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Home My WebLink About0018 CATS PAW WAY .. .: .. a � .. � � ., a� ,. .. ,; .. .� ,. .. -d � I ., .. ¢ _ - .. � A a � - . . � � � - � _ ,, '. � � ,r.. - �. � .. � -. l „ r , . , r s h Y. G r ,. a .i �, - '. ,... • , w r t .n « c 1" J `, '1, .i. E; a .. �, _ �, .- • ,' - - �.. n a a , a . u ,.y t , a. d0 .11 52 A/ - , k TE ELI ; . ° ^ « , l . , r s -h .A. G r ,. a .i ,1, - . ,... • :. w r „ 1 J `• '1, � � ^ .i. E; a .. � �:. _ �, .- -' - �.. n a a e + ' v u a 4 _ t y y 1. a. w . ' Nth. 1 5 /3 BGR m ISSE, fE ; . ° �y Assessor's map and lot number ... ,!/d....19........ THE Sewage Permit number septic SY Z BABB9TADLE, i Housenumber ............. .......... ..................................... r INSTALLED INC T® W 1 q OF BAR 1�I S 1 AER& ITH TITLE E MENTAL CODE AND TOWN REGULAT101yS UUIL® I NG INSPECTOR APPLICATION FOR PERMIT TO .., C � .. TYPE OF CONSTRUCTION .................. G .....7.. ............................... ........................... ✓ ...........19... C� TO THE INSPECTOR OF`BUILDINGS: ' The undersigned ,hereby applies for a_permit according to the following information: C/emu Location ........ .. 2' �................................................ .�.`... ............ .... ./........................................ . . .... ` Proposed Use ZoningDistrict ............ ...........................................................Fire District .............................................................................. Name of Owner ......... a ...............Address tz Name of Builder .��.'... '. .....................Address ...�............ ........ ....0 .............. .Name of Architect ..................................................................Address .................................................................................... Number of Rooms Foundation }. .................... ......lD...� C".�:`..... ................................. Exterior ....411E7...✓.`...��' `7.............................................Roofing .................. ........................9............... .................... ..... ... . .... Floors 1: E .Interior ........ �...'.. 'Heating ..................................................................................Plumbing .................................................................................. Fireplace ........Approximate Cost ). ................................... .......... Definitive Plan Approved by Planning Board -----------_-----:_-----------19_______. Area ... .. :................ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a 0 1 A c I hereby agree to conform to all t e Rules and Regulations of the Town of Barnstable regardin the above construction. 4 Name ..........................✓.. ................................ .............. . 1. Carrigan, Steve No ... Permit for ....Build„..../araae . ... s Acceso-Ky...tQ...LkW.Q.1.1 .................... ...ag................ Location Lot....#.6.2...U...QA t.5...F.aw...Way... ................Ce.n.te.rville.................................. A Owner .....SJ;jqVP...Q4A:r.i.gAn......................... Type of Construction ..Frame.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...........March...21, 1980 .. .... ..... Date of Inspection ............................. ......19 Date Completed ................f/9/ ....19 PERMIT REFUSED ........ ....................................................... 19 ...................iw.......�. ............................................ . ............... ................•. .... .......................................... 0 im ................ ............................................... C., 0 Approved ........................... 19 �k�-. a .. ' '' .................. ...................................... ....................... ....... .......................................... r/7 YOU WISH TO OPEN A BUSINESS? For Your' Intoriliation: 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 form at 200 Main St., Hyannis. Take they completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get.the Busin< ss Certificate that is required by law. R sy DATE: 2J( _ Fill in please: APPLICANT'S YOUR NAME/S: ✓� *111 BUSINESS YOUR HOME ADDRESS: A C _ /J a TELEPHONE # Home Telephone Number b NAME OF CORPORATION NAME OF NW E BUSINESS rc}N' 4A iur. ,c iA P>:"iv,c TYPE OF BUSINESS /ANC' SC. •n, r IS THIS A HOME OCCUPATIONS YES NO . ADDRESS OF:BUSINESSjil fie 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 business in this town. 1. BUILDING COM ISSIO ER'S OFF! MUST COMPLY WITH HOME OCCUPATION This individu I e n.' form o y er r quirem nts that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO J OMPLY MAY RESULT IN FINES. Auth ei-aed Si at e 0 111 COMMENTS `t - V�' L.. J . 2. BOARD OF ALTH t This individual has been informedf o the permit requirements that pertain to this e of p q p busines� type Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LIC SING AUTHORITY) This individual has�ee�formed of t icensi g requirements that pertain to this type of business. Authorized Sign4ure** COMMENTS: Regulatory Services Thomas F. Geiiler,Director r Building Division MMSUBM r� MASS Tom Perry,Building Commissioner � .200 Main Street, Hyannis,MA 02601 www.town.barnstablex=us Office: 509-862-4038 Fax: 508-790-6230 Approved: Fee: S'e rf-fl Permit#: HOME OCCUPATION REGISTRA N Date: A � // l p Name: 791� Ai - A4P ArCIP 2 Phone#: 7 / 7,�r Address: 6 le1' Name of Business: Cny'o 1v Nc,(-re— Type of Business: /—t-I me 1 S c jk(')'�g - Map/Lot IIV=: 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 shaIl 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 ,aa 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,l read and agree with the_ab ire restrictions for my home occupation I.am registering. APPIican. Dater i Homeoc.doc Ree.01/3/08 -•�•-...,,,,. ,:�.,ru,.....•te=.,.. ;i,,, a.:. � o..�J�.� _ ......._.;=+.;i.�L..:,�4.....id.. :;r w;:�:. �` �,.1!.,ye:'✓.�y�.C.�3,b s:y�+�.��•'s+'J4:'+`,vi.•t..�.i..'►w:th�v:vt.�. �...+•«:i.ir_ .n.....-Y�e+w�1E.4"'-'64'"".1...�: -, Assessor's map and lot:number ...:: �. ............ .. � / y-�.�- 77 c. 13 Sewage Permit number .......................................................... i Er TOWN'r4 TOWN' OF BARNSTABLE r Z 8AANSTADLE, 0 BUILDING . INSPECTOR APPLICATION FOR PERMIT TO .... ° .9 ?..�- ®r c- ................................................ TYPE OF CONSTRUCTION ............ ......A, ..................� .....................19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ' �J (o �li�. ram........ 1-�->�'�� ............................................. . t ''. Proposed' Use ...... .:I !,.-x�'r�'?...............................`.................................. ................................. ................. Zoning District .... ................................:.............,........Fire District .... .. ._Ilr:.. ....... .......,. Name of Owner ..../ ,, +n ,.�r: !..... �- 'T!'`".......Address .............. �� :....................................... Nameof Builder ....................................................................Address .................... ..................................................... f , / 4 Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................. ...e:................... ................... ..........................Foundation .......... �............:.. .............. Lt'//� Exterior ....................:......... ��............................................Roofing ..........., !'�1............ :............................................. Floors /./i. �// .l .....................................................Interiorar .�-�- ' ..................../........... .... ............................................. .. Heating ...... /..... G:.......�..r .. ......................... ............. :................................................................ �.......,.:..// ....� i Fireplace ............ ...................................................................Approximate Cost .: ...............................................................1 Definitive Plan Approved by Planning Board ________________________________19________. Area ' Diagram of Lot and' Building with Dimensions Fee r „v, SUBJECT TO APPROVAL OF BOARD OF HEALTH i r1 I hereby agree to conform to all the Rules and Regulations of the Town wn of Barnstable regarding the above r r construction. / Name .............. /';.. .....J..../.......:--.t .......................... --. _i-- Development A=192-111 � ~ . ^ ^ ' 19121 l 1/2 story No .................. Permit for..................................... single fam1 ' - ll1n� ' ----..^�---- 1.9 - . Location -- —_Qat«w..Pamv..Way ___.. . ' -~_---' . ' ` Owner ~~ ' Type of . . ........................ . . P|Permit Granted . , ........ ` . . . Date of Inspection^ Date Completed .............)......................19 P'ERMIT REFUSED - - ^ . , --- � �� . . — . .. ' —.----. .-- .'.^� .." — ............................ . ^ Approved ---------------- lV ' ^ ' ---------------.—...------.-- ----------------------.......' . �� Assessor's map and Jot number .7.92.......,11./...a. y........ a P�0*TH E TOE Sewage Permit number Z BAHHSTADLE, i House number ................ .... ...... ....................................... rasa 9 00 1639- 9� 0 T 0 W Nq OF BAR.NSTABLE `Y BUILDING INSPECTOR APPLICATION FOR PERMIT TO !r_ t,a ......... ............. �..�'?.��~ :....................................... ... r r: TYPE OF CONSTRUCTION ................. ................ r.... ' :..: :�............................ .. .......��.a......`.... ... ...........19.... ... > TO THE INSPECTOR OF BUILDINGS: The undersigned/hereby applies for a�permit according to the following information:, Location ......... r.�� .`y..`I .... � ....f.{� ::�::�.. ,c�:^�.... ... .^..: ::•.:�`:'' / ..� ....... ��,r�� ' t ProposedUse ..........%......:t. :.::................................................................................................................I......................... ZoningDistrict ........ ..........................................................Fire District .............................................................................. r Name of Owner ................. ��'Yi'� ...............Address ................................... ` � 1 / �/ Name of Builder 1........�..c�. �(.`. '.Z -1_ Address t. !% >`' �'�v`" � /....:.�.'':'. ..!'.... .Name of Architect ..................................................................Address .................................................................................... r Number of Rooms ..................................Foundation � J `...!.:.......�..�....��.:�.......................................Roofing .........:: ...�................... � ,z , _ Floors � .Interior .../:....: ' Heating .................................................... g ............................................ Fireplace ..................................................................................Approximate Cost ...............;....:................................... :........... Definitive Plan Approved by Planning Board ________________________________19--------. Area ... f�.^ .. .. ............ Diagram of Lot and Building with Dimensions Fee r 4 SUBJECT TO APPROVAL OF BOARD OF HEALTH s141 I hereby agree to conform to all the Rules and Regulations,of the Town of Barnstable regarding,the above construction. j Name STEVF .-__---__ ' , � � � No .22.057— Permit for .Boi.l��..{�arage . ____.�c��]��`.�to..DvveIl.i�g`.......... - Location .�ot—#6.2—I.B—C.�ts—��..Way.. ,Centerville . ' Owner �� ^ ----- ............... ~ ''"' ' | ' | Permit G,onn,o Dote of Inspection - ""'= Completed � � . � � ` ' � � /ERIMIT REFU ED _-- . lg / . - � ---~^- — ------''T--' -----'' ' y / / ^ / ' / ........................ ........................................................ � '---------------^---^—^----- --------^---------'--------' Approved ---------------- lV / l ---------------.----------.. . -----------------------...-- � � | GX Assessor's office (1st floor):, aE I IC SY F THE T Assessor's ma ' and lot number. ......��( ` /��, STET Be o 0 p .. ......... � xy� E I IN COMPLi NNE �w `Board of Health (3rd floor): Sewage. Permit number : �./......1. .?-V ........ )3.� s` � TITLE 5 i BAHdSTSDLE, V Et <<� tIENTAL CODE AND �o "b Q. �Engineering Department (3rd floor):' House number ...... �. ....:. TOWN REGULATIONS; ar aye ... .. . . .. .. Definitive Plan Approved by Planning Board___________________ _ _________l9-------- . APPLICATIONS PROCESSED 8:30-9:30-A.M. and 1:00-2:00 P.M. only - TOWN� 'OF BARNS.TABLE . -BUILDING . INSPECTOR 1 ' APPLICATION FOR PERMIT TO ..................�L...... ....................................................... .......................... TYPE OF CONSTRUCTION ....:C...................... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � Is w Location ...../................ ? ............:..9.......... ..................... ................................... ProposedUse ...................................... .........:.................... Zoning District .r....._............................................ ..................Fire District ........ J///J /n/. r Name of Owner ... . U.. !..............rSS Q % ..............Address ....../V....... :...`f. .... u.......... Name of Builder, G/ �?.......f /4.U ..:;✓� .....:...........Address C7�.....> :l.a ... �i��P....a^f.'.......... E'v!�`o�?.✓i�� Nameof Architect' .................... .......Address ...................................................................................... Number of Rooms -- .......................Foundation ..........:.......................................... Exierior ......................................:.......................... ..Roofing Floors . ............... .................................... ............................:....Interior ' Heating ................................... ...............................................Plumbing. . Fireplace .......... n .......:........... ..............Approximate Cost ..... —��. .................. ��./. ...... Area Diagram of Lot'. and S/r �uiIding with. Dimensions Fee ......... � 0 Al ,N). i6 x i/ cleo,k Afp/cc W 11 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. .. - f G Construction Supervisor's License .. �. �. a F � x BROWN, EARL ?' n. No a F Add Deck ••..•.••••• n le Famil�� Dwllin � �- k. Location. .....l8.. Cats.•Paw...Way:................... �, .• aL................. lle y ytf- r +- Owner ...Earl •.Brown .. ......................................... Type of. ConstructionY Frame...... .. ,.......... *. Plot ...... r ... Lott. -m...... ........ " Pe mit Granted d .April 4.�.... 19 88 .S -Date of Inspection .-..~..� ......... .�1Dp�te Completed .............. fZ� 19 - �'� i' "yam � i••• ..• �-1�Y _ � � s. � .. - _ � tis M. Cf' i i'0 a1 r MS ! , i:i F` _ Assessor's office (1st floor): ' //i J "`ems, o�T E jo Assessor's map and lot number ...... ...J...../............... Board of Health (3rd floor): Sewage Permit number �. ...�.. .7 „ ,��..... . ........... . ... .' Z B6Hd9T11DLE, i Engineering Department (3rd floor): rasa House number o 1639- 8....................... o Mxf a�9 Definitive Plan Approved by Planning Board----G APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........... ......AC./................................................................................. J TYPE OF CONSTRUCTION ... OU C' ........ ;?A ...................................................................�....................................... .......... ................ ........19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: H Location ...../.�........��.�'5..... .....9!n�!r..........................:E..... .v............................................,........................ ProposedUse ............................................................................................................................................................................. ...Zoning District .. ...... l ..............................................................Fire District ....... .....................................:..........,... ....................... f._ .i � l�L!✓� ............Address �� l �J�.f�yr)e. .oP�i�/�! t Name of Owner .... ...!!....................... 41............... :..................................... ..... Name of'-B-'uilder /i <r.......( ..../D .`s..... '...................Address ' 7...... ....S,.IA.........F"C./......... c�ia .'t{✓r�� Nameof Architect ..................................................................Address ...........................................:........................................ Numberof Rooms .......... ...........................................Foundation .................................................................. �,......... Exlerior ....................................................................................Roofing ...................,................................................................ Floors ................' ................................................................Interior. .................................................................................... . Heating ................ ...............................................................Plumbing ..................................................:. Fireplace ..............Approximate Cost % "�� fr Area ...7U......:tzI...... '....�.� Diagram of Lot and Building with Dimensions s Fee ......... v......................... } 1 ,Y6 I � f /Ci l'/Z9 U✓C d/� 16 X // -/PC k A-PlAC( G✓ `,/ /'� I X 0 l' i 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 �Y / Construction Supervisor's License .. �d ' BROWN, EARL A=192-111 No 317 7 4... Permit for ...ADD DECK ......................... S i ng l e..Family..Dwelling......... Location ...18. Cats...Paw..Wa. ...................... ....................CenterV lle.............................. Owner ..Earl...Brown...................................... Type of Construction .......F.rZLMe...................... Plot ............................ Lot ................................ Permit Granted ...April 1...4.:................19 88 Date of Inspection .....................................19 Date Completed ......................................19 l � 5r , �,► T Town of Barnstable -*Permit it 01505M Expires 6 m nths fr�sue dame PERMIT Regulatory Services Fee MARC s639. Richard V.Scali,Director . � 10'`.v� � � �fD MA'S a TO N OF BARNSTABLE 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 PERMIT APPLICATION - RESIDENTIAL ONLY i q, I ( Not Valid without Red X-Press Imprint Map/parcel Number / �^ 1` /^ i t /� Property Address / d L%I°�l � }lil/ (�� (J� awv Aar / - L4 7z3�L Residential Value of Work$ ZOO Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Div Contractor's.Name / wclyrJ Telephone Number ,V �/Is —3602 Home Improvement Contractor License#(if applicable) Email: Ae lbU P_3 e-611 C_146 i-_11et Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance C c one: , le pro riet I am the omeowner ;. ave ore ompensation Insurance Insurance Company Name r 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 ❑ oof(hurricane nailed)(not stripping. Going over existing layers of roof) kj -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 Contractors License&Construction Supervisors License is, wired. SIGNATURE: Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 040215 a Comrnorrivealth of-Hassachusetts Department of Industrial Acddertts - — Offl-.ce of lmwstigadons 600 Washbigton Street ' p Boston,M 02111 , toviv mass govfdin Workers' Campensatian Insurance Affidavit:Bmlders/ContracturslEIectricians/Plumbers Applicant Infarmafon Please Print I.et=_ibIy Name(HuM1Wf01ga1i22tionFL " ' ,d Y /.�ofo! / 1"Ve0o Address: 153 AV a46 � /9d1A- 1_ 47Ae-. City/Sta,of : eC7V/ate,'*1 a_1 Ihone ( 3 �� Are yo an employer?Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑I am a general contractor and I employees(full atldl`or part-time)-* have hired the sub-contactors 6. ❑New construction I am a sole proprietor or partner- listed on the attached sheet. I- ❑Remodeling ship and have no employees. These sub-contractors have g_ .Q Demolition for me in any capacity. employees and hat a workers' workers, camp.insurance comp_insurance l . q_ �Building addition ed.] 5. ❑ We are a corporation and its 100.0 Electrical repairs or additions officers have exercised their 11_ Plumbin re airs or'sdditions 3. I a homeo�,cmer doing all work. ❑ � p set€[No workers'comp- right of exemption per MGL UZI Eoofrepairs e required.]T c.152,§1(4X and we have no w 'employees.[No workers' 137❑Other camp_insurance required.] •Any WKcaa &at checks box is1 mast also Moutthe sectionbelowshow�ing theirworkers'camapensationpaRryinformauamL I omeoarnen who submit dus.affidat�r hidkzt h1 they sre doing all waak and.&m hie autnd�e contractors mast submit a new affidavit indicating sacb- (contractors imt rhea this boa m=attached as additional sheet showing the name of the sub-cam trwA as and state whether w not tbose entities have employees.Ifthesub-contrectumhive employees,they must provide their workers'comp.policy number. I ant all eutp&iWr that isprQtriding nForkers'cougmusadan imutrance for trzy empk ylees BeIvov is i7ie policy and job S&r information. w Insurance Company Name: Policy#or Self--ins:Lie.#: Expiration Date: Job Site Address: City/StateI2 tp: Attach a copy of the workers'compensationpolicy 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 iu3posinon of criminal penaW s of a fine up to$1,50a OO anNor one-year imprisonment,as w6ll as civil peualties.in the form of a STOP WORK ORDER and a Eme of up to$250M a day against the violator. Be adiised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verifrcaticm_ I rla hereby certt�,rep theprrins andpeptahFies ofpriuly tJtattlte itt,farmativtt pt�at v is true andcarrert. . Phone#: Official use aptly. Do ttot write in this area,to be cotrtpieted by city or to nm o f j�rciat • F City or Town: PermitlLicense# Issrung Authority(dude one): 1.Board of Health 3.Building Department 3.C p Tows Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts Geheaal Laws chaptrr 152 regoaes all employers to provide workers'compensation for their employees. pursuzntto this side,ari,wpLoyee is deed as"_.every person in the service of another under any contract of hire, express or implied,oral or written.." 4 i An ezrpkyer is defined as"an individual,partnership,associations corporation or other legal entity,or any two or more of the foregoing engaged in a joint=bmprise,and including the legal representatives of a deceased employer,or the receive tr r or ustee of as individual,partaersbip,association or other legal entity,employing employees. However the owner of a dwelling house having not more, an th three aparfinents 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 appx�thereto shalll not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also stains 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 ifs political subdivisions shall enter inn any contract for the performance ofpublic work-until acceptable evidence of compliance-with the incrrrance. rtq tir emenfs of this chapter have been presented to the contracting authority." Applican-ts Please El out the workers'compensation affidavit completely,by checlzig the boxes that apply to your sitnation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with.their certificates)of film ace. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not regnmed to carry workers'compensation insurance. Iran LLC or LLP does have employees,a policy is required. Be advised that this affidaYrt maybe 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 refrmmed to the city or town that the application for the pem it or license is being requested,not the Deparmmeaf of Tnringirial Accidents. Should you have aay questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-mstnrance license number ou the appropriate line. City or Town Officials . t _ Please be suute that the affidavit is complete and pried legibly_ The Department has provided a space at the bottom of the affidavit for you to fill out the event the Office of Investigations has to contact you regarding the applicant Please be sure to fril in the pennittlicense mmnber which.will be used as a reference number. In addition, an applicant that must submit multiple perraWlicense applications io.any given year,need only submit one affidavit indicating current policy ifbrmation(if necessary)and under"Job Situ Address" e applicant shou�Id write"all locations in _(citY or I town)_"A copy of the-affidavit that has been officially stamped or.madoed by the city or town may be provided to the applicant as proof that a valid affidavit is on file for f±nrc 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 bun leaves etc.)said person is NOT required to complete this affidavit The Of of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departn=fs address,telephone and fax m err I`he Cam th-of Massachulsetts ` Depatinent of ld(lua tdal Aocgent% R woe ofve�iig�t�o- �Q� QII o-ns MA 02111 TeL 4 617 727-4g00 Qxt 4-06 or 1977-MASSAFE Fax#617-727-7M Revised 4-24-D7 =a..s�govjdia 'Y T • BARNSUBM ` 9� , ,m�' 'Town of Barnstable �rED MA'1 s , Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO . Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must 4 Complete and Sign This Section If Using A Builder I , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bf this building permit application for: Y w (Address of Job) Signature of Owner Date 'a n Print Name If Property Owner is applying for permit,please complete the homeowners License Exemption Form on the reverse side. + QAWHILESTORMS\building permit formsMFRESS.doc Revised 040215 r Town of Barnstable Regulatory Services �oFTHE rOlf� Richard V.Scali,Director Building Division rSUB Tom Perry;Building Commissioner Mnss. 9 i639. � 200 Main Street, Hyannis,MA 02601 �ArEv � www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n / T Please Print DATE: /� JOB LOCATION: � � /��#V &A�� `m 4f5t U l number street village g "HOMEOWNER": `� IN 0,0D /U 36126 name r home phone# work phone# . CURRENT MAILING ADDRESS: - a A1 iL1/I y✓, 0A 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 proc s and re ' e ents and t he/she will comply with said procedures and requirements. Sign 41��, towner 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 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. Q:\WPFILES\FORMS\building permit formslEXPRESS.doc Revised 040215 Bk 29111 P:932 042170 09-01-2015 al 12 = 13P QUITCLAIM DEED ANOWALL MEN BY THESE PRESENTS,that we,Donald G. Proto and Laurel C. Brown-Proto,of 17A Riverview Avenue,Barnstable County,Massachusetts,in consideration of Two Hundred Forty-Six Thousand and 00/100($246,000.00)Dollars grant to Daniel Wood,individually,of$53 Powder Point Avenue,Duxbury,Plymouth County, Massachusetts with quitclaim covenants,the land together with the buildings thereon situated in Barnstable (Centerville), Barnstable County,Massachusetts,described as follows: Being shown as Lot No. 62 on plan of land entitled"Plan of Land in Centerville,Barnstable Mass.Being a subdivision of Land Court No. 33723A,dated January 19, 1970"recorded with Barnstable County Registry of Deeds in Plan Book 236,Page 127. Subject to any and all existing restrictions and encumbrances still in force and effect. For title reference,seethe Deed recorded with said Registry of Deeds in Book 25378,Page 64. Property address: 18 Cat's Paw Way,Centerville,MA 02062. Witness our hands and seals this lst day of September,2015. onald G. Proto Laurel C. Brown-Proto COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. September 1,2015 On this 0 day of September, 2015, before me, the undersigned notary, personally appeared Donald G. Proto, proved to me through satisfactory evidence of his identification, which was his Massachusetts Driver's License, to be the person whose name is signed on the preceding or attached document,. and who acknowledged to me that he signed the same voluntarily for its stated purpose. 00'000,9tz$ :suo3 oZ'�99$ :aa3 OLTZI :v='00 MI :Yi1O Wd£T:ZT a 9TOZ-TO-60 :BPO v S0330 30 ANISI9M A1NA03 31 VISNNS Stephe V , cCI¢nigle Xdl 3SIOX3 AIMOO 319VISN8V9 No �.. ; tar;P31 ! A <_ . My comit�i&igfi`�x ues:March 11,2022 , 001000'9tz$ :suoa Z£'T#3$ OB3 s v. Wd£T:ZT a STOZ-TO-60 :84Da "•• Ild3 i -- Sa33a 30 ANISI93H AIHn03 319VISNHVS Xd1 39I3X3 31VIS S113Sf1NOVSM I Bk 29111 Pg33 #42170 COMMONWEALTH OF MASSACHUSETTS Barnstable,ss. September 1,2015 On this 1" day of September, 2015, before me, the undersigned notary, personally appeared Laurel C. Brown-Proto, proved to me through satisfactory evidence of her identification,which was her Massachusetts Driver's License,to be the person whose name is signed on the preceding or attached document, and who acknowledged to me that she signed the same voluntarily for its stated.purpose. 1,2td.[pay''••.,, Stephe M. McG Frio�• �' y. -. Ln Notary Public :,.• r —� My commission e i €afcli.�1.Y;'s022`no BARNSTABLE REWS'lM OF DEEDS John F. Meade, Register r L_O T t:.0 A- C)T .5a Q) �e TA,Nk t_t~bc..N • o \ P i 1" PouUD i a !� �r L 0 T 63 1� LaC.hriOH C NT' R`�y► +. L CCrZTt1= 14AT T1-iC-- tre-su►.1otmo 5 Wow U Pt-/�N RNI c�'c1.iC: w t T+-A Ti-:*--- -5t vE OF E-- t,y 0 T T `1°' L- I- A,G 41.,a SETBACV �E4�c.3iiZ Al�ci-ij'�, OP TNc aA tG UJ JI-, B Q XTe.FZ ttJSf�vn/�;irWT Sv2�/�.�( �r 'T�ilr t.�►=�'Sci S SI-tC�i.Ji� � APi�L.t C/�.1�1T ��'C W fd� hk:T B� C:�>C--tJ 'tis pET��Mt�.►t= t�:T i_t t.ii=,ram -} Assessor's map and lot number f l� �✓ � �d —� �— G 77 { L ERTIC SYSTEM MUST BE f L'% INSTALLED IN Co�IPLIA c �. '� 03 • �.�.: 1, ., . ............ Sewage Permit number .................:................ . WITH ARTiCLE II STATE SANITARY CODE AND TOWa TNero�y TOWN- OF {BARN YAWT"LE I _ Z. Z 33AWSTADLE, i63q• BUILDING INSPECTOR :d G� IM APPLICATION FOR PERMIT•aT0 '. ..... .:. .r�� ...... ��.............................. , TYPEOF CONSTRUCTION ............k , ...... .. ... .. .. ......................................................... ,//.............i 9.7... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a p rmit according to the/following information: location .. ..............R�,.... r:1 ✓.... C? `'... .. . ... f ............................. G/. ProposedUse ..... .................................. .......................................................................................... 04 Zoning District ..... :..........Fire District .. . .. ..��I . ✓...................... �� ....Address ..:........... r Name of Owner ... .� �.L>c.�LG�......G..............:..... .... ........... .... ........................ ;.................. � F P Nameof Builder ....................:...............................................Address .................................................................................... Nameof Architect ...............................................:..:...............Address ....................:............................................................... Numberof Rooms ............................:.....................................Foundation ..........1...®................." :, ...:........................... Exierior ...............................:............Roofing ........... r . . ....r..... . ............................................. J . Floors .........10 .....................................................Interior ....... ... ��. .. ... ............................................ Heating ...... /...........................Plumbing .............�....................................................,........... Fireplace .................:......Approximate Cost . .11,..�U.U...........................................'................................ yp� '— /i Definitive Plan Approved by Planning Board ________________________________19________. Area .... .. ..... . . Diagram of, Lot and Building with Dimensions Fee a ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable"reg ding the bove construction. _ y ............................. ' Name... .... �� ......................... , `fir r%� -_p----- Development 0 /\ l�l�1- ' I ._l/2 mtmry � *�—..-_..�Pa,m��for --— �-- —--- —.. ' family dwelling -----. --..--~—.—.-----~--.--. . /�� "m . . ' Locod ' Cwt ion ........................................o�� .' ~___..__..�_ Centerville --.—.------.---.—,---..------. ' Ca�emmide Development Owner ------------------'---' ^ ~ ' . frame, Type of Construction .......................................... ....................................:--..—.-----.—.---.. . . . �� 'Plot ------.--- Lot ---------._ � '^~ ' � . ' ' April 19 77 Permh Granted .......... --]q 'Date of |nopac�on � " --~ 9 ' / ~/ ` ' Date Completed —.�.//-/—..+`---�..�q . . . . . PERMITIEFUSED .—___..~----.—.--`------,. 19 . ^.� . ...................... ^'—~~^^^'—^'`'~^^--^�^—^'-----'~'.—'—`''' -----`^—'-`--^^------,~^'-----^`' _.-----.--...^--.~~.^..-..' ..,..—'.. —., - ~ Approved ------------.---' 19 | . � `. ' . -------.—.-----~.....—.--..---. ` ' ----..------.--------.—.---^.. . . . . ' ^