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HomeMy WebLinkAbout0223 FAWCETT LANE II 7 Wells Fargo Bank N.A. Y I Home Campus MAC: F2303-04J Des Moines,IA 50328 C Ph:877-617-5274 4 July 31, 2018 Town of Barnstable Attn: Robert McKechnie ;z Building Department a 200 Main Street 1 , Hyannis, MA 02601 v Cn C" r:a M v rn Regarding Property Registration at: 223 FAWCETT LN HYANNIS MA 02601 Tax ID/Parcel#: <270-109> ' f'• q �^ �IN . .. ., ' ♦ :� t.. It ! D6ar,Sir/Madam: The property above was sold to a third party as 6f 4/30/2018;therefore,Wells Fargo nolonger r he responsibleparty. Please update our re istration has interest m the property and is n•longer t p N Y . . � records. Thank you for your assistance in this matter. P Sincerely Ashley George Ashley.George@wellsfargo.com -- r Wells Fargo Banl:NA MAC F23o3-o4J One Home Campus Des NMI Moines,IA 50328 Ph: 877-617-5274 September 27,2017 , Town of Barnstable Attn: Robert McKechnie Building Department 200 Main St. Hyannis,MA 026o1 *4' Completed Property Registration for: 2,23 Fawcett Ln Hyannis,MA:02601`' ............. TAX ID: 2�o- o9 ,.. Y _ �_.. . ... .__ . Dear Sir/Madam: Please see the attached property registration form and use the below contacts to expedite any future requests. Code Violations: CodeViolations@WellsFargo.com Property Registrations: Registrations@WellsFargo.com :1 General Property Preservation: Property.Preservation@WellsFargo.com Call Toll Free: 1-877-617-5274 K= ` For questions regarding purchasing a Wells Fargo property please contact 1-8- 617-5274; Sincerely, Bnttani:Coleman Wells Fargo Home Mortgage ",;� M MAC#F2303-04J One Home Campus Des Moines,IA 50328 $brittam-:d coleinan@wellsfargo corn . . t ' Town of Barnstable 367 Main Street, Hyannis, MA 02601 REGISTRATION AND CERTIFICATION FORM FOR FORECLOSING/FORECLOSED 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 1 (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: N/A Section I —PropeM Information Property Address:223 Fawcet Ln, Hyannis, MA 02601 Assessors Map#: 270 Parcel #: 270-109 Land area and description Residential, 0.23 Acres Building(s)description and contents Built 1970, 1.75 Stories, 1,428 sqft of gross living area Occupied: X Occupant(s)(if borrowers so state and include name(s)) Valdvogel L Demelo & Joelma R Demelo Phone: (877) 617-5274 email. codeviolations@wellsfargo.com other: Fax:(866)512-0757 .Vacant: N/A Date: N/A Anticipated Length of Vacancy: N/A Last occupant(s) )(if borrowers so state and include name(s)) N/A Phone: (877) 617-5274 email: codeviolations@wellsfargo.com other: Fax:(866)512-0757 Has possession been taken No If so,please explain and complete and file the maintenance and security plan form(unless exempt as stated above) See attached Vacant Building Plan Section 2—Foreclosing PqM Information Foreclosing Party (full name/title) Wells Fargo Bank, N.A. Foreclosure Case Court: N/A Docket# N/A Date filed: 09/21/2017. Current Status: Active Foreclosing Party's representative(s) for property (entry, management, repair, etc.)(name,title,): Wells Fargo Bank, N.A. Company (if different from foreclosing party): Wells Fargo Bank, N.A. Address: 1 Home Campus, MAC N0012-01 G, Des Moines, IA 50328 Phone: (877) 617-5274 email: codeviolations@wellsfargo.com other: Fax:(866)512-0757 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: See above Company (if different from foreclosing party): N/A Address: N/A Phone(s): N/A email(s): N/A other: N/A Name,title, other: N/A Company (if different from foreclosing party): N/A Address: N/A Phone: N/A email: N/A other: N/A Attorney representing foreclosing party N/A Firm name (if different from attorney's name): Orlans PC Address: 1650 West Big Beaver, Troy, MI 48084-3534 Phone(s): (781)790-7800 email(s): generalupdates@orlans.com other: Fax:(248)502-1401 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. Bflttanl Coleman,Research/ 1,Digitally signed by Britten!Coleman,Research/ Remedlatlon Analyst,Wells Fargo :`.Remediation Analyst,Walls Fargo Bank,N.A. 09/27/201 7 Bank,N.A. I Date:2017.09.2713:47:52-o5'CC' Date: Name:Brittani Coleman Title: Research/Remediation Analyst,Wells Fargo Bank,N.A. i I hereby certify that the above-named foreclosing party is in compliance with the provisions of section 224-3 of chapter 224 of the Code of the Town of Barnstable. Date: Building Commissioner, Town of Barnstable 21174 DATE(MMIDDIYYYY) A �® CERTIFICATE OF LIABILITY INSURANCE 3/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ CONTNAME: Wells Fargo Certificate Service Center Wells Fargo Insurance Services USA,Inc. PHONE t. 404-923-3719 ac No): 1-877-362-9069 3475 Piedmont Rd E-MAIL wfis.certificaere uest wesfar ADDRESS: t ll o.com 4 @ g Suite 800 INSURER(S)AFFORDING COVERAGE NAIC# Atlanta,GA 30305 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B Wells Fargo Home Mortgage INSURER C a division of Wells Fargo Bank,N.A. INSURER D: 90 South 7th Street,14th Floor INSURER E: Minneapolis,MN 55402 INSURERF: COVERAGES CERTIFICATE NUMBER: 8901677 REVISION NUMBER: See below 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY MWZY 304056 04/01/2015 04/01/2020 EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 10,000,000 PREMISES Ea occurrence $ l MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 X POLICY PRO JECT ❑LOC PRODUCTS-COMP/OP AGG $ 10,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peraceidenq $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION MWC 302638 04/01/2015 04/01/2020 X SUTE PER ORH AND EMPLOYERS'LIABILITY YIN N TAT 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED?. � NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Wells Fargo Home Mortgage, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN a division of Wells Fargo Bank,N.A. ACCORDANCE WITH THE POLICY PROVISIONS. 90 South 7th Street, 14th Floor Minneapolis,MN 55402 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) Barnstable, MA Vacant Building Plan Current status of the Building: The building is secured; all doors and windows are locked. If the property utilities are on when we find the property abandoned, we will transfer the utilities into our name and leave active. If we find the property to not have any utilities we winterize the property according to investor/insurer guidelines. Plan of action for exterior building maintenance: We inspect and maintain our properties. We work to keep the property secure and free of any health hazards and/or debris. Wells Fargo also schedules our grass cuts twice a month. What improvements are planned? If the property is in need of repair to avoid a code violation,we will review and take any appropriate action. If there are insurable damages, we will file an insurance claim and review for repairs. What is the scheduled date of re-occupancy? Approximately 90 days after the foreclosure sale is confirmed.. Building to be sold or rented? The building is to be sold. Certificate of Occupancy: The buyer will be responsible for re-certification and occupancy inspection with the city. Is property to be demolished? There are no current plans for demolishing the property. The city will be notified if there is a change of action. 'Nr �m WELLS FARGO BANK, N.A. CONTACT INFORMATION For questions or concerns regarding a property registration issue please contact the Property Registration Department. Property Registration Department Registrations@wellsfargo.com r For other inquiries please route applicable requests to: Building and Code Compliance Department CodeViolations@wellsfargo.com Utility Bills ConvUtilityPmt@wellsfargo.com HOA or Condominium Dues or Fees HOAPmtRequestFH@wellsfargo.com Tax Related Requests: TaxGatekeeper@welisfar-go.com REO property inquiries PASAPinguiries@wellsfsargo.com Insurance Claims HazardClaims@wellsfargo.com General Property Preservation Property.Preservation@wellsfargo.com For questions regarding purchasing a Wells Fargo property please contact 1-877-617- 5274. You may also contact our dedicated property preservation call center at 1-877-617-5274 Monday— Friday from 8:00 AM-9:00 PM EST. Please note all legal documents should be sent to our legal mailing address below: Wells Fargo Bank, N.A. 1 Home Campus MAC# N0012-01G Des Moines, IA 50328 ' I Uwil Ul ndrn5lame Building Department Services FINE Brian Florence,CBO o* Building Commissioner ' { F . Hass. ` 200 Main Street,Hyannis,MA 02601 v i639• ��� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: f 1V�O m A N VpC D)q S\LU A Phone#:_3 41 3S 0 Sol g Address: r2 c23 i /w C07— L Al Village: ij V V S\ n Name of Business: S 6 QUA C L e N Type of Business: G L �'19� Map2ot: -7y D INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the.dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • " Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residentiaf buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • .There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing-the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall bg 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: E N 0 M N DV E f 1 L U A Date: 03. I - .19 Homeoc.doc Rev.06&0116 YOU WISH TO OPEN A BUSINESS? For Your Information; Business certificates(cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you operate.) You mustfirst obtain the necessary signatures on this form at 200 Main St., Hyannis. _ you permission too . . must do by M.G.L. it does not give y p P ) Business Certificate that is Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the B required by law. DATE:O _i �` Fill in please: ?':.�'I< :"s::•:.c�;3 �� �;.' I APPLICANT'S YOUR NAME/S: F�►Av� AN��� d�1 gall-UA '�' � BUSINESS YOUR HOME ADDRESS: � fin �r ��� ►� , +.iij i i;✓` ,�y""` e.�Lv,El',�� TELEPHONE # Home Telephone Number zJ ►0 a .idijZ!kgw-K1 °i NAME OF CORPORATION: N TYPE OF BUSINESS �L A N NAME OF•NEW BUSINESS, S/ [_v.� �L� �►'� �) IS THIS A HOME OCCUPATION? YES NO a5 — l D ADDRESS OF BUSINESS. j23 T= n wc�a MAP/PARCEL NUMBER [Assessing) When starting a now business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you In obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. is Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSION OFFICE This individual has be inf d of an a requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO t rized Sign ture non ' .N Y RES INES. COM NTS�- 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business.' Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. I o Authorized Signature COMMENTS: ------------ YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: � � a� - �� APPLICANT'S YOUR NAME/S: M -� 11IC1 i�... BUSINESS YOUR HOME ADDRESS: QQj _ T foNGl C5 TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS 'ALK.e.tdA TYPE OF BUSINESS C0jV r, ) t?Q t O JV IS THIS A HOME OCCUPATION? YES NO /� ADDRESS OF BUSINESS - i MAP/PARCEL NUMBER D V (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM ISSID ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individu I h ee imfor-- e o a pe t requir�that pertain to this type of business. RULES AND REGULATIONS, FAILURE TO COMPLY MAY RESULT IN FINE�5. A�t orize Si na ure* MMENTS �n 2. BOARD F H ALTH This individual has been informed f t p quirements that pertain to this type of business. l 97,�/? MusttOMPLy. Authorized Signai6 * V HAZARDOUS MgrERIA WITH ALL COMMENTS: l p��� E'tn 1 IONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Y.' r ' S Z A L 0Z 919VISM9 O NrM.0i YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: _ Fill in please: ., I APPLICANT'S YOUR NAME/S: MO'A li q AwcI 2(0 L_nc,'A BUSINESS YOUR HOME ADDRESS: aQ aw c c = 1-ki v a v L1;S Ir--( alb . � TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS AI-Ke *X YaSo PJV,S( TYPE OF BUSINESS C'O)V9 ) 12V ` ti O A) IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS �- i MAP/PARCEL NUMBER d b [Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COM 11SSI0 ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individu I h beri infer e o a Pie t requirements that pertain to this type of business. RULES AND REGULATIONS, FAILURE TO A�t orize Si na ure* COMPLY MAY RESUI,_T IN FINES, MMENTS /-' G rl i 2. BOARD F H ALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: lOWII 01 _DUFUSLaDle z Regulatory Services F r o Richard V. ScaIi,Director Building Division noes g' Paul Roma,Building Commissioner 200 Main Street;Hyannis,MA 02601 www.town.barnstable.ma us' Office: 508-862-403 8 Fax:. 50 8-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: © S Name:k0(q C (2 IZAP '(SCC Ct1_ l4fet Jp—Phone#: I�K- S 24 6415 Address: 9-29 3 W Ct 1 T r-, Village:. Name of Business: �I K t \d n H A S01U E� / Type of Business: �'�dC.l T12v \•0 —Map/Lot-_4� /D l ETITM: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes,and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carved 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 involverhe 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 Occupati on,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No.person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have end an wee with the above restrictions for my home occupation I am registering. Applicant: Date: L Homeoc.doc Rev.06/20/16 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take th.e completed form to,the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis-, MA 02601.. (Town. Hall) and get the Business Certificate that is required by law.. DATE: Fill in please: 1,Yt' APPLICANT'S YOUR NAME/S: �TFFf TFl2 AfiZis��� BUSINESS YOUR HOME ADDRESS: O7o?� FfitAJC-77 L�n/C �,�/3fUYU?S. iYt/9 o.?Ga ail �Zt Rio 076 j( l t i L Liri TELEPHONE # Home Telephone Number -77LJ _10 E-MAIL: U I• CU �"l NAME OF CORPORATION: NAME OF-NEW BUSINESS ',�.�aL� CO TYPE OF BUSINESS JUnn- pr��'Ca7 fzanS�o«-ta�Jv� IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS ,Zn e ttiCF71 6fi/u = : HywNPV15 Y140 MAP/PARCEL NUMBER c910 _ (Assessing) When:starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: �.� l � t r _ . 1'l C �. � � � r� � � .. i i Town of Barnstable THE Regulatory Services •.�- Tp� Richard V.Scali,Director , ,STABLE : Building Division v$ s ,��' Tom Perry,Building Commissioner iOrEo nnAt°i 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fay • 508-790-6230 Approved: Fee: Permit#: 9- 7 Z5 HOME OCCUPATION REGISTRATION Date: /-T Name: Phone#: e 1� C>7 ro Address: 223 �/gG�/CE% j'�/E Village: fi ye"Vw f Name of Business: ZOL)i D4 Toc�l/�Jv Z(0J C Type of Business: W 6 U Map/Lot: Z70 10q INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary 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 are no commercial vehicles related to the Customary Home Occupation,other than one van 6r 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: Homeoc.doc Rev.�e3113 YOU WISH TO OPEN A BUSINESS? For,Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. lh DATE: /Z 119-/1S- Fill in please: APPLICANT'S YOUR NAME/S: 9LEE-T-TF.C� 1�i2b A BUSINESS YOUR HOME ADDRESS: 2Z 3 Edit)C_'`f'T ��NC fl!�� 77 y Cr/u o7G 4 .TELEPHONE # Home Telephone Number '7'1�i �Iy d'7G NAME OF CORPORATION: NAME OF NEW BUSINESS E S _TYPE OF BUSINESS EC h!J IS THIS A HOME OCCUPATION? `-Z YES NO ADDRESS OF BUSINESS ZZ 3 -� L�4�v- 7/i .v)5 az MAP/PARCEL NUMBER 10 �O CI (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S FICE This individual has been' med of y permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 2. BOARD OF HEALTH This individual ha for ed t e p r it-rrequir ments that pertain to this type of business. Authorized nature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION AX_ a agR5 S bbgrA eq., I I V441 — Map,j� Parcel ell, Permit# Health Division a i Date Issued g- 0 f Conservation Division / `�d 3/ b/ Fee S Tax Collector Treasurer (� � � / 3��'�II �1� -SEPTIC_', ., SYSTEM MUST BE i INSTALLED IN COMPLIANCE Planning Dept. -s ;� U �001 WITH TITLE 5 . Date Definitive Plan Approved by Planning Board -' +,t�'. .L �„e4 ENVIR®I4 EHTAL CODE AND t' =�.r; TOWN RECUILA d 10JV3 Historic-OKH Preservation/Hyannis c\ 7 Project Street Address Q43 ,�{,(,`W K) Village kannrS 8T 5-)hbLQ— Owner ki m bu i y (S . �(�_�1.1-1 �(Z�Address Telephone ( ) &tog Permit Request opIGtcYAAen- Bui icl 6 VhAou4 (ei rran-i cine5 ng- cot1co kLxk� ,�nola_ � s��+rc. �k �t;V- a x� -�:�na v 1 L�. Cyr,-Cry .,,•L,�c. ���� � �- C�ca.�o[' Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation _f� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family '53 Two Family ❑ Multi-Family(#units) Age of Existing Structure ® Historic House: ❑Yes On Old King's Highway: ❑Yes o Basement Type: ull ❑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: s ❑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. cisting ❑new sizetexibl Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes $No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Dd�me9 A Telephone Number `7 e-C Address 1-.h License# eq Lin 1An4:5 f� A Ua � Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IGNATURE DATE 3-Q's:61 f e FOR OFFICIAL USE ONLY PERMIT`NO. a' DATE ISSUED_- MAP/PARCEL NO. . 1 , ADDRESS ,, VILLAGE' . OWNER , t me✓�+, ' DATE OF INSPECTION: FOUNDATION ' FRAME f INSULATION FIREPLACE ti ELECTRICAL: ROUGH -• FINAL - t ,X PLUMBING: ROUGH w FINAL GAS: ROUGH FINAL r a w a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. III . . . The Town of Barnstable • easHsr • Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 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 Work: QaDIOL .t. FAi, na Q VC. t �% stimated Cost Address of Work: P-3 F0,wLe 4 � A Owner's Name: 5 Date of Application: 3'vZy'0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 []Building not owner-occupied '(Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. 4 Date Contractor Name Registration No. OR 3A�o l Date Owner's N q:fomis:Affidav The Commonwealth of Massachusetts • ' a =j- -=- =r ,Department of Industrial Accidents - � '-••• , •� : OIfICOOJ�OYCSI/�81lOOS 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit name: �r1Q�C1ef- iocatian aa3 �c�weet� l,.�n t; ahr�; I batao� honey 77$' LA 6 I am a performing all work myself~ �❑ I am a sole proprietor and have no one in any achy ❑ I am an employer providing workers' compensation for my employees worlang on this job. , :::.::::.::.::.:.,::„>,,.;.;;. : :.v:m:::.v:::n:v.....',.::v•:;•YYY:v;:::.;v::w:.v:v:.v::::::.:•.•.v::ni:W:i{:•:::•:.,{•.�::3:?•}::.v:.. :;�i:}i:;•}Y'.v:nv:.�:::::::::::.::.::::r::::::.v::::::::::�::::.v;:•:::i:iiii:::�.�:�::::::::.::�:::::::::::-.v:._::.�:::i:.::�:.�:::. �w�[.. .. .................. .... 4:}3 i:??•:•i3.�:::.::•::.:•3:?C?:?T::{:•}}:nvi�i}'•}...:.:.::.':v:•}}:•}}}}::�iii'iii:{::;�ii:: "'::iiTi}X:?;4:;Y:: ¢omaanv n$iY4�..:....:::•:.:i:?:�?i::n;ryr-:v:;Y.i:%-:iii}.:.:rt::�:i::•'•:..;r.::i•i:<.::i•:-::;:ii:i::,.:,.n;.v::{;:G:{;ii•:•::vJ?:::5?4r:::`i:!;ism}ist-ii::;-i:}is�};...Y.:i+•r•::+:'�':-)::^;.;:{•};+•::;::.::,.�..;.;{..,:.>:::'C::�:�::::�i:i:y:<•S?:^?::a:i:::}:::::�.� - ter:... ..:.....................n.......v..................nv....{.......,..... r..... $•. .:.v.............x.}:::::?.,•;{.}::::,w.•:x::.. ...................................... ::;.:.......r:.,,...,rw{4:•r:.a-:::..rr::•.v.�::::::::•:.,•:^::::::.�::.�::::::,.:•::•:::•.�•::.:::::::-•...... ......,•::::::::::••.�:.�::•:::•:•::.....:.,•:.,•:r:r.?{::::.::.:�•::::•.:.,::..;:.:.::::•.:.:::::...:::::;.:;::::.:T-:::;{.;�:.:;•::.�.ss:o-:->:o: ...:::::::•....::::•::•..................ti•...........:................... ....... ..,:{.:•.,:•.•:::........{,•::�:-YYX{•::?{•;.:•}}:-••}x•}}:•Y}}•.Yji•{.;{}:-:{.:.v:YY••:.v.}-::::v::.-}}.......:...:.v:{.;•::.:::.:::.:�is;::�i:;:i?:'�''i:�:.:.:..;:i::::i�:{':i��ii:�::i:-ii:�::�::. .............. .....................................r..............x.......x,.. ..}...r. t... ,.�{::r..:.::�:.r:.,•:::::::. - ::•::x ...: :......:.:...;`.:.r %:'<?3:::::,<: z A:Y;. ?::j;: ;::::;`:ti .... >:.... :•:•.err.-...:...;.....vx.:: ..::.,::•.::.v...,; �1DnE.�::::;:•Yx.::;�:?;;::}:;s:;:+:_'•.err,.;::;::T:;•:+:•:�:�;:;::�;:�:;';:�:;;::.:;;;>::;:;::;r:•;�::'z�::;:s�:::;::-. 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I.1.•/I To •1 .� / 1 1•11 .1/ • •:. 11111/ •H ' • . all ' I 1 1 1 MI : 1 I1 1 1 • ' I I I - I ' I I 1 1 • I ' I LOT 60 i 1pO pp, I O o LOT 61 33t gcx 4, ,.145E 23 �, o Ipp pp, / LOT 62 RES. ZONE "RE This MORTGAGE INSPECTION Plan is For FLOOD ZONE "C" Bank Use Only TOWN: HYArVNIS — REGISTRY OWNER: KAREN ROOD DEED REF: CTF 116944 —BUYER: �I RLY-S.-'A AE-ER DATE: -AZ2/99 — PLAN REF: LC 22825 P; hl` _SCALE:1"= 20 FT. I HEREBY CERTIFY TO PLYrMOUTH yANKEE SURVEY ___ __ __________________ _THAT THE BUILDING ' �y, '• SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS `'�� CONSULTANTS SHOWN AND THAT ITS POSITION DOES ___ CONFORM TO THE ZONING LAW SETBACK REQUIREMENTS OF THE .gyp INDUSTRY (SUITE I) �8 ROAD TOWN OF BARNSTABLE-------------AND THAT �p IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED19�85 TEL: 428-0055 LPAUL unit -Panel 50001 0005 C FAX: 420-5553____ THIS PLAN NOT MADE FROM AN INSTRUMENT SURVEY 26535 CB A. MER THE PLS NOT TO BE USED FOR FENCES BUILDING PERMITS ETC. d- Technical Data/ Specifications tProeuct Peiformanceev i" , %N .1NWD/ ioi �_ Double-Hung DP 30• _ Circle Toll Arch Transom&Picture Windows F-LC80 _ '200 Series tiff-wash double-hung tested to the air/water/structural performance requirements of AAMA/NWWDA 101/I.S.2-97.Unit size tested:3060(unit size 351/2"(902)x 711/2"(1816)). Performance Data Andersen`200 Series T11 i alsh Double H i g ljt its Avers a Und:Per oimance Data `_"� NFRC Certified Total Unit NFRC Certified NFRC Certified Center of Glass Performance Values rm Total Unit Solar Heat Total Unit Visible -- Sound Unit7ype Theme[Performance Values Gain Coefficlent' Transmittance' Center Glass Visible Ultra Rrochmann % Inside I Relative Trans. —_... _ All unit specifications use Glass U Surface Residential Non-Residential Non- Non- °. Shading Light Violet Damage RelaWe Glass Heat Gain' Class double-pane insulating glass Unit"U" Unit"R Unh"U" Unh"R" Residential Residential Residential Residential Factor Coefficlentx Trans'Trans' Function' Humidity' Temp.' Btu/s.f./hr. (STC)' OITC Double-Hung Without grilles 0.49 2.0 0.50 2.0 0.56 0.55 0.58 0.61 0.51 0.90 0.82 57% 60% 40% 447 187 27 — L.. 44ys YOIIDIa QAJ r °�� ,tS �� t�?� ���' "r n +,� � .62 ;0 63 :0 49 090 0 83 57% 60%Y 46°F 187J, 29' k 1 For basic TW units,residential represents 36"x 60'size,non-residential represents 54"x 57"size.For picture windows,residential represents 36"x 60'and non-residential represents 54"x 57"size. �. For transom windows,residential represents 36"x 60',non-residential represents 54"x 57"size. -�----- 2 The shading coefficients and solar heat gain coefficients listed above may vary(+or-)a few percentage points depending on the unit size.For information on specific units,contact Andersen Corporation. 3 Visible Transmittance(VT)measures how much light comes through a product.The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Transmittance Is measured over the 380 to 760 nanometer portion of the solar spectrum. 4 Ultraviolet Energy:The transmission of energy In the 300-380 nanometer region of the solar spectrum.This shortwave energy is a cause of fabric fading. 5 The Krochmann Damage Function represents a weighted transmission of the glass In the 300-600 nanometer portion of the solar spectrum. This value includes both ultraviolet and the portion of the visible light spectrum which is a cause of fabric fading. 6 Percent relative humidity before condensation occurs at the center of glass,taken using the center of glass temperature. 7 Inside Glass Surface Temperatures are taken from the center of glass. 8 Relative Heat Gain is calculated under a different set of assumptions than thermal performance. . 9 STC and OITC ratings given are for individual units based on Independent tests and represent the entire unit.Higher STC and OITC values may be available with other glazings.Contact Andersen for more information. 10"High-Performance"and'High-Performance Sun"are Andersen trademarks for'Low E"glass. 11 Visible Transmittance(VT)measures how much light comes through a product.The higher the value,from 0 to 1,the more daylight the product lets in over the product's total unit area.Visible Transmittance Is measured over the 380 to 760 nanometer portion of the solar spectrum. This data Is accurate as of September 25,2000.Due to ongoing product changes this data may change over time.Call your Andersen representative for more Information or performance rating upgrade options. x,- I Tilt-Wash Double-Hung Windows 14-23 10 Z-Ll 6 Ca 40 _.� 0 -S- z0ou. �- 1 PIC N� The Town of Barnstable Banxsrnertr - t659. 9� Regulatory Services '�Eo►rw{° Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION a Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": / �' ( 376 name V home phone# work phone# CURRENT MAILING ADDRESS: ri-al0Q/ 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 procedure and requirements. Signature 'f 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:EXEMM N ESTIMA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (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= �� ©c9 Total Estimated Project Value 1 d J ' I PA oi Cp I 4 49 i CA M I j I p �4b z n 0 i (10 � QS $14 ;000w i i f i TOWN OF BARNSTABLE'BUILDING PERMIT APPLICATION Map Parcel c (9- Permit# Health Division Date Issued Conservation Division Fee O Tax Collector 00 - • Treasurer 't r Planning Dept. Date Definitive"ipprove\dy Planning Board Historic-OKH Preservation/Hyannis S Project Street Address _ cacc &AWC1D* �Yn r Village \Aany-lvs Owner IY e_C Address cy Telephone �Q� ~PPermit Request x IV U bh►na leidet a Sr � 1L ntyAwa 19.4 Square feet: 1 st floor: existingi- YZ 4' proposed 2nd floor: existing proposed Total new Valuation ' s Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size s2t3 Pity_ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: 0 Yes On Old King's Highway: ❑Yes Basement Type: Pull ❑Crawl ❑Walkout 0 Other N/A Basement Unfinished Area s ft o c3 Basement Finished Area(sq.ft.) ( q. ) .Number of Baths:. . Full: existing new Half: existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: as ❑Oil ❑Electric ❑Other Central Air: O Yes �No Fireplaces: Existing ew Existing wood/coal stove 'es ❑No Detached garage:❑existing ❑new size Pool:Cl existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed existing ❑new sized Other: ; Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes `&o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name � e�'�(,� Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ]ZLZI,_/(fin vv� 71416D FOR OFFICIAL USE ONLY C• , + 4PER•MIT NO. DATE ISSUED _. MAP/PARCEL NO. ADDRESS, VILLAGE u . DATE OF4-INSPECTI(`)N: t FOUNDATION FRAME 1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r .� PLUMBING: ROUGH FINAL GAS: ROUGH.- r FINAL FINAL BUILDING, •r.'` '`� - DATE CLOSED OUT- ASSOCIATION PLAN NO. r °Ft"E Department of Health Safety and Environmental Services ° Building Division Mxrrsra13 = 367 Main Street,Hyannis MA 02601 tAss. 9 ie5 9. 10�' �pTEO MA't a . Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: %a 4 ^�� JOB LOCATION: ,c�", E L) A/I Q��`YI'1`i'i / /► / ��� .� � ■iia6 number 77 7 501ob ?S'-to i@N 7 "HOMEOWNER": h nmi phone# work phone# name CURRENT MAILING ADDRESS: �� kx in city/toA 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 are 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 permrt. (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 proccoures and requirements. Signature of Homeo 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 perforttnttg 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 assuring 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 iultimately a require,eyres part le. the permit To ensure that the homeowner is fully aware of his/her responsibilities,many 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 formlcertification for use in your community. 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M ' • 1 w•Y.t •t11 • 1• •,•• •,1 • •11 • 11 1-T- ......... �•{1 •1 , i/ r •1 / •�a 11:1• •11 1 _ - ��--ee �/�1 ..• V /111/1 .w •1 -Ut • • i4 •t✓• • 1 .11►1••�• • • ■,I 11 11 •�111/11 �•./. e111.1 . ti • 11 «• 1 ._ 1 V_. •1 111 • 1/ �• .1•t=11 vw11 w•1a• 1 •��•• a✓. 1• •1 .11 • • 1 11 1 • •11 Y 1.1 •• 1 V•• •�1 •11 •1• .1/• 1•1 • • • jjjjjjj/�j/�jjjj�jjj�j���jj����s���j�� • •11./1• •• 1 • t •t1 .11 1 r••" unn •�1 t , t t t l I t 1 1] 1 a.• 1 ' , •11 ' 1 sell( , • 1 ' 1 K i 1 1 1 1 1 1 1 1 1 1 ` 1 1 ' • 1 • - 1 1 1 1 , tt / 1• ' il • 11 I ' t T The Town of Barnstable T ,,,8rrsr,►siE. 9 K Department of Health Safety and Environmental Services ��,i.`° Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 Permit no. Date /ay AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,=Ovation,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 conactors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost Address of Work: qA2) Owner's Name: m f Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 CjBuilding not owner-o=upied er pulling own permit Notice is hereby given that: Gg UNREGISTERED OWNERS PULLING THEIR OWN PERMIT ORDEALIN WORK DO NOT HAVE CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT 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 ov Date Contractor Name Registration No. OR Date Owner's Name q:forau:Affidav