HomeMy WebLinkAbout0975 MAIN ST./RTE 6A(W.BARN.) i
oxfo cr NO. 1521/3 ORA
MADE IN U.SA i$F USELTE
e e e e
:_ •,ram. .,..,.._-.-...,.,...�- ._ � r�.�-.,.,r-t.....--_•.:,.- ,�--- -- --
P
�♦ �f
i'
t`
i
F
t
r
�n
s
t
i
1.;
.j
c
1
r`
i-
l
k
eeI2 3yQu//z€ �T
a /IeG!/DG1Pt�`a c_rl9�f
a
ate® 2Ks�n�SS
_�;1 -4 ZI;W 61--
y
S/�'�G/f7C ��l.C/le�ll%�c�Cl�=�ic-ov l SCtnU s
--
i
Date: July 2, 2018
To: Building File
RE: Work W/O Permit& Unreg Vic
Address: 975 Main ST,WB
Originator: Unknown
Complaint: Property unkempt,work without a permit/OKH and unreg motor vex on site
Enforcement Process Steps
Q 1. Initiate local investigation: RA/Bob
® 2. Document/enter into system Yes
® 3. Contact
® 4. Property Owner Martha Mozden, 9001 Paris Hill Rd, Sauquoit, NY 13456
® 5. Seek access to subject property
6. Seek administrative warrant(if necessary) NA
® 7. Notify state authorities of findings NA
13 8. Document conclusion OPEN
a 9. Referred Bldg/PD
Property—155-024
Property is developed (1626) with a 2 story SF dwelling containing 4 bedrooms and 1 full bath on 1 acre
in the WBVBD. This property was previously an antique shop.
07/02/2018
RFS filed concerning appearance of property, possible work without a permit(siding),fire hazard
(interior storage of new&old shingles),and one unreg vehicle. Green minivan with NY(has not been
moved for over 2 yrs.). Vehicle is visible from Rte. 149.
I
�FIME,p� Town of Barnstable *Permita---*ly
Evpires 6 months front issue date
Regulatory Services Fee
BAMSTAet.i, h '
spyMASS. Richard V.Scali,Director �Pen
Building Division o R,ry�jr
Tom Perry,CBO,Building Co issioner (.r 09 2015
200 Main Street,Hyannis,MAAO9WAt OF
•l �l/v
www.town.barnstable.ma.us ��UU I' Bq
Office: 508-862-4038 8/VS t(F-790-62
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
I C� 3Property Address 1 QI t4
Residential Value of Work$ V 00 _ Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 100( ?djt() {I I f(!W
sty clot NY n3 F6
Contractor's Name NOS Telephone Number d1j5- ,5:-1:0-0Y30
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
FI am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit R,Kest(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to C61 li( hkSSV
(,�QQ.A �-f✓y��
Re-roof(hurricanq nailed)(not stripping. Going over existing layers of roof)
Re-side P4,f--2
❑ Replacefient Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&'Fire Permits required.
*Where required: Issuance of this pennit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improve eat tractors License&Construction Supervisors License is
r .
SIGNATURE:
C:\Users\Decollik\AppData\l-ocal\Microsoft\Windows\Tempor LVInternet Fi les\Content.0 ut look\2 P 10 1 DIMEXPRESS.doc
Revised 040215
i.
,
�pIKE rp�
+ eantasrnet,e.
"'"SS
i639' Town of Barnstable
�0
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
1 p p ty
hereby authorize Oh � to act on my behalf,
in all matters relative to work authorized by this building permit application for:
(Address of Job)
Signature of Owner V Date
l -rh' 5-, ftwn&
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
C:\Users\DecollikWppData\Local\Ivlicrosoft\Windows\Temporary Internet Files\Content.Outlook\2P101 DMEXPRESS.doc
Revised 040215
I
Town of Barnstable
Regulatory Services
Ft tpk� Richard V.Scali,Director
Building Division
r r
= BARNSTABLE, Tom Perry,Building Commissioner
9 MASS.
i639• & 200 Main Street, Hyannis,MA 02601
�f0 MA'I
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
DATE: Please Print
6/� �n
JOB LOCATION: 6�(� l ((d Sf. 4�hStOl�
number street �f Jvil ge
•'HOMEOWNER":
name home one w rk phone#
�001CURRENT MAILING ADDRESS: 2if`IJ N 1�
See w l � y
c /town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all Such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"h eowner"certif that he/she understands the Town of Barnstable Building Department minimum inspection
procedurt5oapd re me /she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt
from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner
engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often
results in serious 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.
C:\Users\Decollik\AppData\Local\MicrosoR\Windows\Temporary Internet Files\Content.Outlook\2P101 DHR\EX PRE SS.doc
Revised 040215
i
The Commonwealth of Massachusetts
Department oflndristrialAccidents
Ogee of Investigations
t 600 Washington Streel'
Boston, M4 02111
><ttsvttf.nrass govIdin
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electizcians/Plumbers
Applicant Information r - i
r1 Please Print Legibly
Name-( , ..-esgOrganizahowIndividual).
Address:_- `� Ili
c � ` ty, , Phone `
city/state/zip: ,!J
:x o�I am a employer urith 4. ❑u !,1 employer?Check the appropriate box:
1.❑ I am a geueral contractor and I Type of project(required):
T ❑New construction
employees(full and/or part-time).* have hired the sub-contractors 6.
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-coutractors have S_ ❑Demolition
working for mein any capacity. employees and have workers'
[No workers'comp.insurance comp.insurance.
l 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.repairss 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' 13.0 Other
comp.insurance required]
'Any applicantthat checks box P1 must also fill out the section below showing theirworkers'compensation policy infbnnation.
Iiome0U`nM who submit this affidatit indicating they are doing all work and then hire outside Contractors must submit anew affidavit indicatin;sucli
Contractor;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 ant art employer that r:sprotdditrg tt,orkers'contperrsa.on irrsnratice for tt y erlrploJlees. Below is the policy and job site
information.
Insurance Company Name:.
Policy 9 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 DLA.for insuranye coverage verifation.
I do hereby certify to err r r rr f rjitry that the ir!ormation prJt4ded above is trite and correct.
Sr tore-- r Date: (f "—
Phone#:
Official use only. Do not write in this area,to be completed by city or tolvil o iciaL
City or Town: PermitlLicense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical In.spec:tor 5.Plumbing Inspector
6.Ot]rer
Contact Person: Phone#:
6
Town of B,arnstable
BARNSTABLE. • Regulatory Services
7 MASS. g. Building Division
p�EO MAC�
200 Main Street,Hyannis,MA 02601
Office: 508-862-4038
l
Fax: 508-790-6230
Inspection Correction Notice I
Type of Inspection �ole� A// fVaa 7—
r
Location 9-3 10*Al S? Permit Number /J
Owner Builder
One notice to remain on job site,one notice on file in Building Department.
The following items need correcting:
lge-?ST" C>c7�E�2/ai� ;
Gr���i� Dti s 2Af
Ty
• r
!
i
�f
I
J
Please call: 508-862-40Mor-rgeeica�a
Inspected by `
Date
f
-Parcel Detail Page 1 of 6
ti THE Yo�ry "�"`"w!!q"" --•.., , /�
-
Yppr .•" r
Logged In As: Pa I'Ce I Detail Tuesday,January 7 2014
Parcel Lookup
Parcellnfo
Parcel ID 155-024 I Developer
Lot
Location 1975 MAIN ST./RTE 6A(W.BARN.) I Pri Frontage 1175
Sec Road IMEETINGHOUSE WAY/RTE 149 I SeclFrontage 191
Village IWEST BARNSTABLE I Fire District JW BARNSTABLE
Town sewer exists at this address I No I Road Index 0955
Asbuilt Septic Scan: Interactive
155024 1 Map (W L a5
- Owner Info
Owner IMATTHEW J DUPUY,ADMIN I Co-Owner %MOZDEN, MARTHA S
Streets 19001 PARIS HILL ROAD I Street2
City ISALIQUOIT I State FNY I zip F13456 I Country I _J
Land Info
Acres 1.00 I use IMulti Hses MDL-01 ( zoning IWBVBD J Nghbd 0108
Topography Level ( Road Paved
Utilities I Gas,Well,Septic I Location
Construction Info
Building 1 of 2
Year 1626 I Root Gable/Hip ( Wood Shingle
Built Struct Wallall
Living 3728 I Roof Wood Shingle I AC None I
Area Cover Type 7
Style Conventional I wan Plastered i Rooms 4 Bedrooms Int Bed �� .. ,` z.
Int Bath
Model I Residential I Floor Pine/Soft Wood I Rooms 1 Full
Grade Average I Heat Hot Water I Total s
13 Rooms I ��
Type Rooms
_ llpp7-
Heat Found-
pries Stories 2.2 I Fuel Oil I ation Stone Ftgs I • ,I
Gross 5202 I -
Area
1 Building 2 of 2
Year 1900 I Roof Gable/Hip ( Ext(Wood Shingle
Built Struct Wall
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=l0384 1/7/2014
Parcel Detail Page 2 of 6
Living 1205 I Roof Wood Shingle AC None
Area Cover Type
Int Bed
Style I Ranch I Wall Minimum I Rooms 1 Bedroom ( iax -
In Bath
i :
Model rResidential ( Floor Pine/Soft Wood I Rooms 0 Full I ' 2s
Heat Total
�-
Grade --
Average Type None Rooms 1 Room
Stories 1 Story I Fuei und-
Gas I Hea F ation Poured Conc.
Gross 2410 I
Area
Permit History
Issue Date Purpose Permit# Amount Insp Date Comments
11/1/2010 Other 201005904 $2,000 3/8/2011 ISULATE AND DRYWALL
12:00:00 AM EXIST 12X12 ADD
9/28/2010 New Roof 201005123 $1,000 3/8/2011 REROOF SHED 12X12
12:00:00 AM STRIP OLD, RESIDE 50SF
5/23/1997 New Roof 23296 $1,600 3/16/1998 REROOF
12:00:00 AM
3/1/1994 Demolish B36577 $0 1/15/1995 WB BARN
12:00:00 AM
Visit History
Date Who Purpose
3/17/2011 12:00:00 AM Robin Benjamin Bldg Permit Completed
3/8/2011 12:00:00 AM Mike Keating New Construction
10/15/2010 12:00:00 AM Denise Radley Change of Address
2/1/2008 12:00:00 AM Paul Talbot Cyclical Inspection
5/19/2000 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
w Sales History
Line Sale Date Owner Book/Page Sale Price
1 6/20/2012 MATTHEW J DUPUY,ADMIN 26429/39 $0
2 5/15/1996 BATES, STEPHEN L ESTATE OF 10180/346 $100
3 1/15/1991 AUGENSTEIN, E ALFORD 7427/122 $100
4 8/15/1989 AUGENSTEIN, E ALFORD& BATES, STEVEN 6853/065 $1
5 8/15/1982 AUGENSTEIN, E ALFORD 3542/47 $0
6 12/23/2013 1 MOZDEN, MARTHA S 27902/273 $245,000
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2014 $303,000 $32,400 $2,200 $239,500 $577,100
2 2013 $303,000 $32,400 $2,300 $239,500 $577,200
3 2012 $300,200 $32,200 $1,800 $240,100 $574,300
4 2011 $393,900 $17,600 $1,900 $240,100 $653,500
5 2010 $393,800 $17,600 $2,600 $253,500 $667,500
6 2009 $400,200 $11,000 $1,200 $249,600 $662,000
7 2008 $397,100 $11,000 $1,200 $278,800 $688,100
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10384 1/7/2014
Parcel Detail Page 3 of 6
9 2007 $396,300 $11,000 $1,200 $278,800 $687,300
10 2006 $302,600 $11,000 $1,200 $273,000 $587,800
11 2005 $271,800 $11,000 $1,200 $181,500 $465,500
12 2004 $207,300 $11,000 $1,300 $181,500 $401,100
13 2003 $200,800 $11,000 $1,400 $75,600 $288,800
14 2002 $200,800 $11,000 $1,400 $75,600 $288,800
15 2001 $200,800 $11,400 $1,400 $75,600 $289,200
16 2000 $170,100 $9,500 $300 $42,100 $222,000
17 1999 $170,100 $9,500 $300 $42,100 $222,000
18 1998 $170,100 $9,500 $300 $42,100 $222,000
19 1997 $144,400 $0 $0 $42,000 $187,300
20 1996 $144,400 $0 $0 $42,000 $187,300
21 1995 $136,900 $0 $0 $42,000 $179,800
22 1994 $122,000 $0 $0 $37,800 $160,700
23 1993 $217,000 $0 $0 $39,600 $256,600
24 1992 $246,200 $0 $0 $44,000 $290,200
25 1991 $207,300 $0 $0 $99,000 $306,300
26 1990 $207,300 $0 $0 $99,000 $306,300
27 1989 $207,300 $0 $0 $99,000 $306,300
28 1988 $194,100 $0 $0 $40,000 $234,100
29 1987 $194,100 $0 $0 $40,000 $234,100
30 1 1986 1 $194,100 $0 $0 $40,0001 $234,100
Photos
6
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10384 1/7/2014
i
III
'ny1�, •�
T
yr�rYrs?:gtli3,•C'#r6�ftll�;xG,/.�:ecr. s ,,. I:��J ,
Imp
-S.'F.'� l7 ��lli�ll s a_ra1 I IlI•,.rn
_RI �£ i�� f�Ie`
T W` 111 1 F� ✓
.l.� �' :�.`!+ Jj t: '�': .I�• ..T. ft3..(y t -- 1� '� ry �.. i.g4
b.
i
�}�,,, fit^• l,,.�,��s{ f �,r(i fl 41;i�:I�
�b• `-off`?, ..:r!'L'`tr'��`{t�y'4�'„�� `�. .Y' .{.�y. X. _'ns..
S*S K?h
3 ,..Al
� (, y
1. !1 I
i
`�•{ ' 11 ,��ll Ali rw• � 1 11 �l���jjI.I� �4{#��+,
`'�." .� ��• N:ls {�F.S 3:. rig _.::.!�t""� `•���� ..v ��i.{)l r,.. � �,
tr�^�. �.•1�1 ,� 1'�: III•;E. �� �lk` N t=
R}t: � ('.�sy, >4 � .-il.:..�a:< ...+». �.f�l•.:s73.r:'Yay ,�)ta3G'? � Lr ttks {
�A�I"�j� `�►��►.. t j .. ei.�•1'+v�.,d�.. _i:w y �. - r_ i., �',
L t fJ ,
11I3•f2013 .t '? +r �"►� 11I13/2013 t .
P�.+ �.... •.h��_Y;-[.,�"�'%. .,i�a ;.Ye?4,n C r,y r.
r". i"�''f 13120I.3
:4 ��' `• V�y�2 �}� �' Wes/
1
.y
':�-,r'�'"*x� '>r_..�� i�+.l'�I113/201'3��• ti >�` `�.• 1,d:l.,r��,113
�,
ti
/. "f✓ +.ter' .,f':. �r4�• �.>. aN t! 1 r. I ,y tK� sr r.'.k
♦'-too
,,-�:
fir' t".Jt li '�-9C '� '!"':�ti. � t•u. 7T�4` ( r+,�i,.�r'{I '�y{
� %K�f. '�•J'�h� _ sx elf. �•5..'i� '' } �r '�' B �'/.\ t yiy7,y i+
�i. ;� y►vl..•.." f ma`s.-a' .�i
Lf C
f�r� �'i ,,;/� �� ;,��.��~F aa r tl Y � -a !L•.�� -,n.,,=.'.r. i:7••7 ',�"J rY�{`t`J14�`•i��:
i ,�.•s �1. ti� +..•,,,i.rti�vN'�"� 7. `iWP .�� 'if'i,•dF!r�'�'��w.�i.
b
f
a
�a�i-4
— �•_ ! 1 ►'t'�x-�... �l�t�tt�s�trc�xA• ; $ERR �>t� .3' _,,.
q$?y fiR
�P RL'�\I�ESTATEt � h '
Z �' ? cE'. Q
'� rtgg 'A p r �1. r r
.1. ..I ir��a,....ta"44,\.S�') .t`,ft,, :.�e: :i�:•sy:� �>:s
I
Parcel Detail Page 6 of 6
z.
F pt ,iq
M- ar
L v` w•, • �T ,a1�.
I ■■ � OF, $YSTOXIC PLACES
-'' GSP'dI615 'T
1111312013
c .kk
r. 6 '
Ar q
1 s.i
' § � V 9
in
wee
2-8
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10384 1/7/2014
I
Town of Barnstable, MA Page 1 of 1
Town of Barnstable,MA
Tuesday,August 73,2073
Chapter 240. ZONING
Article V. Accessory Uses
§ 240-46. Home occupation.
[Added 8-17-1995 by Order No. 95-1951
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) 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 volumes.
(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.
http://ecode360.com/printBA2043?guid=6559568 8/13/2013
i
Town of Barnstable, MA Page 1 of 1
Town of Barnstable, MA
Monday, October 3,2011
§240-24.VB-A and VB-B Business Districts.
[Amended 11-7-1987 by Art. 5; 10-4-1990 by Order No. 90-68; 2-20-1997; 1-7-1999; 3-11-1999 by
Order No. 99-058]
A. Principal permitted uses. The following uses are permitted in Subsections (1) through (5)
below in the VB-A and VB-B Districts, provided that in the VB-B District, no operation shall
result in the treatment, generation, storage or disposal of hazardous materials,except as
follows: household quantities; waste oil retention facilities for retailers of motor oil required
and operated in compliance with MGL Ch. 21 § 52A; oil on site for heating of a structure or
to supply an emergency generator:
(1) Single-family residential dwelling (detached).
(2) Retail store.
(3) Professional or business office.
(4) Branch office of a bank, credit union, or savings-and loan institution.
(5) Personal service business.
B. Accessory uses. The following uses are permitted as accessory uses in the VB-A District:
(1) Apartments, provided they are:
(a) Accessory to uses listed in Subsection A(2) through (5) herein; and
(b) Located above the first floor only; and
(c) Comply with the standards of§ 240-19A(10)(a) through (h) herein.
(2) Bed-and-breakfast operation within an owner-occupied single-family residential structure,
subject to the provisions of§ 240-11C(6) except Subsections (b)[1] and [2]. No more than
three total rooms shall be rented to not more than six total guests at any one time in the
VB-B Business District, and no more than six total rooms shall be rented to no more than
12 total guests at any one time in the VB-A Business District. No special permit shall be
required in the VB-A and VB-B Business Districts. For the purposes of this section,
children under the age of 12 years shall not be considered in the total number of guests.
C. Conditional uses. The.following uses are permitted as conditional uses in the VB-A District,
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) Restaurant or other food-service establishment, but not including drive-in restaurants.
(2) Gasoline and oil filling stations subject to the following:
(a) There shall be no sale of vehicles on the same premises; and
i
http://www.ecode360.com/print/BA2043/form?guid=6558496 10/3/2011
i
I
Town of Barnstable, MA Page 1 of 1
Town of Barnstable,MA
Wednesday,March 20,2073
§ 240-20. West Barnstable Village Business District.
Editor's Note:Former§240-20,0-7,O-z and O 3 Office Districts,as amended,was repealed 7-74-2oo5 by Order No.2005-700.
A.Purpose and intent.The purposes.and intent of this section is to guide development and redevelopment in West
Barnstable Village Business District so that it:
(1)Promotes a location-appropriate scale and traditional mix of business,institutional and residential land uses that
contribute to and respect the historic character and historic neighborhood development patterns.
(2)Acknowledges the historic context of the village and preserves or enhances historic buildings or other historic
resources.
(3)Protects and preserves the historic and scenic streetscape.
(4)Provides a variety of functions that support residents'day-to-day use of the district.
(5)Supports and enhances the diverse local economy and retains established village goods and service offerings.
(6)Preserves and protects the traditional New England village character of West Barnstable through architectural
design that replicates in scale and character the best examples of traditional neighborhood design from the historic
towns and villages of Cape Cod and New England to enhance the aesthetic quality of Barnstable as a whole.
(7)Conforms with the Old Kings Highway Regional Historic District Act.
(8)Is consistent with the Barnstable Comprehensive Plan and the West Barnstable Village Plan.
B.The following uses are permitted in the WBVBD,provided that no operation shall result in the treatment,generation,
storage or disposal of hazardous materials,except as follows:household quantities;waste oil retention facilities for
small-scale retailers of motor oil required and operated in compliance with MGL C.21§52A;oil on site for heating of a
structure or to supply an emergency generator.
(1)Principal permitted uses.
(a)Single-family residential dwelling.A single-family residential dwelling may be freestanding or attached to a
building also used for rfonresidential uses.More than one single-family residential dwelling per lot is permitted
as long as there is a minimum of one acre per single-family dwelling,but in no case will more than one principal
permitted single-family residential dwelling be contained in any one building.
�(b)Small-scale retail store.
(c)Professional,business or medical office.
(d)Office of a bank,credit union,savings and loan or other financial institution.
(2)Accessory uses.The following uses are permitted as accessory uses in the WBVBD:
(a)Bed-and-breakfast operation within an owner-occupied single-family residential structure,subject to the
provisions of§240-i1C(6)except Subsection C(6)(b)[i]and[z].No more than three total rooms shall be
rented to not more than six total guests at any one time in the WBVBD.No special permit shall be required in
the WBVBD.For the purposes of this section,children under the age of 12 years shall not be considered in the
total number of guests.
(b)Automated banking facilities(ATM)shall be located within a principal building and shall not be accessed from
the exterior of the building.
http://ecode360.com/print/BA2043/form?guid=6558432 3/20/2013
Town of Barnstable, MA Page 1 of 1
Town of Barnstable,MA
Tuesday,March 79,2073
§ 240-20. West Barnstable Village Business District.
Editor's Note:Former§240-20, 0-7, 0-2 and 0-3 Office Districts,as amended, was repealed 7-74-
2oo5 by Order No.2005-700.
A. Purpose and intent.The purposes and intent of this section is to guide development
and redevelopment in West Barnstable Village Business District so that it:
(1) Promotes a location-appropriate scale and traditional mix of business, institutional
and residential land uses that contribute to and respect the historic character
and historic neighborhood development patterns.
(2) Acknowledges the historic context of the village and preserves or enhances
historic buildings or other historic resources.
(3) Protects and preserves the historic and scenic streetscape.
(4) Provides a variety of functions that support residents'day-to-day use of the
district.
(5) Supports and enhances the diverse local economy and retains established village
goods and service offerings.
(6) Preserves and protects the traditional New England village character of West
Barnstable through architectural design that replicates in scale and character the
best examples of traditional neighborhood design from the historic towns and
villages of Cape Cod and New England to enhance the aesthetic quality of
Barnstable as a whole.
(7) Conforms with the Old Kings Highway Regional Historic District Act.
(8) Is consistent with the Barnstable Comprehensive Plan and the West Barnstable
Village Plan.
B.The following uses are permitted in the WBVBD, provided that no operation shall
result in the treatment,generation,storage or disposal of hazardous materials,
except as follows: household quantities;waste oil retention facilities for small-scale
retailers of motor oil required and operated in compliance with MGL C. 21 §52A;oil
on site for heating of a structure or to supply an emergency generator.
http://ecode360.com/print/BA2043/form?guid=6558432 . 3/19/2013
i
2011-138 AMENDING THE ZONING ORDINANCE-ADDING WEST
BARNSTABLE VILLAGE BUSINESS DISTRICT INTRO: 5/19/2011,
8/4/2011
Upon motion duly made and seconded it was
ORDERED: That Chapter 240, of the Code of the Town of Barnstable, The Zoning
Ordinance hereby amended as follows:
Section 1: (Shown in its entirety below.)
Amends Article III, Section 240-20 by adding a new zoning district titled West
Barnstable Village Business District(WBVBD)
Section 2:
Amends The Zoning Map of the Town of Barnstable, to rename the VB-B Zoning District
i located near the intersection of Meetinghouse Way (Route 149), and Main Street (Route
6A) in the Village of West Barnstable to WBVBD as shown on The Zoning Map of the
Town of Barnstable, Massachusetts Index Map dated June 7, 2011, and The Zoning
Map of the Town of Barnstable, Massachusetts, West Barnstable, Sheet 2 of 7 dated
June 7, 2011.
Section 3:
Amends Section 240-5, Establishment of Districts by adding "WBVBD—West
Barnstable Village Business District" to the listing of Commercial Districts
Section 4:
Amends Section 240-67 to delete "VB-B" and add in its place "WBVBD" so the section
now reads "Section 240-67 Signs in the CVD, OM, HG, TD, VB-A, MMVD and WBVBD
Districts"
Section 5:
Amends Section 240-125.B (1) (e) Use Variances by adding "and the West Barnstable
Village Business District (WBVBD)" after"(MMVD)" and by adding "and the WBVBD"
before the word "boundary" the section to read:
"Use Variances: To authorize variances for uses in accordance with the
provisions of this ordinance provided, however, that no such variances shall be
granted within three hundred (300)feet of the major arteries known as Route 28,
Route 132, Route 149 and West Main Street, within the Marstons Mills Village
District(MMVD) and the West Barnstable Village Business District (WBVBD) and
within 300' of the MMVD and WBVBD boundary.
Section 6:
Amend Chapter 240, by deleting references and regulations for the VB-B. Specifically:
A. Section 240-5, Establishment of Districts by deleting the "VB-B —Village Business.
B District"
B. Section 240-53, Landscape requirements for parking lots, table of"Landscape
Buffer Setbacks (in feet)to Parking Lots and Drives"
C. Section 240-24.A, that sentence that reads "provided that in the VB-B District, no
operation shall result in the treatment, generation, storage or disposal of
D
hazardous materials, except as follows: household quantities; waste oil retention facilities
for retailers of motor oil required and operated in compliance with MGL Ch. 21 § 52A; oil
on site for heating of a structure or to supply an emergency generator"
D. Section 240-24. B(2), that Part of the second sentence that reads "No more than three
total rooms shall be recited to not more than six total guests at any one time in the VB-B
Business District, and".
E. Section 240-24.D—all of the text in that subsection D, and
F. Delete the remaining VB-B references in Section 240-24 and the single reference in
Section 240-23. E (2).
Section 1:
To amend the Zoning Ordinance of the Town of Barnstable, Chapter 240 of the General
Ordinances of the Code of the Town of Barnstable, Article III, District Regulations by adding a
new Section 240-20 (now reserved for future use)West Barnstable Village Business District, to
read as follows:
§240- 20 West Barnstable Village Business District
A. Purpose and Intent: The purposes and intent of this section is to guide development
and redevelopment in West Barnstable Village Business District so that it:
1. Promotes a location-appropriate scale and traditional mix of business, institutional
and residential land uses that contribute to and respect the historic character and
historic neighborhood development patterns;
2. Acknowledges the historic context of the village and preserves or enhances
historic buildings or other historic resources;
3. Protects and preserves the historic and scenic streetscape.
4. Provides a variety of functions that support residents' day-to-day use of the district;
5. Supports and enhances the diverse local economy and retains established village
goods and service offerings;
6. Preserves and protects the traditional New England village character of West
Barnstable through architectural design that replicates in scale and character the
best examples of traditional neighborhood design from the historic towns and
villages of Cape Cod and New England to enhance the aesthetic quality of
Barnstable as a whole.
7. Conforms with the Old Kings Highway Regional Historic District Act;
8. Is consistent with the Barnstable Comprehensive Plan and the West Barnstable
Village Plan.
The following uses are permitted in the WBVBD, provided that no operation shall result in
the treatment, generation, storage or disposal of hazardous materials, except as follows:
household quantities; waste oil retention facilities for small scale retailers of motor oil
required and operated in compliance with MGL Ch. 21 § 52A; oil on site for heating of a
structure or to supply an emergency generator.
A. Principal permitted uses.
1. Single-family residential dwelling. A single family residential dwelling may be free .
standing or attached to a building also used for non-residential uses. More than
one single family residential dwelling per lot is permitted as long as there is a
minimum of one acre per single family dwelling, but in no case will more than one
principal permitted single family residential dwelling be contained in any one
building.
2. Small scale retail store.
3. Professional, business or medical office. -
4. Office of a bank, credit union, savings and loan or other financial
institution.
B. Accessory uses. The following uses are permitted as accessory uses in the WBVBD:
1. Bed-and-breakfast operation within an owner-occupied single-family residential
structure, subject to the provisions of§ 240-11C (6) except Subsections (b) [1] and
[2]
No more than three total rooms shall be rented to not more than six total guests at
any one time in the WBVBD. No special permit shall be required in the WBVBD.
For the purposes of this section, children under the age of 12 years shall not be
considered in the total number of guests.
' 2. Automated banking facilities (ATM) shall be located within a principal building and
shall not be accessed from the exterior of the building.
3. Accessory apartments as provided for in The Town of Barnstable Code, Chapter 9
Affordable Housing, Article II Accessory Apartments and Apartment Units.
C. Special Permit Uses. The following uses are permitted provided that a special permit
is first obtained from the Special Permit.Granting Authority(SPGA) subject to the
provisions of§ 240-125C herein and subject to the specific standards for such uses
as required in this section:
1. Artisans and craftspeople
2. Personal service business
3. Windmills and other devices for the conversion of wind energy to electrical or
mechanical energy subject to the provisions of§ 240-44.1
D. Special Permit Performance Standards. In addition to the standards for the grant of
a special permit set forth in § 240-125C, the grant of any special permit within the
WBVBD requires findings to support that the development meets the following
criteria:
1. Is compatible with and supports the purpose and intent of this section;
2. Mitigates impacts to safety and congestion from development;
3. Protects and preserves water supply for both drinking water and fire protection;
4. Stormwater shall be contained on site and mitigated using best management
practices;
5. Manages waste, by-products and other debris that may be associated with artisan
and crafts use in a manner compatible with abutting or nearby residential uses;
6. Does not generate noise, vibration, smoke, dust or other particulate matter, odors,
heat, glare or intrude with similar nuisance on abutting or nearby residential uses;
7. Storage of all raw material and finished product associated with artisan or craft use
shall be stored within a duly permitted permanent structure. All outdoor storage
associated with artisan or craft use is prohibited.
8. Deliveries may take place not sooner than one hour before, or later than one hour
after the permitted operating hours of a business.
9. Vehicles are prohibited from running motors, refrigeration units or other mechanical
units outside of permitted hours of operation.
E. Bulk Re ulations.
Minimum Yard Setbacks
Maximum
Minimum Minimum Maximum Lot
�oFr�r>owti Town of Barnstable
*Permit#
oleo!/ of issue dote
Regulatory Services Erpires 6 Fee
'�' s.ARVSTAHLE, +
y #ASS.
�659- Thomas F. Geiler, Director
Building Division �-
G
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 15-15- N�
Property Address r
Residential Value of Work ��1I,�0 Minimum fee of$35.00 for work under$6000.00
Owner's Name & Address /� �/ � �� 40�?011X1fi-W14T &
Contractor's Name_ /IM �pj,�,M�/� h/
Telephone Number
Home Improvement Contractor License #(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance ®�$�
Ch k one: a?
Ei I am a sole proprietor S�P %
❑ I am the Homeowner TA6L�
❑ I have Worker's Compensation Insurance -CoWN 0f BA RNS
o
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request (check box)
s 4" Roo F ►a')clo2(
VRe-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to_f' w— %
❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof)
fe Re-side APPDX 5-0 Sk
#of doors
❑ Replacement Windows/doors/sliders. U-Valtre (maximum .35) #of windows
*Where required: Issuance of this permit does not exempt compliance with other town department regulations, i.e. Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Per s on.
A copy of the Home Improvement Contractors Li se struction Supervisors License is
requ' ed.
3IGNATUIZE:
):\WPFILES\FORMS\buildingpermit forms\EXPRESS.doc
revised 072110
v..
AW
i
The Conunorrwealllr of Massachusetts
-- --- Department oflnduslrial.4ccidenls
= Office of Lrnestigafions
600 Washbiglon Streel
Boslol'!r !1'M4 02111
fnnmf.mass.govldia
Workers' Compensation Insurance AMfda-v t: Builders/Contr.-tctoi-sJElectiicians/PI:umbers
Applicant Information Please hint Legibh
Name: (&isroes&P)rgauizedonrIndividrtal).- MW Val W
Address: P.D. toy, 6
City/State/ZIP: ,!T P11.01-le # V� — ,2
Are you an employer?Check t e appropriate box.: Type of project(required:
L.❑ I am a employer with 4. ❑ I am a general contractor And I
employees(full and/or part-time). have hired the sub-contractors 6_ ❑.New constnTctrou
2.. I am a sole proprietor orpartner- 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'
IN workers' comp.insurance comp-insurance..
i 9. �.Bui{Iling addition
required.] 5. ❑ We are.a corporation.and its 10.❑Electrical repairs or additions
3.❑ 1 am a.homeowner doing all work afficers have exercised their I LE]Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL 12.VRoof repairs
insurance.required.] T c. 152, §1(4),and we have n•o
employees. [No worirers' 13..0 Other
comp.insurance.required]
•Any appticaut durchecks box#1.must also fillout the section below shooing theirworkers'compensa:bon policy information-
Homeowners who submit this.affidsvit indkating they are doing all wok and then hire outsidecontractors must submit.a uew affidavit indicating such.
!Contractors that check this box must sttachM as sdditionai:sheet showing the:nsme of the sub-contractors and state vrbeth-er or not fhose entities.have
employees. Ifthe sub-contsactors:bsve employees,ihey.must provide their workers'comp.policy number.
I am an enrplo}ar thnf isproniding rt�orkars'courperasatiort insarrn.rrce for rrty errryla}ease Belowr is thepolicp anal jo.b site
information,
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date.
Job Site Address: City/StatE/Zip:
Attach a copy of the workers' compeirsation policy declaration page(s,ho►ving 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 pena.l.ties of a
fine up to S1.,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP'VVORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be fom arded to the Office of
Investigations of the D.IA far insurance coverage verification,
I do hereby certify under thepains and pe ralties of uedury that the inforruatiorr provided above is trite and correct.
Simature: AU Date: `/7/O
Phone M
O ciaZ use only. Do not write in this area,to be completed by city or town pfficiaL
IL
n: Permit/License# .
ority(circle one):
ealth 2.Building Department 3.G'ity/Fown Clerk 4.Electrical Inspector 5.Plumbing Inspector
on: Phone#:
6
s•
I
e, OF THE
a s
� INSTABLE, �
1639.Ass. Town of Barnstable
Arf�MA'I A
Regulatory Services
Thoinas F. Geiler, Director
Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnsta ble.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
_ _ f......
as Owner of the subject property 72!�r
hereby authorize IV#Rr- tba to act on my behalf,
in all matters relative to work authorized by this building permit application for:
9n /`yx s7- w R)ar 4wR&y
(Address of Job)
gna e of Owner Da
,SiPrint Name �f%1Ayr� O Qx��
If Property Owner is applying for permit, please complete the Homeowners License Exemption'Form on the
reverse side.
Q:\WPFILESTORMS\building permit forms\EXPRESS.doc
Revised 07211
0lHE r°,sy Town of Barnstable
Regulatory Services
♦ r
" iaAj4STABLE,
JASS. Thomas F. Geiler, Director
639. N1b -Building Division
Tom Perry, Building Commissioner
i
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 548-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER"
name home phone 1/ work phone N
CURRENT MAILNG ADDRESS:
city/town state zip code
The current exemption.for"homeowners"was extended to include owner-occupied dwellings of six units or Less and to allow
homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor.
DEFINITION Of HOMEOWNER
Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form
acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building,permit (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws, rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements and that he/she will comply with said procedures and requirements.
Signature of Homeowner
i
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 stales 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 ofconstruction 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 I amend and
adopt such a form/certification for use in your community.
i
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 072110
Zoo'd Iv101
Commonwealth of Massachusetts
The Trial Court
Barnstable Division Probate and Family Court Department Docket No. 08P0379AD-1
Administration with Sureties
Name of Decedent Stephen L. Bates a/Wa Stephen Louis Bates
Domicile at Death 975 Main Street West Barnstable Barnstable 02668
(street and No.) (City or Town) (County) (Zip)
Date of Death February 11,2008
Name and address of Petitioner(s) Corey R. Bates 979 Falmouth Road,Apt. D-11, Hyannis,MA 02601 _
Tammy-R:-Bates,-pa rentand.Acxt•fnend-ofJaime N-Bates,.a minor��:
979 Falmouth Road, Apt_D-11, Hyannis,MA 02001 Status son/daughter
Heirs at law or next of kin of deceased including surviving spouse:
Name Residence Relationship
(minors and incompetents must be so designated)
Corny R. Bates 979 Falmouth Road,Apt.0-11, Hyannis, MA 02601 son
Jaime N.Bates 979 Falmouth Road,Apt.D-11,Hyannis, MA 02601 daughter(minor)
Lisa M. Furlani-Bates 975 Main Street,West Barnstable, MA 02668 spouse
® The petitioners hereby certify that a copy of this document, along with a copy of the decedent's death certificate has
been sent by certified mail to the Division of Medical Assistance, P.O. Box 15205, Worcester, Massachusetts
01615-9906,
Petitioners pray that Matthew J_DupuY
in the County be
of 25 Mid Tech Drive,West Yarmouth, MA 02673 of Barnstable appointed
administrator of said estate, with surety on his bond, and certify under tho penalties of perjury that the
foregoing stat?menig are true to the best of their knowledge and belief.
Date /d P�' Signature(s) J
lu - -
Tre undersigned hereby assent to the foregoing petition.
O �
:r� DECREE
All persons interested having been notified in accordance with the law or having assented and no objections
being made thereto, it is decreed that Matthew J'. Dupuy
in
of Yarmouth West in the County of Barnstable the
be appointed of said estate first giving
County of administrate)- bond
with XXX sureties, for the due performance of said trust.
Date
USTICE THE PROBATE AND pAMIIY COURT
900/zo0'd 65:90 0I0Z-8Z-dSS
Office of Coumer airs ness egu ah'one License or registration valid for individul use only '
_ — HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
x _ Registration:�,r�a109558
12 Type: Office of Consumer Affairs and Business Regulation
,
Expiration: 9X21(2012 Individual 10 Park Plaza-Suite 5170
-- -- Boston,MA 02116
MARK VOLLMER}w ja
1455 SANTUIT NEW,T0:1NN'RD
COTUIT, MA 02635t
Undersecretary
Not valid without signature
Massachusetts- Department of Public.SafetN- '
A. Board of Building Rc�ttlations unit St:ibduriJs
Construction Supervisor License
License: CS 47667
Restricted to: 00 .• .
PHILLIP M VOLLMER P�
PO BOX 64
COTUIT, MA 02635
Expiration: 9/1/2011'
('o"If"ksiuner Tr#: 2260
Engelsen, Jennifer
From: Niemi, Maureen
Sent: Tuesday, September 28, 2010 9:03 AM
To: Engelsen, Jennifer
Cc: Niemi, Maureen
Subject: Parcel 155-024 975 Main Street/Rte 6A, W. Barnstable
Dear Jennifer,
Please be advised that I have had a conversation with Attorney Matthew Dupuy regarding the above property that is
severely behind in real estate taxes; however, I will authorize a building permit to be issued in order to get the property in
condition to sell. Attorney Dupuy expects payment to be made within one month.
If you have any questions, please do not hesitate to contact me at 508-862-4055.
Very truly yours,
Maureen E. Niemi
Maureen E. Niemi
Town Collector
Town of Barnstable
P.O. Box 40
Hyannis, MA 02601-0040
Tel: 508-862-4055
Fax: 508-790-6310
Email: maureen.niemi@town.barnstable.ma.us
1
a
` f r s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 87!� QZ Parcel.' Application
Health Division Date Issued � .-,,t
Conservation Division Application Fee
Planning Dept. Permit Fee-
Date Definitive Plan Approved by Planning Board ,
Historic - OKH Preservation / Hyannis
Project Street Address q76- MA//i sT Rr 6A
Village WE5r &W3MB1, �.
�JE.1'T7S�ii.K •
Owner/41A77—IAO-✓ S O�Pt/ O�0/ti/-f", mAddressc;2-r
p 7 efrrm e,4 7;�-
Telephone
Permit Request 146"Ilr ANO DOWN, V45T/Al- . /07'X12� Ao6rtmy
®VAy I/ic/Z R-ASS Tt6atA71a,41.
Square feet: 1 st floor: existinggffproposed 2nd floor: existing / proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuatio rX000 Construction Type
Lot Size �� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family G0 Two Family ❑ Multi-Family(# units)
Age of Existing Structure Z6 -f Historic House: m Yes ❑ No On Old King's Highway: W/Yes ❑ No
Basement Type: Full 5/Crawl 0 Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing o new
Number of Bedrooms: existing —new o �; -
,� o 0
Total Room Count (not including baths): existing ��new First Floor R Count o
Heat Type and Fuel: ❑ Gas —/ ~ o
yp ltd Oil ❑ Electric ❑ Other � �
� oa
Central Air: ❑Yes I(No Fireplaces: Existing_0New Existing wood/ al stoveb0 Yea ❑ No
cn
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ e isting [;�PevsPize_
00
Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: w n
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION r
-(BUILDER OR HOMEOWNER) —
Name /11W � � Telephone Number W ✓/A
Address r�•�- ► p lam► License # ds 41�60
W It ,y 14 W Home Improvement Contractor# l oqm
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 8YdA946'
SIGNATURE WAJ �� DATE A712 rD
f �
y
f \� FOR OFFICIAL USE ONLY . . .
j APPLICATION#
eDATE ISSUED
q MAP/PARCEL NO.,
j' ADDRESS. VILLAGE
1 OWNER
f DATE OF INSPECTION:
> ti
FOUNDATION! -
FRAME 2,--g-'k 1 or.
f { INSULATION Id1iUs
FIREPLACE
y ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
4 GAS::-- (YAI T-ROUGH FINAL '
FINALYBU.WD.ING&v t�
DATE CLOSED OUT
t
�t ASSOCIATION�PLAN NO. �
r
The Commonwealth of Massachusetts
r Department of Industrial Accidents
t. Office of Investigations
600 Washington Street
\ Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information rr Please Print Legibly
Name (Business/Organization/Individual): /1) VQU.w
Address: RD. tty, (0q
City/State/Zip: MA QZ63!5_ Phone #:
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
mployees(full and/or part-time).* have hired the sub-contractors
2.LV I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. '❑ We are a corporation and its
officers have exercised their ]0.❑ Electrical repairs or additions
required.]
3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §](4),'and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#I 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.
xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
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 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 's true and correct.
r
Signature: /�/� V al Date: /0/o2F VO
Phone#:
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: PermitLL,icense#
Issuing Authority(circle one):
l..Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other.
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract.of hire,
express or implied, oral or written."
An employer is defined as"an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or.trustee of 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 burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 5-26-05
www.mass.gov/dia
I,
y��oFtHE Tq,,�� Town of Barnstable
i Regulatory Services
vsn MASS. Thomas F.Geiler,Director
1639.
�ATEDnM�a�O 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
�9��� -✓ �/'. 0.�� �,.�.�•�s�s,A�..� of T,�=
� 1'�✓�� of J'7'<,0.� B.97L�'
I, ''M��,111',�,, , as Owner of the subject property
reby authorize IIARk fg to act on my behalf,
in all matters relative to work authorized by this building permit application for:
9 /v 57" u�rrMmw
(Address of Job)
/D 1p
eElate
Print Name �' 1
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
QTORMS:OWNERPERMISSION
ti
SHE
Town of Barnstable
�pP r�ti
Regulatory Services
BARNSTABLE, Thomas F.Geiler,Director
9 MASS.
s679• Building Division
CEO a Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
-----------------
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town ' state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and
to allow homeowners to engage an individual for hire who does not possess a license,piovided 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)
i
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations.
The undersigned"homeowner"certifies.that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/sho,will comply with said procedures and
requirements.
Signature of Homeowner
I
Approval of Building Official c'
Note: Thidi;=,.;Im Wwelliiigs,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
Office�fOoOme�' t airs i,�sines 'one License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: t 1.09558 Type: Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
Expiration: _9%21:72012 Individual
Boston,MA 02116
M VOLLMER;-` '�_
MARK VOLLMER\,\
1455 SANTUIT NE�Q.UVN•'f2D� <( �
COTUIT, MA 02635 :,,-_¢ Undersecretary Not valid without signature
Massachusetts- Department of Puhlic Safety
Board of Building Regulations and Si.`;.,'idurds
1f/ Construction Supervisor License
.License: CS 47667
Restricted to: 00 yl
PHILLIP M 'VOLLMER•
PO BOX 64 .
COTU IT, MA 02635• .
Expiration: 9/1/2011
Commissioner Tr#: 2260
Town of Barnstable
0
Regulatory Services
r
• r
• BARNSTABLE, r
MASS. g Thomas F. Geiler, Director
Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
October 20, 2010
Attorney Matthew J. Dupuy
Ardito, Sweeney, Stusse, Robertson & Dupuy, P.C.
Attorneys At Law
25 Mid-Tech Drive, Suite C
West Yarmouth, MA 02673
RE: 975 Main Street, West Barnstable
Dear Attorney Dupuy,
This is in regards to your letter of October 18, 2010, regarding 975 Main Street (Rte
6A&149) in West Barnstable. There seems to be some confusion as to why a stop work
order was posted at this address. The reason for the stop work order has nothing to do with
the so called sun porch; the reason for the stop work order was the fact that much of the
interior of this house has been torn apart. This was the reason for the stop work order
being issued. So to rectify this please have the contractor apply for and obtain the
necessary permits.
Very truly urs,
I.
omas Perry, CB
Building Commissioner
6
ARDIT02 SWEENEY, STUSSE, ROBERTSON 8t DUPUY, P.C.
ATTORNEYS AT LAW .
25 MID-TECH DRIVE, SUITE C
WEST YARMOUTH, MA 02673
(508) 775-3433 Telephone
(508) 790-4778 Facsimile
Edward J_Sweeney,Jr. Charles J.Ardito,P.C_
Michael S.Stusse _
Donna M.Robertson Of Counsel
Matthew J.,Dupuy Thomas P.Carpenter
Charles M.Sabott
Kelly S.Jason
Tracey L Taylor PLEASE REFER TO
FILE NO.E3088D
October 18,2010
Sent via Facsimile to: (508) 790-6230, and
Sent via First Class Mail to:
Tom Perry, Building Commissioner
Town of Barnstable-Building Division
200 Main Street,
Hyannis, MA 02601
RE: Estate of Stephen Bates,Residence at 975 Main Street (Rt. 6A and 149),
W. Barnstable, MA
Dear Mr. Perry,
I am the administrator for the Estate of Stephen Bates.
Your office recently ordered a"work stoppage" on the estate property at 975
Main Street (Rt. 6A and 149), W. Barnstable,MA, based on an apparent failure to obtain
a construction permit for a sunroom addition.
Please be advised that the construction on the residence(sunroomm) is
approximately twenty (20) to twenty five(25) years old.
As you know, Chapter 40A Section 7 outlines the statutory time limit of ten (10)
years on actions relating to alleged building permit violations. The statute reads, "...no
actiort,...the Effect or purpose of which is to compel the removal, alteration, or relocation
of any structure by reason of any alleged violation..., shall be maintained, unless such
action, ... is commenced ... within ten years next after the commencement of the alleged
violation."
7
w 600'd gV101
Furthermore,in contrast to the six-year statute of limitations,which explicitly
covers both structural violations.and use violations,the ten-year period of zoning
violations covers only structural violations. Lord v. Board of Appeals of Somerse[, 30
Mass. App. Ct. 226 (1991).
The heirs and I are anxious to ready the house for sale. l would be happy to pay a
fee for a building construction permit.
Kindly contact me as soon as possible.
Very o s,
MA 'HEW J. DUPUY
MJD/atd
Cc: Robert McKechnie,Building Inspector
Mark Boudreau, Esq.
Gerald Garrick, Esq.
I '
ARDITO, SWEENEY, ST.USSE, ROBERTSON & DUPUY, P.C.
ATTORNEYS AT LAW
25 MID TECH DRIVE, SUITE C
WEST YARMOUTH, MASSACHUSETTS 02673
Telephone (508) 7.75-3433
Facsimile (508) 790-4778
FAX TRANSMITTAL
DATE:
FAX NO:
FROM:
PLEASE DELIVER_-�_Pages (including cover)
MESSAGE:
Original will follow:YES_NO
The Documents accompanying this FAX transmission contain information from ARDITO.SWEENEY,STUSSE.ROBERTSON&DUPUY
which is CONFIDENTIAL. Please contact sender at 508-775-3433 if you have not received the number of pages noted above or
if there are any problems with this transmission. If you have received this FAX in error please notify us immediately so that we
can arrange for the retrieval of the original documents at no cost to you.
i
� P
_ ; �
. .
I
NEW HOUSE SUBMITTAL SCHEDULE
If Submitted By Will Not Be Issued Before*
December 17-December 30, 2009-----------------------------------------------------January 13, 2010
December 31 -January 13, 2010--------------------------------------------------------January 27, 2010
January 14-January 27, 2010-----------------------------------------------------------February 10, 2010
January 28-February 10, 2010-----------------------------------------------------------February 24, 2010
February 11 -February 24, 2010--------------------------------------------------------March 10, 2010
February 25-March 10, 2010-----------------------------------------------------------March 24,2010
March 11 -March 24, 2010-------------------------------------------------------------April 7, 2010
March 25 -April 7,2010----------------------------------------------------------------April 21, 2010
April 8-April 21, 2010--------------------------------------------------------=---------May 5, 2010
April 22.-May 5, 2010-------------------------------------------------------------------May 19,2010
May6-May 19, 2010--------------------------------------------------------------------June 2, 2010
May 20-June 2, 2010--------------------------------------------------------------------June 16, 2010
June 3 -June 16, 2010--------------------=--------------=------------------------------ -June 30, 2010
June 17-June 30, 2010------------------------------------------------------------------July 14, 2010
July 1 -July 14, 2010----------------------------------------------------------------------July 28, 2010
July 15 -July 28, 2010--------------------------------------------------------------------August 11, 2010
July 29-August 11, 2010--------------------------------------------------------------August 25, 2010
August 12-August 25, 2010---------------------------------=------------------------September 8, 2010
August 26-September 8,2010--------------------------------
------------------------September 22, 2010
September 9-September 22, 2010----------------------------------------------------October 6,2010
September 23 -October 6, 2010------------------------------------------------------October 20, 2010
October 7-October 20, 2010---------------------------------------------------------November 3, 2010
October 21 -November 3,2010------------------------------------------------------November 17, 2010
November 4-November 17, 2010---------------------------------------------------December 1,2010
November 18-December 1, 2010---------------------------------------------------December 15, 2010
December 2-December'l 5, 2010---------------------------------------------------December 29, 2010
December 16-December 29, 2010---------------------------------------------------January 12, 2011
December.30-January 12, 2011----------------------------------------------------January 26,2011
*The Building Department has 30 days to review permits.
• ti►RxeruuB, •
The 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
August 4, 1995
Mr.E. Alford Augenstein
975 Main Street
West Barnstable,MA 02668
RE: Map/Lot- 555. 224
Dear Mr. Augenstein:
This office has no record of a building permit to authorize the recent addition to the south side of
the above referenced building.
Please contact this office immediately regarding this matter.
Very truly yours,
1 Ma n
Building Inspector
AM:lb
g950804b
I
4j
i
75--
/A ��
tl�
' � ♦ X
>. s. �
.. ,. i � .
S � ..
i� c ,
` - � w
�)
k
i
I
�� �
i . . -
c
Assessor's office(1st Floor): -
Assessor's map and lot number 5 s oZ C_ c�TM c tp
Conservation(4th Floor): ew
Board of Health(3rd floor): 4= •
Sewage Permit number ; r' r sAUYAntt S
m o
Engineering Department(3rd floor): ' I y t' °''>?�639'6���
0 gal
House number' ,
Definitive Plan Approved by Planning 8oarard 19 '
APPLICATIONS PROCESSED 18:30,9:30 A.K and 1.00-2:00 P.M.only '
,TOWN . OF BARNSTABLE
!BUILD G INSPECTOR
-- en 8a ,APPLICATION FOR PERMIT TO I
I ANA6
c �
TYPE OF CONSTRUCTION _ b
t 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 4 V? S r(.e /y � •o �
Proposed Use
i
Zoning District Fire District
Name of Owner_— Address
Name of Builderlg�LA Address
Name of Architect Address
Number of Rooms Foundation
Exterior Roofing
Floors Interior
Heating Plumbing
Fireplace Approximate Cost
Area
Diagram of Lot and Building with Dimensions Fee
L
appG�Od�D
WEST BARNSTAB E
FIRE DE P T
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS ✓�(
DATE CHIEF
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name
Construction Si Ipervisor's License
AUGENSTEIN,• E. ALFORD +
No 7 Permit For Demolish darn
Destroyed� by Fire
Location 975 Main Street
West Barnstable
Owner E.• Alford Augenstein 'S
Frame
Type of Construction
Plot Lot ' -
i
Permit Granted March, 31, 19 94
Date of Inspection:
Frame 19
Insulation 19—
Fireplace 19
Date Completed 19
•
C3►J
The Town of Barnstable
• uaxer,+B�, •
1659.. 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 Iv(/k S'r • Building Commissioner
sTER t?P\-r t-�
—1�- 99
L SF)6ve W,%T:4-
caM?LA"j
Pr900r y1042K w/o epC,� _ t-kle Pr D N1 TV&D
QC- 9U tL 0 G 2-- eCV-j pcf\-)b \�
�cN D �LSo �� REc��2�n�c �►�' � tZ. �
cog rt t?N?E WO(ZV FQoru Q V R- k42e-
r Q 7
i ..
�E
The 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 Commis
For office use only'
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements. ao
Vl Type of Work• -- 4 Est. Cost_ b�C>
,-,,"Address of Work: '7 ""
�1
Owner's Name
Date of Permit Application: J
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
=Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Registration No.
n
w '
T/rc• Curtrnrurtli•culth (if:ltassucbusctts
Depurtmcfrt ojlrrJirstriul.-�ccirlcfrts
• i 'i iY �';�� ' p�ceellayestJgatlons
`� `• i i 6i
_,��;;;• �i':;, 6111/ If i=shitt;gun Street
t4.; _,.• Busrutr.,4tuns. 03111
1 ,•'
Workers' ComPcnsation Insurance At�tid:t�•it
AjiRGWt inf rm inn•
�amc• -�
-A-
I am a homeowner performing ail work myself.
I am a sole proprietor and have no one working in any capaciry
I am an employer providing workers' compensation for my employees working on this job.
entn ,am• ntamr!
•atitl tree• ,
ltnne f!•
N—
lit,•�! _..� .—_._...
incurnncc cn. _ - ..-- -•---.... - •� -
[I I am a sole proprietor. ;eneral contractor, or homeowner(circle ant) and have hired the contractors listed beiow N
the foilowina workers' compensation polices:
cnm nn%• natne-
ltltlrccc�
• hnnc al•
tin-
t•nm ant• mint•'
ltitirc�c' '
itnne it•
rats•-
insur:tnr en
.. ♦. ...�......r: ••••'...•y r��ir..J.�..�..vet '..::w—:-.�': —._r:.
Attach additional shclt if neeaiacv •�'"-'::�:= -•''�""'�'�
Failure tit secure coverage as required under section 25A of pIGL 152 can lead to the amposttion of cnmtnal penalties of a line up to SISOU.UU
une cars' imprisnnmcnt as troll is civil penalties in the form of a STOP'".ORK ORDER and a tine of SI00.00 a dad•against me. I understanc
cope of this statcntent may be furn nrdcd to(he Oltcc of Im estigations of the DIA for coverage�erification.
I r10 herehr certif y tutder tltc pates and penalties of perj"n•t/rat the iajormarion prodded above is true uitd correct
/ Date
Signature v
Phone~
Print name
y�.�.�.rr...
'rofTiciai use unit/ do not write in this area to 6e completed b� tits'or town atTiciat
permitilicense i# ritluilding Department
cite or town: Licensing Huard
Oscicctmcn s ORcc
__ ._.,,,•,L;.renuired r-llrsi*th Dcnartment
•r.
.assachusetts General Laws chapter 152 section 25 requires all employers to provide workers• compensation far•t,hci
nPloyees. As quoted from the "la��". an emtp/gree is defined as every person in the service o1 another under anv
>ntract of hire:express or implied. oral or written. -
► emplt tr r is;del►ncd as an individual. partnership. association. corporation or other legal entity. or anv two or more
fore-oit:�_ en,,a�:ed in a Joint enterprise. and including the legal representatives of a dcccasctl employer. or the
=civer or trustee of an individual . partnership. association or other legal entity. employing employees. However the
mer of a dwelling= house having not more than three apartments and who resides therein. or the occupant of the
-cilin�_ house of another who employs persons to do maintenance , construction or repair work on such dwelling_ hou;
an tlt: __rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.
3L chapter 152 section 25 also states that every state or local licensing agency sltall withhold the issuance or
icival of a license or permit to operate a business or to construct buildings in the commonm•calth for sn-
j Aicant who has not produced acceptable evidence of compliance tvith the insurance covernge required.
Jitionaliv. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
iorntattce of public work until acceptable evidence of compliance with the insurance requirements of this chapter Ita
:i presented to the contracting authority.
)hcants
se fill in the %vorkers' compensation affidavit completely, by checking the boa that applies to your situ::;:on and
,]yin__ company names. address and phone numbers as all affidavits may be submitted to the Department of
strial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
ovit should be returned to the city or town that the application for the permit or license is being requested.
lie Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required
:ain a workers' compcnsation policy. please call the Department at the number listed below. .
or 'towns
be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
Tidal-it for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas
-e to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
:partmettt by mail or FAX unless other arrangements have been made.
ffice of Investi=ations would like to thank you in advance for you cooperation and should you have any questions.
do not hesitate to 1-11ve us a call. .
eparttnent's address. telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents i
office ct Investigations
600 «'ashington Street
Boston,Ma. 02111
fax #: (6I7) 727-7749
phone #: (6I7) 7274900 ext. 406, 409 or 375
r '
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
P1 se Irint. .
DATE
,�I JOB. LOCATION
Number Street address Section of town
u
HOMEOWNER"
-eS
Name Home phone Work phone .
fir•
PRESENT MAILING ADDRESS
City town State Zip code
The current exemption for "homeowners" was extended to include owner-occuDi
dwellings of six units or less and to allow such homeowners to engage an in
dividual for hire who does not possess a license, provided that the owner
acts as suDeryisor.
DEFINITION OF HOMEOWNER:
Person (s)' who owns a parcel of land on which he/she resides or intends to r
side, 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 structure
A person who constructs more than one home in a two-year period shall not b.
considered a homeowner. Such "homeowner" shall submit to the Building Offi
on a form acceptable to the Building Official, that he/she shall be resnons
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes . responsibility for compliance with the
Building Code and other applicable codes, by-laws , rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
Barnstable Building Departunent minimum inspection procedures and requirement
. and that he/she will comply it said rocedures and requirements.
HOMEOWNER-IS SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
,lyfit
I r is"`�„�i �''✓ ✓�1r�/l��'�� +` `r.'"""'t�... n
�t��,.' _ 'I�,t-�✓ :,a/ �l.rt:YyL�.y�••�pya_'�u r� ��01 y .9�e
T fit,.: - _•+Ii� � Ii�d f 11 .1 =...'.`.,►� -.a.`
���'�•' � "CC � �O i1 h .e w '
r �1.�11•��' �� �r��L y.a v- ti �iir^'T,'. .` P
Z,` ty��' 4f �`°V` rr,r rT✓,, -x�, g 'M•r¢7 tQ
I •. f..q,+•S Y^—• r' ,FaaiLr_� '. �� _.. . '. 1�->Y a+'•'�.�,, 6{,j�, ,c(
6 ..r7 t 9 s• �y# f„ � .
� }f r^ t��' r.'?.i ``=2,��T��Y�(_":' i {���`�• •�3�4'p.�,, Ii�� .1 cc���. •p7y.'��M��{.3et�S, �+ 'r
r
F \l F
is
�O
pno 0ow
All
j t
74-\ 0,
Y
TIM
f b
L t 3 IN x 7 ti tinol
b o b o
F \ TIN \
O '
Application to 1997 0 ,59
Old King's Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: ❑ New Building ❑ Addition 2t Alteration
Indicate type of building: M House ❑ Garage g ❑ Commercial ❑ Other
2. Exterior Painting: CK
3. Signs or Billboards: ❑ New sign ❑ Existing sign g ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY DATE_��-
ADDRESS OF PROPOSED WORK CS RA�W ,p, � \�P ASSESSORS MAP N0. 15S
OWNER `Q��PR ASSESSORS LOT NO.
HOME ADDRESS VJ-%V\ AnVXQ na- LPAAt YYI TEL. NO. ��17�5-ZLI1 I
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Atl a'"ch additiona sheet if ne ess y).
S��P2fi
--i 2-!yqe' /Vn4i rl ghD! cP Llmy tu. t3 lf��P IyJi� OZG4S
�j�Dn o� 6s �. e-367 m.��nyA�•�,�s �A oZ o�
h �C. -�� t'n pd fox Si��" lc/ .4�► S��,J/ a
A�fi9. Col //1> �/�9r1�1 INN hAl2e 6� Gv {i/ c%,S e . //7 RZ ozsgi
-t /1 i o cv Z Z YY� 1 v�J• ✓�SPr a
AGENT OR CONTRACTOR TEL. N0.
ADDRESS C- `��1'1t V\
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side), including
materials to be used, if specifications do Trot accompany plans. In the case of signs, give locations of existin signns and proposed
locations of new signs. (Attach additional sheet, if necessary)., �r\ � h ►�C �
5hw�kt1A
+ es tgn,
it
Signed
-+i Owner-Contractor-Agent
Space below line for Committee use.
__—Seceived-by_H.D.C.
-: - y
r
-Date -- i The Certificate is hereby -0 to4
b "
MA
�'•'AA nm
B ji
Approved. ❑ IMPORTA If Certificate is approved, approval is subject to the 10 day appeal period
provided in the Act.
Disapproved 7
Town of Barnstable
t� Old King's Highway Historic District Committee
SPEC SHEET
CHIMNEY TYPE I� COLOR
ROOF 'MATERIAL (���I ( ,Jon
Jon COLOR
PITCH
WINDOW SIZE
TRIM COLOR
DOORS COLOR
SHUTTERS COLOR
GUTTERS
DECK
GARAGE DOORS COLOR
SIGNS COLORS
SIGNS COLORS
SIGNS h11 �f( r�`� COLORS
FENCE COLOR
NOTES: Fill out completely, including measurements and materials/colors to be used. Three copies
of this form are required for submittal of an application, along-with three copies each of
the plot plan, landscape plan and elevation plans, when applicable. Plot plan need not be
"Certified" except for new homes, but should show all structures on the lot to scale.
SPECSHT
Engineering Dept.. 3rd floor) Map; Parcel &g Permit#
House# Issued �-3
Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) V - Fee
r
Conservation'Office(4th floor)(8:30- 9:30/1:00-2:00)
Planning Dept.(1st floor/School Admin. Bldg.) OFIKE
/0Z
i ' 've Plan Approved by Planning Board 19
°rFo rs .
TOWN OF BARNSTABLE
Building Permit Application
Project Street Address •, 5 ����\�� + ,
Village L�S� PPOAL k'`L-;'VIID-1101'Q
Owner p C�Ae Address lj pw-,&-e"
Telephone 61 hkk ` t
Permit Request
First Floor square feet Second Floor (' square feet
Construction Type & f,vt G/ 7 7`i i`t4
�o
Estimated Project Cost $ ('O
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family PA Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House AYes ❑No On Old King's Highway AYes ❑No
Basement Type: El Full ❑Craw ❑Walkout .Other_��� -
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1( z
Number of Baths: Full: Existing�_ New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count �—
Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes 14 No Fireplaces: Existing New Existing wood/coal stove ❑Yes ANo
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name_ Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
BUILDING PERMIT DENIE14OR THE FOLLOWING REASONS)
® ��
FOR OFFICIAL USE ONLY
PERMIT NO. '
DATE ISSUED'
MAP/PARCEL NO.
ADDRESS - r VILLAGE
OWNER r ,
DATE OF INSPECTION:
FOUNDATION w
FRAME ,
INSULATION r�
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: , ROUGH FINAL
•
ln FINAL BUILDING • - �� .
DATE CLOSED OUT ti
ASSOCIATION PLAN NO.
-
C
k
V y
w
• '9e�� ef� Z
AID
00 . m
m
Do
ISO,
m
O W tl
`ter r 4 ,��• � � � � v
Lo
/v NN
0 Oo N
v ��.•w 1Q
4
34
w
V
r
m O w4
d
• O � � � z D '
i W d D
m '" }
•m
A
ti �0 4`
A
i
y
O ww