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HomeMy WebLinkAbout0004 SKIPJACK LANE 41ft ACTIVE 'i y I o Town of Barnstable Bufldih s Post,This-Card SoiThat it is Visible:From the Street-Approved Plans'Must be Retained on.J 'b and his Card Must.be Ke� p a►n wsraeLg , = M" Posted Until Final Inspection,Has'Been Made. _< rtne. Y �. °` x ¢ �eICIIlIl Mar' Where i Certificate of Occupancy,s.Required;such Building.shalLNot be;Occupied until�d Final Inspection`ihas,been made Permit No. B-20-2237 Applicant Name: Stephen Kelly Approvals Date Issued: 08/18/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 02/18/2021 Foundation: Location: 4 SKIPJACK LANE, HYANNIS Map/Lot: 273-085-004 Zoning District: RC-1 Sheathing: Owner on Record: CARANGELO, MARY GLORIA&WILLIAM, Contractor.Name: --�-.SSTEPHEN A KELLY, . Framing: 1 Address: 4 SKIPJACK LANE Contractor.license: CS O40622 2 HYANNIS, MA 02601 Est. Proj(?k t Cost: $8,113.00 Chimney: Description: Installation of an interconnected rooftop PV system: 14(305w) Permit Fee: $91.38 panels 4.27 KW DC Insulation: Fee Paid':� $91.38 Project Review Req: Date: ', 8/18/2020 Final: Plumbing/Gas Rough Plumbing: in icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced-within six months afte i� an Final Plumbing: g 4' x All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: t l This permit shall be displayed in a location clearly visible from access street or road aiid shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: nc will n issued until all applicable si natures b.the Buildin .and_Fir-e-Officials-ate provided on this e,rmit. The Certificate of Occupancy of be ssue p Yg Y g P _p Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: i n 2.Sheathing Inspection s g P Rough: 3.All Fireplaces must be inspected at the throat level before firest flue limn is installed. g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. p p pp g Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ►` OF 3ARINSTABLE Oc"'C 20 IN B. �3 CAPE SAVE, Weatherioiation 508-.398-0398 December 14,2011 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main St. Hyannis, MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201105468 Status A Parcel 273085004 at 4 Skipjack Lane,Hyannis,Permit type: RADD, and issued on 10/03/2011 has been inspected by a certified Building Performance Institute (BPI) Inspector. R-18 Cellulose insulation was added to the attic.All work performed meets or exceeds Federal and State Requirements. Sincerely, k William McCluskey Cape Save 7 Huntington Avenue Suite C, South Yarmouth,MA 02664 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map T 3 Parcel ✓ ©M Application 00 Health Division Date Issued 3 Conservation Division Application Fee ` Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Addresst Village f S Owner 111Mm Ur ixnoeh Address s.O.m'e Telephone DO - Permit Request C't� �`_ h5 F jnS�s���PA wee-Aet�S i���a�. l�r�<sOrr- :jncee_ e�2 Dl�rsao�J dzm�� J�pni�e�+ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3 d 0,b Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ji� Two Family ❑ Multi-Family (# units) Age of Existing Structure 1 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 6:4.. 3rn N Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room CouritD t Heat Type and Fuel: 4 Gas ❑ Oil ❑ Electric ❑ Other -Central Air: OYes ❑ No Fireplaces: Existing New Existing wood,/coal stove: �`��es ❑ 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 Co No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION -- - - - _(BUILDER OR HOMEOWNER) 508 - 3 0398 LC10,5key Name 110A 1c;4eS40fe, Telephone Number Address 6 (n 4 4ve License # - c— 14, � soya YaMav+ti '. M4 Home Improvement Contractor# I GI 3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE t i - �. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER P DATE OF INSPECTION: ' FOUNDATION L � FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL d� PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. 4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apulicant Information Please Print Ledbly Name(Business/Organization/Individual): Mir, 14 e_- � �C � T.11 f^ SA Address: -C, to U P4 ii nitasa�t� City/State/Zip: S Y o,,tTw_ A 6VoWone#:.__. - !&' 0 a_ Are you an employer?Check t appropriate box: �r 4. ❑ I am a general contractor and I Type of project(required): 1.�I am a employer with employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. ❑Demolition . working for me in any capacity. employees and have workers' comp.insurance, 9. ❑ Building addition [No workers cotiip.insurance p• required.] 5. ❑ We are a corporation and its 1013 Electrical repairs or additions • 3.❑ 1 ant a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]' c. 152,§1(4),and we have no' employees. [No workers' 13.® Other- adt%4i'm comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those ea_tities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I age an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C RAam s t Av S U l c.�� Policy#or Self-ins.Lic.#: '� - 3 • 6�S.1 Expiration Date 2 t Job Site Address: `� �� J e City/State/Zip: RAnnis Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains d penaldesAerjury that the information provided above is true and correct Signature: Date: Phone#: 6M - 3 9&- Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE DATE(G16MDNYYY) b••►�" F11/1/2010 THIS CERTIFICATE 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 pollcy(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 doers not confer rights to the certificate holder In lieu of such endorsement(s). PROour,ER 'roA>UUNTArlE: Shannon Sperrazza Risk Strategies Company PONE . (781)986^4400 FAX No:(701)963-4420_- 15 Pacella Park Drive ADDRgss;ssperrazza@risk-stratelgies.com Suite 240 PRODuceR 30018476 Randolph MA 02368 INSURER(S)AFFORDING COVERAGE i NAIC# INSURED INSURERA:3eneca Specialty Insurance Co INSURER a.Keating Group ins ServiC@a Michael McCluskey, DBA: Cape Save lNsuRERc:Cha.rtis Insurance 7 C Huntington Ave -INSURER D INSURER E: 4 —�— South Yarmouth MA 02 644 INSURER F: - — - COVERAGES CERTIFICATE NUMBER CL1011132675 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, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. sR= j POLICY EFF I LICY EXP ; LTR: TYPE OF INSURANCE POLICY NUMBER MM/ { MM/O ; LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITYUAMAUE TO RENTED I PREMISES(Ea oocu rence) $ 50,000 A CLA@ASaNADE �( OCCUR AAG1002608 10/16/2010'10/16/201T�— — .... I MED EXP(Any one persoM $ _ 10,000 ` i.PERSONAL&ADVINJURY i$ 1,000,000 —^ i GENERAL AGGREGATE $ 1,000,000 GEN L AGGREGATE LIMIT APPLI PER: ; t, PRODUCTS-COMPIOP _ AGG ;$ 1,000,000 X:POLICY! PRO- ^LOC -- i AUTOMIOBILEitABILITY I ' COMBINED SINGLE LIMB S 1,000,000 ANY AUTO 6208200 11/6/2010 a1/6/2011 (Ea accident) -- BODILY INJURY(Per person) $ ALL OWNED AUTOS i r------ I--_ (BODILY INJURY(Per accident)':$ I X ;SCHEDULED AUTOS i PROPERTY DAMAGE ^X HIRED AUTOS ;(Per acciderd) $ X NO"INNED AUTOS I 5 1 X uMleRELLAUAB OCCUR I EACH OCCURRENCES 1,000,000 I EXCESSLIAB ^?CLAIMS-MADE! AGGREGATE S 1,000,000 DEDUCTIBLE i - $ B ;RETENTION $ 023578601 10/16/2010i10/16/2011 $ G i WORKERSCOYPENUTION I � ichael McCloskey { i WCSTATU- ;OTH-i AND EMPLOYERS'LIABILITY YIN'! X'TORY LIMITS". ER 1_ ANY PROPRIETORIPARTNERIEXECUTIVE i its excluded from coverage+ +E.L.EACH ACCIDENT $ 500,000 _— j OFFSCERItAENiBER EXCLUDED7 a g N I A i 500 000 Ma In�r 5930951 '10/2I/2010;10/21/2021;E L DISEASE-EA EMPLOYEE S 500�000 yyeess i DESERlPTION OF OPERATIONS belay i E.L DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more epees is required) Issued as evidence of insurance. Contractors-Executive Supervisors or Executive Superintendents. CERTIFICATE HOLDER CANCELLATION (508)790-2425 tl SHOULD ANY OF THE A80VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Housing Assistance Corp ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ruth 460 West Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601-3698 chael Christian/SMSr ACORD 26(2009/09) 01988-2009 ACORD CORPORATION. All rights reserved. INS025(2omg) The ACORD name and logo are registered marks of ACORD -" a 1 ` Office of Consumer Affa.4e i s and Business Regulation W _ 61 ` - 10 Park Plaza. - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164432 Type: Supplement Card CAPE SAVE Expiration: 10i6/201 1 WILLIAM MUCCLUSLEY 8201 S. HOURD CT ----- -.._..----- ---- - CHAPEL HILL, NC 27516 Update Address and return card.Mark reason for change. DPS-CA1 A 50M-04�04-a101216 J Address Renewal 71 Employment C Lost Card ��ce �a�rt�+nn�a�uea,�l�i o�.li'aauac��cael�s MOffice of Consumer Affairs&Business Regulation• � License or registration valid for individul use only �HOME IMPROVEMENT CONTRACTOR before the expiration date. 1f found return to: Office of Consumer Affairs and Business Regulation A s y 10 Park Plaza-Suite 5170 ` Registration: 164432 Type: r�ti• Expiratlort: 1OIW2011. Supplement Card Boston,MA 02116 CAPE SAVE WILLIAM MUCCLUSLEY 7C HUNTING AVE.. ��-�- — S.YARMOUTH,MA 02664 Undersecretary Not valid wi ou signature Massachusetts- Deimi-tment of Public safer% Board of Building Regulations and Standa►•ils Construction Supervisor Speciaity License License: CS SL 102776 Restricted to: IC WILLIAM MC CLUSKY 37 NAUSET ROAD : WEST YARMOUTH, MA 02673 "rffi Expiration: M2013 t+.+smii.�intirr Tr#: 102776 CAPEO SAVE Weatherization 508-398-0398 August 22, 2010 , To Whom it May Concern: William J. McCluskey is an employee of Cape Save. He is authorized to negotiate contracts and building permits for our.company. Michael McCluskey Cape Save—owner 919-593.5939 cell X Huntington Avenue,South Yarmouth,MA 026" i T HODS N 460 West Main Street Hyannis, MTA 02601-3698 ASSIS s ENERGY &r HOME REPAIR T (508) 771-5400 E (5081794-2425 CORPORATION TTY on all lines wivto.baconcapecod.arg HOME OWNER WEATHERIZATION WORK PERMIT& FUEL RELEASE: PLEASE FILL OUT AND SIGN THIS FORM IF YOU ARE THE APPLICANT HOME OWNER. J I v+ ��' _hereby consent to and agree that weatherization work may be done by the Weatherizatio Program of Housing Assistance Corporation ( herein after referred as "Agency") on the property located at: The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather-stripping&caulking of windows and doors, insulation of attics, sidewalls &basements,attic and other ventilation measures and possibly replacement of badly deteriorated windows.In consideration of the weatherization work to be done at my home I agree to the following: L, I give permission to the"Agency" its agents and employees to travel onto or across said property with such equipment and materials as may be necessary to perform weatherization work on said property. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5) years after the weatherization work is completed. I have read the provisions of this agreement as listed and freely give my consent. Home Owner: (Signature) Date: " Agent: (signature) Date: HAC approved Weatherization Com an : Coy e..- 5.1,v C PP ,P Y Caliber Building&Remodeling Cape Cod Insulation Cape Save Creswell Construction Frontier Energy Solutions Lohr& Sons Peter Smith Resolution Energy Rock Solid Construction All Cape Insulation ';+is-s_:+-4K)T D: 70shuv...RUnwork P Im.-Jr rtl_-.re,doc.dre t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' - / �, arcel.dS Permit# 00 (Health Division Date Issu d / Conservation Division _ (0 tj oy-0 0 r Fee 4-�� L7 ,. a Tax Collector , Treasur - N` I6 1C �) 0F'LIGOT MUST 0 Planning Dept. CONNECTION PERMIT FROM THE ENUINEERING DIVIM PRIOR TO Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address �{ sk P Z �� t Village (- Owner���1 �e�� { Address � 15 k r a 3 ce c t-c L a t-9., Telephone ���� —7 7 c76-7,5' Permit Request `T �3 se� vv. r�o�-• Cy�sfiv- e�-e�Q �� ec5�u g c��c� . Square feet: 1st floor: existing toe proposed C IA 2nd floor: existing G 5, Total new . 9 �— . q 9 P P g proposed —L Valuation &�6 0 Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size �� `{= s Grandfathe'red: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family ) Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes O No Basement Type: Full O 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 L/ Heat Type and Fuel: 4 Gas ❑Oil O Electric ❑Other Central Air: I Yes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes 0 No Detached garage:0 existing ❑new size Pool:O existing ❑new size Barn:O existing ❑new size Attached garage:1�existing ❑new size Shed: ❑existing O new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name ����: Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE 1J/G Ob FOR OFFICIAL USE ONLY - JI PERMIT NO. { DATE ISSUED MAP/PARCEL NO ` ADDRESS . r VILLAGE ' OWNER. s , DATE OF INSPECTIOI4: FOUNDATION FRAME ! . INSULATION FIREPLACE , F ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING s ! b.t$ = S DATE dOSED OUT, Z- { ASSOCIATION.PLAN NO. e • , f CF THE t� The Town of Barnstable BAMSTnsi.e. 9�A MAM Regulatory Services rEn ►r A Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner, 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any.pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. o � Type of Work: M '� S ��'+^- �-db w� Estimated Cost 6D ' Address of Work: Owner's Name:_4WkC-L \ 0 SL Lt"!a Date of Application: 1_ I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 - ❑Building nit owner-occupied C(4Owner pining own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. `� -Date y�0 nw er's Name g1orms:Afdav gXXX 11 1• 11�. •• 1 A ..1. • 11 •• .. 11 . 11 • 1 •• � • 1 1 1 � 1• 1 1 •'• ..� 1 1 1 ' ✓.11 M ' ■ 11 1 :11111 t • • 1 ' 1 1 ' '1 ., Y• 111/�11 .11 • 1 • 11 ' �fllll • � 1 •.� 1 • 1 1 •1 ■ .111 • 1 •• • • 1 1 1 1 1 1 I I 11 �1 1 rI .. I .11 I 1 1 �. 1 - •• 111 • �1 .1 • • ••t 1 . 1 , I , E 1 11 1 „ 1 • it 1 ,� 1 �•111 1 II 1, tom it - pervulifficame 0 C3Buddfng Deparbumd city or town* L]Licenidng Board ■c3sdecMews • n- ■ ■ 1 phone 0; contact person: ■ • c;. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An er is define employer as an individual,partnership, association, corporation or other legal entity, or any two or more of p y representatives of a deceased to or the receiver or the foregoing engaged in a joint enterprise,and including the legal rep emp yer, trustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than.flm apartments and who resides therein, or the occupant of the dwelling hose of another who employs persons to do maintenance, construction or repair work on such dwelling house or an the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,ncitberthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until aacceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contiracting authority. ? pplicants ,Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and 'plying company names,address and phone numbers along with a certificate of insurance as all affidavits may be xf-. 'submitted to the Department of Industrial Accidents for confinnallan of insarai=coverage. Also be sure to sign and r`date the affidavit. The affidavit should be returned to the city or town that the application for the pennit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you Mare required to obtain a workers compensatiaia policy,please call the Department at the minter listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the office of inves gations has to caadact you regarding the applicant. Please be sure to fill in the peimititiceose ummbcr which will be used as a refere miiiber. The affidavits may be retnmid.tn the Department by marl or FAX unless other arzangemeaGs have been made. The office of Investigations would Bile to thank you in advance for you cooperation and should you have any.questions. please do not hesitate to give us a call. The Depaitnient's address�telep!Rmand Maxminter. The Commonwealth Of Massachusetts Department of Industrial Accidents Offlae of Investlpadons 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 I The Town of Barnstable . sAWgrA= M g Regulatory Services �Eo;-.01 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please-Print DATE: \t �1 5 o a t JOB LOCATION: number ( ' street village ..HOMEOWNER": S31\� �O v^c�i.�q �L[J Sug 7 7 S �1 v 7S name ''ff home phone# work phone# CURRENT MAILING ADDRESS: "( S t P a C I� 0/ ' 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 permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signat�ofmeowner 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN 4 EST/MA TED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot f (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER 3 square feet X$??/sq. foot= � �i Total Estimated Project Value 5�y r" f ±' t i r _ f � _ ` _ i� _ ,� '� �. g_ ..�_ - �-=t - - � � it � ,_T - -----•t-•--�:-- -�—_- --�.--:•.�-. _a -—�.__..-+--_—i� �. , � � I � j 1, -. tgM.Y.'�M_� � - ,j- f •, g....� `":� z_ - f _ _...—..�:......, j { F�,'_"^' - j.' +. t� t � �� `, ,,J�- t� 4( {rt k. -'I ,• - f it ? a i _ �: .�t fL ,; � } 41 i ). • { 1 t , 1 • 1} ..Z 1` �w 1 } j x - ` ;i jr5:.k ; ' 1 �. 1""._ 'r - t� t - J? •1: �•. rc... f ,!. _ :}. — } III y 9 , w i I I pi i ��. k � � a .� . 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'..^""�" _ _.4. _ •^+-"zi.*= ,," '".�"' ---f..,.' -44 .i 2' �': a[ Y..E.up `C�. ;`• �,r :i �A� � �a f ���F } J � #;� J � .aY Ito r x E / t � r « �:: „i � �•"�s H««' i t.„e f. i F 's � i; •. e '� t t, "�2„�..� -�',a � �r�=4 � t� Z, f. b+, G. j E 1 l J i L� t - ` .,. :. �!. !. ,....v '(�>'._ ',• flit. �s t.j rt( t ��' ([ � t I , 4 9 }^::��' :.•�.t, 5._,;�'�9.� •:� r^ „�,: � -'iL t-�.'- .r .ice-,• :rR f � . y.Ty a« ��.` � '� a..--} s t� �' 1 I , 8 R f _ ki Ll dS 00 k R�3o0 So�: Spcfj'�, Rs , <%o Jon l W w 03 -I 4.0 + 10 s,00 C� a c NQL rl r ,; SAS 1j1 N 2 N 0'� �8.c 3Vp p OF FRANK t0.15 4}C. 3 WHMNG H q� No.29M ,ac �j .. e�ss��E6ESTER�•��oy" . aL go � ' w . toxN W Nara F n1s...... BY-LAWS DATm 9E1�T 14 1987 . ZONE: RC set BACKs. OQElJ SPAC-E� t FRONT " 20 w1( _ . . t9I0E�l.s' f - {REAR-•7:0 <� c /\�, PROPERTY LIM SMN HEFEON WERE COMPnM FROM PLANS OF REC= AND DO NOT REPRESENT PROJECT NO. 3.30M. AN AciuAL SLRVEY ON THE GRUA). PLOT PLAN ifH5 STFit1CTlFE DEPICTED ON TENS PLAN KAS LACATID ' ON THE wow BY MM ON APRIL. 28 V!19 in AM EXISTS AS AEON A9 of THE OATS oR�:ocATmN BARNSTABLE MASS. nag PLAN IS FOR PLOT PLAN KH"OSES ,`ONLY"AND 8CA1F 1' � 20' MAY 2 1989 gjaL D NOT BE USM FOR ANY OTHER 'd< iEE BSC 6FvUPCAPE Coo INC I S 8 d �• —Z 6 . . _ ROUTE 28 K ONCET•PLACE 812 I OA PROFE'SSIGRAL LAW SIR&'m XASHPfS:. XA 02649 (t308J 477-� 1) 1W 6 g, P I Assessor's map and lot number ...,2.23....... ...::.��`7 f t Pyp E' ply Sewage Permit number MUST CONNECT TO TOWN SEWER II J , �`J Z B9flB9TADLE, i House number .............................................. ........................... ro rhea p 1639. \0� 0 MAY A,• TOWN OF BARN, STABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO construct single fam-'j j „�ly�Q�,1j,Ag TYPE OF CONSTRUCTION .........Wood frame ........................................................... ... ..................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Lot #8, Skipj ack Lane Hyannis MA,,,,,_,,,.„............... ..................................................................................... ............... ProposedUse ......................................./...�..................................................................................................................................... Zoning District 4.f...�............................Fire District ........Hycannl..s.................................................... Name of Owner Capricorn Realty,,,,T)uq$it...........Address .7..6.5...F.a.lmo.uth...Road,...I-lyann.ia,...MA.... Name of Builder ,Franco R.E. Dev.Co. Inc.........Address 76,5,,,Fa11gQlAth...RQAd,....1iya7�nis.,....MA..... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ......E g t..............................................Foundation ..P... .................................................................... Exterior Clapba q..and/.or...sh..ngles Roofing ... pklalt...Sznglea......................................... Car et .Interior ...S.hee.txo.ck......................................................... Heating ....Gas.-F..W...A.......................................................Plumbing ...IWQ.-G.Q...P.PP.lr:.................................................... Fireplace Yes ..Approximate. Cost ........$5.Q.,.A. Q 0.0.......... " Definitive Plan Approved by Planning Board ______ -____________19_ Area sq. ft Diagram of Lot and Building with Dimensions Fee .... ". ............................. SUBJECT TO APPROVAL OF BOARD OF HEALTH Y tj A�- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 8 ...............Construction Supervisor's License /..................... 328,,82 11 Story No ....:.. .. ...... Permit for ......?...Story Single Family Dwelling ............................................................................... Location Lot #8.......4..Skipjack Lane ...................... ... ............................... Hyannis .......................................:....................................... Owner Capricorn Realty 'Trust .................................................................. Typei6f Construction Frame...... ......................... ....................................:............................................ Plot ................... Lot ................................ y 10 Permit-:Granted ........M.....a..........I..,..............19 89 Date of Inspection ....................................19 Date Completed lolza.� ......19 t Z-0 C\31 4 P pQ 4 3d'0� `L�13oo0 <`S�' z \0 t°� A) 3Z-oZ-41 l� 2523 , N n Z lop D ►� �^ .03 14.0 2� D �� LET -7 o cP W oc h 3 z.s m PROP. � �, t vP o Q 10 -8.00 ti Ld C N o 60v_x o Q 3 r iz.oi . C(J o QL r N r N V7a0 3•34 8x 4 i 3 LOT (S N f ti �o�OoZ S•�. �a' � g FRANK WHMNG y y 90 No.29809 0 L S _ 20'q-7 ' FONN OF BARNSTABLE ZONING BY-LANE BATED SEPT 14 i9W i ONE: RC— r I SEMCKS : 6oP2:0 SPACE) FRONT e 20' SIDE ^ 7.5• } REAR � 7.5'i PROPERTY LINES WOW HEREON WERE COMPILED FROM PLANS OF RECORD AND DO NOT R63RESENT PROJECT NO. 3.3OW. AN ACTUAL SURVEY ON THE GROLP40. THE STRUCTURE DEPICTED ON THIS PLAN WAS LOCATED PLOT PLAN ON TFE GROM BY SURVEY ON APRIL 28 1989 In AND EXISTS AS MOM A8 OF THE DATE OF LOCATION. BARNSTABLE MASS. THIS PLAN 19 FOR PLOT PLAN PURPOSES ONLY AND SCALE.1' a 20' MAY 2 1989 SHOULt] NOT 13E USED FOR iJQY OTFlEA PURPOSE. � THE 83C GROUP-CAPE COD INC � S 8 8 ROUTE 28 MADAKEf PLACE 812 �DA_ Pf FE38.IONAL LAND StML-= WHPEC. NA 02649 (SOLD 477-2M l J I BU1LDINU P.Ef�M1l� WN OF BARNSTABLE, MASSACHUSETTS . $9 32882 A-1_73-085.Gi14 -�'ay lU 9 PcRMIyy YJO. 3.2 DATE rl L�jrHTl. I.S ; R. 11t,\•'. C.O. nC. —i�� Il ll1011 . iCC�. , Franco . E. ADDRESS I C 0 N T R SS LICEN5E1'- APPLICANT (NO.) (STREET) Siugle family dwelling DWOF ELLLNUBRING UNITS 1 T Build dwelliIig ( lgl STORY PERMIT TO NO )PROPOSED USE) (TYPE OF IMPROVEMENT) ZONING - RC 1 lot 8 4, Skipjack Lan: , "Hyannis DISTRICT— i AT.(LOCATION) (STREET) - I (NO.) ' AND BETWEEN (CROSS STREETI . (CROSS STREET) - LOT LOT BLOCK SIZE' 1 SUBDIVISION FT. WIDE BY FT: LONG BY. FT. IN.HEIGHT.AND SHALL.CONFORM IN CONSTRUCTION_ BUILDING IS TO BE A' TO TYPE ,USE GROUP. BASEMENT-1NALLS OR.FOUNOATION (TYPE) Town sewer #3042 j. REMARKS: BID- SCi. 85.75 I 1L7J i�. 5[J f V nn MIT l� FEE r AREA OR ESTIMATED COST J 1 VOLUME ' (C UBIC750 UARE FEET) �,v //% OWNER ranII s., BBYILOING DEPT. oa > /. mou ADDRESS " HE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB ANO THIS PERM TS PAR EC"REQ UIREDA RFOR INSPECTION$ REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL. PLUMBING AND - ALL CONSTRUCTION WORK: I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATION S. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SiJCH BUILDING SHALL NOT BE OCCUPIED UNTIL _ MEMBERSIREAOY TO LATH). FINAL INSPECTION HAS BEEN MADE. _ 3. FINAL INSPECTION BEFORE - OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 �'2k 61Mc z - HEAT) G INSPECTION APPROVALS ENGINEERING DEPARIMENT LVi)Hr �; N,if PiulCl.I.0 UNIII IIR:Ita;Pl i. PERk.IT N!LL R[CCrnE NULL AND VOID IF CONSTRUCTION It41;P1,.I ION',INIM 1.I111(It. I,A. ,:,'•Li-,:,fJ'L'! hill HA',r.Pf�+I)VLU lilt Vnf�lullU`::I•"'A �I� °'QPK 1S NOT STARTED WITHIN Sk1 MONTHS OF DATE THE nNfinN,l l) FOP by t.1:i.Plr.rul vIt-wltfllLN PE-RMI1 iS ISSUED AS NOTED ABOVE. rtuuful.uuta t ,�TWE TOWN OF BARNSTABLE Permit No. .32.882...... BUILDING DEPARTMENT I TOWN OFFICE BUILDING Cash :::::::::::::::: 7 ML 6}q V HYANNIS.MASS.02601 Bond A CERTIFICATE OF USE AND OCCUPANCY Issued to Markwood Corporation Address Lot #8, 4 Skipjack Lane Hyannis, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. I October 14, 94 Building Inspector i TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PER-— Will DATE May 10 cry C�jj(�11 1, r�cc�� 28 i APPLICANT DATE R. E. Ut'V. CO. ' I2C. ADDRESS J5 19 ?r }1 1(d. T r�i 1%a PERMIT NO.tt tl i,t (NO.) (STREET) ICONT R'S — E SEI PERMIT TO Build dwellinc, i� $1!lbia a,nil C]Wi'llin NUMBER OF (_ STORY y b DWELLING UNITS 1(TYPE OF IMPROVEMENT)t NO. (PROPOSED L'SE) AT (LOCATION) IOC /�i 4 Skipjack Lane, jj ;:].,� ZONING (NO.) (STREET) DISTRICT_ BETWEEN AND (CROSS STREET) (CROSS STREET I SUBDIVISION LOT LOT f BLOCK SIZE I BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCT101 TO TYPE USE R G OUP BASEMENT WALLS OR FOUNDATION C (TYPE) REMARKS: Town sewer #3042 r AREA OR 1270 BOND VOLUME SQ. f t� 50,000 MIT 85. 75 (CUBIC/SQUARE FEET) FEE i ESTIMATED COST $ �. i OWNER Capricorn Realty Trust i A moL'th Boa nyannis / BUILDING DE ADDRESS I PT, b� BY 7 y� I / COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY - CAUTION EXPIRATION DATE ` / �2/ � 995 C0NSTR' SUP�RVISOR FOR PROTECT0NAGAINST RESTRICTIONS [ - ��' .���Y | EFFECTIVE DATE uC'wo� | THEFT PUT RIGHT THUK4B ~^r/ ��c | 06/30/�993 005867 � PRINT ` |NAPPROPRIATE 0 � BOX ONLICENSE. � @PEA�SON 0 BLASTING OPERATORS MUST-INCLUDE PHOTO. BAR�ST�BLE MA 02630 i-� � ' ' � PHOTO(BLASTING OPRONLY) � rEE --- -- 00' 00 NOT VALID UNTIL SIGN BYL SEE AND OFFICIALLY STAMPED-OR- F THE COMMISSIONER HEIGHT: - iUN DOB: THIS DOCUMENT MUST BE � �GNNAMEINL mNE | CARRIED o°THE PERSON o, | ��'. SIGNATWRE OF LICENSEE | | THE HOLDER WHEN EN- OTHERS FIGHT THUMB PRINT. GAGED m THIS OCCUPATION. . = vowumomwER ' IMPROVEMENT CONTRACTORS REGISTRATION 'k V" ', ard of Building Regulations and Standards ~��ar One Ashburton Place - Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR � Registration 100871 Expiration 06/24/94 �� ��a� � ' Type - PRIVATE CORPORATION ' OME IMPROVEMENT CONTRACTOR Registration 100071 - PRIVATE CORPORATION Markwood Corporation ./r` Expiration 06/24/94 ^ Timothy M. Pearson 10 Seaboard Lane Markwood Corporation \ Hyannis MA 02601 li�othy M. 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