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HomeMy WebLinkAbout0290 COTUIT BAY DRIVE �9� ��� �� f _ � .. �� . _�� �_ . �. . .� .., _ .. .� t�. Assessor's mapand lot number XX4...:,V. l Qi�L, /Q N L /6/i'jL ws�' Q�pi THE Sewage Permit number .. .:.`!. ! ..:................................ d� �� �,► 1i BABd9TA8LB House number 2 o �� NAM . c.......................... o /'� MON a. TOWN OF BARNSTABLE BUILDING' INSPECTOR ' -30 APPLICATION FOR PERMIT TO ....1H , ��...........U. .......... l..................... TYPE OF CONSTRUCTION l ....,.................................................................................. ............ ... ,....... 7.. .............19. �.. ,r� 9 TO THE -INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .. ... �!'�... .J .................. ...................Location ............. . .........qa......... ProposedUse ......... vZ-..........760: ~ ..:........... ............ ........................................:. ....... ......................... ZoningDistrict ....................................................... ..Fire District ........... ........................................... Name of Owner �/3! �! ..... 1 .� ,G iA" "�:............Address ............ . ............ ............ . �.:% ?. �. Nameof Builder" ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..............7...............................................Foundation .......1 .( "c ......................................... Exlerior ......... 4 ................................Roofng ..........:.....AFI ,. � ...... . ...................... Floors .Z/I t./ ..........................................Interior ...........�. ............................................... Heating ........ ,r' ...�............ ..... �.�..l.............Plumbing G�: ..................................................:. - ... . 4 .. .... .v. Fireplace .........................................Approximate Cost ' Definitive Plan Approved by Planning Board ------------__—___________19 Area T.............:........ 175 Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH n J , 1 nn 2 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. Nome .. / ./ ....!jv..r ............................ . , -McSHANE, JOHN V A=56-31 / No .................24337 Permit 112, Story . for .................................... Single Falftly Dwelling ................................1i.............................................. Lot #thi 290 Cotuit Bay Dr. Location .................:! ...........................!................. C 't .................. otu........................................./ .................... John McShane Owner ................................................................... Frame/ Type of Construction .................et'....................... ..................................................... .......................... Plot ............................ Lot ................................ Permit GraFIted $P,.P.t......I ..............19 82 Date of Inspection .............. ...............19 Date Completed ... ................. .. .....19......... ,ok • pF1HE Tpk, Town of Barnstable 4,ermtttt o0 03 -7 Expires 6 nnon isjr Regulatory Services Fee issu kyle r x ■ r + BARNSTABLE, 639. ��� Thomas F. Geiler, Director arFo MAr A �/" Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma.tts Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number � J Property Address _ C-0 I�?j P<t.� 1/ f i t residential Value of Work t �0 00 � Minimum fee of$35.00 for work under$6000.00 Owner's Name& Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance "PRES PERMIT Check one: JUG 3 0 2010 ❑ I am a sole proprietor 4;J-T-am the Homeowner ❑ 1 have Worker's Compensation Insurance TOWN OF BARNSTABLE . Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) IX-ffe-roof(stripping old shingles) All construction debris will be taken to � fit�.trl(J s' ee ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) #of windows "Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty Owner must sign Pro e ty Owner Letter of Permission. A c py he Ho a Im ove e t Contractors License & Construction Supervisors License is req 'r d. SIGNATURE: Q:\WPFILES\FORMS\buii rmit f ms\EXPRESS.doe Revised 070110 The Con:tmorcwealth of Massachusetts Department.oflndustrial Accidents t� Office. of Investigafions �+ 600 Washington Street Boston, ALA 02111 mnvvj,.rnass.gov/ilia Workers' Compensation Insurance Affidavit: Builders/Contractoe-s/EIe-'C.tricians/PIumbers Applicant Information Please Print-Legibly Name (Business/Orgmization/fndividual): D l u, 4 Address: �- City/Stat&Zlp: Phone-9. chi d7 76 Are you an employer?Check the appropriate box: Type of project(required'):. 1.❑ I am a 3 em to rer with 4. ❑ I am a general contractor and I p 6. ❑New constnutiom employees{fill]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 o workers' comp.insurance comp_insmariml required.] 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 self. No workers" right of exemption per MGL. m}' [ camp- 12.❑Roof repairs insurance required.]i c. 152, §1(4),and we have no employees.[No workers' 13..AOther l e�tr�('e�' kee ac comp.insurance:required.] , 'Any applicant thst checks box#1 must also fill out the:section below showing their workers'compensation palicy infonmtion- t Homeowners who submit this affidavit indicating they are doing all work and thea hire autside contractors roast submit a new affidavit indicating such- lContmctors that check this boa must attached as additional sheet showing the osme of the sub-contactors and stele whether or not those entities have employees. If the sub-contractors have employees,they most pmuide their workers'comp.policy number. I am art employ"Heat is pros iding workers'coinpensation insrtran ce.for iny employees. Below is the policy acid job site informatiom Insurance Company Name: Policy A or Self-ins.Lie.-9: Expiration Date_ Job Site Address: City/State/zip: Attach a copy of the corkers'compensation policy declaration page(showing the policy number and expi-ation date). Failure to secure coverage.as required under Section.25A of MGL c. 1.52 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be fbmrarded to the Office of Investigations of the.DIA fpr insurance coverage i Arification. I do hereby certify ravine to it a per alfie f petjtt;y that the inforruation provided aboire its tnte and correct Si ture.: Date: Phone#: b 7' t9 7?6 Official use only. Do not write in this area,to be completed by city or town official, City or Town: Permit/Lfcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 1..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �TtErp� 1 V 1�11 Vl Leal 11U�.s.a ivlV Regulatory Services anxtvsTnst.e, Thomas F. Geiler,Director 9�A1639. ,0� Building Division jEO��p 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 Please Print DATE: •(/3� .�Q f O _ JOB LOCATION: number street village "HOMEOWNER": SW—224,,r��/lG '` `• name home phone# work phone# CURRENT MAILING ADDRESS: CIO 14, 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 th e/she understands the Town of Barnstable Building Department minimum inspecti n rocedures and req re ents and that he/she will comply with said procedures and requirements. Si re of Ho owner 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:\WPFILES\FO RM S\homeexempt.DOC 24337, 4' TOWN ,OF B_R.RNSTABLE Permit No. ------------------------.- I Building li;spector Cash s.uar ------— - o `8 X '�•"'•► ���/�3 OCCUPANCY PERMIT Bond -.----------- i�1 Issued to John-McShane Address 10 490 290. Cotait fiav 6rive Cotui t Wiring Inspector Inspection date Plumbing Inspector \ —FN- x Inspection date Gas Inspector V a Inspection date yEngineering Department�� �i Inspection date Board of Health xF6 ,r Inspection.date F/� y � ' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL: SICNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN ` REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .. ...... ._.. .�... ...... / ... 1G Building Inspector J-T-z- �j H Of& DAVID �y o CHARUS c SAHKKI Q�sTV. SU E "I certify that' the ` cund.a 4ion shown on thin Plan iU a_+ It e)r-is; cn PLOP PLAV OF LAND ;:ho -ground and that it i,r vonforms tc '-he Toun of RN'T'BLE MASS arrt. t:nbla Zonira aeg- Pre Are 'r " t?c-"BANE ^ON::TAUP"TTO�`1 t:C �iIntior.i �ca1c 1 rr_S� } ,1u�'Lwt 2r', ` 1q,i? x ' f OK .,Asseeor's map and lot number i. :.....: 1 01ze, /-A L j � GL Qy�F THEjr Sewage. Permit number ... . ` !r/....... ........ ` SEPTIC CSYSg�T�E/M ���i US/, ���9TLn . LE i House number ..... ............................ INSTALLED� �' i67q. 9� r ° WITH TITLE 5 TOWN ' OF .BARN`�I ' / �, eo©Errs �i C ;'1�iA1C1s�'S BUILDING , •IHS PEC :0 4,0 ,98a_3 % ... ....... APPLICATION FOR PERMIT TO ..... i.................. ..... .... .. .......... TYPE OF CONSTRUCTION ............. +V. .............. ... ...... ........ ......: .......................................................... ............8.�. .z-.........19..: ' TO THE INSPECTOR OF BUILDINGS: The.undersigned hereby applies for a permit according to tthe following information: ✓�� �.� Location ................/��..Y...........?a........ . ,,� .. ...........v.......��, ....�-: ............................................................. ProposedUse ......... .!..!Vl .l.`e........ ....................................................................................I......................... G - Zoning District .....................-- ... .... ....................................Fire District ............. -C'? (mil .................................... Name of Owner vd.&..../. vC��. / ..........Address ........................... - Nameof Builder' ....................................................................Address ............:....................................................................... Nameof Architect ..............................................Address .................................................:.................................. i Number of Rooms ................�j..............................................Foundation ......... ...................................... ExteriorC// I.... 1 ...............................Roofing ............, �� ... . .................................................. Floors �L/ Interior ............ .. ................... Heating '��L.. 4� (............Plumbing.. ..... u............ �. ..... ... .. ................... .................................... Fireplace • ..........................................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 0r Iw 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 ..... . llV4....... ............................... McSHANE, JOHN A=56-31 No 24337.. Permit for .....13'2 Story ................ ......... Single Family Dwellin ................................................................ .............. A=5 6-3/1 - �� �ry. ........�2.. . .0 T 1 1 a I n . ......... .............Lot #90, 29.0 �otq t Bay Drive . ..... .. Locatio'n ............ ..... ........ .................. cotuit ................................................... .... ...................... Owner ...John...McShane ..... .. .... .. .... .................. .................. Frame Type of Construction .............................................. .................................................................................. Plot ............................ Lot ................................ Permit Granted ...September 1,......19 82 ...................... Date of Inspection ....................................19 Date Completed .../-:7z Ja�p.........19 •