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HomeMy WebLinkAbout0024 CROCKER STREET - 24 CROCKER STREETT O nor lu e �l I n n©g 0 1 Q 0 n i � �� � may`t . _ J f '�� 't 1 ��- /� _ _ ■ ■ � ■ � �1 71�} �v ' l r � �� ���. f,. -t - c-, a",.. � .. `e Mlt '.t as.,. E... __ ... e.X x .. � ,. shy- /�' �- ,, J I\�� V �� I�/^�/(� I III//'�� ' ��� / � �✓/' ^{jw 1 !1 ��fo� l� �� � � ��� �G .� �-� . ~rr "R.� ` r �_� 1 t 't h 1 � / I t � aMF"ty w: r .�`t" / 7 �:%f�aa "� o � �� o�. 'o �--, � � � r `1 Lam- � •'7 f�ryry �ri^ � V ' �� � r S � r,�� Ya ._„ _.� �"� \�; Y�� ��= �L--j�i -. 3 +/sears a'iG7liip� w'. t r � . int' y` ' '.r O L� �ol } �9 rip, } e.P �..,, � .tea�.... iM`�.•_ Y a � I A A l J J M.ULTIDFAMILY FILE Gm i szs7 � r t k r �• 54 7 y , - z i 1-2 ofViaTown of Barnstable *Permi� `" *ue Exptres 6 t rRegulatory Services Fee sa xxsznBM 9cb , 9. Richard V.Scali,Interim Director CEO MA'I A Building Division Tom Perry,CBO,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 Not Valid without Red X-Press Imprint Map/parcel Number Property Address LJ C(cic P( 5f ec-� El`Residential Value of Work$ 7'1 05 . —" Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Eves v, G h e r1 241 C/ 06 ke*- Contractor's Name do C�( - �+� Ord Tele hone Number Sy 5l S o O p oSs Home Improvement Contractor License#(if applicable)_J 7 2 1 q Z Email: Construction Supervisor's License#(if applicable) 1 d S 9 51 Oworkman's Compensation Insurance Ch one: ❑ I am a sole proprietor MAY ^ W14 I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name TOW ®i BAFj Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ 5k,lheck box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to�,/alr'h w4l '4120 yo ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is requir d. SIGNATURE: T:UCEVIN_D1Building Changes\EXPRESS PERIv MXPRESS.doc Revised 061313 r ,! r 07t&C ' Y & C 0 R U. R E w J CONSTRUCTION POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards,Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 80.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Normally Scheduled for Completion Within 45 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 10 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years and the Shingles for Fifty Years if the shingles becomes defective. CERTAINTEED Warrants the Shingles up to a CATEGORY III HURRICANE-130 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's Compe sation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ACCEPTED BY: SUBMITTED BY: 64 VAN OHEN CHARL ORE LTANT CAMP STREET COREY & CO CONS UCTION PROFESSIONAL BLDG; LLC 77 CommdrIsveE rlth umus I?Epartreeait of Irrrlrtsstraal c leiiis VIA Bvstr�rr�1tI.4;021 'l rtrass,gau/dui Workers' Gamy resat on Insurance Ad v� B ides t on actors,! Ie t ci ns/Pb�mbers rl�plst ant 111for,mafran Please Print Ltibi Natxle(Btlsi�ne (3egauzatiovllndevidnal): P i y �re S'f!t�elso y► City/State}Zp S Phone# `�7N 7z2 57 2 Are you an empltryerT Cheek the appra�priate bo " Tye of project( equii,ed): . I apt s eIIesa cantractor I and I' I Q I am a employer with g employees Gull aIId/or part-t tnej s have hued the sub-contractors. � I..I cans uctio. propri partner- listed on the attached sheet 7. Q Remodeling Q I am:a sale etor or s and Dai*e no 1 +ees; Phase sub-contract :hahate 8 Q Demolitio workiIIg forme in any capacity. employees and have carorkers` No:vozkeis':camp=uistuauce corup insuratme I A. ❑Building add' 5 ❑ e are a carporatioII and its I{?.❑Electrical repairs or additions am a homeowner doh alI work_ .' officers Dave exercise their 11.Q Plumbing xepairs or additions myself. [No workers'comp. right of exemption perkliGL 12. f repairs usrice r i c bo 152;::§l(4y and we Have no �dj : to o warkexs' 13.❑Ether 3 : comp.insuraT. nce required.] appltcut that checks box#1 nntst.also fill out the secteoa below shoWiag their wor]cers.comgeasado a policy information Hmneownm whc subMft this affidai�t iudicatittg.they ace doing all work ad then himot<vide contrictars mast submit a mmew affsdat tt indieatiaig sorb `iCo>itractnFs that dwar"'is box mug attached s.additional ihvet dww*the name of the sib4mtlictors sad:state whethe oa not those etifidis hne :. to ees. If the subk(mttactoas have F employees,they must provide their workers':comp.policy number. I yi n oiu entpl��c�r Chet is prot�%ding.warkers'co csati�tnsurrutcs for fit,,eatpttry ees 8etoty is.the pvdic�rutd jab irt,fnrtrtrchiate Insurance�mpaIIy.Name:' Paficy#or Self ins:Lic 9. Expi)stion Date: Jab Site Address: GitylStateZ�ip: Attach s ropY of the workers'compensation policg declaration page(showing the policy number anti expiration Failiue to se M coverage as required under Section 25A of:MGL c:: I52 ran lead to the imposition of criminal penalties of a fine up to 1,50Q.©Q author:arse=year ttx msonntertt;as well s cic l:peaatties in�e form of A STOP:Vt WORK ORDER t and a:iine of rep to$25fl.€1tl a day against the,uialator.:Be adVi'seed thafa copy ofthis statement tnay be:fora riled to the dffice of Investigattofls of me DIA fair insurance coirerage ucation I do IrerebT csr#i f3F yonder thepaals tr�i ialitc�s ref perjury diatille igroMta6ati proW4ed abviv is tru aiid correct. (�Sr ttore. Date- ... .. — Phone#. � ?:2 mS�2 t3,�ttzat nse ortI Do)tot write in this Drina,td be coutpteted b)+rif,.zrr tatsn o t7a1 .44 CIt�'or Town Pe mitlLicense# JssuingAnthority{circle urea}: 1 Board of Health 2.Building Department 3 City/Town Clerk: �41 E3ectriral Inspector S.Plumbing Inspector. G Gther Contact Peon - Phone#: Board OfStWeli 5g F egulati�srts'and poW��-Snperviw)r Speeldt't' License: 3 Bh > { CorrtrittsstoA ] 6 i` V S'� Office of CoosumerAthirs&Busi6ess .egulation OME IMPRQVEMENT'CONTRACTO , egistratlon: . i ',j92 %Type: t xpiratign:. 9/"bl _4 DBA i tOREY AND COREYCO ION j - j #'ATRICK CLIFFORD_ :1213ALDWIN RD i 09NNIS,MA 02638 Undersecretary License or registratiou,valid for individul use only 4 before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston MA 02116 i i Not valid with o" 'signature _ ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) Ol/14/2014 PRODUCER 50/3-775-5154 FAX 508-790-0557 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 641 Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED All Cape Exterior Remodeling LLC INSURERA: Arbella Mutual Ins Co 17000 INSURERB: AEIC Insurance 67 SEA STREET APT A4 INSURERC: Hyannis, MA 02601 INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS LTR NSR DATE MM/DD/YYYY DATE MM/DD/YYYY GENERAL LIABILITY 8S00041933 01/14/2014 01/14/2015 EACH OCCURRENCE $ 1,000,000 A AGE TO REN-TED X COMMERCIAL GENERAL LIABILITY PRE M IS ES ffa occurrence) $ 100,000 CLAIMS MADE Fx] OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUT03 (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION S $ WORKERS COMPENSATION WCC5007896012013 01/14/2014 01/14/2015 X AND EMPLOYERS'LIABILITY TORY LIMITS ER B ANY OFFICEOPRIET ER EXCLUDED'?ECUTIVE Y E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under SPECIAL PROVISIONS below OWNER INCLUDED E.L.DISEASE-POLICY LIMIT $ 1,000,000 S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. display purposes only AUTHORIZED REPRESENTATIVE Joanne Bretton ACORD 25(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I 03/23/2011 14:01 5087789312 BARNSHOUSAUTHORITY PAGE 01/01 ZONING VERIFICATION TO: Linda Edson FROM: Kim M. Gomez - .Leased Housing Coordinator RE: Legal Rental Unit Verification Date: C�10 I ,Address: ��� ✓S��t' Village: • Type: 2 Bedroom Size: .Unit Map & Parcel No.: �. The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. please verify by sighing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. if it does not, please list reason here: i/J ; lryou for y assistance.in this matter. ignture Print name 49t VIA FAX. 790-6230 MRvP Section 8 Rev. 8/06 P. 1 Communication Result Report ( Mar. 23. 2011 2: 23PM ) 1) 2) . Date/Time : Mar. 23. 2011 2: 22PM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 5073 Memory TX 95087789312 P. 1 OK ---------------------------------------------------------------------------------------------------- Reason for error E. 1) Hang up o r l i ne fa i 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—ma i 1 size �:ai 5e97789312 eaRNSHma>SaurHORITY PAGE Haler ZONING VERIFICATION TO: Linda Eason FROM: IGm 1VL Gomez-Leased Housing Coordinator RE: L w Rental Unit Verification Date: ////?it I� Address: o- �IIM n a A gf #� Vile: Unit Type: 2 2 Bedroom Size: ? Map&parcel No.: The owner of the above listed property is entering into a contract WA W fbr the rental of the property as lisp above. please verify by signing below that the unit it legal and W"b all zonl� so Ust rean rcgairemeah for a rental to the town of garfish hk U it does net,pl boa: l U (f ! fi .. 17Yon for Y n essistaoca ie tbfs matter. ' tare Ptiat acme 1 Date VIAFAX: 790-6230 naive $eW..8 Rev.8JD6 �,,,,v oFt r Town of Barnstable *Permit# 0 Erpires 6 montlisfrom issue date Regulatory Services Fee _5 13ARNSTABLE, - v M" $ Thomas F.Geiler,Director AlfD MA't A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 62601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 5 1 � Property Address Residential Value of Work`r�jjp,Cat Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address C!1Q 53- NE j--1 C ki t=it "'k 0 C � �cfz S 11.)A L E­_ Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: X-PRESS PERN7- F] I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance JAN 2 9 Z010 TO OF E3ARM97-ABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. . . Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) v Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.44)#of windows *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 H provement Contractors License& Construction Supervisors License is re ed. SIGNATURE: OWPFILESTORMSL mg permit forms\EXPRESS.doc Revised 090809 L The Commonwealth of Massachusetts 1 Department of Industrial Accidents Office oflnvestigations 600 Washington Street ` Boston, MA 02111 ` Zr3'J www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 519E¢Y FgV-'ESS)Q VA(_ 1�CQ& Address: 44 Li c 1-f f'A,) /A A-2 City/State/Zip: _ 1 , A oa Ll q Phone M 5'&K- t(SG` 06-5-0 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time). * have hired the sub-contractors 6, ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7, ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P Y• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.;KI.a:n a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,❑ Roof repairs insurance required-] t c. 152, §1(4),and we have no employees. [No workers' 13Other comp. insurance required.] *Any applicant that checks box 41 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy# or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 DIA for insu ance coverage verification. I do hereby certify t d r th p i s nd penalties ofperjttry that the information provided above is trite sand correct. Signature: Date: I ` ( (✓ Phone#: �OS�C' L1 S0' OSSU - Official'ttse 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#: Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, 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, §25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial insurance coverage. Also be sure to sin and date the affidavit. The affidavit should Accidents for confirmation of s g g be returned to the city or town that the application for the pen-nit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fiiture permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 0211.1 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia Town of Barnstable o Regulatory Services ' Thomas F. Geiler,Director RAxrtsreSt.B, MAss. Building Division prED '�� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: / Gl 0 U JOB LOCATION: n LI cyoc.4 r- JV 4 ' r 4qq o� I n—number p street ` illage "HOMEOWNER": ��t UVIiS I n L�=r ��'ys0—OSJ�U nam8 U home plAne W work phone#! CURRENT MAILING ADDRESS: / Li`G I/1D v► Lci n p A A oal"41 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeo er'certifies that he/she understands the Town of Barnstable Building Department minimum inspec p ced es and requirements and that he/she will comply with said procedures and requirements. Si atu f 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 dQ 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:\WPFILF-S\FORMS\homeex empt.DOC THE roh Town of Barnstable � do * Regulatory Services RAMST9 cn IL Thomas F. Geiler,Director i639. A��fp3� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. OTORMS:OWNERPERMISSION �, K?P. i J. • ��� +� a / �s• . 'Jpi i; �� � '^ ,�N IfivIJy cif "' �� '� t ", t �.r s 4'; 'Sfl �f q fir•#I.?. � t q�.y/�r�'t t ��.. ,���'dd.., tl1�t O ' ,�' 4��}r r�.rtbti .1 1 ! l¢h..''#- I r� �#� y,4/rY�r 1��•. ��� a �, a ,.. �� i.� � 1 ` t• ,! .. � s.il 1 '"s t' •' �} pl' r':�. in r �r.�rp r`�et.�i •` e /� 1t•# �� '1',.r .i / �# .c",ij �#.d`��j��fo+ f,� �"' �'q. 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' 1 � � � L �' k/P •. r 'k •.4..� �, �ti11 kM• � *' ! +•.+i >•t,�• • '4 ��'3-' y A' :.i l . � r M • 'a._'Y.y. �,:ti t._.4.' d :."r. C�€, -• .,� _,�. ..�'• i .� M �.f.a ,,�,.1 iti "fi. r $--" v $a `. a_. _. '' :� )+ .i .... .t X...+f• �' r � f4+,AP".r,�c.`""". > .„„q � 7. _ :.r%x r .•f' � � C � klt� �\. ..tr"'lP 7,� .�. - .J ., ,.. t f• ..,� �„ �_ �r' ,•'4�*•y4 .�.� .�tom'.:rl '�-�+ 4'_.l i r.r.. ro ..(X;t �r ;`.# .,!v -f a. t l `(�,.II Town of Barnstable Regulatory Services oFtHe Tq, Thomas F.Geiler,Director Building Division " BARNSTABLE, * Tom Perry,Building Commissioner 9 MASS. 1639• A 200 Main Street, Hyannis,MA 02601 QED MA'1 Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinances Violations) and Order to Cease, Desist and Abate: Ronald D.Bourgeois and all persons having notice of this order. As owner/occupant of the premises/structure located at 24 Crocker Street,Hyannis,Map 328 Parcel 187, you are hereby notified that you are in violation of the Town of Barnstable Zoning Ordinances and are ORDERED this date,December 4,2003 to: 1. CEASE AND DESIST IMMEDIATELY, all functions connected with this violation on or at the above mentioned premises. SUMMARY OF VIOLATION: Violation of Town of Barnstable Zoning Ordinance Section 3-2.1(5)Bulk Regulations 2. COMMENCE within seven(7)days, action to abate this violation. SUMMARY OF ACTION TO ABATE: Shed must comply with 7.5 foot setback And,if aggrieved by this notice and order,to show cause as to why you should not be required to do so,by filing an appeal with the Town Clerk of Barnstable,a Notice of Appeal(specifying the ground thereof) within thirty(30)days of the receipt of this order(in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If,at the expiration of the time allowed,action to abate this violation has not commenced,further action as the law requires will be taken. By der, AA � David Mattos Local Inspector Q/FORMS/viozonel r 2 0•✓�'� � S�5'�� e `� � � � ��T o�/s � t f { E I Parcel Details Page 1 of 3 Back Home I Government Departments Data below is based on Fiscal Year 2004 Assessor's database.. Details for Map 328 Parcel 187 Property Location Acreage 24 CROCKER STREET 0.26 Owner of Record BOURGEOIS, RONALD D 150 ROUTE 28 W DENNIS, MA 02670 Appraised Value Assessed Value Buildings $ 175,500 $ 175,500 Extra Building Features $5,900 $5,900 Outbuildings $0 $0 Land $ 110,500 $ 110,500 Total $ 291,900 $ 21,900 Construction Detail Style Colonial Model Residential �S S ��� ��- L. Ty Grade Average Stories 2 Stories Exterior Wall Wood Shingle 7 Roof Structure Gable/Hip ® /al Roof Cover Asph/F GIs/Cmp Interior Wall Plastered Drywall Interior Floor Hardwood Heat Fuel Gas Heat Type Hot Water AC Type None Bedrooms 10 Bedrooms Bathrooms 5 Bathrooms Total Rooms 19 Rooms Building Valuation Living Area 2936 Replacement Cost $234,008 Year Built 1920 Depreciation 25 Building Value $ 175,500 http://www.town.bamstable.ma.us/Webmap/assessorsK/dataviewk.asp?mappar=328187 12/3/2003 f Parcel Details Page 2 of 3 Outbuildings& Extra Features Description Units Appraised Value Assessed Value Bsmt Fin-Aver 520 $5,900 $5,900 Ownership History Owner Book/Page Sale Date Sale Price DILLON, JOSEPH P & PAULA J 8183/098 8/15/1992 $94,000 DIME SVGS BANK OF NY FSB 7811/048 12/15/1991 $95,000 NAM LEE, CHUNG 6477/054 10/15/1988 $ 1 KONG, BYONG K 6294/ 173 6/15/1988 $345,000 PARK, IKE H 5538/ 195 1/15/1987 $ 155,000 JOHNSON, SANDRA&CHRISTIN 4787/229 11/15/1985 $ 1 BOURGEOIS, RONALD D 14291/290 10/1/2001 $290,000 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 1,929.46 Town Fire District Rates 6.61 Barnstable 2.01 Hyannis FD Tax $592.56 C.O.M.M. 1.10 Cotuit 1.52 Land Bank Tax $ 57.88 Hyannis 2.03 West Barnstable 1.36 Due to rounding differences these Total: $2,579.90 values may vary Other Rates Land Bank 3% of Town Tax Building Sketch l http://www.town.bamstable.ma.us/Webmap/assessorsK/dataviewk.asp?mappar=328187 12/3/2003 Parcel Details Page 3 of 3 Sketch Legend BAS First Floor,Living Area SFB Semi Finished Living Area BMT Basement Area(Unfinished) TQS Three Quarters Story(Finished) CAN Canopy UAT Attic Area(Unfinished) FAT Attic Area(Finished) UHS Half Story(Unfinished) FCP Carport UST Utility Area(Unfinished) FEP Enclosed Porch UTQ Three Quarters Story(Unfinished) FHS Half Story(Finished) UUA Unfinished Utility Attic FOP Open or Screened in Porch UUS Full Upper 2nd Story(Unfinished) FST Utility Area(Finished Interior) WDK Wood Deck FTS Third Story Living Area(Finished) FUS Second Story Living Area(Finished) GAR Garage GRN Greenhouse PTO Patio By using this site,you are agreeing to the following terms and conditions. DATA SOURCES: Assessing information is based on FY2003 data. NOTE:The parcel lines on the map are only graphic representations of property boundaries. They are not true locations,and do not represent actual relationships to physical objects on the map. For more detailed information on map data sources and accuracy,click on the hyperlinks in the map legend. Developed by Town of Barnstable Information Systems Department-GIS Unit. Send comments or suggestions to gis(a)towh.barnstable.ma.us j\ C http://www.town.bamstable.ma.us/Webmap/assessorsK/dataviewk.asp?mappar=328187 12/3/2003 "'''''i:;';:;:; (" nn a�nC::: rh�rY: :>:: 1828 >>' :.ham.:;;:.: ::::::>:::>;::>::»»::>::::::::::::::::::::::::::::::>:::::>::>:::::>::>::>::>::>::>::>::>::>:::<.".,.,::>::>:::::::>::>::>::>::>::>:::::>;::>::>::>::>::>:::<::<::<:>::>::>::>::;<:;:::;::>;::::::::::::.:::::...:::::::. ...;;::.:::. a "7 ..........................................................................................................................................................I.........................:........::.....::...........:::.:::::::::::::::::::.: <: " ii ..BBC's'"--F::f '`> >'><><' >» >> >>>`'><<« > > > > > ><>« > << » ::>::>::>::>::>::>::>::>::>::>::>::>::>::>::>::>::::>::>::>::>::»>::>::>::>:: >::»;::>::>::»»::>::>::: >::;>;:>.....; :::>::::>::::>::>::>:::: .::::: .... ... ..... ...... .:::::::::::::i.::.::.:'::::::.:i:.i:.i:.i:.i:.i}i}iii?iiiiiiiiiiiiii:iiiiiiiiiiii}iii}i:.i:.i:.i:.i::.:::.iiiiiiiii}iii}iiii::.:::::.�i:::::::::. nC a : Nt:# :: aa it ss:.::X:::>::>::>::>::>::>: P:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;: :::>::>::Nei hbor sa s the owner of 24 Crocker t. is .::::::::::::::::::::::::::::.P:::::.::::::::::::: g Y S ::>::>:;:: >::>::>::::;::::>;::;::>:: «< convertin their basement to an a artment. >::>::>:.;:.;:.;:.::.;:.;;:.;:.;:.;:.;:.;;;:.;:.;:.;:.;:.;:.;;:.;:.;:.;:.:>:.;;;;:.;:.;::.:;::.: .;:.;: ......::::: ::::::::......:»::>:«:>:<:>:<:>::>::>:«:>:<:: -.*.>:::::>: >:: ......: ......:>:::>:: g P r` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M� '�ap_I � '�„ :, Parcel Permit#, b Health DivisionF 3i"�, e3Ar �d�� Date Issued -3 .3� ST�BL� _ Conservation Division L Application Fee 21133 JILI �-9 PH2: 09 Tax Collector � Permit Fee 01 o S,0 co 1Z./q/0 IAQ-,l Treasurer Planning Dept. Di VISION ISION APPLICANT MUST OBTAIN ASEWER CONNECTION PERMIT FROM THE ENGINEERING DWOON PRIOR TO Date Definitive Plan Approved by Planning Board CONSTRUCTI01 Historic-OKH Preservation/Hyannis Project Street Address '2v+ Cs ock-t r Village Lemon 15 Owner �0', 1.� )-2�0\j r,cjo S Address —)So No own 5 MA 4 Telephone -90,16 2z" 44!to ea Permit Request O en5}gl Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: Cl Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ElYes &s)/No On Old King's Highway: ❑Yes M No Basement Type: dFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) To-0 Basement Unfinished Area(sq.ft) 700 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 BUILDER INFORMATION Namei�nc,` Vf`t1( 4�� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO �6/1&QQ Vmko SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' ti MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. A �oFiHe, ti Town of Barnstable Regulatory Services swxxsr�+s . ' Thomas F.Geller,Director - nrAM 9� 1639. �'� g Buildin Division prFD MAC A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 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. TYP e.ofWork: ��5�q I��� 0 a lhelwt N+1J0W5 Estimated Cost Address of Work: r- I onn,> MA aa6 o Owner's Name: o A GA 200P91go Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 [�] ding not owner-occupied EVwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. (O OR 63 �o n� � n n,+e Owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents Office otloyesuffat/ons 600 Washington Street ca, Boston,Mass. 02111 Workers Com ensation Insarance Affidavit name: RIl—C, ( Ra urf eoblocaton- / 0 Y%6 kg r �n hone# � I am a homeowner performing all work myself. I am a sole promietor and have no one working m' air capacity /////%%%%/G%%//////�%%////%/%%%/%%%//�%%------ rovidin workers' co ensation for my employees worldng,on this job..::.:':::.:..:?.}::i::}:}!}}::{::; I am an em 1 g ............mP..........:.:...:::: : n}.. .4y:ryv;{:rn x{:v..:: 'isisyis:•i::;{:)�::'iiiii:•:Li+;:?il�ijiii}%{�i:�i:4i:iiii:::::isisi:'!?'4i'rill{:i.;J'::y}>j'T:iii�:'isv:;:;iiii{isi ;:ii:iii:•,:fi:i::v::::'ry;>{:�i�i:! >:=•:•}:v:•:^::`:;}:•}}:•!;{•:4}}ti} :i Ngw=one).......... :}'.;}''}is..;jj......::: ::.......... j{?;;'y:<:;rii:;i::v:<�:;:;:•:;'.!t� ,or homeowner(circle one)and have hired the contractors listed below who have 'the following worke.r.s...cm ens.a..:ti..o..n......o...l.i..c..e..s..:.....................:..�::::..............::,::.:::...:....:.:.:.:.:.:.,.:...:::::::::.:::::::.::::::...�:.:::.:::::::::.:.:.�::::::::::._::::.:.�::..}:::.::::::..}:.:::::.�:::}:':.}.:.}..}:..::.<.::.>.::.}::::.<.:.::..:<.:.:.:,..,::,:;,:.>:::,:>:}..:,::>.r>�.:,,:,;<�:;•.:,<•:.}::.::•?}.}:.::.;}:. :con an ;:nam ��};.�i>,.::.,.;;:::w•{ . 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';?;}...v.. :Sv�'r::i>;;},:•:r:;i}'i}'{�ii:t:$::::}::::::>::::,+.•-i wl?l ::i:;:?isi�l�iiii:�i:?;ii:•.v:::.;:.v.v:.:::::::::::iii:;;}}`:?4}}}};.;?>.d:•}:Y.:;Ln;r,{.}?}iiiir•v;•i•:?•}i:; nynraitce:co::»»<':� Fdb=to secure coverage as required under Section 254.of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one yam,imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a. copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t p d penalties of perjury that the information provided above is trim.ajn /�/� Date , - sigaature ,/d Print name Phone# Sa�1s 394 T r official use only do not write in this area to be completed by city or town official city or town: permdtilicense# ❑Building Department ❑Licensing Board nse is re aired ❑SelechneWs Office check if immediate rap0 q ❑Health Department rl contact person:, phone#; fie!---- O vised 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any 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. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers 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 an -Fd'- 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 policy,please call the Department at the number listed below. are required to obtain a workers' compensation City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be mtarhRl io 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. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 r The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 I'I Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE. JOB 1 LOCATION: a ,C'r0O�r S� ) 4��n� S number street village "HOMEOWNER": name i home phone# -work phone# CURRENTMAII:>NG ADDRESS: y • city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellin ss of six units or homeowners to engage an individual for hire who does not possess a license,provided that allow horn less and to ll 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 Den-nit (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 B arnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said A a nts. 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 persons)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. Tn—min that rhP hnmenwner is fully aware of his/her responsibilities,many communities require,as part of the permit 1 feet s 'r �o 1 a4 �aI n S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_.,L 3-oV3 Parcel 1$'1 Permit# 2_ Health Division S"v ��or o 2 54,km �� Date Issued 2 Conservation Division . i, Lo D__ Application Fee �62.-�4 Tax Collector 7 fly Permit Fee Treasurer Planning Dept. APPLICANT MUST OBTAIN A SEWER 4_6 UA M THE Date Definitive Plan Approved y g oar NGINE NOTOR b Plannin Bd :ONNEC TO Historic-OKH Preservation/Hyannis Project Street Address �k C(`OG ,e�' ��'• Village Owner �r,I Address )50 Telephone + 0 I Sep ilbo +50 01bi b Permit Request ��.CQ, Ce,� r a w Wt 6 w row � vat R f�)rnct��� I�rtex+5��'•� < C•o.�r,�' � �tit� wl�A�t� �r��e- C'����a� 5 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 0 Zoning District Flood Plain Groundwater Overlay Project Valuation '00Q .— 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 1 Q Historic House: ❑Yes ©No On Old King's Highway: ❑Yes �No Basement Type: O Full ❑Crawl ❑Walkout O 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: @f Gas ❑Oil ❑ Electric ❑Other —' Central Air: O Yes ®'No Fireplaces: Existing New Existing wood/coal stove: O;Yes Vo Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:❑esting ❑new size Cn Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ �- Commercial ❑Yes ❑No If yes, site plan review# Current Use - Proposed Use OWA e f BUILDER INFORMATION Name 90,1s )s Bolofl PUl' Telephone Number Cld -46b 4sbi Address R* I License# 0_-�616) Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE l� FOR OFFICIAL USE ONLY PERMIT NO. DAB ISSUED MAP/PARCEL NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL E PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING = - '1 DATE CLOSED OUT ASSOCIATION PLAN NO. s. The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnyesti s oes 600 Washington Street -_ - Boston,Mass. 02111 Workers' Com ens ation Insurance davit name: n location: C4 CC^ ........ _ ......... .. �`� Viv),s MA hone# I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one workiz in ca achy %/G ��%%/%/%%%%/G/%//////%//m/m///m//%% one 1 r g cop� ....... .........:.::.........:::.:::::........... .....;.......................::.:.� ....::::.�::. :�• {: ante:�::':�::?:>"::::::>;5;:::%;s::<•':>::<:%t:;:::;::::�: :�::<':%;;:;i:<;:� >:.i>��i:%%�:���:<:�'::������;`:```;�::�:"`:` `:�'� .� '::�: `;: .:�;:::,::::::`:�;::':::�::�::�::.;'.:�:':":;......... ........ .roar an :{..........:..... .....:.;.?}:::: < :.......::: ............. ................ .......... ��hon .0 ..::vw:.:v:•::;ti•:::,v':v?�{v.....:ii:;•i:vi;;:•:v::v::•:?a:is•. ...:...:.::v:...::::.....::::::::••:: .... ... ... ...... .::....:r:i::y.,:.i•::<}?:•:i•ii$}ji{.:?:::::.:x{.}}?;{t•}::i::a:}'�:}i::Y.ti:iiii<): .�::::::.�:.::....:.......:.............:::,::•::::::•::.:.::n:;.:::::::.....•.;::w::::::•::::::v::vi}}:ai:4:•i}ii:}:•}v}}??i:Ji:?}}}}}}i:^}i:4i} :•}:?..::}:ii::%ii}i:•ti•.:rir. ..:.v .'.01�. �.:#;sii::i`::"S:i`;.;; ; :{`istij:t:ji::':;i,::S^:::::� ?};:;:;}j•,:�;'•}:;:}i�l�:;i'i}:j{":��}::::'i;::; '•'Asuran :�.�';:%�:;Y!�F!�t}::'::�•ii�<'i;:;:"i:i<:;i1?l:`ii::;i+:v::{:%::} i:i;i: :�ri:i:%i:�i.';:j?`jv i:;.:; 1 N ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following w ...'.......m....P...e:.n:.:s..a....t...i....o....n........p...s...::.l:....c.....e....s....:.................... ................................................:::.::.:..:�.:::::::::::::::..:�.:�:::.;:.}:}:::?.::{:.:;.}.?.::.::}.:.:}::.:}::{.{.{.t.�•:::•:}.::;:�:}::.•:}:::::.i:s:S:;.:::::::t:+::t::;:::::.:::.;`..:'.}:}.;:.�'t:y:::.<�:}:?{::t..}{'}.::�.?.•:::?i.;:�..'>r.}.:::.,•:.}:..:>..::}:..:{.�..:..::.;t.�.,�:.}..".:,..: {...,}..;..•...};. .......... ir:2v+'r' - is�i:i::::i:'rii::::::':%Y%:::?S:�.r•:>.;i:5{i;:i;i:4:C:^ii:iii:+' :a?;•::}:•::;}:ti}ri:%;:,:.x..:nv..,........r."i;:n•:::•.n:.'v:: ..v::.v:.:::.:.•i..'�.: vY: : .':CSS #2' ys: s ::'±:$�:::�:at•'•.':: �;;`:`;;?.i::::'•::$:;:% ? :,:`;�; ��:,>.2��:�ki:;::?`::>5:::•>:.: .:::::r.:.<` ;."r::'`'"'.'';s}:'''xa:'::::::y:;:':: , .......... .......:......:..::w:::..........••:v.v}::n::. ..............:v.v?i:{a;v}:?i}:1i,Jin;;;:;•r,::: .....v:::{4:•ii:;v'a:{•?:•::•:gv,'tti•::::•}:•:.<P::.vri,.},..,.•nv:•.•. 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I/I•-:Q4. j'%'"`ii:�'?iL:::y�:,:�}':=:v�:ti<:':;:�%i'ii u::::+4'i'::?:^::�iis�:i:;iiv:i>;:i�:;is•,':,:%::ii�iiiii:{.: S:ii:v�:%�{:Qi:i:i::5?:;:;: :�iUi1FAItC&C 25A of MGL 12 can lead to the imposition of criminal penalties of a fine np to S1,500.00 and/or Failure to actors coverage as required tender Section one years,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Stu of$100.00 a day against ma I understand that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the airs nities ojpequry that the information provided above is trap an corr d Date l� G Sigpature Print name �n Phone# F. official use only do not write in this area to be completed by city or town official perntit/license# ❑Btdlding Department city or town: ❑Licensing Board re ❑Selectrneres Office Elcheckif immediate response is required []Health Departnent contact person: phone#; ❑Other (�eviied 9195 PTA) 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. partnership, association corporation or other legal entity, or any two or more of 'd •arta rP An employer is defined as an individual,P P� theforegoing �� . fore o' 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. 101 Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which wM be used as a reference number. The affidavits may be returned tr 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. The Department's address,telephone and faxnumber: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of InYestlgsUons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 INE T° Town of Barnstable Regulatory Services BARPISTABLE. ' Thomas F.Geiler,Director 9 MASS. g �AI�1639,D MP'� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 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. 16' J aOOv, Vq,'A4Vh '' Estimated CostType of Work: _ yCYr Address of Work: p p Owner's Name: Date of Application: o-bn I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law rlding Under$1,000 not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. O Date Owner's Name Q:forms:homeaffidav t The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION (� n Please Print DATE: 1D v JOB LOCATION: number street loge "HOMEOWNER': PlonrA name home phone# work phone# CURRENT MAILING ADDRESS: , S a" vN . 00 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and re meats. ignature 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 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 ctire t amend and adopt such a form/certification for use in your community. O:FORMS:EXEMPTN �V C� �n�Qriu � gwl1 , vt� \j 33 Ao , p ��{ C�2dcl�c�- S77U��, 5 5'fee�-�G6 r� Sor�y� Rdnr► i p I I SPA f -�.�.� i _ �.� r 1 i .� i ' t, 1 j � � h n - + rP _ ,_ _ - ,� F f. I f._ � _ .I � � � � +7 � ' (� s _ � I r- i. f f � - �t r ��� � 'f' f 1 4; ` 1. �t . ;�� � - i i� "' i l i �' ` f f �f • aa4 �Nv 44 eg 14 M � M ate• �e � •.� � ` _ ^ _ .� _S r� _ L � '� ,`4 ,� � 4% � + .�` ., �, �. ��'_ --.._ _..___ --. - --'^'--- �.._... _ __ r . t, r .4l , t' L... ._.r---- - - _._._. ..._ F _� �' _ `„ i ,` i _.a � ___ _... %'---- •r--'— t. _ �> { �. - -- � .- --� __ .� t _ _ _ - •;• • r� �tHE Town of Barnstable Regulatory Services 0 Thomas F'.Geiler,Director 1639. �. Building Division QED MA'S� Tam Pe rry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-623 0 -PERIYIIT# �' g95 7 FEE: $ 15 ss SHED REGISTRATION /G 120 square feet or less &4 Crocl�er 5 - Location of shed(address) 5 Village nhl� &V e0,S `. 3q4 � G o 0 �5�7 Property owner's name elep one number Size of Shed Map/Parcel# Si e A0 U �4 Date Hyannis Main Street Waterfront Historic District? p Old Ring's Highway Historic District,Commission jurisdiction? N Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE CONMhSSIONS,THERE MAY 13E A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMUSSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY' A PLOT PLAN } AS. MAP PARCEL 197 AS. MAP PARCEL 191 60 AS. MAP PARCEL 190 AS. MAP PARCEL 189 O W Q) Q o O Co DECK 91 0 I I / / / / / n E; W III I 1�. 4'/ / / / / / LOT 2 I � I � / / / / / � o n ICJ 1 -� p a 0 � 1 PORCH' � I II Iv 114 + II I - N87'05'40'�E W 60, 00 ° 0 CKER STREET Plan RES. ZONE.- 'PRD" 'This MORTGAGE INSPECTION Bank lUseoOnly FLOOD ZONE.- "C" THE :DISTANCES AND MEASUREMENTS ON THIS PLAN SHOULD BE VERIFIED BY AN INSTRUMENT SURVEY. TOWN: _ KI LS-__------------ REGISTRY OWNER: RONALD D._BOURGEOIS __ DEED REF: ----------------- BUYER: ________ DATE: 9/2�01 --_-------_ PLAN REF: _&0/16__________9CALE:1"= 30FT. I HEREBY CERTIFY TO NATIONAL CITY MORTGAGE______ YANKEE SURVEY -COMPANY______ __________ _THAT THE BUILDING ZN Of ,b SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS 3,k�'t " � � CONSULTANTS SHOWN AND THAT ITS POSITION DOES ---- CONFORM40B (SUITE 1) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE TOWN OF BARN.STABLE______________AND THAT MERFTHEW INDUSTRY ROAD IT DOES_ NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD No 32098 MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED a�19/i _ a A' �g TEL 420-5555 Com it -Panel 250001-0005-C D<ESS;� FAX: 420-5553 THIS PLAN NOT MADE FROM AN-:'I ST SURVEY 31729 Lill PA A. MERITHEW PLS NOT TO BE USED FOR FENCES BUILDING" PERMITS ETC. Y = �,"ram N �•' i Y)`f"'��� "'. i oL r��.2��, '."I .,.�1 h v it•, ry �_ h 1..':. • �„ {'! tJd^� Y !�' �-.- S`1K�'T�e,� '.'r. '..�I r I ).tit -[ - � A . 'O .. r } ` .r Ct++ r s,y •,' s 4 t� '.:r s Irw•:.t �.",. t„ ...:� , :- t i DEI R,�� Y7AN,. ENV,f�I ,OO NrBN�T-AS 19-1 R_' t y, f'M't ; r^;--ems,.• L,.n ft- ." t�t�. i (,fy •^.,�.T t'�°. 5 f... ' lit r�'Z - _ ;„�,.� 1+„ "rv+5 Tw��4.�•Ve•.Vu. tJ� �• I� �.» a � tiW-_ -t � . r*.. C �-�z,Nr•c�'' ...a. h�•.,.-�''Y-•--,r 'i-mot!. +�.:,>`-t^_ �-� —�-�y .c y Y_ '-k, -L p'^-•n,�.w•r i t T�H�IS�ARioT r I I ° SECT D D,T o B 1 ®_ rL o ',G 11 OO +' OO S° h.,7m IrLTil.W' 1 r+ a ..• _ ,..A. a " 1 �' �' v +�.i ° ,'� S Y� t u ; IM AR -D bla �Z. 1 } .. .. . �- i1�11 p� \1 a y Jt r YlQI OL;�� if1BL� _ J^",S.'. .s•,i.W i� a 4 r •' - 1:., `f� w-. 57?J.3`l,.cr S , ,. 1 � A_NiY�I' I R09,00 MOO VIA .; �,{ ��aF�R©P9E�:,'A • �--_ZdIO ;S o�; ��iB�� v� .�=���:� IS An -RS� r ; ANN ILI 7 t S 14 J, ��1'•}' 'xY � �.77(I//'//�� :I� �� � ynr � -r—n,. t^-'— 7 N ���FZf f'�w �'= M•J''t A 3x .�c3`�"s. � `mr 4 �'�'_� /<'sv —�_.__d !�`-�1' 'S� `�'�' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3X� Parcel `� Permit# Health Division 1 �. �c �/ �i � Date Issued Conservation Division 3 ,j -Z Fee � ° O® Tax Collector - f 4F}t,Jr-NN,T,.51'.;ST fD Treasurer .fit .. rRom c Planning Dept. ' s11 -ISION OIL,OR`i Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �k ss a; cra e c ` Village ��t'l S Owner Address )so M411) \J• btmi5 Telephone 4+4 g Permit Request --'1n)4C �y i r", cX 0�1S Square feet: 1 st floor: existing 0 D proposed 2nd floor: existing )-idQ proposed Total new Valuation t17�' er!J_,__Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size 1) 1,000 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes W N0 On Old King's Highway: ❑Yes N No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) "4Qa Basement Unfinished Area(sq.ft) 4oa Number of Baths: Full: existing J new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing C new First Floor Room Count Heat Type and Fuel: _'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ]d 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 ❑ l(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 DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO D�til(r11P SIGNATURE DATE 3 �� 1 FOR OFFICIAL USE ONLY ' PERMIT NO. DATE ISSUED MAP/PARCEL NO. - - • j ADDRESS VILLAGE OWNER " a • t , r DATE OF INSPECTION: FOUNDATION - ' FRAME y Jt . INSULATION FIREPLACE R ELECTRICAL: ROUGH FINAL s PLUMBING: ROUGH FINAL GAS: ROUGH FINAL l FINAL BUILDING DATE CLOSED OUT a J ASSOCIATION PLAN NO. r „ RESIDENTIAL: SHEDS - POOLS -DECKS-OPEN PORCHES GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft. (Sheds,detached garages,gazebos,etc.) >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—USE NEW BUILDING PERMIT APPLICATION DECKS 1 x$30.00= $ 5 ° (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forms:dkcost eff:082301 °F ins A ti : . . ° The Town of Barnstable 41 `" HASn& 'g Regulatory Services 59- 10 Thomas F. Geiler, Director Building Division Peter F. DiMatteo,Building Commissioner 367 Main Street.Hyannis MA 02601 . :e: 508-862-4038 Fax: 508-790-6230 Permit no. Date 3 �a 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.. q Type of Work: Estimated Cost 3SLT Address of Work: 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 ❑ uilding 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 IMP G VEMENT OR UNNOT-HAVE ER I HAVE 142A. ACCESS TO THE ARBITRATION PROGRAM O SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. . Date Contractor Name Registration No. 07 3 ) oo�ti 0 o� Date Owner's Name alornu:Affiddw rev-070601 r , 1- � ��� _ ttC`qq • 1 1 11 / � 1 � 1 1 1 1 1 1 1 .I. 1/ 1• 1\�•" /N •N/ a 11 / . •1. —IVkl ' 11 / 11 1 • .1 1 • • 1 \ •, .1 •\ 111•.11 .1\ t 1 • 11 .1111• \ �..� \ /•� 1 • 1 1 \1 1 1 1 11 . 1 l 1 1 1 11 1 1 1 1 11, 1 1 •• • • LI 1 fit 1)ImOd 1 1 11 fk'A 11 A Ar 1 • •• 1 ••• •. w r•nn:11 1 \1 1\ ----- ---------- 1 1 1 1 1 1 1 E %///////////%..... ////////%//////////////////////////,%//////////////%//////////%//%/%///////////////%///%/////////%////////////%////////%//f�//// -- ---------- - -- ------- od 1 11 1 1 1 1 1 IIE - • 11 — 1 i1 1 1 11 1 1 1 1 1 ( 1 1 / • :11�1 0 • �1 • •1/ 1 I 1 w • ' :1IIU • • • • / • •Ulo�11 .1• •II • • " • • • �• • •HI U 1 � 11 � 1 MINI-• ./ • • a a / :,1 • f• •.I ON•�1 I •1•U _ Ae .� • HII• �• • • • ill / f . • • 1 i• Lr.i Ito o • • OlbloolujilcAtilemI a• •s• •• • • /q w•i: .IHs • ,1/ • • • •/• • • • • II • WI It • I/ • 1 :Y. • w�111 Y,1• • I .I. �• i11.1• • ./ •I /1 :q • • / II/ U 1 oa �/ 1 1• •M •1• •1/ • • /d •Y• 11a1.1 • w111• • / • :ells• • • • ti / • • 1:1 • • • 1 e • 11 • 1 tole I Its) //ko still qw;-W-bt), q1 III•. .11 • 1 • �`I •w 11�1-f11 • of • ol• of • 1 •Is, ' 11 • / • • ••1 /• .lass• • •�1 •11 • sfep II 111 III 1 r" •11 • 1 w• •11 •1 •.1 • •, e11 0 1 I • 1 11 • /• • /ll •1 •J • II• • 1 • •• .11 11 /I./ • 1 a • • 1 ! -II II)IGAIJ 11 -41 • • .1 a 1 ••1 � • •11 • Y.IIw /1 .1 / 1 I I t l 1 1 ( 1 1 1 1 1 - I I r 1 / ' 1 1 1 11 1 1 1 1 1 Y11 1 1 YI 1 • I r / 1 1 J.' 1 1 1 11 11 1 1 1 1 1 1 1 1 I I • . 1 1 1 • : 1 11 1 1 11 a 1 NIP 1 11 1 1 / ../ •• 1• 011 • l • 1 .ilea -/ •1 I•Is • w, 1 I IT04VIVAL10,091•. e • 12 ak •• V •11 VI w111.I III • .11 cells• N • of ••,1 • 11 .1/r • 1 1 / • /. Isle • ✓• • •.1e r •) r•1/11• 1 « • 111 11 11 11 I « �• 111 w01 �IIIl • 111 1 •1I LI e 1�w1 I w11 -• • /1 •IIU ••• ����j/�/�jjE��j"I .y1 \" ■1l 11 U • •. .1 rHIo11 �/ .1• •11 is I 1 r•1111• �/ • • .•11 • II ••► of .1 .1• • • • 11 V111 .t• •11 .11 • II • •Ills• •11 1 II w 1 •1 rA .11 • / 1 •11 11 11/ •�1•. •II • II r.l •II Ir.0 • 11 11 .1/ r � iI 11•. n • • 1• �• • / � • •11 wU el I •la •• M •wll•. 1.1 re111•Is11 .1• •U U 1/ IIY•11 r r• ./ 1 1 - 1 1 '1 :JI s • 1 �1 1 1 •• 1 t 1 • 1 ! I 111.1�1 Il of ••1 v eI • •' 1 11 .1 /1 .11 1 I+✓.1• 111 •1 II •�1•II/1 •1 «w1 �• 1 w 1�1 Ill) It 1 • .1 too1 w11 •)f 6116111.12s « 1 ••11►. )1 lei •••rl •11J 11 P • • �/ 1 1 .I • I 1 V. 11 ' ll•.•_• ril/lll.+1 A`•:1• 411 1 • I 1 v ✓. /1 1 �I/. 111 wll .1 /1 111111 •_I /w1 • • //%///////////O%%%��%%%�///%----- %/%�%�////%///%%%�%%�//%%%/% 1 1 1 1 11111111111114111 U 11 .1 ofyy is o • I r•11111 �•1 .11 I IUI�e w'1 / 1 / I III •+/1 / ! • 1�/ • r .1 /I I s • ells • • 1 •1y • • sl� • 11 11 11 w11 11 , i• r • 1 • w • •Y.1• •11 11• r•ItIY. « • 1 w•Y. /111 • o1 • • ✓.I11 a • .11 11 s1 a_I.1111 rw1 Illlel 1.• •1 -/ 1 I .I .Ilse •+1 IIIIIt I_1 1 iI • . 1•. 11 1 •also -e • •11 it • • 11 •1 III •1/.1 • ,II • w11 w11•. 1 I�w1 11✓, 1 s• • I w • •Y.1• •II • 1 • II .11 • It s • .11 r • •/ Y•• 1�I .t• •II 1 1 I • • • I •11 • I w • •1 1 • /• 1 wV 1 Y.1 • 'J Ire: • BII�111 /• w'4 • • ell .1/ 1 Y.•' 11 1/a •.n 1 1 tl 11 1 1 1 � 1 1 all 1 1 1 1 lay I 1 I 1 I I t l l l 1 1 1 • / 1 1 1 • 1 1 1 1 1 1 � � ' ' 1 • ' 1 1 op IKE rod The Town w LE • of Barns BARNSTAB table Sao 03 MASS. �� Regulatory Services A'Fo MAy' Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main-Street,Hyannis MA 02601 . ce: 508=862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEEMPTION Please Print DATE: 0*)' JOB LOCATION: �- cro(Kk number street village "HOMEOWNER": d�q I� �C'C�D SC�� �GCJ k:(o I name home phone# work phone# CURRENT MAILING ADDRESS: 1-Q' (n Q l/� <3 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 Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1..1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said . procedures and requirements. Signature of Homeowne 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 log.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 ass uming.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 caret amend and adopt such a form/certification for use in your community. Q:F0RMS:E1MA1PTN �� crzoc�c�--sue' � n `- - ------ ---- - N�use - sJ�x6 a x iQ -00Vat 36X � �yCIU S�►'Sr I ' o (C la �a" SUrva-r��e sty►it STA%age"S - 1 �u7�1a5 o �x10 VovW -Q�aX o s7rrin ert5 Re- F EB-20-'2002 10:ti 6 BASS RIVER PROPERTIES 508 :°94 4319 P.01 f _ P<]Rc':FL 197 `` A.S IL4 P p4RCEL 1 91 f � 60 1 �J 1 A,S' a-f-1 L' RC.' L l 8,9 Qz r, Jbq- • —`";- �� , x �;? + LOT x 4' 14 i r 60, 00 RED. ZONE' PRD' MORTGAGE INSPECTION Plan is Far Bank Use Only ,FLOOD ZOYVW' 'C" fH>� DISTA.NCBS ACaU ticASL REMET?S oN 'PHIS FLAN SHOULD F VgRIFIED BY AN INSTRUMENT S[`RVc^,Y. TDVUN: _ zs. REGISTRY 0t'YT;ER: R[71ViL_rl_17._B_OUR�"E01�___ DEED ltiEs': - -------_— -- ]�li`ER: DATE.: _ �' —---__ __ — ----- PLAN REF'; _?8%i.;_IG — SCALE�i '— ^30 —�T.--- 1 HEREBY CFRTII Y TO _1'_i Ic?. '1 L,. IT'.�1�(�fi'7C Ii.F - - - -- --- - ---- C(JtTIP.4Nt' -_TIiA THE BUILI;ING Of_ YAI`,TKEE• SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS � � COLVSLILTAIvTS tiHOWN AND THAT 1TS POSITION DOES _ CONFORM Z � TO THE ZONING LAW "BACK REQUIREMENTS OF i'HF � Pq�,s ` 40B (SUITE 1) TOWN OF, BARA:S'T4'6 E"E __ jjf IT DOES_?1OT tT _ __-___.__AND ' rIA I' M1i1TFQEW II�iDUSTRY ROAD I.' LIE ftiITHI_\ THE SPECIAL, FLOOD HAZARD i No..32ou �fARSTONS MILLS, MA. 02E48. AREA AS SHOWN ON THE H.U.D. MAP DATED 8%'19%8,7 %arn 1 if- _�_.___ ,�•_ TEU 428-0055 Panel _SC0�1-Ou0�—C' ��1st55,ut�' FAX 420—•;���� THIS PLAN NOT MADE FROM AN INSTRiB?$ 'P SURVEY t PAL ="MgR }IR P� `----- ;NOT TO BE USEv, FOR FERCES BUILDING FERMI PERMITS, ETC. 3!729 LIZI - TOT1L aR.01 of 1ME Tp,_ Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 11, 2000 Mr. Joseph Dillon 100 Hitchcock Court Cheshire, CT 06410 Re: 24 Crocker Street, Hyannis Dear Mr. Dillon: Enclosed is your check for$85.00,which we are returning with our apologies. It has now been determined that this property does not require inspections under the multi-dwelling category. Multi-family dwellings are defined as three or more dwelling units within a single structure with a common entrance and,therefore,these inspections are not required for your property. Sincerely, Elbert C. Ulshoer; Building Commissioner Enclosure j00101le L - °FtME l Town of Barnstable Regulatory Services ` NAM Thomas F.Geiler,Director %E103 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-.862-4038 Fax: 508-790-6230 MEMORANDUM DATE: O TO: File REGARDING: COI Multi-Family Use Re: Certificate of Inspection is not required for this property--does not consist of 3 or more units within a single structure. Notes: 3 • COMMONWEALTH OF MA.SSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$CS'� D 0 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: ` Street and Number. e j— S 1 rr e Name of Premises: S'at,v, e Purpose for which premises is used: 3 Fay ;1 S 2 License(s)or Pennit(s)required for Cie premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: 11—L S rio z D, Address: /0-0 ��'�c G.ruc (� �� S �� re C 04;yid Telephone: ��� - a s - a 3 3 Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: J�NATURLKOF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# EXPIRATION DATE: COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Gt� _ Date (X) Fee Required$&6v• d ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number. r? Rre;ue-J-- S rz-e / y o•n�,.> 'S ��� Name of Premises: S'0.;z•, P Purpose for which premises is used: o��.y,. Licenses)or Pennit(s)required for t:ie premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: J S z Address: C./ P S r e C. ��`y/O Telephone: C203 - a - a r 3 3 Owner of Record of Building: -(f— Address: Name of Present Holder of Certificate: Name of Agent,if any: NATUReOF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# EXPIRATION DATE: LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Y UNIT ADJ'D.UNIT Lana By/Data sr.e o�men,�or. LOC ryR SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE De.crtption D ILL 0 N. J 0 S E P H P 8 P A UL A J MAP I IcD FF.Deth/wtree #LAND 1 220700 CARDSINACCOUNT - L 10 1BLDG.SIT 1 X .24 =10 242 50 71999.9 87119.9 .26 22700 03LDG(S)-CARD-1 1 97.400 01 OF .91 A NPL 24 CROCKER ST HY COST 120100 N BATHS 5.0 U X C= 100 1750O..00 17500.00 1.00 17500 a ORR 0382 0050 MARKET 178900 D INCOME A USE D APPRAISED• VALUE D J A . 120PIOC A U ARCEL SUMMARY T AND 22700 A T LDGS 9740C 0-IMPS M TOTAL 120100 F E N CNST E N DEED REFERENC T DATE Regwe.e PRIOR YEAR VALUE A T Book P.A. 1ns1.yp. MO. Yr. So1"F A N D 22700 T S 8183/098, I108/92 L 94000 SLOGS 97400 u 78111048; I-12/91 L 95000 TOTAL 120100 R 6477/054: I:10188 0 1 E BUILDING PERMIT S Number Otla Type A-11 LAND LAND-ADJ INC ME SE SP-OLDS FEATURES BLD-ADJS UNITS 22700 17500 825407 8/83 AD Cgnet. Total Vear Bunt Norm. Obsv. Rme Bathe 1 Fla. Prtywatl f.E. Class Untts Una. Base Rate A.1.Rate Ai--- Age Dept. Co.d. CND. Loc. %R.O. Rapt.Cost New #AAI.Rapt.V.1- Stories Haight Roo. 25C 000 100 100 65.00 65.30 20 65 29 66 80 100 52.8 184524 97400 2.0 16 8 5.0 19.0 Descnpt.. Rate Square Feel Rapt.Cost MKT.INDEX: 1.OD IMP.BY/DATE: ME 3/88 SCALE: 1100.41 ELEMENTS CODE CONSTRUCTION DETAIL S OAS 100 65.00 1040 67600 GROSS AREA 2936 FIVE FAMILY, CNST GP:00 T FEP 65 42.25 208 8788 *----=-.8� ----* TYLE---------- -18 _U_L_T_I__FAMILY 0. R FSF 90 58.50 856 50076 ! ! ESIGN AOJMT_ 00 ___________ 0._ 820 60 39.00 1040 40560 ! 20 D XTER.NALLS 11WOOD SHINGLES d- C fy2 ! EAT%AC TYPE _100IL-H W-ZONED 0.0 T ( *----26---+ INTER.FINISH _06D_R_If_W_A_L_L_/PLAST__ 0. � ` 82 0 1 --------------- -- NTER.L ----- 00 0. u yrl �(` *-12-* !�[ - - ------------------------ 8 -- _ FLOOR STRUCT 02 O JOIST/BEAM 0. A W ! E 100R LOVER 0lHARDWOOD 0. E Total Are as A- 208 Be.._ 1896 40 BASE 40 ,z' ROOF TYPE 01 GABLE-ASPH SH 0. JA-V E DIMENSIONS ! ! L EC T R I C AL___ _i'I V E R A G E _ _ 0._ S W26 FEP SOB E26 N08 W26 .. ! ! FOUV6ATION 17-2CONCRETE BLOCK 9�. ..� N40 E26 FSF N20 W38 S28 E12 "-------" --- -------"-"-------""""- H0d E26 .. BAS S40 .. 920 N40 ! ! PROFESSIONAL ZONE L W26 S40 E26 .. *- * 216--- LAND TOTAL MARKET 8 - V<-8 PARCEL 22700 120100 *- '•_ 6---* AREA VARIANCE +0 +0 STANDARD 50 - s Town of Barnstable - °� Regulatory Services � MASS. Thomas F.Geiler,Director �Ep;9..�A`` Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 3, 2000 Joseph P. and Paula J. Dillon 100 Hitchcock Court Cheshire, CT 06410 Re: 24 Crocker Street, Hyannis, MA(Multi-family) Dear Mr. and Ms. Dillon: I inspected the exterior of 24 Crocker Street on a complaint from the Barnstable Board of Health. No one was around to allow me entry into the building. There are several broken windows and torn screens and missing storm window units. attached. The lights dumster Also, there are wires hanging over the rear door with no li g p has to be removed to the rear of the building and emptied on a regular basis because of odors. The railings protecting the exterior cellar stairs have to be brought up to code. The area around this house needs a general clean-up. Enclosed is a copy of the Board of Health report. Sincerely, A - %CI -v Ralph L. Jones RLJ/lb Enclosure g000919a Health Complaints 19-Sep-00 Time: 4:00:00 PM Date: 9/18/00 Complaint Number: 2559 • Referred To: DONNA MIORANDI -Taken By: DONNA MIORANDI Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: Business Name: Number: 24 Street: Crocker Street Village: HYANNIS Assessors Map-Parcel: 328-187 Complainant's Name: Donna Miorandi Address: Barnstable Health Dept. Telephone Number: 508-862-4644 Complaint Description: Dumpster generating odors and flies. Dumpster on property line. Too close to professional medical building generating odors. While on the property I observed broken windows( broken by rotweiler dog); many windows with no storms or screens and exterior lighting that was obviously inoperable due to corrosion of unit and no light bulb. In the rear of the building was a large window that was boarded up. Actions Taken/Results: Donna Miorandi consulted with building department and shall notify owners of the violations. Investigation Date: 9/18/00 Investigation Time: 4:00:00 PM 1 °Ft r Town of Barnstable Regulatory Services 9anxxszMAS&aeI'E' Thomas F.Geiler,Director '�Eo ono. Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 19, 2000 Joseph P. and Paula J. Dillon 100 Hitchcock Court Cheshire, CT 06410 Re: 24 Crocker Street, Hyannis, MA(Multi-family) Dear Mr. and Ms. Dillon: I inspected the exterior of 24 Crocker Street on a complaint from the Barnstable Board of Health. No one was around to allow me entry into the building. There are several broken windows and torn screens and missing storm window units. Also, there are wires hanging over the rear door with no lights attached. The dumpster has to be removed to the rear of the building and.emptied on a regular basis because of odors. The railings protecting the exterior cellar stairs have to be brought up to code. The area around this house needs a general clean-up. Enclosed is a copy of the Board of Health report. • In addition, we have not yet received the Certificate of Inspection fee for this property. Enclosed are copies of the letters requesting the Certificate of Inspection fee and another copy of the application. Please submit this fee as soon as possible. Sincerely, Ralph L. Jones RLJ/lb Enclosure g000919a yo1 INC w„ The Town of Barnstable } 'A219'"L_ ' Inspection Department `�O NO`' 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D.DaLuz Building Commissioner February 10, 1992 To Whom It May Concern: Re: A=328-187, 24 Crocker Street, Hyannis Prior to use and occupancy of the apartments located at 24 Crocker Strebt, Hyannis, the provisions of Massachusetts State Building Code relating to unit separation, egress number of doorstrail heights would have tohbe met. You truly, � .��"R Richard R. Bearse Building Inspector RB/df i `*SIPLEMENTARY/CONTINUATI*a TOWN OF BARNSTABLE REPORTREPORT NAME (LAST, FIRST, MIDDLE) ( ' r c �`� `L(R a (p DIVISION /DEPT (J� O! T •, NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL iS ETC. UaA,��'*-�:3 r.� v\-, SUBMITTED BY ,t ) / '��1 (� � PAGE # �� Barnstable i URNSM LL : Telephone(508)771-7222 """ e Housing Authorlty _ 146 South Street-Hyannis,Massachusetts 02601 ao s �f0 MPy ZONING VERIFICATION TO: Gloria Urenas FROM: Leila R. Bruce, PHM, Leased Housing Coordinator RE: Uerifying legal rental unit Date: ,� ,�G 1 7 Address: Village: 1� 4121 Unit type: — Bedroom size: Map G Parcel No.: The owner of the aboue listed property is entering into a contract with us for the rental of the property as listed aboue. Please uerify by signing below that the unit'is legal and meets 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 MRVP Section 8 Rev. 10/96 Equal Housing Opportunity Agency Ww •t• Y S. Y r+ _3 RIDING j•' ................... 600 �n I.j:ai::::i:;•:;•iii :ii}iiia}>:•i:•ii:.?:•ii:•i:•i:•i}'.:::;:;>::.::.;:. II! ......I3 �,D ING ' lJOSEPH DILL ON S a {{ :... ....>.:.... .; ........... ....M COCKERSTREET ....u..u::�:�:.a.a. ........................ANNISPY . . . . . ... .. XX .:: ' ''` �""` LEGAL iiS tiS '�rTi�r'i�•:iit�i:� :�Y}:�:iilt3:I:i?t�!:I:Oa� '�i` ...._...-....�_.....,_............•........ :«...SEARCH X. ? <>; --� M � f ." Asse ssor's offioe"Nst floor):' / , + Assessor's map:and lot number .. ` /9? T Q�0*'TMETOE♦ ` *�� ��y� t —'- -- IYW +3 +1 'Board'of Health ;(3rd floor): - '�" ar S�uc•% S•G:f• 7�/6�6 i I' Sewage Permit number .�1 ................................................ . �' BABd3T�IILE, Engineering Department (3rd floor): +°o House number ' _ '� e :.......... .Y..:.........=.............- APPLICATIONS PROCESSED 8:30-9:30 A.M.and-1:00-2:00 -P.M. only, t TOWN, OF , BARNSTABLE BVIRDING INSPECTOR i r�bev Ta i pDu>� i9 /oore t , APPLICATION FOR PERMIT TO .....[.cam............�..............:�17................,................:� ..�/.C............................ TYPE OF CONSTRUCTION Gv.�d. .....:.:... 2A/!?.�....................................................:. .ry,. ................... ._ . e.1 ,.. � � -- 9.. . *O THE INSPECTOR OF BUILDINGS: e undersigned .hereby applies for' gapermit according to the following information: Location .98....c, OC ..... .'.....'.� ��!tJ>ll/1..... � .�.........:............ r ...................................... ..... Proposed Use / ,q l ..................................... -a- **Zoning District Fire District .... ��'Z�Lf/) Name of Owner ..., .:..... ........ ..............:...Address D..G •e r' ... . Name of Builder ..............t-e...K4t�'L.Address .......S ...................................... , y Name of .Architect ...............................:..................................Address . t �. Z.� � . 001,e d Number of Rooms ...... . '......................................................Foundation ...........C'.:.. ....1.......:.......................................... Exterior EC ........ �1/•(J....... ... .....................Roofing .Co,C =......( J��. .!��L- ). Floors . .... .0.. ............................................................:Interior �� E.T �I ....-. ../�G h. .7..E% �... Heating . .:....C� ........................................... . ......:Plumbing ........ ................................................... a ptt.................... FireplaceO ti �- .Approximate Cost .sA.,.�c721' ,. ? Definitive Plan Approved by Planning Board ---------------------_-----------19-------- . Area ..... .�! .......... ............. Diagram of Lot and Building with Dimensions Fee .i SUBJECT TO APPROVAL OF BOARD OF HEALTH y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........ ........ ..... y�y Construction Supervisor's License .....t .'V eY.:.....:. PARK, IKE H. V ,�l0 29664...Permit for .....To Porch.:/...S.a g�e...F.atuily..I?zaeJ J zn� Location ..2.4..C.x Qcke. ..Stx.P-s t.... ................... ................. y.a17I17 5.......................... .........:...... S Owner lke ..H,...1?a,x:k•............... r.. ......... Type of Construction ......Frame.............`.......... ............................... ...................... ................... r Plot....... :........ r. ...... Lot ................................ Permit Granted 41Y..0............:19 86 Date of Inspection.............................-......19 Date Completed :119................................. t < - f pp GG 4� :rA; ssor's map.and lot number .. .0.....:...`0.. .... Q�oFTHETo�y MUST CIiW:TA TM SEINER Sewage Permit number ........ ........................................... G , Z BJHBSTLDLE, i House number .......... ... ... 9 Mae6 � .... .. .. e O 2639. 9� 'E0V a. TO OF BARNSTABLE BUILDING INSPECTOR � c ... APPLICATION FOR PERMIT TO g��� ... ....... .� :.. TYPE OF CONSTRUCTION ........Y. l�.. 4...... ............................................................................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: 1 Location ......</T...G�� 'r ....557rZ in`L f.. AINA1�..1..,.. ..: � Q.4 .................... Proposed ,Use ..... .. ...... Zoning District ........... "'.. ........... ................Fire District ' '7 �6mehJer Address ,el' �. .. . lam!.?....... �� Name of Builder Address ..... ....... ......... ....... .......... t.�..... .. ... . Name of Architect4 /..6).:.JaHn5Y. .. ..........Address .................................................................................... Number of Roo /...... i .........Foundation rrr> „��. ,la..�...L.�. .."�1.Y1..�'�. Exlerior &.�.J® .....�?� 1{vt�� ..�(pl .('9..............Roofing .... Nt5.1�r....C�r1`1 Floors ... . .Interior (:�...... ... .. ........................................... .... .... .... .... Heating - 5/ ..:..............................................Plumbing ...... .0011'�� T ....................:................... Fireplace .........i..'` ....................................................Approximate. Cost .......Z4, .4200 Definitive Plan Approved by Planning Board -------------------_-----------19-------. Area ............ .. .................... . Diagram of Lot and Building with Dimensions Fee ' ? ........................ SUBJECT TO APPROVAL OF BOARD 'OF HEALTH f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the T r I ding the above construction. Name .Y..... !� ..--�....... U W M Construction Supervisor's License .......... ................ '1 ti � -7� Y SILPPA M.- JOHJSON TRUST/ Ca2' G. JOHNSON � r' � - b .•r'. j 25407 Permit for REMODEL AL' +'S n REMODEL RENTAL APTS } .......... .............................................'......... "' fi Location ...24„ Crocker Street.................................... Hyannis. i� � �� L""` . jR,/t f � �-; , , � '� �? ��� •. ...................... ..................................................... e...� p O�Agr rSilppa...M'...Johnson ...Tr... Typtosof Coristru tion Frame............j.. . _ ....... ................................................. or, -311 PIo ............. ........ Lot . L n��;. � Per Granted August 10 , u.3 Dat f Inspection .............................?.......19 1 a r r t Date Co pleted 19 t t �r !? ef - �� _ ' r V rI � - -A.• gip£ � � �,� - '-. r � �e a s / _ 4+ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M C( IF 7 L DATA J 'SK- DEPT. FILE COPY/WHITE- FIELD COPY/YELLOW-APPLICANT COPY ° ' TOWN OF BARNSTABLE, MASSACHUSETTS BUILDINGPERMIT VALIDATION DATE r 19 PERMIT NO. = `p APPLICANT ADDRESS ..i f- r +° (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO (_) STORY t^- - NUMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) I ZONING DISTRICT (NO.) (STREET) BETWEEN AND 1 . (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT.AND SHALL CONFORM IN CONSTRUCTION 1 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: ' t AREA OR ':`. - i I t PERMIT VOLUME - ""' ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER .:. BUILDING DEPT. ADDRESS i _ .. .� _. BY �' L ✓/ y L ] [R328 187 . ] LOC] 0024 CROCKER STR T CTY] 07 TDS] 400 Al KEY] 245602 ----MAILING ADDRESS------- PCA] 1111 PCS] 00 YR] 00 PARENT] 0 DILLON, JOSEPH P & PAULA J MAP] AREA] P015 JV1395307 MTG19201 100 HITCHCOCK COURT SP1] SP21 SP31 UT11 UT21 . 26 SQ FT] 2936 CHESHIRE CT 06410 AYB] 1920 EYB] 1965 OBS] 80 CONST] 0000 LAND 22700 IMP 97400 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 120100 REA CLASSIFIED #LAND 1 22, 700 ASD LND 22700 ASD IMP 97400 ASD OTH #BLDG (S) -CARD-1 1 97, 400 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 24 CROCKER ST HY TAX EXEMPT #RR 0382 005C RESIDENT'L 120100 120100 120100 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE] 08/92 PRICE] 94000 ORB] 8183/098 AFD] I L LAST ACTIVITY] 02/27/95 PCR] Y t .k 4 = I R328 187 . J& P R A I S A L D A T A• KEY 245602 DILLON, JOS'EPH P & PAULA LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=PRD 22, 700 97, 400 1 A-COST 120, 100 B-MKT 178, 900 BY 00/ BY ME 3/88 C-INCOME PCA=1111 PCS=00 SIZE= 2936 JUST-VAL 120, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA P015 ----------------------------- PROFESSIONAL ZONE PARCEL CONTROL AREA TREND STANDARD 101 30 LAND-TYPE 227001 LAND-MEAN +0% 1201001 IMPROVED-MEAN +0% 500-. 1 FRONT-FT N, 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR]AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- N ] STRUCTURE-CARD NO- [000] DATA- [ ] XMT [?] R328 187 . P E R M I T [PMT] ACTId*R] CARD [000] KEY 245602 000000001 PERMIT—NO MO YR TYPE VALUE CK—BY MO YR .CMP NEW/DEMO COMMENT [B29664] [07]1 [86] [AD] A 12001 [GB] [01] [88] [100] [NEW ] [HY ADD'N ] [B25407] [08] [83] [AD] A ] [ ] [01] [84] [000] [NEW ] [HY REMODEL] [ ] [ ] [ J [ ] ] [ ] [ ] [ ] [ ] [ ] [ J [?] FOUNDATION EiSM 1. eu rA I I w . LAND COST one.Walls Fin. Bsmt.Area Bath Room 2 Base /J 9 ,5 O BLOG. COST � g7 ne.Blk.Walls Bsmt. Rae.Room St. Shower Bath Bsmt. p PURCH. DATE - nc.Slab Bsmt.Garage St. Shower Ext. Wells PURCH. PRICE . r Attic Stair�� / Toilet Room /7 a Ick Walls Roof RENT one Wells Fin.Attic Two Fixt. Bath f Floor _ L Q er$ INTERIOR FINISH Lavatory Extra mt. 1' 2 3 Sink + 1` r/= 1/4Plaster Water Clo. Extra Attie /o EXTERIOR WALLS Knotty Pine Water Only � �L yS/ f /3 O / — — _ )uble Siding Plywood No Plumbing Bsmt. Fin. /,2 'ngle Siding Plasterboard Int.Fin. W Shingles TILING roc.Blk. G F P Bath FI. Heat 4- / 2 /�j yU ace Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit -� 2 Veneer Int.Cond. Bath Fl.&Walls Fireplace hm.Brk.On HEATING Toilet Rm.FI. Plumbing + 830 D lid.Com.Brk. Hot'Air Toilet Rm.FI. &Wains. Tiling -9- Steam Toilet Rm.FL 8 Wdls F-ket Ins. Hot Water Q St. Shower — oof Ins. Air Cond. Tub Area Total j Floor Furn. g `20b ROOFING COMPUTATIONS sph.Shingle Pipeless Furn. /Q U S.F. a� 7 V e fJ , food Shingle No Heat S.F. s /j G ,sbs.Shingle Oil Burner 5 S.F. J3.,7�j 7� date Coal Stoker S. F. a 3 ile Gas 0,v v S.F. 9. IV40 '/ OUTBUILDINGS . ROOF TYPE Electric S.F. 1 2 3 1 4 5 6 7 8 9 10 1 2 1 3 1 4 1 5 6 7 8 9 10 MEASURED Cable Flat lip Mansard FIREPLACES S.F. Pier Found. Floor '.ambrel Fireplace Stack Wall Found. 0.H.Door LISTED FLOORS Fireplace v Sgle. Sdg. Roll Roofing / S'onc. LIGHTING Dble.Sdg. Shingle Roof y Earth No Elect. ATE Shingle Walls Plumbing 4ardwood ROOMS Cement Blk. Electric Uph.Tile Bsmt. 1st TOTAL 3.� S Brick Int. Finish t D Qf2B Single- 2nd f 2 B 3rd FACTOR 3A 93 '- Y REPLACEMENT OCCUPANCY ,.vim- CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep- ACTULAL VAALL.. pWLG. r -�_ 4._!_ S�' S� rY f .2 '3 '4 5 6 —7 8 :9 to TOTAL *�•� ,Vie• 4�. RESIDENTIAL PROPERTY MAP Nn. LOT NO.' FIRE DISTRICT SUMMARY STREET 2l.! Crocker St.- Hyannis H �3 LAND 6 s h ' 328 187 l �� BLDGS. .i s3 OWNER �t rw-�Ltst/"� ,/�c"> TOTAL J 3 0 o U LAND _ RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: � BLDGS. 7, 53 SU -,,,'.Johnson,­w S lvia_'M. - . 3 9 51 778 47- _. ___..__ g TOTAL 3 .S )U LAND ro a-- - .26a - - BLDGS. ' Johnson, Christina Carla TOTAL LAND // BLDGS. cKeR S�R�eT— /7. AniNiS - o r1s � O P- a/ TOTAL LAND BLDGS. TOTAL LAND BLDGS. ;I TOTAL LAND 'r BLDGS. TOTAL LAND BLDGS. t INTERIOR INSPECTED: TOTAL DATE: 3 .? 7� r /' A rF ' ' _ LAND ACREAGE COMPUTATIONS BLDGS. D TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE W LAND CLEARED FRONT BLDGS. REAR pee S. u5 TOTAL WOODS&SPROUT FRONT LAND REAR a) BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ' o ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY NO RD. BLDGS. PROPERTY ADDRESS I I ZONING (DISTRICT CODE SP-DISTS.I GATE PRINTED)CLASS I PCS I NBHD KEY NO. LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS lly UNIT ADJ'D.UNIT By/Date sae D�meneall LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Deecripuon D ILL 0 N. J 0 S E P H P & P A UL A J MAP— Land CD. FF-De th/Acres E #LAND 1 22i700 CARDS IN ACCOUNT — L 10 1BLDG.SIT 1 X .24 =10C 242 50 71999.9S 87119.9 .26 22700 #SLDG(S)—CARD-1 1 97.400 01 OF C1 A #PL 24 CROCKER ST HY COST 120100 N BATHS 5.0 U X C= 100 175CO.00 17500.00 1.00 17500 a #RR 0382 0050 MARKET 178900 0 INCOME USE A APPRAISED• VALUE D A 120i1OO 0 i PARCEL SUMMARY A U LAND 22700 T S BLOGS 9740C A T —IMPS .M TOTAL 120100 F E N CNST E N DEED REFERENC Type DATE Recorded PRIOR YEAR VALUE A T _ Book Page Inst' MO. Yr.D Sales Price A N D 22700 S 8183/0981 I108/92 L 94000 BLDGS 97400 u 7311/048: I�12/91 L 95000 TOTAL 120100 R 6477/054: I;10/88 0 1 E BUILDING PERMIT S Number Date FAD Amount LAND LAND—ADJ INC ME S£ SP—BLDS FEATURES BLD—ADJS UNITS 22700 a 17500 a25407 8/83 Class Const. Total Year Built Units Units Base Rate Atlj,Rate Ae1W 1f9 AB N,.,-.e O r. Cob%ntl. CND.- I Loc. 4b R.G. Repl.Cost New Atlj.Repl.Value Stories I Height Rooms Rms Bertha •Fia. I Pertywell Fac. 25C ODD 100 100 65.00 65.30 20 65 29 66 80 100 52.8 184524 97400 2.0 16 8 5.0 19.0 De ,ptlon Rate Square Feet Rapt.Cost MKT.INDEX: 1•DO IMP.BY/DATE:- ,ME —3/88 SCALE: 1/00.41 ELEMENTS CODE CONSTRUCTION DETAIL S SAS 100 65.00 1040 67600 GROSS AREA 36 FIVE FAMILY Y CNST GP:00 T FEP 65 42.25 208 8788 *------38------* _TYLE 18 ULTI F_A_M_IL_Y_ 0.0 R FSF 90 58.50 856 50076 ! FSF ! ESIGN ADJMT 00 0. 820 60 39.00 1040 40560 ! 20 _XT£R.WALE S 11WOO6 SHINGLES__ 0. 28 ! E'AY/-- TYPE _100IL-- W—ZONED 0.- --- - DR -- - AS --- ---------------- *----26---* I IN NTER.FISH 06YWALL/PLT 0._ T - ---------------------- ft4 U ! 8 B2b ! ----- - -------------------------- 00 --- *-12—* ! INTER._DUALTY 00 0. ! ! FLOOR STRUCT_ 02 D JOIST/BEAM 0. ---------------------- A W ! ! E LOOK COVER 01HARDWOOD 0. 208 Be.. ___ ___ ______ ___L 1896 40 BASE 40 ROOF TYPE 0lGA8L-- - ---------------------- *,' N Areas Aux BUILDING DIMENSIONS ! ! L E C T R I C AL___ _01 V E R A G E _ _ 0._ S W26 FEP S08 E26 N08 W26 .. ! ! FOUNDATION 02CONCRETE BLOCK 99. v N40 E26 FSF N20 W38 S28 E12 ! ! --------------- --- ----------------------- d E26 .. SAS S40 .. 820 N40 ! PROFESSIONAL ZONE W26 S40 E26 .. *----26---X LAND TOTAL MARKET 8 FEP 8 PARCEL 22700 120100 *----26---* AREA VARIANCE +0 +0 STANDARD 50 EXISTING FIRST FLOOR -- EXISTING, SECOND FLOOR - i SCALE .' 1l81= It C " - - - SCALE , 1/9 = I '_ 0 -f- B E R A B' R M �6 I DECK I AT / L IV. RM , DINE RM. T ENCL. �' B� RM 9 F. RM SIC 8� RM I I L KITC!-lEfv � � A K E NC \ U C PORCH PANTRY J PORCH _- ENTRY HALL __. } 8/ RIv1 8 HALL l r-------- - � `� f 1 y t FARM 1 BE RM 4-'2 =j B/ RM¢3 BERM 4 A RM 7 B � RM 12 QI ioNow - ____ RETAINING WALL - - � FT. ► _ __ _ _ -- - - -- - - ~rO- �B T sLD . EXIST. PAVED DRIVE NEW ADDITION TO , BACK PORCH P(A,A� 0 Ex ISUILDiPJG f— ,. , LLl E LL1 i L_UT + SiLIt V ITH L TO $ACC NDRi B � I l ( Ilk ; � �� � 1 .__ _ . . .,. ...�_.-.-......-- t r ��� - � is !,•.,u _ NEW ADDITION TO I °� . ___._____ t `" BACK PORCHQo � , t{ ► 01 �-1--i o CL _.�jr__ c 18 3 FT. t SITE FLOOR PLANS — 24 CROCKE R ST SITE PLAN SHOWING ADDITIONS TO BACK PORCH EXIST. FLOOR PLANS SCALE , 1 = 10 - �J - AS N r�T ED AavROoto 6r DRAWN , -I - 4- REvSED 24 CROCKER ST. — HYANNIS, MA DRAWING NUMBER T E H EatK I 1. OF 2 1, I ! 3' 5° GLIDING B RM 7 B RM 8 � ' Pi s 36- 50 GLIDING BATH ENCLOSED a PORCH E 36 50 GLIDING SUN g'RM I BERM ` L I V, RM PORCH ;, (ENLARGEMEN I (EXISTING) ' � I c KITCHEN f ` Q 5" GLIDING I 3 _ DOWN ENTRY , HALL TC BASEMENT i UP HALL BATH 3 - 50 GLIDING � � ---- - ' p 2 B'RM 0_9 E uM b Iii , !j 3" 5"' GLIUING B R M 4 BATH �i FIRST FLOOR PLAN SHOWING ENLARGEMENT OF LACK PORCH SCALE :- I/f..F " = I ' _ o „ ENLARGEMENT O F BACK PORCH 1/4 11 , AVPROVED By DRAWN 8r d DATE REVISED 24 CROCKER STREET , HYANNIS., MA DRAWING liumsEo IKE H R 2 OF 2