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HomeMy WebLinkAbout0355 SANDY NECK e S M E A No.53LOR UPC 12543 smead.com a Made In USA OI � onplSOM e+rswows ow wc � e Ft r Town of Barnstable *Permit# �1 (0 � Expires 6 months from issue date Regulatory Services Fee • • BARNSfABLE, Mass. $s63q. Richard V.Scali,Director 9� �0 A�FD�r p Building Divisx- EE Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 0260MAR 15 2016 www.town.barnstabl ggty��s,i Office: 508-862-4038 WIN OF BARNSTA x: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL 0 Y / Not Valid without Red X-Press Imprint Map/parcel Number 'JaJ$ © � 2 M Property Address 35 �jc�,mac] N a_c L,- C0 acts r1 Ski 1>>P t I A N.4esidential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address rnc_)o_I 1 F010vn% I L4 17 —T—",)<-,t coq t1 S mc�, D 2sc3S Contractor's Name � VV Telephone Number Home Improvement Contractor License#(if applicable) n 10. Email: n /c>,, Construction Supervisor's License#(if applicable) / c.. ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 5 I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) �Re-side Replacement Windows/doors/sliders. U-Value (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Ho a Improvem nt Con ctors License& Construction Supervisors License is required. SIGNATURE: C:\Users\Decollik\AppData\Local\Microsoft\ i ows\Temporary I n ile ent.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 r Regulatory Services ' v t►+e tp Richard V.Scali,Director 0 Building Division HARNWABLK ` Tom Perry,Building Commissioner 9 MASS. 1639• � 200 Main Street, Hyannis,MA 02601 Argot s 1, www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: (C JOB LOCATION: 2)S C:�D sp,n(A�.t tAP cy- C-0 1 )ar,StCLh�0 t tam number street village HOMEOWNER": Q11 1) E,-f,ro( '2)O$ 3CD(:_') 5-71CQ name c home phone# work phone# CURRENT MAILING ADDRESS: CPS\A 1-t= I 04- 0 1 S 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 shall be responsible for all such work performed under the buildin�ermit. (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"homeow that he/she understands the Town of Barnstable Building Department minimum inspection procedures and re ire procedures nd /she will comply with said procedures and requirements. Signature of Home o er 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. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PIOlDHR\EXPRESS.doc Revised 040215 The Connnornvealth of Massadjuselts Deparhner t of Industrial Acciderrls Office of Invesfigafions 600 Washington.Street Boston,M4 02111 tpwiv.nias&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/E ectizcians/Pinmbers Applicant Information I Please Print Legibly Name(BudnesslOrganizationdMiividual)- CrOL113 ll $�hf` 44 Address: CAC1 W q r*0t4_- RA City/State/Zip: (C®tu%,L- m one# got, l-(e Are you an employer?Check the appropriate box: Type of project.(required): L❑ I am a employer with 4. ❑ I am a.general contractor and I * have hired the sub-contractors 6. ❑New construction. employees(full and/or part,-time). 7. Rtmrodelin 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 working for me:in any capacity- employees and have workers 9- ❑Building addition [No workers'comp-insurance: comp.insurance.: • d] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. 7am homeowner doing all wcik offtoers have exercised their 1I-❑Plumbing repairs or additions myself [No workers'comp- right of exemption per IVIGL 12.❑Roof repairs insurance required_]I c. 152, §1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required-] ;Any appticamt that checks bore#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidatut indicating they are doing all wart and then hire outside contractors mmst submit it new affidavit indicating sach- kontractors that check this bore must attached an additional sheet showing the name of the sub-comtracmrs and state whether or not those entities have employees. If the subcontractors have employees,they must provide:their workers'comp.policy number. lain art employer tliat is providing rtwrkers'courpertsatimi insurance for aiy employees. Below is the policy and job site inforatadOIL Insurance Company Dame: Policy 4 or Self-ins.Lic.#: Expiration Date: Job Site Address: City/RtatelZip: 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 tine up to S 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 DIA f9F insurancecoverW verification. I do hereby,certify rut pair d perjury that the information provided above is tnte and correct S- ture: Date: 2_0 Phone#: <1 -1 1 (D Of jzcial rise only. Do not write in this area,to be completed by cfty or town of ciaL City or Tomm: PermitUcense# Issuing Authority(circle one.): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: s TRUSTEE CERTIFICATE PURSUANT TO M.G.L. c. 184 § 35 Name of Trust: "Crowell Family 2012 Trust" Dated: March 3 , 2012 We, Aliicia Crowell-Furrer, Jeanne Crowell Willis and Laura Anne Swartz, Trustees of the "Crowell Family 2012 Trust", under declaration of trust dated March;�, 2012 (the "Trust") as the current trustees, certify as follows: (a) We are the current Trustees of the "Crowell Family 2012 Trust"; (b) The trustees of the Trust have authority to act with respect to real estate owned by the Trust, and have full and absolute power under said Trust to convey any interest in real estate and improvements thereon held in said Trust and no purchaser or third party shall be bound to inquire whether the trustees have said power or are properly exercising said power or to see to the application of any Trust asset paid to the trustees for a conveyance thereof; and (c) There are no facts which constitute conditions precedent to acts by the trustees or which are in any other manner germane to affairs of the Trust. EXECUTED, as a sealed instrument under the pains and,penalties of perjury on March 3 , 2012. Aliicia ero ell-Ft Jea Me: 'To..ell.Willis,Trustee 1- u :a Anne Swartz, Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this, . day of March, 2012, before me, the undersigned notary public, personally appeared Aliicia Crowell-Furrer ,, Jeanne Crowell Willis and Laura Anne Swartz, Trustees as,afor. aid proved to me through satisfactory evidence of identification, which was , to be the individuals whose names are signed on the prece i g or attic .ed document, and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of their knowledge and belief. [official signature and seal of notary] NoPublic lv1 C'oxrihii ion Expires: MAT1 HEW J.BRESETTE h rdl;lldbk ,:i�4y t;�s:nmI,�,,,a rxp t C w-; ,rr r nntt r - Print Page 1/2/15, 1:41 PM Print this page • Owner Information - Map/Block/Lot: 338/012/ - Use Code: 1010 Owner Map/Block/Lot GIS MAPS FURRER,WILLIS,SWARTZ 338 / 012/ Owner Name as of TR 694 SANTUIT ROAD Property Address 111/15 355 SANDY NECK COTUIT, MA. 02635 Co-Owner Name CROWELL FAMILY 2012 Village: Barnstable TRUST Town Sewer At Address: No GIS Zoning Value: RF-1 • Assessed Values 2015 - Map/Block/Lot: 338/012/ - Use Code: 1010 2015 Appraised Value 2015 Assessed Value Past Comparisons Building Value: $ 46,200 $ 46,200 Year Total Assessed Value Extra Features: $ 8,400 $ 8,400 2014 - $ 276,600 Outbuildings: $ 60,200 $ 60,200 2013 - $ 276,600 Land Value: $ 161,800 $ 161,800 2012 - $ 172,300 2011 - $ 175,100 $ 276,600 2010 - $ 182,200 2009 - $ 219,800 2015 Totals $ 276,600 2008 - $ 229,400 2007 - $ 229,400 • Tax Information 2015 - Map/Block/Lot: 338/012/ - Use Code: 1010 Taxes Barnstable FD Tax $ 777 25 (Residential) Community Preservation $ 77 17 Act Tax http://www.townofbarnstable.us/Assessing/print15.asp?ap=O&searchparcel=338012 Page 1 of 4 Print Page 1/2/15, 1:41 PM Town Tax (Residential) $ Fiscal Year 2015 TAX RATES HERE 2,572.38 3,426.80 • Sales History - Map/Block/Lot: 338/012/- Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: FURRER, WILLIS, SWARTZ TR 2012-03-08 26141/178 $1 FURRER,ALIICIA CROWELL TR 2009-09-22 24045/328 $1 CROWELL FURRER, ALIICIA TR 2006-01-06 20635/278 $1 CROWELL,JOHN N 2005-08-31 20218/1 $29000 CROWELL,JAMES & CROWELL,JOHN N 1997-07-31 10878/60 $0 CROWELL,JAMES & CROWELL, JOHN N 1997-07-31 10878/59 $0 CROWELL, NYE & VIOLA 1953-06-03 843/396 $0 • Photos 338/012/ - Use Code: 1010 • Sketches - Map/Block/Lot: 338/012/ - Use Code: 1010 http://www.townofbarnstable.us/Assessing/printl5.asp?ap=0&searchparcel=338012 Page 2 of 4 Print Page 1/2/15, 1:41 PM TAT ,'BA'S: �2 19 1 -2d. AsBuilt Card N/A • Constructions Details - Map/Block/Lot: 338/012/ - Use Code: 1010 Building Details Land Building value $ 46,200 Bedrooms 2 Bedrooms USE CODE 1010 Replacement Cost $61,623 Bathrooms 0 Full + 1/2 Lot Size (Acres) 0.1 Model Residential Total Rooms 4 Rooms Appraised $ 161,800 Value Style Cottage Heat Fuel None Assessed Value $ 161,800 Grade Below Heat Type None Average Year Built 1910 AC Type None Effective 25 Interior pine/Soft Wood depreciation Floors Stories Interior Walls Wall Brd/Wood Living Area sq/ft 481 Exterior Walls Wood Shingle Gross Area sq/ft 1,244 Roof Gable/Hip Structure Roof Cover Asph/F GIs/Cmp http://www.townofbarnstable.us/Assessing/print15.asp?ap=0&searchparce1=338012 Page 3 of 4 Pr4nt-Page•s 1/2/15, 1:41 PM • Outbuildings & Extra Features - Map/Block/Lot: 338 /012/ - Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value DKAV Dock-Ave 1 $ 58,000 $ 58,000 FEP Enclosed porch- 102 $ 5,000 $ 5,000 roof,ceiling WDC Wood Deck w/o 306 $ 2,200 $ 2,200 railings FPL2 Fireplace 1.5 1 $ 3,400 $ 3,400 stories • Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area (Finished) SOL Solarium BMT Basement Area (Unfinished) FUS Second Story Living Area (Finished)SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area (Finished) GXT Garage Extension Front UST Utility Area (Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story (Finished) PRG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio http://www.townofbarnstable.us/Assessing/print15.asp?ap=0&searchparcel=338012 Page 4 of 4