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Home My WebLink About0226 WAKEBY ROAD 4 f. EXPIRATION COMMONWEALTH DePARTMm OF PUBLIC SAFETY 1010 COMMONWEALTH AVE.OF MASSACHUSETTS BOSTON,MASS.02215 LI ENSE DATE ' CONSTR• UPERV ISOR a Gb!iTrcO�s�93 EFFECTIVE DATE LIC-NO. ; NONE 02/0111990 053295 NIt PAUL X MASON 8RX 284 316 MEIE6S //�� -• i 021-44-55-65 S *DVICH NA 02563 PHOTO(BLASTWO OPP ONLY( FEE: \\ 0.00 •: - A HEIGHT; NOT vAL10 UNTIL SIGNED BY LICENSEE AND OFFICIAl'f.Y + STAMPED OR SIGNATURE OF THE COMM""ER-- f: 7 _s DOB: 0611811953 � . THIS DOCUMENT MUST BE v T - CARAEOON THE PERSON OF SIGNATUfiE OF LICE. tihx; THE HOLDER WHEN ENGA.G• i•'� � T � pitif ii -RIGHT THUMB PRINT EO IF THIS OCCUPATION- 7 i I gp�„(� f w µ........-.i'-♦r.y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #_g 1 r_ Health Division Date Issued MQ Z /6. R/7� Conservation Division Application'F Planning Dept. Permit Fee -� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address - Village c MY<_ Owner r� _nnddress Telephone Q DPermit Request aoCR I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 14 ) Project.Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach4s pportingtdocumentation. Dwelling Type: Single Family Q. Two Family ❑ Multi-Family (# units) a Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings,'Highway, ❑YM ❑ 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) 4 Name Telep hone,Numb`br�d�d Address License# Home Improvement Contractor# (Email - - /'!')GAS Worker's Compensation # ALL CONSTRUCTION RESULTING FR PROJECT WILL BE TAKEN TO SIGNATURE DATE w FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED r MAP/PARCEL NO. - ADDRESS R' VILLAGE r OWNER � - • •; � � DATE OF INSPECTION: FOUNDATION f FRAME INSULATION FIREPLACE X t r` `. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ry GAS: ROUGH FINAL f' FINAL BUILDING DATE CLOSED OUT r ASSOCIATION PLAN NO. I Tlie Commonivearxh o,f Massachusetts Departynent of lnd=&ia1 Accidertis - Office of Investigations 600 Washington Street y Boston,?CIA 02111 mmu massgovfdia Mrorkers' Compensation Insurance Affidavit:B:uilders/Contractors/EIecEricians/Plumbers Applicant Infmam,ation Please Print 'bI N,e ,e ✓ 56� Address. Cis/sta-terzip. o�Phone T (S7r -� �9 Are you an employer?Checkthe appropriate box: ' Type of project(required}: 1.❑ I am a employer with 4. ❑I am a general contractor and I T ❑New project con (required): employees(frill andlor part-time).* have lured the sub-contractors 6. tion 2.❑ I am a sole proprietor orpartner- listed on the attached sheet. 7. ❑Remodeling slip and have no employees . These sub-contractors have 8. ❑Demolition wod-ing for me in any capacity. employees andhave woricers' 9. ❑Building addition [No ninkers' comp.insurance, comp.insurance-1 _required_1 5. ❑ We are a corporation and its 10•.❑Electrical repairs or additions 3-�y t am.a bnmeou�er Bourg all work officers lzave exercised illeir 11.❑Plumbingrepairs or additions. /e �`hVsel€[No-workers'camp- fight of exemption per MGL 121-1 Roofrepairs insurance required-]F c.152,§1(41 and we have no employees-(No workers' 13.❑Other carrlp.insurance required.) •Any spptic &zt checkss boa#1 Est also fill our the section below showing then worker'compensation policy inffirmafoi Homeowners who submit this affidavit m&kxtmg they are doing all won}and then hire outside contractors amst submit a new affidavit indicating-suclL =Can udnrs tbzt cbea this box must attached an additinnsl sheet showing the mmne of the sub-coMracma and state whether or not those entities ham empkoyees.If the sub-==cturshave employees,they must provide their workers'comp.policy number. I am an eutpLgvr tliatisprot.Rdirg workers'compmsafiart iimirarrce for sty employees Below is thepalicy and job site information. Insurance Company Name: Policy#or Self--ins..Lic.#: Expiration Date: Job Site Address: City/StatelTp: AC#ach 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$1,50D 00 andlor one-year imprisonment,as well as civil penaltfes.in the form of a STOP WORK ORDER and a fine of up to$250.00 a da�DIA against the vzo to Be advised that a copy of this statement sway be guarded to the Office of Invest verage verification. I do hereby cedifoyMISV perrahFies ofperjury thatflte irafbma#iorr provided abm a is true and correct 1. Date: Phone ik 021cial use only. Do not write in this area,to be campWad by city or town official City or Town: PermitlLkense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk A.Electrical Inspector 5.Plum-bing inspector 6.Other Contact Person: Phone#: Information and lastructions ` Massachusetts G&aeral Laws chapter 152 rmpires all employers to provide wom$eas'compensation for their employees. pursuant-to this sta±ute,an erzployce is dewed as.-..every person in the service of another Bader any contract of hire, i express or implied,oral or wafinn" An erTIayer is defined as"aa individual,parinersbip,association,corporation or other legal erstity,or any two or more of the foregoing engaged is a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of a a individual,parfnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who residzs therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not becanse of such employment be,deemed to be an employer." MGL chapter 152,§25g6)also stains that"every state or local licensing agency shall withhold the issuance or renewal of a license or.permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MCrL chaptr_r 152,§25C(7)states"Neither the cozaingnwealthnor wry ofits political subdivisions shall enter into any contract for the pmfomlance ofpublic work m>tI acceptable evidence of compliance with the insurance._ requirements of this chapter have Been presented to the cant-acting aufhozityf AppIicants Please fill oin the workers'compensation affidavit completely,by checlong 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 certdacafe(s) of mcrrrance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not requir d to cant'workers' compensation insor ncz- If an LLC or LLP does have employees,a policy is regnked. Be advised that this afftdayk may be submitted to the Department of Industrial Accidents for conformation of insnance coverage. Also be sure to sign and date'the affidavit: The affidavit should be rettrumed to the city or town that the application fur the permit or license is being requested not the Department of Ln-ductrial A ccidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department of the ninber listed below. Self-insuu ed companies shourld enter their self-insurance license number on time appropriate line. City or Town Officials t Please be sure that the affidavit is completn and priatad legibly. The Department has provided a space of the bottom of the affidavit for you to fall ourt in the event the Office of Iuves t gations has to contact you regarding the applicant Please be sure to frill in the permdnceazse number which will be used as a reference number. In addition, an applicant that must submit multiple pemmitllicense applications in any given year,need only submit one affidavit indicating current policy information[`if necessary)and under"Job Site Address"the applicant should write"all locations in (may or town)_"A copy of the-affidavit that has been officially stamped or maimed by the city or town may be provided to the ' applicant as proof that a valid affidavit is on file for fut re 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 veutlre (i.e. a dog license or permit to bun leaves etc.)said person is NOT zequnmd to complete this affidavit The Office of Iuvestig'a ions would lake to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Departments address,telephone and fax number. Tht Cb=IQaWeaItIr of Masmchusttfs Depaitmeut of hidustiak Act eats Q-�7t�e of�.v�?g�tioaas Borg MA 51 111 Tf,-1.4 617 727-4900 Qxt 406 or 1-a'7-MA.S&AFR Fax#617-727-7M Revised4-24-07 W Tuns gQ�c1[a r Town of Barnstible Regulatory Services dF Richard V.Scali,Director Building Division t113AWRONGEYEA31911A Paul Roma,Building Commissioner 63� �� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXENWnON Please Print DATE: r -JOB LOCATION: shw village "HOMEOWNER name ome phone# work phone# CURRENT MAILING ADDRESS' dw city wn 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. DEFINMON 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 ersigned"hom wner"ass o ibility for compliance with the State Building Code and other applicable codes, by ws,rules and re ons. e un "homeo c that he/she understands the Town of Barnstable Building Department minimum inspection ro and he/she will comply with said procedures and requirements. of Homeowner ` 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\buildmg permit fomms\EXPRESS.doc 0620/16 Town of Barnstable Regulatory Services. NAM Richard V.scab,Director. Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mans Office: 509-862-4038 Fax: 50&790-6230 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 buflding permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized befort fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant ` 1 Print Name Print-Name Date QFORM&OWNE xPERMssoxPoors -- • BorrowedeFent ,-Mason Refer 8 fi�tasoh 1=orralr e E ,., _ _ Property Address city:MarstonsMills rma MA:_: .: co ery Brfistable;" __ zip code LaMar -a:,.>e:-.r.,..ar.,....i�•.�.�-,s-_3_ear :�.na �.f.:.....:.-,n..:..,a ."t-....-.-«,_. ..�rs.:w wwv,.(�UIQ"1fOi1-LO8n6...a....�......E-a.:..; o 'SOi 120' ." :. _ .•... ' 1 WOO1j�JaCiC 1;_i! 0{ .Sbng Room. i . athroorri BEdTdorl7 Kitch Room �. 1_ivlc�g-Room BSti1T Be`ifroom.. _ _.., -• -• . . . Stairs � .. - ._ Ai�Eh NALtULA fm ' IVIA Y- Y LiulNs AREA gar=A3E6 r7 Z -r.. nM�S N�lN�" v/.Y dF..L - T •t b X Totalc irv CL`A1 FS.rsA:l:loor .. ... - .1116..Q ,111E D•. 'First P.loor spa+' -P/P - Deck .:130: 3E D :eca o LJ rvCl:m - - LV tfetLIVRBLEArea (Rqunded) 1i16 3'IEerns (Rounded5 166 `fir? I 1 -Overhang Overhang ® ® [Area:24 ft=j Si! Deck. ';"s; '1;=:Pier; jArea 13{7 ftzj ;[Arm 96 ft�s Cathedral Ceiling 1 -Crawlspace 1 -Basement [Area:144 ftIj [Area:854 fFj a [J 36ft C•s a Cn r,s ZE �7 C t 1 i c", Y a, � t rn a 1K.4�-�� Town of Barnstable *Permit# Regulatory Services Fee 6monthsjromie� BAUQWi+sAS& Richard V.Scali,Director m i6396 �10 1D 5t Building Division Paul Roma,Building Commtssi � r �U� 200 Main Street,Hyannis,MA ONOW/V 01 ?418 www.town.barnstable.ma.us OFBA Office: 508-862-4038 �AI '�` : 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL OE `// _ Not Valid without Red X-Press Imprint Map/parcel Number 6`9`3 Property Address ja ®-Residential Value of Work$ `50 Minimum fee of$35.00for work under$6000.00 Owner's Name&Address a2.e, Oq eb ffic S ct 0'ap6 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor X I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) I Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ®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 t exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope er t sign Property Owner Letter of Permission. A copy f th a Improvement Contractors License&Construction Supervisors License is ed. <SIGNATURE: Q:\WPFILES\FORMS\building permit o \EXPRESS.doc 06/20/I 6 L1 The COlittnromvealth of MawadtftYd& Deparfineu-t Uf rn&zsfti d Accidents OJFWC 600 W24khwion Feet Boston,MA 02111 kvmvmuma3.govfdia WGrl e& Ctmpensatwu Insmrauce davit BudderslCantr-actursMectrxmnslPhrmbers A130k2nf Infarmai Gn Please Pant -Duane Addgessr 2,04 I z Are you an employer?Cheekthe appropriate bay T of project r 4_ I am a general contractor and I 1'l� prO] ( �� L❑ I am a employer with ❑ g 6. ❑Ncw oomstzUc6M employees(fall audfor part-timed* have ltiredthe sir-canat'fvas 2.❑ I am a sole pmpriekw orpmIner- listed ontile attached sheen ?- ❑Remodeling. ship and have no employees . obese sub-cantractors have g_ ❑Demolifion v addng for in airy capacity- employees and have wot=s' 9..❑Baildng additica [NO W06 M,pomp,insunta a camp.in¢rerarwr I - r -] 5. ❑ We are a corporatian and its 10-❑Electrical repairs or ad&iom 3_$kI am a homeowner doing all work officers have exec ed their IL❑Piutabing repairs or adclitions of [No workers'workers' aft. �on per MGL dwe have no l�El Roof repairs . insurance required-]1 c-M§I M employees.[No wogs' 13.❑Other COmp-msmaace me&] *Any appficmtdiat chedmbm K mast also Moutthe secff=baI W slundug d2e rwuodcere c®p=m8&aparkyiniinm5ficmL 1 Sameoam m ut o submd dais affidasif it-Mr—' submit anew affida-CIDdiroin such fCaat<act=lff tcbecttysbaXEastrtach zzaddig®xldwefdwwingffiarsmecf&a sdb-ca=U10MxrLdst9evrhesherarnw1hoseeadtiesba-e emplayees.Iftbemiha ishaceemplcye &eymnstpsavidtths wades'—=P•P0HFaumher I am an employer flat is prQuidiirig uoarif¢is'cottrperesafian iitsrirarcce fvr utxy t!arpFn3�ee� $etoty is i7he pir8cy arad job site information. Trsum++ce Company Name- Pffficy or Self-ice€Lim 1piraa I?afe: Job Site Address: CifylStatelz�g: Attach a•copy of the workers'compeasationpolicy declaration page(showing the policy number and expiration date). Failure to secum coverage as regnired under Section 25A of MGI._¢15 can lead to the imposition of criminal penalties of-a fine up to$04a 00 andlor psis-gear imprison as as rim penalfies is the fo=of a STOP WORK ORDER and a fine of uplo a clay ab vio a died a t;apy o€this statement maybe forwarded to the Office of lm ofthe DIA for" lido hereby Mftyy afpzr nq thatfhe irafurmationprot-�d aboi e i s bus and correct Date: PhDs ik q DjftiaI am an p Do twt rwite in dds area,to be completed by city artatvn gjgf feu City or Town: PernatUcense,0 Issuing Aufbarity(trite one): L Board of Health �.Building Department 3.CitylTown Cush 4.Electrical hmpector S.Phmabiag inspector 6.other Contact Person Phone 9- - - 6 r laformation and Ins- coons •►im, Cff3 cycbPSalLaws I.52 rues an Criq ICy=to prod--'4vt3T�''COmpen5ai3on fptfhea e�QplCfyCPs. Parsaaut`tD this stye,an=Tkgmels defined as`�.everppersaamffie service ofanotberuader auy conract ofbfrr, � CXpre=or implied,oral or Wtift� An mmpToyn-is-defined as"an individual,pa:rtozrship,associeflon;Corporation or othrd legal entity,ar aay two or more of the foregni;ag engaged in a Joint else,and inchidmg the legal represe�atives of a deceased employes,or the receav®r or trustee of an individual,partrieasEixP,association or other legal entity,ariploYmg enxplDyees. However the owner of a.dweIImg house having not more than three apartments and who resides ferei r,or the ocCEIPEI]t ofthe - dWEMag house of another who employs perms to do make,c mdtucti on Cr repair WD&on such dweIlmg house or on the grounds or b Biting appurtenaot$ereto shall not because of such employment be deemed to be an employer." Mtsl,chapter 152,§25C(6)also states that"everystain or local Tuenin agency shall withhold fhe issuance or renewal of a&cense or permit to operate a business or to construct bu Rdb:gs in the commonwealth for any applicant Who)zas notproduced acceptable evidence of courpB-mcewitix the insurance.coverage,requin-ed_" AdrrtionaIIy,MGI,cbapter 152,§25CM sues"Ne.>thmthe nor aIIy ofifspoIhical subdivisions shall enfer fntn any contract for the perforniance of public workubtil acceptable evidence of compl ap cewith the insar'amce.. regcMrCMeats of this chapter have been presented tEl the confract>ag authority." Applicants , Please fill o-rt the warps' compensation affidavit completely,by checking the bones that apply to your situation and,if n=�&SarY,amply r(s)narne(s). address(es)and phone numbers) along With then scat*) of msmance. Lunitnd Liability Companies(LLC)or LimitedLiabfiity-Partneasbips 9 I.P)wi no e�Ioyexs ofe rr than the members or parincxs,are not required to racy workers'compensafian insurance. If an IJ C or LLP does have employers,a.policy is requed. Be advised that this affidavitmaybe sabroRfnd to the Department of Industrial Accidents for confirmation of msm-dD=covmage Also be sure to sign and date the affidavit The affidavit should be retuned to the city or town that the application for the permit or license is being regaeslvL no t the D ep al tment of ; Industrial Ac ' ants Should you have any question rega<dm,g the law or if you.am regahl-,d Tn obtain a.worlmrs' compensation policy,please call the Department at the number listed below. Self-ftmzcd campanies should enter their self insr„once Ifce:nse number on the appropriate Line City or Town Officials t _ Please be sure that the affidavit is complete and primed legmly. The Department has provided a space at the bottnin of the affidavit for you to U ord in the event the Office ofInvestigaiirms has to 8oICbrt YOM regarding the applicant Please be sma to fM in the perLWRcevse mm&r which will be used as a mbr=ce nitrobcr_ In-addition,an applicant that must submit multiple pemtU nse applitmtions in.any gi veni yest,need only submit one affidavit indicating cent policy mfo=ation(if necessary)and under`lob Site Address"Ilie applicarit should write"all locations (may or- town)."A copy of the affidavit that has been officially sfmaped or mariced by the city or to maybe provided ib the - applican#as Tmo-fthat a valid affidavit is on file for future permits or Hcemsm A new affidavitmust be tilled oil each year.Vlh=a home owner or ciii=is obta ing:a U=mse or pemif not re:Iatcd tD any busmrss or commercial V=Xt= Ci.m a dog license or perm t to bum leaves etc.)said person is NOT reed to Mete this affidavit The Ofbre of Investigations would hloe to tTi=k you in advance for your cooperation and sbonld you have any questions, please do not hesitate to give us a caLL The Deparimenfs address,ttlephome and fax rrambe= ' . 'fie ��Ittr:of I�.ssarlii�tis . •- - - Dtnt cif Accidents •Q�7tce of�efto� - �R4 Tel.#617- -49 0 eft4€6 Qr 1477 MAS AFE Fax 9 617 727 7M WW Revise 424D7 av I � $ Town of Barnstable Regulatory Services i n��u�r�st�.• . MASS. Richard V.Sc4 Director Building Division. Paul Roma,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 L __ , as Owner of the subject property hereby authorize to act on my behalf 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 QYORMS:OWNERPERMLSSIONPOOIS Town of Barnstable Regulatory Services oIFTME Richard V.Scali,Director Building Division t = Paul Roma,Building Commissioner 6;y. & 200 Main Street, Hyannis,MA 02601 M� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print d rev JOB LOCATION: 2�U umb__e{{r��,,, street ' l` village "HOMEOWNER":4 r 1 l� p✓L _Socr name home phone# work phone# CURRENT MAILING ADDRESS: SCHn L 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' o 'certifies that he/she understands the Town of Barnstable Building Department minimum inspection pro e e and that he/she will comply with said procedures and requirements. Si store of H o 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 fomu\EXPRESS.doc 06/20/16 Assessor's-office(1st Floor): Assessor's map and lot um SEPTIC syS,rE THE Cons INSTALLED IN C Board of Health 3rd floor): 4O� 1 Uq WITH TITsaEIr.na Sewage Permit number �1fIRONA�ENTAL Engineering Department(3rd floor): House number ' � ao� Fti1S TOWN REGUL G Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:36-9:30 A.M.and 1:00-2,00 P.M.only ; TOWN - OF ' BARNSTABLE ( BUILDING INSPECTOR APPLICATION FOR PERMIT TO A o n /jJtJ f_ i ZX I o �i A.) 200W) TYPE OF CONSTRUCTION � , -(:IJAJVf ,OJT/ D Aj V� C.. 2V4 64jy/1/I16 ZXID JviS7S f i�f�FTE�S 19 9l;� r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -4 6 4 3 -- 6 S l �ovA o n es- m 5 rr)ICLS M n Proposed Use 1?f5( Df.11y�1 A L Zoning District T Fire District - G -- Name of Owner Loeen sJi- m ►AASUA) Address ZZG Wy°FV6iy ep Name of Builder QKV L e- Mf\-<rbAJ Address34A rlf'!K6S RtftU VS 4?0 S�•v�cwctJ (�'1><j Name of Architect �C 12ff '01 04-S&Vfttf Address Bl✓' ogV(S`7y4 a/�SS�� Number of Rooms Foundation A.161JC Exterior(Aw)"re GFf)t+.e - Roofing &2d&TL 5HLVr ALES Floors / �f fT IZ`{1.tk10 0,. 17- ULG `f Interior w P- Heating >��f C 1 G Plumbing -ynCy ZZ 1 'Sp(i Fireplace /k/O/V% Approximate Cost 4 80f7 . (x-' l Area )Z 0 so . �7 T Diagram of Lot and Building with Dimensions 2 Fee 1 Z3. L4 a� Owl- pt D f3 9` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS O A I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License 0 3 Z C MASON,. LORRAINE I No 34783 Permit For BUILD SUN ROOM ' Single Family Dwelling Location Lot #2 7 , 226 Wakeby Road 'Marstons Mills Owner Lorraine Mason = Type of Construction Frame _ - Plot Lot ; Permit Granted January 8 , 19,',. 92 Date of Inspection '-'-70< 19 AIX Date Completed 19 a .n �► `� " fq ; Assessor's offioe (1st floor): Assessor's map and lot number TNET Board of Health (3rd floor): INR-7-ALLEO IN Sewage Permit number ....�.•�.. �✓. ....... �r .. v t,I!"!'H T!IasTsnce. : Engineering Department (3rd floor): Ehs'S4. MA°q House number ............................ ..e-°.......:�.K9 TOWN REGULA a. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR 6�� a APPLICATION FOR PERMIT TO f' ....rCanstxuCt...a..1iVa.ngxoQM..eAqla.t.ion................................................. TYPE OF CONSTRUCTION ....2x6 wood frame ................................................................................................................ ...............19..S.:T TO THE_ INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...226 Wake by Rd. Mar s ton s Mills, Ma. 02648 ................................................................................................................................................................. Proposed Use Residential ................................................................................................................................`.......................................... Zoning District ........................1. ... .:.................................Fire District .................. ................................... Name of Owner ..Lenard and Barbara Arnold Address .. 226 Wakeby Rd. Marstons Mills, Ma. uG. #............ ............................................................. Name of Builder g-..Huntoon, Inc. aS/9 Address ,. 3821 Rt. 28 Windmill Bn. Mar stons, Mills .:..................................... .................................................. Nameof Architect NSA Address........................................................... .................................................................................... 121 by 10' &-,tension to existing Number of Roomslivingroom.............................................Foundation 8....pouur.ed:..concrete.-on-Scoter................. Cedar_ shingles Fiberglass shingle Exlerfor ,,. .........................................................................Roofing .................................................................................... Floors Carpet Interior .. . Sheetrock. ......... ............................................................... Heating F3.ectriC.•baseboard.......................................Plumbin ,g ...... .N6 p,. .............. ............................... Fireplace N/.A...............................................................Approximate Cost $14,000.00 Definitive Plan Approved by Planning Board _______________________________19________ . Area ....../.. .5.� Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH / ;5� O ' �,:>l/s 77'AdeG Fake- oiOe'-fe 0` u U 1 s ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS e y agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .: . ............. ........ ` ........................... Construction Supervisor's License �r_�.�............. ARNOLD, LEONARD & BARBARA 31798 ADDITION No ................. Permit for .................................... Single Family Dwelling .......................................................................... Location 226 Wakeby Road.................................... ........................... Marstons Mills . ............................................................................. Owner Leonard & Barbara Arnold ............................................................. Frame Type of Construction ........................................... ..................4..'........................................./............... Plot ....................... Lot ......... ..................... ..... Permif,,Gronled ....April 12 , ...19 88............................ Date of Inspection ....................................19 Ddte,,Completed 4�?�............19 Assessor's map and lot number . ...... .....:/ .....� .. P�OFTNE•r0�♦ Sewage Permiumber ..../ , House number ! Basas�xenre; J .......................................+,:..:..: s i �p 2639. 9� iOTEQ YAY.Ar* TOWN OF `BARN.-STABLE BUILDING INSPECTOR ' APPLICATION .FOR PERMIT TO .. ?.1!.`�. Tr.t.r.. ....... ��... .........�`—1.. :.anA . ! TYPE OF CONSTRUCTION .. r•r? ..L:.P....: :Fy!:.I;Y, ,r�<r)F 1;�,; !IG, �l?c�6 � ✓�a, ?i"..... ................. Jf" /....... ..:41....................92F TO THE INSPECTOR OF BUILDINGS: Thd .undersigned hereby applies for a permit according to the following information: Locoti /!'.. ....... .../............r�..�. ...�-�r'.... .... ! V......... �.., -e, ?n l?.... .:. .�:.5........... Proposed Use ....�F' S ( i %(',z�. .......... ....................... I Zoning District ................Fire District Name of Owner X�? .......�(.� ..�!.�'?:. .✓ .........Address ... �P�a..i i1c1� i'?.... ,��!.:.../V��;/<, To'l...M, G��S Name of Builder .,..:.�...�......r...�............:...I�..,.c.,......!':)./CaCo..Address .....•, ..... .......................X�%...-nn........d.,.... Q E Name of Architect ............ A:. .P......��...'�....� '.t..?.:.i!r(.Pi✓Address .................................................................................... Number of Rooms ............ ...............................................Foundation Exterior Roofing .,,./:;�../,Sit?:;. `��•rytc„�!'C ... !aP!/.,, ,,./.. �' Floors .......71.....�. . ........................Interior ...°��..�?l`?•�.r.�z�r .............................................. `. Heating ..........< �i') ,A&7X..: ......Plumbing ......... Fireplace . .�...r:9.,)....... ✓,,!t�... .X.. ' />.�'�ae�. ..............Approximate Cost ....r?<.`7;. .7. . ............................. _. l rr .: Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ............................. SU ' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �95 /3�.a 9yC#&A 37/ n� 1 -3, . _ . i I hereby agree to conform to all the Rules and Regulations of the Town.of Barnstable regarding the above construction. Name" ....... i.P....................... 9 7 � � Naruer, John . a ., "& 3-5l � 2I849 No -_-.`- Permit ---.�ma ' -'� - ' ...................... ..��il}c. ----.. � Location -.-..226 �..�a� b�.��Q��--_----. ~ ....................... ..MA'IIs....------- - Owner ---.Jnbu_�arn��___'______.. Type of Construction frame` ` ' Plot ' ............................` . r Permit Gnzn/eo 9 ^ . ` � Date of Inspection ........... ........................19 � , -_- Completed_ ---' , . � ' . ` ^ E~` 111 I REFUSED .' .................................. lg . � | ` | �� . _____. � ------- -. .. -� -- \........... _Ji...... --...---------- �~ ' ` ' -^------^-'----'------------ [ ` --------~------~.--�-.----... � . ' ' Approved ` ........................................... lg ' - ` . . ` ' _-. �---.---------~-.---.---.. | ----------'---------'^~--^-'' ` ` -�� Assessors bffioe Ost floor): THE Assessor's map and lot number :/?O13 ®S/ � >o`` Board of Health (3rd floor): /� d ,► Sewage Permit number ........79. ✓/ .4 a O U � rn 11 AXLE, Engineering Department (3rd floor): b} moo 1 . rb 9 House number4P �J ( n ] 9 0 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.' only TOWN OF BARNSTABLE BUILDING INSPECTOR , c�� a � j' �C nstruct a liyin oan extention APPLICATION FOR PERMIT TO ....:..4.................................9�:................. ..................................................... k 6 wood frame TYPEOF CONSTRUCTION ..... .............................................................................................................................. ................19.. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 226 Wady Rd. Marstons Mills, Ma. 02648 ....................................................................................................................................................................................... Proposed Use Residential ` ............................................................................................................................................................................. ZoningDistrict .........................................................................Fire District .............................................................................. Lenard and Barbara Arnold 226 Wakeb Rd. Marstons Mills Ma. Name of Owner Address y s- Huntoon, Inc.; prlf 3821 Rt. 28 Windmill Sq. Marstons, Mills Nameof Budder ....................................................................Address ..............,.....,,................................................................ Nameof Architect N,!.A.... .-,.... r... ..........................Address ....`......................R....................................................... 12 r by'10' tension to existing Number of Rooms•�v.Lng.r•Anti.............................................Foundation 8��.. ,fired..concrete..can...f_.00tPr.................. Exterior .• Cedar shingles Fiberglass shingle ................:........................................................Roofing .................................................................................... a Floors .......0 t..................................................................Interior .Sheetrock........................................ ....................... Heating ..... ..s ' 9 £1erc••bave ��...............:.......................Plumbing ........1�?_t�..............,..r�T. ...........:.................................. Fireplace N/.A...............................................................Approximate Cost $14,000.00 �• Definitive Plan Approved by Planning Board ____'___________ 19________ . Area / S _-._- .. ...................... Iva Diagram of Lot and Building with Dimensions Fee C............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 9 -- y10 Syr/s 7-1 r10 Vf i l:�, p y l6 7 - r i�7 fl � �jeuQ�f6.o o /goDiT7c�,. I ► 64 ----------------- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hei:eby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ........................ Constr uctiorr Supervisor's License..�...v��.�............ ARNOLD, LEONARD & BARBARA A=043-051 4- �'�3 � dj7 31798 ADDITION No ................. Permit for .................................... Single Family Dwelling ......................................................................... Location .22.6.,Wakeby..Road....................... .....................Marstons...Mi.11s..................... Owner ...Leonard...& Barbara Arnold Type of Construction ...Frame......................... y Plot ............................ Lot ................................ Permit Granted ..........April...12.........19 8 8 Date of Inspection ....................................19 Date Completed .......................................19 . . Assessor's map and lot number ..... .3............ .... FTHET Q . Sewage Perm i number ......................................................... / C Sy d c STACA� �I WL -� �{�A��`° N�V,O vs� e- Z BAR398Ta LE. i Housenumber ............:........... ............................................... C �. R� UNARY Cep 9. S RTF/VC 0rra-fAv TOWN OF, BARN11 A Ift T0W/V i BUILDING gIHSPECTOR f ` APPLICATION FOR PERMIT TO ... .......: ..J / ..,....1 -1'k. .............................. TYPE OF CONSTRUCTION .l.Yl�� . .t:...7.. 1c. ;�.. 4{L4'.�C.�.c?�-�.C(�60 Q. trC.a?1 ........................... I / .. (�....................19.27 _TO THE,,INSPECTOR OF_BUILDINGS: The undersigned hereby applies' for a permit according to the following information: h Location .Q... ......a�...l........... 4?. .. ...y...R9...... .,,`0 .,. 1-5..T0 ....l.Y.►�.1-.�. ............ Proposed Use .... .........5...... ...... .ft41.�.�./......J.�-r....................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner �........ / .........Address <lS Q )� Name of Builder .P�i...c.?J.`.�..� � �?'l�CM /Address ..... ......> Q^ 1o✓T Name of Architect ...........5;?L /..`P,...Q.5....a..C.a.e.UC/A-ddress .................................................................................... Number of Rooms ......... ...............................................Foundation c.(=,-et .lt.,�....-95ijl,.�•�..CdI.A.T.rA.fC.w�vl� /� ) / Exterior �A.1.D.D. l�cx s ..�... ..c.Er� a1(... .5-/•71/ Roofing .L!/,�.r1�,l.�Z°r�.�..�7��j.i.r1�.�...LY.CIC��1•%X Floors .....T. 1. ..e....aV..-.2 .....�....Ca....................Interior ...v ............................................ Heating ...,eE72xfr-1 .......... -.)o .�•4Y 10KI-1•. ..................Plumbin Fireplace .�1�G '. ..... Lf��... i�$...f..4.0.C!o..............Approximate Cost ....CX. .../0.4....'............................ Definitive Plan Approved by Planning Board -----------_______-----------19 . Area gr41 46 .......................................... Diagram of Lot and Building with Dimensions Fee s�/ /.......................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1�3j�3 c.9 �3-moV161) S 371 I hereby agree to conform to all the Rules and Regulations of the To of Barparble regarding the above construction. Nam .. 1 ...... . . ... .... Warner, John ' 2 one ,No for —.----�.^v..�--- - si nk,fe-family dwelling .................... 228 Road Location ---....��-------------. � ' Marat000 Mills ' ~-------'''----------------- . � John Warner � Owner ---------------------- / �ra�a Type of Construction -------------- 1^ � -------------------------. � Plot ^ .` � #2? � ---------. �n ---..------' ' � - - * Febx-�uuary 22 79 Permit Granted ........................................lV ` . . . ./ -. -, 19 _ Date Completed ~ . � - � � PERMIT REFUSED l�---------------'^-----' ! � -------' . . � . ..................................... - ^ ...... ........�.=-_ .................................................... � - ---------,---.-----.—..—.`---.. Approved ' � ' . ......... lA .-.'---------------.----~.--.. . . . ` � -----------.----------...---. � f TOWN OF BARNSTABLE Permit No. 2V - -- 1 a Building Inspector 1,Y17T..L cash -'� "--- vo OCCUPANCY PERMIT Bond -- ---------- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to John Warner Address k CWC(N Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. 19...... .............................: ......... ».:....»........».» » »»_» ....».».._.»» » Building Inspector -7-77:7"777% $OIL LOS -7 2".PlEASrOME L!jAM 0 FILL 12 MAX� A fl�.-#too..: 76 6 C.I. DIST BOX 1000 1000— GAL. GAL. C PRECAST OR 22_14s SEPTIC SLOCK 6 7 �,-TANX SEEPAGE PIT 0 .0 20 MINIMUM FOUNDATION I Yt" WASHED STONE 7; -77 P68C. RATE 4IPeEz 10, ELEVATION SKETCH T EST 5- SCALE- 1" 4' TOWN INSPECTOR: BACKHOE OPERATOR : TEST MADE ON roC61W oO9-'V' A IS le #f 4. s 41.e vE e P_ Zj 3'6 ei5715 i��ev X7 A;, 76 — 'v- \1 Z' A'_9 C=W-, It'rol 7-e' 7-5 SJ fe e.1-1 CvAoe, %�C.i rip, 2 %11 V" 'w� IN 451 S rvili s N Pea A WgLL C'-J oe4 -r"moigroo "'*-o W of'Al"'rz) x 110 4-7e) 71 q.p.d.15"r 7 5 Jf S4*3 d I % j *4 A E L E VAT I ON -SCHEDULE - PROPOBED SITE PLAN 1. INV. AT FOUNDATION SEWAGU'SYSTIM DESION 2. 1 NV. I NTO i-SEPTIC TANK I N 14 _S 6 3. 1 NV. OUT OF SEPTIC TANK 4. INV INTO DISTRIBUTION ,,BOX SCALE:-t" lk I I 1 .1 .11 � C-4 5, 1 NV. OUT OF DISTRIBUTION 15OX CAPE COD SURVEY CONSULTANTS 6. INV INTO SEEPAGt PIT ROUTE 132 HYANNIS,MASS. 7 BOTTOM OF PIT A DIVISION BOSTON 9U*V9Y CONSULTANTS, INC, BOTT OM OF STONE LAYER { I i I I . ° S r /l t-4. . ' 6!LraF=tt��-ram - jJ,Ix 4p xr j Cdp R, rL s I 1 vs r I , rVJ Rr�—u^ r _ _ 1 :l+ # { f 4t i pR�wr rt-F-VA a_- c� f%fir! EG G i/C, t "J - �L�h« t �,o rLte � I Al \ � D c 51 U � t � 1 w 3to 13 At _ 4 - - I i r a o 2YIC !b o.c ,J(fZ3clf�svLo - }} M Ni=xJ BILK 1 F-xIS-rLML. DECK ._{0 .. 9. (-f2Y � F(jrduT f i�hGic�. 2Z €f4°�.C. —j — -- _ � . 'lam i G I yXtp PT Gr�Y�.' HE qx { i C - Lg C-Z to 1 rl r t4z SCALE: APPROVED BY: D WN - .... DATE: ... � !�a"�2s..+. _ Rl= ISED f .. DRAWING NUMBER