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0051 TIMBER LANE
J2 / �� 4 `�A)dScigW� (rt�1/C�lQ "U �►4-R �G2�t f�p,Dpv�G-Nr �E�ftN�J �tSc.� ` SEE i r 1 CAPE Ebb . N S U L AM 1„DgN3 ,�;�, RM2• 11 Iq �®® ..... IiS OIASS SSAMLI Y. 3eE�SlpM�iS $SSS l SYS/SMA 6 �111 yyo' 1-800-6 �b�6 ""� Town of Barnstable Regulatory Services o���-`3 Building Division 200 Main St Hyannis, MA 02601 O1 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance'to the specifications listed on the building permit application. All work has been inspected by a certifiedIBuilding Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village , Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ) ( ) ( ) Floors Walls ( X) GLl i2 Since y He y E C sidy J , President Cape Cod nsulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIMAPPLICATION Map ParcelC- Health Division 1�11 NOV 13 � ate Issued Pf, 2: - 2 Conservation Division 4 Application Fee � 3 (Wcs Planning Dept. , Q j1l� Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis i Project Str et Address VVt,ow-Uk_e__ Village � UV`t I�Gj / Y1 4 Owner u, lVl G� Address Telephone 5 Permit Request 1 r� V V �/,���� 1 W( 1 IF l ld6S bak, th 2 C -0CAei' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Xb,n Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) - Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing .❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Telephone Number 2 �4- Address L G�I��iJ� /j2 License #�/e-a 4�9t1f" zz� /h/�lil�� Home Improvement Contractor# _As _9 5� 7 Worker's Compensation # Z 4y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �L SIGNATURE DATE V6` J 1 I ZD �� { f FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. _ ADDRESS VILLAGE •-OWNER k DATE OF INSPECTION: FOUNDATION ` FRAME r ' INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.-, '_ -v �•r �"V T,t.C Y'K�Yl�Y�'ttli/tGC141.i .tdlFt'J ." it J .Nc. 10 Park Plaza - Suite 5170 q Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC -._...._.__._.._._.....__.--.. ... HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 .Update Address and return card. Mark reason fur change. I. .I Address _I Renewal I.. I L'mpluymenl I Lust Card Ullirc auu 76 III AITa� Ltu�ne: Regulation Liccnse or registration Valid for ind:Vidu! HOMEI� bQtmf w ACTfJ c��ewetla twfure the expiration date. tf fuund return lo: „ Registration: 153567 Type: Officc of Consumer Affairs and Business Regulation I{' Expiration: 12/15/2012 Private Corporation Ill I';II-I:Plaza-Suite 5170 , 1i-' .t, Bostun,MA 02116 OOD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. ��_ ii1'ANNIS,MA 02601 Undersecretary� --- —,. ---- ----- --- - .----- C alid it t Si tutu '- :hwsms ()l• Public tiafch Board of Blii4lfinl2 Rc ulatiuus and )tanllar(Is' Construction Supervisor License Licen>�:•CS 100988 li HENRY CASSIDY 8 SHED ROW WEST 1 ARMOLITH, MA 02673 "G'=J Expiration: 11/11/2013 ( ...... Tr#: 7620 It z _ The Common iI dih of/Massachusetts V _ Departrrlern tq Industrial Accidents -- -- W Office i lltvestigations M - - n 600 Wii.,.i'at;ton Street Bosl. 11A 02111 �1't►rker's c:urut-)eusittiott Insurance Aftio.,:d: Buil(ters/Contractors/l lectricians/.-'lutttbers .11tllljrllut li formation Phase Print Legibly (I;1.lsutcss/prb�tnt"L,ctt1.011/111cllvictual): C ...... . . P � z� -- I'C YOU all cutpluyel'? Check t114 upprupriate box: Type Of project(r'etluirctl): I UN I ,nit a<c:nlployel' with- _ 4. 1 am ii pn( ,:i:.l.untractor and 1 have 6. New conslru ncaio--U�-- rulpluycc:s (I`ull lull/or part-tlrlle).a° hired tlhr %till contractors listed on 7. Remodeling r the am h;,l .hc•et.f I t,u c solo pruprictor or partnership These suo.,„ntractors have 8. Ej Demolition and Ila- fit.)ctrtployces working for employc,:.:uid have workers' comp. 9. Building addition nlr in ally capacity. (No workers' insuran`' i 10, .electrical repaits or additiuus cuulp ulsutaticz rr.cluircd.J 5. We arr a co,I;,iration and its It. 1�lunlbin rc rurs ur aclditious Lf II Officers Il:h%,•c•.�ttclSt'.d[hell'fight OF 6 l _J I ant It hoill")wuer doing all work exemptittti I-.•r NIGL c. 152 5(4),and 12. Roof repairs ntysulf jNu wurkcrs' comp. we have it,.rhnployees.[No workers' ��/�� {,r ntsur:ulrr rocuirrcL 13. Ofllcr(,t�C�1 �1c'PiZCT�1CI[ I 11 comp. in.u�:�us required.] a..;.,pphraw that ChCcks box It rrmSI also fill out the section below showm.-•ilwir workers'compansalion policy information. ^� IL nuc,nvu,ts Wlui nut trait this affidavit indicating they arc doing nil wod,.„i.L;a hire outside contractors must submit a uew affidavit irtdieatiug such. nua,tvis that cheek this box must attach an addiI ion aI sheet showing hh.'((: i,'ofthe sub-contractors and state whether or nut those entities have eulpluyees II ih:xd,"Olmactols have 0111ploycc5,lacy nu,sl provide their workers'cowl. Ih,,'lumber. l an,un employer that is providing workers'.compensation iusm-mtce for my employees.Below is thedruliey and job site uiliu'nitrlion. 11MIliuu:r Company Nanie: A (;����' I'tdtry II ur.Soil-uts. 1-.ic. +l: /0/r r t—.1 �L .`� l .' Expiration Date: SJ __ aZbq laity/State/Lip:. :Ularh a copy of the wurlct rs' compensation policy declaration pago i.showing the policy number and expiration date). Fault,-hh,,cult cuvcrkI6C as rcciuifcd urldcA-Section 25A of MGL c. 1 i.':,ui load to 111e IlllposlllQll Qf C6111illtll penalties of a 1111c lip to$1,500.00 MOW (ua•-year rinprisuun'Cnt,as well as civil penalties in the form of a STOP Val hKh ORDER and a fine of up to$250.00 It day against ttte viulatur.tie advised 111t1(a,:vl(y ui this slatcn•hcnt Ina C forwarded to the Office of lnvesti .:t,• ,,f thz DIA for insurance coverage verificallio 1, l do here c if' antler the 11its and penalties of pt:i-m-y that the infortrlalto l rovided above is trite and correct. Date: t '' Nh11nr ll: J Ufliciul rase unly, f.)u rtut write in this area, to be completed br cay or lown official City or Town: _ I'CrmiULicense# Issuiub rl.uthurity (circle uuc): I.Ituat'd of Health 2. Building Department 3.ClkT a -o Clerk 4,Electrical Inspector S.Plumbing Inspector 0.Other Colitat: t'r.r on: _....._. Phone#: i IylNo, 1605 N. I Client#:4697 CCINSUL ACC)Jr,tU,., CERTIFICATE OF LVIEILITY INSURANCE DATE(MMIDDIYYYY) - 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 CONSTI'I u'rE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOR(ZEU REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the cerUflcate holder is---AbDITIONAL INSURED.the policy(ies)must be endorsed.If SUBItQ-ATiON IS WAIVED,sublBct io the terms and midlllons Of the policy,coil-aln policies May 1'gyulid an BndOrbBfTte,it.A Staterrlent Oh(his cBrliflcute.does not GUr1fCr rIUI'I(9 tU(IIC Curtlflcate holder in lieu Of such endorsernent(s). PRODUCCR Rogers&Gray Iris. -So. Dennis NAME: Mar aret Youn PHONE 508-760-4602 FA 434 Route'134 NC Nu Exl: A1C Nor 077.016.2'156 EMAIL - •----_- South Donnie, MA 026UO-16U1 AMMLU- 506 390-7980 IN9UR9R(0)AFFORDING COVERAGE h NAIC x �— --- wsDREaA;Peerless Insurance '10333 INSURED, ---- Crape Cod Insulation Inc INSURERS:Evanston Insurance Company 455 YarmoutPl Road INSURERC:Atlantic Charter Insurance —'- Hyaluli3, MA 02601 1( INsuRERI):.Cominerce Insurance Company _ 34754 IN9URER E: -- —_-- _ �NSIJRER F: -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE 0$TEO IJELOW 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 'nNs 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 NAVE BEEN RCDUCED BY PAID CLAIMS. �H ADD SUER TR TYPE OF INSURANCE POLICY EFF FOLICV tYw Pa "1 NU -1-.l MMIDDIYYYY MMJDDIYYYY LIM1Ts A GENtcHAL LIABILITY CBP8263063 410112012 04/011201 EACH OCCURRENCE $1 UUU U00 X COMMERCIAL GENERAL LIABILITY ppeAtrtr�tgqCEE Tr ENTeD Pak I I9 � '2'21 a Y1Q0 U04 CLAIMS-MADE aOCCUR MEDEXP(AtYoneOeruon) $5000 PER80NAL 5 ADV INJURY 31,000,000 OENERALA00REGATE $2,000,000 GLN'L AGGHCOATE LIMIT APPLIES PER: PRODUCTS•GOMPIOP AGG $Z QUU QUU POLICY PRO- LOC _ 8 II AUTOMOCT tlILELIABILrrY 12MMBCK�MK 4�01/2012 O4IO1f2U1' COh1BINEDSINGLELIMIT Ea a[Gidenl 1L000,000 ANY AUTO BODILY INJURY(Per ALL OWNED X SCHEDULED __. AUl'0, AUTOS BODILY INJURY(Per A"idnnl) s X HIRED AUTOS X NON-OWNED PROPERTYOAM AUT03 S H X umetyeLLAunB_ OCCUR XONJ453512 4/01/2012 04/01/201 EACHOCCURRENCE $1 000 000 r)(Cbbb LIAB CLAIMS-MADE AGGREGATE $1,00,000 of v X ReTENrION 1 0000 WURKEno COMPENSATION C AND EMPLOYEERSS''LIIARBILITY WCA00525902 6/30/2012 06/30/201 X VICSTATU. OTM ' 0 FtCERIn M80EF2 PEXGLd0�1g�COUTIV&a N 1 A E.L.EACH ACCIDkN1' I. 1 000 000 IMan(Iubry in NH)If ynn,den,:non,lnanr E.L.DISEASE_CA EMPLOYEE $1 OOO OUO DESCRIPTION OF OPERATIONS below _- - E.L.DISCASE•POLICY LIMIT 11,000,000 UE9CNIP r10N OF UPEfU1'IIONS I LOCATIONS!VEWICLES(Allaah ACORD I01,Addhloual k.nnnhs S�hpGu16,I(P1VN 6pgCB Ib fBNUII'AU) "Workers Comp Information InclUded Officers or Proprietors Certificate Holder is included as an additional insured unLlur General Liability when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION Capra Cod Insulation,lnc SHOULD ANY of THE ABOVE DESCRIBED POLICIES DE CANCIELLEP PEFORe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIsIONs. AU rRORIZED REPRPSENTATIVE 619-B -2010 ACORD CORPORA"PION.All rights reserved. ACOHu 2y(20IUIOS) 1 Of 1 the ACORD name and logo art;raglstared narks of ACORD NS83849/M83848 MEY i OWNER AUTHORIZATION FORM 1, An I)e-, S-A V/1 , (Owner's Name) owner of the property located at 57 i; ,ber /,qme (Prqperty Address) IVIAVS�MS 91 (h1f 047, 6yi (PropertyAddress) hereby authorize LOP Cad ^ (Subcontra ) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owne,pdWignature Date I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parc4' "Applicatio' Zo (b 0 7 Health'Division -Date Issued Conservation Division Applitati6h Fee cJCv Planning,Dept: �,,,`-PermNt Fee: Date Definitive'Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address A"I -rjMg�09 LA- r46- Village Aluls, 1 -rim /h"2Z&6 owner AALf�RtmmA,0'0_A_QAk�1 —Address Telephone 506-423-55q/ 5-&S-_g(,-7-5Z/00 rasS, Permit Request I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater,Overlay Project Valuation I�A -i6onstruction Type L6t Size AC W Grandfather6d: LJ Yes: Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family Ll Multi-Family (# units) Age of Existing Structure QaC,, Historic House: Ll Yes A No On Old King's Highway: Ll Yes No Basement Type: Wfull L1 Crawl Ll Walkout 0 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 0 Ga QX10il L11 Electric L] Other 0 Central Air: Ll Yes � Fireplaces: Existing New Existing wood/coal stove: ®'YesLl No Detached garage: Ll existing Unew size—Pool: LJ existing Unew size Barn: Q existing LJ new size Attached garage: L3 existing LI new size —Shed: Ll existing Q new size Others, Zoning Board of Appeals Authorization 0 Appeal # Recorded Q 1 C) 0 n Commercial Ll Yes U(/No If yes, site plan review # C:) Current Use Proposed Use Q s _-APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ARM �WAAF,71' &Rgs� Telephone Number 142AI- Address License # Alklemm& Olywo, Home Improvement Contractor# CQAE Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE—,/; t t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED - s MAP/PARCELNO. ADDRESS VILLAGE 'OWNER _DATE OF INSPECTION: FOUNDATION FRAME "INSULATION E FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL �. FINAL BUILDING /iF/A,� DATE CLOSED OUT- ASSOCIATION PLAN NO. s f The Gomrnonwealth 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/El ectricians/Plumbers Applicant Information Please Print Lepibly Nagle (Business/Organizationadividual): Address: �'i PYILA7Ng5 p� City/State/Zip: Mitts �� A-04hone.#:_—czt—q29 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired the 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 working for me in any capacity. employees and have workers' 9 Building addition comp. insurance.t [No workers' comp.insurance ,.,wired]pd S. We are a corporation and its 10.0 Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their ILL]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 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 have employees,they must provid;their workm'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 rrimirial penalties of a fine tip 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 bIA for insurance coverage verification. I do hereby certi nde the pairis•and penalties of perjury that the information provided abate is tr a and correct Si nature. Date: O Phone# �08 ct2)4 S 5 Official use only. Do not write in this area, to be completed by city or town offtciaL City or Town: Pertnit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3, City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and. Instr°u.ctious :•::y.. . 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(cs) and phone number(s) along with their certificates)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, n6t 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 nurgber listed below. Self-insured companies should enter their self-,insurance license number on the appropriate line. City or Tow-P Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tho affidavit for you to fill out in the event the Off co 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/licensc applications in any given year, need only submit one affidavit indicating current policy information(if)2ecessary) 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 (Le. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit: The Office of Investigations would ae to than 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 Depar'tmmt of Industrial A.ccibmt5 Office, Of kvestigati.Gus 600 Washington Street Boston, MA 02111 Tel. # 617-727-490.0 ext 4.06 or 1-8'77-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov(dia Town of Barnstable OF1tie r Regulatory Services s BARNSTABLE, = Thomas F. Geiler, Director y MAss. $ 16J9. Building Division Plf° �a Tom Perry,Building Commissioner ' 200 Main Street, Hyannis., MA 02601 www.town.b2riistable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION In Please Print DATE: Q4)2/ Z010 JOB LOCATION: Ttme eg I,IkNE rl' IPtR��M$ 1�1r� number street village "HOMEOWNER":�L}�� name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on'which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-farruly dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on.a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules.and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimns�pect' n proce -and requirements and that he/she will comply with said procedures and reqjAa,ffement5. atur Ho er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section tom' I-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors;Section 2.15) This Jack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would With a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,ma m ny communities require,as part of the permit application, that the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. .a 1 t �oFiHEr, Town of Barnstable Regulatory Services Y � yMwsse Thomas F. Geiler, Director rFOMa�a Building Division Tom perry, Building Commissioner 2.00 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 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 I Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Double Gusseted 2x4 Roof Trusses on 16" Centers AA- PT 4x4 bear s � ,--�/Epar Left Front Right NOTES: 1) Sidewall studs 2x4 on 16" centers 2) Exterior siding 5/8" Duratemp T1-11 3) Rafters and Floor Joists 2x4 on 16" centers � 5 4) 4x4 PT Foundation beams beneath floor joists 5) Roof sheathing 1/2" 3-ply plywood 10x14 A-FRAME SHED FRAMING PLAN DRAWING Scale 1" = 4' 6) Floor 5/8" CDX plywood Apr. 28, 2010. Roofing 240 Ib self-sealing 3 tabasphalt ige , 01 117 Q -f It 117 - T. Jr� f N m /3S./7 -- , ` 9 39 83 2- sZo� . CERTIFIED . PLOT PLA N L O CAT ( O N /YJ'gesTC� F O R : •O/CSC /jJG is/E AG Y gS.S.O e/�O T.�S S C A L E: ' 30 D A T E: RE F E R E N C E:,& /'�G GO T.3 0 AS S r�/D�J•v a N .o.��.� ,eEco.eo�a AT,.��o.e.vs�-A�« /Z 3o fjo • D A T E i HEREBY CERTIFY THAT THE BUILDING R E G. LAND S U R V .E O SHOWN ON THIS PLAN 15 LOCATED O N THE GROUND . AS SHOWN HEREON . �0 J . M . UO .NAHAN JR . a. ASSOCIATES l ,� REGISTERED LAND SURVEYORS & ENGINEERS 651 MAIN STREET DENNISPORT., MASS. 02639 RIO i TIME SHEET March 29 30 31 1 2 2010 M T W T F TO AL Rob Nathan Justice Brent Al Renee Val 1 is I � I Iry! 1 +hJWiri� r �y . 74 't t`t+t .•r(�� .�X_^�: � art aV`i? �'`• i � .+j.r t 7't -1 s• '� �...,,=t� �.+. o- 1+.1,r xU, ��,,. ��!"^ tt'#,1' At i ;� a- ' YY L:ai X ,� ..e,:. -. •.� is �'+ �,,r t � w I FOR eENJOYMENT �r ® ' - " IN YOUR,-OWN , .D P r '1 - t t " 17 sip, , A ^ .n 9 ^ am The 0 0 i.n i arn The prudent choice that gives you an all-purpose storage unit. STANDARD FEATURES INCLUDE: -One double door -One 18" x 22" Jalousie window F ECONOMICAL SOLUTIONS ... IN YOUR OWN BACK YARD! �I •p � 4 7 tir 'r� � � r '���ti �r� 'r 1 [r 1" r t 1•Aa. 1 r l; _ mom 117, � �t+I ". r, �.� f,.�' 1 ♦.v�, r wHL r�. � i•r =.d,1 rivet �"�i- rar�y.i"'t��t'1?Rc�W-1"�� '3.f;,�)t`l '.�� .�"' �.t t � j- •.:. ' rr ,i r'� k yv� t.,' i Ct. r !.. to t . "P YAW ? t: �] - t ^r• rti ti �i i. s x 1. x�l };•. t�!"',y:r�`� 1:,,",1�ti�.321::�•S`'�yvCr�1xJ.f ,+�� .,'� J,��r'�'f��.r {���'���� ��t� �,� 1�«f�� yy�i i A Vr on �s �q 4 ta, z •ice. �. 7x ■ 1 • 1 • 1 , I 1 • e .14 •f I icy i�::. .✓•la._ fR`�.`♦ Cat'°�y����y��}ifr'�u-�Y•,k+L�rr��`si.t`I �..�_.� y•�»,�i'l�'�'/.�,"�e.. • 'f�r f�_ I , r ' I e i i _ r 1 ♦ :ill`'!.. �����yy h�sy�( t -J� �Y'.����'i`._.� I �h}.ate.;L_�t'Fr ` d`,yY _A` � .2., 494�u The j arn Here is the solution to many storage and space needs. STANDARD FEATURES INCLUDE: -One double door -Two 18" x 22" Jalousie windows with shutters i S j^ UNIQUELY YOURS ... IN YOUR OWN BACK YARD! l .l i - - -- - . � � ; ' I I � .,�.• ` �.+"�e�� ter.�� Dr R TT7 TTT 7-1-71-- �� � .,�.. �.:,� ��` � N+' `v .J �' d'i'„ �'�e�J °yir t�; �S"k�'�'?s�S. �-;.����.•ar �F The 1 0 Ti ini a rn wr �.r?'^ ail' 1'''r��•*sm"��,' ,•', �1@�"'. r A spacious shed to keep all your equipment secure and still have the beauty of a style from the past. STANDARD FEATURES INCLUDE: -One double door -One 60" x 15" window ' -6' side walls G EXPERIENCE NOSTALGIA ... IN YOUR OWN BACK YARD! j _ k i ri t i The - =-- _ 0 N > The elegance of bygone days combined with a versatility in the layout of this shed. STANDARD FEATURES INCLUDE: -One double door -Two double-hung windows with screens and shutters* "8'x8',8'x10',and 10'x10'buildings feature only one window. 7 SIMPLE BEAUTY ... IN YOUR OWN BACK YARD! �.f i • �' r `. t� 'H ', W 1. ��'�. r i s l; tee^'% �� • . • • - - •. • •••- .• 1 - may.:...-.�� -��.�_/r�c.roc��l���-fir..•. cam•_ - , i r► n I _.. �I a '•:� r . `fit. •`� ,}�,, •�ls r T Y a S'!' i �, � ---•'.�i,�' � f�'y, r is Cr 1 i �,� �_ �•, �. �;' yP•,y ,� - $.��1 rer�� riMeyy.�,/�1 f�r.,"�v�.Y. {1 7���f ��,� s: v�.ti� .♦ C• �. �t�. T' a� � .fit,f � ..t+� +� t�'�' �¢ _y s1 7�y y��M`�,�y e r♦��'/��•�i cyW �%..�y.�.f{_N����ry�y i�,t y s'� +r�,l�./� °'��`o R} ✓u•R }�J t "T'4 f iy •tP+I'.�4 i „ LA%F•. �/'�L, '` q ;,[s'y�"'.'�R� '` �'�tw°. "„',.�j"# i�'' .Ar'YF_� r ;�i'�iy A f`�• J.re ,a.,�Ly rj.!�,�y. i.' ."�jC7� y.��.�' r _•1 l�'��, ...��3 � :{'�. 'v�l�,�'" �" .d�`e-• �.,�i.�tr '�s—.�,=�-'il�. -. ,y"�y �.fv"�,a -�y�, 79r'..��..'r.�.•;.z2�'�+����'!.�. '"�1...,��, The ram.e f °—' vik am '`i tl _lam 1 This unimposing shed offers great storage in the efficient t rectangular design rr STANDARD FEATURES INCLUDE: -One double door 1 -Two 18" x 22" double-hung windows with shutters !110 SIMPLE DESIGN ... IN YOUR OWN BACK YARD! 3s''�FS`4',Y.f•T. �t��t'a../�' rcrSs � .�-�"t �T�g�y—�^ -._ � A � �� ,aid s �es�cs,!i�� p' I�Ys�a�]i! �F - r s -."f ', T {�l _ ��- r• :r V , -+5.1 v^ . j:. � .. r,'*�•f" ��yr yr Lr �� .?���� �/ � YIItlF`>!` /!s'�� -R,- _ - ;�,i'-�f. ap ' r i�ys �'' t.r � „ .r•.. . � .�1�:.>I�• rig - r �., ��L'1'�j�• yr' 4 4� ��' � +is' y+i �}.N � Sir -~.�. •t�N• � S.� a� -- 'r �+j: 1. + �'.. tfy., / f u„F. The m e i 4� STANDARDFEATURES INCLUDE: -One double door -Tw 4, 1 double-hung windowsscreens and shutters* '; M i i feature only one window. SOUTHERNHip RoOF CHARM ... IN YOUR OWN BACK YARD! �• �� �: I - `� � �':. +ll...�t��'0[+'?G ff } y!!S �r��v' ! rJ'; t -r`mow•;n'Cx of r Y 1 W L T u� I 1] 19S i 1 1 z _ _`i��,�'.�t�t;�!/r'�r+�i..v.�;J•:i���� �.�., Y'�•er,::.��.e:_. � fi;�.v� . . _F_``' `c�°. - -:;�- - r � � � t�4�s " ,�: •�s?J,�'i' � y'42'i _ c� � � �z :.•_ �^�;f@r '� - _'i �%` .r r '. +'' n�� . S vri S. t 7 Irt+?{�°' t� rX!'�iy, ; 'l:.• � ' bl ./. .� �, .i ° •�i r ' � C -' ��� "g jl��� 4 7 0 1 1 � 1 � • • 1 � �: y 'f_ m. L A' I 1 M101ME 4 �i bf' s ��` yd r �a y�..• �.'� � t�tjr ��♦ � �S � 4t�`� 'z re v'r a'`�" � � a: s•.�4+;�J ''r '�"i ♦ � F 1�1:� ,� s i � .:s � oof .. t�! ,;i 3.,..�e':�. a ,fa. ;r�* � '�s6�Y:• -•}��, ,''� o ra •�w�i,�'��`r� . ''.tr.�f.� �Y''!�t jF?in•,ro'",�•�SSt.�..�."•°""J.t'3' Thp 17 o .mac l Optibn _ rw Add a little character to your pool house or storage shed. The 4' x 8' porch is built with vinyl railing and poly-lumber. The porch option adds another door and another window. It is available on: -the A-Frame -the Quaker ' 14 -the Carriage ADD A LITTLE BEAUTY ... TO YOUR OWN BACK YARD! ' ,n . _\\ w t }• 1 i i ... tit ' aft,•` �" - �' � ��_ `•^wfa. ,• �y ��,r,�Ir�r�,rwlrrrrrli`s�v►�Iir� � � � ' •• ,,:.. 'i�rr�ir�ilr�'w1�r��iw�i' �i�1�ineair��,.o� f ng 01, 01 •• !f�!•,K��#�i^��►/art. > lour- �'�. �I�'�; Vh2-:, f�}��� -sµ4��• S. k w_JG3 i:rr�K'ra 3°t "L S, .. .+ 1 -�H ?-' Yt � ,.�. � +�_ :. , '�{ T SiJr `i�•�� +»t �"` ��� +'� yt4 � � �x' Y�?�•.�`�� � Y .e a..r 4,x + / t 9 C b:Y`SyA�,lr�.''�L �,_�•'�-:i 1 ssi y:.� .v..It t f-.7, ''1."`, r C_��,�}•'.v a�' ,��tr �` r�•,,��,J' �' 'k.\,�.���' lCi�•w'�i.�.± r c�t.t: r r _at... L'r�.y�t �'i1J::w' �' k'; t ,y .A•53�-e�Is�r...J�.>4 a;.,��11,•➢�rL {�(-?^. �.r-jai � .tY'3.ti��- r'n` £;• � -a, J :..� l{..��r 4-: r Lk ,� .7 T* `� . x 4.a j 1F�tW�d4+'• .s +� +. *' t'�7 if ,���aY t' S 7•+ o :Ci -..� � S't�� � ,� vg,,p v.+r � a' x^- .a.•;.w ti-�'\'i?}21 �� Q'�,v�,Y,t,.�r t �� �M� .y��^a 7} �.k�,''� { .��. 1�` �. � • Y J �.�;r, ;�'?ti > �.k' , y��� r r 1- ', a{. � e f. .�.1�'' 1% '.G• �r<i`-.w^'�r�'b.s' ��,�:;.��'� s��,r, �'��r� V\ �t�^-f 4 Y�x.i.,�-,tl'1l�'`14�, t��.�l��'�`j,"��:��. T �.L'1 �,�., �r 'F / ?F ff, • 'I I "I • I I / / / I 1 111 I f' f S eci cations —� 5/8"Dura Tem • 2"x 4"on 16"Centers P k Finneran and Haley Exterior Latex Paint `'° All buildings are fully assembled and delivered to your prepared site. y` 2"x 4" -16"on center ' double gussets roof trusses Roof sheeted tight , with exterior plyzuood Drip edge on all roofs for a 25 year shingles leak free quality finish i r� ` r Finished soffit on all— ------------- ---- {� buildings Jalousie zuindozos zvith screens '„ Sidezuall studs and floor joists _ Dura-Temp fir T-1-11 2"x 4" -16"' fr I _ siding secured with on center galvanized nails 25 year � I - � 518"Exterior Heavy duty 5'" i' grade plyzuood Pressure I treated x 4 warranty I s " T-hinges for the Or Vinyl Siding flooring foundation beams doors -Foundation: 4" x 4" pressure treated lumber Pressure Treated Skids �. -Floor joists: 2" x 4" -12" on center -Flooring: 5/8" exterior grade plywood Sidewall Studs: 2" x 4" -16" on center h3 Irz" s�1/2" 13 1/2-1 Ikl -Exterior Siding: 5/8" Dura-Temp siding —` -Rafters: 2" x 4" - 16" on center -Roof Sheathing: 1/2" plywood z I 23" 33 3/4" 33 3/4" 23" I p Y Irz^ z Irz" -Roofing: 240 lb. self-sealing asphalt shingles _ -Doors: Heavy duty and reinforced with 2" x 4" lumber I 35" Y 33 3/4" Y 33 3/4' Y 35" I 2 1/2" 2 Irz' Standard Optionsfor our Sheds —Standard size pre ' hung doors with arched — — ®� —Poly Window J top zuindozos and keyed = Flower Boxes _ locks _ —Vinyl Shutters j —Available in customIN sizes fi. L — 6 r —Standard size pre-hung, — L doors with rectangu- lar zvindozos and keyedCupola ' r_ locks fi f —Available in custom sizes = " I I I Colorsf p r Shipgles- 30 gear 9rd tecfuraQS& es Weather- Earthtone Charcoal Dual National Harvard Forest Drift- Dual Black wood Cedar Gray Brown Blue Slate Green wood Gray 25(year Ski tees --L_—- - -- L --- White Black Dual Brown Dual Gray Weathered Earthtone { Wood Cedar Colors f yiShedsor Vin a Q Q 00fvrs r Tan Beige Clay Pacific Blue Pearl Blue Gray Moss Mist Gray IL Red Black Green Brown White Cream Almond '.VIn�C SiQiw9 C.O�OrS�White Tan Beige Clay Pearl Moss •I •I L�.,,, Mist Gray Flint Cream Blue Almond i Poly Color Options for Flower Boxes & Shutters Blue Green Gray Brown Black Almond White Red Clay 18 .f Options and Colors or T1-1 1 Sheds Transom Windows I o- i-Deluxe Trim Package consists of. - 1x4 trim on doors,corners,and —Deluxe Trim Package wood window trim. with Arch Door Trim Your choice of wood window trim or shutters. I Fanc Trim or 18"x 23" —Window Flower Box — y f —Plain Trim for 18"x 36"and --Three Picket Rectangle and 24"x 27"zuindozus 24"x 36"zuindozus Shutters —Double-hung windows —Three-Picket rectangular —Tapered top shutters are shutters optional only on fancy trim —Sizes Available:18"x 36"S.; ' windows 24"x 27"S.;24"x 36"S. 1 r , I'M : —Gable Vents Overhead Garage Door464 }—Dutch Trim Doora Rwt Coeur optwo,s far T-1-11 'Dk`Graj ""It Gray Chri§tiaiia Gray "'Clay' Behno`ntBlue `RhMGrien Aaoca`doGreen Hunter Green - _rWMM IM Buckskin Cream Beige RedF DkBioz76n Lt Brown N65joWhite V "Whife' 19. tl 1 1 - -e oss �_ _� i�res are en ess Z=N, 0WO a ) a7 . . ur rk FOR YOUR ENJOYMENT ... IN YOUR OWN BACK YARD! fiMashpee 508-477-6888 Bourne/Pocasset 508-759-4888 t www.theshedplace.com 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 town (which you must do by M.G.L.-it does not give you permission to ope.rate.) Business Certificates are available at the Town Clerk's Office, 1' FL., 367 Main Street, Hyannis, MA.02601 [Town Hall) �r.! nrsx WId MW 04K;S' - f^ '•n ••.. 1 GATE: f!m MWIM3kT®l Fill ihe: VOL, =Z€.a ^ - APPUGANT"S YOUR NAME-,ALRQEb M. Lb +aREStDt:1Vi ?`44� [,,,;�;,.� u � .r:°•.ti ,.,��,�„ . BLISII�IES�.3 1 5�rf V�'l.��Pd3L�.tm,SLLcP�TA�f YOUR HOME ADDRESS:5) T mQLa2 1A ,_ -�LZo-1 mR�i rnr Cp 0 G TELEPHONE # Home Telephone Number NAIVE OF NEW BU5_- NE55 C�R66L i1) ND I NC,,l7 O Le- TYPE O�F ' INESS:_ (AWN P�*TiL(?8l-lON5 IS THIS A HOME.OCCUPATION?, . _YES No LAWN Have you been given approval from tkie buildang':divsion? ADDRESS OF BUSINESS Sl 71M &V LAiVE� M r AP/PARCEL NUMBER.- When-starting a new business there are several things you must do in ord o be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the.informat bray ay need. You MUST GO TD 200 Main St. - (corne of Yarmouth Rd. & Main Street).to make sure you have the appropriate permit nd licenses required to legally operate your bus' this Own. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed-of any permit requi ments that pertain to•this p type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH 6 This individual has been informed the permit requirements that pertain to this type of business. Authorized Si nature* \ ' COMMENTS: . 3: CONSUMER AFFAIRS ICENSING AUTHORITY) S This individual has been informed of the licensing requirements that pertain to this type of business. 10��'e Authorized Signature.** �/ ✓' COMMENTS: All 4 Town of Barnstable SHE Tqf Regulatory Services P� o Thomas F. Geiler,Director Building Division t BARNSTA13M y MASS. � Tom Perry,Building Co ssioner �'OTEp (►� 200 Main Street, Hyannis, A 02601 www.town.barnstabl ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: ,o Fee: ,25--- Permit#: HOME OCCUPATI N REGISTRATION . Date: �ak� � Nanie:A Phone#: GT>a-42ia-GG91 Address: 61, T%Me*FR — Village: VY)Msi-twS Miu53 Name of Business: t Type of Business:I:P&so�!c-jWits ap/Lot: II4'I=: It is the intent of this section to allow the residents of he Town of Barnstable to operate a home occupation vvithin single fm0y 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 o increase in noise or odor;no visual alteration to the prennises which would suggest anything other than a residential u e;no increase bi traffic above normal residential volumes; and no increase inn air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be pemnitted as of right subject to the following conditions: • The.activity is carved on by the permanent resident of a single family.residential dwelling unit,located narithin that dwelling unit. • Such use occupies no more than 400 square feet o*space. • There are no external alterations to the dwelling wl'ch are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal res ential volumes. The use does.not involve the production of offensii a noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity o other objectionable effects. wt • 'There is no storage or use of toxic or hazardous ma erials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be et on the same lot containing the Customary Home Qccupation,and not Arithin the required front yard. • There is no exterior storage or display of materials or quipment. • 1lnere are no commercial vehicles related to the Custo nary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one er not to exceed 20 feet ii length and not to exceed 4 tires,parked on the same lot containiig the C tomary Home Occupation. Qn • No sign shall be displayed indicating the Customary Ho e Occupation. • If the Customary Home Occupation is listed or advertise a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who,is not a permanent resident of the dwelling unit. I, the undersigned,have read and agree llnrith the above restrictions for my home occupation I am registering. Applicant: X(. Date: e a4 D� Homeoc.doc Rec.01/3/08 Town of Barnstable *Permit# C� Expires 6 montlis from issue date Regulatory Services Fee PERMIT Thomas F.Geiler,Director y� Building Division MERV `i 008 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 PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number i q 16,55 Property Address 144 ILJ DI-esidential Value of Work va Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address /46 36IZAr C110 " 14 Contractor's Name A013aF Telephone Number quo N�SIv Home Improvement Contractor License#(if applicable) 1 0 Y Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor . 0 I am the Homeowner RI—have Worker's Compensation Insurance Insurance Company Name &7-A"'1 G Cff d-X74K Workman's Comp.Policy# W CV GD :2 3Od-D 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 �/�1NLffi,GTZ¢ C4-"fir-/L L ❑Re-roof(not stripping. Going over existing layers of roof). ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: issuance of this permit does not-exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. opy of the Home Improvement.Contractors License is required. SIGNATURE:, Q:Forms:exprritrg Revise061306 07/05/2007 11 :03 FAX 508420107 FREDERTCKS INSURANCE Z 002/006 x�,� r znt• t t�St'.; ,q '�; 'Y'7 !t }; ! �'i �%}}I,. .a- �-, •�y y .,i ! i`i. ..} � .. ��� �_i' tR.,. ., �. ' r` , .'3n-t. �l'l� .L , _ ., _, ���_hr:i7•�-v�,:.,irA-::. ,�.i•:�. .. _"'1'A•' ..�..d:... ., Atlantic Charter Insurance Company VDAC . NCCi Co. No.:29211 Policy Number: WCV00730201 1. INSURED' Prior Policy Number: WCV00730200 Tyndall Roofing LLC Producer: 30 Jillian's Way Fredericks Insurance Agency, Marston Mills, MA 02648 Federal ID Number:204616445 Inc. Risk ID Number: 1046 Main Street Osterville, MA 02655 Business Type: Lir;,l;;_�d Liability sic:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: Other Work Places: 2. 'POLICY PERIOD: The Policy Period Is From: 7/11/2007 To 7/11/2008 12:01 A.M. Standard Time ; - at The Insured Mailing Address j 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA i B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident ' Bodily Injury by Disease $ 500.000 policy limit i Bodily Injury by Disease S 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A l o.. All states except Monopolistic State Fund States D. This policy includes these endorsements and.schedules:- See WCE105 4. COVERAGES: . The premium for this policy will be.determined by our Manual of Rules, Classifications, Rates& Rating Plans. All information required below is subject to verification and change by audit- Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium . See WC 00 00 01 Minimum Premium: Deposit Premium: I . $500 $607 Interim Adjustment:: Annually Servicing Office- Estimated Premium (Minimum Premium) $500 25 New Chardon Street Surcharges) Boston, MA 021144721 Total Premium and Sur Iiarge(s) $507 " -- Z007 Dat�AY 2 5 Liss Date 0512512007 Countersigned ay: Copyright 1987 Nedonal Council on Compensation Insurance Form:100m a ' The Commonwealth ofMassachusetts Department oflndustrial 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):. gob tpeT T1yN b#-t c ' Address: -#J 6 chi`G(,i/l �s W ft City/State/Zip:MM'(S7dn,L4R�RiGJ,A'lA•,OZ&'-(ff Phone.#: .SO8-—V-0_J4�S6 Are you an employer? Check the appropriate box: -Type of project(required):, 1.[;?fam a employer with f 4. ❑ I am a general contractor and I . employees (full and/or part.time). have hired the glib-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp,insurance comp.insurance. $- 9. ❑Building addition required.] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions '3.❑ 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' . •11aOther A(-90,C comp. insurance required.] . *Any applicant that checks box A must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additionalsheet sbowing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below islhe policy and f oh site information. Insurance Company Name: Mtt,�N7f C Cf h1Q.Tf re Policy#or Self-ins.Li(c.#: (,✓CI P7 ,1U.2-Q J Expiration Date: 7 Jl Job Site Address: J J -rMu12 r.a,, City/State/Zip n}A(SAl �!?�qr, . 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 bIA for'assurance coverage verification 16 hereby certify:cn r the palns•and penalties o +that the information provided above is true and correct: Sienature Date: y/y DO _ Phone #: J�(�— y�— y Y S 6 Official use only. Do not write in this area,'tb he completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �C)p 1HE Ip�y . 'Town of Barnstable. .� Regulatory Services BARNSfABLE. • 9 MASS $ Thomas F. Geiler,Director 16 9.h►a'�A, Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property herebyauthorize R Q EFtT / "bA-t - to act on my behalf, in all matters relative to.work authorized by this building permit application for:ze . S IimMCA ( /4 65. (Address of Job) iy o g- Signature&wner Date Pant Name Q YO R.M S:O W NERD ERM IS S ION i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I q 9 Parcel Application# v�o49g& Health Division Conservation Division Permit# Tax Collector Date Issued'., ,(a I 0_1 Treasurer Application Fee 6,�, C6 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village ,�.�s�vs Owner b Address s I Tell?- A Telephone ZVC--)z C/ Permit Request ' Square feet: 1st floor:existing proposed 2nd floor:existing proposed /�Lo Total new Zoning District Flood Plain Groundwater Overlay �-Project Valuatio SC�� Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 8 Two Family ❑ Multi-Family(#units) G Age of Existing Structure�aS Historic House: ❑Yes r1No On Old King-s HigrZ_p ❑Yew C+Basement Type: Full ❑Crawl ❑Walkout ❑Other c= C Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new ry ,— Number of Bedrooms: existing_ new ^' Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas it ❑ Electric ®"Other w® Central Air: ❑Yes U110 Fireplaces: Existing New Existing wood/coal stove: es ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use lx ► a 9 i� l i� /%! Proposed Use BUILDER INFORMATION Name 1kVr,a P\, S `1F, Telephone Number '701_ Address St 71 License# N1:N Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE ZZ a �� IS t � e s FOR OFFICIAL USE ONLY` } r'PERMITNO. t i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t ? DATE OF INSPECTION: FOUNDATION s FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL; GAS: ROUGH FINAL Ft. • FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth-ofMassachusetts 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): Address: City/State/Zip: •/ aeyi eg s A111 Arf- Phone# Are you an employer? Check the appropriate box: Type of project(required); 1.El am a employer with 4. El am a general contractor and I employees(full and/or part-time).*- - have hired the•sub-contractors 6, ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑Remodeling ship and have no employees " These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp.insurance, g, ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its _pctfired.] officers have exercised their 10.El Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions . myself. [No workers' pomp. c. 152, §1(4),and we have no 12.[]Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑ Other 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. �am an employer that is providing workers'compensation insurance foamy employees. Below is the policy and job site nformation. nsurance Company Name: 'olicy#or Self-ins.Lic.#: Expiration Date: 'ob Site Address: City/State/Zip: attach a copy of the workers' compensation policy declaration page(showing the-policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA fot insurance coverage'verification. 'do hereby certify u r the pa' s and �f perjury that the information provided ab ve is true and correct. i ature: Date: O�. 'hone#: • 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#: �nf®rmati® and Instructions f 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 pf 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s).of insurance. Limited Liability Companies(LLC)or.Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance, If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to.the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department.of Industrial Accidents. Should you have-any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is.complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Bostob,MA 02111 Tel, #617-727-4-9GO ext 40,6 or 1-8.77-M. ASSA'E Fax.##617-727-77-49 Revised 5-26-05 www.ma.ss.gov/dia 1VTyJ1 vl iJaxJLLOL"LJAVL+ Regulatory Services f,,uvs'rastE. ' Thomas F.Geiler,Director 9 %uss. $ Building Division Tom.Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.towA.barnstable.ma.us Rce: 508-8624038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which'are adj acent to such residence or building be done by registered contractors,with certain exceptions,along R:th other requirements. Type of Work: 5 n�-e yv� O FFic�p 't ���. t�oEstimated Cos 1600 Address of Work:. Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑ ilding not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Signature Registration No. OR 4Dae Owner's Signature Q;WPMes.forms:homeaffi day Rcv: 060606 oFt�r� Town of Barnstable Regulatory Services BARNSPABLE Thomas F.Geiler,Director 9 MAs9 g 1639• ,0 p Building Division ArED� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 1 1 DATE: Please Print 1 \ O � JOB LOCATION: number street village �W-CQA"HOMEOWNER": SQJ name home phone# work phone# CURRENT MAILING ADDRESS: S �� VIA ko > L._r", city/town state zip coae The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department inimum ins tt n procedures requirem a+ �.he%she will comply with said procedures and require S. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt i � O O�D�? �'v i�s r �-.�s .� �-�s ��� , . _ _ .___; I General Code E-Code: Town of Barnstable, MA Page 59 of 92 nalt,ure of ac 4QWa1Le_z9ning districts ablished ._erein, accessory use r acces ry buildings are perm' that any suc ul In customan Incl - - rmclpa us It serves Exce a se prove a or ereln. spas a rmit. The fo Ina t is first obt ed f of Appeals: cessory Ira and structured'oinin ite an acr=roa it sere ISis located, pro Ided that both lots re retain d in tifi es or related productio nl if the and finds that s ry lot as the principa se it serve Other accessory us e m the vario s zoning dist s a Is e 4] A me ma e s o it Ing or on a rear d or occupi o e. I ne location OWE: III ar §240-46. Home occupation. [Added 8-17-1995 by Order No. 95-195] A. 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 this section, provided that the activity shall not be discernible from outside the dwelling; there shall be no increase in noise or odor; no visible 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. B. After registration with the Building Commissioner, a customary home occupation shall be permitted as of right subject to the following conditions: (1) The activity is carried on by the;permanent resident'of,a"single=family residential dwelling unit? located.within.that.dwelling.unit. (2) The activity is a type customarily carried on within a dwelling unit. (3) Such use is clearly incidental to and subordinate to the use of the premises for residential purposes. (4) ,Such.use occupies;no'more than_400,square".feet of.space) (5) There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. (6) Jhe�use is not objectionable or•detrimental'to.the.neighborhood andits.residential character (7) No traffic will be'gene—rated,in,excess,of,normalTesidential.vollu e (8) The use does not involve the production of offensive noise, vibration, smoke, dust or other particulate matter, odors, electrical disturbance, heat, glare, humidity or other objectionable effects. (9) There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. (10) 'Any_need,for_parking-generated:bysuch:use shall'be.met on.the same.lot nta coining the customary, home.occupation,.and,not within.the required'front.yard? (11) There:is_no:exterior;storageLo(display_of.materials.or_equipment7 (12) There are'no-commercial-vehicles:related:to.the.customary_home.occupation,.other_than one.van or1 http://www.e-codes.generalcode.com/searchresults.asp?cmd=getdoc&Docld=52&Index=C... 1/18/2005 General Code E-Code: Town of Barnstable, MA Page 60 of 92 one pickup truck not to exceed one-ton capacity, and one trailer not to exceed 20 feet in length and not to exceed four tires, parked on the same lot containing the customary home occupation.' (13) No sign shall be displayed indicating the customary home occupation. (14) If the customary home occupation is listed or advertised as a business, the street address shall not be included. (15) No person shall be employed in the customary home occupation who is not a permanent resident of the dwelling unit. (16) Customary home occupations shall not include such uses similar to, and including the following: (a) Barber-and beauty shops. (b) Commercial stables or kennels. Editor's Note:See Ch.376,Stables. (c) Real estate or insurance office. (d) The sale of retail or wholesale merchandise from the premises. (e) The sale of antique or secondhand goods. (f) Service or repair of vehicles, and gasoline or diesel powered machinery. (g) Contractors storage yards. (h) Veterinary services. (i) The manufacture of goods using heavy machinery. 0) Medical or dental practice. (k) Fortune-telling or palm reading. C. Home occupation by special permit.A home occupation may be permitted in the RC-1 and RF Single- Family Zoning Districts, provided that a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of§240-125C herein, and subject to the specific standards for such conditional uses as required in this section: (1) All of the requirements of Subsection B(1)through (12)above. (2) There is no more than one nonilluminated wall sign not exceeding two square feet in area, listing only the occupants' name and occupation. (3) Not more than one nonresident of the household is employed. (4) Home occupations shall not include the uses listed in Subsection B(16) above. (5) The Zoning Board of Appeals may permit the home occupation to be located within an accessory structure located on the same lot as the single-family residential dwelling unit. (6) Approval of site plan review is obtained. (7) The special permit shall be issued to the applicant only at his or her residence, and shall not be transferable to another person, or to another location. Tlucil pr iss sons a rov instanc I.Ul 15 lownin tus ea a ning miti a use u on t ei or p g m tRtime the di scrfirin of Alas http://www.e-codes.generalcode.com/searchresults.asp?cmd=getdoc&DocId=52&Index=C... 1/18/2005 i §240-46. Home occupation. [Added 8-17-1995 by Order No. 95-195] A. 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 this section, provided that the activity shall not be discernible from outside the dwelling; there shall be no increase in noise or odor; no visible 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. B. After registration with the Building Commissioner, a customary home occupation shall be permitted as of right subject to the following conditions: (1) _-The activity is carried on,by the permanent resident of a single-family residential dwelling unit; located within that dwelling unit (2) The activity is a type customarily carried on within a dwelling unit. (3) Such use is clearly incidental,to and subordinate to the use of the premises for residential purposes. (4) Such use occupies no more than 400 square.feet ofapace (5) There are no-external alterations to the dwelling which are not customary in residential'building_s, andi ?there is no outside evidence of such use.1 µ (6) The use is not objectionable or detrimental to the neighborhood and its residential character: ((7)` 'No traffic will be generated in excess of-normal residential volumes1 (8) The use does not involve the production of offensive noise,vibration, smoke, dust or other'particulate matter, odors, electrical disturbance, heat, glare, humidity or other objectionable effects. (9) There is no storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of normal household quantities. (10) 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. F :(11) Ther6 is no ezt&ri& sstorage-)or display of materials or eq .��r uipment: (12) There are no commercial vehicles related to the customary home occupation, other than one van or http://www.e-codes.generalcode.com/searchresults.asp?cmd=getdoc&DocId=52&Index=C... 1/18/2005 Cieneral-Code E-Code: Town of Bamstable,MA Page 60 of 92 one pickup truck not to exceed one-ton capacity, and one trailer not to exceed 20 feet in length and not to exceed four tires, parked on the same lot containing the customary home occupation. (13) No sign shall be displayed indicating the customary home occupation. (14) If the customary home occupation is listed or advertised as a business, the street address shall not be included. (15)-No person shall be employed in the customary home occupation who is not a permanent resident of, the dwelling unit. (16) Customary home occupations shall not include such uses similar to, and including the following: (a) Barber-and beauty shops. (b) Commercial stables or kennels. Editors Note:See Ch.376,Stables. (c) Real estate or insurance office. (d) The sale of retail or wholesale merchandise from the premises. (e) The sale of antique or secondhand goods. (f) Service or repair of vehicles, and gasoline or diesel powered machinery. (g) Contractors storage yards. (h) Veterinary services. (i) The manufacture of goods using heavy machinery. 0) Medical or dental practice. (k) Fortune-telling or palm reading. C. Home occupation by special permit. A home occupation may be permitted in the RC-1 and RF Single- Family Zoning Districts, provided that a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of§240-125C herein, and subject to the specific standards for such conditional uses.as required in this section: (1) All of the requirements of Subsection B(1)through (12) above. (2) There is no more than one nonilluminated wall sign not exceeding two square feet in area, listing only the occupants' name and occupation. (3) Not more than one nonresident of the household is employed. (4) Home occupations shall not include the uses listed in Subsection B(16)above. (5) The Zoning Board of Appeals may permit the home occupation to be located within an accessory structure located on the same lot as the single-family residential dwelling unit. (6) Approval of site plan review is obtained. (7) The special permit shall be issued to the applicant only at his or her residence, and shall not be transferable to another person, or to another location. I f. 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A � Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us f Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: A LFRED 191-12ASFF E »�Phone: SOB-L120 -559f Install at: d/ IIMMR L 'Z Village: _M4RSI'ms `yj11-1 S Map/Parcel: / q g o ss Lcr 30 Date: 09 e D Stove A Ne /Used B. Type: Radiant Circulating C. Manufacturer. Lab. No. D. Model No.: &,,,� �'^p Chimney A. New/Existing"(If existing,please note date of last cleaning)AA Ae& k)pe B.•Flue Size $ " C. Are other appliances attached to Flue? O D. Pre-fab T)pe and M acturer Masonry: ine nlin/ed Hearth A. Materials: B. Sub Floor Construction: "/ Installer Name: Address: Phone: Location of Installation: APPROVED BY: ZA 7 G Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 122801 l �oTO1o71 Co ,✓ si 1� t a � i I L VeP p and lot'number SEPTIC SYSTEM it number .C-6 .....5. .............................. INSTALLED IN C AHB9TODLE, • House number ' EWROWENTA A TOWN REGU TOWN " 'OF BARN,STABLE BUILDING . 11SPECTOR u APPLICATION FOR PERMIT TO .� +�. TYPE OF CONSTRUCTION ..........,Ac ✓1'1.t2.,.................................. ......r................................................... -, rt ......` ................19. ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location e, . . ...9a....2../.l. .t.9?.R�......aC,f�N *11..i!h�l�'S,�'��11�..��G. ..................................................... SSA//.4U-&C.......Proposed Use .......... .. 4��4A/.�.Vfa............................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .., liJ L� T!'f.. :....i�D4r�..1i1! ...Address t a... � ..CS'�� :,�. t42. d Name of Builder � �{�..../�.C/1)FA.L7�...........................Address Nameof Architect ..................................................................Address .................................................................................... I 6, Number of Rooms ...... ......................Foundation 00Nf:gr*zr I Exterior . 9?..C.D)O.4.��OAP cS,f11 6lL40 g .1v ' Floors ......Pi&I.. ....................................Interior y. ....vJ� !q4 .... ............. . .......................... Heating --..:.....E7—iXC7X1C1........I............................:.....:.....Plumbing .................................................................................. Fireplace ...............y...............................................................Approximate Cost ............................................ Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ........... . . ................ Diagram of Lot and Building with Dimensions feel ......... ..... ... .. SUBJECT TO APPROVAL OF BOARD OF HEALTH 0" fC1 f a�� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstablorega ding the above construction. NameL(Ll............... ................................. ELIZABETH A. ,908 ringle Famil ...pKg Lot #20 51 Timber Lane ' � Location .::............................................................. ' ' � Mazot000 Mills ..----..�--.-----.—.—~--------- EIiz�betb I� Colliz�a �Jvvnar —��--------.�-----------. . ~ . Type ufConstruction ---Frame ----------- . ' ~ ----------------. ------ . _~ Plot -��{] . - ' ^ March 13 8l � Permit Granted ---------�. --..l� ' ~ ~ . . Dotoof Inspection .............. 19 j Date Complete / � ` J PERMIT REFUSED _ ' � '1. -----~-----.---------- lV . —.. --.. ................................................. ` ~ _ —../�.--.----------------, ............................................................ -- ......................................................... .. .��. � -- l9` J.- -------~---~^--'—~---'' / ----~--~^'' 0a/ ' - - - . ^ Assessor's map and lot number .......G� �, '���. ...... �- .. . C: Q�o� roe♦ Se?�oge-'Nrmit number 33AR33TADLE. i House number .. ..' . ......................................................e..�� '°o M E e� ED wAY a.' TOWN OF BARNSTAB:LE i BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..... �'�-. �%! //L9, ` /! ! ....................................... TYPEOF CONSTRUCTION ............!... ! ° /?(1.................................................................................................... ................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. �1?. .....>�� .... / ......f �il./f� !Ya C% �r,/,.5 O/'7lt G•,ca.:........:.................................... ProposedUse ...........5/ �/ ' .....................................................................................................:...... ZoningDistrict ........................................................................Fire District ............................................:................................. Name of Owner ................................../�• . / i4t�✓�ila�a....Address ........................ f ✓.?of'' Name of BuilderJ `iC./s}i= .!.y......:...................Address Nameof Architect ..................................................................Address .. ................................................,............................... Number of Rooms ........*��.....a�S.y............. Foundation A......... Exierior ..�'��?C< s [? (a�4iP.......>.��'..��.i/e. .................Roofing 5 ,..................................................................... Floors ....... a;:� t ...z"... :L?; ',t.......%....................................Interior �X ..` ' ... 1 :...... Heating ..................... ...........Plumbing ............ Fireplace ...........�r...........................................................Approximate Cost ....1,�.':�'��... . .......................................... ' Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area ............ ......................... Diagram of Lot and Building with Dimensions Fee I .. SUBJECT TO APPROVAL OF BOARD OF HEALTH I k' bw jo t . A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .f r'A17fA A................................................... � COLLINS, ELIDABETB A / ` . . � No -�O9.08_ Permit for Family Dwelling' —..o�uz9�e----.��.--./ -- —.---.. � � Location .Lot—#2O_5l. ..Laoe_.. � ..........�_^Mka ..D8illo________.. � Owner —E.li. ..�&.�—Collioo___. ' Type of Construction '�.� ' � � � l � !' Permit. Granted ' � uo,eq, Inspection ........./.........................19 Date Completed PEIJT REFUSED / '` l� ` .—. +.—.. � . . . -------- K —,--~~....---------...,---'---. � -----.~.—.—.----.....-----..—..—. � .------.—~~....,.—.—.---...~.—.--.' � . ` � Approved ................................................. lA ' ^ - —^—.----.—.----..~--.,—,—..—.--.— ' ' ' ` ----'---------.-------..~.....— , ^ | � TOWN OF BARNSTABLE permit No. ___________-_-__ e --- 1 »n..� Building Inspector � rua Cash ------------- 7 OCCUPANCY PERMIT Bond No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to E1i7..bPth A--;--COII inc. Address W. Yarmr :fir?^. Wiring Inspector Inspection date Plumbing Inspector A / '� f Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ..................................................... 19...»._» .......»..........................................................».:»...»:.».......».»__._»._» Building Inspector R v i .. T , r 117 ' �t A�I� N ` o r 1357/7 , -/�'= 39 83 e szoSL7s CERTIFIED PLOT PLAN 4 L O C A T I O N: /yJ,gesTo�/S FOR . S C A L E- � -30 D A T E OEC. 30� �980 REFERENCE:BE/A/Gs GOT 30 AS KNOWN O�/ 771O 4S O C .30 ,el-=(:�/.S77Z D A T E 1 HEREBY CERTIFY THAT THE BUILDING R E G. LAND S U R_V E O R SHOWN ON THIS PLAN 15 LOCATED 0,14 THE GROUND AS SHOWN HEREON. OF jAwl C, �y joskpH M. G� a MONAHAN,32. e) 13660 y. J . M . MONAHAN, JR . & ASSOCIATES ►sTe��o�. REGISTERED LAND SURVEYORS d ENGINEERS Giy� su�`�� 651 MAIN STREET DENNISPORT, MASS. 02639 $O- �S i ea- 119 �oX l %• 0 0 9 u /Q 0 C r o _______-.--i- l y?/�, GOliL.eS - cr/o� I , „c'9sr/E'o.� • I n., oR •;f„�!/C SC/+/ �p `, i� cif/./ G' �.4yE.e -1 'c) iv�EeT °;o G/9LLoA/ IA4.11 e �, O/s r � '� % p I. � 3/S�=//z o.o. Ti9At/.� Bf�� AS C) TO rvt o PROFI LE OF SANITARY DI SPOSAL SYSTEM DESIGN DATA NOT TO SCALE 1.3 BEDROOMS CONSTRUCTION OF SANITARY DISPOSAL DESIGN FLOW S<> GAL ./DAY SYSTEM SHALL CONFORM TO MASS . LEACH RATE '�`--' MINJINCH ENVIRONMENTAL CODE TITLES PROPOSED LEACH CA PAC IT Y : AN D THE TOWN OF �' ''�'S 'yT So��- H E A LT H R E G U LAT I O N S. -4 2 7 GAL./DAY SITE PLAN SHOWING PROPOSED CONSTRUCTION F O R ©° -- '�.- a°r✓1`-= i APPROVED 19 SCALE ' /.ol DATE BOARD OF HE ALTH R E F E R E N C E Bel—E e" A-1 DATE A G E N T NA ir AqA r` M DN kHA.*1, r"a 13F!•G itA 7:i9 L7t:.3 � .'i0, T43� J . M. M` 1�1 ONAHAN, JR . & ASSOCIATES 7 ts ge�R`►i �- REGISTERED LAND SURVEYORS & ENGINEERS -" f) 51 MAIN STREET DENNISPORT� MASS. 02639 ao� '