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0177 MEGAN ROAD
� 1 7 i • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `3 Parcel 23 7 Application # t� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board vt\ Historic - OKH Preservation/Hyannis Project Street Address ! 7 -7 e 2 !:i 4 >�G� Village k n h S" Owner cr& /c` c.o w c Address 1'7 7 rit c. 54 ,, jg d Telephone "7 7 Y 21 2 a S 7 Permit Request TO lie n,v k'.y1,st,ty A, tl e7 ro M•fifte- OL11 Oode`s T Gasct 0Pe.RI✓7%5'- Square feet: 1 st floor: existing��proposed 2nd floor: existing U proposed o Total new c� Zoning District Flood Plain Groundwater Overlay Project Valuation vo Construction Type Lot Size Grandfathered: ❑Yes Cfi No If yes, attach supporting documentation. Dwelling Type: Single Family 0/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl Ui/Walkout ❑Other Basement Finished Area (sq.ft.) 1 J Basement Unfinished Area(sq.ft) o Number of Baths: Full: existing .9 new 0 Half: existing new Number of Bedrooms: 3 existing o new Total Room Count (not including baths): existing i new U First Floor Room Count 6- Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: UfYes o 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 ❑ , "yH Commercial ❑Yes ❑INo If yes, site plan review# Current Use Proposed Use l z APPLICANT INFORMATION �- (BUILDER OR HOMEOWNER) - Name OLtro✓7 STr a Telephone Number Address �Id :�-c r f'i c License # CS 9'2L`T 2— Home Improvement Contractor# h10 3S X Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE YL') 4-2-al 0 r ` FOR OFFICIAL USE ONLY ' APPLICATION# 0 DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION rt FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i - GAS: ROUGH FINAL FINAL BUILDING l 1 • 3 DATE CLOSED OUT ASSOCIATION PLAN NO. �THETo,,y� Town of Barnstable Regulatory Services �BAM �'E'�; Thomas F.Geiler,Director Building Division Tom Perry,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'4U�1 A W(A%UW as Owner of the subject property hereby authorize A a,r,, S 7 to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) � I4NW Si nature of e Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP ERM I S S ION �t r Town of Barnstable o Regulatory Services s w BMINSrABLE Thomas F.Geiler,Director MAES9q, �.� Building Division ArFD MA'I 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 EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT 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 homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is.intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1'.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner 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\bomeexempt.DOC The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Y 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le i b1Y Name (Business/Organization/Individual): tl-✓o vl T I- "a if Address: Fo >>4,5, -Z pla City/State/Zip: /j&5k pGc, 0,2-6 Y 9 Phone #: S 6 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 sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. Demolition and have workers' working for me in any capacity. employees9. ❑Building addition No workers' comp. insurance comp. insurance.# 10.❑ Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their I Ln Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ 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 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 provide their workers'comp.policy number: I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature /il//it/l� Date: 1 2'$ 10 Phone# 5d 6 6t 6 3 S-1— 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#: oFs► r�,, Town of Barnstable Regulatory Services BARN9 MAS& * Thomas F.Geiler,Director o;A. Building Division Tom Perry,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, ,J O 1'ee C row C- as Owner of the subject property hereby authorize 4,L.;.a , 7 T 7-1-o Ln to act on my behalf, in all matters relative to work authorized by this building permit application.for:. Address of Job) • ignature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM S:OWNERPERMISSION C Town of Barnstable j OF SHtc TQ� , o Regulatory Services 1 Thomas F. Geiler,Director IAMSTABLE, 9g, MASS. ��� Building Division aTE p �s 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 EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT 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 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" Official,that he/she shall be Official on a form acceptable to the Building submit to the Building O g shall sub t P g responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Oilicial 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 A -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\homeexempt.DOC STANDARD FORM +PURCHASE AND SALE AGREEMENT This day of March,2010 1. PARTIES INDY MAC FEDERAL BANK,FSB,hereinafter called SELLER,agrees to SELL AND' -. Greggory C.Mendes and Kristin A.Kelley of 851 Coventry Lane Apt#1029 "•' MAILING Norwood;MA'02062 hereinafter,called the-BUYER OR PURCHASER,agrees to ADDRESSES BUY,upon the terms hereinafter set forth,the following described premises:-J. ` 2. DESCRIPTION Land and the buildings thereon known and numbered;as:.177 Megan Road,)? +f. r _ Hyannis,MA 02601 as more particularly described in the Barnstable County Registry ofDeeds Certificate# 190629,'(the"premises').: . r 3. BUILDINGS, Included in the sale as a part of said premises are buildings,structures,and STRUCTURES, improvements now thereon,and the fixtures used in connection therewith including, if IMPROVEMENTS any,all wall-to-wall carpeting,drapery rods,automatic garage door openers,Venetian FIXTURES blinds,window shades, screens, screen doors, storm windows and doors, awnings, shutters,furnaces,heaters,heating equipment, stoves,ranges,oil and gas burners and fixtures appurtenant thereto,hot water heaters,plumbing and bathroom fixtures, garbage disposers, electric and other lighting fixtures,mantels, outside television antennas, fences, gates,trees, shrubs, and plants. Including refrigerator 4. TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the nominee designated by the BUYER by written notice to the SELLER at least seven days before the deed is to be delivered as herein provided and said deed shall convey a good and clear record and marketable title thereto, free from encumbrances,except (a)Provisions of existing building and zoning laws; (b) Such taxes for the then current year as are not due and payable on the date of the delivery of such deed; . (c)Any liens or municipal betterments assessed after the date of this agreement; (d)Easements,restrictions and reservations of record,if any, so long as the same do. not prohibit or materially interfere with the current use of said premises. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration. t STANDARD TORM a PURCHASE AND SALE AGREEMENT This day of March,2010 1. PARTIES v_�.,, , WDY'MAC FEDERAL BANK,FSB''hereinafter called SELLER, agrees to SELL ' AND . '+ 'a. !. > ,r,Greggory C.Mendes and Kristin A.Kelley of 851 Coventry Lane Apt#102, ' MAILING { i:', Norwood,NMI 02062 hereinafter called the BUYER OR PURCHASER, agrees to ADDRESSES.s 'BUY,upon the terms�hereinafter set forth,:the following described premises: " t 2. DESCRIPTION _..= L•and,and the buildings thereon known.and numbered..as:177 Megan Road,. ` o";'+': ':^i;t: Hyannis;AMA 02601 as more particularly described'in the Barnstable County Registryvf Deeds Certificate# 190629,(the"premises'). 3. BUILDINGS,z. ;Included in,the°sale as a part,af said;premises are�buildings;structures, and: ;, C ,y', f_ irll sly,':" .r;i, _"' „ ::1�'= , i..., t:F 'i• i f .,J '{. r'.�'i�l%]3Rll�.`C-At'.v ' `id:l*,• i1. . •:il':.F,n ::J. .tf�;�.r_'y'.+ r .. �,. .. "" ;�• , + t ,1..,3. -�.»+, F.{`z» .> + ,,',',1ri� t i •rfl �Y:'.C�t'"t:1','i. �i{:�-, .f, �,:..JSb:+f: . "3.,+ �*, t f r u _1 t �i i•!♦rs i.ir. IrI t 1tf] .3►. . ,� .tom, �t�y -•; iLt':ft'_ ,.�{ It. �;,� :#'r} �.k(, ..}.»J-S'(,2.x6 # J'f$1i f•f.r .�s a jit �'#1 t ,r-.,- , •..t ' �'tf..!•i �.i r_. - -. f:[St .":i; .s.:,Jt'_ + r h . ..t `1l.fro ;r .. •L.v }.r'. .:`t.'i• tz F � • x ,p� a:+ n !}�.r-- .•ss a i • f.�.�.`)' 1 �•, ✓�rl i+.. -,S.- A�� .,�� .,t •p �# .J 1 � e •-�e ' ;, .+e .�-.t" c f.:�;�'.;i I.;i'!�+,;, '�J��'': ;', _ .J' `x�•al't}!l�tii <•}t t.. .,. _ , _ {.; , '�J 71� ,e3��'y{•1 t�ir+iJ :.i'i 1`. .0 4..r.'d.... tF. .,�1: 'l f '!i"T,fY♦',t. .t , �tL�. f j. e`r3:A# iC j•Y'►.- 8 t11."; 't••'�"s,' _. .:,s' .'�' ' :.f►`a ,i .i.. 4{ y SYr l:2 t°.., •Rjil "�'?f� '.?,1_ 4,T: -jiti si f= if 1�T``j,y4r�. ( 30. ADDITIONAL 1. The parties acknowledge that this property is being sold in as is condition. PROVISIONS 2. Sale subject to SELLERS Addendum A(See Attached) 3. Seller to contribute$5000 towards Buyers closing costs and prepaid items. BUYER: Greggory C. Mendes BUYER: Kristin A. Kelley SELLER: INDY MAC FEDERAL BANK,FSB r v _ i i i i MAR-19-2010 13:34 TODAY REAL ESTATE 1 500 790 1390 P.011 I STANDARD FORM PURCHASE AND SALE AGREEMENT I I This day of March,2010 i I.PARTIES INDY MAC FEDERAL BANE,FSB hereinafter called SELLER,agrees to SELL i AND Greggoiry C.Mendes and Kristin A.Kelley of 851 Coventry Lane Apt#102, MAILING Norwood,MA 02062 hereinafter called the BUYER OR PURCHASER, agrees to ADDRESSES BUY; upon the terms hereinafter set forth,the following described premises: i 2.DESCRIPTION Land and the buildings thereon known and numbered as: 177 Megan!Road, Hyannis,MA 02601 as more particularly described in the Barnstable County Registry of Deeds Certificate# 190629,(the"premises'). 3. BUILDINGS, Included in the sale as a part of said premises are buildings, structures, and STRUCTURES, improvements now thereon,and the fixtures used in connection therewith including, if IMPROVEMENTS any, all wall-to-wall carpeting, drapery rods, automatic garage door openers,Venetian FIXTURES blinds, window shades,screens,screen doors,storm windows and doors, awnings, shutters,furnaces,heaters, heating equipment,stoves,ranges, oil and gas burners and fixtures appurtenant thereto,hot water heaters,plumbing and bathroom fixtures, garbage disposers, electric and other lighting fixtures,mantels,outside television antennas,fences, gates,trees, shrubs, and plants. Including refrigerator i 4.TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER,or to the nominee designated by the BUYER by written notice to the SELLER at least seven days before the deed is to be delivered as herein provided and said deed ' shall convey a good and clear record and marketable title thereto,free from encumbrances,except j (a)Provisions of existing building and zoning laws; Such taxes for t e t en current year as are not clue and payabie on the date of the delivery of such deed; (c)Any liens or municipal betterments assessed after the date of this agreement; (d)Easements,restrictions and reservations of record,if any, so long as the same do not prohibit or materially interfere with the current use of said premises. 5. PLANS If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration, i i i i i J L�AJ z.-yc/S Om u.,A 00 o� r i nil V-+2 f t/ it 0!7!�� 1 L � w �S Li�/ y U 1 l 5! 7� ���a�G$'e � �G:�ovwGr / V>c.r�to O /_ /3�c.sCr� c �►T /v 13uTh i c rr _ 1 Sto �•.�.5� rkv''�°`G ✓1`wd r GS4nInq S fio �w5 r Gc.s G �i�G�ll�y Town of Barnstable Building .This°,Card So Tfiat�t°�s Visible-FromtheStreet A roved Plans%Must„beaietamed on Job anc>ahis Card Mush Atsue Post S Pp. c F s : • Posted Until Final Inspection Has Been Made# a �� "i 1 yam RWhere,a"Certificate:of Occu anc �s Re- wired'such<Bwldm ,shall Not beOccupiedjunt�la Final Inspection has been made el lijl� Permit No. B-19-1102 Applicant Name: Mark Mordini Approvals Date Issued: 04/05/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/05/2019 Foundation: Location: 177 MEGAN ROAD,HYANNIS Map/Lot: 291 237 Zoning District: RB Sheathing: l � n"MrM P r Owner on Record: HOLMES,FIDELLA S „ � Contractor Name,:" MARK E MORDINI Framing: 1 Address: 177 MEGAN ROAD Cont actor License:="CS-057645 2 r HYANNIS, MA 02601 � Est. Project Cost: $21,367.00 Chimney: Description: strip roof shingles and re-roof per GAF specs(19 square),replace Permit Fee: $ 108.97 fascia (180'),soffit(90'),and gutters(90') Insulation: Fee Paid: $108.97 a Final: Project Review Req: P Date 4/5/2019 n Plumbing/Gas ' Rough Plumbing: " ;tt := , ui m iaa This permit shall be deemed abandoned and invalid unless the work authonzed.;by this permit is commenced within six monthsafter issuanr Final Plumbing: All work authorized by this permit shall conform to the approved application and the;approved construction documents"for which,this permit has been granted. All construction,alterations and changes of use of any building and structures shalljbe in compliance with the local zoning by law"s.`and codes. Rough Gas This permit shall be displayed in a location clearly visible from access street ororoad and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. .. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are-,provided on this�permit. Electrical Minimum of Five Call Inspections Required for All Construction Work ( 1.Foundation or Footing Service: 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue aimng is"installed g .�. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "P rsons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in IVIGL c.142A). Final: Building plans are to be available on site Fire Department ` ' ` � All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: DATE: March 11, 2010 TO: Building File FROM: Robin Anderson, ZEO RE: 177 Megan Rd, Centerville • Met Today RE at site to check lower level of bank owned home for potential as an Amnesty unit. • FINDINGS: • Ceilings too low. • No egress windows. • Only one direct egress to outside • Needs louvered door on mechanical room. • Must open up all common walls to 5' cased openings. • Likely dwelling has a 3 bedroom septic. • Must obtain building permit for deconstruction. • Must obtain a plumbing to remove KS and cap lines behind a FINISHEXD wall. • Must retro permit bathroom on lower level or remove bathroom. • Suggested that plumber hired to remove KS check status of work in subject bathroom. CONCLUSION Site not a good candidate for Amnesty Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language IF t 1 t Assessing Division Property Lookup Results 9 2017 f 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< - 'Print Friendly Owner Information-Map/Block/Lot:291/237/-Use Code: 1010 Owner I Owner Name as of 1/1/16 HOLMES,FIDELLA S Map/Block/Lot GIS MAPS 177 MEGAN ROAD 291 /237/ Property Address HYANNIS, MA.02601 177 MEGAN ROAD Co-Owner Name Village:Hyannis I j Town Sewer At Address: No i ( GIS Zoning Value: RB Assessed Values 2017 Map/Block/Lot 291/237/-Use Code: 1010 I , E(j 2017 Appraised Value 2017 Assessed ValuePast Comparisons i Building $120,600 $120,600 Year Assessed Value i Value: t Extra $32,900 $32,900 2016-$193,500 Features: 2015-$186,700 4 2014-$186,800 i i 2013-$187,000 t j Outbuildings:$4,000 $4,000 2012-$185,500 2011 -$189,500 i I Land Value: $70,300 $70,300 2010-$226,400 j 2009-$259,900 2017 Totals $227,800 $227,800 2008-$284,600 Tax Information 2017-Map/Block/Lot:291/237/-Use Code:1010 Taxes i Hyannis FD Tax(Residential) $558.11 Community Preservation Act Tax $`65.20 Fiscal Year 2017 TAX RATES HERE Town Tax(Residential) $2,173.21 Sales History-Map/Block/Lot:291 /237/-Use Code: 1010 History: I Owner: Sale Date Book/Page: Sale Price: ; HOLMES, FIDELLA S 2015-12-18 C208300 $247000 http://www.townofbarnstable.us/Assessing/propertydisplayscreen 17.asp?a... 11/28/2017 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 MENDES,GREGGORY C&KELLEY, KRISTIN A2010-05-07 C191359 $185000 j US BANK NATIONAL ASSOCIATION TR 2010-01-29 C190629 $135000 I HOUGHTON,MARISETE 2004-05-26 C173140 $290000 i I BRADLEY,EDWARD F&DOROTHY C 1986-01-15 C105152 $94000 + MURRAY, DONALD T&DIANE W 1979-02-16 C77310 $0 Photos 291/237/-Use Code: 1010 Sketches-Map/Block/Lot: 291 /2371-Use Code: 1010 ((I j 20 } i )0 WDK 2 Mi p � E 'As Built Cards:Click card#to view:Card#1 { Constructions Details-Map/BlocklLot: 291 1 2371-Use Code: 1010 Building DetailsLand l Building value $120,600 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $138,648: Bathrooms 1 Full-0 Half Lot Size(Acres) 0.36 Model Residential Total Rooms 6 Rooms Appraised $70,300 Value Style Ranch Heat Fuel Gas Assessed Value $ I 70,300 Grade Average Heat Type Hot Air ( Plus t Year Built 1974 AC Type Central I Effective 13 Interior Floors Hardwood depreciation I Stories 1 Story Interior Walls Drywall f Living'Area sq/ft 1,157 Exterior Walls Wood Shingle Gross Area sq/ft 2,714 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp i http://www.townofbarnstable.us/Assessing/propertydisplay screen 7.asp?a... 11/28/2017 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 1 _�_ Outbuildings&Extra Features-Map/Block/Lot:291/237/-Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement- 1157 $26.800 $26,800 Unfinished WDCK Wood Decking 400 $4,000 $4,000 w/railings FPL1 Fireplace 1 story 1 $3,900 $3,900 BRR Bsmt Rec Rm- 300 $2,200 $2,200 f Average !( i Sketch Legend Property Sketch Legend 182N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium {BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure 1 (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) j I FCP Carport KEN Kennel UTQ Three Quarters Story j (Unfinished) 4t FEP Enclosed Porch MZt Mezzanine,Unfinished UUA Unfinished Utility Attic !FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story i (Unfinished) j FOP Open or Screened in Porch PRT Portico WOK Wood Deck i PTO Patio �!!IOPrint Friendly Contact Director Edward F.O'Neil,MAA P 508-862-4022 F 508-862-4722 8:30a.m.to 4:30p.m. 367 Main Street Hyannis,MA.02601 http://www.townofbarnstable.us/Assessing/propertydisplayscreen 17.asp?a... 11/28/2017 FIHE►o Town of Barnstable *Permit# o w yP ti� Expires 6 months jr j issi date Regulatory Services Fee Y BARNSTABLFE s v� MASS. 1639. ma Thomas F.Geiler,Director ♦� AlED MAC A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid with Red X-Press Imprint Map/parcel Number l a WPro erty Address Residential Value of Work V Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ftaxw i J ffl-l� L ILA 63 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance �UL 0 6 2012 Check one: ❑ I am a sole proprietor ,ABLE ❑ I am the Homeowner 'OWN OF BARNS ❑ I have Worker's Compensation Insurance Insurance Company Name 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 ❑ Ree-side -roof(hurricane nailed)(not stripping. Going over existing layers Of roof) #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *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 Contractors License&Construction Supervisors License is r uired. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RwAddress: m ��11 ,jJ City/State/Zip: o Phone#: JOr � U Are you an employer?deek the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.,6Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.$ 9. ❑Building addition 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 1 LEI 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' 13.0 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 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: 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 DIA for insurance coverage verification. I do hereb erti under the pains and penalties of perjury that the information provided above is true and correct � Si ature: Date: 1 Phone#: J 1.����U'11.O0 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: °FTHe ram, Town of Barnstable Regulatory Services • w w w w BARNSTABLE, " Thomas F.Geiler,Director 039, lfDMAIA Building Division 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 EXEMPTION Please Print DATE: JOB LOCATION: IV W-AM k bam�41� numbe street villag "HOMEOWNER": �& A � 90q I name I ho a phone# work phone# CURRENT 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 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 buildintr permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection o educes and require ents nd 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. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 t 1� ► 0 � I X \Al a X MLS Page 1 of 3 E Listing Summary Listing#21002126 177 Megan Rd, Hyannis, MA 02601 * Active (03/04/10) DOM/CDOM:6/6 $175,000 (LP) Beds: 3* Baths: 2 (2 0) (FH) Sq Ft: 1157* Lot Sz: 15681 sgft* Town: Barn Yr: 1974* Remarks .Picture _ Bank owned ranch in great condition with oversized private fenced in yard. Property being sold as is. Buyer to pay $75.00 doc prep fee at time of closing. CZ :flavte "1 r Agent Joyce A Crowe l (I .U0344)Primary:508-385-1528 Secondary:774-212-0597 Office Crowe Pro ertie :CRWE),Phone:508-385-1528,FAX:508-385-2549 Property Type Single F ' Property Subtype(s) Single Family Status Active(03/04/10) Town Barnstable Commission Sub Agent Comm. Buyer Agent Comm. Dual Agent Comm. Dual Var Comm 0.0% 2.5% 5.0% No Facilitator Comm 0.0% Listing Type Excl. Right to Sell Owner Name Us Bank Na County Barnstable Tax ID 291-237-0-0-BARN Beds 3* Baths (FH) 2(2 0) Approx Square Feet 1157* Sq Ft Source Assessors Records Lot Sq Ft(approx) 15681* Lot Acres(approx) 0.360 Lot Size Source (Assessors Records) Year Built 1974* Listing Date 03/04/10 All Office Remarks One West Services is committed to swift and accurate responses on all valid offers. If you havent recveived a response to your offer by 72 hrs(not including wends/hoildays)call 1-877-885-1624 and leave msg identifying property,your phone#,and email,with details of concern and you will receive response within next business day. Directions to Property Bearses Way to Alicia to Megan Road#177 Listing Page Commission-Other n/a Special List Cond. Foreclosure Showing instructions Call Listing Office,Lockbox,Yard Sign General Page Zoning res Year Built Desc. Actual Total Rooms 6 C Total Levels 1.0 Basement Baths 0.0 Level 1 Baths 0.0 http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 3/10/2010 MLS Page 2 of 3 Level 2 Baths" 0.0 Level 3 Baths 0.0 Basement Yes Basement Description Finished,Full Foundation Block Foundation Width 27 Foundation Depth 42 Fndation Wing Width 0 Fndation Wing Depth 0 Irregular No Lot Depth 0 Lot Width 0 Topography/Lot Desc. Fenced/Enclosed,Level Association Unknown Annual Assoc.Fee $0 Assoc.Fee Year 0 Garage No #of Cars #0 Parking Description Paved Driveway Year Round Yes Separate Living Qtrs No Waterfront No Water View No Convenient To Bike Path,Golf Course,House of Worship,Major Highway,Medical Facility,School Miles to Beach 1 to 2 Water Access Ocean Beach Description Ocean Beach Ownership None Street Description Paved,Public Interior Page Fireplace Yes Number of Fireplaces #0 Floors Hardwood,Vinyl Exterior Style Ranch Pool No Dock No Energy Saving Feat Storm Windows,Storm Doors Exterior Features Deck,Exterior Lighting,Fenced Yard Roof Description Asphalt Siding Description Clapboard Mechanical Heating/Cooling Natural Gas Water/Sewer/Utility Private Sewerage,Town Water Hot Water/Water Heat Natural Gas Legal/Tax Annual Tax $1793 Tax Year 2009 Land Assessments $142500 Improvement Asmt $114100 Other Assessments $3300 Total Assessments $259900 Annual Betterment $0.00 Unpaid Betterment $0.00 To Be Assessed Unknown Mass Use Code 101-Single Family Title Reference-Book C#190629 Title Reference-Page 0 Land Court Cert# 0 Underground Fuel Tnk Unknown Lead Paint Unknown Flood Zone Unknown The listing contract has not yet been validated by MLS Staff. http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 3/10/2010 MLS Page 3 of 3 Information has not been verified,is not guaranteed,and is subject to change.Copyright 2010 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved Copyright©2010 Rapattoni Corporation.All rights reserved. Generated:3/10/10 12:18pm nap ►host .S http://ccimis.rapmis.com/scripts/mgrqispi.dll?APPNAME=Capecod&PRGNAME= 3/10/2010 ��� 1•�l LOT .28 9 41 " 177=_ p pDFC.K3 -�-__-—1 O' 4 SHED O I9,2 BB, LOT 26 RES ZONE- 'RB" This MORTGAGE INSPECTION Plan is For FLOOD ZONE:• TOWN: _FIY� NIS _____ _ Bank Use only _.._ REGISTRY OWNER: EDWARV DEED RE F _DDfZ�TFIY_C_.. _BR�p Y _ F: _. -BUYER: J?F!LV CE _ _ _ DATE: ?2�?,i9?-- ----�-_ PLAN REF: _L_,_C._�709��8_=4 I HEREBY CERTIFY TO., C E COD. RAly1f_i!_TRUS_CO__, 17S, SUCCESSORS AN_L� A_S_S_IGfiS_THAT THE BUILDING � zH 8F ' rs� yANKEE SURVEY SfIOWN ON THIS PLAN is LOCATED ON THE GROUND AS �* o PAUL `ti SHOWN AND THAT ITS POSITION 1101;5 ____ CONFORM A. �; CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE N 143 ROUTE I49 TOWN OF B._A_R_NSTABL 4ER:T�E1l� ---- _-�___ AND THAT s Asa 02088 � IT DOES_N07 LIE WITHIN THE SPECIAL FLOOD HAZARD �.�, qF �p �o MARSTONS MILLS, MA 02648 AREA AS SHOWN ON THE H.U,D. MAP DATF,D-��9 _ yyfo 1 Q�gJ TEL 428-0055 o unit -Pa eI �50001 0005 C �k ' FAX 420--5553 q' THIS PLAN 1dOT 1,Ippg ggOD[MAN IN$'luumEId'I' 0 MEPY�Ii �lti —_.-- SURVEY NOT TO BE USED FOR FENCES ETC. IDIB.3 as IO 'd 6PL9 OHS 809 'ON XV. 16800 Wd ZV:10 IN. L6-2-Nnf &gine lig Dept. (3rd�r) Map .251 Parcel 2 .3�' Permit# / House# r' -Date Issued Board of Health(3rd floor)(815 -9:30/1:00-4:30) 'y Fee �. Conservation Office(4th floor)(8:30- 9:30/1:00-2:00), SEPTIC SYST T BE 7yoard INSTALLED I an o 19 NCE �NVtRN OF BARNSTABLLTOW REG AND NS ilding Permit Application Project Street Address / � � ����a -Del/ LD T 44 Village i._f �- Z 9'd91? 8 Owner 1—:,4 60 a r� �� 5/ Address /77 Me-G-a n Telephone 7; .3— 6�7 4- Permit Request De (f ?Tp, a e 0 First Floor 6 Q square feet Second Floor square feet Construction Type L) ea, e Estimated Project Cost $ n e-) o Zoning District A3 Flood Plain Water Protection Lot Size eD X 2 0 o Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structu 2-U �t�. Historic House ❑Yes rE3-No On Old King's Highway ❑Yes a-No Basement Type: ull ❑Crawl- ❑Walkout Other YP ❑ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing�_ New Half: Existing New No.of Bedrooms: Existing_ New Total Room Count(noZGas ng baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air ❑Yes l Fireplaces: Existing i New Existing woodocoaltove es ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Bar (size) None Shed(size) / ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 01Vo If yes, site plan review# - Current Use Proposed Use Builder Information Name- q-yip _ 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. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDI G�ERM�ITDEN�IEFOTH O�LGWING REASON(S) h - FOR OFFICIAL USE ONLY 'PERMIT NO. s DATE ISSUED z MAP/PARCEL NO. y j ADDRESS r'? 'i i VILLAGE OWNER t DATE OF INSPECTION: t FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: KOU FINAL s E• PLUMBING. S pu FINAL GAS: FINAL ' FINAL BUILDING DATE CLOSED OUTS: Ax ASSOCIATION PLAN"NO. * r �TFIF T� . . °: The Town of Barnstable • .naivsreaze. - 9�A M �0� . . Department of Health Safety and Environmental Services rfc ' Building Division 367 Main Street,Hyannis MA 02601 1 i Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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:Vcr P/zl C e L�e C 1�- Est.Cost-,�i 0.0 67 Address of Work: reG a W A Owner's Name l dW �' �/"G7d /e Date of Permit Application: Q 7 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 Date Owner's Name The Commonwealth of Afassachuseltv Department of Industrial Accidents W office of IffIveafgallaffs 600 Washington Street , ��,.' Btivoiz. Maxv. 02111 Worker-.;' Compensation Insurance Affidavit. Applicant 1-6f6;7ITI—ai ;P f narne7 Incition- cit". nhone 1 at; a Orneowner performing all work myself. N am a sole proprietor and have no one working in any capacity F-I I am an emplover providing workers' compensation for my employees working on this comminy name: address: city: nhnne#- insurance co. antler# 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: entripanV rinine: citv: 11hone#, insurance rn. j!nIicv M conin.1riv name: address: rite: 12hone#: insurance,co. nolicy 0 Attach additi 'n2l sheet if nic LT... . ..-,i Failure to secure covcra;c as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of line up to S1.500.00 andiur unc%carN' imprisonment sonmenta.s well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that cop} of Misstatement may be foriiarded to the office of Investigations of the DIA for coverage verification. Itloherebl-cerri. tinder the pains and penalties ofterjurr that the information provided above is true a dcorreer. Si!znaturc d Date /9 Print name Phone# use univ do not write in this area to be completed by city or town o /iowlciai 11, official city or town: permit/license# Building Department (:3Licensing Board rl check if immediate response is required 0sclectmen's Office C31IC21th Department hone MOther contact person: p Information and Instructions _ Massachusctts Gencral Laws chapter 152 section 25 requires all ern plovers to provide workers'•cvrn&nsation for the employees. As quoted from the "la%%- an enrph�ree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An etnph rer is defined as an individual. partnership, association. corporation or other legal entity. or any two or mo the foregoing engaged in a joint enterprise, and including the le=al representatives of a deceased emplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However II 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_ he or on the -_rounds or building appurtenant thereto shall not because of such employment be deemed to be an empioyc MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rene��al of a license or permit to operate a business or to construct buildings in the Commonwealth for any applicant ii.•ho has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter 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 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 cite 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 require. to obtain a workers* compensation police. please call the Department at the number listed below. City or •l owns Please be sure that tite affidavit is complete and printed legibly. The Department has provided a space at the bottom c. the affidavit for you to 1-111 out in the event the Office of Investigations has to contact you regarding the applicant. Plc be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of Investi=ations would like to thank you in advance for you cooperation and should you have any questio please do not hesitate to `give us a call. The Department's address. telephone and fax number: The Commonwealth Of Massachusetts r ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 ' fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE JOB. LOCATION /J�7 A fir' a ;i V7 7)/ s Number Street address Section of town "HOMEOWNER" Name Home phone Work phone PRESENT MAILING ADDRESS /�7,�' 1//a7777 /S,jIJlPx City town State Zip codE The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an it dividual 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 r 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 structure A person who constructs more than one home in a two-year period shall not b_ considered a homeowner. Such "homeowner" shall submit to the Building Offi on a form acceptable to the Building Official, that he/she shall be resnons for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the 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 requirement ) and that he/she will comply with said procedures and requirements. _=VZ 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. �` �� � � I � �-K `-( — �x � c�- �- C> � � x � �� y�-Jo cl S � � �°�` ' � , �xK � 6 w�% � t� ���� Assessor's map and lot number :......�... ........`.......... SEPTIC SYSTEN mrsT Eat ,. Sewage Permit number ......... t✓.:...................................... it STATE SX`-I-TA.EZr CODE MD TOM �Q�OFTHE tOWN OF �1�Wwo L. ro .w I MAUSTADLE, 9p M6 9 B U,p �t® � ■tlu I NS"PET® 00 tlPY a' APPLICATION FOR PERMIT TO .......® - . �.. TYPE OF CONSTRUCTION ..... .-..... ! ...................................................................... 4 TO THE INSPECTOR OF BUILDINGS: < The undersigned hereby applies for a permit according to the following information: �J 1 Location ..... .!'..........P`.. .... .. .... ... ...�// . :..... ...&.ll ... <�(j .............. Proposed Use ... l �r .....;yG % �1 /` .....4/-'t �!. . .�.......................:.............................................. Zoning District ...�/.'�..........................................................Fire District ...�Li'"�......z................. ......... Name of Owner .!�° './(/���f�..,1!.:.. �!�^.... . ...:.......Address ......... Name of Builder 1(111110!L.4r' .4/ ..1 t.............Address Name of Architect �. Address ..... Number of Rooms . ................................................................Foundation G .... lJ . . ...� ..... ....lJ................. Exterior . ... . . . .............� . ..............................................Roofing ....... ........................... - A Floors Interior ... .. .. . .. .......... if' . .. . . . .... .. .. .... Heating �... G ��"'6... /N7...� !i!`. L .............Plumbing ......./....................................................................... Fireplace ....... . ............................................................Approximate Cost ....z,- , ,;.....L....:................................... Definitive Plan Approved by Planning Board ___ _ ______ _______________19__/_ Area ..// T. ?.................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / i �e 6'_—' do' r• aa' /a; I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg rding the above construction. Name f� .l .. ...:... .. ... r— Dacey, William R. Jr. r 16931 Permit for one story......... • r r single family dwelling -� ..................,.�....................................................... .� Locati��'.f„Megan Road e .............. .......................... Hyannis ............................................................................... Owner ........William.E'... cey, Jr............ ,�✓:- _r '`' rr /, i Type of Construction ................frame............... �A /+�� I' r r r � lot ...................... ........Lot ..................... - 4 �L7 4 t Permit Granted rCh 5 .:.....^.19 74 `� -•/` = ` Date of Inspection .l:j/7y.. '-"Fop Date Completed ZoJ k / i rf PERMIT REFUSED �, �! ,� / -t-� �- • . , •3 .........................................................`....... 19 ........................................................ ....... ....... ,w! f ........................................................ ..............,:f • t✓ - et'a' 110 •1 .•A�' ........................................................ . ...............^ ' •1 w r 6 .................................................... ....................... r .. 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