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Town of Barnstable
Building Department:
Brian Florence, CBO
Building Commissioner
200 Main Street,Hyannis,MA 02601
www.towM baMstable-ma.ns
Pre-application for Business Certificate
Date - M8P
l Panel l�� P
Applicant Information
Applicants Name
Applicants Address-�� " Gr,0-,q-[ 'Aw-r b 1 Ca-n 14r VI 1 --e A �2
Email Address ,t t/4-a
Telephone Nmber Z er j ti Listed❑ `Unlisted El
Business Information
New Business? ---------- -----------------------------• Yes No
Business is areestered corporation? ------------------------- Yes No
if yes Name of Corporation
Does business operate under the registered co7poraft name? Yes No
Is the business a sole proprietorship or home occupation? --------- Yes No
If Yes then a Home occupation Registration is rupired-pSee Building Division Staff
Name ofBusiness i
Cj
Business Address `2. t 6: nYe2rz1 A'Ic5h_ 1 1 6z41•e-r-Li l j•-e , 02/.S
Type of Business 1 r�jin a
L3Buildin Commissioper Office Use O
'
ssion r0 -
Clerk Office Use Only
Town of Barnstable
Building Department,
°FSHE raY,t, Brian Florence,CBOT.
Building Commissioner '
BARNSTABLE. 200 Main Street,Hyannis,MA 02601
Mass.
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#:
HOME OCCUPATION REGISTRATION
Daterlg � IQ
Name: 1,t/r���.ey ��m Yr Q S �� I,2 Phone#: 7 1 �' 4'q Z /j
Address:_LL GeA fee
jzIJ1-r Village:
Name of Business: t�t >1';�� 1' ► �; L C21 u rl vt Se=YDLO
Type of Business: C 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 A 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
� . Q)
is no outside evidence of such use.
=' -0 • No traffic will be generated in excess of normal residential volumes.
a< • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
rn; .matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
rC, • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
--� of normal household quantities.
Z Cf Any need for parking generated by such use shall be met on the same lot containing the Customary Home
�9: Occupation,and not within the required front yard.
rn -n 0 . There is no exterior storage or display of materials or equipment `
n • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
C: C pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
rn -n exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
Dj. No sign shall be displayed indicating the Customary Home Occupation.
p• 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: ll Date:
Homeoc.doc Rev.10/17
j
Engineering Dept.(31d floor Map Parcel Permit#
House# �� l mate Issued
Board of Health(314 floo -(8:15 -9:30/1:00-4:30) ��/a l ? �P�C!(,r06
ee�72S.c��
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) CCi,}
Planning Dept.(1st floor/School Admin. Bldg.) ofINE rq
Definitive Plan Approved by Planning Board 19 SEPTIC ST BE
INSTALL01
a LlANCE
TOWN OF BARNfSTABL% w s
Building Permit Application NVIRONMENTAL CODE ANDTOWN REGULATIONS
Project Street Address �Qr � Z� Dt��i. L-0 T
Village
Owner _ IO Address
Telephone
Permit Request /
First Floor !Q square feet Second Floor �^ square feet
Construction Type v �
Estimated Project Cost $ ? 177-A
Zoning District Flood Plain Water Protection
Lot Size 'a� V&O Grandfathered ❑Yes ❑No
Dwelling Type: Single Family U__<o Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House Yes ,� o 'g g � ❑ �vo On Old I�ng s Highway ❑Yes ®lq'o--
Basement Type: ull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) <!�D Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing� New Half: Existing 0 New
No.of Bedrooms: Existing__New
Total Room Count(not incl ding baths): Existing � New First Floor Room Count 4—
Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ENO Fireplaces: ExistingNew Existing wood/coal stove ❑Yes . No
g
Garage: �Attached
.ached(size) _ Other Detached Structures: ❑Pool(size)
(size) �'� '� Li Barn(size)
❑ one Shed size
❑Other(size)
L
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review# -
Current Use Proposed Use
Builder Information
Name. Telephone Number
Address License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DA
v
BUILDING PERMIT DENTEA FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
4
ADDRESS ! VILLAGE'
OWNER , f'
DATE OF INSPECTION: y'
FOUNDATION -
FRAME _
INSULATION
FIREPLACE
•ELECTRICAL: ROUGH FINAL
PLUMBING: ROu FINAL ,
9
t
GAS: RO;UG , FINAL
yggf i 4
FINAL BUILDING
a ru as-s K`ax. R _
fo
DATE CLOSED OUT s +
ASSOCIATION PLAN NO. =
Assessor's offioe (1st floor):
THE
Assessor's map and lot,number
Board of Health (3rd floor):
./..
�o
Sewage Permit number .. u. �..................... (?.........:
t BAHE9TME, i
Engineering Department (3rd floor): # )C,s�`fs. a r"0a
9
° i639.House number .................................................�.................... ,�aUPY a�9
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
f /
TOWN OF BARNSTA ''LE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...............Single.......................Farrri.ly................Dwelling.....................:.................................................
Wood Frame
TYPE OF CONSTRUCTION ......................
November 13 86
..............................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .....I1ot # 2 Great Marsh Road. Centerville.....�......................................:.............................................................
....................................Centerville rvi
ProposedUse Single.Farrrily..................................................................:..............................................................................
Zoning District R C...........................................Fire District Centerrville — Osterville
.........................................................................
'2.......7�dS.""I �� [l� G ad-C:nt.eLS�t% .
Name of Owner ................ Address ...-.......... ...........-I�C?3d................. .................................
yo
Name of Builder ' ` ` w`lu.�. ........ Address '
....... ......... Gv
Name of Architect ,V, -e. ...l�v ..................Address �4111w ..,.
................................. .........M+ '..................................
Number of Rooms ............Seven.............................................Foundation .............P.C...........................................................
Red Cedar Clapboard and/or White Cedar Shinglj• -ofng Asphalt
Exterior ......... ....................................................................................
Har*ood and/or t 3 coat sheetrock
Floors ..C`?rl..:. .......................................Interior ......................................................
Heating ... ,F.ta..A...Or F.Ii.W............................................Plumbing .......Conte / P.V.0
r............................
1
Fireplace 1 brick .........Approximate Cost ...............75.��..........................................
.........................................................................
Definitive Plan Approved by Planning Board ---------------10/15..........19...84- , Area
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
• F.
sr
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLING5
I hereby agree to conform to all the Rules and Regulafi,ons of the Town of Barnstable regarding the above
construction.
Name ....... .......... �"-�.
.............:./. ....... ...........
Cons 4rucn Supervis�Ucense ....��. �. .
B. & J. REALTY TRUST A 210-136
4p it fo�. ..... ...St r
No .... 3110
............. erm y..........
ily
.......Single... ..........
. .. .... .. .. .. .. ..
Location �'.Lo.t...#.2.........2.4.5....Gr.e.at...Ma
.r.sh Road
Centerville
........................ .....................................................
Owner ......B.......&....J......Re.a.l.tY...Trust.....
Type of Construction ...Frame..........................
.. .. .......
...............................................................................
Plot ............................ Lot ................................
Permit Gronled .......Auguat...1.9.........19 87
Date of Inspection ....................................19
Date Completed ......................................19
0
y:r.C..(�.'`!"'ii.�r.^^'TK"S.I�.-w..1'"y,.ey,,,��F'�.rnN...yb+;"`f,. ...•n.?•r,.'r.'r'�`rf�T°`"R-•�''�4T��n^�}x`}���'� 'r7"k'tid�n'r'Y"` yqf*�" �,}.sH,:�.'�1'y+�,-`'t",T „-`��»`_!� d..,".,r"," 's,
Assessor's office(1st.Floor):
Assessor's map and.lot number I� �11� Q;.C���l. '� Hof TwE>tp`
Board of Health(3rd`filoor):
Sewage�Permit number
Engineering Department(3rd floor) Dg tt '
House number
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1 00-2 00 P:Wt:only '
TOWN OF BARN E `
BUILDING INSPECTO `
APPLICATION FOR PERMIT TO SGj 1I t C7� 'idrA�TJ / '
• TYPE OF CONSTRUCTION
ZS / 19 _C/
i
TO THE INSPECTOR OF BUI�D.INGS
The undersigned hereby applies for a permit according to the following information! /� /'
Location 2 �/S //'�E'G /GG�`/rs l7/ ,. l , e h /P ll
Proposed Use ��
Zoning District Fire District ( ,�2 r �/I /y.� 05 A I-
Name of Owner D ��� %� Address y /2A � zoo✓5601
..
Name of Builder Yl "Zh--" Address I/
Name of Architect Address
9 r
Number of Rooms / Foundation Co1�G r� 7�-+r.•
Exterior 1 Roofing
Floors ( - Y Interior
Heating J)`a �� ►� Plumbing
Fireplace Approximate Cost # (J�v
Area
Diagram of Lot and Building with Dimensions FeL_-O
y .J
i
1
V OVV"
1. J,
OCCUPANCY PERMITS RECUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above constructi n.
Name
Construction Supervisor's License
ROBERTS, RODNEY A=210-136. 002 = •
No 34512 Permit For Build Add; t i nn
Single Family dwelling
Location 245 Great Marsh Road
Centerville
s}
Owner. Rodney Roberts
Type of'Construction Frame
Plot Lot
Permit Granted August 9, 19 91'
.Date of Inspection 19
Date Completed 19
r
y1
PERMIT COMPLETED 1/1/
1-06 C7
���
A 'A,,offioeY(1st floor): }- �~ THE
q �� . .. F pf Tp�
�r Assessor's map, lot number ......... . .. .... . ... .. o
Board,of Health z(3rd floor): IC
z SYSTEM Q
Sewa a Permit number �p.6" qSTALLED IN Cd F.
Engineering Department (3rd floor) #O7s��s )-' � WITH TITLE '�c rb 9.
House number ... ............ ...... . .... ................................ `e
'ENVIRONMENTAL CO � -
APPLICATIONS,PROCESSED 8:30-9:30 'A.M. .and 1:00-2:00'P.M. only! TOWN REG
ULATIQNS
TOWN. 'OF BARNSTABLE'
1. - a
BUILDIN,G. INSPECTOR
Single Family Dwelling
APPLICATION 'FOR,:PERMIT TO ..........:.............................................. ...................................................................
,.,
Wood Frame
TYPE OF CONSTRUCTION ................... ... .... ..
November 13 86
...............................1 9........
TO THE INSPECTOR OF BUILDINGS:.; ,
The undersigned hereby applies for a'perr-iit according to the following information:-
Location .....Lpt.#..2,Great Nhrsh Road Centerville MA
ProposedUse .......Single.FamilY........................................................................................k......................................
Zoning District R.- C ...........:.:.....Fire District Centerville — Osterville
„�s s � %�uNi�s ... . , ..� 'fy
Name of Owner ........ ..�. .... 1... ......: `..............Address .. .....���. .......
-c
Name of Builder .. .......Address .......
ram^-r.1- s�z� F'f cir� /Li c��� �' ��'�v�rt..;c: . ...................
Name of Architect .... ........... ......................:....... Address .........
Number of Rooms -...........Seven......................................:'.......Foundation .............P.C..........................................................:
E x l e r i o r .....Red.Cedar Clapboard,and/or-White Cedar Shang ofi n Asphalt ......
.......... ............ g
=Floors .......I'hrdwood:and/or carpet• ............. " 3 coat sheetrock
Interior .......................................... ..
Plumbing :...... pp?x.:�'.P.V:C....:.
HeatingGas F.W.A or F.H.W
Fireplace I 3ric( Approximate Cost ................75,
j.. .............................. ... .. ....
Definitive.Plan Approved by Planning Board 1C115 __ ____(q 8:7 �" Area
t ..__ . 1.""'O�? .........��
Diagram of Lot and Building with• Dimensions
�i ,
9 ,9 �. Fee .......,... Q
SUBJECT TO APPROVAL-OF BOARD OF ,HEALTH
d012
'0
1.1
OCCUP NCY, 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. *>
If
Name ....... .
Construction Supervisors License ' 93 ../ `.. ..
REALTY TRUST
3110 4 ;Permit for ...1.z...Story............ t #:
Single-.Fa mily Dwelling, t
r L_ocation .......Lot .#2.,.. ?4.�...G �a ...14?ax sh 1ZD - '
ti .. ..Centerv.? ..........................
Owner B & J Real.ty„ Trust
... ... .. ......... J e� F f t fa v - J '•� _ #till {'
'. Type of Construction .Fr.amQ t -
.f
..- -- �: a _� .. � � � .1 '" f Y•.)tj,_ s �+-.
Plot :..... .. .�i Lot ................
I�ti Permit Granted .....August 1:9.!.........1.9 87 r
" Date of Inspection_ ..... .. ... . ...........19
4 c -
Date Completed .. ....... . ...............19
N. a; ;,;k ',tea 'v! .XH - + , r # "'� 6 r x -•
a �. "� .eve Yr+>e ��; ": � .•',. » t .. .. � .. ,. r + a
44
• a
Assessor's office ):Floor 1st
(
Assessor's map and lot number /0 �
Board of Health(3rd floor):
Sewage Permit number � �"
Engineering Department(3rd floor) �EGV a
House number o?�ir ail 9•�.
Definitive Plan Approved by!Planning Board 19 �arnst 4 P A �a•-
APPLICATIONS PROCESSED 8:30-9:30 A.M.,and 1:00-2:00 P.M.only Y bj6 Copse v$d
TOWN : OF ; BARN
; BUILDING INSPECTO
APPLICATION FOR PERMIT TO Oaf®
TYPE OF CONSTRUCTION
19 —C/ _
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:Location � �/ lA✓S &011 eh Vo/ z
Proposed Use
Zoning District Fire District C2 r a) �/ � �s �T y�
Name of Owner �D1�1��e9 �6 Gt�' � Z'9 Address :: /P.Q� G!✓Sl'`
�0 �2z . p �J
Name of Builder � Address r Pl �'�'6 &W
Name of Architect Address
Number of Rooms Foundation �I,?G
Exterior �! n j 1 ,�'e' Roofing
Floors Y Interior
Heating /7 e r �/vd1/ ►� ��S Plumbing
Fireplace Approximate Cost
Area
Diagram of Lot and Building with Dimensions FeL. 9) v�
y'D0�rI��
2 ?
J
� r
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 constructs n.
Name
Construction Supervisor's License
rf''M ROBERTS, RODNEY
f_
No 34512' permit For Build Addition
Single Family Dwelling
Location 245 Great Marsh Road
Centerville
Owner -Rodney Roberts
r . ,�
Frame , �
Type of Construction _
Plot Lot d
Ij
a Permit Granted' -August 9 , 19 91 f
Date of Inspection 19 ;
Date Completed 19
l _
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. REVISE
.. a b
The Town of'Barnstable
916ASM Department of Health Safety and Environmental Services
Building Division
R
367 Main Street,Hyannis MA 02601
Ralph Crossen
Office: 508-790-6227 , Building Commis
Fax: 508-790-6230
For office use only
Permit,no. 1
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an .addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: X—M.21 S-�4015- Est.Cost
Address of Work:
Owner's NameJF_Q
Date of Permit Application:
.hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
—.-le-6wner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor NaFla/ Registration No.
The Conttttottlecalth of.1tassachusctrs
Department of Industrial.4ccidents
� Y I
' VMCVOfIRV stlgatlons
6110 11 u Street
Workers' Compensation Insurance Affidavit
�PPIIC tflt information' —� •_ Plc•tse PRINT Ieb�j��`"�'�•"�'—M �•�� .
[ cnttnn
0' nhnnr a S tJ T 1 f?
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
[� 1 am an empiover providing workers' compensation for my employees working on this job.
cnntnnnA, n• rne-
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I am a sole proprietor'. ;eneral contractor, homeo"ner circle one) and have hired the contractors listed below who h:
the followin_ workers' compensation polices.
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Polir�•� � l-- 43109'(305 -v2
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Policy 0
Attach additional sheet if erneces_iav- .L'•"�--=— •..a,. - — --- —'�.. --� - -- ��•�•• ••w•�•=
Failure to secure'covage:ts required_r under Section:SA of N;6L 152 can lead to the imposition of criminal penalties of a line up to SI.500.110 andiu
uric cars' imprisonment:is wcll as ch ii penalties in the form of a STOP WORK ORDER and a fitte of SI00.00 a dad•against me. 1 understand that.
cope of this st:ttentcnt ma% be furnvarded to the Office of Investigations of the DIA for coverage Vffir=tion.
I do hercht•cc fr•t er the pants and p taitie perjure•that the information provided above is true correct
2.
Si:natun Dat
Print name �ry. Phone
' ofiiciai use univ do not write in this area to be completed by city or town official
permit/liccnse it r guiiding Department
cit% or tnwn: ❑Licensing!Board
C2 check if immediate respunse is required ❑
Selectmen's OITce
�- ❑1lcaith Ucpartment �•
phone#• nUther��
contact person: •
intormanon ana instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their
employees. As quoted from the "law-. an etnpl({tee is defined as every person in the service of another under an\•
contract of hire:express or implied. oral or written.
An em for er is defined as an individual. partnership, association. corporation or other legal entity. or anv two or morc
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the foregoing_ engaged in a.joint enterprise. and including the legal representatives of a deccascd employer. or the
receiver or trustee of an individual , partnership. association or other legal entity, employing employees. Ho%veyer the
owner of a d\%•ellinu house haying not morc than three apartments and who resides therein. or the occupant of the
1\\.cllirt,_ house of another who employs persons to do maintenance , construction or repair work on such dwelIing hous
:)r oil the __rounds or building appurtenant,thereto shall not because of such employment be deemed to be an employer.
.1GL chanter 152 section 25 also states that every state or local licensing agency shall tvithhold the issuance or
ene��:rl of a license or permit to operate a business or to construct buildings in the commomvealth for any
applicant a-Iio has not produced acceptable evidence of compliance,%vith tree insurance coverage required.
additionall.,. neither the comnioiiwealth nor any of its political subdivisions shall enter into any contract for the
;crformance of public work until acceptable evidence of compliance with the insurance requirements of this chapter Ila
:een presented to the contracting authority.
Tplicants
!ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
zpplyin_: company names. address and phone numbers as all affidavits may be submitted to the Department of
-dustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
'fidavit should be returned to the city or town that the application for tite permit or license is being requested.
it the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required
obtain a workers' coil,pensatior policy. please call the Department at the number listed below. -
sty or 'Towns
=ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
affidavit for you to fill out in the event the Office of]nvestigations has to contact you regarding, the applicant. Pleas
sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to
Department by mail or FAX unless other arrangements have been made.
e Office of Investigations would like to thank you in advance for you cooperation and should you have any.questions.
:ase do not hesitate togive us a c-111.
s
e Department's address. telephone and fax number:
The Commonwealth Of?Massachusetts
- Department of Industrial Accidents r r
Office of Investigations
600 Washington Street
Boston,Ma 02111
fax #: (617) 727-7749
phone #: (617) 7274900 ext. 406, 409 or 375
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
P ase, Aprin9t.
DATE
JOB "LOCATION
Number Street address Section of town
"HOMEOWNER" �� �,�, y� fNl �1 �5 Gtr� -M 4�5-f 4-
Name Home phone Work phone -
PRESENT MAILING ADDRESS
City town State Zip code
The current exemption for "homeowners" was extended to include owner-occupie.
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Person (sJ who owns a parcel of land on which he/she resides or intends to re
side, 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 Offic:
on a form acceptable to the Building Official, that he/she shall be responsil
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes . responsibility for compliance with the Sk
Building Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner certifies that he/-she understands- the Town of
Barnstable Building Depar nt minimum inspection procedures and requirements
and that he/she will com 1 ith said procedur s d requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
HOME OWNER' S EXEMPTION
The code state that: "Any Home Owner performing' work for which a building
permit is required shall be exempttifrom, the provisions of- this section
(Section 109. 1. 1 - Licensing of Construction Supervisors)-; provided that if
'iHome Owner engages a per son(s)• for hire to do such work, that such Home Owner
shall act as supervisor,.
I! Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction Supervisors, Section 2. 15) . This lack of awareneE
often results in serious prob_lems, ,particularly 'when the --Home Owner hires
unlicensed persons. In this case our Board cannot proceed- -against the
inlicensed person as it would with licensed Supervisor. The Home ''Owner actin
as supervisor is ultimately responsible.
To ensure that ' the Home Owner is fully aware of his/5er responsibilities, man
communities require, as part of the permit application, that the Home Owner
-ertify that he/she understands the responsibilities of a supervisor. On the
lact page of this issue is a form currently used by several towns. You may
--are to amend and adopt such a form/certification for use in your community.
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OF a��^
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C.FRANK s TOWN OF BARNSTABL.E ZONING
WHITING y _ BY-LAWS DATED FEB. 1986.
�o No. 29869 0
CrsTf �a 1ONC: RC
SETBACKS :
1
FRONT — 20
SIDE _ iO'
REAR 10' j
PROPERTY LINES SHOWN HEREON WERE COMPILED '
FROM PLANS OF RECORD AND DO NOT REPRESENT PROJECT NO. -3--1366.03 !
AN ACTUAL SURVEY ON THE GROUND. -
THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN
ON THE GROUND BY SURVEY ON JULY 31 1987 1 n
AND EXISTS AS SHOWN AS OF THE DATE OF LOCATION. BARNS +ttBLE MASS .
I
THIS PLAN IS FOR PLOT PLAN PURPOSES ONLY AND SCALE: 1"=20' AUGUST 3 1987
SHOULD NOT BE USED FOR ANY OTHER PURPOSE.
y
BSC / CAPE COD SURVEY CONSULTANTS
f 3236 MAIN STREET
PROFESSIONAL LAND SURVv '0_R* BARNSTABLE VILLAGE, MA. 02630 (617) 362-8133
I
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