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HomeMy WebLinkAbout0194 MITCHELL'S WAY iyy �' � - - i tltE ti *` t Town of Barnstable � : N. it in /V`�• _ - ._ 01 band' his.Card`Musti'%7�K'e to . • r. S T a e treet. roued.,Plans Mustbe Retained on ia, - :.; s Post.T,hls Ca o a it s<. is�b Frorn h S y: P .:. r l'. s E .,� pis I�inallns' ''Ma"de. � - Posted�Unti � eet�on Has-Been.... • � �, .. -- � � din =shall No �be�Oeeu �ed�unts(a�malnlns est�on,has-been:made ��, 1 erin 1� ;�• .3W,. ,here,a_�ertificater f Occupancy i Required,, ,uch�Bu( g„_,n , p ,�,,,, � p ,� :,_� ,. _- ... 06Mt•&i &' Hua�u..i�aoic�t5'�{�an` :.-. '�'."..:a F:�.a ....C;xs_4xa '�i+�.Ss �'..xx�k.seS�` ems. .q.....a �_ Permit:No: B-17=1709 '' Applicant Name: TUPPER CONSTRUCTION CO,LLC. Approvals Datelssu Current Use:ed: - 06/13/2017 Structure Permit.Type: • Building-Insulation-Residential Expiration Date: 12/13/2017 -- -- _ Foundation: Location: 194 MITCHELL'S WAY,HYANNIS Map/Lot 290-143 Zoning District: RB Sheathing: Owner on Record: BASSETT, HEATHER J TR � ,Cont�adtt6KN me: Richard S Tupper Framing: 1 � Address: 50 MAIN STREET IN Contractor License ? CS-069058 2� H TIA SANDWICH,MA 02563 Est Prbj ct Cost: $3,100.00 Chimney: Description: weatherization �Permlt Fee: $85.00 Insulation: �; v F,ee Paid:: $85.00 Project Review Req: weatherization Final: ME P� Date 6/13/2017 rk� Plumbing/Gas Rough Plumbing: � ! Building Official Final Plumbing: ' This permit shall be deemed abandoned and invalid unless the work authori ed by this permit is commenced within six'onthsafterlissuance. � � •� Rough Gas: All work authorized by this permit shall conform to the,approved appluabon and th&approved construction documents�for which this permit has been granted. All construction,alterations and changes of use of any building and struetures=shall be in compliance with the local zone gbp laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access stree d'road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical v The Certificate of occupancy will not be issued until all applicable signatures by3the Building and Fire®ffiaalsace provided on this permit. Service: Minimum of Five Call Inspections"Required for All Construction Work: F r, 1.Foundation or Footing 41, P Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at.the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall_notproceed until the Inspector has approved the various stages of construction... Final: '.:Perso.ns,contracting.wlth.unregistered:contractors.do not-,ha.ve access toahe guaranty fund (as setforth in MGL c.142A). 'Fire,Department Building plans are to be available on site Final: .All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel A lication # Pp Health Division Date Issued 3 -? Conservation Division Application Fee Planning Dept. Permit Fee �C Date Definitive Plan.Approved by Planning Board Historic - OKH _ Preservation / Hyannis ,gZL SEf_ -i Project Stree Address / ��l Ahl e Villa � Q /I/ 9 Owner ,� f�'� Address /ZMZ2 Telephone �76 — 0IS7 Permit Request -�f hz/ Z01 O h P� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed c_ a Total newer:t Zoning District Flood Plain Groundwater Overlay Project Valuatio LOOP&S_Construction Type 2 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach suppo ing dobumentRion. Dwelling Type: Single Family Cr' Two Family ❑ Multi-Family (# units) }:T Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number 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: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - — _ —APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name ��i"►� 7 CA����� Telephone Number J /7 cV Olt Addresso A6aclOT e License # Home Improvement Contractor# Em iI C(112'lfl ( ��i1��, Cc, Worker's Compensation 4,41 _��/Bel to ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Al Cif C( J�S 01-lea, � SIGNATURE C '�_ ��/ DATE 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL } FINAL BUILDING a DATE CLOSED OUT ASSOCIATION PLAN NO. I s d.. VVISIOU 3.0 Heather Bassett s � _ P Tupper Construction ' 194. Mitchells Way Hyannis 02601 _ t�cicl��c�.s �•alas -': � .�� �.5 =:r����Z� a�� �., Fcls 'PT aci. S at t8�!" ' c . r - the ComjwgR gaM'0fMdU"Aas toft� lAccPdente i Congress ,Suite 100 Boston,AM 02114-2019 R 01 COmpenaatlon Iluaraoce Affidavit:l;uildervCo /Piumbera. A m TO h3B Ffl,)t�W�rA 7Rk piG Ail'1'HOR13Y. Name{ Q� nizs0aa/lnd{vidn TupW CWWhWftCo tLC Addmss: 54A H)"Ins Crowell Rd CitYMUWZip: West Yarmouth,MA 02673 Sfl8-T7B-o111 Phone#: Are you aauqftw.i-Aaek dM APPsSPdlft bac - LQ t am a rnfloyec whb ��_pvbyw{tau andVorylre-6m).. Type ofPn►1eOt(required): t�1 LE31 aai a aolc t�prktararparma=hjp Wd bM to mgloyoa wmkia$forme lm . 7• 13 Ncw eonaftWon MY cap-ty.lNo warlom,camp. eoquhea] 8. ZI Remodeling 3.Cj i am a hmaoawner daitrd aII wa*W�Wtl:hdo Weoriren'cmelL rain 1► 9. ❑D=WWoD 4.[j 1 am aa aad wIU be lrtrit4 aaatiactont m caadtrctall wodl hay Pt .1 wilt 10❑BnJN4 addition colors that A camutm cijcr have medne.caa oo�aoac Deana aok propeietan with ao evvioyaes 13.['�Eloctric�l mgairs or a$dih= S(M1 am a aenawlcontractor,md 1 have hired the eub.=&WW Und oa theatta&A abaci. 12. 3Pltmabitrg repairs or additions These=btW t fta,have earPJAYM aed bm wmkere�caa p:feeu4ea r 13.r�Roof ropkm 60 we are s corpontiao and is offs Aavc o�actred thrdr of exc on perhdtir.e. 14.a)Oilier Weatherbzgtbn 141rt41.ad aR have no employee,,(No wa:lwre' cam.loam+mec regtdied:l Y tpetteada cot tl� mat alas fi1L out iLe aeeriaalralow�+owh t➢roftwatlteat'eon Pansy m1bro ton. 1 n=fMft 2 d who udtmtr ba etrldavit hsdloa&a dW�dolag att wink and then him oaaide - �than etmerc this tsa:ascot sttaelrod as eddltlnnet.ehcet . stoat mast submit r new aotdavit india each. Yeee. !f thto tobcaatraclors bavt!!7 Wyse, 0e mms ofeha tub-caa?metan cod elate whema or not ermper bava thq atnatpsovi6e the$Wodtart'wnp,-Palk7umber. Jinn an al PbYd► Provift W&Arers'eo A{ 1►rforrremloa. L is 09 P&AV Mdft6 dk lnsu=e ConiMy Nam=AMC Policy#or Self-ins.Lie.v WCC5005503o12016A 1t?l9117. Expi�ion Date; Job siteAdab+ees:__194 M.it .hells Wy City/swamp, MA 02601 Attach a copy of the workers'co"easadon policy elect ration page(showing Faiha a to secure coy a as the Polio'aim ber and esplratlan date).. crag Mpired under M©L c.152.§2SA is a criminal etiolation ptun dwWe by a fine up to$1,S00.00 and/or one-yoffi imptisonmont,as well as civil Pendtia in the fdrm bfa STOP WORK ORMR and a fine of up to S7S0.00 a day a8aktat the violator.A copy of this statement my be forwarded tD the Office of hive d8Miona of the DIA for insurance coverage verification. Jdo Awn efpe".tllrotthe t o nx � Pn+ abr►Neiatevraar+deorre,� . s 5/8/17 #508.77"111 - offlc rose an{p. Do trot r'ft fir tills any is be COMAMW by al(,®mown offukL City or Town: # lesulog Authority(chide one): 1.Board 01He41111 L Building Department 3.City/Town Clerk 4.$ltctetcat Inspe�or S.PhtmbioB Iospeetar. 6.Other . Contact Pereon� Pion#: ACOROP DArE(MMID CERTIFICATE OF LIABILITY INSURANCE 01""") THIS CERTIF 11/28/2016 ICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND.OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CO E Y Ashley Paiva Southeastern Insurance Agency, Inc. PHONE (W. 508)997-6061 - FAX (508)990-2T31 439 State 93 AD Ess:aPaiva@southeastern:Lns.com P.O. Box 79398 INSURERAFFORDING COVERAGE NAIC/ North Dartmouth MR 02747 INSURED INSURERA;Arbella Protection Insurance 41360 - - INSURER B$oston Insurance*Brokers a Inc Tupper Construction Co LLC 1NSURERC: 546A Higgins Crowell Road INSURERD. -- WSURER E: West Yarmouth MA02673 WSURERF: COVERAGES CERTIFICATE NUMBER)2016-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTTRR TYPE OF INSURANCE D POLICY NUMBER MPOMIIDICy Yy POLICY LIMITS 47MERCIAL GENERAL LIABILITY �J EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE I OCCUR PREMISES ERENTED S 100,000 i 9520045208 11/1/2016 11/1/2017 MED EXP(Any one person) $ 51000 PERSONAL&ADVINJURY $ 1,000,000 �GEIWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY �Ca LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER' $ AUTOMOBILE LIABILITYCOMBINLE LIMI Ea a . $ 1,000,000 cc dent A ANY AUTO- - BODILY INJURY(Per person) $� AAULLTo$ED $ AAUUTOSSCHEDULED -- 1020000389 12/1/2016 12/1/2017 BODILY INJURY(Per aa(dent) $ jX HIRED AUTOS NON-OWNEDAUTOS PROPERTY DAMAGE Per ardd S UMBRELLA UAB Uninsured motorist Bl lit limit $ 250,000 x OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR - CLAIMS-MADE - AGGREGATE $ �DED ETENTIO S 4600058368 , 11/1/2016 11/1/2017 S WORKERS COMPENSATION PER OH. AND EMPLOYERS'W►61LITY YIN STATUTE ER ANY PROPRIETORiPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 1,000 000 ]3 OFFICERIMEMBEREXCLUDED? NIA (Mandatory In NH) WCC5005593012016A 10/3/2016 10/3/2017 E.L.DISEASE-EA EMPLOYE000 000 1I Yes,describe under DESCRIPTION OF OPERATIONS Delow E.L.DISEASE-POLICY LIMIT S 1,600,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,AddklarW Remarks Sehedule,maybe attached H mom space is requlmd). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORLZED REPRESENTATIVE Ashley Paiva/AMP 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) - The ACORD name and logo are registered marks of ACORD INS025 r�mmn Office of Consumer Aff airs-and Business Regulation 10 Park Plaza Suite 5.170 Boston,Massachusetts 02116 Home Improvement Contractor Registration . t Regisbation. 178434 _ Type: LLC TUPPER CONSTRUCTION CO, LLC. M .- ' it " 4/1W018 T�i 418299 RICHARD TUPPER - ' _ 546 A HIGGINS CROWALL RD W. YARMOUTH,MA 02673 _- - •_ UP"Address and return card.Mnrk reason for change. Addrim '] Renewal El Employment [] Los!Card office of Caeaemer Af§in A BW gg"R ,, cgalufoe Linens or regsqspon valid br individual an only HOME lMPROYE1b8pf{CONTRACTOR before the arpimtiou date. If tband retura to: ftOW eon; 178434 Type: Office of ommer Affair,and Bolnem Repletion Expiretton: 4/180118 LLC 10 -Saito 51 70 UPPER CONSTRUCTION CQ,LLC. at 1 JCHARD TUPPER 46 A HIGGINS CRpWELL RD 4 YARMOUTH,MA 0287E Not without�gaatw�e �� SIONAIDESIGNA710N� DfAR�{i107`taQe ._-a. __ ` -- -• .. ._. ...__�_. A ._. _»__ .. .�__. _ fl�tFrathroar„t snarmis -P0li�DR1Ut �IL+IC Maw mid BUILDING PE aN� PERFORMANCE INSTrrM INC _' tiers�re��rt+ssrrs�irot��olttw unrawh ed- MassaNausetts Department of Public Safety — �prRq►� `F Board Of Building RqguiatitHls and Standards Ammonaoeltw both ��09 E19lm�jaF "' License:CB489ON Construction Supervisor s WCHARD 8 TUppER NSA HlWW CR0WELLLjtW t) WEST YARiUIOUTH MA�t�6fa' fospawoe4swt� dt�1 � . saa�I,te�eraa..��arlaeo,e�� ��. IrarOlttloepi�aarlopNgtt ��� ,fK :i: e. Expiration: Commisaloner 12f3112018 313�� "Town of Barnsta e. *Permit# /J- Regulatory Service' m� ie 6nromhsfrom issue date y a AS& g Richard V..Scali,Director Ap 2 Building Division0M flfl y Paul Roma,Building Commissioner b--. 200 Main Street,Hyannis,MA 02601 www.town barnstable.ma us Office: 508-862-4038 Fax: 508-700-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY n, I Not Valid without Red X-Press I4rint Map/parcel Number /,(J Property Address; /?7 l�/-/ck ell" a)GL n1-7/,;. 1 6,266 _ 4 ❑Residential Value of Work$ db Minimum fee of$35.00 for work under$6000.00 ,Owner's Name&Address 1�,Ihe,Z '0 E�LsS e Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: - Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance .,Check one: _ ❑ I am a sole proprietor I am the Homeowner y I have Worker's Compensation Insurance Insurance Company Name = Workman's Comp.Policy# ' Copy of Insurance Compliance Certificate must accompany each.permit. P_ermit Request_(check box)' ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to. ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). Re-side , � dersU � f'n ueReplacement Windows/doors/s -V (maximum.32)#'of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,Le;Historic,Conservation,etc, ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is' required. SIGNATURE: QLA - Q:\WPFILESTORN[Mbuildmg permit formsTXPRESS.doc 01/25/17 . eOII0711�EQ�#�I ftffC.�l7YSPS a Dapartwmt qfra&zYftid Accid azir ` OW we OfL•P . 600 FFaagiart Street 1 P!H Na Warke& (�rmnn� nc �lumrancs AfffiLwlt LIS cmtr Wf*'irr..`agmmhers AppUcan¢hfor atia Plegse Prinf Y Phme Are you an emglayer?.Cbec kthe appraprfi fe bn= Type of project(required): L❑ I nut a employes via 4 ❑I am a general sa3tsctor and I 6. ❑New oaastiudic employees Omn a�forpart�me�.* have7sired$re sgFp cc 2.❑ I am a sole pmpiietar orpartner- Sled cogfire af#arbed sheet 7- ❑Remodeling_ REP and hue no emplayees These sob-contractors have 8. ❑Demolifi= wcdaug forme in any capacity_ employees aadhaee s 9. Q Build addifion [No wodon&camp-msmmnce onp ld. IIect:icai - reTiked_] 5. ❑ We area cosporaiirm and ifs ❑ repairs or aci ions 3 I am a fiameou r doing all Mork officers lxave exexcised thtirILO Phmmbing repairs or$ tfi5ams Myself[No Workam' rigbL of a pfiou per M40L 17❑Roafrepairs - c:1.52,§1(4).aadwe have go E employees-[Na 1 -❑O1 cow mquhmd.] • ecpagp€�tS�stcbeftb=nmastdmfMav1theseefraab9aa*A=xizSrheirwoRmemmpematiaapeHeginffim=a= vimsabagtskis 6neyaLednm�agwe�r�ddieal�saossidec�acr�smastsabmittaema�dast-kdio_sadi ICaa�nstbrld�Irtbisbm[mustattar��m.additi�al5beetsbouiagt3�saoYeoftbes�Co .�dststeuhethecarnattbnse�ha� empkWem Iftbesub-coxtxcm6bare emplayw-%obey— pmszde sues '--p.PGRU maabm I am an errrpla�sr Afit is prvuidir-workers'campenmrdfan frrsurau w br wy eutpTcyoes'BeIat4 is iltsPOUC,F mad jab site irtformafinn. - - ft- Ias�raace Comgasp Tblame.- ' - - -• __ -- Poficy Cr SeHjD&IiiaaDdfe= Job Re Address= CitylStafet x Attach a:-mpy of fire war�re compensatioapolicy declaration Stage(s awing the p'oRcy number and ezplrx i n dam} Failure to secure coverage as required under Section 25A of MiM m l57-caa lead to the imposi4ioa of crimistai penalties of a fine up to$L54a Oa sadlor aae=ye irimpriso as well as-dO peusliies,ia fbe farm of a STOP Fi OM OMXR and a fme, of upl a M a dap agak&the violator. Be whised'tirat a copy ofth&.zhk=eud soaybe hrvvarded to tine f}Sire of Isvestqphons of tine DIAr for;nsmmaw coverage vadfimfindL Ida hereby c Sirs pains tcf ssfj tbatf#sirtfannaamp.rn i&ffabmvisbarnandcorrect r Pfinne f�` Ojoidd we ady, Da t[rst trritg in flih area,€er be rxrrtipietc+d by crty artown ofiTc&Z , Ck or Taw= PM . ., icerrse:g ISSIIIng Am&wiLy(CR de One): I.Bw d of$'call& M BwWm- g *� I CAyffa n OeLt 4.Electrical Fnpectur 5.Phmbiag IIIspecidr 6.Ofker �4ID#�Ct PerSOII: Phone 9' �/_ •r►■1■I,i■w �■�!- .■:r•iY �•rl1�•- I �+/■t■ •'�.w Is ■1 • ■ •••Ir.1%R r•I■■I■w .[!•1■ 1■2 [■ [ ■rl/ • .."1■r ..a. • u■I■ :-• •r. a ••nun■ • t �.Ia • •� � •a{I■�/ .n u n ntr /r_■ n�+R u1• .L`L•wrn n■ rn ■ara■•n •1 ■i■a �•�: �:■m n _n• -•■ ■1 u n ' • �■ I.7 •![■- ti■-J: �■ tI ■Iu .lu■� ■2.L� _r■• ■■ .1■•tl■_ I■ _ _ •- • ■ ■ ■�- ■ .It It■■• •I■. ■-t ■■rw!tt• -1.\•M.1■at■ ■1 •■• _ till■1 • i2t•I• •• II_ •+■t■■ ••�.+. •••• ■••• ■ •• I ■!' ■1 1 ■-'Ia: t• ■[fl ■■-II Ill _■/:I Ifl�'./Iw :il• •'t• wY• 11 �1It •1 ■■ • Y■[/%tal • ■■ ••• -I It' ■•■ •" • :Ia{ t ••t■ �t■It / !�F•1■ it •/ I■.Ilrl[�■.■■r ■I■ f ■ ■•1■ •1 ■.■I "■■. •I■ ■ I ■•'" I/■■= /•■L • •1/ Ia J •■t•• ■1 f t1 ■rt• :■■■•I tN•.■aI ■a 1t• ■ I ■■ •ter'■■ ■ • .■ iil•1• ••Il.!tl /' a��■•i• ■■ •" :■• �!■II■ ••- - • r �f ■- ■1■1 ■/ ■ •- -«" ■ ILYII�Y. • 11 r/rL■ I Y • t■ ■ I■ _ II !I I•11■■t ■ • ' - ■ • r ' ■ ■ ■ - f• ■ •a 1 r:.I - r-■ Y. ■ "' •:i1 r' I r1■t ■ - 1 r '• .I • !• n u■. 1 ►/ � •.I■■=' ri r_ r:. uIu.+ a wnnu m-•r.lit I. .n• ■ IR •• t■r. ■■/■• Y m ■ �!•1{�i ■■[[• _■•' r•■ ■ •' 1•I {■ •��I/«■.1■r • ••■ •'■it. 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I.1 I/It■t - /•I/■I i •t ►�■ � ■ ,t �1■i1 ■•■• •`•!� • MII%�■ •■Y■f■ !■ r.l■� •1 ■�:■■■1 ■• ram■ I• -■t• •/YIl.. • r•It r■� wt: '�:■1■II �.■ Y: • ■�:w/Il � �/tr■ ►■ 1■ r•II[I■ i1" ■I /■• 1 ■- . ■■ • t •w1/••I■■1■ •'•■ a IJ t■ [•.t• •■t !■ :■•-11 Y� ■1 •tl r/■■� .1■•II :/■• ■•• / •■• ■ .■.• •r w■•I■ r •�trnr t_r !•'d= It • =wr%Mat 1r tt. �•:rtct In:;t a e111��.yt•� ► ��t � ian 1 • �. 0 . ■ tt 1 i �.i.Ltinn• [.±c t �� u n.ti •-. ur_- Town of Barnstable Regulatory Services- s�srwsrs. ` a� Richard V.Scali,Director Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 -' www.town.banotable.ma.ns Office: 508-862-4038 . Fax: 50090-6230 Property,Owner Must Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize to act on my behalf; in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted, Signature-of Owner ,. Signature of Applicant_. Print Name Print Name Date QYOR AS:OWNERPERMISSIMMOIS Town of Barnstable Regulatory Services dF Richard V.Scab,Director Building Division aAMMn$s. t Paul Roma, g Buildin Commissioner ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us s Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION /// "7 .Please Priat . DATE: �,__ JOB LOCATION:1 " number village "HOMEOWNER": �Op Q I S name home phone# work phone# CURRENT MAILING ADDRESS: � ( J � � c2 13 1-7/S Q citjhown sfate 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 hermit. (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 tbpt he/she understands the Town of Barnstable Building Department minimum inspection proc s equirem is and that a will comply with said procedures and requirements. S gnatum o omeowner 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFII.ES\FORMS\building permit foam EXPRESS.doc 0620/16 J . ��Q��FTNErO�yo� TOWN N OF BARNSTABLE Z DARISTME. i NABS � BUILDING INSPECTOR 'FO uAl a' (i f APPLICATION FOR PERMIT TO ...................I....A....................................................................................................... TYPEOF CONSTRUCTION ........... t�.S,—tin...-..........................................................................:....................... ........ ......,........./................199A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a'permit according to the following information: Location ....................:.L..C°... 1. (. K/ J7, S.: �....� ...... ...�............ ................ .............................................. ProposedUse ......... ..?.. I.'..!�..� ........................................................................................................... ......................... Zoning District ....... ... . .. . 2.. 0... . .....Fire District ....... .'/.. !...5........................................... Name of Owner .... l�Y'h!^,�r.......... `� Address �'� / �' /9 S ....!.............. .... .... ... .J.11.. . .................5...................... Nameof Builder iI i t ..... i........................................1..........................Address ......:..................................... ................................ Nameof Architect ..................................................................Address ..................................................... .............................. Number of Rooms .................. ..........................................Foundation ....PC A......... C°wt.................:....... y Exterior � / ........�?;-:�°.�.1..........� �?..�.�..�./.�'..... ...................Roofing ......�.5.��'�� Floors ..�...`...... "`.......................................Interior .........�5.:. !...1}.v �........................................... Heating ....... � vl �t \...........................Plumbing ��� . .................................... .................................................................................. Fireplace ......Approximate Cost I................................................................ ..................................... ..... Definitive Plan Approved by Planning Board -----------_____-_-----------19--------. Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH kl� 16, i qj�. I �W4J' e QJor �Z 4�7 c3 co CO, / 0 3. 0 Co zoIV co a � tv co I hereby agree to conform to all the Rules and Reguf i&0 ,Jhe Town of Barnstable regarding the above construction. Name . ....... `.............................................. � tb, Jazuaa K. � ' No -�l�Rn6 Perm for —ora story �� ---........... ..... ... / single r !z------------- � � /�o' � Loco�on /],�'.MitcloeII_ _________ / a --------/�!����..------------'' - Owner ............�anaao l{, 8mi+h -----.--.------,---, . ` Type of Construction ------�����---- . � --^.—~--.----.----------.---.. . ) ' Plot ............................ Lot --#.76------ ' � � Jaroza lg �� � Permit Granted ------�f—.--.--.]� |l � � \\ Date of Inspection ......... 19 ' � � Date Completed C="p='e" m�� « . ._- ) . PERMIT REFUSED | .____..--^--.----------. lV ^ ` '—~'~'----^^-----^^'----------' ' .—~-.~--...—.—.—..----.---.—.---. ` .—_--..--,.----.---..~.....—..—.—. ` � '---'~--'—^-^'--^^--'---'—^----^^ ' Approved ~--------------- lA � � � ' -------.—.----.—..--..--.—...--.. ` ---------------------'^^^--^' ' | [ ' ~