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��., / __� S' v G� �J . �® ., �J � 0 C� �-� V� � m -�-�_ .� ,I � s I i I i i��y ~___ � i i � t ��� s� i ., MULTIFAMILY FILE TOWN OF BARNSTABLE BUILDING PERMIT APPLICAMaw. e' A i ed Map � Parcel 1 T '�fq ��F B ARNSTABLE Application #1? Health Division f: n Date Issued E =r Conservation Division Application Fee 4 Planning Dept. _ Permit Fee ) n Fi fi Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Stree Address L ©v/S cS Al"T" i'- Village 3 Owner ar I an La C / Address - /P f?D,c l Telephone Permit Request �L h0 04/ /�o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /a? construction Type Lot Size Grandfathered: ❑Yes ElNo If yes, attach supporting documentation. Dwelling Type: Single Family 2i/ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ff"Other S lab Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing / new 61) Half: existing 0 new C7 Number of Bedrooms: / existing ?anew Total Room Count (not including baths): existing new First Floor Room Count / Heat Type and Fuel: 33nc Gas ❑ Oil ❑ Electric ❑ Other Central Air: u Yes ❑ No Fireplaces: Existing y New Existing wood/coal stove: ❑Yes U(No Detached garage: ld existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �"� Telephone Number W7 L ala-33 a/ Address I�(0 License # . Y1 a Oa(o(,*O Home Improvement Contractor# I b373 0, Email Worker's Compensation # 6069 70(p 01 a0I c� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1'?e QLk6 TYG� SIGNATUR DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. e r 4 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Comrtsonweattlt ofllfassaekusetts DeParrent of&dustrtal Accidents Office of Investigations 6Q0 WasMagion Street Boston,MA 02.111 www.tnass gov1Wa Workers' Compensation Insurance Affidavit:Builders/Contractors/BlectriciandPlumbers ALVPIicant Information �` Please Print Le bl Name(Business/prgani�on/tndividua!): /�y Address: 2 T City/State/Zip; Z1&.-,3 jZ Are y a an employer?Check the appropriate box: I. I am a employer with Z " - .4. ❑ I am a T-'pe Of project(required): employees(full and/or part-time).* contractor and I 6. New P ) have hued the sib-contractors ❑ fin 2.❑ I am a sole propridtor or partner- Listed on the attached sheet.t 7. ❑Remodeling' ship and have no employees These sub-contractors have. 8. working ❑Demolition forme in arty capacity. workers'comp.insurance. [No workers'comp.inyuranm 5. ❑ We are a corporation and its g• ❑Building addition 3.❑ required] officers have exercised their 10.0 Electrical repairs or additions I am a homeowner doing all work right of exemption per MGL I L myself[No workers'comp. c. 152,11(4),*and we have no ❑Plumb' or additions y insurance�e.1 t employees.[No workers' 12.❑Roof repairs COMP•insurnnc a required] 13.❑Other *Any apptFeant ffiat checks box#1 must also 84 out tlu secdan below showing oick watto�'CMR=sW n policy mm maoiou. t Hoareoara; vdno submit bus aiHdavit indicating ry are doing all wort and rhea 6he sCotdtactoa that check this outside wnhactors mast submit a new affidavit indicating such. box mast attachM an additiond sheet showing the munt-ef the sub�wntractam and Hair worw e camp.Policy ir&imadm effpinfarmaCron.der that is providtrtg workers'compensation lnsuranee for ttry employees Below is thepolicy dad job sfle Insurance Company Name: fi Policy#or Self-ins.Laic.#: /°�7D EPirati oa Date: Job Site Address:�� t11_S S _ City/State/Zip: - (� Attach a copy of the workers'compensation Polley declaration Page(showing the policy arm er and ezplmtaon date). Faihwe to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine cep to$1,500.00 and/or one-year imprisonment,as well as c'pauftes in the form of a STOP WORK ORDER and a tine 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-ksurance coverage verification, I do kereby a andPeao ofP that the Information prodded above is true and Correa si re: Date: -q I 1 Phone `7 d o� ,3 a QjTcial use only. Do not write in this area to be completed by efty or town offWal City or Towvlt: Permit/License# Iming Authority(circle one): 1.Board of Health 2,Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.other Centaet Permit; ME,iMPROV-EMENT CONTRACTOR i before the expiration date. If found return to: to egistration: 16M2 Type: Office of Consumer Affairs and Business Regulation xpiration:. 7/17/2017 Private Corporatioif 10 Park Plaza-Suite 5170 I Boston,MA 02116 R.A CAMPBELL ENTERPRISES INC. - t p RYAN CAMPBELL -- - - { : 126 BAYRIDGE DR. SOUTH DENNIS,MA 02660 r ' Undersecretary of va d Ahoot signature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-093716 Construction Supervisor RYAN ANDREW CAMPBELL '4 126 BAYRIDGE DRIVE SOUTH DENNIS MA 02660 - (�-nn l- Expiration: Commissioner 04/06/2018 �A - _ v • � o�r �r �n T ......44 d - I- --I i � _ j - _ 'i - - 1 _ i 1 F . _ i � - _ - �, i � � i � i i i -i- � � i i �. ', � j i i .__ _ _ _. _r _,. 1 _ _ _ _� _ — - - a � , - — I NPaft 10 Atlantic Ave. South Yarmouth, MA 02664 racampbellenterprisesinc@gmail.com 774-212-3321 4/4/2017 PROPOSAL BRIAN LACROIX LOUTS ST GARAGE APARTMENT HYANNIS, KITCHEN: • Remove the existing kitchen cabinets $1,200.00 and appliances • Prep the walls for the new cabinets. Cabinet allowance $2,800.00 • Install the new cabinets, moldings $1,200.00 and hardware • Install the new almond electrical outlets $2,300.00 and toggle switches. Install new recessed LED lighting. This is for all the plugs and switches throughout the house. • Install new appliances and proper venting. $750.00 • Install new countertops and backsplash allowance. $2,400.00 . • Appliance package with cooktop $3;520.00 • Total. $14,170.00 BATHROOM: • Shower tiles,pan and tiles $840.00 • Shower faucet $250.00 • Shower fan/light Panasonic $325.00 • Toilet white comfort height $250.00 • Vanity $650.00 • Vanity top & sink $450.00 1 • Vanity lights $180.00 • Sink faucet $160.00 • Mirror $325.00 • Fixtures (Tp holder, towel bars) $125.00 • Labor for bathroom • Electrician $1,600.00 • Plumber $1,750.00 • Contractor $5,500.00 • Total: $12,405.00 DOOR HARDWARE: • Install new door hardware on the interior doors. • Total. $200.00 FLOORS: • Sand all the floors and treads on the stairs. • Install new flush mounted wood floor vents • Stain the floors to match the existing color. • Install 2 coats in the begining of the project and one final coat at the end of the project. • Total. $2,600.00 HVAC: • Clean out all the duct work • Total. $750.00 PAINT: • Repair all the damaged trim and walls. • Prime any bare materials. • Paint the ceilings, walls and trim the colors the owner has chosen. • Total: $5,200.00 I 2 Total 'ob: $35 325.00 Contractor. Date: Homeow Date: Deposit.- $101000.00 Installment: $10,000.00 Final: $15,000.00 3 4 t Town of Barnstable *Permit# Regulatory Services P'ee ires 6 months from issue date vDMMSTAB re� Richard V.Scali,Director 4N (��•�✓ i639 ♦0. Building O, A'Eo.3 Division Voi Paul Roma,Building Commissioner 200 Main Street,Hyannis, APR R 0,— www.town.bamstable ��� Office: 508-862-4038r��° Fax508-790-6230 MI EXPRESS PERT APPLICATION - RESIDENTIALdw]F�i '2D I _ � I 0 Not Valid without Red X-Press Imprint Map/parcel Number c/� Property Address / /o b f S Sy- h moo►r?/J 15 O 2-6 D l ET-Residential Value of Work 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address t�✓� led-C'/L�d Contractor's Name (ASW f f � Telephone Number ? 7 Y 236 )-F,?7 Home Improvement Contractor License#(if applicable) P? / 33 Email: l e,—4S-7�4oprl.L/P-kieoroV-t ok ll 4� Construction Supervisor's License#,(if applicable) wkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner D-fhave Worker's Compensation Insurance Insurance Company Name O KA d l C.t. 10 5V/U I", Cn Workman's Comp.Policy# 00 R Copy of Insurance Compliance Certificate must accompany each permit. Permit Reques (check box) 1 Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to"COO/-tJ'f G�✓ rOSI�/ ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ e-side [v�Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ;7— *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 required. SIGNATURE: QAWPFILESTORMSUilding permit forms\EXPRESS.doc 01/25/17 3 _ Ile Common r It ofMarsadi=etts Departaeut efludushialAcddentg fie of bzvezdgatio=. 600 WaslibVion S r zf Boston,MA 02HI -- ><• innmasmgovIdia War.leers' Compensat an Insnrmce davit-BuUder-lCuntractursJElectricianstPhunbers APPEC ni Tnfarmaf Gn Please Fret Y Address- city/stag- f , Phcna 7 V X3� X 37 Are}man employer?:Check the appropriate bay: Type of project(reg1reil: I_D I am a 1 with ❑ 6.I am a general contractor and I ❑New construction employ andfor * have hired the sub-contractors 2.❑ I am a sale proprietor orpartner- listed an:the attached sheet. I- ❑Re=dew. ship and have no employees . These sub-contractors have g- ❑Demolitifla wcddng forme is any capacity. employees and have wodmrs' 9..El Building addition. JN¢[6�me Cflmp_instance camp_Msuran l required-] 5. ❑ We are a-coaporation and its ME]Electrical repairs or adcritions 3.❑ I am a homeowner doing all work officers have exercised thi�r 1 L❑Plumbing repairs or additions n7self [No workers' F- right of es empfioa per MGM 1ry-❑Roof repal= ;n c �&]T c.lam, §l(4).andwehwerro . employees.[Nowod=s' 13-0 Other coznp-insurance required] 'AnyWffcz=&atcbedcsbosislmastalsofRoutthesedioabelcros-d nsiagebe vm&eieam3penmf mpolicyinfimmaIIGaL l Hameawnem wbo smart iris dEdaeiC imrkmthm fty m daiag ail Wa l and&m bRR antside rvzftzctarx=ast submit a new affidandt iadieating sadL ICaatcattozs ffmt check i}ds bmc mast attached'as additional sheet ftwing tbaa—of die m%-c�•and stare whether or oat ibme endiesiAve employees.Iftbam2b-c hm mnpIcyw-,t6ey mutpm4•idet3ek uvdrma'immp.pahcg amaber_ I am an Haroly is f1ie pa cy raid f eb sate infarmQfiars __ _ / _ Insurance Company mama: !: lCA )e , l✓l Policy 441 or Self-ins.Lim ` ) �T> ��girstian Date �' Job Site Address: Ct" L?15 .IW A ftA Cityl5tateE tg: /J 60I Af#ach a-copy of fie workers'compens tionp6licy declaration page(chewing the policy n=aber and expo atioa date). Failme to secure coverage as required under Section 25A of MGI.m 15 can lead to the imposition of zriminal peaalfies of a Sae up to$1,54Q0D and Far one-year imprisonment.as we11 as ri;a penalties is� fio- e m of a STOP WORK ORDER and g Rme of up tea U_©il a day agarmst the violator. Be adTitised'did a copy of this statement mpY be fmvarded to the ff'ice of Invest4ptions ofihe DIA for insurance coverage veriflicabno- I do:Afe�rA�Y !,mu&r&# dPellaiiies a.�p sy t#afthe in�brwa€imr prm-iffedd abates is bw and correct Si. r Date. pb ane 7 7 2 Z'? a tciat use wif Da ar rt write is fps area to be artnpletesd by dif rartatrtt o, `reiat City or Town: Permi f Acense 9 Ewning A uflority(drele one): L Board of health BmWing Delta hmrm nt 3.CAyfrown.Clerk 4.Electrical Iaspe Aor S.Plumbing fimpecter 6.Other Gan act Person Phone 9_ -- 6 ormation and lastxuctions hfiLRS h=eft General Laws chapter M reQIIIl"eS an eutployc=tU Mwide worl£e .,coinpensation for`haefr=npIOyCes. pmsual3t1O this sbtEida,an employee is dafm-ed as_¢.evmppersanin the service of anordirr u do r mry com -Art oflffie, eo`press or izapliecl,oral or wiift " An=rrploy8•is defroed as"an inchyidnel,partnership,assoaf d6a3n carpmatfon or other legal eaEhy,or any two or more of the;foregoing=gaged in a Joint eats II ,and inchidmg the legal=prme�es of a deceased t player,or the =efvnr or tivstee of an kdividmil,per,association or ofheclegal e�ity,employing effiPloyees. However fhe owner of a.dweI mg house having not more tip tbree apm tneatts and who resides ,or the occult of the - dw mug house of ano$ea who employs persons to do mamte�,non*nCti on or repair WU&on such dwelling house uri�na�thereto shallmtbecanse ofsnch moployineutbe dene�to be an employe" or on.the grounds or bmldmg app MM chapter 152,§25C(6)also stains that every s&-fa or local licensing agency shall wiffihOld ffie zsstiance or renewal of a Hcease or permit to operate a business or to construct btuild ags in the commonwealth for any applican.fwho has not produced acceptable evidence of cdmpL-mce vvn the insurance.coverage required." Additionally,M(M chapter 152,§25C(7)states fileiffim the ca= MCWCBM nor a'ny of its poIifical subdivisions shall of into any conttart for the petfloin nact 0fpubhc work uatl acceptable evidence of compliance with the insurance. recxltm-emets of this dapt=have been presesited to the conharimg anfh ozity." A-PPIicaats Please fill oirt the,workers' compensation affidavit couipleinly,by checking the bones$at apply to your sitnaiion and,if necessary,SnPply sob-contractnr(s)name(s), aditms(es)and Phne113mber(s) along wiftfheir=tdacat*) of inknee. Limited Liability Companies(I.LC)or Limited Liability Parbicaships(L P)wiffino employees ofiier f m the m e,r,l s or p s>are not rbgahrd to cry workers'compensation iasm�ce If an LLC or LIT doe have licy is required. Be advised that this a$da�maybe snbmif�dto the Depa lment of Iadu<stdal e�pIoyees,apo Accidents for confnmaiion of insnrance coverage. Also be.sure to sign and date the affidavit The affidavit should be mtnzied to the city or town that the application for the permit or license is being reque not the Department of ; rumpftwj Accideos. Slwuldyou have any questions regardw.g the law or ifyon sie rcgairedto obtain a wormers' compensationpoliep,please,call the:Departmentattheibexlistedbelow. Self-instaedcompanies should miter their self-filsm-mce license nninber an the appropriate line. City or Town Officials f . Please be stria that the affidavit is complete and praLfedlegIly. TheDepa tmenthas provided a space atthe bottom of the affidavit for you to fill out in the event the Office ofInvestigations has to cozdactyonregmiEngthe applicant Please be stn e to fill in the pen niYlicmisc munber which wM be used as a r-Df=mce number. Im-addition,an applicant that must submit muhtipIepeuntlicenso applizztims in any given year,need only submit one affidavit indicating=m t policy fnfornation(if necessary)and under`lob Site Address"the applicant should write"aU lGm ions in (c'Ly or town)='A copy of the•affidavit that has best officially stamped or marked by the city cr town maybe provided t0 the - appHcmt as-proof:that a valid affidavit is on file for fatare peanits or licenses_ Anew affidavit must be tilled ovt each year.'Where a home owner or ciften is obtaining a license or pm:niitnot related in any business or commercial venfruz e_a dog license orpeonit to bum leaves eta on.)saidpers is NOTrcgoiredtu complete this affidavit The Office ofjuyesli 'ten. wouIdhketo t iankyomfaadvance for your coapeaaiion and sbovldyouhave anyquesfions, please do not hesaate to give us a call The Departmmifs sires,tn;I Phtma and fax nmmbea: *of Massaahnwtbl. . - D Ent of 11id�AoDidents �tc�of�ay<esttio� - �4 o 1�fA Oil I I Fax 9617` 277749 Revised 4-24--D7 WW g Herbst Home Improvements LLC 35 PEEP TOAD ROAD CENTERVILLE MA 02632 774-238-2937 www.herbsthomeimprovements.com PROPOSAL SUBMITTED TO: WORK PERFORMED AT Brian Lacroix 91 Louis st hyannis We herby propose to furnish the materials and perform the labor necessary for the completion of: New roof -Remove one laver of shingles -Insoect roofinq deck for loose boards -Install ice and water shield at eaves -Install new drip edge -Install Certain Teed diamond deck roof paper -Install Certain Teed Landmark PRO shingles -Replace all plumbing boots -Install cobra ridge vent and Certain Teed cap shingles New sidewaH both gable ends front and rear dormers / -Remove existing shingles -Install typar house wrap and install clear cedar shingles Remove and install all new windoVVZ. with A77d series installing new trim inside and out �5�✓'�5 ''n�) with sills J Trim -Build out flying rakes through out with azek trim �✓�fi� Gw�7� -Remove fascias and build and install a soffit and fascia in azek V o Doors -Remove and install two exterior doors trim inside and out with azek for exterior v ©"i--i 3 new post bracket plates Clean all debris daily All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted And completed in a substantial workman-like manner for the sum of: Dollars ($`�iW,00)with payments as follows: *Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an extra charge over and above said proposal. RE TFULY SUB T j on Herbst �_ ACCEPTANCE OF PROPOSAL The above price,specifications and conditions are satisfactory. I herby accept this proposal. You are au orized to do the work and payments will be as specified above. 1 s' Massachusetts Department of Public Safety'' Board of Building Regulations and Standard " License: CSSL-106051 Construction Supervisor Specialty JASON HERBST 35 PEEP TOAD ROAD CENTERVIL'LE MA 02&32+ zu; � Expiration: Commissioner 10101/2018 - ' r G%vGuatiac/ivaetla .1:�, e oorvrrznru G Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration:,:;'171331 Type: . LLC F HERBST HOME IMP%in mg JASON HERBST 35 PEEP TOAD RDAc — CENTERVILLE,MA-02632 r ' Undersecretary Construction Supervisor Specialty Restricted to: CSSL-RF-Roofing CSSL-WS-Windows and Siding I Failure to possess a current edition of the Massachusetts 1State Building Code is cause for revocation of this license, :;•DPS Licensing information visit: WWW.MASS.GOV/DPS. 1 L�iSe'nse or registration valid for mdrvi'dual use Slily t ' j before the expiration date. If found return to: „a Office of Consumer Affairs and BusinessRegulation 10 Park Plaza-Suite 5170 G Boston,MA 02116 Zv. valid/wit-out signatu -- / f'4 1 .�. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. t DATE: IJ Fill in please: s V L� j._1 V x � " ' APPLICANT'S YOUR NAME/S: {` 41 BUSINESS YOUR HOME ADDRESS: l Lou i S �"c Ar fill So43--6 lbj-J Z 4 f-1 `e R N H i S TELEPHONE # Home Telephone Number E 6IBT- - 5 214 2 NAME OF"CORPORATION. NAMED' NEW BUSINES _TYPE OF BUSINESS +'N�' + IS THIS,A HOME OCCUPATION?' ' YES NO ADDRESS OF BUSINESS ' ' : �u -� u'F ' v AWN�� MAP/PARCEL NUMBER`.�D J �' l [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING C04VIMISSIO ER'S OFF E - MUST COMPLY WITH HOME OCCUPATION This individual hA e n infor a of n p rmi requirements that pertain to this type of business. _— RULES AND REGULATIONS. FAILURE TO Autf�ori d ignature*' , COMPLY MAY RESULT IN FINES. MENT + u0-LA I 2. BOARD OF HE TH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Regulatory.Services oF�r'e r� o Richard V. Scali,Director STAB Building Division MRNM M' Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: ]Fee: Permit#: HOME OCCUPATION REGISTRATION Date 1 C Name: FLU Q-CT {-}��� Phone#: Address: Loon S rS71 . f} P : Village: H Yifr�(tit i Qj Name of Business: Type of Business: C'�rtgT�caG TtotJ /Qfj it`lT Map/LotY :.Q INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no stoiage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up trick not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. ® If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included: • No person shall be employed in the Customary Home Occupation who is not a permanent resident.of the dwelling unit I,the undersigned,have read with thg above restrictions for my home occupation I am registering. ' Applicant Date: Homeoc.doc Rev.103113 .�� � 4F �". ���T�'"gip=r� C�(136 ARTHY -5 I `� RUCTION 'C.O. 3 °. E' esi' tial and Commercial Builder ��`�' " 'i `";" W -zA 7ON SPEC ' rs Qu I 7 1f-f �� � � r=�`-t• . :�__§ ter.. March 15, 2014 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main Street Hyannis, MA.02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201400678;Status A; Parcel 309210 at 91 Louis Street, Hyannis, MA; Permit Type RADD and issued on 12:00:00 AM has been inspected by a certified Building Performance Institute (BPI) inspector.All work performed meets or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel on 'M pp Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �-J f' La.., Si• �'1L-no �s S� Village Owner Address C Telephonern Permit Request F I xr,CIV - cc, 7 czl�Fs. a 14+,- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family u/ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total,Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Cell (508) 280-6964 CSL-58633 HIC-169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I`•n, a SIGNATURE DATE y),y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 7� �ww DATE OF INSPECTION: x FOUNDATION �f FRAME INSULATION I <. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL f r GAS: ROUGH FINAL E FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f T�I•) PcXnc � jy.Z °�� a�3� OWNER AUTHORIZATION FORM , (Owner's Name) owner of the property located at (Property Address) , ,,�irt�; ie (Property Address) hereby authorizeLL (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature /Xolly- Date The Commonwealth of Massachusetts UFDeparhnent of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Mike McCarthy Construction*,O Box C^s Address: West Dennis, MA 102670 e City/State/Zip: CSL-58WIle*1C-169393 Aru an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 3 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 � �'• 9. ❑Building addition [No workers'comp. insurance comp.insurance$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions 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' 13.[r Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and.state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 6 t 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 iPsurance coverage verification. I do hereby certify un 't p ns a enaldes of perjury that the information provided above is true and correct Si ature: -` Date: _)_/Y /1 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 a&individual partnership,associatign4orgother legal entity,employing employees. However the owner of a dwelling house having not more t�#A eq apartments and who resides therein,or the occupant of the dwelling house of another who¢employs-Versons� o§da aintena�nce,construction or repair work on such dwelling house or on the grounds or building appurtena it,,therefg,�hall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6y 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." App icants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)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 _. 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. 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 perm t(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 future 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 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFB Fax##617-727-7749 Revised 4-24-07 www.mass.gov/dia. f - DATE M/TE(MDDNYYY) l .ACCRt� CERTIFICATE OF LIABILITY INSURANCE 10/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ACT PRODUCER 01962-001 NAME: Bryden&Sullivan Ins Agcy of Dennis Inc la�• (508)398-6060 - _ - FIM.No.: (508)394-2267 -- PO BOX 1497 EMAIL So Dennis,MA 02660 i ADDRESS: - -'---- INSURER(S)AFFORDINGCOVERAGE-___-_._.__.____- . NAtq _.-_ !INSURERA A 1 M Mutual Insurance Company _ I _3375_8 INSURED INSURER B _ Michael McCarthy Construction Inc i -- -- - -- "- - - -- - -- P 0 Box 52 1 i INSURER D;_---- -_.--'- --- __---- West Dennis,MA 02670 ----------- --�INSURER E------ _..- -- -- ------- -I INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD. INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITICNS OF SUCH POLICIES.LIMITS SHOIAN MAY HAVE BEEN REDUCED BY PAID CLAWS. INSR TYPE OF INSURANCE IAD LrSt/U8p- - POLICY NUMBER T POLICCyy EFpp POLICY EXP LIMITS LT_R INSPR N f_(MMIDD/YYYY (MMIDD/YYYY)' ---TYPE -----------------'1- --------------- i GENERAL LIABILITY j I EACH OCCURRENCE1$ DAMAGE TO RENTED -I$ I COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence �.-- ---I - -) -------- I CLAIMS-MADE I OCCUR ! j I !MED EXP(Any one person) $ i PERSONAL&ADV INJURY $ ------ - - — I --- --- - - I i I GENERAL AGGREGATE I$ I- - --._.. - ,GEN'L AGGREGATE LIMIT APPLIES PER: - OLICY JECT I00 I I---DU-- -- ------'-- .....--- --...- SRO- _.OLIC _.L_----- ..._L.-_-. ...- AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT j ANY AUTO j BODILY INJURY(Per person) $ --- - — I r--- -- --- --- ----- ALL OWNED I SCHEDULED j I i BODILY INJURY(Per accident)'$ J AUTOS -..-.i AUTOS I 'PROPERTY -- -'--- - ----- HIRED AUTOS NON-OWNED I F(pe c tDAMAGE- - I$ - --- - AUTOS j aden $ UMBRELLA LIAB T OCCUR I j EACH OCCURRENCE $ - -_ -- j EXCESS LIAB i CLAIMS MADE { I AGGREGATE DED j RETENTION $ I - !$ — .._--..-____.____-_.... I____-, _-__-.--_ .T- ._.- - I I 1 WC gTATU- ! 'OT -' W.QRKERS COMP€NSATION I I X !TORY LIMITS I- E __--__ _.___ Lnv EE LL II -�---- --A D MP DYERS LIABIL TY ANNyy PROoPRIEIToR/PARTNER/EXECUTNE rY N I j j j E.L.EACH ACCIDENT $ SUU,000.00 A i OFFICER/MEMBER EXCLUDED? I�I N/A I l VWC-100-6017656-2013A 17/17/2013 7/17/2014 r-- --- - - ----- - '-- -- (Mandatory in NH) ! 1 � _E_L_DISEASE-EA EMPLOYEEI$ 50U,000.OU If eEs ddes ibbe nd r I I I F.L.DISEASE-POLICY LIMIT$ 500,000.U0 �DSCRIPI�iON OF 9PERATIONS below -- —__--___---..__-- ----- ---- I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION TOWN OF SANDWICH Attention:BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �� k - s ©1988-2010 ACORD CORPORATION.All rights reserved. �ORD 25(2010/05) The ACORD name and logo are registered marks of ACORD _ — Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 :. Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment ❑ Lost Card SCA 1 {3 20M-05/11 Massachusetts -Department of public Safety Board of Building Regulations and Standards C•unstructiun Suncrsisor ""' License: CS-058633 e, MICHAEL J MeCARTH.y `hr PO BOX 52 ' W DENNIS#A 02670 954,... � -1 st n Commissioner Expiration 04/10/2014 of Regulatory Services N+es Thomas F. Geiler,Director i639- D 3' Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry DATE: 9/18/03 RE: MULTI FAMILY CERTIFICATES OF INSPECTION Attached is a Multi Family Status Report. We now have Certificates of Inspection for most of the multi families that require them. The following properties are"pending" for the reasons described. Is there any further action we should take? 25 CEDAR STREET,HYANNIS We received a Certificate of Inspection fee for 6 units. The COI was not delivered because there are 7 units. There is a note from 8/02 that the owner would go to ZBA for the 7th unit. As of this date,no ZBA application has been filed. 1927 FALMOUTH ROAD, CENTERVILLE See separate memo. 44 PLEASANT STREET,HYANNIS The Certificate of Inspection letter was never sent, and the original file is missing. There are 2 legal units,but our notes indicate there are 7 units. I emailed Paulette who sent a letter on 5/6/03. There has been no follow-up with Amnesty as of 9/17/03. LETTERS SENT 8/02,NO RESPONSE. SENT AGAIN 5/20/03 91 LOUIS STREET, HYANNIS Owner called 7/15/03, refused to pay fee, memo to Tom Perry. Do you want to take any action? 36 OAK NECK ROAD,HYANNIS, sent letter again 9/10/03. J020820a Town of Barnstable ,U,,,MBLE ; Regulatory Services 9Q MAW. ,fig AIFp�,,pr A Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: Tom Perry FROM: Lois Barry DATE: 7/15/03 RE: 91 Louis Stre Multi-Family Owner:Brian Cro' Box 981,Hyannis, 790-2822 We sent letters to the owner,Brian Lacroix,in November 2000,August 2002 and May 2003 requesting the COI fee. I called him today,explained the program to him,and he has refused to pay the fee: Said it's just another tax,he has multi- families in other towns and doesn't pay it,and he doesn't want anyone in inspecting and knowing his business. Is there any action we can take? r �OpSME 1p Town of Barnstable P O .n . ,AR,,STABLE . Regulatory Services g Y A�f1 39. A Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 20, 2003 Mr. Brian Lacroix PO Box 981 Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling (5-year Certificate) 91 Louis Street 309 210 Dear Mr. Lacroix: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 5 Units - $95.00 The fee has been established by the Massachusetts State Building Code (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Please call Lois Barry,Division Assistant, 508 862 4039 if you have any questions. Sincerely, 4z � Tom Perry Building Commissioner j000424a l Town of Barnstable Regulatory Services ' BAMSTAa E ' Thomas F.Geiler,Director MASS, E1639- � Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 CERTIFICATE OF INSPECTION CAPACITY INSPECTION DBA LOCATION /�/ � � - ✓/ OWNER D USE CAPACITY&FEE arc• �i�.�P� ' - 02 �� 0 DATE OF INSPECTION INS DUCTOR. COMMENTS r u J990125a °Ft► ��, Town of Barnstable ,AR,,, AB , : Regulatory Services 9� HI6A 9 `0� A'E1 ►gay° Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 May 20, 2003 Mr. Brian Lacroix PO Box 981 Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling (5-year Certificate) 91 Louis Street 309 210 Dear Mr. Lacroix: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 5 Units - $95.00 The fee has been established by the Massachusetts State Building Code (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Please call Lois Barry, Division Assistant, 508 862 4039 if you have any questions. Sincerely, Tom Perry Building Commissioner ;n WAn I �oF�► rati Town of Barnstable ,AR,,, AB 1 Regulatory Services MASS. �A 1639. Aj fD NIP• A Thomas F. Geiler,Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 21, 2002 Mr. Brian Lacroix PO Box 981 Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling (5-year Certificate) 91 Louis Street 309 210 Dear Mr. Lacroix: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 5 Units - $95.00 The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, ,v Tom Perry Building Commissioner j000424a F THE T°� Town of Barnstable *Permit# q, Expires 6 months from issue date • Regulatory Services Fee BARN LE SrAB ' v MASS. Thomas F. Geiler,Director � i63q• �0 3 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 w 1ZJ,q y 1l- Office: 508-862-4038 7*OWV O Fax: 508-790-6230 F EXPRESS PERMIT APPLICATION e�RNSTgR/ Not Valid without Red X-Press Imprint F Map/parcel Number a Property Address [Residential OR ❑Commercial Value of Work 0 Owner's Name&Address A C Contractor's Name' �< t Telephone Number �d y Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance `I Check one: �I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name °-J Workman's Comp.Policy# Permit Request check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. I t Signature expmtr_ ar mot , Town of Barnstable Regulatory Services r r BARNSTABM MASS, ' Thomas F.Geiler,Director Mass. 9`b1°�Fn 9. 6 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM DATE: / // 9/ TO: File REGARDING: COI Multi-Family Use Re: A fel, Certificate of Inspection is 44@t required for this property--does not consist of 3 or more units within a single structure. Notes: (f o °�t t Town of Barnstable Regulatory Services ' BARNSPABM ' Thomas F.Geiler,Director mma '°rEDMa'�A Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 November 7, 2000 Brian LaCroix PO Box 981 Hyannis, MA 02601 Re: Certificate of Inspection 91 Louis Street,Hyannis Dear Mr. LaCroix: Enclosed is a copy of Section 106.5 of the Massachusetts State Building Code, Sixth Edition. When we receive the required fee of$83.00 for the four units with a common entrance,we will prepare the Certificate of Inspection. Please call me if you have any further questions. Sincerely, Lois Barry Division Assistant Enclosure �s 780 CMR: STATE BOARD OF BUILDIN13 REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE 1063 Notices and orders: The building official inspection where required by Table 106,P. A shall issue all necessary notices or orders to ensure certificate of inspection as herein specified shall not compliance with 780 CMPL be issued until an inspection is made catifying that the building or structure or parts thereof complies 106.4 Inspections: The building official shall make with all the applicable requirements of 780 CMR, such inspections as deemed necessary to ensure and until the fee is paid as specified in Table 106. compliance with 780 CMR, or the building official Municipalities may increase or waive only in their may accept reports of inspection by qualified entirety for any specific use.group the fees as agencies or individuals, which reports shall be in specified in said Table 106. writing and be certified by a responsible officer of Exception: Municipalities may revise or modify, such agency or by the responsible individual. or waive in part those fees for buildings and 1065 Inspection and certification of specified use gy res or parts thereof owned by the groups: The building- official shall periodically municipality, county or political subdivision inspect and ca*buildings and sauctures or parts thereof and for buildings and strucww or parts thereof in accordance with Table 106. A building or thereof used solely for religious purposes. saucture shall not be occupied or consume to be occupied without the posting of a valid certificate of TABLE 106 REQLTmm mumAm wSPECTIONS AND CERTffICATIONS FOR SPECIFIED USE GROUPS See ers 3 and 4 for complete descri lion of use i s ;E�i><:::..:t•:r .::xuvee;.:f3ti::::'G:�a:>„< '%Y':>.„ 5a ".�.i" xYi• a:�. .wmr w'`,zuik w h - . - rYt' .w .. y�"" �* RPM � >�•beEantig �- �t?y �'„�'',� � �.tT<�..:�f ay,2�, '�t��Sa�• aDav .� '�t�., .., 1� :. �.K.:?.X..'1'�n�. : :.. I A 1 Assembly-Theaters tth stage and somQy Semi-Aamial One Year S75 400 opacity Theater Semi-Annual One Year S75 Y w� x 'Atoutal E1Yeaz �: S4t1 . !fit #.-,,.,,.. ;:., less -Year t: W. Sod A-2 - Chiba Over 400 capacity Semi Amoral One Year S75 similar uses 400 or less capacity Amoral One Year S40 12 Leataa Ovea400 t}r � ltdgg omtaL � x One:Yat. notes k '3 3 isaaaoaaoxes: ^kss �,Y ,�al s OneYraG Y s4Q .s ;p .-. ;,,t xl43F:n z woes '� 9�;k �,�'Y'r'wy{,�R�Y' ,�" 3 Y> 4 :a i � , 4•t e A-4 ly Chmehea,law density,re reeation Prise to iswaoce of Five Yeats so sism7ar uses each new octifiate ref Yeas ASS binrhers.pLasofi OaeM mre b .. ..: ::: 'g�.z.<� .a .assemliYv.�t�;fit..� � eae�=�ear.�estd�caoe• .: .�s. � �: •�f... ...; .:...- EEftational Educational Prior to ice.. ee of One Year S40 each new eetificate, �+ Cade ChiTddag q* ateix� „Prior tak of Oap Yac iY :::.:..:c•'<." sro�, ,� 4amg ^+�..'w:wcL, wpSr'�°�ChIIei1: .. c Wtinitiond -bospitals.ma:®g Prior to issnaax of Two Yes now d I-2 homes,mental hospitaL%armin each aew eertifiate dayarefidlities(seeChapter4) �3" t .::.viceaf TvaXears � �nooec Psrocto'� M w x : etc R 1 motels,lodging houses. Prior to issuance of One Year notice(note g) eaeh iiew anifiate- YT ( �3;f �isstiaaceof' F.tret7Eeasre f • ,,.. ..... �" ...:, aaCh'.newQ�rtJfiCate�' :.,z. R 1 Spend Dettotifittatim facilities Prior to intmce of Two Yews S7S (see Chapter 4) ach new oatificate SperiaL eampafacehtldtza f AmnaL�? One?Ytarh ncteli R 3 or Special Gtwp Residents Aotatal One Yew note b R-4 (sx Chapta4) ? :/`:`^`1µ Reerdence ;� OneYeze h Notes applicable to Table 106 General: The maximum catificatiea period specified in Table 106 is intended to provide administrative flexibility. For those bwl&ngs and stnrctuns or parts thereof allowing more than one year maximum=tlfi=on period,the building official may deorraime the length of validity of the certificate issued For ccample,a building in the R-2 use group could be issued a certificate valid for one.two,threw four or five years. The total amount of fees charged for a certificate or catifca=issued during the maximum certification period can=coed the fee listed or referenced in 16 780 CMR-Sixth Edition 2/7197 (Effective 2128197) 780 CMR: STATE BOARD.OF BUILDING REGULATIONS AND STANDARDS o; ,r ADMINISTRATION t column 4 of Table 106. For example,if the building official issues a=ff=hte valid for two years for a building in the R-2 use group,the fee charged would be 215 times the fee per in==mz certification period as determined for the building in question using the formula in Note f. Note a. For buildings or structures,or parts thereof,in the A-3 Use Group categories,with capacities over 400, the fee to be charged for the maximum certification period of one year is S75 for accommodations for up to 5,000 persons, plus$15 for the accommodations for each additional 1,000 persons or fraction thaeo£ Note b. For all buildings or siriwan s,or parts thereof:,in A-5 use group,the fix to be charged for the maxcimumh certification period of are year is S40 for seating axommodationss for up to 5,000.persons, plus $8 for the accommodation for each additional 1,000 persons or fraction thereof Note a For all buildings and stmetures,or parts thereof;in the I-3 use group,the fee to be charged for the maximum certification period•of two years is S75 for each structure containing up to 100 beds, plus a S2 charge for each additional ten beds or fraction thereof over the initial 100 beds. Note d. For hospitals,masiag homes,sanitariums,and orphanages in the I-2 use group,the fee to be charged for the maximum certification period of two years is S75 for each structure containing up to 100 beds,plus a S2 charge for each additional ten beds or fraction thereof over the initial 100 beds. All other buildings or structures or pans thereof in the I-2 use group classification shall be charged a fee of S75 for a two year maxdmumh certification period NatqLV For all buildings and structures or parts thereof in the R-1 use group,the fee to be charged for the maximum certification period of one year shall be S40 for up to five units plus S2 per unit for all over five units. A unit shall be defined as follows.- two hotel guest rooms, two lodging house guest rooms, two boarding house Su st rooms;or four dormitory beds Note t For all buildings and strucaim or parts thereof in the R-2 use group,the foe to be charged for the maximum certification period of five years shall be S75,plus 52 perdwellmg unit. ' Note g. For purposes of detaminitig the required in of inspciioas,the maximum certification period,'and the fors,as specified in Table 106,domikod are included in the R-1 use group classification rather than the R-2. ' Note h. Summer camps for children in use group R-2 shall be inspected and certified annually prior to the beginning of each season. The annual fee shall be S15 for the first 25 residmtial units: S8 for each additional 25 residential units; and$15 for each assembly building or use (A nxideatial unit for this purpose shall be defiood as four bcds). 106.6 Reports by the Building Official retained in the official records as long as the 106.6.1 Report to Appointing Authority: The btaldng or strucume to which they relate remains in building official shall submit to the appointing existence unless otherwise provided for by law. authority of the jurisdiction a written report of. 780 CN R 107.0 DUTIES AND POWERS OF operations in a form and content and at intervals TEE STATE DiSPECPOR . as shall be prescribed by the appointing authority. 106.6.2 Report to assessors: Pursuant to 1071 T'he State ector. In and town M.G.L. c. 143, § 61, the building official shall every give to the assessors of the municipality written 780 CMR shall be enforced by the State Inspector of notice of the. graining of permits for the the Department of Public Safety, Division of construction of any buildings or sdrrctures,or for Inspections,as to any sbuctraps or buildings or parts the removal or demolition,or for any substantial thereof that an oared by the Commonwealth or any alteration or addition thereto. Such notice shall be departmeins, commissions, agencies,or authorities given within seven days after the graining of each of the Commonwealth. The state inspector shall permit, and shall state the name of the person to have as to such buil&ngs and s&uctrrns all the whom the permit was granted and the location of powers of a building commissioner or inspector of the building or s&zwf re to be constructed, buildings. All bwMngs and sdvetuser owned by reconstructed,altered,demolished or remove& any authority established by the legislature and not owned by the Commonwealth shall be regulated in 106.63 Report to Local .United States accordance with 780 CMR 106.0. Postmaster. Pursuant to M.G.L.c. 143,§3X the building official shall notify the local United 107.2 Other responsibilities: The state inspector States Postmaster of the issuance of.a building shall make periodic reviews of all local building permit authorizing the construction of any inspection practices, provide technical assistance building containing ten or more residential units. and advice to the local building officials in the implementation of 780 CMR,and report in writing 106.7 Department records: The buuilding official his findings to the building officials, shall maintain official records of applications received,permits and certificates issued,inspections 1073 Review by the Commissioner of Public performed foes collected,reports of inspections,and Safety: The Commissioner of the Commonwealth notices and orders issued Such records shall be ofMassachusetts,Department of Public Safety shall establish districts which shall be supervised by a 2/7/97 (Effective 2t28/97) 780 CMR-Sixth Edition 17 °FtHE Town of Barnstable °^ Regulatory Services vMASS. Thomas F.Geiler,Director �'OTFp 39. 61 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 November 1, 2000 Brian La Croix PO Box 981 Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling(5-year Certificate) 91 LOUIS STREET, HYANNIS 309 210 Dear Property Owner: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 4 Units - $83.00 Certificates of Inspection are required for three or more dwelling units within a single structure with a common entrance. The fee has been esta blished by the State(Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Elbert C. Ulshoeffer, Jr. Building Commissioner j000424a d °F lti Town of Barnstable Regulatory Services r � " BAMSrABLE, Thomas F.Geiler,Director 9 MASS. 1639.rA`` Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 CERTIFICATE OF INSPECTION CAPACITY INSPECTION DBA ( LOCATION /�'/ � • , �/ OWNE D USE CAPACITY&FEE 0 I DATE OF INSPECTION INSR$CTOR. COMMENTS J990125a 10/30/00 Re: 91 Louis Street, Hyannis Ralph, We did not have this property on our multi-family list. Gloria says it appears to be 5 units, 4 in main building, 1 over garage,but she would like you to check it out. Also, do the 4 units in main building have a common entrance? If so, I'll get letter out for COI. Owner is Brian La Croix, PO Box 981, Hyannis. If you can determine that 4 unit building has a common entrance, I can send out letter for COI. f 10/30/00 Re: 91 Louis Street,Hyannis Ralph, We did not have this property on our multi-family list. Gloria says it appears to be 5 units, 4 in main building, 1 over garage,but she would like you to check it out. Also, do the 4 units in main building have a common entrance? If so, I'll get letter out for COI. Owner is Brian La Croix,PO Box 981,Hyannis. If you can determine that 4 unit building has a common entrance, I can send out letter for COI. f °f r Town of Barnstable Regulatory Services BAMST^BL& Thomas F.Geiler,Director KASS 1°rEDMa'�a Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 CERTIFICATE OF INSPECTION CAPACITY INSPECTION DBA LOCATION 9'/ OWNER L O .l,9�,/ 0� USE61 1 CAPACITY&FEE DATE OF INSPECTION INSPECTOR COMMENTS J990125a ,..,�, ,-. •.tad^,^ r-.w}*.^..,-� `_. a:-"qp` z. -�—•z .„ .............�,,,s,,. •-,R,. s.'lati. -�r: � ',,TOWN OF: BARNSTABLE CERTIFICATE OF OCCUPANCY r .e },r ytk' ,;.•% -�c� w •.� •r'` .'fit. k ,. r r '•.=,7, ,_•. -FyxAl wj.^t aw�t '4 .,t ::.��s• ►:� €4} r a PARCEI;�ID 309'�,210 j` �' *l JGBOBASE IDS 22499 L � ` DDRESS,�}"91`.LOUISw STRBET ' ` .``}� ,' Y ` •` Y . " n L.*s. y� ..L l,« ,ate, � *�, �'. � �.'•? s �,a.: �°.r R x R a.i; • HYANNIs 'i ,s, --�{'. k° '"57-'.x+, .•+:i"'a'' �..y .,j - �E'e t` ,,fi. t°", LOT i 1 & 2.tL� ,r �.BLOCKa#� y ,,. ', TOTSIZE 4 t � .� P DBA, s - DEVELO MENT DISTRICT HY ' kr L .+ �� s A �.w � M :l �%y k X'* P� y -tn ~ •J PE IT F "31603 "DESCRIPTION�� ?BRMIT TYPE;- BCOO '' 1 TITLE '� 4CBRTIFICATE OFt OCCUPANCY: w, :, r « _.. a Z? • ,:'3.Y- ..,; CONTRACTORS`: ; � t. •. ARCHITTCTS: r fs t yt x, : Department of Health,.Safety andErivironmental Services�7 �`JS _ k' 4� t � r ,Wx �¢ § _... S s•Ks+.. �'`�� c ,s c: ;•i� x :�X s TOTAL FEES f, ., �, If'& V4 `Y 7 }1 j.�,9 r,r1,3,e4 „�. ,1y.41,y5S_. GOND F, ;p$r 00 T t tN t J ✓��*; i Y] �Ki!wa. 4YA 4 CONSTRUCTION COSTS 00"o :i; _ ,� a '� M i� N'`•� � t �� k.+' •4a+-M a4-"1P„�t,�pq...Y� X �5'* d"" k T � ''� ''l.^rt d .. ra��• ;.'r.,,�i� ±a` s Ak ' a 4 BARNSTABIA • �, a� ? -'rr x v.{ �;'k.a�° ,a����,k� � ,t,;:4"y.►"� �t"�;.'`� �,�3�t� ��,.� , � ,+'c"� ��`',` �� "�` �` 'rMA$$. 4£+� `�� ,;; t.+'e"x,?ax„� +,a�:• i`>"% a. � '�.Fr � �- v 4 f BUILDING DIVI + D� x,t DATE :ISSUED Ofi/lg/,.1998,° EXPIRATIOW''DATB Y .e i> ,4 a. fir.i ,�tt t.s c ,� ;^•,.4. ,`.= tyt "q. - x a Q4ee Department of Health,,Safety and Environmental Services ' � O�THE � • _ * BAMSTABM + C F , BUILDING DIVISION s BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED W _ FOR ALL CONSTRUCTION WORK: I APPROVED PLANS MUST BE RETAINED ON JOB AND -WHERE APPLI_CABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS c, THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBER HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU S ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE /!ANICAL INSTALLATIONS. 3.INSULATION._ ',OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE., 4.FINAL INSPECTION BEFORE OCCUPANCY BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL.INSPECTION,APPROVALS a f t 2 3 to ccc 1 TING INSPECTION APPROVALS ENGINEERING DEPARTMENT' 'e l R i �� QQ BOARD OF HEALTH �0 4! OTHER: _ SITE PLAN REVIEW APPROVAL WORK SHALL N P,ROCEED UNTIL PERMIT WILL BECOME NJLL AND VOID IF CON- INSPECTIONS !NDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT,STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRI.TEN NOTIFICA- TION. NOTED ABOVE. "' TION. I J r , N v iy a* it y -BUI . LDIN oil . 4� PERIVIIT pro F M f � r �ti Engineering`Dept. ('rd floor) Map .—09 Parcel I V Permit# Q All House# 171 f S a Date Issued I g Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) _r 20 lanni g e t flo /S ho ldg.) d tME rq e ' 'ti 1 owed by Planning 19 •, BARNMBLE.16 ' QED MAC�`� TOWN OF BARNSTABLE Building Permit Application Project Street Address Village P Vann/S t ' G Owner f k I' / Address _ _ P 0, �TGX �d Alj/�j,/,� Telephone ZW-2 e Z Permit a est ,rio alld, -,zGF4 C C /L� 1/7 ftk z �V, ItI is u;rrea em;g I-- Itl gt First Floor P(!:� a_� square feet Second Floor square feet Construction Type Estimated Project Cost $ j7r? 6_0 J Zoning District Flood Plain Water Protection Lot Size 02� Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes /Y No On Old King's Highway ❑Yes j No Basement Type: ❑Full ❑Crawl ❑Walkout ]Other 0-4Z �4- Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 0 Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes XNo Fireplaces: Existing I New Existing wood/coal stove ❑Yes ,VNo Garage: W Detached(size) i X ( Other Detached Structures: ❑Pool(size) ❑Attached(size) Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address P.6rl r/, wax f License# 6yo 1 S Pit 416 n� Home Improvement Contractor# f' Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ; BUILDaING PERMIT DENIED O �GON(S)LLWINRT - FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED :. Y _ `, .. _ ttZ MAP/PARCEL NO: t , _ ADDRESS VILLAGE OWNER DATE OF INSPECTION: t a c� t FOUNDATION -' l FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL, 4 L PLUMBING: ROUGH ' FINAL GAS: ROUGH FINAL FINAL BUILDING " f t DATE CLOSED OUT ASSOCIATION PLAN NO. k i xk .HOHVJNPROVENENT: CONTRACTOR k Registration 104536 r° ,Type- � INDIVIDUAL, 11ipiTation 47/14/9V'y r r� y RONALO:J., FERIOLI '52.Winchester. Orive tennis NA 02660 . 2 ADMINISTRATOR a 'd ✓fee -Eai..... a`�z a�✓�.tzead.C/LUJ6Ct6 - - - - - .. - ' - - Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY 52044 CONSTRUCTION SUPERVISOR LICENSE 00 - None Number: Expires: 1G - 1 6 2 Family Homes _ Restricted To: 00 Failure to possess a current edition of the Massachusetts State Buiilding Code X RONALD J FERIOLI is cause for revocation of this license. 62 WINCHESTER OR S DENNIS, MA 02660 I CIIII1r11fII111'CUlllt of.1 tussuclruscirv --- • . %�~• _. ,; .._ �y- j)c•Irurtnrctrt of ItrdustriQlAccidclrts 608 11•ushhigu r Street Rrurkcrs' Compensation Insurance AtTdavit tinlic:"nt fnfnrmatinn P!^-F" PRItiT l silily"�'•`—� 1114 �nc-rnn fi/ 3 I am a homea«•ner�perib�rmni; all�ivork myself. I (am a soie proprietor and have no one working_ in any czoacay am an entpimer providing '•vori:ers' compensation for my ernmovees working on this job. cmmwIn, n' mr- ;li•!rr�c• . :It,.. nhnnc d- in-:r..nrr ^n nniiry .:m a me CrOC'IC.C'. bencrzi contractor. or homeowner I.circie ouc,; and have aired the COnTiuC:OrS iISI:^. �e:^'•�' 'a' :ht: :oilowln2 wo-kcrs• zcm—ccrsatlon police: 1ti :rr«• rt•• nhnnc d• rr� nhnnc d* in��:rnrr ^n, nniicy s! _ :UIL" 3Udlllan7l Sneer if neLLSS1r','~77— .r _ -..L ":��••• - __— _ __ _-_ _ __— _ •�`"'"�'—•v __. '�---�� F:::iLrc to lccurr cm-crncc ::s reeu,rcu unucr:ectron:SA of 11GL 152:an Icad to the tmnostnon ai ertmtnal penaiues of a tine up to SIZOU.OU anU:L: unc :arc ;mrn.nnmer.t a. %%cil;Is ci,ii Penaitics in the form of 2 STOP WORK ORDM and a fine uf5100.00 a day against me. I undersmnd th_t r ce,r.+ if thi.� talc::,cat ma, be furs ardcu to the Olrce of inresti:_tlons nf.the DIA far cocerat:c erifiesnon. I uo :,rrc.^r ccr. ri :urrirr r rrrrrs inn Z nfperjun• ,her rlrc intormarion provided above is rrur uud cerrcc.. Datc n-• • - Phone l oMiic:zi use unty du not write to this arcs to be eompicted by ciry or town otliciai ` F ` CM .;r:n„n: permiulicense>: r-tluiidin_+Depsrtascrt [uccnsina Bo2rd ii immc late respunse a reauired [�cieetmen's Ufrcc [ilcwth Dcnartmcr.: _ __ phone r- -Usher In1orrmution and Instructioats Mcss;.ci,usetts Genen:1 Lzws chanter 15_' section 25 re uires all employers to provide ~Yorkers* cnnlpeas::::cut e:::nim cs. ,4s quelled loom the "ia�+". all cmptorer is defined as every person in the sen•ice of ancithe:,urccr cor:Mz:: of Hire. express or implied, ornl or wrincn. An entpioY r is cictincd as an individual. partnership. association, corporation or other le;�al entity. or any t�►'c� or ver. the tore_^.1n_ cn�_a_cd illa anu enterprise. and inc.udtn_ .he .e`..l represe..t..tivc., of a dc.,,..:sri c.n p , J _ v1n^ em lovecs. : e "ssaciation or othe. (e�al cntitt', em to p �� • 1 . annershl _ P rc�c.��. or tn..,tc.. of an ,nal� ,qu.a p P• - OW!"Cr Of,-, 1101tse llati'111_ not more than three aportments and who resides therein. or the accunart of:lle d1%ci!inu !rouse of::nothcr �610 employs persons to do maintenance , construction or repair wort; on suc., dtiyciiu:_ ereto shall not beca m use of such employment be deemed to be ::n or :,n :hc _mwlds or ;:uildin�_ appurtenani th ill.,ntcr ':= sc: :4;011 =5 :also states that eti•ery state or local licensing ngcncy shall withhold the issue nc:: c. of:1 license or hermit to opernte a business or to construct buildings in the commu"Wenith for uny .c::zit who Ims not produced acceptable evidence of compliance with tite insurance coi,erage require.:. -.c . :oimily. ncitller the cominonNvezlth nor any of its political subdivisions shall enter into any contrCt `or:l:e ,,c ' n,1c:ace of pouffe .York until :acceptable evide:ace of compliance �.vith the insurance requirements of this cresc::tcd to the COntraC:inC authority. ;ii in :hc .vorl:crs' comr•e:aation affidavit completely, by cllechin` the box that appiies to your situatic:: c. uoo:'. .a_ :otnoan�' names. address and phone numbers as all affidavits may be submitted to the Departmc. of :zi .-kcc:de:as for conrirtnznon of insurance coye^_e. Also be sure to sign and date the affidavit. Tire V t :houid be rc:ur,:ed to the cin• or town that :he :.ppiication for the permit or license is beinc requestee. r ;coo^n1e:a JI i11dL'siriai .accidents. Should ;:ou Have :"Iv questions re_araing the "law" or if you are r .'cri:ers' cc:nce::sa:ie.1 policy. please tail the 'Depar. e^t at the number listed help«'. C iy )r i"�_-= -; tore •ha: :he affida� it is :olnpie:e and printed ':e`ibly. The Department has provided a space at :he 'cc:.:7 or "'Cu to fill out in the event the Oftic_ of 1nve=i_aticns leas to contact you regarding the ;o rill in the aermitilicense number which will be used as a reference number. The of idavits may be ^e:�r-..: by maii or FAX uniess other atrsn:Pane.^,is have been made. 2 -:c of lnyestigations •,%•ouid like :o thank you in advance for you cooperation and should you have any quest . �iecs� -o net !:esitate :o .;ye us a cell. �� .e :t's address. tei-phone and fax number. The Commonive:1th Of Massachusetts Department of Industrial :accidents Ofir-2 of Investigations 600 Washington Street Boston. Ma.. 02111 -49 fax �: ;Gi _'-", ar, e To th �vn of Barnstable 9 ZEAAq- �' Department of Health Safety and Environmental ServlCeS Building Division 367 Main Stan,Hymmis MA 02601 Rai ph Cx=er. Office: 508--,90-6=7 Building Cara.. Fax: 508-,90-6Z30 For office use only Permit no. Date � AFFIDAVIT HOME MoROVEMENT CONTRACTOR LAW i SUPPLEMENT TO PERMIT APPLICATION MGL a 142A requires that the "reconstruction, aiteiations, renovation, rep air, modernization. removal, demolition, or construction of an addition to any pre-existing conversion, improvement, owner occupied building containing at least ar building t more be donehb n four e-egistered contractors,or structures which are adjacent to such residenceg Y certain exceptions,along with other requirements Type of Work: �� ( �i Est. Cost L® d��• / - Q21- Address of Worlt• v�- IIIIIIIL ate of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH [JNREGISTERED CONTRACTORS FOR APPLICAB�OG HOME RAM OR GUARANTY FUND UNDER MGLovEMENT WORK DO O 14Za � ACCESS TO THE ARBITRATION PR SIG:YED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Contractor Mime Registrntion No. Date • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . "DATE - . . .•• .. JOB LOCATION Number Street address Section of town Z11OMEOWNER11 � ! 601) &,ZP22 Aln 7�.. . . Name Home phone Work phone J PRESENT MAILING ADDRESS City/town State Zip cod The current exemption for "homeowners" was extended to include owner-occ•,:c dwellings of six units or less and to allow such homeowners to engage an i. dividual for hire who does not possess a license, provided that the owner acts as supervisor. Laform, ON OF HOMEOWNER: )' who owns a parcel of land on which he/she resides or intends to which there is , or is intended to be, a one or two family dwelliic- or detached structures accessory to such use and/or farm structar who constructs more than one home in a two-year period shall not r ed a homeowner. Such "homeowner" shall submit to the Building Off: acceptable to the Building Official, that he/she shall be respc. such work performed under the building hermit. (Section 109. 1. 1) he undersigned "homeowner" assumes , responsibility for compliance with the uilding Code and other applicable codes, by-laws , rules and regulations. he undersigned "homeowner" certifies that he/she understands the Town of arnstable Building Department minimum inspection procedures and requiremen nd that he/she will comply 'th sa ' ocedures and requirements. 0M-EOWNER`S SIGNATURE PPROVAL OF BUILDING OFFICIAL cte: Three family dwellings 35 , 000 cubic feet, or larger, will be requires 0 comply with State Building Code Section 127. 0 , Construction Control.. HOME OWNER' S EXEMPTION The code state that: "Any Home Owner performing work for which a'obuildinc permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that is Some Owner engages a person (s) for hire to do such work, that such Home OW ahall act as supervisor. " lany Home Owners who use this exemption are unaware that they are assuming ;he responsibilities of a supervisor (see Appendix Q, Rules and Regulations °or . licensing Construction Supervisors, Section 2. 15) . This lack of awaren +ften results in serious problems, particularly when the Home Owner hires .nlicensed persons. In this case our Board cannot proceed against the nlicensed person as (it would with licensed Supervisor. The Home "Owner.' acz. s supervisor is ultimately responsible. o ensure that the Home Owner is fully aware of his/her responsibilities, m. Dmmunities require, as part of the permit application, that the Home Owner :rtify that he/she understands the responsibilities of a supervisor. On t: ist page of this issue is a form currently used by several towns. You mat: ire to amend and adopt such a form/certification for use in your communit::. I QUITCLAIM DEED I, RICHARD D. GORE of 7 Hillsea Drive, Yarmouthport, MA 02675 for consideration paid of $260,000.00 GRANT to BRIAN D. LACROIX with a mailing address of P.O. Box 981, Hyannis, MA 02601 WITH QUITCLAIM COVENANTS Two parcels of land, together with the buildings thereon, known as and numbered 91 Louis Street situate in Barnstable (Hyannis) , Barnstable County, Massachusetts, bounded and described as follows: PARCEL I: (Registered Land) Westerly by Winter Street, sixty-six and 79/100 (66.79) feet; Northerly by land now or formerly of Augustus Rosenbaum et al, and shown as Lot 2 on plan hereinafter mentioned, one hundred thirty and 61/100 ( 130.61) feet; Easterly by Lot 3, fifty-seven and 92/100 (57 .92 ) feet; and Southerly by land now or formerly of Patrick Murphy, one hundred twenty-eight and 32/100 ( 128.32 ) feet, being shown as Lot 1 on Land Court Plan 15177-A filed with the Land Registration Office at Boston, a copy of which is filed with the Barnstable County Registry District. So much of said lot as is included within the limits of the private roads shown on said plan is subject to the rights of all persons lawfully entitled thereto and over the same. PARCEL II : (Unregistered Land) Westerly by Winter Street, as shown on a plan hereinafter mentioned, thirty-four and 84/100 (34 .84 ) feet; Northwesterly by Winter Street on a curve to the right having a radius of 20. 11 feet and forming the intersection of Winter Street and Louis Street as shown on said plan, twenty-eight and 07/100 (28.07) feet; Northerly by Louis Street, as shown on said plan,' one hundred ten and 11/100 ( 110. 11) feet; Easterly by a portion of Lot 3, as shown on said plan, fifty and 32/100 (50. 32) feet; and R Southerly by Lot 1, as shown on said plan, one hundred thirty and 26/100 ( 130.26) feet, being shown as Lot 2 on plan of land entitled, "Plan of Land of Arenovski and Megathlin on Winter and Louis Street, Hyannis, Mass. Scale 1" = 301 , which plan is filed with the Barnstable County Registry of Deeds in Plan Book 45, Page 77. The above described parcels are conveyed subject to and with the benefit of all rights, rights of way, easements, appurtenances, reservations and restrictions of record insofar as now in force and applicable. For title to Parcel I, see Certificate of Title 126913 . For title to Parcel II, see deed from Rosalind H. Gruber and Chippa Martin to Grantor dated June 16, 1992 recorded in Book 8070 Page 171. EXECUTED UNDER SEAL this first day of December, 1997 . Richard D. Gore COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: December 1, 1997 Then personally appeared the above-named Richard D. Gore and acknowledged the foregoing instrument to be his free act and deed, before me, NotaryPublic is My Commission Expires: L O UIS STREET 0.00 694. N87 43'55"W 110.20' LO T 2 0 ______________________ �3t ________________60. 3'-__-__'_-_-_-_- w -------------- -_____------- r LOT 3 LOT 1 GAR.________ WITH APT ------------- ------------- i f ------------ N87 51 '35'G" 128. 32' I NOTES- PRE-EXISTING NONCONFORMING ALSO, THE GAR/APT. APPEARS CLOSE TO LOT LINE. RES. ZONE.' "UB" This MORTGAGE INSPECTION Plan iU ForO pix FLOOD ZONE.' "c" TOWN: _ _ __ ---- REGISTRY OWNER: IZICKARD._..COR"_-____ ------ DEED REF: -.Cy JIY-9L3 -------BUYER: _8RIAN 11_IACBOIL`_------------------.__-.-- DATE: _11/ZZ97_______--__ PLAN REF: -15177-A___ -__- SCALE: 1"= 30 F F. I HEREBY CERTIFY TO THE CAE O'OD_EIV ________ �.�.; �„ 0! -- _CENTS_S_A_VIN_G_S_ BAjK THAT THE BUILDING �;` "�'' `y:_ YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS rY�ulr CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ - CONFORM Y� TO THE ZONING LAW SETBACK REQUIREMENTS OF THE 408 (SUITE; 1) TOWN OF _ BARIUSTABLE________ _-AND THAT ! INDUSTRY ROAD IT DOES_ NOT - LIE WITHIN THE SPECIAL FLOOD HAZARD :. �� �,, MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED 6,10/-5 _ �:': :,=.' TEL: 428-0055 ?50001 0005 C FAX: 420-5553 THIS PLAN NOT MADE FROM 'AN INSTRUMENT P ITHEW PLS SURVEY NOT TO BE USED FOR FENCES FTC. 22077 DOB I-SY wow1tlNY^ILMW fmfq�� �w� � pNLNN16wRWN .� or ® \/ NAtMLLLM.�ElItiC11 c C_� plrwWWRIIIOIRC Maw {AQ�NASi� wR aNWAI.NOM-5: Raw � �arvsae u naio�rtew�vae�w✓w�w _ 41L11016AORIOMONfNB1O0 (1'O'a1Pd') HkRw1C90aQItiR 1!lYIN/NRL 1.1 ALIIMfalllRgg11D1YY01 El�tM�Glt OtN011VMLbVf/f a-I N-Y' pdfUM lAI�tlNRtl�.WIl6�NOf1lX wRWN !t)Qaiw=IVH Mtl-lOdDlfl117bM11p{Aa1K9af Ofelf f#.WWVVA9i 2a49M R9B'ut ID�Rtlf�716C,f1l7CSIOINCIS�FtGLRR�fi1M6�iY6iiON wmso morWNPQN a lv 7 wR9YN wwm i %CONP FLOM MAN mKimse" wR�a Im OW • MWM- —INKS uw RWM -eiawasc Rertaaw� I=Vx" R=Wwm WAMj W.IV DAU LIM MAC ELEVA11ON 1. T 51M �L. VA110N �m' A2- 'J -Jr I • Jf1I III - • ,,i 1, 1-33 .. . 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