HomeMy WebLinkAbout0050 WHISTLEBERRY DRIVE �. ��2�
.� � yea Town of Barnstable Buildin
WIT
. ,.°R�e+'• c.I``' ... 2�* ".y`��^,'x `'i' xsa si+s'r+ .•'i"')c` ^b",'., kill. .' "�, ad^ w t z� '"*?4*"`.z
fI?ost;Thls Card So That.It.IsUIslblefFrom the Street-.ApprovedPlans:<Must beRetalnedon Job and this Card Must be Kept -
.Auwsuels,
�'�* °r�' - x a"w"l^`•..w` "%Y' '''r :�w,�n• x s�. < a.�;s�c�z: �,x,;,.� _ .,a.�,,,.,.,:<.fi. ry�' +. x' '"`� J�" k '�r •
a 'Posted Unt11'Flnal<Irspection Has Been:Made .• ? � '��. � AM �' ,;'
Q Where a Ce ificate of.0 cu anc` is Rye wired<such Buildin 'shall-Not'be 0 cu'ed 1l Finalans-..ection. as b en.made ` Permit
,::,....,.. '�^``.
Permit No. B-17-4238 Applicant Name: CEZAR LANCA Approvals
Date Issued: 12/07/2017 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/07/2018 Foundation:
Location: SO WHISTLEBERRY DRIVE,MARSTONS MILLS Map/Lot: 046-136 Zoning District: RF Sheathing:
Owner on Record: LAMBERT,ADAM&SUZANNE F TRS _f �` Contractor.NameEZAR LANCA Framing: 1
Address: 9 LAKEVIEW DRIVE ;; x Cont r�actorcense 166919 2 -
SANDWICH,MA 02563 � r fIf xEst Project Cost: $8,000.00 Chimney:
Description: RE-ROOF(STRIPPING OLD SHINGLES) ' Permit F e: $40.80
Insulation:
Project Review Req: �' ee Paid fi $40.80
xP� xe Final:
Date. 12/7/2017
a
P,W.
N Z�Is�.scrn � � SZA— Plumbing/Gas
w � r s 3 � rT . Rough Plumbing:
� 4:.b � jb a i r.n�i a"•T'$ �„h'( f $� �Y � 'Y'�Fc'�4 R
>�° F Buildin Official
' g Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized,by,this permit is commenced within six months afterissuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the`approved construction documents for which°this permit has been granted.
s. =x �- r -° � ,w_ � Final Gas:
All construction;alterations and changes of use of any building and structuresshall be in compliance with the local zoning by lawsand codes.
This permit shall be displayed in a location clearly visible from access street o�road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. Fz; —s� x � z. {:' Electrical
•�" Service:
The Certificate of Occupancy will not be issued until all applicable signatures by the Buildingnd a fire,Officals are'provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: ��� ` '?• �,'r 4yr Rough:
1.Foundation or Footing .' k
2.Sheathing Inspection
Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
C4ori �TtiE T Town of Barnstable *Permit
Building Department e 6 the o e
BMtNST BM : Brian Florence, CBO
�$ Building Commissioner
tom" 200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us t�/
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PER HT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Prop rty Address 50 \Qko j !b +a y Z /W�R-S f Dw,s .NI I s
Residential Value of Work$ O 0cb Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address <t
Contractor's Name ��e �j _ NA'W CA' Telephone Number'4�O 3(QO),6>r
Home Improvement Contractor License#(if applicable) Ito 6 Q Email: CON I PC I
m
Construction Supervisor's License#(if applicable) 10 D.g0S
❑Workman' Compensation Insurance
[�V�91 am a one: wP Ux� iPv
I sole proprietor a
❑ I am the Homeowner
❑ I have Worker°s Compensation Insurance n DEC 0 6 2017
Insurance Company Name I N6 kpr lO� �NS�G�n.� cc MAIN O1 BARM SABLE
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Req st Y—M—(check box)Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to Mod 1 U 'Ira *VS L
❑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:
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required(.
SIGNATURE: v`�
Q MPFILESTORMSTXPRESS2017
?lie Cownroi7weakh qfMassadiusetfs
��rarl�ent o,f girr�irstriar�lcciderats
Offce 0flFrm.9stigadians
. 600 Washington Street
-- Boston,MA 02M
-- ftwi masmgmMia
Workers' CampensaiionInm-ance,Affidavit:Btilder-dContradursMectricianslPlumbers
Apphcan#Infarmafian Please pr nt
Dameasmesstdrga�ationlladinal
Ad&e,- l Fv_n-�-_)pC,
Are you an employer?Check the appropriate bom ' Type of project r
I.❑ am a em 1 wifh 4 ❑I am a general confractor and I e ] (required):
P°� . . 6. ❑New construction
employees(fall andfor part-time)-* have l=edthe sub-comkEae rs
2. I am a sale proprietor orpartner- listed ort the attached sheet. 7- ❑wog
ship and have no.emplayees These sob-contracxars have 9_,❑Demolififlg
worfang, for=in any capacity- employees and bne,wodcers' 9. ❑Building addition
[No tv?&:ers' comp.fimurance comp-inns MMI
required-] 5. ❑ We are a corporafinn and its 1 Q❑Electrical repaim or additions
3.❑ I on a homeouner doing all work officers have exercised their 1 L❑Plumbingrepairs or additions
mysel£[No wokke s' ti 1t52 §I{ dove fps of examption per GL 1?El Ro of repairs
insurance ret2 ired.]i
employees-[No wadners' 13.❑Other
camp_insurance required-]
;Any RnHczmtdmtchec1aboa r1 also filloutthe swffanb90wshMdng t5eirsvadcexe campeasafiaaparieyinfinMauoa_
ffomeoaruemwho submit ffiisaffida«rk4ff=mg they axedaiagallwakgaddmhimoutsideconhvrt=Nc submit anew affidzgitmdirtirsuch
Ica . ffwaar3cthisboaxaxestattache�asadditionalslceeishoe5xgthenzmeoftheml>ca�sckusandststewhethetarmtfhaseeoti�eshs[�
employees.Uthemb-cm mctmhace E!mPIcyee-% 6e}'x=stpmvi&&eir warkea'c=p policy numbm
I ant an e1lepIo r flint is pr��dirg tvor]rers'co rsrdiott irrszirartce or my*employes Heloov is fire pafiey and job Site
information
Insurance Company Name: � I�{� !LP ( u� Pp""d
Policy_or Self-ins.I io_ Expira&nDate: r ,'
Job Site Address_ SO �JM tJ 1 M; GLV_d_V CifyfStatdZTp:��5_(0t-_S AA
Aft2ch a copy of the workers'compensahonpolicy-declaration page(showing the policy number and expiration date).
Failure to secum coverage as req*edunder Section 25A of MGL cz 157 can lead to the imposition of criminal penalties of a
fine up to$1,50U O0 andror one-year rmpnsonment,as well as civil penalties in the form of a STOP WORK CRDERand a hme
of up to$MOO a day against the violator. Be adnsed that a copy of this statement maybe warded to the Office of
Investigations ofthe DIA for instance coverage verffita#ion_
I rl<o lieraby s ify antler thapruns and penatties ofpetFury duddia inforaru imjpro1,irlcd abm�s FS bare and correct
Date:
Phone iF C(6 ®
O,�iaL uses aRtIy. Da net rcrtta in d�Area,fa be catnpTefe�d by cifp artvnat o,,�icrat .
City or 7avm- Permiff icense#
Issuing Anfhority(circle one):
L Board of$ealth 2.Building Department 3.CitpTown Clerk 4 Electrical Enspector S.Plumbing Iuspeetor
6.Other
Contact Person: Phone#:
laformation and .Instructiorts ; �
41,
• �
Massac setts Ge)v{ Laws cLaper 152 rr-q=m all=g3loyess to Provide worms'comPeosat m for their CM3pI9YCeS-
parsaantto this Statatc,an M�7Ivyre is defined as.'.evmypeson m ffie service of another under aaY comae ofhire,
express or ithpliec�oral or wlftba."
An e�Ioyer is detmed as"aa indvidnal,parinesbi�,asso�ivn,corpor�ian or other legal emtify,or any two or more
of the frjregoing eagaged in a Joint��and incladmg the legal relu esemtaiives of a deceased employes,or the
receiV'e'r-or h"astee of an ffidividnal,per,associaiian or other Iegal entity,aroploYing emploY(--es. However the
owner of a dwejLing hone having not more than three aparlmeots and who resides therein,or the:occapant of the -
dwening house of another who employs pemons to do maintenance,crostru:cdon or repan'wow on such dwelling house
or on the grounds or bm-kUng ajpu� Ihereto shallnotbecanse of sarh=:rploymeutbe deemzedtu be an emxployer."
MGSL chErpter 152,§25C(6)also states that'every sty or local licensing agencY shall withhold the issuance or
renewal of a license or permit to operate a business or to construct bindings in the cou nzoavPealth.for any
applicant who bus not produced acceptable evidence of compliian�with the nn mxannre coverage required"
AdxftonaIIy,MCM chapter 152,§25C('7)states'Neither the nor any ofits poll cal subdivisions shall
enter infi any for the pes�mce-ofpnbhc woidc until.acceptable evidence of compliancewith the fisurance--
reqair.enjents of&is chaptCr.have beenprese:uLted.to the eonfr�acfhoiitY:'
Phase fiIl obt the worms' compensation affidavit completely;by checlong the boxes that apply to your situation and,if
necessary,supply cab co r(s)name(s), addresses)and phone nmnber(s) along with their c rfficate(s) of
InSTI¢.ance- yimitrd Liability Compames(LLC)or Unit Liability-Partnerships(LLP)withno employees other than th e
members or partners,are not regoaed to carry workers'compensation ins prance. If an LLC or I.r p does have
employees,apolicy is repaired. Be advised that this affdayitmaybe submitted to the Department of Industrial
Accidents for conf=Z&n of insM-EMce coverage Also be sure to sigh and datefthe affidavit The affidavit should
be retied to the city or town that the application for the permit or license is being regaestA not the Department of .
TrdncfriaT 14�cideals. Shouldyou have auy questions regarding the law or ifyon are recp�ed to obtain a worlaas'
compecat cm policy,please call the Department at the nomberlistndbe.Iow. Self-tossed companies should enter their
s elf-;r,mean ce lic=se'umber on the apgrogri�e line.
City or Town Officials
Please be sine that the af6davit is camplete and prii�d legibly. Die Department has provided a space at the:bottom
of the affidavit for you t O fill out is the event the Office ofIhyeStigah_ns has t o coact you.regarding the applicant
Please be sure to f 11 in the penmh cemse ntraber which will be used as a reference number. In addition,an applicant
that must sobmi L multiple p enntUcense apphtations in.any given year,need only submit one affidavit indicaimg current
policy ith�raation(if nY)and zmdEr`fob S>be Address"the applicant should wiita'aII locations n (may
town)"A copy of the.affidavit that has been officially stamped or warlord by the city or town maybe provided fn the "
applicant as proof that a valid affidavit is on file for future'pesmtts or licenses. Anew affidavitmvst be titled out each
year.-Where a home owner or citizen is obtaining a license or pe unit notrelatrd to any business or commesrcial vent I=
(ie. a dog license or permit to bum Ieaves eta.)said person is NOT required to complete this afEldaysk
The Office ofTnvestigafions would lire to thank.You is advance for your cooPerafion and should you have any gncstions,
please do not hesifatr to give us a call
The Departmenfs address,telephone and fax number
Tha f GMMMW� ttit of MkssachuseEb
Degazfiaeit Qf 1aaeda1 AeaUMN
Off ice of 7.nvegugktia.
6W-Wasbi .
8 2M&Ellli
T 14 617_' -49OG QXt 4-06 car
Fax#617 727'749
revised 4-2-4-07 -Ma,z-gwldza.
OF THE rp� Town of.Barnstable
Building Department
B"NsT" LFF ' Brian Florence,CBO
MASS.
v i639 Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barustable.ma.ns
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This.Section
If Using A Builder
I ,as Owner of the subject property
hereby authorize ( Q LA) u, to act on ray behalf,
in all matters relative to work authorized by this building permit application for:
vU
(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 e performed and accepted.
J
ignatute o ' net Signature of Applicant
C c Z/�rGz �,J�f� •
Print Name Print Name
Date
Q:FORM&OWNERPERMISSIONPOOLS
Rev:10117
1 V TV Al ifl ""X XA0%,"RJ1V
�oFZHe r � Building Department
o� Brian Florence CB0
sARNSEAMIA ? Building Commissioner
MAM $ 200 Main Street, Hyannis,MA 02601
1639•
iOTEo nM�A www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
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.
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 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.procedures and requirements and that be/she will comply with said procedures and
requirements.
Signature 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 of 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.
I •
' '�a o•C�/G�cuiaac�imeGta .1
ie �nmvna�zcoQcc .'. ulatior.
I office of consumer klairs&Business Reg
HOME IMPROVEMENT CONTRACTOR.
Individual
TYp r— Exairation
i stration ---- �
919 10l251201 B
-_ _
CeZar Lanca
Cezar Lanca
13 Grandwood,dive�,�t '�v%
y 44= Undersecretary
Forestdale,MA L<
Massachusetts Department 7anud
lic Safety
�f Board of Building RegulationStandards
License: CS-102905
Construction Supervisor
CEZAR A LANCA
13 GRANDWOOD DRIVE
FORESTDALE MA 026 .
..y /' / !
+f.
�� Expiration: i
/,.Commissio er 05/1112019
t' .
3, 4
i y i
INE l° Town of Barnstable
RARNSTABLE.
Regulatory Services n a.
r^ MASS." 11,
1639• Building Division
.. prED MPS a,
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038
Fax: 508-790-6230
Inspection Correction Notice .
� I
Type of Inspection /1-7 f— Wy,,f K
Location Permit Number /,/o%o C--
Owner Builder
I One notice to remain on job site, one notice on file in Building Department.
The following items need correcting:
., J is/y/i?c:,�yt /z—
� n
rj, 7� CRv2f2t--�,J-7 C��E
r:4- t-,q-257E C,,4 L4, TO s7--4)a 7-
I
Please call: 508-862-4%8 fire-inspection.
Inspected by Lj'�� �if
7
Date
i7 �(3
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel �tionn#' S.
Health Division Date Issued
Conservation Division Application Fee
Planning Dept. Permit Fee �-
Date Definitive Plan Approved by Planning Board
Historic - OKH _Preservation/ Hyannis
Project Street Address- :50
,Village--- - - l
Owner, -/" a� 'l�2 Address --- ---
Telephone S� -K Z77— C 5,
Permit-Request - c /Xh-'�
Square feet: 1 st floor: existing proposed '2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
GProject=Valuation —41e Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) _
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full 0 Crawl ❑ Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft)
o N
Number of Baths: Full: existing new Half: existing new
Q
Number of Bedrooms: existing new
Total Room Count (not including bath,): existing new First Floor Roo Count" ao
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood oal stove ❑Yeas ❑ 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
Address,�U �'G� o !�� License #
/���� ,� ` S Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
1SIG110MLIRE- - :'
FOR OFFICIAL USE ONLY y
,.^APPLICATION# `
DATE ISSUED
MAP/PARCEL NO. ,
ADDRESS VILLAGE
OWNER '
r DATE OF INSPECTION:
FOUNDATION. r
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH `FINAL
GAS: ROUGH FINAL
FINAL BUILDING
s DATE CLOSED OUT s _r
ASSOCIATION PLAN NO.
c6izil�6ioedkk ach
he usgft
j;
De toM*�*wAbidet&
OZ._ Of
7
6001V Ndn'SWevii
B=6 .MA 02111
www==&gov1dia
Workers' Compensation Insurance Affidavit- Bufl&rs/Contractors/FIectricins/Plumbers.
APPEcant biforniation Please Print Leeffi
Name Musirmw
Address:
5�2 4-4
City/State/Zip: Ph=.PL_5�~5�A
7 o
Are you an employer?Check the appropfizte box: Type of pr'oj ect*(required):.
4. -E] I am.a general contractor and I
1.❑ 1 am a employer with 6-4mew Cons-trac
employees(fall and/or part timp).t have hired the sub-cofactors 7' PITS Ming
2.F1 I am a'sole pinprictor or partner- listed on the-attached sheet':
ship and have no employees These Sub-Ca3traciors have '
working far me in'* capacity*. e=ployD6s and have workers'
BUY -9. E]Building addition
[No woi3mrs, comp.mMnMMC- Comp.in�J,
rem] 5. E] We are a corporation its 10.0 Electrical airs or additions
3. am a homeowner doing alf.work officers have exercised their 11.E]Phmabing repairs or additions
myself [No workers' c0,M.P. right bf exemption per MCI • 12.E]Ppof repairs
iamwmce required.]t P. 152, §1(4),and we hive no ' " `*
employees.[No workers . 13.El Dthffr.
cprap•insurance required-]
*Any applicant that cbccics box#1 rm, t also fill out the srctim below.sho;v&g their work ms'co,ropamsatim Policy intmMiali6n.
t Homeowners who submit this affidavit indicating that'are doing all work and thm hirc outside contractors must.subroitanew affidavitindicating such.
�Contractnrs fat chuck this box must attached an additional sheet showing the name of the sub-cantractois and state whether or not fhosr cntitics have
employers. If the sub-contractors have=3ploy=s,they must providb their waflaas'comp.policy numbcr.
'I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company N;TM
Policy#or Self-ins.Lic,A Expirati on Datr
.Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration pzge'(shDwing the policy number and expiration date).
Failure_
to secure coverage as required under Section 25A ofMGL c. 152 can lead to thr imposition of cr:inLal penalties of a
fine up to$1,500.00 and/or one-year ninpaisomnent; as-wr.11 as civil penalties in the form of a STOP WOPX ORDER and a fine
of up to$250.00 a clay against the violator. Be.advised that a copy of this state, may be forwarded.to the Office of
InvestiRations of the jDU for msurance cov=ze verification.
I do-hereby ce the sin Penalties .perjury that the information provided above Vs true •�pd correct.
Data:
Phone. Y 7 7 44 6 25*7
Ofj7cW use only. Do not write in this.area, tb.be completed by city or town offwiaL.
'City or Town: Penntt/Ucense
Issuing Authority(circle one):
1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6. Other
Contact Pelson: Phone
._4
W.
;7
3,
-P
.61
Town of Barnstable ;
%
Regulatory
m-
_ e
ces't
Thoma's F.Gefler,Director
MASS
1659. Division
Tom Perry,Rifldin'
&.Commissioner
200 Main Strect, Hyannis,MA 02601
www-town-barnstablema.us
Office: 508-862-4038
Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION'
Please Print
DATE:
JOB LOCATION:
number street• Ilage
"HOMEOWNER"
name home phone# work ph6ne#
CURRENT MAILING ADDRESS:
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.
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.jSection 109.1.1)
T12c undersigned homeowner
t. " . 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
"oce :s
minimum inspection proce es and r ents and that he/she will comply with said procedures and
7 re /,
PeMs
Signature'6fHomeowner
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'l 09.1.1-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 supervisof(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
Super-visor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in Your Community.
Q.forms:homeexerript
.4...........
MIil Y.
-47
.4 3r
M11 Services
MAM Thomas F.Geiler,Director
1679.
sec
Building Di'Visio'n
Tom Perry,Building Commissioner
200 Main Street Hyannis,MA 02601
www tDwMbarnstableiaus.
Office: 50M62-4038 F= 508-790-6230
Property Owner. ust
Co'mplete and Sign T sSection
If USiw A B der
Owner of the subject property
hereby authorize to act on my behalf,
in.all matters relative to work authorized by building permit
(Addres of job)
**Pool fences and alarms e the responsibility of the applicant Pools
are not to be filled or utili d before fence is installed and all final
f/(Aid e s c r e s I th
0: d before
_ 0 F n
inspections are performe and accepted..
Signature of Owner Sigmture.of Applicant
Print Name Print Mine
Date
QTORMS:0VNE"ERIMSIONPOOLS 6/2012
1 •
U.0 / 3 Sc'h/iDE
S SZ - yS- /9
Z s5•oo �
JJc
N'
,o V -
N p
( lo a 413, 8Z0 �j
. 1 z7o , oo �✓
�r°
a��HF S PLOT PLAN
SHE STRUCTURES SHOWN WERE �' C. tip"
`7o FRANbCi. /N
LOCATED ON THE GROUND �I� WH1TiNG N,
��� .. iL-
-4,
FN/S SKE TCH lS FOR PLO T PL AN
PURPOSES ONLY AND SHOULD ✓!/NE , /9 SS"' / " _ �
NOT 'BE USED FOR ANY
9 THER. PU POSE. '
CAPE COD SURVEY
ROFESS/ONAL LAND /5`URVEYOR CONSULTANTS -
To Barnstable Building Dept.
3/15/13
i
RE: 50 Whistleberry Drive
Martstons Mills, MA 02648
To Whom It May Concern:
There is no electrical power to the 10'x14' sunroom at the above address that is
to be removed.
Sincerely Yours
Walter Kelly, Electrician
To: Barnstable Building Dept.
3/15/13
RE: 50 Whistleberry Drive
Martstons Mills, MA 02648
To Whom It May Concern:
There is no plumbing/water of any kind in or accessing the 10'x14' sunroom at
the above address that is to be removed. Other than this requested letter, my
services are not needed for this project. -T P�i NS, V
Sincerely Yours
..,iYirL.+eC..-',i."�t.-;J ,G: T� ,lw'�i-�►�.fi�'�!'��'��'�".i.L,��„�..1���5}��dR-�y 4czs'+>Z _'��1:r ' �'
e ,TOWN 'OF BARNSTABLE Permit No. ___-_-28105
A"
• Jew Building Inspector.
sanw i r Cash ,� ------------—
"' i OCCUPANCY ! PERMIT Bond
� ' 4
Issued to Donna Lambert ,/ Address
Lot 2, 50 1,1histleberry Drive, MdrstonstMills
Wiring Inspector � ction date 111�l
Plumbing Inspector 'Y (Inspection date
t
G-as Inspector l.-- 161
1 Inspection date
Engineering Department�. q �/r ,,�+ Inspection date /� '�'
Board of Health . Inspection date 7—/,q
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. %
....................................................... is_."._ _ '.. ...:..........
l/ / B?1'J'ng Inspector
�� ..�:' .°C.. i 4. r/ .i:�:. . i s , .. �in"i'.:';,,; i�., ,it r.!v.'�.�'.• t�� 1A,' ;' 4 4r. .,y �x i''i+ �Sr' .1.'N.
', ��Q�o '°•.ew TOWN OF BARNSTABLE
BUILDING DEPARTMENT
+ t ssaasr : TOWN OFFICE BUILDING
� rua
t639. ` HYANNIS, MASS. 02601
YA
1-
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An 'Occupancy Permit-.haspbeen issued for theibuilding Authorized.by. .4
BuildingPermit #$�._ . .5?1 _...._......w............................................. ._. .._ .._. ...�.
issuedto ..._...4—=- '..049r2 ............................... ......... .......... . ..._....._ . .. . ..
Please release the performance bond.ar�
r
.S S2 - ys- /9
ZSS•oo'
{I 4-
N 'Q
W r+��E p�°r/ �•
�o
L 07 Z
�i a 4-13, 8 Z o
fQa.vY yA.t D 30 Av
-r15,-
-bV y
y'v� -
FP�`H Of ��Qss PL 0 T PL A N
THE STRUCTURES SHOWN WERE ���� C.LOCATED ON THE GROUND FRANK yG�
I IN
o n WHITING N�
ON No. -9669
MAS
S.
-%-v
THIS SKETCH /S FOR PLO T PL AN'
PURPOSES ONLY AND SHOULD /O
NOT BE USED FOR ANY
OTHER PU POSE .
CAPE COD SURVEY
ROFESS/ONAL LAND /SURVEYOR � CONSULTANTS _
3261 MAIN 9T,/'R0UTE6A _
`PRO✓ECT NO. 0.3 - BARNSTABLE VILLAGE, MA 02630
(617) 362-8133
Assessor's map and lot number .=r.-I..7"rt?......
. .J .?„( F THE T
Sewage Permit number. .......... ..�'....��. ................:. SEPTIC SYSTEM ST
House number .=5�.................. �i�" '��1.�..�� � � ® ��.�:Q �:it� BASHASIL LE.
ie �Na�p��atit4 �1 1",A CODE �A�''yaMix
TOWN OF BARNSST ,�.Ar Vr_4 -,
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..... .. �II.,L: . ..:.. ..... .. � Il .. ....................................................
.
TYPE OF CONSTRUCTION ............�!....!!. L,. .... ... ...... .. ........ .
......J. ....................19. 1..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: rj
Location ... ... .. ................ .. ......
ProposedUse ......... .. .. . . :... ...W� 'a........................................................ ...... ..................................
Zoning District ...... ..................... .................. :Fi District ...... ......... ... ...................
Name of Owner .....Address .../00 w /l.la-ZI�......Vt
�.. .:........ .........
Nameof Builder ........................ .-...........................Address ......6 4 .............................................................
Nameof Architect ..........Q.................:.....................................Address ....................................................................................
Number of Rooms ........../.......................................................Foundation ............� .......................
..................
Exterior ....CAVQ.�.... .., *.i. ........................:..........Roofing ...........
Floors �c�:�:�x'�Q�......: ...............................Interior ......... . . .. . ...............................................................
Heating W L� .4....................................Plumbing ...........4� .. z.. ................................:.................:....
-...:. . .
U
Fireplace .......�......................................................................Approximate. Cost .......
Definitive Plan Approved by Planning Board ________________________________19_______ . Area pr0.......... ..�y. ?���
Diagram of Lot and Building with Dimensions Fee 1�/�A�.
SUBJECT TO APPROVAL OF BOARD OF HEALTH �v
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 ... '��... ...... .�.............. .......................
Construction Supervisor's License . ..................
f
TiBERT, DONNA A=46-136
No ..281D5... Permit for ....1 ..szozy..single
fa il
Y...dwell* .............................................
Location Lot 2 50 Whis.Ueberry. D.r......
Marstons Mills
...............................................................................
Owner .....
Type of Construction .....frame ..
Plot ............................ Lot ................................
Permit Granted June 27;, .,•,.<jq 85 f'
Date of Inspection ...........................:`......19
Date Completed ...... ................ ..........119
c�
L .
G d
'1
u
f p
Assessor's offioe (1st floor):
Assessor's map and lot number ........ ............................. THE
To
Board of Health (3rd floor):
Sewage Permit number..k<�................................................. DARNSTAXLE.
Engineering Department (3rd floor): so MABEL
House number
1639-
......................................................................... 0'.
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 ........ ..y,6
......................... .... ............. .
TYPE OF CONSTRUCTION ....... ... ..
........ ... .......E-7................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit wc-ording to the follow,'rlg i -ormation:
? i 9 i arm
. . ... .......... ......................................................
Location ... ........ il.. ......................
Proposed Use ... ........ ..A ...... ................
Zoning District ...... .. .................t............................!................Fire District
Name, of Ownek � G......
.......................... ... .......
....Address ��-!.�N...!..!..��.:A...J
.......
.. . ....... .......
Name of Builder . .. . .. ... ......._IKY4.4.R. .-CArddress I .. ..... .... . ..... .......
VIAI L A�) *Ars F� CEO Cj 4
Name of Architect .................................................................. Address ...................................
................. .. .... ..........
02
Numberof Rooms ............................................................ ...Foundation ..............................................................................
Exlerior ....................................................................................Roofing .....................................................................................
Floors ......................................................................................Interior .........................................................................
Heating ...................................................................................Plumbing ............................... rztl
Fireplace ..................................................................................Approximate Cost ..00
Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ..........�o...
Diagram of Lot and Building with Dimensions Fee ..........10,5..................
SUBJECT TO APPROVAL OF BOARD OF HEALTH.-------.
5,ew
-75
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnsteb.le regarding the above
construction.
Name. ... ................
Wk..........
Construction Supervisor's License
`
LAMBERT, PAUL E. A~046-136 '
. �
29089 Swimming Pool
. -No ..----. Permit for ------------ -
-
Accessory to Dwelling ~'
------------------------'
-
50 Wbiotle6err Drive
/ Location ---------'����--------'
-
D&arat000 Mills '
--------------------------.
~.
/
/
Paul E. Lam6er�
� Owner -----.�------_---------
Frame '
Type of Construction .............................................. ' ~
` /
[
--------------------------.
Plot ............................ Lot ----------'
` ~ '
Permit Granted .......July...22................... g 86
� .
Dote of Inspection ------------lP
Dove Completed ' lg
- ----------�--�
' ~
. /
`
r '
'
/7 �n /
L�* p1 // �/� /
t
Assessor's map and lot number -�, FT NET
_, o oaf
Sewage Permit number .......... ...................
Z 3AS39TADLE, i
House number ''' -. `'_s MAea
.............................................J........................... 9� 0
'ATE p MAY a
TOWN OF BARN-STABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .. -�L�.. .... .�l (._a..: ...............................:...................
TYPE OF CONSTRUCTION ............ I/4!,( ...:P..r!. L. .... /G<�� L�/�/,v.........................
�........,�� 119fy
TO THE INSPECTOR OF'BUILDINGS:
The undersigned hereby applies for a.permit according to the following information:
.15
Location s�U .::....`V �.f, ! - .. - .:.......<.[�_.. ... :...1. .. ............................................
•
Proposed Use .......... � ............................................................. ..................................................
..... .... . .....
C�
Zoning District i , f... ......................................... ..........
., j ...... ..... .......................... .. ./............ ........ .Fir District ........
Name of Owner ...�..............,..:....,................. .....................>............
Address .../ t?...... :.... y.! .......L ?'..r..(�..,f .'
V, -7;ill/Sr
Name. of Builder ........................5 ?`................................Address ......S -.. ......:.......................................:.....................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ........ .....................................................Foundation ............ .... 4..........:....................................
r
Exierior .................!.................Roofing ........... ................................................
Floors ........ .d.,4�....... {!. ....................................Interior .......... ......................................................................
Heating ...... .r .� .... `...... I/4.. ....Plumbing -� / .. :.....: "r.... ...........
Fireplace .......a......................................................................Approximate. Cost........, .�� fir.. Q�. ......................... .......
Definitive Plan Approved by Planning Board -----------_--____-----------19--------. Area Aq.lp.p. ........�.
Diagram of Lot and Building with Dimensions F66 ........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
; P
U� •
i
OCCUPANCY PERMITS .REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl ere ere garding the above
construction.
Name ... r ...... ....... ... ! GJL '/,,.....................
Construction Supervisor's License .!!:.1. ..............
LAMBERT, ' DONNA A=46-136
No .... Permit for ..................
..... .........................
.......
Location ...LQt..2.....50.."j. S-t-1-ebe-rry--Dr.----
Marstons Mills
...............................................................................
Owner .....Doana.-L-ambe--r-t-3....T-r-;...
Trust
Type of Construction .....fTAMe..........................
...............................................................................
Plot ............................ Lot ................................
Permit Granted ....:.June...27...................1985
Date of Inspection ....................................19
Date Completed ......................................19
Assessors offioe (1st floor):.- In !T
Assessor's ma and lot number .... � of THE to
p �. rf
Board of Health ,(3rd floor);
Sewage Permit number
^ ........................................... ... •
. 9asasrsnte, .
Engineering Department Ord floor): rb o•
House number 3 `e
APPLICATIONS PROCESSED -8:30=9:30 A.M. and 1:00.2:00 P.M. only,
I
TOWN ;OF BARNSTABLE-
BUILDING f NSPECTO
r
/
APPLICATION FOR PERMIT TO ..:.
���) � t
TYPE OF CONSTRUCTION ....... ... . �r.. ... .� .�I.'�,. 1<.'P............ ..U.'...Y..S....
b
........ ... .......
TO THE INSPECTOR OF BUILDINGS: ,
The undersigned hereby apph s for a p rmit rding to the followi i rmation:
Location ....C.0..........�.�.. ........�.. ......�. .................................... �.........................,............................
Proposed Usee.T. .....................................................
Zoning District .... ......... :......e ......................... .................Fire District .............
c
Name of Owne ... ............ .��- ��.!..... ..rt..Address t!`.......6 f 1
Name of Builder .. �.. .:. ...... ..... � .Q .. .. A dress .....fr:77'�/•••r••. . .... ........fit .. .
V/N� �✓ S�v�3ie.�s� 3� C��� 0 a r �.
Nameof Architect ..................................................................Address ...................................................................1.!!.�.�........
o z
Numberof Rooms ..................................................................Foundation .............:................................................................
Exlerior ..............'......................................................................Roofing ....................................................................................
Floors ............................................Interior ....................................................................................
Heating . ......................................... ..Plumbing ............ . ...........
Fireplace ...................................................................................Approximate Cost .y,
Definitive,Plan Approved by Planning Board ________________________________19-------- . Area ........... v...x....7"b
Diagram of Lot and Building with Dimensions Fee
do
SUBJECT TO APPROVAL OF BOARD OF HEALT
M
S r .se
S (:D
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of B ns regarding the above
construction. .
Name.. ............... :.
Construction Supervisor's License O3.`f.... .".
LAMBERT, PAUL E.
29689
No .....Permit for ,•Swimming Pool I ,
Accessory to Dwelling - '
.... .............................................................
0 .Vhbe rrriv e j
Location ...5...... ......istle.... .....Y...D.... ..... ........ ;, . ,• ,:..�. � �' r ,
Marst'ons Mills
.................................... .. .............. ..............
Owner ......................................................Pau1E. Lambert
Type of Construction Frame ....:......
j ..................................................y .J. ..... r ................ ' � - "/ -� 1 ' ` !� 1�.�..i"�.na..,•^�T I t� . =
Plot ............................. *•Lot . .....
July 229 86 r,
Permit Granted .19
Date of Inspection ........................":..........19 !' 1
Date Completed . ... ....19
`•rr �is ..' v''—' .• ��
r f y,