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HomeMy WebLinkAbout0035 PLUM STREET i� n I I I Qm ordo NO. 1.52 1/3 ORA a © o Town of Barnstable *Permit# 6010S � 1 � Expires 6 months from issue date Regulatory Services Fe ' Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner —07 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY t Not Valid without Red X-Press Imprint Map/parcel Number Property Address $ It ti g Residential Value of Work AQQQ s&Q Minimum fee of,$25.00 for work under$6000.00 Owner's Name&Address oW3PrS 9A/11- ieeG;ILI Contractor's Name /A Telephone Number Home Improvement Contractor License#(if applicable) 41 Construction Supervisor's License#(if applicable) /V� 7 ❑Worknaan's Compensation Insurance -PRESS IT Check one: JUN 14 2007 ❑ I am a sole proprietor (g I am the Homeowner p ❑ I have Worker's Compensation Insurance TOWN OF �ARNSTABL Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) yy. ® Re-roof(stripping old shingles) All construction debris will be taken to a` CA►VIMe CC�,4L tyas4e COo+�1 Y ❑Re-roof(not stripping. Going over existing layers of roof) 'r ®, Re-side v ❑ Replacement Windows/doors/sliders. U-Value (maximum.44 "Where required: Issuance of this permit does not exempt compliance with other town department regulatipa�;�,� li`sigric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. LOOZ SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organizatio dividu •o✓h i4 5 -,- .Address: !�2�Et /1f D� S_`� �e S� �►4(1�15`�4 r City/State/Zip: Phone.#: Are you an employer? Check the appropriate box: Type of project(required):. 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New construction . . employees(full and/or part-time).* have hired the sub-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 workin for me in an capacity. employees and have workers' g Y P t3' t• 9. 0 Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its ME]Electrical repairs or additions 3:*1 aui a lomeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MG �112.®Roof repairs insurance,required.]t c. 152, §1(4),and we have no employees. [No workers' . 13�Z Other .5)be- W A t I comp.insurance required.] . *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name ofthe sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance far my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify:ender the pains-and penalties of per" ry that the information provided above is true and correct: �Sitmature: Date: Phone#: 7 7!D ` 4 .7s ` Of icial use only. Do not write in this area,tb be completed by city or 1Own o jcciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions v Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute, 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, §25C(6)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,MGL chapter 152, §25C(7)states`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." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate-line. City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all-locations in (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate tc give us a call. The Department's address,telephone-and fax number:. The Commonwealth of Massachusetts Department of Inc trial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-49QO ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax# 617-727-7749 www.mass.gov/dia OFiHE lqt�, Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F. Geiler,Director KASS. 1 39• .�� Building Division A)F�MAC A 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: — _l ss—o),OO-7 ((�� 11 nn/I JOB LOCATION: J� Y/U 14 S' W2�. 6,4, V.C_(( /Le number street village "HOMEOWNER" rtolm,86 Y'� !MD f�l AN1d 3�O a- 2:Z 7S 23(-7/6-LA`i 7 name home phone# work phone# CURRENT MAILING ADDRESS: �3�f NO S-k city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/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 t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Assesaor's office (1st floor): O/j �— �e_L / o` To` Assessor's map and lot number ......................... .. THE ` ................... Board of Health Ord floor): ',Sewage Permit number � :.... N YET Engineering Department (3rd floor): 3S ask: ;"' �o00,;'6 c Housenumber ......................................................................... 'E��nY A,- Definitive Plan Approved by Planning Board ----------------- ----- 6 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only' T'UWiV REGULATIONS TOWN OF BARNSTABLE 1� BUILDING. INSPECTOR rk I 1 APPLICATION FOR PERMIT TO ... /VCI.....61.0 ...� �.1,.!4.1.- .....5 �7............................................ TYPE OF CONSTRUCTION ......l-IJ.Q.0:D....'�G�+IM ................................................................................ ................................................19 ..... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Q Location .....( /..LJ/Y�..... /0..7 .:.f .r... W.�..8 A ......A � ........... -�............. ProposedUse ......... G....�...(. �1'.1.� ............................................................................................................ .................. ...................Fire District ............. // ..!... n/ Zoning District ....... ........... U� [Y..................................... Name of Ow r .... �..t ...!.:/B. 'Tltg(l�C�..............Address v. Name of Builder ........ .. ,. ...... ....Address ntS, . Nameof Architect .................................................................:Address ............................................ Number of Rooms .........`!>....................................................Foundation .......F . �. 1.... Exlerior .. .C1.e e.:...GQ. ...Al1105le.5...................Roofing ........ &l................................................... d J� Floors .................................................................Interior ......Do. y....U ).A.Z. ............................................ HeatingtiJ...I.L.�.................................................................Plumbing .......A `64., .45................................................ Fireplace .....OA .............................................................Approximate Cost .....7Q.t.Qf ..aCl ........... .......... . ......... Area ......F4. ..... ................ Diagram of Lot and Building with Dimensions Fee ......................... Q� G � tV4G� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform o all the Rules d Regulations of the Town of Barnstabl re ding the above construction. �14 Vv" G �� • Name ' Construction Supervisor's License .. . ......... MORTLAND, THOMAS F. rt -..3.2..6...1...0.... Permit for ... ....S...t..o... Single family................................. .. Dwelling.. Location .....35 Plum Street ........................................................... West Barnstable ................................................................................ Owner ....T.h o.m.a s....F.......Mo.rt.l.and...............A .... ....... . ..... .... .. .... .. Type of Construction ......Frame ......................... .. .... .. ........................... ................................................... Plot .................... ....... Lot ................................ January 3 0 , -1.9 89 Permit Granted .......... .. .... .. .... . .... ... Date of Inspection ............�./. ...........19 Date Compigted :19 , t -ter-_.. �%m,�re;:\4.a��7i4:_x.;�_�e�s ..��:v2�y.��.,.�v,,,,�"E"=.� ,,:.�"��`,-5�`-�u=`,.�J•'tt,�'.:�.:3�.,_�'���',Fti'�.r„".�',�ksC��i�c�°:;�� s�.Yh .��,,:a�`•�,�s-;,ttw:a� ..,ram'',..:}�`„�-,;,�,.:'� ,�"�: Assessor's office (1st floor): qr_ ' Z A/ � t:THET , Assessor's map and lot numbe► ...... i''...........✓..��.....:C-�._ ` �o o� Board of Health (3rd•floor): Q cv' �Q o Sewage Permit number �:....... V r Z EAUSTADLE, Engineering Department (3rd floor): O`��' �C�T. o rasa House number op�t6}9- r..................................... '£a MAY a\ Definitive Plan Approved by Planning Board _____________________________4 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.,- and 1:00.2:00-P.M. only TOWN OF BARNSTABLE r� BUILDING INSPECTOR � XT - r APPLICATION FOR PERMIT TO 1 r� .,../............................................. TYPE OF CONSTRUCTION ✓ �./`).. .1 ? .. ................................................................................ ................ ...............................19........ i TO THE INSPECTOR OF BUILDINGS: The :undersigned hereby applies for a permit according to the following information: Location .....(..�Gr .....`tea" .........6/�.(L..../.y3. ...1 ..................................... .1.. .................` ProposedUse .........s... 1•����� ..r ......,.//,?'f. .. ..........................................................:._ ................................................. Zoning District .......�I............................................................Fire District �/�I... ! Name of Owner yI. Address ...............;-,................. — .. ��.. ...r�'1� 'Jc. ........... '.:..... .......... ... Name of Builder �....+as t�9� •7:,•••• -k.(.t9.ht .............Address ...r.)I.Adc�. ,.!:�.�.. .t=�.... ��.!� ! . ......`....6.0 .. Nameof Architect ..................................................................Address .............................................................................::..... Number of Rooms ......... ....................................................Foundation ...... �.1..L........... r Exlerio. :lt�.. 7P,.:...C .. �....t >!�...N....' Roofin ........................ r ................... g .. cf (. Floors .......Oi.'. k....................................... .........................Interior ...... /....WA,t-L............................................ Heating .... ..1.{.. ..................................... ..........Plumbing ... .T'�/ ................. ... ................................................. • Fireplace .....(.) C..............................................................Approximate Cost .....1,211, Y, .. .�T.................................. Area .......................................... Diagram of Lot and Building with Dimensions Fee 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. - hK C N Name_.... ...? ; :-.: .............; c .................. Y Construction .Supervisor's License.......�...I,t�;.�.f+�......... . MORTLAND, THOMAS F. A=195-011 N " 3261 1...St ry o ..............Q. Permit for .....1.? ...... ... ............ .........Single...Family Dwelling...... .. . .. .... .. .. ....... .. Location ........35....P.1u.m...S.t.r.e.et.......................... .. . .. .. . West Barnstable ................................................................................ Owner. .......Tho.m.a.s...F.......Mo.rt.l.an.d............ ....... .. . .. .. ..... .... .. .... .. Type of Construction .......F...r.ame....................... . ....... ............................................................................... Plot ............................ Lot ................................ Permit Granted ........Ja.nu I a ry....30... .......19 89 ..... .... ....... . ..... Date of Inspection, ....................................19 Date Completed .......................................19 TOWN OF BARNSTABLE, MASSACHUSETTS B ILDIN : " A-195-011 Sand Scape Builders ry 30 89• Janau Q DATE 1(g� PEj-MIT NO. APPLICANT' x { ADD RESE� �•"• Ox j°J•gr®tone (NO.) (STREET) PERMIT TO Build dwelling ( 1� ) sroRv• Sj Z le family dwelling NUMBER"OP' •�,i .�j�•k y (TYPE Of IMPROVEMENT) No. DWELL ING'•UNITS^'• .''............'............ •:i)•. ' 1 (PROPOSED USE) .. .:[''4h,-Y�'�,j• rgtt. AT (VOCATION) xxxm1NxxxvvvmX 35 Plum Street, West 'Barnstable. ZON114G,:• .;;:jtg •, (NO.) (STREET) 'DISTR I.G.T-`" BETWEEN.. ' (. (CROSS STREET) AND .(CR'OBSf AST RE'ET) SUBDIVISION LOT LOT BLOCK SIZE' :. .. BUILDING IS TO BE FT. WIDE By FT. LONG BY FT. IN HEIGHT AND'SHAflL'CONFORFA!rIM'COS I TO+.TYPE% USE GROUP BASEMENT WALLS OR FOUNDATION REMARKS: Sewage #88-694 . 71 777- AREA'OR 864 8 ft. .. (A� !jY4 , VOLUME �• ESTIMATED COST y� .�O./000 .'PERM1�", .t. y.•} •R . (CUBIC/SOUARE FEET) —��_� FEE'.:.. 'Q`• •••'H'(r7�• T'j1•• N Thomas .' hfortland OWNER- ADDRESS 56 tort filli Stre !t, iinh am, BUILDING Di(. By Fey :.t�• . ;� OF ANY APPLICABLE SUBDIVISION R'ESTRICT'IONS'. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFiCATE OF OCCUPANCY IS RE- MECHANICAL ELECTRICAL�INSTALB'ATIONS.O 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). .F I 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. i OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STr "FT BUILDING SPECTION APPROVALS PLUMBING INSPECTION APPROVALS ' ELECTRIC ,,PROVALS ej 2 - — �.� 3 cum HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT GL-S OTHER r BOARD OF HEALTH t c . w WORK SHALL NOT PROCEED UNTIL THE INSPEC. PERMIT LL BECOME iV; TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED AND SIX MONTHS OF DATETHE INSPECTIONS INDICATED ON THIS CARD CAN CONSTRUCTION. I PERMIT i5 ISSUED AS N( TED ABOVE, TRUCTION ARRANGED FOR BY TELEPHONE OR WRITT NOTIFICATION. r May 24, 1989 To: Town of Barnstable Building Inspector Within 90 days of this letter, I will construct a wall in the cellar at 35%Plum St. from the stairs to the north wall , thus separating combustible materials from the garage door entrance area. . Thomas F. Mortland 1� �,,hpp I lh V J �Jnf 3�.0. �z l j OSfI«E5 Ala7Z-: 1' AleQ-BY FOUAvDAT/D^/ ON j�{RCEL A GONF4'�M S V / / TD 22Ve SST- &f4,(r OF THE ZOit//.1/lT BY-Gq l•✓ l �N OF A�gssgc M07T. Tf11,5 LOT 4XJ4 M0,7- UE /it/ �� I DOYLE A FLOOD f/�92�4R� ZONE. p8?e �o SitR�� o/�/ FOf? � 7770r�IA.S /'10RTL ANI� ??�W/� OF� ,gARNsTABGf, �'lAss. LO T i9 PL UM .STREET SCAL E� /"= GO' I>�TE': ✓A.vI�ARY 20, �9�9 / CERTiF Y _�,-9 T y✓f/AT AS Sf/OWiV 42,1/ 7?ViS o L•9^1 /S AS / T ,EX/sTS ON Tf/f GROIJA/O. rPEG/ E.Q L�¢ND SrJR YE YOR �O YL E �'NG//VEE,�/NG ,gSSOC/AYES /NC. 3'30 TNO/`fA�' L�4NDERS' fZOAO ✓EST F�L/YO!/TN Iw OZS7-¢- +r. 1.OIJN OF ISAI:N:i' BUILDING OEPARTM '''�'"'• i',ti�;:11•:. . . ':..'.,t•r�.:+,�.1�,;+• ENT HOME014NER LICENSE EXEMPTION • Pleas8 print . . .. :. ,, i•j;_:-:crcr,,✓. . ATE .f . ... ; •'�,.r;, 'I=f. ,; �; r.>.• . • :: JOB.LOCATI ... :>•. .;; . ;r; • ,. ,;.A;•,r.,L•;��'�:':i,•.; N er V /�eet r HO '0 Section o'ER r •:�`:P�.Y.y't:yy,r�,j. .,,i.. e Pone Nn�l': jtlY tir° E T MAIL °r PR SEN MAILING ADDRESS ��e (�^}� .�:; yip J ;a;1'.tKi.".b-�yT'{�%a�,. :�:c�j�{�� .j� .!. 1 J • ' N. to {•.,.,:, >:.� 4 J ;r B4t y i �ja(^•.�?.y.r The current ex . .1.P . •o, e::;�,�" s:'�:.; emption f „ t : 'fi7 :3 dwellin °r "homeowners" :.:: ��..;:`t:~�..:,, �.•,.,..•..,.. gs Of-six. units or s ►vas extended to' in.clude.'owne'r=oc'cupiQd� ' i:.• �'; :r,'%Yr1•.l+,�l'�I„�l:t,ril7'Lti'j4�F�f'' ess an to a 1 1 ow such homeown6e s to-;engage, an; rn=:::: '?:i':s:::.;::::{:. ...,.• iv1 ua for hire who does not. ## acts °as su ervi sor. Posses s a 1 i license - PBuilding roV e t e 1p �I:Ni. ....: (State Code S cti P id d tha th owrY : .• '_::.:. TION e on OF HOME01d °Person(s') who ow NER: .. . � ._.. --•----• �:�=L:...,,.;.:.:> owns a 'side, on •which there parcel of land on which he/she is, or is intended to be resides or intends to. -attached or detached structures accessory A person who constructs more than one home in a one to 'six family dwell:i.n Y to such use and/or farm sir.uctures;:`::::::'-�:• ::-;; .,; considered a homeowner, 3, L ..on a., form• acceptable to Such homeowner" a two_ye'ar period shall: not- ba' for all such work the Building off- shall submit to .the Build Performed cial , that i.P9 :OT.fici`z'1=` e u under the bui ]ding er he/she shall be re p.. s :7h ndersigned "homeowner" P mi ection son ibie':, �r; ; _ �.,� ...+ Building ing Code and other aPAl assumes ssu escodsponsi responsibility l ity for compliance es, by-I aws with .the State 'The applicable undersigned rules and regulations.. :.�; ,,•�„ Barnstable i homeo�vner" certifies Llial' h :.,.. 'and that uilding Department.minimum ins ection. °:.�_,.,.•:,..� he/she well e/s►1Q understands the Xorm of comply with said P Procedures and requirements Procedures an requirements: I HO1dINNER'S SIGNATURE' APPROVAL OF BUILDING OFFICIAL.. to cot Three family dwel ,. ;y`_•'`:- . mP1Y with State Building gs 35,000 cubic feet," Code Section 1?_7.0, �-C-18 ger, will be required action Control. r t ' .�'�.-�-� .. ............................... HOMER 'S EXEMPTION The Code state permit that : "Any Home Owner Is required shai I Performing work for which a' bU`I iding•.'":`' ;? (section y09 y y be exempt from the Home Owner Llcensln provlsl.ons of this sect;'Ieri.':. .,';',';..' engages a g of Construct I on Supory l sors) ; . 'prov:I ded shall act Person(s) for litre to do such...>work as supervlsor that r; such ;H Many Home ome'�gvine'.•.!>� �..; , , ers who :::�.;..;r.,,;,, .�• the res use this exempt lon are pOnS I b I I I t I es unaware ?� y.:: for Licensln °f a suporvlsor that they. are"i.:�assU to e-';•;.;:f..;: .:. often re g Construct ion (SOO Appendix q, m..,. Stilts' In Supervisors RUAes...and Regulat-j:c.n serious . Section' 2. 1.5) ;. This`'fack:. :.Ofl.awareri ss`' t R• , Unlicensed persons. jnroblems, part icularly when ={ X as,sueased person as I t Would dh Is case our Board' cannot Home• ^O.w erll: h'I `a ' Ir:•es;.. 1 0 ;:.c:.... : ; .. ..._P.ery sor. Is Ultlmat' with I Icensed Supery t' proceed;a'g'g.Insa.atie ;` r%:d':;` e l y respons I b I I sor.. ThO Home To ensure that • ' .. e , .:��w:ner•.�a.G..1<.;i:n h commUnatles. re a Owner Is ful IY aware �.•;....:.:.: ';.�;.,.:.;,�.: OmMUgU-Ire, as are of his/her' res Part. of. tile , .. Certify that he/she understands tale respons I b l I l t le pops lt31os many last page of npllcatlon, that:. `, ^ ;.., ►,�>,: :::,..:: . this Issue Is the'..hom®', .O.whe.r,care to amend a form s of a sUperwlsor:; ,ILL .` ,::...:.' ... . and ado t current IY used b On 't'h-e;:} p such 'a form/cert I f Icat Ion f reVera I .towns..;. !:.";:Yoil' ..`m ... ',. c'. ,•. o use in Your c.omintln I t•y:� Y.; ...;r:.: j i eel . Application to Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, in triplicate; for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior Building Construction: El New Building - ❑ Addition ❑ Alteration Indicate type of building: ® House ❑ Garag e ❑ Commerc;al ❑:Other 2 Exterior Painting: ❑ 3. Signs or Billboards: Q New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence Q Wall ❑ Flagpole ❑ Other (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY DATE July 14, 1988 ADDRESS OF PROPOSED WORK Plum Street, W. Barnstable, MA ASSESSORS MAP NO. 19S OWNER Thomas F. and Regina C. Mortland ASSESSORS LOT NO. 011 HOME ADDRESS 56 Fort Hill Street, Hingham, MA 02043 TEL NO. (617) 749=1693 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional n�/sheet if necessary). 0 10+ 9 : Ra'pla'.'I 'Es'14i24•,.,I&I. 1- 1/4X"had G.�. �o. 13:'r -ICt.�rrm�a-yu%c/ A(A 426� )G-r 10 : C.pN�.vJf, Fir oa U. (.aw.ya 6. Prat,, W. 13,,r-ShO,Ie 0"('k 6 II Jot �S D�b�►� , Ricd,a�,f S j ,eau ElY -TrZ<, ` P/,,., ST. �..,(h4 ?►-�s4- H „n•s rylh e2_&CI lo•r L(, ; JC�1.�1 (.G4ii+op►.Lr e. 'P.O. .3a r 2- Cur►•w. u d, MA p26.5'7 jor Z,� 1�ks4.l.)c 'i o�.•r of , . 3b"t a (�.,,� MA OL40 i Iat 33 ; uhlc►.owH) •/v kvknl c. P. Ro. 13.�+ 2, A rAr� cZL37 AGENT OR CONTRACTOR Pending TEL NO. ADDRESS DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs,give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). Construct a 24' x 361 Cape-style house with a shed dormer, black asphalt shingles with 5" exposure on the roof. The siding will be'unpainted natural white cedar shingles with 5" exposure. The standard concrete foundation will have two garage doors on the west end. The north, south, and east sides will be bermed to within one foot of the shingles. The front and east side doors will be p inted Tartan Red (Moorgard ,#_20) ._)(Continued) l 1 I Signed Owner-Convactor-A#nt Space below line for Committee use. Received by H.D.-C. Date The Certificate is hereby to Time J J L 1 4 1038 By l J2 j110Va r- Approved:.� _(a/IMPORTANT: If Certificate Is approved,approval is subject to the 10 day appeal period provided In the Act. Disapproved ❑ ' Thomas F. and Regina C. Mortland Application for a Certificate of Appropriateness Page 2 of 2 All other doors, windows, trim, shutters and gutters will be painted Newport Blue (Moorgard #35) . The chimney will be constructed of red brick. All windows, except the three skylights on the roof, are assembled wood double-hung type with sash locks. The skylights are designed for use with asphalt shingles and are flush mounted to the roof. 4 f Newport Blue Tartan Red Thomas F. & Regina C. Mortland Lot ll,- Plum Street West Barnstable, MA I JUL 1 �4 1938. r ,c +711n +` f "W"W" �7 ?: x•r.d�r? P' " "jTxd �3'�is "�i E TOWN OF BARNSTABLE Permit No. .36 P BUILDING DEPARTMENT N TOWN OFFICE BUILDING Cash .Nl i � "° HYANNIS.MASS.02601 Bond x u l q ! i CERTIFICATE OF USE AND OCCUPANCY Issued to Thomas F. Mortland Address 35 Plum Street ' West Barnstable, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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. a � ' May 26, 19...89.......... ?! u 4B�i ldii Inspector.. _..... i i . f A �..� °•`w TOWN OF BARNSTABLE BUILDING DEPARTMENT _ osaabrAEL TOWN OFFICE BUILDING rua t639. � HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: Q� An Occupancy Permit has been issued for the building authorized by Buildings Permit #... L!/`M_.... _._...................... ...._....... ........ issued to .........`, �';V-v KA.,� .„'_.................................. �...__... __._......_. _..__ ., Please release the performance bond.