HomeMy WebLinkAbout0326 OAKLAND ROAD
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Town of Barnstable Final Inspection Affidavit
f
Date:--
Building Division
200 Main-Street
Hyannis, MA 02601
RE: Insulation Permits
Dear'
This affidavit is to certify that qIll work completed at:
Street:,,,�zAc> C'7Pt-'�' l ACX
Village:
has been in pected by a certified Building Performance Institute (BPI) Inspector. All work
performed meets or exceeds federal and state requirements.
Permit applic ti W
gber:13 _� -Q
Issue date:
Sincerely,
Francis Sheehan
President
Frontier Energy Solutions, Inc.
502 Harwich Road
Brewster, MA 02631
Office: 774-237-0410
Email: fssfrontierenergy@gmail.com
TO—
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J�e,<
Town of Barnstable Building
;w '� ,)
'. Post�This.Card So That rt is 1/isible•From tFe Street,,,A roved-Plans"Must be Reta�nd on,J�b andzthis Card Must be;.Ke t ,
p'p.
M PostedUnti13 F�nalln pection Has Been Made �, '� K )'' Whrere a_Certificate,of Occu �anc Js°Re u r;.ed,such Butldln shalt Not be Occu ,ied until a„Fina,l-Ins action has,been made Permit.
mi .
Permit NO. B-18-2684 Applicant Name: Francis Sheehan Approvals
Date Issued: 08/29/2018 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 02/28/2019 Foundation:
Location: 326 OAKLAND ROAD, HYANNIS Map/Lot 271-084 Zoning District: RB Sheathing:
Owner on Record: BURT,ALAN R&DAWN M 1• Contra for Name FRANCIS S SHEEHAN Framing: 1
Address: 338 PLEASANT PINES AVENUE Cont aCto�r Licen16
e CSSL-105941 2
AA_ :
~
CENTERVILLE, MA 02632 EsPocCost: $6,400.00t rJa t Chimney:
Description: 744 SQft R-30 FGB to Attic,Airsealing,898 SgFt 1Oml Polyto Permit Fe"e: $85.00
crawlspace,406 Sq ft R-21 closed cell to crawlspace Insulation:
m �Fee�Paid $85.00
Win 8/29/2018 Final:
Project Review Req: Dte "
A All
y
-wt Plumbing/Gas
� � � _ Rough Plumbing: _
�A
Building Official
� > Final Plumbing:
Ae
Rough Gas:
This permit shall be deemed abandoned and invalid unless the work authodi d,by this permit is commenced within sixx m6hths after�issuance.
All work authorized by this permit shall conform to the approved application�and th�e�approved construction documer is for which,th s permit has been granted. Final Gas:
All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zonmgby Iaws and codes.
It This permit shall be displayed in a location clearly visible from access street or"road and shall be maintained open for publicrospection for the entire duration of the
work until the completion of the same.
Electrical
t Service:
The Certificate of Occupancy will not be issued until all applicable signatures bghe�Building and Fire Officials are"provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: `, Rough:
1.Foundation or Footing >
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: .
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final:
Work shall not proceed until the Inspector has approved the various stages of construction.
"Persons Qngnregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on siteFinal:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
` QQ�
�'THE Town of Barnstable *Permit
Expires 6 mon hs r issue date
Building Department Services lee
BAMEM,BL% : Brian Florence,CBO
MASS.1 Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
EXPRESS PERMT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
-C'9*4 (-a�4
l a /�
Property Address O «�rin,�f , `1 u.
r4.if/. , 0 (o®/
r—
❑Residential ., Value of Work$ P s 0G0, Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address -8c g — 1 lqSaz,�-
CA0_ ---eyLy-1f-e_
r
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑��a sole proprietor .
l�l'I am the Homeowner FEB 15
❑ I have Worker's Compensation Insurance 2M
Insurance Company Name
TOWN1 O� UAHAIS SABLE
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
❑ roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-"side 4, SaMe 7R,�y
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
'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
re uired. (� A
SIGNATURE:
QAWPFILESTORWbuilding permit forms\EXPRESS.doc
08/16/17
Town of Barnstable
Building Department Services
e
Brian Florence,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
RMUMARM
MAW www.town.barnstable.maus
1659.
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
DATE:
Please Print
�.� )� � �
I `
JpBLOCATION: �oZ,t.P �,� l�-�Q' /�Gt 17 �<1�(//litS,
number street village
"HOMEOWNER": �w'�' �4�v�L Val f' XQ 9-G� E- a-V-44
name home phone# , work phone#
CURRENT MAILING ADDRESS: T I e G.S Pt,�- S A tr e
city/town. state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwell M 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,pemut. (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
procedure and req ' nts and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Dote: 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 it form/certification for use in
your community.
Q:IWPFHM\FORMS%uilding permit fomu\EXPRESS.doc
09/16/17
J
J
f•
Town of Barnstable
Building Department Services
RAZZISTASM
KAM Brian Florence,CBO
5 Building Commissioner
200 Main Street,Hyannis,MA 02601
ww r.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section. -
If Using A Builder
r
as Owner of the subject property
hereby authorize to act on my beh4
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
Q:FORMS:OWNERPERMISSIONPOOLS
Rev:08/16/17
27w CommomveaWt of-MassachFrsetts
DvavLowe rt afIndrtstrialAccideids
_ 600 Wasiibi0on y§heel
Baston�CIA 012II1
ktwin mass gr Aria
War mrs' Cu pensationInsurauce fides Swlder-lCultractars/Electii "ans hrruhers
AppEcantIuftarsnaf lz Please pant�E°I IIY
Na1a8, neFnr �fjn_ rTrtd9. �IVC��V l Gf Lt'g/
Addressr 31 A Pl�eaSu - Lwf
Cifylstatr- i- C'e, ��v�
Are you an emplayer?Cheektheappr prWeban ' -T of project(required):
L❑ I am a employer with. 4 ❑I am a gemid contractor and I Ft e ]
employees(fall andfor part-time)-* have lured.the sots-cwtractors 6. ❑New cansf�r�i�
2.❑I am a sale proprietor orpartne� Tistad on the.arched sit ?. ❑Remodeling
slip and have no employees . eee stab-conRrac�ors hate `: Demolifioa
wading, forte is employees and have wadmrs'
onb �3= # 9. ❑B,uildiug acidifiou
IND1 O0r Cg,' cps ins=nce CO .p-surar
5_ ❑ We om ion and its liX❑Eteetacai repairs or a des
�,,• ,°SP
3_ &MVraemmer doing all work ofSce s Bove exercised ft!it 1L❑Plumbiagrepairs ar addiitiams.
sx:psel€[Na warfo;rs'oomp_ Ti of t emampfiou Per MGL L.❑I{oafrepairs
insurance rued-]t c.152,§IM aadwe have no
employees. Ta workers' 131]€alter
co=p.iasarance required-1
•Anyapp&crar��accbedlmbaa#lma upeHCYinffi=x6mL
ffaa�eawaers Who Sabot this�da4II 1 C117L�E they 9I£dL]Q;Sg Wad 8�a li1PCh}IE aubid�rn„r� amst mhmit a newuffidamt iadicsrieg sme-T,
fCaut<aclnrs ffLZt AMA iivs bax mast s[acbed sx sddi6aasl sheet show1=g thenmne cf the=b-ccmtwftm2nd she when et ornotftra eafifthsee
emplupees.Uthesuh-C=k1dats1aceenp1afee%gheynmstpaatd&&&uvrlcn'•romp,palmmunbrs
I am au.empLayer dintirpraurdrg warkeers'coarpomdfian i wirairm or my wrpkiyees BeIow is Ma poScy and job safe
in ormattam
InsaranceCompaup1fame:
,Policy 9 or Seff ins.Zia-4 FkpiratianDate:
Job Site Address= QW/State zip:
Attach a copy of the worltiers°corapensatiaapalicy dads atian page(showing�paficy number and erpirstion date).
Failwe to sew coverage as required under Section 25A of MQ.a I5-7 can lead in the imposition.of csimirai penaltbes of a
fine up to$1,540.00 aadlar orse-year impzisonmenta a s well as d-O penal is n i e farm of a STOP WORK OBDER and a fme
of up to$250-00 a dap against the violator. Be adsised dmt a copy of this statement.maybe forwarded to the Of of
h iesEgaHm of the DIA for is'= IIce-coverage L'eElf<C#itl II
i
..I al`o ker.�by c �aatdar tits proms psr�aI�s e�g�'flsattfis uc�arx[atiau prmrLed abm�is Gars a�:d arrrect
bate
dJJMaL use 4VJYY Da ItOt e•Frite zit fldS area,&be strttspletetl by cdiy arton u djOL-iat
Oft or Town: Permifficense:9
Issuing Aaihorfty(cirde ogee):
L Sward of Irzi[ k 1 Bu€i[Tmg Degartraent S.C3iylTuvm Clerk 4.Flectrical Inspector 5.Phumhmg Inspector
6.Other
C'onact Person: Phone#:
information and Tnstructions
Meats GdnmaiLaws chapter 152 regan-es all employ=3 provide Wor=s'COOPeUsation for fbeir employes_
p • 3iS Sb&rfe,an ea pinyee is deed in.fie se-vice of anof er ender a y contrast ofhhr!,
express or iuzplied,'oral or "
An Mpk yer is deemed as',air individmLL paxinmsbip,asso®lion,CO3: .afion or offier Legal eattr.ar anY two or more
of thLe,foregoing engaged is a joint eofeapd=,and inclndmg fie legal=pes=ftfivw of a deceased empIoyra,or fb e
r=Miyffi•or wee of an bJHVIdnal,paz[=ship,association or o$ier legal entity,employing employees. However the
owner of a dymIHx g house having not mare than three aaarhnenfs and o rest des thereat,or file occupant ofthe-
dWEMag house of mofher whn employs peSons to do n7ai tm an=,construction or repair work on such dwelfmg house
or oa fie grounds or bmldmg app�� hemb d:aRnotbecause of such eti=ploymed be deemedfn be an employer"
MOL chapter 152,§25C(t7 also sees that¢every state or local Ticea agency shallihoId ffie issuance or
reaewal of a Tice-a r-or peruiif to operafe a business or to mnstract buRdings in file commonwealffi for any
applicant Who bas not produced ac mptable evidence of curapHmm Wn the ft surance_covexagereq�aed-„
AddiiionaIly,M(H,chapter 152, §25C(7)stains=NDifhcr fie nor aziy ofib MPIi ical subdivisions c
entr mtJ any contract forthe pmfo=amce ofpubho-WD kuaa acceptable mdcnm of corapliancep 9ie insm`dnc&.
regtnremenbs of dais chapter have been preseted to the mntracling.aufhoaY:
ApPIicaats '.
Please:fll oiat the worb=7 compensation affidavit completely,by eheclang the boxes flat applY to your siinafl on and,if
necessary,supply sub-coafiact°r(s)name(s), addresses)andphonu T= er(s)alongwi ttheir certdIca±e(s)of
iosmance. Limited Liability Companies(LTC)or Ljln t Liab�7ity-ParEneishigs(LI P)with no�Ioyees other ii�n ijie
members or partae rs,are not rtgake d to carry wo:&-c&compensaiicn ii=i ce- Tf an LLC or LLP does have
eroployees,a.poIicyisreqnftDd. BeadYisedtlat this affitdayitmaybesnbm�dto the Departneutoflnffiztial
Accideafs mr conffimatim of-smnee coverage. Also 1?e sure to alga and date he af3ldavii: The affidavit should
b e-retanm(-,d to 1.e city or town flat the application for tle permit or license is being requested,not the D epar[meaf of
Industrial.A-=demis. Sh mldyou have any questions reguccrmg fie law or ifyou are regunrd to obtain aworkers'
eompensationpplicLpleasecaltleDepartmeutat$iemnnbealist�dbelow Self-inscu'edcoupaniesslaovldeatMtheir
self-1 s -ace license nnaber aa the appmpriate Ime.
City ar Town.OMcials
f
Please be sm-e that ft affidavit is complete and priged legfly. Tho Depaxfinenthas provided a•space of ile bottom
oft$e affidavitfor youto fM out iathie eventthe Office oflnvesfiga$ons has to coldwtyouregardmgiize applicant.
Please be sureto fillinthepeamiOicease=mber which wM be,used as arefere=nomber.Tnaddition,an applicant
I at must submit multiple pe�itllicease apPl3ceiions m airy given yew,need only sohmit me affidavit indicating cuaent
policy information Cif necessary)and under`lob STz Q.&dress"tie applic�t should woe"sII locations in the, �
town)--A copy of the-aff davitf at has beta officially stamped or mmInA by the city or torn maybe provided in the, '
applicant as pmofthzat a valid affidavit is on file for fatme'pemits or Iieenses. Anew affidavit must be filled Di t each
year. Where a home owner or citizen is obfaming a li.ceuse or pe nit not related to any business or commercial veutle
(i.e.a dog license orpennitto bnm.leaves e#,.)saidpetson is XOT=qoi:edto comPlete this affidavit
The Office of rnVesEgations wouUlfimto diankyoumadvance,for your cooperation.anti shouldyonbave mygIIest.ons,
please do nOtbj:s ai'eto gi MM a Can
'Ile I}epar mfa address,telephone and faxn�mmbea: -
Tia CDMMMW IffiE Of Massachnset�s
��f 1zid�fzi�AOcidenzts • .
• �man Sizes r.
Bosom lA aim
n:
Town of Bar �ta �
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✓', 4,:,,. h.. ,l �` ..,r ySk-:: ak .wY S � .U..lI C�.�1:
4 ' SxSr= 4 � #ta3 it.,ls�/is�ble, rom he t A r vetlPlans>Must be R art. ,: _ ,. . ,..� �.�e �, � ,v� ,,,� et. � ed o�n lob and^this ard'Must b
anirivszrrx .,.1?p,
n,
nrn n,
P sted ,. „ ,
�:.., ,. . a Wntl Final- ,s ection Ha _Been. ad
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_ �„
an ;wts Re uIred ,s"eh.Bu�ltl n shall,= ., ,. 1„ 4, :.. t Not be f)cCu eclmudtll a Fanalns ection'ha 'been �,�
_ ., ga„ ., ' :_. w ....p s , made
0 > ,.. " ,
Permit No. ' B-17 2390 Applicant Name BURY,ALAN R& DAWN M,
Approvals
Datelssued: 08/09/2017
Current Use: Structure
Permit Type: Building2Alt6eatidh INTERIOR Work Only Expiration Date. 02/09/2018r Foundation
Residential Map/Lot 271-084 Zoning District: . RB Sheathing:
Location: 326 OAKLAND ROAD,HYANNIS %.' W W Framing: 1
C N ontractor ame
Owner on Record: BURY,ALAN R&DAWN M
Contractor License 2
m ,
Address: 338 PLEASANT PINES AVENUE -
Est Arolect Cost: $,5,000.00
Chimney:
Perm t
CENTERVILLE, MA 02632` -
'e•
:Description: . Bathroom Remodel ;! Insulation:
Fee Paid $85,00
Project Review Req: Bathroom Remodel Date 8/9/2017 Final:
„
Plumbing/Gas.
Rough Plumbing:
Building Official .
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized nt
bythis permit is commenced within six rriohsafter issuance.
All work authorized by this permit shall conform to the approved applacatfonand-,hedpproved construction documents for which this permit has been granted.. Rough Gas-
1, t t
.All construction,alterations and changes of use of any building and structures hall be in with the local zoning by laws�and codes.
-This permit shall be displayed in a location clearly visible from access street or,r acl and shall be maintained open for publiEUbspection for the entire duration of the
Final Gas:
work until the completion of the same.
3 s
. .. - Electrical
The Certificate of Occupancy will not be;issued until all applicable signatures by the Building and Fire}Officials are,providec3 ors this�permit:.
_ Service:,
Minimum of Five Call Inspections Required forAll Construction Work: "
1.Foundation or Footing -
2:Sheathing Inspection Rough:
�,�
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed r Final:
4.Wiring&.Plumbing Inspections to be completed priorto Frarrme Inspection _
5.Prior to Covering Structural Members(FrameInspection) "
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 not.proceed until the Inspector has approved the various stages of construction.
Final
,Persons contracting wlth unregiste.red;contractor's-ido.not;have access to the guaranty fund';{as-set fiorth:in;MGL c.142A).._
Building plans are to be available on site
Fire Department
Final:
All permit Cards are the property of the APPLICANT"ISSUED RECIPIENT - w
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
rt
Map Parcel ( Application #-
Health Division Date Issued
Conservation Division Application Fee
Planning Dept.. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH' - Preservation/Hyannis
PCoj%ect S reet2Zddeess (o 0 Q crhCJ
Own r DaWA � �a0- el���i ( Address
�a G11.�2 06fl Ian
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Pr®ject=Valli Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units)
Age of Existing Structure Historic House Q Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full U/Crawl ❑Walkout ❑ Other,/).
Basement Finished Area (sq.ft.) Tn. asementU�nfinished 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`c4, , First Floor Room Count
— 11-eat 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)
Narneim,.C.f'Q��. �.��.� Teleephone7Numbers ��✓ _ 9�:�� O/
Addresses �ZY 6eC-tLicense#
4. 60Ha y Home Improvement Contractor#
E_mailer &y - view Lo —® kxa w. maker's Compensation #
ALL,CVor ,@NSTRUCTI N�DEBRIS �ESULTIN&.,EROM,THIS PR®JECT WILL BE TAK NnTO`
CSIGNATURE 'DATE Z l
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 �'7
DATE CLOSED OUT
ASSOCIATION PLAN NO.
• „� �� ���'�IIfF,FIt[#,��tit�ItSlTIarACCI[��T�S
600 Was, iagii on Street
Boston,AM 02111
wiP1umasEgop1dia
Wurr rare Campensafim Insurance Affidavit:BufldexslCuntraci MectdrianrRhanbers
AppEcant 1nfw=ffim Please Print F x y
�N o Da w1k- U I
Areyou an employer?Checktheappragriatebam TYPe Pr 1ect of o' r �'=
I am a general conttmetor-and I
(
L❑ bn
employ lama.ees[ a&o Elr part-time)-* have lured.tfie sub-contmdors 6. ❑New cnns rti
�
fisted mthe*attached sheet. 7. ❑Remodeling
�.�lam a sole lrropaet�arparEuer- .
ship and have no employees _ These sob-contractors have 8-,❑Demalifioa
wad-ing for.M in, t5= employees and have wodmrs' .
9. ❑Building addiiiaa.
INo v;p&=W camp-insa ance comp.i=ranc
-ed-1 5. ❑ We are a coaporatiou.and its lO❑Electrical repairs or additions
C3- Iamabomeotimer doing all work officers have e=cisedfck 1L❑ ms Plumhingrepairsoradditia .
myself[No vrokkers'cog. �t of exemption Per 14IGL . 1?❑Roafrepairs
insurance required-]Y c.152,§1(. k and we have
employees-[No wodoers' 13-❑other
comg_insarance required�i
•$ayapp5cmtdmtcbecmboa#1musta1sofMorQtifieswfionb9vwshasingdArworkers'compemafianpaycyin5ams mL.
ffIImf941ffffi14170 SIIt iiIiS af5daeg Indicaiigg th?y aze�aieg aIF W cad tbeah¢e auisid�caatractnrsmnst submit a newsd�davt indiaa soda
fCaamoc4o63�t chea ilf; boat must attadx aaadditiaasl sheet sbowingthen2meof the sob-contrud mend s devdse&et or not ibase emiitieshsee
employees-Ifthesub-coaAactmashzce emplayees,6teymustpinddetlmSr warkezz'imp.policy numhez
I am an employer that ispravfflb ;workers contperrsirtion L-wirmwafor my*empk gees Mow is thepuficy'curd jab sitce
Frr,�armal bn.
Insurance Company Nam:
-Policy 4f cr Self-ins--Uc. pit uD�e:
Job Site Addrem ciiylstawzZp: .
Attach a.copy of the workers'compensatioapoTrcy-declaration page(showing the poficy,number and respiration date).
Fadwe to secure coverage as required under Section 25A o€MC L a 15-7 can lead to the imtposilion of criminal penalties of a
fim up to$1,500.OU awVor onery car imp>isonmeut,as well as civil penalties in the fb=of a STOP WORE ORDERand a free
of up to$250-DO a day against the violafcr. Be advised ttrat a copy of this statement=ay be fo-rwarded fn the Office of
Inestsgations of the DIA.for insurance covexagesredfrcaion.
I aFa hereby csrl>; t reorder tTrs prrirzs an psrra&es a.Fe juo;tJiatfJ[e uc�aristataou prm rF�d abawe ig bua mid arrrect
Mt-e-M 4g.1-4. 17
PL 2 1 3
O,/Iciid aw mify Dv not wrke in this areg,to be carnpfeted by city orlown ojgk af.
City or'Iaww PermtlT;cewed#
Iss.a7mg Author€ (cacleone):
L33oardoffft2fth Building Department 3.City/rowa Clerk 4.Electrical Fmspector S.Plumbing Inspector
6.Other
Contact Pierson: Phone#:
lbaformation and lus ctiol's .. . . : �,.
���Ge=al Laws ch�x 152 regoaes all employ O provide wor1�'coruPens�ion for$i it eoPIoyees.
Porsamatto this sty,an EzVL yee is defined as`�;� pessanin.�ie service of another ceder any contract ofhire,
�=P or,implied,,oral or wriffma-"
asso�fr or�ion or other Legal eatby, ffiYtwo or more -
Aia�&Yer is&finned an i>1diY�dual,Pmtnmsbj AP motives of a deceased employer,or 8ie
of the foregoing engaged is a Joint else,andinclndmg the legal repres
receivet or trastee of an individual,pulp,asociafinn or o$ieg IC�gal entrty,e�OY��PIDY�- However the
owner of a dwelling house having not more�tbree aparhnenis and who resides thezeia,or the occapant of iiie-
dwmUing house of anon who employs pmrsons to do mairtman-ce,constac-_ti pn or repay wok on such dwelling house
or,on.tine grounds or building ajp IEL=tr)shallnotbecanse of such employmedbe d=nedto be an employer."
MGL chapter 152,§25C(6)also stags that¢evaT st2te or local ricen i g agencY shall withhold ifae issaance ar
renewal of a ficeose or permit to operate a business or to coast mct bufdmgs bt the commonwealth for any
aPP7icantvtlio$as notproduced acceptable evide c of comphanceWith the msuzance.covexagerequn•'edf
Additionally,MGLL chapter 152,§25C(7)stags fiTerthe�the cow nor any ofits political subdivisions shall
eni.er min any contmdt for the Pc&M anc;6 ofpnblic work uffhl acceptable evidence of campliancewith&0 msmmcs.•
rf,-C =ff of-ff i dhaptea have been presented to the contra aoiiaozdy."
AppHcan-ts '
Please fill oat $ie worker''compensation affidavit completely,by ches�g boxes 1 apply to your situation and,if
necessary,supply solrcvn =br(s)name(s), addresses)aadphone nombez(s)alongwithtlic r ceri1EIc2tVCs)of
insrn�ce_ L=itcd Lial iI4 Companies P-C)or Lin tcd Liability Partnemhips(LI P)veitTino employees o$ier tiIan tlie.
members or pates,are not jtqoimd to carry wadxrs'comPensation.i cmance. If an LLC or LLP does have
employees,apolicyis Beadvisedthatthisaffidavitmaybes hroitedtatheDepartmentofIndustrial
Accidents for co maiion of finMMce Mverage_ Also be sure to sign and date the affidavit_ The affidavit should
ba-retrnned to &e city or town that:the application fur the pel ted,t or license is being rujne;s not the D eparfinerLt of
rr ,cfri al A�ci T{mts. Sbonldyou have any questions rega dmg tho law or ifyon are regoaed to obtain a�oziCers'
compensationpohcLplmse call fad Depmtneotattbamrobr-rlisf:e:dbelOw Self-msoredca�anies should ea zii�eir
self-insurance Iicerlse number on$ie appropriate line. .
City or Town Officials
r
PIeas a be sore that the affidavit is complete and.pried legibly- The Department has provided a space at the botf=
of thin affidavit for you to f Il orb m tine event thD Office oflnvmEgations has to corff�you mgazdmg the applicant
Please be sure to fill in the peamWHcrose m=mber wbich wM.be used as a refinence member: In addition,an applicant
that must submit multiple p�license aPPlibstions in any given pcar,need only submit one affidavit indica�g cat
p at in ist submit
ion (if neoess y)and under"rob She Addy s the applicaot should write:"all locations n (�'or
t owa).'A copy of t'he-affidavitthat has beca officially sipped marked by the cry or town may b e provided to the
appHcant as proofthat a valid affidavit is on file for frdnre'pemi�or license& A new affidavit must be fMcd o e:ach
year.Whe rue a home owner Cr citizen is obtaiIIing a license or permit not related to any business or comet ercial vez�
to bum.leaves efc.)said pmsoa is NOT reed to complete ibis affidavit
(ie.a dog license or permit
The Office of Invest gations would hbe to thank you indv aance for your cooperation and should you bane any gucsfians,
please do not hes h tr.to give us a call
Ike 1?epmrtme�'s address,telephone and fax uumbM-. ,
Tha Gammomw(�:alt3r of Ma.&sach-n
Departamt c&IidUShiAAocidan:ft
BMA G11I
-2`f,-L,' GlT- -4900 cxt4-06 or 1-8-77-MA&�AFR
Fax#617 727 7M
Rmised4-24-07 w w Wxiqsg-�-T[diR.
Town of Barnstable
r_ Regulatory Services
Richard V.Scali,Director }
Building Division
L►xxsrABLE. Paul Roma,Building Commissioner
03 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DA-TE:—%. J4
�a C� ,0 2�U1
number street t village
name ho a phone# work phone,#
C
CURRENT MAILING.ADDRESS
O �—
a /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.
r
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures d requirements and that he/she wijl comply with said procedures and requirements.
SS _o`,Homeowne� .
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:\WPFILES\FORMS\building permit forms\EXPRESS.doC
06/20/16
Town of Barnstable
Regulatory Services
` s PIAM s. Richard V. Scali,Director
Building Division.
Paul Roma,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 Section
If Using A Builder
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
QYORMS:OWNERPERMISSIONPOOI S
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YOU ARE HEREBYNTOTIFIED'I'1i.1"T
NOADDITIONALWORK SHALL BE UNDERT,IKEN
UPON THESE PREMISES UNTILTHE < BovF
VIOLATIONSARECORRECTED.
ANY PERSON REMOVING THIS NoTj I-. \N l
PROPER AUTHORIZATION SHAH. P.[l: LIABLE
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326 Oakland Rd , Hyannis 5/2/12
1
a:. a Bk 14051 Ps191 . 051732
07-15-200.1 a 02= 30P
DEED WITH RESERVED LIFE ESTATE
I, FLORENCE ROGERS of Hyannis, Barnstable County, Massachusetts, for
consideration paid and in consideration of ONE AND 00/100 ($1.00) DOLLAR, grant to
ALAN R. BURT and DAWN M. BURT,-husband and wife as tenants by the entirety,
both of 338 Pleasant Pines Avenue, Centerville, MA 02632, with' QUITCLAIM
COVENANTS, with land together with the buildings and improvements thereon situated
at 326 Oakland"Road, Barnstable(Hyannis), Barnstable County, Massachusetts shown as
LOT 3 on a plan entitled"Subdivision Plan of land in Hyannis, Barnstable,. Mass. for M.
James .Sproul .December 2, 1954 Scale 1" 40' Kelly. & Sweetser Engineers
Dennisport, Mass." and duly recorded in the Barnstable Registry.of Deeds in Plan Book
132 Page 85, and being more particularly bounded and described as follows:
Northerly by Lot 1 as shown on plan hereinabove mentioned, one hundred and
00/100.(100.00) feet;
Easterly by land now or formerly of Ernest S. Bradford as shown on said plan,one
hundred seventy and 71/100 (170.71) feet;
Southerly by Lot 5 on said plan, one hundred six and 76/100(106.76)feet; and
Westerly by the easterly line of a forty (40) foot private way as shown on said plan,
b o .lndred ei?ht and 09/100 (208.09)feet.
There is granted as appurtenant to said premises a right of way over the 40 foot
way as shown on said plan to the State Highway (Route 28) in common with all others
now or hereafter lawfully entitled thereto in and over the same.
Lot 3 is subject to an easement in favor of New England Telephone & Telegraph
Company, in the area approximately shown on said plan.
LAW OFFICES OF For. title. see deed-of Barnstable Bay Inc. dated" April. 25, 19.68 recorded in ;
JOHN R.ALGER,RC. Barnstable Deeds Book 1399.Page 274.
5 PARKER ROAD
P.O.BOX 449
OSTERVIL:E,MA -
02655-0449 - - -
r
Bk 14051 Ps192 �51732
RESERVING TO THE GRANTOR HEREIN THE RIGHT TO USE, OCCUPY
AND ENJOY THE PREMISES FOR THE REMAINDER OF HER NATURAL LIFE.
WITNESS my hand and seal this / day of 32001.
Florence Rogers
COMMONWEALTH OF MASSACHUSETTS
COUNTY OF BARNSTABLE DATE: v
Then personally appeared the above-named Florence Rogers and acknowledged
the foregoing to be her, free act and deed,before me
NOTARY PUBLIC
My Commission Expires:
Ar >M X I��
i
BARNSTABLE REGISTRY OF DEEDS
AFFIDAVIT �� 14r[]51 Psi 193 51733
M.G.L. c:65C,§ l
RE: Donald F. Rogers ("Decede.nt"),
[Name of Decedent)
late of Hyannis MA
[Municipality) [State)
Date of Death: July 22, 1999
I, Florence Rogers , after first being duly sworn, do depose and say that:
1. l am:
(a) the duly appointed and qualified Executor under the Will/Administrator of the
Estate of the Decedent filed with the County Probate Court Docket
No.
or
(if there is no executor or administrator of the estate of the Decedent appointed,
qucrlifred and acting trithin the Commonwealth of Massachusetts)
(b)a person in actual or constructive possession of property of the Decedent,qualified
as a person entitled to give this affidavit because:
[status of person signing affidavit should be stated here)
surviving spouse - surving tenant by the entirety
2. At the time of his.1her death, the Decedent owned an interest in real estate situated at
326 Qakland Road Hyannis Barnstable County,
Massachusetts,as more particularly described in a certain deed froth Barnstable
Bay, Inc. to Ronald F. Rogers, et uxdated April 25, and
recorded in the Barnstable County Registry of Deeds at Book 1399 , Page
274 . dY'& Fi Ei'4' *6ff cxR g 3E ;t� f3 1'fr tK
Tt��t�iHF3{zt�t4�t5t�n1<�4t4��tlx
�. The gross estate of the decedent does not necessitate a federal estate tax tiling.
d. This aftidavit is viven pursuant to and in accordance with the provisions of
Massachusetts General Laws Chapter 65C. Section 14(a).
. t
8tc 14051 Ps i 4 �51733
Executed under the pains and penalties of perjur►• this____f� __ dad of
le 20oz
Florence Rogers
CO.'sI1-1ONWEAUM OF MASSACHUSETTS
Barnstable SS• 2001
Then a eared Florence Rogers
personally Pp and made oath that
the foregoing statements are true and acknowledged the foregoing to be kwier free act and deed,
before me.
Notary Public L _
+ +��u+��«��••., My Commission Expires: c� �Ua L
t,
V.
811 rI
rn
Mr
\t+„ I S:c:N1.G.L... C. 61 1",s:JC i:Iiti011 Q Nho ni:n yu to sign(his it
2 I: an c�; ..:+�r.+r;l.Intiai>v.,:�r is signing t::.s arriJa%i:,t c::::.' � :o t t.1a:peracr.Ist:ch a:"aurc ik in;joint
l?e I:-..�m pragr,:p t �..0 dza:h c, a:•::1t: 0 11 be rr:ira
%0';this atlid lvi:
4 BARNSTABLE REGISTRY OF DEEDS
Sic 14051 Ps I91 051732
07--18--2001 8 02 a 30P .
DEED WITH RESERVED LIFE ESTATE
I, FLORENCE ROGERS of Hyannis, Barnstable County, Massachusetts, for
consideration paid and in consideration of ONE AND 00/100($1.00)DOLLAR, grant to
ALAN R. BURT and DAWN M. BURT, husband and wife as tenants by the entirety,
both of 338 Pleasant Pines Avenue, Centerville, MA 02632, with QUITCLAIM
COVENANTS, with land together with the buildings and improvements thereon situated
at 326 Oakland Road, Barnstable(Hyannis),Barnstable County, Massachusetts shown as
LOT 3 on a plan entitled "Subdivision Plan of land in Hyannis, Barnstable, Mass. for M.
James Sproul December 2, 1954 Scale 1" = 40' Kelly & Sweetser Engineers
Dennisport, Mass." and duly recorded in the Barnstable Registry of Deeds in Plan Book
132 Page 85,and being more particularly bounded and described as follows:
Northerly by Lot l as shown on plan hereinabove mentioned, one hundred and
00/100(100.00)feet;
Easterly by land now or formerly of Ernest S. Bradford as shown on said plan, one
hundred seventy and 71/100(170.71) feet;
Southerly by Lot 5 on said plan,one hundred six and 76/100(106.76)feet; and.
Westerly by the easterly line of a forty(40) foot private way as shown on said plan,
two hundred eight and 09/100(208.09)feet.
There is granted as appurtenant to said premises a right of way over the 40 foot
way as shown on said plan to the State Highway (Route 28) in common with all others
now or hereafter lawfully entitled thereto in and over the same.
Lot 3 is subject to an easement in favor of New England Telephone &Telegraph
Company, in the area approximately shown on said plan.
LAW OFTices OF - For title see deed of Barnstable Bay Inc. dated April _25, .1968 recorded in
JOHN R.ALGER.P.C. Barnstable Deeds Book 1399 Page 274.
6 PARKER ROAD
OSTERMLE.MA .. -
0265E-0449
5
Official Website of The Town of Barnstable - Property Lookup Page 1 of 3
1
Select Language
Assessing Division Property Lookup Results -,2012
367 Main Street,Hyannis,MA.02601 - - - -
«BACK TO SEARCH« APrint Friendly
Owner Information-Map/Block/Lot:271 1 084/-Use Code:1010
_._ ...---.. ...--
Owner
Owner Name as of 111/12 ROGERS,FLORENCE Map/Block/Lot GIS MAPS
i 326 OAKLAND RD 271/084/ '
HYANNIS,MA.02601 Property Address
Co-Owner Name 326 OAKLAND ROAD '
Village:Hyannis
Town Sewer At Address:No
I----- --- --— - -- --= - -
Assessed Values 2012-Map/Block/Lot:271 1 0841-Use Code:1010
2012 Appraised Value 2012 Assessed Value Past Comparisons
Building.Value: $66,800 $66,800 Year Total Assessed Value
Extra Features: $0 $0, 2011-$164,500- •.
Outbuildings: $15,500 $15,500 2010-$203,400-
Land Value: $71,700 $71,700 2009-$234.400
2008-$253,100
2007-$253,100
2012 Totals $154,000 $154,000 2006-$260,800
Residential Exemption Received=$88,785 '
-- ----- ----- . ..... ............... ........... ...._
j Tax Information 2012-Map/Block/Lot:271/0841-Use Code.1010
- -- - -- --- ---._ ........._.
Taxes
1 Hyannis FD Tax(Residential). $344.96.
Fiscal Year 2012 TAX RATES HERE
Community Preservation Act Tax $16.47
Town Tax(Residential) $549.11,
$910.54
-- - -----' --'-- - .._ --.
i Sales History-Map/Block/Lot:271 1084/ Use Coder 1010
................. ........_.,. --
History:
Owner: Bale Date Book/Page: Sale Price:
ROGERS,FLORENCE 7/18/2001 14051/191 $1
ROGERS,DONALD F 8 FLORENCE4/2511968 1399/274 $0
------ - - --- ---- -
Sketches-Map/Block/Lot:271 1 0841-Use Code 1010
` . -
AsBuilt Card N/A a
Constructions Details Map/Block/Lot:271 10841-Use Code:1010
--- -- -- ....... ...................
.
Building Details . Land,
Building value $66,800 Bedrooms 2 Bedrooms USE CODE' ''1010
TotalImprovements Value $82,420 Bathrooms 1 Full Lot Size(Acres) .0.5
Model Residential Total Rooms 5 Rooms Appraised Value $71,700 -
i Style 'Ranch Heat Fuel Oil Assessed Value $71,700'
http://www.town.bamstable.ma.us/Assessing/propertydisplayscreenI2.asp?searchparcel=27... T8/2012
Official Website of The Town of Barnstable_Property Lookup Page 2 of 3
Grade Average Minus,, eat Type Hot ater
f Year Built 1958 AC Type None' ..
Effective depreciation 19 Interior Floors" Carpet s'
Stories i Story Interior Walls Y:notty Pi 4
Living Area sglft 936 Exterior Walls Wood Shingle
Gross Area sq/ft 936 Roof Structure Gable/Hip
Roof Cover Asph/F GIs/Cmp
Outbuildings&Extra Features-Map/Block/Lot:271 if 084F-Use Code:1010:
Code Description Units/SQft '.Appraised Value Assessed Value -
FGR2 Garage-Avg-Wd' 672 $15,500" $15,500'- "r `
Shingle
Sketch Legend
-- _-
j Property Sketch Legend
i B2N Barn-any 2nd story area - FPC -Open Porch'Concrete Floor :REF Reference Only
I BAS First Floor,Living Area ' FTS Third Story Living Area(Finished) SOL 'Solarium -
BMT Basement Area(Unfinished)FUS Second Story Living Area TQS Three Quarters Story(Finished)
I
(Finished)' ',
BRN Bam GAR Garage a UAT Attic'Area(Unfinished)
CAN :Canopy GAZ Gazebo UHS Half Story(Unfinished) `
CLP Loading,Platform"L` GRN. Greenhouse ".UST °Utility Area(Unfinished)
FAT Attic Area(Finished) GXT Garage Extension Front`s UTQ "Three Quarters Story
c (Unfinished) ..
y FCP Carport �o ' .KEN,,Kennel UUA Unfinished Utility Attic
FEP Enclosed Porch MZ1' Mezzanine;Unfinished.;, UUS Full Upper2ndStory
(Unfinished) ,
FHS Half Story(Finished) 4 PIRG r Pergola WDK Wood`Deck
FOP Open or Screened in Porch PTO 'Patio
---
-'CPrint Friendly
` Contact
Director of Assessing
Jeffrey Rudziak
P 508-862AO22
F 508-862 4722
v
b�8 30a.m to 4 30p.m
iHelpful Links to Downloads =
< -.Abatements
' .Department of Revenue
-Exemptions y
Parcel Consolidation a
Questions about values
Town Tax Rates=FY12>
t Town Land Use Codes
!Helpful Maps
All Town Maps-
Flood*Insurance Maps
Property Maps
Contact I
Director of Assessing
Jeffrey Rudziak
P 508-862 4022-
IIF -
v 1 508-862 4722
, �8:30a.m to 4:30p.m ( '
Related Boards` :,
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http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen'12.asp?sedrehparcel=27... 5/8/2012'