The URL can be used to link to this page

Home My WebLink About0050 VERMEER COURT D 0 0 J OFTHET Town Of Barnstable erm (� �� Expires 6 months j oui i stee rlar'd Regulatory Services Fee BARNSTABLE, Thomas F. Geiler, Director 9 MASS. 0 �AlF1639.DMA'� Building Division Tom Perry, CBO, Building Commissioner f' 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY f� Not Valid tviNioui Red X-Press Imprint Mapiparcel Number _ � V P Property Address ��_ 1/Et2MF—Fil��ou—'-F O:S Lcsidential Value of Work W,0 O' Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address hQU & .W 450b W v-tZ 1-f Contractor's Name Telephone Numbery� Home Improvement Contractor License#(if applicable) 1 . S2 _ Construction Supervisor's License#(if applicable) PUT 0 ❑Workman's Compensation Insurance C.hec one: MAy 2 9 2009 I 1 am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ 1 have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on tile. Permit Request(check box) Rc-roof(stripping old shingles) All construction debris will be taken to 1/P�i2n2yu � � /l� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required: issuance o"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 is required. SIGNATURE;: PV Q: IVPPII_[iS',I'ORMS\building pen-nit.fonns\EXPRESS.doc Revised 100608 °a The CommortweaZth of Massachusetts Department Of Jtt:dustrW-4c idents Office of lrrtvestigations 600 Washington Street Boston, M-4 02111 wwtv.mass.gov/din Workers' Compematlon Insurance Affidavit: Builders/Contractors/Electricians/PlumbErr- A ficant Information Please Print LeiblY Name (BusmesdoTimjTAfion/lndiv;dual): i Address: � rr City/State zip: Are you an etnpioyer? Cheek the appropriate o)c:, Type of project(ragnired): 1.❑ I am a employer with 4- I am a general contractor and I 6. ❑New const amtion cmployecs(full and/or part-time).* have hired the stab-contractors 2:❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working far inn in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp..ra&.U*amc comp.insurance.t 10.0 Electrical repairs or additi- rhrnrirDI] - 5. n We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 1 - Plumbing repairs or aririi"ti Myself [No workers' comp. right of exemption per MGL 12 ❑Roof repairs incnranc-r 1 c. 152, §1(4), and we have no �� employs. [No workers' 13"0 Other ee comp,mrnrance requircd-] *Any applicant flint ehmim box#1 rmist also fill out the scition below showing policy information_ t Homcawncnt who submit this of davit inacafing fficy are doing all work and then hire outride contractaTs must submit a new affidavit indicating such tContraetnrs fhaYc6xk thin box mssat ai�chcd as additional sbect showing the name of the sub-cantrattors and stafz whether or not thosd cntitia have employees. rf the sub-c antractms have cmploycrr,tlrcy must pravi&their workers'armp.policy number. yam an employer thal is providLng workers'compensation insurance for my employees Beraw is the policy and job site information.. Inniran=Comp any Man Policy#or ScLf--ins.Lic.#: Expiration Date: Job Sitn Address: City/Statr/zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration da Failure to secure coverage as required under Section 25A of MGL c. 152 can IcaA to the imposition of crimiri.al penalties c 5na up to 31,500.00 and/or-ona-year unprisonment, as well as civil penalties in the form of a STOP WORK ORDER and of up to S250.00 a day against the violator. Be advised drat a copy of this statcmcrit maybe forwarded in the Office of Investi ons of c DIA for insurance coverage verification. I do hereby c fy under the pirins•and pen of perjury that the information provided above is true and correct Z9Si c: Date: Q ' Ofj7ckl use only. Do not write in this area, tb be completed by city or town offcciaL City or Town: " Permit/License# Irmiag A rathority(circle one): 1.Board of Health 2.Building Depar•trnent 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector' 6. Other �I> Town of Barnstable Regulatory Services r • r �E. Thomas F.Geiler,Director �iOlED r A`�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, b 01A& W O C).b Lt)O R rd , as Owner of the subject property hereby authorize A-U�(� (,(� g to act on my behalf, in all matters relative to work authorized by this building permit application for. V rRmf'rK 00a l C/"')ST" (Address of Job) JU �'Wl- Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W N ERP ERM I S S I ON Town of Barnstable Regulatory Services ,STAB Thomas F.Geiler,Director '°QED 3 `0$ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phon work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was exte ed to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for ' e ho does not possess a license,provided that the owner acts as supervisor. D INITION O HOMEOWNER Person(s)who owns a parcel of land on w ' he/she reside or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attache or detached struc s accessory to such use and/or farm structures. A person who constructs more than one h e in a two-year perio hall not be considered a homeowner. Such "homeowner"shall submit to the Bui ing Official on a form acce table to the Building Official,that he/she shall be responsible for all such work Perfo ed under the build in ermit. Section 109.1.1) The undersigned"homeowner" ssumes responsibility for compliance 'th the State Building Code and other applicable codes,bylaws,rule and regulations. The undersigned"homeo er"certifies that he/she understands the Town o arnstable Building Department minimum inspection pro dures and requirements and that he/she will compl with said procedures and requirements. Signature of Homeown Approval of Buil ' g Official No e: Three-family dwellings containing 35,000 cubic feet or larger will be requ ed to comply with the State Buil g 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 empt from the provisions of this s tion(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a pe on(s)for hire to do such work,t at such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supe ' or(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious roblems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it w uId 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 pe it application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form cu ently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC omvnzonuieaia�./�a°dae/ucaelta Bogard of jluilding Regulations and Standards License or registration valid for indiividul use only If found return to: HOME IMPROVEMENT COVT'2P•CTOR before the expiration date.Board of Building Regulations and Standards • Regist.#tio:� 119766 One Ashburton Place Rm 1301 Expiration:=pl28/2009 Tr# 132550 Boston,Ma.02108 lug P�_ _ WEBB CRAFT DESfGNy- f0 F 5 DAVID WEBB r= = J Not valid without signature 17 ACADEMY Lf ""U 'FAIMOUTH,MA 02540 � A.dminhtrato�r � Massachusetts- Department of Public Sareti � Board of Bulding J iRegulations,,xnd Standards ,,,,,Constructior�.Supervisor License .:u-J'idense: CS 481891 .Restricted to:;00 DAVID H WEBB ? 17 ACADEMY;UV ,.'�... FALMOUTH,-MA 02540 �-�- -� Expiration: 10/29/2010 ('ommissioner . Tr#: 5826 ;�i'F., �•,tar a:'-3i:?^"7v'Si~kY'y^.t4# �i3�.Pi"�. ,,"' '"...9',:�'"'"&�r! -;.�^*ro;-.3.'a':-� rcxr=*.:,FS'�.+iP:IFr g �r rya:.,�Mgaea^�sr .3y{«.�'"� �.1'+'�"�,T-"'�".. C„�-�.., • - � - S' C�MPENSATI�ON;RAVD� ,EMPLOYERS :L�AB.ILIT�Y��INSU�R�NCfEt POLICY WQ:RKE� y�,.� , �, , �, .�; ,t �3': 5>v' ,�+f'�.u��T ��y�. �+1 �'',a, S� .MLvrtc� ,v`•q(, vsa •� ��h'�`t S;� �`�y�;;x.��"�-`x`��,�}+.,,4 �%'�3?`. � y y;�t�,{" ,^d .0 .'s:.i'.a�si5 + "� - .s ��, �.�2.' ?`#�sP�t`Y`�.t��"�`�`� r >: dF�.S_ Atlantic Charter Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV00730202 1. INSURED: Prior Policy Number: WCV00730201 Tyndall Roofing, LLC Producer: 30 Jillian's Way Fredericks In Agency Marston Mills, MA 02648 Federal ID Number:204616445 Inc. Risk ID Number: 1046 Main Street Osterville, MA 02655 Business Type: Limited Liability SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: Other Work Places: See WCE107 2. POLICY PERIOD: The Policy Period Is From: 7/11/2008 To 7/11/2009 12:01 A.M. Standard Time at The Insured Mailing AddrE 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states li . here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of ou liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06A All states except Monopolistic State Fund States D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates Rating Plans. All information required below is subject to verification and.change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium i See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment: Annually Servicing Office:. Estimated Premium (Minimum Premium) $500 25 New Chardop Street Boston, MA 02114-4721 Issue Date 07/01/2008 a Countersigned By: Date Copyright 1987 National Council on Compensation Insurance Form p ' TOWN OF BARNSTABLE ' Permit No. 25798 -- - - t»>t Building Inspector cash "Y~ OCCU PAN CY.O PERMIT r..., Bond ------------ ----- Issued to Greenbrier "Corgi?:. Address , LotZ37, 50 Vermeer' +Court; 'Osterville , Wiring Inspector. _ / +, � � Inspection date Plumbing Inspector Inspection 1R Inspection date y, Gas Inspector � ��0� / - Inspection date De r X Engineering Department,. S �f Inspection date G .�./�..lh' Board of Health Inspection date r r 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. ........... Building Inspector FROM TOWN OF BARNSTABLE ` - BUILDING DEPARTMENT Mr. Francis La iteine ;,. .P,. ►r•s . r y,,, Z67 MAIN STREET HYANNIS, MA 02MI --' YiF« �efsetPtax.ya«mot Phone: 775-1120 SUBJECT: ' FOLD HERE ` - •. + DATE - - Fbbruary 2 1984 ,. MESSAGE Work has beerfd=pred,*=' :Prmt � 4 ir ?- C%P),s<..�• . ,a .. ,;•. �.._ . Please release Bond. SIGNED DATE REPLY i • - SIGNED - - N87•RMI RECIPIENT'RETAIN WHITE COPY,RETURN PINK COPY . - PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. ILA'__ [, lssessomap nd lot number ....... .... ...0........................ SEPTIC SewoJge Permit number 11J�- . - f�DSTA��EQ �i�! Gl��'. ........ .. _ IT:-1 1 I s I— Z BABNSTa LB House number ..............�� U........... .. f�TA.L CC}r �.:, 90 ENVIRONMENTAL M� TOWN' p i63q. 9� go?mo TOWN OF BARNSTABLE -r BUILDING INSPECTOR APPLICATION FOR PERMIT TO C 0�S I. �� ( �.................... / ....... ................ ......................�.�`........................ TYPE OF CONSTRUCTION ...............................i✓77 UA ....... '�............................. .................... ................ ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for yer ccordi to the following information:C CO�Location .......................................... ...... ........... ...................................................................................... ProposedUse ........................................ .�. ...........1�-- .r../ ........:...... _ ............................................................ C — ZoningDistrict .......................... .. ..............................Fire District ....................................... .......................... .... / /� �ok .. < � Nameof Owner ................. T-. (Gl�.�: ....4�Qp iress ....................................,,............,...................... ...... Nameof Builder ............................. .`.. ......................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...................... .............................,........Foundation 0 Gt/Zf' .tr...(,1.� : .................... ..................... ....... Exterior ....................... .. t.7�l..T......- ...Gi 5,.......Roofing .........................e.�. 1�9 ..1 ... Z3 ........ Floors .''-�.1...............lnterior ,! // n .�.�. 4 ................... Y.. .... >`............. ............................ ..`?.. f.s.. ... .. ............. Heating ..................... ..........tC' ............Plumbing ...................................,��.. . .......... Fireplace ..................................................................................Approximate. Cost .................................�.�....4�.. ...�i1......... ... -----19 - .............................. Definitive Plan Approved by Planning Board ----- i � Area Diagram of Lot and Building with Dimensions _ FeeL:................•• SUBJECT TO APPROVAL OF BOARD OF HEALTH 4 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 ............ .. . .`�� ............ >.j4�! Construction Supervisor's License .......Q..f�/./?. C GREENBRIER CORP�-� 15798 112 Story No- ............... Permit for .................................... Single Family Dwelling ............................................................................... Location Lot 37, 50 Vermeer Court ................................................................ Osterville ............................................................................... Greenbrier Corp. Owner ................:................................................. Frame Type of Construction .......................................... ................................................................................. Plot ............................. Lot ................................. Nov. 21, 83 Permit Granted ........................................19 Date of Inspection .................................*...19 Date Completed ....... .. .9- Z7! 19 K, fA0 1 0� / r (� G.v 7- G op / , 7 1 SO, •o a i by 33 �. M' 1 �C . l�d�L(c,m&"I � C 3 0' M L 112 vV T� v v -7-E= z a w � �r sIZE I S, uou A* 4//y7o/ /400 F: M-k- r�e�r Llo, 20 rT CERTIFIED PLOT PLAN Alm sins 7/ �+n. io Pr tN OF Mks p ROBERT yGs 05T�2 ✓ NEW CONSTRUCTION ONLY 1 BRUCE TOP OF FOUNDATION IS FEET ELDRED y IN ABOVE LOW POINT OF ADJACENT ��,��'��1r► ��.� ROAD. No su��y SCALE1 /"_¢� DATE' 91z7IF-.3 / Q GRt; �✓3R. D D E E Q EE rE� I CERTIFY THAT THE f'o"Al"r,oA/ CLIENT ._. $MOWN ON THIS PLAN IS LOCATED CIVIL LAND EGISTEREO REGISTERED JOB 00. 8 ON THE GROUND AS INDICATED AND CONFORMS TO THE ZONING LAWS ENGINEER � SURVEYOR CA.By °¢��' ASS �� OR dARNSTABL , M . 712 MAIN STREET CH.iIYl 7 H YA N hl I S, MASS. A E ES. L A D SURVEYOR. Assessor's map and lot number ..... ``f _ i f J CF THE, Sewage Permit number ..�.� '.. ..`....f„ ro�Qy �♦� House number4t..............:�T U.......RR...................................... 90o M6 e �OYPYa' n TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO C.. .V j ��u-fir'° �'�''` . `f'�.. .... ...............................................................j-:........................ TYPE OF CONSTRUCTION .........................1 0 6 1.," �...... ............................................................ ................. ... .......... :1t....................l 9...... ---.tea TO THE INSPECTOR`-OF BUILDINGS: The undersign hereby applies for a permit,.according_to the following information: Z^ Location .....................................................:.................................................................................s............................................... Proposed Use s '�f !..........51 '. ..�'7............................. .......................` I......° ......... ;; Zoning District '� " ......Fire District ............... ..................... ......... �� Name of Owner .............t�l� ( ...dt..�V.��...�( �,AQdress .....................�.� ..... r.�....... y .... f' 'E Name of Builder �:...,. �;....... ,......................Address Nameof Architect ..................................................................Address .................................................................................... ..... 2 sue` Number of+'`Rooms .............................Foundation .................................................... ......"a Exterior ...!.... ?...fir. .;,.. >..... ...f4 .......Roofing ...................... .r'? ..> / C:....!......... -............ Floors � Y? ?olf�•r� �....� `- y Interior ......................... ..........- Heating .............. � t . � .... .6 ' s .............Plumbing ..................................... ........ y .. '.' .......... Fireplace ............................�........................Approximate Cost �. ... �:.. Ct Definitive Plan Approved by Planning Board `________:�_=:�___________19_ _ Area .......................................... Diagramf of Lot and"Building with Di ensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a wu ,z ' A Y .. • OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS . r'< I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............`..`....!:E..i;.�......... �... ............ Construction Supervisor's License ........._....'�%'a ' GREENBRIER CORP. ��"��/dam 25798 li� Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location ...L.ot...3.7..........5.0....V.er.mee.r. ...C.ourt .. . .. .... ....... . .. ..... Osterville ............................................................................... Greenbrier Cor i. ................. Owner .......................................... Type of Construction ..F...r....am ........................... .. .. ................................................................................ Plot .............................. Lot ................................ Permit Granted .....................19 83 Date of Inspection ....................................19 Date Completed ......................................19 Uv -A-S