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HomeMy WebLinkAbout0078 CHESTNUT STREET �8 c��r7�ucrT -i f 1 ; 1 � i E i c . a I'I I v� Town of Barnstable Building i rSoThat it Fs UisiblesFrom`theStreet ,A ' rove"d;Plans�Must be°Retained on Job and this Card Must,:be Ke t ; aysrweu rPost, teTh s Cam d� r r PIS. ;� •' P �' • M,►a� jDh fUntiF Final Inpection Has Been Made � � ` i, � �� r� F � '' eea.Cert�ficate of.®cc"u ancasRe, urred,such,Bald�n shall Not.be Occu'+++pied',uttilEa FFnaFlnspectiort has been made Permit . Permit NO. B-19-2085 Applicant Name: Brien Langill Ap provals Date Issued: 07/05/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 01/05/2020 Foundation: Location: 78 CHESTNUT STREET,HYANNIS Map/Lot: 309 050 Zoning District: RB Sheathing: s .. ' 7 - Owner on Record: MCINTYRE,WINSTON&CHARLA ContractorName BRIEN LANGILL Framing: 1 Address: 78 CHESTNUT STREET COntFactor:License I GCS 106675 2 HYANNIS, MA 02601 Est. Project Cost: $21,824.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems,32 panels Permit Fee: $ 161.30 Insulation: 9.92kW Fee�P�aid':, $ 161.30 Project Review Req: # Date 7/5/2019 Final: r a, Plumbing/Gas Rough Plumbing: fficial This permit shall be deemed abandoned and invalid unless the work authorized-by this permit is commenced within six months after issuan Final Plumbing: All work authorized by this permit shall conform to the approved applicatianiand the approved construction documents for,Which°this permit has been granted. All construction,alterations and changes of use of any building and st kuctures shall be in compliance with the local zoning°by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access sheet or roadand shall be maintained open for pubXlic inspection for the entire duration of the Final Gas: work until the completion of the same. . The Certificate of Occupancy will not be issued until all applicable signatures by ih'iAuildmg and Fire,,Officials are Provided)on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lunngis installed • :<. a •- Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: `Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Final: c� �•r Building plans are to be available on site Fire Department �- '�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: .5 Nam: Town of Barnstable *Permit# S PERM-IT Regulatory Services Fee n��N..T�Ri3i s / .} ram e$ _ 'I` Thomas F. Geiler,Director s639. � BARNSTA�E Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 300 5D Property Address g(Rdsidential Value of Work ✓%t 00 1 Q Q Minimum fee of$35.00 for work under$6000.00 A Owner's Name&Address Contractor's Name YQ4 Telephone Number SO 3(.-z — 3 Sj Home Improvement Contractor License#(if applicable) construction.Supervisor's License#(if applicable) lqq ]Workman's Compensation Insurance Check one: I am.a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Lsurance Company Name /orkman's Comp. Policy# 'opy of Insurance Compliance Certificate must accompany each permit. i :rmit Request(check box) n _ �( Re-roof(stripping old shingles) All construction debris will be taken to K �2a tt�`e A ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side #of doors ❑ 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 copy of the Home Improvement Contractors License&Construction Supervisors License is required. NATURE: WILESTORMSIbuilding p )fomislEXPRESS.doc I i • r , DC ri�rtmtnt oi-Public Saict 1�lasSachusetts- I . Board of Build- Rclrulut►ons and Stand►ids Construction super Specialty License License: CS SL 99486 Restricted to: RF,WS PETER SMITH 1"r " 3925 MAIN STREET CUMMAQUID, MA 02637 Expiration: 111112011 Tr#: 99486 ✓fie t�anrma� ea /�aaaac/ucaelZa 4 License or registration valid for individul use only Office of Consumer Affaits&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration -�150950 Type: DBA' 10 Park Plaza Suite'5170 Expiration 502012 Boston,MA 021W PE ER J:SMITH HOME M O�/EMENT PETER SMITH \ 1 3925 MAIN ST. CUMMAQUID, MA 02637 , ,f Undersecretary Not v d ithout signature "1... The Commonwealth of Massachusetts Department of Industrial Accidents f1 ;� Office of Invesfigations 11M 600 Washington Street Boston, MA 021.71 r r www.massgovldlia Workers' Compensation Insurance Affidavit: Btulders/Contractors/Electricians/PInmbers Applicant Information Please Print Le*bly Name (Business/Crganization/lndiviihW) Address: Py rRox 3� t-1 -4- City/State/Zip:f J wl AV A? 06, A`�Fk -W l Phone#: . 5, b 3G`2 - 3 S99 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 employees (full and/or part-time).* have hired the sub-contractors 6' El construction 2. [ Lam a sole proprietor of partner- listed on the attached sheet t ?•. E Modeling ship and have no employees These sub-contractors have 8. E-Demolition working for me in any capacity. workers' comp. insurance. 9, Building addition [No.workers' comp. insurance 5. E We are a corporation and its required.] officers have exercised their 10.E Electrical repairs or additions 3.[] 1 am a homeowner doing all work right of exemption per MGL 11.E Plumbing repairs or additions myself. [No workers'comp. c, l 52, §](4), and we have no 12.� Roof repairs . insurance required]t employees.[No workers' comp. insurance required.] 13.❑ Other *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. #Contractors that check this box must attached an additional shoat 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 employers. Below is the policy and job site information. Insurance Company Name: .Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,300.00 and/orr one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to,S250.00 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. :do 7-eirmhly2under the pains andpenalties of perjury that the information provided ove is true and correct Date: / l 'hone#: 3 Z J r� 5 9 Official use only. Do not wrrte in this area;to be completed by city or town bffuial City o Town: r - Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other 7 w r J J 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 din 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." C MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withbold the issuance or renewal of license.or permit to operate a business onto 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 certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 iii the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill iTi the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple pennit/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 Iicenses. 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)eaves 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. t"! The Commonwealth of Massachusetts 1 Department of Industrial Accidents Office-of Investigations' 600 Washington Street Boston,-MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MA-SSAFE r 1 r . Town of Barnstable • Regulatory Services MASS $ Thomas F.Geiler Director BLlilding DiviSi0it Tom Perry,13uiIding Commissioner 200 Main 5trcet,Hyaaais,MA 02kI www.town_barnstable.ma.us Office: 508-862-4-03 8 + Fax: 508-790-6230 Property Owner•Must Complete and Sign This Se con If Using A Builder as Owner of the suhjert,propesty hereby authorize_ ��P�-� ��W1 c��,� °to act on MY behalf - I all matters relative to,work authorized by this bugdiug permit application for. (Address of job) . $ignattue of droner 1 Date vcl��sJ Print Name If Prop e Owner is applying for permit pleas e c omple te.the Homeowners License Exemption Form on the reverse side, y � t Town of Barnstable Regulatory Services Th"Mas F. Geller,Director Building Division Tom Perry,Building Commissioner 200 lvlaizi-Strccr; Hyannis,MA 02601 A'wSv.to�barnsfable.ma..us ' Ofy;t C: 508-862-403 8 Fax: 508-790-6230 HOMEONNEFt LIL�'SE EXEMPTION Plesse Print DATE JOB LOCA"noN: number street village '7iOMFAWNER , . name bone phone# work phone# K • 'r: I CURIUXr MAILING ADDRESS: eityhawn state nP code The cmTcat cx=roption for"homeowntas"was extended to include owner-occupied dw,II— Rs of aix netts or less and to allow homeowners to engage an individual for hire who does not possess a license,provided tbat the owner acts as Supervisor. DMIM11ON OF HOMEOWNER Persons)who owns a parcel of land on which helshe-resides or infcnds to reside', on whichtbCxc is, or is intended td be, a one or two-&=nly dwelling, attachcd or detached structmrs accessory to such us o and/or fazm shvcfisrs. A pers on who caastrgcts more than one home in a two-year peri od shall not be considered a homeowner. Such "horneowner"shall submit to the Bulding Official on a form acceptable to the Building Official, that helshe shall be rc=orist'h)e for all such work perimmed•tmdcr the building penniL (Section 109.1-1) T 4c tmdcraigncd `homeownex"assumes responsibility for compliance with the State Building Code and'othcr. applicable codes, bylaws,rules and regulations. The tmdcrsigned'homcowne'ccrtiEgs that,he/she understands the Town ofBaxn-table BuildingDepiatment TTrMiTTIM,,inspection procedures and r ,,;rt-r„rnfe and that hchhe will comply with said proecdu=es and requiremenm 5ignatin•e of Hamcawner • . Approvzl ofEuilding•OfcW Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the ' State Budding Code Sutton 127.0 C„nstruct bn Control. ` HORaOwmm,' FxEEmmbN 'Ilea code statrs that Any bomeownrr]er 1,1!g work for which i btnIding permit is required sbaD be exempt from the provisions f this=cd=.(Seetion]09.1.1-Lieassing of eanstmetion Supervisors);provided that if the homeowner engages a persoa(s)for bae to do such ,uric,that such Homeowner shill art as super•visor.,• 7.y'hcmcownera who use this czzmption errs unaware that they arc assuming the responst3ilities of a supervisor{sea Appendix Q ides&Regina firms for j=nsins Cemstroce=Supc yisom,Section 2.1-5) This lack of awa=ess bfk=resuhs in serious problems,par•ieul rly '-?=the homeowner hires unlirsased persons In this case,our Board cannot proceed ao jud the unlicensed person as it would with i licrnsed pavisor. The homernwa acting as 5upervisor is u]tirrnte]y rrsponsib]o - To assure that the boneawner is AzMj'iware ofbis/hcrimpannbelitics,many communities rcgtm-e,es part of the paaut application, t the homcavrrrer certify that hdshe undcstaads lire rssponsrbili ties of a Superrisor. On the list pagc of this issue is a•form==tly used by �,----- "_-.__..---•---a—,r.a__.....a.:s r-....arc__.:—:..--—--•—-- - -- - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #,�Q a d S^ Health Division Date Issued V tke f Conservation Division Application Fee w Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address C kallsw f f Village k(AA*Ae Mp Owner NXtAddress Telephone Permit Request Ra-A A Ndd dock.+, P1140ogg Square feet: 1 st floor: existing proposed 2n or: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation OW Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: )(Full ❑ Crawl ❑Walkout ❑ Other Basement Finished'Area (sq.ft.) ;9 Basement Unfinished Area (sq.ft) 960 Number of Baths: Full: existing_ new Half: existing new, Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: 2Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes IRNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No f Detached garageexisting ❑ new size—Pool: ❑ existing ❑ new size — Barn: ❑ existing ❑ new size_ a Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:0^ 1 ; R� L d 1. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ a- o Commercial ❑Yes No I yes, site plan review# ( Current Use M Proposed Useco APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ��- i Name � � � Telephone Number p p Address �X 1 License#ooft cs 4 Home Improvement Contractor# I� �� nla Worker's Compensation # ALL C STRUCTION EBRIS UL4TING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t _y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. - = ADDRESS VILLAGE } r OWNER r . DATE OF INSPECTION: ; FOUNDATION FRAME INSULATION FIREPLACE y ELECTRICAL: ROUGH FINAL L, PLUMBING: ROUGH FINAL GAS: ROUGH FINAL '€ FINAL BUILDING ; x f DATE CLOSED OUT t ASSOCIATION PLAN NO. . ' The Commonwealth of Massachusetts. Department of Industrial Accidents Office of Investigations 600 Washington Street its�% Boston,MA 02111 , c www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electiricians/Plumbers Applicant Information Please'Print Legibly Name(Business/Organization/Individual): f Address: City/State/Zip: (� tPhone re you an employer?Check the appropriate box: Type of project(required): 1. 1 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.-❑ We"are a corporation and its ❑ required.] �. officers have exercised their 10. Electrical repairs or.additions,. 3.❑ I am a homeowner doing all work 'right of exemption per MGL l l:❑ Plumbing repairs or:additions myself. [No workers' comp: c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] 1. employees.[No workers' comp. insurance-requu•ed.] 13.❑:Other_ *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 their workers'comp.policy information., I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. . Insurance Company Name: �j Policy#or Self-ins. Lie.#: h "I_ Expiration Date: I �� IN A Job Site Address: City8tk6 Zip: hhUH" Attach a copy of the workers' compensation policy declaration page(showing the"policy nuigber and expiration.date). Failure to secure coverage as required under Section 25A'bf 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.nfth ay against the violator. Be advised that a copy of this statement maybe forwarded to the Office of InvestigationsDIA for insurance.coverage verification. I do hereby c der the pains and penalties of perjury that the information provide above is it and Corr cL Si ature: Date: Phone Official use only. Do not write in this area,to be completed by#V.or town official - - City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2• Building Department 3. City/Town Clerk 4. Electrical Inspector 5'Plumbin9 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 f 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-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 y 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 filllinthe 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 subaiiPone 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. # 617-7-27-4900 ext 406 or 1-977-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.mas&.gov/dia THE rowti y Town of Barn-stable , ` .Regulatory Services six 6 9L. 'E Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis, Na 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 I, �' % r , as Owner of the subject property. w hereby authorize ' 0 Q" to act on my behalf, in all matters relative to work authorized by this building permit application for. Address of ob c r � r Signature oT Owner Date Print Name If.Proberty Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM S.O WNERP ERM ISSION c � �`o�t�toffy Town of Barnstable „�. Regulatory Services Thomas F. Geiler,Director Building Division rEo May Tom Perry,Building Commissioner 200 Mairi.Street, Hyannis,MA 02601 R^ww.to wn.b arnstabl e.ma.us Office: 508-962-403 8 Fax: 508-790-6230 HON EOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village 'HOMBOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code T c 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 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 constrgcts more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) , The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner'certifies that.he/she understands the Town of Barnstable Building Department minimum inspection 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 perfomung work for which a building p=nit is required shall be exempt from the provisions of this sccbpn_(Scction 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a po-son(s)for hire to do such work,that such Homeowner shall act as supervisor. 10ny homeowners who use this cxcmptian arc unaware that they arc 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 Supervisar. The,homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fu1ly aware of his/her rcsponnbilitics,many communities require,as part of the permit application, that the homcowncr certify,that heshe understands the responsibilities of a Supervisor. On the last page of this issue is a farm currently used by several towns. You may care t amend and adopt such a forrn/certifrcation for use in your community. Q:fomts:homccxcmpt Wv 4 ' Office O Zo u°Om"e'r2O'A s g ;oess eg 5u a on bimse or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ` Registration 61773' Type: Office of Consumer Affairs and Business Regulgtion expiration. 11/20 2012 10 Pa Private Co ratio Park Plaza-Suite 517 = -= Boston;k026` NI=c.H OPKIN S BUILOER5=1N��-•. NIALL H0PKINS;,; 21 G FRUEAN AVER n 4 4 -SOUTH YARMOUTH%M7 2f64' i Undersecretary signature Massachusetts-Department of Public S:jfetN Board of Building Regnilations and Standards Construction Supervisor License License: CS 84916 -NIALL J HOPKINS :BOX 231 n SOt,YARMOUTH MA 02664 Expiration: 402013 t'omiittsrimici5 Tr#: 14504 t DATE ,, CER (MWDDIYYYYI ' / TIFICATE OF LIABILITY INSURANCE 05/13/2011 r'E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ODES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,r11S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE -ISSUING INSURER(S), AUTHORIZED ,eNTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. ,ATANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to ulrms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . coNTACr RODUCER NAME: Mark Sylvia Insurance Agency PNONe �50B1g28 0440 arc.Not:(608)420.9227 ,l1o.EaU- — ' 771 Main Street F.-MAIL &RARFJig•mark rllarksYlvldinsurance.com Osterville.MA 02655 iNSURERISIAFFORDINGCOVERAGE,— I r _ INSURER A•Farm Family Casualty Insurance VSURED INSURER B: _ -••• Nlell J,Hopkins Builders,Inc. INSURER C.- 118 Lakefleld Road INSURER D I - i PO Box 231 "` j South Yarmouth,MA 02664 INSURER E. INSURER F OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: /I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS i CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCK POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.. NTR POLICY EFF POLICY EXP LIMITS U POLICYNUMBER MMID Mw DrAY TYPE OF INSURANCE 10/30/2010 10130/2011 A GENERAL LIABILITY 2001 L6275 EACH OCCURRENCE $ 1 OOO,OOO P..REM.ISEELiER9cSslnCN) 100,000 r X COMMERCIAL GENERAL LIABILITY CLauns•MADE 0 occuR MED EX?IAny=�penen $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 1 GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMP/OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PEA: S PRO- COMBINED SI GL.LIMIT 1 X POLICY 1O 6/2512010 6/2512011 En aedde l s. I A AUTOMOBILE LIABILITY 001 C53575A — BODILY INJURY(Per parson) S 1,000,000 ANY AUTO BODILY INJURY(Per Rceldenl) b 1 000 000 atu o►gnMED X 'UTAsuLEO NON-0WNED (Per a Io0 dent A0E 3 1,000�000 t HIRED AUT08 AUTOS UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATEe S 8 DD RTENTION 9 WC STATU OTH A WORKERSCOMPENeATION 2001W6458 91812010 918/2011 �.7oRYLIMLTB. x ER.w. .>w�.�.._•.�-,.-- AND EMPLOYERS•LIABILITY E.L.EACH ACCIDENT S 500,000 ANY PROPRIETORRARTNERIExECUnve YIN N N I A OFFICERIMEMBEREXCLUDED7 E.L.DISEASE-EACMPLOYE $ 500,000 (Mandatory In NH) 500 000 IT yes,deecnbe under E,L,DISEASE•POLICY LIMIT $ DESCRIPTION OF 0 _RATI N holaw D DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Anoch ACORD 101,Additional Remerke 9ehodule,If more epees le required) a Carpentry CERTIFICATE HOLDER CANCELLATION- (509)79M230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTNORIZED REPREBENTATIt/E 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD- OF tHE Tp� Town of Barnstable BARNSTABLE. * Regulatory Services MASS. 1639. �� Thomas F. Geiler, Director lFD MA'S A Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 September 10, 2009 Mr. Jorge Pereira and Ms. Hilda Velloso 78 Chestnut Street Hyannis MA 02601 Illegal Apartment: 78 Chestnut Street, Hyannis MA 02601 Map: 309, Parcel: 050. Our records indicate that your house at the above-referenced location is currently being used a something other than a single family home, which is contrary to Barnstable Zoning Ordinances. Violation of zoning ordinances is a misdemeanor, conviction for which results in a criminal record. You must contact this office within 14 days to either: • Apply for a building permit to restore the property to a single-family home • Apply to the Amnesty Program • Prove that this is a legal multi-family home. Please contact this office immediately to tell us what direction you wish to take. Linda Edson Amnesty Apartment Investigator Building Department. gforms:zoning3 I I I I � CF THE 1� Town of Barnstable MUM CAB . * Regulatory,Services MASS. �p i639• �� � Thomas F. Geiler,Director rF0 MA'S A Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis, MA,02601 www.town.barnstable.ma.us Office: 508-862-4024 Fax: 508-790-6230 August 31, 2009 Jorge Pereira & Ms. Hilda Velloso " 78 estnut Street ` Hyan 's MA 02601 ��`" • /�, Illegal Ap ment: 78 Chestnut Street Hyannis M 2601 Map: 309 Pa 1: 050 Our records indicate t your house at the ab e-referenced location is currently being used for more multi-fami units than allow d, which is contrary to Barnstable Zoning Ordinances. Violation of zon' ordinan es is a misdemeanor, conviction for which results in a criminal record. You must contact this office withi 14 da to either: • Apply for a buildi g permit to resto the property to a single-family home • Apply to the nesty'Program • Prove that is is a legal multi-family home. Please contact this ffice immediately to tell us what direc 'on you wish to take. Li a Edso Amnesty A artmentInvestigato Building D partment gforms:zoning3 Y r Bhmstable Assessing Search Results Pagel of 3 Home: Departments:Assessors Division: Property Assessment Search Results New Search New Interactive Maps » a Owner: 2009 Assessed Values: PEREIRA,JORGE&VELLOSO, HILDA 78 CHESTNUT STREET Appraised Value Assessed Value Map/Parcel/Parcel Extension Building Value: $99,100 $99,100 309 /050/ Extra Features: $2,500 $2,500 Outbuildings: $5,700 $5,700 Mailing Address Land Value: $ 136,300 $ 136,300 PEREIRA,JORGE&VELLOSO, HILDA Totals $243,600 $243,600 78 CHESTNUT ST Residential Exemption Received=$100,964 HYANNIS, MA.02601 2009 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Community Preservation Act Tax $29.53 Fire District Rates Town Rr Barnstable FD-All Classes $2.37 $6.90 C.O.M.M.-All Classes $1.08 Town Q Hyannis FD Tax(Residential) $433.61 Cotuit Fp-All Classes $1.43 $6.12 Hyannis-Residential $1.78 y Town Tax(Residential) $984.19 Hyannis-Commercial $2.77 W Barnstable-All Classes $2.11 Commur Total: $1,447.33 Construction Details Property Sketch Legend Building Property Sketch & ASBUILT Building value $99,100 Interior Floors Carpet Style Ranch Interior Walls Drywall Model Residential Heat Fuel Oil http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar-309050 8/26/2009 BA- instable Assessing Search Results Page 2 of 3 Grade Average Minus Heat Type Hot Water Stories 1 Story AC Type None Exterior Walls Wood Shingle Bedrooms 3 Bedrooms3��u,=�d�s� y ,{ ✓y 9 t � ( �Wyf r Roof Structure Gable/Hip Bathrooms 1 Full ' Roof Cover Asph/F GIs/Cmp living area 1164 _ Replacement Cost $120881 Year Built 1959 , Depreciation 18 Total Rooms 5.Rooms Land A CODE 1010 Lot Size(Acres) 0.21 Appraised Value $ 136,300 As Built Cards: Assessed Value $ 136,300 , View Interactive Maps > Sales History: Owner: Sale Date Book/Page: Sale Price: PEREIRA,JORGE&VELLOSO, HILDA Apr 30 1999 12:OOAM 12236/267 $ 104,500 FEDERAL NATIONAL MORGAGE ASSOC Mar 10 1999 12:OOAM 12116/092 $93,000 THOMAS,JEFFREY C& BREAU, P Jan 15s1996 12:00AM 10033254 $83,200 MATTO, EDWARD A& Nov 15 1995 12:OOAM P1433EP1 $ 1 MATTO,AUGUSTUS May 15 1988 12:OOAM 6239/182 $ 1 MATTO,AUGUSTUS , 1064/353 $0 MATTO,AUGUSTUS M-792 10033253 $ 1 Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,500 $2,500 FGR2 Garage-Avg 336 $5,700 $5,700 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area UST Utility Area(Unfinished) (Finished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story (Unfinished) http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar--309050 8/26/2009 — Barnstable Assessing Search Results Page 3 of 3 FCP Carport GRN Greenhouse, UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/assessing/2009/displayparcelO9map.asp?mappar=309050 8/26/2009 Pf � d �J I The To wm ®f Barnstable Massachusetts Permit# L►a�sresr� Date KAM - 4L 167 SOLD) FUEL STO VE VE PERMIT MIS _. ._. Fee This constitutes an official stove permit after inspection and approval by the building inspector. Owner 2 I e i,4- /&r-e k Telephone no. © F 7 7 S' Address of Pro e i P rtY rt � �i Villa a ✓� n y � C � 5 g Location and Stove Type_ a S A ua cA, o Qi^ e— V t vt Date: � _ Building Inspector The solid fuel burring stove at the ab^:,e lccation passed: failed: inspection T