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Home My WebLink About0000 SANDY NECK (6) UPC 12543 No. 3LOR HASTINGS,MN 0 *t -w FT"Er°�� TOWN OF BARNSTABLE i 33AMSTSDLS, i 9� o p9. BUILDING INSPECTOR 4 APPLICATION FOR PERMIT TO ..... ... .... . ............. �`.... ..................... . ... ............................................. TYPEOF CONSTRUCTION .... .. .. ............................................................................. :.............................. ...1............19. TO THE INSPECTOR OF BUILDINGS: : ' The undersigned her applies for" a permit accordin the' following information: Location ......... .. .. .. ..... ... . ... .....� ................................................................... ProposedUse ... ............................................................................................................................................. ZoningDistrict ............... .......................... ..........................Fire District ............... ...................../..1.. .................................. Name of Owner ...... ....".'.'�G�.I.IX...'....... .. .. ... ... ..... .....Address ................... ......�:�!�........'.. .................... ....... Name of Builder .... ...loe. /��...� ` .......Address .................................................................................... Nameof Architect ..................................................................Address .............. .. .................................................................. Number of Rooms 0o s ..................................................................Foundation ................... ...................................................... Exterior �`� ..............�.'../..�"'--:..............................................Roofing ..................................................................................... a �r Floors ..... ..................................................................Interior ..............................................................................:..... Heating ..................................................................................Plumbing .............� ............................................................... Fireplace ..................Approximate Cost ...Zd.d, D o p ............................... ............ Difinitive Plan Approved by Planning Board ----------------------------19- - --• i� �� -�' Diagram of Lot and Building with Dimensions �' 0 OQ W LL (1) —� L7] V) -� ES LU e. . O O s < c>: ..> . a. �; :_ 0 L.c. W I:', O t V Ocrl) -a Ica O � s �J a LQ O O I— am u Lij 1 ' LIJ l� � }— 0 < (D CL � z I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... ..! . ..................... ' Conant, ' -- � � ^ No -'---~'' ' nr-' 'nr ' -'-'_-g- p---- ^ , Sandy No . � Location -- -- ` West Barnstable .... Fred D. ConantOwner � .. �.�� frame ',- of Construction__ ---------^ � Plot um r ' Permit_~ Granted. ~.~.~~.° -. . . .- ' . - -- of Inspection_ ------------1 ' � - � � - Iw V �- PERMIT REOUSED - . ........................................ lA ..----_____,._,.___,^___~��.�� J� ` ' . ^-~--~.--.--..---.,---,-~..--,- .. ^'~^~'—^-~-'--^~^'---^-^^'^~--'-^'- ` ' .-------.-...---...-.-.-..-_--.. � Approved l� ~-'�-------------' | ' ' -------------'---^-------^^- - ` ---------.`------.-.----...~.- ! � - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Q Map �� 8� Parcel 670 % CO01 Permit# ,,-,Health Division Date Issued Conservation Division 74 - Feed Tax Collector Treasurer apt. Date-Befiniti� d by Planning Board Ftistor' - rvation/H annis Project Street Address �S74� &k Village g°rItS�Q�� Owner A Address !Z A Telephone -7? - g rS Permit Request eai r � J- lb % e o u 2 ffil� re eats ( adl� e , to Square feet: 1 st floor: existing Sod proposed 2nd floor:existing proposed Total new Estimated Project Cost ti,W _ Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Av��x 77�jcb 59 Grandfathered: f❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure war S Historic House: OYes ❑No On Old King's Highway: Yes ❑No Basement Type: ❑Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:'existing NONE new Half:existing new Number of Bedrooms: existing . I new Total Room Count(not including baths): existing 2 new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric Other U)06J 54y Central Air: ❑Yes 0 No Fireplaces: Existing New Existin wood oal stove: XYes ❑No Detached garage:❑existing ❑new. size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No - -if yes,site plan review# Current Use Proposed Use ` BUILDER INFORMATION Name��-pJ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRU TION DEBRIS RESULTING FROM THIS PROJECT-WILL BETAKEN TO n1C1$ t,2 SIGNATURE DATE V a FOR OFFICIAL USE ONLY , PERMIT NO. I. ` DATE ISSUED I MAP/PARCEL NO. I ADDRESS VILLAGE OWNER • DATE OF INSPECTION: FOUNDATION ` FRAME $ INSULATION FIREPLACE ' 4 1 } ELECTRICAL: ROUGH FINAL ' + PLUMBING: ROUGH FINAL GAS: `ROUGH FINAL FINAL BUILDING = } • DATE CLOSED OUT t ASSOCIATION PLAN NO. T e own- of arns a e BABIMABM 9 "M �0�' Department of Health Safety and Environmental Services z jfo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. r' Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW r SUPPLEMENT TO PERMIT APPLICATION MGL c.•142A.requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cost 7-600• ' I Address of Work: '( ,a Owner's Name: �j►Q.+�(�£ L � Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S 1,000 Building not owner-occupied Owner 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. L OR y z s qq Date Owner's Name g:forms:AMdav e co, iucjtuseus Department of Industrial Accidents r_ _-=_ 5, vNer nllntvestfgations i3_ 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit �in�tcsnl✓�rurlttaRcz'////�/////////./,%%/ name: location: city Wn 5 VV`� hone# I am a homeowner performing all work myself. ❑ I am a sole Provrietor and have no one working in any capacity ❑ I am an employer providing workers compensation for my employees working on this job. comonnv name: address: ;:... :..::.. city phone#: insurance cn. aiicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning Nvorkers' compensation polices: comonnv name- address: ::. :•.....:.;;:.;:.:.::..: dtv phone#- msarnnce co. oiiev# ;;.:.....::.• camnanv name- address- city- phone ..:.... ..:.:: insurance co. :<.:... ::;::..,:.: ::..;;..::.,:,....: .. >. ........ . oiicv# , FaDure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of aisninai penaWes of a Gne up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a ttne of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage verification. 1 do hereby certify under?e and penalties ofperjuiy that the information provided above it truo and correct SiQstature pare clq _ Print name R-u cc—, I ` Ltd Phone# 1;6? N ofncial use only do not write in this area to be completed by city or town ofIIeial city or town: permitNcense 0 Muddin g ❑Lke :of ❑ check ifitWediate response is required ❑Sele❑Heacontact person: phone#; ❑Oth (mvea 9,95 P1A1 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation°for,th'.r employees. As quoted from the "law", an employee is defined as every person in the service of another under any col 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 the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the recce s•e: 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 c: 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 Iocal licensing agency shall withhold the issuance or renew 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 Departm=-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 permitAicense number which will be used as a reference number. The affidavits may be rcttaned 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 office of imlesduallons . 600 Washington street Boston;Ma. 02111 • fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 47 Bunning Livision t�axsr�+arE. ' 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION / Please Print . . DATE: T JOB LOCATION: �a i� I — 5444 M'S 7"^'I number Istreet village "HOMEOWNER^: g2u LE h bc--E 5� - Y11 �w , (Z(2 name y/ home phone/n# work phone# X CURRENT MAILING ADDRESS: Sb ettJ- 0Z�y9 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 sul2e isor. 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 pr edures and requirements and that he/she will comply with said procedures and requirements. of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems. particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. e 77 Assessor's map and lot number 1,57 to gels Wo Sew age Permit number _ /ST C e v�( 4& 1 r h .......... �iE' /'��aw Kip�Cit VA C (/ 4 4rEa.r S I/.t��'KJ T"Er°�� Y " TOWN' OF BARNSTABLE wQ O w 6 4t 0 LI C, i BAXIS' ABL i - Q ° "° ; BUI9LDI,NG INSPECTOR a• '£0 YAY --yy++ 0' � � - S APPLICATION FOR PERMIT TQ � ............................ . . C,!0; ... ..GAG!.` ..................................................................... TYPE OF CONSTRUCTION f . .19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit acck g to the following information: Location ........................�_C �n."'�•� .......................................................................................................... ProposedUse ................ L� r... .......................................................................................................................................... ZoningDistrict Fire District ''` ... .............rl.........`..5.......... ........... .... ..... ........ Name of Owner Tre .......t, 4717.0!).,7...... . . d [/.�'Jl0..........rfll...!..................Address ..... ..... ' Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ........................./.....................................Foundation .............................................................................. Exterior ........W.l�.I�.Gt::4�.......—55L e? iks........................Roofing ............ ........ Aaa ........................................ Floors .........�1�,... .....................................................Interior ... .......................:.............................................. Heating .......................................................t---- ...........................Plumbing .................................................................................. Fireplace ............... .................................................................Approximate Cost .................(..r..`s .,.6 :.............................. Definitive Plan Approved by Planning Board -----------______-----------19________. Area �3 L ` i Diagram of Lot and Building with Dimensions Fee .... SUBJECT TO APPROVAL OF BOARD OF HEALTH d14 I hereby agree°to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................... ..`..................... .......................4. fii Conantp Fred Nci��?�...... Permit for ...Deck........................ ............................................................................... Location A.........§AA4Y..X*.4............................. W...BAlm..t ...................................... ................. .. s..........ablq Owner ....Fre.d..Conant ................................................... Fred Type of Construction ....W.9.0d............................. ............................................................................ Plot ............................. Lot .....VkI-A................ Permit Gra'nfed. ..............O.C.t.......4........1977 Date,of Inspection ....................................19 Date Completed ......... ..... .............*.19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................ ............................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number/ L...;............f................... Sewage Permit number .......................................................... N E TOWN OF BARNSTABLE PROF T tp� � , •BJBHSTODLE, i oMAYa.,•� BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ...................:......` i..... ;.......j. ....................................................................... a TYPE OF CONSTRUCTION 1.-- ...................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: . The undersigned hereby applies for a permit according to the following information- Location Lpcation ...............................................................`` ................................................................................................................... i ProposedUse .......................�......I�.;...................................................................................................................................... Zoning District ........................................................................Fire District .............. .`:..... % y!,s ............................. Name of Owner .!pl� ( ../I...Y T1,,,,f.........,,Address 'rY......i.......:.......................................................:.,........... /I S t Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ...................................................................Address .................................................................................... Numberof Rooms ..........................!.......................................Foundation .............................................................................. Exterior M,.47.1- C - /m!� u —S�' �J''��,,�1/IfI�./..............................................................Roofing ........ ... ............................... Floors .................I .............. ......................................................Interior ..........�,/ :� ,. .. ................................................................... Heating --— .............Plumbing 1-1 Fireplace ...................................................................Approximate Cost / Definitive Plan Approved by Planning Board -----------_------_-----------19-------- . Area ..... ..3 'Diagram of Lot and Building with Dimensions c Fee r""'� ...............'.......... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH / 1 r 'i v I I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. — r Namerf ......................................................... t Conant, Fred No ...1g47. ... Permit for ......Deck..................... ............................................................................... Location J....Sandy..Neck.................................. LO ....................... ...rus.t,able..................... a Owner ...Fred-Ci6nant...................................... Type of Construction ...Wood Wood................. ................................................................................ Plot .......... Lot ..183-4..... Permit Granted ....................October„1$q 77 Date of Inspection ....................................19 Date Completed ............:. ...............I.......19 PERMIT R FUSED ........ .... ...... . .. .............. 19 s .* ........ . ............. ... .................................. iff . ..... ................................ 1 ....................... .... ' Approved ................... ......... ................ 19 ........................... .... ............................. .................... .... . .............. _ t