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0392 BUCKSKIN PATH
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Rr a y,�,«ro#TM,i�a ar*,,"r a ^s,,st", $� «� *, ,�a^+,,' 4 e"`.^", ' ` .+v^'"+ a a'„ti: *.. ° s :¢'�"* ,"� § :.;" mrN .a» ` Posted Until Final Inspection Has Been Made " :' ° r • Where.a Certificate of Occupancy isARequired,rsuch Building shall Not bOccupied until anal Inspectionhas been made H er � Permit No. B-20-2347 Applicant Name: Timothy Cabral Approvals Date Issued: 08/27/2020 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 02/27/2021 Foundation: Location: 392 BUCKSKIN PATH,CENTERVILLE Map/Lot: 191-133 � o-Zoning District: RC Sheathing: Owner on Record: LAVRENOV,VERONIKA Contractor Name---TIMOTHY CABRAL Framing: 1 Address: 392 BUCKSKIN PATH Contractor License: CS405454 2 CENTERVILLE, MA 02632 Est. Project Cost: $4,364.00 Chimney: Description: Air sealing,fg for damming,blown in cellulose for attic,attic tent, Permit Fee: $85.00 weather strip and sweep on doors,fg for basement sills,insulate Insulation: .. q Fee Paid: $85.00 basement door,propavents,vent bath fans to roof, blower door Final: and combustion safety test. Date: 8/27/2020 Project Review Req: �aY�-- Plumbing/Gas Rough Plumbing: ,Building Official i Final Plumbing: n invalid of work au h riz i permit is commenced wi hin six months after issuance. This permit shall be deemed abandoned and a d unless the wo t o ed b this e t p Y p All this permit shall conform to h approved lication.an roved construction do umebts for which this permit has been ranted. Rough Gas: I work authorized by i s pe m t s a l co o the app o d app d the approved c c � g g All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for/public inspecti# for the entire duration of the Final Gas: work until the completion of the same. { Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:E f Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:. 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) LOW Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT O uL-C;;,0E Final: -711311� �"E Town of Barnstable *Pe ermit# Tres 6 months from issue date �.� Regulatory Services ee �.�- Richard V.Scali,Director ' Building Division Paul Roma,Building Commissioner JUN 2 7 2016 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us vol Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 2 2 Not Valid without Red X-Press Imprint Map/parcel Number /.� Property Address 3>q 0-�. �X � residential Value of Work$ 5 �b `��Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V e`� \�'LZ �K�1�1 Contractor's Name G1 fO�-cZ- (E_: �C 0 C ��``t�0*5 Telephone Number `> 3 6 O Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance , Insurance Company Name t Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany,each permit. Permit Request-(check box)' a - Re=roof-(hur-r-icane nailed)(stripping old shingles) All construction debris will be taken to b U 'l\ PS � ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#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. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement C actors License&Construction Supervisors License is require SIGNATURE: Q MPFILESTORIAMbuilding pe rtns 06/20/16 The Commonweah*of Marsaddrrsetls Departmaut crf rnd=tYid Accide7as - OW"rce of Iittgtztidts 600 Washington Street Boston,MA 02111 " mviummmgm1dia "Workers' CQnipensai n 7nsur ance Affidavit Smlder-./CrntracturslEledric�hEmbers Applicant Information Please Priut Ere��llly yACOh 1k-d- �� ho C-itgfS Are yGu au employer?Check the appropriate belts: Type of project(required}: I.❑ I ant a employes with 4 ❑I am a general contractor and I 6_ ❑New construction employees(full andfor part-ime).* ]rage]sired.tfine sub co atmdors Z.El am a sole proprietor arp listed on the attached sheet l..❑Rerrwdeliag" s*and have no empk�ees These s¢tb-cantmr-tors halve S_ ❑Demolition W far mein emaprloyees andhaee xgookers' ^�nsr �y f3`- I 9..❑B,tsildmg ad3itioaf {�INN s, Comp,ixesi- e' comp_mererar4 b 1 Electrical OI additions j 5. ❑ We are a corporation and its ❑ Sep 3 I am.a homeowner doing all %ark officers have estJrcised their IL❑MmA ingrepairs or additions myself o wonders' right of exemption per I1IGI. i�+ ce equired]! c.152,§1(4),andwe havemo 1�7 of repairs employees.[NOworkers' 13_❑Other cow_insurance required.) & npapp&c=fimtcbedsbasRmastalsofiIlvattheswfi=bekwslzm a dmkwoderecm3pmLgdonpeRcginffimms m3- cameo waerswho sabot sits affidat im vrs�g try aze doing s1F oroaid�d H�2�ze aatsidg c�mt� +*znmst submit a new affidavftCmdieff!dna mch . ICantsa=fazt chec1r s boot must arty mt additinnaT sheet showing the name of the snb-c9m2crchra and state whether ar natthase entities h.we employees.Iftbesattartactmbmm em3plcyw- flLeytmistpravide&es VMdtes'gyp.poliY atnnlsM I am au eeip�r fluent is prauift-wvorkers'cotmr�ertsrmtion uzsriratcc k�nr my emp�}�eex Below is fJte paLicy rcr�dja ,do irtforrrurlian. Insumance Company Name: Poficy-,YL or Self-inn Lic_ ExpitrationDafe= Job Site Address CityfStat&22p: Attach a-copy of the workers'comapensation policy:declaration pap(showing the policy,n=3ber and,expiration date). Fail=to secure coverage as regtnredunder Section 25A of MGL c.157 can lead to the imposition.of crimitml penalises of a f ue up to$1,540:00 an one-gd=arimprisossmenk as well as cif penalties.in the fam of a STOP WORK ORDER and a fine. of up to$25QO a day against fibs violator. Be thdse:d dint a copy of this statement maybe faswarded to the Office of 1mvestiptions ofthe DIA for instsx nc a coverage vedficahon. . I dofreraslry d errr`ify tJge pains aamdpsrm "a, gdtrt y flratf7ma itafortrtafrm>ptro-iddfd abot�s rs bars and correct Offrciat use ariff �Dd tmotc�ttts in flats area t{r be rxrlrlpi<eted by taip arforFmt.affrciaL CRy ar Taww Penniff. ease Issuing Auflsnrity(drde one): L Surd of Health .2.BuMng Depaztmcat 3.f tP TMM Clerk 4.Electrical fitspmtor 5.Fhnnbing Inspector 6.Other Conftct Person: Phone#- 6 Iffiformation and lastruc ions M�ecear-3rrreetls CIM1 rat Laws chapter 152 req=m all enipIoy=tD I un&workeas'campe�an further emplcryees. ,r - e ce ofMMfll=uader content ofhirr, j ed as _ erson m ffi serve azry this sf� an layee is dc�. evrrp p Pmsaantto � =qn-m s or implied oral or wry_" An eznpkygr is defined as"aa induvidnal,padnersbip,association;carporafzon or other legal eatdy,or any two or more of a deceased I er,or the of the foregoing �a joint et�se,and mchuding the legal sepaesenfafryes � oY receivw or t ustes of as mdiyidnal,partoersbip,association ar ofherlegal entity,employing eraployees. However the owner of a.dweIIirzg house having not more than three aparta enfs and who resides ffim n,or the occupant ofhhe - dw-elHag house of an on who employs persons to do*n ainknan c-,consh=t on or repay worts.on such dwelling house nrfuna�ihe�to sbaIl not because of snriz employmea�be deemed m bean employer." or on the grounds or bm�app MOL chap ter 152,§ C(�25 also stafrs that'every state or local Rcens:Emg agency shall wifbhoId ffie fssaance ar renewal of a license or permit to operate a bIIshess or to construct buHdffigs in the comm anwealfh for airy aPP&rant Who L s not produced acceptable evidence of cdnpfiance Truh the hnMrance.covexage required_" Additionally.MGL chapter I52,§25C(7}states fieite the _ n any of1fs poliical snbdivisio ns shall ear into any contract for the prance ofpubho wcakuntil aocepisble evidence of eompliaAmwith&a insaranc.. rbTnrcmec s of this dispter have been press•fu the contracting auihozd}f cauts �P4 - I Please fill out the worry'compensation affidavit completely,by g ffie bodes ffiat apply to your dtn &n.and,if necessa ,supply sob-cont a ui(s)na ne(s), addresses)andpbone unmbez(s) alongwiathez=tficate(s) of insurance. Limited LnbR4 Companies(LLC)or LiiniledLiability'Pattnensbips(LLP)widzno employees other Akan the members or partners,are not regtm ed to casy works&coinpeasatim>csaxance- If as LLC or I P does have Be advised that this a$tdayitmaybe submitted to the Deparment of Industial eanployees,apolicyis requrted. Accidents for conffimaiion of iasm-dDoe coverage: Also be sure to sign and date the aftidayit The affidavit should be retuned to ffie city or town tin¢the application for the permit or license is being requested,not the Department of „ •M 14 CM CMts T.IOUHyon have any questions regarding tTae law or ifyou ame regrrsedin obtam a wozicers' comp=sa:tin,policy,Please call the Departme±attbermmber listed below. Self-insuredcm:paniesshonldeu their ce 'cease number on the line. i self-msm� h �Fr� City or Town OfficiaTs Please be sure that the affidavit is complete and pr�td legibly. The Department has provided a space at the bottom of the affidavit for you to f l out in the event the Office oflnvestigalinns has to coniacst you regarding the applicant Please be sure in fill in the per�iiVlicense rnnnber which wM be used as a reference zmmber. In addition,an applicant fhat must submit murltipIe penniUlicense apphzmtons m any given year,need-only submit ant affidavit mdicafmg Cent policy fi fb ation(if necessary)and under'Job Site Ad&ess"fLe applira zt should wrhe"all loc ons in (say or. town)_"A copy of the-affidavit that has be--a officially sped or maticed by the city_or town may be provided in fizz _ applicant as-prooiYtbat a valid affidavit is on file for faime permits or licenses A new affidavit must be fzIled oit each year.'Wheae a home owner or citizen is obtaining a license or pmmit not related to any business or commercial Tfm� a dog license or permit to burn Ieaves etc.)said person is NOT required to complete-[hiss affidavit The Office of Investigations wmiU I ke to thank you in advance for your coo perzf iam and sbflvld you have any qu=tions, please do not hesiiafe to give ns a call. The Deparimenfs w1ditss,telephone and fax numbm: - efft cif ludtStEjal A=jdentt - Bastm..MA Oil II Fax#617 727-7M Revised 4 24-07 .m .�gf�a Town of Barnstable Regulatory Services M Richard V.Scal4 Director... Building Division , Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 y www.town.barnstable.ma.us Office: 508-862-4038 t 1 , Fax: �509-790 6230 ,.J"t �F.1dF✓J ., `yf t�r' Vr"i 7 J"' 7 I ,:!/ .1 r fY�r•t , -,Property)Owner Must - { Complete and Sign This Section If Using A Builder_ ' h V ,as Owner of the subject property �� 'S ` hereby authorize Gf �-?� l �bw o act on my behalf, in all matters relative to work authorized by this building permit application for: 3 i (Address of Job) ••�l%p'�. O **Pool fences and alarm are the responsibility of the applicant Poo are not to be filled or utilized before fence is installed and all final 'F inspections are performed and\accepted. S' -o er Signature of Applicant Print Name Print Name ' Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable t Regulatory Services oIFTM� Richard V.Scali,Director Building Division Paul Roma,Building Commissioner MAM 639. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Q Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DA��TE: Please Print JOB IACATIQN: �Q number street village name (� home phone# work phone# CU�RR ,_MAlLfK ADDRESS�-,�-"C� `� S Vf\ L AAA 0a hrbC), 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/slie shall be responsible for all such work performed under the building;yermit. (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 th a understands the Town of Barnstable Building Department minimum inspection procedures ffid requirements anti she will comply with said procedures and requirements. Si�store T o wn 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 wtto use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing-Construction Supervisors,Section 2.15)This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as,part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPHLEWORWbuilding permit forms\EXPRESS.doc 06/20/16 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must'do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures, on this fonts at 200 Main St., Hyannis. Take the compleled form to the Town Clerk': Officer, 1_<t fl., 367 Main St., Hyannis, MA 02601 (Town Hill) and get the Business Certificate that is required by law. DATE: ( q�o?���T Fill in please: . APPLICANT'S YOUR NAME/S: �Y�1 a i/x e n©(/ BUSLIESS YOUR HOME ADDRESS: �v2 uU° ,�/&5 n ga i5h �Ay ee-l� yi'/le 11V jq so -gee-? 09J7V TELEPHONE # Home Telephone Number NAME OF CORPORATION: " � ^ade- e- 1'Qg e L Z G NAME OF NEW BUSINESS "A elVa i 4 S O "L;2 PE OF BUSINESS IS THIS A HOME OCCUPATI ? YES' NO ADDRESS OF BUSINESS 7 c.k5,&To e i jY/ 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 ke sure you have.the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO MISSIO ER'S OF CE This individu I h e ninfor any,pe mit requirements that pertain to this type of businRLES ST COMPLY WITH HOME OCCUPATION l� AND REGULATIONS. FAILURE TO Au orize i at�r COMPLY MAY RESULT IN FINES. COMMENTS �� L 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) p This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS:. Town of Barnstable Regulatory Services Richard V. Scali,Interim Director Building Division MAM 163q. � Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 _—,Fax: 508-790-6230 Approved: _/' Fee: Permit#: 6 HOME OCCUPATION REGISTRATION Date: Name:-!/ /k//o Phone#: J��� . V Address: �a i.3�c�.�s �17 �Gp iGf Village: �e./'�le U Illea _ Name of Business:_ Type of Business: dAI,5 i u C°Zl/ ki Map/Lot: 3 WrENT: 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 with the above restrictions for my home occupation I am registering. Applicant: L` Y Date: Homeoc.doc Rev.103113 Ila OFIKE r� `Fawn of Barnstable *Permit�ObBl��f�o 1 Expires 6 nronthro ssu Regulatory Services Fee BARNSTABLE, Thomas F. Geiler, Director v hrnss. 4, 1639. Building-Division prFd��a Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barns tab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 . EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 1 :I�� `�'S W\ z, Wf Residential Value.of Work 1 �J Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License# (if applicable) ❑Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ I am a sole proprietor AUG 2. 6 2008 I am the Homeowner _ ❑ I have Worker's Compensation Insurance '('OWN OF B, RNS I ABLE Insurance Company Name r Workman's Comp. Policy#_ Copy of Insurance Compliance Certificate must be file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to _ ❑ Re-roof(not stripping. Going over existing layers of roof) VRe-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i. . Historic;C:jnservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. r=; A copy of the Home Improvement Contractors License is.requiredy+ r,) `. -.a SIGNATURE: Ut r— �...; Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revisc020108 The CommonweaXth of Massachusetts Department of Industrial Accidents.. Office of Investigations 600 Washington.Street Bostorf, MA 02111 '< www.mass.gov/dies Workers' Compensation Tnsizrance Affidavit Build ers/ContractorgfElectricians[Plumberg Please print LeEibl A ucant Information Name(Business(Orgaivzation/IudividuaT): V .0 • Address: r-�--�-�"� �`� .- City/State/Zip: tQ-A-,4Qx-V L3)41 employer? Check the appropriate box: Type of prof ect(required): 4. [] I am a general contractor and I 6 ❑New construction a employer with have hired the shh-contractors oyees(full and/or part-tuna).* 7. Remodeling listed on the attached sheet ❑ a sole proprietor or partner- These soli-contractors have g. []Demolition and have no employees + employees.and have workers S, ❑Building addition ing for me in any capacity. cow insurances t workers' comb.-kwn m�e 10.[]Electricalrepairs or additionsirtx5. [] We are a corporation and itsall workofficers have cXcrcised their _1.❑Plumbing repairs ar additions a homeowner doing ri t of exem Lion er l�lCrL elf: [No workers' camp. � P P 1Z.[�Raofre-pairs t c. 152, §1(4), and we have no 13.❑ Other rance required-] employees. [No workers' imp.insurance required.} *Any applicant t chcclm bar#1 roust also fill out the section below showing their workers'co compensation policy inf—a.tion- fla t Ilomwwnas who submit this affidavit indicating lbcy are doing all work and turn hire outside contractors man submit anew affidavit indicating such IContractnrs(hat cbcLk this box must attachui an addition-0 shoot showing the name of the sub-contradum�d stalt°�h cT or not thost entities have tli nnist dt their wo+=-s'camp•policy number. employers. If the sub-contractrn-s have rnploycrs, ey prav' I am art employer that is providing workers'compensation insurance for trey employeex Below is the pnCicy and jab site informatiati Tncrrrarca CompanyNam Policy#or Self=ins.Lic.#: . Expiration Datc: Job Site Address: City/5tatdzip: 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 lean to the Tmpositian of criminal penalties of a finr tip to$1,500.00 and/or one-year i�risonmant, as well as �'tq penalties in the form of a STOP WORK ORDER and a lint of up to$250.00 a day against the violator. Be advised that a copy of this statamcrit may be forwarded to tha Office of lnvcsti tiaras of the b for in�trrance coves e vciif3catian Ida hereby certi n pains-and penalties of perjury that the information proviifed above is true` correct Dots: � a Phone O facial use only. Do not write in this area, to be completed by city or town offtciaL City or Town: Permit/License# Is5tdag Authority(circle one): nt 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 1.Board of Health 2:Building Departme 6. Other Phone#: - Town. of Barnstable �OfiHE rp�y Regulatory Services awxNsrwsre Thomas F. Geiler,Director f, MASS. ,bsq. Building Division . a Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA-02601 wvm.to A,n.barnsiable.ma.us Office: S08-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION pp��A Please Print DATE: JOB LOCATION: \fnuumbeer�`n }street y village "HOMEOWNER': VKJ'iv� 1`�✓`� C��' ` �`'V� , name home phone# A \n work phone# CURRENT MAILING ADDRESS: ✓�� w�" `—` v 1 city/town state rip 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 th she understands the Town of Barnstable Building Department mini um inspe t n c ores and uirements and that he/she will comply with said procedures and. requir ments Signatu of Homeowner Approval of Building Official :Note: Three-family dwellings containing 35,000 cubic feet or larger will be_required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions ' of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would Hrith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that hc/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. y 0F1HETp� Town of Barnstable Regulatory Services se xMASS. Thomas F. Geiler, Director rFol,uya Building Division Tom Perry, Building Commissioner 200_Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 . Property Owner Must Complete and Sign This Sect' n If Using A Builder o� C \�� , as Owner of the subject property hereby authorize to act on my behalf, in altmatters relative to work authorized by s building permit lication for: VN (Addre s of rob) Si tur of VWner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. ir YOU WISH TO.OPEN A BUSINESS? : For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME,in town(which you must do by M.G.L-'it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'°FL,367 Main Street,Hyannis,-MA 02601 (Town Hall) DATE:- Fill in please: APPLICANT'S YOUR NAME: ®l vne'nori Tv�e I� �'��ki BUSINESS YOUR HOME ADDRESS: 3.9 - = �''`H TELEPHONE # Home Telephone�Ze� NAME.-OF NEW BUSINESS �-. .� C�!//1 �'I _,TYPE'Or 8 [SINF5S IS'I<" -IS,A:I'd E t0CCUPit#TIQI11'� Have ydu bbori give n.epprntrai frwt [.tho building d�ws�4i1� YfS NO /b / ApDRE;yS�]F•k3.LISrNE�$..���:..� When starting anew business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM NER'S OFFICE This individu I h e n infermVW a ermit requirements that13 n to this type of business. Authorized Signatu COMMENTS: 2. BOARD OF HEALTH. This individual has infar of th er it quiremen at pertain to this type of business. 6 .0 thorized Sig ature** ! MUST COMPLY WITH ALL COMMENTS: HAZARDOUS MATERIALS REGULATIONS 3. CONSUMER-AFFAIRS (LICENSING AUTHORITY This individual ha mfLLof e lice e e ents that pertain to this type of business. Authorized Signature* COMMENTS: Town of Barnstable THE Regulatory Services OF Tp� �L Thomas F.Geller,Director Building Division BARNSTABLE, y MASS. g Tom Perry,Building Commissioner i63q. ♦0 ATfD MAC A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-"90-6230 Approved: Fee: 45W °o Permit#: 0 A/ HOME OCCUPATION REGISTRATION Date: Name:.�` ZCW/'9I P_ gold 9 Tvaki Vol l)'fhone#: J�6 eo-02 Address: -Sgo !J a4§kl Yl A06U,/ Village: (ARif oC1// `le v Name of Business: L &,ve_ �A o011M0 e Z Type of Business: �������i7 �!/I Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in 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 is 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 Hcme 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, hae read and agree with the above restrictions for /myy home occupation I am registering. Applicant: gZ1Z Lill e1'�o(/ 1 �t �0 � ll,/( Date: Homeoc.doc Rev.5/30/03 PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 08/21/07 TIME: 13:54 j ------------------TOTALS-�--------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200705214 PAYMENT METH: CASH PAYMENT REF: 171- 133 TOWN OF BARNSTABLE i SARNSTAHLL i 163 q 0 MPY �•� BUILDING INSPECTOR �'' dC�r APPLICATION FOR PERMIT TO .............. ........................................................................:..................................... TYPE OF CONSTRUCTION , G .......... ......19Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... 4_ 7 2 c, u ..... ....... .... 0 Proposed Use ....... ............................. ................:. ............................................................................................................ Zoning District ..............-,:n......... .----- ........ ..........Fire District ...... ........... Nameof Owner .................................................. ................Address ........... .................... Name of Builder .................................Address .................. Nameof Architect ..................................................................Address ................,................................ ..........,......................... Number of Rooms .......... . ..................................Foundation ... L .; ................. Exlerior ./...�.."`�..............................................................' aG. Roofing ... 'p `�`..... J, a.. //, Floors ......... .......................................... Interiory........4 Heating1...............................................................Plumbing ...... -�'.'. '............. ................................................... Fireplace ..... .................................-`.........................................Approximate Cost, .......... Definitive Plan Approved by Planni g Board ________________________________19 6�6 S� 7.� Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH � LO CG7 Uj w® �] U) I , d O vj � 0 o Ld tU � fir; lh ,V LQ ZD Uj Cr, C!7 a:LLJ t-- Ld � U) > � � , o � � � a q W H ® ELI z G j < � (Y) a: rt � f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ............. ........4-ae-1 ........................... Small, Alan No . 50�3.... Permit for .......one story......... single family dwelling ............................................................................... n�Locatio Buckskin Path j ....... ............................................... Centerville ............................................................................... Alan Small Owner .................................... .......................... Type of Construction frame `Q ............................................................ ............. , Plot ......................... .. Lot ............#52..... .... Permit Granted ......May .. .......................19 72 Date of Inspection i Date Completed .. ....��.?":....19 PERMIT REFUSED ................................................................ 19 i ............................................................................... ................................................................................ E 1 ............................................................................... i ............................................................................... i Approved ................................................ 19 ............................................................................... ...............................................................................