HomeMy WebLinkAbout0052 SECURITY STREET W�9
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Town of Barnstable -Permit#
p 4�y ^ Expires
Re6 nths fro 'sue date
gulatory Services Fee
ones s � 016 r Richard V.Scali,Director
t�
L AKfUs fABC, Building Division
1
Tom Perry,CBO Building Commissioner,
-200 Main Street,Hyannis,MA-02601'
_www:town.barnstable ma us —
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERA&APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint "
Map/parcel Number
Property Address . C—C—CU QITJ S T JAI RN N 1 S 02401
'Residential Value of Work$ ,2- 9OO. Minimum fee of$35.00 for work under$6000.00 ?
Owner's Name&Address (<>Alrn)W L\
Contractor's Name r Telephone Number8) I'108—JS LI9
Home Improvement Contractor License#(if applicable) Email:` �N_V CA 14dT MAIL. W V�'1
Construction Supervisor's License#(if applicable) '
❑Workman's Compensation Insurance A
Check one:
❑ I am a solerproprietor
I am the-Homeowner °
s
I have Workers Compensation Insurance'
Insurance Company Name ,
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 .
�.
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
❑ Re-side
[� Replacement Windows/doors/sliders.U-Value t,��) 3a (maximum.32)#of windows
#of doors: �.
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required.
Separate Electrical&Fire Permits required. '
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note:N Property Owner must sign Property Owner Letter of Permission.
s A-copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
-CSIGNAT'URE-- " :?�
QAWPFILES\FORMS\building permit formsUTRESS.doC
Revised 040215
r
T71e Comn-rioMveaitth ojflifanrsdimetLs
Dep=bnerrt of Industrid Accr'derzts`
face of Itigaticrns
600 waslhiington Street
Boston,AIA 02111
ry t IPMmassg"Idia
VTnrlI-ers' Caffipensafi=:7nsurauc Affidav -Mitders(Cbntz ctars!'Elec�t�c�ansJP berS _
AppHcan#WWMai an -- — —---- ----Please Print-LeZHy — ---
T`Name-(Bu 1wLN
Add�es-s= SEGy t1 TI S
Pity/State( - "AN N I — tJ� n o Phone
Are you an employer?Checkthe appropriate box: 1.Type of project(required):
I.❑ I am a employes wit1i 4 ❑I w n a general contractor and I' 6 ❑New construction ,
employees(full an&or par#-time * have hired the sub-con ragas
2.❑ I am a sole propnietor orpartner- Usted on the attached sheet y- ❑Remodeling
ship and have no employees -. These sob-contractors have $. ❑Demalitioa
wading forme in an-y capacity. employees andhave wadzers'
� I
ty 9_ ❑Bnild"mg additiog .
[No odmrs'camp.instance comp-mertran
regained] 5 ❑,We are a corporation arid-its 10.ElElectrcal repairs or additions
r3191.F am a fi eoumer doing ali wow officers have esercised their 11-❑Plumbragrepairs or'additions +'
�-�
myself[N y�or�o • right of ememptiou per MGL
Coop-- 1X❑Roof repairs
iusu nre required-]T , c.152,§1(4} and we have no
employees-[No workers' 13-El other
camp-insaraace required_]
•Anyapplicast&atchedm box R e]soM out the swfionbciowshowing the waakess'compmotinnpoHUiafM==d -
iameaaaerswho subaadt this afOmit m&rztiag they are doing RUwork sari tbenMom autd&contmctorsxama submft anew af'ada-&indicating sacb-
Icanttactnas that checl~this boa must attsdaed=addidnnal sheet sbotving the nm eof fe sob-cantascmm sad state whether or not tbase entities ham
wVlx ees.Iftheanb-cantxacton:bave employees,dLeynnsCpmvids their warke&camp.pGRU amnbm
�� I ant an etrtpItr�r f7urtis prer�zdir;;ivnrkers'catr�ertsafi�tt insrirarrce fnr sty*etrrpIaJ.�ees �Selaty is tJ�e�ptriicy a>zti jab z�i;
in,forrna ols ,
Irssumace Company Name: `
'policy or Self ins.Lic_& E,rgirat ion Bate:
Job&te Address= CifylS#ateE .tp:
Mi ch a copy of the work-ere coanpensationgoIicy declaration gage(shawing the policy numbei and expiration date)
Failure to secure coverage as req*edundes Section 255A of MGL c.M c-2a lead to the imposition of criminal penalties of a
fine up to$1,50D00 andror one-year imprisonment,as well as civil penalties.in t}te fog of a STOP WORK ORDER and a Eme
of up to$250-00 a day against th,e,-violator. Be a4irised that a copy of this statement maybe frnwarded to the Office of
Irrvest gations ofthe DIA for insurance coverage verification. p
I Ja hereby cerfafy rtatd€r d"Le-Pia' and penalties a.fFedkg graft is informa imi prmri&d abmv is harp all correct
Sit�attire-; 1JFate -^� b O
Phone
Ojgkial am only. Do neat tsrke in thb area,to be campleted by city or town oficiaL
City or Town.: PermhUcense#
Issuing Authority[circle anel:
1.Board of Health 2.Building Department 3.CitytI own Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
contact Person Phone it:
laformation. and lastructiolas
h ac ctts Ge.b=-ILaws chapttrr 152 req rz aU employers to Iucrvidewakens'compensation farfheir employees.
Pmsaantto this stEt3te,an.Mg7r0yeW is dsfined as.¢.ev=ypersonmi fhe smvice of another under any coltmct ofhue,
exprass or ixaplied,oral or wri tEaf
An Moyer is dcfined as"an individual,parfneiship,association,corpor�ion or other legal e±rty,or any two or mole
of the foregoing engaged is a joint a texpase,and ioch>timg the legal regresenfafives of a deceased employer,or the
receiver or trastee of an individual,partnership,association or otherlegal entity,employing employees. However the
owner of a.dwelling hone having not more than three EPE E and who resides therein,or the occapant of the -
dwtiliag house of another who employs persons to do maintenazice,consfrac(ion or repay woIk on such dwc ng house
or on the grounds or budding appurfE thereto shaIl notbecanse of such employment be dcemed in be an employer."
MGL chapter 152,§25C{6�also sf�s that"eve T ssfafe or local 11CP17�g agency'sT3aII withhold$te issuance or,
renewal of a license or permit to operate a business or to consiract bniZdings in the commonwealth for auy
applicantwho has notproduced acceptable-evidence of compliance with the Tncnrance.coverage required."
Additionalb,M(H chapter 152, §25C(7)states¢Neither the cammanweah3i nor iqy ofits political subdivisions shall
enipr into any contract for the performance ofpublio work Until acceptable evidcnce of compliance with the insurance._
reTnrrmf ofthis chapteabave'Seenpresentedfn the contacting anfho ty''
Applicants
Please fiIl out the workers'compensation affidavit completely,by checlamg;-he boxes that apply to your situation and,if
necessary,supply sob-contractors)name(s), ad drms(es)and phone rmber(s)along with the'=cestificafe(s)of
irLsur CZ. L-hnj�Liability Companies(LLC)or Clouted LiabiIity'Partnersbips(LIP)witb.no empIoyees other than the
members or parin=s,are not regtil'ed to cagy woke& compensation insro-dnce. If an LLC or LLP does hale
empIoyees, a policy is requii e B e advised that this afftdaYlt may be submiifed to the Department of 7ndn_sftial
Accidents for conf=afion of'once coverage. Also be sore to sign and date the of davit. The affidavit should
be r etnmed to-Ee city or town that the application for the permit or license is being ru nested,not the Department of
Fndestria'Acai d=ts. Should you have any questions regmdmg the law or if you are regnn ed to obtain a workeas'
compensation policy,please call the Department at the number listed below; Self-msuz ed companies should cuter their
self-mince license number on the appropriate Ime.
City or Town Officials ,
t _
Please be sure that the affidavit is complete and prinfad.legibly. The Department has provided a space at the bottom
of the affidavit:for you to fill out in the event the Office of invest moons has to contact you regal ding the applicant
Pleas e be sure fn fill in the pezinitllicense mrnber which will b-,used as a mfe=rD number. In addition,an applicant
that must sabia t multiple petmWHcense applitztions in any given year,need only submit one affidavit indicafing cmrent
z or
d `Job Site Q_d.�ess the applicant should write aII locations>n. (city
u olicv ml�rnation if neces..aiy)an under app
town)„A copy of the-affidavit that has been officially stamped or marked by the city or to wTs maybe provided to the
applicant as proofthat a valid affidavit is on#file for fn±m permits or licenses A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permitnot=Iated tx)any business or commercial venture
(ie, a dog license orpennit to bum leaves ern.)said person is NOT required to complete this affidavit
The Office of Invesfiga ams would at to thank you in advance for your cooperafion and should you have any questions,
please do not hesitate to give us a caM
The Deparfinenfs address,telephone and fax number
Tht CMIMMweeltir of Mamachmem ,
• _ - ;., D�eg��cif�ud�ia�Accidents. , ,
(ice of jtvesigati="�
Tf,-L,1' 617 727-49QO Qit 4-06 QX I-9 hA2 �
Fay 4 61'-727-7M
Revised4-24-07 vw F-Mass-gavldia
16,39 Town of Barnstable
Regulatory Services
Richard V.Scali,Director ,
Building Division—
Building Commissioner
200 Main Sheet, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 , ,' F r ��,, , ,;y,. .-,Fam;,, 08-790-6230
Property Owner Must
Corn lete and Sign This Sectio
If Using A Builder
I, as er of the subject property
hereby authorize to act on my bebA
in all matters relative to work authorized,by building p fi application for: ' 3
(Ad ess of Job)
Signature of Ownet Date
Print Name- . t
If Property Owner is applying for,permit,.please complete the Homeowners License Exemption Form on the.
reverse side. °
Q.-MPMESTORMS\building permit forms=RESS.doo
Revised 040215
Town of Barnstable
Regulatory Services p
�oFsKKE lO Richard V.Scali,Director
Building Division
* + Tom Perry;Building Commissioner
MASS. $
200 Main Street, Hyannis,MA 02601
En www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE: 04 06 1�
JOB LOCATION: �L ' -eecu 21- l ST -wi Pt N N 15 - nn R
number street L village
"HOMEOWNER":,KE6SOr.1 Cot"1G06 (Goa
Goa a '�P"q
name home ph 1�l0 e# work phone# .
CURRENT MAILING ADDRESS: K y N N N 15 MP, t72 1
cityhDwn 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_perrru (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 re uirergents and that he/she will comply with said procedures and requirements.
Signature of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
' V
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
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:\WPFILES\FORMS\building permit forms\02RESS.doe
Revised 040215
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`►1 Parcel Detail Page 1 of 4
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Logged In As: Parcel Detail Tuesday,January 5 2016
Parcel Lookup
Parcel Info
Parcel ID 268-146 I Developer
Lo� LOT 26
Location 152 SECURITY STREET �I Pri Frontage[75
Sec Road I Sec
Frontage
Village HYANNIS Fire District HYANNIS
Town sewer exists at this address NO _ � Road Index 1465 I
Asbuilt Septic Scan:
268146 1 Interactive '
Map
268146 2 s
Owner Info
Owner ICRANE,JULIE M& ERIC I Co-Owner %DEUTSCHE BANK NAT'L TR CO TR'�
Streetl C/O CWEN LOAN SVCG LLC _ I Street2 1661 WORTHINGTON RD STE 100
City IWEST PALM BEACH I State FL zip 33409 Country
- Land Info
Acres F6' — ( Use�S gle Fam MDL-01 I Zoning�RB rughbd 0105
Topography I Levei I Road Paved I
Utilities Public Water,Gas,Septic Location I
- Construction Info
Building 1 of 1
Year 1968 f Roof Gable/Hip ( Ext Wood Shingle
Built Struct Wall
Living f;080 over Asph/F GIs/Cmp AC(None
Area Cover Type
style Ranch I wat Drywall I Rooms Bed 3 Bedrooms
Int I— Bath p
Model Residential I Car et 1 Full-0 Half ".
Floor 1 p I Rooms
Grade Average Minus I Heat Hot Air I Total Rooms I �s
Type Rooms
Heat _ Found
Stories 1 Story —I Fuel Gas ation I Poured Conc.
Gross 12016
�I
Area
Permit History
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19476 1/5/2016
Parcel Detail Page 2 of 4
IIIssue Date I Purpose I Permit# I Amount I Insp Date I Comments II
Visit History
Date Who Purpose
1/22/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
9/15/1991 12:00:00 AM ML Meas/Listed-Interior Access
Sales History
Line Sale Date Owner Book/Page Sale Price
1 12/14/2006 CRANE,JULIE M&ERIC 21609/322 $100
2 5/31/2001 CRANE,JULIE M 13892/100 $165,900
3 5/15/1994 CUMMINGS,ARNOLD R&KATHARINE A 9192/147 $67,000
4 2/15/1986 CALL'INAN,JOHN &CHRISTINE 4910/93 $93,000
5 2/17/1978 COUGHLAN,THOMAS J&KAREN 2663/230 $33,400
6 6/11/2015 DEUTSCHE BANK NAT'L TR CO TR 28931/244 $239,000
Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2016 $79,100 $21,200 $2,800 $104,300 $207,400
2 2015 $77,700 $20,500 $3,800 .$97,200 $199,200
3 2014 $77,700 $20,500 $3,900 $97,200 $199,300
4 2013 $77,700 $20,500 $4,000 $97,200 $199,400
5 2012 $77,700 $20,300 $3,300 $97,200 $198,500
6 2011 $98,600 $3,100 $1,700 $97,200 $200,600
7 2010 $98,500 $3,100 $1,800 $97,200 $200,600
8 2009 $93,700 $2,500 $800 $160,700 $257,700
9 2008 $109,100 $2,500 $800 $175,800 $288,200
11 2007 $108,600 $2,500 $800 $175,800 $287,700
12 2006 $96,100 $2,500 $900 $179,800 $279,300
13 2005 $90,900 $2,500 $900 $124,300 $218,600
14 2004 $73,500 $2,500 $900 $124,300 $201,200
15 2003 $66,100 $2,500 $900 $40,700 $110,200
16 2002 $63,700 $2,500 $0 $40,700 $106,900
17 2001 $63,700 $2,500 $0 $40,700 $106,900
18 2000 $52,200 $2,300 $0 $26,500 $81,000
19 1999 $52,200 $2,300 $0 $26,500 $81,000
20 1998 $52,200 $2,300 $0 $26,500 $81,000
21 1997 $55,500 $0 $0 $20,600 ' $76,100
22 1996 $55,500 $0 $0 $20,600 $76,100
23 1995 $55,500 $0 $0 $20,600 $76,100
24 1994 $56,900 $0 $0 $26,500 $83,400
25 1993 $56,900 $0 $0 $26,500 $83,400
26 1992 $64,700 $0 $0 $29,500 $94,200
27 1991 $65,500 $0 $0 $53,100 $118,600
28 1990 $65,500 $0 $0 $53,100 $118,600
29 1989 $65,500 $0 $0 $53,100 $118,600
30 1988 $45,300 $0 $0 $17,600 $62,900
31 1987 $45,300 $0 $0 $17,600 $62,900
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=19476 1/5/2016
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