HomeMy WebLinkAbout0005 STAYSAIL CIRCLE aj Y-C -e
Town of Barnstable *Permit#
Expires 6 montm iy a to
K Regulatory Services Fee
s
• BARN3PgBL6,
Thomas F.Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number 0 S� I �(I
4-r Property:Address.• f <� J/�' I I C (C
❑Residential Value of Work$ L�� Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address 1�0 bE C f A) tr l L) 4
Contractor's Name Telephone Number � "(ZO LT-
Home Improvement Contractor License#(if applicable) Email: letmee 13en A A IT
kpnmoo
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance SEP - 3.2013
Check one:
❑ I am a sole proprietor
4!T-Lam the Homeowner TOWN OF BARNSTABLE
❑ I 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) �`' _
� Imo'Re-roof(hurricane�noiled)(stripping old shingles) All construction debris will be taken to M42 SIG Ot, S tTlf
❑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 o er town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Ow er Lett ermission.
A copy of the Ho rovement Contra rs Licen & onstruction Supervisors License is
required.
SIGNATURE:
C:\Users\decollik\AppData\T ocal\Mi osoft\W ows\ em rary et Files\Content.0ut ook\8R76BDVA\EXPRFSS.doc
Revised 061313
The Commonwealth of Massachusetts
Departure►►t of Industrial Accidents
Office of Investigations
IF 600 Washington Sheet
Boston,MA 02111
wewu ntass gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/EIectricians/Plumbers
Applicant Information Please Print Leidbly
Name ak4ness/Olganizatfianitndividnal)_ Q r 4T- LAd
Address-- s S y4 y S' ,`I ��C
City/State/Zip: l6`f A� Phone -9 / 2 9 6/,
Are you an employer?Check the appropriate box: Type of project(required):
1-❑ I am a employes with 4. ❑ I am a general contractor and I 6. ❑New const me ion
employees(full and/or part-time)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-contractors have g. ❑Demolition
working for me in any capacity. employees and have workers' 9_ ❑Building addition
[No workers'comp.insurance camp.insurance
required_] 5. ❑ We are a corporation and its ME]Electrical repairs or additions
officers have exercised ter 11_
3 a homeowner doing all work ❑Plumbing repairs or additions
myself[No workers'comp- right of exemption per MGL 1.,�Fto•l repairs
insurance required_]I c. 152,§1(4),and we have no 4�
employees.[No workers' 13_❑Other
comp.insurance required-]
;Any applicant that checks boa#1 must also fill out the section below showing their wodres'compensation policy information
Homeowners who submit this affidavit indicating they are doing all wal and then hire outside conummrs®st submit a new affidavit indicating such.
tContracmrs that check ibis bait must attached=additional sheet showing the name of the sub-oamnactors and state Whether or not those entities have
employees. If the sub-contactors have employees,they must ptavide their workers'comp.policy number.
lam an employer that is pmvidillg workers'compensation insurance for my employee Below is the policy and job site
lnformat(011.
Insurance Company Name:
Policy#or Self-ins.Lic_#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration pa owing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL 52 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year impn as well as ci penalties in the form of a STOP WORK ORDER and a fine
of up to$250-00 a day against the viola advised that a y of this statement may be forwarded to the Office of
Imrestigations of the DIA for co ge verification
I do hereby cemjfynalfies of ury that tire
information prmtled 'e tea correct
S- 4`rDate:
Phone M.
OBicial use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit%kense#
issuing Authority(tdrele one):
1.Board of Health 2.Building Department 3.CitylPown Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
6
�V Town of Barnstable
Regulatory Services
` BARNWA33M Thomas F.Geiler,Director
RFD 16 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
Please Print
1: DATE: cc y� I
'JOB"LOCATION: SS Jra y �'7• ` C t rG I le
number I 1 street U village
HOMEOWNER^: I`06el t /�I Sr\y ` -`ZS 6,� 3 00�Zb Fy
name home phone# work phone#
CURRENT MAILING ADDRESS:
�1
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)
i
The undersigned"homeowner"assumes sponsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The unde ' ed` om wrier" ifies that he/she understands the Town of Barnstable Building Department minimum inspection
proce es n that he/she will comply with said procedures and requirements.
Signs omeowner -
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\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\E}?RFSS.doc
Revised 053012
'i
°FTME Tq,,, Town of Barnstable •�
ti
Regulatory Services
BMWSTABM
Mass. Thomas F.Geiler,Director
i639. �m
iDrFn +s 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
1
Property Owner Must
Complete and Sign This-Section -
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit.
r
(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
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
, V
Assessor's offioe .(1st floor): ,> f f% �"h, 7r+E
Assessor's mad .a,nd, lot number .......�. a� .......... P o� To
Board of He'alat rct floor): � Cr
Sewage .Po Rmit t umber ...fl. '". ....'.:... '
g !.;i•� 'Py.;: . ....� ... -•• ;�• � Z BABd9?ABLE.
Engineefi�n1 �,t�n of (3rd•floor): �J$• ,�., ° 2639.
House nVm r :.:;'...'.................................................................. '°�o�pyrr•
• °,`°rig I•�r•,lil;':rP h.,m
APPLICATIONS' 'P2bCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only L
C�
TOWN" OF BARNSTAK' E
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ....11 411.?.4�G4xk.r....5✓?;9 ff,...... ..,,,.,,,,.,
i
TYPE OF CONSTRUCTION ..........G ..... ............................... ................................... '...........
/...��..T9�..
..............................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .... .%.......-2........ /'irlc4.......4:5..4..✓. ..../Z!.��9� .?. .�.�...... a? /Z��STl�...yf��.�ls.
Proposed Use `....... ..... Gt/f�LC.f.!t14'.......................................................................................
Zoning District ........ ./zE....................................................Fire District ... !�T/.Q.!?..../.�!/ L`
Name of Owner . ylo. ...... .,�f......... o• i
.... ..i'•u�Address ......
tiA Name of Builder `1./,!�rS... Q.t1 cT!Q.Ui.....Address .............................i..............................................,)....
Name of Architect ..... .5 ............................................Address
Number of Rooms ..............7..................................................Foundation ...P1�.41-11r4f.........
Cvc.�t�?ice ......................
Exlerior .... .�.^./
- liG,/.•?/..�....�?a�,�•�.�!i/.?9..•��r.................Roofing ..../."�.,�/.G.✓. 4-ir,.�..��.f .�/1..��.............:........
Floors .�...................................................Interior ..... ��,5�f."........................................
Heating C%. /fQcG ��'w�//�.fr..`:Plumbing ' .............................�
Fireplace ......... /���.N ........................................................Approximate Cost .........��.�..D...Q...Q..................................
Definitive Plan Approved b Planning Board --_�� _30
PP Y g -------19 _� . Area �, ?�Q.... f/........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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.
NameO..Gi�!..�.../?7 � Lia ..
s
Consfruction Supervisor's License ......D..c .��.a. .......
PRINCE COVE HIGHLAND TRUST A=058-016
No ..3.3.7.12... Permit for .....J 12....Story..........
..S.ingle-F.amily. wel]in
Cc4
Location; ...Lot #1 5 r ;e Highlands, Rte 28
Marstons Mills
.........................................................
Owner ...Prince Cove Highland Trust
Type of Construction ...Frame
...............................................................................
Plot ............................ Lot ................................
Permit Granted ..Ma.X...?.r................;.......19 90
Date of Inspection ..................................:.19
Date Completed .................................. 19
f '
PERM C0fl0PLETED 111.1 9l
Assessor's offioe .(1st floor): �, `?NET
;. I
Assessor's ma and, lot number o 0
o . 0.. :8 ....�... ............... Q.. ��
Board of Health (3rd floor): SY.S �� o^
Sewage .P0Smit i dumber ... /..'.`. �tt... .. ... /c.�• •� ��v t�i�L�.E®' sTenie. !Engineen�n� Wr
at rjt (3rd floor): # �J�' .�tl� �^ �_ '639�1rr SIT'House n, a .. ........................... .................. r.�reg�yu �r, orara.
APPLICATION`S 'P fOCESSED 8:30-9:30 A.M• and 1:00 2:00 P.M. only TOWN
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .... /..r'1.vz.e.......
............
TYPE OF CONSTRUCTION .:........./O.lIX
/.. ..19/....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ....lo' ...1�........ il.✓Jc. ....... .✓..�i.....17�r�lLJ�q.?. iS.,...../�C roz.zl.......
Proposed Use ... ...... .......................................................................................
.......................................................................................
Zoning District .......
. .�...................:...............................Fire Distract .�"�. JlY ( ( ( % ..r .........................i L
Name of Owner ��447..Ci9. Address ..`/.l1�. ...., ......too,
tj
Name of Builder ,).....Address .........................................................................:..........
Name of Architect .....:E.. ..C..............................................Address �� /fkE,r. � 4 j. ��/•� 1',/? �../!//�.
Number of Rooms ..............til�...............................................Foundation 0..... oticr T ......................
Exterior ....lrGl� -lO�. l�i..`l,/�E.r.................Roofing .../.--/'4 tf.✓��Gr��1.//��5;1!� ./P. ......................
Floors ....... ....................................................Interior ..... ��✓, T.f�"...............
.......................................
Heating fP. / l,J/�G .. �0..'�,�/� r....Plumbin 7r /3 7
Fireplace ......... !? !/ ...........................................:::.::::.:::.Approximate Cost .........Gl ..Q.. .O..............�.
Definitive PI �P 30
Plan Approved by Planning Board _______ __ 19y_ . Area l .. f�........
IDiagram of Lot and Building with Dimensions ��� Fee � �`'
. ......... ...................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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 ..... O.Gi .....`���.��?.!!? .................................
l
Construction Supervisor's License .....Q.C`�.��?.0.. ........
PRINCE COVE HIGHLAND TRUST
No ....33.7.1.2. Permit for ....1 z...Story...........
Si gle...Family....I?.we.J.1ing�...I.....
Location ..Lot. #1....... 5.. ....... e. Highlands Rte 28
.................Mar.stops..Mil.ls........................
Owner .....Psince...Come...Highland..Trust
Type of,Construction .......F.r.ame......................
Plot ............................ Lot ................................
d
Permit Granted ......May...2............::.......19 90
Date of�,lnspection .................................:..19
Date CompI ted ..... . .. �
e
t
ti ,
S TA YSA IL
CIRCLE
2.25:00
q A--5B. 00
N Q "S25g��t 3f�t 92
T L INE BEARING DISTANCE
1 N 57'49'03"E 37.31
FO,,O;TION ti LOT 2
CC �
.r�'/ �1 rn•�
I LOT 1 N PLAN REFERENCE:
10,�319 S. F.
p PRINCE COVE HIGHLANDS "
120.00
N 31 '31 '05 ON
PLOT PLAN OF LAND
"TO THE BEST OF MY KNOWLEDGE, THE FOUNDA TION L OCA TED IN
SHOWN ON THIS PLAN IS AS IT ACTUALLY EXISTS ON THE GROUND. BA/�NS TABL E MASS.
" ��'���'� of ''� PREPARED FOR
`yR4?
DATE: JANUARY 25, 1990 JOHN Mc SHA NE
No. 31339 "`
;;� '�i°�" •.a R.L.S. �� �0 OA TE.• JANUARY 25, 1990 SCALE. 1 40FT.
FLOOD ZONE C � CAPE 6 ISLANDS SURVEYING
D-McS PHc �D �^v�.�iv'v<Q FALMOUTH - MASS.
28
5*Atip�1 �
2p\
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LOT 1 Y
0, 319 S.F.
LOT 6
25, 285 S.F.
LOT 2
XWZZ A MMSTl17 0, '262 S.F.
O A M.E9 M. fASnW
LOT 5
23, 511 S.F.
LOT 4
5, 226 S.F.
LOT 3
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CONSTRUCT/ON
'McSHANE CONSTRUCTION �•- �•
- � 4464 Rowe 26,Co[ui[,MA 02635 (508)428.8500
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CONSTRUCTION I
MCSHANC CONSTRUCTION �- �• i
4464 Route 28,Cotuit,MA 02635 (508)428.8500 ,
e .woxmoc,.,s.amw.co. _ ........ -
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-THE - TOWN OF BARNSTABLE .Permit No. .,33712
BUILDING DEPARTMENT
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�"'ror•T HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY §
Issued to Prince Cove Highland Trust
Address Lot #1, 5 Prince Cove Highlands Rte 28
Marstons Mills, Mass_
l USE GROUP FIRE GRADING OCCUPANCY LOAD
THIS PERMIT WILL NOT BE VALID, AND 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.
August 14, 19 90
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Building Inspector
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��..� °•,ew TOWN OF BARNSTABLE
BUILDING DEPARTMENT
NARriial TOWN OFFICE"BUILDING
039• HYANNIS, MASS. 02601
MEMO TO: Town Clerk
j FROM: Building Department
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DATE: g— /C-1
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An Occupancy Permit has been> issued for the building authorized by
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j.. Building Per, 't $ ......... ......._....................._j. ,...., :.................................. ................................................_................................___.
issued ,to . ... ��- . ........ .....__._......_.. _.._
Please release the performance bond.
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APPLICANT McShane Construction ADDRESS 44r'G4 Rte 28, MACKY. Cjtuit #001-608
(NoJ (STREET) (CONTR'S LICENSE)
STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
mills
BETWEEN AND
(CROSS STREET)
(CROSS STREET)
SUBDIVISION LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE By FT. LONG BY FT. IN HEIGHT AND SHALL CONFOR'M-�IWCON*�TRUCT ION
TO TYPE USE GROUP
-BASEMENT WALLS OR FOUNDATION
AREA OR
ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
Prince Cove Highland Trust
OWNER
ADDRESS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL
INSPECTIONS REQUIRED FOR APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ELECTR:CAL,, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- -ECHAN CAL NSTALLATIONS.
PRIOR TO COVERING STRUCTURAL QUIRED.SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH).
3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
HEATING INSPECTION APPROVALS ENGINEER"NGDEPARTVENT.
~'~=
A ;�tQF HEALTH
BOAR
WORK SHALL NOT PROCEED UNTIL THE INSPEC- F-ERM171.,LL BECOME NULL AND VOID IF CONSTRUCTION
TOR HAS APPROVED THE VARIOIJUS STAGES OF WORK 15 NOT STARTED WITHIN INSPECTIONS INDICATED ON THIS CARD CAN BE
CONSTRUCTION. SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
BOVE. NOTIFICATION.
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