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Home My WebLink About0059 WAYLAND ROAD U�9 Gc>�y/ai7cL �oc� ,I r YOU WISH TO OPEN A BUSINESS? Feir Your Information: Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGSTERS YCUR NAME in town(which you must do by M.GL.-it does not give you permission to operate.) You must first obtain the necessary signatures on thisform at 200 Main St., Hyannis flake the completed form to the Town Clerk's Office, 1st A.,367 Main St.,Hyannis,MA 02601 (Town Hall)and get the Business Certificate that is required by law. DATEAPPLICANTS YOUR NAME/: ! aDl ✓1 "4Son Fill in k N,r BUSINEaS YOUR HCMEADDRP55 S A AI l 2_6 THBHONE# Home Telephone Number _go P 37 - j NAM E OF CORPORATION: NAMEOFNEW BUSINESS i4N t71; U TYPE OF BUSINESS / JlLf$ IS THIS A HCM E OCCUPATION? YES NO qr7 ADDRESS OF BUSINESS MAP/PARCEL NUMBER cg 1/a- (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 M UST GO TO200 M ain St.-(corner of Yarmouth Rd.&M ain Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDINGCOM IONp7r �h MUST COMPLY WITH HOME OCCUPATION This individu ha y r r r n t t rtaint this type ofbusiLES AND REGULATIONS. FAILURE TO Auth rued ' n tur ** M ENTS: OMPLY MAY RESULT IN FINES. / IC 2. BOARDCF EAL JG(/� 1 �r0 a�lun This individual has been informed of the permit requirements that pertain to this type of business. J — j n�rrrW Authorized Signature** �S►l OU S GY-1 COMMENTS: 3. CON SUMER AFFAIRS(LICENSINGAUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable Regulatory Services pFTHE Toy, o Richard V. Scali,Director Building Division iKass �' Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-403 8 Fax:. 508-790-6230 Approved: e)? 3 Fee: 3 5 Permit#: �6 '/ 7 HOME OCCUPATION REGISTRATION Date: 1/ '2414-7 Name: �/5 G QSOr" W Phone#: 5D "6P IR-1 Address: S'5 wa z l d 4Gf Rd Village: 14 apn lj Name of Business: hceatI$ ddap::e- LUd Type of Business: l&nCl Grcc�4 J:TI ms 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 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 t nick not to exceed one tan 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 and agree with a restrictions for my home occupation I am registering. Applicant Date: / l Homeoc.doc Rev.OV20/16 r Town of Barnstable *Permitvl dF � Expires 6 mo om Regulatory Services Fee -+-3A U MM MASS Thomas F.Geiler,Director, � 165 prED MA't& Building Division. Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number. �l Property Ad r �, ( / d P rty dress. M Residential Value of Work 7. -36411< !e Minimum fee of$35.00 four work under$6000.00 l/Owner's Name&Address j/4C .� c1-1 _ G C(.�. ( �� '� l l i? /S l� Uzi f Contractor's Name Z, ld n Telephone Number ,fd!R •-295-S�S'2_ Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) C .S — ,I �z> X-PRESS PERMIT Mworkman's Compensation Insurance Check one: ❑ I am a sole proprietor N O V 2 8 2012 ❑ I am the Homeowner I have Worker's.Compensation,Insurance Insurance Company Name - , �;. .�.wtr QWN OF BARNSTABLE 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 sti w 1 ___1kZ ❑.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 Sand 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 icense&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESWORMS\building permit formsOVRESS.doc, Revised 053012. The Commonwealth r,,f Massachusetts D� hnmt of-Indushial--4-c- s Office of Investigations 600 Washington Street Boston,H4 02111 . www mass.govldia Workers' Compensation Insurance Affidavitz BxHersI.Contractors/E-lec icianslPhixdbers Applicant Information Please Print Legibly Name Muduew/0zgatuationlladividaa1):_Dv , Z,2� i4l Address: F7 City/State/Zip: v„i , Phone#: Are you an employer?Check the appropriate box.: Type of project(required): - ❑ I am a general contractor and I I ama employer with d Jfl�. b- ❑New construction employees(full and/orpaw-time).* have aired the sub-contractors 2-❑ I am a sole proprietor orpartuw- listed an the attached sheet. 7- ❑Remodeling ship.and have no employees These sub-contractors have g_ ❑I3eaaolit ora" working for me in any capacity employees and have won leers' 9 ❑Building addition [No workers'comp.insurance comp-snsvrartmi required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3-❑ 1 am a homeowner doing all work officers have exercised their 1 L E]Plumbing repairs or:additions myself [No workers'comp- right of exemption per 1Y1GL 12-[2 Rflof repairs insurance required.]r c.152,.§1(4).,and we have no employ-[No workers' 13.❑Daher comp-imorance r+egWred.] .Any applicant thst checks boa#1 must also 8ll ors*e section beim showing their workers'co rensamon policy information- 1 Homeowners who submit this affidavit indicating they are doing aU wed and dm hire:outside contractors must submit a new af5daeit indicating mcb- tCowmctors that cheek this boa mast attached an additional sheet sbuwmg the came of the vub-contractors sod state whether or not those Entities harp employees. If the m*b mntmaors have employees,they must provide.their workers'comp.policy number. — I am an einplb►wr that is pr"fi`ding workm'congwnsadott insurance far iny emptoyem Bdoly is the palter and jay site informaden Insurance Company Name: o ArMIA/ 1,r/C Policy#or Seel€ins-Lic.#: 6,do 36 7 712 of.0�� v Expiration Date: .21. //.T Job Site Address- cityrstaterz r :�1 O Attach a copy of the workers'compensation policy declaration page(shoving the policy nuf7mber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal al penalties of a. tine up to S 1,500-00 and/or one-year imprisonment,as welt 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 Imest ga ons of the DIA for insurance coverage ver(cation- I do hereby certr;;(y under the pains andpenalfi'es ofyedm y that the information provided above is true and correct 5itnnature` �.f r ;�i� `'.L, /�`�_,�...�� Date- I/ Official urine only. Da not twits in this area,to be completed by city or tonvi official City or Town: PermitfUcense# Issuing Authority(circle,one): ; I.Board.of Health 3.Building Department 3.Cityf own Cleric 4.Electrical Inspector 5.Plumbing Inspector . 6.Other . Contact Person' Phone#' �oF�►°its. + aARNSrABLE + "�: ,�� Town of Barnstable pr��ra Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02661 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 46- I, ; 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 J b Signature of O bate All(w Print Name If Property Owner is applying for permit,please complete the Homeowners License.Exemption Form on..the reverse side. QAWPFILES\FORMS\building permit formsTXPRESS.doc D o.4: -.4 n'7n1 1n °FIKE Town of Barnstable Regulatory Services BARNSTABLF, " Thomas F. Geiler,Director 9�A 1679 a�� rFo 39,,E Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.m.a.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 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 requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 3.5,000 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. against the unlicensed person as it would with a licnsed Supervisor. The homeowner actin as Supervisor is ultimately In this case,our Board cannot proceed g p p g 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. 0:\WPFILES\FORMS\building permit forms\EXPRESS.doc 7/2/2012 5 : 52 : 39 PM 8740 ® 04/04 CERTIFICATE OF LIABILITY INSURANCE DATED ' THIS CERTIFICATE 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 CONTACT G H Dunn Insurance Agency Inc PHHONE rAE 2201 Cranberry Highway ('MG " '° E-MAIL PO Box 99 ADDRESS: PRODUCER West Wareham, MA 02576 CUSTOMER LOW. INSURED(S) AFPORDDTO COVERAGE HAIC W INSURED Donald Kahrman INsuReR is A.I.M. Mutual Insurance Co 33756 INSURER B: 87 Blackmore Pond Rd INSURER E: West Wareham, MA 02576 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 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 DAY 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. POLICY NUMBER POLICY EF£ POLICY EXP LIMITS tc= TYPE OF IASURANCE ODwnrttx, (HR/nnnrcn GNNERAL LIABILITY EACH OCCURAIICE 6 ❑COMMERCIAL GENERAL LIABILITY DAMAGE TO RESTED xzence 6 ) ❑❑CLAIMS MADE ❑ PREHISES(Ea.°ccuOCCUR - ❑ I1ED RIP (Any one pexa°nl 8 PERSONAL A ADV INJURY 6 ❑ GENERAL AGGREGATE 6 GEN'L AGGREGATE LIMIT APPLIES ER: - - PRODUCTS- COMP/OP AGG 6 ❑POLICY ❑PROJECT[-]I- ' 6 AUTOMOBILE LIABILITY CMMINED SINGLE LIMIT 6 ❑ANY AOTO (ea ccident) BODILY INJURE (per peram) 6 ❑ALL WpiED AUI09 3CREDm,ED AUTOS BODILY IHJURY(per a idmt) 6 PROPERTY DRUDGE ❑HIRED AUTOS (p.0 aceidmt) 6 ❑NON--BD AUTOS 8 - ❑ 6 ❑UMBRELLA LIAR ❑ OCCUR EACH OCCURRENCE 6 ❑EYCE33 LIAB ❑ CLAIMS MADE AGGREGATE 6 ❑DEDUCTIBLE 6 RETENTION S $WORKERS COMPENSATION ssuu- OTH- AND EMPLOYEES LIABILITY TG_LTRTTs Ea THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE E.L. EACH ACCIDENT g 100,000 A 1ncl ® excl 6003677012012 02/22/2012 02/22/2013 E.L. DISEASE-POLICY LIMIT 6 500,000 E.L. DISEASE-EA EMPLOYEE 6 100,000 CMK MTS/DESCA IPTIOII OL OpERATions OR LOCATI OHS: ' DONALD KAHRMAN IS NOT COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ZXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 200 MAIN ST POLICY PROVISIONS. - HYANNIS, MA 02601 AUTHORIZED REPRESENTATIVE 7872 ^� ffice t'co Ome'�'t ir`s > ness egu a ; , " ;:iJi ensr or registration valid for individul lrse onl3' 4 £ HOME IMPROVEMENT CONTRACTOR a$dk•If found.teturn to: b farc the xpli at�brf d x o Registration �119802' :Type U Off ce of Consumer Affairs and Bg�smess I2egulataon Expiration /31/2013 Intlividual 'i t 0 Park Plaza-Su►te'S170 8 r Boston,MA02.11tj D LD A KAHRMAN j DONALD:::KAHRMAI 87.BLACKMORE PMRD r . W.WAREHAM OAA Q2578 a Undersecreta'y hour Signature Not v.and wit i a i Massachusetts -Department of Public Safety Board of Building Regulations and Standards' I E Construction Supervisor + License CS-024720 `ID `vsi;_ ONALD A KAfiiMArN-, 87tBLACKMbIi:E�PORD. W WAREIIA�IVI 0257b ,� � I Expiration Commissioner `' .12/15/2013 L Assessor! offioe (1st floor): / ® OF THElC As map and lot number ......�.7/.....�.� ��... sY� Board of\Health (3rd floor): -��r �� 1jN (+i `� loto�. �2 � Sewage, "hermit number ................................................ t' TITLE 5 MUSTAUZ Engineering Department (3rd floor): SC� (;®® :4 MA°' // I a...ill' House number ...............................................'....................... tjgj d L F� O t639.6�i APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00: P.M. only ��Tt®� `'Fo�a� TOWN OF BARNSTABLE BUILDING. . INSPECTOR APPLICATION FOR PERMIT TO .......c%!GC r:�. ... ''.�y... �/"!�.�✓4.�4�4.! yuw'...1.n... :5�rn e r;; TYPEOF CONSTRUCTION ..................................................................................................//................................... .......1 .0--r . -.1 6........:..19. TO THE .INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....s L(J Ci! /and P..d............ I.. ..� n.r�.!: ....... 'Y�..0........64.17-�:1.9. ).......................... . ProposedUse ...... GF !2?. .L.. .....8R.0.M................................................................................................................................ Zoning District ............. . ........................................................Fire District .......... J.,(�!.'!!. 1. ............................................... Name of Owner .� La..L./�Cc.n.!.CQ.�.....1.(.'.� ��l..Address ......�J.. ...\l 4'f�1 .`'.....R.�............................. Nameof Builder .!'—m.e'...................................... .................................................................................... Nameof Architect ................`-..............................................Address .................................................................................... Number of Rooms Z 1-5%.!.lr/, ................................................. ..................................................................Foundation .......... .. }-- Exterior ............. ...............................................Roofing .................................................................................... Floors ..............C¢! P..� .Interior ......... .h.e.�T...�UCKe ................................................... ............................................. Heating L eCTlL r C g ..................................................................Plumbin ...................to: ?/.4................................................. Firep N,0A)..f:...........................................................Approximate Cost �� UO lace ............ .................. ..U....................................... .... Definitive Plan Approved by Planning Board -------------------------- -----1 9-------- • Area ..•.�•,•�� ............... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............... 1� .. :.v Construction Supervisor's License . . ........ NELSON, PAUL E. & JANICE 'N ..317�&... Permit for ..R!��jaq5jel Basement 0 ....... ..................... �xjj.qjg...FAMily..PW .... . ..... ........... Location ...W.ay.l.(Aad ........................ Hyannis Owner Paul E. Nelson & Jani.ce M- .................................................................. Type of Construction .....Frame.............................. ....... ..................................................................... Plot ............................. Lot ................................ Permit:�Grantecl .....��arch... ............19 88 .......... Date of Inspection ................ ...................19 Date Completed ......................................19 Cj - TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPThON. Please; print ;. r , i ' DATE _ • . �, ,..F �;; � . - � ; 1 _ Cf, JOB. LOCATION �e't"16' 14num er k t address r� ect on. o Mown " 61 HOMEOWNER � 1 Home p one or pone y r.: PRESENT MAIL.IwG ADDRESS /� y 1 ty town OZ6'v. tate Lip.: code . Ttie current exemption• for ."homeowners" was extended to .include owner-occu pied dweI'lings. of six units. or... esS-7a- to allow such homeowners. c .;to en a e: an p -d ivi ua for hire. who. does not possess a license, 99 n acts •a`s. su ervisor, provided that the owner. p (State 'Building Code Section J. , :DEFINITION OF HOMEOWNER: 'Person(s-) who owns a parcel of land on which .he/she resides or intends to, re :side,. on which there, ? Or .is .ihtended-to 6e, a one to six famil dwelling'.`' attached or detached structures accessory to such use and/or 'farm ys.tructures , A person who constructs more than. one home in a two-year period shall not. b ; considered a homeowner. Such "homeowner" shall submit to the Building off," on,a. form acceptable to the Building Official , that' he/she shall be.'res on ciao,. for all such work performed under the buildin P sib',_ g permit- ection . . The undersigned "homeowner" assumes responsibility for compliance with Building Code and other applicable codes, by-laws, rules -and regulations- Thethe .State r - • " undersigned "homeowner" certifies .that he/she understands. the BarnstableBuilding Department ' in inspection procedures and. re Town. of,' '. and that he/she will com 1 with `said qurrements procedures and requirements: .. .HOMEOWNER'S SIGNATURE i 'APPROVAL `OF BUILDING OFFICIAL t Note: Three family dwellings 35,000 cubic feet,` or larger; will be to comply with. State Building Code Section 127.0, Construction Controlquired r o HOME OWNER 'S EXEMPT.I:ON.,.„': The;. Code state 'that "Any Home Owner - perm l t J S '. required shall be exempt l ngheork .: for wh i ch ray '. bu i'i d l n p 9Y (Section 109..1 . 1 provisions of, this section ,., shall of..Constructlon Supervlsors) ,, 'provlded 'tha.t; .',If,.a' Home Owner engages a persons) for hhre to do such!.work; that_,such 'Home •Owne`r shall act' as supervisor . ,. Many Home Owner.s.. who Use this'exemptlon are unaware that ,gthe are 4 i the responsib`Illtles of a supervisor (see Appendix Q, RulesYand Re 'assuming, for Licensing. Construction Supervisors,. Section 2.15) :,y Th'I;s, iack' of Awareness " gulat,lons • often�resuits,, in' ser loos)` unlicensed problems,, .particularly when the ''' Home Owner hires persons. --In this case . our Board cannot -proceed person as I t would w l t, proceedagain st.'the; licensed Supervlaor:; The Home Owner act'Ing as. supervisor is ultlmatelY.responsIble. To unsure that r Home Owner_ Is fully aware of hi s/he r responsslb'i.I.Itfes, many communities require, as part of the permit application, that the Home �.:' man certify that he/she understands the responslbillaies of .a supervisor. ' Own last hJs issue is-a form currently Used by several ` town `''✓ ? ' On'the , care fo'amend and adopt such a 'form/certification for use in your commun = . . +. yoU may t rt + i lk s _ x tt�-T. 0 ssessor s map and lot 'number .......... . TH E roof S ' �-. 3A)yqge,*Permit number .19:? 2/ KV-�C S VS E KA IM D IN C House number ................... .. ...................................... INST ABLE ONAPLI MAS&STAB LE, t639- WITH TITL E 5 0 MAV 01, E R DE NVIA "ITAL CO A TX= TOWN OF R N S V LATIONS BUILDING,.,' .I-,,HSPECT0 R APPLICATION FOR PERMIT TO ..........Construct Sinale Family Dwellin,- .............................................................................................................. TYPE OF CONSTRUCTION .......KQ..Q.0..'.Frame..................................................................................................... .. .. ....... ........./Z.0,4. .........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the owing information: Location ......... ...... �.....��.&... tz. ..... .. ......I... ............................................. ProposedUse ......................................................................................................................................:...................................... Zoning District .........R...B........................................................Fire District ...Hy.anni.s......................................................... ... . .......... . Name of Owner .Capricorn...Realty...Trust...........Address .......7��..Falmouth Road ...H .. .. .... .. .... ..... . ..... .. . .. ..................................... ... ........ Franco Real Estate Dev. Name of Builder* .Franco ,CRddress .......765...E��!Mouth Road,,.,.j�yAKjnis ........................ ............. Nameof Architect ..................................................................Address .......................... ......................................................... Number of Rooms .....SAX.. ,,,,,,,,,,,,,Foundation ...PA.Q.t..............;........;......................................... Clapboard and/or shingles Exterior ...................................................................................Roofing, ...Asphalt shingles ................................... ......�arp Sheetrock Floors ................................................................Interior .................................................................................... Heating ........qas.........F'..W...A...............................................Plumbing .......Tn...:-..AqQPP.P;t�........................................... .. . .... .. . ... Fireplace ................W.O.Tle........................................................Approximate Cost ......... ........................... Definitive Plan Approved by Planning Board -------------------—-----------19--------- AiAO56...9Q.,...f t,................. Diagram of Lot and Building with 'Dimensions Fee '.c�.O.,..,ZS............... SUBJECT. TO"APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I Name .............. . APRICORN REALTY TRUST 24�210 One Story a ................ Permit for .................................... 5jingle Family Dwelling ............................................................................... Lot #19 59 Wayland Road Location ................................................................ Hyannis ............................................................................... Capricorn Realty Trust Owner .................................................................. Type Frame 'of Construction .......................................... Plot ............................ Lot ................................. Permit Granted ...!714,Y... ..................19 82 'Date of lnspection-'�.. ........19 Date Completed .........19 1:F9,°SS� B" -y \► 4� �• �s o � 1-=a7 1� � 0 0 / 5 2. i M' i 4/ f zg' d V) i ,I s-- - , ' /Q CERTIFIED PLOT PLAN .gyp Of IN � o� NEW CONSTRUCTION ONLY ROBERTBRUCE TOP OF FOUNDATION IS 3,7 FEET ELDRED IN ABOVE LOW POINT OF ADJACENT /e l?- Allh STA! L91 AAss+ ROAD. °N0_su�j . SCALE= / =30` DATE : LD EDGE ENGINE£ lNG C4./ :✓cv I CERTIFY THAT THE wyni/�A-'c o CLIENT �S LAND ED SHOWN ON THIS PLAN IS LOCATED CIVIL LAND EOISTERED RE JOB NO. 88�?� ON THE GROUND AS INDICATED AND ENGINEER SURVEYOR DR.BY� . A_ , �?• CONFORMS TO THE ZONING LAWS '. . OF. BARNSTABLE , MASS'. 712 MAIN STREET CM.BY; . _ G HYANRIS, MASS. SHEETLOF / ATE R G. LAND SURVEYOR 1 TOWN OF BARNSTABLE Permit No. --- � Building Inspector Cash _-- �' OCCUPANCY PERMIT Bond __ *Vd "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Capricorn Fealty Tmst Address ' lot #19 59 Wa)rland Road. Hyannis Wiring Inspector �;/ ! Inspection date Plumbing Inspector'-, ��- Inspection date Gas Inspector Inspection date ^( Engineering Department Inspection date] _.. THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL -SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. rr Building Inspector