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0010 PINE GROVE AVENUE
Y t 4. 1tr� •. < ulV i�Z � rEC�REa ��`� - ._ r. � r F; � � � .,. ,. � ,. �: _. u j_. _` ._ .. gin..- � .. .� -. ' r I Cesar Bermejo BUILDING DEPT 10 Pine Grove Avenue annis, MA 02601 NOV- � 2 8 �018 'TOWN OF BABNE—TABLE November 01, 2018 Walter Nivelo 808 Lumbert Mill Rd Marstons Mills, MA 02648 Re: Apartment Occupancy Dated: October 01, 2018 Dear Walter.Nivelo:` _ Y This is to notify you that I have elected to terminate the above written contract with you, effective November 30, 2018, in accordance with the terms and provisions of the contract. You may contact me if you have any questions. I can be contacted by phone at(508)280-5851. Sincerely, Cesar Bermejo I TOWN OF BARNSTABLE Permit No. -----__ 22184 Building Inspector swsruc Cash __-- �'"'Y� x OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector.No building shall be;occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Anthony W. Dedecko Address Box 367, Centerville Tin;t' Al 1 n Pz no. C-rtarp Azx mia Rv��_e Wiring Inspector Inspection date Plumbing Inspector � / Inspection date Gas Inspector V �A Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ..... ............._, 19� 1/1' . Building Inspector �� TOWN WBARNSTABLE 22184 e Permit No. Building Inspector - — 1 s.sun, Cash — —— sun, °RAI OCCUPANCY PERMIT Bond "No.building nor structure shall be erected, and no"land, building or structure shall be used for a,new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Anthmy W. Dedecko Address kBox 367, Centerville Unit #2 10 Pine Grove Avenue, Hyarmi.s Wiring Inspector Inspection date ' Plumbing Inspector. Inspection date I v _ t Gas Inspector / Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR''UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. . 19A MA _ /\Building Inspector/ •-�' `'• _ TOWN OF BARNSTABLE ' 22194 Permit No. -_----•------ _ � { Building Inspector ,UNn.0 ■WA Cash ---- ,- OCCUPANCY PERMIT Bond No building nor structure shall be erected, ands,no land, building.or structure shall be used for a new, different, changed, or, enlarged use without a Building,,Permit therefor first having been obtained from the Building Inspector.'No building shall be'oecupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Anthcmy V. Dede&o Address Box 367y Centerville Wiring Inspector i/ _ Inspection date Plumbing Inspectorr � _ 1�-`� Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT. BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING .INSPECTOR,.UPON. SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. / \\Building Irisp/eefor t / / E a • � - �•3 �e y TOWN OF BARNSTABLE Permit No. --------221 Building Inspector 1 "iasrrur cash OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for anew, different, changed; or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be'occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Anthony W,.Dedecko Address . Bost 367, Cents errville Unit: *A 10 Piste Cry A 3p- T-T�mimi.g Wiring Inspector Inspection date Plumbing Inspector /�?4rasr^ ' _ Inspection date Gas Inspector �� Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE;VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ..... .._ I / Building Inspector j t r f s � 84 TOWN OF BARNSTABLE Permit No. 22� ------------ i - Building Inspector � s.asrru � Cash ------ OCCUPANCY PERMIT Bona "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector: No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Antbony W. Dedecko Address Box 367, Centerville U it #5 . 10 Pine Grave Avenue.. Hvannis Wiring Inspector f _ Inspection date \ Plumbing inspector , �/,? Inspection date Gas Inspector , Inspection date Engineering Department Inspection date r THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL_ NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING 'IINSPECTORfUPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. /. .....� ....... , 19, _ r..yBuilding..Inspector a � J, a TOWN OF BARNSTABLE Permit No. __.____.?71_Rrti t Building Inspector Cash .639 OCCUPANCY PERMIT Bond _ r No building nor structure shall be erected, and no 16nd,building or structure shall be used for as new, different, changed, or enlarged. use`without a Building Permit therefor first having been obtained from.the Building Inspector. No building shall be occupied until a certificate of occupancy has been-issued by the Building Inspector." 4 Issued to Anthcmy W. Wecko Address Box 367, Cmterville 'Unit #6 10 Pine Grave_Ayerme Hvamis t Wiring Inspector Inspection date Plumbing Ins ector � �' .v r Inspection date Gas Inspector `f 'Inspection.date �. Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN i REQUIREMENTS. LJ� J_, . .. 19_ _ <� -'- / :�1/Building�Inspector_ ".. ._ _ 4 TOWN OF,BARNSTABLE Permit No. .__22184 Building Inspector 1.ua..r -- MYL ,639 OCCUPANCY PERMIT _ Bond No building nor-structure shall be erected, and no'land, building or structure shall be used for a new, different, changed, or enlarged' use without a Building. Permit therefor first having been obtained from the Building Inspector.'No building shall be occupied'untiTa certificate of occupancy has been issued by-4he Building'Inspector." Issued to Anthony W. �ecko Address Box 367, Cenlrerville .,. Unit #8 10 Pine.Grove Avenue, Hyannis Wiring Inspector Inspection date f% v 1 Plumbing Inspector n .. Inspection date Gas Inspector ` Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING,INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. a ..._.. ...._..._, 19� _ ."yBuilding...Inspeetor� . i TOWN OF BARNSTABLE 221$4' Permit No. _------_—_ -- i Building Inspector . Cash _-- ''o OCCUPANCY ' PERMIT Bond No building nor structure shall be erected, and no land, building or.structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector.'No building shall be occupied until a certificate of occupancy has been issued by the Building,Inspector." Issued to Anthaliy W . Deder-kO Address B6i 367, Centerville Veit 47 10 Pine Grove Avenne. 1-lyl.'Iknis Wiring Inspector Inspection date Plumbing Inspector Inspection date V Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN a REQUIREMENTS. { A "�..t .. ._ ......_..�....�.. ............. 19.., .. .........`��Building.�Inspector. .....-._..._.._-_,- > VI'. .,TOWN OF BARNSTABLE Permit No. _..... 1 »n.0 W. ? Builcliug Inspector Cash OCCUPANCY. PERMIT Bona No building nor structure shall be erected, and n� land, building or structure shall be used for a new, different, changed, or enlarged use' without -a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to APi1»hmy j+js Dededw Address , c 367, Centerville Unit #9 IO Pine Grove•Ay mue, Hyannis f" Wiring Inspector Inspection date Plumbing Easpector� _� �l�. 1 Inspectionldate Gas Inspector ( v v Jf Inspection `date { Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE'BUILDING SHALL,.NOT BE..OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY, COMPLIANCE WITH TOWN REQUIREMENTS. 1... _...... ....... .................................... w _ Building Inspector F�4'0 141' 3 Assessor's map and lot number..............I........................ THE To SEPTIC SYSTEM Sewage Permit number .... ....CdAN INSTALUED 0 CO ARNST&BU, House number ... ........................... .......... VATH ..... ......... EAMRONMENTAL TOWN OF BARNSTAIM"' -BUILDING INSPECTOR a. APPLICATION FOR PERMIT TO .......A...................... ......... ... .................. TYPE OF CONSTRUCTION ................ 1.......... ... . ................................................... ................................................19........ 'TO THE-INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit di t the following information: 'It/ ;q /L/: -�- P/ Location ......... ........4,.!�.....0.04...... ................. .........................................6.............................................. Proposed Use ....................... ................................................................................................................. ....... ... ....... .. Zoning District ......... ................. ..............Fire District ............................................. Name of Owner ... ......M�,". dd9r e s s .. . ..... Name of Builder ..... ............... .Name of Architect sc ... ...........Address ...................oU.........3-1 ....... ........ Numberof Rooms ...................................................................Foundation .............................................................................. Exterior ....... ......................................Roofing ........... eq P4_ Floors .......................................................................................Interior ....... .............................................................................. Heating . ......... ...... ............................:.......Plumbing Plumbing ..................................................................... ............ 111-77 121 Fireplace ..................................................................................Approximate Cost ......... ...................5,......................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area - Diagram of Lot and Building with Dimensions Fee .......S3 4.f..... .... ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH N40 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. L Name ..... ............. ..... ....... ... . La - Z Lq-0-ele DEDECKO, ANTHONY W. INO .2.218.4... Permit for ................ .. Condominium 9 units • ................................................................ Location ..West Main & Pine: Grove Avo. .............................................................. ..................Hva.n.ni.s........................................... Anthony W. Dedecko Owner ................................................................. Type of Construction ....Xas9AKY................... ................................................................................. Plot .*........................... Lot ................................ May 8, 80 Permit Granted ............................... ........19 Date of Inspection ......................... ........,19 Date Completed ......................................19 PERMIT REFUSED 41 ................................................................. )g dM M .................................................... rn'VV--* cr boo 0: 0 EA......01 ................................I.................. A M-11M.................................................. . .....M-StA.rj .................... n Cr to 0 — ApRFJ� ....0-Q............................. ...... 19 W -a......!;!....................................................... M ............................................................................... _ Town of Barnstable _ u' , _ lding Post ThrsR Card"Sol o That it is Visible Frornathe Street Approved Plans Must be Retained on Job and this Card Must be Kept snax�retatrs Permit M PostedUntiJ Final Inspection Has Been Made 1asa n� 'k `� Y l' B ct �Wher_e a Certificate of Occupancy�s Required,�such Building hall Notbe Occupied until a Final Inspection has been made ...a.". � .,.. .. n ..� �. ��. ..„ .. . . m_. v... .. a Permit No. B-18-3778 Applicant Name: Henry Cassidy Approvals Date Issued: 11/16/2018 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 05/16/2019 Foundation: Location: 10 UNIT 4 PINE GROVE AVENUE, HYANNIS Map/Lot 290-163-OOD Zoning District: SPLIT Sheathing: Owner on Record: DECOSTE, BRANDON TR Contractor"Name " HENRY E CASSIDY Framing: 1 Address: PO BOX-614 "� Contractor License:" CS 100988 2 HYANNIS PORT, MA 02647 Est. Project Cost: $ 1,275.00 Chimney: Description: 4 hours air sealing,install 150sq ft 4" wall insulation, R30"to 476sq ft Permit Fee: $85.00 faced fbg insulation to basement ceiling, Insulation: -Fee Paid;: $85.00 Project Review Req: Date 11/16/2018` Final: Plumbing/Gas Roughg'.Plumbing: ". Building Official `4 Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six month's•after issuance. All work authorized by this permit shall conform to the approved application andthe'approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or;road and shall be maintained open for p6bi6inspecti6n for the entire duration of the work until the completion of the same. k' Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building a d_Fire Officials ire provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:i Yr t Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical;Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ON�r+�L F4.Al,4. 5 95,il— r° > Town of Barnstable Building Post This Card So That it isVisible From the Street Approved Plans Must bey Retained on Job andthis Card.Must be Kept • �AkN'SCAB1.rS, r, g s g•r. i 2 ai, Z"x „e* •z 1� s �q MASS. )Posted UntiljFinal Inspection Hays Been Made w ° FaNuc+° ,Where a Certificate of Occu anc is Re wired such Buildm shallhNot>be Occu ied until a Final Ins' ection has been made er it . .r�H...- .� ....�.�_..�..�..�.,�... gam.. Permit No. B-18-3779 Applicant Name: Henry Cassidy Approvals Date Issued: 11/16/2018 Current Use: Structure Permit Type: Building- Insulation-Residential Expiration Date: 05/16/2019 Foundation: Location: 10 UNIT 3 PINE GROVE AVENUE,.HYANNIS Map/Lot: 290-163-OOC Zoning District: SPLIT Sheathing: Owner on Record: DECOSTE, BRANDON TR Contractor Name- HENRY E CASSIDY Framing: 1 f. Address: PO BOX 614 Contractor License CS-100988 2 HYANNISPORT, MA 02601 Est Project Cost: $1,275.00 Chimney: Description: 4 hours air sealing, 150sq ft 4'wall insulation,basement ceiling Permit Fee: $85.00 476sq ft R30 faced fbg to basement ceiling Insulation: "Fee Paitl; $85.00 Project Review Req: Date: 11/16/2018 Final: yX Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six.months after'ssuance. All work authorized by this permit shall conform to the approved application and,the�approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonin&y-laws:and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. T Electrical 44 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building andiFire Officials are°provided on this permit. Minimum of Five Call Inspections Required for All Construction Work. ° i �� - Rough: 41 1.Foundation or Footing ' ,- 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT OwLor"'� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 Parcel /(10 ;3 Q o F Application # _ S d — DUILbING DEpT. Date Issue Health Division , Conservation Division AUG 02 Zo,s Application Fee Planning Dept. Permit Fee TOWN Date Definitive Plan Approved by Planning Board OP BARNSTABLE SENT Historic - OKH _ Preservation/ Hyannis Project Street Address 10 hn Lim . AV lit � Village ny)I Owner Address /D fi-/lim fro Alt-, Telephone " 731 1 Permit Request MC bQ I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number S09 " S U-7 "YNI 0 —16V Address LVtst License # I 0�00 t�i bwr, ft Home Improvement Contractor# Email01TW1 VIhAffJ X1 Z(11 ®g2232e AqV Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. f ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map �4 Parcel _,L 2 ,Jde BUILDING DEPT.,.. Application'# Health Division Date Issued A Conservation Division uG O 2 2Q16 Application Fee Planning Dept. TOWN OF BARNSTABLE Permit Fee Date Definitive Plan Approved by Planning Board ` 8 F_ e- mRI ��� Historic - OKH _ Preservation / Hyannis Project Street Address Village I A nfo.s Owner W Address 1 Pl �7Y�1/� 8/t(._ Telephone �6 -7 Permit Request VU Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 31 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout . ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use I APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name I I Telephone Number �5�9� `��/yO Address (4fr— License# iVl �lver fft- Home Improvement Contractor# IN ✓ Worker's Compensation # 09 4 q ZS I OD ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I— r L p SIGNATU E DATE j FOR OFFICIAL USE ONLY I , APPLICATION # DATE ISSUED MAP/PARCEL NO. ,ADDRESS VILLAGE OWNER DATE OF INSPECTION: TM r y• FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. { s Town of Barnstable pF THE Tn Regulatory Services "Wtio Richard V. Scali, Director s BAMsTABLE. Building Division BAR N TABLE MASS MRNSTRftLF. Et FA'::::.E CMIT.XYa1MIS Thomas Per CBO ""5 s16 -201 NLS6Lh BLE 16gy. ♦� r3') ie�s•iuia r °rFD �A Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 7/18/16 Dear Mr. Cabral, We are unable to process your permit requests for 10 Pine Grove Ave. as we do not have a completed application. We need the property owner's authorization that gives you, the applicant permission to obtain a permit. We will happily process your permit request once all documents are in order. Please provide permission from the association authorizing you the contractor to obtain the permits along with the unit owner's authorization. If the unit owner is also a board member of the association, you may provide one authorization letter for each unit authorizing you to obtain the permit. The letter provided does not do so. Thank you. -Sincer y, Sally Shea Asst. Zoning Admin/Lead Permit tech 508-862-4031 PINE GROVE CONDOMINIUM TRUST 10 Pine Grove Ave Hyannis, MA 02601 7/11/16 To Whom It May Concern: We as board members of the Pine Grove Condominium Trust,Jacob Dewey& Brnadon Decoste,give permission to the owner of unit#2 &unit#6 to perform weatherization and insulation work. Town of Barnstable Regulatory Services MAM ` Richard V.Scaly Director � Buildiag Division. Paul Roma,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 , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authoriz by this building permit application for: Loa - d (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature-of A plicant I Print Name : Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services drt Richard V.Scali,Director Building Division swaxsrnscE Paul Roma,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 ControlN,._.'i 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doe 06/20/16 �I 8/1/2016 To Whom It May Concern: We as board members of the Pine Grove Condominium Trust, Jacob Dewey and Brandon Decoste, give permission to Timothy Cabral and Alternative Weatherization, Inch, too perform weatherization work on units #2 and 6. Jacob Dewey,Trustee d ecoste,Trustee f NIPPON 3C ra F r ssdzl tr e e �c zi e reIr Hat a .x p r a pmc i s r x ff A 9 Y q {uauuy ru yGY2Gd�I2 t 4 A • . °a to 250 163-OOF (C-,aa uNrT 6 ce T ...,... .. �.._ ......_._.., ca« PINEGROVE CONDO "ro, Lkai n 90 PINE GROVE AVENL Sea F—d s vtl.y.Hyannis o-' HYANNIS ' era sc tK,eadR::ly.r r°' 1245 ��raca ew! or,.r,L��O""VETERE,JOSEPHµ� ,76DEWEY,JACOBTMI st-1 y-....................M..........,.,,,,.._..,...�. .. Wt.a., ................. n 0 u �Contlomlmum MDL-05 �uwg ISPLIT RB;HB waxed.(0001 ..._�_.._.....----_._._..,. - .. ...__..... T�agn4xY. .... Aood awk, S— I WallE 5 rve. .(": t � �� �tlf .. 't_� I ux..s«. e,..:z �aa�w.._�S�ae.-m�aLs� �� a., ....m�,...:a a�.,a.> ma..w � '•.aAG: �:% �}'.._._.._...... _165 ` The Commonwealth of Massachusetts Department of Industrial Accidents 0 1 Congress Street,Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print LezibI Name(Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK ST City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.Q✓ I am a employer with 16 employees(full and/or part-time).* 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[3 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.,insurance.: p 14.0✓ Other I NSU LATION, 6.M We are a corporation and its officers have exercised their.right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'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 thepolicy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:02/26/2017 Job Site Address:o Pi_nz_Gr6& f\yt City/State/Zip: I r U Attach a copy of the workers'.compensation policy declaration page(showing the policy num er and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 m and/or one-year imprisonment,as well as civil penalties in the for of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded,to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify the pain a d nal es pf perjury that the information provided above is true and correct Si ature: V Date: Phone#:508-56 2 0 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other • Contact Person: Phone#: i ALTEWEA-01 TRAMIREZ A Qp CATE8 CERTIFICATE OF LIABILITY INSURANCE F3/171201171201.6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE-,DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T14 E COVERAGE AFFORDED:'BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT,CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERM AUTiiORfZED REPRESENTATIVE'OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policypes)must be.endorsed. if SUB FiOGAT10N i$":WAIVED;sub1ect to the.terms and conditions of the.policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Heu of such endoeserrrent(s). CONTACT PRODUCER NAME: Mason 8:Mason Insurance Agency,Inc. PH�IE, .1781)447-66$1 AIC No:(7 )447•7230 458 South Ave. ,� �:lnfo,@masonandmasoninsurance.com Whitrtan,MA 02M2 INSURERS)AFFORDING CAIIERAGE DRE NAIC IF INSURER A:Star kmrame Company 00006 . INSURED INSURER B:' INSURER C: Alternative Weatherization,Inc. INSURER D: 2 Lark Street Fail River,MA.02721 INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION N1iMBER. THIS IS TO CERTIFY THAT THE POLICIES.OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED.NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF-ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH,THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB IECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS ILA TYPE OF INSURANCE tNVD POLICY NUMBER EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES'Eaoeaurenoe $ CLAIMS MADE OCCUR MED.EXP{My one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY❑JECT LOC $ OTHER: B1NED SINGLE LIMIT S AUTOMOBILE LIABILITY BODILY INJURY(Per person) S ANY AUTO BODILY INJURY(Fey-accident) $ E ALL OWND SCHEDULED AUTOS NON.OWNED PR g Per. HIREDAUTOS AUTOS $ EACH OCCURRENCE. $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESSLIAS CLAIMS-MADE $ DED RETENTION$ STATUTE ER WORKERS COMPENSATION AND EMPLAYERS'LIABILITY Y/N C 0849257 00 0212W201,6 02/2612017 E.L EACH ACCIDENT $ 5q0, A ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ E.L. N/A 07 DISEASE-EA EMPLOY $ OFFICER/MEMBER EXCLUDED? (Mandatory MAN) R y..desaft under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS.I VEHICLES(ACORD 101,Aditonal Remarks Schedule,mar be anwhed E more$Pace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE, 'DELIVERED IN National Grid ACCORDANCE VffH THE POLICY PROVISIONS: 40 Washington St Westborough,MA 01581 AUTHORMMD REPRESENTATIVE ©1988-2014 ACORD CORP.ORA'TI". All rights reserVed• ACORD 26 j2014101) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and:Business Regulation 10:.Park Plaza --Suite 5170 Boston, Massachusetts 0.2116 Home Improvement Contractor Registration: Registration: 175683 Type: Corporation Expiration. 5/29/2017 Tr#. 265489 ALTERNATIVE WEATHERIZATION, INC TIMOTHY CABRAL: - -- -- - 2 LARK ST FALL RIVER, MA 02721 Update Address and return card.dark reason for change. Address ; Renewal j chi:Employment , Lost Card sc c; 2oMTo_;ii _ .... .. emu• License or registration valid for individul use only •.- Office"of Consumer Affairs&.Business Regulatio❑ g. Y p before the ex iration date. If found return to::: .. —�L --�.r�iOME IMPROVEMENT:CONTRACTOR Tegistration: 175683 Type: office of Consumer Affairs and Business Regulation Expiration 5129l2017 Corporation... 10 Park Plaza-Suite 5170 { �,•. Boston,MA 02116. . . ALTERNATIVEVEATHERiZATICN INC.:: 1 T IMOTHY CABRAL (.'. 2 LARK ST FALL RIVER,MA 02721 :Undersecretary o valid wit ut signatu �tll#assactiusets �Qepartmerif of Publtc Safef , �afcrf of ifildifig Regctlatr� s artr3`S#a d: TV '. I_icetiSe"CS=f0545k. , ; q-T S - �' ' rQ'IlVI01 C:ABRki; .�- 9) 1"• ,wR •., .. kRalt R ver MA-0021 ~ t ... .. ... Coxnmfiss�oner "05/082D17 oFtNE ra,, Town of Barnstable Regulatory Services * &UMSTABLE. 9 MASS. Thomas F. Geiler, Director 039. �0 A,Fo��A Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 20, 2012 Alfred Bleau 28 Peach Tree Road Marstons Mills, MA 02648 Mr. Bleau,, Effective March 20, 2012, the condemnation that was issued on February 6, 2012 for Unit #3 at 10 Pine Grove Avenue, Hyannis has been lifted. The property was inspected on March 20, 2012 by Health Inspector Timothy O'Connell, RS and was found to be in compliance. The property may now be occupied. avid W. Stanton, RS Health Inspector Town of Barnstable Cc: Donald Hicks, Occupant Hyannis Fire Department Barnstable Police Department TOB Building Division p Q:\Order Letters\Condemnations\10 Pine Grove Ave Hyannis-uncondemned,doc i3 YOU WISH TO OPEN A BUSINESS? �4 For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do r anon: -it does not give you permission to operate.) Business Certificates are available at the Town Clerics Office, 1"`FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: (// ( 111 Fill in please: r:� m. r.`...1!.+i .ir ?4' = APPLICANT'S YOUR NAME/S: iJI�1'i1fS�J 6AF U�nl II� t ;K! ` � T' 'a;I�ltu s,�'ti � r ' �f,.4,i BUSINE/SS _ YOUR HOME ADDRESS: Ni Ip irhl.IC. ` 2 c� .. TELEPHONE # Home Telephone Number J I NAME OF CORPORATION: ���� TYPE OF BUSINESS t -711 - NAME OF NEW BUSINESS 5 IS THIS A HOME OCCUPATION? .% YE S NO 2 p - 1,05 00 _ ,4Assessin ADDRESS OF BUSINESS D h� MAP/PARCEL NUMBER gJ 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 60 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 'Sir (r, This individual has been informed of any permit requirements that pertain to this type of business. . 0C_ �� Authorized Signature** . CO I MMENTS: � 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. 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: . Arrests on SouthCoast, Cape cap drug probe I SouthCoastToday.com Page 1 of 1 Arrests on SouthCoast, Cape cap drug probe March 20, 2010 12:00 AM BARNSTABLE — The State Police Drug Task Force arrested four men for allegedly dealing crack cocaine following a four-month undercover investigation. The arrests took place in New Bedford, Fairhaven and Hyannis over a span of the past two weeks, said state Trooper Michael Popovics. They are allegedly part of a low- to mid-level drug organization spanning several cities in Massachusetts, he said. Terrell Mair, of 277 Bowdoin St., Dorchester, was allegedly dealing crack cocaine out of homes in the Fresh Holes and Hiramar Road neighborhoods of Hyannis, Popovics said. Mair tried to flee when police spotted him on a bicycle on South Street and he was arrested around 5 p.m. Thursday. Also arrested as part of the investigation was Joshua "Muggs" Rocheleau of Yarmouth and Fairhaven; Jason Brooks, 22, of Hyannis and New Bedford; and Billy Roderick, 28, of Hyannis. They all face charges of dealing crack cocaine, Popovics said. Harwich and the Barnstable County Sheriffs Department helped in the investigation, Popovics said. Cape Cod Times http://www.southcoasttoday.com/apps/pbcs.dll/article?AID=/2010032O NEWS/3200330&te... 6/3/2014 OF1HE ray, Town of Barnstable Regulatory Services 9 MASS. Thomas F. Geiler,Director AIFp��" Public Health Division Thomas McKean, Director .200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Certified Mail: 7008 3230 0002 5178 0080 February 6, 2012 Alfred Bleau 28 Peach Tree Road Marstons Mills, MA 02648 . EMERGENCY CONDEMNATION AND ORDER TO VACATE Finding of Unfitness for Human Habitation and Determination of Immediate Danger In accordance with M.G.L. c.l 11,sec: 127A and 127B, 105 CMR 400.000: State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II:Minimum Standards of Fitness for Human Habitation, David W. Stanton, R.S., Health Inspector for the To Barnstable, on 6,2012_ ducted an investigation of dwellin unit#3 located 10 Pine Grove Avenue, Hy The owner's,name of this dwel ing unit is Alfre an s name is Donald Hicks. Based on the results of the investigation,the Barnstable Health Department finds that the dwelling unit is unfit for human habitation. Pursuant to M.G.L. c. 127B and 105 CMR 410.83-1 (D), the Health Department further finds that the conditions r within the dwelling unit are such than the danger to the life or health of the occupants of the subject dwelling unit is so immediate that no delay may be permitted in making this finding. Conditions found within the dwelling unit, which give rise to the emergency finding of unfitness and determination of immediate danger, include: 105 CMR 410. 750: Conditions Deemed'to Endanger or Impair Health or Safety: 410.750 (G) "Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, Q:\Order Letters\Condemnations\10 Pine Grove Ave Hyannis.doc which prevents egress in case of an emergency 105 CMR 410.050, 410.451 and 410.452." -Objects (clothing, etc.) observed blocking passageways. 410.750 M "Failure to comply with any provisions of 105 CMR 410.600, 410.601, or 410.602 which results in any accumulation of garbage, rubbish, filth or other causes of sickness which may provide food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease." -Fecal matter observed on staircase and filth observed'in bathroom. Based upon these findings any and all occupants are hereby ordered to vacate and the landlord/owner is ordered to secure the,subject dwelling within 48 hours of receipt of this order. If any person refuses to leave a dwelling or portion thereof, which was ordered vacated he may be forcibly removed by the local Board of Health(Massachusetts General Laws C. 127B), or by local police authorities at request of the Board of Health. Furthermore, anyone who fails to comply with any order of the board of health may be subject to fines ranging from $104500. Each day's failure to comply with an. order shall constitute a separate violation. Once vacated this unit may not be occupied without the written approval of the Board of Health. Persons are allowed into the unit.to correct violations, however, they may not live, eat or sleep in the unit until such time the Board of Health lifts the condemnation order. When you feel the rental unit is ready for a rental inspection and to occupy the unit again, please contact the Health Division to schedule a rental housing inspection at(508) 862-4644. Note: This is an important legal document. 1t may affect your rights. PER ORDER OF TH BOARD OF HEALTH Thomas A. McKean, CHOIRS Director of Public Health Town of Barnstable Cc: Donald Hicks, Occupant Hyannis Fire Department Barnstable Police Department �.TOB Building Division Q:\Order Letters\Condemnations\10 Pine Grove Ave Hyannis.doc " TOWN OF BARNSTABLE BUILDDII J_ IT APPLICATION i 'tA Map} L�:(J Parcel I�3 00F(0 ABLEPermit# 6O 6 (00 Health Division �,►�cr�«�� 1355 Date Issued � Conservation Division ��Ci' Application Fee � Tax Collector Permit Fee Treasurer d C.IV I S I0N - Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address roue Village 1`I 4 wofyl Owner h i� 4 Address )l £cl M-CO lac ktp/ILIVI� Telephone --7-77 7c; Permit Request 11 P Dj Ace Op (lar- ls-p-r r Square feet: 1 st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No 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❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use r,, BUILDER INFORMATION Name e�� ��� Telephone Number -77� Addres , `� �J 7L ((�l� License# (9; 66!, � Home Improvement Contractor# c)235� 7 i P �- Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO k4kd' SIGNATURE DATE i FOR OFFICIAL USE ONLY i s PERMITpNO. DATE ISSUED .MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL �t .PLUMBING: ROUGH FINAL. r GAS: ROUGH FINAL 4 FINAL BUILDING FI'Al Ll k y DATE CLOSED OUT ASSOCIATION PLAN-NO. The Co•mxi�•wealth of Massachusetts . Department of Industrial Acddents' ' 6da wash.ington Street _ �< aZxxr • Boston Mass. . . Workers'.C m ensation,xnsurance Affidavit-General Businesses :r<. •� •aft r %� `fir. }y„ :j��ert►tSr`�.. t ..• .:-p _' LY• address: 7' ,�'f �S• , ti•• • ' • h e#'_ 'tJ��`7-71 Q 1 7 b ,v}-�f lJl state: work site iocatiott fb1i address : : • e, []Retail(]RestaurantBaFl�aflag Establishment `®I ain•a sole�}roprietor and have no one ERs ess El D ce�Safes(including Real-U,, e,Autos etc.)' in an paci ' vrorking f ca ty . .. . . 1 am an em 10 with• do'lo ees I full 8e' act time: ❑Ocher T011111111111111" //////A�leers'cbmveusation for myem�loyees working•on t}u.j °•, ,, t, an,,Y'r�plQy+�r g r.. 1 j ...+(M1, .•I+.. 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'• '• .ram .�..�' G'•r bt•`•'..t r'�' v •. t ' ••Y•• , ' • s ,'' • .• •fib:•, ,•..'::r'`'i;Y �:•,+• :,t •, .s ,J. r•�1,:,t t .S+' ,�S��.L• .i'tt;+S;�Jftitt.ty:it•..'-'''1.•.•.tf• ',...•v rid•' :�`�•• {.'L';p' t!.;: ,• r,�° ''� awi::; ,t},}":eL••�.t," o'ilC,•:fta• :t•`�• �' L• :} < !w"M!g!Tz ositioa of erimfnallsaupto$1,500,40an or arequired tinder section 25A of MGL 152 can lead to the impria as well as ct4penalties In the foYm of a STOP WORK ORDER and a fine of$100.00 IL* against me, I understand that one yeas imp be forwazded to the office of Investigation of the DTAfor coverage verification. copy ofthis statement may ' der the airs and peJ� 'tj bf perjury that the in}`ormation,provided above is frue and corlea I do hereby ee l}ate Signature Phone# O� 171 Print name officia]we only do not write in this area to be completed by city or town ofl».1cW ' permitlSicene# []B�ldingllepartment []Licensing$oard city or toww [ISelectmen's Office [}•cheekif immediate response is required []HealthDepartment , []Other phone#j contact person: (,vista Sept 20 3) . • Inform'ation and 14structions• era.Laws'chapter 152 secton 25 requires all employers to PrOvidb•Qvorkers' compensation far'their•• Wssachiisetts Gefl .�`::' loyees: .� quoted'from the t`law", an empjoy4e is.defined as every person in the service oi'another under any contract o fhire,express or implied; oral or written. artners , association,co oration or other legal en*, or any two or mgre of An employer is defined as an individual,p hip xP the foregoing gaged m a'�omt enterprise,and including the legal'representatives of a deceased,employer, or the-receiver or artnersbi association or other legal entity, employing employees. 'Howevei•the owner of a ,trustee of an individual,p px dwelling bonsa ha:4- g.not'inore than three apartments and who resides therein, or the occupant o the dwelling bonsa bf another who. Plo�spersbns to a maiateuance, construction or repair work on such dwelling house.6r on the grounds or buhdingappurt t thereto shallnotbecause.of such.e#loyment.be'deemecttobe id employer.•.... MGL chapter.152 section 25 also•states that'every. state'or Ibcal licensing agency shall withhold the hssuance or renewal Of a license or pe1"n??f to operate a business or to construct buildings in the.comawnwealth for any applicant who has not produced.acceptable'eyiaence'of coimplianire with the enter in o anCe c titracgfor the performance o public work until' cozz��wbalthnor.any.of its political subdivisions shall y P acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting :.1. authority: . Applicants Please a v;�v ems'. ens afm affidavit emmpletely,by checking the box that applies to your situation.,Please supply company name, onP address and phone numbers along with a certificate of insurance as all affidavits may be subrrutted to the DeparEment'of pndustrial Acc'dents•for confl=tion of insurance coverage. Also be sure to sign and date the Aid; The affidavit should be retained to the city or town that the application for the pernrit or license is being ted not the reques pepartment of Industrial Xceidei ts. Should you have any questions regarding the•"law"or if you are btain a workers'•compensgionyplicy,please call the Departrnent at the niunber listed•below• t. required to o.. . 1. City or Towns . Pleas ebe sure that the affidavit abmplete anclprinted legr'bly. The Departm=t has pr1.ovided a space at the bottom of the affiddavit for you to'fill out in-the event the Office of Investigations has to contact you regarding the applicant. Please be-sureto fi.YO the perrdtnicense,number which wM lie used.as a reference number. The.affidavits may.be•retmued tQ. ;l arrangements have been made, -' 4 the D ep arb neat hY. or FAX unless other .• , The Office of Investigations would like to•thank you in advance for you cooperation and sb.ould you have airy questions, esitate to give us a call. please do noth / address,telephone and fax number. , The pep�r{ment's ' The Commonwealth Of Massachusetts Department.of Industrial Accidents. . ice tai Is�esti�ena ' 600 Washington Street Boston,Ma. 02111 fax#: (617).727-7749 .,e- ii.trn ITn.r.Annn _._J. 'Ant Town of Barnstable o� Regulatory Services Thomas'F.Geiler,Director, va `sES& $u]ldi g Dkvis1 n �j01 i639. Fo µP Tom I' Building Commissioner er �5', • 200 Main.Sttcet, Hyannis,MA 02601 . • Fax; 508-790-6230 Office'. 50s.862-4038 ' permit no. , Date AFFIDAVIT BIOME IMPROV F MINT RMITNA CATION �Jppx,EMENT 1A,2A requixes that the"reconstruction,alterations,renovation,repair,modernization,conversion, MGL c. or construction of an addition to any pxe-existing owner-occupied improvement,removal,demolition, bunding containing at Least one but not more than four dwelling units or to structures which are adjacent o su ch residence or building be done by registered contractors,with certain ex°ePti° .alongother requirements. � ��� Estimated Cost � r Type of Work: i� q N Ivi _ Address of Work• Owner's Name: n• ` I ��I_�� Date of ADPlicatio I hereby certify that" ged for the following reason(s)' egistration is no{requir []Work excluded by law ' adb Tinder$1,000 , CBuilding not owner-occupied . COwner pulling own permit Notice is hereby given that: PERMIT OR DEALING WITR•UNREGISTERED OWMRS PALLING THEIR OWN CT ORS FOR A ?1J'CABLE HOME IlYtP GUARAnT w ND DER M 142A. C0 ITgATION PRO GRAM OR ACCESS To THE ARB SIGNED UNDERPBNALTIES OF PERJURY L 3 g apply for aper t as the a pt of the owner; � �--I-.IC Ihereby PP Y CS q oti Contractor Name Registtationl�Io. Date OR Owner's Name T DBOB FIE, LDS D DodY Pane No. : of i paces CONSTRUCTION Licensed-Free estimates iig patriots Way Centerville,Ma. 0163E 508-771-E178 Date:4/06/04 Pam Smith io Pinegrove Ave. Unit #6 Hyannis, Ma.02632 508-778-5722 Remove Basement Stairs. Replace with stairs built to Code. Remove section of room at bottom of stairs. Aprox.3 ft. Remove eansting stairs. Replace stairs with 10"Step 8"Rise Stringers Z"x 12" Treads Z"x 10" All Kd Stock Lumber All building debris to be removed and disposed of. We Propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: Estimated cost.Seven Hundred Fifty dollars $ 750.00 Dollars ($ ) Payments to be made as follows: $400.00 down $350.00 on completion. All materials are guaranteed by the manufacturer. Al work to be completed in a substantial workmanlike manner according to ' specifications submitted, per standard pratices.Any alterations or deviation from above specifications involving extra costs will be executed only upon verbal request,and will become an extra charge over and above the estimate.Al agreements contingent upon weather,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance. Authorized signature Note—This proposal may be withdrawn by us if not accepted within_ 10 daYS. hPflpYFiE Tp��O� Town of Barnstable Regulatory Services S $ Lr' Thomas F.Geller,Director Building Division - Tom Perry, Building Commissioner 200 Main street, Hyannis,MA 02601 0$ice: 508462-4038 Fax; 508 790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder Z Cj p,✓�Pj � t.t 7 ,as.Ownet.of the-subject p±opett-7 authorize hereby . is all mattets tozdve to work authorized•by this building•petit-application%for: 0 (Ad ess of Job) She of Owner Date 1(A 9"W AJ- 7znt Name l ✓fie �anvnza�zcuec�lfe �•�aaaacfu�oet�6 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMQVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 xp�atn 7 t 2004 Boston,Ma.02108 vidual ROBERT D.FIEL` Robert Fields 519 fttriot's Way '+ GG-�: �.✓ Centervi6 , NIA 02632 Administrator Not valid without signature . � i I fie TOomvaw�z�.ueaflf o�./�,cwaacfucar,(�6 SOARA®QF BU)LDINGxREG,UL 4TL0O;NS j License ONSTRl1CTIONPSU1fpERVIS•OR j Num., 0@6644 ►Ctl 0 11Q64 Tr.no: 2,8093 1 Re ROBE D FIELT3• , 119 PATR. <� fi CENTERVILLE, MA Adm'in�stratoi . ',�. x. �" !w ft. 'ate- � fi �_F*• �< - x �sK - : -a cl-I W, - ''' � > h ��°�� ems-'` )s•��v �r�HS �,.. .�Xx W" SK'.- '' � ;� r Y, ,:. -r-� M 's � � `.`f - d _ Rx� �.sri-,; 'Y3•-u �,�'."`F � - i k� mi -3-�` yz - _ - ,�+i. `�,3`I �F�' �i Z';�fx„'. �� �{z � -?t��+t'ei.{�3 �"'v •-s-, tw it } X Kyp ti� ys ,� ' ; � +fir �a'a s y_ 7 R� .: �, i- �. • - I 9y v - � i FI,I � - Pr 1 �y r�p�-rv. �'�wc"yj - ,y - •_ - p/ �4'� _ t SSG} 4 .r NY' F r-,ran aLe � .x _, a .e .. � " ... .. .. . � ... •�'.` ,..v. .: � �..._ :.., ... - .. f i +y5. 4 n ix a aw � a i .c s. x. f `s I a s t s tE A ,v C +F I ra ° � t 1 O Um k i k i �p x= s , P e � - ,'^--.:.-��^^a".. �... ..,. _. .. .-ay_.,.-�;.-.•,�.��e—.,�:-•s;37r -«--,c-rA^F N-.nzf`rr'T*F"^�,i.- ,. ^�°..»,.s�+: �.�,-.-..o.-z .,r.-.f-,..-rw--v+.--F-,..- '. TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE 7 Name of Offender/Manager J_ Address of Offender : S r"te- .t', MV/MB Reg.# Village/State/Zip w_ # , ,rg „r try frll z � / :."' .. Business Name : am/pzn; on 20 Business Address S/ ,11 .P Signature of Enforcing Officer Village/State/Zip Location of Offense 11,4 k,,,r Ire Awl M/ Enforcing Dept/Division Offensa `. A" / I/ Facts /,,a r 1,ol,x 7 lqr,ollee Arc 7' 7*6 ce r_ 7i"ei;• 'V4."%14, This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. . 5^w^+^'",�,�2,�•.,.*w.n "'ten .r...^: r� +c+_' TOWN OF BARNSTABLE BAR_W 00 3311 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager _/ 1e /_` 6 W Al Address of Offender J A t , ` MV/MB Reg.# Village/State/Zip tom,.' V,4,f ,* gj s,, 7 1 M' 0 7 C Business Name S + 9,'46 am/pTn; on 20 6 Business Address '0 n,7 , Signature of Enforcing Officer Village/State/Zip Location of Offense 1,6 . /" �+ �✓{ ,re �a , fJ� /1, " Enforcing Dept/Division Offense ! Facts _ .. g(or53. /JL 2 Ze, ,a 0 -C t A'/ This will serve only as a warning. At this time no `legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Town of Barnstable Regulatory Services ► BMWSTABLE. Mesa. Thomas Thomas F. Geiler,Director lFCMn�A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Sheila Brown 9 Rustic Drive West Yarmouth, MA 02613 March 25, 2004 RE: 10 Pine Grove Avenue, Hyannis Dear Ms. Brown, Due to a fire at the above referenced property, there are Building Code violations that need to be addressed immediately: 1. Basement stairs are not to code and are unsafe. 780 CMR 3603.13; Stairways 2. No bedrooms are allowed in the basement without an emergency escape window. 780 CMR 3603.10.4 & 3603.10.4.1; Emergency Escape Windows Please notify me when these violations have been corrected. You can contact me at 508-862- 4033 with any questions or concerns that you may have. Sincerely, David Mattos Building Inspector Ot. 0/non....I. Fee Re ' urlatory_Services 9 •"ss e' Thomas F.Geiler,Director j pjEo may'" Buiiding Division Peter F.Di\iatteo, Building Connuisaoner 367 Main Street, Hr=ds,MA 02601w X-PRESS PERMIT Office: 508-862--038 Utl; 1 2 2001 Fax: 508-790-6230 E'PRESS PERIIIIT APPLICATION — RESIDENIM4QDkL,)�ARNSTABLE Not Yalid wishotuF."X-PressIxPf'w Map.•parcel Number MAP 2 9 0 BLOCK 1 6 3 LOT O O E Property;ddress 10 Pine Grove Ave Hyannis, Ma Value of Work $1 ,783.00 Ja Residenrial Owner's Name 8 address Kimberly A. Helie P O Box 822 Dennis, Ma. 02638 8 398. 8364 i Contractor's Name James D. Seaman Telephone Ntrmgr `r•'-; r 121550 Home Improvement Contractor license#(if applicable) Construction Supervisors License=(if applicable) i r 016008 1porkman's Compensation Insurance Check one: - Q I am a sole proprietor I am the Homeoumer I have Worker's Compensation Insurance Legion Insurance Co. Insurance Company Name WC50930355, ' Workman•s Comp.Policy Permit Request(check box) Q Re-roof(stripping old shingles) Re-roof(not stripping_. Going over existing IaY=of roof) Q Re-side Replacement«indo«s. U Value .36 (�, ) [] Other(specify) •what lanons,i.e.Historic-Consen ation. required: Issuance of this permit does not exetspt coMiianee with otherow tn.depattaWnt regtt :c. • �v Signature Q:Forms:eapmtrz:r:+•-��%06t)I r LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I Kimberly A. Helie C',N,4 THE,E PROPERTY LOCATED AT 10 Pine Grove Ave - unit 5, Hyannis,Ma. IN MASSACHUSE'TI S. 0 1 1-AM-= AU T;.ORIZED James D. Seaman TO.ACT AS MY AGENT TO APPLY FOR A BUILDING PERN117 IN ACCORDANCE yVITH 780 CM54 THE MASSACHUSI i i S S TAT E BUILDING CODE. n I GiVE MY PERMISSION TO LESSEE TO APPLY FORA BUILDING PEF,b117 IN AZC0FDA-NCE'1VI7H 780 CMS Tr,E ;M ^ '^SUS ,S7A7H EU!L^ING CODE. !-,JSr.L Ti S SiGNA-, PE OF C IIIE:1 O',,; .,-V ,__JCR_SS. 10 Pine Grove e-Unit 5 ` Hyannis, Ma. 02601 R'S T E—, =P-ONE: 508 778 4954 LESSE E*S SiL.NA i URE. LESSEE'S TELEPHONE: � APP',!CANT`S SiGN.;T URE: APPL!CAN17S ,-^.DDRESS: P O Box 424, W. Yarmouth, Ma. 02673 APPL!CANT'S TELEPHONE; 508 398 8364 RESPONSIBLE CFFiCER: RESPONS1BLE OFFICER ADDRESS: RESPCNSIEL='OFFICER, TELEPHONE: s ✓die� p � �✓�ac�ivael�a vi amirnaruuea a z a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' Number: CS 016008 f ) Expires: 11/01/2003 Tr.no: 8452 Restricted: 00 JAMES D SEAMAN PO BOX 424 8 l•E.• W YARMOUTH, MA 02673 Administrator - tie V�arxmanu�e¢llfi o�✓�aaaac%uaelta. HOME IMPROVEMENT CONTRACTOR ` Registration: 121550 Expiration: . .05/20/2002 Type: Individual JAMES 0. SEAMAN JAMES SEAMAN -0 MAIN ST. ADMINISTRATOR - Y.'YARMOUIH : MA 02673 !' COMMONWEALTH OF MASSACHUSETTS IN REAL ESTATE LICENSED REAL ESTATE BROKER ISSUES THIS LICENSE TO { JAMES D SEAMAN _Q PO BOX 424 N W YARMOUTH MA 02G73-042 98831 11/01/03 41628111 • MM ACOF?D CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY) PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER O 4/19/00 F INFORMATION Chagnon Insurance Agency, Inc. ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE 411 Rte. 28, P.O. Box 355 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. West Yarmouth, MA 02673 i COMPANIES AFFORDING COVERAGE COMPANY j A The Hartford Insurance INSURED COMPANY j James D. Seaman B Legion Insurance Company PO Box 424 West Yarmouth, MA 02673 COMP C ANY i i COMPANY D iCOVERAGES _. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i COT TYPE OF INSURANCE POLICY NUMBER F CY EFFECTIVE POLICY EXPIRATIONTE(MM/DD/YY) DATE(MM/DDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE I $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY 08 SBA KF116 5 1/13/0 0 1/13/0 2 PRODUCTS-COMP/CP AGG $ 2,000,000 A CLAIMS MADE I—XI OCCUR PERSONAL&ADV INJURY $ 1,000,000 OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE ($ 1,000, 000 FIRE DAMAGE(Any one fire) j $ 300,000 MED EXP(Any one person) g 10,000 iAUTOMOBILE LIABILITY i ANY AUTO COMBINED SINGLE LIMIT g ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY i$ (Per person) HIRED AUTOS i NON-OWNED AUTOS BODILY INJURY(Per accident) $( _ PROPERTY DAMAGE g i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT I S AGGREGATE I S I EXCESS LIABILITY j UMBRELLA FORM EACH OCCURRENCE I S i AGGREGATE g OTHER THAN UMBRELLA FORM I S i WORKERS COMPENSATION AND X ORY LAM TS I OER I EMPLOYERS'LIABILITY B THE PROPRIETOR/ RX INCL WC50930355 1 17 00 1 17 02 EL EACH ACCIDENT g 10C,000 PARTNERS/EXECUTIVE / / / / EL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL OTHER EL DISEASE-EA EMPLOYEE I S 100,000 DESCRIPTION OF OPERATION S/LOCATIONSNEHICLESISPECIAL ITEMS general carpentry operations-interior & exterior carpentry residential & commercial CERTIFICATE HOLDER % CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO..MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF UP THE,-COM Y. ITS 1'k�6ENTS OR .REPRESENTATIVES. AUTH IZED r EN TI ACORD 25-S(1/95) Q A R ORPORATION 1988 The Town of Barnstable Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: S Z Name�(�j�j� �; � `S`}-� Phone#: Address: �(� (Q C:' 01)r LIN / 7— Village: Name of Business: C t 5 Type of Business. (T� d l M Map/Lot: 29lt� /(0 3_ m 014 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 4-1.4 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 materiars 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 undersigne ve read agre ith the above restrictions for my home occupation I am registering. Applicant: Date: 4�y Z � d0 Homeoc.doc O ALL NEW BUSINESS OWNERS ill in please: YOUR NAME: I ahD ripe i— PPLICANT S ® � ® �® YOUR HOME ADDRESS: u lJ T-� USINESS - ELEPHONE Te phone Number (Home) ;; . . NAME OF NEW BUSINESS TYPE OF BUSINESS` I IS THIS A HOME OCCUPATION? MAP/PARCEL NUMBER Z:e-?rA- ADDRESS OF BUSINESS 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 Clerks Office (Ist floor-Town Hall). 'S 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual has bee formed o �peit requirements that pertain to this type of business. horized Signature COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. ----------------- Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) the licensing requirements that pertain to this type of business. This individual has been informed of Authorized Signature COMMENTS: obtaining the uired signatures you must return to the Town Clerk's Office to obtain your(bousnin�G certificate rtifi does not �Ive•60 you After obt 9 ,ri q n11 St V larM1j The Town of Barnstable Department of Health , Safety and Environmental Services Buildin _D' ision 3 am Street,Hyannis MA Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230. •�-- Building Commissioner Home Occupation Registration Date: S 2- Name)D • - g`+.� _ Phone#• �L2- 96 M Address:Ite,, 0 f►jE ( 3 I) ue LJAI r T...� Village: � l Name of Business: C 5 Type of Business��S( T-- OR I M Map/Lot: Zq g —/6 3— n n,4 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 4-1.4 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 materiars 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. 1, the undersigne ve read agre ith the above restrictions for my home occupation I am registering. Applicant: Date: f DO Homeoc.doc ALL NEW BUSINESS OWNERS II in please: YOUR NAME:_ I_ PLICANT'S ® � ► YOUR HOME ADDRESS:_ r—•�' •Fr 2�J� �U-�—�G(l�!T".Y.- SINESS .;. Te one Number (Home) LEPHONE TYPE OF BUSINESS'` i f AME OF NEW BUSINESS THIS A HOME OCCUPATION? ItC4�1 1 - A MAPlpARCEL NUMBER Z 1� ®CRESS OF BUSINESS nA Zand startin a new business there are several things you must do in order to be In compliance with the rules obtained the re'ouired signatures,f he 9 arnstable. This form Is-intended to assist you in obtaining the information you may need. Once you have o t q led below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hail). '; 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual;horized bee formed o permit requirements that pertain to this type of business. Signature OMM NTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL -- ADMI ISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS:. the required signatures you must return to the Town Clerk's Office to obtain your c�o by M G lusiness eiit does n tcate tglve.00 you After obtaining q Ni n nnC in fi,n tnipun (which voie Assessor's map and;lot number ............................................ THE �oF roe♦ Sewage Permit number _� a C'K>P�j Z BBHBSTADLE, f House number .... ".... . . ................................................ ...... s rasa _ ,, Op 039• 0� MPY a� TOWN OF BARNSTABLE - . BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........?... � !. ...�:,�! �, ��................... TYPE OF CONSTRUCTION ................�"'� !1/1.�� Nt1�......... //J / .................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned �hereby applies for a permit according tothe following information: ,�y,� Location ........(., '�....... !..,....'.....�.. //1/... .... �� :�� d ..../I L/'�-_ ... ProposedUse ......................`: ?..°.'v& .... 7............................................................................. Zoning District ...... !J. e...!`.ti. .�.............................` Fire District ` o- ............................................ Name of Owner ..................... .............�:,..... ........./Rddress ..,...,............... ..........,........................................ �1 . ., �d �n oName of Builder � /?.' '9 AfiJ�.......�d. ?1?- T /� X �' .1� `� � rr t/ _ ....,-................................ .,.. .......... ..Address .....,./.(.�.f.........../.......;...................................�.. '� .Name of Architectr1 .........Address r �'��� . � V� ��� r .............�.......... ...t............. . ................................ Number of Rooms 1 .Foundation `--��°v.. ��t-.T..... .................................... ...... ................................................ g .............................................,,.. j Exierior Floors � ©.�':.d�....................................................Interior ........:.. �5. �. ............................................... Heating ........ /; ':...�..�`A`� - ..........................Plumbing Fireplace ........................:-:.......................................................Approximate Cost .........e.J�.Sr.. TT�.................................. _Definitive Plan Approved by Planning Board ________________________________19________, Area `.................. ................ �c., Diagram of Lot and Building with Dimensions Fee E (0, , : SUBJECT TO APPROVAL OF BOARD OF HEALTH7! � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �-"� �� /� L•--- ��y^ J Name 1 a .......��..r'......... :� :...... :� (f 2 9 0-16 3 )NY W, DEDECKO,-',ANTH( No ..22.1-84... Permit for Z...Z9tQXY.. ..... ......... Condoninium 9 units ............................................................................... is Location . ......... ....... .... ....Eiiw...Gr.ove...AVe Hyannis ............................................................................... Owner .....AP:019AY.. P.P.dQ.QXQ............. Type of Construction ... a..g.Q I-I x-Y................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ......may...B.....................19 80 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REP SED .................................... ......................... 19 ........ .... .............. ... .. ........ ......... ........ ............. ..... ..... . . ......... ..... ..... .. .....:........... .......................... ......./... ................. ............................................................................... Approved ................................................ 19 ............................................................................... ................... ........................................................... • t � ,'4 'may rr`._ fYE�r *i6A R l3 fly 4' AP A ` STABLE;. MAS ACpHUSETTS . t ,, Y 3 . 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