The URL can be used to link to this page

Home My WebLink About0047 WILLOW STREET OxfordNO. 152 1/3 ORA ESSELTE '0% a i t)d r i ice ' 1C E TOWN .OF BARN$TABLE a CERTIFICATE OF OCCUPANCY ADDRESS 47 WILLOW, STREET PHONE (508)790-3245 W BARNSTABLE ZIP - LOT J BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB W PERMIT 34239 DESCRIPTION PERMIT. TYPE BCOO TITLE CERTIFICATE'OF OCCUPANCY CONTRACTORS: _ :Department of Health,Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 THE CONSTRUCTION COSTSw. $.00 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE PW?E:.__ ; * BA 9rABLE;1 MASS. .r,'�► i6S9. A�0 BUILDING I IO BY � DATE ISSUED 10/23/1998 EXPIRATION .DATE - . { » •'+ ;- Department of Health, Safety . and Environmental Services MASS.'. „ 039. .� BUILDING DIVISION BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET.ALLEY OR SIDEWALK'OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHt _NTS ON PUBLIC PROPERTY.-NOT SPECIFICALLY'PERMITTED UNDER THE-BUILDING CODE,MUST BE'APPROVED BY THE JURISDICTION.STREET OR ALLEY r,(ADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DERARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS `'=p',T"JOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. _ „u;ALL ONSTRUCTION WORKIMUM OF FOUR CALL :, REQUIRED APPROVED PLANS MUST BE RETAINED.ON JOB AND _WHERE'-'APPLICABLE,.SEPARATE .,FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED-UNTIL FINAL INSPECTION pER'MISS A ARE• REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL'•MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- "ELECTRICAL,PLUMBING AND MECH- (READY'TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT CAL.INSTALLATIONS. 3.INSULATION. C.CUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. . 4.FINAL INSPECTION BEFQRE`OCCUPANCY. POST THIS CARD SO. IT IS VISIBLE FROM STREET BUILDING INSPECTIOWAPPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL-INSPECTION APPROVALS., V. PIT. 1. y - y. I• �� tot 4 � . / / V v 3•• 1 HEATI�NoG.INSPECTION A „R, LS ENGINEERING DEPARTMENT d� cQ S �' BOARD O HE ' �' r 1� � OTRIERaC SITE PLAN REVIE PPROVAL WORK.'SHALL=NOT"•PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS.INDICATED•ON THIS., THE INSPECTOR HASAPPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED'FOR BY VARIOUS-'�STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEF'HONE OR WRITTEN NOTIFICA-. TION '' NOTED ABOVE. TION. 1 ' � 1 � l t.' ..l � •. re 1, AI' �. NG' ' ' '1 B -I L D I PERMIT I: j Engineering Dept. (3rd floor) Map Parcel_ Permit# '9j -b House# '� �� Date Issued V Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) • 4,. tA a Fee � �o��jF a-a /Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 , ; 37 aquiew eta �Jd*t�Gv x� A, cayfiR/y IRI;,7'L�Lwl �� a�$ lA;C2. TOWN OF BARNSTAB jIMENTAL CODE AND Building Permit Application TOWN REGULATIC-151 Pro t S OetAddress Village. Owner Address 6�A&,Y'!5 Telephone - P mit Request �J First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District 416 Flood Plain Water Protection Lot Size It d Grandfathered ❑Yes ❑No Dwelling Type: Single Family M Two Family ❑ Multi-Family(#units) Age of Existing Struc re 1, Historic House ❑Yes Rio On Old King's Highway ❑Yes M_T o Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1640 Number of Baths: Full: Existing T New j Half: Existing New No. of Bedrooms: Existing & New Total Room Count(not including ba hs): Existing_ New First Floor Room Count Heat Type and Fuel: ❑Gas Q Uil ❑Electric ❑Other Central Air ❑Yes [INo Fireplaces: Existing 'i New Existing wood/coal stove ❑Yes 211�0 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) Bone I(Shed(size) JflQ S�F� ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use 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. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE , • j ' OWNER DATE OF INSPECTION: + + FOUNDATION , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH,'"° FINAL FINAL BUILDING DATE CLOSED OUT ` { ��?e j �b t ASSOCIATION PLAN NO. + �. '• • - OF�E TO{Y . � The Town of Barnstable • wsxsTnsi.e. • ' � Department of Health Safety and Environmental Services AjFDMA'�a Building Division 367 Main Street,Hyannis MA 02601 I • Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only r 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,along with other requirements. Type of Work:&i{tI Est. Cost '— Address of Work: Owner's Name Date of Permit Application: _ illfrA& I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. wilding 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. OR ,. Date Owner's Name The Cti mtun►+'ealth of Afassachusctts • mil '` _�'� Department of Industrial Accidents t y l r •� : ` •. `:.. � ; � . . • . • 011ice ollMstlgallons - :;.�.__: 6(1(1 fi'aslling-tun Street Bovon. Afars. (12111 ' Workers' Compensation Insurance Affida%vp it 51ictin nformation._ Ple•tse PRINT-le-ilily� namei c nhon• gf I am a homeowner performing all work my elf. CD I am a sole proprietor and have no one working in any capacity _ 1 ._ .S�.•v��., ...,r.�.�T��.�..r.,r.rAs�r�frwR7R7•"�6�:/.�•:��-_-� - :.:��i - -_ • _- ~:�!•��.�.�..',_, �`��..�,r•..`-. rj I am an employer providing workers' compensation for my employees working on this job. emmnnny name: -- address: - - city: nhnne i!• insurance co nolicv d I am a sole proprietor. general contractor,or homeowner(circle one) and have hired the contractors listed below who is the following workers' compensation polices: comnin• n•tmc• •tddres city phone Of: insur�ncc co nolicv i3 _ _ _ cnm 9n{' name• •tddre s, city: Rhone M• _ insur•tncc co __ noiicy M Attach addittidnalsheetiftieces_s��'•�i%t"v� ��:"^��rs�i�,� ty t_ .' rr-•_• _`� �„i` '•^"�'� �='��"`A"��ys.e�.rc •ra.:.. Failure to secure coverage as required under Section 25A of hIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.UU andi, one years'imprisonment as wcll as civil penalties in the form of STOP WORK ORDER and a fine ofSI00.00 a day against me. I understand that copy of this statement may be funwarded to the Once of Investigations of the DIA for coverage verification. I do herchr cerrift'tllytq the pains and penalties of perjun•that the information prodded above is true U rr t. Si_naturc Date Print name Phone# ��• � � �olriciai use univ do not write in this area to be completed by city or town official city or town: petrtnivIlcense q rlBuilding Department Licensing Board check if immediate response is required E3Selectmen's Once C]llealth Department phone#: rcontact person: •IUther f information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' ccnnpensation for:1•. employees. As quoted from the "la%%", all etnpinree is defined as every person in the service of another under am contract of hire, express or implied, oral or written. An etytplt!rer is defined as an individual. partnership, association. corporation or other legal entity, or any two or me the foregoing eniaued in a.joint enterprise, and including the le=al representatives of�a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However 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 dweliin`_ I- or on the arounds or building appurtenant thereto shall not because of such employment be deemed to be an emplo\ . MGL chapter 152 scajon 25 also states that every state or local licensing agency shall withhold the is. or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant Nvho lids 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 contrast for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation all( supplying company names. address and phone numbers 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 reeu:- to obtain a workers* compensation police. please call the Department at the number listed below. City or 'rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botton- the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returner 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 questi please do not hesitate to give us a call. I .-,,..�....�.. .,4..��..- ...- _._.. ,.-� .. .,......,........_. 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 fax #: (617) 727-774.9 e TOWN OF BARNSTABLE .BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE . JOB. LOCATION - Number Street address Section of town "HOMEOWNER" Name Home phone Work phone - - PRESENT MAILING -ADDRESS • �� LLB _ ' � 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 such homeowners to engage an in- dividual for hire who does. not possess a license, provided that the owner acts as supervisor-. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, 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 Stat Building Code .and other applicable codes, by-laws, 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 wi h said procedures and requirements. HOMEOWNER'S SIGNATURE �L APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION _w The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home' Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarenes often results in serious ,problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed. Supervisor. The Home "Owner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, man communities require, as part of the permit application, that the Home Owner 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. � ?'gyp ' t .. •i � � Y f - • j . 31C� f • � - 44 C irF+;1 $- � e �-^ h! � 9lf; il`m'' :�y_ 4!��1 tf • z' K I TG Q 1-12 4FIt LI'VI I'IG KOO t'I c = Y E— Ajll1a, pOw rh` 'u"i:.,(/4� A►nwvco a: ORAV N . OAT[:Ll, • ,6i� IRYIND ri,