HomeMy WebLinkAbout0128 OAKVIEW TERRACE Town of Barnstable *Permit#
' Regulatory Services Fee 6 months from issue date
a XAM Richard V.Scali,Director ,. 2✓ ,
"9.
Building Division ;,
- -- -— ----Panl-Roma,Building Commissioner —�Vk
200 Main Street,Hyannis,MA 02601� /fl
www.town.bamstable.ma.us l�
Office: 508-862-4038 _ - Fax R0�190-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address /,�,$ OIL( V/a j
❑Residential Value of Work$ 41000 .0�0 Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address tAI R LAI'l A 124V TO
�_6 41"IV 1 . A14 o�ssy
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable) Email:
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
nI am the Homeowner
I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit RecLuest(check box)
Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to pum P
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows
#of doors:
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
re ired
SIGNATURE:
Q:\wPFILES\FORMs\building permit fomu\EXPRESS.doc
01/25/17
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irf,�ormatiofL
Tax =aComgaapName:
•Policy 4l or Self--in&Zic.¢ =
Job Om Addle= Ciip/5fafx� :
Aflach a ropy ofthe workers'coxapensationpolicg-decl2ratum page:(shawiag&e poficp aumher and espiratiion date).
FaOEre to semm covmtage as requirednnder Section 25A of MGL a 152 csa lead to the iffiposftioa of cfimiaai penalises of a
ime up to$UOD.UQ m&or one-yearimpdsommd as weR as civil penalties is the fb=of a STOP WORK ORDER and a tme
of up to$2SSM a dap against the violator_ Be advised that a ropy of this shtemed.maybe farvearde d to the Office of
lavw6ga&=of 9m DIA far coverage Vedsmfim ,
Ida hersiiy life arfd tlttl`is s an�ianpro�it£adai�im�s" bars and correct
�__ Date-
PhMM Al
OjL-id aw affTy. Duo not write in tlgs=4 We cmnpTsted by City artonzt offiduL
Ck ,or TFaww Permftfficense:9
Issuing AuS�aridp(Cirde:one):
L Board o#$esIi Bm'Ifmg Depmtnemt 3.CHyfFown Clerk 4.Electrical Fuspectnr 5.Plmmbing Fmgeetor
6.Other
Coact Person: Phone#:
-- 6
Taformation and instructions ,• < �'
Goal Laws chapfi=M req==all tD provider wo&a?cmop for their c=PlOY`eg-
P bD this sue,an MVIopee is deed as¢—�vexYPersonin die service of HMIffi=pier any ofbury
express or iinpl%ed,'out armf
Aa Moyer is derfined as�auiadisidaal;paw ,a�ma�on,�po�or other legal�Y,or my'yo or mole
of the f a egoiag rags a3oint of a deceased employrr,or the
re-Rim or trastes of as bEwIdnaL pxctamsb�R association or oflIWlCgal MaY,dying=ploy- However the
owner of EL dweIIaaglusnschav"mgaof more tbEmjj a apmoenfs a dwho�dcst�m,Orthe oc�after-
dw Tmg bnuse of muffs s who employs pes®s to do m co�fion or rrPEk wmk on such dweI3mg home
or an tie grounds or bmlft 8ppvt�� sh-Mnotbename of snch�Ioymeadbe deemed be an employe' "
MGL cbBptxr 152,§25CC6)•also stsiEs fhat aevay sire or local Rcensing agency skall Withhold flxe issaance or
renewal of a Tcense or permit to opea-.dm a Timsh.=or to cnnstrnct bwITmgs iu the eommoawe2lt3i for any
applicantwho bas notprodneed acceptable evidence of cdm.PH=mwn tie rasoraac�coYearageregIIired-"
Adffibma br,MGcL cbVtx L52,§25dM stars=Tc&rthe==mweaM nor;�My ofits political sabfrvrsions shall
an iatD My cmrftadfortbDp ofpvbIirWO33CMMtiL ameptable evid=o of cons HM=wiIh ffie in901201c6._
regmrements ofthis chapirahwmbetapresentedto the
Applicants
Please BII obt ffie wow'compersafion affidavit=Epyt4y,by g the bona that apply to your sdoaiaon if
nec;essa Y,mpply sob adm(s)name{s). �)andPi=e:moanbez(s)along vith their Cs)of
ins�- yidIaa1?mycompanies(LLc)errLic dLiabilityPmta= i s(L P)w&Menplopecsoffiertaanthe
��or p aienotr�edt��Yw�comp�ionmsoxance. If an TZC orLLP doeshave
=3PIopees,apoliay is regahm[L Be advisedthatfbis afda:ykmaybe snbmitfn-d fn the Depa tment of Im&5 rial
AccirT far comamat M of insurance coveaagm Alm be sure to sign and dais the afddavif; The a davit should
bmTvb ed to the city or town that the agpfic a im for the P--4 or lice mm is being mim ,not the D epartm=d of
Bi&LstdaI.A r;-i&mt9L Sbaaldyon havo may gaesiions regezdmg ilia L-rW or ifyon are r=prrd in obtaa a worlcras'
c ea ompsati=policy,please ma the Deparlmem±atthenm3bezlistcdbeIow- Self-insuredcongsaniesshnatdeartheir
self-mSM72nC5Iicedasenm2bmonffie fine
Cay or Town-O daIs _
r
Please:be sir$that the affidavit is cv�lefa andprirdcd.Ie�Iy_ The:Departmeothas pmvidcd a Spam at to bow
of tie affidavik for yoU b fill od in tie event the Office ofhTCS igados has to yonregardmg f=apliczat-,
PIeasebe strreto flliaflmp=� Iiceflsenaobe=w}nchwmbe:vsedasarefescam=mbm 7naddffion,EaLapPhc
taat mist sobmit multiple pe=aWT,==Bpphtst ns in eery g m nye2r,need only sob on azrt e affidZ mdicatng
policy mfoaticsa[if ne�ssary)and Bndr. °Tob gte Ad&mse ere applicant rhould wrde-eR Iocstzgns is (c iy err
of theaffidavitfl athas been.officialfp stamped ormadmdbyfiie city crrtnwnmay beprovided to the
town)`'"A�� s or licenses. Anew affidagitrmrstbe f.IIed oil ear7i
applicant as proof that a valid affidavit is on fate floor fotm *p
year.Vheze ahome owner err cfli=is obimming aficeose or p=Uitnotre:7atrdto anybusb=or la7mM=c;i3i4dEtIe
Cie.a dog license orpmmitto bnnlleavm saidpmsm b I,TOTreqrdxedto ecanpIe a IYS affidavit
The Office of Tn wonidlilm to thank yonin advance for your coop=zd=sari sbould7aa have any gvnsiloms,
pl�se do onthes>t�ia givens a�
TheDeparfine�t'sa&hss, andfm amber-
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D�garEm��fAt� • . .
Odra=dInvedkatio=
Fax#R7 727'74
Reviscd¢24-07 ,c mae�a it
Town of Barnstable
e
Regulatory Services
ctr Richard V.Scal4 Director
Building Division
A .Paul Roma,Building Commissioner
t1 � 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXENETION
Please Print '
DATE:
JOB LOCATION:
number street village
"H0),M0WNER7: C-A/l' rL39) 60 j
name V home phone# work phone#
' CURRENT MAILING ADDRESS: Ko 54IZ &T - n
0z
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building hermit (Section
109.1.1)
The undersigned"homeowner"assumes responsibilityfor compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
undersigned"homeowner"c e he/she understands the Town of Barnstable Building Department minimum inspection `
p cedures d emen that he will comply with said procedures and requirements.
S gnature of Honkown ,
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. F
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:1wPF1LES\F0RMS\building permit forms\/?RESS.doc
0620/16
<n
Town of Barnstable
* ` Regulatory Services
` '"MAM ' Richard V. Scab,Director.
�d Building Division,
Panl Roma,Bnildh g Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.maus
Office: 508-862-4038 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 matt=relative to work authorized by this building petmit application for
(Address of Job)
**Pool fences and alarm 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:FoxMs:owrtERPIItMI SI0I WIS
TOWN OF BARNSTABLE Permit No.
E -------_ ----
SA"STLU Building Inspector —-
y!: Cash ----------
,639.r ..{'
OCCUPANCY PERMIT Bond
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection Hate
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
...................................................... 19..... _ ...............................,............ ................_._..._................
Building Inspector
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-essor's map and lot number .........A.... THE
Sewage Permit number ..... ............................
SFMIC SYVEM M
6 STABLE,
House number ..............:?p. .... ........... INSTALLED IN COMPLI MAM
WITH TITLE 6
1639.
ANC
"AI
JIU&TICODE AN,
0
TOWN OF BARN"
TIONS
BUILDING IN.SPECTOR
.APPLICATION FOR.PERMIT TO .......4.60e .............. ... ......f............... ...............................................
TYPE OF CONSTRUCTION ...........2... ...............................................................
......... .............
.. ...... ................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the follawli-ig information:
........... ....... ..........................A................. ..................... .............
Location ........ .....
2
Proposed Use ...... . 00
...... ................................................................................ .....................................................
ZoningDistrict ..........................................:............................Fire District .............. .........................................................
Name of Owner ....Address, ..................c. .......................................
.......... .
Name of Builder . ....................Address ...................................................................................
Nameof Architect ..................................................................Address ............... ....................................................................
Number of Rooms .............elo.p.�..............................................Foundation ...... ..... ......
Exterior ........c llgp..... .....................Roofing ....... ... ................................................
X
Floors
nterior ................ .. ....... ....................................................
................ . .....................
Heating .........
. ...............Plumbing .......
. ....... . ... ...
Heat ....................... ..,e....................... ........
Fireplace ......../ .. ......................................... ................Approximate Cost ........45-3,
, 19-7�
Definitive Plan Approved by Planning Board -------- - --------- Area ......... .............
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH Eo oo
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ....
............................. C�..............*,--,.******.........
s
" Greenbrier Dev. A=269-200
Permit for ......J1z..story...S117_q)e f ,
family dwelling
Location lA.t.A.b.:...27..7...Strai.ghtway..Rd.
Hyannis
...................... ...................................................... ;
.. �� rR. ♦ � d 1
Owner .....Gr.eenbr..i.er....Dev.............................. �= _
Type of Construction frame {
-Plot ............................ Lot ................................ E
Mt
Permit Granted .........Sept..........27.......19 79
Date of Inspection 19
..........19
Date Completed /.. ....... .......... .y.. ffiRM1T REFUSED,
f
....... . .. ............................................lon
j
' ..... .................... ,' y
.... .... .. .....................................
........ � ... ..........................................Approv
w
r
r4
...............................................................................
.................... ............................................... ....
1
l�
Assessors map and lot number -.... .. d
� r...� ��7N E r0�
� 7Y'� ;ram
Sewage _Permit number ....... ......._...........:............................ 1
BARNSTABLE, i
HousOnumber ..................................y/...t,................................. 9�O N 9 \00
0 YPY 9
= ( TOWN OF BARNSTABLE
I
BUILDING INSPECTOR
f QAP,PLICATION FOR PERMIT TO ..........:................................................................................................................... s
f ,,✓'
TYPE OF CONSTRUCTION .
..........r i���..2..............,9
`- TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........ .'. ... .......:-:...:.... ............... .�......... ................................,', ...;................... ........................... ...
Proposed Use .......,r. ���/, : ..
. .G`...........................................................................................................................
ZoningDistrict ......... .::-....................................................Fire District ....................................................................
•Name of Owner .t,...,�.!°t"^f✓!F. �i ... ilri ,L ✓//✓.:....Address ... /tr.��... f ... ........................................
•I
' Name of Builder .....�........:.............`................ ..................Address .....................:...................
Nameof Architect ..................................................................Address ....................................................................................
1
Number of Rooms ............ `°f................................................Foundation ,... 1� /�,Pn�l. .'7
...... ....
Exterior � ............... .... .......................Roofing ................. ................................................................
...................... .
Floors /.f. r� / r`f��i1v !/..''"/`......................Interior .............f 1. dl.. ....................................
f �i
Heating .......... t .:�............ . ....Plumbing . � .r/............................. .
.......... ...............
Fireplace ......... f�i.:.. ................................................Approximate Cost .......! ..........................................................
Definitive Plan Approved by Planning Board ,�f �_ '_�� f _. 7 �r
-----------------19---- Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
y .�
I hereby agree to conformzto 4.1lithe Rules and Regulations of the Town of Barnstable regarding the above
construction. r- �•' `-)�y�,_ ---' --
Name .... .........`............. .:...............................................
'
No2lM....... Permit for .111-. ..s'n/IT8.
fa0i lli ng
—..�y�--..
Location --
AU.
Hyannis
......................................
� .
Type of Construction
Plot �
i
!
PermitSept .
Date of Inspeltion .......................\,.)....19
uo/o Comp
�
o 7,
.----.. _—'—.. .. —
-----. -------. ...... .
---~^^'^^—''~'''—^-- --~----'
—'--'—'-------------'--'--'---''
/
_________.__________.__.____. /
___—_____------- lg
Approved
-------'------''------------'
-------'.--...----.-------.....