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0100 POINT HILL ROAD
K I } 0 • -�w:cs���..�....��t ..... r <iJ:,.,,J�aa���..•.a�aix.i.:��.:�s,- .... .'I�.'..+,.�... ... �:,_. .us F:_...,-r..�� 1"E Town of Barnstable Building t � Post This Card So That it is Visible From the Street-'Approved Plans Must be Retained on Job and this Card Must be Kept *'"SS. � iPosted Until Final Inspection Has Been Made. � Permit 16sa � ° W� here a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-1154 Applicant Name: todd leduc Approvals Date Issued: 04/09/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 10/09/2019 Foundation: Location: 100 POINT HILL ROAD,WEST BARNSTABLE Map/Lot: 136-041 Zoning District: RF Sheathing: I , Owner on Record: NIEDZWIECKI, MELISSA F& PAUL DAMES Contractor Name ,TODD LEDUC Framing: 1 Address: 97 ISALENE STREET Contractor License: CSSL-106019 2 HYANNIS, MA 02601 Est. Project Cost: $2,142.00 Chimney: Description: Insulation,See Contract �' Permit Fee: $85.00 I I Insulation: Fee Paid: $85.00 Project Review Req: ,' . Date: 4/9/2019 Final: Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the-approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. �- f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing inspection Rough: ___ -- 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health 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 ON4TNE Assessor's map and lot number ..../3.ro" A/ f.. �................ SEPTIC SY&TEVi �vi��� . f�STAL LE QNITF� 'Sewage•Permit number ............................:............................. SANITARY uODF ,a!`,' TZW,,N REGULATIONS. TOWN OF BARNSTABLE ro 0 m i BAHHSTdDLE i "� FD W.a DUIIDING INSPECTOR Apo,039. `� ' YPY "I APPLICATION FOR"PERMIT TO ............,r�. .... ...................... ........................................... TYPE OF CONSTRUCTION ...... ............... ................................................................. D u �id:Pc..l........� ...........197,� rc TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a hermit according to the following information: ` Location ........ ProposedUse .......4�-?e c..................................................................................................................................................... 7R. — n................................Fire District ..W/ZST /�'`(L�N TFf/�LFZoning District ....................... ...... .................... ......................... Name of Owner lC�%����?.... l�.L��/Z/.z...................Address � 5.�.....r /. !��lL{. !.� _ ............. .. ...... ............ ........................... Name of Builder 1� IitJ C L Tj T.... !. '���...................Address ......! .5 .... ............. .......................................... Nameof Architect ..........��.ii......................................................Address .................................................................................... Number of Rooms .......... . LO .C 1? :. ............................................. ....................................................Foundation ............ Exterior LL%� !� d® �/� ✓tl ol�..�..ff�/U�'LL= .....................................................................Roofing .......... n ..................................... Floors ©A:( ...... .Interior ..................................... Heating ................................... .................................Plumbing ..... .. /. 1./ .!....../..........✓�T/c Fireplace .:....... 5..............................................................Approximate Cost S O BOO Definitive Plan Approved by Planning Board -----------__ 9_______. Area ��. ...:.. . ............ Diagram of Lot and Building with Dimensions Fee Es �!.P�-5 SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .Lt ................ ...................................... ` Calder, Robert ` `�� } ^ � . 20011 ������ family ^ No,-----. Permit for ' ' dwelling . ----.---------------.------. � Location � ........100..Po±ot..Bill..Read____.. ` West Barnstable . ----.----..—.--,---.---------. / Owner --- . lder........................... Y � | � Type of Construction _--.�����-----._. . v ! —'----^-----`'--------~—'--~'' Plot ............................. Lot ........ ............. / ) ` ' �J 78 ^ Permit Granted --.��.���—_—"---'lV < ^ � Date of Inspection ....... ---]P ! Date Completed .. W1.47..........l9 , � ^ . / 7 PERMIT REFUSED ` . . ,.-~.--..-''-.—....---..---.—.-.. lR ` ............................. .............................................. . ~ ... ..................... ' . ------- ` ----.—.—.....--.--.---.~—..----... ` � Approved ................. ---------- lg ^ ' � '--------------~...--~-----.. ' --------------.------.—..~..— ^ � ` | • /36 5�/ mot.._ Assessor's map and lot number ........ ..... .... ......... ........... /l THE 6,1 Sewage- Permit number . —.. �-ram- t .........: 1� Z 11lEH9TODLE, i House number .....,..r:.O..€.......................................................... 9 Mnea t �p 1639• 6� M A� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......................................................... ....... .... .... ... TYPE OF CONSTRUCTION ..... ....! � ` ...................................................................................................... r , ....... ............... ...............19 TO THE INSPECTOR OF BUILDINGS: �. The undersigned hereby applies for a permit according to the following information: �� (} ( /�+/6�f ,�. � i"� A _r &(( Location ............. ........ .................................................................................1p....................................................... ProposedUse ... ' ... ....;C..'............................................................................................................................................. Zoning District %�/ `r J ..............................................Fire District ... .1!.. ... / "�� .............. ........ ......... ,�....................................... Name of Owner ! 'fit ili � �.................Address Name of Builder � ij'. / It ..�``':.....•l k. �J u� � c i`"C ..........................Address .....................................:...............:............................<. Name of Architect .......,.�---. ............................................................Address .................................................................................... . Number of Rooms r ....................................................Foundation ....��................................................................... Exterior .... ....................................Roofing ......................................:............................................. Floors � dLl� T om...................................Interior ..:...... Heating ..................................................................................Plumbing ............................ .................................................... Fireplace .............777=.............................................................Approximate. Cost .......... .�.. F...,.....��............................... Definitive Plan Approved by Planning Board -------------------__-_-_ .... � ------19--------: Area ...... . ..................... Diagram of Lot and Building with Dimensions Fee .....3� �d ........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 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 .......1..... ./1 �........ ........................................ Construction Supervisor's Licenses . " !.....r... ?..... rr CALDER, RDBERT A=136-"Alqr No ...2724 ....2 Permit for ......Build...Gara.ge.... ........... ........ .... .......Accessory to ......................... ........... . ............. ........... Location ....100..P.oint...Hill...Road........... .. ........ ........ ......... West Barnstable ........................................................................ ...... Owner' ...Robert..Caldex................................................ ............. Type of Construction ......Frc-M. y ............................ ................................................................................ Plot ............................ Lot ... , Permit Granted ...............................November 1..9.........19 84 Date of Inspection ....................................19 Date Completed ....... ................................19 f . N , • r �9�2So9 6 V `4, o , DWt;2L/NG Q . top oG 0 FOVNO.1�(!•O �\ AIAI �yc• 1 .�'8� N N. 8 to .01 i �� � 305 �� ' ! �� IA sewa�E 7? Z 30. 6 , tvri9rio�/ �/� BA/INSTJ9BL� /VfgSS. sc•►� //� 40 DArs /r8, Ze /9B¢ At~ &el oV G' 207- Z 6 S/-/o wAv oN Boo Ae 2¢9 �t Bice /07 E. LEY y to - C6WrnFY 7WA)'r Tilt= e7rlsr��vG 6t!14J>1 VG a"OWn/ un/ 7WIS ICEAW 115 771ZAD t:evc.�t a st3 sMo w y civ�a NttZ6o�v . • � s�8.Z8 i 9B¢ G�,,.�1� '7 D .S.2V .o� Assessor's map and lot number .......... ................................. Q !//�. Q ETOx- L ,��/ THE �♦ SOwage Permit, number- *�. ... ....... d`` SEPTIC SYSTEM MUSTS E s BaEasTeBLE, : r House number .... ... ........................................................... INSTALLED IN COMPLIANCE 9�0 M639 IL 0� WITH TITLE ''�oYPYa� I TOWN O F BARN r �J` '� LT; i BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..r�.f�J'f .. ....................... .: ....................... 'TYPE OF. CONSTRUCTION ....:ltOZA9..... 62E7`!.�................ ................................................................... � .........�9.................,9 (s, p .P FI TO THE INSPECTOR OF BUILDINGS;..._.• c The undersigned hereby applies for` a permit according to the following`'iriformation: : # i P Location Z04.. �. I ProposedUse ... Z C .......................................;...............................................................• Zoning District .. ........... .....................................................Fire District ... ..............%./ ........................................... Name of Owner V'q. 6...S,.fY ��!Yc .................Address .�!)0 O -'I�i�/// ........... ..... ....................................... Name of Builder �.. . ....;Address ! Q� '��� "....L�........ !. .' ....../.. �. Name of Architect ...... -..............................................Address ..........:.......:. Number of Rooms ......./ ..............................................l a ...............4......................................... Foundation . Exterior ......�/o 0 ..... L �/ ..................Roofing .....Gt/CU� I .......................................................................... P• ` Floors ............�o T4PP....................................Interior ...............................................................• .:................... Heating ........................Plumbing Fireplace .............�-.............................................................Approximate Cost ......... � ... .............. Definitive Plan Approved by* Planning Board -----------___-__------------19_______ . Area .... ®<.:......................... ; Diagram of Lot and Building with Dimensions ` Fee F SUBJECT TO APPROVAL OF BOARD OF HEALTH F`l` 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 d�4�1. /...�I.?,..... C. MER, ROBERT 21242 BFVILDGE No ................. Permit for ....... ........... ................ J 4?)0:91��qgry..tg.X��l .. ..9. .................... I 7n Location ......1QQ...FWAt-Hi .. . ................ .......................Weat..5a=51;zble....................... Owner ......RobUt-Calder.......... Type of Conttructioin Fxarrk.............................. ............................................. ............ .......... Plot ............................. Lot ............................. Permit Granted .....NOvertlbef..19...........19 84 Date of Inspection ...................19 Date Completed ............ .................19 .INC TOWN OF BARNSTABLE 20011 Permit No. ---------------------- t 11AANn.A Building Inspector Cash �eypYe` OCCUPANCY PERMIT Bond -_#8055764 No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Robert Calder Address West Barnstable lot #26 100 Point Hill Road, West Barnstable Wiring Inspector Inspection date Plumbing Inspector Inspection date Gras Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING- INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 19 Building Inspector e., :TOWN OF BARNSTABLE Permit No. _-20011 t saesaau J BLlilddIIg Inspector Cash -- OCCUPANCY PERMIT Bond _ X No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No-building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Robert Calder Address -;lest Barnstable lot #26 100 Point Hill Rhad, West Barnstable Wiring Inspector- - Inspection date/,'V'/ - Plumbing Inspecto � Inspection date Gas Inspector j �_ Inspection date !,'Engineering Department � � - /✓�����i Inspection date/- THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE-OCCUPIED UNTIL SIGNED BY THE •BUMDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building Inspector �f ' � S r Q � l r i 1 i ZS 4 LO ELL, YI 1 � L2 �- _ v rJulh -- yi-.�s' � r-��:Ja �•+i�r:i��,`���.J1�.���� - `--- '�- '1..Y��a- �.�"- `��1'_^ G.��- � _ ., r-.�.:� -�-. .l-�i `. � -- _- -� � _�-r -�.�- +^* � P Z,7 G k ty� �• .t X 4� i Fes ` , ,. CT v i> S v P—V t by C-, CO 7 . j •llf1�. ' , i - AKIN h a3o.t6 NF.7- 36-3o t: f�ry.�iirs 9�.�fr't. �'1L'1$titi vpR�l� :�,;� MT Iwo PPCFILT= pWsS:lr-*q tat ► R K♦ �c�l trot- /Vlr16s t , T �t ,►�o� SF r�r Ho�wa7 Mom. 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Q!"( 21 #f 14 1oWrtvK or n 8 , h111 �+F�uND fi '1 2.0 Wm1•op F oocTeN lvr ,L N o WA /loM��t• I — '1 I'Ir14�v�t�D 4 t I A 78 YOPIr• I g y�tc� Dp. ; P.cxK1r+�Ga s +t y S •!r.-� _ -.., .-._ - .�. � -,.. „-- •_.,.._. ._,—v-�--�.,� w..� -„�.r.-.- �, �,.�;.1., ,w�,-..:,ova--�+." -c. �,.. .. - ,. �. ,:,_+-rw.v, ,,,:.•,_.�. •, � .r - —' _ .r Assessor's map and lot number ......: Sewage,.Permi+ number ............... ....................................... -THE TD�y TOWN OF BARNSTABLE Z BARXSTABiE " 9 °",e�� = BUILDING INSPECTOR �o war z r APPLICATION FOR' PERMIT TO ................................................/��✓� TYPEOF CONSTRUCTION ......Y ............................................................................................................... X ...........19 <��' TO THE INSPECTOR OF BUILDINGS: The' undersigned hereby applies for a p`e�rmit according to the following information: Location .....4,.c;�T...... ...' .I ;, !� .i..?•!, C'�..:... 6L,1171 .�.............. ' .......................... ....................... ................................................ ... ..... ..... Proposed Use /1/0M.................................................'............................................................................................................. .... Zoning District ........................ .� ......................................Fire District �✓ 13,1-4—P,b,�T,cl��L c Name of Owner �L`7��...................Address (V4F T" /,)/lt?rU�?'<L/�C Name of Builder .j���•�� ?... /�//x�1...................Address ....../� S•d A/ ft�/C/L Nameof Architect ..........�.......................................................Address .................................................................................... Number of Rooms ..........1 .....................................................Foundation ......ex:� --`;............................................. Exterior L 4;A- 121) �rJoo/) �141AI(20/.- .........?.........................................................Roofing .................. Floors ©%9 ( s#Z �r`..P-5-A ......................................................................Interior .......................,...... .........:...................................... Heating :.... .s. oT �c� fJ; ��f ..... ......................... ................................. Plumbin ........ 44U Fireplace ..............................................................Approximate Cost q ...... ...........�........................................... ........... Definitive Plan Approved by Planning Board ___________------_-----------19_______. Area r.... �.�a. ... ............ Diagram of Lot and Building with Dimensions Fee 0-:4. )IS......�... ..�.. ....... ................. SUBJECT TO APPROVAL OF BOARD OF HEALTH r 4>4 c� ' L 9 . I hereby agree to conform to all the Rules and Regulations of the Town of°Barnstable regarding the above construction. C Name , ............................................................. ` Calder, Robert A=136~41 20011 m1oole family No ................. Permit for .................................... ' � / dwelling � .................. > 100 Point Hill Road � Location ........ . . West Barnstable ----.-----.---,.~.---------.— f / Robert Calder ' Owner ------------------ .. . —.. � .. . . \ frame / Type of Construction -------------- � , � � � no/ ` | ) . - Permit Granted � Date of Inspection Date Completed 19 PERMIT REFUSED > � / --- 19 _-- .. _____.. ' |�� ��� � | L/� ` ............... �� e � �--- —' — - '' —'--------' ] ^----'—'—^'-'`—^^'`^^^'~'`^—^^'--^'---^' , ` - / --. .................................. / � . Approved ................................................ lR ' � --------------.--.—.-------.— > -----------'---------^—^~^^^'' | ' |' ' -- FI„E Town of Barnstable *Permit �° °��(. Expires 6 nronths from 'sue date Regulatory Services Fee + IARNSfABLE, v MAC g Thomas F. Geiler,Director163 - � ArEDMAI'A` HERMIT Building Division JAN - 5 2010 Tom Perry,CBO, Building Commissiontr 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLEi 'www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Pro e Address t r3 T" p JD �� t ► ►� Residential Value of Work O Minimum fee of$25.00 for work runder$600.0.00 Owner's Name&Address N N l��P-C t,+1 LL /� PU(t,)1T /-1l L(, Contractor's Name • ) rl C` Telephone Number Home Improvement Contractor License.#(if-applicable) R L12 Construction Supervisor's License#(if applicable) ❑Workman's Cgrtpensation Insurance . , Chec j,;A a�one� � O �� i I am soles,roprietor Y i ��5���. ❑ I aintfi'e<Homeowner (ti�d ❑ I have;,Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) l i YRe-roof(stripping old shingles) All construction debris will be taken to z 114 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *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. copy of the Hom 4.01 provement Contractors License& Construction Supervisors License is r quired. ;-/j z SIGNATURE: Q:\WPFI Mudding pemut forms\EXPRESS.doc Revised 090809 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/]ndividual): ys V" S 0 Address: ZT) C, GO n.� City/State/Zip: Aft- (n - Phone #: SOg **—"—f 6 Are you an empl - er? Check the app opriate b cp,/ —7 Type of project(required): 4. ❑ I am a general contractor and I I.❑ I am a employer with employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 24 I am a sole proprietor or partner- listed on the attached sheet. T ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P Y• 9. ❑ Building addition [No workers' comp. insurance comp: insurance.1 required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#I 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. ff the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for 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. Bea iced that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covera erification. I do hereby c tify i der the • s n en ties ofperjury that the information provided above is true and correct. Si attire: Date: 1(2 Pho #: Z __7,25 -7 Official use only. Do not write in this area, to be completed by city or town official. 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 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an emplo},ee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An einployer 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-contractors)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 pen-nit 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 6f 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 burn 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 to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900.ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.tnass.gov/dia f I �1NE r Town of Barnstable Regulatory Services HAjiN LE•$ Thomas F. Geiler,Director Lee p 39. 01 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 r, Ayu Yy LL , as Owner of the subject property hereby authorize —TA-0 l GS to act on my behalf, I in all matters relative to work authorized by this building permit application for. 6wo S4�'Z- goo '?0iY.1 I4IL (Address of Job) Signature of own e ate A4.X) f M rL� Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. QTORMS:OWNERPERMISSION i Town of Barnstable �pf 1.1E Tp� o Regulatory Services Thomas F. Geiler,Director RataysrwsLE, Huss. 9� 1639. ,�� Building Division plEDMAta 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 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. 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 y q: 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:\WPFILES\FORM S\homeexempt.DOC. r t�oa"rt oT m mg egu ahg('Affmiar e, {� Construction Supervisor License �g License: CS 73578 Expiration_-2/22/2010 Tr# 18516 Restniibon 00' JAMES F BARTOLINI 26 DEVEAU LANE �,-�_ __-_9 I' YARMOUTHPORT,MA..b2675 Commissioner 9 J I' 6 _ y ,per ✓tie i�om�mzaouueat/�i a�✓vLaaaar�iccaet�6 I \ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR i Registration: 152165 Uul Expir#dnrn. 814/2010 Tr# 273178 ; Type Individual JAMES F BARTOLINI i JAMES BARTOLINI 26 AEVEAU LANE -` YARMOUTH PORT,MA'02675 Administrator 0F1HE row Town ®f Barnstable # Expires 6 oronll s fr om issue drYX Regulatory Services Fee � UJ +- BARNSCABLE, MASS.. ��� Thomas F. Ceiler, Director ATfo MPt A Building Division Toni ferry, C130, Building Commissioner Yu 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Off icc: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red V-Press hnprin.t � Map/parcel Number Proper y Address _..�0-0 & Residential Value of Work=i, _ C _ (Minimum fee of$25.00 for work under$6000.00 Owner's Name<L Address ell Contractor's.Narie_l�� L- f _ Telephone Number I lontc li•nprovement Contractor License N (if applicable)__L��Ug� Construction Supervisor's License #(if applicable) t�-S� o c� 6' torkman's Compensation Insurance eck one: I am a sole proprietor -PRESS PERMIT i am the Homeowner l have Worker's Compensation insurance OCT d 6 2008 41, nce Company Name j'1-(1 — I i tgA{�NSTAB�•E � Worknian's Comp. Policy# �,Cs_�_ '= j=.A— _ Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) C f ] Re-roof(stripping old shingles) All construction debris will be taken � � ltJiL/V— ❑ Re-roof(not stripping. Going over__existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-ValueQlrl�,is1 p • (maximum .44) *where required: Issuance ol'this pennit floes not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. I ***Vote: Property Owner must sign Property Owner Letter of Permission. no��oZ A copy of the home lmprovement C itractors License is required. ��td 9 SfC\'A'I'IJRI?: Q:•WPI II.I S'•.fORMSlbuildingpermit fonns\c PRESS.doc Revised 100608 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street .< Boston,MA 02111 ' .�., .•"'y wtivw.mass.gov/dia � • Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly. Name(Business/Organization/Individual): ",a l Address: City/State/Zip: AL, D;4 one.#: ,�� 07�,-5�+�3 Are.you an employer? Check the appropria a box: :Type of project(required):. 1.❑ I am a employer with 4. ❑ I am a general contractor and I have hired the sub-contractors ❑New construction . employees(full and/or part-time).* Remodeling 2. I am a'sole proprietor or partner- listed on the attached sheet ❑ g ship and have no employees These sub-contractors have g, []Demolition' rocking for me in any capacity, employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. We are a corporation and its 10.❑•Blectrical repairs or additions 3.❑ I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12,❑Roof repairs insurance.required.]t c. 152, §1(4), and we have no 13.0 Other employees. [No workers' 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. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is.the policy and job site' information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: / Uo Fe,(ar f / 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 tip 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 maybe forwarded to the Office of —Investigations of the bIA for insurance coverage verification. I do hereby ti under the pai sand penal ' erju that the information provided above is true and correct. Si a Date: d — Phone#: I Official use only. Do not write in this area, to be completed by.city or town offcciaL City or Town;' Permit/License# Issuing Authority(circle one): A.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.. Other Contact Person: Phone#: �.®..���. �..�.�.�.@.B.H�AY 6-0.Ha�..6• �i:tiA 1J eL A u.m-oi.s.r.v a>r-. . 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 hue, 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-coinplianee with:tlie 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-conti-actor(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 confu-rnation 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 then 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 permitilicense 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 to give us a call. The Department's address,telephone-and fax number:. The Commonwej4t of Musavhusetts Dtpazt=�jat of lndu t al A.caid(mts Office of Invest gat ous 600 Washingtori Street Basta.n,_MA 0.2111 - . T0. #617-727-4900 ext 406 or 1-577-MASSAFE Fax 4 G17-727-7749 Revised 11-22.06 www.mass.gov/dia i Licensee Details Pagel of 1 The Official Website of the Executive Office of Public Safety and Security(EOPS) Public Safety Mass.Gov Home DPS Home EOPSS Home Mass.Gov Home State Agencies State Online Services Department of Public Safety Licensee Complaints License Type Home Improvement Contractor License# 156969 Restriction Company C Et J Hunt Services Name Charles Hunt Address 5341 Tinker St City, State, Zip Buzzardsbay, MA, 02543 Expiration Date 8/21/2009 Status Current No complaints found for this Licensee. Back To Search http://db.state.ma.us/dps/licdetails.asp?txtSearchLN=HIC156969 10/6/2008 L, Proposal..: ........................ .............................................................................................................................................................:....................... FROM: Charles J. Hunt Page. No. 1 of 1 C&J Hunt Services 5341 Tinker Street Buzzards Bay, Ma 02542 (508)563-5043 PROPOSAL SUBMITTED TO: Name: Ann Burchill Phone: (508)362-8402 Date: July 3, 2008 Street: 100 Point Hill Road City: West Barnstable State: Mass Zip: 02668 I propose to furnish all materials and perform all labor necessary to complete the following: Removal and Renewal of Red Cedar Shingles on Barn (Garage).New roof materials will be installed to code and.old materials will be removed from residence. Estimate 1100 square feet of coverage with 18 in. red cedar shingles with maximum exposure of 5 inches. All of the work is to be completed in a substantial and workmanlike manner for the sum of Seven Thousand Four Hundred Twenty Five Dollars ($7425.00). Payment to be made as the work progresses to the value of Fifty percent (50%) of all work completed. The entire amount of the contract is to be paid within 14 days after completion. Any alterations or deviation from the above'specifications involving extra cost of material or labor will be executed upo written order for same, and will become an extra charge over the sum mentioned i hi ontract. All reements must b made in writing. Authorized Signature ACCEPTANCE You are hereby authorized to furnish all materials and labor required to complete the work mentioned in the above proposal for which agrees to pay the amount mentioned in said proposal and according to,the terms thereof. Signature Nate I I I i �. )1'la•tis;tchu•ectt.: - Dep;u•tmcnt ol"Public S; Beard otBuildin," iFct�';u tls { Rc,,ulation.` and Stand I Construction Supervisor License License: CS 100671 Restricted to: 1G CHARLES HUNT 5341 TINKER ST {` 9 BUZZARDS BAY, MA 02542 � umi.�'vi��ncr Expiration: 6/26/2012 ('n Tr#: 100671 V `i. yF TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map - Parcel Permit# � Health Division Date I ed Conservation Division Fee �iz Tax Collector Treasurer Planning Dept. Date Definitive Plan ApQroved by Planning Board Historic-Or,",*Mft� Preservation/Hyannis Project Street Address O l Village Al �'�'� ` Owner7�� �d r sdzo Telephone o`1 Permit Request - !S7L 1,4 U)XY4 jZ--X1We keo �- �-c Square feet: 1 st floor: e 'stin�49 proposed-MAW2nd floor: existinV propose X etal new Estimated Project Co ® � Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size �c?O 0 Grandfathered: O Yes & If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) � i Age of Existing Structure Historic House: O Yes d0d_ On Old King's Highway: des ❑ No Basement Type: ull ❑Crawl O Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new /� � Half:existing /v �- new Number of Bedrooms: existing new � Total Room Count(not including baths): existing new O First Floor Room Count Heat Type and Fuel: 0 Gas � 0 Electric 0 Other Central Air: ❑Yes k Igo Fireplaces: Existing New: Existing wood/coal sto e: 0 Yes �o Detached garage: existing ❑new size Pool:0 existing d3 new size Barn: existing O new size &mo Attached garage:0 existing ❑new siz Shed:O existing O new sizeLd7tldher: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes [Vo If yes,site plan review# Current Use I Z Proposed Use BUILDER INFORMATION Name' ()' (A)1J EV, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A A V . __> 4 SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ` , MAP/PARCEL NO. ADDRESS r.� . VILLAGE OWNER a DATE OF INSPECTIOK FOUNDATION ` FRAME INSULATION FIREPLACE o ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ,L The Town of Barnstable K Department of Health Safety and Environmental Services-Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT 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,alon with other requirements. Type of Work: L Estimated Cost Address of Work: 0 Owner's Name: �,/ yz C� , Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 [:]Bui g not owner-occupied er 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. OR Date Owner's Name q:fotms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents ' _ - Ol/Ice o1/anest/ga�ioos 600 Washington Street - - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit i name: IL U R4, 1 location: no CitV vhone# SF 7 am a homeowner performing all work myself I am a sole y///❑///�%/yi///%///%/%/ % etor and have no one working M' capacity i ❑ I am an employer providing workers'compensation for my employees working on this job. somaanv:n ...................................,............................................:................................................................................................................................... <> <»» ....... ..........::. :::::•::::::::::::::.,............................................:................ .:. 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I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriftatlon. I do hereby eerti/y icier the p ' p offer ur that the' orraation provided above it trrw wrrr� Sigoe= Date 191Z _ Print name V / phone# l official use only do not write in this area to be completed by city or town official city or town: permti/lleeose# O LIcensing Board ❑checkif immediate response is required ❑Selectmen's OIDce • _ Health Department contact person: phone#-, ❑Other Owned 9/95 PJA) Information and Instructions r 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 an 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. 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 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. 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 pe tt/license number which will be used as a reference number. The affidavits may be ret®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 not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 11mce of mvesduallons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 ' Department of Health Safety and Environmental Services Bolding Division L 367 Main sheet,Hyannis MA ami .- vim :ems Office: 5084M24038 Ralph Cross= Fax: 508-790-MO Building CClumissi; soMEawr�sLrC=EMWO ms Loca 0 dqftw zoCoft The aurent emmdoa for was==ded to inchlif of sa nails or less and to WWw homwwnas to engage sn ituiividuai for idae Who tins not pns�s a IIceme, pis)who owras apatcd oflaod an Which hdsha resides ar � ���or is to be,a rms ar two-0ly�8r ar demcbedstrimOn pemon who mors3 than t]40 Kama in a two-yeacpamd slmR not be t�daid a hmnoww- Such shall sobmit to dm Btu'Idmg aWicid en a form to the Bonding O�that lsb Snail be The tmda'sg�d"��d'aattmes�Po��Y� � Wtdtthe State Bm'Id'mg Code and other applicable codes,bYl ^rides aadrgpbnons. The node:= 0ed = f=thathelshe wsim uds the?awn of8amstable$nt7ding Depara CM minima=iasp add andthathelshe Wta cm*lys&said pm=dm=and Al'i J' j Anieqd afBaildioa No M=4=gy dwdl'mgs 35, 00 cubic bees cur Mtge vMbe mquiredto cm*ly with the ' State Building C &Saban 127.0 Cansar mrm CMUOL RONWWNEWS Mw •,aatt d= '*AW dC�w t pith shNlbarsr�t tm s)for p oi®GfditseoianO==l09.1d-iloeasoBaf ao8upms�b lhaittbe6omeowoamBs�SaP bhetodos=bwadc.sm =ckgomeowaasmi musupavbue � � �asapar* t A1� Q ice► a6otsatab==donma==mtmtdW £m MZM 1261u cafawseeae� G&Mwswft t:imapaobtems. ttnle:d--Vvk mss � laddseam.oatumuomd m:,miiamsedpamszitaaaid wttan tlm fmmeowmt ttita wit(t al=6W sapen►bM 'u itomeowmraf 6 m sgMry W is niter of the oosboubm To emme tmtti�e lmmwwmn t y away at�a aka Oama laitpa�e oft>ds is:oe u a 'usedImttSefiomeowoes�tmct�aaad®dttlm fotnsaiaYoar�aity. . by uvad tole:. Yea msy c=to smeod=d adopt soeh a f3=f. d0�0° Assessor's Office a� � Parcel rmit# / 1,5"IS' Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) ! Date Issued �—/ '910 Boarcabf Health(3rd floor)(8:15 -9:30/4:00-4:45) 00 V7ra �a f he �o2S a-d Engineering Dept. (3rd floor) House# THE 19 INS TALLEU @ a WITH T W*et WN OF BARNSTAfiVIF ENTAL CO®E A�3® VIIN lREGULATIONS Building Permit Application PrdressVi Owner '��� mod-- T .. (J}4,s 15 Address Telephone_1"gt Permit Request / First Floor Cj,��, square feet Second Floor square feet Estimated Project Cost $ mow Zoning District Flood Plain Water Protection Lot Size 15 t 19 0 St fz- • ;�Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use IA0,,, )A/ Proposed Use Construction Type VJ po G� Commercial Residential x Dwelling Type: Single Family X Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished X Old King's Highway X Number of Baths Z No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel 1 P} fl 1Q Central Air Fireplaces Garage: Detached ` X Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number ` �� Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. �( JDbRESS ISSUED PARCEL NO. VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH k FINAL I GAS: ROUGH; FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �TMt rowti The Town of Barnstable Department of Health, Safety and Environmental Services BABNSTABLE, = Building Division MAM 1639. ,0�' 367 Main Street,Hyannis MA 02601 rFD MP't� Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: � �a� Name: lnIV Phone #: Address: ©� V , 1\ � Village: Lk-) Type of Business: C-6&<—,U lA�q Map/Lot: '-�--2>-) f INTENT: It is the intent of this section to allow the residents of.the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Sectiop 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which arc not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be rnet on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity, and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Appli '' Date: Homeoc.doc MAC NEILL & FITCH ATTORNEYS AT LAW TUDOR HILL HOUSE ; 88 ROUTE 6A POST OFFICE BOX S49 SANDWICH,MASSACHUSETTS 02563 JAMES R.MAC NEILL .. TELEPHONE(SOB)888-2453 JONATHAN D.FITCH FAX(SO8)888-73SO CLEON H.TURNER October 8, 1997 Barnstable Old Kings Highway Regional Historic District Committee Barnstable Town Office 367 Main St. Barnstable, MA 02601 Dear BOKHRHDC: The enclosed letter was sent to the addressees in West Barnstable regarding structures placed on their property without approval of either the BOKHRHDC or the Point Hill trustees. The addressees have apparently constructed a patio and a patio wall without the requisite approvals. Betty Allen, a Point Hill trustee, has asked that a copy of the letter be forwarded to YOU. Very truly your Cleon H. Turner TG`d'Jid Cyr t MAC NEILL & FITCH ATTORNEYS AT LAW TUDOR HILL,HOUSE 88 ROUTE 6A POST OFFICE BOX S49 . JAMES R.MAC NEILL SANDWICH,MASSACHUSETTS 02S63 JONATHAN D.FITCH TELEPHONE(SO8)888-24S3 CLEON H.TURNER FAX(SOS)'B"-73SO. October 8, 1997 John and Marcia Weiss 100 Point Hill rd. P.O. Box 315 West Barnstable, MA 02668 RE: Property at Lot 26 Point Hill Rd., West Barnstable, MA Dear Mr. and Mrs. Weiss: I have been retained to represent the Point Hill Trustees. Please be advised that this letter is notice to you that you are in violation of both the protective covenants for Point Hill and the Old Kings Highway Regional Historical District rules regarding additions and alterations you have made to your property at Point Hill. Any additions, alterations or structures.as defined in the covenants and restrictions for Point Hill and as defined in the Old Kings Highway Regional Historic District rules that have been added to the property without approval of both the Point Hill trustees and the Barnstable Old Kings Highway Regional Historic District. Committee must be removed forthwith. If you elect to leave the-structures in glace and apply for approval for those structures, you should be aware that neither the trustees' of Point Hill nor the Old Kings Highway Regional Historic District Committee for.the town of Barnstable are obligated to grant any such requests and could require you to remove.the structures or otherwise make them conform to their rules. Your failure' to remove any and all structures lacking either. or both above mentioned permits or to apply to both the Point Hill Trustees or the Barnstable Old Kings Highway Regional Historic District.Committee within ten days will result in actions being brought against you to 'remove the structures. Both entities must review and approve structures prior. to. your placing such structures on the properties. For your information, "structure" includes anything that is assembled from a combination of materials including but not limited to stone walls, block walls, . walls and fences of any kind, sheds, flagpoles., patios, buildings of every kind and nature, etc. In essence, anything that is assembled on. your:property requires approval of both the Point Hill trustees and the Old Kings. Highway Regional - Historic District Committee. You must contact both Betty Allen, Point Hill Trustee c/o Decoy Realty;. 356 Route 6A, Sandwich, Ma 02537 and the Barnstable Old Kings Highway.Regional Historic District Committee at the Barnstable Town Office regarding permitting. for existing structures erected without approvals and for any future structures. Very trul ours Cleon H. Turner cc: Barnstable Old Kings Highway Regional Historic District Committee 77Z'Llllltnr.nrncunir a :FIu3buC7ru`L`u.� J Dcpartnunt of Industrial Accidents ' 0ffi-ccol/ovesUVOUMS .`:t 600 !I uslii►rl;tun Street ;..:. Boston,Mass. (1 111 Workers' Compensation Insurance Affidavit Please PRi1VTle�ib)v Annhcant information• " d ..�� )Denson- 1 am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. comiumv name' - atldre�s• city: phone It• incura ce co policy 0 ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comijiny name: iddress• Cory: 0• incurnnce co policy N �`--f+ --- .�, '.�f.''` -- —:-. 4sn•y.-.,4.::fa�e�t-Q'sr,Y':"�1'!Rt;''�f�'�iiF'*S'W-' .�,�i "7'JVF.03�1►T1�.'5f�•r.'R�+w�Y-a7�!'4!�n"_'tq�,,. ��*4!�sT._�aa�'�,�- company name: - address: - city Phone 0: insurance co policy# :Attachadditional'sh'itIfrieeess��� :;.».: ,.r:z �,.it,�c.,rr,_r.�., - : ,: .•... . ,::.,£,•.....,��� -- --- -__� s`�•::;_ tee....... ,o: Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement mac be forwarded to the Once of Investigations of the D1A for coverage verification. 1 do herebt certi y Jrnder Ili•pains and penalties of perjun•that Ilse information provided above is true and correct. i.nature • -: Date Print name - Phone# Official use oniv do not write in this area to be completed by city or town official city or town: permit/license q rilluilding Department Licensing hoard 0 check if immediate response is required �Sclectmen's Office CJHcaUh Department contact person: phone#; Other + Imised 3M PJAI The Town of Barnstable & 1�P Department of Health Safety and Environmental Services Binding Division 367 Main Strut,HT=is MA 0=1 Office: 508-790-6227 Ralph Cttnsea F= 508 775 3344 Building Commi For office use aniy Permit no. - Date AFFIDAVIT HOME EMROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERKM APPLICATION MGL c 142A requires that the-reconstruction,alterations;reaayratiox n pair,modermraton,cOnvemon, improvement,.rcmonal, demolition. or construction of an addition to acy pro ca awe 0°*c building caataining at lean one but not more than four dwelling units or to which are adjacent to such residence or building be done by registered eontracx M with certain Mcpdons, along with other Type of worts: c 5 .� 6� Est Cost �Oofl Address of Work: I CC) 1�0 ► �Rt2�"� �Cfi O =r.Name: Date of Permit Applic Lion: I hereby certify that: Registration is not required for the following r cason(s): _Work coduded by law ob under S1,000 Building not owner pied Owner pulling own Permit Notice is hereby gh=that: CONTRACTORS OWNERS FULLING THEIR OWN PERNaT OR DEALING WITHLINItEGIS� FOR APPLICABLE HOME McROVEMENT WORK DO NOT HAVE .ACCESS TO ME 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. OR ' Application to 1996 064 00�0�pE�•N'`�P�`�N' . P Old Kings Highway Regional Historic District Committee in the Town of Barnstable fora CERTIFICATION OF EXEMPTION Application is hereby made, in triplicate,fog the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470, Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans, drawings, or photo- graphs accompanying this application. TYPE OR PRINT LEGIBLY DATE ADDRESS OF PROPOSED WORK ���� I U�1 I� .ASSESSORS MAP NO. .� OWNER zyloy10 l ess ASSESSORS LOT NO. 0 HOME ADDRESS d 00 �' � f 1� TEL. NO. 3 A AGENT OR CONTRACTOR ADDRESS �'�`�' I a TEL. NO. This application is for exemption of proposed exterior construction on the ground that: Q (1) It will not be visible from any way or public place. ❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) • PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved,show• ing tbcation of existing building. m SIGNED Space below line for Committee use. Own er•ContractOr Agent i ec e�`nbyl_n-I. ..,CI`' —L- + The Certific a is hereby `aD to Non A 1 • Time F 3ARiga7A;r3L� Date Approved The categories of work entitled to exemption are listed on Disapproved ❑ the back of this form. r- EXTERIOR ARCHITECTURAL FEATURES SUITABLE FOR CERTIFICATES OF EXEMPTION FOR RESIDENTIAL USE ONLY FENCES: 1. Post and rail, split, half round or round; natural finish 2. Square rail;white or natural,finish 3. Stockade;natural or gray stain finish; not forward of face of main building 4. Picket;white only (Maximum height of all fences, 4 feet) HEDGES: natural, not,to exceed four feet in height DECKS: constructed of wood, on single family dwellings, built after 1900, at first floor level, at the rear only, railings not to exceed 30 inches in height, not over 50%to be visible from a way;natural finish or color compatible with building involved BREEZEWAYS: enclosure of existing breezeways, consistent with style, material and color of house, excluding sliding glass doors facing street,way or public place FLAGPOLES: on residential property, not over 24 feet high, not less than 20 feet-from way, constructed of wood, with natural finish or painted white, or of aluminum,or of fiberglas or metal painted white ARBORS AND TRELLISES: of lightweight,wooden construction, not over nine feet high ROOFS: natural cedar shingles,or asphalt shingles per approved color samples;not over five inches exposure to weather SIDING: natural cedar shingles, or wooden clapboards- natural or.approved color; not over five inches exposure • to weather STORM SASH,STORM DOORS,WINDOW SCREENS,SCREEN DOORS,GUTTERS AND LEADERS: permissible if consistent with style, material and color of building LIGHT POST: permissible if consistent with style, material and color of building AIR CONDITIONERS: portable, window units at side or rear of building STONE WALLS: construction of field or split stone, not exceeding 30 inches in height NOTE • 1. 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O 1 eoAG 80A0 80AC 21 5 5. s6Ac v3 (o.00AC � e, % 45 °° 43 . 44 g►� p2�z 42 G sOAc .82AC. WAC 80A. � Lo HILLIARD'S . 23 so ° 47 r •80AC I 1.12AC So I 49 48. J.0(oAC- •80AC 80AC S�1 RECTION OF THE (/'�/�o''o . • 1 OF ASSESSORS v I 1OS ® II 1 ® »(� SCALE 100 1r INC. 6eo6 °j /�/ (.o•a P.29 1 - / 1 1 m o 00 no No IIR , CONNECTICUT a /�/