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HomeMy WebLinkAbout0144 TURTLEBACK ROAD �. Ate,.�..f. .. •��.+�«�-�+�. �.,R,.r,,.�..w.�use- . _. .� , , .� Town o Barnstable Building _ ___ _ ___ __ -_-__ _ ___ __ jPost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made. { Permit ` Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made Permit No. B-17-636 Applicant Name: MICHAEL MCCARTHY Approvals Date issued: 03/10/2017 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/10/2017 Foundation: Location: 144 TURTLEBACK ROAD,MARSTONS MILLS _ Map/Lot: 046-096 Zoning District: RF Sheathing: Owner on Record: WEDGE, EDMOND J&TINA MARIE Contractor Name: MICHAEL MCCARTHY Framing: 1 Address: 144 TURTLEBACK ROAD Contractor License: ,169393 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $ 1,600.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Project Review Req: Weatherization Fee Paid $85.00 Final: Date: 3/10/2017 Plumbing/Gas Rough Plumbing: 'Building Official g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:, 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r� �. 41� Map Parcel BUI.LDING DEiP Application #_�W_ Health Division Date Issued Conservation Division MAR 0 9 2017 Application Fee Planning Dept. TOWN OF BARNSTAPermit Fee 6 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address )y -1 ),rkk h.,h _ Village / N"k-, )r7.I13 Owner -D" "D UJAIC Address S'•r� Telephone 3e7 -•c►9 i Permit Request ,�,��vz� .. _J�1♦I,�,� 12- 5S' �t tip.._1 i Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family I" 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 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 ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number A/like arty Construction Address P® Box 52 License# West Dennis, MA 02670 Cell (508) 250-6964 Home Improvement Contractor# CSL,-58633 HIC-169393 Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 3b1i 7 r FOR OFFICIAL USE ONLY h ;x APPLICATION # DATE ISSUED k MAP/ PARCEL NO. Y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION r # _ _' FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL ti. PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL ; y r FINAL BUILDING t . . DATE CLOSED OUT ASSOCIATION PLAN NO. F • Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-058633 Construction Supervisor MICHAEL J MCCARTHY P.O.BOX 62 WEST DENNIS MA 02670 "^^ Expiration: Commissioner 04/10/2018 �JG�) (22��!/yhi t� �_�����iL7/uV,1•Cli�/���Pr!iUJ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 ...........-............... _.... _----- WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. SCAT .^ 20M-05/11 Address (j Renewal r Employment 1-1 Lost Card '_'/fe�nrnxr�rniieeccal(/c�'^'L�ICRJ.iCIO�n:;eCA Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ROME IMPROVEMENT CONTRACTOR before the expiration date. If found return'to: egistration:. '1*69393 Type: Office of Consumer Affairs and Business Regulation Expiration: ;6//If12017 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 MICHAEL MCCARTHY 71 / f MICHAEL MCCARTHY 1 6 RANGLEY LN. _ SOUTH DENNIS,MA 02660 Undersecretary Not id with t signature c} The Co► imnweadth ofHassaehasm Deparhnent oflf�aGrisiiirialAccidet�c 1 Congms S&ee4 Steiite 100 Bosfton,DMA 02114E-2017 wwmnwss py/dia Workers'Compensation Insurance Affidavit:Builders/Conbuto s/Electridans/Plumbers. TO BE FILED WITH THE PER1VlUM0 AUTHORITY. Infitrusation Please Print l Name Muskes/Oritizaticn/IQndividuao: U.,( l�` .J-L Cd„ v Tr, Address. Q-CY tJnY- 5 City/ptawzip: wcj.- orN-,._I It�- 010%-Phone#: 5z4 Are you an ee~Check the prime box: Type of project(requsTred): 1,�I am a eagnloyer with ampioyae(Aril andlor part tune),• 9. ❑New constiuction 2,[31 aura role proprietoror;uatnafP and haven employers woddag forme In g, any cgmdty.(No workers'emp.fasaraoca resnamQ 9. ❑Demolition 301 am homeowner doing all work myself(No wotkW comp.hu u im rcgnicad.]t 4.[]1 em a homeowner and will be hiring contractors to eoadaat all work on my property. twill 10 Building addition ==M off emtrsarora either havo warkam'compansatim iasm=ca or are sofa 11.[]Blectrical repairs or additions prorietanwhis no amployeas 12.0Plutmbing repairs or additions S10 I am a general contractor and I have hired the a6-can=o,,listed on ibe attached sheet 13.0ROofrepairs These sub-aontractors have employees and have workers'comp.lnsusenead 6.Q we am aemparetim and its offices have exercised theird&ofaxemption per MOL c. 14.❑Other 152,61(4),and we have no employees(No workers'comp.in mmm mquked l •Aqy applicant dW cbedts box pl rust also fill art the section below showing their workers'compensation policy irdbrmation. 'I l3omgownem who submit this affidmtvit indicating they ens doing all work and then hire outside contractors amst submit anew affidavit indicating such. tCowzftwis duet check fols box must atmehad an additianal sheet shoving the name of the a"mnractom and state whether or not ihosm entities have employm if tine subcaatreotors Nava employees,thgy mist provide their worfnra'comp.poligr number lam ane»!Q/oyer titan isprovU tg workers'compensation insnrmtee for my emphyan MOWS thepeffey and job site iry�6rmadon. h Insurance Company Name: /V� .�� Z-►`��� �k„ c�9 Yc 1�-►.s. R JSwc PcL•cy:�oc Seii-ins.Lic.#:� 7`1 7 5-'7'-! Expirstioa Datc:: )j , Job Site Address: City/St wzip: Attach a copy of the workers'compensation policy deddaration page(showing the poft number and Upiralioa date'). Failure to setvre coverage as required under MOL c.15Z§2SA is a criminal violation punishable by a fine up to$1,S00.00 and/or one-year imprisonment,as we11 as civil penalties in the form of a STOP WORK ORDER and a fine of up to MOO a day against the violator.A copy of this statement may be ibrwarded to the Office of Investigations of the DIA for Wwanoe coverage verification. I do hereby c wider %t!set of pe�ftrry drat the hgWmadon p vd&d 6bove h true and Qorrec� S' Date: If Phonic#: 462rtc�0-(f GC, Offldd are onoµ Do not ttst in this area,to be computed by city ori6n o,f iGiaL City or Town: Permit/License# Issuing Atttlwrittyy(circle one): L Bosrd of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector fit.Other Contact Pelson: Phone#: 1 . MCCART9 OP ID:KS CERTIFICATE OF LIABILITY INSURANCE D 121201 D/Y 12/2onol6 s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER Nom'A' Dennis Office Bryden&Sullivan Ins Agency PHONE FAX of Dennis Inc. •508-398-6060 ,vc N,:508-394-2267 485 Route 134,PO Box 1497 �LESS: So.Dennis,MA 02660 Dennis Office INSURERS AFFORDING COVERAGE NAIC$ INSURERA:National Liability&Fire Ins INSURED Michael McCarthy INSURERS: Construction Inc PO Box 52 INSURER C West Dennis,MA 02670 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLANS-MADE F—I OCCUR PREMISES aoccunence $ MED EXP(Anyone person) $ PERSONAL S ADV INJURY $ GEITL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JET Loc PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COa acMBciINdentED SNGLE LIMB $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BOD0.YINJURY(Per acddent) $ NON-OWNED PROPERTYD GE HIRED AUTOS AUTOS eracddent $ $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE OTH- AND EMPLOYERS'LIABILITYER A ANY'PROPRIETORIPARTNEREXECUTIVE YIN 9WC747574 12/15/2016 12115/2017 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? Y❑ N I A (Myyaeensdatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,00 D11fESCR(PT crib Ne under OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Michael McCarthy has Opted to Exclude himself for Workers Compensation benefits. CERTIFICATE HOLDER CANCELLATION CAPELIG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Box 427 Barnstable,MA 02630 AUTNOPJZEDpR�EPRESE//N��TATNE��� Q ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD oF�Toy$ Town:of Baustable a a I2icliaid V.Scaly DirUctoir fti&d ng Divagnvl Toro Yerry,]Building..C:o4 missioner 200 I&hL St et,Hyanuis,:MA 02601 W�vw.tov#n.barnstablc_ma.us Office: 508462-4038 Fix: 5U$ 790- M rQp x-�J�W eR Mmt Omplete-land S.im This"Sec4on Y .�LJs:�iil_der Y, N M o n A Ij e4_ ,-as O nce cif the si 1ect pro arty herebya�rthcri7P_ .16 attizc�a. aybea]#, in aU mat m relative to work authorized by_dhis bulding pe="application=for �Ll L) 'Tu(fle sock 9.4 rnarst _s M'I (Addrt:ss<of :i f): "Pool fences and alji= are die responsMt)r of lhie'ap aia . Pools :are�eox:to;be:#�Uec1"or u�zed"be�ore�fer�ce is ii�s�;all�iarid;aIl'f�r�l - iospectip iined d:acceritec. Ssjnatnre of Ovner Sipatam.of:A:pOhcani I>Xkt Maine- r Pant"Name Date Q-FORD1S:OWN),RPERMJ IONPOOLS Assessor's map and lot number //J �. �� �'�` D �� C�— 5 7 e� � ....... .�.............. ....... Sewage Permit number .... �.�. /�: TOWN OF BARNSTABLE Z B"BSTADLE, i ' NAM BUILDING INSPECTOR � 'APPLICATION FOR PERMIT TO ��'... .. ��" !. �GU P ........ TYPE OF CONSTRUCTION .. ............ P............................................................................ ........................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies four a permit according to the following information: ,per Location .. ... `i�......` �. �f... ..�����17 �, � f- �G�. � ? liC�'�..................... .. ..... ........ ............ ProposedUse ............ ...........................................................:................................................. ZoningDistrict ........................................................................Fire District .............................................................................. P / �� �r Name of Owner ../��.�lg�a...:..��..��F�..Tl�/y�..........Address ...,17 ...1:..�....�y:�.....1%�/.�.:�.. Nameof Builder .......... e...................................Address .................................................................................... Nameof Architect ........ ..e....................................Address .................................................................................... Number of Rooms ..............I.:r~..........................................Foundation- ..:................. Exteriorc �-.�✓1�1.�'�.�............ ...Roofing .....�it.c5�p. 4.. ........................ ......................... ...................................... Floors .........---0.......................................................................Interior ..v�✓/�Afioc .......................................... Heating .....�5........e�ee....�e�..................Plumbing Cf..r`.r",`��r Fireplace ......i ........................................................Approximate. Cost ......... oho....................... . ........ S�Definitive Plan Approved by Planning Board ---------------____-----------19________. Area . Diagram of Lot and Building with Dimensions Fee .......,l................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations ofthe Town of Barnstable regarding the above construction. Name .. ... ` .............. PKahteine, Adrian-A. 19181 1' 1/2 story, No ...:............. Permit for. ......................... .......... single family dwelling I.................. ............................................... .......... Turtlebac R ds Location ... .................. ..... ..... Marstons Mills ............................................................................... Adrian A. Lahteine Owner .................................................................. frame Type,"of Construction .......................................... ............... ................................................................ Plot ...................... Lot .......#284................ Permit Granted ....... .......................1977 Dat'e of Inspection ....... ...............19 Efate Completed ..7., ....19 PERMIT -REFUSED ................................................................. 19 ............................. ............................................. ....................................I.......................................... ................................................................ ............ .................................................................. 'Approved ................................................. 19 ............................................ .................................... ............................................................................. �xY7'fA':,.4`-$.. "3i91' 'a•:t;'"�ay'�'. .t:`�'t ?'sr' .v.r•.. .} .s.' `. vf`'� :.Yt��O "°yM °. 't. 'F.T 3 3,'.,: .'a'rV'"' .' s,.s. .' '"•'! ." �=.d: �'�, Assessor's office-,(lst floor): Assessor's map and lot number `4. Board of Health (3rd floor): Sewage Permit number ......... � .�..AO�°°.0...... "gy �'� t BARJSTADLE, ? Engineering Department (3rd floor): YA°a House number ......... .....f o �e}9 ♦� �1 ....;.......°.:....... �ara-4 F Definitive Plan Approved by Planning Board ____________ ._.___19________ APPLICATIONS PROCESSED 8:30-9:30 'A.M, and; 1:00-•2:00 P.M..only TOWN OF BARNSTABLE BUILDING INSPECTOR �' APPLICATION FOR PERMIT TO ................... ./........:��1.:'.......................................�.�..........................• TYPE OF CONSTRUCTION 1fYl�.............. ra.n e •; .................... .... .�....19.. �� .. TO THE INSPECTOR OF BUILDINGS: The undersigned8hereby applies for a permit according to the f Hawing information: Location L �y. ........... ..U. c/1 :....�f� aPs7O ...... Proposed Use .................... oiov/<..1...... ....... ✓ . a �.,..... ....f.. ........... .............. .......,..... .�, I ZoningDistrict //----- �t 1 • ...............�:;..;/..'" ............................°..�`�....Fire District ..0 s.eliTer v�.. . .......�)�s..ervi �r Name of Owner ...Address .............. . . ...................... ...a� �... ..y� '.!.C..... Name of Builder ... ......'7. .....Address .........(?Q ...r.... aMI S Nameof Architect ................ e.r............................Address ......................................... .......................................... Number of Rooms ......................�... „D.O.. 7................ .....Foundation ......:....l...4..Ur'r4''......:..4 �jOrrC��.` .............. Exley for ...( c� O.a.l� �..../......T 4......wr°� .Cr..Roofing ........o 4�4?/ 5�'!/hy...�........................ Floors ............ .............................C' .....Interior .......... .. -Heating � Wr........................ Plumbing .......�....d.. 7,h.................................................... Fireplace ..............Approximate Cost .......... 000 1. ✓U... Area �V D...�... ... ' Diagram of Lot and Building with Dimensions Fee ✓ G IS-3 [ �o 1 Ex isf n �M CTr✓c tVrC � e • K 6, ask 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 -Q. ........ r°........�. .. .............. .�� . Construction Supervisor's License ..!-1-? .yD..... DAVIS, ELLEN M. & THOMAS D411,%(0 .. •. : ��_ No ....3,26,07 Permit for ....Build Addition ......................... single .Family Dwelling Location ....j4,4...Turtleback Road .......................................... ..............:......Marstons Mills . ........................ Owner ......Z.11en... ......& Thomas Davis Type of Construction .....Fra.m.e . .. ......................... ............................................................................... Plot ............................. Lot ............:.................... Permit Granted ...January 26 , 19 89 Date of Inspection ....................................19 Date Completed ......................................19 i P. I L YOU WISH TO OPEN A BUSINESS? Fo I Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS,YOUR (WHICH YOU MUST DO BY M.G.L. - it'does not give you permission to operate). You must first obtain the necessary signatures on his form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" FI., 367 Main St., Hyannis MA 026 o m the Business Certificate that is required by law. 01(To�vn Hall) and get Fill in please: DATE: (� ';. r� i,•. :'r. ;;:• APPLICANT'S Y AM v l yBUSINESSr- OUR HOME ADDRESS C TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS t kw(") TYPE OF BUSINESS IS THIS A HOME OCCUPATION? _YES NO Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS ^Tar n ��\ Y G rn M/PARCEL NUMBER_ D`i When starting a new business there are several things you must do in order to be in compliance with the rules and re ulati Barnstable. This form is intended to. assist you in obtaining the information you may need. You MUST GO TO 200 M insSt. th(e own of cor er of YaI e appropriate permits and licensrmouth Rd. & Main Street) to make sure you have the es required to legally operate your business in this I. , BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 2.`. BOARD OF HEALTH This individual has been ii*rmed of the permit requirements that pertain to this type of business. L. . f clrUll� ' I Authorized Signature*" COMMENTS: 3.I CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature*" COMMENTS: i r EVE Town of Barnstable Regulatory Services RAWMAREARichard V.Scali,Director Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i L ,.as Owner of the subject property hereby authorize to act on my beh4 in all matters relative to work authorized by this building permit application for. (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 QYORM&OWNERPERNIISSIONPOOIS Town of Barnstable Regulatory Services o1F Richard V.Scali,Director Building Division t t .Paul Roma,Building Commissioner BLAM 639. ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us i . Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print � 5 I W JOB LOCATION: �'T`T ✓�L ]UL i v� ' l I�, J number strreeet\ nk fi �7village "HOMEOWNER": 1 06. JV EI ^O 141 name home phone�# work phone# ` CURRENT MAILING ADDRESS: 14L� ���e C�k 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 proced s and requirements and that he/she will comply with said procedures and requirements. Signature of Homeo er 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 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06n0/16 Information and Instructions hfassarhusetfs Ge]ieral Laws chapter 152 regires all employers to provide workers'compensation for their employees. p ro this statute,an ernpInyee is defined as."_.every person in the service of another under any contract of lice, express or implied,oral or write." An empfoye-is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint enterprise,and mchrding the legal representatives of a deceased employes,or the receiver or trnAee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apadmeuts and who resides therein,or the occupant of the - dwelIing house of another who employs persons t D do maintenance,construction or repair work on such dwelling house or on the grounds or building appuutenant 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$re issuance or renewal of a license or permit to operate a business or to construct burldb3gs in the commonwealth for any applicant:who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MCrL chapter 152, §25C(7)slates"Neither the commonwealth,nor gay of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidencec� of compliance with the inn-a ce._ Meld emeafs of this chapter have been presented in the contracting aui3aorlty" Applicants Please till oil the wolkers'compensation affidavit completely,by checl®g the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s) along with their cerffficate(s)of incRrrance. Limited Liability Companies(LLC)or Limited Liability-Partnerships(LLP)with no employees other than the members or partners,are not required to carry woikers' compensation insurance. If an LLC or LLP does have employees,a policy is regain Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insuramce coverage. Also be sure to sign and date the of davit The affidavit should beretinned to the city or town that the application for file permit or license is being regaested,not the Department of id,.ctri ai A_ccidenfs. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sire that the affidavit is complete and primed.legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant- Please be sure to fill in the permit/license unnber which will be used as a reference number. In addition,an applicant that must submit multiple permiylicense applications in any given year,need only submit one affidavit indicating current policy hif6rmation(if necessary)and under"Job Site Address"tie applicant should write"all locations in (city or town)_"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fvtzre permits or licenses- A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i-e. a dog license or permit to burn leaves eta.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number- Th�CGMnjmWeajtbL of Massachusetts , Depailment cif lidustda1 Amidents Off ice of jvestigatio= 6Q���shin tQu SfZ�et BQstou�MA 02111 Tt,-1.4 617'27-4900 4€16 Qr i-977-MASSAFF, Fax#f 17-727-7749 Kevised 4-24-07 WVi ne Comnionivealth of Massachusetts Department of I'i d=&ial Accidents O}f ce o,f Investigations 600 Washington Street z y Boston,MA 02111 fvrvtumas&gov/dia Workers' Campensation Insurance Affidavit:B,nildexs/ContractarsJEIecEricians/Plumbers i Applicant Infarmatian Please Print Legibly ! `Name(Bud=ssroTganization&dividdaA)- ---913 Address:• t City/StatrJZip_ H I 1�� Od�y Phone-4,- Are you an employer? eekthe appropriate box: ' Type of project(required): I.❑ I am a employer with 4. ❑I am a general contractor and I 6. ❑I+ietiv construction, employees(fish andlor part-ime * Have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on.the attached street. 7. ❑Remodeling ship and have no employees. These sub-contractors have 8.•❑Demolition wwoddng far me in any capacity- employees and have woAcess' g- ❑Buttering addition [No workers' Comp.insurance comp.tmsurana equirad-] 5. ❑ We are a corporation and its W,El Electrical repairs or additions 3- I am.a homeoumer doing all work officers have exercised their II.❑Plumbing repairs or additicros myself.[No workers'camp. Tit of exemption per MGL 12.❑Roof repairs insurance required.]F c.I52,§1(4�and we have no employees-[No workers' DID Other comp-insurance required.) *Any appEciint dLet checks box AE1 also fill out the section bgw shuvring their vmdere conip—sad n policy informsfion- 1 Homemners who submit this af5danrg indicating they are doing all weak and then hire outside contractors— submit anew affidavit indicating satcii rConnactors that check this boas must attached as addifional street showing the name of the sub-cnntrucwm and state whether or not those entities bay employees. If the sub-contmctorshave employees,they must provide their workers'comp.policy number. lam au erreployer tliatis pr4n ding it�orkers'coitrpematiarr insurance for irzy etrrpLLOees ffeloiv is fife policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/Statelzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and aspiration date). Failure to secure coverage as required under Section 25A o€MGL c- 1P—cm lead to the imposition of criminal penalties of a line up to$1,50U-00 and for one-year imprisonment,as well as civil pemalties.in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Imvestigations of the DIA for insurance coverage verification- I do here17 cetW y nipr the pains tandpenahYes ofperju y that the information prmitied abm e is true and correct Siziahrre: ka�q - 1 Date: Phone SU�'c "1�Ol�II Ofjfcial use only. Do not mite in this area,to be campleted by city ortouva o;�ndat City or Town.: PermitlLicense# Issuing Authority(circle one): 1.Board of Bealth 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5.Piuumbmg Inspector 6.Other Contact Person: Phone#: Town of Barnstable Permit. Regulatory Services ate: b7//B 'IflQc BAMSTAB&chard V. Scali,Interim Director Fee: 1 Building Division aAJMEtN ,z ;►r r�,�i S I 0 _� Tom Perry, Building Commissioner 1639. A�0 200 Main Street, Hyannis,MA 02601 RFD r www.town.barnstable.ma.us Office: 508-862�4d3810ht Fax: 508-790-6230 TOWN OF BARNSTABLE SOLID FUEL STOVE PERMIT Owner: E. -$ I i na- W C 8 Phone: Install at: t 44 'FU✓+1Lba(,- EWA Village: Hai,,S 6n) N I S Map/Parcel: D lU _ I �p Date: Stove A. New/ sed B. Type: Radiant/ culating C. Manufacturer: (M� Lab.No. D. Model No.: Chimney A. New/4 xistin If existing,please note date of last cleaning) L)o kncwn B. Flue Size C. Are other appliances attached to Flue? D. Pre-fab Type and Manufacturer E. Masonry: Lined/Unlined Hearth A. Materials: B. Sub Floor Construction: Installer Name: Oo y-npl yrl Address: Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# OR check_Homeowner Installing, no license required LICENSED INSTALLERS SIGNATURE: APPLICANTS SIGNATURE: APPROVED Bf. �G Please make checks payable to the Town of Barnstable *This constitutes an official stove permit after inspection,photographed, and approved by the Building Inspector Q:forms:stove Rev 11/4/13 : Tow n of Barnstable Building Post.This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card.Must be Kept Posted Until'Final Inspection Has Been Made.} Permit bMa+'' Where a Certificate of.Occupancy is Required'.such•Building shall Notbe Occupied'until a Final Inspection has been made. Permit No. B-16-3570 Applicant Name: WEDGE, EDMOND J&TINA MARIE Approvals' Date Issued: 12/05/2016 Current Use: Structure Permit Type: Building-Stove Expiration Date: 06/05/2017 Foundation:' Location: 144 TURTLEBACK ROAD, MARSTONS MILLS Map/Lot: 046-096 Zoning District: RF Sheathing: Owner on Record: WEDGE, EDMOND J&TINA MARIE Contractor Name: Framing: 1 Address: 144 TURTLEBACK ROAD Contractor License 2 MARSTONS MILLS, MA 02648 '" Est. Projct Cost: $0.00 Chimney: e: $35.00 Description: Russo Permit Fe � i $35.00 Radiant Fee Paid' Insulation: O/L / /� /4 /P wch_ Project Review Req: Russo Date: 12/5/2016 Final:iz o� i6 oKS Radiant Plumbing/Gas Rough Plumbing: \BuildingOfficial Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'six months after issuance. All work authorized by.this permit shall conform to the approved application and the`approved construction documents for which thi's permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ( Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection L 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .. w �_.,. '�' �. _ .�� 4� r .,�. G '� ' {� � ,. .. ,, a �''7�. E � � ) � ,v �' .:"�• ter. �'!� � . �` ,� ,�� ., J vas �j/ . (�����IIIIMrw ����� _' x . . fix' .� �� � � - — e - '. � - -T+• '_ _ ..�. ,. :�- ' ;�r. .� �� TOWN OF BARNS TABLE 'CIE 16 Asse'ssor's map and lot number ............................. Sev�age';Pdrmit number . .2..12-0........ ........................ - .�° r TORN OF BARNSTABL Z BAHHSTODLE, i "6 9 BUILDING INSPECT-OR O�F0 MR a' APPLICATION FOR PERMIT,TO .1 '��:>.. . �`' '"'.>.•. ri> s�' /� !%yo ✓... mil-cam�ii„= TYPE OF CONSTRUCTION ......... ao� ... ...................................................... Z -?-::�� TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: Location �' .... �%��' �.�` : ....✓: `.1 /a7:�J..�%� :%��,,. .................................................. ProposedUse . ..................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner � ! %a..fJ .��%i`� Address .... » �...>`?�i:•.G<>� .. '"r�r � Nameof Builder ............— r...e:..................................Address .................................................................................... Nameof Architect ....... � ....................................Address ....................................................�............................... Number of Rooms S /o �e. •���hr'` 1XP - Foundation ...............:: .. ...i.................................................. Exterior //......�....... ./.14�:®`f..........................................Roofing ..... .............................................. r Floors .......................................................................Interior ..... -���pa� r ..5 a�� ..................Plumbing .................... Heatin {`......./ g <.. .....:.. '.............. ......... t ' repl ce ......... `�:......... ........................................Approximate. Cost .......... ✓ ....................... ........ s Defiliitive°Ian Approved by Planning Board -------------------_-----------19________. Area .... Diagram of Lot and Building with Dimensions Feet f................................ ....... SUBJECT TO APPROVA OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. ............... i -- �� f l 1/2 mtmry , � —'-' — '"," or --"' ----------le family dwelling ----'~-----^--------------- / � iocohonpO..Old..Mill_&..Turtleback .Rmada � ' _______.8�oro�cnua..��.11�_________ ' � � ' Owner ---Adrl��— .A�--Lobte1ne _ ---- ----.�------. �~ Type of Construction ........frame . ----.—.-------,--------.—.--- � #28� � Plot ............................. Lot ---- ................... May 4 77 , � . Permit Granted ----'--------..lP K Dote of Inspection ------..-----lQ ' , Done Completed ------------.]9 � � ' ^ � ' PERMIT REFUSED ' -----`--.------.------- lg . ' -------~-----.-------~----- . � ' . � —_--.-----.---.-----------. � �����������'�����,����'����� � ^ � � ............................................................. \ . � —.--~—. . . . � . � lA ---.. _...... .—..--------. ' �. ........... ... .mz....... —___________,,_.., . � � ' � U � U Assessor's office (1st floor): p �a SYSTEM MUST �fNET ' Assessor's ma and lot number ..... ... ....... ............��o. �d .,�..��. 'TA S7'8B Q o °�. Board of Health Ord floor): e� Sewage Permit number 7 v BAHd9TADLE. �o IIMS Engineering Department (3rd floor): - ,� � o 1639 House number .......f ......... ..... OWN REGULATIONS �o MAX a�0 Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only. TOWN' OF BARNSTABLE' BUILDING I•NSPEC•TOR APPLICATION FOR PERMIT TO G0.n.sr�C.............. h TYPE OF CONSTRUCTION 9O..oi'a.n e ...................... .... ................................................................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the f Ilowing information: Location �7 /..........�.. . ��... .yGC . ......�J..�.. .....................ZVOW4/..�.................. ...................... Proposed Use .................... j/.........../..l..Q.Q.1010k.�.........v /.......;3.4 �. I Zoning District ..............� ......................................Fire District .. hTC�` /l.F.. e........1./.�/..�!'1/!//� Name of Owner �r''.BS....... �Y�S Address rj................ ...... . �/ .............. J.y ...Yr. ..... .................... Name of Builder ... Q�,tQf..�S...........f�.1.1.).' .....Address t� `r / .... ... .......................�............. Nameof Architect ...............JOW. r............................Address ......................................... .......................................... Number of Rooms l Q. . I ........... e........(�Q� O..anI. .... . .t .6 Foundation .<.e. . -.............. Exley for .. W 3 S /h 2....................... .(��ay�P..GQ.a f^... .,�....1�.......)�0...........�..� .!^..Roofing .......�5,1����/.. .�.../`Z.....9... .. Floors :....:.yG' �Q.✓1�.... fh ..............Interior P/a S.� ............................ C. ! d�Pi" .....................Plumbing ...... ..j.). / !i Heating �?I �.+~. . ........!?.........Y.!' ................... <..0��. . . .................................................. Fireplace '—^ ..........................Approximate Cost ..........d. J...d 0 ....................... ... Area v ..:.. :......:.... Diagram of Lot and Building with Dimensions Fee ................ 3 S Ary y q FL I 67 f 67� . ask �" • v 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. Nam ......... ........ . .r......... .. �Q Construction Supervisor's License .Q,7. .�� ...... DAVIS, ELLEN M. & THOMAS 32607 Build Addition No .................. Permit for .................................... ......S.in.g.le...Family...dwelling. ......... .. .... .. . .. ....... .. .... ..... Location 144 Turtleback Road................................................................ Marstons Mills . ............................................................................... Owner ....Ellen...M. &....Thomas...D.ay.i.s,. .. .. .... .. ... . .... ....... .. .. .... .. . Type of Construction ..........Frame Fr .................... 7 Plot ............................ Lot ................................ Permit Granted ......January 26i 19 89 Date of Inspection .....if..7..... ...... Date Completed ............... — ..........19 �71 Y-Uj j✓ELL L •ocAT/ON �.5 Tfl A-E D, so /Oi2 oPO.SED Q D N '`V ICJ c '•_G„ SYS T'E;M ` \ WOOD 40 AM L,or/06 _ p 6ues0/� \! _ "C,40U/V DAT1oN lL L D T ttinn ,//4 TO No o � '40�` � v � e .L/GHTGRAVE.C. ,L o C,9 T/on/ r .... 0 0 o 49A L. N o kV^TER 1rj� SE/oT/C CO ENCOUNTE/2 ED J \ -A=so. // R=S0.00, PROP. 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