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0038 MAPLE STREET
I J�QECYC(F00 UPC 12534 No.2�153_LOR HASTINGS. MN ICI ,::.,„. 4 P '� e �~k �' o .r �,`' i:.': �_;� e �"a Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept '"ARIL Posted Until Final Inspection Has Been Made. Permit _h Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-2394 Applicant Name: Dave Collins Approvals Date Issued: 09/03/2020 Current Use: Structure Permit Type: Building-Sid ing/Windows/Roof/Doors Expiration Date: 03/03/2021 Foundation: Location: 38 MAPLE STREET,WEST BARNSTABLE Map/Lot: 132-020 Zoning District: RF Sheathing: Owner on Record: AHONEN,JEAN A Contractor Name: DAVID COLLINS COLLINS Framing: 1 GENERAL CONSTRUCTION Address: PO BOX 150 2 WEST BARNSTABLE, MA 02668 Contractor License: 128799 Chimney: Description: New cedar shingles back of house and garagelgables. 3 cellar Est. Proj!t Cost: $ 11,400.00 windows garage door and trim. replace back door aluminum Permit Fee: $58.14 Insulation: awning. / Fee Paid: $58.14 Final: Project Review Req: Date: 9/3/2020 Plumbing/Gas Rough Plumbing: 110 This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuan icia Final Plumbing: 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. 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 Rough: 2.Sheathing Inspection 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 5.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: "Pers ing with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). �. Fire Department �-t- Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT oelm Town of B �C� 11 o s 8 Barnstable Permit# Regulatory Services �ees6months m aeylate MASS 039. ��� Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number_ ! -.;ZO Property Address f-1-141! -r lti,C T- s>a ❑ Residential Value of Work As"oo Minimum fee of$35.60 for work under$6000.00 Owner's Name&Address 3�11 r� R C Contractor's Name_ �Y.. �'� -I,vso•� Telephone Number 3 iZ. '7 1 Home Improvement Contractor License#(if applicable)_ ,dam / V I Construction Supervisor's License#(if applicable) IS^y 09 ❑Workmen's Compensation Insurance PRE PERMIT Check one: © I am a sole proprietor j F P ' 9 )li j ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF 6ARNSTABLJ-- Insurance Company Name�L S�l✓ , 1r. ���,�� Workman's Comp. Policy# ZO D/ z0 1 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders. U-Value � Jo (maximum .44)#of windows 1-r r...Ot- '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 Home Improvement Contractors License & Construction Supervisors License is requir SIGNATURE: Q:IWPFILESIF0RMS1b ilding perm formslEXPRESS.doc Revised 070110 . The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information p 1 Please Print Legibly Name (Business/Organization/Individual): Address: /6 o C, S T City/State/Zip: (A-, 1��, s- �1{ Phone #: 3 v - 3 Are you an employer? Check the appropriate box: Type of project(required): 1.❑.I am a employer with 4• ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insuranceJ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall 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 employees. [No workers' 13.�]-Other comn.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. iContractors 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. If 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: P-Al,L -SS,, 1v z,s c. Policy#or Self-ins, Lic.#:_ 2 l �' O R O Expiration Date: �/�/�/?o j z Job Site Address: FY r?4 k.►.s�,, (L� City/State/Zip: d a C 4 6- 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 unA�teins and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: SU 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#: �THE' ti Town of Barnstable ' •�' Regulatory Services auuvsrea[.E. MASS g' Thomas F. Geiler,Director 05g6 �0 ►�+a�' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1_ I, L°c.L n ''`U , as Owner of the subject l property . hereby authorize �U �+ p L to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) D D- **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Giro ' c S' afore of Owner Signature of Applicant ►'1 e— Print Name Print Name Date Q:FORM&O WNERPERMISSIONPOOLS 9 �THE Town of Barnstable Regulatory Services s a anaxsraBLK : Thomas F.Geiler,Director y Mass. �A 1639. �• Building Division ri�c�„pr a 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 dwelling 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 Persons)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 mimimum 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 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:forms:homeexempt . f Z Parcel a;?—a Permit# "7 - - W. Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)8-1 2- Fee02$' Engineering Dept. (3rd floor) House# BIKE BABNSTABLE. D anm 19 � ��� ��A a o .� TOWN OF BARNSTABW, � � 6 �^ Building Permit Application roje t Ad ress 33 Matb�e illage r►19 10 C A Address Telephone 3 F Y( , .Permit Request P-0--S 1v3 I-e t c 7 Ss" First Floor square feet Second Floor square feet Estimated Project Cost $ 12 0 d 6 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use I 1 -z,3 // Proposed Use Construction Type w�:}�' Ce�o,�r s4 �t�2g �QS Commercial Residential Dwelling Type: Single Family . r Two Family Multi-Family Age of Existing Structure 7 ye,`s Basement Type: Finished �� ? Historic House Unfinished Old King's Highway Number of Baths No. of Bedrooms 3 Total Room Count(not including baths) First Floor cam' Heat Type and Fuelp> > [� Central Air yp •� �o C) Fireplaces � r Garage: Detached Other Detached Structures: Pool �►.)p Attached Barn None Sheds �d Other Builder Information Name Telephone Number Address License# i 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 PERMI• DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY e 1 ' PERMIT NO. DATE ISSUED i MAP/PARCEL NO. -- ADDRESS VILLAGE , OWNER f DATE OF INSPECTION: f FOUNDATION ' T FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ~ ' FINAL - PLUMBING: ROUGH FINAL GAS: ROUGH. FINAL FINAL BUILDING 9'ep DATE CLOSED OUT ASSOCIATION PLAN NO. , TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please ,print. DATE JOB LOCATION 1�r 'e 1r . 'Number Atreet address Section of town "HOMEOWNER- Name Home phone Work phone PRESENT MAILING ADDRESS City town State Zip c, • The current exemption for "homeowners° was extended to include owner-occ, dwellings of six units or less and to allow such homeowners to engage an dividual for hire Who does not possess a license, provided that the owne: acts as supervisor. DEFINITION OF HOMEOWNER: Person(sJ who owns a parcel of land on which he/she resides or intends tc side, on which there is, or is intended to be, a one to six family dwell: attached or detached structures accessory to such use and/or farm structt A person who constructs more than one home in a two-year period shall not considered a homeowner. Such "homeowner"' shall submit to the Building Of on a form acceptable to the Building Official, that he/she shall be resnc for all such work performed under the building permit. . (Section 109.1.1) The undersigned "homeowner" assumes ,responsibility for compliance with th, 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 requiremE and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFI IAL Note: Three family dwellings 35,000 cubic feet, or larger, will be requir to comply with State Building Code Section 127. 01 Construction Control. c� HOME OWNER'S EXEMPTION The code state that: "Any Home Owner performing work for which. - bur' Permit is required shall be exempt from the provisions of this sectioi (Section 109. 1.1 - Licensing of Construction supervisors) ;* *provided tl Home Owner engages a persons) for hire to do such work, that such Hor shall act as supervisor. " Many Rome Owners who use this exemption are unaware that they are assi the responsibilities of a supervisor (see Appendix Q, Rules and Regulz for .licensing Construction Supervisors, Section 2.15) . This lack of often results in serious problems, particularly when the Rome Owner hi unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Rome" wne. as supervisor is ultimately responsible. To ensure that the Rome Owner is fully aware of his/her responsibiliti communities require, as part of the permit application, that the Rome certify that he/she understands the responsibilities of a supervisor. last page of this issue is a form currently used by several towns. Yo-, care to amend and adopt such a form/certification for use in your Comm- , : r dt� . The Town of Barnstable - NAMS Department of Health Safety and Environmental Services � Building Division 367 Main Street,Hyannis MA 02601 Ralph Crow Office: 50&790-6227 Building Commissioner F= 508-775-3344 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,coaversron, improvement.,removal, demolition. or construction of an addition to any pr am� ed t building containing at least one but not mom than four dwe ling units or to sundrues +e to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: L Est.Cost 1;2 Address of Work: S Q Owner.Name: Y�- iS ��► i`�Q�e�Y.-� Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied i =Owner pulling own permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH L7N1tEGI51D 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 Owners name r The Commonwealth of Atassachusetty -' ;�W •�►- -�._ Department of Industrial Accidents Y ' oxce8/11MOS119Mees 600 11'a0higton Street 4• ,+; Boston.A1uss. U2111 Workers' Compensation Insurance Affidavit _ eas ennlsa�-n nformafion-�• _ " Ple PRINT..�,�y�s��_, c.'L I e c� am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one work-in,in any capacity 1 am an employer providing workers' compensation for my employees working on this fob. company r•irt • - Idly phone N• insurance co policy# �.:,...�: .. ,. _._ _ .'.,....._.�r•..-..ewe-, _ :.... .. . ._.. ..--_•. -..._- ��::.:. •.-"'r'. •'..',-.^ . . - 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: comiDany nnnt address: phone N• su policy# I-.�.� ...•- .. . Mcs[!a-rT•..�..-a�..�...--..rt-ncr+nGecn►-zs--•arrr-�.�+ti.,-rJ�ir,Ls*1�e7°���t7:�fr f7 _''i►..e����R�^"'9'/�r�!„-'..•"'.�'� tim any name• address: city phone N• cur policy# �w :Attach additional sheet if'tucessa ""'{"' "'`' 7. V ^~ Puilurc 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 NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herebt•certify under the pains and pqJI-afties of peduq•that the information provided above is true and corrax r Signature Date Print name hone# r official use only do not write in this area to be completed by city or town official city or town: permit/licease# r•tlluilding Department C3Licensing Board p check if immediate response is required 0Seleetmea's Office C31iealth Department contact person: phone#,- -Other • ,�• 4 Irevised 1.95 P1A1