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HomeMy WebLinkAbout0007 OAK HILL ROAD `1 (94K 4f� 11 �,-�v - �J�`'�r I��mlo��i Ile��_R_ ��fi � � � ���� � � � ��--� -��_.� 7 728 ^ { U 7 VJu�k ,. .4�. 2 s ... Jimothy J. Whitehead Director of Operations Aerations T6, ap ber H r. M • '" ''F'' �- � Y ry ou§e7@email com` ' � A aomfortab/e Home for those needing a little extra care: 07 Oak Hill Road u_ y. Hyannis MA 02601 508-771-0244 , 508-+ 771- 2687; , YOU WISH TO OPEN A BUSINESS? . For Your information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 3..67 Main Street, Hyannis, MA 02601 (Town Hall) DATE: '-Z- IS; Fill in please: APPLICANT'S YOUR NAME/S: T�►�tbTl`�Y WF-G1T�1--L 'Alty^ rf BUSINESS YOUR HOME ADDRESS: 0-7 ®AK_ (--tIL.L y,(!D � :;; 9rait,? i �uip 5� 771-02�l,.( t'1 y' N 15 ' tr4 02�01 TELEPHONE # Home Telephone Number Sb -7 1 S0_4y t NAME OF CORPORATION: '71A.F. 1&94 axry NAME OF NEW BUSINESS TYPE OF BUSINESS &azx» KaVV%W . IS THIS A HOME OCCUPATION? ►/' YES NO ADDRESS OF BUSINESS o A-V- HI,_ V_x:;, ^N NtiS MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in.compliance with the rules and regulations of the Town of Barnstable....This form is intended to assist you in-obtaining the information you-may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of.any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain,to this type of business. y Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) _ This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Tom 508-778-4355 p. 2 t 4 al31C r "i��offf t I I t ;may/ �r� Town of Barnstable pF(HE Tp� o Regulatory Services Thomas F. Geiler, Director eaxxsTnei.e. Y MASS. g Building Division •i679 �� °TFn 39 Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE: LOCATION:Oqk�/,�� 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 CELLAR/BASEMENT AREA FOR SLEEPING PURPOSES. f 1,00AL.INSPECTOR SIGNATURE OF RECIPIENT ODEM DE SAIDA DATA: LOCALIDADE: DE ACORDO COM 0 PROVISORIO 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 + .f i a r.• .. _r _ r. Town of Barnstable F 1HE Tp� do --'Regulatory Services Thomas F. G.eiler, Director + BARNSTABLE, + MASS. g Building Division tG39. �� 039 Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us „ Office: 508-862-4038 Fax: 508-790-6230 EXIT ORDER DATE:. LOCATION: 2 0,gk A/,, _0A1) UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE, SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY - 140 DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FORiSLEEPING F PURPOSES. LOYAL INSPECTOR v ,-SIGNATURE OF RECIPIENT ODEM DE SAIDA ""DATA: + LOCALIDADE: DE ACORDO COM 0 PROVISORIO 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 ` t ASSINATURA DO RECIPIENTE t Remember December 20457 Can you remember how bad it was without lights, food and the VNA? Don't get caught short this winter. Make your plans now to spend the winter at The Bayberry House. We have 24 hour care,a freezer full of food and a generator to make sure the`heat and power are still operating. (no need to worry about the loss of oxygen either.) Come spring,,if you love it here you can stay. If you want to go home,go and enjoy your summer: Meanwhile you and your family will feel better knowing your safe and sound without all the stress and woes that winter brings. For reservations call 508-771 -2687 The Bayberry House 7 Oak Hill Road, Hyannis, MA 02601 YOU WISH TO OPEN A BUSINESS? V„ For Your Information: Business certificates (.cost $30.00 for 4.years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do b)(M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1s' FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 01—l 1 -L _Mmg p Fill in lease: v � APPLICANT'S YOUR NAME: any Dobr«nl BUSINESS YOUR HOME ADDRESS: -7 n/a-N(, Lh k\m1a swag kwl AV ,_ill TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS TYPE OF BUSINESS &c�YVIje_ .JA eaL4 IS THIS A HOME OCCUPATION?. ES N.O Have you been given approval from the build ng_ livlsion? YES `�J ADDRESS OF BUSINESS MAP/PARCEL NUMBER 7V 5 0 When starting a new business there are several things.you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.-(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally,operate your business in this town. 1. .BUILDING CO ISSI NER'S CE This indivi ual h en in r any permit requirements t pertain to this type of business. A thorized Si a ure*' COMMEN S — CCU-- 2. BOARD OF HEALTH This individual ha ben inform roPhe perwAsequi ents that pertain to this type of business. horized Signatur COMMENTS: 3. CONSUMER AFFAIRS (LI NSING AUTH RIT ) This individual has be n ' rmed of the ' sine equirements that pertain to this type of business. or ed Signature COMMENTS: i Barnstable Assessing Search Results Page 1 of 2 M y Home: Departments:Assessors Division: Property Assessment Search Results 7 OAK Owner: DOBRIENT,THOMAS W Property Sketch Legend Map/Parcel/Parcel Extension 248 /074/001 Mailing Address DOBRIENT,THOMAS W %WHITEHEAD,TIMOTHY J 7 OAK HILL RD HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 184,500 $ 184,500 Extra Features: $2,400 $2,400 Outbuildings: $0 $0 Land Value: $ 181,100 $ 181,100 Interactive Property Map: ap requires Plug in: Totals:$368,000 $368,000 1 have visited the maps before Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: WHITEHEAD,TIMOTHY J 3/31/2004 18383/338 $384,000 DOBRIENT,THOMAS W 9/30/2002 15672/279 $359,000 MURPHY,CARRIE L ET AL TRS 10/15/1994 9393/026 $ 1 MURPHY,WILLIAM&CARRIE 1329/767 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $66.79 Town Fire District Rates Other 1 $6.05 Barnstable-Residential $2.12 Land B• Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $559.36 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $2,226.40 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=2480... 1/12/2006 r Barnstable Assessing Search Results Page 2 of 2 Total: $2,852.55 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.28 Year Built 1957 Appraised Value $ 181,100 Living Area 1920 Assessed Value $ 181,100 Replacement Cost$230,642 Depreciation 20 Building Value 184,500 Construction Details Style Cape Cod Interior Floors Hardwood Model Residential Interior Walls Drywall Grade Custom Minus Heat Fuel Oil Stories 1 Story Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area (Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=2480... 1/12/2006 r Bk 18383 ids 338 023237 �3-3�.-20t7�4 Qi 09' =49a QUITCLAIM DEED 1,THOMAS W.DOBRIENT Of 7 Oak Hill Road,Hyannis,Barnstable County,MA in consideration of Three Hundred Eighty-Four Thousand($384,000.00)Dollars paid grant to TIMOTHY J.WHITEHEAD,individually,of 7 Oak Hill Road,Hyannis,Barnstable County,MA with quitclaim covenants The land, together with the buildings thereon, situated in Barnstable (Hyannis), Barnstable County,Commonwealth of Massachusetts,described as follows: Being LOT 3, containing 10,800 square feet, and LOT 4B, containing 1,503 square feet, as shown on plan entitled "Plan of Land in Barnstable (Hyannis) Massachusetts for William D.P. Murphy et ux Scale 1 in = 40 ft. August 16, 1973 Richard A. Baxter Surveyor Centerville, Massachusetts"recorded with Barnstable County Registry of Deeds in Plan Book 274 Page 85. The above described premises are conveyed together with the right to pass over said Oak Hill Road & Pine Valley Road to and from the public highway, and to an easement to Cape & Vineyard Electric Company and New England Telephone&Telegraph Company dated March 3, 1959 recorded in Book 1032 Page 89; subject also to restrictions and reservations of record insofar as the same are in force and applicable. For title reference is made to deed recorded with Barnstable County Registry of Deeds in Book 15672, Page 279. Property Address:7 Oak Hill Road,Hyannis,MA 02601 A Executed as a sealed instrument thOD day of March,2004. Thomas W.Dobrient THE COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. Marc0b,2004 Then personally appeared the abovZ22 nd acknowledged the foregoing instrument to be his free act Before me ublic My commission expires: 4/2/04 Z cn NOISIAIG 90 Wd I i NVr 90OZ Barnstable Assessing Search Results Page 1 of 2 000 spa: 2. Home: Departments:Assessors Division: Property Assessment Search Results 7 OAK HILL ROAD Owner: DOBRIENT,THOMAS W Property Sketch Legg rid Map/Parcel/Parcel Extension 248 /074/001 Mailing Address yN�N '�G I f�✓ Y.f �' (1( DOBRIENT,THOMAS W ..... ff rat %WHITEHEAD,TIMOTHY J 7 OAK HILL RD HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $ 184,500 $ 184,500 Extra Features: $2,400 $2,400 Outbuildings: $0 $0 Land Value: $ 181,100 $ 181,100 Interactive Property Map: ap requires Plug in: Totals:$368,000 $368,000 1 have visited the maps before Show Me The Map April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: WHITEHEAD,TIMOTHY J 3/31/2004 18383/338 $384,000 DOBRIENT,THOMAS W 9/30/2002 15672/279 $359,000 MURPHY, CARRIE L ET AL TRS 10/15/1994 9393/026 $ 1 MURPHY,WILLIAM&CARRIE 1329/767 $0 2005 HEAL ESTATE Tax Information: Tax Hates: (per$1,000 of valuation) Land Bank Tax $66.79 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B Barnstable-Commercial $2.80 Hyannis FD Tax(Residential) $559.36 C.O.M.M.-All Classes $1.01 Cotuit FD-All Classes $1.28 Town Tax(Residential) $2,226.40 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 http://www.town.bamstable.ma.us/Assessing/AssessO5/displayparce103.asp?mappar=2480... 1/17/2006 f Barnstable Assessing Search Results Page 2 of 2 Total: $2,852.55 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.28 Year Built 1957 Appraised Value $ 181,100 Living Area 1920 Assessed Value $ 181,100 Replacement Cost$230,642 Depreciation 20 Building Value 184,500 Construction Details Style Cape Cod Interior Floors Hardwood Model Residential Interior Walls Drywall Grade Custom Minus Heat Fuel Oil Stories 1 Story Heat Type Hot Water Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 5 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 2 Bathrooms Total Rooms 8 Rooms Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,400 $2,400 Property Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story,Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=2480... 1/17/2006 0 3 m 4k R Ul N 'Re: 7 Oak Hill Rd, Hyannis Page 1 of 2 Giangregorio, Robin From: Hyannis Fire [dmelanson@hyannisfire.org] Sent: Thursday, January 12, 2006 4:37 PM To: Giangregorio, Robin; Perry, Tom Cc: McKean, Thomas Subject: Re: 7 Oak Hill Rd, Hyannis Hello All, This lady did come in a request a safety inspection for her single family home that she provides care for the elderly in. We do have an inspection date booked and will determine what she has and is doing from that. thanks for the additional info. We will keep you up to date. Dean L. Melanson, Deputy Chief Hyannis Fire Department dmelanson@hyannisfire.org Office 508-775-2373 ext 15 Fax 508-778-6448 From: "Giangregorio, Robin" <Robin.Giangregorio@town.barnstable.ma.us> Date: Thu, 12 Jan 2006 14:39:57 -0500 To: "Perry, Tom" <Tom.Perry@town.barnstable.ma.us> Cc: "McKean, Thomas <Thomas.McKean@town.bamstable.ma.us>, <dmelanson@hyannisfire.org> Subject: 7 Oak Hill Rd, Hyannis Tom, This is a reminder to check with our Legal Dept. regarding Ann Dobrient's request for a home occupation. Ms. Dobrient (508-771-2687) came in with a DBA form for respite care of the elderly in her home. She faxed over evidence that her business is organized as a non-profit corporation. She is attempting to open a checking account, which is the catalyst for this request. Ms. Dobrient explained that a few years ago "the town" told her she did not need a license or anything else in order to do respite care, that this is strictly a residential use. She could not identify the person she spoke to. Subsequently, I asked for additional information from her regarding what services she actually provides for her clients. She advised me that she has 2-3 clients on average but can accommodate four. They stay over night but do not live there. A client can stay for as long as a month. This is a 5 bedroom home but she occupies one bedroom with her spouse. The other 4 bedrooms each have a single bed available for clients. She has someone come in and do the cleaning. She also has a woman that comes to assist her with the preparation of meals. She does not have nor does her assistant have a certificate in food safety. She is willing to obtain one if necessary. I called this afternoon to ask for a floor plan or sketch with 1/17/2006 -Re: 7 Oak Hill Rd, Hyannis Page 2 of 2 dimensions. She told me that she made an appointment with the Fire Dept. for an inspection next Tuesday. She will bring in the sketch next week. I told her the Commissioner would not render a decision until the beginning of next week and I reminded her that Monday is holiday. Follow up information from the FD & BOH is welcome and would serve to insure that we are all on the same page! Thanks! 196in 1/17/2006 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' t.'P Parce 7 , " ' / Permit# AYE Health Division — �7 � 1r Date Issued d� Conservation Division e Application Fee i Tax Collector Permit Fee w Treasurer / r E)USTING.8EpT1C SYSTEM Planning Dept. UMMTQ.� IOFGNM00mS Date Definitive Plan Approved by Planning Board n Historic-OKH Preservation/Hyannis Project Street Address At —7 C h Y� H i t4_ 'Y0(T ' a- )68LN?N i S Village 11�yu Owner �r�c. Addresses !`- tt�urS �.�li✓ C> :� rU° I L_L Telephone ` � -'7­7�5 Permit Request GAL ua v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type ' ' I � Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting document-ation. CD tv :3 Dwelling Type: Single Family 0"" Two Family ❑ Multi-Family(#units) `2 22 Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Hig way: o'Yes �No Basement Type: mull ❑Crawl ❑Walkout ❑Other N) 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 9 new First Floor Room Count Heat Type and Fuel: WGas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing n New Existing wood/coal stove: ❑Yes .moo Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:.�existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial _❑Yes -❑No If yes,-site plan-review Current Use HOM-e Proposed Use BUILDER INFORMATION NameE-c rz_� Telephone Number Address License# 6e- �v l emu.. yLiu. -- Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTI N DEBRIS RESULT G FROM THIS PROJECT WILL BETAKEN TO SIGNATURE ( DATE ®� y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` MAP/PARCEL NO. j ADDRESS VILLAGE OWNER" } i 1 - DATE OF INSPECTION: FOUNDATION -- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGj FINAL ' t= r GAS: ROUG FINAL . FINAL BUILDING cr m _ DATE CLOSED OUT ° ASSOCIATION PLAN NO. • The Commonwealth of Massachusetts U'1 --(.fib Department-of Industrial Accidents 600 Rrashington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit-General Businesses _name `5L11 `�% Y� t'Ti• c1 .... �- _;, . address ri -rG a V't t_LQ State:' zi)' 02��[ )hone# �15 ork site location full address: � I am a sole proprietor and have no one Business Type: El Retail❑Restaurant/Bar/Eating Establishment working in any capacity. ❑Once❑Sales(including Real Estate,Autos etc.) ❑I am an em loyer with em ] es(ox full& art time. ❑Other I am an employer providing)Yorkers' compensation for my employees wor]ring on this job. coin any name: addr'e'ss:' city: # instirance.co::, ... :: .: ..•.:,... �] I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: , .:. .'. CO ID any nSM6: address:.:.'••. . 't: ' city:. •OIiCV:# •.: 1n5llt`aIICe —111111101111110 com'eri. iisine address citvt hone# 77 .: 7777 tnsurancp co... .:..•.. ....•....•.. 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$1,500.00 and/or. one years'imprisonment as well as civil penalties in the farm 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 DIAfor coverage verification. I do hereby ce and t pa{n and p 1alties o erjury that the information provided above is true and correct Signattu•e 1\ Date Print name ���� `f �� Phone# �S' ��S � e? official we only do not write in this area to be completed by city or town official city or town: permittlicense# ❑Building Department a ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department wcontact person: phone#; ❑Other (T v ed Sept.2003) f 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 includingthe legal representatives of a deceased employer,or the receiver or g ep trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house havingnot 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 renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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. Please supply ly company name, 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 listedbelow. 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 .. it/license number which will be used as a reference number. The affidavits.may be retumed to . be sure to fill in the p errr . , the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would hike to thank you in advance for you cooperation and should you have any questions, hesitate to give us a call. please do not gl The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of Imsugadens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext.406 i oF11HE I Town of Barnstable Regulatory Services BARNSTABLE, ' Thomas F.Geiler,Director 9 MASS. 1 MAC p`` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 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: �� Estimated Cost ax9`6 O Address of Work—*'-'-7 6PnC Owner's Name: ''j►+n'� l �-r e. 77 Date of Application: S G _ 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 liner 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. 0 Date Owner's Name Qla ms:homeaffidav Town of Barnstable F,SHE t �Y -� o� Regulatory Services Thomas F.Geiler,Director * snRMABr E. "t"9' 1639 Building Division 9 `��' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE vmwn IQN Please Print JOB LOCATION: 4-7 it/` c- number street village "HONIEOVNER'�.__1L"I 0 J 1—(> 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_ supervis—Or• 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 Bamstable Building Department inspectio pro edur a d requirements and that he/she will comply with said procedures and requir Si omeowner ; 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 ladk 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 caret amend and adopt such a form/certification for use in your community. t O:forms:homeexempt r^ - c L !t f."�� ram„ .✓'�.._•� — ! �, �'/� 1 t I ~J j / - —�— —�----- #7 OAK HILL ROAD-HYANNIS DECK PROJECT Septic Field Deck Location a T lar khead round Level Landing � Patio 1 � •ng g. � Y Stairs = 5 Steps ! 9 12" wide 6.75 rise MA 7'0 �s e s �,-T-0 33" Total Rise c Framin Construction: G � g Footings 8" Columns set to 4' below ground. All wood Pressure Treated . Support Beam a@ 8ft. from house 6x8 (2x8 tripled) . Supported on 6x6 Columns All Joist 2x8 16" on Center a L.tvle- . Railing Supports 4x4 J ~ Decking 5/4x6 t� Framing Schedule... To be completed Between May and September. a Joist hangers . v A ' • Main Support beam is set 8' off the back of the house. 00 4 10" Sono tu bes are use d to create concrete piers to a� depth of 4 into the � p p a round, spaced in a row 8' from 9 f m one another. p ' ..10 Sono Tube 111 ._....... _ �Aw� s ra ##7 Oak Hi II Road; 6qu N i S Additional information on footings... The Commonwealth of Massachusetts William Francis Galvin- Public Browse.and Search Page 1 of 2 P i The Commonwealth of Massachusetts Yl William Francis Galvin Secretary of the Commonwealth ° One Ashburton Place, Boston, Massachusetts 02108- ' � f 1512 a' . Telephone: (617) 727-9640 CAFE COD CHRISTIAN CENTER u Green ?? Help with this form Request a Certificate The exact name of the Religious (Chapter 180): CAPE COD CHRISTIAN CENTER Entity Type: Religious (Chapter 180) Identification Number: 000420136 Date of Organization in Massachusetts: 02/08/1993 Current Fiscal Month/ Day: 12/31 Previous Fiscal Month/ Day: 00/00 The location of its principal office in Massachusetts: No. and Street: 29 STURGIS LN. City or Town: BARNSTABLE State: MA Zip: 02630 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: No. and Street: City or Town: State: Zip: Country: The officers and all of the directors of the corporation: Title Individual Name Address (no PO Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT TIMOTHY J.WHITEHEAD 456 PHINNEYS LN. NONE CENTERVILLE,MA 02632 USA TREASURER TIMOTHY J.WHITEHEAD 456 PHINNEYS LN. NONE CENTERVILLE,MA 02632 USA CLERK ROBIN WHITEHEAD. 456 PHINNEYS LN. NONE CENTERVILLE,MA 02632 USA http://corp.sec.state.ma.us/corp/corpsearch/Corp SearchSummary.asp?ReadFromDB=True... 1/19/2006 The Commonwealth of Massachusetts William Francis Galvin-Public Browse and Search Page 2 of 2 DIRECTOR THOMAS WHITEHEAD 456 PHINNEYS LN. NONE CENTERVILLE,MA 02632 USA DIRECTOR ANN DOBRIENT 20 WEST BAY TERR. NONE OSTERVILLE,MA 02655 USA Consent _ Manufacturer _ Confidential Data _ Does Not Require Annual Report Partnership _ Resident Agent _ For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Annual Report Application For Revival Articles of Amendment Articles of Consolidation - Foreign and Domestic ......... View Filings New Search Comments ©2001 -2006 Commonwealth of Massachusetts All Rights Reserved Help i http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 1/19/2006 Torn 508-778-4355 p. 2 monwealth of Massachusetts Willa q am Francis Galvin-Public Browse and Search Page lo-F2 The Commonwealth of Massachusetts William Francis Galvin uj s Secretary of the Commonwealth One Ashburton Place,Boston,Massachusetts 02108- 1512 Telephone: (617)727-9640 CHILDREN'S BREAD, JNfC.Surnmary Screen Help whh tKs form The exact name of the Nonprofit Corporation: C )KENU Entity Type: NM=0_ft.00_fP_0_TaC'Q'1 Identification Number: Q(_1Q_3_0_0Q39 Date of Organization in Massachusetts. 04/11/1989 Current Fiscal Month f Day: 1121-3.1 Previous Fiscal Month I Day: _Q01__Q0 The location of its principal office in Massachusetts: No.and Street: P0_D_0_XZ7_44 3 Country:USA or Town: ORLEANS State: N.0, Zip; _0265_ If the business entity is Organized wholly to do business outside Massachusetts,the location of that office: No.and Street-. City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: No.and Street: City or Town: State: Zip: Country: The officers and all of the directors of the corporation: Title Individual Name Addrests (so Po Box) Expiration First,M14dis,Lost,Suftx Address,City or Town,state,Zip Code of Term PRESIDENT ANN F.DOERIENT 34 GIBSON RD., ORLEANS,MA USA 34 GIBSON RD., ORLEANS,MA USA TREASURER THONITS W.DOBRCENT 34 GIBSON RD., ORLEANS,MA USA 34 GISWN RD;, ORLEANS,MA USA CLERK ANN F.DOBRIENT 34 GISSON RD., ORLEANS,MA USA http-,//co,rp.sec.gtd--te,ma.us/corp/corpsearch/CorpSearchSurpmary.as.p?ReadFromDB=T-rue&--- Lb-Aw