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0032 SHOREY ROAD
3a S�h� � Town of Barnstable �TME Regulatory Services Richard V. Scali,Interim Director BuildingDivision tuvse,an13M rsass Tom Perry,Building Commissioner 1639. �0 1°reot 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: j .O Permit#: ( 2, 13091�d (2 HOME OCCUPATION REGISTRATION Date: oZ 13 Name:_A?p /v d ckt/ ,r o, Phone#: 27 —e�o�13 Address: 3d S/ Rd tin L43 Village: Name of Business:_ ------ -- — Type of Business__&C' _j D Map/Lot: C (6 7 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes, and no increase in air or groundwater pollution. After registration with the Building Inspector;a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in:residential•buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing.the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit.: I,the undersigned,have read and agree 'th the above restrictions for my home occupation I am registering. j Applicant: Date: ' ,/1_9//� Homeoc.doc Rev.103113 YOU WISH TO OPEN A BUSINESS? For,Your Information: Business certificates (cost$40,00 for 4 years). A business certifi�,,ate ONLY.REGISTERS YOUR NAME in town (which you, must do by M.G.L. it does not give you permission to overate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take, [lie completed form"to the Town Clerk's Office,' 1�t FI., 36? ;Main St., Hyannis, MA 02601 i.Town.Halb and goat the Business's Certificate that is required by law. :. R DATE% 3r9 ,F Fill in please: - APPLICANT'S -° YOUR NAME/S� eresc�,� BUSINESS ' - YOUR HOME ADDRESS: S o/Z04 R',L 77V 366- .!/ n) �S TELEPHONE # Hone Telep one Number Sow 7; NAME OF r . . CORPORATION: y y NAME OF NEW BUSINESS ?2.ucxi" TYPE OF BUSINESS ?Tz 0ct!`,wP� d „� IS THIS A HOME OCCUPATION? 'YES NO ADDRESS OF BUSINESS _3 11vR eU Z4x,dvA,,13 M4 4 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 usrness in this town. 1. 'BUILDING COMMISSIONER'S OFFICE This individual_has. f .n informed_nf(a permit.,requiremenTs that pertain,to this'type.of..business. r'•__ r _� _ r ,. Q Authorized nature* COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements'that pertain to this type of business. ,. Authorized Signature** ` COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: r: TOWN f BARNUAM 27 3is T a r - x f2 cite T;A oo :iLd e__QS rcA r� Ut I nor 9() � R' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 22)3 Map Parcel Application# w � Health Division Conservation Division Permit#,. (� 6-7 Tax Collector _ Date Issue i Treasurer Applicatio e Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis V Project Street Address a htJ► e koc d Village pan n 1_5 10 Owner .r _ Address 3 of Telephone �C) — 'M— Permit Request Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a �� Construction Type Lot Size s 3 Grandfathered: ❑Yes ❑ No If yes, attach supporting=dbcumentaffon. u{ Dwelling Type: Single Family ( Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Rillo On Old King's Highw y: ❑Yes Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing. new 0 Half:existing ® new Number of Bedrooms: existing new Total Room Count(not including baths):existing new 0 First Floor Room Count Heat Type and Fuel: ❑Gas 0Qi1 ❑ Electric ❑Other Central Air: ❑Yes Plo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Q Pool:❑existing ❑new size_0 Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed;S-oxisting ❑new size Other: 0 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION '���� �- Name- ho i'hP1 M.OVL a r- Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 84,,11,5 " f SIGNATURE — DATE ®� FOR OFFICIAL USE ONLY PERMIT N'O. DATE ISSUED { MAP/PARCEL NO. -, ADDRESS VILLAGE OWNER ! 1 - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �,►+E, Town of Barnstable �^ Regulatory Services '' eAR11 Thomas F.Geiler,Director p Building Division �1 Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW .Owner: 4 ���,�( Map/Parcel: Project Address 2-G L. y Builder: © W The following items were noted on reviewing: Cal -M Co b Reviewed by: 2md-6:� Date: t, — _(� — -7 Q:Forms:Plnrvw rot I0T l Mu 141. 7 LOT 16 c LOT 17 ~ 3f� 3' o y - o' %10..3 „ ` nl S. CAR ,,, O 0� PORT �9f I( i 3B 10.3" . J p � o 55 00' N86 0910"yV ;'6. r N�5 31'ppsHojyp -OA D ,. . • { e ' a .' - 7777 This M0RTGAGE INSPECTION i'I"" 's r"�• ILOOL) Z,ONL: "C" RES. ZONE.' "PB" k Use OnI TOWN: REGISTRY OWNER: ABIGAL 5L-ELDRIDGF — DEED REF: _10204. — =BUYER: ABIGAIL S. ELDRII� ' - SL_ALi 1 30_ :_FT- DATE: 03 22002 PLAN REF: 139 11 - - I HEREBY .CERTIFY TO APE_00_ .COOj',�'RATUVF__.-____ ,� t'f 1'AN l� , :1';h SUIi�'E�' . _. _ _-_ _ THAT 'rHE BUILDING �r L, , �IIUWN ON THIS PLAN IS,' ItOCATT'D ON THE. GROIIND ,AS r rA!It `� , � llt�,���1'S SHOWN AND'THAT ITS I'USI'I'IUN DOES-. CONFORM, A \ �{ I TO THE: ZONING LAW SETBACK, REQUIREMENTS OF:. THE ` D9Irt �T� "�� t ' iN. ITS1R1 ROAD TOWN .OF BARNSMLE _______9____AND TF{ATr, MARS10r.' MILLS btA.1 026 tf3 IT DOES_ NOT LIE'WITHIN THE SPECIAL, FLOOD HAZARD AREA AS 'SHOWN ON 'I'I{Ei.U.'D. MAP' DATED7fU� `9�''_ 3.r'11.'. a '�S_-.CIDJS 53 r . ,,, ,;nit.--P;�rPI .41 T5000/i 000fJ n', ;* l \ I >n. 5r� -!d , E • •- r � r ' y ��� � •. III r a b y r a T, 3 { i r - •� .. '' , '�: �g , �q r_ l _ w ` - - ; / - i. . ,� _ 1Y w �� ` � � ' � t � � � �� n ., _. _. �,:. �C�� i i i + � _ ` a ., _. - z. T V �. ` � �, - � t . _ � b �' ` �.. . a�'. i oFz Town of Barnsta �ble ,. yP� Regulatory Services s�xxsrnare, Thomas F.Geiler,Director g,,, 1639• Building Division lEo �p Tom Perry,Building Commissioner ` 200 Main Street,:Hyannis,MA 02601 r www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOVVI�'ER LICENSE EXEMPTION ., Please Print. 0'(/DATE: ®U , JOB LOCATION: Jc� Sh a,l i'l l7 d S number street Ilage "HOMEOWNER': D t hZCTPt� " — �d�?Isdrl Ste( a IF, 1QY' namo home phone# J work phone# CURRENT MAILING ADDRESS: C)re AfCJ 0, AtA t74 tl r 3' / city/tow state zip code The.current exemption for"homeowners"was extended to include owner-occupied dwellinaseof 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 sEpervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a`homeowner. Such "homeowner"shall submit to the Building Official on.a form acceptable to the Building Official, that he/she shall be - responsible for all such work performed under the building permit. (Section 109.1.1) , The undersigned"homeowner"assumes responsibility for compliance-with the State Building Code and other' ; applicable codes,bylaws,-'rules and regulations... The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and req ' ements. t signatur6f Homeowner , Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the 4 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 perm 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/certifrcation for use in your community. F r' Q:forimhoineexempt f i y • _. --�- - coo 4e --- ..................... ---- ----- - - -- ' ------ --- -- -- - ----- -- ------- 1 YJ . . ......... -------------- --- .—_._._— ._..... _ _._. _... .._...__ s . t ' { t f I ------ - ...._.. .-t- .. _.........._.,_ ._ .. ----------. ..-... .:-' _.... -- _.............. - -- ----- ----- -- -= -t i , �f A . - a+ �� D ------------ 7 r w �L, i � 4 s 1 .tea G�\ 1/LG l�V//L//LVlL7YGWL}!L V.J lIlW7JW�.fLWJ GLLu `�• Department oflndustrial Accidents . W Office of Investigations ' a 600 Washington Street Boston,MA 02111 www.mass.gov/dia ' Workers" Compensation hasunace Affidavit: Builders/Contractors/]Electriclans/Plumbers Applicant Information Please Print Le iBl Name(Business/Orgenization/Individual): Pdg ckailG . Address: 3 a 5 6 t� -oo City/State/Zip: n a t-5 O o�L O Phone:#: 01 Are you an employer? Check the'appropriate boa: -Type of project(required):, 1.❑ I am s employer with 4. ❑ I am a general contractor and I have hired the sub contractors 6..❑New construction . employees(full and/or part-time). f 2.0 I am a'sole proprietor or partner- listed an 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' 9. Building addition [No workers' comp,insurance comp.insurance.#' required_] 5. ❑ Vde are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3. ahomeownei do; -ill work 11.❑Plumbing repairs or additions ' myself[No workers' comp. right o`"exemption per MGL` 12.❑Roof repairs insurance required.]t c. 152,§1(4), and we have no employees. [No workers' 13her 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 affida-vit indicating they are doing all work and then hire outside contractors must submit a new affidavitindicating such. $Contractors that check this box must attached an additional sheet showing the name of the'sub-contractors and state whether or-not those entities have employees. If the sub-contractors have employges,they must provide their workers'comp.polidynumber. 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,#: t---T Expiration Date: Job Site Address: City/State/Zip: Attach a copy oft he workers° compensation policy declarafion page'(showing the policy number and expiration date). Failure.ta secure coverage as required tinder 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 maybe forwarded to the Office of - hrmstigations of the DIA-for insurance coverage verification. I do hereby certify under the pains-and penalties o4 erf ury that the information provided above is true and,correct.' Si afore:. Date: W(2�- . Phone 4: S6 6 C�_ — Official use only,..Do not write to this area, to be completed by city or town ojfzciai 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 4- Inform ati®n And Intructi®ns . Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant in this statute,an employee is defined as"...every person in the service of another under any contract of hiie, 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 =eceiyPr nr tr�tee of an individual,partnership,association or other legal entity, employing•employees. I3oweyer 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.' 1vMGL 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-a-eceptable 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-confractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies'(LLC)of Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required, Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit, The affidavit should be returned to the city or town that the application for the permit.or.license'is being requested,not the Department of Industrial Accidents; Should you have any questions regarding the law-or'-if you are required to obtain a workers.'. compensation policy,please call the Department at the number listed below. Self-insured companies should-enter their self-insurance license number on the appropriate'line. City or Town Officials Please.be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact'you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant. that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy,information(if necessmy)and under"Job Site Address"the applicant should write"all•locations'in (city-or town)."A.cbpy. of the aff davit that has.been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventate (i.e, a dog license or permit to buim leaves-etc.)said person is NOT required to.complete this affidavit. The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions. .please do not hesitate to give us a call. The Department's address,telephone-and fax number; Dqpatmect of ladustu Acci,dirnts' Office of InvestigatioW 600 Washingtcai Strei�t Roston,MA 0.2111 Tel.#617-727-49-0.0 ext 406 or 1-0 77-MASSAFE Fax#617-727-7?49� Revised 11-22-06 °fTHE�oy� Town of Barnstable °4 Regulatory Services s MASS. Thomas F.Geiler,Director e 0.39. ♦0 A,fo MAC a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the`reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C Estimated Cost Address of Work: J I b D rP!, G-.O 0,p Owner's Name: inAk (.dLr� , NV C6 Date of Application: owl I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied C5JQvmer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR'GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. / O CO Dat 0 er's Name Q:fomis:homeaffidav .�Ail'�..a.x'"' ^. ,,.; ',- N-71 ..'4 .1" ' ��'� �- �4 1-� � `y {•. '�`•t J;S' lYi..J. ,N•, `;�f'�'fl� & I� q^ � �q. w �f `'s�nry"+ - _ J�-.r:3^„4.�'�m,,,.. .%' ,pr``S s'f""{.� qeC, .n aq.$'• a-' sy�°' ?pI `'►s Y Y; e i ' � �, 4� t a^.a •� � � .�, •..ten �� � ,' �,, �Ya �cP{s, �,,.,,^• t` :i ? 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'd,•fin f '.+Y '�: ,�'.� ��Y i i e µ ti K y c . k b ax x a �' „r-i ,, .� "'�.,�"'' •�r,, :°:'.. ^ (i:^, J ... -r, ,.. ..„ ? r,,u^ A ., �;bT �"'� M1.0 aw,* r, � � �i ^'T y '9+W, '. w" � •II .._�'° ro •, r+ .tc:: �e.,� ,k .. r..,g`�u 1 ,w: m a riS `� - �` ... „"xa..-.a�.at � i,� t!A �4; ryi:' �`''L� s:ivp�* gym,.` ,,,� ���y:;..+ , »;,,.,xw,,,.,;. ."4rtw,.. n�,«w.,.; �ax^'✓ah.m N�.�Y^"' .. »-nua�w,..,wnmvw,°l' 4m. ,idw =C"b ._ m :�" ., ❑ , �auo �n� my ^ 32 Shorey Road, Hyannis 2/16/07 3�+ s z p r x f i 4 r1 r S� 4 e t Y tt y� s az �A m ra v � p� � u w . a 32 Shorey Road, Hyannis 2/16/07 '�;s�.tr.y2��•y,`��� �'� r.�' � krt'h� S � tr.'. - �' d�"v� :a�✓ly..� ?•:c- �` "�Jx. .�*; -k.�, ya;.A ' M 7K.r _ u' r a , „, Y`'"ws �.�,. ""g"�, �� d. ,., A.';-�wr,. •:,�.°'wy '4- �; ..:.". '. '.�"'i.. �w-.� 't`�`r� �.��:: +`'"""` �". e� �'; a +%a� .. .,t � .,k ..:.. .'. ."::..c •.a a.'.rro i,•..:. �. ., ,.. �$. x, "^�1..�m,.'i° nE b°f"@'.:i X'" '�'''».q....."" .,.1, a .. .,K"'x r . .� . :, .rq „ ' *^, � :�': .' r,. 3''.:' k�� R^} m +.� w7. -••y,.^" 7°1!� p,..' k �p["ut .y za.:•rp•:n-'k " ♦� �:'�1. i;:� i y�`. ,� �y. t° ,,.y�', �y:,�.�+..er 8 � 4...x W ' s g 'SS x ,tAll" N 7 F r s*r TM �� 1 F _ J 9 �' � t 'M �SXw•. �i'P��Via..� �'... � � „��'�a�4aro+3''7"' 32 Shorey Road, Hyannis 2/16/07 Map Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size Zoom Out ° M In I= JPG Map: 267 47231 ° ..: 67053 Location. 124 2670 � Es178 26704? 1 Owner: , 4b 267II � :#97 2 31 [Location In 4 267052 Map & Parce 2670.48: 17 A _ , Location 4NE267042 ��,14 �. � � s3Acreage 26704338 _ Di mi „ �% VrY6• ,:xxA' raK.✓2a,�"ia(a�>. .....,....._.,,._, ............ ._. 26704�1 : #,88 . Current 0% : 267050 Mailing Addi 267049 :#41 .a � 26715 # 6 . _., 1 267046 # 82 t 267045 'zd Appraised ,.. Extra Featur ' -,�267075 Out Building 39 ROX 6YtC� Land ` 267.168 Buildings N k4:7 " 267167 267185 Total Apprai PROP # 1 ' 267'177 °' n "" �_eed ��, i 267078 2 267079 15: Extra Featur .#30 05 Feet 267159 267170 Out Building I. #41 43 267583'` Land Buildings Total Assess Set Scale 1" = 105 I Aerial Photos Copyright 2005 Town of Barnstable,MA All rights reserved.Send questions or comment: j, BarnstableMA v0,2.91 [Production] U http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=267153&map... 2/27/2007 Barnstable Assessing Search Results Page 1 of 2 win -02 ( ra NM f. Home: Departments:Assessors Division: Property Assessment Search Results New Search New Interactive Maps » Owner: 2006 Assessed Values: DEGRACE, RUTH M 33 SHOREY ROAD Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $ 132,300 $ 132,300 267 / 167/ Extra Features: $2,900 $2,900 Outbuildings: $500 $500 Mailing Address Land Value: $ 142,800 $ 142,800 DEGRACE, RUTH M Totals $278,500 $278,500 . PO BOX14 W HYANNISPORT, MA. 02672 2006 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $33.77 Fire District Rates Town Barnstable-Residential $1.90 $6.31 Barnstable-Commercial $2.51 Commei Hyannis FD Tax(Residential) $448.39 C.O.M.M.-All Classes $1.06 $6.54 Cotuit FD-All Classes $1.33 Persona Town Tax(Residential) $ 1,125.70 Hyannis-Residential $1.61 $6.49 Hyannis-Commercial $2.50 Other R; W Barnstable-Residential $1.60 Commur W Barnstable-Commercial $2.46 Total: $ 1,607.86 Construction Details Building Property Sketch Legend Building value $ 132,300 Interior Floors Carpet Style Ranch` Interior Walls Drywall Model Residential Heat Fuel Gas Grade Average Minus Heat Type Hot Air Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms Roof Structure Gable/Hip Bathrooms 2 Full http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mapparbac... 1/26/2007 Barnstable Assessing Search Results Page 2 of 2 Roof Cover Asph/F GIs/Cmp living area 1452 Replacement Cost $153870 Year Built 1972 NOW *' Depreciation 14 Total Rooms 6 RoomsP _ Land � �T a CODE 1010 Lot Size(Acres) 0.24 Appraised Value $ 142,800 Assessed Value $ 142,800 View Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: DEGRACE, RUTH M Aug 30 2001 12:OOAM 14186/262 $ 1 DEGRACE, MARIA G DEJESUS Jan 15 1999 12:OOAM 11993/115 $0 DEGRACE,ANTHONY M 3024/ 112 $0 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value BRR Bsmt Rec Room 80 $300 $300 SHED Shed 80 $500 $500 FPL Fireplace 1 $2,600 $2,600 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area (Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story. (Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/assess06/displayparcelO6map.asp?mapparbac... 1/26/2007 Map Page 1 of 2 Town of Barnstable Geographic Information System New Search H, Parcel Viewer Custom Map Abutters Map Size E,; Zoom Out 3 fl fl lIn � ._ F , `� ; r R, ,�.,, l� 7PG Map: 267 Parcel: 167 F �� ` , 2b7�049 Location: 33 SHOREY ROAD 1 267"15:3 #- _1#2-67046 # 32Owner: DEGRACE, RUTH IM _?0' Location Information Map & Parcel 267167 Location 33 SHOREY ROAD Acreage 0.24 acres ; Current Owner - ...._m Mailing Address `--GEGRACE; RUTH•N1 4 � �> P O BOX 14 67167 „_ W HYANNISPORT, MA 02672 a s � Appraised Value (FY 2006) ` a Extra Features $2,900 Out Buildings $500 16707.7 $142,800 25. j 1 Land «� 267170 Buildings $132,300 #.43 Total Appraised $278,500 26716u' :k Assessed Value (FY 2006) - #43 Extra Features $2,900 073' d 5Z Feet Out Buildings $500 0' Land $142,800 Buildings $132,300 Total Assessed $278,500 Set Scale 1" = 52 ' I Aerial Photos Copyright 2005 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS - BarnstableMA v0.2.91 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=267167&mapparback=address 1/26/2007 1 1' Town of Barnstable *Permit# 593i Expires 6 months from issue date Pc ` Regulatory Services Fee OCT , = &omas F.Geiler,Director To f 132005 Building Division ���F BAR Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 -� www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY S Not Valid without Red X-Press Imprint p/pxcel Number �6 7 ' iperty Address �Residential Value of Work �0 00' Minimum fee of$25.00 for work under$6000.00 mer's Name&Address AA,Qat I Fliri d d O 6 3a Sh.d r-e O�- intractor's Name rn �, Telephone Number J v Y- 796- 093 6,--) )me Improvement Contractor License#(if applicable) )nstruction Supervisor's License#(if applicable) lWorkman's Compensation Insurance Check one: a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance surance Company Name orkman's Comp.Policy# spy of Insurance Compliance Certificate must be on file. :rmit Request(check box) ( J CEtRe-roof(stripping old shingles) All construction debris will be taken to rr 5-tt~ (�l_Q LJ U 40 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. IGNATURE: VIA" :Forms:expmtrg evise071405 c � 1 ne "mmonweattn of ivlassacnusetts Department of Industrial Accidents ,. Office of Investigations ' d 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organmationandividual): it Lkt . Address: DLcS City/State/Zip: .5 Phone#: �6 Q--R3 (� a Are you an employer? Check the-appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6• ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El r4 am a sole proprietor or partner- listed on the attached sheet. I ? ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9• ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its ME] Electrical repairs or.additions required.] officers have exercised their 3 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. C. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 13•❑ Other.'. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: �a t Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConttactois that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy-information. I am an employer that is providing workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: �- Expiration Date:_ Job Site Address: �- ' City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$.1,500•.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a in of up to$250.00 a day against the violator. Be advised that a e. copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa' s andpenabies of perjury that the information provided above is t e and correct Signature. Date: 15 Phone#: �y 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. employee is defined as ...every person in the service of a pursuant to this statute, an nother under any contract of hire, express or implied,oral or written." An employer is defined as:"an individual,.:pa�iejW1,: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. Howe ff*e 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 woiIc 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 ter have been presented to the contracting authority. requirements oftlis chap Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their certificate(s)of anies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the insurance. Limited Liability Comp ers' compensation insurance. If an LLC or LLP does have members or partners; are not required to carry work employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents.,Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below.. Self-insured companies should-,enter their..- self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provideda 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 ' n that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a.valid affidavit is on file for:future permits.or licenses..A new affidavit must be filled out.each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit hlike to thank you in advance for your cooperation and should you have any questions, The Office of Investigations would please do not hesitate to give us a call. The Department's address,telephone and.fax number: The Commonwealth of Massachusetts . Department of Industrial.Accidents ,r ..Office of.Investigations } r 600-Washington Street. . Boston,MA 02111 Tel. #617-727-4900 ext 406 or-1-.877-MASSAFE Fax#617-727-7749 Revised 5-26705 www.mass.gov/dia r I /,� t�r Tow n of Barnstable *Permit# ?s 3 of �. ti 0 Expires b months from issue date Re Mato Services Fee coS� ' snxxs�rwst.�. g i • r� buss. Thomas F.Geller Director sb3g. �0 Building Division XPRJE Tom Perry, Building Commissioner G- s 200 Main Street, Hyannis,MA 02601 "ay Office: 508-862-4038 2004 Fax: 508-790-6230 Q WN C. � fi EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �q ,�3_WXe Not Valid without Red X-Press Imprint Map/parcel Number 6 7 Property Address — d S h o 2 0�d to v► �' D v �gtesidential I Value of Work 0'2 coo 0 Rat �ld� Owner's Name&Address b d r� Contractor's Name &��G _ ab Telephone Number ,5_a8- 79O- 836-2. f Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ®. Re-roof(stripping old shingles) All construction debris will be taken to &C",544Z(�_.,D umoe ❑Re-roof(not stripping. Going over existing layers of roof) Re-side' ❑ Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. Signature , Q:Forms:expn3ug Revise053003 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ol? 7�s"3 'r Parcel 4o Permit# a 2- Health Division /Wu2 Date Issued 9i Conservation Division ivy Application Fee ` Tax Collector 9&oq 4 Permit Fee Treasurer Q /® SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE 1�iiTl�TITLE 6 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS UQ "AL rhS Project Street Address Shd d s COW Village Owner Mtoaj jr/ j .d a Address 3 a ShO�XaAnt;FP&r0' Telephone v`�d�'- 7 9 0- F3 k �. / ,'_'Permit Request r` 47 r%--q r_4►- 0Qr w ,�c -e/2 S yt2 e Okm Square feet: 1 st floor: existing fproposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay V r7 Project Valuation lJOD 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 k(No On Old King's Highway: ❑Yes )9,No Basement Type: PTO ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) fl-o1%e. Basement Unfinished Area(sq.ft) Number of Baths: Full: existing �_ new '— Half:existing new Number of Bedrooms: existing new / c Total Room Count(not including baths): existing new(— First Floor Room Count C, Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other Central Air: ❑Yes �Oo Fireplaces: Existing 1 New Existing wood/coal stove: ❑Yes Cl No Detached garage:0 existing ❑new size Pool:❑existing 0 new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name� c.`° Telephone Number Address 1�D ,eoZ yU (,A) 4�h ,'s�c� C License# & Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE C1.DATE l� Gra- FOR OFFICIAL USE ONLY Kl PERMIT NO. DATE ISSUED l � t MAP-7 PARCEL NO.r 'ADDRESS --: VILLAGE OWNER DATE OF INSPECTION: J FOUNDATION r` FRAME -" INSULATION t �+ FIREPLACE 1 ci !: ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH '* f> FINAL , GAS: ROUGHS p� ;; t-- FINAL FINAL BUILDING ` j Er DATE CLOSED OUT ASSOCIATION PLAN ENO. ti , — The Commonwealth of Massachusetts -:.�: -__- Department of Industrial Accidents VWCO offiff,05 ,1 0ns . 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name /7 ►"c5,a L d r��g o location 3 S 1�3�c-e ►�d city �`"'1 G-1�tl�• phone# r,71,b -E 36 �=I am a homeowner performing all work myself. • - • � - ❑ I am a sole r rietor and have no one workin in ca achy e 3 %` i�rY.`s?�.'2<a'i+ ? i#%` "iii . coai `'sn`''riaiat :lh 3tisuiah ❑ I.am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who ollowin workers co ensan olices:............................:.:::.:::::::::::::::•.. :::::•.v::::::;..?:.?:.?;;:;.;;;:;.?:. ±;.>::.;:.i;?:;.:;.i:. i:;<::i:.?:.;:;;.?:;;.i:r:::?:.?:;.?,?:::; ;;:.:,s;:°«<±•>::. the f g ?nP............ :tio:::: ::..::.::.....::::::::::::::.:.::.:::::............................................ �``%'e r�tr<�`f`�� �' ` r < `? 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NE F Failure to secure covers;e as required ender Section ZSA of MGL 15Z cah lead to the imposition of criminal penalties of a See up to S1,500.00 and/or one years'imprlsotunent as weIl as dv1 penalties in the form of a STOP WORK ORDI+R and a See of 5100.00 a day against me. I understand that a' copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification --- I do Hereby-certifyunderthepains-and penalties-of-perjury-thy the-information-providedabnve_is_tr�_an�evrreet=_ _-. . Signat ire Date Priest name ��6°".9a. SM1' EICIr° - : Phone# '.Z9- 7�O 6aL offldal use only do not write in this area to be completed by city or town offidal dry or town: permitAicense 0 CIBuilding Department ❑Licensing Board ❑check if immediate response is required ❑5electnen°s Office _❑HealthDeparbnent contact person: phone#; ❑Other (devised 9195 PJEa f Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the.legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner.of a .. . dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of M: another who employs persons to do maintenance, construction or repair work on such dwelling house or on the groikds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe' commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation arid supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department.of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should'be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law".of if.you are required.tii obtain.a workers' compensation policy,please ca1I`tlie Department at the number listed below:. City or.Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ogle affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. PIe'ase,. be sure to fill in the.pernuthicense number which will.be used as a reference:riiunliei..Tlie:affidavits may lie'retiianecTtn the Department by mail'of FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. . please do not hesitate to give us a call. The Department's address,telephone and fax number: The'Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 . phone#: (617) 727-4900 ext. 406, 409 or 375 °FINE►° Town of Barnstable ti P °^ Regulatory Services r + IARNSPABM ` Thomas F.Geiler,Director 9� MASS .. � A�Ep5yA Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ry Type of Work: FA (O!5e Px(5�nA ar po,r ' Estimated Cost */000 Address of Work: i Sy adl L, led d4liaA n a S" Owner's Name: ��ct.' �Ct d5cc Date of Application: I hereby certify that: Registration is not required for the following reason(s): FlWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR U � 1 Date Owner's Name Q:forms:homeaffidav r The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division , Tom Perry, Building Commissioner. 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 d HOMEOWNER LICENSE EXEMPTION Please Print DATE: �^ JOB LOCATION: 13 e� cSb d re_�, 4o4 number N l f street village "HOMEOWNER":_ 6 Ql 1 OG(U a tS�)- -e 6 d Sole- d-o?t 3 bl c 3 3 0 name home phone# work phone# CURRENT MAILING ADDRESS:-?O a o", 4/0 Qn �� 7d- ci /t 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 s intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. ' (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requiremen . Signature ouiomeowner f 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 On the last page of this issue is a certify that he/she understands the responsibilities of a Supervisor. p S application,that the homeowner fY P a care t amend and adopt such a form/certification for use in your community. form currently used by several towns. You may p Q:FORMS:EXEMPTN //400 a If e a C/ ex,13/-s' /Uo w or-4 �le.� c/ / �07 Slici�`l ,0C� cl SCr Qn n do LA-J Qre -2 i x d C2/'d U� p1 ('J.'/)C/oi.�l GJ r i /LP on cr-e e Slob, /Uo m et, 14, /' f s cor, cr,e over if G/ 4 y sA,,,8(�S, Ln {�r�ur UJ,/ l be A/c A lVc, eAFc1i c, / - a .ePc� sch ►^oo,-M. 2-7- > y 3 3 -- ` ................... _ ZZ . 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