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HomeMy WebLinkAbout0038 WINDING COVE ROAD ` ... . C^, -. ` ^ �i � ' � ,. a ,. � .` M1 fA ^ � " v P � i1 � . . �. rr � .: � '.. r .. ' ,.p a .. � ,. .. � �, � ° ,. � �. it ' �. 11 i � ., .. .. t .. ,� a. ' � r � .i. i � .. ,i �. i � ' 9 - ., - ,:. �ah n r. .. � " � .. .. ';y � � � �, .. � -. . �� .�� „ .� } ,� ,.� � ^ a ..: A � � � f n � , � i F ` pZINE Tp� Town of Barnstable *Permit# 8 q S Expires 6 months from issue date : BAMMBM : Regulatory Services Fee d �y MASS' 0 Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 J U N 1 D 2005 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF Bi4RNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �S� Y Property Address 2-o 11j®Pj CVL,-e �1115 ❑Residential Value of Work 00 6 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address ((�i/� ® Contractor's Name Noa( F. IU-4/CA Telephone Number Home Improvement Contractor License#(if applicable) / 1:� Construction Supervisor's License#(if applicable) iftWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance � / ZA� Insurance Company Name H Workman's Comp.Policy# - /V x 6 1!7 !i '7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ZP Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note- Prope In s rty Owner Letter of Permission. Home I ove t tractors icense is required. Signature ; Q:Forms:expmtrg Revise063004 Fraser Construction Roofing & Siding Specialists Payable immediately upo�e completion o°per Way thru NO MONEY DOWN - NO Payment at are. Payments accepted CASH - CHECK- MASTERCARD - VISA- AMERICAN EXPRESS *Any payments not made within 30 days of completion will be charged 1 '/Z%for every 30 days the payment is late. rotted or otherwise deteriorated trim boards, plywood Possible Extra- Any or other carpentry needing replacement will be done sheathing, lead flashing, lus materials, plus and charged for as an extra�tal eta °f45.00 per hour, p 20%overhead mark-up o FRASER CONSTRUCTION Warranties the labor for 10 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100%for the first 5 years, and then on a pro rated basis for 30 years total if the shingles become defective. CERTAINTEED Warranties the shingles to be ALGAE resistant for a full 10 i years. uted upon j Any deviation or alteration from above specification and above estimate. All written orders and will become an extra charge e beyond our agreements contingent upon strikes, accidents or delays ariinsurance upon control. Owner should carry fire, tornado and other necessaryda s may withdraw thus the above work. We, if not accepted within thin}' Y ii proposal. ERASER CONSTRUCTION: Carries Workmaa's Compensation and Public Liability insurance on the above work. DATE OF ACCEPTANCE: SUBMITTED BY: omeowner ra on i i r ------ The Commonwealth of Massachusetts -- - - Department of Industrial Accidents Office of Investigations 600 Washington Street, 7`h Floor Boston,Mass. 02111 y Workers'Com ens_at�i{on Insurance Affidavit:BBuildin��/Plumbin lectrical Contractors •fi�'aIL�3i7 AD�1�' a 'A�B���Y"f�liw:d�t�lea���i#�r•1 a � a.•�s�'?4 '�,r'ri'�.xge;:ay.�.J �;i 'F'�;s't' address: I I &Qgann C// l city s 1i 4 zip• phone# —a work site location(full_address): C tPC ❑ I am a homeowner performing all work myself. (106ject Type: ❑New Construction❑Remodel G❑ I amy a so[l+e�proprietor and have no one working 3 to an capacity. ❑Building Addition 4"Ja'z: "Fry'.r'`�^�.sa. :.�5..�,a•.�d r'-..•°•'�,C4' ,�. i.`o°sE { �ifi��''Y �!?"s`•'`r�:�A%'T �iu?. �i';@'•>;•�.,^C.`'n I am an employer providing workers'compensation for my employees working on this job. company name: r--� � > address:' city: phone#• Insurance co. D V# t� olic Q ok / ik�•"i;3ia:;�k'v�ir°'.7ll�I•i�.'atiey?iir3u�{:3�i'R.t4b:ic�m+&'��F:$i`:dtr%ti'�:a4•:i:ca''��'u6sa��t��;^Sf Ttr��h%:ii:�:•b)a'` WF:�_ '' ul"� 7 �Y :.. °'a�',::t,:5'i;. .avP:riv�.��:l:a:�'ir�5-:•�..r.:uF�§�''�'.sY'�..i,:a$'-��..r ❑ I am a sole proprietor,general contractor,or homeowner ) and circle one) have hired the contractors listed below who have the following workers' compensation polices: company name: address city: phone#• insurance co. olic # `.•y''s-F%:��is,%itk;bt�d'�:�si'�ie;'..�+ku:=,;:'}liw>; .... -.. .f.'si�r��':'i7'`EE�4�'�t�i9%r.:•a•'a'..,. �:.-g.-.:,4 a ...;r, t,Y" *t°1'�`.ii:o,'^t��'S-"L`e'^�+i..!•;�.'r;..y_;,�,PC�'i`�;. ,r � 'company name: address: city: phone#• insurance co. policy# ��$�..�;"+#�a[�.. ,�`..ete3'ae;Ws�a; ;; . •"� x::l��' ,�;�'' �°`�;�`.;'�t�; `� �;fir��� ��o�'� ��- , Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'Imprisonment as well as civil penalties In the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a- copy of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification. ' r do hereby . rtify under the p ' pe ies perjury that the information provided above is true and correct Signature � — Date �•� /,0 S� Print name Phone# official use only do not write In this area to be completed by city or town official city or town: permit/Iicense# ❑Building Department ❑ ❑Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: Pone ' h # ❑Other (revised Sept 2003) C Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all-employers to provide workers' compensation for their . employees. As quoted from the"law",an employee is defined as every person in the service of another under.any contract of hire,express or implied,oral'or written. . An employer 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 including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However-the owner of a dwelling house having not more than three apartments and who resides 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 because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states 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, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. •R}',c�E„�t �vv 1,yz3.. " X? tr y .di+•i, fy? vs•t .•,Y° iY!.rw+i._ U `ti:f'.•. "ic'X' Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. 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. F��� � c(n•• era-y -}R,i•.,_{,:4',7i..r.' i a � �'��i'r*( ';c� 'd'3'.��'a,.:''.,��•y 2 ��i�a: '�r � (. •i'�.�''��i'S ���:.• ¢;•i�`SE•••�tiSs•,. (�xv� y..• i ar^m' r ..a:�Lf7c !• .�::. S�M�?�i�k�',: '�'y•.�+�+ .';.^.r<�'-'i�4..:.�Gs;..:.,,..�er.:�9.�3...Gft�'•�R`•.,,�:}'rs, .t Fyn City or Towns Please be sure that the affidavit is complete and printed 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 number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for.you cooperation and should you have any questions, please do not hesitate to give us a call. Aid y. .:.. i •ry'.,��„�a83',�'i�i 'x.`(Sd �i'�' �" .td�.A,-�,•. `e. � .+e d�Yk' ..',�: _y' "C'k�',�;'r$ii`,' `�f' %�'.�t'',`.!t �t+t•+,.k`�?`l3!:{vSgp vtn4� ��- �fCT��% The Department's address,telephone and fax number: The Commonwealth Of Massachusetts- Department of Industrial Accidents Office of Investigations 600 Washington Street,7`h Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 . i Board ofBuljdin g Regulations and Standards HOME IM OVEMENT Re istrati��arw\\ CONTRACTOR License or registration 12536 befor i the valid for individ a o expiration date. If found ul use only 3/2007 Boat�!of Buildingd retur One Ashbu Regulations and n to: rton place Rm 1301 Standards ERASER CONS T� - �, Boston,l►ga,02108 -DEAN FRASER 71 TARRAGON CIR°°,, COTUIT,MA 02635 Administrator _ Not valid without signature ' I n TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Maj 2 Parcels—D/ Permit# J 1 1-7 Health Division gs �S �+11003 Date Issued l 119)0 3 Conservation Division o �, 8 , 0 Application Fee �� Tax Collector Permit Fee ,oo DEPTIC GTEM Treasurer INWALLED IN COMPLIANCE Planning Dept. WTH TITLE 5 EMIRO,'IMENTAL CODE ANE Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address -3$ C i� Village Owner Addres C % �, .i% ei ff oa6 S Telephone Permit Request Square feet: 1st floor: existing i 3`P proposed C)7/ !� 2nd floor: existing /6 I/,& proposed ! Total new �1 A ' GXs=,••�ruTA� =�3�� Zoning District e-- Flood Plain Groundwater Overlay =rojecn �D Construction Type C E c o D -�� Lot Size / e Grandfathered: O Yes �(No If yes, attach supporting documentation. Dwelling Type: Single Family �( Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes ,06o On Old King's Highway: O Yes l to Basement Type: `Full Cl Irawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Al v Basement Unfinished Area(sq.ft) M b a 45 Number of Baths: Full: existing new Q Half: existing / new o Number of Bedrooms: existing 13 new o Total Room Count(not including baths): existing new First Floor Room Count 15— Heat Type and Fuel: >(Gas 0 Oil ❑ Electric O Other Central Air: gYes O No Fireplaces: Existing / New Existing wood/coal stove: 0 Yes )4 No Detached garage:0 existing O new size Pool:0 existing ❑new size Barn:0 existing 0 new size Attached garage;)R(existing O new size Shed:Xexisting ❑new size Other: Zoning Board of Appeals Authorization O Appeal# - Recorded 0 Commercial ❑Yes )KNo If yes,site plan review# i Current Use Proposed Use .1-kirxx BUILDER INFORMATION Name Telephone Number J�a:�,- 8 ' ° r.� Address License#tz���A&'d- 02, Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2rh 5 i '4 • FOR OFFICIAL USE ONLY t PERMIT NO. } DATE ISSU8t) MAP/PARCEL NO. ADDRESS,'! VILLAGE OWNER .: DATE OF INSPECTION: FOUNDATION FRAME i INSULATION . FIREPLACE ELECTRICAL: ROUGH FINAL 4 PLUMBING: ROUGH FINAL '. GAS: ROUGH FINAL ' FINAL BUILDING 6 D' .' DATE CLOSED OUT ASSOCIATION PLAN NO. B l . _--__,'�-�__ The Commonwealth of Massachusetts - .-_- -- Department of Industrial Accidents . ' `� = ofl1'ceOf1flyes%981%o/Is 7 ' 600 Washington Street - Boston,Mass. 02111 . ; . J I • . Workers' Com ensation Insurance davit ii a ipa�aam iliam%///mO//%%%m////%%///////mm m�ffff�����������������������������������������������, name UhAki Wt7yl Jn V /,, location Uv citVr 0.7441( hone#-W 8' .5— I am homeowner performing ah work myself. .. . . ❑ I am a sole rietor and have no one workin m' ca achy %%/���//%%/% %%%%%/%///%%%%%%////////////G�////�//:%%%%/�%%///%/%/%%/%%%%��/���%%%%///////%//////%%%/%%%%/G%%%%/%%%/O�%%/%O/////%/%%%�/ I am an em 1 roviding workers' compensation for my employees working on this job.::.:::::::::::::::::::::::::::::::::::: ::: ::: ::: ❑ P .............................:..:.:::::::::::::.:::.:::..:::.:.....-*,':,:::::::::::::::::::::........::..::::::..:.::.:.:::::::::.::::::.:::.::::;:.::.:.:::::.::.......:::::::::::.::::::::...:::...:........... com an n m itiildr . :::::: ::........-":..-...'-*-'.'.,.:,*%'."'-'.- ...... %, ::: -.. .,. . .. ... . - . ...:. ..:.... .. . es .,..,:*.. ..—X: ................. -':`-'-`-N1'.*' MN: . : : X. : .*.--'-.-1 .X.-j:-.-j:j... . ...I......'...........1;:X., '. .. ... ... : ........... —--:-.-:-. . : : "'I*����������i�������������������������������;�i!ii���i�i�i�i�!�! , .. ; :. 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X ..:; -:- "i-1.-*'.-1'-.1-i-1-'11*.*.'-* " .:-�.`- .,... ... : i-*.--,.---i:... .... , , ....*,, —. , .... -.." :. ..........: : -.:".. :--:-:-:-,.-.-::-.,.-.: .. .....-.-.-.........-....,-*.-..-.....--.--..-...�...-- ... : .. " .. , : .... *`­ --- -- .... .. -- .... -X.- -.-:-.-.,,.- ......:.... ..... : ::-: ..,..: . .:..%:.-. lri9urant :.:: .::,. ::: :� . .:.. . - -% :- ......'.............. ............ .-.-...- --.- -, .. ......... ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have - the followingworkers' compensation polices; ......................:...:.:..:::::::::::::::.::.:::::::::.::::::::::::.::::::::::::.:::::.:.::.....::::::::::::::::::::::::.:::.::.:::.:::.:..:::.::...::.;.:::..::.: .' 8rie ? ; `` `: ? 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C i:........::r............. .......... ..::.....................:.::::...............................................:.......:...... ..�..:..... :.Mi'iiiii?ii4iTi:3:•ii:i4'i�•i}' . % ijj:...iiii:>:iii�iiiiii:.....v. ::;yN:;:jj a.,..v: :::n:;:•:::.:};w.....- :..:i:::•:.�:;::.y..:'::n.:;::::::.:::::::::::::G'::vS:::w:.:...........v...:............. .. % i:`•:}►i::i::'i:i) :'.;S{:;: } ``::;'r>ii'r}?is t:?:i??ryiii:::: ...I«:i:Lv::r:::i%::?: :.:i'.:•i)ii:^i iiiiiiiiii�ii::!:ijii:ii':Liiiiiiii:iiiii?':ii::i`:i:ii::i'ri::'i<:ii ii:'vi i?:.:iii: ..: iiii:.::ii:4}iii.::i:::i'::::.ii::;isi'irii:::;+:<:is;:v}:iiivL::ii:':i:ii':i•:i•:: line :: « r {:>V.`.y ...............................iii:.......................................... ::<.:.;:::.;<.;::::;•.::.::;:.;;+.:>;;::;;•>;:;:;:::::%;.::;.::.;::::::'::r:i:::::.»:.;:.;:<:::{::::`i;::•:::::::.::r;;:;:::>;:::::::::?::•::•::•:`:•r:.:::;3;:::.;:..:;::::5:::::;:.:::?:.::•::;:•::' lit EM :> i"% ir ::::?:::? :::< i ::'•:: :I. `•:<i::::: r;;y;;r::;`:;:;ii:>:::::i%:%::;::::: f::i: ::ii:: %<:i::::i?;:.:::? :o:::::::::;;:;:<::<:::;s:;•sii::::>.:::::i. an :.. :.. 'b `fie'#`'C' ?% g?% <I'll` ' `?%...................- ':`%': %..> b •.�{yam _— ::} i'•: l'T •ii::ji?;:;:i:;iFiiiii:S;:j:;:yi;:}:J .:..�.,.i�}:'>: :h..k..a.,.,...::::. ••.... :yU::...................••:•.�:.t # }.�e �:�':;��'v'}:?:S'}rya:::!: :!::}:'::.:::.::::::'::::' ;::::Y:.?:{:u::::::::.:::::::.<r::.}:.:::.:.... .•�i'COi'is '.'.t:::';:>,>.?`}::;: jti::}:y��:::}::Sii:y�:;`.;:�:<v�:!ji:i;:::jii�ii:sC'::ii:S i:::ii'i::i::!T::}<:'?:i?:!tv:Y........................................... ......:i:::C.:........... Failore to seem a coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,500.o0 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true.mid coned � Signature Date 9 /./ .3 _ - ' Print name Phone#�Y�F' F�" 7� official use only do is area to be completed by city or town official . city or town: permit/license# ❑Bnflding Department ❑Licensing Board ❑checkif immediate,j:,otw,A,!n uired ❑Selectmen's Office ❑Health Department contact person: phone t!; ❑Other , gin g 0cmad 9195 PJ/a . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. ;• t.. s ,�`, �(y association,.corporation or otherlegal entity, or any two or more of An employer is defined as an individual, partnership, the foregoing engaged in a joint enterprise, and including the legal. of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees.{However the owner of a dwelling house having not more than three apartments and who resides 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 because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ti. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying' company names, address and phone numbers along with a certificate of insurance as all affidavits may be y submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 11:. date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. 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. City or Towns Please be sure that the affidavit is complete and printed 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 number which will be used as a reference number. The affidavits may be wt®ed io . the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do riot hesitate to give us a call. The Department's address,telephone and fax number: , The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 °FINE, Town of Barnstable ~ Regulatory Services ' HnaxsTaaL& ' Thomas F.Geiler,Director �p 019. g Buildin Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME EdPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work i� Oul / Sul Estimated Cost a�0 Address of Work: M ( S Owner's Name: 1041, Date of Application: qb 14 3 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 ❑Building not owner-occupied gowner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. O � J4te Owner's Name Q 16mis:homeaffidav Town of Barnstable Regulatory Services yty� Thomas F.Geiler,Director Mnss. 0 9. ,•� Building Division a Tom Perry,Building Commissioner 200 Main Street,`Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION n Please Print DATE: JOB LOCATION:. / C.O✓P� 0 Q/S �,�( S number rstreet ! village . "HOMEOWNER": name J /home phone# / work phone# CURRENT MAZJNGADbRESS: .3g �I/la/!7Q �DVc�/ 1CB/1(l /vJ �6 J8. 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 HOMEOWNTR 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 he/she will comply with said procedures and requirements. Si tune 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 t amend and adopt such a fomi/certification for use in your community. Q:fomms:homeexempt C RrA C- F_ c 9 �u o cLos � '� d P/C E N 7 //Ia- K 36 !o CR b EA, b STu a S •- � � ,SF Jr"c f� ,J P lf�NC- Serfs I',91c' 9 f- -7 o• TOWN OF B¢RNSTABLE Permit No. _ ---------— t n.» o Building Inspector crib WAX Y� OCCUPANCY PERMIT Bond Issued to W. E. ReaXty Trust Address IP `,finding Cove Road, Marstons Mil' Wiring Inspector T Inspection date Plumbing Inspector Inspection date Gas Inspector / Inspection date Engineering Department rj / - rJ;J'l� l Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING) CODE. '} J,r. I............... ......................................._........................._... Building Inspector b i 1 s���•e TOWN OF BARNSTABLEf/ BUILDING DEPARTMENT = aARBST %rua TOWN OFFICE BUILDING t639. �� HYANNIS, MASS. 02601 I MEMO TO: Town Clerk FROM: Building Department DATE: /,.2 i An Occupancy Permit has abeen issued, for the building authorized by t =' Building Permit 117711 ........_... ............_.._ issued .to ..........................._...... _..._. ......�....»........_........� .».._..�....M_.. �`•^` 'a Please release the performance bond. �+y OF MQ - 4- PIJER o;' RICHARD `G Y :f� SULLIVAN `tea � A. a ' v�js o BAXTER i N0. 29133 �: ISTI�?� ' F �G/S Eat v It Coe), Y'�l Ae-SM tad lrL.S pP- SlC-KI DATA Er--7 �1 `IQ6LC FAMILY - :3 Br0P-00tA �n^.1LY FLOW = I1O x 3 = 73oG.P�? SEPTIC, TAtiK = 330X 15o% =-49 r 6.P. Q tF 5 -T 2/-e. USE= 1000 GAL. s 015Po5AL PIT V5E I0oo GAL. 5 t DcWAt.L AR.GA - 1 jb 5,t= � � ��'`•� 150 5.1= X 2.5 = .375 G,pq BOTTOM AQEA= .. 5O 5,F• 50 5.F x 1• 0 "ToTA 1- �E51GN = q25 6,P. D. -TOTAL DA 1 t-%I' FLOtr( = 330 G•PO, PEQGOLATt0*1 RATE: I"W 2MIN C>P-LE55 wD.'.•N Jr d. �.,, o- SUulvrtrt c� �„ ,ic; RiCHAP,O <>, r;o. 29733 .o o l•i BAXTER bNo.2IC48 F ti, 1• It Q�t'�rb¢7/'t �►�l.lyAti4 TE1�1-r12 �� `��+ ToP FttD= :108. Imo• 507,7 LoA.,,^ loov (Nv. I.5 T'o�sp, DtST. lIJv. GAL. _ Banc CPTIC. 1-)715 (000 V.77 g"�+3 TANK I�I�J L6.AGl! PIT INY.. INY. 97,1 Yz WAsufio . CirQTIFIG0 PL07 PLAQ PRUFIL� 1, cA,71ow NI�eS� 1 . ► LL :5 Q. ILL eG,7 N o SCALE S CA LEA �t6esD V✓A mlzZ 1 GE RTt>;K TNAT THE �'ou►••1S�"no�t5No1rYN PL-P�N RE1=E>ZEN GE N6.t21rOW COMPL% 6 WITN-THE S I of L1N Au 5ET�GK Zr=Q}u1P-eM1=N`1"> F -TwE � � ,3 'TOWN OFP�t.�D "4AANp LOCp.T-E/r T tJ T1-lE G ODLAIN L��' . DAT 1✓_4- BAxTE2e WYL- INC. R.EG I SZ E 26•V't.AN cp 5 u my EYoe-S Tu►S PL&Kl 1!5 WCrr E N-5r T-�, Oa AN CSTE2VILLJr - �KA55. IW,5T9-uMt=NT ;uevey g�-r 4e OI=F'�ETS Suaut� No-t• t3�,;u5EDTo pE�ER1�11IE Lor k-IHI;S APPQCA►JT \V l"T�c SEPTIC SYSTEM MUST P, WITH TITLE 55, LE, 0 TOWN 'OF - BARNSTABLE UILDIN INSPECTOR ro TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Zoning District ........................................................Fire District | Nome of Builder /�^z -�����A66nss �- ` '�� ^^^~~~~^'^--~~`^^~---~~^— ---'-------'v^---'~~~'� --------'' Name of Architect ..................................................................A66ns, -----'---------------------.-- Number of Rooms ......... -----------------Foun6otiun �K'I������\� ������f��5������ Exterin, oofing —. — ......................./....................... Heating T�A.k ' —'� .................................P|um6ing ....... —._ ___ � Fireplace :.---------------------AppnoximoteCost --.����� � �^~`^ Definitive Plan Approved by Planning Board lg----' Area --����./­Jo--�'�—` Diagram of Lot and Building with Dimensions Fee ........... ___ � . ^ SUBJECT TD APPROVAL OF BOARD OF HEALTH . | | ^ . . | °�. \ �� n ' ' 2 | u � -^� tz ,~ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS v / | hereby agree to conform to all the Rules and Regulations mf the Town ofBarnstable regmn6ing .theo6ove construction. � 2n. Nome ..� -----'' Construction Supervisor's License �,��,�—......... | - | i ' | r -Fa E. REALTY TRUST A.=57-14 No .Permit for ..2.story,,single,,, ......family..d zelling..W/garage.................... Location Lot..84.........38--Wi.nding..C.o -e..&3.., . MarstonsMies.......................................... Owner ............................. ?k ..Tr.g.t............. Type of Construction .........£ram...................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ..........Ap:ril..8..............19 85 s_.. r Date of Inspection ....�...�c 4. ......19 Date Completed .....19 r _ A;-. Assessor's map and lot number .......... .................................... INE �pf Sewage Permit number ........................................... 77m 323 STLB E, MAM House number ........................................................................ t639- 0 mix TOWN OF BARNSTAB'LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO C�PKA ..... a Z g >-OM 5 TYPE OF CONSTRUCTION JIX©0�....... ....................................................................................... ................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lom.. ......... Q�;r7..... .............. ..... . ........ ................... Proposed Use -5--- ......................... .................... ....... .\ ...... ............................................. . Zoning District .......... .............................................................Fire District Name of Owner .......7K- '...Add ......... 7.....V*".4k.,....... Name of Builder Address ........... .............................. Nameof Architect ..................................................................Address ........................... ...... . .............................................. oR Number of Rooms ..........a Z ...................................................Foundation , .. Exterior ..�.,�,���aRoofing ................... ....... ................................................... Floors t,,, Interior sle......................... _2&. .......... .................... ......................... HeatingIRIS ......<1 .................................Plumbing .,z ................................................................ Fireplace ..................................................................Approximate Cost .........1�5-0 ........... ................................................ Definitive Plan Approved by Planning Board --------------------------------19-------- - Area ......................(............. Diagram of Lot and Building with Dimensions Fee ............ .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH rJl P. Co 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. ....................% Namev -V.wC ...... Construction Supervisor's License ................. W. E. REALTY.TRUST A=57-14 1, W. ... ... Permit for ..Z.A' tqrY.. .fami !Y..clw.e.Iling..Wi.th..4a.rage............... Lot 84 3 8 Windi (;,pV Location ......................................Pq.. . . e Marston 'Mills ............................................................................... Owner Mr...B.,...Realtty..Ttrust....................... Type of Construction ..frame............................ Plot ............................ Lot ................................ Permit Granted ..........AR41.8..............19 85 9 Date of Inspection ....................................1�1 Date Completed ................................:......19