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Home My WebLink About0008 FOREST GLEN ROAD � ��sr Gc�,�l �., Town of Barnstable Building Department �oF rOk%, Brian Florence,CBO Building Commissioner URNSMxar.�, : 200 Main Street,Hyannis,MA 02601 bUM v� 163 � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ' Approved: Fee: Permit#: HOME OCCUPATION R2GISTRATION Date: (�o Name. Phone U� _ Address: S t-o R >S Cr L eyy h v Village: ®U `e Name of Business: 1 ► Y+I A d Sewt �4 Type of Business: t-0..V 4 S,CcLp 1 n/ct Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on lif the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agreA with the above re ctions for my home occupation I am registering. Applicant: Date: 2 2 * f � Permit# ,� � 1 Town of Barnstable t) PERMIT Expires 6 months from issue date Services Regulatory Fee 9 MASS. X13 Thomas F.Geiler,Director Q) 1639. AlED MA't� TQ F8.4 Building Division ` RNSTB Tom Perry,CBO, Building Commissioner Street,Hyannis,MA 02601 200 Main S , t, Y www.town.barnstable.mals Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint. Map/parcel Number !noA � , Property.Address S G h g s T ck o,14 I` D Residential Value of Work D S 0'0 U 0 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address A-►`K IM 1=S Contractor's Name � i cl _ Telephone Number Home Improvement Contractor License#(if applicable)—Al T7 6 Construction Supervisor's License#(if applicable) 0 ❑Workman's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name 014-14 Zq4!Z� .L N S n Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request check box) p��C e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken tom U ❑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./1 SIGNATURE. QAWPFUMTORNiMbuildingpermit.fomislEYPRESS.doc. r Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction SuperN isor License: CS-046189 ,' DAVID H WEBB 24'MEADOW VIEW DR E FALMOUTH NIA 02 3 Expiration Commissioner 10/29/2014 ---- ---- _._.. Office of COusumer Affairs&Business Regulation License or registration valid forJndividul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to egistration 119766 Type: Office of Consumer Affairs and Business Regulation Expiration 8/28/2015 DBA 10 Park Plaza-Suite 5170 Boston AA 02116 WEBB CRAFT DESIGN DAVID WEBB 25 MEADOW VIEW EAST FALMOUTH,MA 0253E Undersecretary Not valid without signature — IOf�KERS' 'Ct7fPEt31�ADFFOI € 5 �AB�_LITY'NSURATfCE :PLfGY — �rateo�ra e _.. w ............? Atlantic Charter Insurance Company VDAC 'NCCI Go. No.:29211 Policy Number. WCV00730207 1. INSURED: Prior Policy Number. WCV00730206 Tyndall Roofing. LLC Producer. 30 Brigantine Avenue Fredericks Insurance Agency; Osterville, MA 02655 Federal ID Number.204616445 Inc. Risk ID Number: PO Box 427 Ostervilie, MA 02655 Business Type: Limited Liability SIC-9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: Other Work Places: 2. POLICY PERIOD: The Policy Period is From: 7/11/2013 To 7/11/2014 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: �.. Workers Compensation Insurance: Par One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in itern 3A. The limits of our iiabiiiry under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any; listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B This oolicv includes these endorsements and schedules: WC=105 4. COVERAGES: The premium for this policy will be determined by our Manual or Rules, Ciassincations, Rates & Rating Plans. All information required below is subject to verification and change by audit Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 i Interim Adiustment: Annually Servicing Office'. Estimated Premium (Minimum Premium) $500 25 New Chardon Street Boston, MA 02114-4721 ZYI� issue Date 06124/2013 Countersigned By: Date 3oovriom 1987 National Cound!on Compensation insurance Fom: 100mv i N . 77ie Comm nns�eallth,v,,Masst diusetts Departinent of Indus& al Accidents ,� Office of lnve s4�tions 6#0 Washingibix Street Boston,M4172111 . wn w mas&gov1dsa Workers' Compensation Imm-anc+eAffidavit: Builders/Contractors/E.lectric ans(Pbimbers Applicant Information Please Print Leibly Name(Business/Organizatian&dividual):_ 1 i,yG Address_ N y ozFo CJ I�f t",J 1?o City/Stater_ E.,. �'�-t 01: ,3,c p one#_ d i': ��. ` 3.32 OF Are you an employer?Check the appropriate box Type of project(required): 1.❑ I am a employer with 4. [k I arc.a general contractor and 1 6- ❑New cons�ction employees(fall andlarpmtbme).* Thavehired the sub-con trwkws 2-❑ I am a sale pmptietor orpariuer- listed on the attached sheet y. ❑Modeling ship and have no employees Terse sub-contractors have g- ❑Demolition w g fcsrtrre in employees and have" �n_ y �Y 9_- ❑Building.addition N0 nrorlcei3'COffip_inc3irxnrE 0�-r^`T"�a'N'�$ 5. ❑ We are a corporation.and its. 10.❑Electrical repairs or additions required] I El I am a homeowner doing all work officers have exercised tlheir 11_0Plumbing repairs or additions myself [No workers'comp- right of exemptitarh per Ia1GL 12.❑Roof repairs insurance required.]T c. 152,§1(4),and we have no employees- o workers' 13.0 other comp.insurance required.) *Any applicant tbat checks bm:#1 must also fill Ant the section below showing their workers'c=ipensatu ,policy informstiao- Hanieoauners who submit this affidavit m9catitig they am doing all vmd anti then hire outside caa2[actors nwst submit a new affidavit indicating mch. FContmcwrs thatched this boot must attached as additional sheet shuwitig the nine of the mc6-c�and state whether or not those P++dTies hac e employees. Ifthe m d)-contma-ars have employees,t5e'yaasa ymvide their Wwkers'comp.policy number. I am an employer that is providing workm'cot gwLr&d#n in= vanes for inyF enTlayem Below is thepa cy and job site . irafor�atias. Insurance Company Name: Policy#or Self ins.Lie.# Expiration Date: Job Site Address:` ( U s`� Cy f�F !/t o City/Stata'Zip:gvm,(AFt /MA • l`�02�p Attach a copy of the workers'compensation policy declaration page(showing the policy munber 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 n the form of a STOP WORK ORDER and a line of up to$250-00 a day against the violator. Be advised that a.copy of this stadement may be forwarded to the Office of Investigatieu s,of the DIA for insurance coverage vedfftaticn— ' I da hereby ce ruder the ' s and penalties that the informa#ioru provided above is huh and correct Date: j 7 ". Phone 9: ©jykial am otily. Dv not writs in this area,to be completed by city or tmwj officIaL City or Town: PermitUcense# Liming Audiarity(circle.one): #. 1.Board of Heap#► 3.BuIiing Department 3.Qipffawn Cleric d.Electrical Enspecter 5.Plumbing Inspector x , .r of�ram, • .. . . . • * MUMSMBLE +� MARS.: ,�� Town of'Barnstable AIfD�,ta Regulatory Services Thomas F.Geiler,Director Building Division N Thomas Perry,CBO Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ! z . l _ , Property Owner Must Complete and Sign This Section If Using A Builder AAKV G G-IF S , as Owner of the subject property hereby authorize 14 , U/F 8 A to act on my behalf, f in all matters relative to work authorized by this building permit application for: { (Address of Job) i Y - Signature of O e ate . V j� t� Print Name If Property Owner is applying for permit;please,com_plete the Homeowners License Exemption Form on;the reverse side, QAIs pFILESTORMSS\building permit forms\EXPRESS.doc 1 a ^ .. r s F 1 r Town of Barnstable Regulatory Services * r , BARNBrABLE, ' Thomas F.Geiler, Director t�sass. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.us Office:. 508-862-403 8 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, a DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and otherkapplicable codes, a.- 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'forwhich a building permit is required shall be exempt from the provisions of this section(Section 109.L I -Licensing of construction Supervisors);provided that if the homeowner engages a persons)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'r q i part of the permit application,that the homeowner ceitify that he/she understands the responsibilities of a Supervisor..&the last page of this issue is alform currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. / ✓ •'% t