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Home My WebLink About0014 GREGOIRE CIRCLE p i j I � ` \ t i I F !�)23)1 r oFtME r� Town of Barnstable *Permit# /lv J10go Expires 6 months from issue date Regulatory Services .-Fee, s— snxxsrnste MA & Richard V.Scali,Director. 1639. .�_ ' Building Division hF,�1Ir Q; Tom Perry,CBO,Building Commissioner 200 Main.Street,Hyannis,MA 02601 MAY 1.2 2016 www.town.baiiistable.ma.us � Office: 508-862-4038 �Q1� aaR:�5�08Fi790-.6�L�30-� EXPRESS PERMIT APPLICATION RESIDENTIAL. ONLY 2?�w �„ Not Valid without Red X-Press Imprint , Map/parcel Number yq Property Address N Gym! O !�S/P �f f�G I ie, ._Wesidential Value of Work$ "I 0� Minimum fee of$35.00 for work under$6000.00 . Owner's Name&Address 5,T-a r► 1`e4 d W OJ44, 1 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance :.Check one: ❑ I am a sole proprietor I am 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(hurricane nailed)(stripping old shingles).All construction debris will be taken to Re-roof(hurricane nailed)'(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: _ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. SIGNATURE: C:\Users\Decollik\AppData\Local\Mi Windows\Temporary Internet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 Town of Barnstable • Regulatory Services, oF'INERichard V.Scali,Director Building Division ' Tom Perry,Building Commissioner - nlass. v� 1639• ,0�' 200 Main Street, Hyannis,MA 02601 �Fo ,t s www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE.EXEMPTION Please Print DATE: _ gyp'. JOB LOCATION: number 9 0.t• .P ��/''�i too numbe street/ village:. / "HOMEOWNER": c��4+. ��? C� VtJ �C— j��S �f 1f.d 3V 7/0 4' name home phone# work phone# CURRENT MAILING ADDRESS: 0, i city/town state zip code The current exemption for"homeowners"was extended to`include owner-occupied dwellinas 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 b6,'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". 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 Hork owner 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 whicli 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 1 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. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outl6ok\2PIOIDHR\EXPRESS.doc Revised 04021.5 The Conintoniveaakh of Maassaachu;setts Depaarturent oflny�aglust yial Accidents I ° '0 ce o,f Investigatror _ f 60'U Waasltangton Street- Boston,MA 021.11 ; "n"V.oraa .gmv/data Workers' Compensation Insurance Affidavit:Binders/Contractors/El ric ns/PTtunbers Applicant Information /► Please Print Lezibly. Name(Busine�imtaan�Ii dividual)_ Me w.ay-, Address: city/statriz _ 13 awti_Sb$ n 6;_46,?o 1hoiie#: Fire.you an employer?Check the appropriate bos: Type of project(relu ue d)= 1_❑ .I am a employer with 4_ ❑ I am a general contractor,and I 6 New comstnrtion employee(full and/or part time)-* have hared the sub-conhuctvas 2-❑ I am a sole proprietor or partner listed on the attached sheet 7. Remodeling ship and have no employees These stab-contractors have $_ ❑Demolition; working for the in any capacity_ employees and have workers' � El Building addition. [No worl�eix'pomp-insurance comp.insurance required 5. ❑ We are a corporation and its 14l-❑Electrical regains or additions 3 I am a homeowner doing all�€� officers have exercised their 11_❑Plumb-g repairs or additions .myself[No workers'gip- right of exemption per MGL 1 12-❑Roof repairs insurance required-]f c. 152, 1( ) and we have no employees-[[Nay workers' 13_❑Other comp-insurance required_] "Any sppiicamt that checks box##1 nmst also fill outthe section below showing thief€makers'compensation policy information Homeowners who submit this affida0t:indicating they are doing all waak and cheer hire outside contractors:mmst submit a new affidavit indii,ca=g such_. lConuactors that check:this boa must attached an additional.sheet showing the mains of the sub-couttnctoss and state whew or not those eudtks?iase employees.. If the stb-contra ms hsm emgioyees,they must provide their workers':o mp.policy number. I am an employer that is providing tasorkers'coangwisation.insurance for my employee& Below is tliepoIicyy alld job site information. InsuranceCompany Name: Policy#or Self-ins.Lac-#: Expiration Date: J Job site Address: t�� o c7 t!a l-t'✓C ( `2_ City/StateIZip:C �.i2,,,IL a ry 4\0 Attach a copy of the Workers'compensation policy declaration page(shIowing the policy number.and capitation date).' Failure to secure coverage as requires 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 m4 sonment,as well as'civil penalties in the form of a STOP WORK ORDER and a.one 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 insurahce coverage verification- I do hereby certify cinder the pains andpenalties of p that time information provided above is true and correct; S- cure: Date: (C 1 (c Phone#: Offlidaal use Gaily: Do iaot write in.this area,to be completed by °or tonm official, City or'Town P'ermitfUceniee: Issuing.Authority(circle,vne):` 1.Board of Health 2.Building Department I City/I'own Clem 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 p __._... - - "�� Y I tU (ksgplu3hm Ik, "IM m�Gc a� m ;.. °�'' .,.... . u , u,Lxi�Hua%r:.,,� 1" vr..s,::. valid W. omdop«,:ia:Fwk5 toavoa _4 GREGOIRE CIRCLE m'ya:lid �mm�-��-�� __...-......_..__."_........_._.,....� .. I� S.Aced[ - Sec F—ge vine-HYANNIS F-MWkl HYANNIS Tmve,ewecm,n-domed —No P—d.1,W-�3�5 v 3 Aspuut Se tic Scan:2iaoiiP. uKTee>Ae, � � owBUCKQ,JOSEPHJ �� %NOWAK,.STANLEY'P� 5".i,VILLAGE-TRUST ]saaeu FPO cny BARNSTABi.E sac.MA �av:02630 Ica,Mw �s lsi d d»fo.lcz r�� EVEi M d 01, .... ..,,... ...........WF_am M.�.:..m: aces 0 21 u:.Sin le Fam MDL-01 zan�,g RC 1 � N �� ° .—— [ 1 9 ghbd[0105 ,y , Twwadhv{Level ....:: _......�,... ... „„�„.... ............_.„,_ c r uctm«3Pu6�eWater,Gas;Septicj i_oe, V v 3,mg11'l �Ir3 371 : 1 IN v Q 'rtr;,� 3 s ;3 xui x'r 3 <:: -- 1y 1 1 1IpJ�1' . i F Town of Barnstable *Permit.# 0 Expires 6 months from issue date N Regulatory Services Fee BARNSt'ABI.E. 'IF & g Thomas F.Geiler,Director .�es9 �0 5916 Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601w -XPRESS PERMIT Office: 508-862-4038 /� r R Fax: 508-790-6230 J U N 1 2001 PA EXPRESS PERMIT APPLICATION Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number �� G// �h (5. Property Address rValue of Workesidential OR Commercial ! Owner's Name&Address o = �/• v G o Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Ch ine: am a sole proprietor �I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Vjjrkman's Comp.Policy# Pa!rmit Request(check box) i ❑ Re-roof(stripping old shingles) M4 e-roof(not stripping. Going over�_existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Valtie (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc. l� ii ifel� Signature r expmtrg Assessor's office(1st Floor): J 3' G SEPTIC SYSTEM MUST BE Assessor's map and lot number .7 p`TwE to Board of Health 3rd floor t STALLED IN e�Q •� ( ) COMPLIANCE jSewage Permit number Q w� Y Z DALYSTGMLL Engineering Department(3rd floor): ° ,- ENVIRONMENTAL CODE AND ' `"" House number # °o 'a3o• ` nIfff'ft9 01mr- ,F d. Definitive Plan Approved by-Planning Board 19 . A�>Q+'�''®�;�� DNA APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only l TOWNS: OF BARNSTABLAEPR0VED r •� B U I L D I H G IN PE C T >.� Conservation Commission ; i f _y APPLICATIOWFOR PERMIT TO ed Date x: TYPE OF CONSTRUCTION , ' 19 _ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the fol ing information: Location Proposed Use Zoning District Fire District Name of Owner Address Z6 3.?— Name of Builder k Address Name of Architect Address Number of Rooms Foundation e?�adl Exterior Roofing Floors Interior I Heating Plumbing �- 00 Fireplace Approximate Cost 19 Area C>� 00 / ' Diagram of Lot and Building with Dimensions FeeIV �J ---------------------- 8 " 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 ��lm Construction Supervisor's License eiU'YI& Bi�,l�`C K,'.O,, JOSEPH y t No 34376 Permit For Add Deck Single Family dwelling s! _ .1. Location 14 Gregoire Circle`' r r� , , e =a ' Cz f Owner Joseph Bucko Type of Constructions Frame Lot Permit Granted' `June ,4 ,1 -^` 19 91 Dat&of Inspection � ,19 gDal ompt&-"ted- ''' -',19 00 } E'Ti t 1 y • MIppgg `.' ,�`° zl� .�`� f.! .. , .'! ' ! ; •%} ` i Ri rM V✓J oil _- .Fs• ,f Ft a .� � t.? j r-*, rt t i i 1 •� TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. . DATE JOB LOCATION C?✓2 r i umbe r Str eet ee t add ress Section of. town "HOMEOWNER" b e16 . am Home phone Work phone PRESENT ILING ADDRESS City town State ,.. : . _. .. .Zip code - The current exemption for "homeowners" was extended to include owner-Occuied dwellings of six units or less and to allow such homeowners to engage an .in-. dividual for hire who does not possess a license, provided th acts as supervisor. at the owner . DEFINITION OF HOMEOWNER: Person(s)' ,who owns a parcel of land on which he/she resides or intends tore- side, on which there is, or is intended to be, a one to six 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 for all such work performed under the buildingermit.for (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with t Building Code responsibility other applicable codes, by-laws, rules and regulations. Stat 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL / Note: Three family dwellings 35, 000 cubic feet, or larger, to comply with State Building Code Section 127. 0, Construction Control. g will be required HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix .Q, Rules and Regulations for . licensing Construction Supervisors, . Section 2. 15) . This lack of- awareneE often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed. against the inlicensed person as it would with licensed Supervisor. The Home Owner actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her. responsibilities,. man communities require, as part of the permit application, that the Home 'Owner 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 to amend and adopt such a form/certification f.or use in your community. i H.:.�,$,, �..n;,•yi �..,,-_..�.,.,., �!«.S,r'`�raev-rl�°tat'�-rw.-rw.e+�,�n�rtlri.�T'�asts.,..:..,»t��ira..�...;i�., Assessor's office(1st Floor): ^� Assessor's map and:lot number/ of / l� \ o`THE To board of Health(3rd floor) /� �# � l.._t iSewage•.Permit number f (o—�1• qd/ _ Engineering Department(3rd floor): r DAHd9feDtL ru a ..,.R.: �p House number. 4 c peso• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-i00 P.M.only TOWN OF BARNSTABLE BUILDING IN SPEC p ` ; _ , . / APPLICATION FOR PERMIT TO ` , F TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned`hereby applies for a permit according to the following information: n Location 141 .A Proposed Use p Zoning Districts Fire District Name of Owner Address k 7 Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing '"— QQ 00 � Fireplace Approximate Cost D �O Area Diagram of Lot and Building with Dimensions Fee 0 f t IV no 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 t Construction Supervisor's License Ifi( y BUCKO,-,_JOSEPH A=273-01 1 No 34376 permit For Add Deck Single Family dwelling Location 14 Gregoire Circle Centerville Owner Joseph Bucko Type of Construction Frame Plot Lot Permit Granted June 4, 19 91 Date of Inspection 19 Date Completed 19 J PERMIT COMPLETED