The URL can be used to link to this page

Home My WebLink About0073 FLEETWOOD PATH i � '� i t . �' l.. - � of ° I p t►,E, Town of Barnstable *Permit# Fee 6monthsfr issue date Regulatory Services • L►xtvsresre. • Thomas F.Geiler,Director prED MA't A Building Division Tom Perry,CBO,•Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.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 �? �/G S"3 Property Address `�3 A`� lb/(�D f' � /��/l� � �/ot GZd'y dResidential Value of Work$ Minimum fee of$35.00 for,work under$6000.00 Owner's Name&Address r, !__, e ryx"D C� 73 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: PERMIT Construction Supervisor's License#(if applicable) JUL 2 5 2013 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor TOWN OF BARNSTABLE H 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 j r eplacement Windows/doors/sliders.U-Value Sei (maximum.35)#of windows D 3 #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. r 1 ***Note: Property Owner must sign Property Owner Letter of Permission.. b'v A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\FORMS\building permit f;;LEYP S.doc Revised 061313 4% y' The Commonweakh of Mussachmset£s D'eparhnent of ladusiria(Accidents Office of fnuestigadons 600 Washington Street Boston,MA 02111 wwmmass govldia Workers' Compensation Insurance Affidavit Bmiders/ContractorsMectricians!Plumbers Applicant Information Please Print I*dbN Name musiinPss1O,g �onandividoai) 1/d,Il l �. Z i C'M 16� . i Address: l 3 �I �' + cAJ T� City/Sta&Zip: ' 5 _G 1 3 I V 14 Phane�# S0 SO " 3 Cep Are you an employer?Check the appropriate bond Type of project(required): 1.❑ I am a employer with 4- ❑ I am.a general contractor and I employees(full and/or parr-time)- have hired the stub ctanfzactors 6. ❑New construction 2.❑ I am a sole proprietor or parties listed on the attached sheet. 1 ❑Remodeling ship and have no employees These sit-contractors have 8. ❑Demolition working fad me-many capacity. employees and have wwkers' [No workers' comp.insurance �o�p-inst:rance l 9. ❑Budding addition egoired.] 5: ❑ We are a'c'orporation and its 10.❑Electrical repairs or additions 3,V I am a homeowmer doing all work. officers have emercised their 11.❑Plumbing repairs or additions myself [No workers'cutup_ right of exemption per MGL 12-❑Roof repairs insurance required.]Y c_,152, §1(4),and we have no employees.[No workers' 13.❑Other comp.msurance required,] •Any app&coat flat che&,sboa#1 must also fill out the section below shamngthekwm$ery compensifimpolicy infflmaation_ Haaieawaers wba submrit tbis affUhnta i&cating they are doing all wmk and then hoe ouwde coat wwn»st submit a new affidavit indicating wCIL tCaut mctors'dw Cheek this boot mats[attacbed m addittaaal sheet showmg the name of the snb-canftzcbn md'state whetbEr or not those enttoes bates empbtyees. If the snbtantmctms basm employees,they must provide tteeir wwkm'comp.polity number. I am an employer that is providrng workers'compensation imurance for my empinyee�.�Ifdow is the policy and job site information. Insurance Company Name: t, ti 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 imluisonment,as well as civil penalties in the farm of a STOP WORK ORDER and a fie of up to$250.00 a day against the violator. Be advised that a copy of this staememt may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cacti ?under the pains and penafties ofperjury Mat the information provi t�a ue ubo ' h and correct "Zas � ' Date- Phone#: - O,;UWd use only.. Do not flute in this area,to be completed by city or town offs at City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.BarZding Department 3.Citglfown7Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone 9: I Town of Barnstable Regulatory Services ' E& Thomas F.Geller,Director MA Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: /n�/ Please Print l o� 7 �j Q � �/� _ rn JOB LOCATION: 1L ` ,0� 1'a �` ��- s 1 � �,•L L 5)t \ mmnber a', street village "HOMEOWNER" Da—V I z .SO" 3�� 60$� 6 3G� '�� 3� tee ---home phone# work phone# CURRENT MAILING ADDRESS: I O o p(l ' cityttown 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 qcedures and requirements and that he/she will comply with said procedures and requirements. Signattne ofH m..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 persou(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 applicationjAhat the homeowner certify that he/she In 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\demUik\AppDataU.ocal\Microsoft\windows\Temporary Internet Files\Content.0utlook\QRE6ZUBN\EXPRFSS.doc Revised 053012 -'` !1 Town of Barnstable 0 Regulatory Services t ,,MASS. g Thomas F.Geiler,Director 163q. 16 '°'�n►e�' 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 as Owner of the subject property hereby authorize to-act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner ' Signature of Applicant Print Name Print Name Date Q:F0RM2:0WNERPERIv=0NP00LS 62012 IHE r Town of Barnstable *Permit# 2 00 Expires 6 months from issue date 3 saRttarKSLe, x Regulatory Services Fee MASS. �SS PERMIT F.Geiler,Director 1� 111' Building Division 0 �`� OCT 11 2006 Tom Perry,CBO, Building Commissioner �� 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLe ww.town.barnstable.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 To Property Address C T:4e , I °J ❑Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 1 �at�wmRAS Mi. Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box)NO Re-roof(stripping old shingles) All construction debris will be taken to A0 — D(SfbstrL ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *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. Home Improvement Cobtractors License is required. SIGNATURE: ` Q:Forms:expmtrg Revise071405 1 The Commonwealth of Massachusetts Department of Industrial Accidents + Kul. ' Office of Investigations it Ir� I ;-Ua 600 Washington Street U.-j,' Boston, MA 02111 c z�' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): I 1 2l�jm Address: 13 City/State/Zip: M1 / �l�M Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3. I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Ai ature: Date: Phone#: s�� 1;�"OQ 0 — 1�3 G Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �_ . .w 4 r 7 i y i v t Z, 73 Fleetwood Path , MM 10/11 /06 7- W1, ``R. `►jy. t �y. ' t Mmill q y , y L o-, z. - E - :y f i i 5 { r f 2 k T r '. � +-•� _" ,. x elm• — A. P x . Flo - .r ..5 t A a„ D, aw I } - CeA I 1 a - - • • • 1 1 • m 4- c 74 74 t 4 .. n, G , r rC - � R it .y �� Yn A I.r..f .Sw. %...m' • •¢. . � . �Mv,n� y�.:�r � F 0 Aw u � ,� 4((; t .,�_....,a ...... .ems-:�s,+Ai F ! ' t .. I l � ' � E a �. i _ � ..._ r) jj� kS rT I �o r a, v 4 T ' t II n Ij I yy T �Y ° i a c n A > m s s " s t � f R > v� 54 a P h MM 10/ 11 /06 73 Fleetwood at , TT''TT s . j - s e ..t t;. 1_ .o 2..tit - �� .rt- � - -" ,•�� ° ��,�'/.%'. r ''< . 5 f ,,,. • � ..saw:-�~r�� .�.._ s 7 < l AM �OAF1FA.t �,,` "4a s� - r f•.a �•J/" F , i� a xP f .�� •, . +art _ 1 Y�� r Wi� • w D F � s ,•j• s s Y y .*. � it . • r'�, r • s il • � f �av t i P ►r 1 y s :. �`.-' �_ .•'' .!'S'yt, '-b� �'*♦ '.x fh+ �1" �� F a`�t� 'i t4yli ',3f t�, r ,/ �1i,!. .n b . ;�'#4%� ! J' y� - 1 .,.i'`��t` �� •'y t4eqy,�j �y rl.�ti Y"if� _ .r: �+ e w � i�W)'•' 'i� rT f f /� ,r „�� %•!f loam— •9t:" �- ---�: -,- �e'a7�1's• d, �5� � , r .1?� �'J � f.+� d, q'' s� � �.::�-K r ;�:. +'�l �.+� ,�.$'�` Y •K �j � "^� .s•j��. .hi'.VO.�. _. %.:� �}j��p'�i r } ��? ��• �. .:sa• ��+ � �t ... � r .� � �•" � *`��1,. ',°°j .,.t;; '`�.-.; ��'Jr`l► � ; Ia}�; �,. kt+.r�,.. ;s, ' d�9' ,�•g i�. i 1" �.. J(� � � t��¢%.� • �:��. a• �ws:�r'u a �jjt � � .:t "{� 4 Y �'� iV�'�` °� �i t ;;'.>��?t'` �� ,M`•y KS�� f _ f :,�i�7.t !�'r� � '� .r•'fs Yr F �c 4' lye d• n � _ it R • 3 t FAW I' 40-1-- - A A 1kn:, :�•'�•3s*i —' — am ;� -1018 y ba--'' ,w �47 r;d w - • • • � � � a Assessor's map and 'lot number ./ .r�:..... 3. 7 C Sewage Permit number-!.......................................................... TOWN OF . . -BARNSTABLE i BASH9TLHLE, i oYa.• 4 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... �a�l�C. ......:Sf.�`.�a P/....�" ✓.;. �..:J,jl�r�/`L/i!!c....................... =, / TYPE OF CONSTRUCTION .. r/!'/s?i7 E ..................................................................... 6 7G TO THE INSPECTOR OF BUILDINGS: -The undersigned hereby applies •for a permit according to the following information: Location ..................................................................................... ,/✓..5.................................................. ....................................... Proposed Use .. �w l f F�.y► /+1 ......................... .y. ........................ ...........................` ........................................................................... Zoning District ........`...............Fire District ....................... Name. of Owner �v a PP N E:d to q..R�...17! -4 Address /�/6 2t�► .��"" /� /�/�4/S k. ................. ................. .... .... , . .� .. p.. :......... .. ......... Name of Builder ,Y/ Nf .... ;l/l,l. ................Address 131de..;G?G2k y m./1,1r,/�.:..11Y/'X A-YS ... ........... Name of Architect C .....:..................Address ....: 7,).,?."—� � 1 �. ................. .................................................................. Number of Rooms .........Foundation .`� a U Pik ..` ................................................. T�/j 'V' ��14P/�o�92/7 ...Roofing �p�,,9L-r' Exterior ............................ ...................................... ... ........................................................... Floors p� 'V :.Interior p' y ................................................................................... ....M............. ............................................................ Heating .........................Plumbing ................. Fireplace a N� ..........Approximate Cost .....�8/ 4 ........................................................................ ........................................... ! ......... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .......................:...... Diagram of Lot and Building with Dimensions Fee A^............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH �` 5 N I hereby agree to conform to all the Rules and Regulations of the-Town of Barnstable regarding the above. construction. Name ` l/�<{.�., q� .....��.... ...........%��................. Healy, Joseph Edward A=47/-33 > o r ' 18557 1 j 1 2 story,No ................. Permit for .................................... ' single family dwelling t . r Fleetwood *Path Location I. 4 Marstons Mills } ................ . ...................................................... Owner ..........Joseph. . . .. ... Edward Healy . ...... . .. ............. ......................... ;} Type of Construction .............frame .......... ........... ' Plot ��320 ............................ of ... ...... ............. Aug us 3 76 Permit Granted .......... Date of Inspect on ........... Date Completed ......:...............................19 PERMIT.REFUSED ............... .......... .... 19 ...........� . ............... .. . ... ....................... .................... ................. Approved ......... h� 19 ...... D' . .......or .................................... 1 ,p Assessor's map and lot number ....... 7.....�.`... `3 4�' d L - ^3'7` SEPTIC SYSTE 1 MUST BE INSTALLED W ' `- Sewage aPermit number . +�� COMPLIANCE WITH ARTICLE If STATE •` y SANITA ND TOWN TM E TOWN O F BARN `�'L IB�:L, �----- _ 3ASB:9TADLE, • t D i5q :e� Q BUILDING - INSPECTOR :a YPY a' :i.i C` C APPLICATIOW FOR' PERMIT TO U ` TYPE OF CONSTRUCTION ..................................................................... 7../A.....................19.�6 TO THE INSPECTOR OF BUILDINGS: The undeegned hereby applies for a permit according to the following information: L07;32 rL 6: C f"Gua c 0 p + /YI�9/�s Ao^IS ��'r Location ................................................f..................................................... .......s................................................................ Proposed Use .. S.l.ti y �/9m `r �u' ZoningDistract .! 3........ .....? :..:.......................Fire District .............................................................................. Name of Owner �o 2�l Ed w.l�.. �.../7CL. .Address 'z /✓6 .....3 T' /YIA�t/9/..®jS � ................ Q p L , Name of Builder �./�.�'/�'!0.No.... �� ................Address :.1.1.�fl ..f... 2��.Y.... Nameof Architect .................................................Address .... S7�M. ................................................................. Numberof Rooms ..............................Foundation ��.................................... .................................................................... Exierior 1:.1 �L/ �DAi2�...............................Roofing �5p/'......AL'"........................................................ Floors 'V e ` �VR tv1t/1 ... ...................................................................:.........Interior ....y.............. ........................................................... Heating ............Plumbing ou Fireplace ..a A�e.....................................................................Approximate Cost .....�Az ..o................................... .... .... Definitive Plan Approved by Planning Board ________"_______________________19--------. Area . .. .......' ........... PC" Diagram of Lot and Building with Dimensions Fee .��......... ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH l p �II N � h 00 h . N Wall I hereby agree to conform to all the Rules and Regulations of the own of Barnstable regarding the above construction. Name . �'t.'' ................ Healy; Joseph Edward 18557 1 1/2 story, No ........ ........ Permit for :................................... 4%gle family dwelling Fleetwood 'Path Location ....... ...::............................................ Marstons Mills Joseph Edward Healy " Owner .................................................................. Type of Construction frame i #320 Plot . ......................... Lot ................................ Permit`Granted ...........Aujust 3...........19 76 4 Date of Inspection ...! ..�/�6..v/.�..�.".1 .Date Completed .... ..........19 PERMIT REFUSED - .......................................... 19 .... ... ..................................................................... ......................................................., ....................... .............. . ................................... ......... . ................ ................................................. Approved .........:........:.......................:..... 19 ............................................................................... 4p V� r� �3 � 0 ,k I I . f ' F � ' a w� 4 CHARM ol ? 4+3 CEQTIF�FJ 'L0T R—At l Pao. F.:Jv'IJr�T/Ov l.»re- 7165/76 A x TCe. uY L- IJC. O ST SZO LIL— o 1-1 oIJC-�Z L Town of Barnstable FTNE l Regulatory Services Thomas F.Geiler,Director Lo BMtNSrnsi.e. MASS. Building Division �ArEo 39- ° Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 00 PERMIT# V�3 FEE: $ S SHED REGISTRATION 120 square feet or less Location of shed(address) Village. lyao - os 7 Property owner's name Telephone number xl � � �+ 3 Size of Shed Map/Parcel# 1• Signature Date I Hyannis Main Street Waterfront Historic District? ��o Old King's Highway Historic District Commission jurisdiction? �� 0 Conservation Commission(signature required) 9// 0 3 1� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 azanv T avid ac Laura Zk m a tocatim 0.mper t y:3tarewn wl iZ45 .dot 32� Lot 321 Z07 85 -- i .Lot 327 zo N d¢ck � � 1 \ " r ` ,Cot328 - - 2$7.Z6 ' Zo t= �l9 r¢f:C¢r t l 0?7l Z '�ocC jax�eC 2.50001 Do l s C- f�oG�goY1 e: G I fure6y certify diar thu's•y&n,&u kem� fte ��a of MgS�c Kax ffrnan � �anne� and &Izm S or � g ''4y qfu dwe 5hm4v fwmru dva trot ad iry a s�eciaC ,EgKN,flwdT. PAUL 6 6 a . wi�i. an a ec�t'ive o re o 8-19-as a tie Coca t'iary GROVER H of tCce olive do e-5 '� Tt to tw C"C�o �' 6 -Caws LW .A �.31311 A Y ,e a ar tCi.e time c f construcdom waft respect to Viorr-on.raL a'mensiona.0 Yz rrmry vs.gkis Cary.was not mac r Moro es or r u ira. 4eed fie crapriom t�ri 'catiZon �, �.� Gros c mension aces or Cot-' co ar on. 6e� as hetovpi� a a,ccu.ra.t in 's�,ero9e wCaic(� re ' nnat'aovv� ' t5 skown. `i'ere®�v. 9&r �a ge pt yoses 2.69 SSE-C, hUIOMR,( a$S 02339• P'2E 61?826•Z1� { 6iZ:S2� 2'�