Loading...
HomeMy WebLinkAbout0172 WHITMAR ROAD /� o� ���� ���� 7 __ i ,. �. �� ��� �� �� �� ������ �� �� - - i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map . Parcel Application # � A Health Division Date Issued . fS Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address WNjim&r QA Cc iUd: V\&A 6Z . 31— Village Owner L.J M ca r Address i Telephone 6 9 rry Permit Requests.2 Sic. t�1 Sous t( t d �i4.Tc 2 -3 < <J`a J J'G,f+ ,~-'�1 c n� mac, 1 Taxi\ �G.rC�,Je��( { rnccl c� ( t o SR ' tiaC�` "C 'olquare feet: 1 st floor: existing pro�osed oor: exiing 0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 9 9 2 -�d 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 = �; 1:3 Central Air: ❑Yes ❑ No . Fireplaces: Existing New Existing wood/coal stdve: :q Yes ❑ No ,.mz Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Bares existing`❑ rew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ J _ r- Commercial ❑Yes ❑'No If yes, site plan review# rn Current Use Proposed Use _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name .l SJkotncv-,� Telephone Number � 7�"�f Y f. Address �U A_V_ 0J— License OL 7 -7.) S O Tr\A d Z 9 7 f Home Improvement Contractor# l tro U Y 6 t Email Worker's Compensation # (J -`t 7 u 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE F I• . - - y FOR OFFICIAL USE ONLY APPLICATION# ZATE.ISSUED k MAP 1 PARCEL NO. f ADDRESS VILLAGE W-_ LZ OWNER �F DATE OF INSPECTION: J r� FOUNDATION FRAME INSULATIONS r FIREPLACE ELECTRICAL: ROUGH FINAL Ar PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING; ti Q'ATE:;.CLOSED OUT ` ASSOCIATION PLAN NO. -� -_ - Offree of Iisvestigations� -- �','� 1 Congress S&eel Suite M Bosten,MA 12114-2017 www.m=s gov/dia Yorkers Compensation Insurance ATdavit: Binders/Contractors/Elecftidans/Plumbers Apaliealat InformAdOR PIease Print Leabty Name(Bussiness/organi—ion/individual): �C,, I"' T -v,�r/G A'''-, Address: City/Stare/ziP: S� z ;� �.- Uo, 7( Phone#: U e'� 9 ( . Are yo employer? Check the appropriate box: Type of project(mpiiredr 1. I am a employer with d 4. [] 1 am a general contractor and I employees(full and/or part time).* have hired the 6. []New=� non 2.❑ I am a-sole proprietor or partner- listed on the attached sheet 7. ❑Ree nodeling ship and have no employees These sub-contt ictou have S. Demolition worldng for me in any capacity. employees and have workers' [No workers'comp.inst:cance Comp.insurance.xrequired 9. []Budiag addition -] S. We are a corporation and its 10.0 Electrical repairs or additions 3.[l I am a homeowner doing all work offices have exercised their 11.[]Phmibing repairs or additions myself [No woAcers'comp. right of exemption per MGL 12. f repairs insurance requie&j t c. 152,§1(4),and we have no employees.to o workers' 13.[ Other [� t�� Z comp.insurance requirecQ `�Y aPPlicaat that checks box#1 must alp fill out the section below showing their woda m,ooa>p lion polity iaform� Bone P=11 who submit this affidavit indicating they are doing all wade and then bat outside oontz:tms mast snbmid a new affidavit indicating such. Contractors that check this box nua attached an additional shed showing the name of the sub-eontraema and stale whed=or not those catifin bane aaployees. If the have employees,they must ptvvide thin woticets'cotes_polity mtmbd am an employer that isprovrdacg ywvrkers'compensation insurance for my employees Below is the policy and job site afonna om ` 1stuance Company Name: ... .4c C. olicy#or Self-ins.Lic.M. () (47 0 S'f'(p/ _ Expiration Date: )b Site Address: City/Statellip: ttaeh a copy of the workers'compensation policy declaration page(show#g the policy number and expiration date). :ilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a to up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of' restigations of the DIA for insurance coverage verification. o hereby certi a and malting e e ' that the in ormation provided above is true and correct f nature., - Date - I. OfficW use.oAly.. Do.aot,write in this area,fa be completed by city ar:toHuwficiaL- -ity or Town: Permit/License# suing Authority(circle one): Board of Health 2.Building]Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 1. Other :ontact Person: Phone#: -Rightfax C3-2 8/4/2014 8:44 :21 AM PAGE 9/022 Fax Server AC D® CERTIFICATE OF LIABILITY INSURANCE DATE 0,4 �- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the policy(tes)must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) PRODUCER CONTACT - NAME VIVEIROS INS AGCY INC PHONE FAX 140 PLYMOUTH AVE Est, A me): FALL RIVER MA 02723 EADDRESS- 40-AIL INSURERS)AFFORDING COVERAGE - NAIC Y. INSURER A-ACE AMERICAN INSURANCE COMPANY INSURED MURER B: RETROFIT INSULATION CORP PO BOX 105 INSURER C: SEEKONK,MA 02771 INSURER D: INSURER E: INSURER F• - - COVERAGES CE FICATE NUMBER, -REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSRR TYPE OP INSURANCE JADD4SU POLY NUlrBER POLICY EFF POLICY EXP INSR {"UM11wWY) MR>DlYWY LMS GENVtAL 'rI`Y EACH OCCURRENCE s I COMMERCIAL GENERAL LIABILITY DAMAGE S CLAIMS-MADE OCCUR PREMISES[Ea Eoocutsr" - I LIED EXP(Any are person) Is PERSONAL&AD"V INJURY Is - GENERAL S GEML AGGREGATE LIMIT APPLIES PER - PRODUCTS-COAAP.'OP AGG S POUCY I PRO- JEC7 I LOC i S- AUTOMOBILE LFABIUTY MBA D SINGLE Ld.9T S' ANY AUTO de SCHEDULED BODILY IN.rJRY(Per person) S ALTOS AUTOS S AUTOS NON-0�AM/ED I �BODILY 1NJ:JRY(Per acpdent) - HIRED AUTOS AUTOS � - MO�Ni'IAMAGE S S UMBREL A LAB OCCUR - _ EACH OCCURRENCE - S .. EXCESS LIAB (-IA:MS-fN.OE - - AGGREGATE g TANY RE'TENAONS S sCOMPENSATION ANC STATU- LOYERS'LIABILFTY X TORY L!W ERPRIETOPMARTNERIEXECUTIVMIEMBER EXCLUDEDP IIJi NJA _ E.L.EACH ACCIDENT $1CC0 000 m NH) LTl 6S62US - 08-02-2014 08-02-20 rEcunder 4705P615 i EJ_DISEhSE- AEMPLOYEE $1.000:000 ION CF OPERATIONS heJow E-L DISEASE-POLICY UNIT $1,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Ana ACORD 101.AddWonal Remark Schedule,C more space Is required) THE INSUREDS MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAIMS MADE BY THE INSUREDS MA EMPLOYEES IN STATES OTHER THAN MA. NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN STATES OTHER THAN MA IF THE INSURED FARES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA. THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA. CERTIFICATE HOLDER CANCELLATION BPI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 107 HERMES RD SUITE 110 CANCELLED BEFORE THE EXPIRATION DATE THEREOF, MALTA.NY 12020 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATME ACORD 25 2010I05 G 1988-2010 ACORD CORPORATION.All rights reserved. ) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massac setts 02116 �> - Home Improvement Co •tx#,tor Registration Registration: 160461 n Type: Private Corporation -'`^+ 'r �} y` i '(fir Expiration: 7/29/2016 Tr# 252915 RETROFIT INSULATION, INC. ;':...::; JOSEPH REILLY !' BOX 105SEEKO . ;.1 NK, MA 02771 Update Address and return card.Mark reason for change. SC I Al 20M-05/11 Address Renewal Employment Lost Card G?7/1eorirnvroaaeueq�l�oC? aurc�iuerilld Office of Consumer Affairs&Business Regulation .License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ;.1: 61 Type: Office of Consumer Affairs and Business Regulation xplration , 7J2I2016 Private Corporation 10 Park Plaza-Suite 5170 _?. ?, ;:. Boston,MA 02116 RETROFIT 1NSULATI N;`L <:.:: JOSEPH REILLY 644 RODMAN ST FALLRIVER,.MA 62721 Undersecretary 000t without signature k6ss•achusetts -DEparttrieiit of =L ulic Safety Board of Building Regulations and Standards fi1111structiun Supervisor specially License: CSSL-102771 JOSEPH J REILLY S gELMONT Fall River MA 02720 Expiration _ " '•Conimrs'sroner 0610512015. I , ' o' n ofansxa� e : x ara -19ca ter. x,My v M Tnm Perry,Bnitdf— 0 mmiwoner _ 2UD Mam:3trec�Hysuros MA(l3601 _ wnW ldwnbaazl�stablemans J Office Sfl$-862-4Q38 F�c 548-790-523 1'ropex y O n p-r M-.'s1� �� lets d��• • � � _ 10 { I;: I��lA 1^r� 14.r��i ,as Owz�ero o�cibkectyp � ny< �-�3:'E"'^'ls, icy Ulm 3a^�4�s.. r,�.3._i s�.ib is a' .. +i+•w*u. E'i 5.'�1''MY"" `...�.. .?: 111,a IITSsLIV�1 ;WOtes;Su�uOYldntSf�1]11C�lIigTID1t�21 �1�iCattOliOI �'�"Fool=ftences and aL�ms are tbe�iespc��ls�,�h+�f x�e�apphcant P.�a1s ujsp`e+�uOnS'a _ d asida- e�tL:c�. ? .. ,: .. . Pit Name• =���� :� •L� C�C� DrtM=C Date. MAY .1 .3 2015 .' ORMS€bWNE",MRM=ONPWk ', r RISE Engineering No IAA contractor No i= AdivWeoofThielachEogioeedog CTConhactor Itot10/10 3 Dupont Avaam,South Yarmouth,MA A26f4 CONTRACT50914W19M X4197 FAX 5 1933 PROGRAM nrao ON=aaarVIEDonosnvrsaaM CLC-RCS aasalmattranonwontncrrsarranronwonak�s ouaoaassnussrr usTosnsa weo�m au�e aa�n woacoaoai William F F OMW (781)929.4728 01/16W15 186999 00002 saavnea snag. aa�srs sraar 172%nitlnar Road 172 Whit mr Road SWUNCH On BUYS.IV GaiM01T.sTAMW Cowit,MA 02635 Cowie,MA 02635 JOB DESCREMON HEALTH dt SAFETY:Weatherhmdon walk cannot i mcW wWl de hsaliidrart draft is fboed. $0.00 AIR sEALM(i:Provide labor and materials to seal areas ofyour home w1ast wasteK star.air Ike. This work will be perbued in ocrea-with the use of special tools and diagnostic teats to assure that your bone will be belt with a hedtthfrd level of air exchange and indoor air quality.Materials to be used to seal your bone an include calks,foams, and other produem P wwy areas for sating inlufc err leakage to sus,basements,sawbed garages and other unheated area(windows are nnot gOnaany addressed) (12)workft home At de completion of the weatherinfion work,and at no additional coat to the homeowner.a lineal blower door"or Combustion safety analysis will be comdreted by do sub•cotmaelor to ensure the s*W of the indoor air gnWity. E924.o0 ATTIC FLAT:Provide labor and materials to install a it layer of R 38 naked tfbaglass bra to(150).gran:feet of attic sputa. S369.00 ATTIC FIAT:Provide labor and materials to in"an 8"layer of R-28 Cho h Cdluloso added to(800)aquae feet of open attic SPM $h,008.00 ATTIC ACCESS:Provide labor and materials to insulate de back of(l)attic:batch with 20 6W Mat an board.Wemheistrip die Dom• S42.% ATTIC ACCESS:Provide labor and materials to idsulm(2) back of the borwall batch with Y rigid Iberom board,and seal due ode of the hatch with wedtherstnppia8. SBS.Qti KNEEWALI.S:Provide labor and materials to install 2' FSK faced semirigid Bass board insulation to(140)square fed of lowwall area S463.40 VENTILATION:Provide Mat and minerals to install ventilation chates in(78)rafter bays to maintain air hlow. $272.22 COMMON WAILS:Provide labor and materials to install2'FSK fbCed serni-rigid tibagloss board insulation to(300)square fect of common wall area. S993.00 GARAGE CER.MO:Provide labor and materWs to mall 100 R-37 densely packed pass I Cellulose insulation to 360 square feet of garage ceiling kncsted below a homed floor area,by drilling bow in the ceiling from below. Hoke drilled will be plugged. Plugs will be spackW and left in a relatively smooth condition.Finish sondiin8 and takch-tap prWh*IpairtW%wall be the customer's responsibility. $745.20 RISE En&eering will apply all applicable,dig*incentives to this contract. You will be baled only the Nei amronmt. Currently,for eligible measures,de Cape Light Con"a offers 75%incentive,not to exceed$4,000 per calendar year,and an incentive of IOW6 for the Air Sealing measures. For de sakty and health of your home's indoor air qnW sty,we will be eonduding a blower door diagnostic of the available sir thaw in your ho c both Wore ft work is begun,ad efts de wedhainfion work as complete.We will also conduct a f iU assessment of FadsrN tD f OtF411SO4Y RISE Eaglneering am carTaatar No atp MA COROaemr 1tayMhauoa No Mn n A&VWM of 7Udub EmUmft CT Coatraelor taagtatratfoa No IM20 5 Dapom Avwne,Son16 Yanawd,MA CU" CONTRACT M8.568.1926 X4197 FAX 5084WI933 pqp a PROGRAM 1Nn 00N1aACT M ENRMO RnOaaTlllDl aMa CLC-RCS 0109atij10101{f{�1N�GI�IOIR�t1011YlORRM Oaal'�fiL011 ONaTOMEN RIOIE DATA &WINO INOIMORDaa William F Fioredi (781)929-4728 01/10015 186999 00002 saw=STREET aware MEET 172 Whittw Road 172 Whitmar Road selMte em,sTAMW SUM CffV.WAMLZP Cotuit,MA 02635 CoQ k MA 02635 JOB DESCRIPTION the conreusdw soft of your bed"sysmn and woo Neater.76is has a v"of S90 and is at no cost eo you. . 390.00 Total: $4,992.32 Program Incentive: $3,997.74 Customer Total: "94A WEAMMUMMY TO FUMM! -OOOPtEMutACDOR =WnAMOYESPEOWAT10aMRTM@titOF —Nine Hundred Ninety-Four&58H00 Dollars $994.68 W01 POOL 00PECTON ANDV080M BYR16EEfN{OtlREnYLCUMMAOAMTDaSIRAnoWIXIEIN FLU.pITERIMOFfSV"9ECIMR6FD*WMYQNAV' Ia�/UDaALATRmAFilRTO sEeREVFtadEFOROtPORTANrOW0007M ON WJARANfM MOM OF 8CNEDIRM%AW00NnV=001100i6TU=IL 00 NOT Slunk TH S CONTRACT F THERE ARE ANY BLANK SPACES . . CUBMI&RACCEPTANIX Y V MAY 09 VATHDRASM DY US N NOT 018=0 MEMGV DATE OF ACOEPrPJM ,�. ACCEPTANCEOF,CONIRAC►-TNEABWE HIP �OCATIMAnOOImmoNSARE �� "TWAC70RY TO US AWARE/UMMAOCVIBD.VWARIH ANTNOROED T0807NEIMM Aa srEMEM►ATf03ft Hula$MADE Aa OORaI®AaOYE '`. ► TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ® Map Parcel Application Health Division Date Issued 11 JA �_3 ` Conservation Division Application Fe rr Planning Dept. Permit Fee l � Date Definitive Plan Approved by Planning Board 423�13 Historic - OKH Preservation/ Hyannis V Y , Project Street Address 7 Z_ lkli�//7�/�Az- X. Village eQ rV_1 T r Owner AhIll U//)/Z e-,&/CAA,dress / A/l/q�o/w, Telephone Permit Request JU Square feet: 1 st 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 ll/ Two Family ❑ Multi-Family (# units) Age of Existing Structure /H' oric House: ❑Yes 0' o On Old King's Highway: ❑ ❑Yes No YpBasement T e: ❑ Full ❑ Crawl kout ❑Other Basement Finished Area(sq.ft.) 11 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including bathe): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other t Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wo@(Woal stovi; ❑Y9 ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn:�� xisting a new size_ ry "a Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �- M Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use -�'4!�,� Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address z(YUpa66z, ( //2�'.�i License # e5f�t4 Home Improvement Contractor# 7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO L o&AL SIGNATUR DATE `'A) FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ScK��o �Ld36a3 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. z " The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,ALL 02111 U. www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual).,, � � Address: / 74 —S6i W/SX- 64'1 C�/I,GGL�j /!ter O��d3� ✓ City/State/Zip: /�f/%// /�� Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I ployees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.KI I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' � 9. ❑ Building addition [No workers' comp. insurance comp. insurance. 10.0 Electrical repairs or additions required.] 5. ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other . comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ify under the pains andpenalties of perjury that the information provided above is true and correct. Signatur G G���'�� Date: d r Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and 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 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 who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair 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 required." 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-contractor(s)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 insurance. If an 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 Deparhnent 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 permit/license 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111. Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia I Town of Barnstable Regulatory Services �. snartsr"LE, MASS. Thomas F.Geiler,Director i659, `�� - " Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, /���/ /`��� , as Owner of the subject property hereby authorize 2/ (/l(-dd� to act on my behalf, in all matters relative to work authorized by this building permit. C �z 1'U#11"2"�i3O/Z• &rur f (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Y Signature of 04ner Signature of Applicant Print Name Print Name Date QTORMS:OWNERPERMSSIONPOOLS 6/2012 i Town of Barnstable y�P Regulatory Services IUxxsrnsLE, Thomas F.Geiler,Director Mnss. 4`bp i639• .�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabIe.ma.us Office: 508-862-4038 Fax::508-79076230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to 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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ? i . Massachusetts -Department of Public.Safety Board of Building Regulations and S:tandacds Construe#�nSrjer,ispr8iami1� ..` xt Liicense':CSFA-062822 `sV-r'rs o � � rA DANIEL C W D 196 SCUDDER BA<Y CENTERVIITLE NIA 02632 Expiration Commissioner 03/28/2014 Office of Consumer Affairs& tta p —� B;Q;-ss Re on e. ;I <- ME IMPROVEMENT COIiSTCTOR11 License or registra_fion valid for individul use only: gistration 152773 E before xpiration 9/28/2014 ; TYpe Of xpiraiion date. If found rtuTn to fice of Consumer Affairs and$usmess Regulatiop DBA 10°Park Plaza-Su J GROUP a e 3 Boston,MA 02116rt 5170 c DANIEL WOOD a 196-SCUDDER BAY CIRCLE_ Y CENTERVILLE,MA 02632 Undersecretary Not valid without sig nature N - (��-- o �5 c . .110 v 35 � �•� Ao U. .�1 ;g Z.00 L� �0•p0 � 711E oP—IL-�l1Jl�t._ i�1=A�.1 �,41UU11J P.� ��I��L�v N of A F-p,MP�RI�ILj . vA�CE 3`[I (Cl R.P O N v No.36044 Q d� 7'Ili✓ <=S�IS a�- I�l� IC4��i� Ago ��ir-o4Z11��:�-�c�l-1, l r-1�10,-�.41�44" AS l ►R�1STA�I �COTUk d11 'C41�. C-4iZbU11T7 �'0 'i�li✓ }•lUP_l�l.... - ��Chu 5rf p1&_ j R. come lt-4?,lac.-`Yl oc-A ear. "Cr- -1 11 V__ t .......... I�oc �3 -T1'G OP_I L^�I��N`�—. F�� N �l�l�x�j �• �c7���rGQ �� AtbL � -t"AMP�R1►,1�� • Otu-E 3`tI h2 Rp — Ii31 No.360" a r� L � ON -TIM V3A�1,C) oV• ►q�� VI VL&O Off" lur-ov;UA&-Clc:tt, i r IV-to AS 5wmSTA f(CZ1oTU1T 0 A l�'r' PR�P/�cz�c7 FAR. L-�►u� `vU ��IOEZr� P1Z CiIGI14EI MY-' M k°l°lZ l '• I'1I- 4clr tt� ►4�.'��h+Cl1U' �TS� -t11� t�c�;rl��� 5rmvu1 ,i tZ . �I,�i����t?,i►�c.-�t i �� ��r. C� �t1t� ����-lp��•Ic�►l ��� tic, 54Ww�1 ��,11,11��PUGZ.� � � . PI-Al l - .t'Eu� a�N�tt ems_ ful'Vio�lr� c,ItoW�J At�� 1►l �`� !- h,�,w� A v VA cam VILIV•: tAS5 . < < • ssesso s o floe st floor): - y iTNETo Asses- r�s map and lot number .... . EPT�C ` Board of Wealth (3rd floor): -"' ' SYSTEM M115T Sewage Permit number .............. C .-..vJ.`j��.., .,`�... ' TALLNEp IN CO ' v ��L'/� 9TIIDLE, � Engineering Department (3rd floor): �/� �� TH M rhea House number ........................................................ ENVIRONMENTALLCOD 1639.O MPr APPLICATIONS PROCESSED 8:30-9:30'A.M, and 1:00-2:00 P.M. only T®�/N RE�� ������N� TOWN OF BARNSTABLE BUILDING , INSPECTOR APPLICATION FOR PERMIT TO .. ............... . .. ...G�t .......... . .... ,r.. TYPE OF CONSTRUCTION ...... 9 .......... ---...19..1.� TO THE INSPECTOR OF BUILDINGS: The undersk..... hereby applies fora//permit according to the following information: Location ... L.�. .. . .... .. :........ ..... ......................................................... ProposedUse ... ..... Q. .......... -.......................................................................................................................................... Zoning District .........�.`..�.........................................:.......Fire District ....... .. ... .............. . ......... . ................... Name of Owner . . ........ .... ......... . . .................Address ...%v... - tName of Builder .. .... . .. . . .. .... ...... .:.::...... ........ ...........Address .................... ....... ........................... .......... .......... Name of Architect .. ...... . ........... . . ............................Address ...... ..... Number of Rooms ............!.....................................................Foundation . E x l e r i o ra�iA. ... ...... ... .....�`... ......................Roofing ..�C..C<r!(..... ��t�(.................................................. Floors 1, �..��� �- Heatingj ..........4'.."""'............Interior . . . ... .. .. t1 ✓V...' .........................Plumbing ... ... ...................................... ..................... . Fireplace i ����... ..`............ .................Approximate Cost J� 4�d //2 'e . Definitive Plan Approved by Planning Board ---------------1�________19_ Area .......� ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH D 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. Construction upervisor's Lice se .................................... ' MARCHESSAULT, FRANK. _ kj N 34901 Permit for ...1 z Story .... ............ try Single Family Dwelling ... Locations .Lot...#.1.9....&...1.9A,.. ..�..7.2...Jn1Y1.],.t �Road } .0 Q.tu i.t...................................... Owner .......Frank...Ma,�chessAVI.It........... - Type of Construction ....Zr.ame..................:...... -� - :• Plot ............................ Lot ................................ r Permit Granted .........�arch..........._...._.19- 92 Date of Inspection 1130 1� f Date Complet d .f.. � ..................19 Z-1 C; CO CIS lo- M C, = S rn »� ai {.. ' { CU i .� *- i f SINGLE FAM►LY - 9 6ED tzoot`1 S , nJ o G-A4L(3AGC CIS,Po sAl , 4 , USE Z000 G-AL TAME 132EA►-007 CAd-(-Qt-rNlou- . PISPoSAL Pi'F— USE(2) loco G-tAL 5 - :5/,4-- 41-6 5►DEWALL A(ZE/a =(2� 18`8 3"7� s. IF zG , 3`7:� 5-F. x 2 5- = 94-o G, P. D: 6o7To M AP—CA = (ZE X 78 s ESL '5,i~. D REC�vi2l iJ = I u� ,: ►Sc = ?7' TOTAL 9 G. P. '. - • . �2oVi��}� = 3s b - ToT�L DAILY Flow U U G,P. D PefZC.�L ATio�v 12ATE � I )NCI I� Z A-tti. 02 LESS TEST HOLE # (' SO4 19 tl es ; EY T N L_ F.G. = 53.? F.G. S4,o' TOP FND.- 6, 4.. SCHED. 40 2 000 P.V.C. "° ' INV. 52',o ' tc s3.z z 1000 GAL. ( DIST, INV. 0 INV. .,��,o' INV. GAL. _ doo"LEACH PIT, g° BOX sr,� s,l,`. . g' SEPTIC WITH ou v TANK S"yti °�° 3/4" TO INV. INV. Y w WASHED STONE �44 s PROFILE 8f U $ LL111 i►� S9Np /o' NO SCALE lYo. 2S7315 , d�ariYG f� 1301ToN\ Lcyv 30) No µ . CERTIFIED PLOT . PL;A N I CERTIFY THAT THE PROPOSED FOUNDATION LOCATION Co;u,T •� SHOWN HEREON COMPLYS WITH SCALE. "_ THE SIDELINE AND SETBACK �� DATE REQUIREMENTS OF .THE TOWN OF PLAN REFERENCE BARNSTABLE AND IS NOT LOCATED �`T ! or .,C, WITHIN THE FLOODPLAI 0/N p/ati .r o . (20"lzw G: D 0 L-A� 7 t� qc DATE : REG BAXTER 8 NYE, INC, . THIS PLAN IS NOT BASED ON AN ISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OFFSETS 8 CIVIL ENGINEERS SHOWN SHOULD NOT BE USED TO OSTERVILLE, MASS, DETERMINE LOT LINES.. APPLICANT i =t i i k N a 5N-/CCT z o Jam' I � . . _ . • 4 _ LoT i�7 , s� 1 N 41jo1 ; i 1 PrzoQ /-3-5(l �.. �. 1 IS3il , GAS 1. (�1n Sig . 5�2• 9 V CA TC-4 ) V TN w I I l ;EYr"ic ij O-- WATEA rI. I VALVE+ I �I �• � I �) bo%� � � � 6o'f i � roo I lo% 32 • { � nrq OF kA PETE�P RCH°RQ �tip SULLIUAN BAXTER Nm 24W Wo. 29133 DEPARTMENT OF PUBLIC SAFETY COMMONWEALTH COMMONWEALTH AVE i ' OF :a BOSTO I,MA6&02215 ENCLOSE„CHECK OR MONEY ORDER 3 MASSACHUSETTS, _" NSE k Ivl FO OulR�D FED t ..- LICE fCONSTR. ,;;SUPERVISOR ,_ r b Y , n Et MADE PAYABLE TO I EXPIRATION DATE~ �{��(�� Q qj 8 "'EFFECTIVE DATE LIC NO rt iCOMMIS4ARE�(�F BLIC SAFETY" ��R OtS/30/f 993 s 006646 ��w �, . !" . RESTRICTIONS `; o p�/30/1:99t I r ND )• * al a j` �O NO O NONE p t; eF�� "GIENN 111 CRAFTS , , o 0 72 , NOV NTRY CIR { ' p E'AS NOTE FEE INCREASE �l . ' . S.•DENNIS MA °02,660 2It {; SS 029-42-8 834 i 4 1 ° 1989 • `rECIIVE JEe- FEE yI 1� PHOTO.(eusTwc ovR ONLY) : .,: - . -�"00 10 0. t o _ NOT VAU NTIL SIGNED BV LICENSEE AND OFFICU�LLV {" HEIGHT:. STAMPE OR-SIGNATURE OF THE COMMISSIONER .d Doe: N•OT DETACH LICENSE STUB 95 `, > SIGN NAME IN FULL-ABOVE SIGNATURE LINE �TURE OF N g} . THIS DOCUMENT MUST CARRIED ON THE PERSOG N" /. P _.i." COMM THE HOLDER WHEN EN N6+�a- -gIGNT THUMB PR, ED IN THIS OCCUPATI 1 OTHERS 2$�g1429 i I i ` s . i ,.� 1 j7p4 by Al.7.O4:N4R/,v It ! % \� -..I S it niLil I1LA , I J n _r�I � � 1 i—I LJ ��1.� •���_JJ ��. -roT ruc - APPR`VE OTC A(VrGES 91 TO BARNSTABLE Buildi g Inspection Department raw. L jj Ir ZFEI r -L_...�__ �. p.-1�_ -.._- W G fu N4trf. ✓ � -_ --�•I� HILY t{M✓_ - � � .. - _.-.... SS1I a r , i * D J II 1 1 'I E I 'I . v.- !;I r 1 1 (j o-" ,w15 Q' U_i p , J _ I • o zaoewc4 ew�` J I � I i J i I r a � }•ae,+<w. R ' - 2 4 Sal,X qi IF � I I I.•_ i I J .k I`� , .. i ,. I I�• .. � op. .i -.aa... � I P' II V �1cYe � t D .... • II .� PN I� P'- N I�" 0 .4•evf.b' 4•e ;6' -yam- a• �k. �zbzazaur • R S, I I 1 I I - 1 I � ..._.�,_.�,�.._,III— � s - � • . r . LIB_-- s. 6 j I• Ex 14 Lai I .O p S 1244$r.i c p 1 c Sl0►C I �. 144LWC mil, •y •• I (+.� .. � .` _ _. ...___. ' . � IT %95:WA Ul 61 wc— • •I x .. it . .,'I � � '`1 ' F" vault I--rrp b �arc { 9 ` °'I x�=u,xz- ��,mo era � � Y .• i r- y.3' a LL�I }T-�- .. •-0; j i S?y jl i i 1 iFff FT 1 I rt j! n Ir Jq I N; i Town.of Barnstable 1"E Regulatory Services Thomas F.Geiler,Director MAS& Building Division 1639. Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. - Office: 508-862-4038 Fax: 508-790-6230 PERMIT# � FEE: SHED REGISTRATION 200 square feet or less Location of shed(address) Village Property owner's name Telephone number -- - Size of Shed Map/Parcel# C75-1 H j I Signature Date Hyannis Main Street`Water&ont Historic District? Old King's Highway Historic District Commission jurisdiction? /If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature-is required) Sign�off hours for Conservation 8�00-30�&3:30=4:30 PLEASE � NOTE: IF YOU ARE WITHIN THE JURISDICTION OF OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN ' Q-forms-shedreg REV:05201 ' I 1 1 a. 4.1 4.��� .00 �e • ye. Jilt OPI C-�I1J1 . 4� At.1 `,I IUUI� P ��1C�1�1EC� 11.1 yr 1 b acst -rllt✓P� l'� -Tilt= p 1H AUL CD U ( E N ro+ �vO.3so44 Q OtA ����� ��' t''1 � VtluFLA ,t� lur-dcz���:Cto�l, ► rt►�v,-Ttvwr AS Paa,RPJSTA�t (coTolT t�-�.�5Ut_T t A. raUpal��� tdl�.c�E OVA -['!1s C-v-w)Au 113ChAmpo or- cnvr, at! �e IM lAmfz�r�ctlu `�'S, �(tltl iibtt 11att:� MQ�G� �, I��Z �.�C'I�t- ', I'I Aor CP -t41� 'F�tJ1.lp �'Ic�ll t�� r�c� ,tww►1 5rAt1L � tL . I�IE >cc?,I�lc.-`I %!� ��t: I tt=p�oe 1 . ©S=tJ�it'�Pc.�Gz.� �►-,fib► aZ���,�-) P i - tom• t?t�� fit.A+l�►� a5 t�-�at a o: I�CU'�. (IV- �,PFL1cAP��� r P t �W�1lrlUtlr1a11 ClloM Apr-- Ill Atk Mb -9A-r0M. -tom�-b+�l� � C�1 at g•�I'Z z i TO ALL NEW BUSINESS OWNERS DATE:: Fill in please: APPLICANT'S `r YOUR NAME: - --v. . W BUSINESS YOUR HQME ADDRESS: TELEPHONE Telephone Number Home NAME OF NEW BUSINESS "— TYPE OF BUSINESS � IS THIS A HOME OCCUPATION? YES NO Have you been given approval from the building division? YESF NO = ADDRESS OF BUSINESS MAP/PARCEL NUMBER OSC� (� 'I-3 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. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office-(Ist floor - Town Hall) or if you get the business certificate first you.MUST go to the following office to make sure you have a:I the required permits and licenses.. GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING COMMISSIONE ' OFFICE This individual ha en infor7fpd of any permit requirements that pertain to this type of business. Authorized ignature** COMMENTS: /VO 2. BOARD OF HEALTH This individual has b rme / it requirements that pertain to this type of business. Authorized Signature" COMMENTS: y ��I P- / �Z�� C,OJA 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informea of the licensing requirements that pertain to this type of business. Authorized Signature*" COMMENTS: Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must 5 do by M.G.L. - it does not give you permission to operate - you must get that throu 'i completion of the processes from the various departments involved. " "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. `�•.° °�.ew TOWN OF BARNSTABLE BUILDING DEPARTMENT IAHI]TABL : TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department I DATE: ( 3— J�,� An Occupancy Permit has been issued for the building authorized by Building Permit'#... �. .... _..................................... issuedto .....�..:�..��C._ r .n1)�:..........»....... ...._....................................................._ .»».»_ .....__._. ..» ..._._»» I Please release the performance bond. w TOWN OF BARNSTABLE 3Mgl Permit No. . q BUILDING DEPARTMENT i '&Uri ! TOWN OFFICE BUILDING Cash ................ '6}9• ` X HYANNIS.MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to Frank Marchessault Address Lot #191 & 19A, 172 Whitmat Road Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. September 3, 92 .. . ... ....... ......... ...... 19................. ................u'.... .. ............. Building Inspector +1" hWN OF BARNSTABLE, MA** SSACHUSETTS BUILDING PERMI' DATE f9 PERMIT NO. APPLICANT ADDRESS IN0.) (STREET) (CONTR'S LICENSEI PERMIT TO (_) STORY NUMBER OF (TYPE OF IMPROVEMENT) NO, DWELLING UNITS (PROPOSED USE) AT (LOCATION) ZONING (NO.) (STREET) DISTRICT BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT LOT ' BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTI TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: I AREA OR VOLUME _ —ESTIMATED COST PERMIT (CUBIC/SOUARE FEET) -- FEE OWNER ADDRESS BUILDING DEPT. BY FTERMTHIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY I ANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING. , P ODE, MUST BE A PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWcR C MAY BE OBTAINS IEROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIO OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE-RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I'. FOUNDATIONS OR FOOTINGS. MADE. WHERE ELECTRICAL, PLUMBING AND 5 E A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS, 2-. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL FINAL INSPECTION TI TO LATHE FINAL INSPECTION HA'S"B.EEN MADE. 3i. FINAL INSPECTION BEFORE ' OCCUPANCY. =: ? POST THIS CARD SO IT IS VISIBLE- FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROV ALS ELECTRICAL INSPECTION APPROV S AIc o` o {� r =T HEATING INSPECTION APPROVALS RTMENT I EN ERIN D Z _ OF HEALT OTHER -- SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITT NOTIFICATION. g33� Town of Barnstable Approved 'rP Regulatory Services Fee J .067 Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: �" � — Name: �X IQ 'l Q .Phone#:s Address: W�1 Village: Name of Business:Q"Rg 1sNc0. 'sn—o-�:rOgn, Type of Business: �Q 1 L)1 �e Map/Lot: D l Zoning District7u�--Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. 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. s 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: Date:-14 Home" "0C Yai Zf at• - /� ��iONs� � - Ir LIC o EA- t,ot_JcS '+ 4 kil '4 s l - f i �4 1 if ®'Qiat ,..n.., .,<.. , , �.. .m Vim;- -- ✓� 1�,. - /149