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No,i-52
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,yarrows, Debi
From: Steve M <smerlesena@gmail.com>
Sent: Tuesday, September 01, 2020 3:05 PM
To: Florence, Brian
Cc: Shea, Sally; Barrows, Debi;Amara,William
Subject: Re:4337 s main;streef'back ga ge needs newseparate`meter
Ok great
ill get on that right away. Thx !
Steve Merlesena
Green Line Realty
President
914-815-5062
GreenLineRealty.com
Manhattan's best buyers broker incentive - buy an apartment with GLR and get 25% of our commission !!
On Tue, Sep 1, 2020, 2:50 PM Florence,Brian<Brian.Florencektown.barnstable.ma.us> wrote:
Generally you would have an attorney write, notarize record such an affidavit. I am not sure how to record documents
from afar during the age of COVID but if you go online at the registry they may be able to provide guidance.The link for
the registry is: https://www.barnstabledeeds.org/for your convenience.
Thanks,
Brian Florence
From: Steve M [mailto:smerlesena@gmail.com] ®®�
Sent: Tuesday, September 1, 2020 2:45 PM
To: Florence, Brian
Cc: Shea, Sally; Barrows, Debi; Amara, William
Subject: Re: 337 s main street back garage needs new separate meter
Thank you. I'm currently in NYC for at least a few more weeks.... can I,get that form emailed to me? and i
can get it notarized and send it back to you...
1
Y$teveXerlesena
Green Line Realty
President
914-815-5062
GreenLineRealty.com
Manhattan's best buyers broker incentive -buy an apartment with GLR and.get 25% of our.commission H
On Tue, Sep 1, 2020, 2:40 PM Florence, Brian<Brian.Florencektown:barristable:ma.us>wrote:
Mr. Merlesena,
1 would be happy to approve,this request if you record an affidavit at the registry of deeds stating that the accessory
structure is not and will not be used as a dwelling unit or made available for rent unless.the proper permits are first
obtained. Kindly provide a copy of the recorded affidavit and. I will authorize the issuance of the permit.
Regards, p
Brian Florence, Building Commissioner
Town of Barnstable
i
200 Main Street
Hyannis, MA 02601 -
I - I
i
(508)862-4038
Brian.florence@town.barnstable.ma.us
From: Steve M [mailto:smerlesena(�Ogmail.com]
Sent: Tuesday, September 1, 2020 2:18 PM
To: Florence, Brian
Subject: 337 s main street back garage needs new separate, meter
2
f
}
Hello Brian
f
My name is Steve Merlesena, I'm born and raised on the cape in osterville and I purchased 337 s main street
in Centerville early in 2020 as an Investment property..I rent out the front house and on the back side of the
property there is a barn I want to use as a hobby barn/man cave whatever you want to call it. Haha.... I was
told I need to get a letter from you to ok this so the electric bills are separate from main house.
There is electric that comes through a sleeve in the ground to the barn, but it looks pretty old, so i
:. figured let's get new electric service for safety and get it separate so no issues with main house bills. I'm
trying to get the ball rolling asap with the electrician and get this done right away, any help would be
i appreciated
1
Please let me know, thx !1
3
i
Steve Merlesena
i
Green Line Realty
President
914-815-5062
i
GreenLineRealty.com
Manhattan's best buyers broker incentive - buy an apartment with GLR and get 25% of our commission !!
j
CAUTION:This email originated.from outside of he Town of;Barnstablel Do not click links, open:
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attachments orreply, unless you recognize the sender's email address and know the content is safe;l
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3
Town of Barnstable BuRdIlg
t Post This Card So That It i'sVisible From the Street-Approved Plans Must be Retained,,on Job and#his Card Must be Kept
u�vstnece .
Posted Until Final Inspection Has Been Made.,
' Where a Certificate of Occupancy.is Required,such.Building shall Not be Occupied until a Final Inspection has been made. Pe mnt
Permit NO. B-20-1829 Applicant Name: Jonathan Whipple Approvals
Date Issued: 07/16/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 01/16/2021 Foundation:
Location: 337 SOUTH MAIN STREET,CENTERVILLE p/Lot: 207-068 Zoning District: CVD Sheathing:
Owner on Record: KUHN,CHRISTOPHER P&WILLIAMS,JAMES Contractor Name ,,,JONATHAN N WHIPPLE Framing: 1
Address: 49 WEAVER STREET Contractor Licensee CIS 078683 2
CENTERVILLE, MA 02632 I Est. Proje` t Cost: $8,550.00 Chimney:
Description: Insulate attic,kneewall,common walls, basement sills and, Permit Fee: $93.61
e l Insulation:
crawlspace. Install 10 MIL ground cover,home air sealing,8 roof -
1 Fee Paid:' $93.61
vent,ventilation chutes and perform combustion safety,/blower
door test. _. Date: ' _ 7/16/2020 Final:
Project Review Req: x �y. Plumbing/Gas
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 after issuance.
All work authorized by this permit shall conform to the approved application and the pproved construction docume�ts for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall b 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 Rough:
_ w g
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
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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6 ni`�✓� Final:
G 11; 5 T
Anderson Robin r
r
From: Gallant, Therese <gallantt@barnstablepol ice.com>
Sent: Friday, December 14, 2018 10:59 AM
To: Anderson, Robin H
Subject: 337 South Main Street, Centerville
Hi Robin,
As we discussed, I was notified by Chris Kelsey that Health and/or building may receive an overcrowding complaint
about the above address. He was out there today and described what appears to be a landlord/tenants at will issue
(original leasees allowed other folks in who have since established themselves—electric bill in their name etc.) The
landlord was advised to start with a Notice to Quit and that it did not rise to the level of an overcrowding concern based
upon the information the Officer had at hand. This is purely a heads up.
Thankyou!
Therese
Therese M. Gallant
Barnstable Police Department
Consumer Affairs Officer .
Office: 508-862-4667 w `
t
Confidentiality Notice I This email message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential,
proprietary, legally privileged and/or CORI information.Any unauthorized review,use,disclosure or distribution is prohibited. If you are not the intended
recipient or have received this email in error,immediately contact the sender by reply e-mail and destroy all copies of the original message.This email
message may be monitored by the Barnstable Police Department. 5
. a .. f ..
< r
c
e r
o x+
Anderson, Robin
From: Gallant, Therese <gallantt@barnstablepol ice.com>
Sent: Friday, December 14, 2018 10:59 AM
To: Anderson, Robin
Subject: 337 South Main Street, Centerville
Hi Robin,
As we discussed, I was notified by Chris Kelsey that Health and/or building may receive an overcrowding complaint
about the above address. He was out there today and described what appears to be a landlord/tenants at will issue
(original leasees allowed other folks in who have since established themselves—electric bill in their name etc.) The
landlord was advised to start with a Notice to Quit and that it did not rise to the level of an overcrowding concern based
upon the information the Officer had at hand. This is purely a heads up.
Thank you!
Therese
Therese M. Gallant
Barnstable Police Department
Consumer Affairs Officer
Office: 508-862-4667
Confidentiality.Notice I This email message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential,
proprietary, legally privileged and/or CORI information.Any unauthorized review, use,disclosure or distribution is prohibited. If you are not the intended
recipient or have received this email in error,immediately contact the sender by reply a-mail and destroy all copies of the original message.This email
message may be monitored by the Barnstable Police Department.
• 1
.° I. Town of BarnstableBuilding
Post'Thts CardmSo That�t�s Visible Fromahe St[eet zApproyed PlansMusi be Retained-onj; and this Card Must be Kept ,e WLT�1'PABId. &'WAS& ,xi ..,fie £' z � �.�, r ..r a :�✓ -
1G3p " Posted Until Final Inspection&Has Been Made 4 � � rw ;Y� m
� Whe're£a Certificate�of Occupancy is Required,such Building shall Not be Occupied until a;,Final Inspection has been made�' .�z e��lllit
Permit No. B-18-1884 Applicant Name: KUHN,CHRISTOPHER P&WILLIAMS,JAMES K Approvals
Date Issued: 06/15/2018 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/15/2018 Foundation:
Location: 337 SOUTH MAIN STREET,CENTERVILLE Map/Lot 207 068 Zoning District: CVD Sheathing:
Owner on Record: KUHN,CHRISTOPHER P&WILLIAMS,JAMES N Contractor Name' Framing: 1
E ,
Address: 49 WEAVER ROAD Contractor LIcen e 2
CENTERVILLE,MA 02632 t Protect Cost: $2,000.00 Chimney:
Description: re-roof-sandwich Permit F'ee: $35.00
fee Paid:- $35.00
Insulation:
Project Review Req: G Final: .
ffiDat�e 6/15/2018
0 ti Plumbing/Gas
K
( � Q Rough Plumbing:
Building Official
_._ g Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by�this permit is commenced within six months afterissuance. Rough Gas:
a. -` a .: g
All work authorized by this permit shall conform to the approved application and the�approved construction documents for which this permit has been granted.
� , �, r
All construction,alterations and changes of use of any building and structures shalf� in compliance with the local zoning bylaws and codes. Final Gas:
This permit shall be displayed.in a location clearly visible from access street or road and shall be maintained open for publiic�nspection for the entire duration of the
work until the completion of the same.
y Electrical
The Certificate of Occupancy will not be issued until all applicable signatures byIthe Building and Fire®fficials afire provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing
Rough:
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
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
Gr
d�
Application number ......••••
®t ' Date issued............`�....5/....................................
Building Inspectors Initials... ..... ......
! � INN 12 201
.. ... Map/Parcel rQ. ..........................................
_.... . _. !J I�I�� ��� 62 .�.
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATIERIZATION
PROPERTY INFORMATION
Address of Project: 137 ��4fJ .�/9�N
NUMBER //`` STREET VILLAGE
Owner's Name: C�II�sl 4 1�/�u . ��� Phone'Number
Email Address: C�iRI s/�u�N 1® �o ,cam Cell Phone Number
�i9 D
Project cost2 oDO, Check one Residential V 1 Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date: '
TYPE OF WORK
E-1 Siding ❑ Windows(no header change)# 0 Insulation/Weatherization
0 Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles)
Construction Debris will be going tojN �cd7
CONTRACTOR'S INFORMATION
Contractor's name
Home Improvement Contractors'Registration(if applicable).# (attach copy)
Construction Supervisor's License# (attach copy)
Email of Contractor Phone number
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN.
-A#&I .itrrnn►,� AnovnIfAl RFMRF a PERMIT CAN BE ISSUED.
APPLICATION NUMBER............................................................
*For Tents Only*
Date Tent(s)will'be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval,
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles:front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name: 14�uklN r
Telephone Number Cell or Work number
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 To �able.
Signature Date 6/2 f
APPLICANT'S SIGNATURE
Signature C �. Date 6 1,7-/�
All permit appVications are subject to a building official's approval prior to issuance.
• The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington-Street
Boston,MA 02111
www.mass.gov/dia
triWorkers, Compensation Insurance Affidavit:Builders/Contractors/El p lease LedbS
Applicant Information
Name(Business/OrgaruzationftdivWIW): 112J(o 45, e.
Address: 3 7
C
City/State/Zip: hit/✓F-.Q�t� �-i G'Z632 Phone
Are.you an employer?Check the appropriate bog: LT6
roject(required):
4. ❑I am a general contractor and I w constiuction
I'❑ I am a employer with have hired the sub-contractors
employees(full and/or part-time).* wed on the attached sheet modeling
2.❑ I am a sole proprietor or partner- These sub-contractors have molition
ship and have no employees employees and have workers' ilding addition
working for me in any capacity. comp.;,,s,�.e tairs or additions
o workers'camp.insurance ectrical rep
[I;1 5. ❑ We are a corporation and its
required] officers have exercised their umbing repairs or additions
I am a homeowner doing all work right of exemption per MGL of repairsmyself[No workers'comp• c.152,§1(4),andwe have noinsurance required.]t ther
employees.[No workers'
comp.insurance required.]
Arty applicant that checks box A must also fill out the section be
showing their workers'compensation policy information
t Homeowners who submit this affidavit indicatin g trey are doing all work and then hire outside contractors must submit a new affidavit indicatin g such
$Contractors that check this box must attached an additional Ae�de ing the naTne,of the sub-coutractorstheir workers'comp.policy namberand state wbet�er or not those va ides have
employees. if the sob-cont�rs have employees.they must P and job site
roviding workers'compensation insurance for my employees. Below is the policy I
I am an employer that is p ,
information.
Insurance Company Name:
Expiration Date•
Policy#or Self-ins.Lic.#:
City/State/Zip:
Job Site Address:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
as s' ed under Section 2de la MGL' c. 152 can lead to the imposition of criminal penalties of a
Failure to secure coverageq civil penalties in the form of a STOP WORK ORDER and a fine
as well as civ
fine up to$1,500.00 and/or one-year imprisonment, - of this statement may be forwarded to the Office of
ofup to$250.00 a day againstthe violator. Be advised that a copy
Investigations of the DIA for insurance coverage verification.,
aims and p ' perjury that the information provided above it true and correct:
I do hereby c �C�of
Date:
Si ature:
Phone#:
c or town official -
Official use only. Do not write in this area,to be completed by city .�
City or Town' PermitlLicense#
Lssuing Authority(cncle one): P g ector
s1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Insp
6.I. Other
Phone#:
Contact Person:
A,
Information and Instructions
Massachusetts General Lades chapter 152 requires all employers to provide workers'coin'ensation fo
Pursuant:��statute,� p r their employees.
employee is defined as"...every person iri the service of another under any contract of hire,
express or implied, oral or written." ,
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and ap who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or reps work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate.a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage'regnued."
Additionally,MGL chapter 152,§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insuran0e. If aa LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit; The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for'you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple
pemuut/hcense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided,to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc. said person is
p NOT required to complete this affidavit.
The Office of Investigations would truce to 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,telephone and fax number.
The Con mnweallh Of Massachusetts
Department of Industrial Accidents
Off-cc of luvestigaflow
600 Washington Street
BQstQA, MA 02111
Tel. 617 727-4M ext 406 or 1- -MASSAFE
Revised 4-24-07 Fax#617-727-774.9
www.ma. .goVldia
7
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.) You must first obtain the necessary signatures on this form 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: I Fill in please:
t �sfw1,. APPLICANT'S YOUR NAME/S: t-4tX01) LID
4 BUSINESS - YOUR HOME ADDRESS: A! e ✓L16
► Sob -qrT- ► ck- 0
TELEPHONE # Home Telephone Number 7�1 4 0 7
NAME-OF CORPORATION:
NAME OF NEW BUSINESS TYPE OF BUSINESS S
ISTHIS A HOME,OCCUPATION? YES: NO Q
ADDRESS OF BUSINESS 3 MAP PARCEL NUMBER v U� U�`.V (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 OFFICE .
This individual has beerjAnforMed of any p it requirements that pertain to this type of businessMUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
Auth ized Si n r * COMPLY MAY RESULT IN FIN :
COMMENTS:
2. BOARD OF HEAL
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature*
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
Regulatory Services
c Richard V. Scali;Director
Building Division
11AMSTnsr.>„ '
M^S& g Paul Roma,Building Commissioner
1639• $
�'OrFo A 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790'6230
Approved:
Fee: 5.0
Permit#: - 7
HOME OCCUPATION REGISTRATION
Date: q—K(
Name: 5ijflmJ 'Phone#:
Address: D ' 1 f Village:
Name of Business: S LA E I V T r UAM � U
Type of Business:. IJ U�S bl 65 Map/Lot: " O w
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:
a The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
a Such use occupies no more than 400 square feet of space.
a There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
a No traffic will be generated in excess of-norinal residential volumes.
a 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..
a There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
a 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.
a There is no exterior storage or,display of materials or equipment.
a 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.
a No sign shall be displayed indicating the Customary Home Occupation. k„
a If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
a No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
1,the undersigned,have read and agree with the above restriction's for my home occupation I am registering.
Applicant: Date:
Homeoc.doc Rev.06/20/16
oF1�r Town ®f Barnstable Permit#20(6 oc-�CoG7
Expires 6 months from issue date
Regulatory Services Fee
Y Y
{ MASS. Y
+ BARNSPABLE,
639: `�� Thomas F. Geiler, Director p f?
.oTED MA't G 7l `Building VjJI—
Division
Tom Perry, CBO, Building Commissioner
200 Main Street,Hyannis, MA 02601 ,
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 207 7068
Property Address 33 Z Uec ?-d dZ
/LIMN S'6"
Residential Value of Work 6,oDa, Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address �GIe � �L A-4/7- 72ms7— CA
Contractor's Name SL Telephone Number 570AS'e�V—gg�6
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) Fit -, _
❑Workman's Compensation Insurance
Check one: S E P 7 2010
❑ I am a sole proprietor
0< I am the Homeowner l'C�`�/Uf�l OF BARNSTABLE
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) `
Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to eoasF,,NF �4pd F�
0 Re-roof(hurricane nailed) (not stripping. Going over existing layers of roof)
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .35)'4 of windows
"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
required.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EX PRESS.doe
Revised 0721 10
The C'orrrrtioir f,eallii�7f1'1:fosscrciiiisetts t
Depart'merit,oflddusfrialA ncidents
-�N Of ,ce o,;f Investigations
600 Washington Street
r, gvsfon,
14forker-s' Compensation InsuranceAffirl tilt: Builders/Con#r,,ictorsJEIecii-icianslPl:umbers
Applicant Informtion Please Print Legibly
Name (Busi'nesv70r aili?atiaurindididrial):
Address: W W�WV- < .
City/State/Zip: CEAIM-7" Phone
Are you an employer?Check the appj opl ate bos. T}Pe of project(requu ed).
1.. I am a employer with ��."�•I ant a general contractor and I `
rf S- ❑New constnubon
employees(full and/or part-time), have.hired the sub-contractors
2..❑ I am a sole lycolmetor or partxtes- listed on the attached sheet.. 7. O.Rernodeling -
These smb-contractors haveE-`
drip and have no employees S. Detuolition ;'
iavorking :for me m any capacity.. employees and have workers_'
[No workers' comp.insurance. tn comp: surance.i .
9. 0 Building addition
required] . 0 We are a corporation and itsx 10.❑Electrical repairs or additions
T ] officers have e..ercised their,'V
31 am a.homeoti�nor doing all urorl 1 l:01'lunibing rt pairs os additions
f,
myself [No«4rworkers' ri t of exemption er 3WGL.;
'ctauip. ? p 12.0 Roof repairs
insurance:required.]r c_ 152, §1{4),and we have no '
employees.".[No workers', 13 0 tither '
3
comp. insurance raqu red.]
*Any applicant tha(chec}:s box#1.must also fill out the section below s:hUwjng their werlsets'courpeiasatios poli.cy.infornratioo
Y Homeowners who submit this afridsvit M—Cating;they are doing all wmi and then hire oirWite conrmctors must submit a aev.sifndaw,it indicating sucti.i '
kGntractnrs that check this:box inust a•ttAcbed as additional sheet showing the-A-=e Dithe sub-coatrsctors and store wbetber or not those entities ha
w'e
employees. Ifthe s0-<*ninLctors1aw°e employees,thermust provide their workers'comp.police number.
aman 'NiplO'r7r tltai'LS�JYt71 lGtiT7�p 1l Or;k�?rs'Cr7r77i3211Srlitrlri 71lS1XrrLTLCB fOY Jlfy'r?71ii7103�evs. Below is Yh-pOliCy r777djOb site
inforllrad-on F
Insurance Company Name:
Policy or Self-ins-Lic. ' Exptrntiaii Date:
Job Site Address: Cit)1StateJZip
Attach a copy of.the workers' compensation policy declaration page(shoming.the policy,n tymb e r and exli ation date).-'
Failure to secure coverage as required under Section 25A of MGL c '1"52 can lead to the IM''sition of cr.innnal pej<afties of a .
fine up to$1.,500.00 andlor one-year imprisonment,as well,.as,citnl.penalfies in the forth 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 forw7rded to the Office-of .
Inve:stiga:tions of the DIA for insurance coverage yerification.
I do-hereby cert Ills A1td penahYei OfFe'lily"filth fife irtiforitiiT`io,)i prof idBd�aboi?—is irug and correct.
Si alum.: r $� Date
f Phone#. ;
Official"'se,
only: Da 1rvt.ifritw rat ibis rasa, t0 bu carrtpltrted by'crti or town o ctal
Oti>or,fo-1 Perm'itlLicense# ,
. . Issaing Autho -
1. Board of Health'2.Building Department 3. Cdfy rown� Clerk 4,Electrical Inspector 6.Plumbing Inspector
6. Oth er
Contact Person: Phone#;
6 '
IHFr, Town •of Barnstake
Regulatory Services
7 �STABLE,
Thomas F. Geil;er,.Director, -
,679• ���
+ Building Division
Torn Perry, Building Commissioner
200 Main Street,-Hyannis, MA 02601°
www.town.barnsta:ble.ma.us t'
Office: 598-862-4038 r
Fax:"508'790-6230
— --- -- ------------
HOMEOWNER LICENSE EXEMPTION_
Please Print
Q—7
DATE: /
�o aZ.°� "
JOBLOCA'f107J: ��� IN S�r Chnl�r�-!�d16e dz6-7Z
number //., street' village
.,HOMEOWNER" ChluS /V�`jM1/ 5"aY_36Y_ FlOV,g
Warne Q Home phone# ., work phone#
J .`
CURRENT MAILNG ADDRESS; rc 0" a1�
city/town state zip code 'A
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 owneracts 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 tote, a.one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not.be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form
acceptable to the Building Official, that he/she shall be responsible for'all such work performed under the building permit (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws, rules and regulations.
The undersigned"homeow he/she understands.the Town`of Barnstable Building Department Fnmimum�inspection
proce r ements and that lie/she will comply with said,procedures-and requirements,
P
i to of Homeowner
Approval of Building Official }
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with theaState 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 orthis section(Section„
109.1.1 -Licensing ofconstruction Supervisors);provided that if the homeowner engages a petson(s)for hire to do such work;that such Homeowner shall act as '
supervisor."
Manyhomeowners who use this'exemption are unaware that they are assuming the responsibilities�of a s ip'ervisor(see Appendix Q,Rules&Regulations for,
Licensing Construction Supervisors,'Section 2.15) This lack of awareness often results in serious problems,particularly when the homeownerhires 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 cared amend and
adopt such a form/certification for use in your community'j
Q:1WPFILES1FORMSIbuilding permit formsTXPRESS.doo
Revised 072110
f
i. T
OF THE Tp�
Y i
V #
+ BARNSTABLE,
MASS.
, Town of Barnstable
pTfD Mp.'1 A
Regulatory Services
Thomas F. Geiler, Director
Building Division
Thomas Perry, CBO
Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property ®wrier 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 au orized b this building permit application for:
(Address of Job)
Signature of Owner ate
Print Name
If Property Owner is applying for permit, please complete the Homeowners License Exemption Form'on the
reverse side.
QAWPFILESIF0RMSlbui1ding permit formsTXPRESS.doc
Revised 072110
TOWN- OF BARNSTABLE
BUILDING DEPARTMENT
COMPLAINT/INQUIRY REPORT
Date Rec'd By Assessor's No. G -�
Last Name First Name
ORIGINATOR Street
Village. State Zip
Telephone: Home Work
Description:
COMPLAINT
y 41
INQUIRY —
Requestor's Signature � ��
COMPLAINT Street Address SX
LOCATION
A= 77J=1O
OFFICE USE ONLY
INSPECTOR'S Date I � _ Inspector
ACTION/ �
COMMENTS
v Ai
J—A4M fTw-v Q -b A PYY
1 � d
FOLLOW-UP
ACTION
ADDITIONAL
INFO. ATTACHED
. r
COPY DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW INSPECTOR .j PINB - INSPECTOR (RETURN T6.0FFICE MGR.)
HIM
Z�sgssor's Office flo ) Map Lot Permit# _ 9535'
Conservation Office(4th floor) Date Issued e 9�
Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Fee .Il?)
,Engineering Dept.(3rd floor)
Planning Dept.(1st floor/School Admin. Bldg.) -
• BARNSTABLE.
Definitive iad by Planning Board 19 e o �..�
lF0 MAC�
TOWN OF-BARNSTABLE
Building Permit Application
,,,"'Project Street Address 6AeAe2 �'�,�,2�fefU�I
/Village
/Owner /G',0 ,Lu/��1 Address Apo
/Telephone
Permit Request
Ao
Total 1 Story Area(include 1 story garages&decks) square feet
Total 2 Story Area(total of 1st& 2nd stories) 1101, square feet
Estimated Project Cost $
�z
Zoning District Flood Plain Water Protection
Lot Size Grandfathered?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway
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
Names R, Z! ��� telephone Number ��$
/Address 3' ���y}� �� 6:a!�fgg� _License#
/ IAyfi�olllll Aow, 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 BETAKEN TO ��P �Sr
SIGNATURE Gc, C a
/�•t� DATE
BUILDING PER T DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PERMIT NO. #9535
DATE ISSUED Aug. .4, 1995 ;
MAP/PARCEL NO. 207.068
. 1
ADDRESS 337 South Main St. VILLAGE Centerville, MA 02632
OWNER Olga Fuller i
DATE OF INSPECTION: s
FOUNDATION j
. s
FRAME '
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL i
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
I 11:02194 17:02 C6177277122
Co,fUno,Zwpa[i1L al MajiaxlzWetf� v
J.A� s
.
L7o &n, ///aawdwsA OZf f f
James J.Campbell
Commissioner
Workers" Compensation Insurance affidavit r
with a principal place of bushna „�...
do hereby certify under the gains and penalties of penury, that:
Q I am an employer provid'mg workers" compensation coverage for my employees work!
this job.
Insurance Company Policy Nmnber,
() I am a sole proprietor and have no one working for me in any capacity.
l am a sole proprietor, genera" contt'aao o�Inguw�o �
ne .cm one) and have hired
contractors listed below who have the faiIocompensation policies.
Contractor Instance CompamylPoiicy NtM
Contractor l muznce Companylpoliicy Nur.
Contraaor Laurance Company/Policy Nur
O I am a homeowner performing all the work myself.
l u�dt:st:nd�.at a cot f of this=vnent willbe forwarded to cite Office of im fflipdons of dw O1A for an terage ve IffC2Von and that!altar
cam mqe:s rc=i ed under Scaion ZSA of MGL 152 can lead to the imposition of aitniml ponaidu cottsiSne of a tine Of up to S 1,500.01
yeaa'.impri!o-r..ent as well as CMI Penalties in the form cf a STOP WORK ORDER:nd a flee of S 100.00 a day against mc.
igned this day ofz Z741A
s
[.icensee/Pe ittee ��� Board Building ent
/ Selectmen Office
Health Department
: The Town of Barnstable
�s Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 0MWI
Office: 509-790-6227 Ralph Cmssen
Fax 508 775 33" Budding Coma
For offrce use only
Permit no.
Date ,
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,nepair,mode:niratioa,conversion,
improvement, remcn-4 demolition, or construction of an addition to any pre-existing awnet occupied
building containing at least one but not more than four dwelling units or to structures which,ate adjacent
to such residence or building be done by registered contractoM with certain cmeptions, along with other
/ Type of Want: / It N Est Cost' J22_.j�'y
Address of Work: „����" i4
I/Owrner.Name: �elY ®�r4� u Ile
Date of Permit Application:
I herclky certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job wader SI,000
_wilding not uWac' o Wed
Owner palling own permit
Notice is hereby gh-cn that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISIFRED CONTRACTORS
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE
ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A
SIGNED UNDER PENALTIES OF.PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor name . Registration No.
OR '
111014;A,
Date Owner's name
• TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print. .
✓/DATE
rf
OB LOCATION ry ee.
'Number Street address Section -of -town
✓ "HOMEOWNER"
Name
Home phone, Vork phone
/PRESENT MAILING ADDRESS
�.�
41
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 such homeowners to engage an in -
dividual for hire who does not possess a license, provided that the owner
acts as supervisor.
DEFINITION OF HOMEOWNER:
Persons) who owns a parcel t
.. of land �on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six 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 acCaptable 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 Stat Building Code and other applicable codes, by-Laws, •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 requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING"OFFICIAL }
Note: Three family dwellings 35,000 cubic feet, or larger,. will be required
to comply with State Building. Code Section 127'. 0, Construction Control.
HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that,.if
Home Owner engages a person(s) for hire to do such work, that such Home Owner
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for .licensing
Constructi
g on Supervisors, Section 2. 15) . This lack of awarenes
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board canno
t proceed against the
inlicensed "<
person as it would with licensed. Supervisor. The. Home Owner actin
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,. man
communities require, as part of the permit application, that- the Home 'Owner
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 to amend and adopt such a form/certification for use in your community.
t
BUILDING DEPARTMENT
TOWN OF BARNSTABLE
Correction Notice
Job Located at ....�37.....I.:.......IrnIA-i-it.....
I have this day inspected this structure and
these premises and have found the following
violations.
.......... ..... .-5
...........Y-ej--%Ax.Y.'1j.........
.......... . ..........................................
. (S.r...........5. .)% 1
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
..................................................................................................................
When corrections have been made, call for in-
spection.
Date ... r.. ......... ........Inspecto for Building Dept.
DO NOT REMOVE THIS SIGN
�� ��� f
�` ;