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HomeMy WebLinkAbout0040 HAMDEN CIRCLE to /farna'� U�/z _ _ — __ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel , u Application# �� ((5f5 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee S7� Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �4c.r )r N L t r c L f „n V1 Village l Owner -� C .�( f A Address ,I r j-e n Telephone 7 Permit Request u 0, 471 H to o n t l�4s c n Oak. VW I� Square feet: 1st floor:existing of proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3S-00.va Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family t/ Two Family ❑ Multi-Family(#units) Age of Existing StYFull re Historic House: ❑Yes U 9 Highway:No On Old Kin 's Hi hwa : ❑Yes 0/No Basement Type: ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ,Wumber 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: 2/Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes dNo Fireplaces: Existing New Existing wood coal stov ❑Yes .No Detached garage:❑existing ❑new size Pool:0 e 'sting ❑new size Barn existing ne.W size / <E f Attached garage:U existing ❑new size Shed: existing ❑new size Other: `j' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r Commercial ❑Yes ❑No If yes, site plan review# o Current Usn 1119 Proposed Use BUILDER INFORMATION 4 Name_\D�n!Aj k S [' t Telephone Number Address -I a �A -i C_ r c�„ - License# C,N Al l Cl 01), 1 U I Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l I l U l U FOR OFFICIAL USE ONLY PERMIT NO. ^ DATE ISSUED _ MAP/PARCEL NO. ' s - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �� 'f Q -0 -7 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. "r r Its FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION F FRAME CL-- to "7 INSULATION FIREPLACE j ELECTRICAL: DOUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL j FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 6,l , ' 600 Washington Street Ulm, -� g Boston, AM 02111 "- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name '(Business/Organization/Individual):_�E N N\ Address: f) ��0-rA k) C." t cle ' City/State/Z-ip: �`'�4 u�v S �� 0 z 6 U l Phone#: $OF- 7 7 l- S 7�t 3 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I 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. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. workers' comp. insurance. Y P tY• 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.[9'ram a homeowner doing all work right of exemption per MGL 11.dPlumbing repairs or additions . myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 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: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under th ains and penalties of perjury that the information provided above is true and correct ature: D— ;� ate IQ'A Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance.or renewal of a license or permit to.operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitilicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax'number: The.Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA021l1 Tel. ##617-727-4900 ext 406 or 1-977 MASSAFE Fax##617-727-7749 Revised 5-26-05 w.mass.govldia Town of Barnstable ti Regulatory Services anxr►sTASM ' Thomas F.Geiler,Director f 639. 4,0 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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Etima d cost`r3000-.... T_ype:of-Work: Q�� tA Py U h _ Address o�f-W r-k—KC> h b ri Owner's Name: C4.u b t T TF � P P Cr)ate-of Application I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 Owilding not owner-occupied wner pulluig own permit. Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Signature Registration No. [t)I 0 Date Owner's o_ature Q:wpf,1es.fomu:homeaff day Rev: 060606 I - P�oFt►,E t�,ti Town of Barnstable Regulatory Services S Thomas F.Geller,Director &MMSfABI.E, MAM 9q, i639• �•� Building Division A Tom Perry,Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 1--1 0r C is number street village "HOMEOWNER!': S1 3 ­6. name home phone# ( work phone# CURRENT MAILING ADDRESS: O I--1C��-�� �it �(✓1� ty/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 of two-familydwelling,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 form/certification for use in your community. Q:forms:homeexempt lF ,31� CII 1 coo� n . P i� APPLICATION 20064515: Summary (: View/Maintain 40 HAMDEN CIRCLE 4W Type Requested Scheduled Time Inspector Performed Results Ptan Reviews(Q} � t..... F' .. . 66ard geVIewS(0) BUILDING FINAL " INSPECTION:#1 ELECTRICAL FINAL AMARA, 04/07/2008 PASSED Pr�erequlslies(3} INSPECTION#1 WILLIAM INSPECTION APPLICATION 20064515: Summary 1Y View/Maintain 40 HAMDEN CIRCLE FRAME ROMA PAUL 10/19/2007 PASSED INSPECTION#1 INSPECTION'. ,� GAS FINAL. ' INSPECTION#1 GAS ROUGH 1ENKINS 06/28/2007 PASSED INSPECTION#1 EDWARD INSPECTION APPLICATION 20064515: Summary View/Maintain 40 HAMDEN CIRCLE INSULAIIUN v INSPECTION#1 PLUMBING FINAL i PLUMBING ROUGH JENKINS, 06/28/2007 PASSED INSPECTION 1 EDWARD INSPECTION i 4 E x' 1� Town of Barnstable *Permit# nd o3Sq� Expires 6 months from issue date Regulatory Services Fee , Thomas F.Geiler,Director ]Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (� Not Valid without Iced X-Press Linprint Map/parcel Number (1 Property Address C,MIZ _ C- V CA iResidential Value of Work`t` oo Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address D�N nt S V P P C �h� P.T (- F_ g y "t,t-,D 1^ti r ,l (-CA Contractor's Name Telephone Number S f)R� Home Improvement Contractor License# if applicable ) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance -PRESS PERMIT. Check one: JUN 1 1 2007 ❑ am a sole proprietor am the Homeowner ` ❑ I have Worker's Compensation Insurance TOWN 0� BARNSTABL. I Insurance Company Name Workman's Comp.Policy# 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) I it dRe-side ❑ Replacement Windows/doors/sliders. U-Value (m'axiimmu_m.44) *Where required: Issuance of this permit does not exempt compliance with other town departm—'tei traQA, Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter oj Permission. A copy of ome Improvement actors Licerbaas'i~p j ed. "cell e: SIGNATURE: ,/ .,. i. 4,r')A it t.l. Q:Forms:expmtrg Revise061306 f The Commonwealth of Massachusetts .Department of Industrial Accidents s Office of Investigations + d 600 Washington Street Boston,M-4 02111' widw.mass.gov/dia ' 'Workers - Co'MP ensation Insurance A-ffidd-vit: Builders/Contractors/Electricians/Plumbers Appliqant Information .Please Print I,e®ibl Name(Business/Orga=ation/lnditiidual): . J�c Address: ahN • City/State/Zip: .e 2 e o/ Phone t. 50 k- Are you an.employer?Check the appropriate box: :Type of pioject(required):, • general cont=tor and I l;❑ I am a employer with 4 I am aene ❑ 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 g• Demolition vorkin for me in an capacity. employees and have workers' g Y P ty 9. El Building' addition [ ' I�ro workers camP•insurance.comp,insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 11. Plumbin repairs or additions 3.[ZI am a homeowner doing ill-work . ❑ g P myself.[No workers' comp. right 6f exemption per MGL 12•[]Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks boa#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 anew affidavit indicating such. $Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have employees, If the sub-contractors have employees,they must providt their workers'comp.policy number. ram an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site' information. Imurance Company Name: Policy#or Self-ins.Lic•#: Expiration Date: lob Site Address: City/State/Zip: Attach a copy of the workers' compensation policy.declaration page'(showing the policy number and expiration date). Faiiure,to secuze coverage as required under Section 25A of MGL c• 152 can lead to the imposition of criminal penalties of a fine tip 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Inve-,ti?atiors of the!)Lk for insurance coverage verification. _- I do hereby certify under t&g pains-andpenaltie f perjury that the inforrr�atan provided above is trz:e and ccrrect. Si a pie: Late: ( .O Phone k Ofizcial use only. Do not write in this area, to.be completed by,city or town official. 1 City or Town: PermitR icense r Issuing Authority(circle one): I 1•Board of Health 2,Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rr 6.Oth.er IContact Person: Phone#: E 4 a F tHE Tp� Town of Barnstable Regulatory Services BARNSTABLE, ; Thomas F. Geiler,Director 69. ,�� Building Division rED MA't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ---===----===__========_______________-------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number Dstreet village HOMEOWNER": DFJVNiS ��CC,y Ll�c„1� "11L{ EPI� SOF-�7(—$—�Q `3 name home phone# work phone# CURRENT MAILING ADDRESS: yG H n+h bif N L c P c.l 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 requi -ments 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.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 are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt T OVii 14 0 F HI"RhJ FABLE Town of Barnstable tea.f'"E TO''tio Regulatory ervices y +H „ Thomas F.Geiler,Director WUg SrABte MAss. Building 9� i 39, '`�� 1..MJ10N 'Oren M Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 G19I 3 PERMIT# C �S 63 FEE: $ 1 d SHED REGISTRATION 120 square feet or less a GC( l� Location of shed(address) ill e. Property owner's name Telephone number Size of Shed Map/Parcel# (jai Signature DateI Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? —)�onservation Commission(signature required) 0� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg RSV:1 2 1901 VYV ZZ:99:1011 £0/60/90 u6p'u04e/u9Su03\u6PVJ sdow xol s�ossasstl elgolswog}o umol EOOlA1 woq panll6lp awaM Bawl la)Iod 'AOl l}o elox D lD -dow eql uo soxjjDU0.4DN *133�06=ONl I S X08)Imll313 O 310d 1H9n 4 I SpwopuolS/oDm»V dDW IDuoNDN laaw of paddow awaM uollolghA puo'Agdw6odal'smewluold 'uoywodwo) spalgo ID)Mgd of sdlgsuoplai lonPD juasaidai lou.op SIIH lD SPIDPUDIS A)D1N)V dDyov OZ 0 3 r s3M01 wa 310d Alnlln o a039 Aq sgdw6oloqd IDuaD 6961 woq palawdwalul eIDM uoyola6aA puo Agdw6odol-Auodwo)110MOS•M puo'suoyool aml lou oD Asgl-seuopunoq APedwd to leaw ION Aow puo dow elox sawor agl Aq sgdw6oloqd louaD S661 woq palawdwalul awaM(salnloaf opow-uow)s)elowluDld :S3)mnoS tl1Vo uogoluasawdal)Igdm6 Aluo awo souq lowed agl:310N** o fo lUMADlua uD sl dow S1g 133i NH IDS 031NI8d r NIVSa WSOIS ® N91S o l l N n S W 3 1 S A S N O 1 1 V W V O A N 1 1 N d V 8 9 0 3 9 3 1 8 V 1 S N M V 8 i O N M O 1 310d 9V11 ,0 Bad O 310HNVW ® 3A1VA e o \ 6 d D INMAN mild/A)Oa X �l 3mnimais/914inno Q �, A)30/H)SOd i(3 \ / load 9NIWWIMS \ 3 All3f 3NO1S A)VNI avow I IVS ° 11VM 9NINIV13m I 3)N31 X—X __I 11tlM 3NOlS \ / °NOIIVA313IOdS b'b�� / 0v q - 6ZOA9N uo pasoq uogon913 3NI1 mnOINO)100101 31411 mnOlNO)1001 Z d n W \ / 9 # s38WNN35nOH—�0981# L Z IJ �,° m38WnN lDNVd—lZ #dVW oildvw L6Z oW **3NI113)mtld 1IVal/Hltld ————— •• H)ll019VNIVSa ------- \ OVOS a3AVd 1019NIAmtld AVMIAIma --� 0 VON Isla S31VM i0 39a3 — 16 — V33V HSSVW i`J^, , y _— / \ SMI SnOm311NO)30 39a3 A A A A As3Ssm SO asVH)so HSns81039a3 �•� S33m1 Snonaima 10 39a3 6 16 AVM81V1 BMW J109 dow o uo woaddo lllm slogwAs Ilo Jou:31ON ON39310VONd1S VFW s Iid:3o-1 °Ft rq� L7 'Town of Barnstable Permit# Expires 6 months from issue date BAMSTABLE, : r Regulatory Services Fee __•,__-.T•IrD1ffa�s F.Geiler,Director , A A Building Division �0� �E1� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 SUN 9 - 2003 Office: 508-862-4038 TOWNOFgq �(O Fax: 508-790-6230 R�S"WXEE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number I Property Address 0 S M A �n &o ) residential Value of Work Owner's Name&Address \+( ),j O &, n Contractor's Name Telephone Number�`Z 27 3-4 -S -73 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance 1 Check one: ❑ I am a sole proprietor 04'am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) 21e-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) . *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature e�t a p.[u� � Q:Forms:expmtrg N� Roised121901 1 , The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION . 2 Please Print DATE: © > JOB LOCATION: �L s number street G llage "HOMEOWNER": e O` S 9- - O C9 3/ ame ,r� I I� '1home phone+# work phone# M f� CURRENT AILING ADDRESS: `tZ� L01� l , 'L' I"[ 1� S v 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. igna a 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 L application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a °THE rop TOWN OF BARNSTABLE ___201,35 o Permit No. __ ` { BA"STAX Building Inspector Cash _.��372.00 $ 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 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 fond Drive, S,Yarmouth, 1 lot #81 40 Hamden Circle, Hyannis Wiring Inspector '- Inspection date Plumbing Inspector/ TJ Inspection date Gas Inspector ,'3 I+= , Inspection date En De Inspection date ...�- / Engineering Department g p Q� 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. f 19 G •a�— _ .......................................�:.................................................................._._ Building Inspector Assessor's map"and 'lot number ... �r t, , ; - Pill SYSTEi��I Pv4llST BE �. I I'q;,TALLED IN COMPLIANCE- S ewa' ermit`number .:............. �.3 WITH ARTICLE II STATE . ;.... `: SANITARY CODE AND TOW& QyOF THE TOWN ' O F BAEft S" $L E r 8AHB9TADLE i a i PASIL BUI=LDING INSPECTOR 900 ,y639• 0 , I. �_4 APPLICATION' FORT PERMIT TO ................/ ' TYPE OF :CgNSTRUCTION 1... . ..... . .... . .... ........ .. .. U ' ................................................19......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby a lies for a permit according to the following information: Location ....:. .. ............ ... . / . .. ..... ......................................................... ProposedUse ...............f�.. . . ...................................................................................... I' Zoning District ...................................................... ................Fire 'District .............................................................................. Name of Owner . . ,`.1 .. .... . dress ............Y..) Name of Builder . .. ...:... .. .. ...Address ....................... Nameof Architect .........................?........................................Address ............................................:.................... Number of Rooms ........ ............................Foundation . ............ . Exterior ... d . .(fir...... Roofing ..r . .� J Floors .......( Interior ..............✓`�.P'L.� ..rZ Heating ...../"�f, ... .. .. �g' -. !......Plumbing ......... .. .. ,,� r:.�.. _ ..................... Fireplace .............. .. ... .. .. .................................................Approximate Cost .................. �� :Ll. Definitive Plan Approved by Planning Board --------------------------------1 9-------- . Area .... / Q(�...... :.. ........ . Diagram of Lot and Building with. Dimensions Fee o......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH % - b. 1 I hereby agree to conform to,all the Rules and Regulations of the Town of Barnstable regarding the above construction. 7 Name ...... .... .. Cedar Acres Realty Trust R t 20185� one story t Permit for single -family dwelling _ _ ........................... ........... •........40.Hamden Circle... .. ...,....... _ . Location ................ - Hyannis ............................................................................... Cedar Acres Realty Trust ' Owner ......................................................_........... = f raaie _ ^ Type of Construction .......................................... rt .......................................................... rj........... Plot ......................... .. Lot :..........�81.............. r May 8 78 Permit Granted ...........:..::::......................19 Date of Inspection ...... .............................19 . :.y Date Completed .... ...`.:.: = ' PERMIT,.REFUSED ........................................ 19 ............................:.................................................. Approved ............................................................................... ............................................................................... p ♦ W {,�� d' N OD Oil Ilk ifq -C l0 7 OIL- .�.�,.�i�8+-F•`•, r�':`�f�.'a��tiy.1.� J7YQT.1.��.�,3� �}�1�lV,li NI",Qt 3144 Qt Sv,uO , CNV P-Me #S Sy 101 3N1 NO 431VOGI VI tJO11dfIP.?O S4*U -LVH-t AJJ1S3a'AJT3H3:i i ,f Assessor's map,and lot number ... ' Seu age"Permit number .......................'t................................. °`7HE.r°� Y TOWN OF BARNSTABLE ` BAHB4TADLio �Q wnY 9. BUILDING , INSPECTOR APPLICATION FOR PERMIT TO ................. ....... ... ..............:..:................ r TYPE p� OF CONSTRUCTION ............._. ...:..... ................................. ......... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......... . � . � ProposedUse . r/a. . .r ......................... .........................................I......................... • ZoningDistrict ...................................................... ............Fire District .............................................................................. Name of Owner -'s�Ep9. l''ir�.'' , i"'9 v:�'+ Ti'"Address �1 (""' -'�sa' -�� l A/A . .......... . Y . 4 ,I � p.:....Address Name of Builder r z .... .�fl�...'ll�: .... .......................................................................................... Nameof Architect ..................................................................Address ..............................:.......:............................................. Numberof Rooms ....................................�........Foundation ................:..........................:.............'......,... .... Exterior ���`' ' ,k f' G ./1Fa .. . . , r, /� `��'. _ iA7/I Floors nf.. ........71� V !....... .. ..'... r' ,� I,l.� .............. Interior ............ ........ jAl S Heating ............................ �.t.......................................�- .Plumbing ............... '..' �.......j ..�) ..fi% ................... Fireplace ................ ...!...., .. .................................................Approximate Cost ..........................:..f -t.. r •�f t- Definitive Plan Approved by Planning Board ________________________________19--------. Area """'� ?-!�.:.�..?.�:..r ! -�................t.,... . Diagram of Lot and Building with Dimensions Fee .31, """................................... SUBJECT TO APPROVAL OF BOARD OF HEALTHrC�O a . /?, I I hereby agree a to conform to all the Rules and Regulations of the Town of Barnstable regarding the above 9 construction. Name .................. .:......................... ".`...........:................. Cedar Acres Realty Trust, A=291-184 2&-1'8 5 one story No ................. Permit for ................ ............... ... ,VA=291-184 story . .............. .. single family dwelling . .............................................................. ......... ........ Location 40 Hamden Circle................................................ ... ............ Hyannis ....................................TM....................................... Owner ....Cedar. . ...Acre. Realty. . ...Trust. . .......... . ...... . ...... . ...... . ........ ...... . . Type of Construction ..... . \tcame........................... ....... . ................................................................................. Plot ............................ Lot .......161.................. May 8 78 ...... ....!....Permit Granted .....\Ma ...................19 Date of Inspection ............. ........................19 Date Completed ............... ...................19 PERMIT, REFUSED If................ 9* ...................................... .......................................... ..................................... tE .....................................\....................... ............................................................................... 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