Loading...
HomeMy WebLinkAbout0358 COMPASS CIRCLE i .�' s map and lot number ...... 'c, GE ll.L. YS 31 .. l�t� �� �Tffj �1/�l OF THEt�� Sewn Permit number ......:.......................:......................... `� A re COMPLI , e , ,Y fITR� Y CQ 11�ST T . ; = BAHB9TABLE, House number D� ..... ..................:................ 'i d ' n MA86 LAT1 c)NS. ... � T® � 9�0 1639. \00� c 0 MAI Or TOWN. OF BXRNSTABLE BUILDINGINS�PECTOR APPLICATION FOR PERMIT TO ............w e«!.!.^'yr`�................... TYPE OF CONSTRUCTION ......A 9,e.... ?1 "1 ...................................................... ................................ Qr........... ..........19..7.d "" -""TO:'-THft INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....e47. ....c�..A...... ...... L ...........JJ/ ........ S ........:................................................. Proposed Use ................................................P ...........................................................................................:...... . Zoning District ..e69..............................................................Fire District .l7'�,/ �wenQYi-11:................. Name of Owner .Cf,.4g....�At s5....Y..«4`.. .../7- Address ...... ...16 .../...... `S� Name of Builder .... j -,�i. . ..................................Address ...... .................................................................... ....................................................... ......... Nameof Architect .......,eVd.i.L.J.f...............................................Address .................................................................................... Number of Rooms ..... ...........................................................Foundation ... .................... Exierior .C�A2 .Roofing 11kP/f t_ .vf. < ........................... Floors ...I.4?Rk�C....� .................................................Interior ........... '.:r cU.�c,L ......................................................................... Heating ... , �K......./!!e ....Aj,4 �� Plumbing .......�....6�� >s� ............................ ......... ...................................................... '"-11L`IG7a�°il Ai]! 1!�M .ICi1w�R :--•-- ���• Fireplace .... ^!.£.................................................................. .Approximate Cost O�o? eon:.. -........................................ Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ...lG'!..I.QC............X4im Diagram of Lot and Building with Dimensions Fee !............... . SUBJECT TO APPROVAL OF BOARD OF HEALTH 91 i gi,z3 ' a.7�0A 55 Cl c 1 l � l i it I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Nam �7..................... � Cedar Acres Realty Trust 94 0/ y -----. / . . ^ familysin dwelling ' ' r_./�.����_.���� ___���� .________. � Location --.358_ ..Circle_____.. . .-------��a�cc�o--.--.—.—..-----. � / ' Cedar Acres trust ` C}vvnar ------------..�����......��-- ' ��a�a � Type ofConstruction -------------- , . . ' _ . , ` ----------..`------.-------- ---_ _ ' #2& v Plot ........' Lo� i ------'' ----------' - Permit Granted ---.. ' .�24--lP 74 - . � � Date of Inspection . . --lA ' Dote Completed .��.��xc ~' ' . . . . - ^ . , PERMIT REFUSED -------------.—...-----.. lV / .----.--.---------..----.—^---. \ � / .... --.—.~ . ~---^^^^'--^'~^^----' -- ' . .—.....—.---...—.---...---...~----- ^ . -----~.....—^—~...,.—.—~.,—.-----.' __`__-----------.. lA Approved. U -----r------'—'---^^--------' ` ^ --------.------------....---.. ' . Assess",r's map and lot number ............................................. THE Sw.c�ge Permit number ........................................................ �-^ Z BAEBSTAZLE, i 1.House number ............ ... .15................................. so mass � . O i63q. \00 11 mxl of, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... �,1 a C C�..:.^'`........................................................................... TYPE OF CONSTRUCTION ...... � ��A�r� ................................................................................................................... .. 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....4-14 A 1/1oIae9fr Lo I`1� q,v.✓;I ................... " s I............................................/.. ...............................5.......... . ProposedUse ... .; d...�..:'.................................................................................................................................................. Zoning District ..�C�..................................................................Fire District < Name of Owner .('� li,61iv... f�< r. ....A� 0-9,1� 1-7-:-:''4' '..Address ............................................< 'rj� r � .:....: � Name of Builder «` ,e ...` `fir. '. .............................Address ......:�i� i ................................................................. Nameof Architect ....... .............................................Address .................................................................................... Number of Rooms Foundation .. ^^!«Py�.................................................................. ................................................................ Exierior S/, ".,/"—. Roofing ..../;,; /�/J, < .r,,,,, ,- , ... ...................... ..: ............................................ Floors• ...................:.....................................................Interior .................................................................................... Heating ...1r...: r frv� w��c., .........Plumbing ............................................................... .................................................................................. Fireplace (�r� f ..................................Approximate Costar— ................................................ ........... ................................................... Definitive Plan Approved by Planning Board -----------____---------------19--------. Area ...Z!...... .................... Diagram of Lot and Building with Dimensions Fee c1i SUBJECT TO APPROVAL OF BOARD OF HEALTH f 601 IT - arm"PA5S C1 C Le, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... - :..............::.....'.: ......................................... Cedar Acres Raaltr Trust ~� ` � A=2I0-388 20994 ` one . No ----. Permit for`-----�.��..�---. � single family dwelling ' ------------------'-------- ' 358 os Circle ~ Location ------.����!�-----------. ` is .........................�.Y��]n........................................... ^ Cedar Aoreo Bealtv Trust �,�n�r ---------------"------. Type of Co . ' ` nmr u� ). � Permit^ ^ Granted Date of Inspection ........... /9 � ~~'^ Completed --� � PERMIT REFUSED ! i -----r'. ' ,___.. J..�. ��.---. ' -'.---......,--- -.-.-.- � ........................................ . . ............' / .----.-..~-..-..---,..-..-�~�--.-.--- ^ � Approved ................................................ 19 -------.--.---..-.--..--~...--.. ' ----------^^^----~--^^'-^-^^^'' � , © T . tic+43T Ld La Oki F Mix 3 a. Wid 41 4�" Aat` , WIN 1 40 of lot + BY CERTIFY THAT Ift THE 4�N 7S WbATE{a " ` r 7~o` �'(3Ni�G �?�:wWt.A,77�r`S :Qt"t��'�2�tiVt^z•a i,� v A1� � " 4?1Y7 STKD£T a,*4ES AND �; ,�•'"` TOWN OF BARNSTABLE -a. 20994 e � ,Permit No. -------- . 1 saia.n a Building Inspector Cash rua ,6,q. ,� OCCUPANCY PERMIT sons 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 been 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 Great Pond Dr., South Yarmoutr lswl- Yl.ih ,'�ri,�? !'i,me.n,�R- ('�sn7 fs L>Ieaecee+,yi o t Wiring Inspector Inspection date ��(( ' Plumbing Inspector S ��* Inspection date Cxas Inspector Inspection date Engineering Department�1 � ; f, Inspection date _ '2 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. ./,, I9.. wilding Inspector DIME Town of Barnstable *Permit"�° 020 0 'I'O Fxpires 6 monthsfem issue date Regulatory Services Fee L-, snartszesi.s, + Thomas F.Geiler,Director MAM RAW Building Division Tom Perry,CBO, Building Commissioner MAY 14 ZM 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint. Map/parcel Number 00 35 f Property Address /`- i ETI Residential Value of Work -4 4'00. `� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address � g [t r� I% c°, Contractor's Name,,) )S t=pil Tq(,_1 lA+0 Telephone Number S Q Home Improvement Contractor License#(if applicable) /_ $. r� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 2-1 have Worker's Compensation Insurance Insurance Company Name. 1., ,QY Workman's Comp.Policy# k L)C :SL-J d 74 (?lam Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ["Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. `Going over existing layers of roof) ❑ Re-side . ❑ Replacement Windows/doors/sliders.U-Value (maximum *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 is required. SIGNATURE: QAWPFILES\FORMS\building permit.forms\EXPRESS.doc Revise020108 , 2 ' NOTICE NOTICE k TO y TO EMPLOYEES EMPLOYEES 4 The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 - http,://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22& 30, this will give you notice that I (we) have provided for payment to our injured employees under the above-mentioned chapter by insuring with: LIBERTY MUTUAL INSURANCE CO NAME OF INSURANCE COMPANY PO Box 9102 Weston, MA 02493-9102 1-800-762-5026 ADDRESS OF INSURANCE COMPANY , WC1-31S-342974-038 04-26-2008 04-26-2009 POLICY NUMBER EFFECTIVE DATES MARK T VOKEY INSURANCE AGENCY (508) 945-3535 NAME OF INSURANCE AGENT PHONE # PO BOX 1247 WEST CHATHAM MA02669 ADDRESS OF INSURANCE AGENT JOSEPH JACINTO DBA SEASIDE 3 LAKEWOOD DRIVE EMPLOYER ADDRESS EMPLOYE R'S.WORKERS'COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers-Compensation Act. A copy of the First Report of Injury.must be given to the injured employee.The employee may select his or her own physician.The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury.In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at.the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER Insured Copy { � q i License or registration valid for indmdul use only F� "before the expiration date. If found return to k BYz oard of Buildmg?Regulations and Standards One Ashburton Place in 1301_ r� Boston,Ma.02108 I � y j r Not vand�wrthouf:signature ,, . E � �� �omri��2o<n�re�l�i °ram i1il�aaati/u�aeJ%� '�„ Board of Building Regui'ations and Standards ` HOME IMPROVEMENT CONTRACTOR Registration .138539 Ex�flraflon 4/11/2009 Tr# .128737 t: a ."TY66 DBA t -SEASfDE ROOFING AND SIDING_ JOSPH JACINTO 3'LAKEWOOD DR. :HARWIC.H MA 0 2 ��; ".;... .._ : .,645 ;. A1dtriiaistrator .:. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print LedblY Name(Business/Organization/Individual): -OSE pA T d-,u 4'in Address: a,►� �l�on n `�l f22 City/State/Zip: 2W I t 1, N�Pt DEC �� Phone.#: '0 !�W 3`a f I Are you an employer? Check the appropriate box: Type of project(required): L gel am a employer with 3 _ 4. I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired the stab-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 g, E]Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp."tncrance comp.insurance.$ r, 5. We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their I I.❑Pl ing repairs or additions 3.❑ I am a homeowner doing all work myself[No workers' comp. right of exemption per MGL 1.2.2loof repairs c. I5 §1(4),and we have no insurance requuire&]t employees. [No,workers' 13.❑Other comp,insurance required.] •Any applicant that checks box#1 must also fill out the section below showing their workers'compmsation policy infmmation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. IContractors 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 pravidb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: M `1� l 14—L — Policy#or Self-ins.Lic.M V A q al e1`l y o6 i Expiration Date: Job Site Address: 3-05 COMA -s5 cl l a d C City/State/Zip: dwtlkb � p 0&6 0•` 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 here rtify and �aimns-an�dpenalh�ies of perjury that the information provided above is true and correct Si afore: Date: � / e Phone k 6 tt J 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 r 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 hue, 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 aZth 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 partuers, 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 P ermiWicense 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 cent 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 is o a license or permit not related to an business or commercial venture year.Where a home owner or citizen obtaining p y (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 C6mmonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-490.0 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia °F1HE, Town of Barnstable Regulatory Services r r r' v' hUss. Thomas F. Geiler,Director $A i639. �0 .. r�019 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 I, 'AL6ep-7` ('L%a.It i , as Owner of the subject property hereby authorize TD SC-Pt"� e i ki+b to act on my behalf, in all matters relative to work authorized by this building permit application for: 3 SV Co m Ot P 0,16' (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable F tHE t ti y� o� Regulatory Services -�^ Thomas F.Geiler,Director • BARNSTABLE, . MASS. Building Division g PrfD l �A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wv.town.barnstabl e.ma.us Office: S08-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DA E• � �3 6� JOB LOCATION' number street village "HOMEOWNER": name home 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 hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) 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 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 forrrJcertification for use in your community. JOSEPH D. DA_tU2 TELEPHONE: 775-1120 Building Commissioner EXT. 107 .TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 November 12, 1986 Mr. Albert Bisiglia 358 Compass Circle Hyannis, MA 02601 -Dear :Mr. Bisciglia: ` . If :has been brought to my attention that, there is an apartment - -`in the basement of your dwelling located at 35.8 Coinpass�C rc1e-,—Hyannis. +.. The present .zoning. of the area does not permit apartments unless granted by the Board of Appeals following a public hearing. .: y „r ✓. Please make arrangements to see me in my office within the next :fourteen (14) days.. ;. Peace, . , J s h �D... DaL z ui ding Commissioner JDD/gr ­y' r - -