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Home My WebLink About0086 KENNEDY CIRCLE e . s � w.s �°FZHF r Town of Barnstable *permit#x�60'Y&T, s j Expires 6 months rom issue date Regulatory Services Fee w BARNSTABLE, � Thomas F. Geiler, Director- y MASS. Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b amstabl 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 26r a� Property Address l es•dential Value of Work j C CC Minimum fee of$2S.00 for work under $6000.00 Owner's Name& Address /4 / t;�� ' cL/L Contractor's Name �y tiy Telephone Number 7� Home Improvement Contractor License# (if applicable) lWorkman's Compensation Insurance I Check one: JUL - 3 2008 ❑ 1 am a sole proprietor TOW ❑ I am the Homeowner 0"BARNS ®'I have Worker's Compensation Insurance TABLE 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) rl Ke-side ❑ Replacement Windows/doors/sliders. U-Value . (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Noie: Property Owner must sign.Property Owner Letter of Permission. A copy of the Home Irriprovement Contractors License is required. SIGNATURE: i QAWPFILESTORMS\building permit forms\EXPRFSS.doc ti n7no The ComrnonweaXth of Massachusetts. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 / www.mass.gov/dia Workers' Compensation Intsnrance Affidavit: Builders/Contractors/Electricians/Plumbers AP licant Information Please Print Le 'bI Name(BusinessiorganizaYion/IndMclual): Ps\n-*,e, �n. &aU C.ty/staxdzLp: G& C�AJ&t&s: Are-you an employer? Check the appropriate x: Type of project(required): 1.❑ I am a employer with 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 artner- listed on the'attached sheet 7. ❑Remodeling p p p These sob-contractors have ship and have no cruployees 8. Demolition ees and have workers'loy working for me in any capacity. emp 9. ❑Building addition . [No workers' comp.- sranre Comp.1nsu anrc.t mtr 5. We arc a corporation and its 10.❑Electrical repairs or additions ed-] offic rtgrnzers have exercised their l l.❑Plumbing repairs or additions 3. I am a homeowner doing all work- [No workers' comp. right of exemption per MGL 12 ❑goof repairs insurance required_]t c. 152, §1(4), and we have no employees. [No workers' 13.[]Other comp.insurance required.] *Any applicant that cl=lm box#1 must also fill out the cmtion below showing their wmi=s'cmgxnsafion policy infMication- t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tCantractorS that check this box n=d attached an additional shoot showing the name of the sub-cootractrn and state whether err not those cntitics have employees. If the sub-contractors have employees,they roust pmvi&their workers'eornp.policy number. lam an employer that is providing workers'compensation insurance far my employees Belaw is the policy and job site information. Insurance CompanyNnn Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: Citylstatclzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Sectiou 25A of MGL c. 152`can lead to the imposition of criminal penalties of a fine:tip to$1,500.00 and/or ono-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 statLmerit maybe forwarded to the Office of Inyestigatians of the DIA for insurance coymago verification:. I do hereby under the patns•and penalties of perjury that the information provided above u true and correct. Date: �TML�S c: 0 — qk Official use only. Do not write in this area, tb 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 Persozr' Phone#: f - , Town of Barnstable Q�Of the Teti , yw o Regulatory Services. .. Thomas F.Geiler,Director saartSTABM MASS. 16.19. �� Building Division TED 1 u'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: 10B LOCATION: number street will g "HOMEOWNER": ' O name home phone# work phone# CURRENT MAILING ADDRESS: city/town slat7e zip 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. DEFINrrION 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-fanuly 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 regnuixements. 1 A M 9 Si tore 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 1o9.1..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 aie 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 loth 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 fon✓certification for use in your community. oFVEr Town of Barnstable Regulatory Services uRx eat Thomas F. Geiler,Director n19. �JX Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner MUSt Complete and Sign This Se ion If Using .A Builde Z , as Owner of the subject property hereby authorize to act on my behalf, in all.mattets relative to work a orized by this building permit application for: (Address o ob) SignaturZinae ate Print me If Property Owner is applying for permit please complete the Homeocmers License Exemption Form on the reverse side. V arcel Detail Page 1 of 3 &SASS, Ub : � ,5n pp. Logged In As: Parcel Detail Wednesday, Mi Parcel Lookup Parcel Info Parcel ID 268-054 I Developer Loot LOTS 11 & 12 Location 186 KENNEDY CIRCLE I Pri Frontage 1175 Sec Road Sec Frontage Village JHYANNIS I Fire District[HYANNIS Sewer Acct I Road Index 0831 Interactive Map Owner Info Owner IMULDOON, WILLIAM T &ANNE K I Co-owner Streetl 21 RANDALL RD I Street2 City IBERLIN I State MA j zip 01503 Country US Land Info Acres 10.49 Use Single Fam MDL-01 I zoning RB Nghbd 0107 Topography Level I Road Paved Utilities I Public Water,Gas,Septic I Location Construction Info Building 1 of 1 Year 1956 I Roof Gable/Hip �I Ext Wood Shingle Built Struct Wall Effect Type 2688 I Cover Roof AC Area Asph/F GIs/Cmp I Type (Central nt Bed Style Ranch I wall Plastered I Rooms 3 Bedrooms Model Residential I Floor Carpet I Rooms 3 Full Grade Average I Type Hot Air I Rooms Total 7 Rooms http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19369 5/21/2008' Parcel Detail Page 2 of 3 stories 1 Story I Heat Gas Found- Fuel ation Poured Conc. 4 1 Permit History Issue Date Purpose Permit# Amount Insp Date Comn- 4/27/2004 New Roof 76323 $8,500 7/29/2004 12:00:00 AM 4/21/2004 New Windows 79139 $2,500 7/29/2004 12:00:00 AM - Visit History Date Who Purpose 7/29/2004 12:00:00 AM Martin Flynn Drive by inspection only 3/12/2004 12:00:00 AM Paul Talbot Meas/Est 1/14/2002 12:00:00 AM Paul Talbot Meas/Listed 7/15/1991 12:00:00 AM ML - Sales History Line Sale Date Owner Book/Page Sale P 1 11/21/2003 MULDOON, WILLIAM T&ANNE K 17955/107 ; 2 12/4/1996 GRISE, AVERY& GUASTELLA,JOSEPH 10511/223 3 8/15/1994 GRISE, R AVERY 9311/316 4 10/15/1979 BIRD, MERRY MABBETT 2992/321 5 BEARSE, WILLIAM A JR M792 9335/020 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parc( 1 2008 $205,400 $4,600 $400 $193,100 3 2007 $205,000 $4,600 $400 $193,100 4 2006 $203,000 $4,600 $400 $159,300 5 2005 $178,000 $4,400 $400 $144,800 6 2004 $180,700 $5,000 $400 $144,800 7 2003 $172,600 $5,000 $400 $48,500 8 2002 $170,100 $5,000 $400 $48,500 9 2001 $170,100 $5,000 $400 $48,500 . 10 2000 $128,700 $4,700 $200 $33,700 http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19369 5/21/2008 Parcel Detail Page 3 of 3 11 1999 $128,700 $4,700 $200 $33,700 12 1998 $128,700 $4,700 $200 $33,700 13 1997 $134,700 $0 $0 $26,200 14 1996 $134,700 $0 $0 $26,200 15 1995 $134,700 $0 $0 $26,200 16 1994 $114,700 $0 $0 $33,700 17 1993 $114,700 $0 $0 $33,700 18 1992 $130,400 $0 $0 $37,500 19 1991 $142,500 $0 $0 $67,500 20 1990 $142,500 $0 $0 $67,500 21 1989 $142,500 $0 $0 $67,500 ; 22 1988 $96,700 $0 $0 $28,000 23 1987 $96,700 $0 $0 $28,000 11 24 1 1986 $96,700 $0 $0 $28,000 � Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19369 5/21/2008 o�THE 1ph, Town of Barnstable *Permit# 9 �.O Expires 6 ittontlisfronz issue bate r Regulatory Services Fee. 9 MASS. .� Thomas F.Geiler,Director i6g �pTEn Ntp+a Building Division Tom Perry, Building Commissioner s 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 X-PRESS P M IT " Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ON iR 2 1 2004 Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number n Ci Property Address .o 2 nesidential / Value of Work � i,i:60 d� Owner's Name&Address�/�� °��F ��i��%�M Incl o-,Kj Contractor's N -Telephone Number 9 d 73 - T IR Home Improvement Contractor License#(if applicable) t1c) ; Construction Supervisor's License#(if applicable) `�' __q ensation Insurance ❑Workman's Comp o Check one: < ry am a sole proprietor CD am the Homeowner C) -� ❑ I have Worker's Compensation Insurance Insurance Company Name o r N rn Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) C] 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. U-Value (maximum.44) �cOrt *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. Home Improvement Contractors License is required. Signatur 4 Q:Forms:expmtrg Revise053003 V oFt ,a,, Town of Barnstable *Permit# ? 3 .23 '4 Expires 6 months from issue date O,A Regulatory Services Fee 3 S snxxsT,4WjX, • — v� M M $ Thomas F.Geiler,Director 0.19. Building Division Tom Perry, Building Commissioner V 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 APR Z 7 2004 Fax: 508-790-6230 EX PRESS PERMIT APPLICATION - RESIDENInMuMARNSTABLE Not Valid without Red X-Press Imprint Map/parcel Number Property Addresses 7�i- [�]Residential Value of Work Owner's Name&Address Ov!' �� "��'� f-"' is Lr d Z Gil Contractor's Name �� C. d Ja4S Telephone Number -7g 7,?y•SSs Home Improvement Contractor License#(if applicable) /-2 e f Construction Supervisor's License#(if applicable) C 1�1 7 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Irv. I .. c di+ P G Workman's Comp.Policy Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 5?.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. U-Value (maximum.44) *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. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 i �s A . Town of Barnstable Regulatory Services sniursTBM + Thomas F.Geiler,Director �n f p,39. let Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative tolauthorized by this building permit application for: O C� �dresof J 0-51gn�atureW�IN ner Date k-\n to . �-- Print Name Q:F0RMS:0WNERFFRM1SS10N tl alb Board of Building Regulations and Standards HOME IMPRRVEMENT CONTRACTOR R _ 1E�CS � / 22004 BURKE&SONS ) F F MT�ME BUf2 PO BOX 254/439 PAT�19T$RDA TEMPLETON, MA 01468 Administrator I