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Home My WebLink About0018 ANGELL ROAD 8 An�e 1 � "�'icl / - - - Town of Barnstable *Permit# ,�b-1 c)3(o3 i Expires 6 raontGs front issue date ��- Regulatory Services Fee _C� HARNSfARt.6. MAsa. Thomas F.Geiler,Director 1639. o +" Building Division PL_ Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 5j' (0Cr&_I Property Address l e f1 nG LQ -)ad ,-`A\q Jl 1r1 Yl I5 , rvR P Moot_ t %[Residential Value of Work 5,�Q•OO Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address h('�� I�P,I 1 ��lJni'ICGS' Son? Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance -PRESS PERMIT Check one: ❑ I am a sole proprietor J U N 12 2007 [� I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [� Re-roof(stripping old shingles) All construction debris will be taken to ��C(.(e L(6L 4 ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum .44L *Where required: Issuance of this permit does not exempt compliance with othertown department regulations,i.e.Historic,Conservation,etc. ***Note: roperty Owner must s' roperty Owner Letter-UP-Cy4ibsiole z 14 ome I ontr ctors License is required. l�U4 SIGNATUR :�; Y.v.. Q:Forms:expmtrg Revise071405 &N 1 ne t ommonwerurn of iY u3au&rs"acaa Department of Industrial Accidents Ofiee of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/orpnization/lndividual): H W Ill 0 P L L cid(-)n o c Address: I C I L Q 0 0 6 City/State/Zip: ti Phone#: 1U --373 -q 5 4 '� Are you an employer?Check the appropriate box: Type of project(required): i.❑ 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.❑ 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. workers' comp. insurance. 9. ❑ Building addition [No workers' comp.insurance 5. [1 We are a corporation and its - 10.❑ Electrical repairs or additions required-] officers have exercised their 3. I am a homeowner doing all work right of exemption per MGL I IQ 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#I must also fill out the section below showing their workers'compensation policy infonnation: t Homeowners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating such =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the polity and job site information. Insurance Company Name: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: VR- 4 Vlr,eJ J t2C('1 d City/Stat62ip: 4 DZCQG Attach a copy of the workers' compensation policy declaration page(showing the policy nu ber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 15.2 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 ce n er tiTi p edury that the information provided abo e is true and correct 0 Si afore: Date: Phone#.PAL q 7L y5 Offlcial use only. Do not write in this area,to be completed by city or town o.&ial City or Town: PermitUcense# 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 M I Town of Barnstable,. Regulatory Services • Thomas F.Geiler,Director BARNSTABIX MASS, �6� g Buildin Division 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:�� (� a +t JOB LOCATION: l S number street village "HOMEOWNER"`.R i jiftel APl��dl'1Cl S �I/6/,G—-77 Fj q,f.4/ name home phone# work phone# CURRENT MAILING ADDRESS: cityhown 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 co nsidered 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 mi in in ins ec on pro es and requirements and that he/she will comply with said procedures and r rl n . i ture om wrier 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 frilly 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 y A-isessor's map and lot n`u'mber'.......�.....��...............�........... *THE l��q Sewage Permit number • 1 Z EAUSTADLE, i House number ................::...................................................... ro rpsa p 039• 9� 0 MAI d\ T � TOWN OF BARNSTABLE BUILDING -INSPECTOR APPLICATIONFOR PERMIT TO ........... ...................................................... ............................`........................ TYPE OF CONSTRUCTION ...............!...(Z;A'. �............................................................................................. .........y::... .............................19-1A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location � _ � . ........... .... Proposed Use .........5.1. `.A.. ...... ...........0� z f ... . .. .... .....`.......................................................... Zoning District ......................Fire District 1.4 7 1'!` 1/ / c Name of Owner .. ..'.�:.....�.�..�.............................Address ..........�.��.�......C':.......CSL.......C...t:"i.'.t�� ............ �C t C Name of Builder .....................................:**'**"**.....................Address ............. �.1 :✓.....T Name of Architect v. ........ ..�( /?-...........................Address .................................................................................... .1c Number of Rooms .............. ...........................................Foundation ................ ....".:. ......................................... Exterior .......".'..:.`..:�`' ...........�\ ....'� ......................Roofing ...........&. ................................... Floors L t .....................................................................................Interior ...sl.................. / �'�` ....... Heating ......v.* � �� ...................Plumbing �... 6,44 >... h. ......................... -� S Chi Fireplace ................N ��.... ...............................................Approximate. Cost 3�.�.. -_ ...........�^................... Definitive Plan Approved by Planning Board -------------------__:---------19________ . Area t� c'.U ..................... 01 c Diagram of Lot and Building with Dimensions Fee I SUBJECT TO APPROVAL OF_tBOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ............ Construction Supervisor's License .�... .60.9 SMITH, JAMES K. A=306-81 26055 . Rentod - No ..............:. Permit for ................ .. ............... Sin le Fartiil Dwelhn .......... .................................... ...................... Location .Ange11 Road Hyannis _ s' .... .................................................... ........ James R. Smith : Owner ......................................................::.......... Type of Construction ......Frame • .. y7 r Plot ............ Lot: :......:...:.................. _ Permit Granted Fir ......!................19 84 = Date of Ins ection 19 " Date Completed .....19 b �t ...E 1 h ' o•;� . TOWN OF BARNSTABLE Permit No. ----------_--------------------; Building Inspector Cash ----------------------- 16 OCCUPANCY PERMIT Bond Issued to James K. Smith Address Fcad, Hyannis 'Remodel dwel'Linfri- Wiring Inspector X .�„�� ;,.Y� � Inspection date Plumbing Inspector �d Inspection date Gas Inspector /! r Ate' x Inspection date 1 Engineering Department—f rf r =� _ Inspection dater / /- j \ Board of Health-��7:�i� �r*ytr �, � „`� Inspection date ef// THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector t r k A TOWN OF BARNSTABLE 26055 Permit No. s�uxan Building Inspector � .. cash 0 _ •ago � -----1�1A------------ �OYpY`� OCCUPANCY PERMIT Bond --------------------------------- Ja-es ,, 5 -th . Issued to Address 18 Arc-fa11 Road, Hyannis (R%Akdel dwelling) Wiring Inspector F ' `"" Inspection date Plumbing Inspector l - a } Inspection date Gas Inspector y,. s Inspection date f Engineering Department r '" 1 Inspection date < Board-of Health's j �. .- iy Inspection date,,:7/1 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 1/41..... ........................................... ...�.r. f'`.. `"- ....... .. ....._... Building Ins ector 8 r i � K J.... /.:. ;Assessor's map and lot number' ........ ..... ...� .... ..° ... �tNE �o o� Sep age Permit"number j'�`�!r Cam— d"✓ ! } • I B L House number ........ ....... ....... .......p " ♦� 9 00 039. TOLWN OF, BARNSTABLE �le t BUILDING,,; -IHS=:PECTOR a APPLICATION FOR PERMIT TO -Q 1. ..'... .......5I...y��'� F� / s TYPE OF CONSTRUCTION ................ .......:...................................:.............—................................... ..........................191 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: RC— cl j4 (�e.... .f Location .......................�.:�.�1.�,_....:......................................:. . . .:�.. .... .................................................................... Proposed Use .........�..l..l . .....` `� ".� .` -z:j li.`.. G~........ ..................I......................... 1 Zoning District .................Fire District �.� ` �'�'f L� Name of Owner .... �- Address v "� cc't'''� t Name of Builder ......�;................�..(................. .Address .1..�. .1`�.� ' ....... ........................................................ .. +...... ............................ .:.Address ...'......... Name of Architect .....:..� '.............................. ....................................................................... Numberof Rooms .......:......� ...........................................Foundation ................ ...."....`......................................... Exterior ........ .......... ........... .. `"'..1...................Roofing ........... .............................................................. L Floors Interior ... .. .......... . ......................... k Heating t 1` �� .........Plumbing .......... .. .........................../2 ............... .......... �' ..:.............. .......�'..G. Fireplace ................1.I: `.�...........................................Approximate, Cost .. ��.��........ Definitive Plan Approved by Planning Board ________________________________19._____ Area t'W.....u�MA-:.. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to all the Rules and Regulations of the Town of,Barnstable regarding the above construction. Nam .. .......................... ............. �..................... Construction Supervisor's License P.0.60.0 SMITH, JAMES K. V 1 I 140 ..26055.... Permit for . QI.................... Single FamijW..]?we7.j.UCIg;. Locati i( Angel Road.................. ................ ' ..HX�?171S........................ ` ........ I�/ Owner ..Jams {K....Smit:;i......... . Typeof Construction ..Frame,,,, ....:.... . .. .. ......�. ............................................... R Plot ............................. Lot'. y............................ y � . Feb ruary'$; Permit Granted .T....119 84 d Date ofl:,sv tion ............. �19 _ Date Completed � !...... ... .. r..�.19 IL er `.;-' } �•t'✓f �. n x � ate+. .� r � �