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HomeMy WebLinkAbout0062 STARLIGHT DRIVE ��r. _ u _. � �� A • II �f� Q+ �� • l s o 1� b A / .. � .� o � o �� � . �� �, �. -� �� ,. '� ,. K , p.. .. li. �^ ,. n � � �.. � ... y� ,. .� ,. a ... ' ,)� - r: �. �. .. � e U... .. � n, ,.� .C1 .. � .. ,. ,. o 11 � n .� r � �. �; �� � „ .. A� �. n � n .. �' .� �r yat Town of Barnstable "Permit# y7 , .yam EApire 6 monthsfrnm issue date Regulatory Services Fee ,»AaIX NAM� Richard V.Scali,Director.esa 5 C� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bam stable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid ndthout Red X-Press Imprint Map/parcel Number R! . Property Address zz V,�,..11 �`1 1 1 �esidenlial Value of Work$ JSQ Minimum fee of$35.00 for work under$6000.00 JUN O 8 2016 Owner's Name&Address AVE Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman'sCompensation Insurance Check one: a sole proprietor �rll am the Homeowner ❑ 1 have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ;� ` e-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken t0��7G �'( - JCrQ^� ❑Re-roof(hurricane nailed)(not stripping. Going over_existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#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 of the Ho m Improvement Contractors License&Construction Supervisors License is req fired. SIGNATURE: An C:\Users\Decollik\A Data\ I\MicrosoR\Windows\Temporary Internet Files o em.0ullook\2P101 DMEXPRESS.doc Revised 040215 r HA&MASS, `'. ,f Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1. as Owner of the subject property hcrcby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Dewllik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Oullook'W]0I DHR\EXPRESS.doc Revised 0,10215 Town of Barnstable Regulatory Services d1WM Richard V.Scali,Director Building Division 8AJV%9u8ts' Tom Perry,Building Commissioner n\as. +3s .� 200 Main Street, Hyannis,MA 02601 FOB www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 � '� �I W HOMEOWNER LICENSE EXEMPTION Please Print DATE: // �^� cc(( � L, � ( JOB LOCATION-U L. J'r-(j��L�h Dt" � _�l ` a 1 0 number ��77str`�eeetpt ((^� Q village -HOMEO\VNER'�_rA nn Cam" �J-�D-(006(` 3_7 9 name / I ,., /home phone NN L -yam work phone N CURRENT MAILING ADDRESS:1 n C.J 10 V L C f I ���LjS rn ills rn� OZ.(fZu S�` city/town state 'ri- p�wde 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 pro res and requiremen a�d that he/she ill comply with said procedures and requirements.if Sig o ouner 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. C:\Users\Demllik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI01 DHR\EXPRESS.dm Revised o4om The Commonwealth ofMassadiuselts - Department of Industrial Accidents t= D,,Q'ice of Investigations a 600 Washington Street ` Boston,MA 02111 unt." rrtaszgovIdia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbets Applicant Information Please Print Legib Name(Busineesssl]Orgamzericmuladividual): y�� d Address( U c L� City/State/Zip: \ phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑I am a employer with 4.❑I am a general contractor and I 6. ❑New construction (full and/or part-i ).s 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-contmetors bave S. ❑Demolition working for me in any capacity. employees and have workers' (No workers'comp.insurance comp.insurance./ 9. ❑Building addition r ed] 5.❑We are a corporation and its 10.❑Electrical repairs or additions t+'- m a 3.' homeowner doing all work ofTtcers have exercised their I I.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12,$alooftepairs insurance required.]1 c.152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] 'Any applicam that checks box ill mtw also fill out the section below showing their wmkm'camper cam policy information. 1 Homeowners who submit this affidnit indicating they are doing all work and then bve outside connectors mast sobntu a new affidavit indicating sucb. :Contrecco.Poet chant nos btu mast attached an additional sheet showing the name of The sub-contractors and state whether ar not cbose eaooes have employees.tribe sub-comracttas have employees,they mast provide the workers'comp.policy maaber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site informmtian. Insurance Company Name: Policy#or Setf-ins.Lic.#: Expiration Date: Job Site Address City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1500.00 and/or tee-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for inenr mce coverage verification. I do hereby c ify uIner the pa d d penalties of perfu at the information provided above —is7trite and starred Si a a^ Date: a / 60 Phone#: U 6 QBricial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 11;02'94 1T :07. pDl/ 1A IlLi �/ � �1� i ConunanweaLLL O� Q.'fdQCJt(�ldl.� 600 .�ames.L campbsa Cornrnisuorer Workers! Compensation ibst ranoe Af &Wit 1, �/-fN cc1 I26�21 Crams S with a principal place of business at: / cv,41i 7--3F"- S i 9 C14 Zug- y u� .-�)iO li-START-67- iAl4 o e 64 cagrrsea�sw do hereby certify under the pains and penalties of perjury, d= an gnployer pravidmg workers' Compensation Coverage for my employees wf this job. , Insurance Company Policy Number [ am a sole proprietor and have no one worsting for me in any capaaty 0 1 am a sole proprietor, general contractor or homeowner (tilde one) and have hit Connectors ilsmd below who have the following workers' compensaIIon policies. Contractor Insoraaoe Compare Ipariicy Contractor lastnance Goinpany/Policy Contractor Laurance Company/policy () I am a homeowner performing all the work myself. t tando-st:nd--hu a CM/of dtis s—Ousnent will be fWaarded W tit Mice of lnv"dPdM of dw CIA far COMM vffGMzU n and that ec a.te z rvG:zd under Section ZSA of MGL 151 can lead W the irnpaaWM of ei t CG1&"A:W9 of a an of up to S I'S ire:.-s tm�iso :an z well U civil aanaldes in the fom:of s STEP WaRK 4ROER Md a fkte at Sioo.Oo a day aping Rfe- Sgned this day of � f/G� % • 1 q 1 censee/Pe tree Btu D UcMsing Board Selectmen Office Health Department T1 e �om na uuea/ a�✓�naaae�u�aelta Restricted To: 00 DEPARTHENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE 00 - None FaUsre to p"sess aourrest Nassaebasetts State/0/04141 Nuiber•_-., _ Expires: 16 - 19 1 Family Homes of this lleonm ' i Restricted To:'` 00 FJONN,Y RODRIGUES DUPLICATE E - 151;YHITE BIRCH NAY `�N'6ARNSTABLE, HA 02668 p _`ti ;�:s }•,t��,�vti �7�` t`'.7�Yr7y,lG4,�1'ai g.xivvA�y''' �� y�. r. e ��i s�oams�eoMeira�d� ✓uaaaaerEuae(la: Ra:HOME,IMPROVEMENTr'CONTRACTOR .- Y' " legistration 105252 �- TrPe `^INDIVIDUAL t �: ' x�`l�EzpI Tat ioo:-�,!17/16/96 John W:Rodrigues 6 Sons' Y „John"W."Rodrigues ;G2 `o .� �PO Boz'641 15f: hi#e Birch W <<: noMlNisTRnroR * Barnstable MA 02668 r' c 1°r.�,`..�--.y—Nub.•.—Lw...�.� MM.:'1-�� .`��.c.L: '..0 k..c..+..`�;t��� i L , The Town of Barnstable NAM Department of Health Safety and Environmental Services ` BwIding Division 367 Main Street,Hyannis MA 02601 091= 508-790-6227 ftiph Faic 508 775-33" Btttldtag Comm For office use only Permit no Date AI3+'IDAV1T HOME IMPROVEMENT CONTRACtOR LAW SUPPLEMENT TO PERMrr APPLICATION MGL c. 142A requires that the-reconstruction,alterations,renovation,VC04 tnod oa,conversion, improvement, remmal, demolition, or constnictiOn of an addition to any pm-casting owner occupied building containing at least one but not more than four dwelling units or to sttuctsuzs which ate adJacem to such residence or building be done by tegistered contractors,with certain cooepdons, along with Other requirements Type of work: Cost 062 , o-0 Address of work: 12' 6 c��9 u �/C �Y. 4 4 ` /4,/V,0� 17 Owner.Name: �, Q Date of Permit Application: llz/q I hereby certify that: Registration is not required for the follcming reason(s): Work exdudod by law Job under S1,000 Budding not owner-00=0ed Owner Pulling own permit Notice is hereby gi<cn that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREQSIERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS M 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. du Date Contractor name Registration No. OR Date owner's name I Assessor's-Office(1st floor) Map_ 160 Lot _ O A1G m Permit# 0 Conservation Office(4th floor) - Date Issued Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) Fee' �. Engineering Dept.(3rd floor) House#1 Planning Dept.(1st floor/School Admin. Bldg.) 7 ' - • BARNSTABIE Definitive PI p ved by Planning Board 19 e 9- to Nu+� i TOWN OF BARNSTABLE Building Permit Application ' Project Street Address Village -1-0,eJ �- Owner S lL L Address 'Telephone Permit Request ) /� L� 0f��= lc�/%/� S7' .tJ✓��12 Total 1 Story Area(include 1 story garages&decks) f square feet Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 9 0-0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 0*/,/ o_) 62_Q bI2 l6420� Telephone Number Address /,j'/ 6ZW'jy',!5_ S j fiZC/gl &014 `r' License# (;j O , 2-C'J .lam 1 "A Home Improvement Contractor# _CEO 13 OX 6 e-/ Worker's Compensation# &_ZA NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /''I At:3/Z S T0.0 1-4 /L. LS SIGNATURE DATE 7 7 S BUILDING RMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 9580 DATE ISSUED August 8, 1995 s MAP/PARCEL-NO. 100 046 ; z ADDRESS 62 Starlight Drive VILLAGE Marstons Mills, MA 02648 OWNER William E. & Natalie M. Coleman DATE OF INSPECTION: FOUNDATION r , FRAME i INSULATION x y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' r . FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. %THE TOWN OF BARNSTABLE ii IBARNSTLBLL NASL- BUILDING INSPECTOR 1639 APPLICATION FOR PERMIT TO ................................. TYPE OF CONSTRUCTION ... ................................................................................................. . ................................................19........ TO THE INSPECTOR OF BUILDIN S: f The undersigned hereby applie's or a permit accordingh following f on: to t�e o owing in ormoti Location ....... ..................... ......... .............................................................. Proposed Uselkv. e..4,10'w.-c..... ... .................................................... ZoningDistrict ........................................................................Fire District ................""***"**"*"**"",**,*****I .. ........................Name of Owne0_. -17zm1e5-�_7._ -Address 6 Nome of ...Address ............................................................. Name of Architect ......................................Address ........................................ Numberof Rooms ....... .......................................................Foundation .../.0..........� ...................... Ual?........................Roofing Floors .&Onn...b..............................................................Interior ..... ............ .. ...........................................Plumbing Heating ng ..... ................................................................ 'y ..........................Approximate ..... Fireplace ......................................... e, Cost ................................................ Definitive Plan Approved by Planning Board ----------------—----------- / Diagram of Lot and Building with Dimensions SUBJECT TO A P P R 0 V ALI`-6 F PBO'A;R D E'�;L_T U'lj� SANITARY WAII, rr NAGE E* Ep" TOWN "OF E37MNSMi:a- 13 0 tR 10Fj HEALTH J �" OBTAIN Sf WAGE INSTALLERS j_jc1E LL SYST�E M' PERMIT, AND MSTA 7-7— X, e-1-i cz, 661 LO' 6e, ------- I hereby agree to conform to all the Rules and Regulations of the wn of Barnstable regarding the above construction. Nam . ... .. .. ........ ?( ........ .. ............................................ 'Cammett Builders, Inc. 15144 one story No ................. Permit for .................................... single family dwelling ............................................................................... Location t ........Starlight Drive ...................................................... ............ ......Marstons Pills..........................s .............................. .... ..................... Owner ..........Hammett tt Builders,rs, Inc. ........................................................ Type of Construction ........................franB.................. #6o Plot ............................ Lot ................................ Permit Granted .......... June 19 ........ 72 ............ . ... . ..19 Date of Inspection ... .............19 Date Completed ; ...........19 .. Con PERMIT REFUSED ................................................................ 19 ............................................................................... 0 (2 Q C' ................................................................................ ............................................................................... ............................................................................... C) C Approved ;.............................................. 19 ............................................................................... ...............................................................................