The URL can be used to link to this page

Home My WebLink About0024 STEVENS STREET a� Sfie �/ens sr — � 0D4l�30 �- ,,,E„ Town of Barnstable *Permit.# Expires 6 months from issue date Regulatory Services Fee , MAM Thomas F.Geiler,Director XPRE S PERMIT i639' ►, " Building Division Tom Perry,CBO, Building Commissioner JUL 63 2013 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OFA�t��BLE Office: 508-862-4038 Fax: 5 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel ��_� Number- El Residential �1Value of Work$ VO 0 o o Minimummfee 6f$35:00'forwork'unde.r-$6000.00 Owner s Name&Address 3cu Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ! Check one: I,am =..,sole proprietor .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 toi ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows . #of doors: ❑ 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. r ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required.. n CSIGNATURE• QAWPFILESTORMS\building permit forms\EXPRESS.doc Revised 060513 The Common weahh of Massachuseft Departbnent of Industrial Accideafs --_ 0 Jwe of Imertigadons 600 Washington,Street Boston,MA 02111 nww.masmgov/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electrician&Tlumbers Applicant Information L'// ,p Please Print egibh City/ tate/'. p-- o 6 o Phone-4- Are you an employer?Check the appropriate.bo= 1_❑ I am a 1 with 4- ❑ I am a contractor and.I Type of ew t(required): P * have hired the sub-conttactads 6. ❑Hconstruction employees(full atxllorpart-Mime)_ I❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-c'outractm have S. ❑volition wod iug for me in any capacity. employees and have workers' [No workers'comp_insurance comp_i17SnratEcerl �. ❑Budding addition 5- ❑ We area corporation and its ME]❑Electrical repairs or additions 3, I am a homeowner doing all wodk oft have cwxcised their 11.❑Plumbing repairs or additions myself [No workers.'wrote. right of=eMptdon per MGL 12-[_1 Roof repairs insurance required.]t c-152,§1(4) and we have no 13.❑Other employees-[No workers' camp insurance required.] "Any agpti=that chedos box#1 nmst also fill out the section below sbb owing dwir wockets'eomQeasation.policy iMor,••■+•m T Homeuwnm who submit this nTWx. i udkztmg they ne dpmg aft waik sad then bue outside conftwwn m=submit a new affidavit and .Mmg mob lContractms chat cbeck this bax mast attacbed an additional.sheet showing the name of the stab-corawim and stale whettw ornot fine entities hasx empkoyee& If the sub-contractors base ems,they must L mvide tt !ir aarken'camp.pio&T number. I am an elatplt>yr that is prauidiug workers'congxna rtion insurance for nay eng9aym& Before is the policy alyd job site informatioat. Insurance Company Name: Policy#or Self-ins-Lie.it: `' Expiration Date: Job Site Address: City/Statelzip- 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 cw 152 can led to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine i of up to$250.00 a day against the violator. Be advised that a copy of this Staten ant may be forwarded to the Office,of Investigations of the DIA for insurance coverage verification. ,I d-achereby cortt;p under rtthe pails andpmahNes ofped y that this in ormntion p►opi&d above.is true and correct 3 Plume# O idol use only. Do not write in this area,to be campleteid by city or town official City or Town: PermitfLicense# Issuing Authority(circle one): 1.Board of HeaM 2.Bailing Department 3.Cityfr'own Clerk 4.Electricaltuspee#or S.Plumbing Inspector 6.Other Contact:Person: Phone#� 6. . ' )�A - • r • BARNSUBLE, r MASS. ,. 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 t Office: 508-862-4038 /� Fax: 508-790-6230 Property Owner Must Complete andiSign This.Section 9 If Using A Builder I. , as Owner of the subject l property hereby authorize to act on my behalf, in all matters relative to work authorized b this building permit application for: f Y g P pP (Address of Job) Signature of.Owner Date Print Name If Property Owner is applying for permit,please.complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Micrdsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBME)PRESS.doc Revised.053012 �t Town of Barnstable Regulatory Services saxxsl'ABUE, ' Thomas F.Geiler,Director .`�� Buildin Division Fn ,nor g . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 vrww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ATE:�;3/.:3 ------------------ )B LOCATION: �/ eve, S Humbert -- streets-+'^- :HOMEOWNER' �fllj� I�oSS/ SO 3 y home phone# Vwork-phone-#„ URRENT MAILING ADDRESS: cityltown—" ; state Uzip_code_ eowners.. was extended to include owner=oected dwellings of six units or less and to a he current exemption for"home-- llow ' omeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER erson(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- unily dwelling,attached,or detached structures accessory to such use and/or farm structures. A person who constructs more than one ome in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form ;ceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 09.1.1) he undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, ylaws,rules and regulations. he undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection rocedures and requirements and that he/she will comply with said procedures and requirements. gnafure ofIromeowner . pproval of Building Official _ Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code -ction 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 -om the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors); provided that if the homeowner igages 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 ee Appendix.Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often cults in serious problems,particularly when the homeowner hires unlicensed persons. In this case,.our Board cannot roceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is Itimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the ermit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page f this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in )ur community. \Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc evised 053012 Town of Barnstable �THE � Regulatory Services Thomas F. Geiler,Director • BnxtaMBLE, Building Division �AtFp 6. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMITNC�10 V J FEE: $ SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village L v`ls 12 � g5, -3 Property owner's name Telephone number Size of Shed Map/Parcel# a a gignak a Date Hyannis Main Street Waterfront Historic District? 1U CEO �n Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE 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 REV:052813 Towno �arnstabXe,.. r s; Ur BAR 4STABLE �ofs�r, Regulatory Services?gp �UN i 2 PH 3 I Thomas F.Geiler,Director Building Division RARNSTA13M + _ v MA ,g� Tom Perry,Building CommissionerDIVISION iOrFb ,t�► 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Approved: -75 Permit#: fit) HOME OCCUPATION REGISTRATION Datc-6— ! z d / Name: "[ T T f-11��L✓ o s3 Phone#: J-o 3 c) Address:Z G S-(�-V e-iv S H fi--7 h: Vrllage: �-i e m� Name of Business: G �/9 i n1i'�✓ Type of Business: - N G Map/Lot: s O 9 _ I IN EN-r: 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 carved 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 orhan dous 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 Iot containing the Customary Home . Occupationk and not within the required front yard. • There is no exterior storage or display of materials or equipment • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick-up-tiuek-not�to•exceed-one ton:capacity,and one trailer not to exceed 20 feet in length and not to =.. .-- ex=d 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the C�istomary 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 with the above.restrictions for my home occupation I am registering. ' / Applicants% � --�Z . . Date: C� ^1 - d 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 opera e`j-Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 14 t7 0 Fill in please: APPLICANT'S YOUR NAME/ et o4 eu o SS p` xar BUSINESS YOUR HOME ADDRESS: aq S e eli S4-. i C 77Y-8i0 - o y7�2 <` TELEPHONE # Home Telephone Number 563 - 7>5_- 7968 NAME OF CORPORATION: NAME OF NEW BUSINESS ZICR TYPE OF BUSINESS IS THIS A HOME OCCUPATION? ES NO ADDRESS OF BUSINESS 2 Ls-r h n n+s /7vf a a&,i MAP/PARCEL NUMBER 0 9 - 1 3 i (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 20D 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 OFFICE 51VIUST COMPLY WITH HOME OCCUPATION This individual has !��rmed o y permit requirements that pertain to this type of busines RULES AND REGULATIONS. FAILURE TO Jl� horized Sigwp_ ** OMPLY MAY RES LT I(� FINES. ' Comm: 'l� ' �v� S a-. � �� C� 2. BOARD OF HEALTH . ,. :�,._a,_. This individual has b i rme th it requirements that pertain to this type of business. 'PCOWYWITM AM 2 HAZARDOUS MATERIALS REGULATIONS Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS LICENSING AUTHORITY This individual ha n inforce lic in irements that pertain-to this type of business. Authorized Signature** COMMENTS: Town of Barnstable *Permit# ? Expires 6 months from issue date „MSTAM4 : Regulatory Services Fee MAW 039. Thomas F.Geiler,Director yam^ ►e ® 1 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 SEp 14 2004 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTAB EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ap/parcel Number C ?0 /,Y, l operty Address Residential Value of Work 0P Minimum fee of$25.00 for work under$6000.00 wner's Name&Address ,�/3 �,5,S'/ • ontractor's Name Telephone Number �- (�,=h`- , 4/9 r, ome Improvement Contractor Lic nse#(if applicable) onstruction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner r� ❑ I have Worker's Compensation Insurancerri .: ance Company Name -77 t orkman's Comp.Policy# opy of Insurance Compliance Certificate'must be on file. ermit Request(check box) K r— co ❑ Re-roof(stripping old shingles) All construction debris will be taken to Re-roof(not stripping. Going over existing layers of roof) Re-side [v/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. y� Home eII Improvement Contractors License is required ignature //I LA. (i 2 C � Torms:expmtrg —,iounAlAAA ti G � 2 g4g E c) Z_ ,o s 7-/-z4 /,V1_5 r R=./ 5 -4 2 54 s.o� L= 48.oG. -� M A/4 �� /�� /NE FV- 6 7 vo N&v.o j 0 Z.D T 0 7- 3 7 /S / 6(3 1_ o. . 77 0 10 1� ; r � q N ,4.0Z vi m II co G6 �. o . . 00 /Co. 00 TOWN OF BARNSTABLE ZONING i BY—LAWS DATED FEBRUARY 1986 "°PAUL ZONE: RC--- 1 ti� R. SETBACKS RYLL q �, No. o�4-ttt ., FRONT = 30' ^`, T Z SIDE 15' Qs.Y REAR = 15' i . I PROPERTY LINES SHOWN HEREON WERE COMPILED f I FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. .►3-1448-07 � AN ACTUAL SURVEY ON THE GROUND. __...._.......___.. r__._.-.._..._.....__:_ ___.....----_...-----................:___.__.---............ _-- ---_:_..----:..:_ THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON THE GROUND BY SURVEY ON FEBRUARY 27 1987 in AND EXISTS AS SHOWN A& OF THE DATE OF LOCATION. BARNSTABLE MASS . f THIS PLAN IS FOR PLOT .PLAN PURPOSES ONLY AND SCALE: 1" = 20' FEBRUARY 27 1987 i SHOULD NOT BE USED FOR ANY OTHER PURPOSE. 2 BSC / CAPE COD SURVEY CONSULTANTS I �'.._.. ._. .. _..........._ _._�.-. 3261 MAIN STREET j r —DA-E �_ —PROFESSIONAL LAND BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133