HomeMy WebLinkAbout0008 ALDEN WAY 8 A ��„ c-�7�.
- - _ _�
Of IiNE.
Town of Barnstable
Building Department
Brian Florence CBO
rasa Building Commissioner
s63q.� 200 Main Street Hyannis,NA,02601
M www.townotbarnstable.us
Office: 508-8624038 Fax: 508-790-6230
Owner's Liability Insurance Waiver
Owner Nature: Joseph Zenovic
Owner Address: 1966 N. Iris La., Escondido, Ca.92026
Telephone: 619-994-7705
E-Mail: joezenovic@hotmaii.com 11010
LNG OFF
8 Alden Way,
Fie 0 Property Location: y. H yannis, Ma.02601 T 022020
OWE OFBq Zp
Permit#: `� i p RAISpg84
I hereby certify that I am the owner of the property.
I am aware that the licensee sloes not have the liability insurance coverage required by
Chapter 142 of the Massachusetts General Laws, and that my signature on this permit
application waives this requirement.
Signatur o 4wner Date
j [s
Town of Barnstable
�SME Building Department
Brian Florence CBO
Building Commissioner d
antua9TAM E
MASS. 200 Main Street, Hyannis,MA 02601
r� www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
"�"//�� itOMEOWNER LICENSE 1MEMPTiON
.,J A t4 4 t 911`?� u 7/ Please ptnlut
DATE: /- /1
,< 7ot3 LOCATION: g L�F �v tq"1 , kf� / ac4 )c
number T— etrce ^r vim village
"HOMEOWNER'2 os�y'2 VN o yl� 6/9 9 5 LI y`� S 04/1 z
name y� home phone# work phone#
CURRENT MALLING ADDRESS:
,v :r 'C, a r2�d y C
aty/town slate zip owe
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 sum.
DEF1NMON 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
t
person who constructs more than one home in atwo-year period shall no 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
resP. sible for all such work b ormed under the buildinf 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 U?d Isigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
mini um inspection procedures and requirements and that he/she will comply with said procedures and
requi ts.
sipatu reWleowacr
Approval of%dldlog Oti eial
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,
HOMOWNER'S EREMPTIow
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 cornmunitles 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 to amend
and adopt such a form/certification for use in your community.
I •
c;
7 ® DATE(MMIOO/YYtYI
A INSURANCE BINDER 11/S/2020
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT,SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2 OF THIS FORM.
AGENCY COMPANY BINDER 0
Lloyds of London 920115B999B
Dowling li O'Neil insurance Agency
973 Zyannough Road DATE EFFECTIVE TIME EXPIRATION E
N
AM X 11;01 AM
B annis MA 02601 11 20 2020 12:01 PM 12 20 2020 NOON
a"cNwo ESA: B00 640-1620 PAA Ro: THIS BINDER is IsBUED To EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: SUB CODE: PER EXPIRING POLICY 0
AGENCY DESCRIPTION OF OPERATIONS I VEHICLES I PROPERTY onduding LoCouon)
CUSTOMER ID: 00211442
INSURED AND MAIUNG ADDRESS 8 Alden Way
Joseph Zenovic Hyannis, MA 02601
1956 North Iris Ln
Eacondidn CA 92026
COVERAGES UMITS
TYPE OF INSURANCE COVERAOE I FORMS DEDUCTIBLE COINS% AMOUNT
PROPERTY CAUSES OF LOSS Dwelling / 03 $1,000 $209,000•
OASIC BROAD SPEC Other Structures ACV 620,900
Personal property 1.009 862,700
Loss of use Pamad Storm $41,800
GENERAL UA131UTY EACH OCCURRENCE 5 500,000
COMMERCIAL GENERAL LIABILITY RE=D
M
FROASES $
CLAIMS MADE OCCUR MED EXP KAY one P0re001 $ 5,000
PERSONAL&ADVINJURY S
x Personal Liability GENERAL AGGREGATE $
X Medical Pa to RETRO DATE FOR CLAIMS MADE: PRODUCTS•COMP/OP AGG $
VEHICLE LIABILITY COMBINED SINGLE UMIT . S
ANY AUTO BODILY INJURY Perperson) S
ALLOWNEDAUTOS 9001 LY INJURY(Per accloon1) $
SCHEDULED AUTOS PROPERTY DAMAGE S
HIRED AUTOS MEDICAL PAYMENTS $
NOWOWNED AUTOS PERSONAL INJURY PROT S
UNINSURED MOTORIST $
$
VEHICLE PHYSICAL DAMAGE DEO ALl-VEHICLES Li SC.4EDULEO VEHICLES ACTUAL CASM VALUE
COLLISION, STATED AMOUNT $
OTHER THAN COL;
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN AUTO ONLY;
EACH ACCIDENT S
AGGREGATE $
EXCESS LIAEILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE 5
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELFINSUREO RETENTION $
PER STATUTE
WORKEWS COMPENSATION EL EACH ACCIDENT $
AND
EMPLOYER'S LIABILITY EL DISEASE-EA EMPLOYEE S
EL DISEASE-POLICY UNIT $
SPECIAL Dwelling insured with extended 2SB rmplacement Croat. FEES S
CONDITIONS/Policy effective 11/20/20 to 11/20/21, TAXES s
OTHER Premium of $1,013,08 is paid in full.
COVERAGES ESTIMATED TOTAL PREMIUM Is
NAME&ADDRESS
X MORTGAGEE ADDITIONAL INSURED
cape Cod Five Cents Savings Sank LOSS PAYEE
ISAO/ATXM& LOANS: 0010260420
Attn. Ina Serv, PO Box 5241 AUTHORIZED REPRESENTATIVE
Norwell, MA 02061-5241
Mark MCCartin,CIC/KKROS ' +�+ .
Page 1 of 2 ®1993-2013 ACORD CORPORATION. All rights reserved.
ACORD 75(2013/09) The ACORD name and logo are registered marks of ACORD
INS075(2mool
.t/1C V 911rarr&WI►VC9866/L Vf /I,[[eaJ u•(.IL[W e6WJ -
�_ Department of Industrial Accidents
---• •, � .� Office of Investigations
z..,
I�' Lafayette City Center
�, 2 Avenue de Lafayette, Boston,MA 02111-1750
www mass.gov/dia
Workers'Compensation Insurance Aft-idavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organi=tiotJlndividual):,Joseph Zenovic
Address'.1956 N. Iris Lane
City/StateM :Escondido, Ca 92026 Phone#:619-994-7705
Are you an employer?Check the appropriate box: Type of project(required):
e e I 4. am a general contractor and I
1.❑ 1 am a employer with ❑ G. El New construction
employees(full and/or part-time).* have hired the sub-contractors
. >..❑ I am a sole proprietor or partner- listed on the attached sheer. 7. ®Remodeling
soap and have no employees Those sub-contractors have $, ❑Demolition
working fox me in any capacity. employees and have workers' 9. ❑Building addition
(No workers' comp.insurance comp.insurance.;
required-] 5. ❑ W e are a corporation and its 10.❑Electrical repairs or additions
re
1.® 9 ] officers have exercised their 11. Plumbing repairs or additions
1 am a homeowner doing all work ❑ p
myself. (No workers' comp, right of exemption per MGL 12_0 Roof repairs
insurance required.] c. 152,§1(4),and we have no 13.❑Other
employees. [No workers'
comp.insurance required.]
Any applicant that eheeks box 91 must also fill out the section below showing their workers'compensation policy iiatbmtadon.
Homeowners who submit this affidavit indicating rbey are doing all work and then W=outside contractors must submit a new affidavit itadieating such.
:ontractors that check this box must attached an additional sheet showing the name of the sub-eontractom and state whether or not those entities have
nployees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site
:formation.
isurance Company Name:
olicy#or Self-ins.Lie.#: Expiration Date:
3b Site Address: City/State/Zip:
Mach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
allure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
Ile up to S1,500.00 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£omarded to the Office of
avestigations o DIA for insurance coverage verification.
do hereby ce y der t •pains and penalties of perjury that the information provided above is true and correct.
ignature: Date. 1/25/2021
hone#: 619-99 -7 0
Official use only. Do not write in this area,to be completed by city or town official.
,City or Town: Permit/License#
Issuing Authority(check one):
10Board of Health 20Building Department 300ty/Town Clerk 4.CElectrical Inspector SOPlumbing
'inspector 6.00ther
Contact Person: Phone#:
Town of Barnstable
Building Department
Brian Florence, CB O
Building Commissioner
200 Main.Street, Hyannis, MA 02601
www.towmbamstable.ma us
Pre-application for Business Certificate
Date v / / Map Parcel
Applicant Information
licants Name [c 5 I I VI 1-c>,T r L
Applicants Address. a c. 18,e n c, LA I/1 _ ,A 0
Email Address �i"(� �'► o: /3 (�' G Y�
Telephone Number 7 Q 3 G U1 Listed❑ Unlisted (2/
Business Information
New Business? --------------------------------------- Yes No
Business is a registered corporation? ________________________. Yes No,
if yes Name of Corporation
Does business operate under the registered corporate name? Yes No'
Is the business a sole proprietorship or home occupation? --_____- Yes No
If yes then a Home cr,� 'on Registration is required See Building Division Staff
Name of Business n Se f �� 65
Business Address �'' �E'i'1 ki vi
Type of Business G f 1 a
Biril- ' g Commissioner Office Use Only
Co o Iga Lid
Building Comissio G✓� t Date l7
m
Clerk Office Use Only
Town of Barnstable
Building 9Department
Brian Florence,CBO
Building Commissioner
sauNsrasr e, « .200 Main Street,Hyannis,MA 02601
Mass.
i639. ��� www.town.barnstable.ma.us
PTfD MA'1 A
Office: 508-862-403 8 Fax: 508,-790-623 0,
Approved.
roved.
Fee:
Permit#:
HOME OCCUPATION REGISTRATI N
Date:
Name: J t>5 fI r rA-i-r C e 1 Phone#:
Address: A _- Village:
Busine
CG cld�
Name of ec,✓\ 1°n S-2�U�CC�S
Type of Business: V"\ It O r` cl, 1 Map/Lot: ✓`
0CCch
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation m
within single family dwellings,subject to the provisions of Section 4-1 C/�:4 of the Zoning ordinance,provided that the D n
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual Z O
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. r—
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the C C
following conditions.
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located . --—j 2
within that dwelling unit. O
• Such use occupies no more than 400 square feet of space. :;z
• There are no external alterations to,the dwelling which are not'customary in residential buildings,and there M
is no outside evidence of such use. 2;O.
• No traffic.will be generated in excess of normal residential volumes. - C Enj
• The use does not involve the production of offensive noise,vibration;smoke,dust or other particular X C
.matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. D
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess0
0
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
1,the undersigned,have read and agree wi res 'ctions for my home_occupation I am registering.
� r
Applicant: Dater
Homeoc.doc Rev.10/17
Building Department
j Brian Florence, CB 0
Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma vs
Pre-application. for Business Certificate
Date 'f / ..'�/ Map �Parcel
Applicant Information
giplicants Name )U St,v\ ?AT Q ce
-- . _ . - -- - —..... . ..... ... ..... _.._ . . . ... _ ..._ _.. _.r :.y--j-- ----- ..._. .. . .:_.. _. ..--- --_ ---- - - ------ -
Applicants Address /'l1den Wear-I �/ y1i9i5 /�' 0'_ /
Z
Email Address f yiAJ- 6V/3 C a14 00
Telephone Number 7 Listed❑. UnlistedLU
a
U �
Du._ uJ�
Business Information 0
o z
= o —
tzg5
New Business? --------------------------------------- Yes No LU
- J
Business is a registered corporation? ________________________. Yes No � a-
a
If yes Name of Corporation O z
�—
u3 a.
Does.business operate tinder the registered corporate name? Yes No W
D O
Is the business a sole proprietorship or home occupation? _________ ,Yes No
If yes then a Home Occupation Registration is required—See Building,Division Staff.
Name of Business ex
+C9 �'14 C I�G!�i t
Business Address L? d P 'I I"I 1 1".4 G
Type of Business
Building Commissioner Office Use Only
Cpnditi
Building Commission D- Date
Clerk Office Use Only
Town of Barnstable
Building Department
ofIHE r
°k o Brian Florence;CBQ
Building Commissioner
BARNSTABLE, 200 Main Street,Hyannis,MA 02601
9 MASS.
�b i639 www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
095
Permit#: ZC�
HOME OCCUPATION REGISTRATION
Date:
Name: L5 T l VA 1 Ce l Phone#: '�7 6 '?� 30 y/
Address: Village: yt a1 fS
Name of Business: �fi t ` C 1 eC-,1A
Type of Business: V� Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation.
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or,groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.
• There are no external alterations.to the dwelling which.are not customary in residential buildings,and there
is no outside evidence of such use:
• No traffic will be generated in excess of normal residential volumes. -
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
- .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation, and not within the required front yard.
There is no exterior storage or display of materials or equipment
• There are no commercial vehicles related to the Customary Home Occupation;other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the_Customary Home Occupation is listed or advertised as abusiness,the streetaddress 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 undersi ave read agree wit e above re ons for my home occupation I am registering.
u
Applican . Date: S�/
Homeoc.doc ev. 00/17
day 15 08 07: 42a Barnstable Housing Author 15087789312 p. l
ZONING VERIFICATION
TO: Linda Edson
FROM: Kim M. Gomez - Leased Housing Coordinator
RE: Legal Rental Unit Verification
Date:
Address: i�o? r 'wd,� rfr
Village:
Unit Type: ' -ia� i'� %< J Bedroom Size:
Map & Parcel No.: .7 7 4'
The owner of the above listed property is entering into a contract with us for the
rental of the property as listed above.
Please verify by signing below that the unit is legal and meets all zoning
requirements for a rent in the town of Barnstable. if it does not, please list reason
here:
f
r
Thank y or your as ' in this matter.
ignat e P tnt name
Date -----,`_"—.
VIA FAX: 790-6230 MRVP seetiom8;
f J
Rev. 8/06