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I i�:& IfAl�. 1-11 , , `_ ;;�� rl i RA WMAMM ';O,'��A.'.Ir�' Jl,i�-',f,`��:,_"'�' � UES Mud NQNgm Sul W.M-m-w"'ll." -1 , ,,, -.1 1. , . ­­ I , �i,1.11�, , ,),� , , -4 4� %, %_ ,����111111111111111111111 , I �', I I � ,1, -'A" ­,�,W �� , ., - ASE�n,e,�,­-"r 'r pfT f",1 t taf . ��i � � - -mg", �, I mmmf � X It"'Th ,­ y n 1" Pjwml B, : , --,AM_-N, k 11 �;gm �: 11 ,� - , � __ '.., I IN-Rio-, "w_­Q"g­7' - �, ,q ;�� M#j,gVg_.AQ M, F,�-r,,� MM 'A " , f�.q , ,fik��,&,r -, ;�,§ , ��` W, M. 5 :�,-��,'�,�,t,,PA"q"�f�'t","��,�h'���j .,,,��J, �.,­."", '4," '��,.�'e� ", - - � , w";"� , - � I 112, ,0 I X,)" ��f��, '�,�,��'�'jt, �� 4� . , , , .Z,, I,-­1 k , ,�� ", " -­ - I j ,_hW -, M ', �._­_ ,, � g 51 � , 0 . 1�;_ -­,; ,�,,�,-,,� - I'll, 1�� � ECI� 1­,.­11 1;1­1;�- .1111 ���-,­ .1 I ­i; ,�;;�,�_-g ,­ ,­ ­­,�,­­ , , — YOU WISH TO OPEN A BUSINESS?, e z 7 For Your Information: Business certificates.(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME.in town (which you must do by M.G.L.-it does not give you.permission to operate,) You must first obtain the necessary signatures on thisform at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. .DATE: 10 VC,010. . Fill in please: - APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: s� ewe M TELEPHONE # Home Telephone Number �• NAME.OF.CORPORATION: --� NAME-OF'NEW BUSINESS TYPE OF BUSINESS L�CJ� Pr IS THIS A HOME,OCCUI TION? YES. NO 1 i ADDRESS OF,BUSINESS 4.:h MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally'operate your business in this town. 1 ' BUILDING COMMISSIONER'S Fl E MUST COMPLY WITH HOME OCCUP, This individual has bee or f any per Gq1ments that pertain to this type of business. RULES AND REGULATIONS. FAILURE Author ed Signature** `o COMPLY MAY 4��S�JI�T IN FINES: COMMENTS: l a a 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** y COMMENTS: 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 SAME rqr Regulatory Services ti Richard V. Scali Director 0 STAB Building Division BMMM^S& g' Paul Roma,Building Commissioner 1639. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: • Fee: Permit#: HOME OCCUPATION REGISTRATION } Date: Name:EM Phone#:�J�J ,���D t;��bc) l Address:�� �L �7�' village: CRCTE�;�/1�---�� Name of Business: Type of Business: ` ` , -Map/Lot:� q CS INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation r within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution`. - After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to.the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. L• 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 CSz�(,=, 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 undersi ed,have read and agree with the above-restrictions for my home occupation I am registering. i Applic Date: Homeoc.doc Rev.06/20/16 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 'Map2- Parcel Application # I Health Division Date Issued g Conservation Division Application Fee Planning Dept. Permit Fee 13a y cab Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis . '0 Project Street Address �� � WAY' Village l a Owner Address Telephone Permit Request1�'� .-�o� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 900 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family I/ 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%gal stove Yes LJ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0 e isting ❑ ew :zJize Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _�z . Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use ® M. APPLICANT INFORMATION --(BUILDER OR HOMEOWNER) 01� � .1 zc�gs Name V"\ LV Telephone Number 10 ? I ^ s000 AddressAS WOOD L F�V License# 6S Home Improvement Contractor# �� Worker's Compensation # 7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO UUM� e- 46aee_�4 SIGNATURE L'"TE L/ �- FOR OFFICIAL USE ONLY APPLICATION# _DATE ISSUED MAP/PARCEL NO. !; ADDRESS VILLAGE } OWNER DATE OF INSPECTION: / FRAME (mll`l INSULATION Ic 9 1e 9-/.Avo�e— FIREPLACE i; ELECTRICAL:... ROUGH FINAL - i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Get / 2A DATE CLOSED.OUT ASSOCIATION PLAN NO. as �• „�,'. � < ' The Corn•rtxonx€e t o,f Massachuse s Deporftnent of fides ial Accidents - = Offwe of nvestigadans 600 Wayhingtnn&reef .Bastarj.M4 02HI ''' t1�FtJf1?Jr�as�go�dii� . 'workers' CompensationInsaralace 4-ffidavit:BuildersfConfi-a:cinrs/FIectriciansTlambers AppEcant Infarlmation Please Prnmt Legibly Name(r usiw-s/argmizationadividuao: U tA Lo City/ tat:elZip: L� M N7 Phan 4- t t - 3®c�� Are you an employer?Check.the appropriate bar: i ,. of project ect •r 4-. I�.s c.anfractor and I Y� PT J ��3uired}: L&I am a employer with ❑ tS_ ❑New crostLi soa employees{full and/ospart-tme}* have hired the sub contractors. listed on the attached sheet y- (��Adelg These �-❑ I am a sore proprietor or partner-, sub f t h-oonracors ave�`' ' slop and have no employees $_ ❑Denwlifioa w for me in any c ci employees and have workers �� Y � �- _ . 9_ ❑Building addition [No worke s., comp:iasuranre "Comp-iusuranml r rezaired-., 5�❑ We area corporation and its 10..❑Electrical repairs or additions I❑ I anaa bamenunes doing all work ofEcers hn-e exercised fheir ILL]Plumbing repairsaor additions Ir myself [No workers'camp- right of eimmption per MGL 12.0 RDof repairs insrranrerequire _li c.152, §1(4} and wehwe,no employees [Na workers° 13_0 Other comp.Insurance requiredI.l *Any applibnt that checks box W 1 must also fill oia the section below show*4heir woekers'coaipensatioa policy iu tsatitr� T Hnmeoaners who submit dais&$]davit inc3acxCkg&zy are doing all work snd dL-hire outside contractors mast Skit a uecs a�dsri nrir�inc such_ t bntracmrs drat check this box must sttached as addiri nsl sheet showing the name off 8ie soft s and zte�whether x not tbnss c hies fi emqlayees.. Ifthe sub-contractors hxwe empIogees,&T mast provide tlt workers'comp.policy u1m3ber_ I am an employer Mat ispmidiag workers'conkm?midon insurance for my emptayeex Betotr is the poE acid job srte information_ Insurance Company-Name:, Policy 9 ar Self-ins-I.ic_4..W4=e `rU, )4e Exp'uationDate: Job Sim Address: �lGL.— L�H �a��—Cit�,i°StabelZig: Attach a copy of the workers'compensation policy declaration page(shaming the policy number and expiration date). Failure to secure coverage as required.under Sectioa 25A of MGL c. 152 can head to the imposition of criminal penalties of a fine up to$1,50D.OQ and/or one-year imprisonment,as well as cizai penalties in the form.of a STOP WORK ORDER-and a fine ofup to$250-00 a_day against the violator- Be advised that a copy of this statement may be fiQrwarded to the Office.of Immg igations of ffie DIA fur incaxsmce coverage verbcation_ I do hereby ;f r tinder spurns andpen es Dflrerj thatthe itnformidian pratdded above is bwe and correct 3 i Sienature- Bata: Phone g: ,- official use orrty. Do n:at write in this area,to be completesd by cifyy or town of ciaL City or Town: Pern itlLicense# Issuing Authority(circle one): 1.Board of Health .2.Building Department 3.Cit frawa Aerie 4.Electrical Inspector S.Plumbing Iicpector .6.Other Contact Person: Phone#: 6 F Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or; lied, oral or written_" An employer i defined as"an individual,partnership,association,corporation or other leg entity,or any two or more of the foregoing engaged in a joint enterprise,and including the Iegal representatives of a aged employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employ g employees. However the owner of a dweAg house having not more than three apartments and who resides there' or the occ.mant of the dwelling house of other who employs persons to do maintenance,construction or rep work on such dwelling house or on the grounds or adding appurtenant thereto shall not because of such employmen be deemed to be an employer." MGL chapter 152, §25C also states that"every state or local licensing agency sh I withhold the issuance or renewal of a license or pe it to operate a business or to construct buildisigs in t e commonwealth for--uay applicant who has not prod ed acceptable evidence of compliance with the ins ance.coverage requied." Additionally MGL chapter 152, 25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the pe f rmance of public work until acceptable evidelic of compliance vhth the insurance requirements of this chapter have be presented to the contracting authority_" , V Applicants — Please,fill out the workers' compensatio\Also vit completely,by checking '' e boxes that apply to yrur si cation and,if necessary,supply sub-contractors)namr s(es)and phone number )along with the i cer ircatc(s) of insurance. Limited Liability Companiesr L ed Liability Paris ships(LLP)wiul no ennploye-,s other than the members or partners,are not required to rkers' mpensation i ce_ If an LLC or LLP does have employees, a policy is required. Be advithis affi t may be su mitted to the Depat�ent of industrial Accidents for confrmafion of incnzance . Also be re to si�t/II and date the a,�da� t 'I1�e ai�idavnt should be returned to the city or town that the ap for the pe. or lio`ence is being requested notthe Department of Industrial Accidents. Should you have aons regarding th 1 or if you are requi-ed io ob in a zaorkers' compensation policy,please call the Department at the number below. Seli insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials /0b ji Please be sure that the affidavit is cte and printed legi y. The Deparbsent has provided a seas--at'ihe bottom `� t of the affidavit for you to till out inent the Office o vesti aiions has to con�c� regardinge t Y ou �h applicant - Please Y aPP Please be sure to fill in the permit/lnumber whic be used as a referencelnuinber. In ad.diticn,an applicant that must submit multiple pennitllipplications any given year,need only suffmii one ardavitindicating current policy information(if necessary)anr"Job S Address"the applicant should wrie`all locations in (city or town)."A copy of the affidavit thaten offi ally stamped or marked by the city or toven may be provided to the applicant as proof that a valid affidon fil for future permits or licenses. A new aff davit m?�i be gilled out each year.Where a home owner or citize g a license or permit not related to any bus ness car commercial venture (i.e.a dog license or permit to burn )said person is NOT required to complete this affiAvit The Office of Investigations would thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,teleph&and fax number: / I$e�or�rmon mnlih of Massachusetts Depai� nent of Industrial Accirltnts Office Qz MvI�Sfrgations 600 Washingtan St=t Baste,MA 02111 Tel.A 617-727-4900 W 406 or 1--977 MASSAFE. Revised 4-24-07 Fax ft 617-727-7 749 WV;W.masS-gcv1 is 1 "�� "" I d g`�i :.> rc - ri '� i -F t frxs - "`'.:,z'.a3 n arty i�d., e - i 1. a A4 awRiNIII i 'Cti.j-f bx� 1. { a,!{ ,, x. , ° . . . .' i� ,:. .:;-: , w .. .ti . u Public Safety X . P b . husettsI.-De artment of Y Massachusetts p Board of Building Regulations and Standards : *I..�:.�... Construction Supervisor - ,. License: CS-027 012 fij JOSEPH M CONS�Y.VO- ' ` tip .45 WOODLEY AVE � s, . .:: fi ,-, W ROXBURY MA 0213 .., . .--I . .. . . : : - . .I E /i . ` i �. -�- F- ,rn; . . Expiration Commissioner 10/19/2015 . L. - I - - c, ." - .. .» ....... a t - i .. .-. �sl _.' :. "- .:- .: t ........_ ,:::.-- I a- ... .. 1. .. - .. n .. .. .. ._ .._ -, ,. s lu - .. . .4 .. .'-- , r } a -..:. .- ,-: .. , n. .. - y ,.. -. .- --:: _ r k. . t rr } r ". .. 1. w .. ;, s . . - : .- 1�1- ..:. 1-.: . .. - .- r { .. - 4 - k� - ' .. _ ,,. :. - r . ,. m t;; t :.i i. .. . -.. .. ., , . % . r _y , »:: " .,-.,. ..',' .., A . r<.. , � - _ _ f./.'r'r F- •�..,;" r YH.r.%.•'!i (./_ /frr. rr r'/rrr�rl!r '' :•.. GC.(iecoCCousunxec.A1L•irrs&�L'usidcssitcguiatiou ,�� A� #OME fMPROVEM ENT CONTRACTOR vi estratian: •.1'77e2E Type: �iration: A/14=16 CarporaEion UNIONCONSTRUCTI0N; fPJC;:'. {' JOSEPH CONSALVO;` 45 WOODLEY AVE: WcST ROXBURY,MA 02132 Undersccrctary ' i� 1 UNIOCON-01 KESTANO ACORD° CERTIFICATE OF LIABILITY INSURANCE DATE 719120/YYYI) /9/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Kelly Estano Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 Atc No Ent): I IAIC,No):(877)816-2156 South Dennis,MA 02660 -ADDRESS:kestano@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Associated Employers Insurance Co. 11104 INSURED INSURER B: Union Construction Inc INSURERC: c/o CAS 50 Tanner St INSURER D: Lowell,MA 01852 INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTIRR TYPE OF INSURANCE A D B POLICY NUMBER MN DD POLICY EFF POLMM1DD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR A A RENTED- PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE I ER _ A ANY PROPRIETOR/PARTNER/EXECUTIVE Y� X N/A WCC5004661012014A 07/0612014 07/06/2015 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Boston THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1010 Massachusetts Ave. Boston,MA 02118 AUTHORIZED REPRESENTATIVE /IAItYaN /r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i °� ETO,'ti Town of Barnstable ' Regulatory Services BARNsresi a. KAS,s. g Richard V.Scali,Director i639. `0 & Building Divisi6n Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �. � ,as Owner of the'subject property hereby authorize to'act on my behalf, in all matters relative to work authorized by this building permit application for. kWALY (Address of Job) ' " "Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant EMM A Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOI S r Town of Barnstable Regulatory Services �oF rgtyy Richard V.Scali,Director �P o ! Building Division Tom Perry,Building Commissioner brass 200 Main Street, Hyannis, 102601 jDr�O �a www.town.barnstable. a.us Office: 508-862-403 Fax: 508-790-6230 HOMEOWNER LICENSE MPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": • name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to' clu e owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hue who does not p s ss a license,provided that the owner acts as supervisor. DEFINTTI OF HO q)a�4 y Person(s)who owns a parcel of land on which he/she resides , n: tends toecbh �is_ ed to be, a one or two- family dwelling, attached or detached structures accessory to ucli\\`u`se and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeow er. s`:ch"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be reSD ible fd all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for ompliance witb�the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she and rstands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will co y with said procedures add requirements. Signature of Homeowner Approval of Building Official \� Note: Three-family dwellings con ' ' g 35,000 cubic feet or larger will be re , to caply with the State Building Code Section 127.0 Construction Control. ¢ K z HOMEOWNER'S EXEMPTION The Code states that: "Any ho eowner performing work for which a building permit is required shall be exempt from the provisions of this section(Sec ' n 109.1.1-Licensing of construction Supervisors)`;provided that if the homeowner engages a person(s)for hire to do such ork,that such Homeowner shall act as super .isor.,� Many homeowners who use this exemption are unaware that they ar � ,� a es-.ons*i 4 fa supervisor (see Appendix Q,Rules &Regulafior�s for Licensing Construction Supervisors cion'2': 5�' t�i I 1C axeness often results in serious problems, particn�Gly when the homeowner hires unlicensed persons. In thi case,our Board cannot proceed against the unlicensed per on 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 061313 1tC � Customer Date 1 6e a UT":' 0 Address �� ���� Phone /+ c�"� lane t ,Ts ;� C-e '` By Sheet*-.Of Sheets 2 4 6 8 10 12 14 16 18 20 0. W� �-`yJ„'A Wl2c�1i j- . CITF.,VcS; 4 if - .-�� •I I .1, 1 � 1. { k ` 1 _j...�{ � 11 { � 1 -1 + I �(._ � , s �s f I i, I �' �� i i 3 �• j f�1 I — 4 ,I I t I I 1 i f 2. .N1���. — ! t r f ± (y/,' I ? )77; 1 i f I jj r `iI JIt I 8 r i _ 10. ;i" 12 �.. .. S/Gnu at 14 , I Scale: 1/2" = 1'0" (Each Square = 3") Note: At corners check both cabinets and appliances for clearance of doors and drawers. 0 2 3 4; 5 9 10 11 12 13 14 15 16 17 18 19 20 21 1417 r NEw �' (=V\j W I N V o W ii t NC_t_u-n 1_S �� R d lD Designed For: f d4 PU tyI ( Name Street Ni _ I J_ � City State Zip )4 r I _ �3 P� o �� vl 3w �, y D k Designer Date D CO R 5 t E P ° V/ Scale Revised Cabinet Line / t j �`• � �� Door Style S 3/� 3X i j Wood Species/Laminate Finish S r � Hardware z I - Additional Information 04 :U WV L— SOV h1OZ "P 2 of \ Page '1 , t31 DUE3ASUPREME C A 3 i N F = R Y 300 Dum Drive•Howard Lake,MTV 55349 { r Phone(320)543-3872•Fax(800)242-3872•—..durasupmme.com l ©Duna Supreme U I L j 4 5 b tS y Iu 11 1� 13 1'+ 17 10 1/ 10 17 Z.0 /c .! J LI v •,u J l __ .._,.7 r.�.; ^.� �.^ -of Designed For: ; 1( Tyr � • ' -. � I• �R.Oj _ ( �P.Cl ��.f3��� 3�fl;I Namel Street TS City` State` Zip v.' ! Designer Date /. Scale Revised �2 ? �Z Cabinet Line K p-. Door Style - o l.: i T,j,y;" I.!!r. �•� ! '1 i 'j GFS' f%Iql .'.. (' u- 1,6!f2 Wrtood Species/Lam inatev rz Finish Wyt7 IHardware 1'2- 3nr x L`!/z Additional Information OF r-1 PageA. , I f { ! ` i I W I I Z r— P. ^� 7^ r� ! DURASUPREME A i> ? N E T R v 300 Dura Drive•Howard Lake,MN 55349 Phone(320)543-3872•Fax(800)242-3872•w—durasupreme.com �. ©Dora Supreme l E n Assessor's Office 1st floor Ma 2.0 Lot Permit# 32,5 7 Conservation Office 4th floor) Date Issued 1� � Board of Health Ord floor) —�2>-��S� Engineering Dent. Ord floor) House# Planning Dept. (1st floor/School Admin.Bldg.): $ ,,wrAux F KAM .. Definitive Plan Approved by Planning Board Aj D i) 19 SE M MUST BE (Applications rocess :30-9:3 M.& 1:00-2:00 p.m. ^/� ° INST INCOMPLIANCE ecf %V M TITLE 5 , . NVIRONMENTAL CODE TOWN OF BARNSTA TOWN RLFS 9" AT, (per Building Permit Ayplication ? AI Project Stre Addr 6 I-VI'liJ J,(A / 0 Villa e Fire District (honer Address b7 d9�✓ C: � Telc hone 1f— 7 Y� Permit Rc uest: a C! SI s A /0", (, Zonin District Flood Plain Water Protection Lot Size & Grandfathered Zoning Board of Appeals Authorization Recorded Current Use /b Proposed Use ri (.mrii Construction T C_ Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement tope Historic House Finished Old King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ///W Telephone number Address v License# M53 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 kt;,?L#TO Col 1�7i/ Proiect Cost Fee SIGNATURE DATE 3 0�-Cf' BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T 3/30/95 �-517'5" FOR OFFICE USE Oiv1 Y � 208. 115 62 Pheasant Way Centerville ; ADDRESS VILLAGE - F Markwood Corp. "� � • ,x OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE z ° ELECTRICAL: ROUGH FINAL �' t PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED OUT: 4I$ r. `, r• f Wit, ti ASSOCIATE PLAN NO. cr P'" TOWN OF BARNSTABLE BUILDING PERMIT i PARCEL ID 208 145 GEOBASE D 12787 ADDRESS 62 PHEASANT WAY PHONE i Centerville ZIP - I i LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 8909 DESCRIPTION PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY Department of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: TOTAL FEES:' BOND $.00 O� CONSTRUCTION COSTS $.00 * BARNSTABM # MASS. OWNER MARKWOOD CORP. , �EG 39. A� ADDRESS 307 FALMOUTH ROAD HYANNIS MA BUILDI DI I DATE ISSUED 07,/14/1995 EXPIRATION DATE BY i DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING: DATE: `;COMMENTS: ►. f PLUMBING: DATE: COMMENTS: ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: t TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. TOWN OF BARNSTABLE, MASSACHUSETTS AR_08. 1f5 ttii Y"�ti .3� 95 NI Q 37575 DATE 19 PERMIT NO. APPLICANT Tiirotfiv Pearson, ADDRESS 15I �.'crri:lge Ln. f bar s2t ie 76 F (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO i�uild dwell�.m- i Single family residence NUMBER OF 1 (_I STORY - DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE). 6:1 1'�Ii? yi332t Way, CientPnyilie, ZONING kC AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT BLOCK LOTSIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION • (TYPE) REMARKS: sewage 195-182 AREA OR VOLUME 2587 SCE. 4t. 100,000 PERMIT 215. 15 ESTIMATED COST FEE (CUBIC/SQUARE FEET), - OWNER Markwood Corp. y� ADDRESS 307 Falmouth Road, hivannis, .,!A 02601 BUILpj'ODEwT,f:'. THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL-INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(RE TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECT) N APPROVALS PLUMBING INSPECTIONAPPROVALS ELECTRICAL INSPECTION APPROVALS `::1 r1lulm 21, �� 9s 3 H TING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 61xs BOARD OF HEALTH . � OTHER SITE PLAN REVIEW APPROVAL 7/4 9 WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. t A L r r I,I r 1I i , i , . I I OF M,1 N- r I t WAYl •t+o.�aoas � I J(rt,41� 'L48 /�G Zi 145 Zo lg Re ;?v 0 t : . cE.eTi.�iEo AZ-07 nGa,v T/-/AT T/-/� . �ov.v�4770AI LaG,4T/O.L/ CENTExz vie �S'.�/c�Gr/it/yE.2EO�f/COCti1.C'.L YS hGt//Ty SC.4 L G- 7'-/-/ /AEA/�vE ANo SETBA C,� Q'4 T� �EQf//.•2E�s'!Ei(/TS o.�' T.y�' Tot�t�NaF /�.C.�4it/ .2E.c'"E.2Eit/C'� �3.A,r�,V srABC� ,q�vv /s 4OT Lrii�'y]/mac✓ Th�� .�LoaaoG4/.f! 4 Tom:-4�'� 9S / ,,.� f G AL� 129 .U, I(/oT 'I oo B-QSEo ,c/,4i(/ i2EG/STE.2E1J l�Qc/p �cU.�I,.�YQt-�/yST,e'U�/Eit/T S!/,eYEY� Tye O'� `'ETS SyaL�/.T/S.�/ovL� �SJrE•21//.G.C�a HfQSS. �'�1t/i(/E .1-!>T /NE. .4Oi��./C,�{/✓7" le,7--------------- BE�,T ✓. BEV�G 4 [�tJA �NST. PRICE & MYERS, P.C. ATTORNEYS AT LAW 6F BAYBERRY SQUARE 1645 ROUTE 28 CENTERVILLE,MASSACHUSETTS 02632-2936 WILLIAM A.PRICE,JR. TELEPHONE (508) 790-1221 THEODORE J. MYERS TELEFAX (508).790-1238 March 28, 1995 To: Ralph Crossen BY TELEFAX & FIRST CLASS MAIL Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 STATEMENT Re: Contiguous ownership of Lot B, 62 Pheasant Way, Centerville, MA shown on Subdivision Plan dated November 6, 1967 and duly filed with the Barnstable Registry of Deeds in Plan Book 229, Page 49. Said lot is also shown on Barnstable Assessor's Map 208 as Parcel 145 (hereinafter referred to as "Parcel 145" ) . Present Owners George I. Coughlin & Nancy D. Coughlin Date Acquired May 20, 1969 Date Recorded May 22, 1969 Title Reference t Book 1437, Page 760 The following 3 lots are contiguous as shown on Assessor's Map 208: Parcel 144 currently owned by Edward G. Northup and Cynthia V. Northup - title derived by deed dated April 3, 1968 as rocorded on April 4, 1968 in Book 1396, Page 328 with said Deeds. Parcel 73 currently owned by William L. Proctor and Charlotte Proctor - title derived by deed dated. August 31, 1955 as recorded on October 16, 1959 in Book 1057, Page 310 with said Deeds. Parcel 150 currently owned by Sharon Gifford by deed dated March 18, 1989 as recorded on March 27, 1989 in Book 6673, Page 116 with said deeds. PAGE ONE OF TWO Parcel 150 (cont. ) prior owner - William L. Proctor and Charlotte M. Proctor by deed dated August 1, 1961 as recorded on August 7, 1961 in Book 1124, Page 119 with said deeds. I hereby certify that according to the records of the Barnstable Registry of Deeds, that neither the current owners (George I. Coughlin and Nancy D. Coughlin) of said Parcel 145 or the prospective purchasers and applicants for a building permit (William R. Couet and Beth A. Couet) have owned any of the aforesaid contiguous lots after May 22, 1969. It is my opinion that since the Parcel 145 was a legal building lot on May 22, 1969 and the current owners or aforesaid prospective purchasers did not own any of the three contiguous lots on that date, that Parcel 145 is therefore grandfathered, should be considered a buildable lot, and a foundation/building permit should be issued. Respectfully submitted, William A. Price, Jr. , Esquire cc: William and Beth Couet r --... -- � rF wrc 28.6191 ----- -\suesmn.aceac: -- in — --- sO xWlti.SDt. ; --_ om gns �7. > /, - - n(p�199a (s Res ery e0 r 0 G R i u ILI li L" - .: Q .. Rm-urwlnArmAcvs--+ Pl elrmindry plans dn0 layouts by DC.D.are IOr the use 01 their CUston(ers Only.Any Other use is strictly Pron,wte I 5 sU.:; T 1 - soa•aza•�h' a evl in @ustom 9 a es ignt 0 Igo-, r Rnnc'a*�•anti ------------ g cow,.Qh, Alf Rgnts 09- Res er ea 04 fit._.-_--. 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