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0029 OLD TOWN ROAD
- �� -w g ��o i ;. NSMA1399313 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts law,please state the reason(s)and complete section 1 (property information)and the first paragraph of section 2 (foreclosing party, court, etc. and foreclosing party representative, but not other representatives and attorney) so that the Town can review the exemption and update its records: Section 1 —Property Information Property Address: 29 OLD TOWN ROAD, HYANNIS, MA 02601 1 `` Assessors Map #: 267 Parcel#: 267070 Land area and description SINGLE FAMILY HOME Building(s)description and contents PROPERTY IS OCCUPIED AS OF 1/1/2017 _ Occupied: V Occupant(s)(if borrowers so state and include name(s)) rn (BORROWER) CHRISTOPHER WILKINSON Phone: UNKNOWN email: other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s) )(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken NO If so, please explain and complete and file the maintenance and security plan form (unless exempt as stated above) PRE-FORECLOSURE- BORROWER RESPONSIBLE FOR MAINTENANCE AT THIS TIME Section 2—Foreclosing Party Information Foreclosing Party (full name/title) NATIONSTAR MORTGAGE, LLC Foreclosure Case Court: UNABLE TO LOCATE Docket# UNABLE TO LOCATE FILED BY ATTORNEY ON 12/16/16 Date filed: 12/16/2016 Current Status: CURRENTLY STILL IN PRE-FORECLOSURE Foreclosing Party's representative(s)for property(entry,management,repair, etc.)(name,title,): CYPREXX SERVICES, LLC Company (if different from foreclosing party): Address: 525 GRAND REGENCY BLVD., BRAN DON, FL 33510 Phone: 877-339-8202 email: NATIONSTARVPR@CYPREXX.COM other: If an exemption is claimed, please do not complete the remainder. _ Other representative(s)(if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure, please so state and do not complete contact information(i. e. "none" or"see above")). Name,title, other: SEE ABOVE FOR ALL PROPERTY ISSUES AND EMERGENCIES-USE CONTACT INFO FOR CYPREXX) Company (if different from foreclosing party): Address: Phone(s): email(s): other: Name,title,other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party KORDE&ASSOCIATES, PC Firm name(if different from attorney's name): SAME AS ABOVE Address: 321 BILLERICA ROAD, SUITE 201, CHELMSFORD, MA 01824 Phone(s): UNKNO�wN email(s): UNKNOWN other: UNKNOwN I acknowledge that the information provided is,accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. L Date: 1/3/2017 NAie:JAMIE Y C/O CYPREXX SERVICES, LLC FOR NATIONSTAR MORTGAGE, LLC Title:VPR COORDINATOR I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the.Code.of the Town of.Barnstable. Date: Building Commissioner, Town of Barnstable Parcel Detail Page 1 of 3 is AN & ., .....wax �,..�.„ ,.......r. ,...`, .............R.. ....... 99 January n 2017 Logged In As: Parcel Detail Friday, Parcel Lookup Parcel Info Parcel ID 267-070 i ® Developer Lot JPARCEL A Location 29rOLD TOWN ROAD Pri Frontage i67 N Sec Road,,.« �. � I Sec Frontage Village P annis I . Fire District iHYANNIS Town sewer exists at this address fNo I Road Index!Ji 7 Asbuilt Septic Scan: Interactive Map ;n 267070_1 . Owner Info Owner 1lVILKINSON,CHRISTOF� Co- Owner streets 29 OLD TOWN RD Street2 ", w city HYANNIS �) state MA I zip 02601 _�=Country - I Land Info .........................................................................................................................................................-................................................................................................................................................................................................................................................................................................. .... Acres 0.31 � use ij56 le Fam MDL-01 I zoning iJRB Nghbd i0105 ..... ..,.Mv., gI Topography Level I Road Paved ri •a."� Utilities PubIIC Water,Gas,SeptlCl Location w �I Construction Info � Building i of 1 �.._ . euis 1945 fJnC4Si sc Gable/Hip wxt Wood Shingle all uArea t 053 Cover Asph/F GIs/CmpJ Type None Wn"_ Roof � Style Cape Cod _� Wall RDrywall Rooms�3 Bedrooms�� \ Model residential Int Hardwood Bath 1 Full-0 Half Floor Rooms g' Heat, Total x ' Grade I Wv rage Type;Hot Air I Rooms i15 Rooms Heat Found-P Stories 1 4 �� Fuel Gas ation?COnC. Block Gross 2608 Area - Permit History Issue Date jPurpose Permit# Amount Insp Date I Comments w Visit History Date Who Purpose 1/28/2014 12:00:00 AM Jeff Rudziak In Office Review http://issgl2/intranet/propddta/ParcelDetail.aspx?ID=19204 1/20/2017 Parcel Detail Page 2 of 3 3/1/2012 12:00:00 AM Pamela Taylor Change of Address 2/17/2012 12:00:00 AM Geraldine Clark In Office Review 10/5/2005 12:00:00 AM Jason Streebel Meas/Est 7/11/2003 12:00:00 AM Paul Talbot Meas/Est 1/2/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access ........ _.�._---._�_._.._...._---�._... .............._........__._........... ........... _ ._....._ Sales History Line Sale Date Owner Book/Page Sale Price 1 9/11/2009 WILKINSON, CHRISTOPHER 24026/315 $203,000 2 8/17/2005 ADAO, ALESSANDRO 20165/64 $363,000 3 5/21/1998 ANGLIN, PAUL H & RITA L 11442/202 $1 4 5/21/1998 ANGLIN, PAUL H & RITA L 11442/201 $1 5 5/21/1998 ANGLIN, PAUL H & RITA L 11442/200 $1 6 5/21/1998 ANGLIN, PAUL H & RITA L 11442/199 $1 7 5/21/1998 ANGLIN, PAUL H & RITA L 11442/198 $1 8 5/21/1998 ANGLIN, PAUL H & RITA L 11442/197 $1 . 9 6/28/1985 ANGLIN, PAUL H & RITA L 4601/24 $1 10 6/28/1985 SULLIVAN, STEPHANIE A 4601/22 $1 11 8/28/1970 ANGLIN, PAUL H & RITAL L 1482/1067 $0 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value 1 2017 $.72,700 $17,700 $18,500 $107,000 $215,900 2 2016 $72,700 $17,700 $18,500 $107,700 $216,600 3 2015 $64,400 $19,400 $18,800 $104,100 $226,700 4 2014 $92,800 $23,200 $19,700 $104,100 $239,800 5 2013 $92,800 $23,200 $20,300 $104,100 $240,400 6 2012 $94,900 $22,600 $17,100 $104,100 $238,700 7 2011 $117,500 $3,000 $15,500 $104,100 $240,100 .8 2010 $117,100 $3,000 $18,700 $104,100 $242,900 9 2009 $123,100 $2,400 $11,100 $168,900 $305,500 10 2008 $128,000 $2,400 $11,100 $184,700 $326,200 12 2007 $127,500 $2,400 $11,100 $184,700 $325,700 13 2006 $104,000 $2,400 $11,300 $167,100 $284,800 14 2005 $93,200 $2,300 $11,600 $153,100 $260,200 15 2004 $80,100 $2,300 $11,700 $133,200 $227,300 .16 2003 $66,000 $2,300 • $11,900 $43,800 $124,000 17 2002 $70,400 $2,400 $11,900 $43,800 $128,500 18 2001 , $70,400 $2,400 $11,900 $43,800 $128,500 19 2000 $59,100 $2,300 $3,800 $29,700 $94,900 20 1999 $59,100 $2,300 $3,800 $29,700 $94,900 21 1998 $59,100 $2,300 $0 $29,700 $91,100 22 1997 $60,500 $0 $0 $23,100 $83,600 23 1996 $60,500 $0 $0 $23,100 $83,600 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19204 1/20/2017 Parcel Detail Page 3 of 3 24 1995 $60,500 $0 $0 $23,100 $83,600 25 1994 $62,000 $0 _ $0 $29,700 $91,700 26 1993 $62,000 $0 $0 $29,700 $91,700 27 1992 $70,400 $0 $0 $33,000 $103,400 28 1991 $15,400 $0 $0 $59,400 $74,800 29 1990 $15,400 $0 $0 $59,400 $74,800 30 1989 $15,400 $0 $0 $59,400 $74,800 31 1988 $45,200 $0 $0 $22,400 $67,600 32 1987 $45,200 $0 $0 $22,400 $67,600 33 1986 $45,200 $0 $0 $22,400 $67,600 Photos h 9 fi yi� .:��. �✓�' -;tea '�. � ._� �« .vsdx$ fo �d� i � 4 t, v , L http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19204 1/20/2017 f Town of Barnstable Regulatory Services Thomas F.Geiler,Director .. Building Division + fAEN3rABLE, 9 MAW Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:���U� C Phone#: ��� �6© �� Address: 0/,,/,-0/ Village: Name of Business: S�-10r2 C lei V Type of Business: CQYV1 'kL(_-f f f 7W I) A Wa Map/Lt.���7 / ® ' / INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 44.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read e with the above restrictions for my home occupation I am registering. Applicant Date: Homeoc.doc Rev.5/30/03 TO ALL NEW BUSINESS OWNERS- DATE: 12-05 -0-15 Fill in please: APPLICANT'S ,.. YOUR NAME: �- �' BUSINESS i. YOUR OME ADDRESS: OLn �"oww n�+-4 rl jS RYIA 0 00 l i>.'•r TELEPHONE .` i Telephone Number Home 509 �r' � NAME OF NEW BUSINESS _ �2TOQ1 5ikliCTtOw TYPE OF BUSINESS CotisTV.vC-nO N -- D �— IS THIS A HOME OCCUPATION? YES LYLNO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS -21 491-0 1� � MAP/PARCEL NUMBER 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. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses:. GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S OFFICE This individual has b n inform of any permit requirements that pertain to this type of business. Authorized Signature** FOLLOW HOME COMMENTS: OCCUPATI OlVIff 2. BOARD OF HEALTH This individual ha been i rm d f q permi r quirements that pertain to this type of business. Authorize Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha n infp d of the n r uirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years)..A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FORA BUSINESS CERTIFICATEONLY ,`Angineering Dept.(3rd fln ) Map • 67 1,Parcel (� / (U J-f Permit# J 2 House# �� } ✓i Date 'Issued} - ' oao Board of Health Ad floor -(8:15 -9:30/ 1:00-4:30) Fee .- A� �;j - T_ p Conservation Office,(4,th (8:30- 9:30/1:00-2:00) 5 �Sr�. PI ing Dept. (1st floor/School Admin. Bldg.) j'9FSy, - efi 'tive Plan Appioved by Planning Board 19 A®���e141 TOWN OF BARNSTABLE Building Permit Application `P ct Street Address ©&ID 1 61J AJ RCWL A Village tom➢Al is t ,,ewner . t c, 4t- k) Address ' J . telephone C Permit Request X 3-z' First Floor square feet Second Floor square feet Construction Type Estimated Project Cost- $ nV Zoning,District /?46 Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals.Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information v""Namfl@ - t� l� (X,� Telephone Number ,Address •%QM 6:sF a icense# 3 /r 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 tL%%� .cl p DATE - 1 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r r t z„ FOR OFFICIAL USE ONLY _ PERMIT'NO. DATE ISSUED 1 MAP/PARCEL NO. ADDRESS •VILLAGE - OWNER r' t E � • - � - ! � :- s DATE OF INSPECTION: FOUNDATION r R. FRAME INSULATION , FIREPLACE I •`tea • , t , - - - y _ � rat ELECTRICAL: ROUGH FINAL PLUMBINGG %2:UGH FINAL GAS: ��',�6/'e W'U•GH FINAL FINAL BUILDI�I0o DATE CLOSED OUT ASSOCIATION PLAN NO. 6% THE The Town of Barnstable 9 JUM Department of Health Safety and Environmental Services 1 •1° BuiIding Division 367 Main Street,Hyannis MA 02601 Office: 509-790-6227 Ralph CrossesBuiIding Conan Fax: 508-790-6230 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: �c7oit__ i� r Est.Cost a�'� •C� 1 '� ��oJ ll -` Address of Work: Owner's Name Date of Permit Appli cation: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied 6wner 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 _ yd. actor Name Registration No. The Conuironlrealth (if.1fassachuscliv xr! . '- ;—:.t•;w Department o,f I11dustrial.4ccidents 0>fcealbtvesV9211ons 6110 !f'as/linrlun Strcct �• =vorhicn' Corn ensatio surnnce Affidavit L11�plicint intorn tatit►n• — -- Pic;se PRINT lebt_Ijjy '—•�M - ~ name, cati n- 61%. nhon I am a homeowner performing all work myself. [j I am a sole proprietor and have no one working in any capacity 7 1 am an empiover providing—workers' compensation for my employees working on this job. enntnnnv nnmc• - ;tdtl rccc• cite• nhnnc!!• incur-ince cn nolicv>Y ....-N -f•f,.�...�-+�'•n�•��rwwa.r..ar..�..�•.�•r-wrwr..+��w�r _ .....-..�.��... ... - . • M I am a sole proprietor. ^t contractor, homeowner(circle ate) and have hired the contractors listed below who hr the following workers'compensation polices: cnm am Home: �resc: L- � e- �✓ Ai=�G�SS morincc rn. wot1 ` ---Nc,e.—,—c- CnnIpnn%, name: �ticlrc�c- rite• nhnnc it• incur•tncc co Holier• Attach additional sheet ifneces_iaty i_r:; -^�!'':`SL•- ~'�'`�•a�' .air. .. •..wa�_. Failure to secure coverage as required under section 3A of A1GL 152 can lead to the imposition of criminal penalties of a lineup to 51.500.00 andiui one years' imprisonment:t.�c"ril as civil penalties in the form of a STOP WORK ORDER and a titre of 5100.00 a dad•against me. I understand that copy'of this statement mac be fornvarded to the Office of investigations of the DIA for coverage verification. 1 do herchr ccrrift•t cr the pains and penalties of perjuty that the information provided above is true u cotrcct. Si=nature Date S� rr; G�� Print name Phone '•official use univ do not write in this area to he completed by tiny or town official t cit% or town: permitiliecase i# rrtludding Department 3Ucensing Huard Seiectmen 0 check:if immediate response is required 13 s Office ►_ C211caith Department contact person: phone it• 70ther. 1111urillilliull a__ _ TrN Massachusetts General Laws chapter 152 section '_5 requires all employers to provide workers* compensation for their employees. .As quoted from the "law--. an elnpl(tree is defined as every person in the service of another under an,., contract of hire. express or implied. oral or written. An employer is der►ned as an individual. partnership. association. corporation or other legal entity, or any twee or morc . the forcuoinu enuaged in a Joint enterprise. and including the legal representatives of a deceased cmplover. or the receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwelling_ house haying not more than three apartments and who resides therein. or the occupant of the dwcllin�_ house of another who employs persons to do maintenance , construction or repair work on such dwelling hoes or oil the :_rcunds 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 ~eneival 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 in coverage required. additionally,. neither the commonwealth nor any of its political subdivisions shall enter into anv contract for the )erformance of public work until acceptable evidence of compliance with tite insurance requirements of this chapter ha ,een presented to the contracting authority. .pplicants lease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and ipplyin_, company na►nes. address and phone numbers as all affidavits may be submitted to the Department of idustrial Accidents for confirmation of insurance coyera`e. Also be sure to sign and date the affidavit. The 'tidavit should be returned to the city or town that the application for the permit or license is being requested. of the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are requires obtain a workers' co►npe►tsatiou policy. please call the Department at the number listed below. its• or ,towns =ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom cf = affidavit for you to fill out in the event the Office of Investi?ations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX unless other arranUements have been made. Office of inyesticatioils would like to thank you in advance for you cooperation and should you have any questions. :ase do not hesitate to uive us a call. . e Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents r r Office of Investigations 600 Washinaton Street Boston,Ma. 02111 fax #: (617) 727-7749 { phone ': (617) 7274900 cat. 406, 409 or 375 `r '_ - � � i� � ��''C/1L�hZ�i2O'�tU/P.(tll/L O�✓dClldd�UdC�6 ~:' - DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number 4: Expires: Restricted.To 00 BRUCE W ELLIS +� 90 TOMS PATH _ DENNIS PORT, HA 02639 i jLnz %:UMMU14 WJKALTli (Jk* MAb_NAt;UUSJ!1TS Board of Buiidlog Regnladons and Standards Transaction No. One Ashburton Plate-Room 1301 " Boston,Massachusetts 02108 Registration No. Application for Registration as a Effective Date Home Improvement Contractor or Subcontractor MGL Chapter 142A9 CMR 780-6 Expiration Date FOR OFFICE USB ONLY 9 7 Dace S—�9— L Name 1 n V C R IA�) S print the name of the individual or business applying for the registration(not both) �11� Owf S > l o� 3 9�. 37 yz Z Mailing Address Area Code&Telephone Number 3. a y a lV N(s _?D TIE State ' A- ) up 12 Ce 3"( 4. Street Address Cif different) State up 9=: d Number(P.O.Box not acc eptable)able) (Sty S. Applicant type: ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation ❑ Public Corporation (See instructions on back regarding enclosing a city or town registration under the DBA or"fictitious name"law-MGL c 110,ss S A 6) 6 see instructions) 7. Number of Employees & Individual responsible for Home Improvement Contracts 2zHLa S ve e Lt/ 9. Title of Individual responsible for Home Improvement Contracts s 10. Does the applicant or responsible individual hold any other construction related state+city,town IiOCnM or registrations?___ ❑ ❑ U yes,complete the table below. Use additional paper it necessary- Yes No Type license or registration Issued By License or Expiration Name of License:Holder registration number Date � IZ Is the applicant daiming exemption hum the registration fee? (See the instructions on the back) ❑ ❑ If yes,include a copy of a current Construction Supervisor license or motor vehicle repair shop license err registration- Yes No 13: Registration tee enclosed:S Guaranty Fund fee enclosed:S 4 OV` rp Include two separate ratified checks or money orders-one marked"Rem Fta:°;WCmarred"Guaranty Fund". ALL APPIICANTS MUST INCLUDE A GUARANTY FUND FEE EYBN IF EXEMPT FROM THE REGISTRATION FEE.Six instructions on back for amount of fees. Make all certified dtecla or money orders payable to"Comwanwealth of Ma»achatWts" pursuant to Massachusetts General I.dws Chapter 62C section 49A,I artily and, the Wmhhs of perjury that I, to tar best knowledge sad beH4 have Ned all state in returns and paid all state&sees required°rider law. l� Title held with applicant Signature of applicant or applicant's representative ` A false answer to any question In this application constitutes grounds for suspension or revocation of the applicant's registration. y ' 47 8 Z' li n� 13 36 o r TOO " I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . Date oGr. 7-8 /y L CERTIFIED PLOT PLAN LOCATION SCALE . .� '3c ... DATE Reg. band Surveyor PLAN REFERENCE . . -j�?^!G. . . . . . I certify to its title insurance company . that there are no visible encroachments I CERTIFY THAT THE ..... .. . . .. . .. ....... .. . or easements except as shown and that this SHOWN ON THIS PLAN IS LOCATED ON THE GROL AS SHOWN HEREON AND THAT IT CONFORMS TO 1 plan was prepared under my immediate SETBACK REQUIREMENTS OF THE TOWN OF supervision. WHEN CONSTRUC DATE l��uG h1 4e Z17?4' L. /}ivGl/,.1 - �ETlT/oNS REGISTERED LAND SURVE i E Lq I . EI 1 1 � j t LIMPItial-AWOR ' ��' �A t • N� j e•e�Plan Pianeh tD:as�1 � �'�;' � I & t Im ECG` F ..�..�g....� pota 1 Aed N�derere Kd(DS-2H1 , 1-lttz3l Stnigta(cpxq sdics 5e!{ID 6011 ;E A i C Q E F a H J K L 8 8 .4 14'WOE(opimg(coot Set(14061) � tr sr r s a• r wr sv tea• rr r s a- 4 (� 1-Ya41[leer(so oprocs bdrwt '; tr sr s•� a e• r tr rr W rr r rr 4,R , . J- "1031401 Nr% laser 1441-0Q61qIA35 3'Step-Remora 1�08•DOl�r"=I. t' y ,'"" • i R ., < 4,R r ; 8 hplart48'pldoltme1s10EDD419xnkt •. .•.. I$'skawrtcr poaol(AEEO111 `one" 1$'Jight pawl(D8-01 coa Up KIPTIM 4'R ` NSM TYPE 11 8 ,� 4�R 4 TOPAZ STIMG STOftTTITE 8 8 (63 ccSA to IOa aom - NOl1011nNGUN[RS wnwsf°n : • :��r�rY�,a...evd..�,rw�L�p,.,:adb/•tva>,dd...db�d..•.adia�. ... . . ���i.M i•..a.. > fTFMIM111[.NI rWft e1Crn,!�Ie7�OIrL 'Otasonek giren to 90°point of comet'. TM�.da drfeu•n loopy t+d�&f►+�•�al s,•a�a real •••�w�••�••+• •=7a o of r1-12 Ihfto adim da�iYmoly* lad+6T�eidSpa f. 6►` V 'b 000t..3 pawl•Mpuft • EXCAVATION INCT(5idi+ing6°e.d.•rdid•setrMb..e/.-]hYr�npialCdaai.ctd.arior6p.�a •..%d�r1.. '��Q • ....Alh•no..6w.r►iwaf•cYesadebK,6•w�sP.a16af mwo, - 1./WwA°tildi••riar�a•rawi•r••ti�i r•aa•Y 1.So2bMi••i•i+..•b.si.flop mr4l00 M.. u J�..Ewa a.".6a 1-ow• 771p•1r�i*l7aG7"1b7tC01110911 Sr.1:c w �ay W rb—mi. q Fj..II..w6 for166 miI .,1•i.���'n'�dvP�aY•w'lI'a�s/s aw�a s TIf1! 16f y 37 R ADIU SREM } 4f A 7»� - h:".� - t. .t _ +?b�.; - __. t•ffH°•TIff1.7•fT/fa7Nf►OWi••Y/t. THE J / The Town of Barnstable • ■nxxsrnsre, • Department of Health Safety and Environmental Services rFD MA+A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-90-6230 Building Commissioner DATE: August 15, 1997 TO: Mary Blake,Assistant Accountant FROM: Kathy Maloney,Office Assistant RE: Refund of permit fees Attached is a letter requesting a refund of a building permit fee. The permit was never exercised and has now been voided. Copies of the canceled check and voided permit are attached. Please let me know if you need any additional information. cc: Timothy Luzietti Q970815A wag YOUR MASTER POOLS. 955 ROUTE 132 Telephone (508) 771-4142 HYANNIS, MA 02601 (800) 275-4295 Fax (508) 77&2235 1..' . Building Department Town of Barnstable June 19, 1997 „ On May 5, 1997 we applied for a Building Permit to construct a swimming Pool for Rita Anglin of 29 Old Town Road,West Hyannisport,W We left our check#10692 for $50.73 with your department. As it turned out,anoter h contractor took out a permit and built the pool. Is it possible for me to request that you return the$50.73,as we did not pick up a`permit or build the pool? Thank you for your consideration in this matter. CIP Timothy R. Luzietti President )�4 MA R701 S• -�(�F�� M6MBiR NATIONAL t.i`Nmi�Yignd�•6uftamdup SPA 0 IW O T I TVU TT E TOWN OF BARNSTABLE i BUILDING PERMIT L I ?ARCEL IDA67 070 GEOBASE ID 16881 ! ADDRESS" 29 OLD TOWN ROAD PHONE 7 W. Hyannispert -=ZIP - ,OT PARCA BLOCK LOT SIZE )BA DEVELOPMENT DISTRICT HY 'FRMIT 22946 DESCRIPT N 16x32 INGROUI� POOL :'ERMIT TYPE BPOOL TITLE \BUILDING PERMIT POOL CONTRACTORS: ''� De artment of Health Safety ,RCHITECTS: p _.. . ,. _ Y ~'� and Environmental Services TOTAL FEES: ~ 30ND $50.73. $.00 _ pkIm 'ONSTRUCTION COSTS $16,365.00 i�': I �' 753 MISC. NOT CODED ELS - ERE Y PRIVATE P Q . * BARNSTABIM i \ MASS. WNER ANGLIN, PAUL H i 39. DDRESS %SHAWMUT MORTGAGE' CO 433 SOUTH MAIN ST WEST HARTFORD CT BUILD S N BY DATE ISSUED 05/08/1997 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- e CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR `$ ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF FUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. E 4.FINAL INSPECTION BEFORE OCCUPANCY. I POSTTHIS CARD SO IT IS VISIBLE FROM BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 ) r rN 1 i 2 2 2 I 3 1 H TIN INSPECTION APPROVALS ENGINEERING DEPARTMENT j I 2 BOARD OF HEALTH I I t OTHER: SITE PLAN REVIEW APPROVAL I I I t i W(¢RK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THt INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VAT4IOUS STAGES'OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. f UPDATE PERMIT RECORDS : ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 08/15/97 PERMIT NO. 22946 PARCEL ID 267 070 29 OLD TOWN ROAD PERMIT TYPE BPOOL BUILDING PERMIT POOL DESCRIPTION 16x32 INGROUND POOL STATUS 0 PERMIT VOID/FEE REFUNDED APPLICATION DATE 05/08/1997 DATE ISSUED 05/08/1997 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 16365 . 00 BOND 0 . 00 CONSTRUCTION TYPE 753 GROUP TYPE 1 CONTRACTORS 010538 LUZIETTI, TIMOTHY R. ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT. CTRL-I FOR HELP. Engineering Dept. (3rd floor) Map .267 Parcel 0 7 D " iij Permit# House# D to Issued S Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) ` Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) I MUST BE planninn nP„t !1 ct flMr'^ i INSTALLED IN ANCE 19 AND WITH � ENVIRONME TOWN OF BARNSTABLE 01NN RE BuildingYeirmit Application Project Street Address "1 d Village (N Owner I Address acid Telephone 7 — 2 Permit Request ( " First Floor \ square feet Secon loor , \ s are feet Construction Type (p X r I ( \t Od Estimated Project Cost $ Zoning District Flood Plain Water Prote tior. Lot Size GrandfatheAl\Multi-Family Yes ❑No Dwelling Type: Single FamilyTwo Famil Z #units y ( ) Age of Existing Structure H'�toric House ❑ �s ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑W lkout ❑Other \ Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half f: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas /'❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Autho ' tion ❑ Appeal# Recorded❑ Commercial ❑Yes o If yes, site plan review# Current Use Proposed Use I , Builder Information Name L Telephone Number ) -71 (—�Jq Z Address License# (� C\ Home Improvement Contractor# 'D&9 Worker's Compensation# �� 4 go 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 1 04 DATE BUILDING PERMIT DENIED FO THE FOLLOWING REEAASO ) -�-� s , r A.r':w);�•ijp lefipwJ k-'1A 1F�� ..4. �1.. � .. t.• � ..+ i � 3MAU��A03 MI :m���d 014A 3000 Y {{ k � o , L N J O � O A a J j Z Z K � y C7 QW203=Th3 5 QF CQAWIAGS NOT CONTAIAWG T&£ ORWNAL SIGNAT`.f2E OF 11E e4011 2 OF GECORD _ .Alm NOT AW KWED TO GE JS®FOR ANY PLUPCO—' CAA p 42 WALL SWIMMING b> � �.� rA to — ' POOL STANDARDS Sl0 3UYPTDt DR1vE FORT lMT'NE,IgWA Sterling Pools 49104,USA 21l-4a2-67y O O M j r�.I L �-• 4 MIN.CONC,DECK ALUMINUM COPING MY f111111 ,. � c1-1 — --'r NOTE:ALL BAC(FILL TOBE .cull T I !' NOTESEE INSIALLNOWEXPA TTION o /" - —TURNBUCKEL r 1 J. > a =4 GA-PANEI.SfIFFNER ;1 �I NUTS WASHERS �'-"''�-^.... AT,T U'(},C.CMAX) II TYP.EA.PANEL END SEE PLAT+%AEWASOVE TYP.14 GA.G�ApLV.PANEwl L ` { FL�ANGEE SEE SECTION uo o- GK'1 �- 03A o —DIAGNAL BRACE o g � '1 Zx a14GA.AT 33AI 0 x yz' � m` 20MIL.VINYL iINER 8'-(rMAX � -CARRIAGE BOLTS ! � 8°DEEP CONCRETE 1 COLLAR 2°VERMICULITE POOL PE AROUND � OR SANG STAKE L-2Sr2'x r G'z 144A. of OL-acy-85c tf 14 GA. r rno,.no. o.rc � Jll�b� (ricuco 2-C OVERE)(MIATION ;Krl TYP. WALL STIFFNER �- 3 A AT MID PANEL 1 1 TYP, V�At-I- SECTION AT 'A' FRAME OF 4 J� 3 A �ya crcE 1 t 7-3/800,M.BOLTS NUTS,AND t,S TYP.EA.PANEL EL END END J 'S,AND WASHERS n EA-PANEL END n 15 VINYL LINER E a n 14 GA.GALY.STL. a PANEL MILTH)CKNESS iYL LINER iA.GALV.STL. wa `i_ 3NER PIECE e TYP. 15W OUTSIDE CORNER a TYPICAL. 4' RADIUS CORNER ` '> PRE-FABRICATED STAIR ASSEMBLY z -s/e mM.BaLTs _ 19�0.M4. Ts CC NUTS,AND WASHERS —� 4jA S�IF.RS �i TYP- EA PANEL END 14 GA.GALV. _ 1 .. Z. a STAIR LINE +J �p T 7-3/B 0 M.BOLTS If t �l Ta i NUTS AND WAS11E eib ;.x yj c l+ 7-3.,F8"01A.BOLTS,N:1TS,� AND WASHERS TYP EA. - -- -_- PANEL END 114 GA.GALV STL. NUTS, - ---. .. '-- -- - PIECE TYP.E i i I „.._ 2 PIEC£ 14 GA. __ GALY.STL.CORNER I 14 GA.GALV�.-.... M.BOLTS 14 GA STL.PANEL J _ AN ENO' STL.P NUTS, 11B1SF1 -------.—.--.�G f TYP.EA.P El NL gOLTS(BENT), NUTS AND WASHERS. t VINYL LINER 14 GA.GALV. / f 20 L.THICKLINER ESS VIIN20 YL STL.PANEL, 48" 14 GA.I CORNE s eLTYPICAL 90- CORNER TYPICAL 45° CORNER e a y r Cp`l :ti DIAGONAL BRACE S L-2"x2`a14 GA. `-dR.,:• (SEE SECT.9/2 AND 04 A.GA-LY PLANS FOR LOCATIONS) STL.PANEL .� a a 4 m a PLAN V n 1 y �ltiu(iII �t a '�r"''''� � 9�x2"�/4� •/�' tllfl4 �� +:i:. ,� t a ..,i,i ,;�•. � �( " r ,t ALL�.S 8 0 A THREAD ROD i ; 'all ! C5 NOTE44.L TO 8E NQM 14 GA.PANEL STIFFNER ) SOIL SEE PL/�(V Vf£W ABOVE ,; y ^-- i r AT 4-O O/C_MAX." RA a; a 7-3/8"0M.BOLTS �'. I' - A xl4GA.ATB O"O/C NUTS ANDYYASHEl6 I ca TYP,9kPANEL END /� 8 DEEP CONCRETE 1 f ;COLLAR AROUND YZt' TYPtCAL 146A. I POOL PERIMETER o 'er CARRIAGE 00,-'. GALV.PANEL ._. I . STAKE L-2"x2"K q1A •t I'-6'K!4 GA. 20 MIL THtCKNESS� '— 7 I VINYL LINERAOiA!i aI:TE g im • :14 vA. OR SAND '� C = i . 8867 7%1"d/e8 JAT TJK 2 •-0 OVERE?CM41TION TYP. WALL STIFFNER = L 'A' FRAME 48,ECTION AT 4 ?° AT MIO. PANEL s TYP. W _ �ap.:r: a 0 I .o i t �- R09RC /9 /3 3� IL • L j r i I certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified by the Department of Housing and Urban Development (HUD) . CERTIFIED PLOT PLAN Date oG � ,f ! s` LOCATIONA,P�vc.T � t, "�s/yA�viycsPae�-� n .= .: ;;.-;.::::.; •••'�:� ```��:,�:Y SCALE e� �✓..��4/ PATE PLAN REFERENCE -j ?^�G. . . . . . . . . Reg. LandSurveyor7 . . . . .. . . . . . . .. .. . . . . . . . . . . . . . . I certify to its title insurance company ��j-�,,�G ��,,i�zL�•�G that there are no visible encroachments I CERTIFY THAT THE .. ... .. . . . . . .. .• .•.• • • • SHOWN ON THIS PLAN IS LOCATED ON THE GRO•UND Or easements except as shown and that this AS SHOWN HEREON AND THAT IT CONFORMS TO THE plan was prepared under my immediate SETBACK REQUIREMENTS OF THE TOWN OF supervision. �� !-57AG�G • • • • •WHEN CONSTRUCTED. DATE OCT 7.8/r1`jL A�(JL h! �,� L. /�rv<iL/.� -' � j�/a^�� � REGISTERED LAND SURVE R f - w 1 �/W �alr✓/Ni.�jE�l��'�G �t��%LU.�XILZ�I%1"GLU.�P.fif.�l . HOME IMPROVEMENT ReNulations and Standardsin 9 'Boa rd of Building Room 1301 One Ashburton Place - Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 108238 Expiration 08/14/98 Type - PRIVATE CORPORATION LUZIETTI , INC . Timothy R . Luzietti 955 Rt . 132 Hyannis MA 02601 1 ✓he e.anas ld o�.�aaoac�ivaetla Restricted to: 00 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION.SUPERYISOR LICENSE 00 - None Nnlbef, a Expires: 1G - 1 b 2 Falily Holes Restrlcted To' x 00, Failure to possess a current edition of the lassachusgtts State QuiilQing,CodA ti_ �;fiIIIOTNJ k LUZIE11I is cause or revocation or this llicense. 19 ARBOR NAY HIANNIS, MA 02601 I I i The Town of Barnstable ���' Department of Health Safety and Environmental Services 9.�� Building Division 367 Main Street,Hyannis MA 02601 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. �c Type of Work: rcx_)_Yrvc LOGO Est.Cost 3�✓ Address of Work: a C [� Owner's Name Date of Permit Application:—LW I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 L Contractor Name Registration No. i OR, Date, 2_rAOIwOerls Name r • The Commonwealth of Afassachusctts Deparnnent of lttdustrial Accidents Y /F 01/iceo//nvestigaUoas 6011 IVashin,;ton Street Boston.Alas& (12111 Workers' Compensation Insurance Affidavit .....�.- i..�..�r.. .....ram.._.�..... .-�.. - __"�•"�- ... .� Y•�Yl��".r^���r:O.i'n'.q.R•...!!.�..•:..•�.!��....wr.��.�..��....w�_� �pP 1Fdn—Ftnformation• Please PRINT le�j y loc'ltion• citxl phone aY 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity ._.rR,w-•.eno..�.e+.w-.anr'^..1!�.+.r .�n+t'Aerawr.�rClpe.51!..�m>•�{7{ao?r*`.r7'r`�' ...�.rYAw".."^"'.',�'�!�'.r'.r`.�• '^r'�'^`r+'Y."n'�.'.'....+.ia•.w� ..._...r3•:. _.1.- - rw•. '):oro rJ.r•�r.u...�"r�L ^alwi/}Srrv�>' ii. f�.....:..o..� .� 0 I am an employer providing workers' compensation for my employees working on this job. comnam•name• city: ( \ on G insurance co, l.j`�Cit Cam. lie•IV 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: comnanv n•tmc• iddress• —I a USG o e# S ~ insurance c 1 ! G lice# 1—1 - .. .♦ _... K. r,,. -Yti-�-r,r.••'.^1'�tt'n4",T11� ......mac^•".�:�• ���'.J��'�.��j7!'�� ..ai'.;,rr:_^..+M.; >•.r-^r-r•!�.:n+?i.r r^R.:r.":.."'t F1r« '.H "Rt"� - - .,.•fit ',_."._'.�...r cmmnnnv ngme• - - iddress- city (shone#• insur•nce co policy# Attach eddittional'sheitifnecess :-. ="...w:x .':.-,.*i^rssF,e. _ _4' < r..•: `.w:.'«,. Fuilure to secure coverage as required under Section 25A of I11GL 152 can Icad to the imposition of criminal penalties of a fine up to 51.500.00 and/or unc years'imprisonment as vwcll as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the omcc of Investigations of the DIA for coverage verification. 1 tlo herebt•certi •under the pains and penal of perjun•float the information provided above is true and correct. Si=nature Y *�f_ Date Print name r Phone#, (���r 1 7 a�official use univ do not write in this area to be completed by city or town official r city or town: permittlicense# —Building Department Licensing Board check if immediate response is required C3Sclectmen's Office C311calth Department contact person: phone IN: Other (revised 3/9:PJA) s Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted tom the "law an enrploree is defined as every person in the service of another under anv contract of hire, express or implied, oral or written. An enrpinrer is defined as an individual, partnership, association, corporation or other legal entity-or am,two or more of the foregoing enzaged in a_joint enterprise, and including the lei-al representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling, house of another who employs persons to do maintenance , construction or repair work on such dwelling house or oft the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL charter 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 m-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 have been presented to the contracting authority. 7.77,777 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 city or town that the application for the permit or license is being requested. not tite 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 i 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 to 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. - . ,,.�..,.,_,-..._,,,.�g �.....—......,...ate Tile Department's address. telephone and fax number: _ The Commonwealth Of Massachusetts rc Department of Industrial Accidents - Office of Investigations 600 NA'ashington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 Assessor's map and lot number ........................... oiTeero ,wage Permit number L House ynumber ......... ...... ........ a � 6 9 � .o, • ON d TOWN OF BARNSTABLE BUILDING INSPECTOR .. . APPLICATION FOR PERMIT TO ..�: ..���.� -�... �< TYPE OF CONSTRUCTION ..... ............. ........... ........................................ ....................................... TO THE INSPECTOR OF BUILDINGS: to The undersigned hereby applies for a. permit according to the following information: Location .....4!z a.....����-+f� ........................ Proposed Use '�.. .... ......... ......... ......... .......... . ....... ................ ZoningDistrict ......................................................................:.Fire.District ......... ........................................................,............. Name of Owner W.�6. l-L. .................Address Name of Builder•/�'� ��%�V�.�I��.1z'lloz.......Address .. ...g: Name of Architect �� 1.�,.>� r!_� -�' ..Address..../....�r �.a% v�/ .... 00, Number of Rooms ..... ...... .......................................Foundation . ............. .�... ...... Exierior .........:..<- ..:.: ... ....w.... ........................Roofing .........1.................................................... Floors ................. ... .. . ............................'`...................Interior . ...... Heating -C� .f �f' ��'aPlumbing ... .f! ! J................................. Fireplace. ............ ............................................ .... .......Approximate Cos'"t .... ( � (/ ...(l/ ....................` .. .... .... ......... Definitive Plan Approved by Planning Board -----------------__________._19 Area ...................... ..... ...... Diagram of Lot and Building with Dimensions Fee -^ ( f................... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH s 7- C - i . - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I,hereby agree to conform to all the Rules and. Regulations of the Town of Barnstable regarding the above construction. Name r ;•. !!....:. , �' ;,. ' .................... I _� ANGLIN, PAUL A=267-70 L4 2'4- ADDITION No ................. Permit for .................................... Old Town Road ................................................................ Location ....... .Hyannis..................................... ............................................................................... Paul Anglin Owner .................................................................. Typeof Construction. ......Frame.................................................................................................................... Plot ............................ Lot ................................ Permit Granted ........ ............19 82 Date of Inspection ....................................19 Date Completed ......................................19 Assessor's, map and lot:number .................................... ..;.... ...... ............ r , " E Swage Permit number .. .....: d�QyR �+► use number ... ..::.. ............. . . SEPTIC !°b a 39• ..... . .................. r, M MUST BE . TOWN O F ,B�A R"LN )�+ �+ qIENT4L CODE Y�. � c� BUILDING INSPECTOR , , APPLICATION` FOR PERMIT TO .......�C t........`2 .... ............. ..... ................. TYPE OF CONSTRUCTION ....`. .. ............. ............................................................... JT .....: . ........19. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby /applies for a permit according to the folio,m'ng information: Location .....� a ....G/ ..... ................ .... .,rt c � �L ProposedUse .: )�... .. :..................:.........:.......... :............................:........... y ZoningDistrict ".......................................................................:Fire District . ..^'...... :./.�:..:.:...-..�...:-..—..�........................................ Name of Owner l?�GtiC....l .. . cam..... Address , Name of Builder' !6......Address /7. ..� _ ..L. .. ... P..�r Name of Architect . .. . ... r..C./.:oW � ..Address� .l..� "�.. .. Number of Rooms ..... ......................................Foundation ........(, ��.�f. ..... Exterior .. .. ...... ..................Roofing ............. r................ ....................... Floors cif .. .......:...................Interior C� ..................................... . .. .: Cyi `Heating � ..�� �i Plumbing .... ./................................................ Fireplace ........................................................................ ...Approximate Cdy7... /.f �,,..� .. ... �......... Definitive Plan Approved by Planning Board ----------_______-----------19 Area ........... Diagram of Lot and Building with Dimensions Fee �j ............v.e!................ � SUBJECT TO APPROVAL OF BOARD OF HEALTH TEr ` F OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namev. ...... ..................... Y, ANCLIN , PAUL No ...-42 " Permit for ...ADDIT-T"� ' ..... ' M` . ...Single Family Dwelling .....:. 1' y � Locat on� Old Town Road..........•• i ....................................................... H .........................................................n h Owner ..Paul Anglin i f .. .... , Type of Construction .....Frame...:.................... v *.............. .............................. Plot .... .................... Lot ................................... I' Permit Granted .. :July. 28' ...... 19 82 # p. j Date,of.lnspection ... ... f Date Completed d .. ..............195v e , ��267 0 // yQ Assessor's map'and'lot :n'umber ................-..�......:......:.:.... '- INSTALLED IN COMPLIAKIE " Sewage ,Permit number k�.. . 7. WITH ARTICLE It STATE SANITARY CODE AND TIM �ofTHET,� TOWN - OF BARN'SWATLE '2 STADLS.; VASM BUILDINGI INSPECTOR 'FO MPY h� - 5 APPLICATION 'FOR`PERMIT TO .........APD:.TO DWELLING TYPE OF CONSTRUCTION .................WOODEN FRAriE. 0 � ` ' C�/� ✓ %u3 � :f. ...........19.. 1 Z� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....29-A..OLD,.TOWN„ROAD. HYANNIS .......................... Proposed Use RESIDENCE ZoningDistrict ....R.B ...........................Fire District.................................. ............................................................................... Name of Owner PAULH.. & R.I.TA..L.....ANG.LIN.................Address ..9 .OU..T0302D...�. .HYANNIS................................ . .... .. . ...... ..Name of Builder ..OWNER ,,,,,,,,,,,,,,,,,,,,,Address Name of Architect OWNER ....Address ........................................... L3 umber of Rooms Foundation ....REINFORCED„POURED„CONGRE 'E,,,,,,,,,,,,,, .................................................. Exterior ...CEDAR...SHINGLES ...Roofing ..........ASPHA�,—SHINGLES....................................................................................... Floors VINYL ASBESTOS TILE ...Interior ..........DRYWALL .................................................................... ........... N � J ting FORCED HOT WATER - OIL FIRED. .....Plumbing NO�FIE„(E F,P iA Nj1QLVF „t^jj�' I„BEAT) ...... ........................................ ........... . ......... ,_,.�- -, COPPER WITH BASEBOARD RADIATION NONE Fireplace pp 3 000.00 ..................................................................................A Approximate Cost ...�..a.......................................................... A?p � .�Definitive Plan Approved by Planning Board ______________________________19___<____. Area ........................ G Diagram of Lot and Building with Dimensions (See Attached Drawing) Fee / O 5............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �6 �• a AIL � . lk 0 'X i S i rJ m I e3 I hereby agree to conform to all the Rules and Regulations of th T"w B tVreg ng the above construction. Name . �..................... 7 Anglin, Paul H. & Rita L. No ..... Permit for ..,,add to single .................... family dwelling.................... .................................... ..................... 'Location ..........�!�J.01.d..Town......Ro..a.d................ ......... .. ..........................yannis .................................................. Owner ....... Type of-Construction ........... KAMA.................... ............. ....................... .......................................... ;Plot .................... Lot ................................ August 15 74 Permit Gidn'ted ............ .. ...... ..... Date o71nspecuon ..... Date Completed ....... ......19 61 PERMIT REFUSED ................................................................ 19 ...................................................................... ................................................................. . ............................................................................ ............................................................................... Approved ............................................. 19 ............................................................................... ......................................................................... �Nt�jT�}� •,a%.s � �� � '-���wn�.�.� � ..'y"�C��+^t'fl� FrY`r �'� ,Ic��c��.�R �- �?�'' �o�t �. ���• '�a4 _,�� _ �'�•t4. ..� �- �..�} -2S'S -p�,r. . '`rx � - 'Y, �++ �«< � �( )-� ' �(J��'�s» .., ' �E��� i jYO tj+s 1 TO _j OFy�rr BARNSTABLE, 'MASS -T to _THIS AS'TO CERTIFY THAT. A PERM;IT IS HEREBY GRANTED TO ? a �rl (PROPERTY OWNER) (ADDRESSh r Y �` N� '•d; (BUILD) - ,,IALTERI (REPAIR) a 60 So ko (TYPE OF BUILDING) ��-— - - -IAPPROXIMATE SIZE( '�a 7 �` •p r LOCATION 294 01d �'IG_6a Rga4d _��. _ -' , �. _ EET AND NUME 4) - R( .-.._ _ IVILL'J1661. iSTR B - - 1 ' . NAME OF BUILDER:OR CO_ RACTOR � I _ ST 410 - � 7� APPROXIMATE CO ,• - _- � OF BARNSTABLE,AdRgE, -C FERA O ;� L~THE RULES AND REGULATIONS OF THE TOWN r(�• � � gym. _ _ _CONSTRUCTION:- ._. d .. _ ....... ....... _ .,_-.......... Nip _M— _.�.__.._._....__................_ 's a��:�- IOWNER) `(CONTRACTOR) )� J dra � �•����•�� -•� � - "�� ���-� - BUILDINGS INSPECTOR_. r �' �x � Ydsitiro,�:it.���,.,�,�,a..��.,��:b4�i�,t�� •--' 'Fca,. � w`_ � .,.. � '' �r ' ah��ihR.:.u..�d=^�wvta3Si�_�acc.B»;.-_.If...,.�u��4�r.>:(�i�irzit..-'.,3�`i+•N�cd.�S.µe.�.tila�.a.� _�`�d�2+&�5�"�i�,: i � s � �' ,; ��� Z � `" ��., �� � � -.� � � t. , . � ��� � Jai ^� ++s._�, a � ti � L i ` 2 ` � ��� _.. w. _ _•.. ...�^�/. S -fir :r_.f S ♦ -S=, f / L.�/�~"?-11 1 Assessor's mop-'and` lot number ....::..•:..�..a..7D..... h�l�` Sewage...PerYrii"t _number 45"'t'1' °FTHE TOWN -OF - - BARNSTABLE 13AWSTAXi. i 1639. BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... DD TG.DWELLIN. ss . ....... ............................................................................................. TYPE OF CONSTRUCTION WOODEN PRE TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ` Location 29-A OL) TOW.N...ROAD. ....HYA.NN . ..................... :S ................................................................... .............................. ......... ...... ... ............. . ProposedUse RESIDENCE................................................................................................ ZoningDistrict .... ...B..............................................................Fire District .............................................................................. Name of Owner PAUL 11.. & RITA..L...ANGLTN. . .................Address ?t}„n7;1�„T IW? R1) tiY 1 7 .............................. ........ .... .. . .. r Nameof Builder ..OWNER........................... ...........................Address. .................................................................................... Name of Architect OU'NER .............................Address Number of Rooms Foundation ...REINFORCED..POIM D CONCR33TF 3.............................................................. .......... ......... Exterior OEDAR SAZfdGLES ....Roofing .........ASPHALT 9tiTMr1;F�....................................... Floors VT.NYL ASBESTOS TILE Interior �RYidALL ........................................... .................................................................................... Heating FORCED HOT WATER » OIL FIRED...................Plumbing .......NO??F�(>��(;FRT Tf�lr �i;VnT,V)?D I.)TT14 HZAT) �,�te�WBt7AR�' YT't��, - Fireplace rIO E.. Approximate Cost 53.OJ4.00 6 Definitive Plan Approved-by Planning Board --------------------_-----------19-------- . Area '� -�..... ?: ...�a.:. Diagram of Lot and. Building-with-Dimensions (See Attached-Draw ng) Fee AJ �d SUBJECT TO APPROVAL OF'BOARD OF ;HEALTH c� f 3 //" hereby agree to conform to all,the Rules and Regulations of the o n of B,atinstablea regarding the above • construction. � Name .....y/... J..............,.. j, /.................... . Anglin, Paul H. & Rita L. No ....17268.. Permit for ....,add to single 4 ..........family.... .................................... Location ........29O1d._Town„Road na H ni s Y....... s........................................ Owner ..........Paul H. & Rita L. Anglin.. Type of Construction frame .................:.............................................................. Plot ......................... .. Lot ................................ August 15 7 Permit Granted ......................................19 4 Date of4lnspection ....................................19 i' Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... 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