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Home My WebLink About0046 WAYLAND ROAD i I (7& i o •l � Town Of Barnstable *Permit# v� Erpires 6 morrthsJroru is e dote .. Reg-ulatory Services Fee t 6J9- �� Thomas F. Geiler, Director ` y= Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab le.ma.us Office: 508-862-403 8 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Fax: 508-790-6230 Not Valid wilhota Red X-Press Imprint Map/parcel Number Property Address i F ®...Residential Value of Work. Minimum fee ofS35,00 for work underS6000.00 Owner's Name & Address 00 kri Contractor's Name �?E-E�) .. o Telephone Number & Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: -I am a sole proprietor . ❑ I arnihe Homeowner 0. I have Worker's Compensation Insurance ameInsurance Com an N AvI5�j O_ , Workman's Comp.Policy 1 t �,�} �.I(� C 6bf 0 Copy of Insurance Compliance Certificate must accampany each permit. p, 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/slitd U-Value #of doors (maximum .35) # of windows i C� *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: ):1WPrir.Fc1F0RMS1bu'dine ocmtit fnrins\PYPRI=ee,inr I �. n n x � The C'ornrffoffivea.11h of.Afassaclu.fsetrs - -- - - DenartinenI of lifdustrial Acciderfts r �- Ofjzce ofInvestigalions c 60O .Washington Street Boston, AL4 02111 4,31 w.fffass.gov1dfa 'Workei-s' Compensation Insurance Affi:daiit: Builders/Conti-actorsJElectricians/Pltimbers Applicant Information (� Pl"e.ase h-int Le 'bh Na iie. (B"usi"ne&v)Drgau L7at ou,Udividtal) lf�- ° c/1�si;✓ U A " - en-s City/State./Zip:Celjteay- .e, V 1k 0G-�' - Pliol]C [3. re you an employer? Check the appropriate boy.: Typt^ of project(requited): ❑ I am a employer--ttrith " ❑ I am a geneml contractJe have hired.tire stab-cont6_ ❑.New coristrlrction etuployees(full andtar�part=titrre). I N-I am a sole proprietor orpartrier- listed on the attached sh7- D.Rernodeling. ship.and have no employees These saib-contractors haveg ,Detuolition working :for me in any capacity. einploy'ees and have wor [No workers' comp.insinan.ce comp-insurance.. 74. �.Buildin.g addition 5. We are•a cot oratiou.and10.❑Electrical repairs or additions required-] ❑ F ❑ :I am a.homeouver doing all work. aff.cers have exercised th11.,�Plumbing repairs or additions myself No work-m'com . right of e�xetnptionper iM �` ( p 1?.❑Roafrepairs ins"cum ce:requi ed.]1 c. 152; §1(4�), and.give havemployees ,tNo workers' 13..0 Othercamp. insur�nce.required 'Any appliraut that checks box#1.uwst also fill out the section belon,sbawing tbeirww1ers'compensa:ti:on policy infonmtiar T Homeowmrs who subunit this atfidsatit indicating they are doing all-work aced then hire atrtsade contracturs must submit.a wv affedavit indicating melt-, =Can'aaCtDrs that check this box must attached an sdditional:she.et shoeing the mmne of the sub-crnrtractars and stare,whether or not'those entitias have employees. Iftbe sut�ontmctomhave employees,.they,must provide their workers'comp.policy number. I afft aft urplo er that is prottic7irtg tlro leers'corrfperrsatioft iftsfrrn.rfce for tftl'eltcpla�ees. .6etow s the policy anal job site iifor1Vta od4 Insurance Company Name: t;�50 ocm. Td C-0 S Policy#or 5e.1f--111s.Lc.#: W C';(X-)L( I J Expiration Da:te:. . Job Site Address: ��o `� Ly,l� ` �(�l� City/StatelZip: Attach a copy of.th-e workers' Compensntion policy declaration page(slroiigng the policy number and espixation date). Failure to secure coverage as required under Section.2.5A of MGL c. I 52 can lead to the,imposition of criminal penalties of a fine up to$I.,500.:00 andlor one-year unprisonmen.t,as well as civil penalties in the form of a STOP'jVORP ORDER and a fine, of up to$250.00 a day against the i iola.tor. Be advised that a copy of this statement may be forwarded to the Office of " Investigations of the D.IA for insurances coverage verification. I do hereby certify iltcd the pains aridpl q!..talties of perjury that the n:foritia olflJYoltid1 d.abotrtl.is truivand correct Si tore.•; Date: o�(J i(J Phone Official.ttse oniti'. Do not write it.t tlru area,to be couiptifted by crhir or town.oczaC aty or Town: Permit/License# Issuing Authority(circle•one): 1.Board of Health 2.Building Department 3,"C`.ityffoiim Clerk 4, Electrical Inspector 5. Plumbing Inspector 6.OtlrerT OF THE 1p�. Y i + HARNSrAHLE, • - . HAss. $ Town of I�a>r-nstable 1639: 1� prFD MAC A Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street; Hyannis, MA 02601 w)�w.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 A��.ieiZ__ 1-6U��' , as Owner of the subject property hereby authorize �nG t j YJ ='QJ j tJ to act on m behalf, - Y in all matters relative to work authorized by this building perrnit application for: (Address of Job) Signature of O�. ne Da e Print Name If Property'Owner is applying for permit, please complete the-Homeo}vners License Exemption Forrp on the reverse side. y J P�0IHfrp�y Town of Barnstable Regulatory Services ^JASS. ' Thomas F. Geiler, Director '6; . Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www,town.ba rnsta ble.ma.us Office: 98-862-4038 r Fax: 508-790-6230 ---------------------------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCA"T-ION: number street village "HOMEOWNER" name home phone N work phone N CURRENT MAILNG ADDRESS: 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-yearperiod 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 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,saidtp 1 cedures and'requirementsj �# 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 Se:ction.127.0 Construction Control. HOMEOWNER IS EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of(his section(Section I09.I.1 -Licensing ofconstruclion 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 ofawareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In th is 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 certiry 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:IWPFILESIFORMSIbuilding permit formslEXPRESS.doc ti Massachusetts - Department of Public Safety { Board of Building- Rel-ulations and Standards Construction Supervisor License License: CS' 14007_ _ r Restricted to: 00 JOHN P DUNN- ' BOX 924/80 MARIE ANN'TER CENTERVILLE, MA 02632 ' Expiration: 5/25/2012 l ('ummissiuncr Tr#: 24061 License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation. 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature j Massachusetts - Department of Public Safet Board of Buildinl, Re!-ulations anti Standards Construction Supervisor License License: CS 14007 i Restricted to: 00 f JOHN P DUNN BOX 924/80 MARIE ANN TER j CENTERVILLE, MA 02632 Expiration: 5/25/2012 ('ommisiuncr Tr#: 24061 Office of Consumer Affairs&Btisiness Regulation HOME IMPROVEMENT CONTRACTOR Re i tration ter, • ,-7:,01149 Type: Reg istration:• i Expiration: -6/25/2012 P Individual JO P. DUNN ,� ` John Dunn I�1 80 MARIE ANN TER, y CENTER VILLE, MA 02637�=, s Undersecretary I G _ , jr- 13141 Assessor's map and lot number ......... ..... S TH E TOE Sewage Permit number ..... ......................... fO�P s ♦� i Z EARNSTAXLE, i Hoyse number .............................Id 5 .................................. ro rues f 16 0/✓r s O al �0 �D YPY a• TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .tcSa.1S? rx'1J!. t... "ar� rl,f'...,F., 37!►.L.�T..l�wt?l11T?. ...................................... TYPE OF CONSTRUCTION .WOOd...FZ�^d,TTle ... ........` ...................................... ............................. ..19 `.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..... �.......1.�..1�A:...� . �' 1............ . ..... /. -t .V.!.. ..................... ....... ................................... ProposedUse ............................................................................................................................................................................. Zoning District ..R.'.B.'............................................................Fire District ...Ilyann s......................................................... Name of Owner Capricorn fealty Trust..........Address 2.65..Fa1.mouth Road,g...Hyann s.............. Name of Builder Franco Real Estate Dev. COAddress ..7.A5...Fa7_ Auth RgRa j,,,,Hyaazrz ................ .......... .............. Inc. Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..5.lX........................................................Foundation ...PsC.e................................................................. Exierior clapboard.,and/®r shine s...................Roofing As3ft,It...sh:i.n e ..,..................................... Floors .... .............. ...................................................Interior ....s .k.0.e.t rp.gk Heating '�'rah........ 'eG a ....................................................Plumbing, fit.��n........r;ra x� r....... ......:....�f— I Fireplace ..N,O:n.F`-......................................................................Approximate Cost .��I-Q/OOO..,OQ....... Definitive Plan Approved by Planning Board ---------------`_---------------19________ . Area 1.9. 6,•SQ.•.,,.ft•g......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . * }! ,,. ......... .... . -�f. /�..r CAPRICORN REALTY TRUSTg/--� A=271�47 � 4000 One SVy No ...I...........t•.-PermiS for .................................... Single Family Dw.ellin r Location ,,, Lot #14 46 Wayland Rd. ......................................... Hyannis ............................................................................... Owner ,.,Capricorn Realty Trust .............................................. ' Type of Construction F.rame... .. .............................. ................................................................................ Plot ............................ Lot'*................................ April 30 , 82 Permit Granted ........................................19 Date of Inspection ....................................19 Date Completed 19 ; • i i • 1 PERMIT REFUSED t.. .......... ..... ............... 19 I .............. ......................:........................... ...............................................................:................ . ............................................................................... ............................................................................... ` 'EATsessw's map and lot number .. ..... r, ..........�........... /.. , ofTHF to Sewage Permit number ..... ..5........................ SEPTIC li�sT MIST S BasasTADLE, i House number -......�..`.�L................................. � 6 � c�.if e:�8 y MABa ' D�d6 "STALLED. IN COMPLIa4fi�� OTF i6p yAI 7 � i a• TOWN OF AR_ NHS ° DE BUILDING 1N$PECTOR APPLICATION FOR PERMIT TO FaJll ly.'...Dwelling...................................... TYPE OF CONSTRUCTION ,Wood Frame .............................................,.................................................................... cc �... �..190.�. . ............................. .... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location.�.A...... r�,..r � .... �l�<. 1<�.4!�!,.C-...................:................:.................................. ProposedUse ............................................................................................................................................................................... Zoning District ... .'.B...............................................................Fire District ...HyAnn7 s........................................................ Name of Owner .Capricorn. Realty..Trus.t...........Address ..7. 5.. Falmouth Road, Hyannis Name of Builder Franco, Real Estate CoAddress ..765...Falmouth„RQad,,,,H�rann �,,,,,,,,,,,,,, Inc . Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms SIX.........................................................Foundation ...p.e.C.e.............................................I................... Exterior clapboard and/o.r...shingles...................Roofing .AaPhgl.t...ahi g].QS........................................ FloorsearPe.t...................................................................Interior ....i5b.eat...x:Q.Q.X..................................................... rieating ..Qa•.5...-...F.W.,.�. .......-................................. ....Plumbing ..:t.Wo....-...capper................................................ Fireplace ..N.onpa............................. ..............Approximate Cost0 .......................................... Definitive Plan Approved by Planning Board ________________________________19________. Area 1.OS.6..SQ eft.•......... Diagram of Lot and Building with Dimensions Fee .. 5 . SUBJECT TO APPROVAL OF BOARD OF HEALTH ao�� j n�\ 1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... .... .... .. . . ..... . CAPRICORN REALTY -TRUST Q 4 0 0 0 No ..T . ......... Permit for .....One...Stor ....... Single Family Dwelling ..... ..... Location ....Lo...t.....#...1..4.......4..6.....W...a l.and...�d .. .. ....... : .. . ' H annis Owner .,,Capricorn Realty. Trust ....... .r Type of. Construction .....;X 4AQ....................... \ ..... ............. ................................................... R _ y Plot !.......... Lot ................................ `r April 30 . Permit Granted ....................19 82 Date of Inspection 19 ' t Date Completed :. .. . PERMIT REFUSED y f ................................................................ 19 , ti 1 l S;...................................................... . ............................................................................... v Approved ................................................ 19 h or�`r .TOWN OF BAILNSTABLE ;' 41 03 y °o Permit No _ -- ` { a�n�ac p�.•B1Ill(�lIIg Insp -etbr 's ti Cash OCCUPANCY PERMIT 1- Bond. —x "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 Capricorn .Realty Tt' st• Address Lot *14 4 6''WIavfa'hd` ktiad Hyannis . Wiring Inspector • . � s �t '0 ` '� Inspection.date Plumbing Easpeoto /C Inspection date Gas Inspector T�� n`�.� , Inspection date y�j r"!y R-2, 3LEngineering Departments 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. j h ......................................................-- ' , ........................................ �!%%1.2 ! Building Inspector €'1. i .7�` �/rl�� po 30 _ In �. pi 4 I ellJ w Y srs t �� o �/ �f3 W i DTI-} 20' F,S. 8. U Al/>lo4 7"/ 0 IV �N OF Mq�....... CERTIFIED PLOT PLAN c 3.5 � �v V E` 7z o�-o o'� joNN - BERTi /-0 7- YL wq �!`�d� �Q a� IN �NvsuR��y { SCALE:/ =3 0 DATE : F1' c�z - ? L DREDGE ENGINEERING CD.IN I CLIENT�A"�w I CERTIFY THAT THEFOy�/J��T�o i ' SHOWN ON THIS PLAN,. IS LOCATED EGISTERED REGISTERED CIVIL LAND JOB NO. ON THE GROUND AS INDICATED AND I /} CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY� � OF ZARAIS7n/3 E ASS. 712 MAIN ST. CH.BY$ HYANN180 MASS. SHEET—L OF �r•a4 22 `;:i _ , _.L_ DATE R 'G. LAND SURVEYOR