HomeMy WebLinkAbout0091 WALTON AVENUE AuTIVE
ao
l Town of Barnstable
�I"E' Regulatory Services
Thomas F.Geiler,Director
'` MAM g Building Division
639. Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT#,, l ff FEE: $
SHED REGISTRATION
200 square feet or less
a n .�
Location of shed(address) Village
o(c (49
Property owner's name Telephone number
Size of Shed Map/Parcel#
e Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST :BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:05201
F
Map Page 1 of 1
Town of Barnstable Geographic Information System New Sear
Parcel Viewer Custom Map Abutters Mai)Size MON Zoom Outl III■1„ In
117 Ito ® 1_IPG Map: 310, Parcel: 020
' Location: 91 WALTON AVENUE
31 W 11 310288
N75 Ne0 310320 - � - Owner: DESMARAIS,SANDRA&DOUGLAI
N 115:
310419"
310440 ILocation Information
N15
_ - Map&Parcel 310020 -
tr 310022 Location 91 WALTON AVENUE
310384 W N 105 �
063 lr r', �` _ - - Acreage 0.32acres
t N64 Current Owner
Mailing Address DESMARAIS,SANDRA&I
x loa PO BOX 1025
W YARMOUTH,MA 02673
310021 icy `" 310445 ,
aqe 927 4 Appraised Value(FY 2011)
31M83 - Extra Features $3,400
q51 -
Out Buildings $0 .
Land $67,900-
1 31s26 J tT� � Buildings $106,400
Nam` 310020 °;. ;
N 71 Total Appraised $177,700
ts, .O
J
.Q ,3tg441 � Assessed Value(FY 2031)
—
Extra Features $3,400
310444 Out Buildings $0
- .'941 Land $67,900..
_ Buildings $106,400 -
3I001q Total Assessed $177,700
N83
�y y� 311211 Construction Detail -
i� � N40 Style Cape Cod
"� ,' Model' Residential
- x 310442 Grade.- Average
Ne2 Stories 1 1/2 Stories
310010 11 �_ 310
493 Exterior Wall Wood Shingle
,N73 ism 051 Roof Structure Gable/Hip
Roof Cover Asph/F GIs/Crop
Interior Wall Drywall
3102g2 G/j� - '.. Interior Floor Carpet
0 N�V feet- 310017 310025 Heat Fuel Oil
M63 - 070 Heat Type Hot Water
AC Type- None
Number of 2 Bedrooms
Set Scale 1"=66 ; ' Aerlal Photos ��' MAP DISCLAIMER
Bedrooms
Copyright 2005-2010 Town of Barnstable,MA All fights reserved.Send questions or comments to GIS _
BarnstableMA v1.2.4339(Production) -
http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=310020 11/23/2011
i
HOZ�( �
Town of Barnstable *Permit#
Expires 6 months from issue date
Regulatory Services Fee
+ =nxrvsrwBr.e, +
7,b S.
163 g. � Thomas F. Geiler,Director /t✓.
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barns tab le.ma.us
Off-ice: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
I � Noi Yalid witltou,Red X-Press Imprin/
Map/parcel Number
Property Address ( � Vim. (� \(Ls
[`Residential Value of Work 1000 Minimum fee of$35.00 for work under S6000.00
Owner's Name &Address
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: APR 2 0!1A
WI
am a.sole proprietor
am the Homeowner TOWN OF BARNSTABLLE
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(not stripping. Going over existing layers of roof)
RI/Re-side
#of doors
❑ Replacement Wind ows/doors/sliders• U-Value (maximum .44)#of windows
*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
r quired. •
SIGNATURE:
. Q:\WPFILES\FORMS\building permit formslEXPRESS.doc
Revised 070110
The Commonwealth of Massachusetts
1 I Department of Industrial Accidents
Office°ofInvestigations
W i, i
/ 600 Washington Street
Boston, MA 02111 .
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeEibly
Name (Business/Organization/Individual): ���1 � ( '�
Address: �� VOMy�---
City/State/Zip: yU Phone
Are you an employer?Check the appropriate box: Type of project(required):
1. ❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2. El am a sole proprietor or partner- listed on the attached sheet. # ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. g• ❑ Building addition
[No workers' comp:insurance 5. ❑ We are a corporation and its
required.]
officers have exercised their 10.❑ Electrical repairs or;additions
3.Y I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions
myself. [No Workers' comp, c. 152, §1(4), and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' 3.El Other
comp. insurance required.)
*Any applicant that checks box#I 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.
lContractors that chock this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an,employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site
+ information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date:
Job Site Address: City/State/Zip
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 ckertify under the pains and penalties of perjury that the information providedf above is true and correct
SiRamnatur LA
Date: f ��
iz ^
Phone#:
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
Phone#:
t` r
i f
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise, and including the legal Tepresentatives of a deceased employer, or the
receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on.such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)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,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than.the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy isTequired. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the Iaw.or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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 Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where.a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts _
Department of Industrial Accidents
Office of InVestigations'
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 5-26-05
www.mass.g ov/dia
f -
. �ofTHE rp�y
Town of Barnstable
y� 'Regu0
l�ato'ry Services
Thomas F. Geiler, Director
Building Division
rE0 µA't L
Tom Perry,Building Commissioner
260 Mairi•Street,_Hyannis,MA 02601
Rrww.town_barnstable.ma us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
J� Please Print
DATE: rl I-Z I
JOB LOCATION: 01 i U30'L*_V `• VqU_
-
numbberr street village
"HOMEOWNER":5/ 11/�
name hone phone# work phone#
CURF-Wr MAILING ADDRESS: L/ . 1 07-5
vim( `& �V (St� ` ®�
eityhown state up code
The current exemption for"homeowners"was extended to include owner-occupied dwelling 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 HOMEOWN'E.R
Persons)wbo 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 constrgcts more than one home in a two-year period shall not be considered a born owner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that be/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 undcrsigncd"homeowner"certifies that.be/she understands the Town of Barnstable Building Department
r,,;n;r„llm inspection procedures and.regtiirements and that he/she will cornply with said procedures and.
re ents.
Signatirrc of Homeowner
Approval of Building,Official
Note: Three-family dwellings containing 3.5,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HomxowNER,s EXEMPTION
The Code states that: "Any homeownLr Performing work for which a building permit is required shall be exempt from the provisions
Of this section.(Section I Dq,m -I iccnsing of construction Supervisors);provided that if the homeowner engngcs a person(s)for hire to do such
work,that such Homeowner shall act as supervisor.,•
hinny homeowners who use this exemption an;unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Rcgblation rs
s for Licensing Construction Supuvisors,Scctioa 2.15) This lack of awareness often results in serious problems,particularly
when the homcowncr hires unlicensed peons. In this case,our Board cannot proceed against the unlicensed person as it would with i licensed
Supervisor. The honi cown a acting as Supervisor is ultimately responstble.
To cnsum that the homeowner is fully aware of hislf Q resporuibilitics,many communities require,as part of the permit application,
that the bOmc044'ncr certify that he/she understands the nspansrbiliticr of a Supervisor. On the last page of this issue is a,farm currently used by
several towns. You may caret amend and adopt such a fomr/ccrtification for use in your community.
THE,, Town of Barnstable
o
Regulatory Services
stixxsrAs[-e. .
M E �, Thomas F. Geiler,Director
X' Building Division
Tom Perry, Building Commissione.t
200 Main Street,Hyannis,MA 02601
tvww.town.barnstable.ma.us
Ofcc 508-862-4038 Fax: 508-790-6230
Property Chvner 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)
Signature of Owner Date
Print Name
If Property Owner is applying for permit please complete. the
Homeowners License Exemption Form on :the reverse side.
00
' Fee
. ,�,��, ' Regulatory Services 9� t% Thomas F.Geiler,Direetor /6 V-P®RESS
pTFD"AO��v Building Division IT
Peter F.Dillatteo, Building Commissioner ,JA N 1 q 2002
36 i l�taia Street, Hyannis,MA 02601w
Office: 508-86Z-�38 rO�N OF BARNSTABLE
Fax: 508-790-62_0 N L
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid withotu Red X-Pfm IatPriut
.lap.parcel Number 4,10 i:2p
Prapetty Address UU
e
Xe-sidential Value ofworic �C
Owneisv'ame&Address9 ell
• L.Telephonellilumbe'r
O��o�
Contractors Tam
Home Improvement Contractor license (if applicable)lE�2 61 5 '4
<^4ns=crion Supervisor's i.icease=(if applicable)
orivnan's Compensation Insurance
Check one:
Q I=a sole proprietor
Q I=the Homeonner
o er s Compensation Insurance
Insurance Company Name
WorIarna's Comp.
Policti C c�� r
Permit Request(check box)
Q Re-roof(stripping old shingles)
Q Re-roof(not strippinz Going over existing IWO of roo f
Q Re-side
iacement�t indou-s. U-Value ( •` )
❑ Other(specify) r
oWhm required: Issutnnce of this pamit does not exempt corrip nee with other town d t regulations.i.e.Historic-Conser+�ti0n.c:c.
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14IR REGULATIONS lioai*(Ioflluildiiigltc,,uiatioils-,Iii(ISt:iitI As
BOARD OF BUILDING R IP
HOME IMPROVEMENT CONTRACTOR
License: CONSTRUCTION SUPERVISOR
Number: CS 067195
Registration: 120456
Birthdate: 08/16/1952 Expiration: 1/2/04
Expires: 08/16/2003 Tr.no: 1191 Type: Supplement Card
Restricted: 00 BIL-RAY ALUM. SIDING CORP
PAULS MACDONALD PAUL MACDONALD
. 25 MASON RD 40 ELMONT RD
DUDLEY, MA 01571 Administrator ELMONT, NY 11003
Administrator
CM ALSIOE 170664
WINDOW COMPANY
LNFRC MODELMODELU1 - EMINP 011 ILE NK"im SOLID VINYL - WELDED - DBL GLZD
National Fenestration
Rating Council 13/1611 IG; DS LO-E) Argon
Energy Savings will depend on your specific climate,house
and lifestyle.
For more information,call 1-330-929-1811 or visit HFRC's web site at
www.rvfrc.org.
Solar Heat Gain Visible
U-F acto.r...... .34J.C.o.e.f.f.i.c.ie.nt.........31.1. Transmittance
.. . .. .. ....5.1..... .... ........
. 321 . 3Z . 53.
Manufacturer stipulates that these ratings conform to applicable NFRC
procedures for determining whole product energy performance.NFRC
ratings are determined for a fixed set of environmental conditions and
I specific product sizes.