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HomeMy WebLinkAbout0165 ANNABLE POINT ROAD �, s. a a, F _ _ v o o -7113)N 4 Town of Barns,#able *Permit Tres 6 months from issue date Regulatory Servicesa ee BARN&riBmJUL Y v?j' 0 rsnas Richard V.Scali,Directyo0 {' 2016 s ., ' Building Divlsi0�/I�A/OF Paul Roma,Building Commissioner . j e 200 Main Street,Hyannis,MA 02601 _ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address /rL v_ ��4 c___h�i� /"c�%�2-. � 'L c:�../c`y�✓ '��t': ��� z ;2 E Residential Value of Work$ 5 ee` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address iry' C! 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 I 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 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 (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: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required: SIGNATURE:, Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 r DepartrF azt of radustrial Acciderrt4 600 wasfi%q rt s reef Boston,MA 02111 1PFPI-xviasmgOvIdia Wkir ers' Compensation Insurance Affidavit:%LIderslContmctGrsXlectrwmns/Phmhers, Ariplcant Infan nating Please Prat F.e llly Nam City/Sta- l € ZL Are you an employer?Checkthe appropriate box: Type of project(required): L❑ I am a employers with 4 ❑I am a general contractor and I 6_ ❑New construction employees(fu11 andlorpart-timer*, have hired the mb•-contrachars 2.❑ I am a sole etas listed on tine attached sheet. 7_ ❑Remodeling Fml?u or1 Dnese stab-contractors have slip and have no employees. $_ E]Demolition wodang forme in any sty_ employ andhave.warmrs' 9_.0 Building addition. [No warmers'comp.ium,t•a,,,-e comp-n,sax`nl 10-El Electrical repairs or a,d&tious r 1 - S. We are a cotpomfioa and ifs 3.W 1 am a Homeowner doing all work officers have wised their 1L❑Phmzbing repairs or additions mys-elf[No wo&mm'gip- age of ememption per we have L L_0 Roofregairs insurance required.]y c.� ,§1(4 Ia avos' �-®father S/`�>�� :l�rsyc/f empcone.insurance required-] 00 r c,7 'AapWffcznt&Acbedm box iRl—st also IMora the secd=beTa klnu deirwakeecomppQmfimpn5eginfm=sfim �ameoara4ss t4hD snbanit shiS of da they use dm�sll Wa dG sad the hire oatsi3e coafnactnrs�at salfmit a new afih1z&mdirff'4" sarlL ICnaizactossjff=rheclrthisbDXmastarmedsna difif111 shed szw!=gthenameof the sib-conscWmsadstatevhed <arnatthoseentitiesham employees.IftbP zd tagtmct la-emplayea%dWn nstpmxide*W trorlse&=xp.palm mmilsez lam art mrrippmr that isprat�itiir�g tvrrrkers'canrpertstrftorr utsura>3ce f er my enrplaj�ee� 8etaov is i�lre prrlicy arad jab site inftrrmatian. • Inktrance Company Dame: Poficy;Al-or Self-ins-Lim Expiraf oaDate: Job Eta Address: cifylStafelr=:. Aftach a copy of the workers'coanpensation.policy declaration page(showing the policy number and expiration date) Fair to secure coverage as required under Secion 25A of MGL c�1572 can lead tin the imposition of crirnhmkl penalties of a fine up to$L,54U OD asdror one=year imprisonment,as well as rivil penalties is tine fates of a STOP WORK ORDER and a fine of up to$250_00 a day against tfre violator. Be adidsed t3taf a copy of this sh Mwient may be forwarded to the Office of lwvvestigafions of the DIA for instwanci--coverage,vet cation_ f*horgiy co*fp under th-apafns andpsmahEks afpEr kq thatthe iinforr unffo tpem-idud abm'd is bw and carrect Sismature Mtge A- 72/-- S.7'7U t);gTciat am agy, Do not writm in fh€s arma,to be campieted by cup artoorn V'fficiat Cky or Town: Perndff.&use;9 I A uf1m ity(tdlyde one): L Board of Health 1 BuRding Department 3.QtpTown Clerk 4.Electrical Inspector S.Phrmbbg Inspector. 6.other C,orttact Person Phone#- -- — 6 formation and 11as-Luc-ions hfaaecar-]it?scft C '7 b=-9 LEW Gbfptel M Ieq=es all=plq=to XDVIde WMIM&COmPeQSIt=on fM-f e==Ploy= , P==,-a tto this Statute`,an erIP&YW is defined a&' waxy person in the service of another nad=any contact ofhae, express or iinplied,oral or Vzftk n_" An e V&ym-is dln med as-an m3i4i3ual,ParfnersT ,asso®iian;coiporaiion or other legal may,or airy two or me of the foregoing=gaged in a Joint a tcrprise,and inclaffmg the legal Fegreserdati vas of a deceased employer,or the receiver or trastes of an mdividaal,per,association or ofherlegal entity,employing employees. HOWever the owner of a.dweIImghouse,haviognotmore than three apartments and Who resides therem,or the occupant ofthe - dwaMag house of ano$ier Who employs persons to do co,cnnstru on or repair wow on such dwelling house or on the grounds or bm7.dmg appm-fnn ant tii=to shall notbeca use of mch emplapm ent be deemed to be an employer." MGL chapter 152,§25CC6)also states at"everysfafe or local licenskg agencyshallwithhold the ZSS¢ance or th renewal of a lccense or permit to operate a business or to contract buildings in the Commonwealth for=Y applicantvvho has notproduced acceptable evidence of eompr=mwitlx the n,-mra_nce.coveragerequh:e Addi ionaIly,MGL chapter M,§25CC7)stags-Neithm the nor;�Oy ofits political snbdrnisions shall ear mto any contract for the,performance,ofp Lhc work unfit acceptable evidemce of compliance;with.8Le insurance.. ems of this chapter have been presented in the:oe—w ting anthozity.-" Applica Its Please fill out the Wonisrrs'compensation affidavit completely,by g e boxes tinat apply to your situation an(�if . necessary,supply sub-cantxactar{s)name(s), addressCes)and Phone mmber(s) along with their cet(ifrcat*) of fi=rance. UMi Liability Companies CLLC)or Limitcd Liability'Pmtamsbips 9-LP)wifhno earployees otizet thm the' members or pare are not reepm:ed to cant'workers'compensation iUSurE oe. If an.LLC or LLP does have employees,apolicy is required. Be advised that this affidayitmaybe snbmhtedto the Department of Industrial Accidents for conEm ation of insurance coverage. Also be sure to sign and data ithe of davit The affidavit shoal be retnmed to!he city or town that the application for the permit or license is berg regaestA not the Deepartmmd of LnAnstad Accidents. Should you have any questions regar'dm.g the law or if you ai e rued to obtain a woiio=' c anpe nsationpoliey,please call the Depart eof atthennimmberlistndbeIoW. Self-msvredeompanies should eatrrtheir self-insurance;license mmmber on the appropriate line. City or Town OfddaIs Please be sure that the a$davit is complete and pried legibly. The Department has provided a space at the bottc= of the affidavit for you to fM out in.the event the Office oflavestigatians has to contactyoureganimgthe applicant_ Please be sure to f M in the permitlficense number which will be used as a ref=ace number: Ik-addition,an applicant that mast submit multiple p applitstions i a a:Ly given year,n eeti only submit one affidavit mdicaimg c=eut policy i3�tion Cifnwzssary)and under'rJ b Site fi_dtiess"the applicant should writ--"all locations in (may or town)_'A copy of the•affidavit that has been officially stimped or Mm3r-d by the city or town maybe provided to the applicant as proofthat a valid affidavit is on file for f m permits or licenses A new affidavitmust be filled oit each year.Where a home owner or citizen is obtaining a license or permit not reilated fe any bush=s or commercial v6at= Cie.a dog license or pexmrt to bum leaves etc said person is NOT regrind to compIeto tins affidavit The Office oflnyestig��wouldliketo ii>ankyonim advance foryour cooperation and shovldyouhave any questions, please do not hesitate to give us a call. The DcTarfineres address,telePb=and fax number: . I�ega�n�cif Ac�d�nt� Tf,-L 4 617- -49W=ft 406 ox I-W M SSAF Fax 617`27 7M xevised4-24-07 . fig Town of Barnstable ✓ Regulatory Services Richard V. Scab,Director.16"3 " ►� Building Division. i Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I , as ear of the subject property a hereby authorize to act on my behalf in all matters relative to work authorized by ding permit application for. (Address o ob) '**Pool fences and alarms are th responsibility o e applicant Pools are not to be filled or utilize before fence is ins d and all final inspections are performed d accepted. , Signature-of Owner Signature of Applicant Print Name r Print Name Date Q:FORMS:OWNERPERMISSIONPOOIS Town of Barnstable Regulatory Services dF Richard V.Scali,Director Building Division '�. Paul Roma,Building Commissioner MASS 16,39. 6 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print �i�1�[DATE:" 4 -10 46 JOB LOCATION/: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: SaJ,, `G—g c�c� 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. 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 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 Rules&Regulations for Licensing.Construction Supervisors,Section 2.1 This lack of awareness-often ( PP Q+ � g P � � results in serious problems, articular) when-the homeowner hires unlicensed persons. In this case our Board cannot P +P Y 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 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:\WPFILES\FORMS\building permit formslEXPRESS.doc 06/20/16 Cod �D Town of Barnstable Approved O Regulatory Services Fee v Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date: cJeC• 3 204) 2 Name: /,Jd,���rl� �'e�S Co Phone#: �'� �J� f/p d illag e 0 -ei a%`l e- Address:/ t"'/7 e'_bIle a c� V Name of Business:/`&'Ca 71- 74 16 0 � �o� _ Type of Business: -�i S'u vim ti�. �' Map/Lot: INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. . LNo traffic will be generated in excess of normal residential volumes. The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. There is no exterior storage or display of materials or equipment. There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot.containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering: Applicant: Date: . 3"do S.T,-,Ann J /A, ssessor's, map and lotrnumber .��.."Qq. ..... DO FTHET Sewage P it number w Q WITH C TITLE E LE j BA"STABLE, i House number y NAB& .................................................................... ENVIRONMENTa` In C�� °o,,� 639•a�am 0 MAI TOWN OF �BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .i......a. ) vs.T.R.U.ar....R.....P.�K. .......................................................... TYPEOF CONSTRUCTION ...........W.Q P..(>.:...:..................................................................................................... ........... ............19 ,.� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information: Location ........ /.- ......R.. JVA .......00. 7r...........!C/ Tc1:.vmtL.�.................................................. ... ................ . ProposedUse ............................................................................................................................................................................. Zoning District ..................t� .. .. .......................:.......Fire District .............. 't.. .............................................. 134)?134gA- ' Name of Owner .....Ray....82 .C-o 1 .........................Address ...-5 1 ....i...�.... ......O.Y.O.Vf................................. Name of Builder ..Pp!y.ALD �(ZC5.GOT...............Address ..................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .....................................:......................................... Exierior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. 8a Fireplace ..................................................................................Approximate. Cost ........�Q0..... .................. Definitive Plan Approved by Planning Board ---------------_________________19________. Area ..... ................ �................ Diagram of Lot and Building with Dimensions Fee _.._.. SUBJECT TO APPROVAL OF BOARD OF HEALTH I IL '� �CPnc 0 T'RNK f � I PORCH I i f 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. Name... .... ... ..... Construction Supervisor's License ................................. t PRESCOTT, BARBARA & ROY A �. M1 No 27704. Permit for ......Build Deck Single Family Dwelling Location 165 Annable Point Road r ....................................................... ... ... Centerville ' . ......................................................................0........ r Owner Barbara & Roy Prescott ............................ Type of Construction Frame - -� .......................................... �f t �ij t •� ................................................................................ Plot,............................ Lot ................................ �,• • Permit Granted ril 5 Date of Inspection .............................'. 19 Date Completed ................... t � w 3 A . 1. \ // -�` o... c�r� Assessor's map and lot number ......................f-�..... 'T.......... r�� %7HE Sewage Permit number ........................-.:................. ....<.........., Z 33A" dDLE, i Housenumber ......................................................................... y MU& �p 1639• 9� TOWN OF BARNSTABLE BUILDING INSPECTOR `APPLICATION FOR-PERMIT TO ........0 ,�?fill �'.Gtar..... ......s:? TYPE OF CONSTRUCTION .........:VVQP.P............................................................:............................I.................. w� ...........� . '. .Ile, ..... ............19s�?�?. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit,raccording to the following information: r Location ........1.6 5......A N�tI A R G�......P0IAI7.....!`.`T:...........C•'..E• tUTt ��.!.. ................. ........ ................... ProposedUse ............................................::................................................................................................................................... ZoningDistrict ..............._.. .......�....... ............Fire District ............... , .{................................................ Name of Owner ....�� .`tr.. �k' . 'a .. ...Address ......,. . Name of Builder ...PU,1t1.��O � k E5CC7 Address .....:....:..........:. ............ .... ............................................................. Nameof .Architect ................................................:.................Address .................................................................................... Numberof Rooms ...................................................................Foundation ...:.......................................................................... •' ..Roofing Floorsi a........................................... Heating .......................................................:..........................Plumbing .:............................................................;................... Fireplace ..................................................................................Approximate Cost ........ 0 Definitive Plan Approved by Planning Board ________________________________19________. Area .............:............................ Diagram of Lot and Building with Dimensions ° Fee f SUBJECT TO APPROVAL OF BOARD OF HEALTH I I I &A k A( � I q- I � r t i I i ? i F-0RCH I 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. ! v Construction Supervisor's License .................................. E PRESCOTT, BARBARA & ROY A=211-004-000 27704 No Permit for $uad..Ask. ............Single. Family...? !�� � 5."....:............ Location ......16 ... nnabjp,..PQj yjt..l 019d......... ....................... .................I............. Owner ........ arbara.. RA�.. 1SGM......... Type of Construction .k'. aMe............................. ................................................................................ Plot ............................ Lot Permit Granted A , ...........pr11.......5............... 19 85 Date of Inspection ....................................19 Date Completed ......................................19 / r / r Assessor's map and lot number '/` T E Sewage Permit number ..�cr.� .. /.ct :......:....:.. MUST B''.�`" . o� SEPTIC SYSTEM Y . INSTALLED ,IN. CO PLIA Z H9SH9TADLE, i se number .........................................:...... NAG . WITH ARTICLE I! STATE 'oQ 39 SANITARY CODE AND TUW ° 0Mix HT® WN OF B AD N LL a� BUILDING ' INSPECTOR APPLICATION FOR PERMIT TO ..:.................... . a ................................................................................................ TYPEOF CONSTRUCTION ............................................::.................................. ....................................:.............. ..... .................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for permit according to the/following information: Location .. ��S�, i�.�cc ��.../..to/..�. ..J`. ,...`.5�.?�......cl.t.. .............................................................. �e ✓Z tL C .Proposed Use .........................f..�................ .............................................:........................................:............... ..... Zoning District ...... ...1....`................................................Fire District 4 Fri es cs 1/ ..-..�j �c'.u�.l../� ...... .. ....................... Name of Owner f.C. d't.1<4&��4.17:.. s.G /./....Address/�.,5 /.'f!7 .P!�//��!j„l„�!.,............................0 IC Name of Builder ..............C........lf?.....:.... ............................Address .s . /ems s, Name of Architect .....................✓.Yt?.�f ............................Address ...............::...................../............................................... Number of Rooms ..................................................................Foundation .......��.'??..4� ..T- ................................................. Exierior .....<J.dla. ....'"...5.�?.!�?�c/,1.................................Roofing .........GC..S,��/Z s,./. ............................................ Floors .....CA.!12..C/5�e-.Xlc..................................................Interior :......! .6'.4... ........................:...................................: Heating .............. ......... e............................................Plumbing ............... .................:............................ ' - Fireplace ....................�.!2.. . .............................................Approximate Cost ...................: .........,........... .. Definitive Plan Approved by Planning Board -_-_----__-_ ��. s, ------- -- 19 ----. Area ............................ 10 Diagram of Lot and Building with Dimensions Fee L�— .... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 1 .� do'e'V00 ed [-22 c I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.. �j Name Prescott, Barbara A. No ....?,,Dri�7 Permit for .....garage..... ............................................................................... Location ...........165 Annable Point Road - y .................................................... Centerville ............................................................................... Barbara A, Prescott Owner .................................................................. frame Type of Construction - ......... . . ............................................................ Plot ............................ Lot ................................. Permit Granted October 3 7 * ' .. 19......... $:............. Date of Inspection ......19 ' Date Completed �' •..�,� .......19 PERMIT REFUSED - .... .......................................................... 19 r ; ................................ :.................................. f F ....... ............................................. .......................... .............. ...........:................... 4 ................................. .......................................... Y Approved ..... 19 '