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Home My WebLink About0006 NORTH WEST LANE J4 U/ Town of Barnstable Building 4 the StrPPt °Approved'Plans Muste.Rrtained on'lob and this Card M` i Post'This Card So That it is Visible From ept I.E. nnm �ro„ �� Permit '"^ Posted Untnnspection HasB i639.Al a Where'a'Ceertificate'of Occupancy is Required,,such Building shall Not be Occupied until a F�na.l Inspectio-n has.been made Permit No. B-18-871 Applicant Name: DELUCA, PAUL W&ANGELA Approvals Date Issued: 04/03/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 10/03/2018 Foundation: Location: 6 NORTH WEST LANE,CENTERVILLE Map/Lot: 189-051 Zoning District: RC Sheathing: Owner on Record: DELUCA, PAUL W&ANGELA Contractor Na a N%, Framing 1 L m: Address: 6 NORTH WEST LANE '� Contractoe icense 2 CENTERVILLE,MA 02632 Est Project Cost: $500.00 Chimney: Description: INSTALL NEW WINDOW 4'8 3/4 X4'0" IN WALL FACING BACKYARD Permit Fee: $85.00 AT BEDROOM MASTER Fee Insulation: a Paid $85.00 ' Date:- 4/3/2018 Final: Project Review Req: .r " Plumbing/Gas x = Rough Plumbing: � Building Official , Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months 0`6er6ssuance. All work authorized by this permit shall conform to the approved application,and thelapproved construction documents fo�which this permit has been granted. Rough Gas: 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 inspection 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: Service: 1.Foundation or Footing x 2.Sheathing Inspection r. '. Rough: tea.;,.,, .. 4 3.All Fireplaces must be inspected at the throat level before f'irest 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �UIL p Applicahon,Number... .... ......... BABNUfABM "� ...Other Fee. A' Permit Fee... .... ....... .............. ........ ........... MASEL AR 2 6�a+"1 Tp w 8 Z01� • IV�F e,A Total Fee Paid..... .............................................. ..... �JVS T OWN OF BARNSTABLE Permit Approval by h........ ..oa..... 1 � BUILDING PERMIT M I ap.... .` .........................Pm-=L.............. ...._............. APPLICATION Section 1 Owner's Information and Project Location Project Address 6 A/&/ZT1 f 4--)EST l A ABC �Vi7lage`-C �Y�lL Owners Name r j�L State > ! Zip d Z�✓�..."City"C'��sr��. �/�• p.� g y�/� ""Owners Cell'#""� � . � 7?.vim ii Section 2-Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3-Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/,(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ 'Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar Renovation ❑ Pool ❑ 'Insulation Other—Specify Se ton 4 -Work Description �A AS fia&L 4 t* T s►ct undated-V 201 8 Application Number.................................................... Section 5—Detail Cost of Proposed ConstructionJ��J�7 Square Footage of Project �- Age of Structure yfi ns Dig Safe Number 1 # Of Bedrooms Existing Total#Of Bedrooms(proposed) �— - 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics t , ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing 2r Gas ❑ Fire Suppression ❑ Heating System gMasonry Chimney ❑Add/relocate bedroom { Water Supply Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway . Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone,Designation Within or adjacent to a wedan coastal bank? Yes ❑ No 1-1� Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed i Has this property had relief from the Zoning Board in the past? ❑ ❑ No . Last imdated 2V201 S �3 C(- Zo ►g f ,q vc, 'fie l L),—A 14 18 5,?,5 O Ccrr-L-C) c�vz-s 1 D E w LL bFjL/&t/! ( go=i4 w c,r L AAJ6 - 3/y S-ti+pP4 Gr t ...41 � IZ�w•x I Ht i 6►1-1 I! I f - s I •-' 4' O t� r The Commonwealth of Massachusetts Department of IndustrialAccidents; Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information PIease Print Legibly_ Name(Businesslorganizatian/Individual): LQ6 A Address: tp /�/b iur//-Wcc,- t,--A ors ' CitpYState/Zip:Cz Atrr tzv _ 0 z6 3 Phone#: �1'7� S.3S -�o 5 Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a employer with 4. []I am a general contractor and I . employees(fulland/or part-time).* have hired the sub-contractors . 6. New construction 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have , g, Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.._ �] 5. [] We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. um repairs or additions (3. I am a homeowner doing all work ❑Plb' P myself[No workers' comp. right , 1(4),a d we h perave n 12.❑Roof repairs insurance required]t � c. 152, §](4),and we have no employees.[No workers' 13TI Other comp.insurance required.] *My applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. 1 t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sob-contractors and state whether or not those entities have employees. If the sub-contractors have employocs,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for W employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 e. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information providedabove is true and correct Sit attire GcJ � .�iC-lam--' C -D_te• Phone#:.- Qi Z U g Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector_ 6.Other Contact Person: Phone#: Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Zip License Number License Type x Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures;specific inspections and documentation required by 780 CMR and the Town of Bamstable.Attach a copy of your license. Signature Date Section.10-Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code.-I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your IUC... Signature Date Section 117 Home Owners License Exemption Home Owners-Name: u-t a L-A 4�-, .,PAv C, I>e��,��, _.. Telephone Number g 8 s Cell or Work Number I understand my responsibilities under the rates and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and ! documentation required by 780 CMR and the Town of Barnstable. —Signaturd�( �- Date APPLICANT SIGNATURE -Signature - - Q0 Date- - -� � Print Named v C D e. Luc,4 Telephone Number -E-mail permit-to: 30 Z Z0 1 K- ' Psu L- • 62.e7M#11_.(A Section 12-Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval Section 13-Owner's Authorization as Owner of the-subject property,hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last umdated.2/9/2018 y.]y Town of Barnstable uf' *£'r >re.a ,� rz*y,*'^°'.an:i.:�. ,.�i..`' °m{`"�r " 'j>,•"a' •`*. °"" ;.,�`"` "�"> "..�" '�'e u ;.. r. "�'s: . $3 [ Building r rjs n ' Post This Card So That�t is Visible From the Street Approved Plans Must be:Retained on Job and: his Card Must be Kept • B11lt�VSTAtLL. ` ,� t r:. s "� "et :' x- * '�- � .A `" 4 Posted'Unttl Final inspection Has Been Made r, _ 'A ere'a Cetificate=,of Occupancy is Required;suchBuldmg shall Not be Occupied until a F�nallnspect�n has been made Perrni 1 Permit No. B-17-3491 Applicant Name: DELUCA, PAUL W&ANGELA Approvals Date Issued: 10/23/2017 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 04/23/2018 Foundation: Location: 6 NORTH WEST LANE,CENTERVILLE Map/Lot 189 051 Zoning District: RC Sheathing: Owner on Record: DELUCA, PAUL W&ANGELA Contractor Name:"-< Framing: 1 Contractor License: , Address`. 6 NORTH WEST LANE 2 " Est Project Cost: $000. CENTERVILLE,MA 02632 I v a x. Chimney: Description: 10x12 shed Permit Fee: $35.00 Insulation: Fee Paid` $35.00 Project Review Req: a ' Date 10/23/2017 Final: -. G: �t Plumbing/Gas Rough Plumbing: Building Official Final.Plumbing: x This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:3 All work authorized by.this permit shall conform to the approved application and6the approved construction documentskfor which this permit has been granted. All construction,alterations and changes of use of any building and structures shall tie incompliance with the local zoning by laws and codes. Final Gas This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the 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. Service: Minimum of Five Call Inspections Required for All Construction Work: 3 1.Foundation or Footing s.•. _ RoUg h: 2.Sheathing Inspection 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 - Low Voltage Rough: - 5.Prior to Covering Structural Members(Frame Inspection) 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable jl/ P �"E , Building Department Services Brian Florence,CBO r r Building Commissioner MAss. 16 wg6 �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# � FEE: $35.00 SHED REGISTRATION } RESIDENTIAL ONLY 200 square feet or less ' �= Location of shed(address) Village ts� cz ts't cA + PAUL . `)�)G(,macx ?78-SAS Property owner's name Telephone number Size of Shed Map/Parcel# C22J /,6), /4-/0 0I Signature Date -Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. i THIS FORM MUST BE ACCOMPANIED BY,A PLOT PLAN -forms-shedre A&P REV:08/6/17 R a a3 } TQ N �O MAP 189 �98• �j� PCL. 43 1% s�• 90 140 \ LOT 70 ° 15,199f S.F. V~ N MAP 189 (0.35t AC.) 2). PCL 52 (b MAP 189 PCL. 50 O� MORTGAGE INSPECTION PLAN THIS PLAN IS INTENDED FOR BANK MORTGAGE PURPOSES ONLY. THIS IS NOT AN INSTRUMENT LOCUS 6 NORTH WEST LANE SURVEY AND IS NOT TO BE USED FOR FENCING, CONSTRUCTION, DEED DESCRIPTIONS, RECORDING, _ BARNSTABLE (CENTERVILLE), MA BUILDING OFFSETS OR PROPERTY LINE DEFINITION. REF PLAN BOOK 185 PAGE 117 RHOF44, ,'�r, PLAN PREPARED FOR Jo I CAPE COD COOPERATIVE BANK `` �• "``" - � pI;MAFtES1',JR. SCALE 1"=40' DATE 11/3/2014 o No. 3b8`i9„ ELIZABETH J. O'BRIEN OWNER OF RECORD: JOSEPH M. O'BRIEN JR. THE DWELLING AS SHOWN COMPLIED WITH THE BARNSTABLE ►�/3 4— ZONING BYLAW BUILDING SETBACK REQUIREMENTS WHEN CONSTRUCTED. DATE.' REG. LAD SURV OR OR EXEMPT FROM VIOLATION UNDER M.G.L. TITLE VIi, CHAPTER 40A, SECTION 7. THERE ARE NO VISIBLE EASEMENTS OR ENCROACHMENTS OTHER THAN JOHN Z. DEMAREST JR., P.L.S. UNDERGROUND SITE UTILITIES OR AS NOT ON PROFESSIONAL LAND SURVEYOR THE DWELLING DOES NOT APPEAR TO BE LOCATED IN AN 338 MAYFAIR ROAD ESTABLISHED FLOOD HAZARD AREA AS DEFINED F.E.M.A. SOUTH DENNIS. MA 02660 COMMUNITY PANEL # 250001 0561 J 508-364-9049 FILE=14129.DWG ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map b'If k6l k)0 Parcel A ication # Health Division Date Issued Con Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board ��JsoJl Z Historic - OKH _ Preservation / Hyannis i Project Street Address co dJe9221 Wo7- .0 PJ Village ��r► y'er v /1 Own 0 62r Address Telephone Permit Request ' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a 60 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑.Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove; ❑ o`Yes ❑ N —a Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: 0 e fisting ❑~new jize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r . � ,Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # = r c:a Current Use Proposed Use ` APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ll 4 Telephone Number se) J y 55,4' Address l ��-f L� License # hi-A Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOX) ,0 SIGNATURE DATE l - FOR OFFICIAL USE ONLY r , APPLICATION# DATE ISSUED MAP/PARCEL NO. r j i ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL `• GAS: • ROUGH FINAL FINAL BUILDING ® 12�tG�tt ; r DATE CLOSED OUT ASSOCIATION PLAN NO.I S i S The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street. Boston MA 02111 o www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information lease Print Le 'bl /In Name(Business/Orgmizadondividual):. � �4 Address: City/State/Zip: Cie av) ' 1' c Phone.#: �� S 6S 5 Are you an employer? Check the appropriate bog: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I * have hired the sub-contractors 6. ❑New construction.,. . employees(full and/or.part-timel. - 2.❑ I am a sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. .0 Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. Q 9. Building addition equired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.E Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number: 'lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa sand penalties of perjury that the information provided abo a is a and correct Si mature: Date: Phone Official use only., Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): .'L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5:Plumbing Inspector 6. Other Contact.Person: Phone#: . �oFTr�r Town of Barnstable Regulatory Services BAMSTABLE, : Thomas F.Geiler,Director MASS. q'Ar�o �pm Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number \ street village "HOMEOWNER": name ` home phone# work phone# CURRENT MAILING ADDRESS: J Tb— I 1� �,► d 0 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. t The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum insp tion procedures and requirements and that he/she will comply with said procedures and requirements Si atu f H owner 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:forms:homeexempt rP. OFIME r Town of Barnstable Regulatory Services r saiuvsrAsIUA, 9 Mass, g Thomas F.Geiler,Director �p 039. ♦� renN►a�" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This ction If Using A Builde as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this uilding permit. (Address of ob) **Pool fences and alarms are t e responsibility of the applicant. Pools are not to be filled or utilized b fore fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 •• _ _ , . �'"ter �; ,�� r'4 �;j _ VT f Y�e .may 'r4 A L q` Ajj MAO.", L tf'h A r '. �, i R sl`.._a„ v ''h•+ *1 /b�" y A �1 Kph mi t t -s� f : s t \ e \ r � \ tt f� } i •°r 1 1, 1 ` i i ;L 4' S T. i f ti 9 i I a r «�+r++: ;'l„,-,fie'„.«.�...�,,ns�Ai'v.:+�:+•^r.. r .rs,._ r�v�+«,�. q,.,,-*+�'r"''n'`''�1 ��.�� .•�,rxar w 4� �!� AJ '% s � w fTTTVV- low k. 1 - .r. t n _ k.� J f I i r t�� rxu r". rtR , pFL�• arra ,. �;�inatit JM1�R1rt klh yR it i. inY Yr M ns M9 tip a �y ,r• � � �:,:�� a M RiR 4 1 :a t !R t asessiaiiii*irit �nrlrirL�. .yarritr~titrirlyi'jii�t Barnstable Appraisal Services PLAT MAP File No. 4255 Borrower Elizabeth J. and Joseph M. O'Brien Property Address 6 North West Lane city Centerville County Barnstable State MA Zip Code 02632 Lender/Client Rockland Trust Company Address 8A Station Street,Middleboro Massachusetts, 02346 * x19 _ y � f r• 4_ 4 �k� i n _ ' *4 r � u F� y 3 4l 4' S' 1 ` } S9 . ti• r M _byµ 4 >'z s l g 5,ngllsh } 91P0^ .z- #s' - < o k "cur-" ��5 - a �57�.�` E c�� 3 ��g 'S'Yt i r �� .1•�"�,'1...� �F�� 7. 'F'�. - e ;4 i'i*t•r:, s :mot -t €" 7 f t`r;� '� i*- �+t r�4 �,i±��,�.� 2'A.�`.�- '��'ri�9:.z...�•��',�':t .# �. �W11. � � z .,des s 's2 I •1 1 11 d`t. g r� � VM as 3 0140"zt 437 {r� ua '€{ �, aLs � S tom' - X�1'"c� ,:,r8•w.._ r'r Y�i- `v' '`-{; .t'' .MU�`' z. 'r�ss '��'• ,a 'f:- {.�`�t .aa�"'irl "F� Ar.; RA €I' y. G ° f ey„�ej.�-. 'rs-+4 r"!rO .,F'`` a. .s ,,i}. `^�.#n�"4�.'Q,t c ^,ym, - _ xK %"`7 dJ d� ,tF '£54�'s�.'}}ar' ...,. 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' .9, .5� t ,4 Sv'7,Yas4 yNw, - • • - - 22'x52" -'8.5m x 8:Sm -11:Om x 11.Om •- - ... __ _ _ .. 9.0m x 9.0m ;12.5m x 12 5m - gm MIME „ ,:.15 8 x49.', 6.6m x 6.0m 7.5m x 7 5m 10.5m x 10.Sm - _ '-'168 x49"-' '6.5m xMm'� 8.Omx80m "';11.Om x11:Om � - � 2 4 3 2 2 4 4; 4 3 3 .,� 3 - 2 ... ... ...,q_. .j..... 5.... 3 :....3 .3,,. ..3.. .... 2 -2- 4 _ 5. ,..3.. 3 t- 2', . 15 x9'x48" 7.Om x 4.5m i 7:6m x 6.0m i 7.0m x 9,Om%Om 4 4 6.Om 7.5m x 3 2 2 - ` 18'xx52" 7.Sm x 4.5m 1 7.5m x 9' `2` 2 1 2 3 2 _ :. _ - 3 y. 2 2 2 24'x12'x52" 9.6m x 6.0m i 9.Om x 7.Sm. 79.Om x 10.5m i .... 4 32'x16'x52" 11;Om x 7.Om 11.Om x B.Sm t .. gx 156**-R2-1209 c a NO N-W1 _ e ® a o Safeguard your pool or spa Safeguard your pool or spa Proteja la area cle su alberca Proteja la area cle su alberca `HTERipk Conforms to i EN'6bs US UL STD. 2017 #" FEATURES: "STE° • •Alerts you to children's entrance to pool area. p4 • Loud 100dB alarm. • - •Attaches easily to gate or door. ` • 3 button code bypass feature for extra protection and adult pass through. •Weather resistant. •Weak battery indicator. • Open door reminder feature. • Loud 100dB alarm sounds • Uses 2 AAA batteries(not included). if children enter protected door or gate OPERATION: •3 Button Bypass Code •Mount directly to gate or door. system provides extra •Any opening of gate or door will trigger entry sensor alarm. protection and allows adults • Code can be entered to bypass alarm. to easily pass through without triggering alarm _ •Accurate Entry Sensors ESPANOL eliminate false alarms CARACTERISTICAS: •Avisa cuando hay entrada de ninos en el area de la alberca. •Alarma alto de 100dB suena en caso de Alarma de alto sonido de 100clB. entrada deninosporla puerta de Se adhierefscilmente a cualquier puerta de seguridad. seguridad protegida ` •Sistema de clave da extra proteccion permite acceso facil Para adultos. •Sistema de clave de extra proteccion •Resistente al clima. Para ninos y permite acceso facil Para adultos sin activa rla alarma Record tors bajebateria. Precisos sensores de entrada eliminan Recordatorio al estar una puerta abierta. alarma falsas •Usa 2 bateria AAA(no incluidas). OPERACi6N: • •Adhiere directamente a cualquier puerta de seguridad. •Al abrir cualquier puerta el sensor de entrada se dispara. Programacion de clave personal permite entrada. Instructions included Instrucciones incluidas Dr�BERMAN Model#SE-0114 SECURITY oberman D () BERMA N D3002 DowSecurity Avenue,Suidte ucts#408c C E Tustin,CA92780USA 1 85535 00057 9 www.dobermanproducts.com 1-888-MYSAFTY Made in China Patent Pending � All rights reserved YOUR PERSONAL WATCHDOG A _� J FRIEDLINE& CARTER ADJUSTMENT, I% 436 Main Street, P. O. Box 338 .0V6 HER 23 Am 8: () Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 __ TO: ) Building Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL MA RE: Insured: O'BRIEN, Joseph & Elizabeth Property Address: 6 Northwest Lane Centerville, MA Policy Number: DWO097072 Type of Loss: Fire_ Date of Loss: 3/16/2006 File#: 104306 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. N. LAGUE Adjuster 3/21/2006 TO ALL NEW BUSINESS OWNERS Fill in please: 0"M i L F 0; [�S: APPLICANT'S ® �® YOUR NAME: BUSINESS YOUR HOME ADDRESS: �2d rr+ l� �r L,��v TELEPHONE Telephone Number (Home) S��- S® 7 q o21 (QO NA ME OF NEW BUSINESS Cd�� F c�rr�s /aI� d�'l-wIN�K��s .co.✓1 - TYPE OF BUSINESS -j3,,is�a��ss IS THIS A HOME OCCUPATION? 'E , 68 ADDRESS OF BUSINESS �ej" 4✓zTFf�`l;J S 1= ' �� T _vi e_ # MAP/PARCEL NUMBER 1 � Wher starting a new business there are several thingsyou 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor -Town Hall). 's 1. GO TO BUILD INSPECT R'S OFFICE (4TH FLOOR TOWN HALL) This individual h s been i ormed of Iper quireme�that pertain to this type of business. /141 Author' ed Signature COMMf NTS: '0 � 2. GO TO BO F HEALTH ( RD F OR TOWN HALL) _ . This individual ee n e f th permit requirements that pertain to this type of business. Au orized Signature 4 /„ COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) • (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) This individu a ; h ,' ormed of the licensing requirements that pertain to this type of business. Autridrizea Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it.does not give you from the various departments involved. of the processes . permission to operate - you must get that through completion �TM�r The Town of Barnstable 1f36 Department of Health, Safety and Environmental Services i .� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Cmssen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: la 1111 �9� r Name: Y (t_ .S Phone#: Address: rP ►V!9 T tl W SST L A lV'T1ag £�sT�RV 1 LLB Type of Business: L(Len ERcP- IMAIZ-Ot DEA UTrENT: It is the intent of this section to allow the residents of the Taws of Barnstable to operate a home occupation within single family dweMngs,subject to the provisions of Seddon 4-1.4 of the?.aaiiag ordinance,provided that the activity shall not be discernible fins 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 an by the permanent resident of a single family residential dweMng unit,located within that dwellmg uu»z VI-• Such use occupies no more than 400 square feet of space. ✓• There are no external aiteradons to the dreeftwhich are not customary in residential buildings,and there is no outside evidence of such use. ✓• No traffic wX be generated in excess of normal residential volumes. ✓• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular mauer,odors,electrical disturbance,heat,Slane,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 qm mdties. Any need for parking generated by such use shall be met an the same lot containing the Customary Home Occupation,and not within the required front yarrl. There is no exterior storage or display of materiali or equipment. There is no coxmamercai vehicles related to the Customary Home Oc upaucm,other than one van or one pick-up truck not to exceed one ton capacity,and am tea w not to extxed 20 feet in length and not to / exceed 4 tires,parked on the same lot eo gthe Customary Home Occupation. V• No sign shall be displayed indicating the Customary Home Occupation. V' 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 I,the undersigned,have read and agree with the above restrictions for my home occupation I am registetimg: • -. —Date: o,l10 Applimnt: /J HomeocAm jQQ e. l- (Zq'7�'wI/1 cl � .w►r,� AW..v-t4 even ,�a�-„ a 2 4,,4 d a`b-wco pv of t ILH of /f. Gcgv uW c�z- .wi a �rt -a p cP U