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Home My WebLink About0148 COMPASS CIRCLE /�$ Compass Or, oFtttl r Town Of Barnstable *Permit (� s y t Expires 6morthsfromissue�as Regulatory Services Fee snxxsrAsrE, Thomas F. Geiler, Director v ncass Pf L� �p 'i634 a•�� Building Division rev n+A� Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.bamstab I e.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 ` r / Property Address U<esidential Value of Work 6 6 d Minimum fee of$25.00 for work under $6000.00 Owner's Name&Address / � �!�?�+A S,S �`� < �'.� r rC)G1�/ %(o a �f�l Contractor's Name Zlaltl Telephone Number Home Improvement Contractor License# (if applicable)_ ❑Workman'.s Compensation Insurance ,F fi � 5 Check one: X�-� f';-�, 4RM� � �� ❑ I.am a sole proprietor P-11,am the Homeowner AUG 9, 1 2008 ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABL Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ,17 [WRe-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) P e--side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town departrn--t ti..sg pr`sto 'o,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. VN A copy of the Home Improvement Contractors License i r r�grred. SIGNATURE: j n.mmi:rr cckcnox cis..:a: _.._:.r, icvnn con a__ rP� The Cominonwealth of Massachusetts �\ Department of Indusfricl Accidents office of fiivestiga-bons 6QQ Weishington Street Hostort, MA 02111 www.mass.gov/dia Workers' Compemation Insurance Affidavit: Builders/Contractors/El ectricians[plumb en Ap 'hcant Information �j Please Print LelsitbIV Nam.c (BusinmsJ o niz tion/lndividual): 45/r • Address: 1 4 �</' < ;r.��s City/StatelZip: - X,A�-ppr,�:)pn Phone.#: Are you an employer? heck t boY: Type of project(required): I.❑ I am a employer with 4- I am a general contractor and I 6_ ❑Ncw construction employees(full an, part-time).* havo lured the nb-contractors 2_❑ I am a sole proprietor or partner- listed on the attacbed sheet 7. ❑Remodeling ship and have no employees Tbese sub-contractors have g, Demolition employees and have workers' rmi wong for me in any capacity. 9. ❑ Building addition NO workers' comp.imsrnanse Mom.insusance.t ed] S. [] We arc a corporation and its 10.❑Electrical repairs or additic 3. I am a homeowner doing all work officers have exercised their 1L❑Plumbing repairs or additic myself [No workers' comp. right of exemption per MGL 12 ❑Roof repairs c. 152, §1(4), and we bwc no inern-ante required-]t 13.El Odicr curployees. [No workers' comp,msuxancc rcquirui] Any applicant that chccls box#1 must also fill out the ration below showing tbcir warkrrs'mTnpmsaiiDn policy information- t HoMWvA1as who submit this aj5davit indicating ibey are doing all work and that hire outside cautractom nmst submit a new affidavit indicating 5vch XC fha ontractnrs t cb=l this box nuut atlachcd an additional nc�ct showing fbc name of the sub�onfractnrs and stain wheiha nr not thosC cnti6a have anploycrs. if the sub-conb-Acba ;have auploy=rx-they nnut ptIIvi&their wrndcas'camp.policy ntnnba_ I ern are employer then is providing workers'compensation insurance far my employees. $'crow is the policy and job site information. Insuranc:Company Name: Policy#or Self-ins.Lie.#: Expiration Date: lob Sitc Address: City/Statclzip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration datJ Failure to secure covezage as required under Section 25A of MGL c..152 can Lead to the imposition of czinurial penalties of 5.na tip to S 1,500.00 and/or one-yen kTIisonTn as well as civil penalties in the form of a STOP WORK ORDER and a of up to$250.00 a day against tho violator. Bo advised that a copy of this statrmcrit may be forwarded to the Office of Investigations of ftyDL&for 7_surance cov e verification. I do hereby cer i rider th pains- ennaldcs of perjury than the info.rmadon provided above.is true and correct Si Data: e: Phone# Q j' W use only. Do not write in this area, to be completed by city or town offcciaL r City or Towa: Permit/License# Issuing Authority(circle one): 1..Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing In.spectur 6. Other Town of Barnstable of THE r�o Regulatory Services saxxsrwsc.s, Thomas F.Geiler,Director MAS& Building Division Tom ferry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.barnstabI e.ma:us Office: 508-862 4038 Fax: 508-790-6230 _---- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street vtuage "HOMEOWNER": name - home phone# „/ P CURRENT MAILING ADDRESS: / T D ��T OA7X.S . state zip code city/town s 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 ROMEOWNER Person(s) who owns.a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building pcnnt. (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 ersigned.' owner"certifies that he/she understands the Town of Barnstable Building Departrnent mini inspect' n 7�udures and requirements and that he/she will comply with said procedures and req ' ements gnature of omcowner 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. $OMEOWNER'S EXEMPTION The Code states that: "Any homeowner perfomung Work for which a building permit is required shall be exempt from the provisions of this section(Section lom,I-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 arc unaware that they are assuming the respons�bilitics 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 xdth a licensed crvisoris uln tin-is res onsible. Supervisor. The homeowner acting as Sup Y P 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 umdastands the rrsponnbilitics 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 forr/certification for use in your community. �pp'THE rp � Town of Barnstable °�' Regulatory Services FLkx AS& recess. Thomas F. Geile.r, Director Q, rFti,�,�a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 62601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 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 authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Horneowners License Exemption Form on th:e reverse side. Assessor's map and lot number '-'+ Sewage Permit number .......................................................... �FTHE t TOWN OF BARNSTABLE_ Z 89flH MLE, i "6 BUILDING INSPECTOR APPLICATION FOR PERMIT TO .............:....:..................:.:......:............................................................................. TYPE OF CONSTRUCTION ... ° '�,� !f '�......j..... . t..... .............. 1 't.^.. :.!....l r................. / .19.. r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r � - Location ...........'... .............!.............. ............................................................ .............. . r / Proposed Use ........:.. t� ................................................................................................................................................................. ZoningDistrict ..................................................................Fire District .............................................................................. Name of Owner {- - •Jr� i ffT Rw.�,, �r`r.e� .. a x:Addres ................... .. ... "* ...r ......... 1 f- Name of Builder r...: ' .:!...!..�.�!�....... .''.Address - .. ... f-' y _ Nameof Architect ...........:.......—............................................Address ........_........................................................................... Number of Rooms ...................�.1.:� ................................Foundation ...�..!.:`::`-!".:.9....,/�. /.. %. Exterior ....I r.Ir:.Jl:.I..e ( (f�> ✓/Pi..;, ` ,r �;A. ��.Roofing ...... �.."...� 5h Fr /� ....., 1//.�r�....'......... .. ..... Floors %f /�-, `" /�o ✓. .1i41 L` � ............................. F... ............. ............ .........Interior .................... ` Heating .............. ,.............................../...!......! 1 Plumbing �' . .I r' fri . ..... ....... . ......... ` l Fireplace •j'�•� ..............................Approximate Cost r.. .�' �;................................................... .................... ................... Definitive Plan Approved by Planning Board -_ ___________________19-------- . Area X /l ,.._. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I I - I , I I. I # 0t . I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......... �'......f .... ~"'".. ..... ........................ . .. Cedar Acres Realty Trust A=3I07405 20735 one story No ................. Permit for ------------ *~ ------.oicWCle.. ..damaIlicg---.. ' Location —.l4.a..Coogzams..�icole------.. � .................../*"uuus^............................................ / Owner ' { ' Type of Convtruc /on �) � � . , � � Plot / . . � . / Permit ' \ ^~~^ ' . _ . Date of "Date . y | ) � | 19 } . leted . ` | ' > > ' - --- ' ' . `. --' � . � --. ---,—.. ................................................ � ' � .......................... '.—..— } ' ` Approved` .. lV . - �^ ' � ------. .-----.--.--.---.......— . . . \ / \ -------'---^---------'^'^--^^'' i | ~ �•""' TOWN OF BARNSTABLE • Permit No. I s.airrue Building Inspector Cash ___-- � OCCUPANCY PERMIT Bond- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having bean obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Cedar Acres Realty Trust Address Lot 19A 148 Compass Circle, Hyannis Wiring Inspector `. /` Inspection date Plumbing Inspector` . �, Inspection date .mot. Gas Inspector �� Inspection date Engineering Department �� 7 Inspection date �!- 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. _ _.............�, 19 _.G 'Building Inspector LoT 6x N b No 45—o o � � �eII1It?AT'IdAf c4 G d M P,4 5S CIR L ,6 o 140 PLAm <.S�/ oW / NG LL "xo tA.N V, A �, s < vQ.° . _ d a 3 vWWeo �/: CEUAR ACRES REAL..T- r•gt/$r w � o�� ,: ' �/p�E'/yiQN G�E'O SSr�?�9.A/ 2. �.• $. °f 'uj qs T z2-1 Q S MORMAN /� QOo Li a GfcUSSMA v 0 1l�j5 4 jAssessor's map and lot number ...... ' . ...17j'�`. ®`5 Sewage Permit number ..................................................... ....: �o*TNEro�� TOWN OF BARNSTABLE P Z DARNSTADLE, •i " 9 6 . �� R IL® 0- - INSPECTOR. . am APPLICATION FOR PERMIT TO 9 ..................................:........... .... ...:........ ............. . .. .... .. . .. .. ......... TYPE OF CONSTRUCTION .... ..... ... .... ................V... 19...��1 �� TO THE INSPECTOR OF BUILDINGS: TTT� The undersigned' hereby applies for a permit /according /J to the ffpollowing information: Location ..... .��!'q�' ....�. . . ............(�/ :�l:f/�! r�............1.,...-•:f!:f /. . .. . ..T/.T�•�✓ ��' 9-vvProposed Use ........1 .�... V..................................................................................................................... ZoningDistrict ...........................................................;............Fire District .........................................................: Name of Owner ./ ...................��..... .yn- ... Name of Builder .. .. .. .......�/r% ......Address .................�.0C...� ,l. .y!� ......... Nameof Architect ............y- .................................................Address ......1 ................................................................. Number of Rooms .................. ................................Foundation ... .. ....),L'.L .... Exierior .... ..... , Roofing ...... ... .... Floors ............ .. t� ; ...................................Interior ..........A' Heating ..... p... ..... L �C .2........(.1:..�..,..P.........Plumbing ......... .°. .. ...�� Fireplace .... p ...................C:.�.�f!••�...........................................Approximate Cost ...........�.. ..� .,�..�� Definitive Plan Approved by Planning Board ________________________________19________. Area .....� (, ........... ........ Diagram of Lot and Building with Dimensions Fee '............. .... .................. SUBJECT TO APPROVAL OF BOARD OF HEALTH a� al� � X" MARE r -Q �. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. A i Name .. , ... .. . ^ � , . ~ . . ' . . . Cedar Acres Realty Trust / Date Competed .. 19 PERMIT REFUSED � ^' . ~ . - ~ . . l ' — � ~ ^ ' x ^''------'—'—''---^~-'—'—��'`/- —.--...—_.--....,...'^....-.--..' � - - - --------------�—_r�A Approved ' ---.---.—.----..—.----.—..��~. v ' ' � --------..--..------.—....... ~