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0048 CHERRY STREET
fi i t : TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION Map Parcel ~` o�`a - Permit# 7 Health Division , Date Issued 0� Conservation Division , Fee Y2� �® Tax Collector - Treasurer Planning Dept: Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis + Project Street Address g G o TLC' y S s u Village N Y'A 6 lJ Owner N b ReW f O'1)0 Ao Address 5 Telephone 7S 923 Permit Request Re A 'PRO 12 S k �J`1 r � '4 r , Square feet: 1 st floor: existing ` - proposed 2nd floor:existing proposed Total new Estimated Project Cost 00 f� `' Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 3 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes U/No On Old King's Highway: ❑Yes allo Basement Type: {/Full ❑Crawl . ` ❑Walkout ❑Other Basement Finished Area(sq.ft.) •Basement Unfinished Area(sq.ft) r=N$I rZt: _ Number'of Baths: Full: existing new Half:existing�—a new Number of Bedrooms: existing Z new Total Room Count(not including baths):existing new First Floor Room Count 5 Heat Type and Fuel: ❑Gas C01Oi1 ❑Electric ❑Other Central Air: ❑Yes. .G;rfVo Fireplaces: Existing New Existing wood/coal stove: ❑Yes U No Detached garage:❑existing ❑.new size P9"❑existing ❑new Size'-- �oK❑existing ❑new size lA&Po2v AHW4e+- age:ldexisting ❑new size SXdl❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ 'Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site.plan review#. Current Use Proposed Use .e BUILDER INFORMATION Name �aN �/ l�aitl/V�►�, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO -f W A✓ bb(n'l f SIGNATURE 6 DATE 2-3 0 D •" FOR OFFICIAL USE ONLY PERMIT NO. a DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE i OWNER DATE OF+INSPECTI® r `' FOUNDATION • , FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL ; rR M 1 - ROUGH PLUMBING: FINAL- ". t GAS: i ROUGH., v FINAL FINAL BUILDING + 1 DATE CLOSED OUT ASSOCIATION PLAN NO. + ' t The Town of Barnstable � r r + EA ENSr"M • MASS. Department of Health Safety and Environmental Services., 1659. Building Division 367 Main Street,Hyannis MA 02601 . Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. E —12.DD V- �(N6�,LE- CAM 1� - Estimated Cost �� � Type of Work: � ] y RAN C( D�0 Address of Work: '7 C -flv 4 ` HYMN' S Owner's Name: A lv bkErJ 1 DI O R-0�F 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 26wner 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. R ' of 300 Date Ow 's Name q:forms:A ffidav The Town o arns a e FTHE,��G Department of Health Safety and Environmental Services Building Division ELAMST"UL ' 367 Main Street,Hyannis MA 02601 MAS& 059• �0 �ArfD MA'1 A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: 2- 2 3 o V JOB LOCATION: 78 COEIZA / `� H/4�Nl S number street village "HOMEOWNER": iglyzaw T�oaxorf-�- 77.5 9a-37 86a- a3Z name \/ home phone# work phone# CURRENT MAILING ADDRESS: 9vg1V1V1 S i31 0 2- 0 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 re lu7emen7 ' t) 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMMN The Commonwealth of Massachusetts _ Department of Industrial Accidents _-•- , •:=• Olflcsolla�estlgadoos 600 Washington Street Boston,Mass. 02111 / Workers'Com ensation Insurance davit 01:011name TrN�2�W 1bl01zoeF location. f�� R N� hone# �� ! 3 ci !1/ I am a homeowner performing all work myself: ❑ I am a sole rietor and have no one woricing m anv ca amty 1 din workers'compensation for my employees working on this job.::::: :: :::::::??;::::««:::»::::<:>::::::>><::::><::<»<,;:;«:«:: ::: I am an emP Dyer P g :..:::::::::.::::::.::.::.:::::...<.:.::.::::..::::::.::::.; :.::.:.::::::.»::::.:::::::::::::::::;:::::::::.::.::::,<:::.;:..<:.::.:::::::::::::::::::::::::::::,.;:.::._:::. snv name... s ;.;: . addies ::.:... ..; ..,,.:. :::.:.:.::::..:....:. ......................................................................... 'ne .. . . ct ... .. oli cv iisuranc MINE ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have 'on olices: compensation workers following mP P............ .............:...the :._::<:.::.;:.;;::::;;...:;::.:«.::.:::;.;::,::.:.;;:.;>:;:•;;>:.;;:;.:;.;;;:???.::.;>;;;>«:»:«:;;»:::<;::;- :::..:.::::::..........:.:..:_:::.:..:..::.::::...:........::.:::.::..:. .. :Toni anv name ;:;:;:;:;;:<.;>.>':;:.::;;:;?.;::; :<>:...;;.::::. . ;:...... address. >.. . :.::::.;:.;.:;.; ;:<... ............................................ ............. :::.::................. :...... hone. ::.::::::.. ..;... .:::.. ....... ..::::....... ... �... ...... .....................n:v:ii:�:4::^'�ii:::nv:v;:+:?... .... ::::v:t..:•:::':?tL4}}}yv::::::::::::•::::•i}i}:...;.•'•;'t,}i}'::•.:.i:'4'•:....::::•.7.. ...................................................... x:::::::::::::::::::::.:�:.v::v.•}:Ji•itiiCi?:.?ti?4::vi::v::.?:::n:}•:{4...... x:v::. ..........::::::::.�:.::.:.i:i'.v.;... ..................:•::::•:::::::::::�:::::::.v:.:�:ii:??4:J:?•:?�:ti?•i:.....:::::�:::v::•:::::•::::•.v:•:::v:::::•:::::•::::.:i::�i::iiiiiiii::}i:::{•i}::.:•:tiif::::v:.•.vi:.v:::v::.:�?•}}}}i:i?•::•ii.v:}:�:::•:t................ ..:..... ....... ........ ..........................................v:::..... v...v:•:::r.x:x....................... ......................................... v.<:v.xnw. ...... ....... :... .}.... .......................... ..::nv:.4....................... � :.,.. v.v:M•::.�:.v::.�:::nv::::.::mwfwnty::ri:::>., ....:::::::: .......::::::::::....::::::::::!::::'-v:::n:nw:::.v::x::::.::.�:::.ii:•ii};•}iii:?•}iii:<•}:??'}ii:ii:::.:.'";:.::•:?8:{ii:ii?•^i}S:jri'::i:i}::ii::??i:i.;'::::.. �u mom snv nam : s :. tidres .:.:........... .......................................................... ::v::?•:::?v::•.isv::•.i?wi::.:::.�..�...•..."'::....:::....:•......•.��.�.:.•:.:::•:::.::.:.;:.iiii:.:;:n:iv.;.;:............:.........;. .....-..:v:r:•4 Li........'::v{i:: .�:.�i}ii::vi:fi::•i:i:•}ii;}i:i::•. ..............................:•;:_:y:•.::v:.�:•::::::::::.i:�iiii:4iiiiiiiiiiii:J:ii?4:?J ii::•:ii':.�:........ .... Fairare to seam a coverage as required ender Seaton 25A of MGL r52 can lead to the tmpositlon of csimind pension o[a 8ne up to Sr,S00.00 and/or one yam,imprisomnent as weB as ctvfi penaitie+in the form of a STOP WORK ORDER and a fine of Sr00.00 a day against me. I understand that a copy o[this ststemmt may be forwarded to the Ofitce of Investlgxttom of the DIA for coverage verification I do hereby c e parr�and o at the informaRion provided above is truce d co ed �� Date y �� o signature Print name L LI On/ D 1)o R-o f Phone# 7 official use only do not write in this area to be completed by city or town official city or town• peimitNcense# ❑Building Department ❑Licensing Board . ❑Selectmen's Office ❑check if immediate response b required (:]Health Department contact person: phoned; ❑Other f}'evued 9l93 PJIU IA Barnstable The Town of _ Department of Health, Safety and Environmental Services = l Building Division MUIL i���`�� 367 Main Street,Hyannis MA 02601 Office: 508-790.6227 Ralph MCrossen Fax: 508 790-6230 Building Commissioner ome occupation Re ' nation H P � Date: Name: ,I V,be Oh /r'lw Phone#: 7 1 Address: �� Ckm .W• VMage: W1G1 r zGo Type of Business: AA b bJIY' ©i`l (,I O tA&C5; m4Vut: 36 4' l 2 2 ki INTENT: a is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within sine family dwellings,subject to the provisions of Section 4 4.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: them shall be no increase in noise of odor,no visual alteration to the premises which would suggest anything other thaw a residential use;no iacease is traffic above normal residential volumes;and no increase in air or groundwater pOIIuution- After regist anon with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried an by the permanent resident of a single family resdential dwelling unit,located within that dwelvagunit. • Such use occupies no more than 400 square feet of space. • 'There are no cumnal alterations to the dweftwhich 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 quandties. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the mquired ftont Yard. • There is$o 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 pickaup truck not to emceed one ton capacity,and one starlet not to exceed 20 feet in length and not to exceed 4 tires,parked an the same lot containingthe CMOMary 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 shad not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwellingumit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering: APP� Date: � /Z HomeocAm