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Home My WebLink About0034 YARMOUTH ROAD - y KOM- r , I u 0 y � Ill ,i q. MULTIFAMILY FILE ............. �sy�(p"p�yyL/J .*AAn t on 3rd `�9our sl y w ' 7 S r 1 :i rl. e 7 h (> s 4 From: NoReply@viewpointcloud.com Subject: Town of Barnstable-Regarding your permit:TIC-17-285 at 34 YARMOUTH ROAD,HYANNIS for Building-Certificate of W. Inspection Date: January 10,2020 at 9:57 AM To: kate@katemitchellattorney.com Dear 34 Yarmouth Road Multi-family, Good morning. I appoligize for the earlier email attached with this application.This application is for the multi-family building containing four studio apartments(not the lodging house which was today's inspection).This application still has a balance due and does require an inspection. Please come into the building department so this issue can be resolved.Thank you. Town of Barnstable MMn�LL 200 Main Street,Hyannis,MA Tel.(508)862-4644 ArEp MAt� INSPECTION REPORT Permit: Building -Certificate of Inspection Use: Date: 1/10/2020 9:32 AM Inspector: lauzonj Permit Number: TIC-17-285 Name: MCM Developement Co. LLC Address: 34 YARMOUTH ROAD, HYANNIS Unit No. Inspection Type Inspection Item Status Comment Certificate of A- Inspection Results PASS New deck requires engineer approval. Rm 3 expired smoke Inspection detector. Rm 1 new smoke detector needs new wiring harness. Inspection Overall Comment: Ok for coi. Thirty days to make corrections. Overall Inspection Status: Not Reviewed Re-Inspection Date: 1/10/2020 Inspector Signature Owner Signature Total Score: 100 Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Friday,January 10, 2020 12:15 PM To: 'alex@thecapecodcarpenters.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No: B-18-2686 Applicant, Please be advised that an inspection on the property at 34 Yarmouth Road was conducted on January 10, 2020 and the following violation(s)of 780 CMR was observed: 1) New stairway constructed requiring engineer approval based on design. (780 CMR 2304.10). 2) Frame inspection failed on September 7, 2018 where engineer approval was required by AHJ. In order to abate this violation and avoid further enforcement action, please provide the required document(s) or provide a suitable compliance alternative.And, if aggrieved by this decision;you may file a Notice of Appeal (specifying the grounds thereof) with the Building Code Appeals Board within 45 days in accordance with M.G.L c. 143 § 100. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon(-town.barnstable.ma.us 1 Town of Barnstable Building BARMIMA Post�This Card So That rt-is Visible From�the Street-=A „roved Plans>Must;beReta�ned on aob and this Card Must beaKept � , M^ B "Made s Permit a. Permit No. B-18-2686 Applicant Name: ALEXANDER M RANNEY Approvals Date Issued: 08/16/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 02/16/2019 Foundation: Location: 34YARMOUTH ROAD, HYANNIS Map/Lot 327 170 Zoning District: MS Sheathing: i_ Cont actor Name ' ALEXANDER M RANNEY Framing: 1 Owner on Record: MCM DEVELOPMENT COMPANY LLC ,: g Contractor[icense CS 088595 2 Address: P O BOX 160 Y< z • WEST BARNSTABLE, MA 02668 t Est Protect Cost: $27,850.00 Chimney: Description: RECONSTRUCT EMERGENCY FIRE EGRESS TO CURRENT CODE Pe`rrnitFee: $353.44 REQUIREMENTS Insulation: i �. Flee Paid:` $353.44 Final:Date Project Review Req: 8/16/2018 C� / Plumbing/Gas s q fi s Rough Plumbing: -. :� t � - Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work author¢ed:by this permit is commenced within six months after�lssuance. All work authorized by this permit shall conform to the approved application and the approved construction documen for Alkh tfi permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by lawsand codes. This permit shall be displayed in a location clearly visible from access street t 4oad and shall be maintained open forr public inspection for the entire duration of the work until the completion of the same. - ' Electrical Service: 4. The Certificate of Occupancy will not be issued until all applicable signatures by the Buildingland firee,Officials�,are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work „_ Qk ti Rough: 1.Foundation or Footing . .. .,. . .... . 2.Sheathing Inspection Final 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT IME Application Ss. :-:�Z .......:.... cation xumber.. 1. r 10�� Permit Fee.......................................Od=Fee........................ 03 TotalFee Paid............. ................................................. TOWN OF BARNST' LE Permit Appnrval by... -� BUILDING PERMIT Map .per....... U APPLICATION Section I—Owner's Information and Project Location Project Address '5q 'Yk"UTH F-3) Village �`�/ Nc WI � Owners Name kCil j (7 f V li!.0 P l Coves 1&1Y P TAW g4L Owners Legal Address �0 X C State ._Zip owners Cell# 38 E-mail teAT-0_ �' UtA- R'•lAt"KtoNJey Section 2—Use of Structure Use Group E: ❑ Commercial Structure over 35,000 cubic feet / Commercial Structure under 35,000 cubic feet ❑ Singie/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) -r❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Deck 4—SAS Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ -Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description Tyco+y s� %M x4fa FTACS '� �► -K�r� Gc9► ®� t�-�.�ttrlK�Nt� TAct -2/92019 Application Number................................................:... i 1 Section 5—Detail Cost of Proposed Construction 2? gK p �.�G Square Footage of Project Age of Structure " q zo Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) (AlOAC: IL 110 MPH Wmd.Zone Compliance Method ❑ MA(.Checklist ❑ WFCM Checklist kDesign Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply (KPublic ❑ Private Sewage Disposal Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard. Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last tmde n/2018 H113 Legend NA w! o. Parcels 'Town Boundary i x x Railroad Tracks I ' sw 32405,Z Buildings • PaintedLines JV i .. Parking Lots E �'; h °' �, ' 71 Paved Unpaved H Driveways N Paved M .u�= a _..; Roads Unpaved e Paved � ad K ' , Unpaved Road E # ,'!::�ik Bridge z Paved Median s k Streams '� a Marsh - _xTF Water Bodies S �4u J �� 327175 c,4�45 4 � �' '✓� ; �'3� g t ' 3 Y sA , , efi p i., 327171 l #26 ................. ..... Map printed on: 8/16/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA o26ot O 21 42 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 21 feet cartographic errors or omissions. gis@town.barnstable.ma.us RA NNEY + PO Box 816 RIMINGTON Marstons Mills,MA 0264$ Tel 508.428.7147 info@thecapecodcarpenters.com Fax 508.428.7167 RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCapeCodCarpenters.com August 14, 2018 ESTIMATE Site: 34 Yarmouth Road,Hyannis, MCM Development; Kate Mitchell; kate@katemitchellattomey.com Remove and replace existing stair and platform system Work to include: 1. File building permit with Town of Barnstable in accordance with MA State Building code 780 CMR, including inspections and plan review meetings ..................................................... $ 850.00 2. Supply 30 yard dumpster for construction waste removal(based on 1 dumpster) ......... $ 700.00 3. Set up staging as necessary and deconstruct&demo existing set of stairs and platforms; dispose of constructionwaste ....................................................................................... $ 2,800.00 4. Excavate for new sonotubes as per proposed plans (bury existing tubes on-site) ................ $ 1,750.00 5. Install sonotubes; pour concrete; install base plate assembly(concrete costs included) ........ $ 2,450.00 6. Back fill new sonotubes/foundation to rough grade,to landscaper-ready ..................... $ 500.00 7. Construct new rough frame as per plans and floor plans in accordance with MA State Building Code 780 CMR using pressure treated material................................................................. $12,000.00 8. Additional special construction to include 17 rail to post baluster systems with pressure treated material.................................................................................................... $ 6,800.00 TOTAL LABOR & MATERIALS $27,850.00 + cost of any options chosen Option: Supply portable waste facility for workmen use (note—homeowner agrees to allow access to bathroom in house during renovation if this option is not chosen) + $ 125.00_kft initial if option chosen Payment Schedule: Initial deposit requested to schedule work $ 2,000.00V' Due upon receipt of permit&ordering materials $15,500.00 Due upon completion of demo &rough frame $ 7,500.00 Due upon completion $ 2,850.00 RANNEY+RIMING 1 TON CUSTOM BUILDERS Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau f HANN'EY + PO Box 816 Marstons Mills,MA 02648 Tel 508,428.1147 RIMINGTON info@thecapecodcarpentus.com Fax 508.428.7167 ' RENOVATIONS•ADDITIONS•CUSTOM HOMES TheCQpeCodCQrpentersxom MCMDevelopment/Kate Mitchell REVISED Please note-our stands-d contract: This estimate is valid for 30 days. • No additional work is included in this estimate unless described in writing. • Deposits and payments are not refundable unless otherwisenoted. • Contractor is not responsible for any damage to lawn or plantings around demolition area. Contractor is not responsible for any damage to interior furnishings that may need to be moved to complete work. All construction waste and replaced items(including cabinets,windows,doors&appliances)will be considered disposable unless other indicated by property owner. • Property owner is responsible for all costs associated with hazardous materials,lead,memory storm water pollution discharge or costs associated with American Disabilities Act requirements if necessary. Any repair,moving or installation of alazm system for security or fimismoke is the responsibility of the property owner. • Customer is to supply all paint if any is being used(unless otherwise specified) Property Owner agrees that Ramey&Rimmgton Custom Euilders may display a small sign on the property during the duration of the work and one month after completion. Property Owner is responsible for any and all engineering costs and site plan if necessary unless otherwise noted Conservation,Zoning,and/or Historical costs necessary in association with obtaining any necessary permits unless otherwise noted • All home improvement contractors and subcontractors shall be registered by the Director and my inquiries about a contractor or subcontractor relating to a registration should be directed to:Director,Home Improvement Contractor Registration,One Ashburton Place,Rm 001,Boston,MA 02108 • The property owner has three-day cancellation rights of this contract under M.G.L.c.93,48;M.G.L c.140D,10 or M.G.L.c.255D,14 as applicable.After 3 days all deposit and special order payments are non- refundable. _ • All warranties and property owner's rights are under the pro-isions of 780 CMR 110.6 and M.G.L.c.142A • Any alteration or deviation from above specifications mvolvag extra costs will become an extra charge over and above the estimate at$75.00 per hour plus materials.Ifcost of materials and already described labor costs changes,this estimate may increase no more than 15%without written notice. It is the obligation of the home improvement contractor to obtain any and all necessary construction-related permits;in the event that the property owner secures their own construction-related permits or deals with unregistered contractors they will be excluded from the guaranty fund provisions of M.G.L.a 142A.Work will begin no later than six months fiom the issuance of any necessary permits and will be completed no later than two years lion the issuance of necessary permits. • Property[Tuner's failure to make payments for work duly performed may result in a hen against the homeowner's property.Owner is responsible for any legal fees and court costs Ramey_&Rimington may incur to collect the monies due on this estimate.The contractor and the property owner hereby mutually agree in advance that in the event the contractor has a dispute concerning this estimate,the contractor may submit such dispute to a private arbitration service which has been approvA by the secretary of the office of consumer affairs and business regulations and the consumer shall be required to submit to such arbitration as provided in M.G.L.c.142A. • DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES 8/14/18 Ranney&Rimington Custom Building LLC Date P itL/z Property Owner or authoriz d signer Date Home Improvement Contractor Registration#144752 RANNEY+RIMINGTON CUSTOM BUILDERS 2 Proud Member of National Association of Home Builders•Home Builders Association of Massachusetts•Home Builders&Remodelers Association of Cape Cod•Better Business Bureau AC O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 08/07/2018 THIS CERTIFICATE IS ISSUED AS A MA T TIER 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 endomement(s). PRODUCER CONTACT N M : Tammy Home ROGERS&GRAY INSURANCE AGENCY INC PHONE 508)760-5745 1FAX No): E-MAIL ADDRESS: thomo@rogersgray.com 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: RANNEY&RIMINGTON CUSTOM BUILDING LLC INSURERC: INSURER D PO BOX 816 INSURER E: MARSTONS MILLS MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER: 300993 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WLTR SR ADDLTYPE OF INSURANCE S POLICYNUMBER UBR PMfDDDrAYM Y EFF POLICDY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 8 POLICY❑JECaT El LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMI $ a accident ANY AUTO BODILY INJURY(Per person) $ ALL SS SCHEDULED AUTOSN/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per ent $ --I P $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ 1 $ WORKERS COMPENSATION X STATUTE ERA AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDED? NIA NIA NIA 6S60UB9F85778918 08/06/2018 08/06/2019 (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 100,000 H yes describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached N more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search toot at www.mass.gov/lwd/workem-componsetion/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE —---------- Daniel M.Clii y,CPCU,Vice President—Residual Market—WCRIBMA ®1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): FJWN t( 4- 061W CVS?'&W P/Qt1.D$,#4G Address: q&fit MAW ST, City/State/Zip: 65f1* S,1krL MA Phone#: 65021) 14-2S -'1 I N? Are you an employer?Check the appropriate box: Type of project(required): 1.1�_I am a employer with 0 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El 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 tY• # 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. S'(Yl' J employees. [No workers' 13. 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 contractor;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 the policy and job site information. y�,,, Insurance Company Name: �"�rr 1'�q a c� N� �� S, � Policy#or Self-ins.Lie.#: I 5 6®0 !7 ( r 9 s7?81 1 Expiration Date: ` ?;i_Y Job Site Address: 3 J yA 9U t City/State/Zip: U� 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 insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Q Phone#: k0%) as — 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#: L 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 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 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 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 IIgmtnent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MA.SSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia , I , PATRRIM-01 THORNE ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MNUDD/YYY't)0 8/0 612 01 8 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((es)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency,Inc. a-PHONE,Ext: FAX No):(877 816.2156 434 Rte 134 MAIL South Dennis,MA 026604DR€ss;mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC If INSURER A:Main Street America Assurance Company 29939 INSURED 'INSURER 8: Ranney&Rimington Custom Building,LLC INSURERC: P.O.Box 816 INSURER D: Marstons Mills,MA 02648 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADDLISUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X I COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE S 1,000,000 CLAIMS-MADE OCCUR ( MP076069 08/21/2018 0812112019 DAMAGE TO RENTED $ 500,000 MED EXP(Anv one arson $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2H ,000,000 POLICY LJy jEeT ❑LOC PRODUCTS-COMPIOPAGG I 2,000,000 OTHER I I AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per acc dent $ UMBRELLA LIAR HOCCUR I I EACH OCCURRENCE Is EXCESS LIAB CLAIMS-MADE AGGREGATE is DED RETENTIONS WORKERS COMPENSATION i $JA71�E I I ETH- AND EMPLOYERS'LIABILITY YIN 1 ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICEFgMEMBE�EXCLUDED' N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 11 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate Holder is an Additional Insured on General Liability on a primary&noncontributory basis when required by a written contract or agrement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01986-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �e�ariznza�ztucalf�Z (+rj�� J ........w•.a�..,....�.�.�_....,..•.u.:�.,...,�.n.....e.w. .. y `-qp aS4ctc7rtaJelfd Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type: LLC before the expiration date. it found return to: =)#� ion Office of Consumer Affairs and Business Regulation - -_- Expiration 10 Park Plaza-Suite 5170 "' 1i T52 11/01/2018 Boston,MA 02116 Ranney+Riitllijg> t;ur ` Building, LLC Alexander 157 Thankful Lar1e` CotuiL NIA 02635`< ::} Undersecretary Not valid without Signature I Commonwealth of Massachusetts Division of Professional Licensute Board of Building Regulations and Standards' Constrgct r1 $Pervisor CS-088595 ; z� � ires 04/16/2020 .� ; ALEXANDER M RAW 239 SCUDDEK,VENU � a HYANNIS MA 01 '� %s I., Commissioner Construction Supervisor Unrestricted-Buildings of airy use group which contain less than 36,000 cubic feet(991 cubic meters)of enclosed (9c Failure to,possess a current edition of the Massachusetts state Building code is caul for revocation of this"cerise. + For information about license , Call(617)727-3200 or visit www-mass . 1 t • Application Number........................................... Section 9—.Construction Supervisor Name LtM4ev-- Telephone Number � c 733 Address S&vct AU'G City cwi n i 5 State_ 4 zip 6 m O f License Number d E S9l 5 License Type y Expiration Date qA 6 49 Contractors Email 4he_CQA_eo dw,"'40-5,"m Cell# (51)s� -7 3 y(ohs 3 I understand my responsibilities Tinder the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the contraction inspection procedures,specific.inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date 6 ((a Section-10 —Home Improvement Contractor Name_ ( �A I ¢ OAVM CAS "°Tele one Number Address qa � ►Iti S f' . City &, Wydl t State Tip Registration Number Y 7j'Z Expiration Date l 03 I understand my responsibilities Trader the rules and regulation for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspection and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H LC... Signature Date l8 Section 11—Home Owners License Exemption F Home Owners Name: C-{lit Telephone Number j C 2 - q0 38 Cell or Work Number I understand my responsibilities under the rules and regulation for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspection and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name A"O-MYK 12aMV Telephone Number 73 3 - y G 8 3 E-mail permit to: e�,c �JtR-cat �Crx� ABM eu �, C - T e.d......-*".It/nnnI 0 Section 12—Department Sign-Offs Health Depar(ment ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department - Conservation " �`� ❑ ' ' For commerce world please take your plans directly to the fire department`for~approval Section 13—Owner's Authorization as Owner of the-subject property hereby authoriz « \ 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 r Lest undated:2l92018 4J� 1 f Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstable.ma.us Pre-application for Business Certificate Date I — ' Map3- Parcel v Applicant Information � Applicants Name �QYJ- /f 7/rC/4€z-L Applicants Address r) / /I j N t c 3 ram.Z� , I7 c�X % 3? Lv`s /S�+n��r> Email Address es an ��s7��9/fit% Fc t `lf��' +� C�d M Telephone Number 5_0 Y — <77 Z — 3 Listed j�] Unlisted ❑ Business Information New Business? ---------------------------------------- Yes Business is a registeredcefgefat-ion? ---------�_j__-_-__- __. �Y s No If yes Name of Ceffw-atien /— Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? ----_-___ Yes No If yes then a Ho\m,e Occupation Registration is required—See Staff 'e Building Division Sta Name of Business 1�" �t�F� �� f D t} RoX:4— V Business Address Type of Business Building Commissioner Office Use Only Conditions 0 Building Commissi (��&FDate Clerk Office Use Only f Mass. Corporations, external master page Page 1 of 2 f �yc-ael-.Sf;� v Corporations Division Business Entity Summary ID Number: 262428646 Request certificate -New;search Summary for: MCM DEVELOPMENT COMPANY LLC The exact name of the Domestic Limited Liability Company (LLC): MCM DEVELOPMENT COMPANY LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 262428646 Date of Organization in Massachusetts: 04-17-2008 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 761 MAIN STREET City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and address of the Resident Agent: Name: KATE MITCHELL Address: 761 MAIN STREET P.O. BOX 160 City or town, State, Zip code, WEST BARNSTABLE, MA 02668 USA Country: The name and business address of each Manager: Title i Individual name Address MANAGER KATE MITCHELL 761 MAIN STREET WEST BARNSTABLE, MA 02668 USA MANAGER CINDY LEE CALDWELL 18 PLYMOUTH AVENUE HYANNIS, MA 02601 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address http://corp.sec.state.ma.us/Corp Web/Corp S earch/Corp Summary.aspx?FEIN... 7/22/2015 Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY KATE MITCHELL 761 MAIN STREET WEST BARNSTABLE, MA 02668 USA ED El Confidential Ea Merger 12 Consent Data Allowed Manufacturing View filings for this busyness entity: ALL FILINGS Annual Report ' Annual Report - Professional Articles of Entity Conversion Certificate of Amendment Y View filings Comments or notes associated with this business entity: _................... New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN... 7/22/2015 f COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date / _3 (X) Fee Requir C$93.00O No Fee Req In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: An'.1 0 ji, g D/?D Name of Premises: 3 / -aMa,h, Fk.,_D /"lu Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO 1 BEDROOM 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: G am. b v i, 17 E 4- C D M P /N L L Address: X Z� !�r°.1 T7rL Jk[ Telephone: Sag — 3�> a - ) 3 6 S Name and Telephone Number of Local Manager,if any: "7,,q N.4 6-G a S U Owner of Record of Building: /7 C^'1 Z?t VEZ,2 P/`j t raj GO✓b P14&'H C-L UO Address: Soh ; Name of Present Holder of Certificate: /L76 r7 Z) D Ph r ter' C"> h PRE L 1-C (44 SIGNATURE OF PERS N O WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Email: kAT, 14 _r6)JE LL PLEASE PRINT NAME kart_Lqp K,9 To l',17-c,q E-,L ./�77ptvv't . C D INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 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. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: coiappmf TOWN OF BARNSTABLE INSPECTION WORKSHEETS, CERTIFICATE NO: 1 201505944 CANCELLED: MAP: 327 DBA: 134 YARMOUTH ROAD MULTI-FAMILY PARCEL: 170 NAME/MANAGER: MCM DEVELOPMENT COMPANY, LLC STREET: 134 YARMOUTH ROAD VILLAGE: JHYANNIS STATE: FVA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: MULTI-FAMILY J CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USES: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 4 STUDIO UNITS CAPS: LOC8: CAP2: LOC2: CAP9: LOC9: CAPS: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECT DATE ISSUED: EXPIRATION: Rf ' 0 2010 06/28/2015 06/28/2020 e COMMENTS: 8/02 C01 REQUIRED/6/7/2013 PF inspected and found unit L needs smoke. Town of Barnstable Regulatory Services Richard V. Scali,Director + antwsrns�. • Building Division v 4 =91 � Thomas Perry, CBO, Building Commissioner� i63� , 'OTFn �°i 200 Main Street, Hyannis,MA www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Second Request July 22, 2015 Kate Mitchell P.O. Box 160 West Barnstable,MA 02668 Re: 34 Yarmouth Road, Hyannis MA Certificate of Inspection Multi-Family (5-year Certificate) Attached is an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code,Eighth Edition. Please complete the application and return it to this office with the required fee for the five-year Certificate of Inspection: 4 units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, 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 of the State Code. Sincerely, Thomas Perry Building Commissioner cc:Cindy Lee Caldwell jeoiletmf I E f Town of Barnstable FINE t Regulatory Services Richard V. Scali, Director Building Division EAMSCABLE. MAS& ,�� Thomas Perry, CBO, Building Commissioner 1 Alf639. a 200 Main Street, Hyannis,MA www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Second Request July 22, 2015 Kate Mitchell P.O. Box 160 West Barnstable,MA 02668 Re: 34 Yarmouth Road, Hyannis MA Certificate of Inspection Multi-Family '5-year Certificate) Attached is an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code,Eighth Edition. Please complete the application and return it to this office with the required fee for the five-year Certificate of Inspection: 4 units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner cc:Cindy Lee Caldwell jcoiletmf �L Town of Barnstable FINE Tn Regulatory Services Richard V. Scah, Director Building Division BARNSTABLE, v� MASS.� ,e$ Thomas Perry, CBO, Building Commissioner '01Eo►9. A 200 Main Street, Hyannis, MA www.town.bamstable.ma ms Office: 508-862-4038 Fax: 508-790-6230 May 8, 2015 MCM Development Co.,LLC. P.O. Box 160 W. Barnstable, MA 02670 Re: 34 Yarmouth Road, Hyannis Certificate of Inspection Multi-family (5-year Certificate) Attached is an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code, Eighth Edition. Please complete the application and return it to this office with the required fee for the five-year Certificate of Inspection: 4 units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure I jcoiletmf Commonweattb of. j+1a.5.5arbu.5ett,5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to MCM DEVELOPMENT COMPANY, LLC .3 Certify that I have inspected the premises known as: 34 YARMOUTH ROAD MULTI-FAMILY located at 34 YARMOUTH ROAD in the [pillage of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R2 The means of egress are.sufficient for the following number of persons: Location Capacity Location Capacity 4 STUDIO UNITS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201002680 6/28/2010 6/28/2015 7 17 The building official shall be notified within (10) days of any changes in the above information. Building Official r r f COMMONWEALTH ld5 TOWN OF BARNSTABLE APPLICATION FOR CERMIFIOJI',JF dSIP—HCff1ON MULTI-FAMILY FIVE-YEAR CERTIFICATE /� 2 Date J "��' (X) Fee Required$: 7✓ 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: 3 y a>t p_ OLA J) S �,M oa c ®i Name of Premises: mQ-,.�y1 ►, F—bRp 1 %>Dm1aS' Hz>o_S� Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO y 1 BEDROOM r 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: _Mr, ti —D,,Fveit>(7r%i,F OyheAa Address: 4) /m n1 S ru i r - o B" f 6 tj T U.nmIA4. .17A � S-v�l .3�� 13� Telephone: '� Owner of Record of Building: Address: �6/ r1�� SIAee7' - 'a ►3oe . l.,4 ( ,1a4l Name of Present Holder of Certificate: Due C6, 0- P-6LN_ /a.a,t R6,,#L, dk ,er j n✓y�ce Name of Agent, if any: ��. SIGNATURE OF ERSONWHOM CE IFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 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. FOR OFFICE USE ONLY: CERTIFICATE# �2_o/y EXPIRATION DATE: G 'ell C;7 coiappmf l i TOWN OF BARNSTABLE INSPECTION WORKSHEETiose� CERTIFICATE NO: 1 201002680 CANCELLED: MAP: 327 DBA: 134 YARMOUTH ROAD MULTI-FAMILY PARCEL: 170 NAME/MANAGER: IMCM DEVELOPMENT COMPANY, LLC STREET: 134 YARMOUTH ROAD VILLAGE: IHYANNIS STATE: FMA ZIP: 02601- SEQ NO: a BUSINESS TYPE: (MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 4 STUDIO UNITS CAPS: LOC8: CAP2: LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: ntThisScree @68 06/28/2010 06/28/2015 "''P.rint Certificate of inctions spe ' 0r. -0310 _,m . ,.� � COMMENTS: 8/02 C01 REQUIRED Town of Barnstable Regulatory Services + BMtN TABLE, v MASS. Thomas F. Geiler, Director �p i6gy. �� i 639. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 12, 2010 MCM Development Company PO Box 160 W. Barnstable, MA 02668 Re: 34 Yarmouth Road, Hyannis Certificate of Inspection Multi-family (5-year Certificate) Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code. Please complete the application and return to.this office with the required fee: 4 Units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, 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 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure jcoiletmf My File Edit Tools Help — Year/7ype/Bill No. - -- - ,.Customer account ir�#urm�iora History 201 RE.R 1715.1 345546,, t.- — a tv1CM f7EU 1 Ptr+ENTI�i��'PANY,LU �# a .� P�O BOA 1t;f1 .Property information �� , 4A+SRRNSTABLE.tt�"t#2E8 +` Orig Bail Parcel 1D 32717� Effective Date At Pare Prop Loc 5 YA.Rt tO UTH ROAD t Lien/Sale r1400 23 Special Condrtians/idotes Scan Fill Giuicic Entry lrtt Dt Billed. AlstA�dl Pmtr Interest Unpaid bal 1�1 .00 ti - 1 _ Utility Acct 11✓1�31Q9 . - — S Ol ..__ . _ _{I i.... ... _.w.�, ..9'9�Ql ' ... tl _. Custer tF .f2l1{ 12234 � €� 1 122.34 " _ , _ . .00 1 122 3i 1 122 .Name _ -. .__. .... _._.- _, _ ...:,. Fees/Pen 0, _ Farrel Totals 23 71„ d14."" 4,236 71 .{ } Pap Cdde --- -Notes/Alerts Duo l05: 10 Billing Dates r - - - J N 1 Os ner: P1CM DE E�LPP:MENT,COMP11, Per Diem t1V} - — BilhAdt N lnt Paid .{�} - i Reprint Gfa pncar unpaid 13+1is, - - -- r ,Preferences , Diagnostics - _ - 1 of 16 r e rsplay transaction history fbr the current bill, - Start t�ta., Tnb ]Fkt 0 h?lar fa is am. hire I�BL 0 htar [� I�tar.;, TO; 7C... o e • Town of Barnstable TOWN OF BAIRUVISTAKE Regulatory Services t:M, Thomas F.Geiler,Director < f � 1 PH 3: 57 T Building Division nAxrrsTeBIX wS& �� Tom Perry,Building Commissioner 4ij°rEo t�, 200 Main Street, Hyannis,MA 02601 DI -_f_. ET - Office: 508-862-4039 Fax: 508-790-6230 Approved:�y �� Fee: Permit#: HOME OCCUPATION REGISTRATION D ate: 14 x 6 a GO Name:. C.,v 'C �' — Phone#: 6 l - 3&6 Address: J /VD1/-1'Va'ritf1 /-P,. Village: #V/( Name of Business: C f- Type of Business-d"1'e, Map/Lot: 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 pbt 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-stomge'or:use of toxic or-hazardou$materials,or flammable or explosive�materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met.on the same lot containing the Customary Home Occupation,,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick- -truek not-.to•exceed-one torr.:capacity,and one railer not to exceed 20 feet in length and not to — exc=d 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 dwe ' unit. I,the unders' ed, ve r d and a with the ve re 'ctions for my home occupation I am registering. Applican Date: vZo �f 4i YOU WISH TO OPEN A BUSINESS?, For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town �f (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" F1., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE:_ APPLICANT'S YOUR NAME: 7�'C-r— BUSINESS YOUR HOME ADDRESS: �a� �ta11 1Z� JI 7- 3 86 - 3 3�6 TELEPHONE # Home Telephone Number. NAME OF NEW BUSINESf�j,.v�f,•�Gs,� i � TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO `� �`Xe`` Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS /"! /,V- / / MAP/PARCEL NUMBER 32� I 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 CO SSIO R'S OFFI This individual h b e inform ny p rm't requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Auth d Signatur * COMPLY MAY RESULT IN FINES. AILURE TO C MMEN S: � NES. 2. BOARD OF HEALTH - This individual as be ormed of perm e ements that ertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has ,een infor ed of the licensing requirements that pertain to this type of business. ,c_, COMMENTS: Authoriz d Signature** YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 151 FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE:_ 14 O 5' " n Fill in please: APPLICANTS YOUR NAME: BUSINESS YOUR HOME ADDRESS: r( �a,,rw�o�s -G� ( {E �„is �^'1 F� OZ6o t . � TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS A TYPE OF BUSINESS f► Pog I EXPO 4 EYTf LE S C Comes art) IS THIS A HOME:OCCUPATION? YES NO Have you been given approval from the building.division? YES NO c oz4o 1 a ? O ADDRESS OF.BUSINESS a✓rcv�ov�-f,� d I{ a S1A MAP/PARCEL NUMBER -� � + L- 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 COSale R'S OFF CE ` This individ i a permit requirements that pertain to this type of business. Au horized Sign re ` O MENTS: (� 2. BOARD OF HEALTH This individual h n informe o the p it r quirements that pertain to this type of business. Au6rbrized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has e n infor of t e licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: I 7 g . i� r YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 151 FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fyn, q DATE: 14 O Fill in please: I ' APPLICANT'S YOUR NAME: yBUSINESS YOUR HOME ADDRESS: yol - f4 64(=� TELEPHONE # Home Telephone Number: NAME OF NEW BUSINESS -PO AA TYPE OF BUSINESS ( rv,.PoRT EXPoP-T I E) l I LE S C Ikcs arc) IS THIS A HOM'E:OCCUPATION? YES: NO Have you been given approval from the building division? YES NO OZ60 ADDRESS OF.BUSINESS e-Ir- n�S ': tM A MAP/PARCEL NUMBER Un + L 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 COralIS'Oe ER'S OFF E This individ n infe c a permit requirements that pertain to this type of business. Au horized Sign re O MENTS: (� 2. BOARD OF HEALTH ] This individual h n inform/'(/ the p it r quirements that pertain to this type of business. Aut orized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has e n infer of t e licensing requirements that pertain to this type of business. uthorize Signature** COMMENTS: 64 o-{t,, n v+i -I-o SeX�r� ©� Df �.pUse �o� 5 Total Miles Reimbursement [cription Amount Total Other Expenses ed herein were incurred while on official Town business,that the claimant was descriptions,and supporting documentation presented here are true in all material Date signed ages Date signed ges Town of Barnstable Regulatory Services Thomas F.Geiler,Director . sz.��.e. Building Division * aenx y� KAM g Tom Perry,Building Commissioner '°fEo ►tee 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fay 508-790-6230 Approved:l Fee: Permit#: HOME OCCUPATION REGISTRATION Date: I� a Name:. <b6k10 L J o l n 111c�_ Phone#: 6 Address: c f Y,.f veto u4l, R d Z village: 19 cl_.r n 4" Name of Business: ?0/ q Type of Business: tIo Map/Lot — 176 6 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 suggestan other than a residential use;no increase in traffic above normal residential volumes; Yang 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. . r There is no-storage-or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met.on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • .There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up-tm eknotto>exceed•one ton.:capacity,and one trailer not to exceed 20 feet in length and not to ex=d 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,h e read and agree wi�above ctio for my home occupation I am registering. --- - �. Applicant: ,"" Date. Homeoc.doc Rev.5/30/03 � � q Town of Barnstable �DF THE rp� y�P ti� Regulatory Services Thomas F.Geiler,Director * BARNSTABLE, 9� MASS. s6gg Licensing Authority . �0 ATFo M►`t A 200 Main Street Hyannis,MA 02601 Office: 508-862-4674 Fax: 508-778-2412 Licensed Premises Zoning Approval To All Applicants: Zoning approval MUST be obtained BEFORE an application can be accepted by this office. Fully dimensional floor plans, with egresses, fixtures and furniture marked, must be submitted to the Building Commissioner's Office, along with a fully dimensional parking plan, prior to, or along with, this document. Plans must be initialed by the Building Department and submitted along with this form, completed and signed by the Building Commissioner or his representative, to the Town Manager's Office with a completed Licensing Application. No applications for a license or hearings on a license application will be accepted or scheduled until the above requirements are met. . To Be Filled Out By Applicant: Uses/License Applied For L V ayr4 - WSE 4' 6< fQoe,&r 1-OD&aS Location f} D rh-6 Qp D , Hyft'"s tin b.1 to 0 Business Name Mctf 2iyg-L0FligAI-T .f'ohrutyy Business Owner Mr-M OE V0144. pJr I --' e bMPJjPy G L C, Address 1b� l�fffy/�f i 7" , PO-&9M W- A44SIJ3*0►"IA' Telephone: /361 Property Owner AGM -DeVCI—AT J F-IVI' COM,9Ny LLCM Town.of Barnstable Map(s) and Parcel(s) No(s) MfJ- 3 List All Uses Of: Basement Oki�Y*-Srb4I'4 (Area) 00 ST F First Ar. 2 fttfS KKR. 60 (Area) 1006 dQ Fr Second 3 R00 s (Area) j!p 5j FrThird 37QVI15 (Area) 81416 SQ FT Fourth /l)p14 (Area) Roof (Area) ' Decks, Patios,, etc. (Area) Date /k 0b signature of,Appli ant` f r ----------------------------------------------------------- ------t--------------------------------------------------.----- ------------- - ------------------------ To be completed by Building Commissioner---'s Office: Zoning District Are the above uses permitted? YES NO_ Legal Nonconforming Use YES Variance Granted YES NO Special Permit Granted YES NO Total number of occupants permitted Total number of parking spaces exclusively dedicated to the proposed business use and available mes when business is to be operated Signature of Building Offici U1 Date D�. Q:\WPFILES\LICENSNG\FORMS\ZONINGAPPRVLFORM.DOC V 1 I BIKE anRxsr�z.e. • I fie Town of Barnstable 9e� 1`� Department of Health Safety and Environmental Services 10rFc �" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 5, 1997 Richard D.Arenstrup,Trustee Park Square Trust III P O Box 2248 Hyannis,MA 02601 Re: 34 Yarmouth Road,Hyannis Map/parcel 327/170 . Dear Mr.Arenstrup: A review of the property at 34 Yarmouth Road shows it to be a lawful lodging house with the right to rent out to up to ten lodgers or boarders. I trust you are aware of this,and suggest you contact the Assessor's Office to ask them to change their records. They erroneously refer to it as a four family home. Thank you. Sincerely, Ralph M.Crossen Building Commissioner RMC/km . Q970204A / a TOWN OF BARNSTABLE BUILDING PE MIT APPLICATIO Map �J t Parcel ) 7 0 Application# fib Health Division Conservation Division Permit# Tax Collector Date Issued IT191bl qA Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 3 YG rnog'�� Village Owner nv /�,�_ L 8�5rJ n�n� �Oy r�i�0�S Address ,J� f ' �1(n �T. � -'ia• 17¢n��5 �•� oa670 Telephone �, Permit Request Y C roo Square feet: 1st floor:existing 11710 proposed Q 2nd floor:existing 0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation *`400 Construction Type Lot Size t.,A Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)_ ` V�AIA Rcn^, tN Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Li Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) = Basement Unfinished Area(sq.ft) �7 6 Number of Baths: Full:existing new (�_ Half:existing new Number of Bedrooms: existing new Q Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes LU/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: ja a Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ N Commercial ❑Yes ❑No If yes, site plan review# CD -Current Use Proposed Use BUILDER INFORMATION i Name C/ d ��' Y 1��P� Telephone Number sSa �1z Address �"�- / / License# Home Improvement Contractor# (�2—� `f Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY t PERMIT NO. _ DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL M GAS: ROUGH FINAL FINAL BUILDING _ DATE CLOSED OUT - ASSOCIATION PLAN NO. aF��F goy, Town of Barnstable �o Regulatory Services * BARNSTABLE. RAM $ Thomas F.Geiler,Director eo3 9. '�A1 Building]Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder �e D%S , as Owner of the subject property herebyauthorize C(AAOS -D ut ej A' ;Gordo YcNAto act on mybehalf, in all matters relative to work authorized bythis building permit application for: . �l�t 34 7� Mc��b k�, A (Address of Job 6��Z� bi)'0 7 S' Lure of Owner Date I. Print Name QTORMS:O WNERPERMISSION The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111' www.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print/Legibly (� Name(Business/Organizationadividual): J? �� •� i/l�t�/�10� �%% !' / / •Address: g 4C-2 06L�+�l� 4,YLI City/State/Zip: A1 e 114111� M1% 0 7 44YPhone.#: `1 Z OS_b Os_ Are you an employer?Check the appropriate bog: :Type of project(required)-. 1:® I am a employer with Z_ 4. [] Tam a general contractor and I 6. ❑New construction . employees(full and/or part-time).* • have hired sub-contractors • 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 �vorkin for me in an capacity. employees and have workers' g Y P tY• t. 9. ❑Building addition [No workers' comp,maurance comp,insurance. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing ill-work . officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right 6f exemption per MGL 12•[A Roof repairs insurance.required.]t c. 152, §1(4), and we have no employees, [No workers' 13.0 Other comp,insurance regivred.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f 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 oub-contractors and state wbether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'camp.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: f 1 W V 1 CA Z t✓X Policy#or Self-ins.Lic,M Expiration Date: lob Site Address: V�M0 VIM 'i City/State/Zip: �17� �i oz"�.��1 Attach a copy of the workers' compensation policy.declaration page'(showing the policy number and expiration date). Failme,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 maybe forwarded to the Office of Investigations of the WA for insurance coverage verification, I do hereby n the pains•and penalties of perjury that the information provided above is true and correct. Si tore: Date; v! 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): A.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 hue, 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 evideriee•of-complia-ce with:tlie insurance requirements of this chapter have been presentedto the contracting authority." Applicants — Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,it necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of o 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 permit/license applications in any given year,need only submit one affidavit indicating current c necessary)and under"Job Site Address"the applicant should write"all-locations in (city�or policy information(if n c y) PP Y 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, lease do not hesitate to give us a call. P � The Department's address,telephone-and fax number:. : . Depi ent of In.�aI{A caid nts 600',Washin&tto6'Strget•. Boatm,.MA 0. 111 Td.#617-727 4000 ext 406 Or 1- 7 MASSAFE Fax#617-727-7749 Revised 11-22.06 w.maEss..gov1dia . r f .. ..................... ............. •_"-->s;' ;;:.i ..:.:: :.;:;: .;: �i :..: ii ::;.�i"r.`i�; ::; ...iii�.;:;��,.._ ..,..:.,.ii�::.�':�i�:� ii�;;�i'...:_:...:_.�'...;..�:�..,::iiiiiiiiiiiiiiiii>iiiiiiii':'::': :isiEiii>:iiiiii`i'i":;isi' iii':� M AI.1/isil® Rfi i" ` ... 1 R ►t :::. ,DD\rn _ - PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SANDPIPER INS AGCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 12 ENTERPR;ISE ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HYANNIS MA 02601 COMPANY COMPANIES AFFORDING COVERAGE 278CN A AMERICAN ZURICH INSURANCE COMPANY INSURED COMPANY FERNANDES, RICARDO W B 8 REDBERRY LN COMPANY MARSTONS MILLS MA 02648 C COMPANY D .:: :..... .:**iiEB ,.:. .. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $. ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND } ......... `' EMPLOYER'S LIABILITY (UB-954X431—A-06) 10-25-06 10-25-07 STATUTORY LIMITS �1 ;::y::::.>.:: THE EACH ACCIDENT - ;. $ PROPRIETOR/ PARTNERS/EXECUTIVE INCL DISFASE—POLICY LIMIT � $ -, Rnn OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $. 100,000 OTHER „1 c° DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. CATIICATEHMLDER< :: :: :: I _< . ................................................................................................................ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATTN: SALLY SHEA LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 230 SOUTH ST HYANNIS MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE a s x. .s.. t...... ?........... .......................... coy: a 02832-AM ZURICH � 2420 LAKEMONT AVE STE 100 ORLANDO FL 32814 TOWN OF BARNSTABLE ATTN: SALLY SHEA 230 SOUTH ST HYANNIS MA 02601 ACORD CERTIFICATE OF INSURANCE (On Reverse) 1 T �fg ,n jete u�ticlns anc ran d5 License or reoisation date If found d for 'return tovidu anly tioa, o ui U g before the exptr.. i HOME IMPROVEMENT-CONTRAC Board of Building Regulations and StandarOs One Ashburton Place Rm 1301 Registration 134747 Boston,Ma;021108 Expiration Ifl412008 I Type 08A j c - �- I { ) 4P RICARDO FERNANDEZ CARPENTRY o RICARDO FERNANDEZ _- - r 8 REDBERRY LANE No valid wit out signature ntP.RSTOis N MILLS,MA 02646 Dcpicty adniv.ci: t� - 1 Town of Barnstable ' *Permit# Expires 6 months from issue at, Regulatory Services Fee Thomas F:Geiler,Director n 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 v' � Property Address tlrri h 2D . 1Rel-2 ` esidential .Value of Word�0. 0G� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address A6 eo s Contractor's Name�L n K `1 ffjLN-(e. Telephone NumberSU S4— y3a a 7 77 Home Improvement Contractor License#(if applicable) g Construction Supervisor's License#(if applicable) ❑Worlanan's Compensation Insurance Che ne' cZ RAUT [I a sole proprietor ❑ I am the Homeowner MAR 0 9 2007 ❑ I have Worker's Compensation Insurance TOWN OF BARN STABLE insurance Company Name e,- Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. } Permit Request(check box) , Re-roof(stripping old shingles) All construction debris will be taken to 5-/J- ❑Re-roof(not stripping. Going over existing layers of roof) `'`; 1 ❑ Re-side t ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) co *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,t onservation,etc. ***Note: Property Owner mast sign Property Owner Letter of Permission. A copy f the Home Improvement Contractors License is required. SIGNATURE: Q:Forrns:expmtrg Revise061306 The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Investigations q a 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation(insurance Affidavit: Builders/Contractors/Electricians/Plumbe>rs Applicant Information Please Print Legibly Name(Business/Orgmn mtionadividual): / pc 1' Address: � c_1,•• li� City/State/Zip: Al- �'�v'►�,�, c(� h PA- Phone.#: S6 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 1 6 New construction.. epproyees (full and/or part-time).* have hired the sub-contractors 2, am a'sole proprietor or partner- listed on the attached sheet. 7. El Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance.t 5. We are a corporation and its 10.❑Electrical repairs or additions required.] ' 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.❑ Other comp.insurance required.] *Any applicant licant 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, 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 bave 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.Lie.#: 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 MA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si- afore Date hia S', ot�7 Phone#: rOfficialonly. Do not write in this area, to be completed by city or town officiaL n: Permit/Lie ens e# 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 hiie, express or implied,oral of 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 tntste_e,of an individual paitnerft.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-contcactor(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,ah 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 _tovrn)."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 fo 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 CQmmmwealtn of Massachusetts ]department oflnbstrial Ac4dents Office of Investigations 600 Washington Street Boston,MA 0.2111 Tel. # 617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised I1-22.06 www.mass.gQv/dia pazHE Poi, Town of Barnstable Regulatory Services BA M d1tASS.�' Thomas F.Geiler,Director 9 A83. rE1639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder G'✓�2, as Owner of the subject property hereby authorize fry lit 11)�' to act on my behalf, in all matters relative to work authorized bythis building permit application for: 1 AIAO'An".5 (Address of Job) ignature of er Daie �OvejC.C1 's Print Name Q:FORMS:OWNERPERMISSION r. t3 r ✓k TOOmi'1p o� aC�ttc6r�6 c I Board Of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR BOARD OF BUILDING REOUL ITION Re istr tior�` ?1685 + License: CONSTRUCTION SUPH-RVISOR 3 `ion . i /-008 Number C5 070914 412 Tr# 125555 e J q.(Vidual ��' � red 610612 no a FRANK VITALE �! r 5 z t Re C Iste�1; OT � 5.LYNCH LANE I t' FRANK A VITALE` i NO.HARWICH,MA 02645 LYNCH LN Administrator 5 C -- --- N HARWICH, 1\QA 026¢�`wF w - - ommiss�ioner � �i f Schematic Site Plan Approximate Boundary Residential(Red) �t Properties yy Kv yannis �yfwr5h °��' v � f6 ri1du �`,� t _, �"'r�` aci54 3s rl y.i = d F:..,� t � �i+"1.J4�� '�i.✓h§ } n%�.=1'',��,+� Paa�r Steamship r } 4 �c � :.Grass and,-? Authori getatidn� ty r 4 w rS ctl a4ax. y+k 7� , f s'"fY^`Y5 � ,�§ 1 f l:E � 1 k+r � r f}R ,4yf7 1 0 i-} 1 and taw d Parking �o rcti° k � rLot c� Resid ti en al { w Properties rA Ktd fT Swimming n vfp ra ®r POOi t r iN�g .t�pr ,N Barnstable Du mP s te Town n r .� Wooden Offices Stockade Fence Grass and Vegetation s Hot Water Heater �. 1 r, (inside this area) z { r Residential Properties } h\ 1 ; V_ r W, C Note:Y. ® = Test Pit G Location: 34 and 44 rjoYarmouth Road t ° Hyannis, MA Figure 2 Date: February 2007 Not To Scale Based on Visual Observations „ 4L , r a � � i r 3 t t= Uk5rMV '« kaw �'w.n - tv All, F +"t•{� '' ilk" ' .�+'.:ill d(�^�'.1 a �M , inw �p t Y'` rrSAX^ SS Y.d Y 1 3 k t , �u'�tta��f 5 '�`1 P4kiP� �i yl titgl.N� x z u� N"s�'t � f� �ati .s i�.k,^+a•4.t -s �wd�i4r de4rt ry Wu -A '10110 _.'may f J i m'< .- � n <.,y �l :✓ � Fs a�M u� -=„�''�'/ q��y,r�mh '�� a- d.�'��`� %w. 'm taS �,u ��..� -.,.� 46 N T TWA• Fl7 a _ f a rt � a s pOWG� Now VCR ;sI W- 5115 r w e a � 3 •` fin, + �w � �� °' ate$+ II Ivy E r ' N "} f- • l r b µ � !'�.✓ ,� � �.�, � 'gym �' �.m.e� '",x +xe-.:« �'�. ,ASS �, �a b s r' f 0°' � a ,r 34 Yarmouth Rd'., Hyannis 4/4/07 a .- �r � 4Al4- +.: ,wa, _.�+ %k •�.,r. � Y..�mbi` '�'�xw� :C ,: s y o-s� 54 � .r � _:. ,g' �� `��:� � tia€ ,a •vim a aa.,� a .. o � k 6 17 g'. 4 •a t -ry , A s. fol- Fo fpq a � ` ,a - 2AR, A q.0 Its a ¢ 4 RI�� ff x tt ig -44 a � A, �a r V,r - rnF ,-ot & 6 5 of�' ,`� Xaa t„ """ '"• -a '�= ... c ° a r tia. `i-". Zw gay z ,f ss 34 Yarmouth Rd., Hyannis 4/4/07 e� } u � 5 � a Vf - 11 d?w Ln :7 e ?. gypa- xis.€ "�'d" 8 , z Y JA WW Lo r � � L oq 4 — t ^ � � � �� "� .^� � �y �•�� TM'e" ,.�,.� �' s " �` � �a�bolft d? x � u u t r 34 Y a i mo uth Rd., Hyannis 4/4/07 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M Map ✓ Parcel —70 Application# ��-7 o 19-7 6 Health Division � 62 +� Conservation Division r15 Permit# Tax Collector '� Date Issued 1O-7 3 Treasurer Application Fe Planning Dept. Permit Fe Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis �9 0) Project Street Address y YAR Xrn "zo Village Owner gN1 2=u�\eo j5 Address 6C7 o?c�S L-�csT 0 �•S Telephone �- i" W,00D. ruamavrev s" C41•i3. Permit Request)e dl 3: // F TP�S, AP,�IY /�.hl�s, �h'/ 1/ky�,�c•�I1�oc-�.� -f- Square feet: 1 st floor:existing /5b6 proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay 4VProject Valuation S0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)4 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: i Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ = Commercial ❑Yes ❑No If yes, site plan review# ` ' Current Use Proposed Use 5- j BUILDER INFORMATION ( -� Name 17aPrA I< v 1 ;z e Telephone Number Address S 1 V eft e J (tl • License# O 7 O g /q f ✓" - Yv4-• O A(e Y"— Home Improvement Contractor# /.2 5-37-5-5 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. } S1 i ADDRESS' VILLAGE OWNER J DATE OF INSPECTION: {. FOUNDATION y FRAME �� - P( - p "7 INSULATION O(C_ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r i DATE CLOSED OUT ASSOCIATION PLAN NO. r: The Common}bealth ofMussachusetts . - •. •' -••Department•nf,�ndustrial,�ccidenfs - ' -Of,face oflrivestigations d 600 Washington Street . Boston,.MA 02.ZI1' ' V)d .massgov/dia Workers,-Compensation Iusunmee Affidavit: 13URderg/Cozitractors/Eledtricdans/plt�e A licant Information rs', Please Print L� I Name(Business/Orgauiz tiowhdividual); �•� • • •Address: . . . , City/State/Zip: Phone:#: SO d y3 gs-s Are you an employer? Check the appropriate box: 1;❑ I alCi a employer with 4, [] I am a general contractor and T ;Type ofpio7, —' t7' eq eraplo ees {full R4d/or part-time),* have hired.the sub-contractors 0, ❑New uct2; ru a'sold pzoprzetor oz partner= lisie�on the'attached sheet 7. [�Remo.ship•andhave no employees These sub-contractors have-vorlang for me in nay capacity. employee§and have Workers' 8, [�Demotion. [No workers' comp,insi3i=e Damp, insurance.$' 9, Building addition required.] 5; ❑ wtiarea.. Porationandits 10.❑Electricalrepaizsozadditions 3:[]—I ahomeownez doing all=wozk:— ---officers-have exezcised their • myself,[No workers'camp, xiglrt 6f exemgtion per MGL' 11.❑Plumbing repairs ox additions inswance,required,]t c, 152, §1(4), and wehayeno 12,(]Roof repairs.. , employees, [No workers' .13.11 Other ' pomp,insurance required,] *Any applicant that checks box#1 must also fill out the section below sbowing thou workers'compensation pohay fi fo'nmdon, t oomeownethat cb submit this affidaMust indicating they are doing all Woik and then hire outside aonb=tors mutt submit anew affidayitmdicating such, Contractors that check this box must attached sa additionaltheet showink the name of the dub contractors and state whether arnotthose entities g ru ernplayees, If the sub-contractors We employees,they must pro•yve idb their workers'cfthe Pub ico,number, jotors I am an emp Toyer.that is providing workers'compensation Insurance for my employees. Below is the policy and job site' ihi ormadon. Insurance ConT any Natne Policy#or Self-ins.Lid,#;. E 'xpirationDate; . Job Site Addr:is' City/State/Zip; Attach a copy of the workers' cgmpensation policy declaration page'(showing the policy number and expiration date Failme,to secure coverage as requiredunder Section25A•ofMGL c, 152 can lead to the imposition of c ' ) fined t6$1,500.00 and/or one- ear' � p HmmalPe�ties of a P y vmgrisonmen as well as civil penalties in the form of a STOP WORK.ORDBR and a fine of up to$250.00 a day against the violator, Be advised that a•copy of this statement may b e forwarded to Investigations of the WA for inmra oe coves e verificationy tbLs•Offlce of . I do hereby ce der th pains and penalties of perjury that the information provided Bove is true and correct. Si fora: Date: 7 Phone 9 Official use onl)1, Do not write in this area,tb be completed by city ar town official City or Ttivrn: ' Bermit(License# . Issuing Auth-ority(circle one),' 1 Board of Health 2,Building Department 3., City/Town Clerk 4,Electrical Inspector 5. Plumbing Inspector .6,Other ContactPerson: ' Phone#- ['�••�•{!�,'� JJJ��++��"�.�Zf�,".�I�# � T•� {i' +'� '90-ZZ-SI pasrAa� • • • • lire I�/��" ~��•/v�� VYI*'��f 1 ,i � •. 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HOME OVEMENT CONTRACTOR ' License: CONSTRUCTION SUP 'RVIS'OR Re $ 1685 Numbe 9 F;C 070 008 Tr# 125555 11 t06 '��. vidual �`QtJrte�jQ6l �Ij7 Tr.{ta: s, ; n FRANK A.VITAL Re a FRANK VITALS 5 LYNCH LANE \4 �tl FRANK A VITALS Li / �L' 5 LYYN LN r / •NO.HARWICH,MA 02645 02 f, F Administrator i , N IiAR�fICH, AAA" dommis ih `er 1 �S O h p O p A] N. 'Y O oy Town of Barnstable Regulatory Services 9 BAP.NSTABLE, Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 50$-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder OV 71� as Owner of the subject property hereby authorize 'Fran to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) 3 15 d� ignature of er D e Print Name •Q:FORMS:OWNERPERMISSION 4. x. 1 Certified Mail#7003 1680 0004 5458 4081 Town of Barnstable Regulatory Services `' � Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 11, 2006 Mr. Richard D. Arenstrup, TRS Park Square Trust III P.O. Box 2248 Hyannis,MA 02601 Dear Mr. Arenstrup: The property owned by you located at 34 Yarmouth Road, Hyannis, was inspected on June 30, 2006 by Donna Z. Miorandi, R.S., Health Inspector for the Town of Barnstable, because of a complaint. Units 3, 4 & 5 were accessible on this date and all exhibited evidence of bedbugs. Unit 5 was extremely infested with them. Upon leaving this dwelling it was observed by Ms. Miorandi that Apt. 5 of 44 Yarmouth Road; Hyannis was discarding their mattress outside. On further inspection it too was noted to be infested with bedbugs. On this date also, the maintenance man, gave access to the building in the rear of this property. In the basement of this dwelling were approximately 30 mattresses in various substandard conditions including infestation of bedbugs. As a result of this inspection, Ms. Miorandi contacted the Hyannis Fire Department and the Building Department. This resulted in a scheduled appointment with Mr. Mark Sheehan, Trustee of Park Square Trust III. The appointment was for July 6, 2006 and Mr. Mark Sheehan was not present as previously agreed upon. It is understood that Griggs & Browne has done an initial treatment for bedbugs and shall do another one at the end of this week (July 10-July 14). Therefore, sometime on July 17 or 18th , Building, Fire and Health shall perform an inspection of 34 & 44 Yarmouth Road, Hyannis. Q:Health/Order letters/Housing violations/34&44 Yarmouth Rd.,Hyannis.doc r - - In the interim, you are required to provide this department with a copy of the written contract you have with Griggs & Browne for extermination and a receipt for the disposal of ALL the mattresses on the property being discarded. If there are any questions please feel free to call this office at the above listed number. PER ORDER OF THE-WARD OF HEALTH s Tho 'A. McKean,R. . Director of Public Health Town of Barnstable Cc: Lt. Eric Hubler, Hyannis Fire Department Paul Roma,Barnstable Building Inspector Mark E. Sheehan, Trustee, 156 Main Street, Hyannis Martin E. Hoxie, Licensing Authority Q:Health/Order letters/Housing violations/34&44 Yarmouth Rd.,Hyannis.doc r Y Certified Mail#7003 1680 0004 5458 4081 Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAP& a � Public Health Division Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 11, 2006 Mr. Richard D. Arenstrup, TRS Park Square Trust III P.O. Box 2248 Hyannis, MA 02601 Dear Mr. Arenstrup: The property owned by you located at;34 Yarmouth Road;-Hyannis, was inspected on June 30, 2006 by Donna Z. Miorandi, R.S., Health Inspector for the Town of Barnstable, because of a complaint. Units 3, 4 & 5 were accessible on this date and all exhibited evidence of bedbugs. Unit 5 was extremely infested with them. Upon leaving this dwelling it was observed by Ms. Miorandi that Apt. 5 of 44 Yarmouth Road, Hyannis was discarding their mattress outside. On further inspection it too was noted to be infested with bedbugs. On this date also, the maintenance man, gave access to the building in the rear of this property. In the basement of this dwelling were approximately 30 mattresses in various substandard conditions including infestation of bedbugs. As a result of this inspection, Ms. Miorandi contacted the Hyannis Fire Department and the Building Department. This resulted in a scheduled appointment with Mr. Mark Sheehan, Trustee of Park Square Trust M. The appointment was for July 6, 2006 and Mr. Mark Sheehan was not present as previously agreed upon. It is understood that Griggs & Browne has done an initial treatment for bedbugs and shall do another one at the end of this week(July 10-July 14). Therefore, sometime on July 17 or 18th , Building, Fire and Health shall perform an inspection of 34 & 44 Yarmouth Road, Hyannis. Q:Health/Order letters/Housing violations/34&44 Yarmouth Rd.,Hyannis.doc r r In the interim, you are required to provide this department with a copy of the written contract you have with Griggs & Browne for extermination and a receipt for the disposal of ALL the mattresses on the property being discarded. If there are any questions please feel free to call this office at the above listed number. PER ORDER OF THE ARD OF HEALTH Tho A. McKean, PR, . Director of Public Health Town of Barnstable Cc: Lt. Eric Hubler, Hyannis Fire Department Paul Roma, Barnstable Building Inspector Mark E. Sheehan, Trustee, 156 Main Street, Hyannis Martin E. Hoxie, Licensing Authority Q:Health/Order letters/Housing violations/34&44 Yarmouth Rd.,Hyannis.doc FIMEr Town of Barnstable Regulatory Services r r 9'''M„ss. Thomas F. Geiler, Director 039. 39. Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 16, 2005 Richard D. Arenstrup, Tr. PO Box 2248 Hyannis, MA 02601 Re: 34 Yarmouth Road, Hyannis Certificate of Inspection Multi-family Dwelling (5-year Certificate) 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 - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure jcoiletmf The c om in on ealth of m ass achusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PARK SQUARE TRUST III Certify that I have inspected the premises known as: 34 YARMOUTH ROAD MULTI-FAMILY located at, 34 YARMOUTH ROAD in the village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number ofpersons Use Group Construction Type Location Capacity R2 4 STUDIO UNITS 47107 6/28/00 6/28/05 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Official 7 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date 6//2-r (X) Fee Required$ 6f�' � ( ) 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: �� ,�,� b /- Name of Premises: Purpose for which premises is used:MLULTI-FAIUILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO sal 1 BEDROOM 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: Address: f,o, x3e z zy ff �fy� r9�s �Gy Telephone: Owner of Record of Building: %'AAz,- Address: ©. /� Z zy�& �ii,a /014 Name of Present Holder of Certificate:__ Name of Agent,if any: S NATURE O RSON TO WHOM CERTIFICATE \ ~ IS ISSUED OR AUTHORIZED AGENTS (2!7t PLEASE PRINT NAME 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# � 7 le-2 7 EXPIRATION DATE: °F VE . .~ The Town of Barnstable 9�AMASM& 10� Department of Health, Safety and Environmental Services rEc �°r Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner CERTIFICATE OF INSPECTION CAPACITY INSPECTION MULTI-FAMILY DBA ij t y o,, M&P LOCATION OWNER y ADDRESS �d 11 �ayT- ZONING NO. OF UNITS/FEE U s GLORIA URENAS APPROVAL DATE INSPECTOR DATE OF INSPECTION z 1980309A r mot► , Town of Barnstable Regulatory Services . g Y ' snarvsTnai.e Mass. Thomas F.Geiler,Director , ��AtFo��.iA`�� Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM DATE: I TO: File REGARDING: COI Multi-Family Use Re: Certificate of Inspectio is nt required for this property--does not consist of 3 or more units within a single stricture. Notes: o�tIME r n of Barnstable CrAdRi � Town 9 Department of Health, Safety and Environmental Services 1639. 1. Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Building Commissioner Fax: 508-790-6230 May 15, 2000 RICHARD ARENSTRUP PO BOX 2248 HyANNIS,MA 02601 Re: Certificate of Inspection Multi-family Dwelling(5-year Certificate) 34 yARMOUTH ROAD,HyANNIS 327 170 Dear Property Owner: Att you ou will find an application for a Certificate of inspectiodo required by Section 106.5 of the Massachusetts State Building Code, Sixth Ed i Please complete the application and return to this office with the required fee: 4 Units- $83.00 e has been established by the State(Table 106) and must be paid before the The fe . 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, Ralph M. Crossen Building Commissioner RMC/lbn j000424a j000112a 1/11/2000 Meeting R. Crossen and R. Arenstrup in response to 115100 letter 44 Yarmouth Road Wants to add a unit to the 3rd floor of the front building making 4 units in that building and combine units in back building to.reduce number of units in that building to 3. R. Crossen approved the concept with a net of 7 units. Stamped plan is required and he must apply for the 2 building permits at the same time. Arenstrup will be in to apply for permits as soon as he has a stamped plan. i r 156 and 164 Man Street He wants to eliminate both units from 164 Main Street, rather than 1 from 156 and 1 from 164. R. Crossen approved the concept of maintaining 156 Main at 10 units and reducing 164 Main from 9 units to.7 units. Arenstrup plans to work on this after the Yarmouth Road project. R. Crossen wants something in writing if phasing. 34 Yarmouth Road Arenstrup is working with his lawyer(Boudreau) and is trying to get an affidavit from the former owners regarding the number of units. He will try to prove that 4 units should be allowed in the"quad". R. Crossen is skeptical but will look at it. °PYRE T°l,_ The Town of Barnstable 9� 16 9 40�'' Department of Health, Safety and Environmental Services 64 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 5, 2000 Richard Arenstrup PO Box 2248 Hyannis, MA 02601 Re: 34 Yarmouth Road, Hyannis, 44 Yarmouth Road, Hyannis 156 Main Street, Hyannis, 164 Main Street, Hyannis Dear Mr. Arenstrup: With respect to 34 Yarmouth Road,we have processed the Certificate of Inspection for the lodging house.. However, the rear structure would require Zoning Board of Appeals approval for four efficiency apartments. You may obtain a building permit to reduce the number of units from four to two, or you may file for zoning relief with the Zoning Board of Appeals. 44 Yarmouth Road presently has two structures. The front structure contains three apartments (2 two-bedroom units and 1 four-bedroom unit) and the rear structure contains five efficiency units. One unit in the rear structure must be removed. Please obtain a building permit to reduce the number of units to 7. 156 Main Street consists of a lodging house and apartment units in the rear of the site. There are presently 10 multi-family units on the site. At this time the apartments are in violation and one unit must be removed. Please obtain a building permit to reduce the number of multi-family units to 9. 164 Main Street consists of a lodging house and apartment units in the rear of the site. There are presently 9 multi-family units on the site. The apartments are in violation and a building permit must be obtained to reduce the number of units to 8 on this site. Please contact Lois Barry (862-4038) of this office to coordinate submission of the applications and certification of your multi-family units. Sincerely, Ralph M. Crossen Building Commissioner g000104b oFtHEr�r,, Town of Barnstable * Regulatory Services * snxxszne[.e, 9 Mass. Thomas F. Geiler, Director �p .s6gq �0 �E1639 Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 19, 2005 Richard D. Arenstrup, Tr. PO Box 2248 Hyannis, MA 02601 SECOND REQUEST Re: 34 Yarmouth Road, Hyannis Certificate of Inspection Multi-family Dwelling (5-year Certificate) 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. required fee:re the h Please complete the application and return to this office with q 4 Units - $93.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, 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, Thomas Perry Building Commissioner Enclosure J34yar TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos 4V , CERTIFICATE NO: 47107 CANCELLED: MAP: r 327 DBA: 134 YARMOUTH ROAD MULTI-FAMILY PARCEL: 170 NAME/MANAGER: IPARK SQUARE TRUST III STREET: 134 YARMOUTH ROAD VILLAGE: JHYANNIS STATE: FWA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: r STORY2: CAPACITY: USE2: STORY3: CAPACITY: USES: Outside Seating: r BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 4 STUDIO UNITS CAP5: L005: CAP2: LOC2: CAP6: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print This Scree? �� 06/28/2005 06/28/2010 print`Certificate of Inspection COMMENTS: 8/02 COI REQUIRED CF THE The Town of Barnstable 11 Department of Health, Safety and Environmental Services ` Eo59. �"� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-962-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner MEMORANDUM TO: File FROM: Lois Barry DATE: 1/5/99 . RE: Meeting with Ralph Crossen re Arenstrup Properties Lodging houses approved for issuance of Certificate.of Inspection: Units 18 Quaker Road,Hyannis 6 7 Quaker Road,Hyannis 6 80 Yarmouth Road,Hyannis 8 34 Yarmouth Road,Hyannis* 8 156 Main Street,Hyannis* 15 164 Main Street,Hyannis* 5 93 Pleasant Street,Hyannis 25 (court decision attached) Multi-Families: 34 Yarmouth Road,Hyannis* 2 unless approval from ZBA for 4 units See letter 156 Main Street,Hyannis* 9 units approved. 10 units now. R. Jones visited site to confirm 115100. One unit to be eliminated. 164 Main Street, Hyannis * 8 units approved. 9 units now. R. Jones Visited site to confirm 115100. One unit to be eliminated. 44 Yarmouth Road, Hyannis Now 8 units. One unit must be eliminated. Total should be 7 units. *Site contains lodging house and multi-family units. j000104a ��r�� Gam- - v' _.`e 4.-,Ij� .t F �TIDE The Town of Barnstable 6 � Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 9, 2000 Re: 34 Yarmouth Road,Hyannis 327 170 To Whom It May Concern: After a review of all supporting documentation submitted by Attorney Boudreau,we agree that the 4 unit rear building at 34 Yarmouth Road is a pre-existing non-conforming use. Ralph M. Crossen Building Commissioner cc: Philip L. Boudreau 396 North Street Hyannis, MA 02601 g000509a AFFIDAVIT I, Peter M. Johnson, do on oath depose and say as follows: 1. That I was the owner of the property known and numbered as 34 Yarmouth Road, Hyannis, Massachusetts, from June 10, 1983 to April 11, 1986, when I sold the property to Richard D. Arenstrup, Trustee of Park Square Trust. 2. That prior to my purchase of the property, I had inquired from the previous owner the status of the property regarding the allowed use. He informed me that the two buildings thereon were unchanged from the time he purchased it from the owner previous to him. That is, that the front building was improved and used as a lodging house and that the rear building was improved and used as an apartment building with four separate efficiency apartment units and had been in such configuration for many years and such use pre-dated any later zoning changes. Subscribed and sworn to under the pains and penalties of perjury this 21 st day of January, 2000. P ter M. Johnson STATE OF FLORIDA COUNTY OF SARASOTA January 21, 2000 Then personally appeared the above-named Peter M. Johnson and attested to the truth of the allegations above-subscribed, before me. ,Notary Public My Commission Expires: 1%ONDA D.WATSON MY COMMISSION#CC 782237 r'4'�x ?`•r Bonded PThoNot"Publ'underwrRere I AFFIDAVIT I , Robert Kesten, am an individual who was a principal involved in the corporation known as Captain's Log, Inc. located on East Bay Road in Barnstable. Captain's Log, Inc. purchased the property located at 34 Yarmouth Road in Hyannis from Ernest A. Rohdenburg in 1975. During the time period prior to my ownership and while the property was owned by Ernest A. Rohdenburg, the property located at 34 Yarmouth Road, Hyannis, was issued a lodging house license from the Town of Barnstable. I hereby state that I am making this statement of my own personal knowledge, and to those facts which I allege and aver, I believe them to be true and accurate to the best of my ability. Signed under the pains and penalties of perjury this day of November, 1986. Robert Keste •' AFFIDAVIT 1, Robert G. Kesten, Sr., do on oath depose and say as follows: l. That I was a principal involved in the corporation known as Captain's Log, Inc.. 2. That Captain's Log, Inc. was the owner of property known and numbered as.34 Yarmouth Road, Hyannis, Massachusetts, in the mid-1970's. 3. That at the time said corporation purchased the property in 1975, it had two buildings thereon. The front building was improved and used as a lodging house and the rear building was improved and used as an apartment building with four separate efficiency apartment units.. Subscribed and sworn to under the pains and penalties of perjury this day of April, 1999. Robert G. Kesten, Sr. COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. April ; 1999 Then personally appeared the above-named Robert G. Kesten, Sr. and attested to the truth of the allegations above-subscribed, before me. Notary Public PHILIP OFF AL S BOUDREgt) My Commission Expires: Z-i ei--2.o f �r NOTARY PUBLIC-MASSACHUSETTS My Comm.Exon FeD.19,10W F:\WPDOCS\REAL\AFFfD\General\affl.rgk.wpd � :,� , f RESIDENTIAL PROPERTY d MAF'NO LOT NO. FIRE DISTRICT SUMMARY STREET 34 Yarmouth Rd. Hyannis ,327' 170 H 73 LAND S 5'Z OWNER BLDGS. a a.9 0 o TOTAL T RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Unnumb. 7 LAND Bx�; BLDGS. Z 5 �8 B TOTAL a LAN D / - O 0 BLDGS. z o D O TOTAL a� LAND r Taylor!, John H., Robert J., Charles .E. & ' ry rs BLDGS.' Goodfellow, Allen 11-14_77 2615 250 $49,9 TOTAL zr; So Y1 ARMourN Rd A(jk)I.5 A, 0-11.61 LAND BLOCS. TOTAL LAND. BLDGS. L, a) - TOTAL LAND _ 01 BLDGS. TOTAL ��, ., 'LAND f" r INTERIOR INSPECTED: a) BLDGS. TOTAL OTAL ND ACREAGE GQMPIJTAT�O�yS ... . .. BLDGS. LAND TYPE # of ACRES PRICE TOTAL DEP VALUE TOTAL HOUSE LOT c O LAND ':CLEARED FRONT BLDGS. REAR J TOTAL :WOODS 4 SPROUT FRONT LAND 7777777 REAR BLDGS. '.WASTE FRONT O TOTAL REAR LAND BLDGS. {`. TOTAL LAN D ter^ a' i (] JS BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL a FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ROUGH TOWN WATER BLDGS. 0) HIGH GRAVEL RD. TOTAL Y LOW1,777771. DIRT RD. LAND _ SWAMPY NO RD. BLDGS. 'TOTAL Wnc. Blx. rvaus Bsmt. Hoc. Hoom St. Shower Bath t Bsmt. n2�5hD ' Bsmt.Cara e,' . PORCH. DATE Y. $t. Shower Exit Walls PURCH. PRICE . NckWallst, Attie Fl.''&StairsToilet.Room Roof RENT �Storid:Walls. _ Fin:Attic:. Two Flst.Bith Floors Pleas '< INTERIOR FINISH.- Lavatory Extra f 1 ,2 .3 Sink sb 4S: tb Plaster Water Clo. Extra Attic f— o "EXTEF�IOR WALLS Knotty Plrii Water Only of f O Jar r G.YFEN�/ousE, Double Siding Plywood No Plumbing Bsmt. Fin. 6 /0 5 O L./W �i es ric Single Siding Plasterboard Int.Fin. 3 Shingles TILING a r r oast. BIk. G F P .Bath Fl. Heat (03 D r a X Facri'Brk On last.Layout Bath Fl.&Wains. Auto Ht.Unit I QLv Veneer Int.Cond. Bath Fl. &Walls Fireplace .2 9 , :,om. Brit.On HEATING Toilet Rm. Fl. - I ' Plumbing O r I Solid Cam.Brk. Hot Air _ Toilet Rm.Fl. &Wains. I 1 Tiling Steam Toilet Rm.Fl.&Walls s Blanket Ins. Hot Water A p, St. Showor +O ' doof Ins. Air Cond. Tub Area Total Floor Furn. ROOFING COMPUTATIONS 1sph:Shingle Pipeless Furn. O S.F E Nood Shingle No Heat /?y . S. F. Sl r7 Natekibs Shingle Oil Burner ate. S.F. .. Coal Stoker S.F. alb�s Gas � s.:ROO TYPE Electric S. F. OUTBUILDINGS labia. j Flat S. F. 1 12 3 141 5 61 7 8 9 101 11 2 3141516 7 8 9 1 10 MEASURE[ Sip_,:_; :; Manwd FIREPLACES S.F. Pier Found. Floor ; rnbrsl Fireplace Stack Wall Found. 0. H.Door FLO RS Fireplace LISTED LIGHTING" Sills,Sdg. Roll Roofing No Elect. Dbls.Sdg. Shingle Roof Shingle Walls Plumbing ATE lydwood ROOMS Cement BIk, ) Electric wDA:.TIIe; Bsmt. 1st 34"s TOTAL Brick O O Int. Finish PRICED 2nd t/. 3rd t14 FACTOR �0 A S1 REPLACEMENT 33 3 a CUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep• PHYS. VALUE FunCLDep. ACTUAL VAL. 3330 o?/G o 3 y _ ,''•4TOTAL r , i RESIDENTIAL PROPERTY �. MAP. NO. LOT NO. FIRE DISTRICT :. STREET �} Yarmouth Road SUMMARY LAND 327 170 $ H v3 BLDGS. OWNER TOTAL RECQRD OF TRANSFER DATE elc PG I.R.s. REMARKS: LAND •�1 R�e � BLDGS. TOTAL LAND BLDGS. TOTAL Taylor. John H. Robert J. & Charles E. & LAND "TOTAL Goodfellow Allen 11-14- 261 250 LAND BLDGS. �! TOTAL LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECT D: _ BLDGS. / 0 71 Y I �" TOTAL J LAND ACREAGE COMPUTATIONS' BLDGS.LAND TYPE # OF ACRES PRICE TOTA DEPR. VALUE .HOUSE LOT TOTAL s ;i,CLEARED FRONT LAND BLDGS. . REAR - 'iWOODS&SPROUT FRONT TOTAL R . LAND EAR �l'✓ASTE FRONT BLDGS. —'::REAR .. TOTAL LAND 0) BLDGS. -- TOTAL = - LAND LOT COMPUTATIONS BLDGS. AI?1;FRONT DEPTH STREET PRICE DEPTH% FRONT FT.PRICE TOTAL DEPR. OR. INF. VALUE LAND FACTORS TOTAL HILLY MNO WER LAND rt: ROUGH ATER BLDGS. HIGH D. TOTAL ',. LOW LAND SWAMPY rn BLDGS. .uie. nnus - L/ Iueaa u V BLDG. COST .aloe:e�1,6:WtNs Bsmt.Ric.Room St,:.Shower,Bsth Bsmt. � :otic Slab ::r:, Bsmt:Garage gSl;Shewer,EaL PURCH DATE Walls) PURCH. PRICE. �tick Ml+lis Attld FL'b-Stairs: = ,eTollet Room';: Root RENT �tone,Wells - Flo AtUa" Two Fixt.Bath Floors )ers"?t INTERIOR FINISH -Lavatory Extra ismt ' F I 2 3 Sink .. Plaster Water Clo..Extrs Attie EXTERIOR WALLS Knotty Plne'. Water Only loubls'Slding Plywood No Plumbing Bsmt. Fin. jngle;Siding'`. Plasterboard Int. Fin. ly. Shingles TILING G F P Bath FI. Heat 30 8 Brk.'On:' Int.Layout 5K Bath FI.&Wains. Auto Ht.Unit ;',Veneer Int.Cond. Bath FI. &Wells Fireplace aln' Brk;On' HEATING Toilet Rm.FL Plumbing T��o S • ;Itd Com.Brk• .. Hot Air Toilet Rm.FI.&Wains. , Steam Toilet Rm.FI..&Walls Tiling 31ink'at lna: l Hot Water St.Shower :Of Ins.. 7TU Air Cond. Tub Area Total _ Floor Furn. '.*,T',ROOFING I COMPUTATIONS 1sDJh:'Shirigle. Plpeless Furn. - S.F. /.z 7 70 •4.00d'ShfnQld No Hest S.F. - 1sbs Shingle Oil Burner , Coal Stoker S.F: 71e Gas S.F. OUTBUILDINGS t''-'.ROOF TYPE Electric labia-('.� �.-� flat S.F. 1 2 3 4 5161 7 8 9 101 1 2 3141 516 7 8191101 MEASURED :Mansard FIREPLACES S.F, Pier Found. Floor Umbrel+;:::.:�.. Fireplace Stock Wall Found. 0. H.Door LISTED P$.::'�'7 FLO RS Fireplace Sills.Sdg. Roll Roofing LIGHTING No Elect. Dble.$dg. Shingle Roof DATE Shingle Wells Plumbing iardwood,: ROOMS Cement Blk. Electric ..7y 7-7 liphTile Bsmt. 1st TOTAL oZ o Brick *H+-- IInt.Finish PRICED 2nd 3rd FACTOR 4 .3 n .. 9F.r'.,. `-.".+•`.'." I Ill 11 1 1 REPLACEMENT 13 QCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. ,...; a i i o 3N5p a U0. r•, "TOTAL R327 170 . • P P R A I S A L D A T KEY 242721 ARENSTRUP, RICHARD D TRS LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=PRD 18, 100 101, 400 2 A-COST 119, 500 B-MKT 145, 200 BY 00/ BY ML 1/89 C-INCOME PCA=1091 PCS=00 SIZE= 1492 JUST-VAL 119, 500 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA P015 -- --MAY NOT BE COMPARABLE-- PROFESSIONAL ZONE PARCEL CONTROL AREA TREND STANDARD 101 30 LAND-TYPE 181001 LAND-MEAN +0% 1195001 IMPROVED-MEAN +0% 500-. ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 80011 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- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] I R327 170 . P E R M I T [PMT] ACT*R] CARD [000] KEY 242721 00000000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR .CMP NEW/DEMO COMMENT [B29204] [04] [86] [AD] 150001 [GB] [01] [88] [100] [NEW ] [HY REMOD'L] [B25229] [06] [83] [P J ] [ ] [01] [84] [000] [NEW ] [HY SW/POOL] [B34781] [01] [92] [AD] A 15001 [LK] [01] [93] [100] [NEW ] [HY REROOF ] [ l [ ] [ ] [ ] J [ J [ ] [ ] [ ] [ ] [ ] [?] pr ilay ' � r RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 34 Yarmouth Rd. Hyannis H 73 LAND IS' , 327 170 O BLDGS. 3 n OWNER TOTAL RECORD OF TRANSFER DATE eK PG I.R.S. REMARKS: 7 LAND Unnumb. BLDGS. TOTAL �=?r; RAhdanburg, .'Er- ---- ✓ B 8 LAND A:�+�.- n .,..��neT-is...:H:.._._� �..�..,.._._ -6 3 . . p-- 754'- 287... _. — - Rohdei3 - _ _ oo BLDGS. ,.Car�tain�-sLo nc:�,�.�.. >. ;. a,,..... 5-a-7.ro. . 2177 1� (- 48;5U0 �� 9 TOTAL LAND T�' ,y?r, John H., Robert J., Charles E. & `� °rs w BLDGS.' Go�fellow, Allen 11-14=77 2615 250 $4g,g . TOTAL III LAND 5o A2rYloLerN �?c1 tt 14NrJIs �1L .02LOr BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. 01 TOTAL LAND BLDGS. INTERIOR INSPECTED: C) TOTAL DATE: .U`�! �� - II �. , !j i 1.. ~.c" �c1 LAND ACREAGE COMPUTATIONS 01 BLDGS. ' ND TYPE # OF ACRES PRICE TOTAL DEPR'- VALUE — TOTAL HOUS " OOP Z Q © LAND CLEARED FRONT BLDGS. — REAR r• j J ! TOTAL WOODS&SPROUT FRONT LAND REAR 0) BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL qLANDLOT COMPUTATIONS LAND FACTORS FRONT DEPTH STREET PRICE DEPTH% FRONT FT. PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND nJ ROUGH TOWN WATER BLDGS. HIGH GRAVEL RD. TOTAL _ LOW DIRT RD. LAND SWAMPY NO RD. rn BLDGS. FOUNDATION 85M 1. & A 111�— I .. Arrt�. I .. . D Conc.Walla ,3 Fin. Bsmt.Area Bath Room U Bass LAND COST f _ Z BLDG. COST • I Cont.BIC Walls Bsmt. Roc.Room St. Shower Bath Bsmt. ' PURCH. DATE c ne.Slab Bsmt.Garage St. Shower Ext. Walls _ PURCH. PRICE. Brick Walls I Attic Fl.&Stairs Toilet Room Roof RENT t tone Walls Fin.Attie Two Fist. Bath Floon jt S tiers INTERIOR FINISH lavatory Extra �srqt. F 1 2 3 Sink --L Attic y, 1/4Plaster Water Clo. Extra — c O _ O EXTERIOR WALLS Knotty Pine Water Only c� .�� } _ /0 • 6• WWI Bsmt_Fin. Wit.a ric oubla Siding Plywood No Plumbing __ G . Ingle Siding Plasterboard Int. Fin. as _—Shingles TILING nc. Blk. G +FP Bath Fl. Heat D ' I a X/ ace Brk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit Veneer Int.Cond. Bath FI.&Walls Fireplace I om.Brk.On HEATING Toilet Rm.F1. Plumbing kid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. ---- Tiling Steam Toilet Rm.Fl. &Wails lonket Ins. Hot Water St. Shown -- oof Ins. V V I Air Cond. Tub Area Total Floor Furn. —ROOFING — COMPUTATIONS F �' ph.Shingle Pipeless Furn. p S.F. ood Shingle No Heat S.F. 0 bs.Shingle Oil Burner S.F. r ' late Coal Stoker S F Ile Gas S F i OUTBUILDINGS ROO TYPE Electric - able Flat O S. F. 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 MEASURED ip Mansard FIREPLACES S.F. Pier Found. Floor1 ambrsl Fireplace Stack Wall Found. 0. H.Door LISTED FLOORS Fireplace Av Sgle.Sdg. Rail Roofing one. LIGHTING r Dbie.Sdg. Shingle Roof orth No Elect. DATE ins Shingle Walls Plumbing a /� Cement Blk. Electric ardwood ROOMS sph.Tile — — Bsmt. Im 34,8 TOTAL o fr r/0 Brick Int.Finish P D ingls 2nd / 3rd y FACTOR 30 A REPLACEMENT OCCUPANCY CONSTRUCTION SIZE :-.RE.A CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. I WLG. > ?St 1 „ - -' 0 U .333- P' o9/4SO 40 730 C / { 2 -- — --_. 3 4 — 6 ---- --- ----- --- 7 ----- ------ ------ 9 i to ` ---- -- TOTAL RESIDENTIAL PROPERTY MAP NO. LOT NO. FIRE DISTRICT SUMMARY STREET 34 Yarmouth Road Hyannis ?3 LAND 327 170 H BLDGS. 9 u n OWNER TOTAL _ " RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: LAND BLDGS. ,Rohdenbur �,Zrnes,t,Ar..&-,mDor-fs-..-H.ir--"..-a.�_... —,-,-- .19 ._5p- -754-_ -2,87. .._ TOTAL LAND 0) BLDGS. TOTAL LAND Taw-, John H. Robert J. & Charles E. & rn BLDGS. TOTAL Goodfellow Allen 11-14-77 2615 250 LAND BLDGS. TOTAL LAND BLDGS. TOTAL LAND BLDGS. OI TOTAL LAND INTERIOR INSPECTED: %� f BLDGS. �/ TOTAL DATE: / l ! �2 � f. �I't f'a LAND ACREAGE COMPUTATIONS A0) BLDGS. ND TYPE # OF ACRES PRICE TOTA DEPR. VALUE TOTAL HODS: , .} i^- ALANDCLEARED FRONTREAR WOODS&SPROUT FRONT LAND REAR 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 ROUGH TOWN WATER 0) BLDGS. HIGH GRAVEL RD. 7 TOTAL LOW DIRT RD. LAND - SWAMPY NO RD. BLDGS. FOUNDATION BSMT. & ATTIC F'LUMUINc. PRICING LAND COST ' onc.Walla Fin. Bsmt.Area Bath Room Base D C> BLOG. COST -a pnc. Blk.Walls Bsmt. Rec. Room St. Shower Bath T Bsmt. 3 '��"D ' _ PURCH. DATE � �inc. Slab Bsmt.Garage St. Shower Ext. Walls PURCH. PRICE rick Walls Attic Fl. &Stairs 22ZToilet Room Roof RENT one Walls Fin.Attic Two Fixt. Bath Floors � d' err INTERIOR FINISH Lavatory Extra ��mt. F 1 2 3 Sink ' ` y, y� Plaster Water Clo. Extra Attic EXTERIOR WALLS Knotty Pine Water Only uble Siding Plywood No Plumbing Bsmt.Fin. ogle Siding Plasterboard Int. Fin. Shingles TILING , nc. Blk. G F P Bath Fl. Heat Ice Brk.On Int.Layout ✓ Bath Fl.&Wains. Auto Ht.Unit Veneer Int. Cond. Bath Fl. &Walls Fireplace ' m. Brk.On HEATING Toilet Rm. Fl. Plumbing I/q° lid Com. Brk. Hot Air Toilet Rm.Fl.&Wains. - --------- — - Tiling Steam Toilet Rm. Fl. &Walls anket Ins. Hot Water St. Shower -- of Ins. Air Cond. Tub Area Total , Floor Furn. ROOFING COMPUTATIONS ph. Shingle ,� Pipeless Furn. ,1 S. F. 1-2 770 ood Shingle No Heat S. F. bs. Shingle Oil Burner S.F. ate Coal Stoker S.F. le Gas S F OUTBUILDINGS ROOF TYPE Electric - — -- S. F. 1 2 3 4 1 5 1 6 7 1 8 9 10 1 1 2 3 4 5 6 7 8 9 10 MEASURED able Flat ip Mansard FIREPLACES S. F. Pier Found. Floor ambrel Fireplace Stack Wall Found. O. H. Door LISTED FLOORS Fireplace Sgle. Sdg. Roll Roofing f onc. LIGHTING Dble.Sdg. Shingle Roof arth No Elect. DATE ine Shingle Walls Plumbing —�— ardwood ROOMS Cement Blk. Electric sph.Tile Bsmt. 1st yt 3 13 TOTAL c7 7 o Brick Int. Finish PR Ingle 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. WLG. C r, - s ' r /a 131 / v 33 1 2 3 4 5 6 7 8 9 10 PROPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE I pCS I NBHDPARCEL IDENTIFICATION CLASS KEY NO. 0034 YARMOUTH ROAD 07 P D 4 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Land By/Dale Size D�mens�on LOC./YR.SPEC.CLASS ADJ. COND. UNIT PRICE ADXD PRICENIT ACRES/UNITS VALUE 0...lipli- A R E N S TR U P r R I C H A R D D T R S MA P- 1.242721 eD. FF.De IXAcres #LAND 1 18,100 10 1BLDG.SIT 1 X .2 J = 8 242 50 71999.9 69695.9 .26 18100 #BLDGCS)-CARD-1 1 71,500tINCOME CARDS IN ACCOUNT - L OF 02 A #BLDGCS)-CARD-2 1 29,900 p�- N BATHS 3.0 U X C= 100 28000.0 28000.0 1.00 28000 S #PL 34 YARMOUTH RD HYANNIS ET 145200 p DOR DORMER L X C= 100 126.3 126.3 28.00 3500 B #RR 1890 U075 A #DL LOT 1 D APPRAISED VALUE J A 1190500 A U PARCEL SUMMARY T S LAND 18100 A T BLDGS 101400 M 0-IMPS F E TOTAL 119500 E N N CNST '�' DEED REFERE NCE type DATE Reco,ded PRIOR YEAR VALUE A ns. y D Sale, LAND 18100 T r 87k439/148, I-02/91 B 270030 BLDGS 101400 U 5018/008: 1:04/86 217000 TOTAL 119500 R 3767/084: I:06/82 85000 E S BUILDING PERMIT *"PORT 0' CALL" Number male Type Am ` ROOMING HOUSE ...LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADJS UNITS *4 EFFICIENCY 8 18100 315001 834781 1192 AD 1500 8 ROOMS WITH PRI Class Consl To'al Vear Built Norm. Obsv. CND. Loc. 9b A.G. Repl Cyst New Adj.Repl.Value Stories Meig nt Rooms etl Rms Baths •Fi a. P_,_Fec. V A T E BATHS U oils Un Is Base Rate Atll.Rate A�� Tl9 Age Oepr. Conti. 06C+ 000 100 100 65.85 65.85 00 60 34 56 100 5p6 127703 71500 2.4 9 8 8.0 25.0 Description Aare Square Feel Repl.Cos: MKT,INDEX: 1.OO IMP.BY/DATE: ML 1/89 SCALE: 1/OO.69 ELEMENTS CODE CONSTRUCTION DETAIL S BAS 100 65.85 726 47807 GROSS AREA 1492 ROOMING HOUSE CNS7 GP:00 T FOP 35 23.05 120 2766 *--9--* STYLE 100LD STYLE 0.0 R FF8 650 65_00 20 1 1300 I 6 6 I DESIGN l r- --------- ---------0.D DcSivN ADJMT JU U Ff8 650 65.00 20 I 1300 *-5-* *--10--* '-___�----------+--- ---- -- tEXTtR.WALLS ! IOCLPBD/SHINGLE 0_ 824 90 59.27 726 43030 -EAT1 C_Ti - -- -------------------- - C * HEAT/-- TYPE -- - --- WATER 0.0 T ! FFB Iu 10 _NTcR.FINISH _05PLASTER 0.0 NTER.LAYOUT 1ZAVER./NORMAL 0_0 R ! BASE ! INTER.QUALTY 02SAME AS EXT_E_R_._ 0.0 A 28 * F_LOOR_STRUCT 01WOOD JOIST 0.0 L D W ! 26 E LOOR COVER 08[A_6IEE__)kS0H_§k INE FLOORING 0.0 :Areas A- 120 Base= 726 ! * _______UOF TYPE 01 - 00 BUILDING DIMENSIONS L E C T R I CA L 01 V E R A_G f ____ 0.ASW20 fOP S06 E20 N06 W20 ,. ! 10 FOUNDATION 04RlCK WALLS 99.9 BAS W04 N28 E05 N06 E09 S06 E10 ! B24 FF8 --- ---------- - --- --------------- S02 FFB E02 S10 W02 N10 .. BAS *4-*------20-----X ------ L S26 FFB E02 N10 W02 S10 .. BAS 6 6 PROFESSIONAL ZONE LAND TOTAL MARKET 624 N28 W10 N06 W09 S06 WOS ! FOP ! PARCEL 18100 119500 S28 E24. 824 .. *- 20-----* AREA VARIANCE +0 +0 STANDARD 50 PROPERTY ADDRESS I ZONING I DISTRICT CODE SP-OISTS.I DATE PRINTED I STATE I PCS I NBHD CLASS KEY NO. PARC 0034 YARMOUT ROAD LANDIOTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS T Lana eylDale size D�menswn LOC./YR.SPEC.CLASS ADJ. vPE PRICE IT ADPRICENIT ACRES/UNITS VALUE Desoiphon A R E N S TR U P P R I C H A R D D T R S MAP— COND.CD. FFDe hlAcres rBLDGS IN ACCOUNT — L — NO BSMT S X D= 100 7.2 5.61 840 4T00—B of 02 q BATHS 4.0 U 1 X D= 100 10900.0 10900.00 1.00 10900 a 95 N D 145200 A D D ED VALUE A 119,500 T SUMMARY A AND 100 T 101400 M FE 119500 E N N CNST T DEED REFERENCE Type DATE q�a,aea PRIOR YEAR VALUE A Book Page Incl. MO T . Yr.D Seles Price LAND 1 8 1 0 0 U BLDGS 101400 R TOTAL 119500 E S BUILDING PERMIT LAND LAND—AOJ INC ME SE SP—BEDS FEATURE BLO—ADDS UNITS Number Date Typa Amount 6200 Class Con sl. Total yVye�aIr Built Norm. Obs v. Units Units Base gale Atll.Rate A 1 7 CI` Age Depr. Contl. CNp. Loc. 9b q.G. Repl.Cost New Atlj.Repl,Value Slaries Height Rooms ea qms Baths a Fig. Panywell Fac. 04D 000 100 100 59.50 59.50 20 60 34 56 95 100 53.2 56180 29900 1 .0 4 4.0 12.0 Description Rale Square Feel Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: ML 1/89 SCALE: 1/00.92 ELEMENTS CODE CONSTRUCTION DETAIL S HAS 100 59.50 840 49980 GROSS AREA 840 FOUR FAMILY DWELLING CNST GP:OG T •------------28-----------* STYLE _ 09COTTAGE 0.0 R I ! ! DESIGN ADJ MT JL' -------- d_ i --------------- --- --------------- ---- EXTER.WALLS 01WOOD FRAME 0. --------------- --- - ------------ NEAT/AC TYPE 03ELECTRIC 0.0 T ! ! INTcR.FINISH DO 0.0 --------------- --- --------------------- - U ! IN TER.LAY OUT 12AVER-/NORMAL 0.0 --------------- --- - --------------- R - ! iNTER.tiUALTY U2SAME AS EXTER. 0.0 A ! ! FLOOR STRUCT UG -------------------6 6 ---------------- --- ---------------------- D 30 E?L00R COVER OU L •al Areas Aua - Base= 840 � BASE 30 --------------- --- -------------------�.0 OOF TYPE DC 0.0 BUILDING DIMENSIONS _ _______-_ -- - -- ELECTRICAL OU 0.0 iS a28 N30 E28 53U .. I - -- - - - - -- ------ -------------------- L - -- - 99 AI - FOUNDATION OU I � --------------- --- - -- --------------- --- ---------------------- LAND TOTAL MARKET PARCEL •------------28-----------X AREA VARIANCE +0 t0 STANDARD 2- 9 ' TOWN OF BARNSTABLE REPORT LOPLEMENTARY/CONTINUATIO REPORT NAME (LAST, FIRST, MIDDLE) SAE\ a\ s �t�� DIVISION /DePT�� , 1 ' NOTE DETAILS 6 OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL =S ETC. V ��ss ALLL4 yc- SUBMITTED BY � l �_�� PAGE Garnick & Scudder, P.C. ATTORNEYS AT LAW 32 MAIN STREET POST OFFICE BOX 398 GERALD S. GARNICK HYANNIS,MASSACHUSETTS 02601 LOIS M.FARMER JOYCE W. SCUDDER (508)771 -2320 PAUL J. ATTEA FAX:(508)771 -3304 July 25, 1997 Ralph M Crossen Town of Barnstable Building Division 367 Main Street Hyannis, MA 02601 Re: 34 Yarmouth Road, Hyannis Owner: Richard Arenstrup Dear Mr. Crossen: Please be advised that our office is in receipt of a copy of your letter to Mr. Arenstrup dated June 25, 1997 regarding the above-referenced property. Please be advised that we are reviewing the issues raised therein on behalf of Mr. Arenstrup and, if necessary, will move forward in seeking an appropriate remedy either through your office or the Zoning board of appeals. Ve yours, G NI K& SCUDDER, P.C. Paul J. ttea PJA/pa enclosure(s) cc: Richard Arenstrup `. �-_w r ( i ?he Town of Barnstable KAMDepartment of Health, Safety and Environmental Services " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner June 25, 1997 Mr. Richard Arenstrup Park Square Trust III PO Box 2248 Hyannis, MA 02601 Re: 34 Yarmouth Road, Hyannis Dear Mr. Arenstrup: A review of the file for 34 Yarmouth Road reveals that the site may be lawful for up to 10 lodgers or boarders. In the alternative individual apartments may be allowed (one per 5000 s.f of land area). The file shows no pre-existing non-conforming rights other than this nor any variances from the Zoning Board of Appeals. The older files show the small building in the rear, called the"quad"building, to be a single family cottage. Could you please supply me with any proof you may have to show that the current use at that site is lawful? Further action will await your response. Sincerely, Ralph M. Crossen Building Commissioner RMCAbn g970625b • �eeAz 3X�kxi 2v Kz door , e i . , t� .' k - t .. r � � �, _ - - .. � � � �t � « 'i � ry.. � � ,, - - r ..� — — � � \y ' � ti .� jam. - '. _ ' � � � a l r .. -. h J • �tom. - � � � e. a f c ! .+ The Town ,of Barnstable NAM Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Fax: 508-790-6230 Ralph Crossen Building Commissioner June 25, 1997 Mr. Richard Arenstrup Park Square Trust III PO Box 2248 Hyannis, MA 02601 Re: 34 Yarmouth Road; Hyannis. Dear Mr. Arenstrup: A review of the file for 34 Yarmouth Road reveals that the site may be lawful for up to 10 lodgers or boarders. In the alternative individual apartments may be allowed (one per - 5000 s.f of land area). The file shows no pre-existing non-conforming rights other than this nor any variances from the Zoning Board of Appeals. - —� The older files show the small building in the rear, called th "quad"b ilding, to be a single familycottage. Could you please supply me with any pro ou may have to show - that the current use at that site is lawful? Further action will await your response. Sincerely, U Ralph M. Crossen Building Commissioner . RMC/lbn r � ' � c3 \�S � — X, - g970625b Assscso,'s_office (1st floor): , �p i?ME r 1 O O Assessors map;,and lot number, .... �........ .......1.........,.... Board'of. Health.Ord floor): o" Sewage Permit number(JAL.., '-OfZf.rr�Sr � Z� ✓. ��'��` L Baaa9TaeLE, i Engineering.Department (3rd floor) /' ae 1639. 900 ._, House number ..... ....... ...!f 7 '�1.: �......:. ......... YP i APPLICATIONS PROCESSED .8:30Y-9:30 A.M. and 1:00-2:00 'P.M. only TOWN! OF BARNSTABL:E RUILDIN'`G INSPECT"0' i APPLICATION .FOR PERMIT TO ... ...................` � � i 'h a^,5 "-9tr�oAG f�NC.1,7 TYPE OF CONSTRUCTION ?!�.t �..,..:.....: ':..:.. ...... .......................................................................................... I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby .applies for a permit according to the following information: . Location ' ' ..................................................... ....... ............................................................................ Proposed Use ..... . v ..S' � s:5� ........... .......:.. ................................................ Zoning District ................ .... .....................................Fire District ........,...... r f Nameof Owner >?r.Address .................................................................................... � � �ONsi..............Address U aX �t 7 7 � 6 Name of Builder ........................................... .... ....... I�t:'�....j. C Name of Architect .Address r Number of Rooms ..... f...... :.?: ��1 `,�' r!�..f:.! %iundation � �lr- 111��` ../.... ..` . Exterior .:.. lr�*r: ..G 4'� .irk .....................Roofing .,..'.. d..... ........................ ..... ................... . _. ...� .... Floors ...:......f ...:............................::................................Interior ..:.......... ......... .:...........................:.. Heating Plumbing ..... �.................. �� Fireplace .....................:....:.....::..................................::....... Approximate Cost ..... ... ................ Definitive Plan Approved by Planning Board ______________________________19--------- . Area... ............. . .... ... i;. .. Diagram of Lot and Building with Dimensions Fee%....... SUBJECT TO APPROVAL OF BOARD OF HEALTH . y 8 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulation$ of the Town of_Ba stable regarding the above construction. e� Name'. ,r'� ........ IlNwa Construction Supervisor's License .&/...43 ........... TOWN OF BARNSTABLE r REPORT a..dPLEMENTARY/CONTINUATIv.w REPORT NAME (LAST, FIRST, MIDDLE) �-�\ .�� \ � j_�,n n DIVISION /DeP7 NOTE DETAILS i OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC.`('` J V ,J Lb ST`( Ll <s- Co w P6 V- eo�\4_ L u rays c�z NO Cct�8 s T7 clu a it 47 PAGE 1 SUBMITTED BY [ ] [R327 170 . A LOC] 0034 YARMOUTH CTY] 07 TDS] 400 KEY] 242721 ----MAILING ADDRESS------- PCA] 1091 PCS] 00 YR] 00 PARENT] 0 ARENSTRUP, RICHARD D TRS MAP] AREA] P015 JV1315091 MTG11002 PARK SQUARE TRUST III SP1] SP21 SP31 P 0 BOX 2248 UT11 UT21 . 26 SQ FT] 1492 HYANNIS MA 02601 AYB] 1900 EYB] 1960 OBS] CONST] 0000 LAND 18100 IMP 101400 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 119500 REA CLASSIFIED #LAND 1 18, 100 ASD LND 18100 ASD IMP 101400 ASD OTH #BLDG(S) -CARD-1 1 71, 500 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #BLDG (S) -CARD-2 1 29, 900 TAX EXEMPT #PL 34 YARMOUTH RD HYANNIS RESIDENT' L 119500 119500 119500 #RR 1890 0075 OPEN SPACE #DL LOT 1 COMMERCIAL INDUSTRIAL EXEMPTIONS SALE102/91 PRICE] 270030 ORB17439/148 AFD] I B LAST ACTIVITY] 04/11/91 PCR] Y -7 �� o 149 THE . Tlie Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner February 5, 1997 Richard D.Arenstrup,Trustee Park Square Trust III P O Box 2248 Hyannis,MA 02601 Re: 34 Yarmouth Road,Hyannis Map/parcel 327/170 Dear Mr.Arenstrup: A review of the property at 34 Yarmouth Road shows it to be a lawful lodging house with the right to rent out to up to ten lodgers or boarders. I trust you are aware of this,and suggest you contact the Assessor's Office to ask them to change their records. They erroneously refer to it as a four family home. Thank you. Sincerely, Ralph M.Crossen Building Commissioner RMC/km Q970204A ........ >x> > DN IX ><> ; ` :.:.:..:.... ................................ ..........: ..:: `:>�� '; �'. :�> :�.�•�: ARENSTROP ... ................ YARM>y .< OUTHSRD. to 1 ;HYANNIgm ...................:::::::::.:. ZONING ....,. < <>{` .Nu W- b r: ........... LEGAL????????? MEN is ME 1 < << MUM 001 .::..::::::::..::........................::::.::...................:::.:::.. ....... . .... . ... . :�:::»::SEARCH 1 Rolm .. ...... ...... ................... . ....... ...... .............. . low low low 1 ' RISE, Ell ,«:f:_:< >< mom TOWN OF BARNSTABLE REPORT S#PLEMENTARY/CONTINUATIOIUREPORT NAME (LAST, FIRST, MIDDLE)Mt, 7 J� / L/'�E D DIVISION /DHP't NOTE DETAILS b OBSERVATIONS-ITEMIZE EVIDENCE, SERIAL IS ETC. SUBMITTED BY PAGE # i .. ..................... 9 ::.\4:•i:$:?;;:^.i:?,vy`;i{:;..::.....i.:;::t:y:.:;.:y;:;i'i:;is�:�..,;,`+.'.�::Y+vv:�:�7:}:`::<v'i::i:;: :iiiiiii:{•i'i:$::iii::::::::v<:::.:.{:;�.::{:.i.::.':'::i:iii:i.:: L, 9 :-'327 170 :::........ .:...�.:.�..:......:.....:i.•;..••v L:.:5.............::v.:....:v....:.. ...:: :.n.::::::v::.:;: ...................................::ii'vii:i:•.::i:.ii:: i.:n;:•.:jiiriiiiii.:r:::i:::ii:::ni:i::iiiy:O:v::::::::::::::}:::::::'rii`ii:'•iiiitiJi::G:.v}}}y - -� � '. •ih:J?i:iii:vii:'::;•ri;;y.;i:;?}'i:;.;;.};•:.�•..��.:::�i:�ii.''Lj;:':i:iiii::ii::'•: %I� YuDIN 1 fi `t ' Ii:i'•}::y; is fit.,... :Li: i::::::::::::.v::::::::.:n:•:::::::n:::v:::::::i'isi'-is8iyiviiY•iiii:i•i:::iiii::iiiiiiii:ii'iisiii:•i'•:•i:•�:j'.:::i}+i}iiii`ii::}::?i:^::ii' ARENSTRUP t.. : v YARMOUTH RD. s$. €s:'...:..:.. �IYANN::: F.:. » : IN .................................... NING .........:::::::::.......................... LEGAL????????????? . EAR b . S H i l�y MEN W ME WINE -C/ :.:::::::::::::::................................................. ... .................................. < : » :: 790-6252 E] New Application M48NUABM TOWN OF BARNSTABLE a Renewal 1659. Transfer LICENSE APPLICATION E] Other.................... Date ..Print or type qnly (Please bear down hard) Name o Applicant $434C-- -D/B/A?AitA-... SIWAPIC-15,1;61 Jk.... L ...;0.........9..... ..... .I............. ........I Corp.Name if Different.......................?I..... .... ...........................F I D ............... I................ Permanent Address of Applicant. BPA...... ......14�1.4)444....K. . ,4................................................................. Local/Mailing A, ........ ... ... .....................Place of Birth...... ..P).......0.1 zi................................ Property Owner ...is ............ 3C Business Location- ./.y .AAd ua ................Seaso I........................................... Sidids:2NA t . Type of Lc ens Seasonal ............ Name of Manager...... ........................................................................ Permanent Address ...,A P.. ......7.r......1-1.'IKAAJA.......MA........................................................................ LocalMailing Ad Tess.............. ...........................................................................................................................I............... ..................Place of Birth......?A.5A?qt,C.........az!..........................................Telephone#of Applicant:Home(.57 'k.......) 777--33.3.�........................Bus(-�.P ..... Telephone#of Manager:Home(..'Mh, ..........) .......................Bus ........ Assessor's Map#(s)........3 ................Parcel#(s)........... 6................Zoning District.................................................... Any flammable substance or hazardous waste use in business(specify)...........NO...................................................................... NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Applic�=s must contact the Building Comm'issioner's Office, 790-6227; the Board of Health Office, 7970-6245 and the appropriate Fire District dffi6 t6)schedule-irispections. .0 ............................. .. ......................... Signature f Applicant........................... ........ P � p - - -W- -f , .............................................................................................................................. .................................................................... For Town use only IS7HI§',USE PERMITE-D-WITHIN-THIS ZONfNG�j* ... ......... .................. Comments:............................................................................................................................................................................................ INSPECTORSAPPROVAL................................................................................................................................................................. Building/Zoning....................................Date...........................................Board of Health.....................................Date...................... Wire...................................Date.................Plumbing.............................Date.......................Gas.................................Date............. FireDist................................................Date........................................... TAX OFFICE USE ONLY TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON TAX COLLECTOR White-Licensing Authority Green-Tax Office Canary-Health Department Gold-Building Commissioner Pink-Fire Department Jf. m�r �. �.,:�'' `. • � Thomas F. Geiler } TOWN OF BARNSTABLE Llee"`i" Agent .... 7 9tl-02�2 s67q• ` �- ❑ New Application Renewal LICENSE APPLICATION El Transfer ❑ Other......:................. Print or type only (Please bear down hard) Date /. CZp / ,n Name of Applicant L �q Corp. Name if Different ...............................................................................................................FID # ...p.�..-.�c1 ?..�..5...'. `. "� ..:................. a.. .G...........f....? �1. .......1 .! ............................,............................... Permanent Address of Applicant � Local Address of Applicant ............................50-wN e......._...................................................................................................... ' ��...... Type of License .............f,, {�t✓!r`.....J.�4? �V c...........................Status: Annual ..........x..................Seasonal ............ Name of Manager .....04�YL�...... ......,�....u. �,"?u.v�............................................................................ ,iraPermanent Address .�.s,J ..... c•.�. �........�� .................... ..��1�i .l.s...........,.."C?............................................................. LocalAddress ........................... .d '................................................................................................................................................. ...................Place of Birth ...... ..k1c� .? .�9........... ..v..:. ................................................................. Telephone # of Applicant: Home (J. .....)...rh .�... ��J.. ..............................Bus (. .��. ..)....�..7 .. ..5.�............ Telephone # of Manager: Home ( r'. ` ,,, )., v .. .._5.. ?__ . ..................................Bus (,� ..)... .7.�..... .�..�.1....... 2 , Location of Business .. .... ........ ./ Y!'��!' .a r f........ .(. Z .F :. ........................................... . W Mail Address if differcnt�..... . ...� / .%J.........../!' . .y_� Assessor's Map #(s) .......................C�.s�.,�..............................................Parcel #(s)/../..,...f,�.�...................,............................. Any flammable substance or hazardOus waste use in business (specify) ...:.h.!b.....................I—......I...... . ..... . . . Ifnew license - date of proposed opening ..........................:................................................................................................................... This form must be completed at least twenty-one (21) days prior to the effective date of license. This applica- tion will not be forwarded to the Licensing Authority for approval until all necessary inspections are com- pleted. Inspections will he carried out during the twenty-one (21) days prior to the effective date. and il' the premises to he licensed are not ready for inspection the issuance of ally license will he delayed pendinU reinspection at the convenience of the inspectors. Applicants must contact the Building Commissioner's Of- fice. the Board of Health Office and the appropriate Fire District Office to schedule inspections. NO BUSINESS MAY O A VA D -NSE ON THE PREMISES Signatureof Applicant............ . . ..... . :..:w.l ... G...:...........................................:..................................... ----------------------------- For To cn u.Se only A' / ( /( �/ . ml License Fee $......�........... ......................Date Patc1.....�....�................ fnIication Fee $................................... Date Pi ... INSPECTORSAPPROVAL......................................................................................................................................................................... Building/Zoning.......................................Date.............................................. Board of Health...................................,... Date......,....... Wire......................................Date......................Plumbing........................... Date......................Gas........................................Date...... FireDist......................................................Date.............................................. Licensing Agent....................................... Date.............. LicenseGranted.......................................Denied......................................... Date.............................................................. Number....... White- Licensing Awhorilr Canay - Healhh Aparnneni Gold - Building Commissioner NIA - Firr lhP1011u0n1 b Assessor's office(1st,-Floor): Assessor's map and lot number 3 aa l -7 d /a .• _ i THE - Pip Conservation �� w .` ►'{ e� Board of Health(3rd floor): • .�� Sewage•Permit number t DAS77TADLL 7 N"& Engineering Department(3rd floor): °o oe39. House number Ito YAI e Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 1 � U 195"= TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following/information: Location�� / �d�✓�� I(i� /�fV/�/��/� /��i Proposed Use Zoning District Fire District Name of Owner. 2NS `u U i glair 'V C Address 1-0,r�/St;�areTirus Name of Builder � Lt_I' Address PO ��. �3,-q 7YA1V/L)/S Name of Architect Address Number of Rooms ^ Foundation� DcrC' Exterior Roofing Floors Interior Heating Plumbing G3C. Fireplace Approximate Cost Area J Diagram of Lot and Building with Dimensions Fee i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the a co struction. Nam Construction Supervisor's ARENSTRUP, RICHARD D. /PARK SQUARE TRUST III No 34781 Permit For RE-ROOF Single Family Dwelling Location 3 4 ' Yarmouth Road �- Hyannis t Owner Richard, D. -Arenstrup/Park. Square Trust- III Type of Construction Frame ; _t I f • Plot f -Lot i � Permit Granted January 7 , 19 92 { Date of Inspection 19 , Date Completed 19 177/72 r i t 1 r t i t Z t is I t Assessor's office (1st floor):, Assessor's map, and lot number ... �?f. ...f....I..: ........ Hof��E Toy` WQ K o� Board of Health (3rd floor): ,.. Sewage Permit number .yU �„�� 4!Z �� Z Baaa9TsnLE, Engineering Department (3rd floor): 'nn so rasa 63 ♦� House number .......................' �f.. Y►1..t[Y.L'......._...... °moo MP r a� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING` INSPECTOR APPLICATION FOR PERMIT TO .. .� '� ..... /`�/��^'S `�~,Ae awc � .... ................................................................ .............. �v TYPEOF CONSTRUCTION ........�T�............. , .....................................................:.......................................... 19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location3 /�P'�vtJ .. .......................................... .................................... Proposed Use ....... v � `� . .................................. Zoning District ............. ...... .:...... ...................Fire District ........ ... .... ............................................................ ... ........ ........ Name of Owner ..� T....Address .................................................................................... Name of Builder .......... 4L.......�wi ..............Address 7 . .. " .....,/�27 .... : � .... .............. O y/ Nameof Architect ..................................................................Address .................................................................................... �/� n Number of Rooms ...../.�y..... yyel� iY!:!�/`..�� undation ..., lt! � �....................... . ....................................... Exterior ....� � C ��''' ...................Roofing � ....�_ ...,5 �l Floors ............7.-r C................................................................Interior .....^16) �......................................................... v� Heating .....v/bi.�'�L�� ....Plumbing ..... ........................................................................... Fireplace ..................................................................................Approximate Cost ....... ....... ................................. ............... Definitive Plan Approved by Planning Board ________________________________19________ . Are\^. . ............. ...... ..... ... ... .. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH r 9� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of stable regarding the above construction. Nam .,rC. .. . .. ................................. Construction Supervisor's License .&.l...01.3d........... �I JOHNSON, PETER No ...2-9 29.4... Permit for ...Remodel Dwelling .......................... Frame Location .34..Y.a.rmou.t.h..R?.ad..... .... .. . ........ . .. .. . .... ....................... A . .................Hyannis.............................................. ... .. ...... L Owner ...........Peter Johnson ......................................................... Type of Construction ......Frame Ft .......................... ........................... ........................................ Plot ............................ Lot ....................... April 15, 86 Permit Granted ..............:..........................19 Date of Inspection ................ ................19 Date Completed ........ ...... ......I...19 1 .4 a `K .Assessgr's map and lot number .. 2�.-..1.�1..0... :K:�..... C SYSTEM "OUST 09 �'` INSTALLED IN COMPI_I,� .y NE ropy / Sewage Permit number /..�rv...,.t --�,,,. �g �W,C IT�r�i'TITLE 5 �� . .... Gl1 .Y"![.�. . .... ..... ' A l ENVIRONMENTAL�i11i1�9�IT�L COD Z BdltMABI1DLE. i House number .. �"� TOW I°3EGULATIO' 039. 0� 'TOWN - ,OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...C� sr V.c ... .l!'Yl.!!+t. k ��.............................. ...........�j. ....... f �;�%t TYPE OF CONSTRUCTION .... D. ?�.� .... ?tiGr ?�.:......E!!�....im-g-hA........t8... z.....!. )..)pP� ..L.`t. ........................� f D..........19... t' t TO THE INSPECTOR OF BUILDINGS: The undersigned hereb applies fora er it according to the following information: Location .. ProposedUse .....................................................................................................``.............................................I......................... Zoning District ..........}.. ................................................Fire District ......l .Yhlki.&..... Name of Owner A :k\. ....l.'.1:.7�f 445.Q h................Address ...... K'!� t.b1. .................. Name of Builder ... PCC. . l O'A..........................Address ...........................................N��'. ...................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... F' Heating ..................................................................................Plumbing .................................................................................. Fireplace Approximate. Cost f Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of t e T wn of Ba ns ble regarding the above construction. Name .. .. . .................................................. Construction Supervisor's License .. ............... JOHNGON, PETER M. 25229 SWIMMING POOL No............... Permit for .................................... Accessory to Apartments ............................................................................... L6cation ..3.4..Yarmouth...Roa.d...................... .. .. ....... .. Hyannis . ..................4r.......................................................... P'e'ter- M., Johnson...... Owner ........4. -E Concr Type of Construction ...................j...................... ................... ........................................................ P16t ............................. Lot ................................ 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