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Home My WebLink About0550 OAK STREET (CENT./W.BARN) UPC 12543 No. � ,PIV HASTINGS. MN f �01-T r Town of Barnstable *Permit# ti Expires 6 u 0&4A,issue date Regulatory Services Fee iaARVSrABLE, Thomas F. Geiler, Director o,�rFl ka�p Building Division Tom Perry, CBO, Building Commissioner ,PRESS PERMIT 200 Main Street, Hyannis, MA 02601 www.town.barns table.ma.us Off-]CSU5Q 362CQ38 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY TOWN OF BARNSTABLE Not Valid without Red X-Press•Imprint Map/parcel Number Property Address 5 <�D Q�`�� Sirce 1 I.( r� C�Z' " ll Residential Value of Work e Minimum fee of$35.00 for work under$6000.00 Owner's Name & Address SK Contractor's Name i— &(Aj1!jej— )_Telephone Number �y Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 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 rood KRe-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .35)#of windows *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 required. SIGNATURE: Q:\WPFILESV0RMSlbuilding permit forinskEXPRESS.doc Revised 072110 . r The Corr moirie'ealth ofilfassachusetis Department oflnrlustrial Accidents �--� Office of Investigafions _ 600 Washington Street Boslozr, AL 102111 }w'rt.nR ntnss.got�Jdirr Mforkers' Campensation Insurance Affidavit: Builders/Conti,ictors/Ele.ctlzcians/Plumbers Applicant Information Please Print Legibly Name usrness/Or abomZndividaal : CitylState`1Ztp PhDne #: Are-y u ahr employer?-Check the zp•proprlate boa:: f Type of project(required)- 1-❑ I am a employer with 4—r0-I am a geuieral contractor and I employees(full and/orpart=Buie). * ]have-hired the sub-contractors 6. ❑New constratctiou 2-❑ I am a sole proprietor orpartner- listed on.the attached sliset. 7. ❑Remodeling and have no employees These mb-contractors have 8. ❑.Detuolition working forme in any capacity. employees and have workers' 9 Bui[drng addition corn insurance.. [No workers' camp,insurance p rluired] 5. We.are.a corporation.and.its 10.❑Electrical repairs or additions I am a.homeowner doing all work officers have exercised their I I.0 Plumbing repairs or additions � °�- myself o ivorkers'oo right of exemption per NMI, � 12.❑Roof repairs imunrrce:required.] r c. 152, §1(4), and we have u•o etnptoyees. [No workers' 13..❑Other comp.:insurance required.] Any appticaut thatchecksbox#I.nu v also fill out the sec Goa belaw sbowing their workers'conrpensa:tion policyinforvzatiao_ 7 Homeowners who submit this.affidavit indicating they ale doing aft w4n*end then hire outside contractors must submit.a new affidavit indicating such. "Contractors that check this:boa rarest attached an additional sheet showing the mine oftbe sub-cantractors and state wbether or not those entities have employees. Ifthe sub-conuactors:hsre employees,.they.must provide their workers'comp.policy number. I act an errrployer that is providing workers'contpev.-mndon insurance for ccry eatplcyees. Bebiv is the policy'and7ob site infomt atioit. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of thee wtir-kers' compensation policy declaration page(s:hor«ng the policy number and espu-ation date). Failure to secure coverage as required under Section 25.A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP'WORK ORDER and a fine of up-to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D.IA for insurance coverage verification. I do heroby�c ff cinder tliepaiiis a)td pettalh'es of peiyjiry that tIte ii forrtiahon pros idid a bone is trite and correct. ature: —Dif te:/ Phone M O -rial use onIV. Do riot write in this area,to be completed by cite or town official i City or Torn: Permit/License# IssningAuthority(circle one): 1.Board of Health 2. Building Department 3. City/To-wn Cleric 4. Electrical Inspector 5. Plumbing Inspector 6, Other Contact Person: Phone#': F �o lH r i Town of ]Barnstable Regulatory Services � �`"$inssB. �;$ Thomas F. Geiler, Director b39• A ra,,,�r Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b a rn s to b l e.ma.us Office: 518-962-4038 Fax: 508-790-6230 --------------------___________—_ HOMEOWNER LICENSE EXEMPTION p� Please Print DATE: 1�a�� O JOB LOCATION: a.irt� S ✓] number ,`` street Gt village "HOMEOWNCR"_9,\1CN.h names home phone N work phone N CURRENT MAILNG ADDRESS: b t� � .- Q city/town style zip co e 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) 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 p o edures and requirements and that he/she will comply with said procedures and requirements. ignature o�H,�,nr 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[hat: "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 ofconstruction 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 supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.)5) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannotproceed 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•understanits 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 072110 �y�Op THE Tp� aARNSrAHLE, MASS. 39. IbJ9• � Town of Barnstable �� pTE�MAy A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO - Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mi.us Office: 508-862-4038 Fax: 508-790-6230 Proper/�h t Complete anctio If Usi act propertyhereby authorize t on my behalf, in all matters relative to work authorized by this b ding permit application for: (Addres of Job) Signature of Owner Date Print Name [f Property Own is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. QAWPIi LESTORMSIboilding permit formslEXPRESS.doc Revised 072110 To_eBamsb� Geographic Information System September d \�ƒ DISCLAIMERS: map,for planning purposes only. i.not adequate for lega mm,& &:0 N boundary___,_regulatory interpretation. Enlargements beyond.scale r o »mk,maeE Total Assessed mue�$255500 Selected Par FJ are only /meet $omap � parcel lines/this map� / pe Co-Owner:r MI,<mmo MA<& Acreage:1.04 me Abutters . w-Y 1E boundaries and e not represent accurate relationships,physical features e the map Location: OAK STREET such_building locations. Buffer Aerial Photos Taken April 19,23 • r' •f_ I -f"�-�",.v.�.�'+«..w�^'- -`�a'K"�,.�,.",,,':.r'�'VV'r'VWe'^...�n-sr�M'�wiSjdtiY"�^,�wKrpj.,..e,.^a�a:�s:,."-^=.rt-��ww �:v iyr► - 1 .Assessctu s .map and lof number .11!!a,...:'.TL .....::�,O ;.Z� � - �eG ~- 7--M-7-c -SEPTIC SYSTER � EE INSTALLED IN CO MKIAA Sewage Permit number ........:........ ...................................... WITH AR►ME II ST�il"'1E�. SA ITARY C019 A> . PDWN Qy��THE T TOWN " .OF BARN T , :�E�-, i B6EHSTdDLE, i �"6 9 BUILDING- INSPECTOR 0 Mac APPLICATION FOR PERMIT TO ^ �a:�0. ` .! ......Y 4�a .:. ?'�'.................................. TYPE OF CONSTRUCTION ..............W.1.fJ. ..................................................................................................... ......................1911C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to t�hne�following information: Location ....ak.....m........... .,. 5!� ?!15 �1?v.........Y."`�S. ...........:..........................................................:.......... ProposedUse .........................................................:................................................................................................................... ZoningDistrict ............ ...F..............................................Fire District .............................................................................. n . ..1 Name of Owner .......................Address C./?T S"T .� `�ft`^a �J,l . Name of Builder a y .........Address ........� _....�. .. ........ ?.•..� MA Name Name of Architect ... k 2�° A 2�.. .4�� ddress ............ ......... A�a-�,>•........... Number of Rooms ..:.�007.a.4kt.A-b� .......................Foundation. ........ ..1.�1.C, .................................................. Exterior ........WY\x\.g....�°., _ 1A�...... .............Roofing �,Rc S\�,.�► ..................................... Floors .........Interior ...........��, Heating ..... .....: .>.°.sue...........................Plumbing ...........i. ........................ 1: �:0 Fireplace ..........�.....................................................................Approximate Cost .. ....... .................................. Definitive Plan Approved by Planning Board __� -------19-7 Area ?�1 4 Diagram of Lot and Building with Dimensions Fee 7s . ............ ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH SY�i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... .��..I.. . .......................................... Larkin, Natalie add to single ;No ...... Permit for .................................... famil dwelling' .................... Location ..........Oak...Street . . . ................................ ...... ...... . . .. West Barnstable ...................................................... Owner ..........Natalie Larkin ........................................................ Type of Construction .........f.r.a.me....................... . ................................................................................. Plot ............................. Lot ................................ Permit Granted ............July. 1.0.............19 75 /�S O �„ 9 Date of Inspection ..... Date Completed .....................19 PERMIT REFUSED ................................................................ 19 ......................................... ................... ................ . ................................................................................ ............... ..................................................... Approved ................................................ 19 3' ' ............................................................................... ................................................................................ ' Assessor's mop and |o* number _-',..��.. � � , �� . 5evvogePermit number ---!-'_��'------------ " SINE ��7�� r�� K �� TOWN�� |� � �]� BARNS TABLE �� BUILDING 0 �� 1639. ��0N N 0-0N N �� INSPECTOR ��=��0m 0 0N �� ---~ ^ APPLICATION FOR PERMIT TO -..-'�-.�.-'��--.�.-.---�.-----..�_----------------.. ' � � . TYPE OF CONSTRUCTION ----....^-.--.....---------------------------------. ' ................................................l9........ ' ~ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: ' Location .................................................... ................................................................................................................................. ProposedUse ............................................................................................................................................................................. Zoning District ----..�.------------------Fire District .............................................................................. , . Name of Owner -'----_-'� ....................................... ---_--�-.------.—._-.----_---- Nona of Builder ............... ---.-----.--------A66nss ---_-----------'--.`.../`.................... Nome of Architect -'.. .......................................................... --------.'.c'----;..-----...-----' Number of Rooms -.-----_.- ..i' ..........................Foundation ---.c.---.^`..----------------' Ex|erior .............................. ...................................................Roofing ------'..-----._-----------_- ' - Floors ----------------------------..|ntehcv ------.-_-----------________.. Heating ............ ..................... ......................................Plumbing ---'...'-.`-----------_________. � ........................................ ' | Fireplace ---------------------------.Approximone Cos -----_---. Definitive Plan Approved by Planning Board ` ` lg-/---' Area -----.�.�--''�---. , . Diagram of Lot and Building with Dimensions Fee ..................... ________ SUBJECT TO APPROVAL OF BOARD OF HEALTH _ ^ I hereby agree to conform to all the � � � . . Rules and Regulations of the Town of Barnstable regarding the above � Nome . ^ - - . ' ....>�._� --.. ---. -. -- -. .. -. -----. . .. ' . . . � Larkin, Natalie A=194-20 | ' ! ' 17809' add to single No ................. Permit for .................................... family dwelling.! --------------------------' Oak Street —`ati-- '---- We . . Barnstable ..... �� ' ` Owner ..............14 t a.1.i.e L.a.r.kin..................... frame ,,- of Construction ...... ------------ ................................................................................ � � Plot -------^ �� ' | _— ----------' | Permit Granted ..............Jolv..lD... 1975.......... Dote of |n^r~^' ^u ' ''lV / ~~'= Completed | PERMIT REFUSED / ! | / ' lA| ...................................— -- ------------ ----' ------------ ----' " / ----. ' ^ . � ^ � ..................,—� .. .. lV . �*� � --------------------------. ' - ' / -------`--------------.---. / Assessor's map and lot number ............................. Sewage,Permit' number .......� y.. � ........... TOWN OF BARNSTABLE Z BABH4TADLE, i + BUILDING INSPECTOR I APPLICATION `FOR' PERMIT TO r/1ilGl„A. ......... '��1 .:r !�.........1.ti?..C.sl�\ ?:F� ,,.�i!� :T.YPE OF CONSTRUCTION ......... �?.ca. �'.................................................................... ............ ........ .. ....19.../.:..1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap lies for a permit according o the following information: Location ... ° ... ........Fr Proposed Use ./-,...�c!L© .... `�� c= .`�..:.1.. �.z ....�� 5.....1. Zoning District ..............,`..\ .................................. Fire District ..... G2�� .^�'�f' 2,,...............................r........... / ,,/ c f� Name of Own /j. 11�/ - ..././.�. /'/.........Address ...... ��C'./�.... �..1.�. .... Name of Builderb�.Q. .f�:7W!4 ...1.. � .� ..Address ....................L .�. .....`�.�... Nameof Architect...........1..� n G............................:.........Address. ................................................................................:... Number of Rooms .... .............................................,................Foundation ,�:� 1..�.�.'........ �.., ............................ Exlerior ..W.3�.!...1..`C.... .P�?.: .?�........ . \i. .............Roofing ........ .?....... . .............. Floors \� �,D��.��..n �,.J .:j. l`J. f4. � Interior . .t` .�L�.a ....................................... `- Heating �� r, -' .,�e�s,. Plumbing .... p 1j�. r Approximate Cost � �.<. .4....................................... Fire lace ....... .. , c 1..t ..L....... `. ...... Definitive Plan Approved by Planning 'Board -----------_-------------------19 . Area „....................... n Diagram of Lot and Building;with Dimensions Fee r SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Towq arnstable regarding the above- construction. Name . ... �rllC...I. �C.. .. .t-�....,�..... .... .. . - |� Larkin, Natalie H. A=I94~20 ' � ~' � 20146 ' ~ enclose breezeway '. No ................. Permit for . . ' . |� ------ --' -------------- ` � ` �ASt. ^ . Location ............................................. ^ !� West Barnstable � � ---.----------.~.----------- � . '� Natalie H. Larkin ' . , . frame ` ',r^ of Construction^ . ) / \ ' L ' 1 28 78 � Permit— Granted— , Dote of Inspection, ^ . ' ' ^ � Date Competed � . ` PERMI EF SE � ^ ' —' � " --. --. ----�i ----. . ` ' \ ............... ................. .................. � \ �^ '------~~--'—^^'~^----^—' ----' � ^r~ � ----.—.—.-----.---.—~.—....`--~.— ` > ' ` ^ . � Approved ---------------... lQ / - ' .. � . ------------.—.------------. � ----�---`-----.—.----...~--..,... � , IIn '^ Assessor's map and lot number ..1.�'7.....� :0 Q(� �G/`32- } r SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE Sewage Permit number ....... ✓! .. WITH ARTICLE II STATE - r SANITARY CODE AND -TOWN "ET°�� n TOWN OF BARNSTAIME Z EARNSTSDL'E, i "AM tDING . - INSPECTOR • G� i639' `e0 � - •E • r. cti cc o APPLICATION FOR PERMIT TO .�-&:c,-&0-4;4....... ?�1.��?��.�....��..2s�\f�2 r TYPEOF CONSTRUCTION .........W.5.0�4-.......................................................................................................... .... ... .f -........ .V. .,9...7.1 TeTHE INSPECTOR OF BUILDINGS: - The undersigned hereby applies)for a permit according ag to the following information: j� Location . .'1. .;/....V......... . !.�!'� ...... 1..:. '.V...?� .... ./�.....?. �.?'.tS ....................................................' 6 Proposed Use ..�-....! CSC.D � .... .. .`� `/C.�Z .... s..... Zoning District ...............?4...............................................Fire District ..... ?&6�.`^ ..��.s.................................. 110- Name of Own . . .. . . &............t........ �.�.� ........Address`O � � �✓�• /��"� Name of Builder-J.P,11, .,,9:7:4(-A'W l. ...lQ4,R.'V.Q. ..Address C4 E' Rq... /`. ...... � Nameof Architect ..........n.lz.�. ......................................Address ............................:....................................................... Number of Rooms ..... ...................................Foundation .!a. 1S).Zn. . . . Exierior ��. .`C�..L� `4 `�Pr? ` ....�. . . ? .............Roofing .........�.-:,C1J..i.?. .... . ................................................. Floors � v.�s�.^u�`J� , Interior �.... •E`t4s�c`.. ......�.!�a.e.,�?`!�.: ...0 I:if4 �A�............. `� ................................................... Heatin ��. .:.R-.. .;�.t�f.. Plumbing �nk.....�.g .... ........................................... g .....,5. Fireplace ........n. ................................:........................Approximate Cost...�.0j0:r..�'7.Q.................................... Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area ...e.'.4....... l`. . Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Ci P I � � I � I I O 0 I V I hereby agree to conform to all the Rules and Regulations of /Town table regarding the above construction. Name . .. .:v ....��........... Lark n' , Natalie H. 20146 enclose/breeze y No ................. Permit for .................................. . ............ V............................... .......... ........ �---�Oak St. Location ........................................... .. ................ West Barnstable ......................................................................... Natalie H. Larkin Owner .................................................................. Type of Construction ....................frame...................... ................................................................................ Plot ............................ Lot ........... ..................... April 28 78 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed ...........Aex ................19.......... PERMIT REFUSED ................................................................ 19 ............................................................................... ...................................... ...................................... .......................................................................... ................................................................................ Approved ................................................ 19 ............................................................................... .............. ............................................................