HomeMy WebLinkAbout0172 MEGAN ROAD Ra
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REGISTRATION AND CERTIFICATION FORM \�.
FOR FORECLOSING/FORECLOSED PROPERTY �w
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-1 —Property Information
Property Address: 172 MEGAN RD, HYANNIS, MA, 02601-
Assessors Map#: : 291 Parcel#` 261
Land area and description 13,068 sq ft
Building(s) description and contents Single.Family Residential
Occupied: Yes Occupant(s)(if borrowers so state and include name(s)) Unknown
Property.Registration@spservicing.com
Phone:888-349-8964 email: other: N/A
Vacant: No Date: N/A Anticipated Length of Vacancy: N/A
Last occupant(s) )(if borrowers so state and include name(s)) N/A
Phone: N/A. email: N/A other: N/A
Has possession been taken No If so,please explain and complete and file the
maintenance and security plan form(unless exempt as stated above) N/A
Section 2—Foreclosing Party Information .
Foreclosing Party(full name/title) Wells Fargo Bank NA c/o Select Portfolio Servicing.
Foreclosure Case Court: Unavailable Docket# Unknown
0016755183-Property Registration_71412.
Date filed: 08/16/2016 Current Status: Foreclosure
Foreclosing Party's representative(s) for property(entry, management,repair,
etc.)(name, title,): Safeguard Properties
Company(if different from foreclosing party): Safeguard Properties
Address: 7887 Safeguard Circle, Valley View, OH 44125
Phone: 877-340-0060 email: CodeViolations@spservicing.cooer: N/A
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):_ See Above
Address: See Above
Phone(s): See Above email(s): See Above other: See Above
Name, title, other: See Above
Company(if different from foreclosing party): See Above
Address: See Above
Phone: See Above: email: See Above. other See Above
Attorney representing.foreclosing party N/A
Firm name(if different from attorney's name): N/A
Address: N/A
Phone(s): N/A email(s): N/A other: N/A
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.
�J— Dater 08/16/2016
Name: Katie Lewis
Title: Authorized Agent of SPS
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
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Town of Barnstable
TIME r Regulatory Services
0
Thomas F. Geiler, Director
+ BARNSfABLE,
y MASS. g Building Division
1639•
ArFonu'�° Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXIT ORDER
DATE: �/d 7 /0'.0
r
LOCATION: 7 a Me-G.'qt-,t/ WO-Aa 14/fIV II r
UNDER THE PROVISIONS OF 780 CMR, THE STATE BUILDING CODE,
SECTION 3400.5.1, YOU ARE HEREBY ORDERED TO IMMEDIATELY
DISCONTINUE THE USE OF THE CELLAR/BASEMENT AREA FOR SLEEPING
PURPOSES.
LOCAL INSPECTOR
SIGNATURE OF RECIPIENT
ODEM DE SAIDA
DATA: -
LOCALIDADE: r
DE ACORDO COM 0 PROVISORIO 780 CMR, CODIGO DE CONSTRUCAO DO
ESTADO, PARAGRAFO 3400.5.1, VOCE ESTA ORDENADO DE DEIXAR DE
USAR,IMEDIATAMENTE, A AREA DO PORAO/BASEMENT PARA 0
PROPOSITO DE DORMIR. '
M1 INSPETOR LOCAL
ASSINATUIty 0O)IZt0 PI'ENTE
1
i
e
1
-� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map arcel' Application #
Health Division Date Issued L dS
Conservation Division Application Fee 5�
Planning Dept. Permit Fee
�i
Date Definitive Plan Approved by Planning Board
Historic OKH Preservation/Hyannis
Project Street Address r-
Village V A IV 'A,-" '1 .2 60
Owner Address CJ A h- 14 (t Z Z 9 iJ
Telephone
`Per_mifRe' q- -uues (2Q0 nn,_ BASC-In
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
cProject Vw aluat on—4 0 0�O Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup orting documentation.
N DwellingType: Single Family Two Family ❑ Multi-Family # units a
YP 9 Y .. Y Y( )
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' hwayaJ Yes, ❑ No
Basement Type:
yp Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) /- D Basement Unfinished Area(sq.f in
Number of Baths: Full: existing. new Half: existing newW
Number of Bedrooms: existing —new
Total Room Count (not including baths): existing y new First Floor Room Count
Heat Type and Fuel: 14 Gas ❑Oil ❑ Electric ❑ Other
Central Air: ❑Yes XNo Fireplaces: Existing>�,._New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use-
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
�
Name 2 l/f'Z �= L Telephone Number S 0 � 2
1
Address Q A H ` t L R License#
V.4 /A/-/v Jf s /r 4 c9 / Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE__ ("°O'er C� DATE -0
J FOR OFFICIAL USE ONLY
;E APPLICATION#
DATE ISSUED
{
MAP PARCEL NO.
ADDRESS VILLAGE
OWNER i .w
DATE OF INSPECTION:
FOUNDATION
t F.
FRAME
INSULATION
i
FIREPLACE
:
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING C9r�
DATE CLOSED OUT
ASSOCIATION PLAN NO.
25' r
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1'1 63
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KINLIN SMITH
Specialists in the Recruitment of Senior Research Analysts
A Division of The Kinlin Company,Inc.
749 Main Street • Osterville,MA 02655
60 State Street • Boston,MA 02109
Telephone (508)420-1165 • Fax (508)428-8525
I
The Comrrzonwealth of Kassachusetts
Department of lndustrW,4ccidents
Office of Invesfigations
600 FYa_shrngfon Street.
Boston, .IItA 02111
www.mass.gov/dia
ders Contractors(EIectritcians/Plumbers
c davzt: Bu1I /
a e Affi
Workers Com eusation Incur n ,
p _
A licalat Information
Please Print Leebly
($us-csslOrganizationlindi aI):
An
cn ddresS '
,City/-S-tatdZip A Phone.#: O
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 6 ❑ ne
New constrtion
employees (full and/or part-time).* have hued the sib contractors
2.❑ I am a'sole proprietor or partner-
listed on the attached sheet 7. ❑Remodeling
ship and have no employees Thesc sub-contractors have $. Demolition
working for me in any capa employees and hav-G workers'
city. 9. ❑Building addition • .
o workers' ins��rancc comp.insurance.t
cow•' 10_ Electrical rc airs or additions
required] 5. [] We are a corporation and its ❑ p
ffficers have exercised their 11.❑Plumbing repairs or additions
3. -I am a homeowner doing all work o
/ myself:[No workers' comp_ right of exemption per MGL 12.0 Roof repairs
insurance requizrd..] t c. 152, §1(4), and wehavt no 13.❑ Other
em ee
ploys. [No workers'
comp.insurance required]
*Any applicant that cbmkc box#1 must aLco fin out the section below showing their workers'coropaisafion policy infam-atiorL
t Homeowners who submit Chia sfi davit indicating they arc doing all work and then him outside contractors must sub-it a new af5davit indicating sveb.
XCemtraetnrs that cbcz-k this box must attzibcd an additional sheet thowing the name of the sub-coutrar tors and stain wbetha err not thosC entitits have
anployecs. If the sub.-wntractnra have employers,they must pmvidr their work=-;'comp.policy nTunber.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site
info rmafio n.
lnsuranco Company Name:
Policy#or Sclf--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 scctzc coverage as required under Section 25A of MGL c, 152 can lead to the imposition of criminal penalties of a
Eno-up to $1,500.DD and/or one-year imprisonmLnt, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.D0 a day against the violator. Bc advised that a copy-of this statcmerit may be forwarded to the Office of
Iiavesti ations of the DIA for incnraacc covers e verification.
.�` 1
I do hereby cerYzf_y;z r e paurs•and penalties of perju that the information providEd above is true and Qr crerf
C Dots:
Si attire--••�- —
Phonc#
ronly. Do not write in this area, tb be completed by city or town offtciaC
wn: Permit/License#
Issuing Authority (circle one);
1. Board of Health 2.Building Department 3, City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector
6. Other
Contact Person: Phone#:
Mass achi setts 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 iadividua.l, partnership, association, corporation or other legal entity, or any two or more
of the forcgoing_engaged in a joint cutcrprisc, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity, employing employccs. However the
owner of a dwelling house having not more than three apartments and who resides thcrcin, 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."
4dditionally,MGL ohapter 152, §25C(7) states `Neither the commonwealth nor any of its political subdivisions shall
:rater into any contract for the perr"ormanec of public work until acceptable cvidencc of compliance with the insurance
cquiremcnis of this chapter have been presented to the contracting authority.'
Lpplicauts
'lease fill out the workers' compensation affidavit completely,by checking the boxes that apply tn.your situation and, if
ccessary,supply mib-eoniractor(s)name(.$), address(es) and phone numbers) along with their certificates)'of
lstu-ancc. Limited Liability Companies(LLC) or Limited Liability Partnerships (LLP)with no-employees other than the
icmbers or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
ozployecs, a policy is required Be advised that this affidavit may be submitted to the Department of Industrial
ccjdcnts for confirmation of insuuancc mvcragc. Also be sure to sign and date the affidavit The affidavit should
c returned to the city or town that the application for the pc�it or license is being rcqucstcd, not the Department of
td-ustrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
)mpensa-tion policy,please call the Department at the nur4ber listed below. Self-insured companies should enter their
:If-insuranGo Jiczmr,number on the appropriate line.
ity or Town Officials
.case be sure that the affidavit is complete and printed legibly. The D epartment has provided a space at the bottom
'die a$tdavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
Lase be sure to fill in the permiVbccnsc number which will be used-as a rcfcrcncc number. In-addition, an applicant
at must submit multiple permitlliccnse applications in any given year, raced only submit onr,affidavit indicating euaent
,licy information(ifnecessary) and under"Job Site Address" Lhe applicant should write"all locations in (city or
wn)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
plirant as proof that a valid affidavit is on file for fuhtrc permits or licenses. A new affidavit must be filled out each
ar.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
a dog license or permit to biro leaves etc.) said person is NOT required to complete this affiidavit
e Officeofinvcstigations whLk to drank you in advance for your cooperation and should you have an questions,
:ase do not hesitate to give,us a call
Department's address, telephone-and fax number.
The C6m-monwWth of Massachusetts
Dep.dment of lnclustrial Accidents
Office of Investigations
6.00 Washingtan Stzceet
Boston, MA, 02111
TO. # 617-72 7--49-0.0 cxt 4.06 or 1-U7-MASSAFE
Fax# E17-727-77491
l l 1-22-06 www.mas2.gov/dia
Town of Barnstable
h�OFYHE Tp�tiT
Regulatory Services
" Thomas F. Geiler,Director
• BARNSPABLE,
NUSIcL
Building Division
Tom Perry,Building Commissioner .
200 Main Street, Hyannis, MA 0260I
vt•ww.town.b arnsta bl e_ma.us
fice: S08-862-4038 Fax: 568-790-6230
H011_OWNTER LICENSE EXEMPTION
9 Please Print
DATE: r
JOB LOCATION: /' `
number Street village
® �1 ji+ J o oy 7�
•.HOM EOWN C
ER": � v
^ home phone# work phone#
name
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or Jess 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
re.qu ements.
C
iignaturc of Homeowner a
,pproyal of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
late 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
this section(Section 109.1.) -U=sing of construction Supervisors);provided that if the homeowner engages a parson(s)for hire to do such
nrk,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption sic unaware that they arc assuming the responsibilitics of a supcz r(see Appendix Q,
tics&Regulations for Licensing Construction Supervisors,Section 2AS) This lack of awareness often results in serious problems,particularly
un the homeowner hitcs unlicensed persons- In this case,our Board cannot proceed against the unlicensed person as it would With a licensed.
pervisor. The homeownoz acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware ofhis/her rrsponsibilitics,many commumties require,as part of fa permit application,
I the homeowner certify that he/she tutderstands the rtsponsibilities of a Supervisor. On the last page of this issue is a form currently used by .
'oral towns. You may care t Rinand and adopt such a fomr/eertification for use in your community.
t
e>
oF-ME r, ToWn of Baxnastable
do
` Regulatory Services
p iw MASI Thomas F. Geiler, Director.
kb) a�a Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.ba rnsta ble_ma.us
Office: 508-862-403 8 Fax: 508-790-623 0
Property Owner Must
Complete and Sign This Section
Zf [Jsitlg k Builder
1 ;as Owner of the'subject property
herebyauthorize
or to act on toy behalf,
in all matters relative to work authorized by Yhts building permit application for:
(Address of Job) i
S gnahaze of Owner Date
Print Name
If Property Owner is applying for permit please complete the Homeowners License
Exemption Form on the reverse side.
Town of Barnstable
�IMEr Regulatory Services
Thomas F.Geiler,Director
Building Division
BMW TABLE
Mass $ Tom Perry,Building Commissioner
i6;q. ♦0
'OrfD My'l s 200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 1508-790-6230
Approved:
�'
Fee: 0
Permit#: �7 t b
HOME OCCUPATION REGISTRATION
Date:
Name: Phone#•
Address: �— 1ht-64YV R '1 Village: H Y/1 iv } 1
Name of Business: _---
Type of Business: A 1 to -l_K)6 Map/Lot: a9�J
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. t
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: (3) �E ®�1 UG��(�1/1 Date: 01 1®
Homeoc.doc Rev.5/30/03
TO ALL NEW BUSINESS OWNERS
DATE:
Fill in please:
rA I c�
APPLICANT'S ,,� , - YOUR NAME: S _
BUSINESS �t: j YOUR HOME ADDRESS: Z GA —
TELEPHONE Telephone Number Home
t,
NAME OF NEW BUSINESS J / TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO 40)
Have you been given approy from he building division? YES. NO=
ADDRESS OF BUSINESS 1 46 6AIV R )O�AJJ MAP/PARCEL NUMBER
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 all 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 COMMISSIONS OFFICE
This individual ha e n inform f any permit requirements that pertain to this type of business.
ut orized i ature* .
COMMENTS: 0 c v
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:
Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L.
-it does not give you permission to operate-you must get that through completion of the processes from the various departments involved.
**SIGNIFIES APPROVAL FORA BUSINESS CERT/F/GATE ONL Y.
Town of Barnstable
Appro ,ed Regulatory Services
Fee V Thomas F.Geiler,Director
Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Date: 05 - ol Home Occupation Registration
\\d _ O
Name��c� r 1 1� S - y Phone#: SOg -t-S 95 5�
Address: -9 a- "1"�'� (�N Village:
Name of Business: 15 v o• C_O`N S R °C! ( O (t} S
Type of Business: Map/Lot: C9'q 1- C ,r0 1
Zoning District _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.
After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the l
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.
1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant: h �- Date: Q�
Homeoc.doc
I
TO ALL NEW BUSINESS OWNERS ;
DATE:
Fill in ple se:
APPLICANT'S r `r YOUR NAME:
BUSINESS / :YOUR HOME ADDRESS:
TELEPHONE �•� Tele h ne Number Home - 55
NAME OF NEW BUSINESS _ _ TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO ,>G
Have you been given approval from the building division? YES� NO
ADDRESS OF BUSINESS _ MAP/PARCEL NUMBER
When starting a new business there are ev<eral things y u.must do in order to be in compliance with th- ;-files 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 'Ile required
signatures, listed below, you may apply for a business certificate at the Tov,,n Clerk's Office (Ist floor - Town Hall) or if you get 'lie business
certificate first you MUST go to the following office to make sure yo-- have �—; ',lie required permits and-licc::ses..
GO TO 200 Main St. — (co r of Yarmouth Rd. & Main Street) and you will find the following offices:
1. BUILDING CO MI SI NER'S E
This individual s n i orm p mit r quirements that pertain to this type of business.
zed gn re"" -
COMMENTS:
2. BOA OF HEALTH
This individual ha infor e erm*t requirements that pertain to this type of business.
Authoriggd Signature"
COMMENTS: n S �
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual beeq i formec1he Ii-rey sing requirements that pertain to this type of business.
Authorized Signature" ( I�'
COMMENTS:
Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you rnust
do by M.G.L. - It does not give you permission to operate - you must gel that throug'i completion of the processes from the various
departments involved.
"*SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.
i
'i
l '
�ofINE� Town of Barnstable
Regulatory Services ,
* sn MASS.�` # Thomas F.Geiler,Director
9
Huss. ,
�A 1639. ♦0
TFo Mp+A Building Division
Peter F.DiMatteo,Building Commissioner
200 Main Street, Hyannis,MA 02601
LN,
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# �31� f 1 FEE: $ 00
SHED REGISTRATION
120 square feet or less
d ,S
Location of shed(address) Ll Village
,- s` S
Pro e owner's name Telephone number
p rty p
Size of Shed _Map/Parcel#
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction? J
` Conservation Commission(signature required) C)�` J���, d
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.'
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
A
THIS.FORM MUST BE ACCOMPANIED BY A PLOT PLAN
' Q-forms-shedreg
REV:121901
_ d
P-7 R M Kq
NOTE:not all symbols Al appeat on a map
I
I q=:Z GOLF COURSE FAIRWAY
EDGE OF DECIDUOUS TREES
^ -�^ EDGE OF BRUSH
\`�� ORCHARD OR NURSERY 164�< v--v-7-v EDGE OF CONIFEROUS TREES
MARSH AREA
EDGE OF WATER
DIU ROAD
DRIVEWAY
�-PARKING LOT
PAVED ROAD
MAP
-- - -- DRAINAGE DITCH 291
r
----- PATH/TRAIL
\ PARCEL LINE**
au Ilo F---- MAP#
261
21 - PARCEL NUMBER
t/eo —HOUSE NUMBER
- !� 2 FOOT CONTOUR LINE
1 # 172 —tB-- 10 FOOT CONTOUR LINE
-- J Elevatlon based on NGVD29
`•�4.9 SPOT ELEVATION
1+ � STONE WALL
I -X—X- FENCE
RETAINING WALL
RAIL ROAD TRACK
STONE JETTY
SWIMMING POOL
Z - _ \ PORCH/DECK
/\ 0 BUILDING/STRUCTURE
DOCK/PIER
MAP 291 JQ HYDRANT
e VALYE O MANHOLE
0 POST 0" RAS POLE
T O W N O F B A R N S T A B L E O E O O R A P H I C I N F O R M A T I O N S Y S T E M S U N I T .o SIGN ® STORM DRAIN'
i
0 RINIED SCNE IN FEET *NOTE:This map Ls on enlargement oT o **NOTE The panel Dnes are only graphic representotro�a DATA SOURCES:Planimdit(man o o&Tearores)rye ime ww bee 1995 aid plwtogmpls by The James
r _P 1'=100 smle map and may NOT oast aF properP/boun�des They are not mie himtians and W.SewoU Comp W.Topography and uagotgon sme inhip"hom 1989 amial phorogmpls by GEOD URUIY POLE a TOWER
10 20 Natbrml Ma Aaumry Standards atIM do re actual reldonshi ro I ration. imehi and were ma to meet National Aae Sfindards
fAdgMoonservation.dgn 07/05/02 04:14:49 PM
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E tom. ;t YY c c'K rl
n r of N t v •�'' �- F. ''' +� c�J- - _ I r '- r.:
cc ;3 a o 7 a d t m k SG3 m v r
NOTE:not all symbols will appeor on a map
� �� Z GOLF COURSE FAIRWAY
MAP 291 —� EDGE OF DECIDUOUS TREES
^--�--- EDGE OF BRUSH
_ 259 i ORCHARD OR NURSERY
• � 1 � �PY EDGE OF CONIFEROUS TREES
( 1 �_� MARSH AREA
(f —--•— EDGE OF WATER
DIRT ROAD
` DRIVEWAY
E —PARIONG LOT
'���---PAVED ROAD
—
DRAINAGE DITCH
PATH/TRAIL
r ; MAP 291 �' \`t
� - PARCEL UNE
j tueno E----MAP#
I #tseo F PARCEL NUMBER
� HOUSE NUMBER
jGL•�•��# 64 60i� 2 FOOT CONTOUR LINE
-�------- ---
is TO FOOT CONTOUR LINE
HevaUon based on NGVD29
i 4.9 SPOT ELEVATION
MAP 291 c=>c=X=> STONEWALL
- '\ X—X— FENCE
2 J s RETAINING WALL
# 17 2 —;—H—T� RAIL ROAD TRACT(
STONEJETTY
SWIMMING POOL
POR01/DKK
0 BUILDING/STRUCTURE
!! ��j"� DOCK/PIER
MAP 291 �` HYDRANT
2e VALVE O MANHOLE
2. 6 _ 1 HAD opwo- FLa pop
T O W N O F B A R N S T A B L E A E O O R A P N I C I N F O R M A T I O N S Y S T E M S U N I T n. So ® STORM DRAIN
N Pon SGtE •NOTE:ihb map b an enlargememof a **NOTE:The parcel linos are only gropdic represenroHans DATA SOURCES:Pbninrehia(man-mode features)were imeryreted Imm 1995 aerial phompre*by TM lamas
O c2_.- 1`=T00 snots map and may NOT meet of property boundaries-They are rwt hue location and W.Sewall Comppaonoyy.Topopmphy and wp ftft were intenp"tom IM amiol pholopmphs by GEOD o IIHLHY POLE � TOWER
w a 0 40 Natronaf Ma Auuroy Srordards atthB donatiopmwamdr0ofiensWptodawninbk& notion.Manloffl%"Mmphy,and vWdon were mapped to meet Notlonol Map Amgm Standards
f:ldgnlaonservation.dgn 07/05/02 04:11:33 PM
vu
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:t•#y� a �i � � 1 _ _�+ � �4
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Building � pep
ComplainVkquiry Report
D
d by: Assessor's No..
Date:— Rec �—
Complaint Name:
Location �• G- G�� IleC�
Address:
WP
Originator Narne•�G ��75�
Street:
VilL P State: Z'p•
Telephone:D/E
Complaint ❑ l/Gie�� �
Description: GY%
Inquiry
Description:
For Office Use Only
Inspector's P _ S
1 1 Inspector. _
Action/Comments -Date: _
` S
�- ��rt�YLG� �613�`� 2�i•.i �-Q
c( Ekl-
�3 (3 L°'_Yj
Follow-up 1.o�-S �' S� h c�•� G` ^ i
Action (tz],a�
Additional Info. Attadie
cop),Disuihualon. White-Departrrrent File
Yellow-Inspector
Pink-Inspector(Rerun to Office Mana;rr)
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
_ f
Map Parcel, Z ~'.Permit#
Hem-Bivrsion Date Issued V/V
GMRWatio'n Division Fee -�®
Tax Collector
Treasurer
Pfarmirrg-Erspt.
-Bate-@e#te-P-lan Approved by Planning Board
Histe is--9KH PrPse�atio�n/Hvannis _,� '� '
,
Project Street Address
village 444 i✓4✓f
Owner (e C� L tt�0 Address
Telephone
Permit Request
Loj
Square feet: 1 st floor: existing rotosed 2nd floor: existing proposed Total new
,'Ifttimated Project Cost gQ QdQn Zoning District Flood Plain Groundwater Overlay
Construction Type
Lot Size 522 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes ANo On Old King's Highway: ❑Yes XJNo
Basement Type: Full ❑Crawl Walkout ' ❑Other
Basement Finished Area .ft. Q Basement Unfinished Area
(sq ) (s .ftq
Number of Baths: Full:existing new Half: existing n . new
Number of Bedrooms: existing new ,
Total Room Count(not including baths):existing Q Z new First Floor Room Count
Heat Type and Fuel:)Gas' ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes )d No Fireplaces: Existing T New Existing wood/coal stove: ❑Yes )(No
r
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
"Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial O Yes ❑No If yes,site plan review
Current Use Proposed Use
• BUILDER INFORMATION
Name W �i Telephone Number '
Address License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE C DATE
• i s FOR OFFICIAL USE ONLY i.
�' -g• -t rT - , ... err . + t•_ •a. .. s _ ' . .. . :
PERMIT NO.,
DATE ISSUED8
MAP/PARCEL NO.
ADDRESS rr.. VILLAGE
OWNER
DATE OF INSPECTION.--
FOUNDATION
FRAME. • - "? .. ""- ;' t^ :f ^ •, , +
r t
INSULATION
FIREPLACE.
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH, FINAL r ;
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT - -�1 (//
ASSOCIATION PLAN NO. -
^
The Commonwealth of Massachusetts
� z= - Departm
1ent of Industrial Accidents
= = OI11CC Of/Of�SI%98t%O�S
600 Washington Street
Boston,Mass 02111
' Compensation Insurance davit
Workers Com ens
it ii i i i iii
name:
location'
hone# 22aq •J
t I am a o caner performing all work m*L
❑ lam a sole etor and have no one worldn in anv
ensation for my cryees worlang:on this job.;:.:.;:.;:.;;:<.;:.;:{.;.;:;:::;::<::::<:::»:>:;:...>>....>><< :
mvl workers comp .::::::::::::::::.:::::.:.;;:;:.:::::::.:.. ,:....:::::::.:::: :..:
v..}.
............
..... .......
..... .......::;.::::::;v::.;}}:4:}}}}}:•isiii:4}: .....•i::i:::::::T'i:i::::•:•i}}}}:::... _rp.M{{{•:L•}iC•}:;:{;?h...... ... -.
Ss�i:i>ii.:.::�}}}:.y}•:�}:::•::{:•.�:::::-::•:.�•r.. •{}:ti:{v}:'v:•:^:}�ii}}};ii:iT:i4}i'r.'�:is{•i:^:�•:�iYLy`v:�iiiii�:?v?:::}::iviii}ii:{:?iii:::i ii�iii�iiiiii:+«:�i`:4:�i}}:}�;}:•:{•i}}i:w::::.�:::::
are .............::::..
i}Y^:•
h�
t
.................::..::.:...:....:.
. .:..:::.:...::::•:�:.v:•:.................:::::::::::•::::::::::..;..::•::::::::....{.i:{•}:•}}}}}::.}i8}:::�•}••;•.•:}}Y{rill.{::i:•:�i:'.:?:�:�}:�:•i::; �# ..:. ::oil ..:•..::
. ............ ..
..........
insurance
/ t�wner(tareli one)and have hired the contractors listed below who
❑ I am a sole pmprietor,general coittiractor,
have . ' .
tmsatlonolices. .................,,,.:::.::::::{.}}::.}:{.:::::::<{.}>:.::::::::.:;'.::.:::.:.>::::::::::._:::::::::..........;;;::..::.}:.;:<::;:...;:.:;
following workers P.:.:...•::::::,:..:::.:::.,::.}::.::::::}::::.:{{.::.:::.:::.:::.:::::::..;:.::.:::::::::::::::::::..:::::::;:<.;:.::::.:::::::::.::::::. :::::
the fall S ..............::: .::.:....:.::::..::::.:.:::;..::::. .,.,.::..::::...:.:::::::.::...:::::::::::.:...:..::::::::.:...::..::.:::........._...........::::.:::::::... :::.::::.... ::.:...:::::..:::::::.:.
:$i:;;rri;::••.•.>:•,:i�i::::;:tiff'
p' :i'•:y::<::<>i:'v}:'t�iii%av:i:t'G;i iy�ir:S::i::ii`�:Yt'{:i:::>:ii':ii:;i:} ;?:�:�;t: :;:'<;:;:;:iS::i'
.................
.... ..............::•::•::::•....:.,,.::•:r......-::..,•.,,°k•:•.:.... xt;.fir:::• .,n�}2°ic,.-:.,..,..,,.................... .... .........................................
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.... .. ... ... ,..r.r.. {.� ,,.car .. ..................
..............
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add .............. .. ..,....,,.
.... .... ... .nJ ... .. .F ,.. .. :r....
.. .... .. v .. n.. k�}x.......... •:.:w:::;%.}:'w::.}}in}w::•::::.:Y•:v.}Y{JY.L:•:{{x.v::::::::ny...:.::..:..........:...........
.;.}.;. ..t:•}Y::v: :..}:..;;::•::•::.,{.vv
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...............................................
.... ............... .. .. ... v:v::•}:::{J:{Ji};•{}:;{:•S}:5{:•7Cv.t�.:'r:.�v.-'vr:.�:.�:.��:.vi.:.v:.:::.:r:n'v:::.:.v.�:.�{n.w:::::w:::::::•::::::i.:�::::::._:::::n....
....................... ......x.. nr.y,,�,� �,` ..:? , r..r.:.n..... ;:......:: ::J:{•J.v:n:�{nv::::::::::::::::::.
... ....................... n..• ..J. .. $ .yy U rr,J%..............v.v:•...;.;. ,x:v:.vv.vr}.}Y:::}::::. }..tir y:..::nyvi':v:}::
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...:::.�::::::::.�:::::v: ..?{.{J,..ti�i{,,..}niw�4\••..^?n4}YA : fh.
..:..... ...
insurance ca '
.::.......
. .... ...... ... ...
.:....:•::•::::•::::•::•. ::'::::••X...'iY:•Y?::::•Y.y�}.....�..{}}:{•:J••�.`:�:•L:'.,"'P: �
anv name: ...:.:::•.,•....>,.},}:.,�....::::::::::::::::...:::...
.........................
... .. .... ..... .... .... ...:.J ...
...............................
:::::::::�::.::::::::..::.}:.::::.�:::.:..F.:•.}:.;:........ K,.r.::.::.�„r.,:..,.• x,.. .�sJ}:a,�, x�°f:�: �,•:}:.,},....:,... hone.
...... ................:•...................,•.:.,.,}t...........;J .... ..r.,.v. v. .. Y,n•::.v:::::::r,:f...........;;4 ..............}}:::•::::...
.... ...... .......v. ........ ....... .r.. 7�F.f4.�r••••••'-:'{r• r........ v.�::. v..:.::•::::•:vw:h}}y::::::.�:::::vr::::::•:::
.......... ,..� .:..::.:::•}:�.xr;..• .{�..,:•,max... ... �•-,•:.,.:: olica .::.::::::...................
J•.... .,w:.. ..r.?C.. '•.r..:v:: .
.......... ....
:{.},:{{,.: •::.
of erhnmai
secure ables of a Sae nP to SI,Soo.00 and/or
Failure to sece coverage as req�red order seetlar►25A of MQ.1S2 esa lead to the Pen
Sue of S100.00 a day against ma I understand that a
one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a
copy of this statement may be forwarded to the OMM of Inoesdgafj=of the DMA for coverage verification.
p � that the information provided above it tru,-and coned
I do hereby certify under the ains and p of pedwy
� o
Signatwe
r
Print V ` 2 1 Phont;
official use only do not write in this area to be completed by city or town oMcWI
- perum"cense# DBuilding Department
city or town: QLicensing Board
❑selectinen's Of ee
❑checkif immediate response is required []Health Department
phone# -"• ❑Other
contact person•
Urdsud 9195 PJA)
Information and Instructions .
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
from the"law",an employee is defined as every person in the service of another under any contract
employees. As quo
ted
of hire, express or implied, oral or written.
entity,al
An employer is defined as an individual,partnership,association, corporation or other legal ti y, 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 who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction O1 repair WOE onsu
ch dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL er 152 section 25 also states that every state or local licensing agency shall withhold the issuace or who has
of a license o permit to operate a business or to construct buildings in the commonwealth for any applicant
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 regnirements
of this chapter have been presented to the contra`t g
authority. /
Applicants
Please fill is the workers' compensation affidavit completely by the box that applies to your situation and
supplying company names,address and phone numbers ak mg with a certificate of insurance as all affidavits maybe
submitted to the Department of Industrial
Accidents an of insurance coverage. Also be sure to sign and
date the affidavit The affidavit should be retnmed to the cam'or town that the application for the permit or license is
Industrial Accidents. Shrnild you have any questions regarding the`law"or if you
being requested,not the Department of
are required to obtain a workers' c�omapeosatian policy,pled call the Department at the member listed below.
FINEEMMENEAM
City or Towns
Please be sure that the affidavit is complete and printed
The Department has provided a space at the bottom of the
�lY• has to contact you regarding the applicant. Please
affidavit for you to fill out in the event the Office of
be sure to fill in the peiinit Bose member which will be used as a reference member. The affidavits maybe returned ie
the Department by mail or.FAX unless other have been made.
The Office of Investigations would lil to thauk you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
ON
The Department's address,telephone and fax member.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
011lce of Imtestlgatlons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 eat 406, 409 or 375
The Town of Barnstable
KAM �o� Department of Health Safety. and Environmental Services
�6 9. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
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: Estimated Cost
Address of Work: Al ewn (/,?(4
I -/0ok—J 0(2
Owner's Name:
Date of Application:
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 PERMITOR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
Date Contractor Name Registration No.
OR
--o
Date Owner's Name
af � �
q:forms:Affidav
The Town. of Barnstable
Department of Health Safety and Environmental Services
Building Division
' BARNSPABM ' 367 Main Street,Hyannis MA 02601 ~
HAss.
1639.
AjFp�.1►
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: _ /•O
JOB LOCATION: L C /y, F
number Vstreet // �/7 q village
"HOMEOWNER": CI �— M ' C O 6 L O �7 O � — / /' 15
name QQ home phone# work phone#
CURRENT MAILING ADDRESS: P 1 L C-
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.
c
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 to amend and adopt such a form/certification for use in your community.
Q:FORMS:EXEMPTN
Assessor's map and lot number .......... ..............................
SEPTIC IC SYSTEM MUST BE
' !LED IN COMPLIANCE
� .Sewage Permit number ............. .... ... ..�......................... �i H ARTICLE II STATE
`'. ?.ITAPY C 0 D E N
Qy�FTMEtO�♦ . .1 TOWN OF BARNSTARIE
SS
i BAHHSTODLE. i•
03
9 �� BUILDING INSPECTOR
-� ''�o yaY a• t
APPLICATION_ FOR PERMIT TO ......lv..G ....... ................: ......................` ..... .......
TYPE OF CONSTRUCTION ...................lN ........ �.
.. .................................................
19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby pplies for a permit according to the followin information: r
LocationIle
•• �
...............� l ............. .��..........
ProposedUse ... ../ ........ .... ...: . . /�.. ............4�4�........ .........+................,. ......................
ZoningDistrict .... .. - ................................... . ....Fire District ..... ..... .... ............ .......................
Name of Owner ..� >,rZ r ......... '>,,
........... .. tss
ss ............7 ....................... ...........11Name of Builder ......................................................... ....................................................................................
Nameof Architect ..................................................................Address ........................................................................ ..........
.......................................Foundation .... �J.,, . ............... � '
Number of Rooms ....................... ..... ...............................
Exterior ...... ............................ .............. ..... ........................Roofing .......... .. ................... ....... .......... . ........................
�% ...............................................Interior ..........�
Floors ......... ........... ... ...... .... ...........................................
.................... .........
Heating .... .. .. .. A . ..../.. ... � ......'.. ......Plumbing ..............................
Fireplace ......................../.....................................................Approximate Cost ..........0.. .J,....!�®............................
:.......
Definitive Plan Approved by Planning Board _____ -----19.1__ Area .......1../.-s-6...
Diagram of Lot and Building with Dimensions JJ Fee ..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
f
y3
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I hereby agree to conform to all the Rules and Regulations of the Town of, B r stable'regar iing the a ove
construction. 922
Name ........... ... ........................................ .....................
Dacey, William E. Jr.
16614 ne story
No ................. Permit for ............ ... ...................
single family duelling
Location gan..Ra.................................
..........................Binnni.s.....................................
Owner ...........Willi. am..E• .. Dacey,...Jr............... ........... .... ............. .... .
Type of Construction frame
..........................
Plot ............................ Lot .................#1'2........
September 27 ?3 t I
Permit Granted 19
it Date of Inspection ................ ........ .........19
t
i. Date Completed .......�Q ..Ito .7.3....19 _
PERMIT REFUSED
................................................................ 19
...............................................................................
...............................................................................
...............................................................................
i
Approved ................................................ 19
.....................................................:.........................
...............................................................................
08/07/08
Zoning Inspections
Thursday Evening
Bob McKechnie, Building Inspector
Lt. Don Chase,Hyannis Fire Dept
Jaime Cabot, BOH
Robin Giangregorio, ZE Officer
Officer Brian Morrison
X-172' e�an-Road;-Wa'n'nis,
Found bedroom in basement.
Exit order issued.
Landscaping business operating from here.
Language issue with tenants. Spoke to translator Ricardo.
Owner called by tenant and appeared before we left.
He will relocate business equipment.
424 Bishops Terrace, Hyannis
No answer, left card.
Owner admitted us on August 11, 20.08.
774-238-4617 Marilia Gracelli
Found basement apartment.
Owner moving-property in foreclosure.
Exit order issued for basement bedrooms.
Advised owner to remove items blocking ventilation panel for furnace room.
Advised owner that rear door swings wrong way over staircase.
Entry stairwell needs railing.
88 Bishops Terrace r
Property lacking smokes & CO detectors.
Battery.required for basement stairwell unit.
No CO on primary floor.
Exit order issued for bedroom.:
No renters.
Adult.son(college age).home for summer..
He will sleep with little brother as a result of exit order.
6 Linda Lane, Hyannis
Reported to locus.
Found both owners and 3 visitors working in driveway.
Owner advised he was making a trash container,
1
Inspected home.
No work requiring a permit- all cosmetic.
Found no evidence of overcrowding.
Basement currently unfinished but studded out.
Advised owner to obtain a permit in the event that area is to be finished.
History here of female felonious "guest" and arguments between owners &
472 South Main St, Centerville
Complaint relative to overcrowding and washing& storing commercial trucks.
Property owners—Priscilla Hostetter & Richard Callahan
Found two buildings that appear to be used as multi-families
Confirmed later that both dwellings are on same lot.
First house has historic plaque on front porch.
Porch ceiling falling down, support columns are tilted.
Advised that Jonas de Paula(not sure about spelling) owns business.
Jonas does not live here but leaves trucks here.
Jonas has an employee that lives here.
Evident that trucks were parking over septic.
Parking area exceeds,allowance.
Inspected first floor of first dwelling.
Invited in by first floor tenant of first dwelling—Claudio Barbalho.
Total of 4 bedrooms on first floor including'makeshift bedrooms in porches.
Seven people present.
Rooms lacking lighting provisions.
One bedroom room lacked door knob—just something jutting out of the keyhole.
First floor deficient of proper smoke & CO detectors.
Second floor unit not accessible from first floor unit.
Advised that second floor is a single unit with one male tenant in residence.
That tenant left shortly after our arrival.
Found abandoned oil tank leaking in basement.
Jonas advised to contact me Monday.
Directed Claudio to have commercial trucks removed.
Officer Morrison agreed to check property the next night on midnight shift
For commercial vehicles. Will ticket Jonas if trucks remain.
BOH will contact owner regarding BOH violations noted during inspection.
8/11/08.
Returned with Jeff&Martin McNeely and met Adam Hostetter on site.
Adam will apply for permit to repair porch.
A copy of correspondence to tenants identifying the maximum number of tenants allowed
will be forthcoming.
Two bedrooms will be eliminated on first floor as dwelling as a total of 4—2 up &2
down.
The-second floor unit was unavailable—arrangements will be made to admit us.'.
The secondary building contains two units.
2
Found smoke missing battery and CO detector behind chair.
Loft area contained a bed for mother and two teens (M &F) are in the other 2 bedrooms
on second floor loft area.
The remaining unit was unavailable for inspection.
Arrangements will be.made to admit us.
Advised Adam to have commercial equipment and trucks removed.
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Town of Barnstable
Barnstable
�oF� rowc Regulatory Services Department mmmoiCeCy
BA LE. Public Health Division t
MASS, • O D
'639 �' 200 Main Street, Hyannis MA 02601
nnA�" 2007
Office: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
August 12, 2008
Luiz M. and Adriana Coelho
172 Megan Road
Hyannis, MA 02601
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.300 and 310 CMR 15.00,
AS WELL AS TITLE V.
The property owned by you located at 172'-Meg na Road;_Hyanni's7was inspected on
August 8, 2008 by Jaime Cabot, Town of Barnstable Health Inspector.
The following violations of the State Sanitary Code were observed:
105 CMR 410.4827 Smoke Detectors and Carbon Monoxide Alarms
CO detectors missing from bedrooms, Smoke detector not working.
105 CMR 410.300 and 310 CMR 15.00: There were a total of four(4)bedrooms
observed at this property. However, the existing septic system(permit# 73-666) was not
approved for four(4)bedrooms. It was approved for three (3)bedrooms only.
You are directed to correct the violations listed above within twenty—four hours of
your receipt of this notice by installing smoke detectors in accordance with Mass
Fire Codes.
You are ordered to correct the violations listed above within thirty (30) days of your
receipt of this notice by pulling any required building permits to restore the
property to a three bedroom home. You are ordered to remove the bedrooms by
removing entrance doors and by opening door-way entrances to the room to a
minimum of five feet wide openings. This will bring the total bedroom count down
from four (4) to the appropriate three (3) as designated by your septic permit.
I
You may request a hearing before the Board of Health if written petition requesting same
is received within ten(10) days after the date the order is served.
Non-compliance will result in a fine of$100.00 per violation. Each day's failure to
comply with an order shall constitute a separate violation.
Should you have any questions regarding the above violation,please contact the Town
Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas.A. McKean, R.S., CHO
Director of Public Health
Town of Barnstable
Certified Mail 70062150000210417668