HomeMy WebLinkAbout0058 CARLOTTA AVENUE Town of Barnstable Building
PostThis CardSo That`it Is.V�sible From.the Street Approved Plans IVlust be Retam'ed on Joban�th'is Gard Must be Kept
M^� Posted Until FFinallnspection Has,Been Made � � 7 � � �s '� � ,� ;�
Where a Cert�ficateof Occupancy�s Req„urged,such Budmg shall Not:be�Oc�cupied u�nt f a Ffnal Inspection,hasr°beenmade
Permit
Permit No. B-20-563 Applicant Name: Henry Cassidy Approvals
Date Issued: 02/24/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 08/24/2020 Foundation:
Location: 58 CARLOTTA AVENUE, HYANNIS Map/Lot 248-206 Zoning District: RB Sheathing:
Owner on Record: NEAL, MACKENZIE' Contractor Named CAPE COD INSULATION INC., framing: 1
Address: 58 CARLOTTA AVENUE C 0 ohtracf6e:Licsj $3567
2
HYANNIS, MA 02601 s i Est Protect Cost: $5,700.00 Chimney
:
f
Description: Insulation/Weatherization w Permit Fee: $85.00
Insulation:
Project Review Req:
(; 11 .4 Fe'e Pad $85.00
KDate�� 2/24/2020 Final
Plumbing/Gas
r
t 3 Rough Plumbing:
j z
� , 'e
_�,Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved appl cation and the approved construction documents for wh c tThi's permit has been granted. Rough Gas:
t, ` a .i '
All construction,alterations and changes of use of any building and structures shall be n 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?byithe Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:. I.
a \ Service:
1.Foundation or Footing
2.Sheathing Inspection ry �~ .< Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Fra me,lnspection Final:
5.Prior to Covering Structu ra I Members(Framelnspection) 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:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
tE T
Application number...............�......... .
sal 'W Date Issued......... .../3°1/5...............................
r,.q
NAM
Building Inspectors .......r.W.................
Map/Parcel....p .d. ..... .�. ...........................
rOWN, 0 BARNS IABLE
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: CRr/6r7A Am
NUMBER 'STREET VILLAGE
Owner's Name: pHAJ W A)e4l,0 Phone Number /7 i accf 74
Email Address: /)eq t,,J-A<-k 0,�A"XA-C&q Cell Phone Number
Project cost $ s Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit in,accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
W Siding 0 Windows (no header change)# Insulation/Weatherization
0 Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 layer of shingles) 4 ,
Construction Debris will be going to Krpcxer 0677amae�
CONTRACTOR'S INFORMATION
Contractor's name
Home Improvement Contractors Registration(if applicable) # (attach copy)
Construction Supervisor's License# (attach copy)
Email of Contractor Phone number
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS 1N
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE PERMIT CAN BE ISSUED.
r
APPLICATION NUMBER ............................................................. ,
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X , X X
Additional tent dimensions can be attached on a separate piece of paper.
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each.tent must be attached. Provide a site plan with the location(s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles:'front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name: �a ii9 6.t�. l� aC j-;57
Telephone Number Cell or Work number /.7 60/
I.understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the con ction inspection procedures,specific inspections and documentation required by 780
CMR a d the Town of Barnstable.
Signatur WVk,,JQXr Date b_i l
APPLICANT'S SIGNATURE
Signature DateIts
All permi a lications are subject to a building official's approval prior to issuance.
S .
rr '
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,AVIA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): 004�,,,
Address: s-,F l,"r, Av e
City/State/Zip: Phone
Are you an employer?C eck 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. N Remodeling.
ship and have no employees These sub-contractors have g, ❑Demolition T
workingforme in an capacity. employees and have workers'
9. ❑Building addition
[N orkers' comp.insurance comp.insurance.$
quired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their I L Plumbing repairs or additions
3. I am a homeowner doing all work ❑ g P
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�ip�r� VIM 1%5
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.
$Contractors 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 thepolicy 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 ' under the pains and penalties of perjury that the information provided above is true and correcr.
Sim afore: Date:
Phone#: �� (o 0
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
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 dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit 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 required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
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
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#61.7-727-7749
www.mass.gov/dia
L
Parcel Detail Page 1 of 3
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Logged In As: Parcel Detail Wednesday,August 29 2018
Parcel Lookup
Parcel Info
-..... ..... -.. _ ......... _ _ .......... ..........
Parcel ID 248-162 Developer Lot SLOT 81 .a;,
Location F75 CARLOTTA AVENUE Prl Frontage 1-100 mu
Sec Road� mm Sec Frontage q�am
Village Hyannis l Fire District YH ANNIS ]
Town sewer exists at this address F Road Index zrO
Interactive Map
Owner Info _
Owner H GHES,ANNE MARIE) ownerM.N - ,J .W II
streets 1 WINNIES WAY l Street2(7 �..��.� „�
city BEAST SANDWICH state MA ___ j zip O0 52 37 N �Country
Land Info
Acres 10.41 (use Single Fam MDL-01 % Zoning Nghbd 6106
Topography Level ( Road Paved
utilities 1Public Water,Gas,Septicf Location u .
Construction Info
Building 1 of 1
Year Roof Roof Gable/Hi exc Wood Shin le,,
Built Struct p wall g
LArea'1092 Co er�sph/F GIs/Cmp I Type
Intsed None. µ I K
Style IRanch wall eDrywall Rooms 3 Bedroomsw
Model Residentia l FI or Hardwood Rooms 1LFull.-OHalf �
Grade,Average Plus Type Hot Water""1� Total
Rooms 5 ROOm$
Stones 11 StoryHeat Oii "" Found-
_1 `Poured Conc.
Fuel ation
Gross 2520 �
Area
Permit History
Issue Date Purpose Permit# Amount Insp Date Comments
7/18/2018 Insulation 18-2291 $3,500 Weatherization
6/1/200012:00:00 ALSO INT.
1/21/1999 New Roof 35997 $12,600 AM WORK
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=17748 8/29/2018
Parcel Detail Page 2 of 3
VisitHistory...............__ ......_ ...................... ......... ............. ........................
Date Who Purpose
11/27/2017 12:00:00 AM Susan Ricci Cycl lnsp Comp
11/27/2001 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
- Sales History,--
Line Sale Date Owner Book/Page Sale Price
1 3/9/1999 HUGHES, ANNE MARIE ESTATE OF BAOOP1332AD1 $0
2 12/12/1990 HUGHES, ANNE MARIE BA17P1754EA $0
3 2/8/1971 HUGHES, ROBERT E& MARIE G 1499/412 $0
4 6/4/2018 NEAL, JOHN W II - - 31313/91 ., $175,000
Assessment History _._.. _ ___.. ___..._
Save Year Building XF Value OB Value Land Value Total Parcel
# Value Value
1 2018 $101,000 $34,400 $0 $136,600 $272,000
2 2017 $93,600 $35,400 $0 $136,600 $265,600
3 2016 $93,600 $35,400 $0 $137,800 $266,800
4 2015 $90,800 $34,500 $0 $134,200 $259,500
5 2014 $90,800 $34,500 $0 $134,200 $259,500
6 2013 $90,800 $34,500 $0 $175,000 $300,300
7 2012 $90,800 $33,900 $0 $166,400 $291,100
8 2011 $122,900 $3,100 $0 $166,400 $292,400
9 2010 $122,800 $3,100 $0 $161,000 $286,900
10 2009 $118,800 $2,600 $0 $158,700 $280,100
11 2008 $142,000 $2,600 $0 $169,800 $314,400
13 2007 $141,200 $2,600 $0 $169,800 $313,600
14 2006 $124,100 $2,600 $0 $174,800 $301,500
15 2005 $116,800 $2,500 $0 $160,500 $279,800
16 2004 $95,000 $2,500 $0 $139,600 $237,100
17 2003 $85,800 $2,500 $0 $46,400 $134,700
18 2002 $88,800 $2,600 $0 $46,400 $137,800
19 2001 $88,800 $2,600 $0 $46,400 $137,800
20 2000 $59,600 $2,200 $0 $35,500 $97,300
21 1999 $59,600 $2,200 $0 $35,500 $97,300
22 1998 $59,600 $2,200 $0 $35,500 $97,300
23 1997 $61,500 $0 $0 $28,400 $89,900
24 1996 $61,500 $0 $0 $28,400 $89,900
25 1995 $61,500 $0 $0 $28,400 $89,900
26 1994 $61,700 $0 $0 $31,900 $93,600
27 1993 , $61,700 $0 $0 $31,900 $93,600
28 1992 $70,300 $0 $0 $35,500 $105,800
29 1991 $75,800 $0 $0 $56,700 $132,500
30 1990 $75,800 $0 $0 $56,700 $132,500
31 1989 $75,800 $0 $0 $56,700 $132,500
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=17748 8/29/2018
05
�FTHB r Town of Barnstable rmit#
Expires 6 maths from iss date
Regulatory Services Fee
* anxtasTABLE, *'
639: Thomas F. Geiler,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bArnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number `ZO
l/
Property Address w. /4 6G
�Residential Value of Work 76 D o Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address ,`\
Contractor's Name l'rs Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) �, IT
❑Workman's Compensation Insurance DEC _ 2 2009
Check one:
❑ I am a sole proprietor TOWN OF BARNSTABLE
jE2'fam 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(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over, existing layers of roof)
❑ .Re-side
of doors
G8 Replacement Windows/doors/sliders. U-Value (maximum .44)#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 c y of the Home Improvement Contractors License&Construction Supervisors License is
re red.
SIGNATURE: Lam_G
Q:IWPFILESTORMS\building permit forms\EXPRESS.doc.
.Revised 090809
•The Commonivealth of Massachusetts"
Department of Industrial A"ccidents '
Office of Investigations
f' 600 Washington Street
Boston, MA 02111.1
- ' www.mass.gov/dia
Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information f Please Print Legibly
Name (Business/Organization/Individual): A_d
Address:
- �'z6ot
City/State/Zip: a,�N s / Phone #: 7-I—
Are you an employer? Check the appropriate box: Type of project(required):
L❑ I am a employer with 4. 0 I am a general contractor and h "
❑ New construction
(full and/or part-time).* have hired the sub-contractors 6:
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees _ These sub-contractors have g. Q Demolition
working for me in any capacity. employees and have workers'
9. 'Building addition '
[No workers'comp. insurance comp. insurance.$
required.] 5. Q We are a corporation and its IO.0 Electrical repairs or additions
3am a homeowner doing all work officers have exercised their I LE]Plwribing 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' 1311 Other'
comp.insurance required.] -
*Any applicant that checks-box 41 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 state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their wor cis comp.policy number.
I am an employer that is providing workers'.compensati 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' mpensation 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.DI for.insuranc.e coverage verification.
I do hereby certi r derthe'pains_a pen Ities ofperjury that the informationprovided above is true and correct.
e-
Si nature: u = Date:`. Z.:• a 51
Phone
Official use only. Do not write in this area, to be completed by city or town official." ,
a
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the
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 dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
1
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships (LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit 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 required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for fiiture permits or licenses. A new affidavit must be filled out each
year. Where a home cyner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
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
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 4-24-07
www.mass.gov/dia
s
�- Town of Barnstable
oFzHE
o Regulatory Services
BARNSTABLE Thomas F. Geller,Director
erase.
9�A 039. � Building Division
TEp MA'I 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 a str t village
"HOMEOWNER": L � c%�1 SO e/C.2
name / me phone# work phone#
CURRENT MAILING ADDRESS:
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 homeowners to engage an individual for hi' e who does not possess a license,provided that the owner acts as
supervisor. /
DEFINFFION OF HOMEOWNER
Person(s)who owns a parcel of land on which hl/she resides or intends to reside,on which there is,or is intended to
be,a one or two-family dwelling,attached or etached structures accessory to such use and/or farm structures. A
person who constructs more than one home ' a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Buildin Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work erforme 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
minim inspection proc ures and requirements and that he/she will comply with said procedures and
requir ents. /
Signature of lomeowner '
r-
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:\WPFILES\FORMS\bomeexempt.DDC
Yrp
Town of Barnstable
Regulatory Services
MAS&� $" Thomas F. Geiler,Director
039. 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 a orized by this building permit application for.
(Address of )
Signature of Owner Dat
Print Name
If Property Owner is applying for permit please complete the
Homeowners License Exemption Form on the reverse side.
Q:FORMS:OWNERPERMISSION
MF,File 'Edit Tools Help
'Nil jv
( — - -Year/Type/Bill No. Customer account information -----
i
History 2,009 RE R 23978
......... _._. __. ,. _.. r " �. 278632 ,
Detail SACKETT,DAVID C
Property information — -- 8 MAY ST
I milli
0rig Bill Parcel ID 248-206 ASH c HECK DRACUT',MA 01826
Alt Parc DEC 009
Effective Date _._ _ _ ... _w ,
Prop Loc 58 CARLOTTAAVENUE
�F NS
Lien/Sale 400 PER TABLE L�3 Special Conditions/N otes
Scan Bill CAI gP -_
Quick Entry Int Dt Billed Abt/Adj, Pmt/Crd'' Interest Unpaid bal
oslozlo8 674.78 00 00 r .�126 30 1 801.08
Utility Acct
11104l08 x w 674. 6.. 00 '.: ._00 101 97{ 776.73
Customer 02/03/09 60719 00 00 70.57} 677 76
._... + ._ _w.._.. ,..,_..i ..._.... ._ _.., _,
05102109....,, 607.17 .. 00 W00° 50.08 �..... . 657 25
Name
Fees/Pere 00 5.00 00 f:, 00 5.00
Parcel Totals 2 563 90 5 00' 00 � 348 92` 2,917.82 Prop Code
Notes,°Alerts Due 12l02/2009 2,917.82
Billing Dates ,
Per Diem .98
JAN 1,Owner: SACKETT,DAVID C
8 ill Audit Int Paid M 00
Reprint `
_. View prior uwipaid t ifls
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,
My, File 'Edit Tools Help
EOR
-- YearlTypelBill No. Customer account information - —
History 2008 RE R µ � 238373 278632'
Detail SACKETT,DAVID C
Property information 8 MAY ST
sH CHECK DRACUT,MA 01826
Orig Bill Parcel ID 248-206 �w
Effective Date AltParc �E�; 2 �oy COl
_4____,. �
Prop Loc 58 CARLOTTA AVENUE x1� V
Lien/sale w_ WN"OF BA�NSTABLE tic.
400 PER �✓ �SpecialConditions/Notes
Scan Bill
Quick Entry Int Dt Billed Abt/Adj Pmt/Crd Interest Unpaid bal
08f 02107 i 652.23 �� 00 � 124 78 i 12 34.1 539.79
Utility Acct -
11 J02/07 t 652 22 00"3 µ ^H124 78V 12 34 539.78
_7...__ . _...._ ----- ---- .m_._
02/02108 697 32, 661102,27 M 13 92 608.97
Customer
.� .._..__ ..,__ _
05/02/08 697.31 00# 00' 16 32� 713 63
Name .,
Fees/Pen 00 f 5 00= 5.00 00; 00
Parcel Totals 2 699 08 5 00 356 83 54 92 2,402.17
Prop Code
Notes/Alerts - Due 12/02/2009 2,402.17
Billing Dates
Per Diem .90
JAN 1 Owner. SACKETT,DAVID C
BillAudit Int Paid 7
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L�P,-VII Pfit-If Unpaid bills,
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Assessor-4-A-ISO
and'lot 'number ...2.YP. . .4�20..1v�:4<:,.....
. - I1� OF THE tp
' Sewage -Permit number'
BARESL
House number ........................... .............:.......... ... ... .........
M
p 16}9. 9
`
TOWN OF ; BARNSTABLE
_ BUILDING ANSPECTOR
APPLICATION FOR PERMIT TO ...........CI ^�.....A.. ...'.......................
TYPE OF, CONSTRUCTION ....................... O .:'..
'..'
-t .......... .............. ? !�............19. .
TO THE INSPECTOR OF BUILDINGS: ;
The undersigned hereby applies for a permit according to the following information:
Location .........5� .......� �Y.."1....... .... ......... ......: �(.G!ova.�1...(..J..:.................. .....................................
Proposed Use ...............?6�:�3....1 ?.SZ.P`........: ..... .......:.r.. .:,.:.......................................:...............................
Zoning District ....................................................:...................Fire District
Name of Owner ... .. :.`. �` ... 1. 4.1� Address .............. `.`+....
Name of Builder" ... A.4..:........ ...�.2U- .�.Y..`..'`...........Address -k .........................................................
Name of,Architect ..........................Address .....:...............................................
Number of Rooms ..:....................................................:..........Foundation
Jr
Exterior ................................ ....................................................Roofing �l. :37......
Floors .......................................................................................Interior ::..................................................................................
Heating ..............`-. ...... .. ..:.... ......................................
.........:. ..................Plumbing ............ ...........
.
Fireplace .................... `...................................,...............:...Approximate Cost ..:...::....... . 00
` ..................
Definitive Plan'Approved by Planning Board ____________________:________19_______ Area a..........-5 ..�'. ..... . .
Diagram of Lot and Building with Dimensions Fee P . .
SUBJECT TO APPROVAL OF BOARD OF HEALTH �osv
a
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
hereby agree to conform to all the Rules and Regulations of the Tow f Bar stable r ar. g the above
construction.
Name ....... ...............
d
t..
SACKET, DWIGHT
24U50 ADDITION
No ................. Permit for ....................................
S.i.n g 1.e...F.ami.ly. ....Dw.e.11.inq..............
. .. .. ....... .. .. ....... .... .... .. .... ......-.
cation ...5.8...C.arlotta Avenue '
.. .... .............................................
..................Hyannis..........
....... .. ......................................
Owner ....D...w.....ig...n.t.......S.....ac.....ke...t..............................Type of Construction Frame ...........
Y ..............................
................................................................................
Plot .............................. Lot ................................
y 14 z Ma ,
Permit Grant ed ........................................19 82
Date of Inspection ....V.-I.......................19
Date Completed .....7//....................:.n,l 4 7-
Assessor' rr ,Z(d lo" t number = '
THE Tp�
Sewage Permit number ................:............. ........ ...............
1 BARNSTIBLE, i
House number ........................................................................ ro Nana
039,
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO {.............................................................................................................................
TYPEOF CONSTRUCTION ...........................:.........................................................................................................
.................................:..............19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........ ...............................�................................................................:....................... ........... ....................
Proposed Use ........................................................"............
...............................................................................I..
.......................
ZoningDistrict ........................................................................Fire District ..............................................................................
Nameof Owner ........................'.................. ...:....................Address ....................................................................................
Name of Builder" ' .............. ........Address
Nameof Architect .................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..............................................................................
Exterior ..Roofing
Floors ......................................................................Interior ...............
................ .....................................................................
r
r Heating ~........Plumbing _
Fireplace ..................................................................................Approximate Cost ....................................................................
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ..........................................
....
Diagram of Lot and Building with Dimensions Fee f. j `''..........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH '
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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 ...................................... ......................................
SACKET, DWIGHT A=248-206
No ..2.40.5.0.. Permit for, .............
„Single F........ Dwelling
cation ... .$...�� .�.oa.. v� >,i�..............
/...............�Iy.s�C1x3 .S...........................................
Owner .....Awlgkat...S0'Gxat;...........................
Type of Construction ....k'rame..............I..........
................................................................................
Plot ............................ Lot ................................
Permit Granted ....MaX 14, 19 8 2 ,
Date of Inspection ....................................19
Date Completed ......................................19
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Cape Cod Times 0A9 MONDAY, JANUARY 24,2011
CT REPORT
more than$250,Jan.15 in Barnstable.
i'i y®yqi' Barnstable Pretrial hearing Feb.28.
IVERS,Patrick,19,4 Wenfield Road, x y
DISTRICT COURT Forestdale; possession of Cymbalta, ?'
Jan.18 in.Sandwich.Pretrial hearing
In court Jan.IS: Feb.2.
ARRAIGNMENTS KELLY,Lisa,50,24 Spring.St.;Hyan `�--
(The following pleaded not guilty.). nis;larceny from a person,Jan.16 in
BICKEL, Nicholas K., 25, 70 Cape 1 Barnstable.Pretrial hearing Feb.9.
t' �fiiCt
Drive,Mashpee;OUI and another traf- LIMA,Marcia F.,32,26 Sudbury Lane,
fic violation, Jan.16 in Barnstable. Hyannis;indecent assault and battery ry
Pretrial hearing Feb.7. of a person 14 years and older and `ON
1 _�
BRUMFIELD,Bart,48,367 Pitcher's aggravated assault and battery,Jan.18
Way,Hyannis;assault and battery and in Barnstable.Pretrial hearing Feb.9. � , . .
intimidating a witness,Jan.17 in Barn- MADIGAN, Robert, 29, 1365 Route
stable.Pretrial hearing Feb.14. 28, Bourne; possession.of Adderall
LEBEDEV,Alexey,24,27 Anchorage with intent to distribute and receiving
Lane,Yarmouth;OUI,negligent driv- stolen ro ert MS
p P Y valued at more than
in
g and another traffic violation,Jan. $250,Jan.18 in Barnstable. Pretrial
16 in Yarmouth.Pretrial hearing Feb. hearing Feb.7.
15. ODOARDI,Katrine,26,253 Route 28,
amw
MEDINA,Felicia X,20,10 Bill Mitch- Dennis; three counts of violatinga s
ell Drive,Falmouth;possession of oxy- protective order,Dec.19,Jan.13 and _4:
codone with intent to distribute and 18 in Yarmouth.Pretrial hearing Feb.
being a minor in possession of alcohol, 28.May 15 in Barnstable.Pretrial hearing PEARL,Derek,26,19 Jody Lane,For-
CNRISTINE NOCHKEPPELICAPE COD TIME
Jan.25. estdale;possession of heroin and pos .)f a 2004 Toyota Prius was taken to Cape Cod Hospita
READ,.Kyle, 28, 17 Crooked Pond session of Suboxone,Jan.18 in Sand- it crashed on Route 6 in Brewster on Sunday.
Road, Hyannis; possession of oxy- with.Pretrial hearing Feb..14.
i'. codone with intent to distribute and PUTNAM, Kelly N.,31, 31 Courtland iJllrerd in �Q��e 6 rollover in Brewster
arrest,Jan.14 in Barnstable. Way,Yarmouth;two counts of shop-.
Pretrial hearing Feb.8. lifting,Jan.18 in Barnstable.Pretrial
SLADE, Richard J.,.52, no known hearing Feb.28. TER - A Route 6 Brewster and Orleans rescu
address; assault and battery with a VIERA,Amanda,25,31 Courtland Way, one man to the hos- crews responded to the scene.
dangerous weapon (garden shears), Yarmouth;two counts of shoplifting,. iy afternoon and shut The male driver's injurie
a. Aug.13 in Barnstable.Pretrial hearing Jan.18 in Barnstable.Pretrial hearing
Feb.22. Feb.28. ;astbound lane of the were not considered serioui
TOSCHES, Allen, 57, 39 Frost Ave., WHALEN,Bridget,22,19 Jody Lane, or about 15 minutes, according tq an Orleans Fir
Yarmouth;OUI and negligent driving, Sandwich; possession,of heroin and" to state police. Department spokesman.Th
Jan.16 in Barnstable.Pretrial hearing possession of a firearm without an,"
Feb.16. FID card,Jan.18 in Sandwich.Pretrial dent,reported at 1:43 highway was reopened aroun
RESS YATES, Sabrina, 37, 52 Lake Drive hearing Feb.14. med in Brewster near 2 p.m.,*state police said.
ers West,Yarmouth; larceny of a motor is line.The driver of State police did not rele.as
his vehicle,Nov.1 in Barnstable..Pretrial. In court Jan.ZI: oyota Prius involved the driver's name or a possibl
hearing Feb.22. DISPOSITIONS
BENTON,William L.,18, 87 Harwich to Cape Cod Hospital, cause of the crash as of Sunda' "
In court Jan.19: Road, Mashpee; admitted sufficient i to state police.Both night.
DISPOSITIONS facts to breaking and entering a boat
HyCRUZ,SadZ, o0,49 o Woodlandor vehicle in the nighttime to commit
guilty P a motor 9 felony, April 27 in Barnstable, and
vehicle while under the influence of assault with a dangerous weapon,. Illy yours Yom
alcohol (OUI) and negligent driving, Aug.14 in Barnstable,continued with-
March 7 ii Barnstable, continued out I finding for one year,$Oa Nee bNLI9 'ilE
without.a finding for one year,45-day CIMENO, Thomas, 69, 15 Oak Neck
license loss,$1,847.22 costs and$50 Road,Hyannis;open and gross lewd
fee; not responsible for four other ness,.July 4 in.Barnstable,dismissed. Reports,R News Projects
Special traffic violations. COFFIN, Chad, 31, 40 Anchorage for p p
DAUPHINAIS,Kathleen,47,225 Main Lane,Yarmouth;not guilty of assault
�90. St.,Hyannis;assault and battery,Nov. and battery with a dangerous weapon
ver 21 in Barnstable,dismissed, and threatening to commit a crime,
HOLMES,Naomi,18,1 Jefferson Ave., Sept,10 in Yarmouth;guilty of vandal- I -G
)ok Yarmouth; admitted sufficient facts ism,one year probation,$50 fee. ®'ns. .to breaking and entering in the night- GRIFFITH,Alyssa R.,22,31 Forest Hills E S
tan time to commit a felony,larceny from Road,Cotuit;admitted sufficient facts
ole a building and being a minor in pos- to two counts receiving Stolen prop-
session o alcohol, Nov. 22 in Barn- erty of a value less than$with July S
® 8stable, continued without a finding 22 in Yarmouth,continued without a T U 11 -
for- for two years,$1,200 costs and$90 finding for one year,$50 fee.
0
old fees;receiving stolen property valued MACKEIL,John C.,21,56 Davis Straits,
ted at more than $250,same date,-dis- Falmouth;guilty plea to breaking and
missed. entering in the nighttime to commit a
:ise ' LOPEZ,Wilfred T., 51,77 Winter St., felony and larceny from a building,Nov. North.Street a Hyannis 0 774_470_1363 '.
nto Hyannis;guilty of oul for the fourth 22 in Barnstable,18 months(suspended)
time,"Aug.31 in Barnstable,two years Barnstable County Correctional Facility, Monday- Friday,10-6; Saturday 10-3
for in Barnstable County Correctional .two years probation,$1,560 costs and
Facility,eight-year license loss;guilty $90 fees;guilty plea to possession of �OI'JiE FURNISHINGS ARRIVING DAILY!
'ro- of negligent driving,same date, six marijuana with intent to distribute,one
ned months in county correctional facility year probation,$50 fee;receiving sto- Your Complete Source For.
)ro (concurrent). len property,dismissed. Istery, Slipcovers, Custom Window Treatments'
.ter LOUGHRAN,John G.,19;182 Sea St., WELDON, Vannica, 41, Binghamton,
Hyannis;admitted sufficient.facts to . N.Y.; carrying a dangerous weapon - Fine Home Furnishings &Accessories
1eg' breaking and entering in the night- and deriving support from prostitu-
time to commit a felony,larceny from tion,July 13 in Barnstable,dismissed i
his a building and being a minor in pos- on payment of$300. Design Consultants j
nd, session of alcohol, Nov. 22 in Barn- ARRAIGNMENTS
stable, continued without a finding (The following pleaded not guilty.) )avid Shinn e Sandy Tobins • Lisa Kinerson y
d a for two years, $1,200 costs and $90 AMARAL,Evan,19,37 Discovery Hill
hat fees;receiving stolen property valued Road,Sandwich;assault and battery, t
;ht- at more than $250,'same date,dis- Jan.19 in Sandwich.Pretrial hearing
nen
missed. Feb.11.
ose
MARCELINE,Yolanda,2, 74 Danvers GLENN,Jessica,29,58 Carlotta Ave:,
Way, Hyannis; being an accessory Hyannis; assault and battery with
.ary after the fact(home invasion),June dangerous weapon shod foot and �� ,._ �c,N v�
Ulshoeffer, Elbert
From: Ulshoeffer, Elbert
To: McKean Thomas
Subject: RE: Housing Complaint
Date: Wednesday, May 30, 2001 3:32PM
2:30 is fine Tom. Perry will meet Ed at the site.
From: McKean Thomas
To: Ulshoeffer, Elbert
Cc: Geiler Tom
Subject: RE: Housing Complaint
Date: Wednesday, May 30, 2001 3:12PM
Ed Barry is in charge of housing complaints at this time .. . he is available to go out tomorrow afternoon at 2:30.
Is Mr. Perry available at that time?
From: Ulshoeffer, Elbert
To: McKean Thomas
Cc: Geiler Tom
Subject: RE: Housing Complaint
Date: Wednesday, May 30,2001 2:29PM
Tom,Tom Perry is the inspector in this district.... if you like you can have your inspector contact him with time to
meet , They can then give Tom G, a report ..
From: Geiler Tom
To: McKean Thomas; Ulshoeffer, Elbert
Subject: Housing Complaint
Date: Wednesday, May 30,2001 1:51 PM
I received a complaint from a neighborhood association , through a Councilor, about the condition of two
properties on Carlotta Ave.The street numbers are#58, supposedly the worst, and#85. Please assign a Health
Inspector and a Building Inspector to go out together and look at these properties. Please let me know the end
result. Thanks
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