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0019 PADLOCK LANE
q,.� 04k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map r Parcel BUIlD)�� p Application# D`7 Ep-r Health Division Date Issued OCT Z 4 ,2016 Conservation Division TO Applicationfee Planning Dept. WN OF BARN87--Ak t Permit'Fee Date Definitive Plan Approved,by Planning Board Historic - OKH _ Preservation/ Hyannis -4 ` Project Street Address l -R4D 10(4 G 6r✓F Village Owner � 1��� / "l0^116 Address q �A��OCk L�} n/E 66„)714'eileW Telephone S 3 6 0 0 x 0 Permit Request Er-,Clo 5 F Cat POR7 — C 0r✓V E/Z 7 ?D A- C1412, 0 F- Square feet: 1 st floor: existing aYDproposed IYO 2nd floor: existing proposed Total new A y0 Zoning District Flood Plain Groundwater Overlay Project Valuation a6'410.00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U2/ Two Family ❑ Multi-Family(# units) Age of Existing Structure 4 Ll Historic House: ❑Yes 2lo On Old King's Highway: ❑Yes 2rNo Basement Type: Full 0 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: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals.Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes Flo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) f Name «�0 / ! n��� p Tele hone Number �D� 3 Address 1 /AP40C/c 1-41✓F, Ci!r1,11'c4 V14f License # Home Improvement Contractor# i Email���fYG,OMQ�✓rc�/1(p/�FS�j�'l 6w, Ce, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO / !ry SIGNATURE DATE s ' FOR OFFICIAL USE ONLY `/APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' E OWNER q DATE OF INSPECTION: } FOUNDATION t -- FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS`. ROUGH FINAL FINAL BUILDING y DATE CLOSED OUT ASSOCIATION PLAN NO. a P+Dtocic 1-41,16 6 i7M v►t" Photo 201610070151 •�a,�,F - v�r ti uw?r* r" his 1 Y� �1 99 7 4 i/ BUILDING DEPT OCT 14 2016 TOWN OF B4RlVSTA8L.: I Photo 201610070152 b. Z. y: OR, A �a Measurements: Ft 10/7/16 1 1:55 PM Length 20'00" Ft C v�Gi 10/7/16 1 1:55 PM 12ABS ft* Ft 10/7/16 1 1:53 PM Length 8'00" Taw Crx4?o No�� 16 �A�STgB The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Thiago L. Monteiro Address: 19 Padlock Lane City/State/Zip: Centerville, Ma 02632 Phone #: 508-360-0205 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed onthe attached sheet. 7. ✓ Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' y9. Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. ✓ 1 am a homeowner doing all work officers have exercised their 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. 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. $Contractors 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. I am 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 certi n ains and penalties of perjury that the information provided above is true and correct. ham` Si ature: Date: l Q'� 3 — 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services BIKE� Richard V.Scali,Director Building Division ' saxxsrast e• ` Tom Perry,Building Commissioner Mass. �� i679• `�� 200 Main Street, Hyannis,MA 02601 'O�Fow► ° www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: 10/13/16 Please Print JOB LOCATION:F19 Padlock Lane Centerville number street village "HOMEOWNER": Thiago L.Monteiro 5083600205 5087716100 name home phone# work phone# CURRENT MAILING ADDRESS: 19 Padlock Lane Centerville Ma 02632 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) r The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. . The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements_and that he/she will comply with said procedures and require is Signature of Homed 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. + .. Legend + Parcels 'Town Boundary Railroad Tracks Itig Buildings 3 Painted Lines s Parking Lots "'n Paved `=Unpaved 173034 17303 Driveways #2 ';. ;.,�. ., - K?Paved '173037:. Unpaved '1,73035., Roads #59 � � Bridges . .•:.r _ .: � Paved Roads jjJ l• Unpaved Roads (( I. t. dri Streams • f Marsh L Water Bodies zU — • x ' �{ :: Y r, 172116. �- #66 2 y. :1 f15 '.a #76 riots Map printed on: I0/14/2016 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town Of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 36'7 Main Street;Hyannis,MA 026ol p 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet ` cartographic errors or omissions. gis@town.barnstable.ma.us ' R t�gl�Cpt�c L 6Er7&2l/<<C- �Eg xja vJ ,bt AS -�oJkLE x (a H EA'D G Ea LT 1D 7-6 on CENTER Lb Ic POdT- a hi U • W l 1 2 tf PLAT �dL�s -aLTS To ` -T-o r a,�N i�}�1--t�r orj Fc DO0 axt® r EAbE° y '36 r m IT, "jC( Ci J r � a{�,gc�C4Qc L,g�✓F C���lr/L vt��G fAf L( W RL LS jq - LH 6t,13)t b lI' 7-o USE Ll .4 of . q p t) G1v ckwiv; 6, Carport Photo 201610070151 H � � J ii Measurements: Ft 10/7/16 1 1:59 PM Length 12'00" Ft 10/7/16 1 1:58 PM Length 8'00" Ft 10/7/16 1 1:57 PM Length 20'00" BUILDING DEPT. OCT 14 2016 TOWN OF BAANSTABLE Town of-Barnstable *Permit QY `�Y09 Expires 6 months from issu e Regulatory Services Fee ARNSMA ,9 i /j v ss. U Richard V.Scali,Director Building Division l utSTq� Tom Perry,CBO,Building Commissioner LE 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY []2 ) I Not Valid without Red X-Press Imprint rProperty Ma parcel Number Address (q Pe4(7L 0 Ck CA n/C— C <.� 7FR(0 i C L F �4 e�l 3 J C[ eesidential _ Value of Work S Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance - Check one: ❑ I am a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Perntit Reques check box) ffl"Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to (.4 V0 5 S� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is /, eq aired. . SIGNATURE: ZAWPFILESTORMS\building permit forms EXPRESS.doc Revised 040215 I Town of Barnstable Regulatory Services oFT rWyti Richard V.Scali,Director Building Division • BARMA13M ` Tom Perry,Building Commissioner 639. s 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 t HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION- <-�1 number street village Z ,�/�..HOME OWNER": ���Gle � !"IdrIxt'lu ® 60 O 0f name home phone# work phone# .r ZCURRENT MAILING ADDRESS: ' city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The unders' d' omeo r"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced aneaiett. that he/she will comply with said procedures and requirements. Signature"of Homeowner Approval of Building Official. Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work.,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would 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 forms\EXPRESS.doc Revised 040215 y of tt�may. snruvsrnst.E. Town of Barnstable Regulatory Services Richard V.Scali,Director 1 Building Di iv ion 's Thomas Perry Bo Building Coin issioner 200 Main Street, annis,MA 02601 www.town. arnstable.mams Office: 508-862-4038 Fax: 508-790-6230 Prop rty Owner Must Co let and Sign This Section. I sing A Builder I as Owner of the subject l property hereby authorize to act on my behalf, in all matters relative to work authorized y this boil permit application for: (Addre s of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License E mption Form on the reverse side. Q N.WPFILESTORMS\building permit forms\EXPRESS.doc Revised 040215 • ss�s�u�r�sgrs��� - . . I an FLEMB hint LAafy Name' _ Mir Cif = EFL I A't�� So 36� ova S" Am yrm m fir? 'k❑ ra=ae3playarxi - 4,p ImmsD==Ecoaftm=f==dI IaYe�s{u3]au c� )I 4�e - El Z ❑ I zza a soIe Brag arpati=r iis:ba-d m Thed shExt 7- ❑ Ship Mad hate rya=3pICFY=s Them ha-m fnrxzm immy agmCay =490yz=$dam Wes- 4 $adi [Tam`=M3F-m4,r„Ce $ ❑ 1 5. ❑ We are a 10-❑ElecbLsI=pans ct ad3i±ims zaah &DinganvmL- a"==bxveC=�edtack i =?�sor ms ./ = f gqO' 'gyp- �tof rmm I.= . -INa ` ""may sxpS�ffi�checfsbor�I kmstalm fiIIo�tb=�brTa�e�taidn�r ffi�.swc�ers�mmm�tiauper5¢p . amg:M dabLgg --I f--Him uandsk- r�nrm*«t sv asc 3s m �soh_ H riw+ b==ma.*--Tsr�c¢ �;fr^T147 sb theh�ecf ffie 5v� z�3s1 e}reth� 5z� _ ��s_Ifth��5- SI�emg7age�s,Sieg�st�nui3g 9�ws�s'erg.pricy�bc� irzri�.�ihhatisgrr idurg s*vrkrrs'c ntt im ca a{ rsg ayes Below , ffrega m�t3a6 s ' mar - ., - _• •a.' - • IMZ= + e CM�MnY R .x Bch a ca2y of tim mrkme=npe=t ixm polrc�detb tum P29e-(fig the Fchg'3'nimmber mma Sating i£s }: Fad to sew c age as.zepirE3amdes secfm 5A of MC$.c 152 can.Lead to the imposfti=csforinzial pcmmIti=of a fTR P tag fo L D!}(a zndhs o yeari ss 1 as cirl geua�fie�m the fMM of a STOP WORK CMDER-and a Eur-. of mp to S250_00 it day againffm viohdcxr_ Be t�a copy afffsiz =agbe±x-w d tBthC OfEM of Tom, :rnr� (if iheDIA€xmsurm=coupe a_ lr c�a / •p eat u�pa�urp ffi�a�vr-:cta#iva pry ahav�r�h�a rmd -. .., _ A&M C O QvkirLassr DrIWtIvitrinffda ova,fabecmnpzewbydfyor-tamafcl�ff_ cay ar Totem, * ease# L Beard o€$caffh 2.Bmiffmg Dtpwbmcmt I C5to�€aQS� ��Iectricalbzspecior �.Pmfnr -6 Gar dal Laws c) I52 requires all�ymM to prmde wmi='� this m cyces. P MM3tto his s an &pea is did as a-_CVsy pm:scm iQ fW=vice of annffi=under aay eomtr-act ofhme egress or implied,oral or WEdtMa An MTL7y is dofined as individttal,p slffi,ass$cr�ion,c�Pazat�m or of Iegal , 'any two or more �5 of I -or the • bfffie ftsegt�ing in g3�e�Frlse,and mr�at&�the Iegal removes a �P o3'� receives rtr trastee of an Pam,man az othM legal ellty,employing e Hown-ver tie owner of a g'honce haviggnc)t mmn ffim fiaee apamtlnmlts and who resides gym, t1e oOCEPant of the dwe` ng house of andfherwhys eanplays persons to do qamdcucfim or rep ' wo=k on such dwcffm house or on fat,grounds or bmldimg agp -tEn ¢ffi=dO shah nct b e of such eaoplo be deemed to be-an employ rr." CrL c a I52, §25C(6)also states fb 'every,s or Iocal]fcearmg open shaII withhold ffie issaance or rmewaI of a I'mme r or permito operate a burin=or to co7hstrud b in the commonwealth for airy appl'icaatTFho.hasnotprodg acre table,evidence ofcai Rance eiusttr-aacecoverageregi�ed' . A gy>IB'zi, chapter I52c 25C(7)dates lei ifhes•the common nor any of ifspoBfLCaI subd'rvisious shzll e-n into may camtar-t fir lEe p ce of pub&c WCaj filWceptBb evidence of comph.,MM vrifh the r(-,q�emts of tus chEPtm hwm p=SCXItMd to fhe coMtractahg Applicants Please fill out the wvchtss'campen n affidavit comp chtald g the boxes that apply to ycur sitaztion and,if n ecessazy, supply sib-contadm(s)nam�s),addresses)a nvmbes(s)along with the r ce zificam(s),of r,cc,�r,; ce_ L>Iod-Ed LiabE�ny Compamhs lS)L CC)or United illy Parhnembips(LU)wnno employees other than the members or pml ncrs,are not rexluiz�d t�woik=' on m rrrr�l If an LLC or LLP does have employees;a policy is regvhed Bc ad ' ythat finis affi be m2mniitr-d to the Depatiment of Industrial Accidents for conformation ofm nce Cov GIs a ease sign and dam the affidavit The affidavit should be re u med to the.city or tma that the application for a permit is being rmq=sted,not fl=Departm ent of Ind=ti:aI Accidents. Should you.have any o Cr fhc 1 Mr if you are req-jed to obtain.a workers' compeusationpolicy,Please call the Departm at nmbez Este elow. Self-ij�companies should eatrr their self-imsmn=license mmmbra on the sppropri� - City or Town.Offici2ls r F: Y' ' The:D mtnmfthas mo ided a ace atffie brag . . . _ Please be sure that the affrdaYrt is comple� -d� Iegdily. ep p space � '. - of ine affirIavit foz yott fn fill opt in the e the of Inyes'ng�os has contact you regaFdmg,$e applic arit ce nmbrr. In an lirant 'in in the number �n71 be v_seci as are n � �P lease be sure flI - - P that must submit n Ie pen JE apphtaf ions in given year,stead o snbmif one affidavit indicating cvaent ' policy information(ifnecessmy) imder'Job Site; a the applicant sho d write'all locations in - (city or town)."A copy of fine affidavit been officially ed or mazked by tie or town may be provided the applicant as proof t�a valid davit is on f ac;fur fvtzzre ermiis or li A-n w affidavit must be filled out e aclt year_Whea e a home owner or is obtaining a lioeuse permit natreia±t tn' business or commercial ventrae (L e a dog license or pew um leaves etc.)said person NoT rmp is in couhple• this affidayit . and uld You an ns, e Office of would like to thmkyon.in a&m ;aryour mop�iion Y Y.�o Th please do not hzsftBta to •cis a ea1L The Departmeofs telephone chid fxxnumber. Dq=tin=t cif F>L ta _ 6Q3 W - LZ e riled 4-24 Q I ti► YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 'a A Fill in please: i :a :''r,,�1 . ;1r 1R;.;" t APPLICANT'S YOUR NAME, Iv ', 1 UI 7 r f'1'r''irR�i�.r >.:. kAN}v_7 iUaui1 !!"'` ",%y�I"io �n,. ' °E. B I ES YOUR HOME ADDRESS:As I'• w).a�{jr5r; ,v}r Jll{' i€ •"�102 r'yjF r `4 P'�1 . TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS n �UQ.VI'L�5 TYPE OF BUSINESS C ivr IS THIS A HOME.00CUP T,I,ON? E NO ADDRESS OF BUSINESS N� �� �' ' + i-� . Oi3� MAP/PARCEL NUMBER r� �l (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 I . 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 hgve the appropriate permits and licenses required to legally operate your business in this town. SSIO ER'S OFFICE MUST COMPLY WITH'WOM O LIRE TO 1. BUILDING COM rj,0NS. PAI This individu I h �i.nf r o an permit requirements that pertain to this type of.busirat.ES AND REaULA _ COMPLY MA`S RFSUL! III! SINES. Au ho ' e S! re** C MMENT Q/11 - J 2. BOARD OF JEALTH This individual has been informed of the permit requirements that pertain to this type of business. . Authorized Signature* COMMENTS: I I . 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS; Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division * Bnaxsrnar.E. MASS .039 $ Tom Perry,Building Commissioner s639 ♦0 'OrFo A 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5Q8-790-6230 Approved:- Fee: 35 Permit#: 6?0 7 416L3A3 HOME OCCUPATION REGISTRATION Date: Name. �( I�i�� Phone#:0 �1 —00 n Address:49 _Pc5aLQek. kAn(o_ —0,a 6 3d, Village: Cam' kJN`1C —1017714 Name of Business: i =ll�tf S C I � Ule _ Type of Business: C 6ekyiCeS Map/Lot: l �I INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit:` • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary m residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home - Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the:same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the under si av r-ad and agree with the above restrictions for my home occupation I am registering. Applicant.• Date: Homeoc.doc Rev.103113 ex /�61,114 /1&17, SEPTIC SYSTEM MUST �E Assessor's map and lot number :j.� --�<.. .... �t STALL 7-7 I.l coy,`31LIANCE WUH A, TiC=..E II STATE SAiNITAZY CODE AND TOWN Sewage Permit number . .......... ........ .. FZEGULATIQNS�, ,..-_.. yoF?NEtp�° TOWN OF BAR.NSTABLE ii • i SAWSTODLE, i "b 9 RUILIG I SPECTOR '0�0 gar a APPLICATION FOR PERMIT TO ...........7 L:D......................................:....................................................... TYPE OF CONSTRUCTION ................ �..........................................................................:....................... . ....1?.�........ .......19.6........ TO THE INSPECTOR OF BUILDINGS: } The undersigned hereby applies for a permit according to the following information: Location ...�.�..4.2-3......�4 1)1:PO� .... s ............CIE/I/ �. .:........:... C t` ProposedUse ...^ \. . .��- .....l- f ..E. ....: � �. C.............. ............................................................. Zoning District .........................:..............................................Fire District ............. /... F Name of OwnerE� �:. ?C.C�!1.� ,.. � V .. UI.IY .✓. .... !..r:�lr�� l ��� .... ... ( .. .Address Nameof Builder ..............................................Address .................................................................................... J , Name of Architect. -r �...7� 1 � �.�. .�........Address �.�/� ................................. Number of Rooms ......Ic:.........................................................Foundation�I.. �' !..-b......��.f:�64�..t..t�.:................................. Exterior ...c 'kI .1.fCt''!-ram':.:. ....................................Roofing d�5 t- ...5. .1. L .................... ............ ........... Floors �"f L./!� .......................................Interior ....7 .G $ u— ........:.................................................. Heating �� �� ...................................................Plumbing ......�� .................................................... Fireplace .........Y'� ..............................................................Approximate Cost .......*.isle..�®.Q..................... . . Definitive Plan Approved by Planning Board '1l�1_11_-_���-___--__19 -. Area = 1?°::............�:.............. Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH t E O I l a- V ffl© 2 S iooa e. • 10 ' I luoo , 8-. 16 FVP W04T�JR( YoRCN i6� j I — r � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. I, A Name =A1 ........................ Daniel A. Brown Jr. , Inc. No ....1.833.. Permit for .........one/r..-,�Inc- l single family dwelling ........................................................... Locationiq Padlock Lane ....................................... Centerville ........................ .....:.......................... Owner Daniel A. Brown ' .................................... .......................... ; Type of Construction fraine .......... ........... ................................................................................ i Plot ........................ ...... Lot .................. 2 3........ Permit Granted :......January 14 74 ............................... Date of Inspection Date Completed .......................:.,.............19 PERMIT REFUSED ................................................................ 19 f ............................................................................... ................................................................................ + ............................................................................... o t r • ............................................................................... E R Approved o ' ............................................................................... h. — _ Ajsessor's map and lot -number ..............�... .....".�171 1 Y� �� � C am` r .. ...... SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE wage 'Permit number . ....`U'//'.... 4 :WITH ARTICLE LE II STATE 'SANITARY CODE AND TOWN SNE r-�y 3 _ TOWN OF . j3ARNSAAB I Es,E BAHHSTABLEj: "AB` : �UFILDING INSPECTOR 9�0 1679• `0� * n. lMPgAr• :a, &T r+ t' �' - w _ M APPLICATION FOR PERMIT TO. . .... /,( � Sr.. oe2............................G . .......o ..... TYPE OF- CONSTRUCTION .......... ..... .�C..�V.:C�..�`..... ...!4M. �. .f�./........ .�..�............. ............... .............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby (applies for a permit according to the following information: ...... 4 .... . .................... .`....................�..... .C.✓l./✓.�........... Location ........ ...........�..................... ProposedUse ...S :� c�� r........................................... .... ............................................... ................................................................ ZoningDistrict .......... ..............................................:....Fire District .... —...0....................................................... Name of Owner .... b...... Ci: ` .......:..........Address ...1.... ... �... !�l G C7.\.....!�(..S!.f...... .............. ` .. 4........... .71- Name of Builder ..... -r...............................................YQNddress ... ^�`.. � d �......4�. . .. ................ Nameof Architect ..................................................................Address .................................................................................... .......Foundation Number of Rooms .........................................%................. :................................................................. Sp- Exterior ...Roofing .................... Floors ) t F C Ce..C....:�.�...... ......................................Interior .....................................�G....... ....................... n.. 0 ev l Heating ...U..f�`... ....................................................Plumbing .........../.! .� ............................................................. Fireplace, .. t N ..............Approximate Cost .. r Definitive Plan Approved by.Planning Board ---------------------_-----------19--------. Area .. .M... ��A/v�C ` co Diagram of Lot and Building with Dimensions Fee / ......... ................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................. Adam, Jacob No ..... Permit for-....remodel...garage to Ist floor . ............................................................................... Location ...........1.91a.albck Lane . .. .... ... KNIUMM Centerville ............................................................................... Owner ,.., Jacob Adam ........................................................... Type of Construction .........ram.e......................... t7 ....................... .................................................... Plot ............................ Lot ................................ April 29, - 76 ,'Permit Granted .........................................19 Date of Inspection h.**.I ...................19 Date Compjeted : .............19 PERMIT REFUSE® ................................................................ 19 .............................................................................. ................................................................................ ........................................ ........... ............................................................................... Approved ................................................. .19 ...............................................................................