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Home My WebLink About0062 BAYBERRY LANE W 1 ; . i; ., � , _ _ _ Y � ,� , .,. ..��,. SA Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 3/21/18 Brian Florence CBO Town of Barnstable Building Division i 200 Main St. Hyannis,MA 02601 I RE: Insulation Permit",7-4267 Dear Mr. Florence: This affidavit is to certify that no work was performed atL62 Bayberry Lane, Cotuit. Sincerely, William McCluskey BLJILBIA!G CEP, MAR 26 2010 TOWN OF - Town of Barnstable RECEIPT,' HAS& ' 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-17-4267 Date Recieved: 12/8/2017 Job Location: 62 BAYBERRY LANE,COTUIT Permit For: Building-Insulation-Residential Contractor's Name: WILLIAM J MCCLUSKEY State Lic. No: CSSL-102776 Address: , West Yarmouth, MA 02673 Applicant Phone: (508) 398-0398 (Home)Owner's Name: LUKAS,JAMES G & ANNA Phone: (508)273-3469 (Home)Owner's Address: PO BOX 3072 , WAQUOIT, MA 02536 Work Description: Add R-30 fiberglass to the attic. Add 2" rigid insulation to the common wall. Air seal the attic plane with expanding foam. General weatherization. Total Value Of Work To Be Performed: $3,000.00 Structure Size: 0.00 0.00 0:00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: William McCluskey 12/8/2017 (508)398-0398 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $3,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 12/8/2017 $35.00 X)M-X)M-XXXX- Credit Card 0299 Total Permit Fee Paid: $85.00 12/8/2017 $50.00 )0M_X7DDC-X)CCC- Credit Card 0299 . v THIS,IS"NOT. A PERMIT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION e"fn A f led ' TOWN OF � Map O t 4 Parcel �' I ARNSTABLE Application # Health Division1 (7 ' i�d �6 Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address U-k A G Village CC, v + Owner T Q,M eAS L& k Address C oi-wIL Mh 0 a 6 5 Telephone Permit Request Add Q,- 30 +o A Air Sea 4& gz `c. a ew4 h ems an I r 5 A0 0L A1. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation <t3 G 4 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House:. ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new I Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal 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 XNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION �- (BUILDER OR HOMEOWNER) Name i I &OyAC /CoLle- Telephone Number 0328 Address f) Flue, License # 0a1�7�b J • tirn�dN�'h . I '1 O� Home Improvement Contractor# Email Worker's Compensation # UlC, 6$5S c.l 0II'W ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f Lrme%,4 h SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # 'DATE ISSUED OAP/ PARCEL NO. ADDRESS VILLAGE OWNER r a DATE OF INSPECTION: FOUNDATION FRAME _ } INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH -' FINAL 'f GAS: ROUGH FINAL �= FINAL BUILDING r y DATE CLOSED OUT ASSOCIATION PLAN.NO. s o f Town of Barnstable. 0 Regifa$o>ry Services swa*=AM y� Richard'V.9c:W,Director 1�� 100 Building Division Tom Perry,Building C:ommissioner 200 Main Street,Hyannis,AN 02601 ti`w-v.towa.b arnstah Ie.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Chaer Must Complete-mid Sign This Section. If Usi ne A Builder �1 I as Owner of the subject property y herebaudiorize_ C -Sq - to act on rnybebA in au mat=relative to wor authorized by this b,i ding permit application for: L' o� !�:- rt'x L a n,e- Co. +u ;' � C 6r (Address af�;job) 'Pool fences and alarms are the resporisihiliry of the applicant. Pools :are not to be f illcd_or uticed before fence is installed and all final ins ctio. e Performed and accepted- Pe Signs er Signature of Appkamt t ame Pans Nam, �Dat Q;E0RMS:0%X7.%TR F-RjA)SS10NP(X)LS i -The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 < Boston,MA 02114-2017 www massgov/dia' N orkers'Compensation Insurance Affidavit:Builders/Coniractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Apulicant Information Please Print Leeibly Name(Business/Organization/Individual):Cape Save Inc Address:7-D'Huntington Avenue City/State/Zip:South Yarmouth, MA 02664 Phone#:508-398-0398 Are you an employer?Check the appropriate box: Type of project(required): LE I am a employer with 15 employees(full and/orpart-time)i 7. New construction - 2. I am a sole proprietor or partnership and have no employees working for me in S. Q Remodeling any capacity.[No workers'com p.insurance required.) 3T1 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. El Demolition 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. - 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp,insurance.- 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�✓ Other Insulation 152,§1(4),and we have no employees.[No workers'comp.insurance required.) Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Lain an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Star Insurance Co. Policy#or Self-ins.Lic.#: WC085540700 Expiration Date: 4/9/2017 Job Site Address: 62 Baybe=Lane City/State/Zip:Cotuit Attach a copy of the workers'compensation policy declaration page(showing the policy,number and expiration date). _ Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under th pains andpenaldes of perjury that the information provided above is true and correct Si ature: Date: 24 7 Phone#:508-398-0398 - Official use only. Do not write in this area,to be completed by city or town official, J City or Town. Permitlicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - Contact Person: Phone#: i i CERTIFICATE OF LIABILITY INSURANCE DA (MMIDD 10/24/2 0161s 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 pollcy(les)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 endorsements. PRODUCER NAME:NTACT Colleen Crowley Risk Strategies Company PHOAIC No E : (781)986-4400 FAC No: (7e1)963-4420 15 Pacella Park Drive ADDARIESS:ccrowley@risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE NAICS Randolph MA 02368 INSURER A:Liberty Mutual Insurance Co INSURED INSURERS Allmerica Financial Alliance Ins Co 10212 Cape Save, Inc INSURERC:Ohio Casualty/Peerless Insurance 24074 7 D Huntington Ave INSURERD:Star Insurance Co INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:CL16101422377 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY E F POLICY EXP LIMITS LTR POLICY NUMBER MMIDD MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X�OCCUR PREMISES Ea occurrence $ENTEU 100,000 BLO1757246490 10/16/2016 10/16/2017 MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN1-AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY El - ❑ X ,ACPROT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: 757RRI!5'=LF LIMIT $ AUTOMOBILE LIABILITY Ee accident $ 1,000,000 B ANY AUTO BODILY INJURY(Per person) $ ALL AUTOgNED X SCHEDULED IIIMA46796600 11/6/2016 11/6/2017 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OV%NED P OPERTY DAMAGE $ AUTOS Per ecadent X UMBRELLA LIAR NCLAIMS-MADE OCCUR EACH OCCURRENCE $ 2 000 000 CEXCESSLIAB AGGREGATE $ 2,000,000 DIED I X I RETENTION 10,000 US057246490 10/16/2016 10/16/2017 $ WORKERS COMPENSATION r Officers included for X E AND EMPLOYERS'LIABILITY YIN STATUTE ERH ANY PROPRIE'rOR/PARTNER/E)(ECUTIVE NIA D coverage E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) WCOSS5407 4/9/2016 4/9/2017 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence of Insurance / Insulation Specialists CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Housing Assistance Corporation THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Barnstable County ACCORDANCE WITH THE POLICY PROVISIONS. Cape Light Compact 460 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02061 _ Michael Christian/CLC �� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration - µ Registration: 171380 Type: Corporation ° Expiration: 3/14/2018 Tr# 419291 CAPE SAVE INC. WILLIAM MCCLUSKEY - 7-D HUNTINGTON AVENUE ` t SOUTH=YARMOUTH, MA 02664 '+ is•S •� p•-�y _ `Update Address and return card.Mark reason for change. — µ Address 0 Renewal Employment D Lost Card SCA 1 u 2OM-05111 V/ee`Ppa�,unea,rurea(�1c olC�/l�i,rauc/aaeC(� License or registration valid for individul use only Office of Consumer Affairs&Business Regulation g Y =_= HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,;�'1.71380 Type: Office of Consumer Affairs and Business Regulation ExpiraUon; 344/2U18 Corporation 10 Park Plaza-Suite 5170 - Boston,NIA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY` <F 7-D HUNTINGTON AVENUE _'.•<;_' SOUTH YARMOUTH,MA-02664 Undersecretary -Not valid i signature Massachusetts -Department of Public Safety Construction Supervisor Specialty Regulations and Standards Restricted to: Board of Building 5 CSSL-IC-Insulation Contractor Cons-- Sunei-:--- - - �,un+u dCiririr�unCr vr��rr �jirBCiaiiv License: CSSL-102776 Wi 1LLIAM J MC'gtU 37 NAUSET ROAD I West Yarmouth NA Failure to possess a current edition of the Massachusetts Expiration State Building Code is cause for revocation of this license. Commissioner 06/28/2017 DPS Licensing information visit: WWW.MASS.GOVIDPS Cape Save Inc. 7-1) Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fag: 508-398-0399 1/30/17 Thomas Perry CBO Town of Barnstable BUILDING DEPT, Building Division 200 Main St. Hyannis,MA 02601 JAN 30 20V TOWN OF BARNSTABLE RE: Insulation Permit 17-221 Dear Mr. Perry This affidavit is to certify that no work performed at 62 Bayberry Lane, Cotuit. Sincerely, William McCluskey i -7h1 i ) ?0,13 O Vsr7S �,► , Town of Barnstable *Permit# oin issue date Regulatory Services li I BARNSTABLE, MAS&s Thomas F.Geiler,Director AjEp�� Building Division JUL 11 2013 ` I Tom Perry,CBO, Building Commissioner TOWN OF 200 Main Street,Hyannis,MA 02601 BARNSTABLF www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY l /n� Not Valid without Red X-Press Imprint Map/parcel Number 0 Property Address Z- °{d L.�� U ) 1 [residential Value of Work$ ZO(7 .' Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address I.IA 3 Contractor's Name 1 Telephone Number 'DJ Home Improvement Contractor License#(if applicable) Email:jLq k4 3 1 2- c Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ a sole proprietor the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reg it(check box) IviRe-roof(hurricane nailed)(stripping old shingles) All.construction debris will be taken to a� �' 1f°jD91 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical.&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy f the Home Improvement Contractors License&Construction Supervisors License is requi ed� SIGNATURE: QAWPFILESTORMS\building p it formslEXPRESS.doc Revised 061313 r ,S The Commonwealth of Massachusetts Department of Industrial Accidents Qffce of Investigations IF 600 Washington Street Boston,MA 02111 wwm mass govldia Workers' Compensation Insurance Affidavit: Builders/Conn-actors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Bu�ga i mb&v dual)_J a VVVz:L5 I�� Address: A C,J 0 -r City/Sta&Zip: PhAnt✓# 1 (o Are you an employer?Check the appropriate boz: Type of project(required): 1.❑ I am a employer with 4. ❑ I am.a general contractor and I 6- ❑New constuctim employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition to workers' comp.insurance Comp-msutanne 1 rt�quired] 5- ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself [No workers'comp- right of exemption per MGL 12.[?!koof airs insurance required.]i C.152, §1(41 and we have no employees [No workers' 13.n-Other Le comp.insurance required-] •A ny app&cam&at checks boa#1 mast also fal our the section beb w showing their vmdeW compensation policy infarmzdcmL Homeowners wbo sabmrt this afdnd indicating they are doing all wmk and then hue outside counactars tmtst submit a new affidzvit indicating such ICozaactms that check this box mast attached as additional sheet showing the name of the mb-counwim and state whetttw m not those entities hue employees. If the sub-conuactors basin employees,itey must pmvide their workers'comp.policy nmuiber. I am an employer that is providing workers'compensation insurance for trey smplayee& Below is tine policy and job site information. Insurance Company Name: Policy#or Self ins.I ic.#: Expiration Date: Job Site Address: City/StatdZip: Attach a copy of the workers'compensation policy declaration page.(showing'the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,,as well as civil penalties in the foam of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA Sur itmurance coverage verification. I do hereby a an s and penalties ofpeduty that Me informafionprov ded above is hue and correct Si Date: t,1111 Phone if: Q,Ucial use only.. Do not write in this area,to be completed by city or town o,Q4eiat City or Town: PermibLicense# Issning Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 i o�'WE ti Town of Barnstable Regulatory Services MMSTAMIX Thomas F.Geiler,Director 1659. i% Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must', r: Complete and Sign This Section r If Using A Builder as Owner of the ro subject l P Pay hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date ' I QTORMS:OWNERPERMISSIONPOOLS 62012 r �,►,�, Town of Barnstable' Regulatory Services 11"it1w,"Em ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner • 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 7_43 1 Please Print DATE: JOB LOCATION: J mmmber street village L "HOMEOWNER": e home phone# work phone# CURRENT MAILING ADDRESS: ity wn state 10 zip code The current exemption for"homeowners"i q 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 undersign `homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection p dares an re ' ements and that he/she will comply with said procedures and requirements. SiAMWIomeowher 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 persou(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 j 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. C:\Users\decollflc\AppData\Local\Microsoft\Wmdows\Temporary Internet Files\ContentOutlook\QRE6ZUBNIEXPRFSS.doc Revised 053012 TOWN OF BARNSTABLE 25285 ' Permit No. ------------------------------- Building Inspector � 4 siasxn r Cash yew• OCCUPANCY PERMIT Bond -'-_----_�-'�� Issued to Joseph Saia Address Lot 12, 62 Bayberry Lane, Cotuit Wiring Inspector / Inspection date � ' :7'� � h Plumbing Inspector . Inspection date F/f Gas Inspector � Inspection date X Engineering Department - ' r Inspection date ^� // Board of Health "" t � Inspection date �cl THIS PERMIT WILL NOT BE VALID, ND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR ,UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. t ............................. .................�.. .......'._.......... .........._........ r v Building Inspector Aaessor's map and lot number ...87a..(...... �p%TNET- Sewage Permit number $ -3. ....�.. � C �Y�-l :.ti 6 f, INSTALLED IK CUr,-t-`'r DABd9TODL � House number C "3d ,EEYPYa�i -TOWN OF.. ffARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO CC .�.. 11Lb. .......k iY!!J�t.. . :. . ..... l. ` ............................... II,, ." � U TYPE OF CONSTRUCTION .....W .�...... �. j/�!��................................................................................. ........�.GL.. ....... .19 ..� TO THE INSPECTOR OF BUILDINGS: Th dersigned hereby applies for a permit according to the following information: �U 4' C f �l Location/..,�1'�.� .6.L° Zo—I.cr .....,F.JA,.Kt......... !l..l.v/.. ........................................................................................... d . ProposedUse .......Ke Sl.. ...................................................................................................................................... Zoning District ..............- P...... ..... ..........Fire District . .�Bf �. ..................................................... zs� i•1 �>c..j.. Nameof Owner ...... ... ...... Address .................( .:................................................. Name of Builder' ............. . /�!... . ............................Address .................(,.- . �.. Name of Architect ..... 1� �' 4 ... .....ot.. . ..C.Address .............41..� .................................................. Number of Rooms ..... �.......................... ..........Foundation �� '!d?'t. �� t�. Exterior ....�ICL�� Q. /Q .`' .......�Y. ....4-....................Roofing 45/ka.. Floors G` ..........................................................Interior ......... f� .' .1../. .. .... rrJ 1 /P(�/ /' t.. . Heating L...f•�L..r .l...0................................................Plumbing ............l...Y...4�..... ....4.0.?y...�7................ p 1 (kyCF�. 3...F d Y pp .! L I t� (� Fireplace .....�..�l.l.�(.�..... .... .. ....... ... ........ -Approximate Cost ............. ..... .... ... .... ..... ........... .. ...,. rl Definitive Plan Approved by Planning Board -----------__—_—-----------19 Area f .............. Diagram of Lot and Building with Dimensions Fee c�1........ ..... ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r I� OCCUPANCY PERMI REQUIRE FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ...................... ~ ��-S�\IA, JOSEPB 7 ` - � 25385 One Story �0 ------ Permit for .................................... Single Family Dwelling .—.---....----.—..---.—.---.--..� Location Lgt...l2.4....G�..]��v��..�Ag.(�. ,_,.,__�g��.1Ai+,,,,^,__~.___,____.. . ' _ Owner Saia � .Joseph ' Frame ' � Type of Construction -------------- ~ ' ` ` ~.,—.----------.—..-----------. '. � . � - ' Plot ............................ Lot ----------- - ^ ~ ' ` . ,_ PermifCronts] — —.JolvG,� ___. _]9 83 ' ~J�� Dote of Inspection .��—�.°�----..l9 ` _ Date Completed ' �3 . . ^ . . . ` . ^ . � ' , , , ^ ' - ' ' � ^ , I IV „ e-�� _- Ilo^� 00 — N N 012 l N y_-_.- Q lo �• n ._O' -..... T M 0 12 = 5�i• 51 ' i w i.. LOT 12 13A. 01'� r::' 12 L-A. . GOTL)I JUtiF 11), 1 AL- l ' 4v� i 7- On the basis of my knowledge, information and belief, I certify to 77y4on o! that as a result of a survey n de on the ground on r,&Zf 3 , I find that .The st cture(s) are located on the :site .us shown./n C000phaer-e Aa;4 I-Ae Tocswn Zdni /dye Lo ds P�tN OF y The title lines and lines . of occupation of the o��E W ss4` site are a2 sho;'ni hereon. ILL'AM y The site is situated in Flood 'Gone on- a C- wA wiac. Community runel 11o. zsoaa/ mmis�Date: �� No. 197710 Date: a ��:�crst��'ypQ` "�i.�fuJ�� SURvE f illiam E'. Wdririck t iLLS Assessor's map and lot number ... ... ...... .../� / �..... ........... E Sewage Permit number lt. ' , ....�" e.4l ,1;....... ��QypiTNTo�`� Z NARNSTGE i House number ...................... ........ :. ............................. . 639HL a� � n TOWN OFF BARNSTABLE BUILDING INSPECTOR P APPLICATION FOR PERMIT TO .... .��......... :.! J° .L. .�� .... ................................ TYPE OF CONSTRUCTION ....C: ...... �.�. . : :�;�;.................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Loco" on/0.. 4 t 1. .�d. os.......i � ........ .. ; s f... ............................................................................................. ProposedUse ..... 9.i.� .t..t` f C!1 C.. ...................................................................................................................................... ZoningDistrict ................ '. .................................................Fire District ...................:f........................................................ Name of Owner ...... 'v ASP "'" .' .Address .......... ?. .................................................... Name of Builder. ... M •. . ..................................�J Address ................6 .. Name of Architect ...... ;�� ih,f>. c/....L..��rie4..e..Acldress .............: /.............................................. Number, of Rooms .. j . ............................. .....................Foundation ....... `.... ....... . � �.:.�:` . .. ��.................... Exlerior ...�....1) f 1 .. ...........................Roofing ..............✓°�<J.� 3? a:., :............................................ Floors ...................... ' ,"' i% .. ...�lf A ........... Heating 1`� {?�.'................................................Plumbing ..... , „ A ..... ........ Fireplace .. N t .4d....i... ' ........ ... ' ...Approximate Cost ............. .....(... �! Definitive Plan Approved by Planning Board _____________ _---------19 Area ............. ..................... Diagram of Lot and Building with Dimensions Fee .` ........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH �e i INN �,---� 0 I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .......... �.. ............................................. SAIA, JOSEPH A=19-121 25285 One Story No ................. Permit for .................................... Sing�f�..�:amily Dwelling ................. ....... C............................j............ Location ..L.ot...12, 6.2....Bayberry. Lane cotuit ............................................................................... Owner .... S a i.a . ............................................ Type of Construction .........F...r.ame.................... .. ....... ........................................................................... Plot ......................... Lot ................................. July, .'6, 83 Permit Granted ........................................19 Date of'Inspection ....................................19 Date Completed .......................................19 0-'j w(� A