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0060 DUNN'S POND ROAD
(�� �u.n r) Po n f) Town of Barnstable 11, - Post This,Card So ghat it yis Visible From the Street Approved`Plans,Nlust be Retained on;lob and this Card Must be Kept i Building MASSL (Poste'd Until Final Inspection Has Been Made:` ( ° such Buildm "shall Not be erm Occupied until a Final Inspection has been made Where a Certificate of Occupancy is Required, Permit No. B-19-3124 Applicant Name: Approvals Date Issued: 09/23/2019 Current Use: Structure Permit Type: Building-Shed—Residential-200 sf and under Expiration Date: 03/23/2020 Foundation: Location: 60 DUNN'S:POND ROAD, HYANNIS Map/Lot 270-019 Zoning District: RB Sheathing: Owner on Record: BANACH, MARLENE&SOUZA,WALLACE, Contractor,Name:;, Framing: 1 Address 60DUNN'S POND Contractor License 2, HYANNIS, MA 02601 � Est Project Cost: $0.00 Chimney: Perm $ it Fee: 35.00 Description: 12x16 Shed Insulation: Fee"Paid � $35.00 Project Review Req: 12 x16 one story shed located as shown on submitted / Final: property plan. Date. 9/23/2019 Plumbing/Gas Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after ssuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatur"es by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection `" Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed'"""'°"' `" 4.Wiring&Plumbing Inspections to be completed prior.to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before"Occupancy Low Voltage Final: Where applicable,separate permits are required for-Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ✓ram Final: S Tow'11'of Barnstable THE ro Building Department Services Brian Florence,CBO WAIMSTAX-.R Building Commissioner 200 Main Street, Hyannis,MA 02601 www.townbarnstable.maxs Office: 508-862-403 8 Fag: 508-790-623 0 PERT# FEE: $35. 011VG DFp SEEM REGISTRATION SEP T RESIDENTIAL ONLY 02019 2; 200 square feet or less T kk�F . BgRNSrAeCE , Coo D, ff s an r) C CK l A C k n n ►5 Location of shed(address) Vfllag Ian r y 4 y`Ac le�e� �JAnA J� 502 15- 7 (A Property owner's nmme Telephone number ,2 -D U Size of She Map/Parcel# ignature Date Hyamus Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must Me with Old King's Highway Conseivation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,TRM MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT•PLAN . Q forms-shedreg �:08,6,17 Evai I fn PAe�,e) K Legend r F - Parcels Town Boundary 4WiOP `i — Railroad Tracks , ?. `~" Buildings 27t8t�`€T f #80 t` Q Approx.Building 1M Buildings 27025! Painted Lines Parking Lots Paved 7001 ;Unpaved Driveways o 1 ., Paved i '�; - •" cr„ 3"ir,�. ;;, ;',Unpaved " t Roads Paved Road S ay Unpaved Road Bridge _ f Paved Median {+` Streams ' `. Marsh l 270256 Water Bodies ff #5 . �r,r {# Il 2Qtt �z ° tr'i� r 3 r 240026061 �y ky:r�"y{� 2��25d Map printed on: 9/20/2019 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 02601 p 42 83 0 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet cartographic errors or omissions. gis@town.barnstable:ma.us t t DATE: December 12, 2011 TO: Building File FROM: R. Anderson RE: Inquiry to construct second floor apartment LOCUS: 60 Dunns' Pond Rd, Hyannis Record Owners: CARDOSO, OCTAVIO & CRUZ-CARDOSO, SHEILA Owner came in inquiring about building a second story apartment on this property. He states he purchased this property 4 years ago. Owner told Sally he wanted separate utilities. I went up to the counter to talk to him, advised this is a single family zone. He said he may want a"great room upstairs. Later his wife came in and said they have two kids and may want to make bedrooms . upstairs so they have more room on the first floor. He waved his hand to silence her. He also mentioned building a garage-with an apartment above. They both mentioned purchasing another property. They acclaim they are looking at their options. He stated he is a plumber and that is why he looks familiar to me. I checked the other files to make sure I had not inspected this property and I believe I confused it with Ostopechum's property.(20-002 with the.daycare and fa,mily apat/as well as another house across the street): When I asked if he is related to anybody on the street Mr. Cardoso stated That he knows everyone on the street but is not related to anyone other resident. t �o� Town of Barnstable Building Department - 200 Main Street * S& ' Hyannis, MA 02601 9�A 1639. •� (508) 862-4038 rF0 MA'S A Certificate of Occupancy Application Number: 201205878 CO Number: 20140022 Parcel ID: 270019 CO Issue Date: 04109/14 Location: 60 OUNN'S POND ROAD Zoning Classification: RESIDENCE B DISTRICT Proposed Use: SINGLE FAMILY HOME Village: HYANNIS Gen Contractor: SABATINI, ROBERT Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed t TOWN OF BARNSTABLE Building 201205878 BABNSTABLE, Issue Date: 10/11/12 Permit 9 MASS. 1639. a♦� Applicant: SABATINI,ROBERT Permit Number: B 20122491 Proposed Use: SINGLE FAMILY HOME Expiration Date: .04/10/13 Location 60 DUNN'S POND ROAD Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 270019 Permit Fee$ 102.00 Contractor SABATINI,ROBERT Village HYANNIS App Fee$ 50.00 License Num 104556 Est Construction Cost$ 20,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND EXTEND KITCHEN AND BEDROOM THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CARDOSO,OCTAVIO&CRUZ-CARDOSO,SHEILA BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 60 DUNN'S POND ROAD INSPECTION HAS BEEN MADE. HYANNIS,NIA 02601 Application Entered by: PR Building Permit Issued By: THIS PERMTC CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART:THEREOF,.EITHER.TtNOORARILY,-OR PER NENTLY..,'ENCROACHMENTS ONP IC PROPERTY;NOI SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS.DEPTH AND LOCATION OF PUBLI6,SEWERS?MAY BE .A OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS'OF ANY APPLICABLE SUBDIVISION,% RESTRICTIONS MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION i 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE;SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK,IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). x _ oil y., BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 713 art,Sc.�/ I l— ►�— /3 2 =3(-- t t{ 3 1 Heating Inspection Approvals Engineering Dept Fire Dept �.. Hh� � 2 Board of Ifealth ) , qjlf S�1 �,e �V�a1 3�,�(rN"M� I Regulatory Services P� Thomas F: Geiler,Director Building Division fi Sl - f g Tom Perry,Bmlding Commissioner artn 200 Main Street, Hyannis,MA 0260TIOWN OF B RNSTABLE www.town.barnstable.mams 2013 MAY 24 PH .3: 24. Office: 508-862-4.038 Fax: 508-790-6230 G� Approved: '\ . °<°J�� Permit#: ,;I0 1 o M HOME OCCUPATION REGISTRATION D Name. G G►V) CGt I`d 0 Phone#: 'rbk JD�S Address: 1/�►�, P '0-C11J�t Vill�►►ge: /'1�1�I0� Name of Business: 6 ei r- ©S W(5 C-C I-e G(✓\ V �l�l-�^G 1�(S 11� �.�' �� Type of Business: ( / +��l l Map/Lot: �D' INTENT: It is the intent of this section to allow the residents of the.Town of Barnstable to operate a home occupation y 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 acti`aty 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`plumes. ZL • 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. v • 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 cZn or one pick-up truck not to exceed,one ton capacity,and one.trailernot to exceed 20 feet in length and not to " 7 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 Lam, included. 'J • No person shall be employed in the Customary Home.Occupation who is not a permanent resident of the dwelling unit. I, the undersigned,have read and agree with the above restrictions for my home occupation I am registering. l , Applicant Date: 4 i Homeoc.doc Rey.01/3/08 �A YOU WISH TO OPEN A BUSINESS? For Your' Information: Business certificates (cost$40.00 for 4 year .. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate:]'-Yt�u�m�i st first obtain the necessary Signatures on this format 20C3 Main 5t., Hyannis. Takes 11-io completed form to the Town Clerk's Officer, l st. FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. s� , „ , DATE: Fill in.please: APPLICANT'S YOUR NAME/S: _ c`cJ2 C�� �, e: ` °` BUSINESS YO R HOME ADDRESS: O (9 1 G TELEPHONE # Home ele hone Number NAME OF CORPORATION : NAME OF NEW BUSINESS da5� r 1 0.v� aria$._ t TYPE OF BUSINESS ( kC IS THIS A HOME OCCURATI YES -7 �{ ADDRESS O�BUSINESS t MAP/PARCEL NUMBER Z !:Q D - I (AssesoingJ 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..T..O..2_.QO Maims- (corner of Yarmouth . Rd. & Main Street) to make sure you have the appropriate permj: s die es re uired to le ally operate your business in is to`� �\ .� L�� GI(�f�PLY 1�ITH HOMT UCCUPATION S�-% , i1 1. BUILDING COMMISSIONER' FFICE +iULES AND REGULATIONS.. FAILURE T v This individual has been infor y p r t �gtii a I. orized Signature . Y: MEN -S. f� O 2. BOARD OF HEALTH 0 -/"D �5 �' v �� Ce_ �Z_._ al.) ,, ��i� This individual has)bee it fo_rgrt�c�of the permit requirements that pertain to this type of busines . i{tho�iz d�Si r}ature** COMMENTS: (�� 3. CONSUMER AFFAIRS(LICENSING AUTH RITY) This individual has en or ed of lice sing requirements that pertain to this type of business. Aut' o ' d Signat r ** > COMMENTS: d� a-j f 09/27/2012 03:31 5087430607 GOLD STONE MARBLE PAGE 01 awraom. Showroom. 2 Franklin S# 567 lyannough Rd Nedway, MA 02053 Hyannis, MA 02601 phone. Phomw (508J-533-d969 (505)-775-6760 Fax. www.goldstonegranife-com Fax. (508)-53�t-769Q (508,;-77567 6f Octavio Cardosa l Gilson De Souza, owner of Gold Stone Marble & Granite Inc. am giving you permission to place granite slabs at our showroom location in S87 lyannough Rd, Hyannis, 02601. I 5 P C YOU WISH TO OPEN A BUSINESS? For Your Intori-riatiori: Business certificates [cast$40:00 for_4_�ye�a�s. :. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operates- oY first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL; 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in ease: k APPLICANT'S YOUR NAME S. _ s/ C��2 Cam d _A- 'x BUSINESS YO R HOME ADDRESS: D ( I tirl t1� na TELEPHONE # Home elephone Number ' F yam. :NAME OF CORPORATION. 4 NAME OF NEW BUSINESS �rdo5c`' rs` r 1� a�,rk._ TYPE OF BUSINESS IS THIS A HOME`OCCURATION? YES ADDRESS OF BUSINESS l MAP/PARCEL NUMBER Z7D D [Asses, .ing) 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_M..2.Q_O_M_ain * - [corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in is to 1. BUILDING COMMISSIONER' FFICE This individual.has been infor any permit requirements that pertain to this type of business. orized Signature (Y Y COMMENTS: a 2. BOARD OF HEALTH This individual hasj bee l orgrfec'of the permit requirements that pertain to this type of business. �ythoiiz d,,i rS ature** COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTH RITY) This individual has en or ed of lice sing requirements that pertain to this type of business. Auto ' d Signat r COMMENTS: DATE: December 12, 2011 TO: Building File FROM: R. Anderson RE: Inquiry to construct second floor apartment LOCUS: 60 Dunns' Pond Rd, Hyannis R - Record Owners: CARDOSO OCTAVIO & CRUZ CARDOSO SHEILA Owner came in inquiring about building a second story apartment on this property. He states he purchased this property 4 years ago. Owner told Sally he wanted separate utilities. I went up to the counter to talk to him, advised this is a single family zone. He said he may want a"great room"upstairs. Later his wife came in and said they.have two kids and may want to make bedrooms upstairs so they have more room on the first floor. He waved his hand to silence her. He also mentioned building a garage with an apartment above. They both mentioned purchasing another property. They acclaim they are looking at their options. He stated he is a plumber and that is why he looks familiar to me. I checked the other files to make sure I had not inspected this property and I believe I confused it with Ostopechum's property(20-002 with the daycare and family apartment as well as another house across the street). When I asked if he is related to anybody on the street Mr. Cardoso stated that he knows everyone on the street but is not'related to anyone other resident. Owners returned later this same morning. They complained about other properties and the approval of the fish market at the corner in this SF zone. They complained about 135 Dunn's Pond.. They came with photos. I saw that#135 has a valid family apartment., I advised them accordingly. After some discussion where we discussed the difference between a duplex and a family apartment they stated that they want to construct a family apartment for his mother. We reviewed the requirements and I stressed that this is not duplex,the unit goes away when the need is no longer there. Sally reviewed the permit in-take requirements with them. They left with the correct permit application. t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 00 TOw, OF RARNSTAF Map v Parcel l Xoplication # Health Division Z IjA I N 25 AN 9:Dole Issued Conservation Division Application Fee DIV Planning Dept. "' �R e'rmit Fee 3s Date Definitive Plan Approved by Planning Board P� Historic - OKH Preservation / Hyannis P_r-ojectYStreet-Address_7, U y1Vv _s - i Village � ~`�/ 01-V\w% 5 �Owne Vic.�-g � y C-A J°S S Address S `v4 -e �Telephone"'�` A � _� 1 ` cPermit,Request��f�ceV cS� � � 5 (k Q � �Uo�_ (a kq", '.Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ProjectaValuation 2 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes VNo .On Old King's Highway: ❑Yes p'Nlo Basement Type: ❑ Full ❑ Crawl 0 Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 'Z_ 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== c��eo �2��d-�r� Telep' fiorie Numfjer 2 �3 �s C `Addy`esstC"" Home Improvement.Contractor# 6 7 CL Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -DATE-_I_._ 3 9 FOR OFFICIAL USE ONLY r < AP.,PLIt ATION# DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE t i OWNER f DATE OF INSPECTION: .--FOUNDATION . «: r FRAME i INSULATION e ` FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F S FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. , f" , The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA OZIII wiww.massgov%dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name=(Business/Organization/IndividuaI): �j�/�✓t-.- �t>i. �� Address--" City/State/Zip:�/G/_w1 A d'�"/�5S Phone#: 2U?: "4( 2-3 --45 1 5 A;?1 ou an employer?Check the appropriate box : Type of project(required); l. am a employer with 4. [] I am a general contractor and I �— 6. New construction ployees(full and/or part-time).* have hired the sub-contractors . 2. I am a sole proprietor or partner- ` listed on-the attached sheet 7. ❑Remodeling shipand have no employees These sub-contractors have 8. �Demolition working forme in any capacity. employees and have workers' comp. insurance.$ 9. 0 Building addition [No workers'comp.insurance - P• required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 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 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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 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.#:_ .2 U u� �'C.// Z Expiration Dater 3 /z / Job Site Address: h 6 `✓v Vt h.`a :1 Cie .je,g14 City/State/Zip: Cc Gl.itiL:S' . i S 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 certi u der.the pains aan penalties of perjury that the information,provided above is true and correc4 Si ahire e'/ "�s �r`"•-'-Date: Z� 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): I.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector. 5 Plumbing Inspector 6.Other Cont#ct.Person: Phone#: .........--......... SABATA OP ID: DW ` DATE(MMIDD/YYYY) ,a►coRnA CERTIFICATE OF LIABILITY INSURANCE 09/25/2012 D CONFERS NO�..� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NDYEXTEND OR ALTER TIRE COVERAGE AFFORDEDGH THEABY THEDPOLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ISSUING 1NSURER(S),'AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A. CONTRACT BETWEEN THE. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ect to IMPORTANT: If the certificate holder is an ADDITIONAL INSe ul rer the t an endorsement.A statement on this his°certiffiicOate does n t conferD ightslto the the terms and conditions of the policy,certain policies may q certificate holder in lieu of such endorsement(s). coNTACT PRODUCER Phone:508-385-2454 NAME. Edward J.McGrath Insurance PHONE fi ' LAIC No Fax:508-385-6991 1A<c No xt P.O.BOX 1003 E-MAIL Dennis,MA 02638 ADDRESS E.J. McGrath Insurance Agency fN' INSURERS)AFFORDING COVERAGE 4 _' t NAIC II z iNSURERA Nautilus InsuranceCompany + INSURER B:ACE'USA' INsuRED Cranberry Builders,"LLC '} Robert Sabatini INSURER c Road 16 Old County INSURER D: Harwichport, MA 02646 x° , -' INSURER E.; INSURER F c,. .: COVERAGES CERTIFICATE NUMBER: a REVISION NUMBER THIS IS TO CERTIFY THAT THE PONYIREQUIREMENTNTERM OR CONDCE LISTED WIONVOF ANY CONTRACT OR OTHER DOCUMENT WITH`R SPECTATOE BEEN ISSUE D NAMED ABOVE FOR'THE LWHICH THIS INDICATED. NOTWITHSTANDING ;x CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,-THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH:POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED D BY PAID cY Ex CLAIMS. LIMITS INSRj TYPE OF INSURANCE I ' ' POLICY NUMBER '- MMIDDIYYVY' MMIDO/YYYY i , LTR t + j EACH OCCURRENCE I S c •1�UOO,OOO GENERAL LIABILITY j I IAK9AG'970 LENT 1 3120120i2{03I2012013 50,000 NN084859 0 f P EMISES Ea occurrence) j 5 " A X COMMERCIAL GENERAL LIABILITY'` `I {, I _ I k 5 UO LMED EXP Any onz per 3I 5 CLAIMS-MADE i X�I OCCUR I I I d ` j 1,000�ODU i— ' PERSONAL&`ADV INJURY 15 i I z;000,000 I - d GENERAL AGGREGATE `5 `" "" 4 l I P COMP/Op AGG S ZOO 0,00 ;• 1 RODUC7S"COt9 O j GEN'L AGGREGATE LIMIT APPLIES PER { l '§ POLICY I 1 PRO I��LOC I r I GO(dBINED SINGLE LIMIT, IFCT _l f Go ccidznt., I AUTOMOBILE LIABILITY , i j BODILY INJURY(Per person) 5'• { , ANY AUTO 1,BODILY INJURY(Per accident)[,5 ALL OWNED —�SCHEDULED I�AUTOS I : I ALTOS , PROP'cRTY DAMAGE g ' NON-OWNED` Pzr accidenn I I HIRED AUTOS AUTOS .EACH OCCURRENCE S j UMBRELLA LIAB J OCCUR; I I I I I S _ 4 1 i AGGREGATE P,EXCESS LIAB d rl CLAIMS-MADE DED I L RETENTIONS L I X WC'STATU ;IOTH-+ „ z WORKERS COMPENSATION I T00�3V LIS�7ITS^�FfZ }AND EMPLOYERS'LIABILITY Y I'N I I 1'` 0 112/20121 03/1212013'< E.L.EACH.ACCIDENT. j S 1OO,OQO B ANY PROPRIETORIPARTNER/EXECUTIVE :6S62UB4573P06112 j' 1 N I A E.L.DISEASE=EA EMPLOYEE!S%. ,100,000 OFFICERIMEMSER EXCLUDED? ❑N I L (Mandatory in NH) 1. If yes,descrioe under I ' " f ,° '' ' T IT l ` .. EASE 5 E:L DIS POLICY LIR9 5OO 000 1 DESCRIPTION OF OPERATIONS below ---I •�- CJ DESCRIPTION OF OPERATIONS/*LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is roquirod) (�' a- 7T 1 ; 14 Guy Ln Hyannis MA 02601 Residential Car pentry k f CANCELLATION w ?, a-CERTIFICATE HOLDER r BARNT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE EXPIRATION DATE THEREOF; •NOTICE 'WILL, BE DELIVERED IN Town of Barnstable F x, ACCORDANCE WITH THE POLICY PROVISIONS ; 200 Main Street " HyannlS,Ml4 0261?1` AUTHORIZED REPRESENTATIVE10 E:J.W&4th Insurance Agency � k ©1988-2010 ACORD CORPORATION A11'eights reserved T e h ACORD name and logo are registered marks of ACORD .x ACORD 25(2010105) : k oFVE Town of Barnstable. Regulatory o Services g rY 9 ' ss Thomas F. Geiler,Director i6gg. �0 iOrEn r�r►+" 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 I, 3ar_V_t_0, � Q , as Owner of the subject property herebyauthorize _e S��oa c�:1 C/�cea 1��d1 riot � t o o act on my behalf, in all matters relative to work authorized by this.building permit - (Address of Job) _. **Pool fences'and alarms. are the responsibility of the applicant. Pools,are not to be filled or utilized,before fence is installed and all final inspections are performed and,accepted. Signature of Owner., Signature of Applicant; Print Name . Print Name Date T QYORMS:OWNERPERMISSIONPOOLS 62012 a ��z t Town afBarnstable "o Regulatory Services BARNST.,mLE, : Thomas F.Geiler,Director pSS. � . �p i639• a,� Building Division rED MA'I 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 buildingpermit. (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 ��� Office of Consumer Affairs,and Business Regulation r` 10 Park Plaza Suite 51,70 Boston, Massachusetts 02116 Home. Improvement CoAractor Registration - Registration: 167911 4 Type:, Individual 3 r g Expiration: 11/17/2014 Tr# 233993 ROBERT SABATINI �. t" 'w ROBERT SABATINI 16 OLD COUNTY RD HARWICHPORT, MA 02646 j x - Update Address and return card.Mark reason for change. SCA 1 020M-05/11 Address 0 Renewal F�-Employment f Lost Card' ' �e rPo�rruneo�raurea�a�G� ac�c�eC7a - Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. egistration: 16-7911 Type- Office of Consumer Affairs and Business Regulation xpiratlon 1 kF?T12014 Individual- K 10 Park Plaza Suite 5170 Zz Boston,MA 02116 ROBERT SABATINI ROBERT SABATINI 16 OLD COUNTY RD HARWICHPORT, MA 02646` Undersecretary Not valid without signature `ttita5s.�chusc.tt� p ': apartment OfPublie S:ttct� Bo.itil of Builtliri;;^Rc�ulationc inl Stantlardv a' ` Construction`Supervisor-:L"icense.' ' License CS 1U4556 " � £ E20BERT aSABATINI � � a � r , 7 »18.CRANBERRY . ti, LONE HA.RWIC AMA 02645 � 77umvv �'�` Ezprratron 5/17/2014 '. intr Tr#: `1045 a N ,„a«._:rv:.x.. .e.,.w,.c. ;a,s'; ..�,�.. _. :,�:,-a:;,P,,,rn,r.x�:;, ,y�.,.+�-m,e•„�s��� - - - ., Onn cc® MEMBER REPORT Level, 14:Flush Beam PASSED R G 3 piece(s) 1 3/4" x 11 7/8" 1.9E Microllam® LVL Overall Length:14' 0 — — — 0 14'_ _ All locations are measured from the outside face of left support(or left cantilever end).All dimensions are horizontal.;Drawing is Conceptual Design Re561t5 _ mActiwl@Location}." Allowed„ tZeslilt: _11"_ xLDF Load:'Corn ination:(Pattem) System :Floor Member Reaction(Ibs) 7304 @ 2" 13322(3.50") Passed(55%) 1.0 D+0.75 L+0.75 S(All Spans) Member Type Flush Beam Shear(Ibs) 5967 @ 12'8 5/8" 13622 Passed(44%) 1.15 1.0 D+0.75 L+0.75 S(All Spans) Building Use:Residential Moment(Ft-lbs) 24362 @ 7' 30788 Passed(79%) 1.15 1.0 D+0.75 L+0.75 S(All Spans) Building Code:IBC Live Load Dell.(in) 0.345 @ 7' 0.342 Passed(L/475) -- 1.0 D+0.75 L+0.75 S(All Spans) Design Methodology:ASD Total Load Defl.(in) 0.636 @ 7' 0.683 Passed(L/258) 1.0 D+0.75 L+0.75 S(All Spans) Deflection criteria:LL(1-1480)and TL(L/240). Bracing(Lu):All compression edges(top and bottom)must be braced at 10'9 3/16"o/c unless detailed otherwise.Proper attachment and positioning of lateral tiracing is required to achieve member stability. Yw r .i r , Bearing. w ,r� 7" Loads to Supports(Ibs) ,.. - « x.; - }Floor . .- Supports ,Total Available .Required Dead'• snow Total Accessories 1-Column-SPF 3.50" 3.50" 1.92" 3341 1820 3465 8626 None 2-Column-SPF 3.50" 3.50" 1.92" 3341 1820 3465 8626 None ' Tributary w iDead ,Floor Live ,Snow LOadS tLoeatil Width ps, `„ e(090). (1.00) (115) 6ommen6 , 1-Unifonn(PLF) 0 to 14' N/A 330.0 - 495.0 Roof Load 30/20 16 6" 2-Uniform(PLF) 0 to 14' N/A 130.0 260.0 - Ceiling Load 20/10 13' ., Weyerhaeuser:Notes SUSTAINABLE FORESM WI114MVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Refer to current Weyerhaeuser literature for installation details. (www.woodbywy.com)Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator. _ i. -'Forte'Softwar'eOperator N;, t ' -Job,Notes- 7 ." . `M 12/19/201212:24:09PM _ M .,, . -J Andrew Shakliks CCP .60 Dunes Pond Rd Forte v4.0,Design Engine:V5.6.1.203 Mid-Cape Home Center Hyannis MA Cranberry 60 Dunes Pond.4te (508)398-6071 ASHAKLIKS@MIDCAPE.NET - -- 'Page 2 of 3 Town of Barnstable *Permit# Expires 6 months from issue date Services °^ Regulatory Fee �� •-- * anaxsresIA +' � Huss. Thomas F.Geiler,Director PERMIT® A s639- �0 TEDN10YA Building Division X'PREAs Tom Perry,CBO, Building Commissioner 4 2013 200 Main Street,Hyannis,MA 02601 J AN 2 www.town.barnstable.ma.us, Office: 508-862-4038 !gTAaUJE230 EXPRESS.PERMIT APPLICATION - RESIDEPYNq� Not Valid without Red X-Press Imprint Map/parcel Number 0 ® alp.�. m Property.Addressil/1//l)� 17n � ill Residential Value of Work r/T(� � Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address YPe` D Contractor's Name Telephone Number_ t� �,l�� —' Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) -aWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor f 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 Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ] Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not'exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: --The-Commonwealth.of-Massachusetts-.- - Department of Industrial Accidents. Office of Investigations 600 Washington Street Boston,MA 02111 a www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): "7 GT A yG . A p: \77.5��. Address: _�o (7 0 nJ Cff /State/Zi ty p: 02i Phone#: SOS Are you an employer?Check the appropriate box: Type of project(required): 1.01 I am a employer with 4. ❑;I am a general contractor and I t 6. Ed New construction employees.(full and/or part-time).*. fhave hired the sub-contractors 2. MI am a sole proprietor or partner- listed on the attached sheet. 7. ,Remodeling ' 0 .'. , N These sub-contractors have ship and have no employees 8. El Demolition working forme in any capacity, employees and have workers'. l employees insurance.$ 9. WBuilding addition [No workers comp..insurance p required.] 5 We are a corporation and its 10.❑ Electrical repairs or additions 3. ] I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions, myself. [No workers'.comp, right of exemption per MGL 12:❑ Roof repairs insurance required]t a. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp."insurance required:] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all.work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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 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 underSection 25A of MGL a 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 insurLqle coverage verification. I do hereby certify under e p and penalties,of perjury that the information provided above is true and correct. Si ature: Date: / W- .L 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 with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that"apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have .employees,a policy is required. Be advised that this affidavit maybe 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 provided to the applicant as proof that a valid affidavit is on.file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related.to any business or commercial venture . (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,. . please do not hesitate to give us a call: The Department's address,telephone and fax'numbert 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#'61-7-727=7749. Revised 4-24-07 www.mass.gov/dia Town of Barnstable Regulatory Services BAMSrABIE, ' Thomas F. Geiler, Director Mass. 16 39. A`$� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnsta ble.ma.us Office:. 5087862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION G Please Print DATE: (�� / i — 1 JOB LOCATION: 4��.e2 village .number street .'HOMEOWNER": � v �� name home phone# work phone# CURRENT MAILING ADDRESS: 1,n:> l�/J/�L� i /town astate zip code The current exemption for"homeowners",was extended to include owner-occupied dwellings of six units or Tess 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 responsibilitycompliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "home caner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures a men 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:,"Anyhomeowner 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. n.�nmrrt ..n. 4 ff., %rV'AR RQQ Anc `. a�- Op THE TOE ' Pb �' Os Town of Barnstable Regulatory Services 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 Faz: 508-790-6230 Property Owner Must s Um" plete'and Sign This Section.. - -If Using,N Builder < , ..� . 4 1 as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) A < Signature of Owner Date Print Name If Property Owner is applying for permit, please_complete the Homeowners License Exemption Form on,the reverse side. i - i Q:IWPFILESTORMS\building permit formsTXPRESS.doc 00N°� j)v . a 45 + i 1 � t � a a o,..,•,�+„w+m.aw�_� --_ �®mow acm+vwn�w�.�w+�. f . I q 1 � 6 3 7e.00 Z14"" ' rooms t a SABAT-1 OP ID: DW -� DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 69/25/2012 THI�TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS.WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone:508-385-2454 NAME:CT Edward J.McGrath Insurance PHONE FAx Fax:508-385-5991 1A(G N,�Ext1: P.O.Box 1003 .�.- �ia�,.�z_.- E-MAIL Dennis,MA 02638 ADDRESS: E.J. McGrath Insurance Agency INSURERS S)AFFORDING COVERAGE I NAIC k _ INSURER A:Nautilus Insurance Company IY$URED Cranberry Builders, LLC INSURER B:ACE USA Robert Sabatini INSURER C: 16 Old County Road INSURER D: Harwichport, MA 02646 - ~^ INSURER E: -- INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED'OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUBr3 I POLICY EFF POLICY EXP MMIDOIYYYY :. LIMITS; ILTR TYPE OF INSURANCE. I I POLICY NUMBER i MMIDO/YYYY . - GENERAL LIABILITY I i EACH OCCURRENCE 3 17000,000 ( i Dr AT GEyT0'TE 5Q OO A X COMMERCIAL GENERAL LIABILITY NN084859 03/2012012 03120/2013( PREM SES(Ea cccurrenc.Li S _ . I CLAIMS-MADE X OCCUR j ME EXP(Any one person) S 5,00 I_ 1 i PERSONAL&ADV INJURY 1.$ 1,000,000 j GENERAL AGGREGATE �5 2,000,000 PRODUCTS-COMP/OP AGG 5 2+000+000 GEN'L AGGREGATE LIMIT APPLIES PER — ! P - i 1 j S ! POLICY I j ROT �LOC i COMBINED SINGLE Li 11 i I AUTOMOBILE LIABILITY j (Ea accident) S BODILY INJURY(Per person) $ ANY AUTO i ALL OWNED F-7 SCHEDULED I iBODILY INJURY(Per acadanq!S -i;AUTOS I I AUTOS I I ! I PROPERTY DAh1AGE —,1 NON-OWNED I `11 1_P1 acaeer!) 5 HIRED AUTOS !AUTOS i I S j I UMBRELLA LIAB' 1 OCCUR j • EACH OCCURRENCE _. I EXCESS LIAB CLAIMS-MADE ! i AGGREGATE OED ! RETENTION 5 WC STATU- 'OTH- WORKERS COMPENSATION I- X 1 TORY .IT i,_�R' i _ 1 AND EMPLOYERS'LIABILITY YIN 1 OO OOO B !ANY PROPRIETORIPARTNERIEXECUTIVE-^� - �062UB4573P061.12 03/12/2012;03112/2013 E.L.EACH ACCIDENT 1 5 + OFHCERC,'EMBER EXCLUDED? ��1 1 N I A i E.L.DISEASE-EA EMPLOYEE:S 100,000 (Mandatory in NH) - 1 j If yes,dascr:be under - 1" ! ! E.L.DISEASE-POLICY UM T S '- 500,000 DESCRIPTION OF OPERATIONS beiow C 7 r,...� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) ( h+J Residential Carpentry: 0 Du`nns Pond=Rd Hyannis MA 02601� CD CANCELLATION CERTIFICATE HOLDER' BARNT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE` THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street 'Y Hyannls,.MA 02601 AUTHORIZED REPRESENTATIVE E.J.McGrath Insurance Agency C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered.marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map ' ' Parce� J' ) A plication#` Health Division Date Issued 0 (,Z--' Conservation Division Application Fee Planning Dept. Permit Fee tu Date Definitive Plan Approved by Planning Board ./ Historic - OKH _ Preservation / Hyannis Project Street Address (0 0 -bu a( 'rNS 900A Village kkUnn n► S M'- O)LUO I Owner1SV\,e\Ck .4 CxAck_V,O r Address Telephone_` "' 1 Permit Request -ex tArdnen ard bedroom Square feet: 1 st floor: existing 3`proposed 2nd floor: existing proposed Total new 2? Zoning District Flood Plain C Groundwater Overlay Project Valuation Z'o. o"° Construction Type Woo Lot Size t 21 G.t. S Grandfathered: ❑Yes ❑ No If es, attach supporting � y documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure ZO Y���-S Historic House: ❑Yes g g / No On Old King's Highway: ❑ f�Yes 'IVo Basement Type: ❑ Full ❑ Crawl ®Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2- new `�- Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (noZas luding baths): existing (� new First Floor Room Count Heat Type and Fuel: ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: OLYes 14No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑ eAiti g ❑ new size_ Attached garage: ❑ existing ❑ new size —Shed: ❑ existing ❑ new size — Other: ` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ l Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOM/EO_WNER) Name `��X O�v.� �'`�S d `2�5� tf �- -Gf. �. - Telephone Number - - Address 4, D c� C1tJ✓ A f 1- ` � License # f Home Improvement Contractor# l O� Lf Worker's Compensation # S ,Z U/�` 7-5/ PO ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE I�C�J/ - DATE �/"Z -2— . FOR OFFICIAL USE ONLY -- '`APPLICATION# - DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER _ DATE OF INSPECTION: FOUNDATION 4D0 FRAME INSULATION v FIREPLACE ELECTRICAL: ROUGH =+ FINALS PLUMBING: ROUGH FINALC GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT' d ASSOCIATION PLAN NO. t'1 r 'ti The Commonwealth,of Massachusetts . Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,.AM 02111 www mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): C]/LC-A✓A 2✓t°l i P u t./�,{G k.j.' Address:. I" OIA C'dLA,,, iQdt City/State/Zi G✓ L"\C ► � A, 1 S S P: n. Phone M 2.•0`7 — .IfZ.3 F2.0 (you an employer?Check tie appropriate box: �/ 4. I am a general contractor and I Type of project(require; I am a employer with�_ ❑ g. employees(full and/or part-time),,* have hired the sub-contractors 6. ❑New construction I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g ❑Demolition working for me in any capacity. employees and,have workers' [No workers' comp.insurance comp,msurance.t . 9. gAWlding addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their il.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL ` ] c. 152 O 12.0 Roof repairs insurance required. t , §1 4 ,and we have no employees. [No workers' 13.0 Other y comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. t_ontractors 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 am an employer that is providing workers'compensation insurance for my employees. Below is 1 the policy and job site information.Insurance Company Name: Ace-: �T, 1,� Policy#or Self-ins. Lic.#:- U4 ofh ": PD d / Expiration Date: f Z 3 Job Site Address: 66 1�vv►V1g ��c1� City/State/Zip: ���" �i.�t.1(5 1jg,5;J 0�Y` 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 nder the pains.and penalties of perjury that the information provided above is true and correct Signafore: �� G Z. 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 Cont#ct Person: Phone#: ATYC Gidde to iVood Construction in High Wind Areas:110 inph Wind Zone Massachusetts Checklist for Compliance (78o cA11R 5301.2.1.1)' Check Compliance,..: 1.1 SCOPE WindSpeed 3-sec.gust)P ( 9 ).:............:...............:................................................................:..:............... 110 mph 1 Wind Exposure Category.................. .......................................................................................................... B - Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories :5 2 stories RoofPitch ..............................:...........................................I(Fig 2) ........................................... LL - .12 a/' MeanRoof Height .....................................................:........(Fig 2)........ <12'........................................._ft :5'33' BuildingWidth,W ...............................................................(Fig 3)...................:............................. ft <-80' Building Length, L ....(Fig 3 — ` Building Aspect Ratio L/W (Fig 4 ................................................. <_3:1 Nominal Height of Tallest Opening ....................................(Fig 4)................................................ < 1.3' FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry.................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION- 5/8"Anchor Bolts,imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only aw BoltSpacing-general ..........................................(Table 4)................................................ jLL in. Bolt Spacing from endrJoint of plate ................:............(Fig 5)..................:................. in.< - 2_6" -sue Bolt Embedment-concrete.........................................(Fig 5)................................................._in.>_7" -�L- Bolt Embedment-masonry.........................................(Fig 5)............i............................... in.>_15' PlateWasher..*.............................................................(Fig 5)..............................................>3'x 3'x 3.1 FLOORS Floor-framing memberspans checked ...............................(per 780 CMR Ch ter55).....t, ............. < Maximum Floor Opening Dimension...................... (Fig 6)................. ................... ?.�ft_12 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).....�,1?................::........ Maximum Floor Joist Setbacks Supporting Loadbearing Watts or Shearwall................(Fig 7)......................�dw:................._ft s d ---_.__M_a_ximum Cantilevered Floor Joists '"Supporting Loadbearing Walls'orShearwall.........:...:..(Fig 8).... .....;�.-.�d'..:�.•.••...•.•• ft _<d FloorBracing at Endwalls......................:.............................(Fig 9).....................�......... Floor Sheathing Type ........(per 780 CMR Chapter ............ -� Floor Sheathing Thickness ...........................................:....:(per 780.CMR Chapter 55)........... .l:. in. Floor Sheathing Fastening.................................:................(Table 2).. d nails at 11_in edge/Y in field 4.1. WALLS . Wall Height , Loadbearing walls ........:............ ..................(Fig 10 and Table 5)................... .......�ft 510' Non-Loadbearing walls .(Fig 10 and Table 5) . Cft <20' Wall Stud Spacing ...........................................................(Fig 10 and Table 5)...................�in. 24"o.c. Wall Story Offsets (Figs 7&8)............�1 /OwG.,.......... ft s d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls....... ......... .......... able 5 .2x - ft O in: Non-'Loadbearing walls.. (Table 5)..............................2x-L--eft C" in. Gable End Wall Bracing Full Height Endwall Studs............ . .......(Fig 10)........................ WSP-Attic Floor Length................:.............................. Fi 11 ,..p.... ............::z..W.../.3 fWSP not used. . Gypsum CeilingLength i . — I and 2 x 4 Gontinuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)............................................................. or 1--x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 fl. spacing in end joist or truss bays` Double Top Plate Splice Length ..................................................:.(Fig 13 and Table 6)................... ................. -ft Splice Connection(no.of 16d common nails)..............(Tabre 6)........:,............:..:..............................�. ATVC Guide to I•Yood Consawtion hi H gh Wirtd Areas: 110 fnph /T'ind Zone Massachusetts Checklist for Compliance (7s0 Cif°1R 5301.2.1.1)! Loadbearing Wall Connections . .ff n/ Lateral(no.of 16d common nails).......................:........(Tables 7)..... ..� .i.�: G�tl . .......: Non-Loadbearing Wall Connections Lateral (no.of 16d common nails) .........(Table 8) ... Load Bearing Wall Openings(record largest opening but check all openings for compliance Tattle 9) Header Spans .................................. . .............(Table 9).................................. ft V in._ 11' �✓ Sill Plate Spans ...................................'...:......:......(Table 9)................................... ft a in. I Full Height Studs no. of studs ........... able 9 ...................................................... ...............+...... .... < , Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance t Table 9) Header Spans.............................................................(Table 9).................................. °'t ft D in. <_ 12- Sill Plate Spans...........................................................(Table 9).................................._ft—in. <_ 12" Full Height Studs(no.of studs)....................................(Table 9).................................---- ........._..... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum.Building Dimension,W <6,8. Nominal Height of Tallest OpeningZ ....................:.......................:.........:...................... _ Sheathing Type..................................:...........(note 4)..........���..C'4�.Y.................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing...........................................(Table 10)................................................._C in. Shear Connection (no.of 16d common nails)(Table 10)................................................... Percent Full-Height Sheathing........:..........:...(Table 10)........................-.......:.:...... ....... . % 5%Additional Sheathing for Wall with Opening>6V(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2...................................1. ...._.G..-....:......................._....:.. ......._5 6Y Sheathing Type..............................................(note 4) ... k.... ... Edge Nail Spacing......................... (Table 11 or ote 4 if less)........................ Feld Nail Spacing.......................................:..(Table 11)................,................................ in. (/ Shear Connection(no, of 16d common nails)(Table 11)............................. ... Percent'Full-Height Sheathingable 11 ° 5%Additional Sheathing for Wall with'Opening>6'8'(Design Concepts).................:.. Wall Cladding Ratedfor Wind Speed?.............................................................. ............................. 5.1 ROOFS ` Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............._L ft s smaller of 2'or V3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)...gcc U= plf Lateral.............................................(Table 12)........ ... .. ...L= plf Shear...............................................([-able 12)........�.... ........................S= Plf , Ridge Strap Connections, if collar ties not used per page 21 (Table 13)...............................T= plf Gable Rake Outlooker. Nd� ,..... ft s smaller of 2'or L/2 - Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)...................................:..L= . lb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 58 an. 59), -S .cx�2 Roof Sheathing Thickness ..... •.. ........ �in.>_7 16 WSP g Roof SheathingFastening .: able 2 $�. Note_s: 1. : This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Fgure'18a and Figure 18b 2. Exception:Opening heights of up io 8 fL shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated 02-gr6de. ,t+E rti Town of Barnstable Regulatory Services WRNSTABLE, MAss. Thomas F.Geiler,Director 1639. �9 ArFo ,c� 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 Q��G��y Cg. �,�� . I, , as Owner of the subject property ✓t hereby authorize Cl.-owttg6 ,g LAN to act on my behalf, in all matters relative to.work authorized by this•building permit. 46 . (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and-all final inspections are performed and accepted. 1 Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPEPMISSIONPOQLS 6/2012 tNe T Town of,Barnstable Regulatory Services BAINST,BI.S, : Thomas F.Geiler,Director , Mass. o a.0� 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: 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 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 Barn table 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 pemvt.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 °�° �- ✓/ae �omvnaoruuecz� o��/f/l�ac�ucaeCla '�< ,_ �- �-- __`\ 77, Office of Consumcl lffairs&t B3 iijess liebulation Liu Ise or registrat►on vlhcl foi uulividul use Holy` i HOME IR7PROVEMEN'i"CONTRACTOR r before the expiration date if found return to::; 4 Registration, C\// Type: - `- ( ff►ce of Cbn§Umer Affairs�Ind Business Regulation Expiration. 11/17/90 2 . Individual l0 Pack PI1za-:Suite 5170 '13ostod:)V7A 02:116 nC 3ER i SABATINI;� � ROBERT SABATINI,� rr a= 18.CRANBERRY LANE -sG HAr=V;('1-;, MA 026r5 f `Y 'Undeisecretar — 11'ot and without signature - -- I St��ti�d'�� �, e Vic\ar .%%N0 g (tti Hsu\"pk)i.` ers kx Cons. 5..10g556 e N ROB Rpt�1gERRP V 6A5 5111I2p14 PR\"\CN' �J i"'CEIkTIFICATE OF LIABILITY INSURANC1 E ATE(MMIDOlYYYY, � 09126112 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON % E CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAG AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISS. ING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlfcate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUB OGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require An endorsement. A statement on this certIf cuts does not confer rights to the certificate holder in lieu of such endoreem nt s , PRODUCER Phone:608-385-2454 NAMr; Edward J,McGrath Insurance -_ •••• • _:..- _—._._ P.O.Box.1003 Fax:$08-385-5991 PHONE A�ic No Dennis,MA 02638 L E.J.McGrath Insurance Agency ADDRIOL, _....._........_. INSURER 8 AFFORDING CO GC NAIC 0 ........._.... - .- __._ INBURER A:Nautilus Insuranoe Com n INsupLo Cranberry Builders, LLC INSURERs:ACE USA Robert Sabatini 16 Old County Road INSURER C Harwichport,MA 02645 INSURER D: INSURER E: _ INSURER F COVERAGES CERTIFICATE NUMBER; REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUME qT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI I IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSK TR TYPE OF INSURANCE - POLICY NUMBER VDIYYYY1 LIMITS GENERAL LIABILITY EACH QC VRRENCE i 11000,00 A X COMMERCIAL GENERAL LIABILITY NN064669 03/20/12 03120/13 m O'nts) 60,00 CLAIMS-MADE 7 OCCUR. IVIED EXP:Any oneperson) _ = 6,00 PERSO A ADV INJURY S 1,000,00 GENERA4 AGGREGATE S 2,000,00 OEN'L AGGREGATE LWT APPLIES PER' PRODUC S-COMP/OP A00 8 2,000,00 POLICY PRO- LOC 3 - AUTOMOBILE LIABILITY C MEIN SINGLE LIMIT ,) . `- ANY AUTO BODILY I JURY(Per person) 9 ALL OWNED SCHEDULED BODILY 1.JURY Per ecddenik _ ) .. AUTOS AUTOS . . � - ( . NON-OWNEO' HIRED AUTOS AUTOS Par " �- ,a..�,... -- iw8 G UMBRELLA uae OCCUR EACH OC'URRENC1. i8 Excess Lu a CLAIM34AADE ADORE k CEO RETENTION *� s WORKERS COMPENSATION X WC TA - OTH- ; AND EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6S62UB4573PO6112 03/1 12 03/12/13 ' E.L:EAC ACCIpENT = --$ 100,00 OFFICER/MEMBER EXCLUDED? ® N I A (Mandatory In NH) JE.L.DISE E-EA EMPLOYEE S w 100,00 Ir �, seo lbe unosr - D CR PTION OF OPERATIONS below E,L D18E.8E-POLICY LIMIT 600,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Athch ACORD 101,Additional RGMAS aohsdiAe,If morn apaoe•Is required) Residential Carpentry CERTIFICATE HOLDER CANCELLATION BARNT01 SHOULD ANY OF THE ABOVE DESCRIBE POLICIES BE CANCELLED BEFORE n Of Barnstable THE EXPIRATION DATE THEREOF, OTICE WILL BE DELIVERED IN Tow 200 of Street ACCORD WITH THE POLICY PROM»ONS. Hyannis, MA 02601 / aUTH ED HSBNTATIVE E�. .MM Insurance Agency 01988-201 ORD CORP RINrION: All rights reserved. ACORD 26(2010/05) 'The ACORD name and logo are registered marks of RD Town of Barnstable °Fst+e Regulatory Services ram, �. t Thomas F.Geiler,Director Building Division. * BARNSTABLE, y MASS. g Tom Perry, Building Commissioner � s63q. ��'pte1639. 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 E� 0 -790-6230 Approved: Fee: o�s. — ]Permit#: HOME OCCUPATION REGISTRATION Date: Nance: c C.� CCU A 0 � Phone Address: V Village: I t Name of business: _ --�1L l�il-! L-- - �� ------ ------- 'Type of business: V 1 ip/Lot: INTENT: It is the intent of this section Alow the residents of the'Foivu of Barnstable to operate;it home occupation \Nrlthiii sitigle fancily(1Vvellings,subject to the provisions of Sec•tiou it-I.,6 of the%owing ordinance, provided that the actin ity shall not be discernible front outside the c[velliug: there shall be no increase in noise or odor; no Visual alteration to (lie premises which Vvoul(I suggest anytlling otlier than a'residential use;no increase in traffic-above normal residential volunies; and no increase in air or groundivater pollution. After registration ivith the Building Inspector,a customary home occupation shall.be periuitted as of right subject to the following conditions: �• •' The actlVity is carved bn by the permanent resident of a single family residential([Welling unit, located lvitlliil that dwelling unit. Such use,occupies no niore than 4.00'square feet of space. • There are-no`extenial alterations to the([Welling which are not custotnaiy in resicleritial buildings,<ind tliere is no outside evidence of.such use, • No traffic Viill be generated in excess of normal residential volunies. • 'File use does not-involve the productioll of offensive noise,Vibration,smoke,(lust or other,particular nlatter, , odors,electrical disturbance, heat,glare, liunu(hty or other objectionable effects. • 'I'lie.re is no storage or use of toxic or hazardous materials,or flamniable or explosive materials, in excess of normal liouseliold quantities. • Any need for parking generated by such use shall be niet on the same lot containing the CListonniry Home Occupation,and not Within file required front yard. • There,is no exterior storage oi-display of materials or equipment. "There are no commercial vehicles relates( to the Customary Home Occupation,other than one van or one I )ick-uI)truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in lengill and,ncit to ' exceed it tires Iparked oil the same lot containing the Customary Home Occupation. • No sigh shall be displayed indicating the Customary Home Occupation. • If tile.Customary Home Occupation is listed or advertised as a business,the street address shall not be included. trill Who is'not a permanent resident of the • No person shall be eniployedl in the Customary Home Ucc L(at c ( dive ' rg 1, the L i<lersi ( ha e re;d a d agre With the above restrictions lipr my home occupation I all,registering. 7 AppllC'21R1 Date: t-tomeoc.doc Ru.01/3/t1R H TO OPEN A'BUSINESS?YOU WISH .. f For Your Information: Business certificates (cost$30.00 for 4 years).`.A business certificate ONLY REGISTERS YOUR NAME in.town (which .you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available'at the Town Clerk's Office, 1'FL.; 367 Main Street, Hyannis, MA 02601 (Town Hall) x t " I'sr o� '�� DATE: ��� �71?I�� � Fill.in please: � - -�. j APPLICANT'S YOUR NAME/S: (J` �Z �Ce rC� _ BUSINESS YOUR HOME ADDRESS: YL' YA fn h f TELEPHONE # Home Telep one Number NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS'A HOME OCCUPATION?�YEJ. NO - n ADDRESS OF BUSINESS_ MAP/PARCEL NUMBER .(Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &;Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in-this town. 1; BUILDING COM ISSIO ER'S 0 IC , This individu ha b n I tfo m of ny ermit requirements that pertain to.MU$Tp�OI irYe ITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO Aut r' 'gnat e** COMPLY MAY RESULT IN FINES. COMMENT r r AJ 1 , 2. BOARD OF EALTH MUST COMPLY WITH ALL This individual lias be formed fi e��t-pe uirements that pertain to this type of business. �_ ' ARDOUS MATERIALS REGULATIONS Authorized Signature** „ COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has tin ir}#�rrry�dd f the licensing requirements that pertain to this type of business. Aut d Signature* COMMENTS: � 41 fc 1� (PG 3 lareshrct DE REFERENCE TOTAL PAYMENT A 30.00 A 30.00 A 30.00 A 100.00 A 30.00 A 30.00 A 30.00 A 40.00 n , F °F� r Town of Barnstable Permit# Qy y Expires 6 months rom issue date Regulatory Services Fee C-DIS t;nxxsrast.r•;, r MASS. Thomas F. Geiler,Director �A 019. �0 Building Division Tom ferry,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 Ted X-Press Imprint Map/parcel Number -76 Property Address / ❑Residential Value of Work-' Minimum fee of$25.00 for Work under$600.0.00 Owner's Name&.Address 9 If 1 �c t�;,c �C r in '00wrnn ��Q �nrx�Q Contractor's Name a°� rT ,,.��t c, Q� ,J Telephone Numbec '�,C Home Improvement Contractor License#(if applicable) jK 1 Construction Supervisor's License# (if.applicable) RMW [✓]/Workman's Compensation Insurance - , `"PRESS PE Check one: MAY � . U�� ❑ I am . a sole proprietor _ ❑ I am the•Homeowner F ��R�SYA�'� I have Worker's Compensation Insurance TOWN j Insurance Company Name ' o l a Workman's Comp.Policy# (' }3 7 1,Qj 0 Copy of Insurance Compliance Certificate must accompany each permit, Permit Request(check box) El Re-roof(stripping old shingles) All construction debris.wi,l]'be taken to ❑Re-roof(not stripping. Going over " existing layers of roof) ❑ Re=side. #of doors_ ❑ Replacemeni Wind ows/d oors/s I i dds.U-Value 3 (maximum :44)#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 Permission.> A copy of the Home Improvement Contractors License &Construction Supervisors License is required. SIGNATURE: ^r " f �F'THE r� Town of Barnstable Regulatory Services i y ' BARNSTABLE, ' Thomas F. Geiler,Director S, Maas. $ n 039. a`� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 -Fax: 508-790-6230 Property Owner Must e Complete and Sign This Section If Using A Builder. y 7 _ ( p< 5 s Owner of the subject property hereby authorize --1 ET2 on e �Z to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) lO %ignature ate S e'y a - ccU7 r'Cd-050 Print Name If Property Owner is applying for permit please complete the - Homeowners License Exemption Form on the. reverse side. Q:FORMS:OWNERPERM ISS ION Town of Barnstable ' o regulatory Services anxxsTastE, Thomas F. Geiler,Director >tirass. erg, 1639. ,�� Building Division ATfD A'tPy A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wrvw.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone 4 work phone f! 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 homeow ner. 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) " Building Code and other The undersigned homeowner assumes responsibility for compliance with the State B g 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 resuhs 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:\V,rPFILES\FO RM S\homeex empt.DOC The Commonwealth of Massachusetts - Department of Industrial Accidents - Office of Investigations k 600 Washington Street Boston,MA 02111 wwx.mass gov/dia ` Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual)::fl.e— e Ir7,n 1 Address: - ) Ica C rcca ,/ U City/State/Zip: Phone#: 5Q33 Are u an employer?Check the appropriate box: Type of project(required): 1.EI atn a employer with _< _ " 4• ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors New construction. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. ., 7. Remodeling shipand have no employees These sub-contractors have � '8. [] Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.* y• 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 I IQ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12 Roof repairs insurance required.] ' c. 152, §1(4),and we have no employees. [No workers' 13.[✓f Other ,mac yuc c,t= comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating theyiare doing all work and then hire outside contractors must submit a new affidavit indicating such, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must 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: def F— Il S b4 Policy#or Self-ins.Lic.#: Expiration Date:_.)/_J0 0 Job Site Address: ¢; 0 h VI S ,n �o�D Q` City/State/Zip: 1 b g 6 o 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 thepains andpenalties ofperjury that the information provided above is true and correct Siggature: r Phone Offrcia!rrse only. Do not irrite in this urea,to be.cumpleted bP cin�or torten offrcial. 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#• -1 -a. iu a,�.v_.I!•JJ : -1— 1.J.•JI -11 1.— ---11 _. :..Jt7oJ=`O rC100 LJ ': f ! ACORL? CERTIFICATE OF LIABILITY INSURANCE DUTE,��--- 06N7r�1 +� 12/02/2009 PRDDJCC.R 413.534.7355 FAX 413.536.928r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION j Goss f4 McLain insurance Agency, Inc ONLY ANC?CONFERS NO RIGHTS UPON THE CERTIFICATE 47a Appleton eton Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR p .ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 1128 Holyoke, MA 01041-1128 ;INSURERS AFFORDING COVERAGE ; NAIC 4 (INSURED The Remodeling & Maintenance Corp ! ,.. ,.. National Grange Mutual 29939 - - 12 Sparrow YJaY �c ACE USA_— - --- --- South Yarmouth, MA 02664-1655. j I ;�.I•��hL I I COVERAGES _ THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NO i Y'Vi?HSTANDiNG ANY REQUIREMENT TERM P C JONCITION CF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR j ' MAY PERT iN,THE Ni-6RANCF AFroio BY THE POUCI S DCSC4 BEC HEREIN IS SUBJECT TO ALL THE TERMS, vCWSIONS AND CONDITIONS OF SUCH PCUCIES AGGREGATE L ii!ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. IPIBRADD•L LTR�NSP,Ci T PE OF•NSURANCE-� POL.C,NUMBER ja E(t�IhJDDMYri GATe(MM1D7 YY Y1 — LIMITS GENERAL,!asn r, W55904R 11/19/2009 .I 11/18;2010 '1: 1�0(0}0,ry00 X, •.n � 4 f� 1 `1 C ,-_�r� I ! 500,O0� F—r � 10,00 1.000,000 — 4 2,000,000 2.ODu,00 _ AUTOMOBILE:-iAB1Tr TBD 12/01%2009 ; 121 Cl.;2010 � 1.ox,00 ax I ;----- `-- -.. i I I I 'GARA13ELW5IUTY :i:='�T I 1 _--�-- -- Ei;CESStUMSRELLALABiLITY' r �!d,.:_ i j.— T• .N-ORhERSCOMPENSATION -- _ —_ _--- 1-- —i---.._.--- —F---�a*--^T-rj---T� --- � 4NDEMP 0 EKS LIAB`L Y C458T1C1t), 11,18/2009 11I1$,2010 L,1<,• 100,00 t nJatoryIn NH) 100,000 OTTER DESCRIPI ION OF OPERATIONS?LOCA11ONS(VEHICLES;EXCLCSION;AUDEO BY ENDORSEMENT(SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY 0-THE ABOVE DESCRIBED POLICIES BE CA^JCE:LED BEFORE THE EXPIRATION DATE THEREC'F.THE:SSU!NG INSuRER AfILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO TFE CERTIFICATE HOLLER NAMED TC'TH:LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILM(OF ANY MND UPON T:-iE INSURER,ITS AGENTS vR The Remodeling & Maintenance Corporation REPRESENTATIVES. 12 Sparrow Way • I AUTHORIZEDREPRESEYTATIVE 1 South Yarmouth, -MA 02,664 Cynthia S u I ires ACORD 25(2009101) FAX: S08.398.7866 O 1 88-20M ACORD CORPORATION. All rightu reserved. The 4CORD name and logo are registered marks of ACORD . 0 - o •. Office of Consumer Affairs and business Regulation 10 Park Plaza- Suite 5174 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164591 Type: Corporation Expiration: 10/26/2011 Tr# 289959 THE REMODELING AND MAfNTENAM1IOE C THOMAS .DOWNEY 17 SPARROW WAY SOUTH YARMOUTH, MA 02664 n Update Address and return card.Mark reason for change. 0 Address Renewal F� Employment Lost Card DP8-CA1 0 50*04M0 G101218 t . �1ce . License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: " HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration , '.if34591 10 Park Plaza-Suite 5170 Expiration 10/26/2011 Tr# 289959 Boston,MA 02116 E Type'•, Corporation THE REMODEUN>a AND MAINTENANCE CORP THOMAS DOWGtIY 17 SPARROW WAY ' t VJ SOUTH YARMOUTH,MA 02664 Undersecretary Not valid without signature . i fP f • M ass achu..(•tt Bo #'t#�t)'1'13t1ildita'f,*. � #dC^,:tai.at#atryr arrQ# �tpra€#tr�t� Construction Supervisor License License: C5 671 Restricted THOMAS E DOWNEY y 4� 17 SPARROW WAY `,; S YARMOUTH,MA 02664. ' Expiration: 3/9/2012. t�fn�nii..e'iwrr�• Te#: 25589 f f P• ' \ v. Town of Barnstable oFzHE>� Regulatory Services o Thomas F.Geiler,Director T �Bui.lding.Division 9 DAMSTABM v� i6 SS• �g� Tom Perry,Building Commissioner�Eo 1* k. no Main Street, Hyannis,MA 02601 Office: 508-862-4038 " Fax:"508-790-6230 Approved: _ Fee: Permit#: (� HOME OCCtTPATION REGISTRATION D ate: q log Name: V i r Q Phone#: �b S Address �/ ��� )L��� Yl Village: Name of Business:C(7J n-I o_,5�a,6 :r�l Y'QQ '1(21 1•—A Type of Business: ►!-1 Map/Lot: 6 V 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: u The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. Y 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 pot 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 orhazardou$materials,or flammable or explosive materials,in excess of — normal household quantities. • Any need for parking generated by such use shall be roet.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 is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick- Atruek-not-.to•exceed•one tonzapacity,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 Cwtomary 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 undersigned,have read an gree with the above restrictions for my home occupation I arh'registering. 5�9 Applicant Date: 4�/ ��/� - 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 the 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. Take the completed form to the Town Clerk's Office, 1" Fl., 367_Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. ' DATE: a� Fill in please: � - --- + 1 �C \- APPLICANT'S YOUR NAME: C - BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home IephoneiNumber: cj _ NAME OF NEW BUSINESS . TY E OF. USINESS U rye IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YES N ADDRESS OF BUSINESS it ,� GwJ. MAP/PARCEL NxUMBER U 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 business in this town. 1. BUILDING COMMISSIONER'S OFF E This individual has been info d of any mit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION Authorized Signature**COMMENTS: RULES AND REGULATIONS. FAILURE TO COMPLY AAA)LRESI-11-T IN FINIES, F 2. BOARD OF HEALTH This individual has been informed of the permit,requirements that pertain to this type of business. Authorized Signature**1 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: Town of Barnstable i Regulatory Services �FTNE'l Thomas F.Geiler,Director • � Building Division -- - - snuvs2.►ste. ; s i►rxss Tom Perry,Building Commissioner lEnr A�0 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: �s °r Permit#: ,1��S y HOME OCCUPATION REGISTRATION Date: O-Z Name: .4/1/t12,Q r S� Phone#: Address: —( //�/ � � /l/a _Village: 5/f// Name of Business: �Z 5 /� 14 Z � Type of Business: LLZ/6 i �� 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 tragic 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 is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup 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 ee withthe a ov res 'ctions for my home occupation I am registering. Applicant: f` Date: Z Homeoc.doc Rev.5130103 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, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: a I o2dc)fo mom:VA IN n Fill in please- Omni ; ' APPLICANT'S YOUR NAME: Pnd W_ I� BUSINESS Y R'OMEADDRES�S: a Uhn,s 2r) a�183a?a�� was TELEPHONE # Home Telephone Number 8a6 NAME OF NEW BUSINESS i n ' TYPE OF BUSINESS i IS THIS A HOME OCCUPATION? YES O: ADDRESS OF BUSINESS - U fl O►'1 i MAP/PARCEL NUM:B:ER 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 business in this town. 1. BUILDING COM ONER'S OFFICE This individat b en-inf r fan permit re uirements that pertain to this e f Y P q p type o business. A thorizeq S' at re** OMMENTS: a 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. 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TEST' 100►00 '0 rT. MINIMUM 10 %AkIMIUM FRU SLAP r7w CRAM- SPACE CLEAN SAND SOIL ?W DONE BY 9M.IL Et.EV. ' __ WITNESSED BY NIA (ASSUMED) Crvt>aS CTZ LOAM AND SEED bBSERVATiON HOLE 1 11.EvftQ4 4' SCHEDULE 40 PVC PIPE / MIN. PITCH 1/8" PER FT. ` 2" LAYER OF PERCOLATION RATE MIN./INCH AT .�. NIE3 'Y+ 1/8" TO 1/2" ` EGM; H Z . OTHER WASHED STONE VENT IS EXISTING SPOT ELEVATION 00,�0 �X .75 VOL NOT REQUIRED EXISTING CONTOUR ---- 60 A LOAMY >� 10%"/I NO R00TS 24' 4' UST IRON PIPE FINAL SPOT ELEVATION — `. 33• IN LOM SAID 2.6Y7/4 ' � FINAL CONTOUR "T04 '/4" PER FT. SOIL TEST LOCATION o� UTILITY POLE _0- w Cl MOM SAND 21l110/4 W/ ORA IL F,Y AClr. J^n rlOw UNtr TOWN WATER +W MI�+�• FlEY T e • 0 ❑❑ CJ C' ❑ ❑ Cl D ❑ • CATCH BASIN `l♦� 132' C2 ME" SAID Z5"/B 'T�"�� p • GAS LINE LEV. + LEVEL ! • 0O ❑ ❑ ❑ ❑ ❑ DDDO • • " CLEAN OUT C•�• ` ELEv M.00 c► S ELEV. 6 SUM ELEV. _�— '�e O O C3 ❑ ❑ O ❑ ❑ 0 ❑ O e 2' a CESSPOOL C.P. O aw �E • DISTR1 ITION ELEV. e 00000000000 , • • ELEV. . ,00 U QU I D TlE T Box —1ffi"�_ pp L1,$ 4 t I DEC (TO BE otACED ON F'RM LASE) TO BE WATER TESTED 2 S00 GALL ST IN AN WITH 5 FEET 'G INCHES IF MORE TFIAN ONE OUTLET • 6 FEET 24 INCHES GAt.1.01 PLACED ON FIRM BASE) s' ZONE 7 FEET INCHES (TO BE I 1r X Sr X r TRENCH FORMATION WELL. ILO WATER ENCOUNTERED AT I ELEV. • __ .= 8 FEET INCHES SEPTC TAM, 3/4' TO 1 1/2' C� � � � 1 M� 1n INDEX j DOUBLE WASHED S �a�� ADJUSTS "GIN MCULATMS _ FREE OF FINES do SILT SyslEm .7/'�.7 3 �p � USGS PROBABLE WATER TABLE ELEVj__ NUMBER BEDROOMS GARBAGE DISPOSAL UNIT "AM DISPRS& S 1 J�� PRO f� OSSER`SD WATER TABLE ( / / ) ELEV • TOTAL ESTIMATED FLOW SCALE BOTTOM OF TEST HOLE ELEV ( 110 CAL /DAY X 3 BR.) GAL./DAY LOT TO REQUIRED SEPTIC TANK CAPACITY GAL ACTUAL SIZE OF SEPTIC TANK GAL. SOIL CLASSIFICATION DESIGN PERCOLATION RATE MINI. EFFLUENT LOADING RATE !ikGAL/bAY/S.F. LEACHING AREA 90. FT. (13'xts�}�('Terld') LEACHING CAPACITY (AREA X RATE) JUM GAL./0AY 477 X 0.74 RESERVE LEACHING CAPACITY M/A GAL/DAY 1 M 1. ALL WORKMANSHIP AND MATERIALS SMALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6' OF FINISHED GRADE. 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHAU BE CAPAD,E OF WITHSTANDING H719 LgADING UNLESS THEY ARE UNDER OR WITHIN -.. 10 FT. OF DRIVES OR PARKING AREAS. H-20 L0"G soAL.l BE s.. USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING ARILAS, 4. ANY MASONRY UNITS USED TO BR.iNG.COVERS-TO iM r SlHA l'-, 9F M 7 4A•/ • .HAS BEEN MADE AS NM W,?4 t DEEDED OR ZONNQ REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH DETFIr'--ATION FROM APPROPRIATE AUTHORITY. 6. UTILITIES SHO' 'PROXIMATE ONLY, EXCAVATION-SO TRACT n A �*• r.... ,, IS TO CALL ' �._ AT 1—MS-344-7233 AT LEAST 72 HOURS _ O PRIOR TO LDMMENCING WORK ON SITE. , 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS W_LL AS SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN EW 4M (^ \ y IMMEDIATELY. J 8. PARCEL IS IN FLOOD ZONE C h 9. LOT IS SHORN ON ASSESSORS MAP AS PARM W J y c C' tO. ALL UNSUITABLE FnR MINIMUM OF 5�MATERIAL SHALL K REMOvED$QRP4M UNDf.R�i AND t r �cc5d v AND BE REPLACED WITH SAND AS CFE6 IN 310 � (3)` £XISIIWG ONEZL/MG i2�. �p5 (I ') iSSPED iMT'' CIP LOT 23 11. EXISTINNG SEPTIC BE PI AND L [ I+ sAIVo ntL CEDAR I Rc�r �� ��of OR REMOVED • _ IF ��,� 02��IMOsINI 1c' s SEPTIC �AIG ANK SHORT CIVIL N , APPROVED: 130AM OF HEAD • _ ^ ti No. 27483 ,p CRA NC D.B. - /� DATE AGENT PROPO � � by � �✓' � - OR oe 2 r- Z A LOG. 60 ' ROAD • �c.) 4 L o T 22 REA 12, 916_�- S. gip.? ��• �� 235 GREAT WES RN AD 508- SOUTH P. OOX 1044 I DENNIS, MISS. 4) 398-8311 I DATE JULY 17, 2002 SCALE 1 ►' = 20' L 0 T 21 REwSED N0. 1�- LOCATION MAP I _771READ T I o sDoz gtAIC R, aFiORT P E. 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