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Home My WebLink About0069 PINE GROVE AVENUE ..n t; Town of BarnstaJg.,-Y O F AC-J K O�VE Regulatory Services # 0. 22 Thomas F.Geiler,Directo 12 ,u!" s E',, 4 BARMASS. . " Building Division ,or 1639.1 `0� Tom Perry,Building Commissioner -- FD MA� �— 200 Main Street, Hyannis,MA 02,I6�11C1 J f ;3 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# Z6( (teak FEE: $ i SHED REGISTRATION 200 square feet or less oO Rye Grove Location of shed(address) Village LS'14,nley 145� 1/4,or-1Meod 775-392 6899 Property owner's name Telephone number 120 /O YAP 6"Af 00/) 291I0 38 Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Qommission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042911 1 77, c Vol " * t too NOON An FZ f t 6 a{ z :_Ttz�• s}z ;�., r r d mMIA f s Jkv All _ i 4 W ,� MAN h" VAAAKVA1 \VVAA "" _ r \\\\\♦\\i♦ „ _ \\\i T \\\\,i 47 Mr TWIT 2 �� s 4: 00 I r b° a , 7 V E p A ¢Aucerr .'�. f , .`�r , JOMN.C.MAKEPEACE 6 1��•.�� ao&I I i 0 al �~ 1305g: 59.Ft o° 13�2 L' 9 59.Ft d 28G2•—' S9.Ft 0� �� oil °d ;o a CARE L. 6AR�OU R � SS',7'S To JYafe H19hwdy — — — —— —— -- — — I .. a . its ' ,. �•• � .` io co 010 I :•6 L _ a, . Y �x, H-organ • '?1 `ice': 44 Barnstable Road, P.O . Box 250 _ n INSURANCE AGENCY Hyannis,Massachusetts 02601-0250 I N C O R P O R A T E D (508) 775-5830• (800) 775-5830 MA Fax(508) 775-6688 9/29/2003 Town of Barnstable r Building Division Attn: Sheri Theroux 200 Main Street Hyannis, MA 02601 RE: Toby Alger—CNA Surety 43039556 69 Pine Grove Avenue,Hyannis, MA - - Dear Sheri, Can you<help me get this bond cancelled? Do you have a release for this bond on file? The insured said bond is to be cancelled as he no longer even lives at this location, but he lost original renewal bond issued for this year and I do not have any other way to cancel this other than a release or statement from you that bond is no longer needed. Can you provide this to me? Sincerely, Raq Cook ' Acc uri Representative OI � F Property Location: 69 PINE GROVE AVENUE MAP ID: 290/038/ Vision ID:22240 Other ID: Bldg#: 1 Card 1 of 1 Print Date: 02/13/2002 16 T Element Cd. ICh.I Description Commercial Data Elements Style/Type 51 Ranch Element Cd. Ch. Description Model 01 Residential Heat&AC Grade C- Average Grade Frame Type 35 Baths/Plumbing Stories 1 1 Story Occupancy 00Ceiling/Wall ooms/Prtns Exterior Wall 1 14 Wood Shingle /o Common Wall 2 Wall Height oof Structure 03 Gable/Hip 16 Roof Cover 03 sph/F GIs/Crop COND(I/M®-� �F,C0111E DA°�A• � � Interior Wall l 5 Drywall _ . � 2 Element ode escriptron Factor Interior Floor 1 12 Hardwood Complex J BAS 2 nit Location 16 32 eating Fuel 3 as Heating Type 9 Typical Number of Units C Type 1 None Number of Levels /o Ownership Bedrooms 2 2 Bedrooms WDK Bathrooms Bathrooms ' • ' W�COST/M UEtT 11 CIA, TION�� 1 16 0 2 Full nadj.Base Rate 60.00 Total Rooms Rooms Size Adj.Factor 1.36798 Bath Type Grade(Q)Index 0.93 Kitchen Style 16 19 dj.Base Rate 76.33 Bldg.Value New 67,934 Year Built 1946 ff.Year Built (VG)1988 rml Physcl Dep 12 Funcv 0 US_. �� conObslnc 0 Specl.Cond.Code DA 1010 Single Fam 100 Specl Cond% 10 Overall%Cond. 98 eprec.Bldg Value OB OUTBUILDlN(:& Y-ARDXTEMS(Lf./XF BUX_LDX1a'G EXTRA FE 4T URS(B) Code Description LIB Units I Unit Price Yr. Dp Rt %Cnd Apr. Value Code Description Livin Area Gross Area Eff Area Unit Cost Unde rec. Value . BAS First Floor 864 864 864 76.33 65,949 WDK Wood Deck 0 256 26 7.75 1,985, Ttl. Gross iv/Lease Area 8641 1 1201 Bldg Val: 1 67,934 Property Location: 69 PINE GROVE AVENUE MAP ID: 290/038/// Vision ID: 22240 Other ID: Bldg#: 1 Card 1 of 1 Print Date:02/13/2002 16:09 CURRENT"_,OW O r TIO N TTRRENT ASSESSMRNT .. s ` LGER,TOBY S Description Code A raised Value Assessed Value ES LAND 1010 30,100 30,100 801 00 PROSPECT ST ESIDNTL 1010 66,600 66,600 O DIGHTON,MA 02764 y Barnstable 2001,MA .. SCJPLEMENTL DATfI dditional Owners: ccount# 195648 Plan Ref. 070/017 Tax Dist. 400 Land Ct# er.Prop. UP FY02 #SR Life Estate VISION DL 1 LOT 1 Notes: DL 2 GIS ID: Totali 96,7001 96,760 w L:, A -::, _,. ;� � ...: C : Rif _- . _ ,,,.�.,;;, PRE!!IOUSASSESSMRll�' S IIIST RY : . ... �.,. ,RECORD,OFOWNERSHIP�., BKVOL/Pf1,GE S�9ZED,9TE /u v/,l. S�4LEPRI E ,.-.. �,,.�. ._ ., ,. .. �-, .,.. _ . ,_ ,,, .,Q,_ .,,:,. yn., ,�e •3•��,,,,,, ��. ...; LGER,TOBY S 12249/095 05/05/2000 U I 25,000 lA Yr. Code Assessed Value Yr. Code Assessed Value I Yr. Code Assessed Value ISH,STEPHEN J&GAILE E 5049/188 04/15/1986 Q 1 66,900 2000 1010 19,500 999 1010 19,500 998 1010 19,500 LONG,MICHAEL S&FRANK J 4638/164 07/15/1985 Q 1 42,000 2000 1010 23,300 999 1010 23,300 998 1010 23,300 LSEN,RICHARD P&LORI F 3206/210 Q 0 Total: 42,800 Total: 42,800, Total: 42 800 �'� � °'�� EXE?MPTTON� ,�..3� ==,� .�. �,OTFXERASSESSME"NTS,.�"',," � ": � ".; This signature acknowledges a visit by a Data Collector or Assessor Year TypelDescription Amount Code Description Number Amount Comm.Int. ' . APPRAISED vAUESMARY ! 31" " Appraised Bldg. Value(Card) 66,600 Appraised XF(B)Value(Bldg) 0 Total Appraised (praised Land )Value ) NQTES . � �; . : '" ?�. .�. . Special Land Value Value(Bldg) 30,100 10%DA FOR LOAFT AREA LADDER ACCESS Total Appraised Card Value 96,700 Total Appraised Parcel Value 96,700 Valuation Method: Cost/Market Valuation et Total Appraised Parcel Value 96,700 .. Y HANGSHST RY �? � ...3,.,,. ,. �.,,., PermitlD ., � .., � .-,�.� .c....-.. Issue Date Tvpe I Descri tion Amount Insp.Date %Comp. Date Com•. Comments Date ID Cd. Pur ose/Result 39015 6/9/1999 RA Remodel&Addn 20,000 100 11/15/1987 ML B# Use Code Description Zone D rontn a e Depth Units Unit Price I.Factor S.I. C.Factor Nbad. Ad Notes-AdYS ecial Pricing Ad Unit Price � an Va lue 1 1010 Single Fam RB 4 0.30 AC .217,000.00 1.00 5 1.00 62AC 0.45 PCL(.30,U10)Notes: 10 1BLD 100,499.80 30,100 Total Card Land Units 0.30 AC Parcel Total Land Area: 0.30 AC Total Land Valu 30,100 STANDARD LEGEND ONOM WIF COURSE FAIRWAY IECIDUOUIS TREES IDSE OF BRUSH OKKARDORNURSERY CD CONIFEROUS TREES mAm AREA EDGE OF WATER DIRT ROAD dB.-ORNEWAYS 6 to r ROAD OWES PATH/TRAM. to PROPERTY UNES Umm UMM 2FOOTCDfffOURUNE 10 FOOT MOUR UNE SPOT EUEVATIOM SWE WALL FENG RETAININGWAU. MROADTRAOS SME I SWm HIS POOL FORM/DEM go BUIUDINGS/SOUATURES I'M& )OOK/PIER/JETTY 0 ASS;SOITS NAP BOUNDARY e YAM 0 MMLES 0 Fog o" ROM SIGN 0 SMIZONNS FINE TUNER UGHT BEM SCALE:in feet 0 20 40 I INCH=40 FEET N w-oE p4l"", TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 qO Parcel ® 3 - 3 Permit# 15— D'G, f�a; Date Issued Conservation,Division Fee. Tax Collector ( Treasurer t� Plannin De t. V-pe. jj HMCANT RM MAN A tI 9 p CONNECTION p =ff MU UP, 'r MINEENNO 01=11 PWII1* Date Definitive Plan Approved by Planning Board PA art CON�TBUCTIDN Historic-OKH Preservation/Hyannis Project Street Address &1 f0 6.-v i-e.. 17-A-:0L La; r Village 11/aein, 5 Owner Ta,6 /4e, '' Address �o.S eG cS� A/ IV14lfi�r� Telephone a Permit Request Aeld t At V e—n o 4;&hors Square feet: 1 st floor:existing `7 ao proposed 2nd floor: existing proposed Total new ?<�—6 Estimated Project Cost 20,0o0 Zoning District Flood Plain / l-d Groundwater Overlay p� Construction Type w dvc,( ��z,w►�-�_ , Lot Size 13� �_�� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family )] Two Family ❑ MultkFamily(#units) Age of Existing Structure SSD v4 Historic House: ❑Yes r(No On Old King's Highway: ❑Yes &No ' '- Basement Type: ❑Full 0 Crawl ❑Walkout rEl 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 Z new 3 First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes &,No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size. Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Cowtercial ❑Yes ❑No If yes, site plan review# Current Use SU.14144- Co f e,C. Proposed Use Su�rrnQ/t �a �-C BUILDER INFORMATION NameTzi Telephone Number Address License# Home Improvement Contractor# 4 Worker's Compensation# g ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO' SIGNATURE �' DATE Is FOR OFFICIAL USE ONLY PERMIT NO. ' 6 2oy � DATE ISSUED j MAP/PARCEL;NO ADDRESS ' VILLAGE �• s4 a y ` OWNER OF INSPECTIO`I`l. a , f DATE y , FOUNDATION FRAME INSULATION FIREPLACE a r EL ECTRICAL: ROUGH FINAL t _' PLUMBING: ROUGH FINALt GAS: ROUGH a FINAL FINAL BUILDING i. DATE CLOSED,OUT 'a - ASSOCIATION'PLAN NO. �N �, 1. • 1 r �,x ` } ' ' } ., yi. • Xie �. 33a 3�t� of oe A . 3 XIt oar _ G Gg y a i y � 1 C G 3 t � Is xir #d _ — p 3sp5 I3030 _ 1330 G� fig. � f 3 i � s S O� � x�r 1301, 0 <8 II I- P s r l � � 3 c XN e'`� t 4.,h�o The Town of Barnstable oFTMe o Department of Health Safety and Environmental Services Building Division m''m z ` 367 Main Street,Hyannis MA 02601 MAM 9A 059. Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: (p y J®.r 214= ak-L. �� irriyr,c.0 number street ff village "HOMEOWNER': -C-G' , 0 name home phone# ,l Q work phone# CURRENT MAILING ADDRESS: 70 o `I1 yi.�sL .O ,A�C•Z` n �hCw Z 7 &4/ city/town state zi ode 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 buildingXermit. (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 0010meowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. QTORMS:EXEMPT MEL- ° The Town of Barnstable • SEAM �0 Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner 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: Re mo ra/C + Add, b y)-r Estimated Cost I Q Z f10d � Address of Work: 419 6 0-o,)4—. .may--<, Owner's Name: b Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied caner pulling own permit ,Rl Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. I ®� OR& Date 0 Owner's Name i q:formu:Affidav - The Commonwealth of Massachusetts „7{ _ == Department of Industrial Accidents d � 600 Washington Street Boston,Mass. 02111 Workers' CoTnce Affidavit satin ��%%%�%...... / name: C location Co 9 city 944lgn,-I�� S /t/i!4 phone .,�Fa �— j I am a fiameowner performing all work myself. ❑❑ I am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers compensation for my employees working on this job. compnnv name: address: city: phone#: insurance cn. niicv# �I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who a�•e the follo%%ing workers' compensation polices: company name: address: dtv- phone* ....... ...... . msprnnce ca. .....:..: o rev .. ... ...,. _ .. camnanv name: ,,;;.::.;::,,..:;:•;:.::•::v;:.::,;:... .:. address. dt`: ... phone ..... ......... . insurance co. ::.:;:::: :.:. olicv# % / Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'Imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Me of 3100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature / o h Date _ Print name o f Phone# eky s O �Q �- official use only do not write in this area to be completed by city or town oMdal city or town: permit/license# (]Building Department ❑Licensing Board 0 check if immediate response is required ❑Selectmen's Office (]Health Department contact person: phone#; ❑Other (tenwo 9i95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any coam r:. . of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: c. trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shah not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the . commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the ccT=6 cr=* authority. j ------------ Applicants . Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situi*and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitMeense number which will be used as a reference number, The affidavits may be retuned io the Department by mail or FAX unless other arrangements have bees made. The Office of Investigations would like to thank you in advance for you cooperation and should you have nay questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InV83 029083 600 Washington Street Boston'Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext 406, 409 or 375 03/26/1995 08:59 5085874949 TOBY ALGER PAGE 02 y � � O • r.b- 0r4J r- x � r � w N 4 0 S W L Loo d f e0 dk- Q � i � e k� I i*12 5�/ i TO 3r)Vd 63C7V ASK 6V60L89809 69:80 9661I9z/c0