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Anderson, Robin
From: Mckechnie, Robert
Sent: Monday, May 02, 2016 11:12 AM
To: Anderson, Robin; O'Connell, Timothy; Franey, Patrick
Subject: 132 Megan Road by contact info
You probably have this: Caroline Dutta 508-737-2258
Sent 6-om my Verizon 4G LTE Tablet
t
5/3/2016
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Page 1 of 1
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Anderson,Robin
From: Mckechnie, Robert
Sent: Sunday, May 01, 2016 8:46 PM
To: Franey, Patrick; Anderson, Robin
Subject: 132 Megan Road, Hyannis
Call from Hyannis FD on Sunday am, John Cosmo was at this property as a result of a medical call.
He asked that I respond because of the person or persons living in the basement, no egress and health
issues too. I met Lt. Cosmo, and Sgt. Allen and two other officers at the property. Went in with the PD
and into the basement. Place was full of trash and garbage on 1 st floor, not quite as bad in basement. I
issued an exit order to the daughter of the property owner. See pictures if they attach! I will have my
phone on if you need any more info. Not back in until Wednesday.
Sent fi-om nay Verizon 4G LTE Tablet
5/3/2016
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Town. of Barnstable
ti Regulatory Services
a� -
' Thomas F. Geder, Director
BARNSTABLE,
9 MASS. Building'Division.
1639.
Thomas Perry,CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.ba rnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXIT ORDER
DATE:.. -6-/D
LOCATION:
UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE,
SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY
. ,
DISCONTINUE THE USE'OF THE CELLARBASEMENT AREA,,OR SLEEPING-
PURPOSES.
� -
LOCAL INSPECTOR a' i
SIGNATURE-z@'F�RECIPIENT
ODEM DE SAIDA
DATA:
LOCALIDADE:
DE ACORDO COM 0 PROVIS6RI0,780 CMR, CODIGO DE CONSTRUCAO DO .
ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE
USAR., IMEDIATAMENTE, A AREA DO PORAOBASEMENT PARA 0
PROPOSITO DE DORMIR.
INSPETOR LOCAL
' ASSiNATURA DO RECIPIENTE
r
Town of Barnstable *Permit 00 f1
Ezpires 6 montlss from issue date
X®PRESS PERMIT Regulatory Services Fee o�
Thomas F.Geiler,Director
SEP 2 5 2007
Building Division
TOWN OF BARNSTABLE 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 PEPMT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number C�
Property Address '
[<esidential Value of Work 00 Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address Gam'y Cp
l ? A m c�u 1 t j
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
[0-1 am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers ofroof)
[irRe-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Pr erty Owner must sign Property Owner Letter of Permission.
copy of the Home prov ent Contractors License is required.
SIGNATURE:
Q:Forms:expmtrg
Revise061306
ti
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
V
www.m ass.gov/dia
Workers"Compensation lasurance.Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Letribly
Name(Business/Organizatioa/Individual):,
Address:
City/State/Zip: Phone.#:
Are you an employer? Check the appropriate box: -Type of project(required):.
1.❑ I am a employer with 4. ❑ I am a general contractor and I
. employees (full and/orpart.time).
have hired the stub-contractors 6. El New construction .
2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9 Buildin• addition
[No workers'comp, insurance comp.insurance.$� g
required.] 5. ❑ We are a corporation and its 10.❑Blectrical repairs or additions
'3.I�-,r 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.kOther_,
comp. insurance required.] ,
*Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must providb their workers'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees Below isihe policy and job site
information.
Insurance Company Name:
Policy#or Self-ins,Lic.M Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),.,
Failure.to secure coverage as required under Section 25A of MGL 6. 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
InvestiRations of the WA for insurance coverage verification
16 hereby ce :ender thepains-andpenalties ofperjury that the information provided above is true and correct:
Sim Ire: Date: Q
Phone #:
Official use only. Do not write in this area A7 be completed by city or town official y'
City or Town: Permit/License#
Issuing Authority(circle one):
L6.'Other
Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector
ntact Person: Phone#:
oFINET . Town of Barnstable
Regulatory Services
r
BMWSTABr.E. : Thomas F. Geiler,Director
hrwss. '
i659• 1% Building Division
rFD MA'I
Tom Perry,Building Commissioner `
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:4 P y 46
JOB LOCATION: /`� A.) Ji
number 9 street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS: Q 7 9-6 F4 L ,,, n k iT
(o�►`—1 u 1 / mA a
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as
supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to
be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department.
minim
u . spection procedures and requirements and that he/she will comply with said procedures and
require nts.
C
ignature of Ho owner
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.
Map 292 Parcel 2R Permit#.. 3 i
House# 132, - '' " Date Issued 2 —9
and of Heal (3rd floo 8:15 =9: 1:00
B - m Fees rj e
C nservati O ice h oor)( 0- :3 / 0 2: )
P annin ept (Is oor Sch 1 Ad n. 1 DIME Tp;
D fi ' rve P rove 19 -
' i BARNSTABLE.
E°
TOWN OF BARNSTABLE �°��
Building Permit Application -- ,
Project Street Address 13Z. 14pAo n &ad #
Village l7tin Yln1'S
Owner AsPa(ae and �%Aq ldlw, Address
Telephone � 775-17,1.4
Permit Request rye„) RA6 s4ri oni ng Ofq , rooP)
1 F
First Floor 260 square feet Second Floor square feet
y
Construction Type Ike ul RD&P
Estimated Project Cost $ So6.1)Q
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family U1} Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes JNo On Old King's Highway ❑Yes R No
Basement Type: 4Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) R 4_,0
Number of Baths: Full: Existing�_ New Half: Existing New
No.of Bedrooms: Existing_ZNew
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: dGas ❑Oil ❑Electric ❑Other
Central Air ❑Yes e�No Fireplaces: Existing _I New Existing wood/coal stove ❑Yes &(No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
d None ❑Shed(size) -
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
w .
Builder Information
v Name QCe�,�.� Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
i
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
1 -
SIGNATURE DATE 5
BUILDING PERMIT DEM4D FOR THE FOLLOWING REASON(S)
/ � a—Ile
FOR OFFICIAL USE ONLY
PERMIT NO. {
DATE ISSUED r _
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE�OF INSPECTION:
FOUNDATION
FRAME 3 €
INSULATION • r• � ", _ `" :• f '. F •` r��. ,
FIREPLACE -
,
ELECTRICAL: ' ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH -FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO. i
. . °: The Town of Barnstable
9� KAM �m�' Department of Health Safety and Environmental Services
ATE1 9. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commission:
For office use only
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
`Type of Work: tJ f1e0t Est. Cosh 51)0,00
./ Address of Work: Pffid gQ011015 MLL'Z-
Owner's Name— �ebfT Lind &h4 1 WE LL
/Date of Permit Application: Y 19-9g
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
=Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL C. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
t/ Date Own Name
The Commonwealth of Massachusetts
Sly ..-r:`:
- ; Department of Industrial Accidents
- Office offoyvestigsaafts
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
ii VEM/K
name: aaMeld QML
lo-ation:
am a omeowner performing all work myself.
❑ I am a sole pro rietor and have no one working in any capacity
❑ I am an employer providing workers compensation for my employees working on this job.
company name -
address:
city phone#:
insurance co. olicv#
❑ I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who
have
the following workers' compensation polices:
companv name-
address:
. . _..
dty phone#:
insurance co. PEN
olicv#
_.
i
company name:
address:
city. phone#:..
insurance co. olicv# - -
// / // / i%///%
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify u "the pains and penalties of perjury that the information provided above is tr .and correct
Date �5'-/4'
Signature 99 -
Print name Phone#
C
use only do not write in this area to be completed by city or town officialVa
own: permit/license# ❑Building Department
❑Licensing Board
k if immediate response is required ❑Selectmen's OMce
❑Health Department
person: phone#; ❑Other
(rev=d 9/95 PIA)
M1
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver c
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant,of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew;
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authority.
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy,please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's.address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
emce of Investigations
600 Washington Street
Boston' Ma. 02111 fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
i/DATE
ZJOB LOCATION
OAAn Alld �gann 15
Number Street address Section of town
"HOMEOWNER" �-1, T _
�,ehrae and l�tY114 .i)U4_(a 7,71 =qh99
Name Home phone Work phone .
PRESENT MAILING ADDRESS
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 such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person(sj who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one or two family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building OfficiE
on a form acceptable to the Building Official, that he/she shall be responsib_
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes responsibility for compliance with the Stz
Building Code and other, applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands . the Town of
Barnstable Building Department minimum inspection procedures and requirements
and that he/she will compl ith said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which aCbuilding
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if
Home Owner engages a person (s) for hire to do such work, that such Home OwnE '
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor -(see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awarene
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed. person as .it would with licensed Supervisor. The Home '*Owner acti
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/Fier responsibilities, ma:
communities require, as part of the permit application, that the Home Owner
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 to amend and adopt such a form/certification for use in your community.
Assessor's ma and lot number ,..��........ .� � ��� �G� �� �` 7�
p ..
SEPTIC SYSTEM MUST 13
INSTALLED IN COMPLIANCE
Sewage Permit number ..: 1. WITH ARTICLE 11 STATE
SANITARY CODE AND TOWN
_ �Qy0F7NE'Tp�o TOWN OF BAR.NS"IWAXLE
SAWSTODLE. i ' C
1 u 9• �0� BUILDING INSPECTOR
o aY a'
.n, r• ..... APPLICATION FOR1 �PERMIT TO .... .............. ...................:......................................................
TYPEOF CONSTRUCTION ........ ...............:.............. ...�.................................. ............... .................
. ..... .. .. .... ....... ,9..
TO THE INSPECTOR OF BUILDINGS:
The undersigned OerebZapplies for a permit according to the fol wing information:
Location ... ..c . . .. ... ........... ...... r ...................................
5474
Proposed Usk', . >.. .................... ........t� .. .. . ..........................l............................
. . .. ... . . . .....
Zoning District ... ......... .../. .. .................... .. .............Fire District ........:........ ...............
Nameof Owner .. ................... ddress ............................ .................. ..................e
................................. � f/..............tt....................le I.
c
Name of Builder ........� ............... Address ......:......
Name of Architect ........... ....................... Address ............../.....//
Z
Number of Rooms .... '1,, :.............................................Foundation ...,�[,�. ........ ..........
Exterior .......... / . .. .. .........................Roofing . ..... ....�'................... ................. ...................
Floors ...........Interior ...... r..... .. ..................................
Heating .................................................. Plumbing ........./....................................................................
� v
Fireplace Approximate Cost ...... ...............................................:........
Definitive Plan Approved by Planning Board - -_- ----.tt" 7� V..__-�9_--_ Area .....
Diagram of Lot and Building with Dimensions •
SUBJECT TO APPROVAL OF BOARD OF HEALTH
1 / 0 cs�/ t
lV
��t •
I hereby agree to conform to all the Rules and Regulations of the Town of Ba .stable regar "' the above
construction. / ®
Name ................... ...............
L
Dacey, William E. Jr.
No .... Permit for ...:...one...s.tory .......
single family dwelling
............................................................... ..............
Megan Road
Locatith ................................................................
rinis
............
.............. ..............................................
Owner .............William E E. Dae ey, Jr*
.....................................................
Type of Construction frame
..........................................
................................................................................
Plot ...n....................... Lot ...........#37...............
14
Permit Granted st ............19 73
Date of Inspection
Date Completed .... .. ..... .............19
,PERMIT REFUSED
................................................................ 19
...............................................................................
''--
................................................................................
...............................................................................
................................................................................
Approved ................................................. 19
...............................................................................
.............. ..............................................................