdia Workers' Campensatian Insurance Affidavit:Builders/ContractorslElecEriciansiPlvmbers Applicant Informa.tian Please Print 1,M—bIy Name(BasinewfO gani ationadivuhMI.- LaIL r Ao Address: City/Stater : ' 5Tdk l 6 one S� Shy 67 7 Are you an employer?Check the appropriate box: Type of project(required): 1.P I am a employer with __�_ — 4 ❑I ant a general contractor and I ti. ❑New consfruction employees(full audforport-time). * have hired.the sub-contractors 2.❑ I am a sole proprietor orpartner- listed on the attached sheet. I ❑Remodeling ship and have no employees. These sub-contractors have g. ❑Demolition wodting forme in any capacity employees and haveworkers' 9. ❑Building addition [No tv-orkers' comp.insurance comp.insurance.) rewired] 5. ❑ We are a corporation and its lO:[:1 Electrical repairs or additions 3.❑ I am a homemmer doing all work officers have exercised their 11.❑Plumbing repairs or'additions 1£ ' right:of exemption per MGL �'� �o workers comF- 12. I�ofrepairs c.152 insurance rewired.]t' ,§1(4�and we have no employees.[[No workers' 1 .❑'Other comp.insurance required.] *Any gTbcaut&atched a box iflmast aka fillout the section bd wshowingtheirweAerecompensationpalicyinformstien_ 1 Homeowners who submit dds affidmit i dkxtm_q they are doing all wal and Then)rite outside conumctors wm submit anew affidavit indicating sacEL fcantmcmrs that chea ibis bait mast attachedd au additional sheet shooing the name of the sub-contracuics and state whether or not those entities have employees.I€thesub-contmmirshive employees,thegmusrpmuide diair workers'comp.policy number. I am ari etifployvr tlertt is prorzdirfg workers'c,7itg rfsadaii irfstsranee,f or r::y enrpinj ees Belorp is tine policy and job site infornzadom Insurance Company Nance: Policy,'*'or Self-ins.Lic.4: (� �i.?v �� d Expiration Date: Job Site A,ddress: [Q L uy i'S Sr'�C I City(StaWZap: PEA 542 62(,a6 t Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secum coverage as required.under Section 25A of MGL c 1527 can lead to the imposition of criminal penalties of a fine up to$1,50D O0 an1for one-year imprisonment,as well as civil penalties.in the form of a STOP WORK ORDERand a free of up to$2 OM a day against the-violator. Be adtdsed that a copy of this statement may be forwarded to the Office of 1mvestigatians of the DIA for insurance coverage verifrtatian. I do hereby certtfj,un the pairis and pert fpegmy thatthe in f`onuation prmdded abmw' mid correct Sit tature- Date: O // Phone iF -S69 J e(e 67-7 Y Official we aptly. Do trot wite in this area,to be completed by city ortoms ofciat City or Town: Permit%icense# Issuing Author€ty(circle one): 1.Board of Health 2.Building Department 3.City1rown Clerk d.Electrical Inspector 5.Plumbing Inspector f.Other Contact Person: Phone#: Information and Instructions . Maccarhusdts Geneaa'Laws chapter 152 reqaires all empIoyCss to proeidewoikeas'compensation for their emPloyees. paMUM3ttD this ,an.m ployee is deed as."_.cveap Person in the service of another tmder any contract of hire, express or implied,oral or wrifmn.." An errpIoyer is defined as"aa individual,partnership,association,corporation or other legal entity,or any two or more and inc the le sentztives of a deceased employer,or the is a out � including gal repre of the for engaged J eaterpnse association or other I�entity;enti to loyees. However the receiver or trastee of an individual,parfnersstup, emp loying�P owner of a dwelling house having not more t3iaa three apartments and who resides therein,or the occupant of the - dwelling house of anofher who employs persons to do maintenance,construction or rspair work on such dwelling house or on the,grounds or building apptrr�therein ±L0 not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sides that"every state or local licensing agency shall withhold the issuance ar 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 hism an ce.coverage required." Additionally,MCrL chapter 152, §25C(7)states¢Neithea the comet anw ie alth nor any of its political subdivisions shall enter net any contract for the perfo=ante ofpubhC work UDE acceptable evidence of compliance with the iuS rranc8.. regret emus of this cbapi�,r have'Seen presented in the couft ctiag atithod f Applicants Please fill oirt the woikers'compensation affidavit completely,by cht-,r g the boxes that apply to your situation and,if necessary,supply sub-co r(s)name(s), addresses)and phone numbe(s)along with their certificates)of insrce. Limited mited Liability Companies(LLC)or Li Liab�ity Partnerships(LLP)with no employees other than the „-an members or partners,M not rimed to tally vroriceas' compensafron insurance. If an LLC or LLP does have employees,a policy is mgnire- Be advised that this affidavit maybe submitted to the Depa-finent of Industrial Accidents for conformation of msorance coverage. Also be sure to sign and date the affidavit The affidavit should be retimmed to the city or town that the application for the permit or license is being requested,not the Department of Ln-du ctri al A ccidents. Should you have any questions regarding tiler law or if you are required to obtain a workers' compsation policy,please call the Department at the numbea listed below. Self-insured companies should enter their en self-insurance license number on the appropriate line. City or Town Officials . f Please be sine that the affidavit is complete and pruned legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investia ons has to contact you regarding the applicant Please be sure to fill in the pen:tWlicense number which will be used as a refs encD number. In addition, so applicant that must submit multiple penaitllicense applications in any given year,need only submit one affidavit indicating current policy in��rnation cif necessary)and under"Job Site Address"the applicant should.�"all locations in (cty ar town)-"A copy of the affidavit that has been.officially stamped or marked by the city or gown may be provided to the applicant as proof.that a valid affidavit is on file for future permits or licenses. A new affidavitmust be,filled out each Year.Where a home owner or citizen is obtaining a license or permit not related to any busnesstor commercial Yee (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lke to thank you in.advance for your cooperatou and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. Tie Couuaonweatth-of Massachusetts Department of 1ndustial Accidents Tice Of lvestiotio-= , �Q4�ashi�Qu Stz�et Bost MA G l II TfL 4 617 727-4900 Qxt 06 ar 1-V M&SSAM Fax#617-727 TM 1Zevised 4-24--07 . mass-govf die • OFTHE tp� • swaxsresis. * - 9� s6;y. Town of Barnstable Arm" 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 g If Using A Builder (51 I 6 U400 as Owner of the subject C � 1 l property hereby authorize '.Xv m to act on my behalf, in all matters relative to work authorized by this building permit application for: L)u Is e (Address of Job) l:✓ Itl Signature of Owner Date q {p Pant Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. i QAWPHLESTORMS\building permit forms\E)TRESS.doc Revised 040215 Town of Barnstable Regulatory Services of rAr�,` Richard V.Scali,Director Building Division BAIMSTA13M ' Tom Perry;Building Commissioner v� ��� 200 Main Street, Hyannis,MA 02601 prFD 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: cityltown 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. 44 3 N, 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 N r - � 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 ,aco� DATE(MM/DDYYYY)CE TIFI ATE OF IA ILITY INSURAN E 06/03/2015 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: Erica H O'Connor HART INSURANCE AGENCY, INC. PHONE 508 759 7326 x205 FAX 508-759-7326 243 MAIN STREET A No): PO BOX 700 E-MAIL ADDRESS: BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: PENN-AMERICA INS CO 32859 INSURED Scott Lohr dba Lohr Home Improvement INSURER B: ACADIA INSURANCE COMPANY 31325 23 Grand Oak Rd Forestdale,MA 02644 INSURER C: INSURER D: 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 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. �NTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY MM/DD/YYYP LIMBS A GENERAL LIABILITY PAV0059201 05/15/2015 05/15/2016 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE (REaoocunENTEDence PREMISES $ 50,000 CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY ALTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION W C202000555900 03/26/2015 03/26/2016 WC STATU- OTH- AND EMPLOYERS'LIABILITYTORYY/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PROOF OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��w���G� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD xcireall�i aclivael �r `� Massachusetts -Department of Public Safety Office of Consumer Affairs ° &Q siness Regulation • � Board of Building Regulations and Standards — - HOME IMPROVEMENT CONTRACTOR Type { .orlsfruct��/r Registration , 172172 l JUG/CI VISA/1 DBA . License: CS-053961 a Expiration. 5l31l2016 ``.r: •� „� s � � LO"R HOME IMPROVEMEI�ff (, I, SCOTT A LOHR 'a 23 GRAND OAK For+estdale MA 0$644 ' .a SCOTT LOHR � .. a a 23 GRAND OAK RD\ FOREST DALE,MA 0264i4 .< 1-;ndty S Sri+�`�� Expiration 06109/2017 .�}l Commissioner Breda Fitzgerald 63A Louis St.Hyannis,MA02601-551511)i _ -# pu I-ID DIVISION d M P-I sr. WIRE m—, ..fir cdl c)ra fink s_K�ttA l s OF ! .CLtF� ar j Gf�LL Z 1 499r. 1 S[-r- fiU E NOT I dry `/owe lie0f, 1-74 U (fiH �U�iA/LGs WILL 13-e, -r-f auG l .S_Lf K =(3� r� R comes �-�a �: c - ��s - � 1 � � , .,c.►%� c eL> sr e L/abl-► s fiN c- p tau r Coou o ye,P y- "d ha ve- ( N ��X T) kr NAY h �1.�1� �a �'4 , d=e�✓L H67:Q I�= >-llL= 'T14-k boo tr CrAo 13 6611y,I I_-U n Ia i✓ }2�e 1/�.L P LZ I S ISM U� t� (� 12 oFz r Town of Barnstable A.dm-inistr_ative-S_ervic.es BARNSPABLE, * Treasurer's Office 9 MASS. -039. -30-Sout11 Street Hyannis MA 02601 Debra Blanchette,Treasurer Tel: (508)862-4653 JoAnna-C-allahan—Assistant T-reasurer Fax:-(508)-862=4917 Breda Fitzgerald . 63A Louis Street HyannisMA 0.2601 May 29, 2014 Dear Ms. Fitzgerald - Lreceived_y_our_letter_dated-May_2-6,2014 in_regards-to_obtaining-a-Building_P_ermit-for-roof_work. Tt is-not the3'owns-policy-t-o-deny-p'ermits-for-safety-and-emergency-repairs-only,-to-individuals. who are current in a Tax.Title Payment Plan. This is allowed'on a per occurance/permit basis only and requires the Treasurer and-TdR Co11ec or o signoff for each permit obeaine . h is`YUI responsibility to inform the Building Department at the time of requesting every peat it that you haye a Tax Title_Pa-y-ment_P-lan.- Sincerely, e--- - JoAnna Callihan Assistant Treasurer 508.862-46 9 ` e `o u . F FTQI�N C, C®D INSULATION ( El'N'--N I'M 04ASi SPRAY FOAM SYSPENOEO SAT �uum vni INSULATION .....N05 1-8t - 96-66i1 Division 'Gown of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherizaiion work at the property listed below. Cape Cod Insulation did this in accordance to the sptc1fications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner _Property Address Village IJ�I'ecQ✓� hkz.�:er.��� C�3�i�o.�:� ��- ��`(t��'k'` � i Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) (X) (2v) ( ) Slopes ( ) ( ( ) ( ) ( ) Floors ( ) ( } ( ) ( ) ( ) Walls ( ) (� ( 1� � Sincerely _ He y E Ca sidy r, President Ca e Cod sulation, Inc. 3 d � w. � Amnest Pro ram v v g rn . Helping o make affordable hous�n possible. g f . ,, -j own of.. _Bumstab,le* . . _ .K � x Y5� 4 Certificate of CoMp iance K' This certificate indicates acceptable minimum habitable requirements per Massachusetts State Building Code X # and Town of Barnstable zoning ordinances in accordance with the Amnesty"program. Owner Jose Faria Location 63A Louis Street; Hyannis, MA Unit Capacity Two bpdjooms, not to exceed three adults or a family of four Inspector i M/P No. 309205 6/16/2008 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map © / Parcel C)_6 Application Health Division Date Issued g 3 Conservation Division Application Fee v Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 4J Zal,,/_s Village Owner J zo,Q� �� 9�i2 A�� Address Telephone cj—P 77Z s Permit Request d , . /�,A/d/l �� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type� 221 //oZo 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 K1 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 , C) Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other a Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wojj011/coal stogy: Les ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:'-,LA xisting 'atL] new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: = Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �g Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name e ro 4 � ,A/42,1 iZA40' Telephone Number(��� Address �� ���� �i�i License# Home Improvement Contractor# /�.�u` 4/1� Worker's Compensation � Q/>e� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO D DATE SIGNATURE c'f i r !� FOR OFFICIAL USE ONLY f APPLICATION# li DATE ISSUED T I, MAP I PARCEL NO. IFS ;s ADDRESS VILLAGE OWNER IR DATE OF INSPECTION: FOUNDATIONvz FRAME INSULATION Ll FIREPLACE !r ELECTRICAL: . ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL is FINAL BUILDING,' r,F DATE CLOSED OUT I ASSOCIATION PLAN NO. - S � a �Ir,ssacluractts - Dcpartntcut of Public 1:r1'ct� limwd of Boil-(lilt` and �t:uulards Qonstru.,ction Supervisor License Lice --CS� 100988 i+ 1` ��iw 1�aai.nrl� HENRY CASSIDY 8 SHED ROW . { AK, r WESiT `&ARMOUTH, MA 02673 {<;';<? _..._...__--........__T_.��"`"; Expiration: 11/11/2013 t „nuui. i u�•r Try: 7620 � �cz� l �t:C�1'�%IC�E'(.i lir`l cz cr.� �,cl ��e�1� 1 Ulktce of Consumer Atlaurs and Business Regulation 10 Park Plaza - Suite 5170. Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: '153567 Type: Private Corporation Expiration: 12/15/Zb14 Tr# 23;i631 CAPE= COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE ----------- --.......... - SO. YARMOUTH, MA 02664 Update Address and return card. Marts reason for change. . :i L� Address L I Renewal _) 1?mttloymcnt I. I Lust(:ard dkld rrr' `((r ii iicnrirr err�l�0- l(trdrtt'Eitt.laa.0 ,: unite ul( unsumer Affairs S business 14egulatiou License or registration valid for individul use only w 1 WE IMPROVEMENT CONTRACTOR before the expiration slate. If fomrd return to: ;j e9istration: 153567 Type: Office of Consumer Affairs and Business Regulation I Park k Plaza-Suite 5170, xpiration: 12/15/2014 Private Corporation 10 '' v' Bos(ou,MA 02116 W!)W5ULATION,�INC'. (:A ISIf1Y k-MILai�pOPI C-1R(1E. — = 'i;\RNtOUI 11, MA 02664• 1.Indersecrcurr'y of vaI' witho t nat re g CAPECOD-27 MYOUNG ��� "�--'gyp DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F_- TE(MMIDN 7/812013 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 endorsernent(s), __ PRODUCER License#PC-514062 CONTACT Margaret Young _ Rogers&Gray Insurance Agency,Inc. PHONE FAx -- 434 Rte 134 (A/C No.E■t): South Dennis,MA 02660 EMAIL m ADDRESS:m oung@ro ersgray.co INSURERS AFFORDING COVERAGE — NAIC 0 —_ INSURER A:PEERLESS INSURANCE COMPANY _ INSURED INSURERS:COMMERCE INSURANCE COIVIPAN_Y -- Cape Cod Insulation,Inc. INSURER C:Evanston Insurance Company —_ 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURERF: -- ^ 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH Tills 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 T ADTSl UBR POLICY EFF POLICY EXP _ LTR __ TYPE OF INSURANCE INSRD POLICY NUMBER MM/DONYYY) (MM/DDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RMAGT0�7ENTED A X COMMERCWL GENERAL LIABILITY CBP8263063 4/112013 411/2014 PREMISES Ea ocalnence _ $ 100,000 _I CLAIMS-MADE II OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: — PRODUCTS-COMPIOP AGG $ — 2,000,000 POLICY h� PRO- JECT I LOC $ AUTOMOBILE LIABILITY — COMBINED SINGLE LIMIT 1,000,000 EaacacienZ_-_., $ ,- B ANYAUTO 13MMBCKVMK 4/1/2013 4/1/2014 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS ( )BODILY INJURY Per accident) $ X HIRED AUTOS X NON�WNED PROP RTYDDAMAGE $ _— AUTOS PER ACCIDENT) $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESSLIAB CLAIMS-MADE XONJ453512 4/1/2013 4/1/2014 AGGREGATE $^— 1,000,000 _DED_RETENTION$ 10,000 $ WORKERS COMPENSATION VVC STATU- OTFI- AND EMPLOYERS'LIABILITY Y L I - D ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N WCA00525904 6/30/2013 6/30/2014 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N 1 A — (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 it gas,describe under —'-- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Compensation includes Officers or Proprietors. Addtional Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations < 600 Washington Street t Boston, MA 02111 f www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,0e Address: City/State/Zip: `" G► done #: Are you an employer?Check the appropriate box: Type of project(required): 4. I am a general contractor and I 1.❑ 1 am a employer with ❑ 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have g ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers comp. insurance comp. insurance. required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12 ❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.gOther comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: T Policy#or Self-ins. Lic.#:fj/�,�� ����G'j Expiration Date: z1_?-d111Y- Job Site Address: wl 3 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. /do hereby certify_ "der the pains and p nalties of perjury that the information provided above is true and correct. Si nature: :z Date: 60 /3 Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3 City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Housing Assistance Corporation Cape Cod HOMEOWNER/RESIDENT WEATHERIZATION WORK PERMIT&FUEL RELI-ASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. I 1 � d c c, wT:, ' a -'a hereby consent to and agree that weatherization work may be =- 1` done by the Weatherization Program of Housing Assistance Corporation (herein after,referred'as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping &caulking of windows and doors, insulation of attics, sidewalls&basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the weatherization work to be done at my home 1 agree to the following: 1. 1 give permission to the"Agency"its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. J Yl. /Home Owner: (Signature) T [late: �zL�kki Ut.�.�1,� 1� 1. Agent: (signature) Date: 1� 3 HAC approved Weatherization Company: Adam T Incorporated All Cape Energy Altemative Weatherization Building Performance Contracting LLC Cape Cod Insula o Cape Save Frontier Energy Solutions Lohr Home Improvement Resolution Energy Amnesty Apartments Last Name FARIA First Name JOSE 2nd Owner 2nd Owner Last Name First Name Map Parcel 309206 Property No 63 1 Property Street LOUIS STREET Village JHYANNIS State MA Zip 77 02601 Status lCertificate of Compliance Action Required J,Monitor ' Assessors Use Group Single Family Comp Per Issue m__3/13/20081 Recorded Date 5/6l200$ Application# 200803008 Permit Issued: 6/5/2008 C of C Total Program Total Descripton 2 BEDROOMS,3 ADULTS OR FAMILY OF 4,EXISTING,2ND FLOOR Cert of Occupancy Issued: 6/16/20081 Cert of Compliance Issued 6/16/2008i Notes FORMER OWNER,CERQUEIRA,RECEIVED CERT.OF COMP. 11/8/04. 2/16/10 LE,GOING INTO FORECLOSURE 3/10. 3/3/10 MTG:LE, PROPERTY WAS DUE TO BE FORECLOSED 3/2. CD WILL FOLLOW UP TO SEE IF SALE WENT THROUGH. 6/2/10 MTG:FORECLOSURE, KEEP ON MONITOR LI; Amnesty Apartments Last Name IFARIA First Name IJOSE 2nd Owner 2nd Owner Last Name m' First Name Map Parcel 309206 Property No 63 Property Street LOUTS STREET I _.. __ .... ... .. ... .w_._ ... .. ,. Village JHYANNIS State MA Zip 02601 ___.,__...�... .a _ _ Status Certificate of Compliance Action Required Monitor .._......... Assessors Use Group ISingle Family Comp Per Issue 3/13/2008, Recorded Date 5/6/2008° _... _.,.._ _._...ms Application# 17 200803008 Permit Issued: 6/5/2008 C of C Total 1 a" Program Total 1 Descripton 2 BEDROOMS, 3 ADULTS OR FAMILY OF 4, EXISTING,2ND FLOOR Cert of Occupancy Issued: 008 Cert of Compliance Issued 6/16/2 6/16/2008 Notes FORMER OWNER,CERQUEIRA,RECEIVED CERT.OF COMP. 11/8/04. 2/16/10 LE,GOING INTO FORECLOSURE 3/10 Town of Barnstable Building Department - 200 Main Street EARNSTABLE. * Hyannis, MA 02601 9 MASS. (508 16g9. ) 862-4038 �0 ArFD MA'S A Certificate of Occupancy Application Number: 200803008 CO Number: 20080115 Parcel ID: 309205 CO Issue Date: 06/16/08 Location: 63A LOUIS STREET Zoning Classification: OFFICEIMULTI-FAMILY RESIDENTIA Village: HYANNIS �r Gen Contractor: PROPERTY OWNER Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: AMNESTY APARTMENT ISSUED TO JOSE FARIA Building Department Signature Date Signed TOWN OF BARNSTABLE ing tHE Application Ref: 200803008 • * BARNSTABLE, * Issue Date: 06/05/08 Permit y MASS. $Ar 16g9.l A� Applicant: FARIA,JOSE Permit Number: B 20081172 FO MA Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/03/08 Location 63A LOUIS STREET Zoning District OM Permit Type: AMNESTY APT NO CONSTRUCT RES Map Parcel 309205 Permit Fee$ 25.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ License Num OWNER Est Construction Cost$ 0 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXISTING 2ND FLOOR APARTMENT,NO CONSTRUCTION THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FARIA,JOSE BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 300 BEARSES WAY INSPECTION HAS BEEN MADE. HYANNIS, MA 02601 Application Entered by: LB Building Permit Issued By: THIS PERMIT.CONVEYS NO RIGHT;TO OCCUPY ANY STREET;ALLY OR SIDEWALK OR.ANY PART THEREOF,EITHER TEMPbRAR1LY'A PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY-,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED B THE`JURISDICTION. STREET OR ALLY.GRADES'AS WELL AS DEPTH AND,LOCATION OF PUBLIC SEWERS MAY OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT.DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE-SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED,AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. ' 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(asset forth in MGL c.142A). r � ge BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS J 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health i - Town of Barnstable Regulatory Services * Thomas F.Geiler,Director * BARNSTABLE, MASS. $ Building Division s6;q. �0 �F039 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 December 18, 2003 Ms.Ana Claudia PO Box 402 Centerville,MA 02632 RE: 63 Louis St.,Hyannis Map 309 Parce1.206 Dear Ms. Claudia: . Our records indicate that your house at the above-referenced location is currently being used as a two-family home, which is contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: * Apply for a building permit to restore the property to a one-family home. * Apply to the Zoning Board of Appeals for a variance, or * Prove that this is a legal 2 family home. Please contact me at 508 862-4033 immediately to tell us what direction you wish to take. Sincerely, S" <J David Mattos Local Inspector Q:forms:zoning2fam Town of Barnstable Regulatory Services B"M'ASS. Thomas F. Geiler,Director 'i0lFo 39. . 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 June 7,2006 Breda Fitzgerald 63A Louis Street Hyannis,MA 02601 Dear Ms. Fitzgerald: In response to your correspondences dated May 22 and June 6, 2006,your letters have been placed in the file along with the letter from the Treasurer's Office. Your electrical permit will be processed accordingly. When the permit is applied for staff should be notified in advance to look for the authorization letter from the Treasurers Office in the street file. ZomSincerely, as Perry, CBO Building Commissioner BREDA FITZGERALD 63A LOUIS STREET HYANNIS, MA 02601 DATE: MAY 22, 2006' r ¢ SUBJECT: I .DENIAL: ELECTRICAL_ 'UPDATE:�,,PERMIT 2.STATUS: 63A"I�OUI,S..,�STREET„s{,HYANNIS— .. r . T0: BUILDING DIVISION, TOWN .OE�,BARNSTABLE, PERMITS ,= .,• URGENT On�May 1 , 2006, work was to begin on the long awaited updat:ing.,; . -of'•my .Electrical system through a Government Grant for ` Safety and Health improvements and repairs. However, the necessary Permit was denied by your department due to a town Tax Lein! See back of this letter. ,; Apparently, your department was unaware of my Property Tax Agreement with the Treasurer's Office (see attached 'lett.erj .'tt from Mr. Gareth Markwell, dated May 19, 2006) and thus,,denied -me a Permit. As his letter states, I should get in touch with your department. regarding said Agreement. The work was cancelled and the' `check returned to the .Government Program. I have lost 2 weeks and as the Grant must ;be .. :used ,withi;n a certa-in. period. of •time, it- is urgent I find anoter Electrician and beforehand make„sure.,he-,will be issued a PERMIT .whenever he may apply.- I,am writing in advance to make sure' said "PERMIT aril}1 not be denied me' a second time. My Tax Payment Agreement account number is #5842 I.D. 309 206. The Printout (back of this letter)" issued, by .your ,de.partment (Restrictions and' Warning's) `is' i`ricomprehensible to, me. It contains no name;•= adress' etc: 'Nor "PERMIT DENIED". ' Under restriction is "OFFICE/MULTI-FAMILY'','RESIDE!VTIA. What does At mean? It would f be much',appieciated_ if; your,would..yer.ifyfthat there will be no further problem ' in my securing an ELECTRICAL WORK :PERMIT before I find another electrician and notify the' 'Government Program . . .as soon as possible. Thank you. r x E + i tie' •J', .. s',t .f• ,"� �7 Hoping to hear 7ou: Ooon-, I ;remain Sincerely,, ENCLOSURE[ ( 1 ) • Letter from Treasurer's Office �Ui►'�� o2CJ�(f, a dated May 19, 2006 CaN sve 13y TRIS ��� °w�U}(. W, 312,L/0(. Ax,,, D-Y/r 4 CF �.. V N ' 0 6 O R LE' -FM I 14A-ve. N if" `fiNe C.otcYZTEq DF 11 IQI;�7hI.y — phi cl is _ u�& rr; 014 bfIfIR 551 ,D•e, OF 114IS' ke k eP IS 014Ge 4GAPH A-'C-0Pyn MR. Gr412tFT t M k �)��� , L N� su , s .fibr '_ " _ GIs Hof Tb LOR Pori c • ..,.a. . y Tv �,,y +i'/N G fiM zN a V! D up s LoAo tm e- I N cap, e*jr ryv-ymem,� GoY'f- &nA+1fi (i is fiiM r, r'i Nlmo S"d C10q Fgrtr1Ariary Tkn< _t W)LL Receive, t,Aln R�RW4 �a P-M.K -%Ivu , Si H c-CW L L y I .B ri-e.16 . -G� .; Town of Barnstable : £' Administrative Services" ' RASUMMEM = Treasurer's Office ' 230 South Street + •. _"___ _ _ Hyannis MA 02601 Mark A.Milne,FYnance Director ' Tel: (508)8162-4654 Gareth Markwell,Acting Treasurer t' - - Tel: (508)862-4653 ' Fax: (508)8624717 May 19,2006` Breda Fitzgerald 63A Louis Street . f - Hyannis,MA 02601 Dear-Breda, I am writing in response to your correspondence dated May 01,2006.The answers to the i `proposed questions are as�follows: _ 1 We are required to supply tax_ information on any property` within the Town of Barnstable'if requested'. The requirement includes current,delinquent and tax lien information. 2. Massachusetts law: G.L.c. 40 § 57 gives municipalities the right to.deny applications for local licenses and permits for failure to.pay municipal taxes.The. use of this law is'one..of the most successful actions of recourse the town has in, collecting delinquent property taxes. 3. The"Restriction and Warnings"print out supplied is not relevant to your tax ' information but to the application process for the permit. Inquires involving interpertation of the printout should be directed to the Town of Barnstable Building Department. It is not the town's policy to deny permitting to individuals who enter and are current in a pays a to plan._The Building Department.,if had'been made.aware gement would have directed the permit to the Treasurer's Office for signoffo a unpaid taxes section. When permitting in the future please inform the building division of you payment plan. At your request,I have enclosed a printout of your delinquent and current tax status. If you have, any questions please feel free to contact the Treasurer's Office at(508) 862- 4653. Yours Sincerely, etharkwell Acting Treasurer Town of Barnstable BREDA FITZGERALD 63A LOUIS STREET HYANNIS , MA 02601 DATE : MAY 22 , 2006 SUBJECT: I .DENIAL: ELECTRICAL UPDATE PERMIT 2 .STATUS: 63A LOUIS STREET, HYANNIS 79T6 HlAY 24 pia TO: BUILDING DIVISION, TOWN OF BARNSTABLE, PERMITS URGENT On May 1 , 2006, work was to begin on the long awaited updating of my Electrical system through a Government Grant for Safety and Health improvements and repairs . However, the necessary Permit was denied by your department due to a town Tax Lein! See back of this . letter. Apparently, your department was' unaware of my Property Tax -,' Agreement with the Treasurer ' s Office ( see attached letter from Mr. Gareth Markwell , dated May 19 , 2006) and thus denied me a. Permit. ' As his letter states , I should get in touch with your department. regarding said Agreement. The work was cancelled and the check returned to the -Government Program. I have lost 2 weeks and as the Grant must be »used within a certain period of time, It is urgent I find anoter Electrician and beforehand make sure he will be issued a PERMIT whenever he may apply. I am writing in advance to make sure said. PERMIT will not be denied me a second time. My Tax Payment Agreement account number is #5842 I .D. 309 206 . The Printout (back of this letter) issued by your department (Restrictions and Warnings ) is incomprehensible to me . It contains no name, adress etc. Nor "PERMIT DENIED"? Under restriction is "OFFICE/MULTI-FAMILY RESIDENTIA. What does it mean? It would be much appreciated if you would verify that there will be no further problem in my securing an ELECTRICAL WORK PERMIT before I find another electrician and notify the Government Program . . .as soon as possible. Thank you. Hoping to hear from you qc=, I remain Sincerely, ENCLOSURE ( 1 ) : a'Gil_/ Letter from Treasurer ' s Office dated May 19 , 2006 lot- "-',y ammg Type lescp#io� = R'eference Date_° Hold 4 Y Aq Prior Application ELECTRIC RES.ADD/ALTER COMPLETE'CLOSI_D AP 09/20J20 01 4' Unpaid Bill REAL ESTATE 20M 20 0000772 r713 €F7,101.2005 Unpaid Bill REAL ESTATE 2005 20 00009744 5-',77 10!22MO4 - Unpaid Bill REAL ESTATE 2003 23 0M000028 51.258 10121,12002 Unpaid Bill -REAL ESTATE 2002 23 00000041 Sari O6'20!2003 Unpaid Bill REAL ESTATE 200123 OM035 5522 02r`05,204T2 Unpaid Bill REAL ESTATE 2000 23 00002172 5978 07130 2001 Unpaid Bill REAL ESTATE 1399 23 O0002171 S943 08f141 20F30 Unpaid Bill REAL ESTATE 1938 23 0t002170 SS3$ 11.:72�1999 Unpaid Bill REAL ESTATE 1997 23 00002163 5930 11I18i1998 v .� ,.� Town of Barnstable Administrative Services . Treasurer's Office K 230 south street Hyannis MA 02601 Mark A.Milne,Finance Director Tel: (508)8624654 Gareth Markwell,Acting Treasurer Tel: (508)9624653 Fax: (508)8624717 . May 19,2006 Breda Fitzgerald 63A Louis Street Hyannis,MA 02601 Dear Breda, I am writing in response to your correspondence dated May 01,2006. The answers to the proposed questions are as follows: l. We are required to supply tax information on any property within the Town of Barnstable•if requested. The requirement includes current,delinquent and tax lien information. *14 2. Massachusetts law: G.L.c. 40 § 57 gives municipalities the right to deny applications for local licenses and permits for failure to pay municipal taxes. The use of this law is one.of the most successful actions of recourse the town has in collecting delinquent property taxes. 3. The"Restriction and Warnings"print out supplied is not relevant to your tax information but to the application process for the permit. Inquires involving interpertation of the printout should be directed to the Town of Barnstable Building Department. It is not the town's policy to deny permitting to individuals who enter and are current in a .payment plan.The Building Department if had been made.aware of your arrangement would have directed the permit to the Treasurer's Office for signoff of the unpaid taxes section. When permitting in the future please inform the building division of you payment plan. At your request,I have enclosed a printout of your delinquent and current tax status.If you have,any questions please feel free to contact the Treasurer's Office at(508) 862- 4653. Yours Sincerely, eth Markwell Acting Treasurer Town of Barnstable Barry, Lois From: Schlegel, Frank Sent: Thursday, November 04, 2004 2:15 PM To: Barry, Lois Subject: RE: 63 Louis Street, Hyannis Map 309 Parcel 205= 63 Louis Street(Front House) Map 309 Parcel 206=63 "A" Louis Street (Middle House) Map 309 Parcel 013 =63 "B" Louis Street(Last House in Rear) Does this work?To see it better, please check the property maps in your office which are used for zoning. I believe you can see it better on the map even though GIS didn't show the letters on the parcels. If you still have trouble with this, let me know and I'll send you a map. -----Original Message----- From: Barry, Lois Sent: Thursday,November 04, 2004 11:59 AM To: Schlegel,Frank Subject: RE: 63 Louis Street, Hyannis Thanks for the email. I now understand that 013 is 63 B Louis, but 205 is the front house. Please clarify which is 63 Louis and which is 63 A Louis. -----Original Message----- From: Schlegel,Frank Sent: Thursday,November 04, 2004 11:17 AM To: Barry,Lois Subject: RE: 63 Louis Street, Hyannis Unfortunately, Pentamation didn't allow for building letters as part of the address. Map 309 Parcel 013 is actually# 63 B Louis Street and Map 309 Parcel 205 is actually#63 A Louis Street. There was a big identification problem for these buildings. They share a driveway in common with the front house that is#63 Louis Street. The House on the other side of the drive on Louis Street was#65. 1 didn't have any numbers between 63 & 65 so I gave them letters to add to their building numbers and treat it like it was a condo complex. Either that I would have had to re- address up to 7 houses out there. The things I inherited when I came to work here is enough to make a grown man cry! -----Original Message----- From: Barry, Lois Sent: Thursday,November 04,2004 11:07 AM To: Schlegel, Frank Subject: 63 Louis Street, Hyannis Frank, We're getting ready to issue an Amnesty Certificate of Compliance for 63 Louis Street. However, we're showing two 63 Louis streets: 309 205 and 309 013. 1 see on the Roads database that 309 206 is also 63 Louis Street. Please give me a call on this. Lois 1 DECEIVED MR. THOMAS MCKEAN, DIRECTOR PUBLIC HEALTH DIVISION JUN 16 2003 200 MAIN STREET HYANNIS, MA 02601 JUNE 1`50'W 9 DEFTABLE HEALRE: JUNE 3, 2003 LETTER Dear Mr. McKean, I an in receipt of your above dated letter after 2h months of awaiting a response to :ny March 28th letter and having to write to Mr. Geiler. I am also in receipt of the following: 1. The Betterment .Loan ( 5% ) Info Sheet 2 . Variance Request Form. Regarding a Mr. Daley attempting to reach me by phone and visiting my home unannounced. At this particular time, :neither is acceptable. What prevented him from droping :ne a note then or _,thereafter? Please no unannounced ,surprise visits . Meanwhi le, - a .fe a corn_ments o n the on en s of -your l-e ter. NEIGHBOR"S GREENHOUSE: It is his greenhouse but he is not my n,eighbor. . . .he lives elswhere. I would have thought when granting -this questionable permission to construct a second huge Greenhouse in such a small private area,. that traffic flow would be taken into account. Obiviously not! ! I wander why? 65A SEWER CONNECTION OF 1990: It does not abutt my Septic Tank. It is further down the Coimmon Driveway across from my driveway. Back to the basis of you issuing me a DIRECTIVE! There has been no buildup nor change in density in this private way for more than 50 years! It was my neighbor' s son and those who incredibly gave him. permission to build said huge Greenhouse who activated this unjust Directive. Its making me •even sicker than I am! ! Most of - h-e questions I have asked should have: been asked before and not .after the fact. . .but alas, neither myself nor neighbors merited the courtesy (if not the legal right) o` being .informed. Its not suppposed to be like that in a .free and open society!, ! I am enclosing the signed and dated Varianca Request along with, as requested, my 2002 W• 2 'corm which you will see is very low income. With the state of my health, age and lace: of transportation (no car) it was my one and only job. Please see Page 2 containing unanswered questions and requests . Thank you. Sincerly, PAGE 2 of 2 LETTER TO MR. THOMAS MCREAN OF 6/11/03 . QUESTIONS AND REQUESTS 1. BETTERMENT LOAN (%5) INFO SHEET: Said sheet states it is For_ t,owa sewer connection or to upgrade a failed Septic System. I do not have a failed Septic System? As I can barely pay the monthly $5 toward my Hospital Bills , I most certainly cannot afford to take out any loan be it at 1% or 5% for the next 20 years way beyond my life expectancy! ! All this because of a man who does not live here, own property here nor Lay taxes here, indeed as his current wife owns their own home, I -guess he does 't pay any taxes at all to this town. But he gets to build property here without any legal rights? I wouldn 't be in this stressfull situation if it were not for him and the person(s ) who granted him pe.rmiss.ion to build a second giant Greenhouse on this small Private Way! ! Again, I ask w':zat others have asked. . . .'low was he grant-ad - 2. TRAFFIC FLOW AND PARKING ON OUR PRIVATE WAY: Said son of a neighbor, does not block traffic ' to this Private Way. What he does and is doing is to use our little Private '=.Pay as if it were a main street, vans and trucks in and out all day and doors banging. He also uses the and of our COMMON DRIVEWAY (by his mother ' s rear gate) as his very own parking space. This section at end of -the Common Driveway (behind my fence) has always ( 21 years ) been reserved for owners or residents -extra visitors cars , trucks or vans etc. that do not fit in our own small driveways ! Now, because of our neighbor 's son and those who gr•an`ed him permission ( is he an acqua.intaace or friend? ) we resident taxpayers are deprived of this space. He parks his van daily -:here and those of his visitors till nearly 6pm. daily! ! ! As he is in and out all day and because of this the remaining common driveway must be free between 9-61.)m For him to drive in and out unhindered! Incredible, he' s taken over! He keeps ha:lg.ing and removing his sign "VILLAGE ORCHIDS FOR SALE OR RENT" this sign has brought more people and traffic '_o this tiny Private Way! ! How is this possible? Grant a questionable Permit (under false pretenses? ) only for it to be sold or rented to other non-resident, non•-homeowner, non t xpay--ing strangers ! Sounds like a rase for legal and civil rights experts? Also, the Common Driveway was not properly repaved Its a mess ! 3. VARIANCE REQUEST FORM: Its enclosed. Signed and dated. However, I do not understand the 2 Variance Questions (re Regulation and Reason) and have left them .blank. Please let me know as :soon as possible if it has been approved and if � P so, what would be its significance. Thank you. - 4. 2002 W-2 EARNINGS SUMMARY: Eaclosed as requested. As I: stated, health, age and lack of trans ortatioti no car a P ( ) red financial problem for me. 5. CONSEQUENCES OF NOT COMPLYING WITH DIRECTIVE? Court and a fine of $200? What else? Hoping to !sear from you soon, I remain Sincerely, 4i own ol Barnstable Regulatory Services MAS& Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Ms. Brenda Fitzgerald June 17, 2003 63A Louis Street Hyannis,MA 02601 Dear Ms. Fitzgerald, Thank you for your letter dated June 11,2003 (received at this Office on June 16, 2003) along with your variance request and W2 form. Your variance request will be heard at the next regularly scheduled Board of Health meeting on Tuesday July 15, 2003 at the Town Hall second floor Hearing Room, 367 Main Street Hyannis. In response to your questions listed on page two of your letter: 1. BETTERMENT LOAN INFORMATION SHEET - The betterment loan program is also available to assist homeowners who cannot afford to connect their homes to public sewer. We understand that you indicated that your septic system has not failed. We also understand that you cannot afford to take out a loan at 5%loan for the next 20 years. Therefore you may disregard and discard the information sheet. In regards to your questions about the greenhouse, Building Inspector Ralph Jones went out to the site to investigate whether or not-there were any building code or zoning regulation violations. I suggest that if you have specific questions regarding the construction of the greenhouse,you may call Mr. Jones or his supervisor, Thomas Perry at the Building Division Office, 200 Main Street, Hyannis, Massachusetts (508 862- 4038.) 2. TRAFFIC FLOW- Traffic blockage and parking issues are normally handled by the Police Department. You may call 508 862-6329 to reach the Police Department non- emergency line. 3. VARIANCE REQUEST FORM- Your variance request will be heard at the next regularly scheduled Board of Health meeting on Tuesday July 15, 2003 at the Town Hall second floor Hearing Room, 367 Main Street Hyannis. The Chairman of the Board of Health will write you a letter detailing the results of that meeting three to four weeks after that date. 4. 2002 W-2 EARNINGS SUMMARY- It is very apparent to me that there is a financial problem. You also indicated in your letter that health, age, and lack of transportation(no car) are also problems for you. I will recommend to the Board that a variance or an extension should be granted until such time the property transfers to another owner. The Board of Health will review the submitted W2 information and will take all the information into account before making a decision . 5. At this time, due to your variance request being received, you will not be subject to any court action or to a$200 fine. There is no need for any concern in this regard. If you should have any questions,please feel free to telephone me at 862-4644. We would be happy to come out to your home to provide additional assistance to you in this regard. _- Sincerely yours, Thomas A. McKean,RS, CHO Town of Barnstable Regulatory Services an�v�ensc�. F NAM Thomas F. Geiler,Director Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 17, 2003 Ms. Brenda Fitzgerald 63A Louis Street Hyannis, MA 02601 c Dear Ms. Fitzgerald, Thank you for your letter dated June 11, 2003 (received at this Office on June 16, 2003) along with your variance request and W2 form. Your variance request will be heard at .the next regularly scheduled Board of Health meeting on Tuesday July 15, 2003 at the Town Hall second floor Hearing Room, 367 Main Street Hyannis. In response to your questions listed on page two of your letter: 1. BETTERMENT LOAN INFORMATION SHEET - The betterment loan program is also available to assist homeowners who cannot afford to connect their homes to public sewer. We understand that you indicated that your septic system has not failed. We also understand that you cannot afford to take out a loan at 5%loan for the next 20 years. Therefore you may disregard and discard the information sheet. In regards to your questions about the greenhouse,Building Inspector Ralph Jones went out to the site to investigate whether or not there were any building code or zoning regulation violations. I suggest that if you have specific questions regarding the construction of the greenhouse, you may call Mr. Jones or his supervisor, Thomas Perry at the Building Division Office, 200 Main Street, Hyannis, Massachusetts (508 862- 403 8.) 2. TRAFFIC FLOW- Traffic blockage and parking issues are normally handled by the Police Department. You may call 508 862-6329 to reach the Police Department non- emergency line. 3. VARIANCE REQUEST FORM- Your variance request will be heard at the next regularly scheduled Board of Health meeting on Tuesday July 15, 2003 at the Town Hall second floor Hearing Room, 367 Main Street Hyannis. The Chairman of the Board of Health will write you a letter detailing the results of that meeting three to four weeks after that date. I 4. 2002 W-2 EARNINGS SUMMARY- It is very apparent to me that there is a financial problem. You also indicated in your letter that health, age, and lack of transportation(no car) are also problems for you. I will recommend to the Board that a variance or an extension should be granted until such time the property transfers to another owner. The Board of Health will review the submitted W2 information and will take all the information into account before making a decision . 5. At this time, due to your variance request being received, you will not be subject to any court action or to a$200 fine. There is no need for any concern in this regard. If you should have any questions,please feel free to telephone me at 862-4644. We would be happy to come out to your home to provide additional assistance to you in this regard. Sincerely yours, Thomas A. McKean, RS, CHO RECEIVED MR. THOMAS MCKEAN, DIRECTOR PUBLIC HEALTH DIVISION JUN 16 2003 200 MAIN STREET HYANNIS, MA 02601 JUNE 1JCWVN 5 HEALTDEFT. BLE RE: JUNE 3, 2003 LETTER Dear Mr. McKean, I am in receipt of your above dated letter after 2h months of awaiting a response to my March 28th letter and having to write to Mr. Geiler. I am also in receipt of the following: 1. The Betterment Loan ( 5% ) Info Sheet 2 . Variance Request Form. Regarding a Mr. Daley attempting to reach me by phone and visiting my home unannounced. At this particular time, :neither is acceptable. What prevented him from droping :-ne a note then or __anyt thereafter? Please no unannounced surprise visits._..____ _ Meariwhi16, a -.fe;a cotmehts on the contents of -your "letter. NEIGHBOR"S GREENHOUSE: It is his greenhouse but he is not cny neighbor. . . .he lives elswhere. I would have thought when granting this questionable permission to construct a second huge Greenhouse in such a small private area,, that traffic flow would 'be taken into account. Obiviously not! ! I wonder why? 65A SEWER CONNECTION OF 1990: It does not abutt my Septic Tank. It is further down the Co_rnmon Driveway across from my driveway. Back to the basis of you issuing me a DIRECTIVE! There has been no buildup for change in density in this private :.nay for more than 50 years! It was my neighbor' s son and these who incredibly gave him permission to build said huge Greenhouse who activated this unjust Directive. Its making me even sicker than I am! ! 1 Most of - he questions I have asked should have been asked before and not after the fact. . .but alas, neither myself nor neighbors merited the courtesy (if taot the legal right) o` being informed. Its not suppposed to be like that in a free and open society!. ! I yam enclosing the signed and dated Variance Request along with, as requested, my 2002 W• 2 'corm which you will see is very low income. With the state of my health, age and lack of transportation (no car) it was my one and only job. Please see Page. 2 containing unanswered questions and requests. Thank you. Sincerly, PAGE 2 of 2 LETTER TO MR. THOMAS MCKEAN OF 6/11/03 QUESTIONS AND REQUESTS 1. BETTERMENT LOAN (%5) INFO SHEET: Said sheet states it is `or_. t.owa1 sewer connection or to u"ograde a failed Septic System. I do not have a failed Septic System? As I can barely pay the monthly $5 toward my Hospital Bills , I most certainly cannot afford to take out any loan be it at 1% or 5% for the .next 20 years --aay beyond y life expectancy! All this because of a _nan who does not live here, own property here nor pay taxes here, indeed as his current wife owns their own home, I guess he does 't pay any taxes at all to this town. But he gets to build property here without any legal rights? I wouldn 't be in this stressfull situation if it were not for him and the person(s) who granted him permission to build a second giant Greenhouse on this small Private play! ! Again, I ask w=.eat others have ask•ad. . . .how was he granted --- -- perm _ss on tin__ trd=-dike-a-oopy— - -Than-k-s- 2. TRAFFIC FLOW AND PARKING ON OUR PRIVATE WAY: Said son of a neighbor, does not block traffic ' to :his Private Way. What he does and is doing is to use our little Private day as if it were a main street, vans and trucks in .and out all day and doors banging. He also uses the tend of our COMMON DRIVEWAY (by his mother ' s rear gate) as his very own parking space. P 9 P This section at end of -the Common Driveway ;behind my fence) has always (21 years ) been reserved for owners or residents extra visitors cars , trucks or vans etc. than duo not fit in our own small driveways! Now, because of our neighbor's son and those who granted himpermission ( is he an acqua.intaeice or friend? ) we resident taxpayers are deprived of this space. He parks his van daily -:here ,and those of his visitors till nearly 6pm. daily! ! ! As he is in and out all day and because of this the remaining common driveway must be free between 9-6pm For - him to drive in and out unhindered! Incredible, he's aken over! He keeps hanging and removing his sign "VILLAGP ORCHIDS FOR SALE DR ;SENT" this sign has brought more people and traffic -_o tth.is tiny Private Way! ! How is this possible'? Grant a questionable P2 i Permit (under false pretenses? ) only for it to be sold or rented to other non-resident, non•-hcomeoraner, non taxpay-ing strangers ! Sounds like a ease for legal and civil rights experts? Also, the Common Driveway was not properly s epaved Its a mess ! 3. VARIANCE REQUEST FORM: Its enclosed. osed. Signed and dated. However, I do not understand the 2 Variance Questions (re Regulation and Reason) and have left them .blank. Please let me know as soon as possible if it has been approved and if so, what would be its significance. Thank you. 4. 2002 W-2 EARNINGS SUMMARY: Enclosed as requested. As I: stated, health, age and lack of transportation (no car) area financial problem for me. 5. CONSEQUENCES OF NOT COMPLYING WITH DIRECTIVE? Court and a fine of $200? What else? Hoping to !tear from you .soon, I remain Sincerely,