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' ATTN: City of Barnstable FEB 10 2020 RE: 351 MAIN ST, CENTERVILLE, MA 02632 TOWN OF BARNSTABLE To Whom It May Concern: The above referenced-property was previously registered with your municipality by BRON lnc on 6etialf of Shellpoint Mortgage Servicing.Shellpoint Mortgage Servicing and its respective investors and property management team have no affiliation or responsibility for this property as it is no longer under their service as of 01/10/2020 due to Property no longer qualifies for FC OR Vacant registration. . If additional information is needed to ensure that this property is`removed from your registry, please let us know. Otherwise we are now considering this property DeRegistered and compliant. Thank you, Compliance Team 877-338-3791 ` 1 Bron Inc F. 27720 Jefferson Ave Ste. 230 Temecula, Ca 92590 t City of Barnstable 200 Main Street i Hyannis, MA 02601 V REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING TORECLOSED PROPERTY Thank you for registering in accordance with Town of Barnstable Code chapter 224 sections 224-3 and 224-4. Please complete one form for each property in foreclosure (section 224-3)or already foreclosed.for which possession has been taken(section 224- 4). Please file the original with the Building Commissioner and a copy with the Chief of the Fire District in which the property is located. If you claim you are exempt from registering under Massachusetts.law,please state the reason(s)and complete section I (property information)and the first paragraph of section 2(foreclosing party,court,etc. and foreclosing party representative,but not other representatives and attorney)so that the Town.can review the exemption and update its records: Section 1 —Property Information Property Address: 351 MAIN ST, CENTERVILLE, MA 2632 Assessors Map#: Parcel#: 208_119_001, M_29602 Land area and.description Building(s)description and contents Occupied: Occupant(s)(if borrowers so state and include name(s)) Phone: email: other: Vacant: Date: Anticipated Length of Vacancy: Last occupant(s))(if borrowers so state and include name(s)) Phone: email: other: Has possession been taken If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) Section 2—Foreclosing Parjy Information Foreclosing Party(full name!title) Shellpoint Mortgage Servicing Foreclosure Case Court: Docket# Date filed:08/19/2019 Current Status: Foreclosing Party's representative(s)for property(entry,management,repair, etc.)(name,title,): Code Compliance Company(if different from foreclosing party):Cyprexx Address: PO Box 874, Brandon, FL 33509 Phone:8773398202 email: other: If an exemption is claimed,please do not complete the remainder. Other representative(s)(if foregoing representative is primarily responsible for property and/or foreclosure and is most likely to be able to address town matters concerning the property and/or foreclosure,please so state and do not complete contact information(i.e."none"or"see above")). Name,title,other: Eric Moore Company(if different from foreclosing party):Shellpoint Mortgage Servicing Address:27720 Jefferson Ave. Ste. 210,Temecula, CA 92590 Phone(s): 877-338-3791 email(s):propertyregistrations@bron other: Name,title,other: Company(if different from foreclosing party): Address: Phone: email: other: Attorney representing foreclosing party_-._.____-. Firm.name(if different from a.ttorney's name): Address: Phone(s): email(s): other: I acknowledge that the information provided is accurate and correct. I also understand that any inaccurate information will result in non-compliance with section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: -December 13, 2019 Name: Title: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i �1 "M C�ap Z_0 Parcel I I 0 Q L Application# a ��� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee r Date Definitive Plan Approved by Planning Board Historic-OKH (c Preservation/Hyannis Ci i Project Street Address Z t Village C_ZQ 0,Anct\,\2 1 \ 0 Owner A 1 (-A, � Address SI M,.s hz Telephone �l Permit Request 1")Olt' 61,,� T.X-,A�k A )n. A�l Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ! Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new / Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal st ve: ❑ns 1 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑exi g ❑new size co Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: w z Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Ln Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name M ' �S�j�7J Telephone Number 160 Address :�<7� License# / Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r} FOR OFFICIAL USE ONLY PERMIT NO. ' g DATE ISSUED + MAP/PARCEL NO. + ADDRESS V ILLAGE� OWNER , DATE OF INSPECTION: + I FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL 's PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING z + x DATE CLOSED OUT ' 3 ASSOCIATION PLAN NO. s f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 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):� F • Address: '�;5J 1 om 100 City/State/Zip: CQe,�Vti .�e. M� Phone.#: ��1� —77a �Are you an employer?Check the appropriate box: .Type of project(required):• 1.❑ I am a e / er with 4. 0 I am a general contractor and I , p y 6. []New construction . emplo�es(full and/or part-time).* have hired the sub-contractors 2.Yh' sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling d have no employees These sub-contractors have g, 0 Demolition employees and have workers' ng for me in any capacity. 9. ❑Building addition orkers' comp.insurance comp. insurance.$ ed.] 5. We are a corporation and its 10.0-Electrical repairs or additions 3. homeowner doing all work . officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12,0 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er the pains and pe allies f perjury that the information provided above is true and correct Si gmnafore: A JDate: _ Phone#: FOther only. Do not write in this area, to be completed by,city or town official Town: ' Permit/License# hority(circle one): A. Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: Intorni .tion anct instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hiie, express or implied,oral or written." An employer is defined as"an indid`al,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,partner hip,association or other legal entity,employing employees. However the owner of a dwelling house having not more. an three apartments and who resides therein,or the occupant of the dwelling house of another who employs perso to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant theret shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every s ate or to�al licensing agency shall withhold the issuance or renewal of a license or permit to operate a busines or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidenc of co pliance with the insurance coverage required." Additionally,MGL chapter..152, §25C(7)states"Neither`the c 9 mmonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public worlNun ` acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the coma tang 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 p ione number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Lia ilify Partnerships(LLP)with no employees other than the members'or partners, are not required to carry workers' compe asadbn insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit y be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be s e to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the pe t.or license is being requested, not the Department of Industrial Accidents. Should you have any questions regardin the law or if you are required to obtain a workers' compensation policy,please call the Department at the num be 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 legibl . The Departure"t has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Inv stigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will a used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any g en 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 stamp d or marked by the city per town may be provided to the applicant as proof that a valid affidavit is on file for future pe 'ts or licenses. A new i ffidavit must be filled out each year.Where a home owner or citizen is obtaining a license o permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person i NOT required to complete this affidavit. The Office of Investigations would like to thank you in adva ce 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 Comonwv th of Massachusetts Department o ladustrial Accidents Office of Investigations 600 Washingtori Street EQston,.MA 02111 Tel. #f 17--727-4900 ext 406 or 1-977-MASSAFE Fax##617-727-7749 Revised 11-22-06 www.mass.gov/dia 1 Lj 0 Sect o ns � j ko�' o'�v Town of Barnstable Oro th Management . 'Old King's Highw Committee 200'6 Hearin schedule . Complete pplications submitted on de diine date must be received by 4:0-P.M. HEARING DOEFILING DEADLINE JanUa 11 December 22 January,2 i January 5 February 8 Jahua .19 Februanf 22 reb�ruary 2 March 8 Februa v 16 March 22 March 2 A ri126 . Aril 6 May 10 April 20 May 24 Ma 4 June 14 Ma 25 June 28 June 8 July 12 une 22 July 26 Jul 6 August 9 Jul August 2.3 Au ust September 13 August 24 Se tember 27 Se tember 7 October 11 September 21 October.25 October 5 November 8 October 19 November 29 November 9 December 13 November 22 All hearings will be held at the West Barnstable Community Building;2377 Meetinghouse Way(Route 149),West Barnstable, MA All Hearings will begin at 7:00 P.M. Town of Barnstable ®FTHE 1p� 1 " Regulatory Services y o� Thomas F.Geiler,Director BARNSrABU* , » 9 MASS. i639• ,.• Building Division rFD MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n Please Print DATE: JOB LOCATION: _ PtiyZ) number street —7^7 n/� village "HOMEOWNER':WIUA) �l Fl �(J 30f / /6 f ggJg S 0vi 771 1 6-79 name 2 home phone# work phone# 3S CURRENT MAILING ADDRESS: Y I,q/tJ S-f city/town state zip code The current exemption for"homeowners"was extended to include o-wrier-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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro ure and requirements and that he/she will comply Arith said procedures and requirem nts f Si ature 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, f that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt "I MORTGAGE INSPECTION PLOT PLAN NORTHERN ASSOCIATES, INC. 65 SALEM STREET, LAWRENCE, MA 01843 • Tel. 508-975-71.17 ORTOAGOm STEPHEN M. .OVXAN DEED REF. SK.5Bl7 PQ 224 LOCATIOI1iC• 351 mm STREET PLAN REF. BK 321 P@ 60 CITY. STATE. CENTERVILLE MA. SCALE.' JR'V 40' DA ra, SEPT S9 1990 JOB A.' 9013897 sr LOT 4 63.96' as�' • rrJ 1� 1 ap rr b N . t STY COTTAGE d°�oy��� 400( 77bd Y. 2 SrORY JY000 ss 3P + N • l 3N MgrN srA��.r CERTIFIED TO., ThL= HIBERNIA SAVrNGS BANK — �-- -- NOTE: This mortgage Inspection was prepared I FURTHER STATE THAT IN MY PROFESSIONAL specifically for mortgage purposes and is not to be relied OPINION the principle structures and accessory upon as a survey. Northern Associates, Inc. accepts no p f outbuildings, responsibility' for damages resulting from said reliance by �y�X - CONFORM anyone other than'the said mortgagee and its assigns in with the setback requirements of the local zoning connection with its proposed mortgage financing to said S �, ordinances,and that there are no encroachments of major mortgagor. improvements either way across property lines except as I E S H shown. o.13912 Q ALSO: P t 1.Property is not in a Flood Hazard Area. This mortgage inspection was prepared in accordance (f Or S T C P y0� 0 2.Property is in a Flood Hazard Area. with the Technical Standards for Mortgage Loan k0 3 u .4 0 3.Information is insufficient to determine Flood.HazaH. Inspections as adopted by the Massachusetts Association Flood Hazard determined from latest Federal Flood of Land Surveyors and Civil Engineers,Inc. Insurance Rate Map Panel! TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I qoo Lcel Permit# 4 7 Health Divisionic i "Date Issued 2, 7"U UD Conservation Division � LF-®ItA Cot" � Fee �P�TSr�' ITLE 5 Tax Collector �:'� � Pi,! qy ���1`� Application Fee Treasurer ��� `� 9��. �i ,�a + Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Ad'drress f Village e i Owner �,• i�S%JOh)Q Address "S KIA(Ai S( Cey'l`�iM CC. Telephoned w � Permit Refit uest X L� i , /� �D Square feet: 1 st floor: existing �(J b._.pooposed 2nd floor: existing proposed Total new t Valuation , �3� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Iti ACYQ, Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes )�No Basement Type: '4 Full .Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) J 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 N Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 'ANo 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 ❑Yes ❑ No If yes,site plan review#_ Current Use Proposed Use h Id BUILDER INFORMATION Name Pip' Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ald NORiS SIGNATURE DATE �'` G 9 FOR OFFICIAL USE ONLY r e PERMIT NO. DATE ISSUED MAP/PARCEL NO. - ADDRESS' VILLAGE S OWNER DATE OF INSPECTION: - FOUNDATION FRAME . - t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING r �i DATE CLOSED OUT r ASSOCIATION PLAN NO. ti l Town. of Barnstable Regulatory Services t , iz, Thomas F.Geller,Director Building Division TomYerry, Building Commissioner 200 Main street, $y=is,MA 02601 www.townbarnstable;ma.us Fax. 508 790-6230 Office: 508.862-4038 Property owner Must Complete and Sign TbIs Section If Using ABuild.er ` as Owner of the subjectr�opert�' I +A 1! 7 '}may to on mybeha�f; 'hereby authorize: ( O- gol r uildia emzit a lication for, is ah riiatters relative to work authorized byths b g p PP 1 YA �U ( dress of job} g' e of Ovine Print Name 1 l ,la �TMe r Town of Barnstable °�" Regulatory Services Thomas F.Geller,Director Building Division rfD MP'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permitno. , ' Date . AFFIDAVIT' ' HOME IlYIPR EgMIT� LICATIONRACTOR W . SUPPLEMENT TO MGL c. 142A requires that the"reconstruction,alterations, of an addition tooany pie�existingowne�occupied ion, improvement,removal,demolition,or constnt building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �+ d� C �� Bstimated Cost \ Type of Work:_ Jl Address of Work: Owner's Name: Date of Application:-.T I hereby certify that Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 �^ uilding not owner-occupied J,1 Owner pulling own p emrit Notice is hereby given that: ALING WITH UNREGISTEPM OWi`TERS PULLING THEIR OWN PBMT OR DE CONTRACTORS FOR APPLICABLEROGME ACCESS TO THE ARBITRATION P OR GUARANTY'FUN3� ERMGWORKDO NOT HAVE'142A. . SIGNED UNDBRPENALMS OF PERJURY I hereby apply for a permit as the,agent of the owner: Contractor.Name Registration No. Date , OR Owners N Date • Q:forms:homeaffidav ' . ' Town of Barnstable Regulatory Services Q sAWMBLE, . Thomas F.Geiler,Director �b "AM S6.19. Building Division O�PD PAA�A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:� � JOB LOCATION: 0� ��,V1`1�'iV V 1 e, number strreett� /+ village Qgw name home phoon�e-# work phone# CURRENT MAILING ADDRESS: `? lP') s 1 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 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, req ' ments. ' Shed 0* Sir re of Home own Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner,engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, ' Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I -= -- The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations -- 600 Washington Street, ,th Floor Boston,Mass. 02111 Workers'Compensation insurance Affidavit:BuildinipTlumbin lectrical Contractors name: address: �e'T�\�m �J 1 city cw 0,,9 state: zip:QW 2 r)hone#! 66 —7 71 —11121I k site location ffull address : b5 I am a homeowner performing all work myself. Project Type: New Construction❑Remo 1 I am a sole ro netor and have no one working in any capacity. Building Addition .��t ,d..:.,��� eFS.� � 1��.f:i�S� £,.�.�.'® - .._ ... ..r•..u, -�"'Fsg:�.:,.�k:.._...�.e .,'x'i�: ShdA . ❑ I am an employer providing workers'compensation for my employees working on this job. company name: address: city phone M insurance co, DOME# ❑ I am a sole proprietor,general contractor,o om 0w (circle one)and have hired the contractors listed below who have the following workers'compensation polices: &V\*CtV G �1507 1 1-7 company name: s fi address: hv�l ELI) �N a city: MAIM C 1 I # l�-t-1—� 01 phone M �'"QU V �� I gy "I insurance co. oll .r... company name: address: city: phone M insurance o. . oli # Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and coorrr�ec Signature Print nameLaw& ►V Phone# [contact al use only do not write in this area to be completed by city or town official r town: permit/license d# ❑Building Department OLicensing Board eck if immediate response is required QSelectmen's Office ❑Health Department person: phone#I; ❑Other Sept 2003) a I Lr # MIP 17242 CENSUS TRACT {{ 127 :L I ENT : Dunning & Kirrane L.L.P: DEED BOOK PAGE 167 )WNER: Karen E. Quinn & Stephen. Juian I c-JI PAGE qn L0 IPPLICANT: Karen E. uinn & Matthew T. PisanoASSESSORS PLAN PLOT MORTGAGE I N S P E C T 1 0 N PLAN OF LAND LOCATED AT 351 MAIN STREET CENTERVILLE, MASSACHUSETTS XALE : 1"= 40' OCTOBER 14, 1999 KE _e , 1a *+ O � ZU3@) 4 p 70 8) - -- - - -- - -' w _ _..5 z --f� _r i� I,. CERTIFY TO DUNNING & KIRRANE, LeLmP „ MORTGAGE CORP OF THE EAST III , AND I1 : TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS ' EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPER VISJON . THE LOCATION OF THE DWELLING AS SHOWN HEREON IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY-LAWS WITH REPSECT TO HORIZONTAL o DIMENSIONAL REQUIREMENTS . v``A' THE DWELLING SHOWN HERE DOES NOT 'FALL WITHIN !' f +++� A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY 4250001-0005C DATED 8/19/85 BY THE F , I .A ., ._ THE EXACT LOCATION OF THE BUILDING SHOWN CAN NOT BE DETERMINED WITHOUT AN ACCURATE "'"" INSTRUMENT SURVEY, 1<c�inctti It. Ferreira ' . 13nt,inccrint;, Inc: . NOTE : ACCESS APPEARS TO BE OVER LOT - . 1�0.ik�x 1903 "�•, ""', New iledlord,MA 02741.1903 • Tol:SON'r►2.00211• l-ax:S0A 992-337 UNCRAI HOTCS: (I) The declarations made above are on the basis of my knowledge. information. and belief as the result of a mortgage plot plan tape survey. inspection made to the normal standard of'care of registered land surveyors practicing in Massachusetts. (2) .Oeclarations are made* to the above named client only as of this date. (3) This plan was not made for recording purposes. for use in preparing deed descriptions or for con— structions. -00 Verifications of property line dimensions, building offsets, Fences or lot configuration may ' be accomplished on*.y by an accurate instrument survey. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION dY d i Map 5 Parcel o O Permit# 1�2 0 1 T7}J , 0)F 21 t. i.;TALE Health Division 2J 03 Date Issued 4 2"11 rr R -� r PM I?: 42 Conservation Division G Applicatioee O Tax Collector - Permit Fee, Treasurer ?IIUSlf BE PlanningDept. SEPTIC SYSTEM P INSTALMD IN COMPLIANCE Date Definitive Plan Approved by Planning Board VVM S EWRONMETITAL C®CE��'� Historic-OKH Preservation/Hyannis TOWN REGUL TfC 3 i Project Street Address Village Owner rU 01D )P A i— Mff:l[::T f M O Address ,35� S-1 Telephone Permit Request Ae_ao and lr 7eAf l &X6 DAJ C S1kYl M M hue :h r �� sunyVtaM Ist Fl W r Square feetrlst-#leer�-ejrist'�X() proposed �)50 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size � (al�j�� Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family, Two Family ❑ Multi-Family(#units) Age of Existing Structure M G 0 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 s Number of Bedrooms: existing_ new Total Room Count(not including baths):existing new First Floor Room Count y Heat Type and Fuel: I�Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing —1� New Existing wood/coal stove: ❑Yes /A No Detached garage:❑existing O new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing O,new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Names Zj�l.� -(— � �?� Telephone Number �8 77/--1 6_2k Address �l_f Vj f}i A) ST: License# ' Ply► (�T Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ch ' id_c:� Coa�� i ask 2 tmoy�} l SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER • r 1 DATE OF INSPECTION: FOUNDATION 1 ' FRAME f INSULATION F i FIREPLACE_ r + ! ELECTRICAL: ROUGH FINAL f _ PLUMBING: ROUGHo- - FINAL GAS: ROUG FINAL FINAL BUILDINGS „.. DATE CLOSED OUT r . ASSOCIATION PLAN NO. a t r _ The Commonwealth of Massachusetts Department of Industrial Accidents Office 011nyesti9atiofis - 600 Washington Street Boston,Mass. 02111 Workers' Compensa'tion.Insurance AffidavitTBT name f location —7 n ci hone# / (O I am a homeowner performing all work myself. • I am a sole proprietor and have no one working in any capacity [� I am an employer providing workers' compensation for my employees working on this job rir+t`+'(YToY.'-`"m I§4'G'.}C,a''Sn-'st i}n'�.rn,ifa,-5*em.i�s.mv'�t''x".re-�x,'1-fiy..tt+411✓..tri`':G 44 LK *�-.n c' a�•aC'^sk y_'2:'rtc.."Y_�.-:,`^.p+r r<.ap',z`'"-itr,��'�w B'Mi,h�W7,ea!4",.``�"�`+".:;Y1S7_'-a•r-�Rt x3 nm.,�,a i��vk y.s v�..4 r.^.eL'S�.4yFt t.S�J:{l(F x r'E,€'1,k�r 1 zxx.l' �},+1•S,Ar}iet i�ti x t1 t T.,r ttintro'tr y,y..r F rx&:'"..in:f PSx.r•,7et�,-h1};,y r[-:.f�i.- .rK,, „f^^ s-}h�.brt1 a�C.�L hy'.�,°.�L:k,,�'S'�4'r5ari v..Fy-.},s9{,r i`Tr�"a,r ;Y N 7 4} - r . A M 1• K F . +•s'.,i.'' .� "..s.'a''k$, alp } a Y +-3'3r,max ,'"t. i, j 2 ( RlG, � •{ +..-7✓ 1'4w ,ut �flddress� s -•;r r P+a *37Er Y a ..irr� ,M't;L,i 1� a�;, X a�`•ga3+. < s tw�� � �r?x�(4UiTrai�yyr�"t...! b'�Yt P s 4.i,. .1e r '3t1�- zA-s's_";<.,{."+i �' �.y, a i� ~ t •A i' 't,.;a..e t- z ir�u"',�,rtk,.•r„r - N" .k n'r.r y�+'ix5,:Xe,�^{ '. ,.rt ( :.Y ly'... i t 1 i Ys 4��1G :xvi °��'�pk`3. �'S s��i •�� s �i 7 a� s 4'fro x z z 'Dli6tle�''�.t. a7G =..- ,t :t. -'T'L� s�"�S*r''FS<'.s'��'�k''€x"4�`� x,s J �n BCaIiY ,t 1xF'�•'�'h`zrx-r- •<.. z� -sn, �+ - '�. < , ',• r »" t'',t"'a"a=�c .t.t., Ys 'kaa,,7«�. -J: -r F'', !- x 's ri r: ti 4S "!.'ar ,3,,.J i F~��e ��.,� '� Y' '` �f.", §,`�""� .`F• '"eti rj.t�'.,. t Sa`$.�tsS' "4 �£n'^rf,�'v ,. R. y+• .71-r+ 'NrP �.'.yr,t°"•ti�•�" .'"F.� .Ai2Si, t1e}� r �t."�Fd.y' {''{,.5.'"'; e', ,fit -r^"�STx , - msuc;ance�eo:��a"�'-,xa?.,,'=h�`���,�,�".1.. ct i am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices _ 2:F�"•t'." .m?"+'> c:: TiitJ€ Y xs"ctF-. .i+ v+S.h. „f .n.ws ,r -�C �y 4k t. - 7 .-ix : ARM .t�' "rd'e :^c�l•`�'{ f�4r fi�ytits,R� a... Kt"{rc Lll -:.�"Jh t' i h,'t 7:r �r ur �*CE1, .�: .r -�y' ��k_-,s•,h .t.; r� 7 e 4 as<`k. q 4 r s ,( i rq y,,,,r,�i'�F f-c��♦ r't„—.a �*�. , t��,'ev�,' � yt1� flad�e�S �. -± � r '4 a3 � 2 r., r,,, >f�;tzt �; a -r„ ,y..c .-r rn t x? r s 5-'r :z•• t F..a�'x, ro a3'•,�,t +; � �`�.� w " fis6'{,7t( "+ri }. '`�' '" ih'y�.•$ .`kt ,�"t-rr,'.N � ' }_; k�x .+1-. �.,+` {S y.} 'fin 4. .S`.v�.`,t...,; 9 g �i 4 ., a:''.'rX'+"* r � r-re. ' � '�; >�•` �i 1' „h r .-.` �n. � � 3 ..s t;4d4'�� �� ����.c��R,��s�k,�..Yct�W�.�s '�,,t �'��h.. sc" ",a 'n r� t 9`' .� �`�yrkr � .'a }l0ileu7f ..� 5r��z1 C{ its rr �m"`af'. .4yv ': yr" �sr .,s ') Sf�r d'k(r�,,r. .e ti;` 't')�'�. >, e x r r`:9'.3r t> n` +-ar'wt" Lr 'm- d'-:1�-5:+'+-;`• -Y�" ' Ih u F 0. tS C t F, .��, ,r i f m,..;«., r 1 i.,r '7��7+°''�"a+T.�`k�' , 3�r.2^,,jY{kr'F'`F""'h"S '�,.4��'ta,.A�'h� � � -,, -t '->a�r'�fp kr g4 kx�:'3 9,3z�'-� r (� rx j -`�yP-�1tCY,:iFe�rc^, ,u,r_,k..y.a,. z,�^Mlttr.�y�Z finer,•.yak '�� �i:a;'�° In�Ur$nCeua;d xau�Ps1""5+-kr'�`'�i��t C��t �r Yet r�'a1t s •t r a.:,.- �`� - -_•, +" ��-t'�✓x?�E,�. a k �R ,� l �,,::.. ..r,y� .�.�.s'�s � c-Ws 1... �* �f`z �.�.x?.#.��r a ��-�,j ;.�s'!*•R..:Yy i tea.vii�-ie'i`��'i5 a '+t �`'L, ��"-�_"�•i e'"!'- s 1���'� �r •n="",y, +' r .c � s rr },,,, as •fr f r w't�a,.f'tixa��nr�"x'F�i���a'�. w z rcom ad xname iF�3��ndi�i�,a+,�1��''3¢,� 1e; f.rr a ;. w 1 .:fit, 4 3:;g tw t•r �F4v ;r4.', 4a'.`�` 1 C t.:,.v3r S,.a,a i s .y;^' ..yL.,'t ; � �`w`}' �,f, t .':n .>•�:;fi;. �. ;.F iF»,k�;u� �t,.,�y'Yir,'•�''..t iP.+(;,�r�.t dr SSA.. t a- �SiP.; a 1-,':i�.n �S::`t'y5•.`F's.. �ti °' ,y cs''g.• r s -y u1tr� r ^r d , },.,r fcfr x': .yv fi `�'---^3,-• A t 2ffi �''�r�k �te� `c�.�� �`41t..d�fa �'� 'f ��R'.�Yr+ i.i. Ar sx'a � r a" .lr''.�ti."'13.iu�'.°s*<:.,�•''-+rti f'`.'+. addr4ss ,.A ..s^'-`�".> t•s''r,•,,s* t?a h .�€' a sr�. .s .+ N x k rc:: 5 .�2 4 'y, sr.� ��� a t tF-_ "r 5 3�! tip 1'r+•+`s�. a5 d�„t.Y�'''$ d a„ t r �2. �. c 3. 1 S'r `` y ,� Lv kei Y`�' -C 1 'ka i 9 N ti r s Sy 1F r �'�V Sr :t# ,t�a r .c. Y`9A� r r r 3y 1(y i:.n .v,. .e f � 7�i•'t'+� t � k'�< ;`L. � ^Si �� at"c.,�i:�r��,r+v � -.. F�gS.rS.r�.�S����-hr�`� o,x�'��£��t�.�''d�'?8 �'}r="� s� ] � �`-(:. .� a,4 ,rrS, � ?e`..t3•` "y' u.N+e':,, 3�4� ,,.l�,xr'±�fir'� g`e.. rc"+�-ix'�.t'��r;,r,'�"_'�v Failure to secure coverage as required under Section 25A of MGL 15Z can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct Signature • Date l y boo Print name PhoJ# -Of official use only do not write in this area to be completed by city or town official city or town: permit/license# I—►Building Department ❑Licensing Board []check if immediate response is required []Selectmen's Office []Health Department contact person• phone#; rl0ther r (revised 9/95 PIA) Information and tructions Massachusetts General Laws cha ter 152 section 25 requires 1 employers to provide workers' compensation for their employees. As quoted from the-"I w", an employee is defin as every person in the service of another under any contract of hire, express or implied, ral or written. An employer is defined as an individu partnership, asso "ation, corporation or other legal entity, or any two of more of the foregoing engaged in a joint enterpri e, and including he legal representatives of a deceased employer, or the receiver or trustee of an individual, partn ship, associa on or other legal entity, employing employees. However the owner of a dwelling house having not mor than three a artments and who resides therein, or the occupant of the dwelling house of another who employs per ns to do aintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant the to shal not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that eve st to or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a buss s or to construct buildings in the commonwealth for any applicant who has not produced acceptable evid nce of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any o s political subdivisions shall enter into any contract for the performance of public work until acceptable evid ce of compliance with the insurance requirements of this chapter have been presented to the contracting authority. jil Sill Applicants Please fill in the workers' compensation aff vit completel , by checking the box that applies to your situation and supplying company names, address and phon numbers along ith a certificate of insurance as all affidavits may be submitted to the Department of Industrial A idents for confi tion of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be eturned to the city o town that the application for the permit or license is being requested, not the Department of Ind strial Accidents. Shou you'have any questions regarding the"law"or if you are required to obtain a workers' comp nsation policy, please c the Department at the number listed below. City or Towns Please be sure that the affidavit is compl to and printed legibly. The Depa ent has provided a space at the bottom of the affidavit for you to fill out in the ev t the Office of Investigations has t contact you regarding the applicant. Please be sure to fill in the permit/license num er which will be used as a reference mber. The affidavits may be returned to the Department by mail or FAX unless Cher arrangements have been made. The Office of Investigations would li to thank you in advance for you cooperat n and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax 9: (617) 727-7749 phone#: (617) 727-4900 ext. 406 �0*JHE lOk� Town of Barnstable ti Regulatory Services ' LAarrsMM ' Thomas F.Geiler,Director MASS 2659. 04.{ Building Division , Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Woxk:� �_ imwknA C°C)bi Estimated Cost$ Address of Work: M 1 hnn� �") S-� , Owner's Name: � �,� ��) j)J Date of Application: I hereby certify that: Registration is not required-for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 [] uilding not owner-occupied `Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. LlAy koo-,-) a A, at-, Date Owner'yRirrle f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings;Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE _square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq-foot= x.0031= plus from below(if applicable) GARAGES (attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= Aa- STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) , Fireplace/Chimney x$25,00= (number) Inground Swimming Pool $60.00 Above Ground Swimming-Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee d To GMR App wAh/ Table J3.Zlb(continued) prsyeriptivc Packages for one and Two-Family RsaideutWi Buildings Heated with Fouil Fuel MAXIMUM MINIMUM Glaring Glazing Ceiling Wall Floor RnS=. nl Slab Heating/Cooling Attu'('/.) U.valuei R-values R-value' R-vnlucs Wall Perimeter Equipme nt Efficiency' R-valuc' 1R values Package 5101 to 6500 Heating Degree Daps' 13 19 10 6 Non�nal Q I Z/ 0.40 38 om•rnal R 12% 0M 30 19 19 !0 6 N 6 85 AFUE S 12% 0.50 38 13 19 10 Normal T 15% 0.36 38 13 25 NIA N/A U 15% 0.46 38 19 19 10 6 Normal V 159/. 0.44 38 13 25 NIA N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE x 18% 032 38 13 25 N/A N/A Normal y 18% 0.42 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 18% 0 50 30 19 19 IO 6 � AFUE I. ADDRESS OF PROPERTY: ,_ / 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: j v 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): 3(/ NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q.forms-580303 a 780 CMR Appendix J Footnotes to Table A2.1b: I Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%.of the total glazing area may be excluded from the U-value requirement. For example,3 f1'of decorative glass may be excluded from a building design with 300 fF of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented bythe manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for A 38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement d.:scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see-Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION U Please Print DATE: / 6063 JOB LOCATION: 3=U lyy�l t­) CN7�k v/L L number - street village "HOMEOWNER": 001 U,U f Yhl4T P)57� () 771 It'o'/n name home phone# work phone# CURRENT MA -INGADDRESS: U /'V or/0 r5'T rn)23zU_/L-L- oaa3, 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 undersigned"homeowner"certifies that he/she understands the Town of B arnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. afore of�96eowner 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. : J _.I........, - J i � 1 , i i.. 4 1. i ' 1 I I I - I • I i_. t I i !. � ,. .. I_ ...... I i _ I ' t i i : I I , •. t I .. 1 i I i ; I--- ' I , I ; It i I I I I t I t I I t I I i. 1 I j t � � I : i t : t I f I f i t i : tt , i i I i I ; i .. I I I � 1 i •V I �.. 1 I I 4 J f i i i i I I i I I I I j I I ' t 1 , I .l I �1t\S�11VC5' CI ►�, i I 1 1 �; . l_ I I I I .,. _ ... 1 ' I - l � I I + i I I V; e 3, 5 t.\ v 7 .. I I i i _ 1 I_ I I I j __J , .. J..... _ ,_: _ -.,. _ ._ J.. ...�.. .i.. _ J.......j.. _. ..J. ..1. .. 1 - .i.... l ., ...i ..�.... _.1. .i.. i` I �. .......... I I 1 I I i L.- i i I I I 1 1 ' : - 1 I , ' ;• - � I I I i 1 i 1 t _ I 05TRI I .- J.- I I SSE I I I : i , I , 1 I : , I , i I I i:........ 1_.. I_- ' I � " I I 1 ' 1 I I ' i j I .I I ' •I i _ I ' ! L. ._ _.l: a. a I i I i I 1 ;. � R 1 I • I :. .. .l._. _... I. _.:._.. .d ...__..L I I I J { 1 I I I I I--�-�M.�1V� L : i , : 1 I i I ; I ;V Or l � � 54 i.. i 1 � I / A ✓yu.1 J. 1 .l 1. i J. , _... �.._` _ - ♦ '•1 t I j � 1 I , ' i . '• 7 A .I 1 1 1. . J I. L. I I i 1 1 I , I , I ;. ., t.. ...I ,. ...! I. .- 1 i,., ,... .f.-. 1 :. .i, ..J. J. L.........j i.._. .. t...... .......I .�1., ..1 ....L..:.__. 1........ -_._i ... 1_.... � ..L, .. .i. , 1 I I.. i II • -�_ _:. ..'• �. ._'; .f..x.- i .. ,..:. ... :: ....... r.... .. ..... , .1...-... .1. .. .I �_ ... 1: _ � .,i.. I- ....; i .__._1. __.1._._ ....1.. .. .....I,.. I 1_ i ..i.. . iI ! 1 i I • i i : I ;. L. 1...,. !.. _..• . . i. -..1 i. i 1 t 1_ __ �.. _ .-..1_.. 1... _._1 .. -A. _ _.. , j J- .... I i i. j 1 1 1 i I ; , 1 i I ! 1 , 1 !f i 1 . i.. 61 i I I I I j 1 I ! I _._..... i I I : : I _ I ---------- PTA I 1 S R : lhit.� l � I I ' i �. i I 1 a . I -- 4 ._-A__ : i , I I I t ! i Town of Barnstable 11) Y Regulatory Services g Y Thomas F.Geiler,Director V' Building Division Peter F.DiMatteo,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Horne Occupation Registration Date: Name: Phone#: Address: Village: �. Name of Business` F Type of Business: Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance;providedAhat-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. • 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 is 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 undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: a .1y�P� Date: t Homeoc.doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, Map �770 _Parcel 01Permit# Health Division Date Issued a' Conservation Division Fee d 0 Tax Collector 1b C s/Z2J0 0 Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address M 5 n . Village l j4-��10 Owner Address J� J - Telephone 0(_71 vp v Permit Req est — Din 0,0 u&aJ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost V Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family \5k// Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full trawl D Walkout ❑Other' Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing L'-z new Number of Bedrooms: existing 1 new Total Room Count(not including baths): existing ,new First Floor Room Count Heat Type and Fuel: C as ❑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 ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name—CIA )k) Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z FOR OFFICIAL USE ONLY _ y PERMIT NO. DATE ISSUED y MAP/PARCEL NO t ' ADDRESS 10 •,. VILLAGE OWNER " y . DATE OF INSPECTIQrN: FOUNDATION FRAME t INSULATION E FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL Y FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f Department of Industrial Accidents OfIOYBSll88110DS • ---s —3�' 600 Washington Street , Boston,Mass. 02111 r r Workers' Co m ensation jnsQrance Affidavit name: �,^r�e,� location: phone# I am a homeowner performing all work Mysa I am a sole etor and have no one woziQn in any achy / ��r� / per/ M ERNE= f 1 on this job.............. workers ensation for my emP ogees:R!Og::.;:::??;?::>:.;: :::.:?.. ::.:::::.,:. .:.:.:.;;>::::<;::>:.; _><: »<;;;,....: ern lover ding .... ...... .:.:.:.:::::::>:::.,.:.::;:.;::::;:::.,.,;;::::::.:,::>:::::::::.::::::.:::.:::::::::.::::.....::::::::::,:: I am an p 1 . .,.:. ...:..:.:: :. : . ....:::::::::...... . . ..:: ..: ::::::::::.:::::::.::::: :.: COIDpB v naiae:. - :?{Yj%? ::jjT:::}tv`r:isii::j::::j�:S>.j;:;�}::?i:?:}i{:jjj;:T{i:;.�j jjjj:;jj:;:;jj}ii;::Yi:;'v•ii:i:??i::y:j1:�:.�:.:... i X. 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Failure to seenre covera;e as regdred raider Section 25A o[MGL 152 eaa Lead to the impm�of aid penalties of a One up to sl.soo.00 and/or wen eivII endues in the form of a STOP WORK ORDER and A One of S1000 a day against me. I understand that a one pears imprisonment as P copy of this statement may be forwarded to the Mee of Investiptions of the DIA for coveta=e verlOeation. I do hereby certify under the paun and pertalties of pedury that the information provided above is true.and correct 2 q F Date J ' � — Sigtlature �. phone# lr Print name omcizi use only do not write in this area to be completed by city or town ofncial permitNcense l# 0��;Boardepartinmt or town: Ogdectmem's OlIIce ❑check if immediate response is required — OOrtesith Department • t?ther contact person: phone#. (rnuw 9/95 PJA) - . :/•.1 • . :/ • •11 :. / 1 .•. 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Y .t •• • . • •1.1 /• • i •--1 •• 1 • ai • 11 11 /1 ..•11 11 , ✓• :1 r •I 1 ' -. t •r.l■ •III. 1 1• V•111 « • • 1 �.•Y.1 •111 • 11 .1• • w:111 , Atm Li • 11 • 11•�,i 11 11 •ti•Iln Vw/ st1111 • .1 • 1 MI I • 1 v_• tiles• �•. •' 111111 • -. it .1:• • • IA 11 Y. 1 •loH�• •/ 1 • •lo�111 • • 11 •I 111 • •1.A .1•r•11 •.L.UI�•11w 1✓" • _-•1 11✓" . • :• • 1 �. • •I:u •11 ••• 1 • • •1 .11 • 1 11 • • .11 r 1•I • 1 Y•• / ti •1■ •II .II . 1 • 1 • • 1 .11 • 1.:� • •• 6 metal 1 - 1 • 1111.61 • • w 1 • 116111 .11 • r-•. 111111 •.1 - 1 •tl 1 1 1 1 • M I 1 11 1 I I I 1 . 1 TMerq�o The Town of Barnstable ' 9 6Department P De artment of Health Safe and Environmental Services �'iOrEci �� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date b AFFIDAVIT HOME IMPROVENTM CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. �dow Si czile�P CCA�[ldreA amid i L 1-1 Type of Work: R-epI o re w e6f (,LY LyJain Estimated Cost Address of Work: Owner's Name: &PC 1Z�� Q o 10 K) , Date of Application: 12 5 1?-op I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under SI,000 Building not owner-occupied owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IlVIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date wner's Name q:forms:Affidav The Town of Barnstable FINE t Department of Health Safety and Environmental Services Building Division ' BAxxsraeLE, ' 367 Main Street,Hyannis MA 02601 MASS. 9 i639. �A�ED MPS t+ Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION 47Z— l0J Please Print DATE: 0 n � JOB LOCATION: I U4I a.--r l �✓I 16 number street village Q(�Q village HOMEOWNER": I N� , r j� 02 I �l 0-1 D 1-ICyb I oto name home phone# work phone# CURRENT MAILING ADDRESS: ;)5 LAM� STD 2 wm� �lu L 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 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. SigdatAre of Home63wKer 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN s TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION .1 r Maf�;, �7_02�, Parcel d 1 0� . CQ Permit# Health Divisions Date Issued Conservation Division 6v Fee Tax Collector ' Treasurer �� Planning Dept. Date Definitive Plan Approved by Planning Board Historic-.OKH Preservation/Hyannis Project Street Address 3S_1 Village Q&843 E y Owner �AQ.e,►.) a �,,� �,,��0 ddress Telephone G 0 R5 `77 1 `1 R Q S Permit Request over Gar . , a A S-6rcz :Am`\ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new * bU Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family V Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑ Full JZQ rawl ❑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: XG' as ❑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 ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 5 S ,'�O0 0 - FOR OFFICIAL USE ONLY -MIT NO. DATE ISSUED _ MAP/PARCEL NO. ^� ~ 'ADDRESS _ „�1 ' 1 VILLAGE ' OWNER ", 1 DATE OF INSPECTIO j =FOUNDATION FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ~ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _ FINAL BUILDING} _ DATE CLOSED OUT T ASSOCIATION PLAN NO. , To :Tom Perry Town of Barnstable Building Inspector From: Matthew Pisano&Karen Quinn 351 Main Street Centerville, MA Re: Revision to building permit Dear Mr. Perry, This letter is a follow up to our conversation per,telephone regarding a change to the approved permit of a garage/storage space to be located on the said premises of 351 Main Street. Structurally the building is to remain the same per the permit specs. After we received the permit, we had Yankee Survey Consultants stake out our property and also had them position the new building. In this process, the surveyor indicated that the building would sit more appropriately and aesthetically if it were turned 90 degrees. We agreed and had him stake the building as suggested. Now the building has 12 foot setbacks to all property lines and remains 60 feet from the next dwelling. Please accept this letter as.a revision to the existing permit. If you have any questions or concerns, please contact us as soon as you are able in order that we may proceed with construction. Thank You Sincerely, Matthew Pisano Karen Quinn CF THE Tp� The Town of Barnstable BMWSTABM 9� "& ��� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW ` SUPPLEMENT TO PERMIT APPLICATION 4 MGL c.'142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: C Estimated Cost 0, 000 Address of Work: S /244/N SE 66 f-Ek C- 6 Owner's Name: OUJA)L , Date of Application:— ���d I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date is Name q:forms:Affidav i - I'T - -- - - - I- - -- -- _ . ..--- - I-- I I I --- - ----- - -•-- -- - - -- - -- - - -- i �- � - -I i I -T_ - -q - -- - . -T--- --- - -- -- - - - T_.- ----- - -- RA v i ------------ I / I r-- ........... - i -.......... , , • i , LT------- .H_L_N G LE:S - -: --- - - --- - --- --- --' - - o _ _ .. : T ---'- -- —i —•——--- - -- T I - --—'7- 1 --T----r --i -_ - __.--.��_�I— —T -7- ------------- -- --r;- - -- - ---; j--j T ----T—r- -^—i—� - — --?—T- "�—j- --- �- I k-- ---- --- -- ' LLJ i i I i I : I i L n' '• j � I I I ! � i I i I i I i I I 1`77 717- T- I I ------------- T-r- F- .......... 17 17" 771 I EST/MA TED PROJECT COST WORKSHEET Value - LIVING SPACE (high end construction) square feet X $115/sq. foot (above average construction) square feet X$96/sq. foot= ti (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= �` PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot Total Estimated Project Cost For Office Use Only lnclusionary Affordable Housing Fee [] Residential [) Commercial" Property Owner's Name Project Location Project Value Permit Number "Existing Sq. Ft. "Proposed New Sq. Ft. Fee $ F LkBFORM 1/3/00 The Town of Barnstable Department of Health Safety and Environmental Services Building Division tin ASS. e, M^� ' 367 Main Street,Hyannis MA 02601 v 039• ArFD MA't A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: D JOB LOCATION: u + number l �y n street village "HOMEOWNER": j ! ISI/ L�T name �j A nhome phone# work phone# CURRENT MAILING ADDRESS: — e city/town T 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 undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimlun inspection procedures and requirements and that he/she will comply with said procedures and requirements. S)InjUe of Homeo ner 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN tN 7-- 0 L) S"'7 r'�741 N Sly. i ,.V..r - 5X IS77At C, 900f E� 4q rUfJ/T/0Mi AL k �.. • ....- . ._"�Smw a+nws.nur..--..,..vYPN60NYW-,... r..-..�. V .... �,;.x. N ' yam'..,� .. T• /�.e ..,,., ,.....�,.,...�,....._.....a..,.....ysa., L�ytr;fir A CvoC. i G�dT Tu,3 LOON\ 4 t y Ls T/N H4(/SE G �Njz-0uoit�', AISP#ALT S///NGLES a EX/.S TI A16 /Y 0 IISE ?. : ., c.-dAk, COL f 17' 16 l—gL�1�,CA55 44 17, Assessor's officct(tst Floor): Assessor's map and lot number — Q. SEPTIC SySTE ' ME t Board of Health(3rd floor): ��,.. INSTALLED IN C Sewage'Permit number +° �Iqj VM Engineering Department(3rd floor): RQ �aas L c House number 3S �' -�5- ENIq Definitive Plan Approved by Planning Board 19 TOWN REULA APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ,D TYPE OF CONSTRUCTION WOOD <� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use P-of Tq9 tz-ot9orn Zoning District C Fire District C 144, lq Name of Owner � 1 M. ©d AIJ Address MA-InJ I r CLNL"WJILLe® U Name of Builder -5 Address /! Name of Architect 5e TF Address Number of Rooms f Foundation Exterior (fogey-- S*,Vcce Roofing 5F' /I(T- 2 r'['L Floors C�0nf i✓&em S Lpa) Interior °L s a*t o Heating Al04 Plumbing IV ON 6 Fireplace �O'�� Approximate Cost 2,061 t Area ma Diagram of Lot and Building with Dimensions Feer S Aff - 9 PL -T Pc.+-� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License f- ; - OVIAN, STEPHEN M. 1 CIA- F • _ tip } ft�o` 34222 Permit For Build Addition t. r - Single Family Dwelling Location 351 Main Street J Centerville Owner,. Stephen M. Ovian _ l Type of Construction Frame „ Plot i Lot Marcyh 2 6, 91 , !Y Permit Granted 19 Va Date of.Inspection 19 Date Completed 19 Cr firs l y A i14 C t _ s MORTGAGE INSPECTION PLOT PLAN NORTHERN ASSOCIATES, INC. 65 SALEM STREET, LAWRENCE, MA 01843 •Tel. 508-97577117 ORT6 eom STEPHEN N. OVIAN DEED REF. SK.5Bt7 PG 224 LOCATIaV 351 MAIN STREET PLAN REF. BK 321 P9 60 CITY. SrAM _ CENTERVSLLE.NA. SCALe tM 400 DATA SEPT t9 1990 ✓OB 9013897 tir LOT 4 63.00 LOT s b ti b N , t STY - - T--- --- — — COTTASE I �• 2 STORY hV0D 3P� to 1 N "'Ary srAF�,r CERTIFIED TV,* THE HIBERNIA SAVINSS BANK NOTE: This mortgage inspection was prepared I FURTHER STATE THAT IN MY PROFESSIONAL specifically for mortgage purposes and is not to be relied OPINION the principle structure/s and accessory upon as a survey. Northam Associates, Inc. accepts no p f outbuildings, responsibility for damages resulting from said reliance by �y�X — CONFORM anyone other than the said mortgagee and its assigns in with the setback requirements of the local zoning connection with its proposed mortgage financing to said S N ordinances,and that there are no encroachments of major mortgagor. improvements either way across property lines except as . E S H shown. o.1791? G ALSO: t t t 1.Property is not in a Flood Hazard Area. This mortgage inspection was prepared in accordance (1 Or S T t P yp� 0 2.Property is in a Flood Hazard Area. with the Technical Standards for Mortgage Loan k0 SV�t� 03.Information Is insufficient to determine Flood.Hazard. Inspections as adopted by the Massachusetts Association Flood Hazard determined from latest Federal Flood of Land Surveyors and Civil Engineers,Inc. Insurance Rate Map Panel! t JOSEPH D. DALUZ rELEPHONEe 775.1120 Building Comminiontr EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 October 18, 1982 Cornerstone Enterprises 351 Main Street . Centerville, MA 02632 Gentlemen: It has been brought-to my attention that you are still advertising Cornerstone Enterprises -at 351 .Main Street, Centerville. �So tiliie ago you informed me that you were moving to a new location. Apparently, as of this date, said move has not been accomplished. This letter is to advise you that any further use of the property at. 351 .Main Street, Centerville for business purposes _will .not be permitted. Your failure to comply immediately with the Town of Barnstable- Zoning By- law will force me to seek a complaint in the First District Court at Barn- stable. Pji e, ph D. D zding Ca missioner JDD/gr cc: Board of Selectmen Town Counsel JOSt'WP'. ALUZ TELEPHONEt 775-1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 June 7, 1982 'a Cornerstone Enterprises, Inc. rP � 351 Main Street . Centerville, MA 02632 Gentlemen: Recently, advertisements appearing in the May 22 and May 23 editions of the Cape .Cod Times were ..forwarded to my-of f-ice-.—..-The�:advert-i semen ts_,. were for -Myacomet Real Estate and listed 351 Main Street, Centerville as their place of business. - - -- I am aware of the activities. that took place at that location years ago but recent events raise the question of ..zoning. It is my opinion. that the operation of a Real Estate office at 351.Main Street, Centerville is in violation of zoning and. cannot -be permitted. As per ..our telephone conversation, _I understand you have another office site awaiting Board of Appeals approval. Regardless of the decision the present business use of the property at 351 Main Street, -Centerville must cease. No future business ventures will be permitted at that location. Should you have any question, please contact my office. Peace, 1 i'12r` Joseph D. DaLuz L Juilding Commissioner JDD/gr cc: Board of Selectmen Board of Appeals Assessor's-map and lot .number Jt Sewage Permit number ............................................:.............ti i �FTNET� 'o - TOWN OF BARNSTABLE s'• t ti Z BAH MSTLAMLL� "6 q n BU LDIHG INSPECTOR OMPYd` - w r....i F � I ...................................... ............................ . .APPLICATION� `, TYPE OF'CONSTRUCTION .. �' ............. w ?. . . ................ 49.-Q�....1. ......19.7r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby.applies for a permit according-to the following information: Location .......� .� MA-� J `� ! : 1 v yts� M �........... ...... .. . ............. . ........ .° ...:.....:............ Proposed Use .................. .......:................................................ .... ....................... . ........................................................ ..... .... .... .... ZoningDistrict ............................................0...........................Fire District .......:....................................................................... Name of Owner .... `"� °�......��14P1.� Address 3 S I Wl�4 yJ S ` .. � 1 'v� ..... ................................................. .... Nameof Builder .......... .........................................................Address ..:...................:.....................:....................................... 'Name of Architect IU �fj`'J .Address Numberof Rooms ...........!......................................................Foundation .............................................................................. J/� S P iYi3 vs i �s Exterior ........��.i !�1f''l E.......................................................Roofing .. ................................ '.!.y.rr................................... Floors �I-:� �� .......Interior................. ...................................................... .................................................................................... Heating ......... . ..!t!. !...........0..............................................Plumbing ............1t.Af1 ..'...............................0......................... Fireplace ........ .... L� .......................................................Approximate Cost ........�....... ............................................. Definitive Plan Approved by Planning Board ________________________________19--------° Area .............................:............ 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 .................................................................................. Chaplin, Raymond H. No ... ... Permit-�for ......demolish. . ................ . .. .............. .......... ......................................... Location ......351.11441A.Al;.................................. .......... autax.villp.................. ....... 7 Owner ..........UyjuQlDd..H^...CbAP114................ 7, Type of Construction ......W.9.0.d..f Kamg.............. ........................................................................... Plot ............................. Lot ................................. Permit Granted .....Har.Cb..14... ......�.jq 78 Date of Inspection .....................................19 Date Completed . .. .... ...19 . . ... ..7. PERMIT REFUSED ............................................................. 19 ................................................................................ ....................... ..................................................... ............................................................................... Approved ................................................. 19 .............. ................................................................ ................................................................ .............. E. ♦ TOWN OF BARNSTABLE STLEL N639- AM 1 0 N BUILDING INSPECTOR APPLICATION FOR PERMIT TO ... J�........................... .......I TYPE' OF CONSTRUCTION .....W.0.0 ......................................................................................... ........ ...... ..........................19 . ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �Locationa. ...N. & .! ..St.J.... ........ . . .. . ......J Q O .............................................. ProposedUse .....................................................................................I......................... Zoning District ....... ................................................................Fire District ............ Name of Owner R..,..... . A C N .....................Address 13:$A .... . . ..... Name of Builder ............ , ........... ............. ....�--:97e�....�Aciclress7Q...... Nameof Architect .... ..............................................Address ............................................................................... Number of Rooms ......0.1VI-491...............................................Foundation ?O.WWO�R... Exterior ............................................................Roofing ....................... Floor! . .............................................. ...... .......Interior .................. ............. LA ... ...................... Heating .......I .. ..........................................................Plumbing ...... ......................................................... Fireplace .......IK pn.p............................................................Approximate Cost .................................... Definitive Plan Approved by Planning Board -------------------------------19--------- Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH ed Ll- U)< aid 0 < U <-J, L.Lj Uj > = M LL 0 Q� < X a- ?�: CL. U- 0 - LL- LLJ Q� 0 �- :g 0 (f) < =U)):LLI >: Q\ CL 0 La- -j -j Li..! ::D Lill�', n' I ll < (n U) LJJ Ljj z z LLI LIJ n < C) Z N U) < (� z Ld LU < Cl-' U . -J L4 < I hereby agree to conform to all the Rules and Regulations of the To n off Barnstable regarding the above, construction. C Name ... ....... ..... ...... . ........ ......................... Chaplin, Raymond H. No ...1r 9 ... Permit for ....... storage shed ............................................................................... Location 351 NWftio.Main Street .............................. Centerville ................................................................ Owner ............Raym.ond..H.....Chaplin......... ....... .. . ........ .................... Type of Construction frame .......................................... Plot ............................ Lot ................................ Permit Granted September 1 19 72 Date of Inspection ............ ...........],3.., �-p gate Completed ...... .. .. -....19 awrzC� ' PERMIT REFUSED i 72............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... \� THE tp�O TOWN OF BARNSTABLE •BASH9TOIiLE, i "6 9 BUILDING INSPECTOR �FE YPY a• APPLICATION FOR PERMIT TO ....../ .t. �a .... .... ��)C1 ............7x./1................................. TYPE OF CONSTRUCTION ..............Gt/.C.®t .... / ........................................................................... ......................19..7 a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ .s 1.......... .Cr7'!.f' .. .. !7�4tQ:Y..%.//E.................................................................. ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .....T.iF,?/v44l...&1 .ee4F4-..e.h .................Address {ELD a Name of Builder .............................Address Nameof Architect ..................................................................Address ....................................................................................... Number of Rooms ..................................................................Foundation ...... FFYT....... !F,G� ........................... Exterior EvG�n.i�.....5. �i� .�. .5............................Roofing .... oc /3�.c....4'a�i �r9G.C'... �a/�%Ci!.............. .............. Floors ..................Interior Heating ..................................................................Plumbing c------- ................ .................................................................................. Fireplace Approximate Cost -s Difinitive Plan Approved by Planning Board ________________________________19-------- . Diagram of Lot.and Building with Dimensions rL�G, p O �°O 9i�° Gv 0 o C) �� � tx� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namo..cZ, C ;��'!/ �?fir:-......................... J Barvenik, Steph®n OC 31 199� A AV d ,' No ....1 .. Permit for add to dosed ........................... porch .. . ................................................................ r Location ........... 35 Main St. 1.................. ............... Centerville ............ ................................................................ _ Owner ........Stephen Barvenik E Type of Construction frame ; ...................... ............................................................................... d+ Plot ............................ Lot ................................ Permit Granted November 9 19 70 .................. Date of Inspection ... ..�.L....................19,7 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... Approved .,........ ............................... 19 .............................................. ................ .................... ......................................................... 9 V 5 I c�o'� yS�Oj Ftic� olp + , A .10 ucF °off 9 F ySF os (9 Ir 65 66 62 50 o ti9 6 3 o19 may`�o 0 p �Fti ti3' � AO C"�osB �O 'Joseph D.DaLuz TEUEPHONEt 77S-1120 Building latpector EXT.I07 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNI5.MASS.02601 November 20,1980 Mr-&Mrs.W.E.Pierce 318 Frontier Drive Erie,Pennsylvania 16505 Dear Mr.&Mrs.Pierce: In response to your letter of November 12,1980 I have the follow ing requested information.From your description,the house appears to be in Resident D-1 District.The requirements for construction Set Backs are as follows: Front Side Rear 30 Feet 10 Feet 10 Feet Additions may be made and a garage built observing the above require ments.Also,a Tool Storage Shed may be built up to 100 square feet without a permit. Procedurally,first you obtain a permit application from the building department.If you are adding to the present house,you would be sub ject to the provisions of the Board of Health.That could mean updat ing the Septic System to standards of today. As far as locating your house on the property,you would have to en gage a surveyor. I trust this information will be helpful. Good luck and welcome to Cape Cod. JDD/df Peace osfeph D.DaLuz Building Inspector "3 5"I ^y\ix)n Sfvft 6"^ C e n-leyV'•'Ia 3/S 0>(Thx //^^ C^lyUL ^/^./^ f /^So l4 <?s^Zi/i ^^^^^^-^<=2^ry~i'/^^ /ec^7^ /jfl^.v<^/Q€^£i^^ /Oenyf^^^dc/7<fz4^~^ ^JZ.':71A'€zSL..^ C^/ui '(/dy^'ULc^-//z-^niAj ilU^^^^ A.y^.7^ i-'Uy^(SZ—/^-u-ty^^cz-^^jk^^-7^/7t(j 7i>avt ^ //?^.^^rz-t-cue dizx-^j/^'Cu\A^^ y^^Uy^dyy^^€-'^-^^A^tUa.1^^^ •d-t4yi^, "^CCJuCje. ^yyyi^^flz^r Tfl^-f ' /iZf y S<A-y^ty^^/2^/o/-? /^^/Szr^i Z4/^Pyy,tf3,/<^Ji ^ M ^f7S J 3iS ^3 /\}^mMA ^fi^o '^o3j /^ntrt^ if/tyyi o-i H ^~?^ ^^^dc>~U4 C^C(f7i, c/CA^^AA.cru^^ dAl Ua. ^-^O^iAAyi ^^lo^^diA/<, ^^4,/f^/-^ i ^^3^aL/-tc^\/^i<J-c4''^<^ i^AztAu^i/l lo-cJ^c^efttL^3M<^^^WTg ^s'nji yic/iiif y^jA ^ m.ti<fs,ijfm^^VlT jjiai -<am'i.i