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HomeMy WebLinkAbout0120 CHASE STREET i � � L i I f i S ill ii �f i _-----_ YOU WISH TO OPEN A BUSINESS? P� For Your Information: Business c.ertificates,[cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-'it does not give you permission to operate.) You must first obtain the necessary.signatures on this form at 200 Main St., Hyannis. TAhe the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: Q/Ic ru-s I�c�►M (t� �1�� S�l�ti�elkla�� BUSINESS YOUR HOME ADDRESS: 12y Ch&sL S�- TELEPHONE # Home Telephone Number £v EIN #: E-t1AIL: yLi1SCc G �lthJ V'� NAME OF CORPORATION: NAME OF-NEW BUSINESS vis. vi sC" TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YE5 NO n ADDRESS OF BUSINESS. ?l� t� St, uv►r1i5 �� GZG�U MAP/PARCEL NUMBER,20� I t r V (Assessing) When starting a now business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MI S10 ��n OFF E. MUST COMPLY WITH HOME OCCUPA This indivi, e o ed of n erm' requi eth et pertain to this type of business. . RULES AND REGULATIONS. FAILURI ' j COMPLY MAY RESULT I.N FINES. C I Aut ri SI natur COMME l �) `+ , I' 2. BOARD D EALTH This individual has been informed of the permit requirements that pertain to this type of business, Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: I UWiI Ul Dal-118tidple Building Department Services pp THE Tp� Brian Florence,CBO Building Commissioner STABLE. t 200 Main Street,Hyannis,MA 02601 acass. v� 1639• ��� www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATIO Date: 21d7 /r. Name: (le r le r. Ant n -5:14 c.c. �bd Phone#: 'v�' 7 3 7 e)I/f_3 Address: /20 C/?Gr sf S¢, Grp/i/S, /f/�u 62`Gr Village: ��u 7,7/s - Name of Business: /yS. �Gd�BSc e,19< Type of Business: �G n d se e,12 4 Map/Lot: °7 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 a business,the street address shall not be included. • No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,havead d a e ab a restrictions for my home occupation I am registering. Applicant: Homeoc.doc Rev.06/20/16 O c 1�2> tIR r Town of Barnstable *Permit# Fapi"3 6 m oin iss e d ' Regulatory Services Fee .i NA- Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,.MA 02601 www.town.barnstable.ma us Office: 508-862-403 8 Fax: 50 8-790-623 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Rress Imprint Map/parcel Number ' Property Address 7,0 0/ -6f �/� -14-�I 1v is residential Value of Work / 7-j Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �,+-5;0 AJ --5sl O O%S Zv G E S' JA4 A 0 Z6 01 Contractor's Namef��� s (,l�(� c� w�B Telephone Number -77% % J7—z17/q Home Improvement Contractor License#(if applicable)_ 40 Construction Supervisor's License#(if applicable) j orkman's Compensation Insurance —PRESS Che one [� I am a sole proprietor D r C: 27 2 0 1 1- ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance OWN OF BARNSTABLE insurance Company Name Workman's Camp. Policy# -opy of Insurance Compliance Certificate must accompany each permit J 'ermit Request(check box) ❑ Re-roof(stripping.old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going-over existing layers of roof) 9/Re-side �j #of doors �eplacemen edoo sliders. U-Value . 30 (maximum .44)#'ofwindo� *Where required: Issuance of this permit does nat exempt compliance with other town department regulations,i.e.Historic,Conservation,etc ***Note: Property Owner?must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is . egnired. GNATURE: WPFILES70RWbuild' ermit formsT-X?R.ESS.doC .ea n-7n 1 1 n The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly NaMe(Business/Organization/Indiyidual): . Address: - Q . c�c byb City/State/Zip: U I�V AllStao YEA A O uO�1'hone.#: '7 1�—`� �7 �7�/� 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 mployees(full and/or part-time). * have hired the sub-contractors 6. New construction - 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling slip and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have.workers' 9. Building addition [No workers' comp.insurance comp.insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp_ right of exemption per.MGL 12.❑ of repairs insurance required.]t c. 152, §1(4), and we have no employees.[No workers' 13. Other tNQJld 1 PDp comp.insurance required.] S �� "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have j employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site,Address: City/State/Zip: 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 in provided above i4 true and correct. Si afore: IV _ Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person.in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of 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 witlithe 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple 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 Revised 11-22-06 Fax##.617-727-7749 www.mass..gov/dla Ertl Town of Barnstable Regulatory'Services • BARNSTABLE. 9 MA99. �+ Thomas F.Geiler,Director �p 1639. TfD Nw'�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.to,wn-barnstabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i �f ASOO STag--s as Owner of the subject property hereby authorize -(FDm B to act on my behalf, in all matters relative to work authorized by this building permit application for. 17,0 C H- A56�- sT (Address of Job) Kr f � uv I ( Signs of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side.. Q:FORMS:O WNERPERMISSION L� Town of Barnstable o� Regulatory Services sAxxsTAsr a Thomas F.Geiler,Director MASS 9q,A 1639• ,�� Building Division rfD MA'I 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,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 Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION, The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,:particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt 91te OleA Kwiad""4M Office of Consumer Affairs andIfusiness Regulation 10 Park Plaza - Suite 5170 ,`4yV Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 140251 Type: Individual Expiration: 9/2 512 0 1 3 Tr# 216687 CHARLES WHITCOMB JR. --- ---- CHARLES WHITCOMB JR. -- ------ P.O. BOX 501 W. HYANNISPORT, MA 02672 _- ----- -- Update Address and return card.Mark reason for change. ❑ Address E] Renewal ❑ Employment Lost Card DPS-CA1 it 5OM-04/04-G101216 rb Massachusetts- Departntcrtt of Public Safeh Board of Buildin�j Regulations ;tnd SLtnil;trds Construction Supervisor License License: CS 83184 CHARLES A PO BOX 501 WHITCOMB JR W HYANNISPORT, MA 02672" i Expiration: .4/2&2012 ('nunnissiuncr Tr#: 4270 g .1 {1;1 V t" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map 3 D7 Parcel ! ©®Z. Application # 2T&T. Health Division 5 3CeZ Date Issued Conservation Division - Application Fe W 1.. :�O' rT Planning Dept. Permit Fee j b Date Definitive Plan.Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address /Z 6 Village yQVAJ Owner Ad Address Telephone Permit Request ��� D✓P9�T�fo j��l �5 , / fie d P�,�l�► Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Totalnew_, Zoning District Flood Plain r. g Groundwater Overlay , I � `N Project Valua d Q Construction Type -+ 1 ;; c Lot Size Grandfathered: ❑Yes ❑No If yes, attach sulg rting documentation. Z: TO Dwelling Type: Single Family Jwo Family ❑ Multi-Family(# units) it co �. Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Hi hway:xU Yes ❑ No Basement Type: "-FullLl Crawl ❑Walkout ❑ Other [` 40r% Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes �(No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size — Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use _ -_- - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) / Name 4-sV� 5;ro d/s Telephone Number Address y � lgs License#e:::�5 902,9 3 T S 0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I Z q. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED F MAP/PARCEL NO. ADDRESS VILLAGE , OWNER , DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r e it ~ . The Commonwealth ofMassachu-setts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Wurance A.ff davit: Builders/Contractors[BlectricianslPlnmbers Applicant Information Please PrintLe�iblY Name (Business/Organizatibn Udiviciml): City/StatdZip: AI -5 MjjL 02Af t Phone.#: �77�5 10319 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6_ ❑New construction . employees(full and/or part-time).* have hired the stab-contractors 2_❑ I am a sole proprietor or parincr- listed on the attached sheet 7. ❑Remodeling ees and have wo loy ship and have no employees These sub-contractors havo g- ❑Demolition rkers' working for me m any capacity. evp 9. ❑Building addition • . m>rrranCe comp.in uraa]ce.t D workers' � � 5. ❑ We arm a,corporation and its 10-❑Electrical repass or additions Iaim a h meowner doing all work officers bave exercised their 1 LE]Plumbing repairs or additions myself[No workers' comp, right 6f exemption per MGL 12.0 RoDf repairs iu rance required_]t P. 152, §1(4), and we havt no employees. [No'workmm' 13.❑Other ® t-� cam.insurance required.] *Any applicant that ebxks box#1 mnat also M out the section blow showing their workaa'eoropmsafion policy inforamtian_ t Hamcowoers who submit this affidavit indiczfm9 they arc doing alt work and than hire outside contactors must subn it anew affidavit indirafng such. t--Mt mctors that cbeck this box must z arbcd an additional sheet showing the name of the sub-mtrnttors and stab-wbctbcr or not those entities have amploycm. If the sub-contractors have crnploy=r,they nmd prvvi dh their wwkar'comp.pDbcy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required tmder Section 25A of MGL c. 152 can lead to the imposition of rrir iiial penalties of a Sm tip to$1,500.00 and/or one-year imprison— at, as well as evil 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 statemcrit may be forwarded to the Office of InvestiF,atiOnS of the MA for insurance coverer r verification. I do hereby ce fy under e airs-and penalties of perjury that the information provided above is true and carrect Si atmc: Date: Phone Offzci_al use only. Do not write in this area, to be completed by city or town officlaC City or Toren: Permit/License 0 Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: pursuant to this statate, 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 i idividual,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 an such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be daemed to be an employer." MGL'chaptr,r 152, §25C(6) also states that"every state or Iocal 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 applic2nt who has not produced-acceptable evidence of compliance with the insurance coverage regtrired." AddutiAdditionally, p . o MGL oha tar 152, § C(7)25 states Neither tare commonwealth nor any of its political subdivisi ns shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in-aura e 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 neoessary,supply vub-cantractor(s)name(s), address(cs) and phone numbmi s) along with their certificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-employees other than the =mbers or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have :mployees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial 4ccidants for g 1"m confirmation of insurance coverage. Also be sure to Sign and date the affidavit The affidavit should )e returned to the city or town that the application for the permit or license is being requested,not the Department of ndustrial Accidents. Sbould.you have any questions regarding the law or if you are required to obtain a workers' :oropcnsalion policy,please call the Department at the number listed below. Self-insured companies should enter their ;elf insurance license number on the appropriate line. ;ity or Tows Officials 'lease be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ,f the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant 'lease be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant eat must submit multiple permit/license applications in any given year, need only submit onp affidavit indicating current DL-cy information(if necessary) and under`Job Siie Address" the applicant should write"all locations in (city or )wn)."A copy of the of davit that has been officially stamped or marked by the city or town may be provided to the pplicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled our each ear.Whcrc a home owner or citizen is obtaining a license or permit not related to any business or commercial venture _e, a dog license or permit to buim leaves etc.)said person is NOT required to complete this affidavit he Office of Investigations would 10ca to than you in advance for your cooperation and should you have any questions, [case do not hesitate to give us a call. ie Department's address, telephone-and fax number. The C6mmonwealth of Mas,sachuseUs Department of Industrial Accidents Office of Investiga4lans 6.00 Washington Street Boston, MA 02111 T0. # 617-727-49-O0 ext 4-06 ar 1-$77-MASSAFB Fax# t517-727--774.9 :d. 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Narne: 50A S�19-� Site Address: (Zo Gt/gSE S`7�print Town: AniN IS ot, e3:z 6o Applicant Phone: 5-(> —775 -f 3 $S Applicant Signature: Date of Application: NEW CONSTRUCTIO choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Basement Slab El n -Option 1: Fenestration exposed Wall Floor Perimeter U-factor floors, R-Value R-Value Wall R-Value AFUE HSPF S I�LR R-Value h R-Value and De t National Applimice Energy 35 R-3 8 R-19 R-19 R-10 R-10, Consuvalion Act(NAECA)of 4 ft. 1987 as amended,minimums or reater as applicable Note: This form is not required if you choose either of the two versions of REScheck.as,listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must-be completed (780 CMRb107.3.2 REScheck—Web which can be accessed at http•//www.cnerg c� odes.goy/reschccld ADD IONS OXZ-,kuERATI;ON5 TO.)xxl IZIVG.BTJZLDTNGS:`O YER 5:X'E.A.RS OLD* *Buildings under 5 years old must use option#1 or 42 in New Construction section above: . Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_a) . �SF 100 x _ /�o� _ ,�� % of glazing (b) Glazing area equals, /3 SF b Q f glazing is'<:40%o use.the-chart b6ld.w. If.,glaziri .is�-:40''% proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS r;e�q XIMUM MINIMUM Ceiling and Slab Perimeter ❑ stration gxposed floors Wall Floor Basement Wal] R-Value -factor R-Value R-value R-Value and De tti R-Value R-37 a R-13 R-19 R-10 R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not com ressed over exterior fills, and including any access openings).' SUNROOM—An addition or alteration to an existing building/dwelling unit where-the total ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition, Note:. Owner to fill out Consumerinformation Form (found in Appendix 120,P) Town of Barnstable Regulatory Services Thomas F.Geiler,Director EAMSTABEY— M"S&S. Buildin Division q� 1639- ��� g pTEO `�a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnst2ble.ma.us 'fice: S08-862-4038 Fax: 508-790-6230 HOMEOWNER 'LICENSE EXEMPTION ` Please Print DATE � _ C JOB LOCATION: IZD i4St ✓� AJQ number C� street �1 n L viillllag237 e� Qr� HOMEOWNER": �--ow Jl c3�S d� /7 -S �3lgS /0 8 L3 7 ✓6 P7 name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner`acts as supervisor. DEFINITION OF HOMEOWNER Persons) 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 requ' ments: Signs of Homc wnrs 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 f this section(Section 1 D9.1 A -bceasing of construction Supervisors);provided that if the homeowner engages a pcnon(s)for hire to do such cork,that such Homeowner shall act as supclvisor," Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q. .ales&Regulations for beensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly ,hen ncc homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would With a licensed upervisor. The homeowner acting as Supervisor is ultimately responn'ble. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, at the homeowner certify that hdshe understands the responsibilities of a Supervisor. On the lastpagc of this issue is a form currently used by Ycral-towns. You may care t amend and adopt such a fom✓ccrtification for use in your Community. ,o*'NErO . Town of Barnstable Regulatory Services snaxsr BLI, v ueML $ Thomas F. Geiler,Director. $p 1619. aim TFor Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I. J'ts 0 A) ��DTS , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. Vy,9,VNl S r>7 h. 02G61� (Address of Job) S a e of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division RAMSTABIX MAss. Tom Perry,Building Commissioner 1639. '°rFo ►�� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: Pee: <f) Permit#: HOME OCCUPATION REGISTRATION Date: Name:. -SSanI SlooTs Phone#: S'69&23'70 39 9 Z Address: �Za Cff�Sc. ST /`�l�vtNN l S Village: 1V4,Q U 15 Z Name of Business:/ Type of Business: �t EW i4-KL2=. EiJ F G�� Map/Lof 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 me-ton the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up-ttuek-not to-•exceed,one toa:.capacity,and one trailer not to exceed 20 feet in length and not to exc=d 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. . I,the underSi2rkEd,have read and agree with the above restrictions for my home occupation I am registering. znai Applicant J AA v .S Date: b 3d Homeoc.doc Rev.5/30/03 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 3� � 10MCaul� �z � Fill in please: ma ma,Lwd� �: APPLICANT'S YOUR NAME/ r�S en\ Tao 'T S ROM��°��' � ' BUSINESS YOUR HOME ADDRESS: rsr3 TELEPHONE # Home Telephone Number NAME OF.CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS : eE� �s9 IS THIS A HOME:OCCU PATIO N? YES.. NO ADDRESS OF.BUSINESS. cg PARCEL NUMBER `j` : (JDgssessingJ When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your husiness.in this town. 1. BUILDING COM ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individu I has e n4nfQ lep permit requirements that pertain to this type of businessRULES AND REGULATIONS. FAILURE TO COMPLY MAY RESULT IN FINES. (:�4Authoriz Si ,re** COMMENTS. i/�\ ip ,Ojy L�; _4 1 ' h ,14 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Zz TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Gi�2� Map Parcel M T 760 02 Permit# Y 7s" Health Division Date Issued Conservation Division IL1,5/0 Application Fee �2- 6/7) Tax Collector t Permit Fee p s�. ® 0 Treasurer l Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 1264 fWdY F 5/ IV Village &1iys�, ,st Owner ITS CAI 510 %S Address Telephone 725% Permit Request ® :ias i ooe � aL 'e � cry► L /oor ?X Vei_s Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay `-7,Aroject Valuation 2.15,4 C)m e Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)) Age'of Existing Structure rs Historic House: ❑Yes ffNo On Old King's Highway: ❑Yes Rlo Basement Type: a1lu'II ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ��� Basement Unfinished Area(sq.ft) Zoo Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing__ new Total Room Count(not including baths): existing L new First Floor Room Count Heat Type and Fuel: ®"Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes VVo Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes CA'IVo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:®'existing ❑new size/ ,!10ther: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name �Gr//l'�� Telephone Number s0�' 77 S �3W S Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �1Sf�/�EE SIGNATURE DATE / S 0 Ie FOR OFFICIAL USE ONLY PERMIT NO. a DATE ISSUED " MAP/PARCEL NO. ADDRESS 'VILLAGE " � OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION .• f FIREPLACE ELECTRICAL: ROUGH FINAL,• , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING D 9, DATE CLOSED OUT ASSOCIATION PLAN NO. S f. _ The Commonwealth of Massachusetts _ = Department of Industrial Accidents - 600 Washington Street Boston,Mass. 02111 workers' Com ensation Insurance Affidavit-General Businesses %i iii. r rirairi rill ��_���, �� ., . . ���� 0 T �Y1 . awe address: /,10 C r ST ci state: Zip: ®� hone# SO® S 1 ZR- work site location full address): ❑ proprietor and have no one Business Type: ❑Retail'❑Restaurant/Bar/Eating Establishment I am a sole El capacity. O15ce Sales(including Real Estate,Autos etc.) working le ❑I am an em loyer with em ]o ees(full& art time. they he I am an employer providing workers' compensation for my employees working on this job. i .5�. •'. cam any name: .77771 77777777 sdaress: 1 .:.. •:,,: Lone#•' ' city: ' - . ..• ... �:F� .��" ' . ' :••.::• ��, ` . •;. ::. . :_ •;.`f.:, olio.'.#- . ..; :.., .�..:.: :::` .:..,•:.,:..^: : :.• .• Ynstirance.eb:•:'.:'. /;..„ /// ...,:/ ./ / /,-•... // /// I am a sole proprietor and Kaye hired the independent contractors listed below who have the following workers' compensation polices: cOM an name: hone#� ci `-,7. ^ insurance co. F/03MMUF"IA address A. hone#� o'llev •,i r: 1 :.. :: :.' Failure to secure coverage s9 required under Section 25A of MGL 152 can lead to the imposition of crimiuslpenalties of a fine up to$1,500.00 and/or: one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Fine of$100.06 a day against me: I understand,that a . copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cert under the ins andpenalties of perjury that the information provided above is true and correct Date Signature • . . Phone# Print nam �L-`�-�- 'c�`Q �_'�. gr-�^���--`�� •t '""'�'�• �-�. -ate i _ --�"g. .. .. �., official use only de not write 1n this area to be completed by city or town official permit/license# ❑Building Department city or town: ❑Licensing Board ❑Selectmen's Office ❑check if immediate response is required Health Department contaetperson: F, phone#; ❑Other (revaed SeyL 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the to the city or town that the application for the permit or license is being affidavit. The affidavit should be returned ty PP 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 listedbelow. City or Towns 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 pern it/liceme number which will be used as a reference number. The affidavits.maybe returned to the Department by mail or FAX unless other arrangements have been made." The Office of Investigations would like to thank ybu in advance for you 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 flifke of Imsfigetfong 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#:.(617) 727-4900 ext.406 °FSHE l° Town of Barnstable Regulatory Services H^ NAM. p+, Thomas F.Geiler,Director 9 NAM. 0 �A�ED 39. 1% Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 5c, E) P/9fV'e^L °-1 k S x/I0t 4 ,- Estimated Cost Address of Work: / U 6#4 S,e� 5'� M1Ae-Z7S Aq: iV,00� Owner's Name: 7siS®ai -5TOOT-S Date of Application:_ I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 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 Contractor Name Registration No. O Date Owner's Name V 0 Qhms:homeaffidav RESIDENTIAL BUILDING PERK UT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 ffS'D Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= ' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 Town of Barnstable THE t� regulatory Services ,�, , : Thomas F.Geiler,Director gE 39, 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: I Z(U A4 S Wpm number street Village/ "HOMEOWNER': tJftSUN r�TS SDA. 77So i3BS O 972-W-C name home phone# work phone# CURRENT MAZ3NG ADDRESS: � C 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 p ding_per performed under the builmit. (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 requ' ements. . Si lure of Ho er Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 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. 1 Q:formsdrorneexempt . 7 4 LE r7irl ffEH TH LH � r=� OF LM LIHLI FIFIR LiLiLl HE Fru — OPE M� -11 - 1 ILJIIL-JlIL-Ill 1 111111 Em td LLiLi El TOWN OF BARNSTABLE Permit No. 24462 I Building Inspector �� cash ------------- -- ram, OCCUPANCY PERMIT Bond ------------ Issued to Richard McNealy Address lot #2 120 Chase Street, Hyamis Wiring Inspector Inspection date Y Plumbing Inspector/ � - Inspection date Gas Inspector �lt y Inspection date a /2,S les 3 Engineering Department � Inspection date Board of Health Inspection date THIS PERMIT WILL N T BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. _........._.. _.._..._, 14„._ y......................................................................„. ..._.._..... . .. Buildinb Inspector ector N\\ { h% 414. J A .ef zo, 4 �55.F. { °� �• LoT 1.OT 4 �c+ WWAM y� r C f !1 Y E; —- -- - - 33 53 ►.'y� / _ �A�o. 193340 Q�sTe.a a su 00 U'f . 4 CSV_TIF1ELU pLoT PL.A.tJ LoCATloI-J 1-JYAN NHS 40 C6RTIF,4 T►4AT THE FoUNDATtUn15t-lotivlJ Pt'Q'N REFcV_Eu1GE t-1'r_-ZEctJ G0AAPL%eG W l' l4-THE SI VE.L(WC Auv SET1cK �'EQU12ENt�NTS DI= TNE ----=-- ; R^.N �OR_RbR. VENTuREb RE^�.T,f'T�: 'tcwu of B 'RHS.'TA �3Lt= - -rob, ucy ¢ T:-IL- U`>L.o io . va:rCC_Ajo4L_ Lo-r C..lWaa R�c�-�AR.� M� NEAL�{ i or's map and lot number .36) 77 14 . D,4-. 9 �oF Toy 4 � Sewage Permit number ........ .............................- SEP`Y'11C SYSTEM 4� MUST �i'"w`P THE OMP BAHBSTAII E S INSTALLED IN � LEAN � L Howse `number .::................. .: [ ... •a ti rose r..�.... * ... WITH TITLE v W 9l1 l�0 �(3 9• �6 ENVIRONMENTAL ENTAL CODE AN 0 A,- TOWN OF ,,. BARNST PONS Y. ApP�?©�11.11- �i cT co'. 6UILDiRG• 1,NSPECT0R3,,P-vA9TP,81LE cS'. s ar APPLICATION FOR PERMIT TO �u��-�? ... t,��.1�. .. . �x.....P..�4 ................... ... ........... TYPE OF 'CONSTRUCTION . ..L .(. .:.............: L 1' .4..................19. , '� TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location .....a•o...C�^c► :............................ 6 ....... ....... :....�. ? �5........... . ......... ,...... ' Proposed Use � { .� ............................. - ...... ............ ....... .........................`...... ............ Zoning District :.......:I`` t�.l.: • Fire District .L.. . ............... Name of Owner 1� .c� .... . ::. .. .Address ..... :,. !!a®.y.�.l .... Name of Builder` .. ��.. ...Address T!> fnall-1 ��'.....5• �► ��2 ma y�H�Mov-S'► Name of Architect .. .�A.ART. ..max! .... e.;3�fy.�...............Address .:,:......................... ...................... ..�a:..................... Number of Rooms y .....................................Foundation .........YJR.6........ .. ........... ............. Exterior Lac ... .....Re•uc�se e. ...Roofing ..... 5.j(?°r.................................................................. Floors .....6.�i.,Nk ,:...O.V......c+.+.:�..rQ� .... ......Interior .�1.E'�. •1•c c 1C { ........... ...... ..... ............................ a � Heating' ...��'. .. .... .....d.. :...4 ...... ?: .:. .........Plumbing ......o..........�5.........:......................................:......... • . Fireplace .........ye.. ...........:...................................................Approximate Cost ........ .Dy c?.Q....S.�....... .................. .... Definitive Plan Approved by Planning;Board _:---------'_____-----------19--------. Area Diagram of Lot and Building with Dimensions. Fee ...t�... /...r ......... .......... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....T..�....:? ..... .......4W.V! LY, RICHARD.,.- 24:4C2F Build 1 Story Y 4 r� ................. Permit for ..................................... s i 1 Single Family...Dwelling..... J Lot #2 120 Chase Street. Location ...................................... ........ z Hyannis `� s ..0 .... ......... ................................................ Owner ....Richard McNealy.... a Type of Construction` Frame. a J�1 t .............. r- r Plot . Lot r ' �^�, tigj .... m� a • r r � " 4 i e a•+ e' o October 15,, �`� 82 Permit Granted ........................ 19 • f Date of I °`ec ...�� 7� 19� a Date Completed ...43- .... ..1.9 a 0,/0 . M F , 9 h • d ° w t ♦f w . k' a• S o-r's map and lot number 1-7 qq - /4 WE Assess ........ ..................... ...... Sewage Permit number ........ ......................... 33AR33TAI]LE, House number ........................... ................ 263 MAG& 9- A, TOWN OF BARNSTABLE - BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ .... .....PAQ .................. TYPE OF CONSTRUCTION .................V7--:Z A .................. ....................................................................................... .................:21.9.................19.. I TO THE INSPECTOR OF BUILDINGS: -'The undersigned hereby applies for a permit according to the following information: I Location ........... .......C!4- .................... ....................................................... ProposedUse ........ .......................t.................................................................................................... Zoning District .......... . .................................................Fire District ......y ......................................................... Name of Owner ........ ...Address .... MA, S-1, --, —, A,PN)q .................................Name of Builder' .....Address ....... ". ....... ..............Address ...... A .... .............................................................................. Name of Architect No. ....P!�� Number of Rooms ...........4-1 .............. ........................................Foundation .... ....... Exterior .... 90A.C. -,��e.Y3 A.C,P.T7.1............................................................................. ..... ..... Roofing .........A.C. Floors .....A 6, ......a.17 rnr..... ....................Interior ....... ............................................ Heafin-g........ .............r........................... ..............Plumbing ........tom*. A:-. � .......... ...... Fireplace .......... ..............................................................Approximate Cost ......... ...... ................................................ 6, Definitive Plan Approved by Planning Board ---------------—--—-----------19--------- Area .......................................... Fe . . ............................... Diagram of Lot and Building with Dimensions e ....... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... ......... .............................................. ... .4 McNEALY, RICHARD A=307-1-44�-2 _ ICY-off 24462 Build One Story No ................. Permit for .................................... Single Family Dwelling .................................................................. # Location ... ... Lot #2. .........12.0...Chase. . ...Street. . . ; ....... .. .. . .... .. .. ....... .. .. .... .. Hyannis ..................................................... i Owner Richard McNealy ........................................................:........ Type of Construction ......Fra. . me .. ................................ . ................................................................................ Plot ............................ Lot ................................ October 15 82 Permit Granted .................................'.......19 Date of Inspection ....................................19 Date Completed ......................................19 The Town of Barnstable • �arrsT,�L& • 9eMAS& Department of Health Safety and Environmental Services ED Mop'' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION � 6 -�z A-t-4- Location of shed(address) Aillage 9 QjJrope owner's name Telephone number r � Size of Shed Map/Parcel# Signature4, Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? � Conservation Commission(signature required) z. 'l h THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg N r • M1 O.1 ;... ,r M IA 5' I-o-r Z- z o, 4 us S.F. ' FouyaA"T%oN 3,1 • N Lo T 3 'L".O T I OF. A Wit.11AAA • c 33.53 ,y v Ati o �. 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