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0329 WEST MAIN STREET
AC '4 r c �I i E f - �, `� �- � i \ J Gl p �; O �� , � i � � � � � � � �� ,� l _' I r � '�� �� �� I � ,. 1' � i � � - - �Q�4,�H.HNT OA<�d U.S.DEPARTMENT OF LABOR ' 7 OCCUPATIONAL SAFITYAND HEALTH ADMINISTRATION James J.Amara COmpliance Safety&Health Officer y r 639 Granite Street Room 402 Telephone: (617)565-6924 Ext.635 ` Braintree,W 02184 Fax: (617)565-6923 Email: amara.james.j@dol.gov i MIA VS S-RO, e R � v L �>)�� `��i�l�� l��t,•Neil. IN \�`l i f ✓ Town of Barnstable Building Department Brian Florence, CBO MUST COMPLY WITH HOME OCCUPATION Building Commissioner RULES AND REGULATIONS. FAILURE TO 200 Main Street, Hyannis,MA 0260Ml.Y MAY RESULT IN FlNES- www.town.bamstable.ma.us Pre-application for Business Certificate Date pc� "( �I-1 Ma .�.b Parcel V � Applicant Information Applicants Name Applicants Address Email Address d t-�a tr e-uo G l-eal S Telephone Number o?V 9— 6&QI Listed ❑ Unlisted Business Information New Business? ----------------------------------------- Yes No Business is aregistered corporation? -------------------------- Yes No If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ------ Yes No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business S+Q I ► l tS i L l`-C r+ct 1 nmQ11t Business Address Vej� O t•I Sf yh f't j7 �ql?013 ly7 • 03(01 Type of Business J B ' ding Commissioner Office Use qmy Conditio CYl611 J �i1 l'Qn`� Gl Sty D Building Commissidn_ Date Clerk Office Use Only Town of Barnstable Building Department �pF SHE Tp� o Brian Florence,CBQ . Building Commissioner MUST COMPLY WITH HOME OCCUPATION w snRNsrns . - 200 Main Street,Hyannis,MA 62608OLES AND REGULATIONS. FAILURE TO MASS.9 .�� www.town.barnstable.ma.us COMPLY MAY.RESULT IN FINES. Office: 508-862-4038 - Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: �6C-, �� I 1 I' ' Phone#: "I ���� G.C� grVli� 1V Address: �L / ( Villa e: I /�1 Name of Business: c�T 61f 16S �G EI)A( I-C11A&12n Type of Business:. DI Map/Lo9 " 6 (O C/ 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 materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation, other than.one van or one pick-up truck not to exceed one,ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: v Date: Homeoc.doc Rev. 10/1.7 --rj- oFt t Town of Barnstable Regulatory Services N� rn.�p t7�-Y-6 e BARNMASS. ` Thomas F.Geiler,Director 9�A CO l�l CIO i639. tE1639.�6. Building Division Peter F.DiMatteo,Building Commissioner`- V L e! ke � e � 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 0� PERMIT# Sle 2 3 CP FEE: $ SHED REGISTRATION 120 square feet or less Location of shed(address) Village r Property owner's name Telephone number Do 4 I Zo ZSdt Size of Shed Map/Parcel# I® Signature 1:o�f'qyt<(,N g M#4 l!®C 14 Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) 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 p �� I REV:083001 L-®CA-TO®DAD ®F PaC3PEWTV LANES AAALY NCYT BE ACCUPAN-VE STANDARD LEGEND NOTE:not all symbols will appear on a map GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES ~~~~~ EDGE OF BRUSH i ORCHARD OR NURSERY v—V v V EDGE OF CONIFEROUS TREES l MARSH AREA EDGE OF WATER MAP'269 \ — — g �/7 DIRT ROAD E DRIVEWAY # 347 E--PARKING LOT PAVED ROAD DRAINAGE DITCH t PATH/TRAIL I � r t PARCEL LINE** r f Z110 T E PARCEL NUMBER #1860 E HOUSE NUMBER t x � 2 FOOT CONTOUR LINE MAP 269 --i0 10 FOOT CONTOUR LINE Elevation based on NGVD29 4.9 SPOT ELEVATION 00o STONE WALL —X—X— FENCE �] RETAINING WALL X � RAIL ROAD TRACK MAP 269 / X X STONE JETTY 1 61 = x SWIMMING POOL # 1 02 L PORCH/DECK X D BUILDING/STRUCTURE X x MAP 269 MAP 269 " MAP 269 x 11 6 DOCK/PIER 1 6 1 2 Q HYDRANT # 10 # I X 170 X X # 20 6 VALVE O MANHOLE X ' O POST p`P FLAG POLE -MAP 269 -T O W N . O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T O SIGN ® STORM DRAIN i N PRINTED SCALE:IN FEET *NOTE:This map is on enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James 0 UTILITY POLE p TOWER F o a o 000 V=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD w e 0 30 60 National Map Accuracy Standards of this do not represent actual relationships to physical objects Corporation. Planimetrics,topography,and vegetation were mapped to meet National Map Accuracy Standards s I INCH=60 FEET* enlarged scale. on the map. at a scale of V=100'. Parcel lines were digitized from 2001 Town of Barnstable Assessor's tax maps. 4 LIGHT POLE O ELECTRIC BOX TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION n e-'RA.Mapi Parcel f a Permit# Health Division Date Issued Conservation Division Fee - eo Tax Collector Treasurer L4,W � J`hb�e 6/ MAY 7 2001 Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address .7aLr•7 I''�S `/��a4 Village f'1 yf&/Y Owner weeyq Address W 11Y-04n S, Telephone SO 9' 7 0 Permit Request 779 TW5 Roe 1&7 l�'OP?�i ?tY! 7'r�1�C' �¢S>��1�/ �Z)Wlr.�`�'�'�C'!�l C.9, Square feet: 1 st floor: existing f proposed 2nd floor: existing Z 500 proposed Total new Valuation ' Zoning District Flood Plain Groundwater Overlay 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 fYCAX5, Historic House: Cl Yes '(No On Old King's Highway: ❑Yes XNo Basement Type: I Full Cl Crawl - ❑Walkout ❑Other Basement Finished Area(sq.ft.) Z 95 Basement Unfinished Area(sq.ft) S / 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: XGas ❑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 BUILDER INFORMATION Name Telephone Number' Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION I B RESULTING FROM T IS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. , .,+7- "f, 1, _ DATE ISSUED MAP/PARCEL NO. ADDRESS. ; ` VILLAGE r '� s OWNERS DATE OF INSPECTION: ' FOUNDATION FRAME 3 - INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING s n r DATE CLOSED OUT ASSOCIATION PLAN NO. t r f <r le L Department of Industrial Accidents 600 Washington Street i Boston,Mass. 02111 Workers' Compensation Insurance Affidavit •cir; Q • hone -70 70 �� i am : homcciNmer perfo g all work myself. eX-e- '4 W 14 soie crmrietor and have no one working in any ca achyME M111111111111111 i;' MEME am an -mmover proviaing workers' compensation for my employees working on this job. comnnm name: address ...... hone :• _ cit<•�' ' insure^.c- ,-n. oiicv#:. //////// ////////// am a soie proprietor, general contractor or homeowne (circle one)and have Hired the contractors listed below hati•e the :bilo«ing workers" compensation polices: come m nzmc addrecs :.. :.. '. :. hone#: city: :: ...•:..:::..::.;::,:. •::.... instlrn.nc2 cn. /�/ / /��/ �/ //// /��// /:.: ��� ... ... . . cnrr:nnn%: name- addre-s. honeerg #. imr rn n cc co. //// Va�.' tiff % / Faiiure t u Secure c0vem%e As required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Bne up to SI.rs tang anc one scarn '.moroonment as well as civil penalties in the form of a STOP WORK ORDER and a Gm of S100.00 a day against me. I undentana t2t= copy o f this statement may be forwarded to the Office of Investigations of the DIA for coverage verification 1 do i:ere�r rer in r r e pains and penalties of perjury that the information provided above is trap and correct Date — Sis_mrny'= s�o7/J9v �8� lJle.R � Phone# do not write in this area tobecompletedby city or town ofIIt•ial { permit/license# ❑Building Dep--ntn' # :its ,r unrTt: ❑Ilcensint;Board ❑Selectmen s Office :f,,;nme=tzresponseisrequired ❑Health Department _ Q runtnet ^cnnn: Other phone0: Information and Instructions Laws chapter 152 section 25 requires all employers to prmide `xrkers' coinpe^--satica =- -al La P erson in the service or another once: t� scc..-�-=" "`:_. from the "law",an employee is defined as every p _As quoted � aL --• �ss or impiied, oral or watt V• •.L... -. .. V.` association, corporation or,other legal emir; or and•two or more :5 dezuled as as individual partnership, o .�- mn.�i e including the legal representative s of a deceased' tiPiore., or th- - sed in a joint enterprise, ands s �e oRn.�r of a cr_=c legal entity empio�'ing empior� :HoRe:•er, on or other - :stee :adividual , paruiership,"as - o;; ., a izavinQ not more than three ap��and who resides therein, or the occupant of the dwelling noose c= d = in- .-o - ce , construction or repair work on such dwelling house or on the 9rc'y=h= another:;ro e:nniovs persons to do mainteaaa to be deemed to be an employer. buiidin_ appurtenant thereto shall not because of such emp ym� • -� .--�- ' % section 25 also states that every state or local licensing agency shall withhold the isspuan�fl whoe �iGL ...a -- in- ;;;a iicc^sa or permit to operate a business or to construct burin escove 11, rage commonwealth quir d. Addmonally.- zreith' - not prc::Lcea :.cceptable evidence of compliance with the ins o of uolic Rork subdivisions shall eater into any cotsaact for th-performanct: P -^ ..ith nor any of its political of this chapter pre_=ted to the cer~� �� � •:�e� er have oeea ac-�^t:ble e:•id ice of coamliattce with the insurance meats „ FIANA 1 • 1 ! checlzng the box that applies to your srtu=oplicznts -.nd --• ' e:markers' ompensad=�davrt completely,by ?1• ,;;�; 1'ce ' -•::in ham numbers along with a certificate or msnranz-- __ . any names address�d p-. �,o _,_-a «, s,� rnd .;,:cpiying camp i Accide�s �fit�ation of insurance coverage. nlso = ;a�mitted to the Departtnemt of Industual town that the apuLcation for the per' or lc"� e`s affidavit should be rationed to �3'or - _e ai :davit. The Should you have any questions regarding td: U71, - ++�•-enuested, not the Department of Industrial Accidents. eat at the n�.unbpr lista ceio�•. Policy'Please call the Depar= :wired to obtain a workers ccmPe� "'"",",",,,'"',, IN III EROSION rIP1111111111111, may or Towns _ t the atndavit is complete and prmted legibly. The Deparaneat has provided i�d�e,d(� Pa }�cc a}tthe °Pe� o cc==you JVza L ing I.r �NYb ,awl... :•ou to fill out in the event the Office of h=stigations y b e:✓'a-- ^-=d``t�for• will be used as a reference number. The amaai its rna oe sure W nil in the psrmitllicense mmmber � ezaeats have beexi made• *he Den_a=,=by mail or FAX unless ad=arraag in advaut:e for you cooperation and should you hal e and �: cy Office cf In:•estigations would Ike to thanky°u ' hesitate to give us a caIl. , :�,,:se do nog ' .. Depa -'s address,telephone and fax number. ,a.. The Commonwealth Of Massachusetts Department of Industrial Accidents amcs of Investl$aCloos 600 Washington Street Boston; Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 evt. 406, 409 or 375 " The Town of Barnstable % t�sxsrnet.t: 9� 16,jg. `d$ Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-62:0 HONIEOIVNER LICENSE EMEMON Please Print DATE: �._ a Q JOB LOCATION: num r street • village HOMEOWNER": S e f N D ��j� • e home hone P work phone� • CURRENT MAILING ADDRESS: city/town state rip code The current exemption for"homeowners"was extended to include owner-occu ied 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 helshe 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 minimu 'nsp on procedures and require ents and that he/she will comply with said procedures and req ' Signature of o 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 EXENIP1TON The Cade states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work.that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing construction Supervisors.Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN r F 1HE 1p� O The Town of Barnstable • &MMSrA13M MASS. �� Regulatory Services rEo�u►t' Thomas F. Geiler, Director _ Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax! 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not-more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: .I'Estimated Cost •sl ybo olo Address of Work: e Owner's Name:— Date of Application: . 711 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ww❑Building not owner-occupied wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR r Dat Owner's Name q:forms:Affidav r iY i CAS rh 70 1- o O Zt �'6 1` co k o W WASHER ID RYE K i 4 S Fr s , f c a The Town of Barnstable r • • BARNSTABLL ' 1659. Regulatory Services ���' Thomas F. Geller, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: . 508-790-6220 HOMEOWNER LICENSE EJCE1 EMON Please Print DATE: E 7 �� L JOB LOCATION: !/t/ z-e k S ',q(i number D street p/y 6CV734�-�yY illage e HOMEOWNER": O Z!IDS' =j Ll_ 161 • ° ,p ' home phone work phone# r CURRENT MAILING ADDRESS:_�I 7 /town - state t rip 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 requir ts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S F,7fflYUMON The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors).provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for licensing Construction Supervisors.Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require,as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMFM ==— ine (.,onzmur[rveucaic ui a►rc �p�-�_»��- Department of Industrial Accidents ' • _—��'�-��`_='� Oltic�of/o�estigBtloos 600 Washington Street Boston,Mass. 02111 -- Workers' Compensation Insurance davit T7I't 'nfofTi�ISiJTi. �iif'�@FLRfY✓ 1`1� • t 6l7 73 Y-8 Yee cis; rl Gbh L� l .� H A hone# d /7 �'�`7�•t3 i am .,To mec%N ner pert rming all work myself. a.:-,, a soic nronrietor and have no one working in anv ca achy I am an c:noio}er providing workers compensation for my employees working on this jo . comninN, name: ::... ......:. . .:.:. ... . ...:...: addrrS.� • - r _ ....... .. ... ... .;. .. .. ifOne'#:' Clt1': . insur::ncc cn. oiicv#: .41 am a sole proprietor, Denerah contractor, or homeowner circle one)and have hired the contractors listed below F-i IT ha-,•e the ioilmN ng workers compensation polices: tomsa m nnmc _p addrevs- ....... . .. cuts o :»: it R i n s u r^n c e cis. •• •• ��••.� ... . .. .:.:.;•... :;......::::ism:::!;:::'is��;:::';;:':":•>`::::'`'t;:.:;.y::: ::•Sr::::;:;>:•.:<; .....::.::: ::....... .. ... camnam• name: :. addrecv. .;.h .. ......:. . . oae#. ' Ci07 :::::;::;::;;;>:::: :•> .;:;:;;;;::;:•: . imurnncc >....... F aiiurc to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erimirral Penn lfl"of"ne ap to 51=00.0 any one years: imprisonment as well as civil penalties in the torn of a STOPf�coverage and o�om One of 00 a day against me. I understand t,'1=� cop"of this statement may be forwarded to the OMce of Investigations o !)IA I do i:ere>t,c•errift•un t pains and penalties of perjury that the information provided above is tnt/and correct Date SI ) p 2 l I/C Phone# „t tici l tue otLc do not write in this area to be completed by city or town ofIItdai pernritlilcerue 0 (:)Building Depamnent £ :its ,r tmrrt: ❑Licensing Board ❑Sdecvrten`s Office •i if t.•nmediau response is required ❑Health Deparunent ❑Other phone it• runtact ^cnnn: Information and Instruc,ions Laws chapter 152 secuon25 requires all employers to providSe��c eo;anothe unu. vorkrs' o-�� t✓cJy_..y�v+~ from the .,law,, an employee is defined as.every Person in the As quoted ' r•:=S or implied, oral or written- * s°defined as an individual partnership, association. corporation or other le_al entit<, or an' rn'o or more a mn.�}e - including the legal representatives of a d....eased ertiploye.. or the �.,..� j enterprise, and Rn„ar of a .._.,,ged in a joint employees` Howet•er the o on or' other legal entitc�, employing ,ee c: ;;inmviduai, parmeishiP, as e �who resides therein, or the occupant of the d elling House ci do c- ^ e.ise having not more t mee Ct � cnts �or repair work on such dwelling house or on the 9� -^= :;ro employs persons to to be deemed to be an employer. bu?id1�_ oppur-_�nant thereto shall not because of such atop ymeat , :2 section 25 also states that every state or Local licensing agency shall withhold the issuance or rene- tiiGL ....,�..• - applicant who i ' =2 insurance coverage required. Additionally', neither the ;;; ;,�._. : or permit to operate a business or to construetnbuildings in the commonwealth or any not prc.u--d acceptable evidence of compliance with the public work _ subdivisions shall eater into any conrract for the performan.... or p th nor any of its political su of this chapter have been prey meted to the a.,=.b10 a:•id"ce of compliance ents 3:..,....:++.. • with the m.Surance Zegntrem uaika nt$ anion affidavit completely, by chec�ng the box that applies to Your situ='= =d `u.e:writers coniPeas with a certificate ofinsur�ce:- 1:y�t he�o corrinan_ , address and phone manbers along ��ppi�inn vnames o ,�rat:e. also be __.-= *J °'-`_-'n Accideats for confirmation of insurance cot e ^mit*.ed to the Department of Industrial it or iic:^..se is �be d to the city or town that the application for the Y-ram . _. t.., i :davit. The affidavit sho e a Should you have any gv.=ons regarding :•' � ' c. .: eouested, not the Department of Ind A at the number lis'�e ce:o:v. --�- lease call the-Department are=uired to obtain a workers' eompaasatzon policy,please amity or Towns bl The Department has provided a space at the bcw.' sure that the affidavit is complete and printed lea Y ly the anpiic= Piwse in the event the Office of hvestigations has to contact you re am__ dz:i t for:•ou to fill out number. The atndavits may be zc"u --^; be sure to nil in the peraritllicease member'which will be used as a rcfm= .. bee made. ,� De tai nar =t by mail or FAX unless other airaagemeats have .;. .. gations would like to thank you in advance for you cooperation and should you have and• Le 0 E-5 :. „i in sti_ do riot P to}ve us a call. ease "nesitat�. adFREW dress,telephone and fb� 1 The Commonwealth Of Massachusetts Department of Industrial accidents Olflee 01 Investl8ations 600 Washington Street Boston! Ma. 02111 fax#: (617) 727-77.39 06, .109 or 37S phone #: (617) 7274900 evt. .1 CF THE?, aszAB : The Town of Barnstable MASS. �� Regulatory Services Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION ` MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not'more than four dwelling units or to structures which are adjacent to such residence or building be done by registered.contractors,with certain exceptions,along with other requirements. Type of Work: 43'�-"1,1 �, c 4P-141. timated Cost "Lo o ate Address of Work: t ,�..�. `27 Owner's Name:-_ -A- L. ( vsA /Gci Date of Application:_ 7 ! /O / I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Bu' ing not owner-occupied wrier pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. I D OR Date Owner a g1orms:Affidav r 1 + f t I I �•- � � . .. i � � � I ► 1 I I # 1 1 I { c J ff IT IL I- F �_ ! t k { I j i I I I I I-C ' , 1 -r 1 { I I ' ! r I fob ! - - _ ` { 1 ---- -.----- , • i •; ri C Town of'Barnstable *Permit 0 Regulatory Services wee 6monthsjromistg5 e grABM o 2 ?D1� Richard V.Scali,Director Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY of Valid without Red X-Press Imprint Map/parcel Number f� Property Address 3..�7 AA/ S7 Residential Value of Work$ Minimum fee of$35..00for work under$6000.00 Owner's Name&Address ��� L%� �G &/Pl144"/ Contractor's Name odc Telephone Number 97e V5'_SrY;T Home Improvement Contractor License#(if applicable) Email: �6 &,Ycj J A�'�/ Construction Supervisor's rvisor s License#(If applicable) e� 2s3 Co.. ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is _1q requir d. SIGNATURE: Q:\WPFILES\FORMS\bui in it forms\EXPRESS.doc 06/20/16 i Department of frrdush ial Accidmir - fI,fitweOf1M?_Sd9afi,W. . _ 600 Washurgion kS`treet Baszon,AM 02111 tmnuma mgovIdia Worlers' Ctmpensa tica Insurance Affidavit B�uiIdersiCantracWrsMectricians]P'hanhers AppEcant Infarmafsan Please Print Na= u �4G cfty/sta& LJr"I-� AM) � 3 ne 7I� Are YOU an employer?.Checkthe appropriate bo m Type of project(required): I.❑ I am a employer with 4 ❑I am a general contractor and I ❑ employees(fullull andfor part timed hi * have red the sob-cowactors 6. New oo 5�c�ioa 21?f I am a sale proprietor orpartuee- listed anthe attached sheet 7-�RPmodeling sh£p and have no employees Mese sub-contractors have !l_ ❑Demalition woad7ng fornse in any capacity.capacity. employees and. have wad=' 9..❑Building addition ?t44"[No dd=W Comp.insurance, COnlp_Lf1S1"..._�$ required-] S_ ❑ We are a-corporatien,and its 10-❑Electrical repairs or ad4tions 3111 am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself[No vuorkers' - right of emmnption per MGI. insurance d-]t C.152,§I(4h andwe have no 1�-_❑Roof repairs r employees.(Nowmk=' 13-❑Other cow_insurance required.) &Amy RpgHcsat&at cbecUboa#1 mmst RISC IM OUtthe seclionbeLoa showing dim vmdere compensa++mpelicyn furamdaaL #EEmmeDvmers who submut d2is zffidava iurtir g they Rie&iag-zU wa l Rod then h¢e outside coubxammmst submit a new.af ida,d;t iodi;r such. fCoutiscinrs f=6-7,ihk box must wed rot addition',sheet showir g the none of the sub-c9mdxrcbaas xad stale whether or not those Mies h.rve _ orployees.Ifthesob-caatractmhaveemployw-%tEteynaurpawide#3rA!ir warkeo'c mp.palkynumber- lam an enig r iliac rs pratJiririurg�varkers'catttlrerasrdivn utsnrarrce far�cr}a earpFay�ees Hdoov is t7te pa£icy and job site irtfotz+rrdian. Itlsutaace Company Name- 'Policy",L or Self-ists.Iic ExpiradbaDate: Job Sife Address: CitylState/Mp: Attach a-mpy of the workers'compensationpolicy dedaration page(showing the policy ttutaber and expiration date). FaRnre to secure Coverage as required.undrr Soction 25A of MM a 157 can lead to the imposition of criminal penalties of a tine up to$L500 OD aindrar one-gearimpEisoumerd,as wreI1 as-cit it peaahies in tort;foua of a STDP WORK ORDERand a fne of up to O_QO a day against the violator- Be a&ised that a copy of this statement raay be fioxvmded to the Office of InvvesEgations of the DIA for insurance coverage vetffic a ion.. Ida iierzby and psnahies ofpcdary that the in}armat£vrrpri*i&ddaabm a is true mid tarred Sit3tattsre: Date 9'�'J � Phone ikj 7,r 7SS1,,S`99'7 . 0jo7cid use anly. Do scat write in this area,trr be.cawrnp&tad by clip asrtatcn avjrcra£ 'or Town: Penmif tense;g. Issuing Autlwrity(circle erne): L Board of Health ::.Bwffii"mg Dqmtnent 3.QW]Town Clerk 4.Electrical hapector S.Phmbing Fnsltector 4S.Otha� Contact Person: MMM 9: -haformation and Ms cons m C�3 cetfs Ge =-,iI Laws chapter U2 rmga=aU=ploy=to pride amass'=]:1P= tM for tbeg employees. Pm-saMttn iris sfttafe,an M71PIayee' person in the service of another mider any coaft-act ofhire, ' express orjmplied,oral orwrab ." An employes is defined as`°an mdrvfrhral,partammb4,associaiian,corpm-a ion.or other Iegal m trty,or aruy two or more of the foregoing engaged in a joint enterprise,and fnchi the legal Fesedves of a deceased employer,or the receiver or trmsEee of an mdividaal,p ,assocriafiam or other legal entity,employing eInployees. However the owner of a.dwelling house having not more than three apartments and who resides thereia,or the occupant of the- dwrMnghouse of another who earplays persons to do mice,caushnrtion orreps r warm.on such dweIHng house or on the grounds or bm�appurir�ffiereto shaIl not becsnse of s❑r employmertf be deemed in be an employer" MGL chapter 152.§25g6)also states ii>at Meverysbite or local Iic�agency shaII withhoId the issuance or- renewal of a license or permit to operafz a bursskess or to consfract bwldiags in the corumoawealth for ray applicantwho has notproduced acceptable evidence of cdmpTia m with the hmurancei. d. coverage regake " Additionally.MGZ chapter 152,§25C(7)states-NeRher the nor wry off poIiiical subdivisions shall enter fnto any contract for the pertiaance ofpnblic woos until acceptable evid_eace of compliance with the msm dace.. jj-- rents of this rliapter hav m been presented in the co—acting anfhOUIty." A.pp4c:=b; Please hIl out tine wotkcs'compensation affidavit completely,by checlang the bo7ces that aPPIy to pour situation and,if necessary,suzptply sob--cant�r(s)name(s). addres(es)andphonemmmbet(s)alongwiththea cMt1ficste(s) of ;insurance. Limited Liability Compames(LLC)or Limited Liabl7ity'PmInemhips CLEF)Withno employees other than the members or partners,are not required to cauy workers'compensation in=ance If an LLC or I LP does haven eamployees,a.policy is rcgairm . Be advised that this affidayit may be m2xnitf�i to the Department of Indvsfirial Accidents for confirmation of iasorMce coverage Also be sure to sign and dafe the affidavit The affidavit should be retumed to the city or town that the application for the peunit or license is being requested,not the Department of Ind . •a A=dmts. SbMld you have Huy gnesLions regarding the law or ffyou ate r-,q�to obtain a workers' cnmpe;osation.policy,please call the Department at the nranber listed below. Self-insured companies shanld enlr-.r their self fi smmnce license member on the appragriafe line City or Town Ofd a s f _ . Please be sore that the affidavit is complete and priced legibly. The Department has provided a space at the:boifarn of the affidavit for you in ir-II orrt in the event the Office ofiuvestigati=has to coact youregardmg the applicant. Please be sure to fM m the pen/l cease mrnber which will be used as a ma- mm number_ a addition,an applicant that must sabmit multiple p=Wlicceosse applications m any given year,nee&only submit one affidavit indicating cmtent policy ii� ation Cif necessary)and nndea`Job Site Address"tie applic nt should wr¢e"all locations town)_"A copy of tie-affidavit that has been officially stamped or maimed by the city or town may be provided to the applicant as proo-f d at a valid affidavit is on file for future permits or licenses. Anew affidavitmust be tilled out each Year.Where a home owner or citi=is obtaining a license or permit not related to any bncin=s or commercial vet e Cie.a.dog license or permit to bum Ieaves etc.)said pm-son is NOT required to complete this affidavit The Office of Inds would hIm to fbaak you is advance for your cooperation and should you have any questions, please do nothesifai to givens a call- The Deparfiner fs arl =6 t6lephane and faxn¢mbea_ CO=jQnWed*of MassachustM Mt of�Aunt-% (7ftce of IWe kti=� 64 Waahlawa s �Qs I�fA E�TIF T(�-i. 617' -4 QExt 4-06 or Fax#617 727 774 Revised4-24-07 I i R • a i Town of Barnstable Regulatory Services r Richard V.Scan,Director 1639. Building 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 of the subject property hereby authorize r o C�. to act on my behalf, in all matters relative to work authorized by this building permit application for: (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 s e of Applicant Print Name Print Name Dat QYORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services dFtMME Richard V.Scali,Director Building Division `* > ns�. Paul Roma,Building Commissioner KAM 539. 0. 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 regponsible for all such work performed under the building_permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do'such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing.Construction Supervisors,Section 2.15) This lack of awareness often results in serious particularly articularly when the homeowner hires unlicensed persons. In this case,our Board cannot P proceed against the.unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. ' .r 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 fomis\EXPRESS.doc 06/20/16 �,... �.$'`� � � � r `2 r:�� /`'� f,P'" f�.;�+ 't"� •�.� � ���� 1� n.. t Family _" lip . , x SMOKE DETECTORS REVIEWED 1j*E!V11111GD1-1T. DATE Oz Z�fG FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING t E 32q kAct/VW Alsr O 1kkt k y 6 mml 3" Living Room tc�nf. -o se r. R� } I It 5« � A4 treOr 04*I.HNt/dFy -o4 jJodroo.m S 0:0 VILIL R� CO C0 star � i Town of Barnstable Building Post Thts CardSo That�t�s.U�sible From the Street ;"A roved;Plans;.Must be",etamed;on'Job and tfi�s Card Must be Kept 163w 'Posted Until;;Final Inspection Has Been Mader , " Y k F = ;u b �s Perm t Where a.,Cert�ficate ofOccupancy"�s Required,sucfi�Buld�ng shaFl Not,be Occupieduntil a,F�nal Inspection has been rnade Permit No. B-16-1854 Applicant Name: todd duffy Map/Lot: 269-096-OOD Date Issued: 07/21/2016 Current Use: Zoning District: SPLIT Permit Type: Alteration INTERIOR Work Only-Residential Expiration Date: 01/21/2017 Contractor Name: TODD A DUFFY Location: 329 UNIT 4WEST MAIN STREET, HYANNIS Est Project Cost: $61,367.00 Contractor License: CS-065753 e � Owner on Record: AESCHLIMAN,BARBARA L P,eMWIFee $295.47 Address: 329 WEST MAIN ST APT#4 Fee Paid �a $295.47 HYANNIS, MA 02601 : " Date 7/21/2016 Description: Replace water damaged interior sections.Walboartl flooring kitchen cabinets - Project Review Req : Replace water damaged interior section Wall board flooring kitchen cabinets e Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this;permtt is comme c`'d within siz months after issuance. All work authorized by this permit shall conform to the approved application and the approved�construccion documents for which this permit has been granted. A `.., 4 .' fit' All construction,alterations and changes of use of any building and structures shallbe"in°compliance with theldcal�zomng by law"sand 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. The Certificate of Occupancy will not be issued until all applicable signatures,by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue hmng is=mstalledl 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection ,' ` 5.Priorto CoveringStructural Members(Frame Inspection) Z ' ? p ) 6.Insulation 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed"until the Inspector has approved the various stages of construction. oN`y,J "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). au sT Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r � a PIC' CAPE COD 10'AfN F B RNSTABLE INSULATION . ':IgiL!, - A Pi� 12 F1::0 A 53 SVMT IOAM 9YSVfNOEO BBgTTS vi., iNSUEgTION CIItIrv05 1-80i%"-0-36-6611 IVISIUN, l own of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the sptcihcations listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed me,2ts or exceeds Federal & State Requirements. Property Owner Property\,idress Village �=( f,v c e s C��'l e t�c� 3'LR J,jv�A��� Insulation Installed: Fiberglass Cellulus�- R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ( ) ( ) l ) Floors,' ( ) ( } ( ) ( ) ( ) Walls ) ) ) ) Sincerely:- He y E Ca sidy r, President- Ca' e Cod sulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel: Application # Health Division Date Issued 9"/7 . Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner &/1a Address Telephone rS `Permit Request /v 4 7771n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District _Flood Plain Groundwater Overlay Project Valuation Z/6 Gf a OConstruction Type_�� a� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach steporting cmum Oation, Dwelling Type: Single Family 2( Two Family ❑ Multi-Family (# units) _- A r _n Age of Existing Structure Historic House: ❑Yes f(No On Old King'" ighway:EL2 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 r---APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /�� G'Od � O�id��0� Telephone Number �- Address e 70� e License # /D/> f Y f Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# v DATE ISSUED i MAP/PARCEL NO. .Y ADDRESS VILLAGE OWNER DATE OF INSPECTION: uffOUNDATI.ON' F j; sruut F : s Ay1 r — FRAME �,INSULATIONJL i _4-A_k FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL 4 FINAL BUILDING . , DATE CLOSED OUT, ASSOCIATION PLAN NO. 'i I � �.� 1 tte Uommonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www,mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/EIectricians/Plumbers Aanlicant Information Please Print Legibly Name (Business/Organizadon/Individual); 1.�2,O� Address; City/State/Zi 47- Are you an employer? Check the appropriate box: 1. I am a employer with -'_ 4. ❑ I am a general contractor and I Type of project(required): employees (full and/or part-time).* have hired the sub-contractors . 6. El New construction 2.❑ 1 am a sole prbprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp, insurance comp, insurance.= 9• ❑ Building addition required:] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no 12.❑ Roof repairs 3a.❑ I am a homeowner acting as a employees. [No workers' 13.� Other/,,t!/'1,� general contractor(refer to#4) comp.insurance required]. "Any applicant that checks box#1 must also fill out the section below showing their workers'co satiot#= li t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mustsub o tt anew affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contracton 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 Information. my employees. Below isthe policy and job site Insurance Company Name: Policy#or Self-ins. Lie.#: /��G,9�i�y ����/ Expiration Date: ' a4� Job Site Address:1. . Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage verification, I do hereby cernfy u nqVr the p�and penalties of perjury that the information provided above is true and correct Sizna Date: Phone #: Qfflcial 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector,5. Plumbing Inspector 6. Other Contact Person• Phone#: I r / 1� CAPECOD-27 KLIGE CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDp/YYYY)TT 6/1312014 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANTI If the certificate holder is an ADDITIONAL INSURED,the poilcy(les)must be endorsed, If.SUt3ROGATiON IS WAIVED,subJect 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 IIetI of such endorsements , PRODUCER 30gera &Gray Insurance Agency, Inc, NAME. Barbara DOLaWrence 434 Rte 134 PHONE _ South Dennis, MA 02660 A/(INo Ex)I FAR --'"------ — E•MAIL A/C No; 877) 816.2156�_ ADD ES -bdelawrence ro ers ra .corn INSURERS AFFORDING COVERAGE ��— NAIC N LRRED INSURER A: eerleSS Insurance Company INSURERB;COMMERCE INSURANCE E COMPANY ,Cod Insulation Inc INSURERC:Evanston Insurance Companyardon Circle INSURER D;ATLANTIC CHARTER INSURANCE GROUPh Yarmouth, MA 02664 —' -- INSURER EI INSURER F; _ CERTIFICATE NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELQW HAVE BEEN ISSUED TO THE INSU'RED NREVAME D ABOnVEEOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C R;TIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E C USIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, iR .......... ---.._-- TYPE OF INSURANCE POITC EFF MO/I D YEXP _ X COMMERCIAL GENERAL LIABILITY POLICY NUMBER M/DD _ LIMITS !! 1 CLAIMS-MADE L X] OCCUR 7CE83P8263063 EACH OCCURRENCE04/01/2014 04/01/2016 ET"C Tr 1 -- $ —•.. 1,000,000 __. PREMISES(Ea occurrence) MED EXP An one erson)_ g' 61000 G N'L AGOREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 1,000,000 POLICY 1 PRO• GENERAL AGGREGATE JECT I _J LOC OTHER PRODUCTS-COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY $ — —• CO a81cI a IS G E LIMIT $ANY AUTO 14MMBCKVMK _ 1,000,000 ALL OWNED X SCHEDULED 04/01/2014 04/01/2016 BODILY INJURY RY(Per person) $ AUTOS AUTOS HIRED AUTOS X AUTOS NEp BODILY INJURY(Par accident) $ '-^ AUTOS PPeOPc RITY DAMAGE eno $ X UMBRELLA LIAR X OCCUR $ EXCESS LIAR CLAIMS-MADE XONJ463614 EACH OCCURRENCE 1000,000 DIED X RETENTION 10,000 04/01/2014 04/0112016 AGGREGATE WQRKERSCOMPENSATION A gregate $ �0 AND EMPLOYERS'LIABILITY ANY PROPRIEI'OR/PARTNER/EXECUTIVE Y/N WCA00626904 STR JUTE ORTH OFFICERry In BERN )EXCLUDED? N/A 06/30/2014 06/30/2010 E.L�EA20H ACCIDENT (Mnndd scribe In and $ _ 1,000,000 It yos,doscribe under •� OkSCRIPTION OF OPERATIONS below E.L.DISEASE•EA CMPLOYEE_$ _ 1,000,00 I E.L.DISEASE•POLICY LIMIT $ 1,000,000 i � I r IRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,MAY ached 11 mors apace Is required) Serb Compensation Includes Officers or Proprietors, attached 10'al insured status Is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder, ITIFICATE HOLDER CANCFI I ATInN f i V. r � Massachusetts •Depattni&'nt of Py4 blic Safety .-�bo rd of Building Regula;tons, ,nd Standards Construction Supetwisor License; CS-100988 al•I 1� ra ik k.CEXRY E CASSI.lO 8 SURD.Row WEST YAlmovill Expiration commissioner 11/11/2015 ' r u ca /X, 1yl/yyLGLy1rGo2GZ,Nb t� ��G/t/ • � crC' Office of Consumer Affairs and Business Regulation = 5 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 p�u Flame Improvement CQta�tor Registration Registration; 153507 Type, Private Corporation Expiration; 12/15/2Q1h Ti 233931 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE ;. � :::::::' --____ _._...._._....._.............-.-................. �... SO. YARMOUTH, MA 02664 ` t;. ' _�. __..__.._.—__..........__........_............ . -- Update Address and return card, Marlc raasun fur chaogc, I "t. .. Address ❑ Renewal ❑ Employnwm( i_..1 Lost Cnrd 5 eu,d u:d i i '��rs�f(�rwir.ricci�r-tt�crcr.11� c��C�l�t,i�ac✓%tt�elh� .x.. Office url:unslumw Afrors& Business Rqulndou License or registrntioo valid for individul use only OME IMPROVEMENT CONTRACTOR beforu the expiration date. 1t'found return to; agistratian: 153�67 Type; office of Consumer Affairs and Business Ttobulation s xpiratlon; 1?/1:5/�01ct . Private Cor oration 10 Parlc Plaza-Suite 5170 I p Boston,NCA 02116 Y (,MSIDY ' k=N CIRC:L.1 MQUTI•I, MA 02664 IludcrsccrccarY — ^�of val' witho t ' nut ru _•---..._,_ Hogsing AssistancC Corporation Cape Cod HOME ®IV WORK PERMIT& FULL RELEeASEo PLEASE FILL OUT AND SIGN THIS FORM IF YOU ZLRE THE APPLICANT HOME OWNER. i //lJ I d hereby consent to and agree that wea-her-Lzation wof may be dome by the Weatherization Program of Housing Assistance Corporation ( herein a-fter referred as "Agency " ) on the property located at: Vza The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping & caulking of windows and doors, insulation of attics, sidewalls & basements, attic and other ventilation measures and possibly replacement of badly deteriorated windows. In consideration of the Weatherization work to be done at my home I agree to the following; 1. I give'permission to the "Agency " its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherizatior_ work on said property. 2 . The Housing Assistance Corporation reserves the rin ght to i_--spect the fuel or utility bill for the weatherized unit o an ongoing basis for no more than five (5) years after the weatherization work is co*rpleted. I have read the provisions o;fv`_his agreement as listed and freely give my consent. Home Owner: (Signature) ` Date: Agent: (signature) Date: - e Housing Assistance Corporation Cape Cod IMPORTANT NOTICE Weatherization contractors must pull a building permit from your town prior to installing any and all weatherization measures ordered by the Housing Assistance Corporation energy auditors. In order for a town to issue a permit, all taxes must be current according to the town records. Your signature below indicates that all of your taxes (excise and real estate) are up to date. If work is completed and later discovered a permit cannot be pulled, an owner may be responsible for payment. If not, HAC will put your weatherization on hold until you notify HAC that it is OIL to pull a permit. I acknowledge that my taxes are current. i Owner's Signature Date 0 T ' 000 love learn work grow 460 West.Main St. Hvannis, MA 02601 hac@haconcapecod.org 508-771-5400 Pax: 508-775-7434 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map v9 Parcel—fq 111 r Application Health Division Date Issued -l1-( Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address % h Village Owner ',q LI.aC_b Address Telephone .505 — 7 7 Permit Request �M15 72ZI 5Ll be 4 W IwD01,J Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ,,,Project Valuations Construction Type "F Lot Size Grandfathered: ❑Yes ❑ No If yes, attachAsupporting..docum entation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings;Highway.:, ❑Yes U-No Basement Type: 2<II ❑ Crawl ❑Walkout ❑ Other - - Basement Finished Area (sq.ft.) V� Basement Unfinished Area (sq.ft) ':fl j-CT l Number of Baths: Full: existing new Half: existing new Number`off Bedrooms: existing —new Total Room-Count (not incl ing baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: Ves ❑ 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 LC�� �L�/��'��� Telephone Number Address / I/ s�_ 6r]f!�e1 License# ® / -17 Home Improvement Contractor# 112 Email P�'� l /_ A/A/NIf Worker's Compensation #bdC t;, / 5—_3sy ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 6e�d��> Ahe�5__Te_ &c_Xc�z�6 SIGNATURE DATE q /Yh 'Y i FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION { FRAME INSULATION FIREPLACE P ,r ELECTRICAL: ROUGH FINAL °"'PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING R DATE CLOSED OUT ASSOCIATION PLAN NO. i cat Tr April 7, 2014 Mr. & Mrs. Martin Malloch 329 West Main St. Unit#25 Hyannis, MA 02601 Dear Marty & Krissy, Thank you for contacting me regarding your structural. improvement plans. We are happy to approve replacement of a window and a slider door in your unit. Please advise if there are any changes to your request. Thank you, Carl McClatchey President, Board of Directors—Cape Glen Condominium Trust i CERTIFICATE OF LIABILITY INSURANCE �..�3 3/3l20id O14 , ' CERTIFICATE IS ISSUED AS A MA77ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,4LOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject 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 lieu of such endorsements. PRODUCER PAUL B SULLIVAN INS AGCY INC CON ACT - NAME: 1467 S MAIN ST PRONE FAX FALL RIVER, MA 02724 ft9 ac - AOORESS: INSURER S)AFFORDING COVERAGE NAIC Y INSURER A: LM Insurance Corporation - 33600 INSURED - INSURER S: JOSEPH DUARTE&JOHN DALEY DBA J&J REMODELING INSURERC: 15 WILSON WAY INSURER0: MIDDLEBOROUGH MA 02346 INSURERE: INSURER F: . COVERAGES CERTIFICATE NUMBER: 19398310 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELDW 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 8Y PAID CLAIMS. INSR - TYPE OF r9SURANCE SR POLICY NUMBER MMMorr YY MMtDorYYYY L�aTT9 LTR LT COMMERCIAL GENERAL LIAO ILITY _ EACH OCCURRENCE $DAMAGE TO , - CLAM"ADE OCCUR $ MED EXP(Any one person) b PERSONAL&AOV INJURY $ GENLAGGREGATE LIMIT APPLIES PER: - _ GENERAL AGGREGATE S POLICY❑,ECT Q LOC PROOUCTS-COMPIOP AGG S OTHER: $ AUTOMOBILE LIABILITY Ea aa' t $en ANY AUTO BODILY INJURY(Per parson) $ ALL OWNED SCHEDULED BODILY INJURY(Per acddeng S - AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS - AUTOS S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAM34AADE - AGGREGATE S DEO I I RFTENTI ON $ A WORKERS COMPENSATION WC5.31S-384800-014 2/2/2014 2/2/2015 6PT TUTE I I OrRH- AND EMPLOYERS'LIABILITY YIN 100000 - ANYPROPRIETOWPARTNERIEXECIITNE - - E1.EACH ACCIDENT � S OFFICERtMEAABER EXCLUDED? - .aNIA i (Mandatary In NH) E.L.OISEASE•EA EMPLOYE $ - 100000 H pyas,desuba under SC 500000 DERIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarhe Schergde,may be attached it more space is iequlred) . Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. NO PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. 1 . CERTIFICATE HOLDER CANCELLATION INC. AND SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TF9D AT HOME SERVICES THE HOME DEPOT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEL(VEt2ED IN ACCORDANCE WITHTHE POLICY PROVISIONS. 2690 CUMBERLAND PARKWAY SUITE 300 ATLANTA GA 30339 AUTRORIZED REPRESENTATIVE LM Insurance Corporation 0.1988-2014 ACORD CORPORATION. All rights_ reserved. ACORD 25(2014/D1) The ACORD name and logo are registered marks of ACORD CERT W.; 19390310 CLIEUT CODE: 151151.41 DidL Deagaa 313/2D14 10:4Ls27 AH Page 1.t1 1 ti The Caninratnvealth of Massachusetts Departtri�ent oflndustrial Accidents �'5, �� Of ice of Investigations y 600 Washington Street ( 3y Boston,MA 02111 Y= wtsw.massgotsfdia Workers'Compensation Insurance Affidavit:BudderstContractors/EkrtticianslPlumbet s Appticaut Information A Jqease Print I.Aiziblv Name(Busitms3:'Organizan witidi�idmi): Address: c City#State/Zip: ll' Phone#:. r J Are. employer!Check the appropriate bo:: Type of project r A. I am a al contractor and I e 7 ( e9iou 1. F am a employer with ❑ general 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑I am a sole proprietor or partner- listed an the attached sheet. 7. ❑Remodeling ship and have no employees Tltese sob-contractors have 8. ❑Demolition working for mein any capacity. employees and have workers' [No workers'comp.insurance COW.insurance.) �. ❑Building addition required-1 5.❑We are a corporation and its 10.❑Electrical repairs or additions 3.❑I am a homeowner doing all work officers have exercised their i LE]Plumbing repairs or additions my-If f[N o vvorkets'comp- right of exemption per h1GL 12-❑Roofrepaus its l insurance r : c.152,y 1(d),and-are.have no required] employees.[Novsarkers' 13.❑Other comp-insurance required.) Any applicam that checks boa=it ttutst also fill oot the section below showing their wmkars'cottipessacan paliry infomtatiaa. itomamwr mwho submit this affidasdt indicating they are doing all ww#e an6 then lure aimide cantm ms moat submit a new affidavit indicating sstch. - -Contracwrs tho check this box mnst attached ao additional sheet shmring the name of the sub-cantreciws and state whetter or not chose eatrou has employees.If the sub-cmmctors hale employees,dwy mast proside their workes'comp.policy somber. fern an eneptoyer that is prosidiag nwrkers'rnnrpensatian insurance form$,amptoJ ees Below is the policy and jab site infornietion. Insurance Company Name: Policy it or Self-ins-Lic.-iL-- �/ ��j/���9�,�`v�,� Expiration Date: 1 JohSiterlddress_ r} e5t f/[. /V Jt o GityState>Zip.� ��(�95 Attach a copy of the vworkers'compensation policy declaration page(showing the policy number and expiration date}. Failure to secure coverage as"tared uncles Section 25A of IvfGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of tip to$250:00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do Itemby certify under thepains and penalties of net:that A informatian,prm ded abor ijs trjg and correct Signitturc Date- J / Phone#t / 7 7 Official use only. Do not write ire this area,to be completed by kits,or town oricial City or Town: PermitUcense 0 Issuing Authmity(ciirle.one): 1.Board of Health 2.Building Department 3.City/Town Clerk 3.Electrical Inspector 5.Plumbing Inspector 6.Other Contact.Person: Phone#: 6 - r � t BA8KASS, ��r654 Town of Barnstable �� Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO 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 as Owner of the subject property hereby authorize J C� UY}2'J1—'P— to act on my behalf, in all matters relative to work authorized by this building permit application for: �29 UI-M4i Ai S'2S (Address of Job) Signature of Owns Date sqte-r �Av 4 M'4 ee--Ll Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. T:\KEVIN D\Building Changes\EXPRESS PERWREXPRESS.doc - Revised 061313 Massachusetts -Department of Public Safety J Board of Building Regulations.a,nd Standards' Construction Supervisor License: CS-070077 'f JOSEPH C DUAR \ I5 FALL ST s bA ._ r WAREHAMMA%025' t 'i Expiration Commissioner 12/30/2014 fib Y 1 � �� Office of Consumer Affairs&Busldess Re ��� Pt�a fie;. arrvrridyurss gulatioo j (� ME IMPROVEMENT.CONTRACTOR;'` G egistration 132349 Type. rat on _1�tf/205 Partnership �t J&J Remodeling r �, Y }Joseph Duarte - 15 Fall Sty/ y a ? a Ware ham;'ma Q251, — x t . �Undersecretary � ... . _....... i... , yr- } 1 t ti i i y a F Q, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel t0 Application # 41013o Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board oK Historic - OKH _ Preservation / Hyannis Project Street Address Village �ya4mii s Owner r -f ����/ j¢LL�Gr/ Address .3d�9 60e✓� Telephone OR o Permit Request �� •D ��S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District i Flood Plain Groundwater Overlay r� 00 Project Valuation 1 ® Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s Uorting do umeentatiori. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) ' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King''s~Highway;" Yes: ❑ No Baser;rent Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.fit) 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 O Telephone Number Jr '�� 7-OIL Address t ELI[ 54-e_�+_ License# O `7O O 177 1/0 6 S'�/ Home Improvement Contractor# 3 3 r Worker's Compensation #W& 38Y8ep -0a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SO'tA Sk&r- dlspo3a� GtJt.�s SIGNATURE DATE 5-' 7 / 3 b FOR OFFICIAL USE ONLY 'r APPLICATION# 's DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE i� OWNER i ! DATE OF INSPECTION: !t FOUNDATION i. FRAME INSULATION FIREPLACE 'j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ;5 1 DATE CLOSED OUT i . ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 4 Name(Business/Oro nizAfion/Individual): `- Address: W City/State/Zip: (J -&aAhone Are you an employer?Check the appf wate bog: Type of project(required): 1.[A I am a em to er with o2 4. I am a general contractor and I P Y 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g; Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions right of exemption per MGL myself. [No workers comp. 12.❑Roof repairs / insurance required.]t c. 152, §1(4),and we have no 13.dOther employees.[No workers' comp.insurance required.] aA-v aolZS *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an.additional sheet showing the name of the sub-contractors and state whether or not those entities have ;!''employees. If the sub-contractors have employees,they must provide their, workers'comp:policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. l Insurance Company Name: ! -/ P - Policy#or Self-ins.Lic.#: C 6--.3/ - 3 21 7&D - 1-3 Expiration Date: ;2 Job Site Address: 399 CN 111,nelo J<_ - T City/State/Zip: rJlS 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si afore: Date: Phone# �7 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• I I 4/112013 8116:06 AM PST (Gill-1-8) FROM: 100005-TIO: 15087302066 Page: 2 of 2 t*THIS7CEMRTIF(CATE O CERTIFICATE OF LIABILITY INSURANCE DATE1lt2nu YYi IS ISSUED AS A MATTEROF INFORMATION.ONLY AND CONFERS NO.RIGHTS UPON THE CERTIFICATE HOLDER.THIS TE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES HIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED TATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. 11 SUBROGATION IS WANED,subject to policy, the terms and conditions of the p cy,certain policies may require an andorsement. A statement.on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER PAUL 6 SULLIVAN INS AGCY INC CONTACT NOMEN - 1467 S MAIN ST FALL RIVER,MA 02724 PHONE - 4AIL AlMass: INSURER S AFFORWNG COVERAGE . ... _NAIL IF INSURER A I' 1MJ'SEPH DUARTE&JOHN DALEY wsueERe: DBA J&J REMODELING eNsUm c 15 WILSON WAY - I+stIRJRo: - MIDDLEBOROUGH MA 02346 INSURER E sNSu 'R COVERAGES CERTIFICATE NUMBER: 15914016 REVISION NUMBER: 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID.CLAIMS. EXP L TYPE OF DURANCE INSRNUXT POLICY NUMBER MMJODIYYYY 0 Y YY1 LNITS GENERAL LIAaILnY _ EACH OCCURRENCE_ II COMMERCIN.OENifAI UABILTV- P S eE"iurcence S CLAMS MADE'�a'OGCUR MED DCP Anyone personl S. PERSONAL R ACV INJURY S GENERALACQREGATE { . GENL AGGREGATE MMITAPPLIESPER: PRODUCTS-COMPIOPAGG f POLICY F1 PRO• LOC S AUTOIWDBILE LIABLLrTY 1 We ex l S ANY AUTO BODILY INJURY(Per person} ALL OWNED SCHEDULED -AUTOS AUTOS BODILY INJURY(Per acddent) NON-OWNED arse'enl GE f 7 HIRED AUTOS 8 AUTOS a - UMBRELLA t.IAB - ..00CUR -EACH OCCURRENCE 4 - - EXCESS LAS .:�.Clgp;ISadADE AOOREGATE I. OEO RETENIONf f' $ q wpItXFAS'COMPEWATION -- ' . .. WC5-31S384800-013 2/2/2013 212/2014 WCYrpTU- ' AND H11Pl0YERS'UA81l.fTY ANY PROPRIETOMPAOTNER/EXECUTIVE YIN G.L.EACM ACCIDENT S 100000 - OFFICER/MEAIBEREXCLUDE07 - M NIA _ . (Narldffory in NN) EL DISEASE-EA EMPLOYEE S 100000 F It es deserbe under " D F60TION OF OPERATIO S below E.L.DISEASE.POLICY LIMIT S 500000 0 CRP OF O..PERAAONS' LOCA70N8 VENIC LS(AI,aahAC ....101.Additional Read..S..chedule, note space ..- .. .. ... ... ��a., space Woequlred) Walters-compensation insurance coverage applies orgy to the workers compensation laws of the state of MA. NO PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOL R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE " THD AT'HOME SERVICES,INC.AND, THE EXPIRA71ON DATE THEREOF, NOTICE VNLL BE DELIVEM IN THE HOME DEPOT ACCORDANCE WITH THE POLICY PROVItIONS. 2690 CUMBERLAND.PARKWAY SUITE 300 ATLANTA GA 30339 AUTHOMM REPResfSaTATIVE Jeff Eldridge 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORO ha ` " / � s1S � ° °�� t Lzf } osicertifieatea.IS"cereaacanc3fSan supesesp yse 0 May 11, 2013 Barnstable Building Dept. The following is a list of our approved sub-contractors for The Home Depot: Ericsson Torres — CSSL # 100546 HIC # 163528 Michael Viola — CSSL# 099403 HIC # 140993 Vincent Smith - CS # 106837 HIC # 165927 Timothy Thomas — CS # 51899 HIC # 152121 Ronaldo Solano — CSSL# 101027. HIC # 152206 Joseph Duarte - CS # 70077 HIC # 132349 Douglas Szynal — CSSL# 103950 HIC # 146142 Brian Laroche — CSSL # 100478 HIC # 152612 Joseph McKeon — CSSL# 98863 HIC # 132614 If you have any questions please contact Mike Bedard our permit coordinator at 508-962-6942 or myself at 617-438-9017. 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Q-X, AYE gi, pr, ..............� 4�v F N MA t.;', W,51 f�4 gg WE I "511 ,13R w-IN IN NO mu AM Tfmup, CAPE GLEN CONDOMINIUM TRUST 74 UAJI f C mc >4,1 i ��` PSG TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION T�f 1.11 r��: Application BARNSTABLE Map � Parcel o Health Division P s. , ; , -., o Date Issued 2-7 I'N; jt� Conservation Division Application Fee ��tt Planning Dept.. n Permit Fee u' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis r Project Street Address Village C0 Owner Address Telephone SdQ ' C40° Permit Request 2Q� Square feet: 1 st floor: existing . proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio - Construction Type Lot Size �U Grandfathered: ❑Yes _;� No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)_ C Age of Existing Structure RA , Historic House: ❑Yes Ya No On Old King's Highway: ❑Yes J6 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 - (BUIL ER OR HOMEOWNER) c� , ;-� NameA" awo_�� � L c��✓r �( }Telephone Number �bb- Va Address 1y bcEms [_c,\M_ License#�%- l�lca aq J M `- Q Home Improvement Contractor# CS " J� 1 r f Email Moo Worker's Compensation # V ALL CONSTRUCTION DEBRIS RESULTING FROM-THIS PROJECT WILL BE TAKEN T 6�rxs)mbb,, U SIGNATURE V� DATE !�/C LJ / f FOR OFFICIAL USE ONLY : APPLICATION # DATE ISSUED MAP/PARCEL NO. y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION is FRAME F INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. m -- Legend i , c Parcels 2.69652s,269E&53+" - I. #s344 7 z Town Boundary 1: Railroad Tracks #3811 a #358 afi � Buildings #35® ., 269 7-AFC-�d© �r 32 W- ,: ` 26915 Painted Lines Parking Lots _ #326 " 2691 ".- Paved #290 =Unpaved 269098. Driveways #365! -------- � M Paved Unpaved Roads IS Paved Road f N r-:- fl .�,.t Unpaved Road ti-•_. .' _� .am.< �t •a- w.. _ 0 Bridge ®Paved Median -..Streams 3 Marsh ,� __ --------— Water Bodies tz y4 691a8" _ 3 P . & " $ ...`� 'T—.... �,� �w r y. r.. y��°•trS Tom`- ;.t 269095CNI � h M I 269161 ' 269t53 - ``` #1U2 4 ff s � ; #84 >:� 269162 n +' �m #1 i14 2#1126 269169 y, �# t f iz'wx.� � -�� �...;� s �'` •''� � '�Na. I ti.� r' .yam � �'.. Map printed on: 10/25/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026o1 O 83 167 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: I inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us r Massachusetts Department:of.Public Safety Board of:Building Regplaons and Standards License: CS-045040 Construction Supervisor t THOMAS D PAEPAS } ,. 14BOSUNS LANE, 1 x + BOURNE MA;a25�2 .r � . Expiration: toissioner 08123120'113 Construction Supervisor Restricted to: Unrestricted:-(Buildings,af.and+.use group which contain less than 35,000 cubic feet (991 cubic meters) of .:enclosed space, Failure to possess a.current edition of the Massachusetts State Building irotie is:cause for revocation of this license. DPS.Licensing information visit:W.WW.MASS.:GOVIDPS 7 ® DATE(tAiAIDWYYYY) ACORO CERTIFICATE OF LIABILITY( INSURANCEF10 20 17 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. N SUBROGATION IS WAIVED,subject to the terns and conditions of the polic%certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen PRODUCER CONTACT Lynch & Conboy Insurance Agcy. PHONE Rnx 173 West Center St A IC.N. . 508 508-5885 . (508) 588-5836 SIS West Bridgewater, MA 02379 INSURERS)AFFORDING COVERAGE NAICI INSfRER A:Nautilus INSURED INsuRERB:AIH Mutual Ins WC R CAPE COD BUILDERS INC. INSURER C: 14 BOSUNS IN. INSURER D: BOURNE, MA 02532 INSUREtE: INSURER F• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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.LIIMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR — ADD - - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INISR WVID POLICY NUMBER M/WIY WDDIYYYY LIMITS A GE1ERALLIABatTY NNS24964 6/8/17 6/8/18 EACH OCCURRENCE Is 1,000,000 X COMMERCIAL GENERALLIABILITY DAMAGE TO RENTED $ 100,000 CtAtM 4'AADE j 1 OCCUR WED EXP(Any one Pam). PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 3,000,000 GEN'LAGGREGATELI ITAPPLJESPER PRODUCTS-oowiOPAGG $ 1000 000 POLICY PRO- LOC $ AUTOMOBILE LIABRJTY GONBINED a aunt $ ANY AUTO BODILY INJURY(Per peson) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS _AUTOS tPerPRO DAMAGE $ $ UNBRE1JAIJAB OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED RETENTION A WORKERSC NSATION VWC-100-6019150 7/14/17 7/14/18 WCSTaTU OTH- AND EMPLOYERS'LIABILITY ANY PROPRIEIORIPARTNERIEXECUTIVE Y/N E.L.EACH ACOTENT 100,000 CFRCERIMEMSEREXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-FA EMPLOYE 100,000 Iiyye�s describe under DrSaPTIONOFOPERATIONSbelow E.L.DISEASE-POLICY LIMIT s 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VENCLES(Attach ACORD iM,Additional Rernada Schedule,if rnors space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLJCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Glen Condominiums ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE PAUL CALVI ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: J AC40 V CERTIFICATE OF LIABILITY INSURANCE ` rod ' `—� 10 20 17 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 THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject 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 lieu of such endorsemen s. PRODUCER CONTAC Lynch & Conboy Insurance Agcy.. PHONE FAX 173 West Center StE-MAIL 508 50 -5885 A N . (508) 588-5836 ADDRESS: West Bridgewater, MA 02379 INSURERS)AFFORDING COVERAGE NAICO INSURER A:Nautilus INSURED INSURER B:AIM Mutual Ins WC R CAPE COD BUILDERS INC. INSURER C: 14 BOSUNS LN. INSURER D: BOURNE, MA 02532 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. IN SR AWL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MID/Y MMMDIYYYY UMITS A GENERALLIABILITY NNS24964 6/8/17 6/8/18 EACH OCCURRENCE $ 1,000,000 ]( COMMERCIAL GENERALLIABWTY DAMAGE A: $ 100,000 REMISE occurranrA CLAIMS-MADE MOCCUR MED EXP(Any one person) $ _ 5,000 PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ 3 000 000 GEN'LAGGREGATELIMITAPPLIESPER PRODUCrS-COMP/OPAGG $ 1,000,000, POLICY iEc LOC $ AUTOMOBILE LIABILITY a accident $ ANY AUTO BODILY INJURY(Per poison) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) $ NON-OWNED I PReOracEclKfYDAMAGE $ HIREDAUTOS _AUTOS $ UNBRFLLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED RETENTION A WORKEtSCOMPENSATION VWC-100-6019150 7/14/17 7/14/18 1 WCsiATU OTH- AHD EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE YIN E.L.EACH ACODENr 100,000 OFFICERMIEMBER EXCLUDED? NIA, (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If s,describe under D ESC RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (Attach ACORD 101,Additional Remarks SchedWe,if more space Is recid red) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE PAUL CALVI ®1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD Name and logo are registered marks of ACORD Phone: Fax: E-Mail: 1 � 1 I Town of Barnstable I Regulatory Services MASS Richard V.Sca%Director BIIl1dlII7g DIvisioII. Paul Roma,Banding Commissioner 200 Main Street,Hyannis,MA 02601 # www.towa.barastable.mams f Office: 508-862-403 8. Fax:: 508=794=6230 s Property Owner Must CQmpl.ete.and Sign This Section If Using A Builder q I; THOMAS C PAPPAS ,as Owner_of the subject property . . hereby authorize CAPE,COD BUILDERS INC to act on my behalf . in all matless relative to work authorized by this building permit application for: 329 WEST MAIN STREET BARNSTABLE MA 02601 ' a (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 p e d accepted. AS P.APP.A5 Signatumof Own Signature of Applicant : - i THOMAS PAPPAS Priest Name Print Name i i 10/19/2017 Date r QcFORMS OWNERPERM MSIONPOOLS P " r c F .77ee Corturtarrivealth of Massachusetts DepaHmerit of Irditsmal Accidents i Office of Investigations tl 600 Washington Street - Boston,.MA 02111 l 1VM1#.nrazLgov/rlaa . Workers Compensation Insurant:e.Affidavit: Builders/Coah-actors/ElectricianslFlumbers r Applicant Information Please Print Letb}y K Name(B�Organimflonft iaidml) CAPE COD BUILDERS INC /THOMAS C. PAPPAS Address: 14 BOSUNS LANE Ci /StatrjZi —BOURNE MA 02532 i tY P Phone#: 508-400-5578 Are you an-employer?Check the apprapMa a box:. Type of project r. 4 I am a ( equn*-. is El.I am a employer with general contractor and I y ( p )* have hired the sub-contractors 6: ❑New construction , to full and/or art4ime. . 2,❑ I am a sale proprietor or partner listed on the attached sheet.. 7. []Remodeling �. shipand have no 1 These sub-contractors have.employees $. El Demolition working for me in any t apaci employees and have wmiters' �' 9. Budding addition two workers'comp-insurance comp.insurance i ❑ g required-] 5: We are a corporation and its 10.0 Electrical repairs or additions officers have exercised r 3. I am a homeowner drying all work .. 1 L❑Plumbing repairs or additions, myself,[No workaw comp: right of exemption per MGL. K 1210 Roof repairs insurance requiteL]t c. 152,§1(4),and we have no employees- a workers' 13.❑Other mP yam-� camp.insurance required:] *Any apppcaut that chath box#1 amsYalw On"Ile sec6nn below showing their vm*ew coropensWcft policy h&nnatiom t Ifors""ers who submit this of Wnvft indicating they are doing all wwk and dm hire outside conusctoysumg submit a new off davit indicating such tCatgractors that check this box aatst attached an additleW sheet sbownrg the name of the sub-cantractm and stare whetter ornotibose entities bave employees.If the smb-contractom have:employeeg,th"must provide tbek walkers'comp.policy aumber: G I am an errs hd w that is pwWdWg worker compensation insupance for my snrpinyees. Below is flys policy sad job site x l irtfararrrliarr, f Insurance Company Name:.AIM MUTUAL INS Policy#or S&ins,Lic.#: VWC-100-6010150 Expiration Dater 07/14/2018 w F Job Site Address: 329 WEST MAIN STREET a City/State/Zip: BARNSTABLE,MA 02601 Attach a copy of the tiPorkers'compensation policy declaration page(shaving the policy number and expiration date).. Failure to secure coverage as required under Section 25A of MGL r- 152 can lead to the imposition of criminal>mp penalties of a ;I fine up to$1,500-00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine c of up to$250.00 a day against the.violator. Be advised first a copy of this statement may be forwarded to the Office of Investigations of the DIA for iiosurance coverage verification. a H at inormation ratzdedabova is true. nd correct; I do lreraby cert�ify/r/trt�d�sr:tits painsand psuafiies sfpatj ry ththe f p signature: �Y'yC /"• .A�. Date- 10/19/2017 { i Phone#: 508-400-5578 t l Official useOnly, Do rtat write in this omit,11a be eornrpdeted by city or tams official 1 City or Town: Permit/License# Issuing Authority(circle one.): 1.Board of Health 2.Building Department. 3.City/Tmm Clerk 4.Electrical Inspector S.Plumbing BLVector 6.Other i i Contact Person: Plane#• : 6 1 RE-ROOFING/RESID]NGWNDOWS (COMMERCIAL) If located in OKEI or Hyannis Historic District- Certificate of-Appropriateness required unless same color/same materials specified on application ❑ Map/parcel number �-pprovai�ign--offs-from -- -- — -- -- ❑ Tax Collector Treasurer �] #of squares of shingles or square footage of roof or sidewall to be shingled/sided �.] Spec in old s ' e or going over old roof. If going over ❑how many roof layers existing now. ❑what size are rafters? What is span? v t Owner's name&address Project valuation must be entered 4 01660 Builders Information Signature �+] Worltnian's Compensation Insurance Affidavit State form must be completed and a copy of Insurance Compliance Certificate must be submitted. A copy of the Construction Supervisor license is required. Effective March 1,2009 THIChDok expiration date,no restrictions Permit fee $160.00 � ] Property Owner must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complete the forms issued by the Aeronautics Commission Town of Barnstable Regulatory Services snxi STABLL AS& tense. Thomas F.Geisler,Director i639• 10� Fc �° Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using a Builder I, Mary Ellen Bell, as Trustee/Treasurer of Cape Glen Condominiums, hereby authorize Cape Cod Builders. Inc., to act on the associations behalf,in all matters relative to work authorized by this building permit application for: Cape Glen Condominiums -329 West Main St, Hyannis, MA 02601 (Address of Job) 10/23/2017 Signatur f Trust /Tr urer Date MARY ELLEN BAGWELL, TRUSTEE Print Name Q:FORM&OWNERPERMISSION TOWN OFF FAR TA.911LE RI S E Division of Thielsch Engineering,Inc. 7 12 A l 23 PHI Ems' � 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 Tuesday, March 27, 2012 Town of Barnstable Thomas Perry, CBO 200 Main Street n Hyannis, MA 02601 RE: 329 West Main Street, Unit#2; Hyannis, MA 02601 Barnstable Building Permit#: B20120534 Dear Mr. Perry, This affidavit is to certify that all work completed at 329 West Main Street; Hyannis, MA, has been inspected by a certified Building Performance Institute (BPI) inspector. The following insulation or energy saving measures were completed: ➢ Perform 8 man-hours of air sealing to include all appropriate blower door tests, combustion safety tests and procedures. ➢ Seal heating and/or cooling ducts within designated unheated areas. ➢ Install a 9" layer of R-31 Class 1 Cellulose added to 576 square feet of open attic space. ➢ Insulate and seal 1 attic hatch by installing 2" rigid foam board that meets the sections R- 316.5.4 and 316.6 requirements of building code. All work performed meets or exceeds Federal and State Requirements. Sincerely, Erik J. Nerstheimer RISE Engineering Residential Installations Department RISE Engineering; A Division of Thielsch Engineering 401-784-3700 •800-422-5365 •Fax 401-784-3710 i } , L ENGLIMERING Completion Frrowr?p A,division of Thielsch Engineering Certificate pi < aisx 1341 Elmwood Avenue,Cranston,RI 02910 PROGRAM it 1 S E (401)7843700 VAX(401)784-3710 CLC-RCS CASE 130048 Page 1 6eLCW44�ItrC CONTRACTOR 0998 RISE Insulation CONTRACT DATE START DATE ADDRESS 3/1n012 3119/20I2 AUDITOR CLIENT NAME Ziatozara Fitzgerald Patrick Golarz ADDRESS 329 West Main Street 2 Hyannis,MA 02601 CASE 130049 HOME (50"!5 3921 WORK 0 X- PROJECT NO CELL FAX RL9-81,1a-0035.A19 PRETEST PASSED s Perform 8 man-hours of air sealing to include all appropriate blower door tests,combustion safety tests and procedures. Energy Specialist's NOTES: W/S ATTIC HATCH,BULKHEAD DOOR 5 HRS ATTIC FIAT Seal heating and/or cooling ducts within designated unheated areas. Start at the largest ducts near the air handier. �'D JC t Highest priorities are disconnected ducts and large holes. Seal carefully all wall and floor vities in use as returns. �''� !�`•� Apply mastic to all take-offs and duct size transitions. Seal all boots to ceilings and floors.. Man Hours. s Install a Sr'layer of R31 Class 1 Cellulose added to 576 square feet of open attic space. Insulate and seal 1 attic hat.h by installing 2"rigid foam board that meets the sections R-316.5.4 and 316.6 o requirements of building code. Install venGiation chutes in(14)rafter bays to maintain air flow. 2 101 K� r4i L 'b Ve -t-0 Sl,a p �. _MAR_ i . .KJA n . .PEAR 2 2 20 Ine MAR 2 2 2012 rryy PEAR 22 2012 'I D: I Confirm that the measures listed above bave been completed to my satisfaction.I have received a copy of the.Cet iftate of Cagph ion and hereby authorize the release of any final payments to the Contractor.I understand that this Authorization'of Co" or oes not in any mariner void any warranties provided to me by the Contractor. gecto Signature Custoracr Signature lop/�/Z_ DATE DATE 3/712012 1115 21 nvi 03/20/2012 TUE 06 :55 [TX/RX NO 6508] 002 TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY UNIT 6 PARCEL ID 269 096 OOF GEOBASE ID 17469 ADDRESS 329 WEST MAIN STREET PHONE HYANNIS ZIP LOT UNIT 6 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 89421 DESCRIPTION CERTIFICATE OF OCCUPANCY UNIT 6 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES_ $25.00 BOND $.00 p�U CONSTRUCTION COSTS $.00 758 CERTIFICATE OF OCCUPANCY 1 PRIVATE Ntnss. 039. A� Fp�l BUMRING ION BY _ DATE ISSUED 01/03/20,06 EXPIRATION DATE OWN OF EARNST.ABLE �w *. ,,N m.,. RENOVATE EXISTING CONDO [.yN T—4,6 T WATER D�!AGED) . �PARCE�fD 269 096 OOF CEOEASE ID 17469 I, , ADDkESS . ' 329 WEST- MAIN STREET t PHONE HYANNIS ZIP LOT'-- .: UNIT- 6 -BLOCK y .0T SIZE . DEA _.._.,-.�._ 1____ _.._._._ DEVELOPMENT DISTRICT HY r PERMIT 86443 DESCRIPTION SEATER DAMAGED CONDO UNIT#6 PERMIT TYPE BR,EMODC TITLE COMMERCIAL ALT/GONV , CONTRACTORS", RICHARD J PYBUS Departri ent Of 'x ARCHITECTS m C> 1.2i ti Regulatory Services TOTAL, FEES. ,y» $346.7O O POND $,00 L p1fr CONSTRUCTION COSTS 437 NONRES./NONHSKP ADD/CONY 1 PRIVATE l'*.,0"'' * BARN3TABLE, * :I Mass. i639.It ED z.: 17!/ BUILDING DIVISION �M A .� BY .. DATE ISSUED 08/26/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,`ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH_ AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPR.O_VED PLANS MUST BE RETAINED ON JOB ANDS WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS- RD KEPT POSTED UNTIL FINAL INSPECTION,/ PERMITS ARE REQUIRED FOR :2. PRIOR TO COVERING STRUCTURAL MEMBERS `HAS BEEN MADE.WHERE A CERTIFICATE'OF-OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. - e � e F a� BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 2 @k� A e?, 2 2 j � °� >2 3e G 2 3 � � ©K- 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: — SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. - - 1 Home 508.896.3688 Cell 508.237.1693 Rk�-k Pybus CUSTOM BUILDER - GENERAL CONTRACTOR PROFESSIONAL HOME IMPROVEMENT 90 Consodlne Road,Beelster,'MA 02031 - CSL#085153 HIC#133114 0 New Homes 0 Additions 0 Renovations 0 Cabinetry 0 peek ;' lr 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map P rcel 02600F Permit# Huth Division D WA Date Issued _ Conservation Division Fee V Tax Collector 'AN YX Treasurer __.,_�.. ..mb'V'Sf Mc-ked in By Planning Dept. CONNECTED SEWER ACCOUNT Date Definitive Plan Approved by Planning Board Ap#roved By Historic-OKH Preservation/Hyannis Project Street Address 32,.J 14,,+ny 5zf 17"*(.1 �klq,ua>l� YA- 0 Z C G i Village Owner 120»e ��i�22r E� C�Mc� Address 9, J&::Q Cie=, . Cke7om,HA 02-00' Telephone 16 J Y 13 — !�2:3 6.1 Permit Request Not//�ir �X��idd C'6ti)n 16ow T w 1,F1 etl �'e¢rF�7L�D iti�T�'L Square feet: 1st floor: existing . !o proposed 2nd floor: existing '5/O proposed Total new Valuation 400 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 1` Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure r?73 Historic House: ❑Yes 2(No On Old King's Highway: ❑Yes XNo Basement Type: )4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) D Number of Baths: Full: existing new Half: existing , new Number of Bedrooms: existing new Total Room Count(not including baths): existing 14 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 Useglai De;u�iAY, Proposed Use BUILDER INFORMATION Name�`! f was Telephone Number 56t$91b 34 2rk Address 16 r�liN 7J��t/�' License# CS 0 6:5'15 3 �/1dt/,9l'e12; //w Home Improvement Contractor# 1 3 1 Worker's Compensation#ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I JAN j ELs ae'Yei/A,6, toil NS SIGNATURE DATE 1 FOR OFFICIAL USE ONkY `r 1 PERMIT NO. t DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE f � r 1 OWNER DATE OF INSPECTION: ' FOUNDATION " 's FRAME INSULATIONjS FIREPLACE ELECTRICAL: ROUGH FINAL 0 ev PLUMBING: ROUGH FINAL ;r GAS: ROUGH FINAL d FINAL BUILDING POP I tr DATE CLOSED OUT ASSOCIATION PLAN NO. ',; �'Tlze Panz7nmuue«`!� a�✓lil«aocirlii�aettaY Board of Building Regulations and Standards License or registration valid for in di use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: l '-. Board of!.wilding Regulations and Standards Registrat oW 1.331 One Ashburtan Pl e R 301. Expiration: $/10!2007 Boston,Ma.02 8 e' 'DBA Typ - - RICK PY US PROF,F,FESIONAL H, 90 CONSODINE RD. ., BREWSTER,MA 02631 h Admini Not lid u signatu e strator / , IE �z`� "x: ✓fie 'iJaaz-na4�ureetizurl, o i4(,a�:uu'tlrslF.Q` f,. - BOARD OF BUILD I REGULATION`S o' 41, License: CONSTRUCTION SUPERVISOR ;. k f , Number:FCS 085153 N .$ -:Expires 05/03/200 Tr.no: 85153 i t3 Restricted 04 RIC RD J PYBUS 90 C SODINE RP , BREWS Administrator 750CMRApPM&! TableJ&Mb(eaatinned) prescriptive packages tor One:ad Twamfl Fay Residential Buildings Hated w1t6 Fosse Fn ch MAXfMUM Wall Floor Basement Slab HeatinglCooling Glazing Glazing Ceiling ��� Equipment EfSciency, Area'(%) U-values R-veld Revalue' R value° R vaiues� R vsitte� package +5701 to 6500 Hating Degree Dsys° 6 Normal Q• 12°/a 0.40 38 13 19 l0 Nom al 19 19 10 6 R 12/8 0.52 30 13 19 10 6 8SAME S 12% 0.30 38 N/A N°mm - ---T- ._•_-38 13 25 N/A 6 --Normal_ -- ----- EL �...,. U. -.'15% 0.46 38 19 19 10 BS AFt1E NIA 0.44 38 13 25 N/A 6 83 AFUL W 15`!e 0.52. 30 19 l9 10 Normal. 13 25 NIA NIA X 13% 0.32 38 NIA Normal Y 19% 0.42 38 19 25 NIA 90 AFUE 13 19 10 6 Z l8•/. 0.42 38 6 90 AF AA 18•/. 0.50 !30 19 19 10 1,-ADDRESS OF PROPERTY; 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. 3. SQUARE FOOTAGE OF ALL GLAZING: 4, %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): I,uIQGL `fa /�57/17. IA-) 1=c.00i?/ 12(3 oo C',�(L r" i�sli�fl C igv �kGSTiNG A-42z) �o 3�' ��� t'�s /.5, NOTE: OTHER MORE INVOLVEDASK US OR THIS INFORMATION' ENERGY REQUIREMENTS ARE AVAILABLE. A BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303 a 780 CMR Appendix J Footnotes to Table J5.2.1b: lass doors, skylights, and a Glazing area is the ratio of-the area of the glazing assemblies (including sliding-g basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fF of decorative glass may be excluded from a building design with 300&of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3.a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full _ insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 ..._._ _ insulation and R 3�8 insulation aiay be substituted'for-R-49nsulation. Ceiling R values=tepresent•the-sum.-of cavity--•;--- _ insulation plus insulating sheathing(if used).For ventilated ceilings, insulating sheathing must.be_placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R 6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must mcer the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned. basements must be included with the other glazing. Basement doors must meet,the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes elgttric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest .efficiency must meet-or exceed the efficiency required by the selected package. For Heating Degree Day requirements of-the closest city or town see-Table J51'la NOTES: a) Glazing areas and•U-values are maximum acceptable levels. Insulation R values are minimum acceptable-levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component.Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r • RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.0 Change of Contractor/Builder $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= 4 3; voo x.0041= '15 f plus from below(if applicable) . GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 °FINE Town of Barnstable Regulatory Services a►iuvsTns�: • Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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:1Q0114rZj2& 0,0' G'7U5iiyG CWhQ UD17' Estimated Cost "g:z con Address of Work:30 ui, "d2 �� 1/it' r Owner's Name: 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 ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the ag t ;owner: zoo (kW lY,da5 133/ at Contractor Name Regis ation No. OR Date Owner's Name Q:forms1omeaffidav i o� 'ET Town of Barnstable Regulatory Services BA" ST`mLE' ` Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property hereby authorize /�c�/f/�/Z� G�c� to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 Z q to, kAf'J S,, V/i I s I/"I/T 042(T 6 (Address of Job)Signature of Owner 16te Print Name Q:FORM&OWNERPERMIS SION s cr . Current Condo unit suffered water damage due to a burst pipe in the second floor bathroom. Condition: All affected sheetrock, insulation, carpeting and furniture was removed, and a thorough mold abatement process undertaken. There was no structural damage. S.O.W. 1. Repair existing minor damage to doors and interior partitions. 2. Re-insulate floor with R19, affected wall areas with R13 insulation. 3. Repair sheetrock as necessary. 4. Bring smoke alarms up to current code (hard-wired, interconnected). 5. Tile bathroom floors, hardwood or carpeting in other spaces. - 6. Install new kitchen cabinets, appliances, and bathrooms. As all rough plumbing is in place, plumber will pull permit to do final connections of new tub, toilets, dishwasher, sink, etc. Electrician to install smokes, new vent fans in bathroom, replace kitchen and bath outlets with code-compliant GFCI outlets. 7. One section of non-bearing partition wall to be removed between kitchen and living room area. Beam supporting second floor girt will remain or be replaced with a 6x6 post, finished to complement the interior wall surfaces. Rick P bus•General Contractor dta Pro esaional Home Im ovemenf Job Name Cohen Date8118105 Figure Title Statement of Work- Unit #6, 329 W. Main St., Hyannis prole ot Descri tton Condo R¢habflftutiofJ Existing Slider 11' +/- _ Carpet .Tie ...,i...:......i.. - . ......:... - i i This partition to be removed, CIO bearing post to O ..,�...= '..............�... ., re main Carpet To Basement 30' CIO CIO �'�— Carpet ej 13' +/- 13' Carpet 13' UP Tile'- S OFront Entry F_sr Second Floor r"' y First (Ground.) Floor Rice -Graeral Contaaetor db.Prof ssiond Home Improvement Job Name Cohen Date 7126105 Figure j Title Floor plans- Unit #6, 329 W. Main St., Hyannis Prot D. t;on Condo Rehakkation . i H/W Mr. Girt with columns Furnace 30' 13' +/- Down { O 17'6" +/- ►� Existing Basement Rick P bue-General Contractor A.Proeaeional Home Im rovement hh Name Cohen Date 7126105 Figure 2 Title Basement floor Plan - Unit #6, 329 W. Main St., Hyannis pro-t Desari Lion Condo Rehabilitation TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map � © Permit# —. Pa 1 �® c_ Health Division L Date Issued Conservation Division �, J�®.� ��� Fee Tax Collector � Application Fee Treasurer Planning Dept. ccr Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address ?..q w, mAIN ST # 3 Village rrYA^)f Owner WL4,rL C, Address 329r �/: /iN fTr _�t3 HYmm4f Telephone -O E 7 71' T12 3 Permit Request p(1V1.IH R,4f6^b_T ® AJ 10 c� Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation 2-?. 06b Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. A Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Exisft Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes ❑No cc 1n Basement Type: Full Crawl ❑Walkout ❑Other Ba�sementi ishedrArea(s tW o 3 Basement Unfinished Area(sq.ft) d LO Number Qflaths:i Full: Ming new Half:existing new Number a Bedr ms: e)-iWng new. Total Room Coo(not inc uding baths): existing new First Floor Room Count i r 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:Cl existing ❑new size Attached garage:O 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 F l�l/1f�60 r7L'E rp,¢cr BUILDER INFORMATION Name __ a �✓r ��/LyrN6 Telephone Number Address 1160 T-tayP1kr fT License# a g93O7 C Z/v , /Y6 0202-1 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 96a 7_tQeVA11`1F_ l' 6 4&?7J,V Im 0,7 021 SIGNATURE DATE s1,rIas FOR OFFICIAL USE ONLY } PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE-OF INSPECTION: FOUNDATION [� FRAME PVZ�`'1 ® !C �o - _a`•S- r INSULATION h' . FIREPLACE �Z ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL. FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. D�.INE ram, Town of Barnstable Regulatory Services sMWABIS, Thomas F.Geiler,Director Mass Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-962-4038 Permit no. Date AFFIDAVIT HOME LMyROVEMENT 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: F(Iv/J N /?,4 f6^6V7- Estimated Cost �4 V 66' �6 Address of Work: 327 W. /4rlN. fT, 3 NYl+ni��I Owner's Name: Date of Application: — I hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE H OR GUST FUND UNDERMG WORK DO NOT L cE.142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Q:famis:homeaffidav r -_ The Commonwealth of Massachusetts -_ _ Department of Industrial Accidents Office of Investigations 600 Washington Street, 7t"Floor Boston,Mass 02111 �3 Workers'Compensation Insurance Affidavit Building/Plumbtng/Electrical Contractors N z's�, Apl�cant_�nformattony+ fi; lit , �a �?�.:� � le:ttbl$� 'X�'� name: �7/c C#4" address: 72q CA.,, 1rr'r /v 'r7 city J4`1A1ViV1 f state: /"' 6261J1 •��'- I— 1�`� zin' phone# work site location(full address): 3 2 q W, MA#V 11y14A1N1 f ❑ I am a homeowner performing all work myself Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition �. g. ❑ I am an employer providing workers compensation for my employees working on this job. company name: address: city: phone#• insurance co. Doliev# the following workers' p r <.. :4.x!eb $k. I am a sole proprietor, en�. tion l contractor,o homeowner(circle one) and have hired the contractors listed below who have g rs' comp polirp ` company name: q6. V C-cl �4✓6 / address: �7 6d rq)eAlPII(LC` 17) city: ( A1V7?1ly /W 02CIZV phone#. ��— 2.2 00619 insurance co. /h47-0) L 'olic # <c S, b company name: -p V address: city: phone#• insurance co olio # ?Nqtach,add0t oval s eetf necessary , °f Isti ': � r yr t s s.. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and p nalties of perjury that the information provided above is true and correct. 1441 Signature Date Print name Y—F Ltf Phone# 7 R/ �z�-aa 60 official u:eonly do not write in this area to be completed by city or town official city or t permittlicense# ❑Building Department ❑Licensing Board ❑checmediate response is required ❑Selectmen's Office ❑Health Department contact n: phone#; ❑Other (rcviscd Se ) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall.:withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. .�."'.Kr��'m.`"4�'.��''i�.,�,�,'rE'.hY;;—r*?C�',a_ ?E'-; !'.�a.Ltas(tfb:�`S.✓`.�5�`�_.�v,.�£�:��a�,•s'�1..fe�'$1i�,k.xP.'u k.f`3�.3.y'�^�'an'i4di1`d`^F��::<v�.r�. `C li'9 rE.}..c ..U s��.. +e s., Fi±Se4 .., 4t ;§, lj*`:{�'i`:fi5- Applicants Please full in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. y h air-t �' .r xsr'sue'3X' i Z-•s, '� + v V+° 3 ,1 k Yrt&�k t5 fit . .S r �i°s.'.?t�4` .: a>�' '.,"fa �3 r6 •C 4taSr4s'� s�:^^..u. .+. ,i apae vria, r ,yamCity or 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 permit/license number which will be used as a reference number. The affidavits may be returned to the Department by'mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. d✓{.� 4 d...w •J�"x*.�3✓.i"'/.•fiFz+iLhs -iMcL'f.!?... &.. �:�.�15 3 Ra'. . The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71h Floor Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406 I on of Barnstable Regulatory Services 3 .. ....;Tpomas1:Geller,-Director ; as�ss• ��� ,���•� "BuHdin9 Division -TomPerry; Building Commissioner ' . .- 200 Main Street, � anyius,MA 02601 RrwwA wn barnstable;ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder �A6"ARC ,as Owner of the subject property f 'hereby authorize:' 0W—n/t G�/��1/IN�. � Aviv}% .y_toactonm7be6lf, '. in all natters relative to work authorized by this binding permit application for: (Address of Job) 21= /nature of Owner to ; Print Name Val rrrrrrrr�rrr.�r _ � , , ;rrrr, ■ rr ■r rr ��� rrrr �� ��� rr� � SIN ' lrr rrrr ; rr�rrrrr� �r �rrrrrrr ■r rrS rr�rrrrr��rrrrr■ , r�rrrr ■r_ rrr rrrrrrorrrrr r rrrrrr r�+rrn�rrr��c��,�r.._; ;rrrrrrr rerr� rrr rrr ,/.,rrrr �r��rrrr rrr � 1 w r rrrr ■r _ ` Ww��rl�rrrr rrrrrr�r� r rrr��r r�rrrr�r�rrrrr rrrrr�rrI rr lion err � � rr �rrr rr. �b t►���r1r�r�, r r r.��� � r rrr���r � �rr�r�r��►,�rr�rr � rrrrrr � r�rr�r� ' } ar�s�rr�rrrr rrrrrrr� i jrerrr� � �rr �r��rr r rrr rrrl rrr �l ! . ` Al, i' ' ir�r �lrr ■ rr rrrr r � rrrr■ rrrr ■I rr�� �.i,� , � � rl�4r�r�r rrrrrrrrrr� rrrr�l3r�i�� •�;, tl�1 L rrl�ll ��rr rrr rrr11 ANNrr crrrrrr� x ,� rrtr�r� rrrr rrrrr�rNJ rrr rrrrE �i�l a Irrr rrr pro rr�rirrrr �C rr rrrrrr�rlrr�l� �rrr�� .rlirll�l rr rrrrrrrr .fi rrrr; rrrr --, r�rr�r��prr rrr r ■rrr rc� Ilrlr�ii�r. rrrr rrr�� � � �rrr� i ,. r �• rr rrrrry � , � � � l � rrr rr rrrrrlr. � � ��� z,r } . . r i,im �© E� r �irrr� I"' IV it VON r` rrrrrr�r�rrrrr�!rr�rrrrr rrrr rrrr�rrrrrrr rrrrrr rrrrrrr rrrrr rrrr�rrrrrr�.� . rrrr. rr rrr rrrr. rr rr rrrri:: � � ONE , rr �rrr�r .. _. ✓lie i�omvrrwiwrea�i a�./�aaaac/ucaelta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 089307 dimExpires 09/30/2007 Tr.no: 89307 Restricted 00,r DANIEL F YELLE• 481 CORONATION:DRIVE` G 4 FRANKLIN, MA 02038 Commissioner Board of Building Regulat ons and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 137943 Type: Supplement Card Expiration: 1/29/2007 OWENS CORNING BASEMENT FINISHING DANIEL YELLE 960 TURNPIKE ST. CANTON, MA 02021 Update Address and return card.Mark reason for chang Address [:] Renewal ❑ Employment Lost Card DPS-CAI is SOM-04/04-G101216 Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 137943 Board of Building Regulations and Standards Expiration: 1/29/2007 One Ashburton Place Rm 1301 Type: Supplement Card Boston,Ma.02108 OWENS CORNING BASEMENT FI 960 TURNPIKE ST. l�-��o � c CANTON,MA 02021 Administrator Not valid without sigrwture rot pZ)y 4/ZD Andrew G Gordon Inc U 001 4R WCI:P Li.be 'OFFICE 3S4 kmutu j_ W rkers Compensation and ti i ION PAGE MAR -- A_I-16BY Jmployers Liability Policy SUB ACCT NO. Liberty Mutual Insurance Group/Boston 0000 LM INSURANCE CORPORATION Z7243 O. TD/CD SALES OFFICE CODE SALES CODE N/R 1ST WC5t�45 3405Q414 XX X WESTON 102 REPRESENTATIVE 3000 2 YEAR ASSIGNED 2003 j Item 1. Name of BAY STATE BASEMENTS LLC Insured DBA OWENS CORNING FINISHED BASEMENT SYST FEIN 14-1885527 Address 960 TURNP=STREET RISK ID 000182837 CANTON, MA 02021 Status 46 LIMITED LIABILITY CO. Other workplaces not shown above: SEE I'I'EM 4 Mo.Dal Year Mo.Day Year --— Ite:m 2. Policy Period: From 05-24-04 to OS-24-05 12:01 AM standard time at the address of the insured as stated hercim •ge workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the a5Wcs listed here: MA / B. Employers Liability Insuranec: Part Two of the policy applies to work in each state listed in item 3A The limits of our Iiability under Part Two are: Bodily Injury by-Accident 500;400 each accident Bodily Injury by Discasc 500,000 policy limit Bodily Injury by Disease 500,000 each employee ` _t C. Other Status Insurance: Part Three of the policy applies to the statcsjf any,listed here: SEE END WC 20 03'06A D. This policy includes these endorsements and schcdnles: SEE EXTENSION OF INFORMATION P4C:F Item 4. Premium- The premium for this policy will be determined by our Manuals of Rules Classifications Rates and R.l•in,_ P a) %II information r uired below is subject to verification and chap e b Caudi, Prems LINE 110Fst00 EstimatedCodc Total - _ :;assifications a,auet .,ION OF INFORMATION PAGENo �Cl on Premiums Pri mium $ 500 ( MA ) Total Estimated Annual Premium $ 95S Interim adjustment of premium shall be made. ANNUAL This policy, including all endorsements issued therewith, is hereby countersigned by SEE ATTACKED FORM I710 Aathu bed R MrCn(00y'! Dme 04-24-04 Loc-Cede Term- Uper. -- Audi(6351t Periodic Peryment Rxtinb Basis Po(.HC1. Ho(cK Stu(e Dividend - REI�EW.a L OF: 04-24-04 N R MA WCS-3IS-344359-t11 H COPYd9ht 1987 Na(iona(Council on Compensation Insurance wC W W Ul A BROKER Copy `� F TO ALL NEW BUSINESS OWNERS DATE: :z Fill in please: APPLICANT'S YOUR NAME: S Qo Tl-e� BUSINESS YOUR HOME ADDRESS: 3-Z -wA .. H HA 02 0 TELEPHONE Telephone Number Home -C-00 O .NAME OF IVE1N BUSINESS -- C� TYRE Ol= BUSl1�ESS' Nice lt �cl7' s ;, 1S:THIS A HCfIIME OCCUPATNOI�I YES NO Hare. au►been g�veri apprQ.VA 1 froth fhe bu�rding d�v oan? YES NCj ADD ESS Ol= BU; NESS... . _ � {�vt !r IVIA 'I ARCI:L.NUMBER . .. . When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (co r of Yarmouth d. & Main Street) and you will find the following offices: 1. BUILDING M S NE ' This individua a b n formed rmi requirements that pertain to this type of business. t ized ignat e" COMMENTS: 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: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. r� Town of Barnstable Regulatory Services pF THE Tp� do Thomas F.Geiler,Director • a Building Division i SARNKABM MASS. $ Tom Perry,Building Commissioner iOrED MA'S° 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name:_ S_U_(Uv(C. oayl-ACl Phone0: J0?) 17.�F17 - 03 Address: s� q 0 , h4o f4 54 3 Village: (Sr-l- -Z4 i I Name of Business: SU(J ol( S C t d-e Type of Business: �U -P 4 Cc- k=e- Map/Lot: D�' (a / O O O W 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 materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. "' • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included: • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant:_] / Date: 4 Homeoc.doc Rev.5/30/03 ONicholas Clements 329 W. Main St. Apt. 28 Hyannis, MA 02601-3663 . PERSONAL AND CONFIDENTIAL TO. . . . . . .GLORIA TOWN OF BARNSTABLE BUILDING COMMISSION HYANNIS, MA 02601 F DELIVERED BY HAND �� � I I Q 0 i __ `� _.�---��s�- � ..��, � �,:' June 19, 2000 Gloria Town of Baranstable Building Commision 367 Main Stree Hyannis, MA 02601 508-862-4038 Dear Gloria: As agreed, this will. confirm that any yellow pages ---advert ks ng-showing--Cape--G1en: Condominiums addre-s=s—as s - - - a business, will be discontinued with the next issue of the directory, which is issued about July 2000 . cerely, Nicholas ements 329 West Main Street #28 Hyanis, MA 02601 508-771 -01 50 0 Nicholas Clements l P.O. Box 2277 Hyannis, MA 02601-7277 - J IMEDIiVERED BY HAND 6/2 0/0 0 r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Parcel D 94 --0OA A Permit# 9 vision, Date Issued Conservation Division Fee Tax Collector �� Treasurer Planning Dept. . MAY 7 boo' Date Definitive Plan Approved by Planning Board _____ ...._�. --------- Historic-OKH Preservation/Hyannis -Project Street Address , WC� /��-rih •S�1'� .�7 Village rl CL !') /V L i J c, Ve I c 00, Owner 6,)1 ✓ Address 3� `✓,'/ h 5�� .�✓7 �(y�hbiS�j�'1/( Telephone I I l 7 7 7 — ?J2,3 o-`z- 1(( '7) 73 41-• oP Aazddyolis lh,Permit Request To /hS7�� i27' to h7 avial �c���h,�'i � Square feet: 1 st floor: existing A'.S proposed 2nd floor: existing:� proposed Total new Valuation Zoning Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)3 Age of Existing Structure[y Historic House: ❑Yes XNo On Old King's Highway: ❑Yes *o Basement Type: )�Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: • Full: existing 1 new Half:existing ` new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing newer First Floor Room Count Heat Type and Fuel: )(Gas ❑Oil ❑ Electric ❑Other Central Air: kes ❑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❑ Cbmmercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name c4� 1� Telephone Number Address License# Home Improvement Contractor# Worker's.Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE '. DATE 5 FOR OFFICIAL USE ONLY PERMIT NO. � ?/ `✓ `, � DATE IS$UED MAP/PARCEL ADDRESS II22 - -:r �`�r _-•� VILLAGE- x'g' '_ SS>>,, - _• A fir.., ` -., •^ IeA k: ' �•..erl . ' • k OWNER.P,- , , ►, .. - r DATE OF INSPECTION FOUNDATIONx.- FRAME . r INSULATION FIREPLACE u ELECTRICAL: ROUGH FINAL _ PLUMBING: ROUGH FINAL - i j + GAS: ROUGH FINAL " FINAL BUILDING DATE CLOSED•OUT ✓''f fi" . ' '' ASSOCIATION,PLAN NO. r' 1 June 20, 2000 MEMORANDUM TO: (PERSONAL AND CONFIDENTIAL) Gloria Building Commission Town of Barnstable 508-862-4038 FROM: Nicholas Clements 329 West Main Street #28 Hyannis, MA 02601 508-771-0150 RE: Gail Schauer, Same Address This confidential memorandum may supplement information you already have. 1 . I am 74 years old, retired on Social Security with some financial assistance from family members. 2. I was formerly a sales representative operating as an independent agent for several manufacturers. My teritory was most of New England with the majority of my customers in southern Massachusetts. When my age prevented me from continuing my traveling work, I decided to re-locate to Cape Cod, where I had several personal and business friends. 3. When I purchased a condominium unit at Cape Glen, the agent was Thomas Dewire Associates, who ran a full fledged real estate agency in unit 30. It was strictly a business, not used as a residence. 4. For most of the 16 years I have resided at Cape Glen, I have been a Trustee of our association. For many of those years, including the present, I have been responsible for property management and financial accounting and investments. Our Trustees have continually re-elected me to handle most Cape Glen matters and they pay me a small fee for doing so. 5. I have,-less--than 10 visitors a month to my unit, and most of these are personal friends or condominium-related contractors, potential owners and tenants, etc. Many are salespersons who are trying to sell something. 6. Gail Schauer purchased a unit only about a year ago, and has caused Trustees nothing but trouble ever since she arrived. Within a few months she claimed she fell on our property and asked that Cape Glen pay her medical expenses. It was my job to deny her request and I asked her to submit bills and I would give them to our insurance company, who also denied her claim. She has made numerous petty complaints. She refuses to accept our official policy that clearly states, "It is not and never was, the intent of the Board of Trustees or Resident Manager to harass unit owners or tenants because of minor infractions, unintended violations, apparent isolated infringements, or any violation that does not cause a nuisance, detract from the appearance (PAGE 1 OF 2) of common property, create inconvenience or otherwise interfer with the health and welfare of unit owners or tenants." As manager, I have had to deny most of her petty complaints and that is the reason for her personal vendetta against me. Our Trustees have refused to honor her complaints against me. She has enlisted one or two other owners in.her actions against me, all of which have been dismissed by our Board of Trustees. These owners joined her only because I have had to take remedial action against them for parking, pets, drugs and other violations. 7. I believe that most employees and business owners occasionally have business-related visitors to their homes. Many use the phone at their residence for business-related matters. I doubt if the Building Commission will consider such things as operating a home business. 8.. My attorney, Paul Wightman, Barnstable, has had per health problems for severzal months. He has. been confined due to back surgery and his daughter is in a Boston hospital for surgery. I understand he will return to his practice shortly and I will ask him to consider charges against Gail Schauer for harassment, malice, defamation, slander and/or libel. 9. I am eanclosing some memos and other data about this matter for your file. Thank you for your patience and consideration. Sincerely, Nicholas Clements cc: Paul Wightman ADDENDUM: In reality, if there is any business being conducted in my residence at Cape Glen, it is my duties as an independent contractor hired by Cape Glen to manage their property and all financial matters, for which they pay me a fee. y Nicholas Clements Ma 29 2000 329 W. Main St, Apt. 28 y r Hyannis, MA 02601-3663 FROM: NICHOLAS CLEMENTS TO: PAUL WIGHTMAN, ATTORNEY FAXED TO 362-7912 PAGE 1 :Of 7 PAGES RE: CLEMENTS V. SCAHUER This is a follow-up to the telephone message I left on your answering machine earlier today. In yourletter dated. . ; _October 27, 1999, addressed to Robert Cohen, President of the Board of Trustees of our condominium association, you stated in the next to last para- graph of your letter, " I intend to meet with the Building Commissioner next week to discuss this matter with him and I a am confident that when the facts;: are presented to him, the only thing the Town will require is that Mr. Clements register the business with the Town. 1° This is in keeping with what you told me when we first { met at your office on Octobtr 25, 1999. Since that timer-, Gail Schauer has not made any friends around our condominium nor, from what I hear, with the staff of the Building Commissioner. My immediate problem is what the Building department expects me to do, if anything, with regard to my listings in the telephone yellow pages. Shall I continue tham as is, or modify the address so it cannot be identified with this . condominium addresss? Also, town regulations I receved from the Town Clerk's ofice, pertaining to business operations from a residence, seems to make a distinction between single occupancy dwellings and multi-unit or tenant dwelling. Does the Town consider condominiums as multi-family dwellings? (Utilities consider condominiums equal to private single occupancy homes, and so do all owners of such units. ) Following this memo I am faxing you the following documents: 1 . Undated memo to Trustees and owners from Gail Schauer, in which she resigns from our Management Group 2. My three-page response, dated May 19, 2000, sent to all owners, which includes Trustees. (At the Trustees meeting on May 21 , Schauer's resignation was accepted without comment. I received verbal support for my position. Schauer received none, ) 3. My=- memo of May 21 , 2000 to four Trustees, asking them to sign a statement which may be of some use with the Building Commissioner. (The statement is also included here. ) Three of the four Trustees signed the statement, including our President and Treasurer. The fourth Trustee has been away. I will send you a separ.* memo regarding any action that is appropriate against Gail Schauer for ` past harassment, malice'defamation, etc. L. May 19, 2000 FROM: Nicholas Clements, Trustee. Secretary/Clerk of the Board of Trustees Member Management Group TO: CAPE GLEN UNIT OWNERS RE: Gail Schauer By now you have all received and read a memo from Gail Schauer in which she resigns from our Management Group. In her memo Ms. Schauer mentioned me and wrote some remarks about me that were derogatory, deliberately offensive, positively untrue and just plain silly. At first I chose to ignore her memo because I know her and her unfriendly attitude toward me and others around Cape Glen. Many of us have learned that she is a mean-spirited, vindictive person. But several Trustes have convinced me that I should respond to her attack on my personal intergrity, so that is the reason for this memorandum from me to you. Ms. Schauer's resignation from the Management Group comes at an unfortunate time for all of us owners. It is nothing more than her deliberate attempt to disrupt the management of Cape Glen and to place the blame on others for her failures as a Trustee. When Marty Malloch (Unit 25) left our Management Group last August, Gail Schauer agreed to be responsible for closing the pool and getting it re-opened this May.. You and I and all other owners paid Schauer $200.00 each month from October 1999 through April of this year, with her prime responsibility being the pool. So after the pool was closed in September, she had little to do, but we continued to pay her because we knew getting the pool opened would require a great deal of time, effort and just plain hard work. The pool must be painted, needed repairs made, the pool area and Clubhouse must be cleaned, including ladies and men's rooms, insurance forms must be obtained and filed and fees paid. CPR classes must be scheduled with permits obtained for all qualified residents. Pool chemicals must be arranged for with our pool service contractor, pool signs must be obtained and posted, telephone service connected, etc.,, etc., etc. And everything must pass strict County Board of Health inspections. So now you may surmise why Schauer chose to quit, just a few weeks before pool was to be opened. At the request of Trustees, I have taken over the job of trying to get the pool open. Joe Souse, our main maintenance contractor, is working with me to get the job done. Joe and I will try our best, on such short notice. We may be a weekend or so late. Gail Schauer has been a total failure as a Trustee of Cape Glen. Very little has been accomplished since she became a Trustee. She has disrupted our meetings with her petty complaints and quibbling about inconsequential matters. Most of our time has been wasted with her complaints. It is apparent that she does not agree with most of the present and past Trustees. PAGE 2 who feel'we should not devote our important time to things such as residents'minor infractions, unintended violations, insolated infringments or any violation that does not cause a nuisance, detract from common property, create inconvenience or otherwise interfer with the health and welfare of owners and tenants."(See footnote A) Schauer did take on one recent assignment. She arranged for the exterior of our building to be washed. But this simple job cost $3,000.00. That's $1,000.00 to $1,500.00 more than it should have cost. It cost each owner $100.00 to have the front and rear of their unit hosed. It is apparent that she has no negotiating skills when it comes to dealing with outside contractors and financial matters, so we pay more for services than we should. She was also responsible for our association paying $400.00 for a claim by an owner, even though the owner could submit no proof of his claim, and most Trustees did not approve of the payment. (Ms.) Schauer's charge of "sexual harassment" is not true and absolutely without merit. It may be "wishful thinking." She appears to be paranoid about any contact with men, and made a similar charge against another Trustee. In that case, the Trustee phoned (Ms.) Schauer and left a message on her answering machine. His message started with the word, "Howdy", which he uses as "Hello." He phoned again' a few days later and asked why she hadn't returned his call. She told him, "I didn't return your call because you called me 'Honey' !" Not only did she misunderstand him, but she failed to apologize for her mistake. On another ocassion, Schauer even went so far as to go a lady co-owner and said that the ladies' fiance propositioned her! The lady found it hard to believe that any woman could tell such a thing to another lady even if true. Schauer definitely seems to be obsesed about the subject of sexual harassment. Since she has been a Trustee, the Board as been unable to take care of important business, property maintenance and improvements, and other management matters. In the few years prior to Schauer's presence, our Management Group, which consisted of Marty Malloch, Harry Fernandes and Nick Clements, made many improvements at Cape Glen. We erected a new fence in front, replaced much of the rear fencing, removed over 100 overgrown and dead shrubs and trees, installed a variety of parking and safety signs, replaced deteriorated wood mail boxes with the present boxes, replaced outdoor lighting and post lamps, installed trash recepticles to lessen litering and many other improvements, in addition to normal property maintenance and landscaping. All this while we increased our cash in banks from less than $3,000.00 to the current over $21 ,000.00. We also did over $2,500.00 in building repairs and convinced our insurance company to pay for these repairs under an obscure provision of our insurancxe policy! COMPARE THESE ACHIEVEMWTS WITH WHAT HAS BEEN DONE SINCE (MS.) S CHAUER BECAME A TRUSTEE AND GOT ON OUR MANAGEMENT GROUP! Her recent memorandum mentioning me goes beyond the line of cannon decency and is totally out of line. As a result, I am informing Schauer to refrain from any further contact with me. She is not to try to speak to me or phone me. And I am asking the Board of Trustees to remove her from the Board. (A - Gail Schauer has frequently tried to use the Board of Trustees to settle her personal disputes and differences with other residents! ) PAGE 3 I have asked my attorney to review this entire matter to determine if her verbal and written statements and actions are grounds for legal Proceedings on charges of harassment, malice, defamation, slander and/or libel. I caution all owners to be careful about who they elect and support as a Trustee. Respectfully, Nicholas Clements NB. I notice that Gail Schauer signed her memo with the title, President. She is not President of the Board of Trustees. She was elected by Trustees as Vice-President. Robert Cohen was elected President. As Vice-President she has only those "duties and powers as shall be....designated by Trustees." (By-Laws, Section 4.2.5) The Trustees never designated or voted to have her as President. Schauer forced her way into that office by badgering Mr. Cohen, who had intended to resign, but changed his mind before the meeting. Schauer refused to accept his change of mind and she became so argumentative and obnoxious at that meeting that Mr. Cohen gave up in disgust over her behavior and he permitted her to chair meetings. Vice-Presidents at Cape Glen do not automatically become President, even in the case of vacancy. In this case there was no vacancy and Schauer was not voted by Trustees to be President. We have allowed her to be "acting president." --fl., IXAJ S P C/Ull""' GLE"IN OCINDOMITNTIUM TRUST d L. 329 WE S T TVL�=S IN STREET T HYANNIS,, MASSACHUSETTS 02.601 I am amioLmcing my resignation as part of the Management J. 1'rustefTective April 30,. �I I . CTrol..Ip of C,,,:Ipe (I'len Condominium ' )(.)00., I refuse to work with Nick Clements. Ile has sexually bo.Tassed M_ ,md nefused to answer his door or pli Lis ffill es. Ti le i.one rjurnero ii f.l. Dt thG' jas Wed t ) replace the rotte i vood, �t con ao k tor I t etc.. .r,C-I.'u,s,;.-(I to coune back until Nick was removed because lip wouldn't giveh'in a deposit or was conve-fliently gonebt we.n ."LIC, hi in to be paid. On .Aprill. I 5`i1, I had to I eave due to the deafl-,i of my fa,tht-,,r. Before I I had a verhal aareement al-v41 ._stl.mate v,,I'th Van ""141'lr T', fl-, "A'Ork '-ded here. I gav- NIIN-1- a!" th' 'lie con.tra vas information al.J him to sign t ct after it th aj,-,p1Lo-vcS,.I at the trttstees meeting on the, 16 of April. I retumed two weeks later to find that Nick had done, nothilio- [6r \Ohieb, he, u" belmg paid $350 a month. T 1 i the-re are any eon plaints :[.or work. not done. tale., direci fficm to Nick Clienients in 'Uhit 4/28. Yuurs truly, I (J'all Schauer, President 4 i May 21 , 2000 FROM:NICK CLEMENTS TO: KEN GUERRA ROBERT COHEN STAN/SUZANNE MROCZKOWSKI HARRY FERNANDES By now you are aware of the apparent conflict that exists -- between two -Trustees,- Gail Schauer and Nick Clements. Gail failed in her various and many attempts to remove me from the Board of Trustees, and has made other charges. But she did not accept the Board's decision and opinion. For the past several months, Gail Schauer has phoned and visited the Barnstable building department to complain about my alleged business use of my unit. According to information I have from authentic sources, Gail has even gone so far as to try to intimidate the building inspector's assistant, and has harassed the building department's staff. The building inspector has many chores that are much more critical than this personal dispute between two unit owners. The attached statement from you as a Trustee should and the matter. You can modify the statement in any way and I will re-type it for your signature. Please sign and return the statement to me immediately, if you don't want to sign it, please cross it out and return it to me without your signature. Thanks, e CAPE GLEN CONIDOMINIUM TRUST 329 West Main Street w Hyannw MA 02601 May 23, 2000 TO WHAM IT MAY CONCERN RE: NICHOLAS tQEMENTS, 0 /RESID W OF UNIT 28 AT CAPE GLW Nicholas Clements has been an owner at Cape Glen for over 15 years. . He has been a Trustee and/or officer of our association for most of -- those years. He-iB currently a Trustee and Secretary/Clerk of our association and is a member of our two-person Marmtgemgnt Group that is responsible for our property and finial assets. When Clements purchased his unit at Cape Glen a nearby unit was used strictly as a ca nercial office by a real estate agency, Tunas A. Dewire Companies. Dewire did not use the unit for residential purposes. I understand that Clements is retired, a senior citizen and formerly was self-employed as a manuf eturers' representative. He reportedly has occasional business-related visitors, in his effort to supplement his retirement income. To my knowledge Cape Glen is his only residence and not a secondary residence. Trustees have from time to time considered whether Clements is = in violation of any of our by-laws. Past and present Trustees have always decided that any activity Clements may be conducting does not cause amything of concern to our association, does not detract from the value of our comirm property, does not create excessive vehicle or pedestrian traffic, does not create any nuisance, inconvenience or otherwise interfer with the health and welfare of the owners and tenants of Cape Glen. SIGNAT M TITLE DATE SIGNED THIS DOCUMENT WAS SIGNED BY 3 TRUSTEES: 1 . ROBERT COHEN, PRESIDENT OF BOARD/CPA 2. KEN GUERRA, TREASURER/COMPUTER CORP. EXECUTIVE 3. HARRY FERNANDES, ACCOUNT RECEIVEABLE MANAGER/RETIRED ATTORNEY. ' A.M. FOR � DATE TIME rO P.M. OF /t. L-Al cST C� PtiDNED ' A RETURNED PHONE or i � A-1ij (24pu O e YOUR CALL;.. AREA CODE NUMBER EXTENSION MESS GEa A� O'S Is-�(/ PIUimam low S �YOU lRlifl p I'A WANTS TO.: P 48003 I G N E D 111VAlSO� �M\ \ cn I - ~ MEMORANDUM • 6' June 24, .2000 FROM:rNick Clements,Trustee/Secretary-Clerk l.y . TO: Ken Guerra, Trustee/Treasurer RE: GAIL SCHAUER, TRUSTEE The problems with Gail Schauer have gone much further than a personal dispute with me. Her actions and interference are causing serious problems for the " . management,of Cape Glen. 1 . Since she became a Trustee she has enlisted the aid of Trustees Stan M., and Kim Hoxie to complain about my every effort to manage Cape Glen. Since they have been on the Board, not one of them has made a positive proposal for anything regarding management of�Cape Glen. All three of them have done nothing but complain, usually about,me, or some other minor matter. 2. If is difficult to engage contractors to do any work for us, particularly this time of year. Our jobs are small and varied and they can get better jobs. I was fortunate to 'get a good contrctor to do various small jobs: break up and remove cracked cement; paint cement two areas; caulk around pool and Clubhouse; Powerwash pool carpeting that has never been done.(the carpet was so filthy and contaminated that weeds were growing out of it.); replant new flowers in tops of 4 waste recepticles; replant 2 areas in front of unit 20; replant flowers at units units 23, 24. This work was accepted by the contractor because I had given him the contract to replaced the rotted ties around the exterior of our pool. 3. In the middle of all this work, the contractor failed to show up for two days. I was finally able to reach him and he told me he could no longer work for Cape Glen because he and his men were being harassed by the woman in unit 26. She questioned him about how much he was being paid by Clements and many .other comments about how much he was paying his men and questioned some of his men, most of whom barely speak english. She then asked the contractor, Mickey, how much of a kick-back he was giving Clements for getting this job. Mickey admits getting very rude to Gail and virtualy told her to go fuck herself. He told her she was accusing him of an illegal act of bribery, and was accusing Clements of the illegal act of acepting bribes. She also mentioned that she might call the IRS about whether he's claiming this income for tax purposes. When he became rude, she furth r mentioned that we will be having some carpentry and painting work soo� and she would see to it that he does not get the job. Mickey repeated all this to Steven Fernandes, Harry's son, who is assisting us with pool maintenance. Mickey discused all this with his wife, who owns an insurance agency. She advised him not to go back unless Nick called him and explained who is in charge at Cape Glen and who the hell is that bitch. I assured him he would have no further problems and I would take`Care of the matter with Trustees. 4. You are aware that Schauer has made repeated telephone calls and personal visits to the Town of Barnstable Builing Commission offices, complaining that I am running a business in my residence. She took photos of my door that had a small sign showing business affiliation. She also told them my address was listed as a business in the yellow pages. Gloria, assistant to the Building Commissioner, asked me to remove the sign and delete my address from the telephone directory listing, which I have done. Schauer was still not satisfied, and continues to call Gloria's office to claim I have frequent business visitors, etc., etc., etc. Schauer has threatened Gloria that she will have her fired if Gloria doesn't do something about me. Schauer has raised hell and yelled at Gloria's office staff. They know 171AA12 i this is obviously a personal dispute and they have more important problems, . but they are required to accept and acknowledge Schauer's complaints. Gloria can't understand why, if none of our other residents are concerned about me, why Trustees can't do something ro get Schauer off their backs. Gloria wants to hear from the Trustees about what they plan to do. I told Gloria we are having a meeting Sunday. 5. The most recent contact by Schauer to the Building Co mission, was to report that she phoned the Bell Atlantic advertising department and told Gloria that Clements was continuing his ad in the yellow pages. Gloria knows that this information is not given to anyone, unless they represent themself as being associated with the advertiser. I gave you a photocopy of that message that Gloria has given to me. I am attaching herewith copies of additional office messages given to me by Gloria. A. Schauer's original telephone oomplaint, dated Oct 13, 1999. B. Copies of two photos Gail took of my door. C. Copies of two phone mesages from Gail, dated 10/18/99 and 12/3/99. I addition, there were several other phone calls and visits that they did not record because they were redundant. 6. Aside from all this shit, Gail photocopied our maintenance request forms, and got Stan's wife, Suzzanne, to hand them out to all residents, asking them to file oa:iplaints about anything and give the reports to Clements. She thought she could pile me up with a lot of extra work. All I got was one from Gail, one from Kim Hoxie, and one from another owner. Gail complained about 4 things, including ants. I didn't have to handle any of these, as Harry is in charge of routine maintenance, but in an effort to get along with these bitches I decided to help. The same day I got her forms, I bought same chemicals recamnended by our termite contractor, and had Joe Souse apply the chemical to all areas. It suns to have solved the ant problem, perhaps temporarily. I had the oontrdctor visit,,Gail the same day about two other requests. The contractor reported he could do the work when he finished what he was doing here. A few days later Gail had that conversation with the contractor, who now refuses to do any work for her. So it looks like Gail will have to get bids from a contractor, as I certainly will do no more for her. Kim's report complained about a crack in here sidewalk She should know that remaining walks will be done. when funds are available,, as agreed to at Trustees meeting because we have more urgent work to be done. Also, both Kim and Gail complained about rotted window frames, when both of them know that we decided to wait until thea fall to do this. Their only intent was to try to harass me with complaints and paper work. Kim also ocmplained about her loose railing, stating she complained about this in September 1999. In September, Gail was in charge of routine maintenance with Harry. Why didn't she bitch to Gail about the railing and not wait until she thought I was now in charge. And what's Gail's excuse for not fixing here girlfriend's railing? Anyway, Joe Sousa fixed her railing the same day I got her request. 7. In a further effort to cooperate with these two bitches, when Kim came to me to request a check for $33.00 to buy flowers for Gail, whose father had died, I complied against my better judgement. We have never wasted money in the past for such expense, and I should have refused. .Gail is Ki.m's 4, 4 5f t {yt({S Town of Barnstable A Regulatory Services Thomas F.Geiler,Director .n • Building Division MAMM Tom Perry,Building Commissioner IL6y, iOrFD 3.9. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: or S. D Permit#: t�yg S o� HOME OCCUPATION REGISTRATION Date: nod I J I10 4 Name:.?kY iYZtC I A QUL KA Phone#:(50%) 190 37 8 Address: 3aq \,bC-c ,,T TyAw S uU iT aq Village: 'H Y,q,J N i 5 Name of Business: CL61q►y IN Type of Business: C05� 60 S�Nf_55 Map/Lot:_ Q (oq o I Go 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 materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to-exceed 20 feet in length and not to ' exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant Date: I1 d d y Homeoc.doc Rev.5130103 TO ALL NEW BUSINESS OWNERS DATE:moo?I 111011 yF Fill in please: -?A 'A APPLICANT'S "` YOUR NAME: Q Vi-c A BUSINESS YOUR HOME ADDRESS: 3aq WGS� m�i inl 51)Zt" �-'N� E)`(AW/06 — 0a601 - ►�9 TELEPHONE Tele hone Number Home C5og1 19 Q 3-7?$ NAME OF NEW BUSINES NC- TYPE OF BUSINESS CL6)91v)A)e1 IS THIS A HOME OCCUPATION? YES �NO g�a LoT- Have you been given approval from the building division? tYE!S�LNO ADDRESS OF BUSINESS 3a� WBST mf s�T 0�9 MAP/PARCEL NUMBER 69 OQ( 6 ®SAG When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall] or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S ICE This individual has informed f y permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has bee formed of the permit requirements that pertain to this type of business. .tl Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (,LICENSING AUTHO Y) This individual has been hOrnpo of the licensin r .em nts that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-YOU must get that through completion of the processes from the various departments involved. W919AISIFSQAAROVAL FORA BUSINESSZRAIFIUArf QN4Y .t i ,O � ���� ��.� I i � - ----- FOR LL �� DATE TIME !® P.M. kj O �� ��� F FAA PHONED PHONE rA/� �(-�7/� p� YOURCALDL AREA CODE NUMBER EXTENSION MESSAGE PLEASE CALL Q/r WILL CALL AGAIN ` ��r D� r� p VI` n �G'�J CAME TO SEE YOU WANTS TO SEE YOU SIGNED nnhivelSal" '48003 - z 0 m En TOWN 0-1 BA"RNSTABLE Town of Barnstable Approved Regulatory Services 2003Y -5 P 2 OS Fee Thomas F.Geiler,Director Building Division DIVISION Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Officd: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: Name: A et A D Phone#: G a O 9 S Address: 3OR61 W - M'4 i N ' S t 307 Village: Name of Business: M a ®2C`T`�I G Lc-Ak-&J Type of Business: A- A) Map/Lot: '�/'19 Zoning District Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. 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 materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I, the undersigned,have ready and agreewith the above restrictions for my home occupation I am registering. ��1�t/ � S O Z7 Applicant: Date: Homeoc.doc TO ALL NEW BUSINESS OWNERS DATE: 1p I d Fill in please: =W ffm Kam APPLICANT'S YOUR NAME: M )q � i A D o�T T` BUSINESS r` YOUR HO E ADDRESS: -S-� //V TELEPHONE r " Telephone Number Home 5-0 9-?G w2J NAME OF NEW BUSINESS M,, Moe6,-r-r1 TYPE OF BUSINESS�_LL dk IS THIS A HOME OCCUPATION? YES IV I NO Have you been given approval from the building division? YES= NO ADDRESS OF BUSINESS -3aq W • M,4 / N-5-�- l>� f o4- NG MAP/PARCEL NUMBER 1D 9 69//0 fI©/� When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. -(corner of Yarmouth & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONER'S�� ICE This This individual has been infor ed fof pe it r. u' is at pertain to this type of business. ]A�u�th * d Signa 6641e COMMENTS: — dazl�C111X4 2. BOARD OF HEALTH This individual has e n infor a the permit requirements that pertain to this type of business. Authoriz d Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha be n inf r ed of the licensing requirements that pertain to this type of business. Autho zed Signature** COMMENTS: - Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. FOR 777C /lDATE%/_- TIME P. m pHDNED r OF PHONE /_ CD � RETURNED YDtJR CALL AREA C E NUMBER EXTENSION pL ` E CALL' MESSAGE v �� WILL CALL ,gGAIN TO CS' 2 �• //��r v/ s,EE You , WAI�ITS TCT ''SEE YDU [SIGNED G iversal" 48003 ` I CO N t ` � s " 41 r. r (D .ZSfRVING CAPE COD G�2 c Town of Barnstable Building Department ComplainUInquiry Report Date: Rec d by: Assessor's No.: Complaint Name: fy`e-f 010 r/ekn e- )t�-'s Location Address: 3a 9 LzJ,1724 i tj Wt P"Z t?'P lwp -2 6 096.0 A8 Originator Name: av 1+ / Sc a.u er Street: 2-:�? G�/ /y14;n St. Glv711-6�t4 Village: Y r r c State: M)9 Zip:0d 40 Telephone:D/C -5-0 -'- `�71' le, 7�5 Complaint / Description �Oy C�t'i Y✓t+/J i Gt.✓ri �/-t'A+O 'J l+•'t'D, Inquiry 0 Description: For O/Ficc Use Only Inspector's Action/Comments Date: D 1fL,"7 Inspector. �( Follow-up Action Additional Info.Attached Copy Distribution: Wlua-Depamaent Me Yellow-Inspector Pink-Inspector(Return to Office Manager) I CAPE GLEN CONDOMINIUM TRUST 329 West Main Street - #30 J Hyannis MA 02601 May 23, 2000 TO WHOM IT MAY CONCERN RE: NICHOLAS CATS, OWNER/RESIDENT OF UNIT 28 AT CAPE GLUT Nicholas Clements has been an owner at Cape Glen for over 15 years. He has been a Trustee and/or officer of our association for most of those years. He is currently a Trustee and Secretary/Clerk of our association and is a member of our two-person Management Group that is responsible for our property and financial assets. When Clements purchased his unit at Cape Glen a nearby unit was used strictly as a commercial office by a real estate agency, Thomas A. Dewire Companies. Dewire did not use the unit for residential purposes. I understand that Clements is retired, a senior citizen and formerly was self-employed as a manufacturers' representative. He reportedly has occasional business-related visitors, in his effort to supplement his retirement income. To my knowledge Cape Glen is his only residence and not a secondary residence. Trustees have from time to time considered whether Clements is in violation of any of our by-laws.. Past and present Trustees have always decided that any activity Clements may be conducting does not cause amything of concern to our association, does not detract from the value of our caamron property, does not create excessive vehicle or pedestrian traffic, does not create any nuisance, inconvenience or otherwise interfer with the health and welfare of the owners and tenants of Cape Glen. SIGNATURE TITIE DATE SIGNED +6P 1 May 21 , 2000 FROM:NICK CLEMENTS TO: KEN GUERRA 7 78 ROBERT COHEN /= 7p/- �'a -.5 9-s/ STAN/SUZANNE MROCZKOWSKY HARRY FERNANDES. By now you are aware of the apparent conflict that exists between two Trustees, Gail Schauer and Nick Clements. Gail failed in her various and many attempts to remove me from the Board of Trustees, and. has made other charges. But she did not accept the Board' s decision and opinion. For the past several months, Gail ' Schauer has phoned and visited the Barnstable building department to complain about my alleged business use of my unit. According to information I have from authentic sources, Gail has even gone so far as to try to intimidate. the building inspector's assistant, and has harassed the building department's staff. The building inspector has many chores that are much more critical than this personal dispute between two unit owners. The attached statement from you as a Trustee should end the matter. You can modify the statement in any way and I will re-type it for your signature. Please sign and return the statement to me immediately. If you don't want to sign it, please cross it out and return it to me without your signature. Thanks, b J � Complaint-Number: 1577 : 'Taken bv:^ BUILDING S1tVCS Date: 10 1499 _ m „ - Man/Parcel: Referred", j TILDG SUBJECT OF COMP NT' w' f ' Business/Occupant Name: N. CLEMENTS R3a - _ - - Number 329 Street: W. MAIN STREET _ .,_ Villae: ' NIS 1 m COMPLAINT INFORMATION Complai ant's'Name: NEIGHBOR Address: :.- . _ Telephone Number: *° = ComplaintTDescription OPERATING A RETAIL BUSINESS—SIGNS r a ? - "'VActions Tak— esults: •SENT P. C.----WILL FOLLOW UP WITH SITE VISIT. x Date'Closed: — _ t Jf- _ .;.. i i ! p I eG� 1 V i NRC �1 d Nicholas Clements BUSINESS / TEL(508) 775-7750 FAX(508) 771-0150 SERVICES PROMOTIONAL PRODUCTS ADVERTISING SPECIALTIES&GIFTS BUS1%ESS PRINTING-LAMINATING a SIGNS,FLAGS, BANNERS, POSTERS SCREENPRINTED APPAREL J329 West Main Street Suite 28 Hyannis, MA 02601 Sales Promotion Products •Ideas • Service s `.`Give.Them Something to Remember you By,, Serving Your Every Business Need NRC - - ,r .��;.�: �,�.,t�k ����:AdvertisingSpecialties ` .Promotional Products BUSINESS` "=`-; Business Gifts •Premiums ' - Fund-Raising•Incentives. SERVICES s . Aware • Trophies F ONset&Color Printing ` gns •Posters•Banners 'MaU or telephone orders to: P.O.Box 2277 Hyannis; MA 02601 • (508)775-7750 Soles Promotion Products,*Ideas •Service A-NICLEM INDUSTRIES COMPANY .•y.. _ s . �°'° �� �' *�. &rmp= dAAwd CUSTOMER ACKNOWLEDGMI EN . WW: 1��Ma� o * e� Sa Order Number. yl�; ,i'SaA.✓°�(.L°I l 'J F 3 vt1 J c+•►a��3 fat 1 �y Date Received. IF THERE,ARE .1 ;. ANY QUESTIONS SOLD TO r Customer P.O.# REGARDING and TIiiS OR'fDER SHIP TO = _ Requested Ship Date unless v ��. :: .; q.:. i — #--"s3 •� f � PLEASE.-REFER" otherwise indicated `^`-s�.<= W ,:.: -1 ' r.'� } x r. TO THE below J InhandDate ORDER NUMBER SHIP TO FOLD Ship Via PS______� = 1 ____ 1 Prepaid ❑Collect ❑Inside Delivery 0 D a T; '.s•3 .. �< "s.i yl}�✓''- elf x5' (PY/Aa3le, IS J �JrL � Purchaser agrees to pay any sales tax or use tax. Additional freight charges billed us due to audits per ICC regulations will be billed to you promptly. No credit will be issued for returned merchandise without our consent. It is understood that an underrun or overrun of not more than 101%to be billed pro-rata,is acceptable by the customer.Shipping Liability:This merchandise becomes your property at the time it is accepted by the carrier. f) Since this order is specially designed for you, this order is not subject to reduction in quantity or cancellation. If you have any questions call your salesperson immediately. We sincerely hope you will be pleased with our service and look forward to serving you in the future. , yyam�. D b j B � " 1 I i 6 n ► ` 7 ; ; Salesperson 1�RC IBUSIN SS SERVICES INVOICE INICK Promotional Products•Printing•Signs•Screenpnnted Apparel , 329 West Main Street 0 Suite 28 Order Number_ Invoice Number P.O. Box 2277 a Hyannis,MA 02601 06263 8031 TELEPHONE (508) 775-7750 • FAX(508) 771-0150 6 - - -- A NICLEM INDUSTRIES COMPANY Date Received Invoice Date SOLD TO Customer P.O.# - Date Shipped and RUNG FU ACADEMY OF FRANRLIN 7/25 , SHIP TO Bert Phone Ber unless 36 E. Centtral St. 508-520-3717 R�ASAP Date arms PREPAID otherwise indicated LFRANKLIN MA 02038 below I Inhand Date SHIP TO HOLD FOR PICK UP FOLD Ship viaUPS_�_GROUND_____ Jo Prepaid ❑Collect j Inside Delivery a N/EB15 OPEN HOUSE BANNER 3'x5' RED COPY/AR 1 ON WHITE POLYPLASTIC T.IE ENDS $25. 00 $25. 00 � �o_ _a.u,_: ,v•, .__ __.._ , 1 - 2 WAIVED": Purchaser agrees to a an sales tax or use tax. Additional freight charges billed us due to audits 9 pay Y g rg per ICC regulations will be billed to you promptly. No credit will be issued for returned merchandise without our consent. It is understood that an underruri or overrun of not more than 101/6 to be billed .. pro-rata,is acceptable by the customer.Shipping Liability: This merchandise becomes your property at the time it is accepted by the carer. 1 e i 7/18/00 Ralph, I made an appointment for you Wed, 7/19, 11:30,with Gail Schauer re a business being operated in a condo at 329 W. Main. She put in a complaint in Oct. with Gloria. Now wants to see you about what is being circulataed in the condo about her discussions with Gloria. If you can't meet with her,her phone number is 771-6795. Lois u I G� ♦ 1 .a it _ 4 NICHOLAS CLL-MEN1S ASSQCIAfES :� Manufac(urers' Agents%Whulestle Dlsltb,ao(s s I 1 MCA Vll'hl INALS :. . Ml FOR APPOINTMENT PhONE ir zl FTHE l � Town of Barnstable Permit# 60/34 Expires 6 months fr issue date BARNSTABLE, • Regulatory Services Fee L V vMASS. Thomas F.Geiler,Director �ArEDMA'tp0 Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 p Fax: 508-790-6230 o�E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a(0 9 0Oo Property Address 3 0-1 I w ` ,/{I t(U S+ �O [<esidential 11 2 Value of Work Sa Owner's Name&Address C,�or 14 G'W T,L U 3011 W , MAIK) Sil F-),VArvwts Contractor's Name�LJ}9 l71 �o t�V G� I w S 03 oR3 S 3,+ Telephone Number Home Improvement Contractor License#(if,applicable) Construction Supervisor's License#(if applicable) ❑workman's Compensation Insurance ®� Check one: I am a_sole proprietor I am the Homeowner ❑ I have Workers Compensation Insurance e� TV- 1� Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value .4(maximu(m44) Other(specify) 4 4 1 a �.JD6 *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Q:Forms:expmtrg Revised121901 z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 3,op `a&10%09C Parcel 0 -14 j TOWN OFBARNSTABLE Permit# �907�k Health Division 4,611) Date Issued 2407 APR -9 PM 12: 33 Conservation Division Fee Tax Collector �/�9�4 �- /< DIV tOd�J_� �� �� Treasurer i� j N ,t � c„rr WW9T ORTACv PlanningDept. PFRIAITA FRUM T R e. '1£7I519h PR. Date Definitive Plan Approved by Planning Board r :ur. zc=roc Historic-OKH Preservation/Hyannis Project Street Address 6 pq CU MA O ryc4 Village ��`VA IVA)fs _ Owner k kk6NAw& Address Telephone S'o'�Z 7 — q/ - Permit Request Z Tvnoug r)o vv Lo��� wr i'u� Cv w �L d Eel �S.vt�, (;o uA 4� w , �- pLv-c- APPCV 04k `t r ti A&5 4cd Square feet: 1 st floor: existing /0 proposed 2nd floor: existing 510 proposed Total new Valuation 8T6 o o e ®� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 30 Age of Existing Structure / I Historic House: ❑Yes KNo On Old King's Highway: ❑Yes No Basement Type: Full ❑Crawl ❑Walkout ❑Other r Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing ( new Number of Bedrooms: existing new 0 Total Room Count(not including baths): existing q new 0 First Floor Room Count Heat Type and Fuel: A-�as I Oil ❑ Electric ❑Other Central Air: ❑Yes TANo Fireplaces: Existing New Existing wood/coal stove: ❑Yes AN o Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:Cl existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION 50 t 71 77 a.?3 l c cs Name AU `Ci Ccvuv-�,A)T, Telephone Number 5 OT Address a ct C e o ss 9 rT r4 License# O f 33 3 6 NA w A d Y�', 9,4- Home Improvement Contractor# 10 7 53 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO IU E 41 9'n g L.A vw J cy Gl ►�i ��i4u��o�, �I//9 - SIGNATURE ��ev �ia�v+�/�' DATE '� �— fY "A FOR OFFICIAL USE ONLY - p µ KERMIT'NO. DATE ISSUED' x MAP/PARCEL NO. ` ADDRESS VILLAGE _ f OWNER t ' DATE OF INSPECTION: _ FOUNDATION t FRAME INSULATION ,FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r i 1 ,4 I �t ei . _: 77ie Commonwealth o,f Massachusetts —i —•_ Department of Industrial Accidents Omer gfbmszwggas 600 Washington Street Boston,Mars OZIII Workers' Com ensation Insnrm=Affidavit tt8r[t� �RV l(� c9t9/`'Grv�1 YU Ini )ocatson. � C n e SS citr ❑ I am a bnmmwaer pezforffiag ail wozic myself isid I am a sole�opjetor aad bave_no one rvordag is aa4 tP :❑ waaidmg tm this job. 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H•rN • se • /• r. • do- _ • _se •w.*r••► l - •—r• ••% .• •.n r • ••• w••r .H•le .0• •• • • •. • 1 •. Her•. ..• ... •em r. .: •aa••w I I 11 I1 1 • � • 1 - • III • 1 • • • • . I III * ` 11 1 . 1 • q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing.at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with-certain exceptions,along with other requirements. 1 �a Ajtw CouNkfv'r0l P'L.0ew1 od Type of Work: 6 e,-AoU i JVo DV 0r It,, «� ,�9qL� Estimated Cost Address of Work: 3 a u s4 t.zc�_ Owner's Name: Date of Application: —1—S"0 IL I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I!hereby apply for a permit as the agent of the owner: (( G 7 `l� 5— 4 �— �Div►� Co V y�CY���� � Date Contractor Name Registration No. OR q:forms:Affidav :rev-122001 - 1 i �A&W � r0V% o u L Or,IZ .i NV s� xf L OB v LO LCrLIL ��� 1 f } i . , r � • ,. .t . . . . 1 i J ,% �� ' � ` ` / �. � � 7 I �a ✓lee &ommzaruoea/l a��czc�ivaetCa BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number CS>, 013338 Ettptres�r0�9¢23/2003 Tr.no: 7630 Restsicfeld 'r0a DAVID C COURCHINE 29 CROSS ST NORTON, MA 02766 Administrator ✓�ie i�ay�nwmcvea�i a�✓UCaQd¢criude� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Rq&trat1:on:_-.107531 Expiration 0$/04/2002 Tyke DBA CONSTRUCTION ASSOCIATES David Courchine 29 Cross Sty Norton,MA 02766 Administrator Attn: Hyannis Electrical Inspector: Please make note that the following job location has been cancelled by the customer and ADT Security Services never installed the system: 1. 32 Main St. (permit #68092) If you have any questions regarding this cancellation please call me. Thank You. Sincerely, Annie Kerins ADT Security (781) 278-1104 . ADT Security Services, Inc. 111 Morse Street ._ Norwood MA 02 Tel: 781-278-1100 ADT STANDARD FORM REQUEST FOR ELECRICAL INSPECTION This letter is to request a final electrical inspection for the location as follows: Type of Install: Security® Fire 0 Access CCTV Permit# Date: 06/5/03 Name: T-MOBILE Address: 790 IYANNOUGH RD City: HYANNIS MANAGER Customer Contact Name: Phone Number: N/A John S. Bassett License 4 1533C r -7a Lq6 -7 Commonwealth of Massachusetts oilicial use Only Department of Fire Services Permit No. = BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked s" [Rev. 11/991 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perlonned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 04/8/03 City or Town of- HYANNIS To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 329 WEST MAIN ST APT.#9 Owner or Tenant ABE GEIFMAN Telephone No. 508-790-8883 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building 'Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: INSTALLATION OF BA Com lesion ofthefollowing table ntay be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Sus►.(Paddle)Fans No. of Total l ) Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA bove n- o.o Emergency Lighting No..of Lighting Fixtures Swimming Pool rnd. ❑ •rnd. ❑ Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners No. of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total g Tons No. of Alerting Devices � No.of Waste Disposers Heat PumpNumber Tons KW No. of Self-Contained p Totals: ......... Detection/Alerting Devices No.of Dishwashers S pace/Area Heating KW Local ❑ Munic'pO ❑ Other I g Connection No.of Dryers Heating Appliances KW SecuritySystems: No.of Devices or Equivalent o.of Water KW o.o o•o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: g No.of Devices or Equivalent OTHER: Ifttach additional detail ifdesired,or as required by the htspector of 1117res. INSURANCE COVERAGE: Unless waived by the o%vner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) 149.00 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 04/18/03 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I eertifi-,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC.NO.: 1533C Licensee: John S.Bassett Signature . NO.: 1533C (If applicable, enter"exempt"in the license number line.) Bus. Tel. No.: 781-278-1131 Address: I l l Morse Street,Norwood,MA 02062 Alt. Tel.No.: 781-278-1725 OWNER'S INSURANCE WAIVER: I am aware that. the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. FPERMIT FEE- $ 30.00 Assesigor's map and lot number ............ SEPTIC SYSTEM -MUST BE INSTALLED IN COMPLIANCE g yI �� WITH ARTICLE 11 STATE Sewage Permit number .... If.,5 .......�............ .lr ...... �. 'SANITARY CODE AND TOWN THE TOWN OF BARNS X��V' AR y0f r0� Q O DISTAELE i 9� 0 pY.a.��0 = BUILDiNG INSPECTOR APPLICATION FOR PERMIT TO At! S-L.I.......CG.016M .. Y.. I...r......... TYPE OF CONSTRUCTION AWAD10....040 1, �.......................................:..... A)001 AooQrcok ..................19... 33 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ..,.......1...!.�T ..IV.......Sr. .......................................................................................................... Proposed Use ...........5...1..V LT� ...1....1 `�t1�.� ` 6 ,�y ................... ........................ .............. ........... ............ .. ........................ ..... Zoning District ..........6.......................................................Fire District ................H..x o.oAs.............................. Name of Owner .........................C.4FRe—.0.0-C.........Address .....G? IS....e�.�V.....RW ................... Name of Builder!k"Il4A!� n...[ACOF 4P...........Address ...,Z,;4....C.ba- . . ...� Name of Architect�K *� t6�PN..Address ......L.. ..................................... Number of Rooms .... .?.. ......P.AAA.S................Foundation .............5 ........�. Exierior ................................... I.............................................Roofing ................................................................................... Floors .....................................II..........:..................................Interior .........................................� ................................ Heating �) ..Plumbing 11 t � "7 c) flap , fl� Fireplace ..................................................................................Approximate Cost .............................. ...........................F... Definitive Plan Approved by Planning Board ________________________________19_______. Area .2ca �... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH oa ' S PLA I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ®.. ..... / ... ���. /, � � , Cercone, Lou PZL & clubhouse locohon`�.~..�_v�u��..z��Ln. ______. ^ —.------.. . � � ^ � ---. � �� �������----'' ---------------� �-* \ / 4 ' Owner Lou Cercuxe Aj —.------------ Type ^raum, °" wzi^�k v - - � - �� -_ �--�--.---.-----------------. �� Plot �� ---------. ----------.. ~' ' ) � Permit Granted Date of | ..............�"y -�».........lg Dote -C6rno|ate6 . ]q 1 ` ' 1 r C ' ' � ` J ���&M� ������� � ~ ........... .................................................. lg ----.....--....----------------. ----.-----.-----..--...------. - & � ~ . '-------~.----~--.—.--..—...^.`—.... .--------...-----......--..---.... ~ ` { . ~- Approved .................................................. lA 12 1 1 ^ ' ' . ' ---------------.....-----^..— . ° ! > . -------`------.------.---..—. " ' \� ( � Asoexg»/u ~mmip and |o* number ...............-]�-'��'��-_� [ � Sewage | Permitnumber ........................... ........... ................ | � � THEr0��-���'7l�T �l��� �l� �� l�T��r�� �� �� l� �� � TOWN�� |� ��l� BARN STABLE �� �������� � BUILDING . � NN 0 0 �� N �� INSPECTOR 1639. �� 0N N N-N� N ���� �� �~ ����� � �� �� APPLICATION FOR PERMIT TO .--------------.-----------.- TYPE OF CONSTRUCTION --------------------------------------------' -- -.��.��----lQ.�- � �_~---��������� ' -� TO THE INSPECTOR OF BUILDINGS: � The undersigned hereby lies m�fo- o it according to� the following information:MC \Location ----- - � ........ - .......................... -.. S.A--.. -----------_____-______ �^~ - ` ` Use ------.���� .�.�\ ~��'._.. __.. ./ �.}..'_d�_______________ . �� / Zoning District -------. --------------..Five District .��------._-----. | Nome of O�ne, &������1..=`����.��������.!--'��.J[—�ddrex ---------- ---. ...............�----- . - « ' Name of Builder �/W�4��...... - dress � v / Nome of Architect ----------------------A66rex ---------------------------- Nom6or of Rooms -.--------------'_----'Foun6otion -----------------------...-- Exiehor ----------------------------RooGng --------------------------.- F|000 ---------------------..|nterior ---------------------------- - Heating ---------------------------.F1um6ng -----------.~-.-------------. Fireplace ------------.-------~------- proximateCou ----------.----_,~,___._. \ Definitive Plan Approved by Planning 800v6 lg-_--. Area .......................................... Diagram of Lot and Building with Dimensions Fee _______________ - SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg rd ng t e bov Name v . ' - ` | | ^ � ' . - ^ � Coconon ---_-__,_______,._____.. - . . ---------.----------------.. , Ovvner ---___________________ � ' Type ofConstruction -------------- ' � --------------------------' Plot ............................ Lot ................................ � \ Permit Granted -------------]P '. � . � � u � Dote of Inspection --.---------..lV � Dote Completed lP \ ' ------------'' PERMIT REFUSED � / -----,------.--------- 19 � ^ ` --------------------------. . ~.----------------------.-~. / � ^ ` .-.-~---.-----..-----,.-.----... � ^ , ---------------.--..--.,—.~.- ~ ' Approved ................................................ lA � ^ ------------------^---^^^-`- � � � �������......................................................' } ' � . i . . _ ti 1 r_Y_. ..+.`'"°r Yam_,,,...,.:/r�'c'r'v1`.`y..."S•: -�'�S"„'�`-.=:'v'. ,�.�;, AK7- - r^i.'1".i '.•'G^.,••:v rr�..� •+r• �. : r.w^-._ - ... ' Asses»or,s�-w��p and, lot .................................number. ;� i�' '�} t T 1� ,+ • Sewage' Permit number . QyOFTHE rO�y TOWN OF BARNS�TABLE Z EA"iTODLE, rues , t 4 +'1 G U L L D.I�H G. . .11 S'P 4 � RFD MPY �,f • k ' " APPLICATION 'FORT PERMIT s,,TO .. �-^��'f ( ✓t.!7;? *'..... r r •• . t ` .t TYPE OF, CONSTRUCTION :. T s S e Il- - �,` _ 1 e't 1 .3• 7i i r^3 +.. ) !c �✓ ). "x .'k -`-raw ! td xt �. fz y ,i �' d. r ,{3'� •"'�l,. .ya x °� y,} f i t ti �,' , � TOyTHE INSPECTOR OF-BUILDINGS r- The undersigned.hereby 'applies for a permit according to` the :following information:' x .' *`;;. 'Yy. {..• may}. x `({lij.r��� ' �+•rr�+,�i.,�;,f r4 j, 1 . . t ' ! .................................' ..� Locction .. . ...... .. .. .. • . ... .. q ! 4 •�...� ; ' Proposed (Jse t }4 YY1 A..A., ....1 ...........................L� � S`*e ?? ........................... .. a , i Zoning, District ......... .... ..:...... ,........ ......Fire'Distnct,: ''�'^�^ .. .a?.,... ........ �. _., . . r .-�- t Name of Owner �+ !tv i• •< 3. ! .: ?y'f'?' ..Address .. ...................... ...................................a Vd4t t � ;!fiJ n ..... ..�¢l .... x.( '� vl�f C f ....( �r��h fir`.r3�,i � `Name of., Builder.c Address ... Name of Architect ..................... ....... ...... ......;.: .....Addresss ..: ... ... ........ .... Number of Rooms ......... .....:.:.:...... {....Foundation Y Exlerior ..:...... :.... .. Roofing Floors ... .. ......Interior ...................................... ................................ , -«.. rtedtmg ! r x :Plumbing,` :. f....... + 4 Fireplace F .. .. ...... ........ .... ..... ....... ......... . ..... roximate. Cost'..,` ........ ...... Definitive Plan Approved by Planning.' Board4_ __ _19_ Area. ...' . Diagram :of :Lot and Building with, Dimensions F Fee. 'r SUBJECT•.TO APPROVAL:OF;BOARD,OF HEALTH,• + E �S rt •�� - 1.._y T�. _� .> �- �r�`-a - � �= i'''-�.'�..�"3' r`' •F r- r x�--� `. rr - t ___ � I hereby agree to conform to all the.'-Rules'and Regulations of the Town:,of Barnstable regarding-=the above /at construction. �` /, Wi, iLSi�� 'Names/,��; '• r. '' .. �-�/ « z No ................. Permit for .................................... r . ............................................................................... g \ Location ................................................................ I ..................................... ........................y.............. Owner ? Type of Construction ................................................................................ Plot ............................ Lot ................................ Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... [ ] [R269 09,6 . ] LOC10000 01 INVALID STET 000 CTY100 TDS] 400 HY KEY] 254646 ----MAILING ADDRESS------- PCA13991 PCS100 YR18.5 PARENT] 20 CAPE GLEN CONDOMINIUM MAP] AREA10370 JV] MTG12001 C/O TRUSTEES SP1] SP21 SP31 329 WEST MAIN ST UT11 UT21 SQ FT] HYANNIS MA 02601 AYB] EYB] OBS] CONST] 0000 LAND IMP OTHER ----LEGAL DESCRIPTION---- TRUE MKT REA CLASSIFIED #RR 0000 ASD LND ASD IMP ASD OTH *SEWER APPORT ONLY DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE TAX EXEMPT RESIDENT'L OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 00/00 PRICE] ORB] AFD] LAST ACTIVITY108/22/90 PCR] N I R269 096 . • P P R A I S A L D A T KEY 254646 CAPE GLEN CONDOMINIUM LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL= A-COST B-MKT BY 00/ BY /00 C-INCOME PCA=3991 PCS=00 SIZE= JUST-VAL LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 0370 ----------------------------- CAPE GLEN CONDO PARCEL CONTROL AREA TREND STANDARD 001 00 LAND-TYPE ] LAND-MEAN +0% ] 60324 IMPROVED-MEAN +Oo 2506 ] FRONT-FT ] DEPTH/ACRES TABLE 00 10001 LOCATION-ADJ APPLY-VAL-STAT LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] r' R269 096 . • P E R M I T [PMT] ACT* [R] CARD [000] KEY 254646 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT . : , ..: .. x RESI DENTIAL . PROPERTY a MAP N•O'✓ L.OT NO. FIRE.DISTRICT; x e STREET.,: sl SUMMARY. 329 West Main Street ,Hyannis 8 :LanD . ai o o_ ,. 7 269 96_Q �. H �... BLDGS. OWNER .� Cape Glen 'Condominium TOTAL zB�o'o' RECORD OF TRANSFER LAND h•:�.: DATE BK PG I.R,S: REMARKS- Unit 15 BLDGS. - •B TOTAL - LAND .. BLD GS TOTAL LAND 7)eGrac.e4 Arnold A O� BLDGS: i�2 sT.. Ah a-5--' IV 17166 AJ'V A- t • TOTAL: ! LAND'. r y TOTAL,,, .BLDGS x' � � •x• a TOTAL LAND K•!� .. Ki¢ -BLDGS ; .1 e s r l i , e TOTAL T � E ANTERIOR INSPECTED: BLDGS > DATE r TOTAL LAND a. t6` ACREAGE COMPUTATIONS BLDGS. ygnq •Y ;LAND TYPE # OF ACRES. PRICE - TOTAL C)EPR. VALUE. TOTAL 'LAND HOUSE�LOT� CLEARED FRONT ' BLDGS.: -.,REAR ,. TOTAL' �WO PROUT FRONT LAND ; r,�<,• REAR BLDGS. :VJASTE,'FRO�NT .: — .1'A `'.REAR TOTAL rf �°:1.,..k•t LAND ' E ° .BLDGS. Ott' TOTAL - e s ;LAND �'€ ".•+ LOT COMPUTATIONS LANDF FACTORS TOTAL :F eT_•FRONTs DEPTH STREET PRICE DEPTH O/b FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY y' TOWN SEWER LAND yy g 'ROUGH TOWN WATER BLDGS. I a`„ w a • HIGH ,• GRAVEL RD. TOTAL ' +,� .>� •x LOW• x. rk'," � ' • DIRT RD.`' •LAND' 'l SWAMPY NO RD. ''`BLDGS TOTAL yA, TOWN OF BARNSTABLE, MASS. LHIVU I.UJI - Sw' Cone.Will$ Fin.Bsmt.Area Bath Room Base a BLOG. COST _ _ .- Conc.`"BIk:;Walls Bsmt.Rec. Room St. Shower Bath Bsmt. W jCone. Slab' Bent.Garage St. Shower Ext. PORCH. DATE e m Brick Walls Attic FI.&Stairs Toilet Room Walls PURCH. PRICE. ry ` Roof RENT - - ,i- e v»• IStone Wells Fin.Attic Two Fixt. Bath "�f-TV �= Floors ,'' ;Piers INTERIOR FINISH Lavatory Extra 4 f. I Bsmt.1, F 1 2 3 Sink 1 s/s r/xi 1/4Plaster Water Clo. Extra Attie s� r; EXTERIOR WALLS Knotty Pine Water Only - }Double Siding Plywood No Plumbing Bsmt.Fin. Single Siding Plasterboard Int. Fin. Shingles TILING ^t tConc.F31k. G F P Bath FI. 'Heat Face Brk.On Int. Layout Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath FI. &Walls Fireplace 14om.;Brk Oo< HEATING Toilet Rm. F1. Plumbing Solid Com`Bjk: Hot Air Toilet Rm.Ft. &Wains. -- Tiling Steam Toilet Rm. FI &Walls BlanAet Hot Water St. Shower Roof Ins Air Cond. Tub Area Total Floor Furn. -ROOFING COMPUTATIONS x I Asph.:+Shingle, Pipeless Furn. S. F. r Wood'Shingle No Heat S.F. t AsI6 Shingle` Oil Burner S. F. Slate; '. Coal Stoker S. F. �O�`�/M O/�/ —�2 EA " �• — j.Tile", Gas S. F. OUTBUILDINGS 1-1, ROOF TYPE Electric }Gable '4. '- Flat S. F. 1 2 •3 4 5 6 >7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED }'Hip- Mansard - FIREPLACES S. F. Pier Found. - Floor - Gambrel. Fireplace Stack Wall Found. 0. H. Door LISTED- .,FLOORS Fireplace Sgle.Sdg. Roll Roofing t Conc. LIGHTING Dble.Sdg. Shingle Roof < hEarth No Elect. DATE". " Pine Shingle Walls Plumbing Hardwood~ ROOMS Cement Blk. Electric I'Asph• Bsmt. 1st TOTAL Brick Int. Finish PRICED Single 2nd 3rd FACTOR ` REPLACEMENT 'OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL'. Phy.Dep. 'PHYS. VALUE Funct.Dap. ACTUAL VAL. d � - TOTAL '`` :, PROPERTY ADDRESS I I ZONING I DISTRICT CODE 'SP•DISTS.I DATE PRINTED CSTATE LASS I PCS I NBHD KEY NO. 0329 WEST MAIN STREET 07 B 400 07HY' 01/04/96 1021 :00 . 0370. RZ69. 096.000 174787 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS TV UNIT ADJ'D.UNIT Lana By,/Dale SF!"Dimension ACRES/UNITS VALUE Description MCGOEY,, PHYLLIS ` .:5... MAP— .LOCJYR.SPEC.CLASS ADJ. COND. P PRICE PRICE #BLOG(S)-CARD-1 1` - 48.000 CO. FF De Ih/Acres E CARDS IN ACCOUNT — L BATHS 1 .1 U X' C= 100 6000.0 6000.00 %00. 6000 B. #UT UNIT"15- D1 OF 01 Ar #PL-329 W MAIN ST HY N` ,v #RR 1813 ARKET' D- *CAPE GLEN CONDO NCOME A SE p APPRAISED VALUE D—j 48.000 A' PARCEL SUMMARY T .0 a S AND A T LOGS 48000 M —IMPS OTAL 48000 F E � CNST 79103 N ,y" DEED REFERENCE DATE RIOR YEAR VALUE A T '` Book Page l� Mo. V r.D Sal"Pr A N D T . S, 7214/2311 IL07/90 87500 LOGS 48000 U 3173/278: I R 100/00 52400 IOTAL 48000 f�� ;� I I E Ir f I BUILDING PERMIT Number Date Type 'Amount S LAND LAND—ADJ . INC ME SE SP—BLOS FEATURES BLD—ADJS UNITS 6000 ConsL Total Vear Built Norm. -Obsv. Class Base Rate Adj.Rate Aj 119 Aga Dept. Conti. CND. I.— %R.G. Sepl.Cost New ACI.Repl.Value Stories HeigM Rooms Rms Bathe It Fm Party.all Fe Units Units 1 r 0 - 000 107. 1.07. 70.55 75.49 76 7618 81 95 60 38.9 . 123160 48000 2.0 4. 2 ` 1.1 6.0 tcriplion Rate Square Feet Repl.Cost MKT.INDEX: 1 00.. IMP.BY/DATE: - / - SCALE: 1120.00 ELEMENTS CODE CONSTRUCTION DETAIL S _ 100 75.49 1552 117160 GROSSlAREiwCONDOMINIUM CNST GP:00 " T N STYLE 11CONDOMINIUM 0.0 A MfGN-AVJMfi- -00 -------------------U. U EXTER.MIALIS 03 ASONRr%FRAME 7.5 _ EATlAC TYPE 03ELE _ _ ____ CTRIC (f T ----+' i NTER.FINISH -ail DRTYAIL 6. U ! I_NTER..LAYOUT 12AVER:INORMWIC O. q CONDOMINIUM. I NTER.QUACTY 02SAPIE AS EXTERr. 0. A ! UNIT_ ! _L00R U$TRCT_ 01W606 JOIST _____ D--- L D W ! � ! FLOOR_COVER 04CARPET _ ___ 0. Total Areas Aua Base. --------------- --------- ---- E a. „ 52 ! ! ROOF TYPE ___ 01GABLE—AS_P_H SH 0. BUILDING DIMENSIONS ---------_-- T :. - EIECTRICAC 01AVERAGE ____ O._ A BASS, +-------------------+ FOUNDATION 01 OURED CONC 90 L -----CAPE GLEN CONDO------------ ------ LAND TOTAL 'MARKET PARCEL 48000 AREA. 7365 0 VARIANCE + +552 STANDARD ... 2 f TOWN O)P BARNSTABLE REPORT--g P .LEMENTARY/CONTINUATI ECRT NAME (LAST, FIRST, MIDDLE) DIVISION /DBPT A > t NOTE DETAILS 6 OBSE VATIONS-ITEMIZE EVIDENCE, SERIAL iS ETC. a ,�ia/ S-r 6v1 i� ( i T"e• N O 41 s w 7-0 w l K-e e= C7,tr a)e) In l it3 AN^- utStTt� t� NO nJ � • z �� ti N / q / ,7 r G � s SUBMITTED BY PAGE t ��� t •..: :eLaumpgg •::::::::. 12.1L8_..� ai. .::::::::::::::::::.:::.:::.::..:.......................... .......................................... ..................... .................. ............. .......... . <::>: :: IGLORIA ..::;. G � LA. ' ..... :.:..:... . .O u . . mow::>:>:;:::::. LIS MC-GOEY :......................... ::P:::.::::::::::.:..::::........:::::. C. ..5...............C.......... 329 :"> TWA >x > :. ...�r.� STREET :'��.•�•�:;:.':;:`•''<�•'••:.�t'�'''t:�:::: :<:?s2�:%t�;';��'<��''�:t'''`?%`:':<``::��:`%t�?3:`:' `�� fry><% ��'`'�%'::::':�:� :'.+:� ':�:�::%�';�;���;: r.�a la�r�i�::�:::N•'...,:'.�_.;:.;::::Z.E.-----B.H.A. ..............:::............. No RE 100 :: ::.:::::::::::::::::..:.>:::.:::.>:<: ................................................... ...................................... ......:::::::::.::::::>: .10 REM H::: .>:S EARC C :.::.::...:...:.................:.:;;;::.::...........:::::::::::. .:::::... .................. . ..................................................:.::::::::.::.: ........................................................................ 11-06-1996 09:06AM FROM BARN HOUSING AUTHORITY TO 37906230 P.02 Barnsf ` a••MWAMZ M Telephone(508)771-72 r e • ' Housing Authority 146.south street•HyanniS.Mamchusetu 02601 ZONING VEIgIFICATION TO: Gloria tirenas FROM; Leila R. Bruce, PHM, Leased Housing Coordinator RE: Ueritying legal rental unit Date: November 6, 1996 Address: 3 9 West Main c�ree4 r 1 5 Village: Hyannis Unit type: condo Bedroom size: 2 Map D Parcel No.: unknown The owner of the above listed property is entering into a contract with us for the rental 'or the property as listed abeue. Please verify by signing below that the unit is legal and sleets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: Thank you for your assistance in this matter. Signature Print name Date VIA FAX: 790-6230 MRvw section a Rev. 10/96 Equal Housing Qpporntnity Agency ' 96 UPC 68027_ to ' Now SA HASTINGS, MN I - �, i f>L 96 UPC 68021- HASTINGS. MH _ aoi 96 UPC 68021- Now,SF11 A IHASTINGS, MN y A. a. .�rA• � _ fir.. _-r.-.