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Home My WebLink About0139 LAFRANCE AVENUE __ ___-_--- � f�,, ___ ---- ,� -' � -�' �"� � ;! j.� ,� r �, w TO T ,✓- FRO � ( A,„' CODS 1}M6E ? r cn uj SI D � pETtiRNm �`CA1.� O ��.cA�� PHCN�q ( waNTS�0� WAS �: i�AGElti[� cAu. ; � sa�rf 3Ac�a�i 3� You iN AMPAD NO.23-176-406 SETS NO.23-376-200 SETS I 1 r Town of Barnstable Permit# vr1 bA TO !x Expires 6 montles from issue date Regulatory Services A 'Fee a 5 6 v Thomas F."Geiler,Director 1PPBuilding Division Tom Perry,CBO, Building Commissioner, u 200 Main Street,Hyannis,.MA 02601 www.town.liarnstable.ma.us Office: 508-862-4038 ` n Fax: 508 790-6230. EXPRESS PERMIT APPLICATION RESIDENTLU ONLY , p Not Valid without RedX-Press Imprint Map/parcel Number 3 0 ' } Property Address t. 3 4A-1 . Residential Value of Work Minimum fee of$25.00'for work under$6000.00 E —? - v� - Owner's Name&Address " _ - 1 c� o✓� r °i a , Contractor's Name i/l p Telephone Number 5 Home,Improvement Contractor License#(if applicable) •" " Construction Supervisor's License#(if applicable) ;, R . []Workman's Compensation Insurance Check one: 4 ; Fj I am a sole proprietor I am the Homeowner,x I have Worker's Compensation Insurance OCT` 0 .�QQ7w r s. Insurance Company Name `' �rr��az �, ( �.s®; TABL Y ..Workman's Comp.Policy# y Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) xw , Re-roof(stripping old shingles) All construction debns will betaken to Le4 O Re-roof(not stripping. Going over +,existing layers of roof) T t Re side, i i Replacement Windows/doors/sliders: U-Value (maximum.44) .. r a *Where required: 1ssuinee-of this permit does not exempt compliance with other to dep"pt'Tegulations, a Histonc,Conservation etc. ***Note:_' Proper must sign Property Owner Letter of Permission. copy of Home Improvement Contractors;License is'required SIGNATURE. Q:Forms:expmtrg Revise061306 - ' The Commonwealth of Massachusetts r Department of-Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wtvw.mass.gov/dia , Workers *Compensation Insurance Affidavits.Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Le gib Name(Business/Orgmdmtion/Individual): Address: ' �„A.f�.1 C� City/State/Zip: l L Y S('tv� w Phone.#: Sly . Are you an employer?Check the appropriate bog: :Type of project(required):, am a e e co tractor and I 4 I n ra1 1.❑ I am a employer with 0 g, 6. []New construction employees(full and/or part-time).*• have hired the sub-contractors 2.❑ I am a'sole proprietor or partner on the-attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have 8. []Demolition .> employees and have workers working forme in any capacity. t, 9. ❑Bwlding addition [No workers' comp.insurance comp.insurance. . Bl l 5. We are a corporation and its 10:❑ ectrica repairs or additions, 3.0 required.] officers have exercised their.: 11. Plumbin repairs or additions I am a homeowner doing ill-work.. g p myself.[No workers' comp. right o£exemption per MGL 12.[]Roof repairs insurance. ] ired.re q u t c. 152, §1(4),and we have no Cj`1 o workers' 13.O.Other employees. ' : .comp.insurance required.] *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 anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the Sub-contractors aiid.state whether ornot those entities have employees. If the sub-contractors have employees,theymust providb their workers'comp.policy number. lam 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.Lic.#i Expiration Date: • z lob Site Address: City'/State%Zip: w Attach a copy of the workers' compensation policy declaration page•(sho*ffig the policy numbed and expiration date). Failure,to secure coverage as required emder Section 25A of MGL c. 152 can lead to the imposition of criminalpenalties of a }. fine lip 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the CIA for insurance coverage verification. �do her eby ce under the 'ns•ah penalties of perjury that the information provided above is true and correct. D d starer Date: Phone Official use only. Do not write in this area, to be completed by.city or towmoffc[aL City or Town' ' Permit/License# 'T • .. .. Y Issuing Authority(circle one): } A.Board of Health 2.Building Department 3. City/Town Clerk..4.Electrical Inspector'S:Plumbing Ins pector. 6.Other • _Contact Person: r - Phone#t in °FtHErq,,, Town of Barnstable Regulatory Services yHA ASAS. E$ Thomas F.Geiler,Director 1639. Building Division Tom Perry,Building Commissioner ' 200 Main Street,Hyannis,MA 02601 s www.town.barnstable.ma.us Office: 508-862-4038 f Fax: 508-790-6230 Property Owner Mus Complete and Sign This ection If Using A Builde , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this uilding permit application for: (Address 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. QTORMS:O WNERPERM ISSION Town of Barnstable OF 1ME Tp� " Regulatory Services w Thomas F.Geiler,Director BARNSPABLE, y MASS. i6s9• .0 Building Division lfDYa 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: O O v JOB LOCATION: Z 9L/L n ber street I village "HOMEOWNER": Q/✓ 0 �! 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 o_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 req ' eme s. Signature of Homem 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 persons)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 SuFervisor. 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 TOWN OF BARNSTABLE BUILDING DEPARTMENT' , ` COMPLAINT/INQUIRY REPORT , Date Rec'd By Assessor's No. Last Name _First Name ORIGINATOR Street 40 Villa a State Zip Telephone: Home Work Descri on: _ COMPLAINT -i1 J INQUIRY Requestor's Signature COMPLAINT Street Address LOCATION OFFICE USE ONLY INSPECTOR'S; Date x`o? /�,,J" Ins ector ACTION/ COMMENTS - e FOLLOW-UP ACTION Y r -5- r ,` ,i ce r > � /lei ADDITIONAL INFO. ATTACHED { COPY DISTRIBUTION: WHITE - DEPARTHENT'FILE YELLOW INSPECTOR, PINK, - INSPECTOR (RETURN TO OFFICE MGR.) 3 _ NISCl. . [ ] [R1270 174. ] LOC]0139 LAFRANCE AVENUE CTY]07 TDS] .400 HY KEY] 178140 ----MAILING ADDRESS------ PCA] 1011 PCS]00 YR]00 PARENT] 0 SALERNO, JOHN & MARY P MAP] AREA]50AC JV1406297 MTG]2012 RUBINO, R & GRIES, D A SP1] SP2] SP3] P 0 BOX 451 UT1] UT2] . 19 SQ FT] 1080 TEATICKET MA 02536 AYB] 1971 EYB] 1975 OBS] CONST] 0000 LAND 24000 IMP 52200 OTHER ----LEGAL DESCRIPTION---- TRUE MKT 76200 REA CLASSIFIED #LAND 1 24,000 ASD LND 24000 ASD IMP 52200 ASD OTH #BLDG(S) -CARD-1 1 52,200 DESCRIPTION TAX YR CURRENT EXEMPT TAXABLE #PL 139 LAFRANCE AVE HY TAX EXEMPT #DL LOT 28 RESIDENT'L 76200 '76200 76200 #RR 0851 0082 OPEN SPACE COMMERCIAL INDUSTRIAL EXEMPTIONS SALE]06/88 PRICE] 1 ORB16299/251 AFD] I TC A LAST ACTIVITY]09/14/89 PCR]Y a R270 17A . A P P R A I S A L D A T A KEY 178140 SAI,ERNO, JOHN & MARY P LAND BLD/FEATURES ";BUILDINGS NUMBER ZN/FL=RB 24,000 52,200 1 A-COST 76,200 B-MKT 64,200 BY 00/ BY ML 8/90 C-INCOME PCA=1011 PCS=00 SIZE= .1080 JUST-VAL 76,200 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 50AC -- TREND EXCEEDS STANDARD NEIGHBORHOOD 50AC HYANNIS PARCEL CONTROL AREA '. TREND STANDARD 10] 10 LAND-TYPE 24000] 102000 LAND-MEAN -76% 76200] 75048 IMPROVED-MEAN -30% 25% ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 100%] LOCATION-ADJ APPLY-VAL-STAT 1 LNR]LAND LFT/IMP]ADJS/SB/FEAT STR]STRUCTURE ARR]AREA-MEASUREMENTS NOR]NOTES COM]MARKET INC]INCOME PMR]PERMITS GRR]GRAPHIC - FUNCTION-[ ] STRUCTURE-CARD NO-[000] DATA-[ ] XMT[?] R270 174 . P E' R M I T [PMT] ACTION[R] CARD[000] KEY 178140 0000.0000] PERMIT-NO MO YR TYPE VALUE CK-BY MO YR %CMP NEW/DEMO COMMENT J [ A [ J [ ] [ l [ ] ?J