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Home My WebLink About0121 BEECH LEAF ISLAND ROAD l � i 0 P Town of Barnstable Building IPost Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept '.Alilvsrner.e. I .,m.. .T, his .:. <, ;Posted Until Final Inspection Has'Been-Made �` - er it abjp Fo Mn<° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied'until a Final Inspection has been made. Permit No. B-20-1577 Applicant Name: William Callahan Approvals Date Issued: 06/25/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 12/25/2020 Foundation: Location: 121 BEECH LEAF ISLAND ROAD,CENTERVILLE Map/Lot: 187-063-001 � Zoning District: RD-1 Sheathing: Owner on Record: MATHIEU,GREGG E&DEBORAH J Contractor Name: EFFICIENT BUILDINGS LLC Framing: 1 Address: 121 BEECH LEAF ISLAND RD Contractor'License': 169,944 2 CENTERVILLE, MA 02632 Est. Project Cost: $4,600.00 Chimney : Description: attic insulation Permit Fee: $85.00 f Insulation: Fee Paid:, $85.00 Project Review Req: ; - i Date `` 6/25/2020 Final: Plumbing/Gas Rough Plumbing: -� Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissua.nce. All work-authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. s Final Gas: This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. $ i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are°provided on this.permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing y Rough: 2.Sheathing Inspection .. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required fo"r Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site �,�/ K Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT < f PERMIT Town of Barnstable D� b � ..o ! Permit# Regulatory Services �im6monifisjramissr«date TO $ �BL Fee 217 �a619• e Thomas F. Geiler,Director Ep� Building Division g) 1111 1)( JA4 Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab ld.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - Fax: 508-790-6230 RESIDENTIAL.ONLY " ,Not Valid witkout Red X--Press Irrrprint . Map/parcel Number h ZRd rty Addresssidentia! Value of Work Min fee of$35.00 for work under$6000. �r i OQ owner's Name&Address :ontractor's Name Telephone Number (� :ome Improvement Contractor License#(if applicable) J onstruction Supervisor's License#(if applicable) 3 ]Workman's Compensation Insurance Chec ne: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation In urance urance Company Name C �, rkman's Comp. Policy# �� l )y of Insurance Compliance Certificate must accompany each permit. nit Request(check box) Re-roof(stripping old shingles) All construction de bns will be to E V_% ❑Re-roof(not stripping. Going over existing layers of roof) 4- r_1 Re-side ❑ Replacement Windows/doors/sliders. U-Value #of doors _ (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town de partrnent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Constr uction Supervisors License is License is kTURE: IM1.tS�.tth:,iScttS b�ltsii tmurt'��t Ptih�K �`ttth ..36 tt(h it BuifafhY, Regul ttiin uu iti and st l.0 AS1 { Construction Supervisoreetailty License j License: CS$L 99382 c Reastricted.to: RF,WS HECTOR .SANCHEZ . -286 STRAWBERRY HILL ROAD CENTERVILLE, MA 02632 5 , �t Expiration: 9/14/2011 P Tr#: 99382 f'ummi< incr '. - �// ,�� e License or.registration valid for indrvidul,.use only Office ot'�onsumer.A airs_ .Bds n/4s u� � p t HOMEIMPROVEMENT:CONTRACTOR j before°the:ez irat'on date. If found.return to: Registration: 145356. Type Clfftce of Consumer Affairs and Business Regulation Expiration: '1/12g013 DBA e51 I' 10 Park Plaza Suit 70 - _. Boston;MA 02116 NOEL CONS,TRUGTION-_ f -- l HECTOR SANCHEZE } 286 STRAWBERRY4HILL CENTERVILLE MA 02632 Undersecretary Not valid with utsignature I C >-r)uc Zvi P.O. Box 311 E M;M A N U .E L ' 508-367-1679 Centerville, MA 02632 1, C O 1V S T R U C T I O N Fax: 508-790-1856 PROPOSAL SUB TO: PHONE:—OS-4 0__� / DATE: STREET: I JOB NBdv1E:• JOB#: lJ ►v/1,n1 CITY,STAT E 7 ZIP IIIE: T` � JOB LOCATIOfy:,� �DATEOFPLANS: JOB PHONE: We Ihereby submit specifications and estimates for: L J 0 l C C 1�C� oO1CGI C � I q)A An ��✓ �C 4,gU VI?-Y_ _ VP + -O p V'00 a�( o u C�- fory 11 r 1� Cot T/ v, G t/? �, U, G Ve Vr0 05E hereby\to furnish material and labor- mplete in accorda ce with the above specifications, for th um of: �b dollars($ Payment t be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized manner according to standard practices. Any alteration or deviation from above specifi- Si nature cations involving extra costs will be executed only upon written orders,and will become g an extra charge over and above the estimate. All agreements contingent upon strikes, Note:This proposal may be accidents or delays beyond our control. Owner to carry fire,tornado and other necessary withdrawn by us if not accepted within da insurance. Our workers are fully covered by Workman's Compensation Insurance. Y,. 3CCeptance Of V COPOMM-The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized .Signature: to do the work as specified. Payment vyill be made as outlined above. Date of Acceptance: �Y/ �I Signature: 2'5/2011 09:57 FAX 15088776980 WAYSIDE INS Q 005/006 FF/ LL/ LU11 L : %ju : J0 VM 8975 .0 02/02 f' CERTIFICATE OF LIABILITY INSURANCE D" W-22/0 iY' THIS cEsTIricATE IS Isom AS A NATTER Or INroRmATION`ONLY AND COMERS NO RIGETS UPON THE CRRTIPICATN BOLDER. THIS CMVIFICATE DOES NOT ArTIRHATIVELY OR NEGATIVELY AIMED, EXTEND OR HINTER THE COVERAGE APPORDED BY TIN POLICING BELOW. TNIS CERTICICATN Or INSURANCE DOES NOT C08STITUTE A CONTRACT 63TWEEN TEE SSSOING INSURER(G), AUTHORISND REPRESENTATIVE OR PRODUCER,, AID TIM / CERTIPICATE HOLDER. IMPORTANT: IS the Certificate holder is an ADDITIONAL INSURED, .the policy(ies) must be endorsed. If SUBROGATION Is WAIVED, subject • to the terms and conditions of the policy, Certain policies Huy require an endorsement. 'A statement an this certificate does not Confer Lights to the certificate holder in lieu of Each endorsement(s)'. PAoaa CONTACT Wayside insurance Agency Tnc 70 Micholas Road talc.N..a:a)t _ Wa.N.)� PO Box 3337 Framingham, MA 01701 atsratstl m.. . MMM(s)A"Mans 0Dawase am a MUM asaoaeA at A.I.M. Mutual Insurance CO Rector Sanchez . amaat at dba Emmanuel Construction 296 Strawberry dill Road Centerville, kh 02632 n Pt nmOo7t a• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TM Is TO CZWPJ 'Y WWI=POLICIES or sy EZXoW HAVE Nit lHUND RC INS IHstaw>�ABOVE FOR TsG POLUCY PN@IOD Imo. Ro7WIRW512120110 ANY RR9UMEMRr, Trim Olt CONDITION Or ANY CURB=09 Onum DOCWmT WITR sworn RO WBICfi Ters CaRmn ATR my RN us=OR wa mwrm, TBR asmu=arroa=BY To POLICING DNGOAIwon Ruma3 Is SUBOSCr To ALL TEE TSNmis, com"IONS AND CONDITioNs or SUCH MZCIn.LIKE= SHOWN DRY ME N RHDUCED BY,PAID Cram. X— POLICY smoula NOLICr METPOLICY MM LffiTs Lt. - TYPE of a(SUsasCN oareaax.at MtAmlerat GIMER .LIBBII.ITY - - y aaCa Deemtnrca, i ❑CCW1RCIAL GR"Rn LIAamIW saoAa to as ❑ p7AIMa(aa.0aenae.c.) i❑CWIIe 1tADa ❑OCCDA ❑ 1®ffi OUT ene pets—) i - SIDfNn i ROW Isom Uri,JAM"=T.WT:AMIaa Nat 60MR&Aamnaa:s i ❑1!d,ICY ❑PAQ7ACI nLOC TMUCrS-Canal"an i - &MMOBILt=ANILITY - Cmmasa Emu MUM Q..r AMC - t•a aoold.ntl - . PoaNxx ace(a.s Awm) ❑AGL Haan APl09 - - •. - ❑—DUaaD AUTOS. - MZLT mtY(w.MN.V i ❑QIaiD AWN! - gapmTY DAME - ba+emAsU ❑SOS-OtlltiD lUrOa r _ -` .. - ❑aMBAmiA LW ❑OCC9R - am OCCa cx ❑aisaas ova ❑cum PAna asama a i ; amocrama P ❑omrraoa t p " D $ 17 IAII A IA� I'!1C • TM PROPRIETOR/PARPNERS/ - - -s.L..Pam ACCIRM i 100,000 - A EX8CE I VE OP'TICERS AM ❑ 1I1C1 ® excl. 7024543012011 s.t,.MCC=-esuez caar i b00,000 04/05/2011 04/05/2012 as:nlPrAil-sa moLOYa i 100,000 Ceara aasaOPttot or oPaPxrra�m aaearsaPYt HECTOR SANCHEZ IS NOT COVERED BY THE WORKERS'COMFENSATION POLICY. - i CERTIFICATE HOLDER CANCELLATION TOWN OF SKUSTABLE - $NMI)ANY or'!gL'mm J)tGCRm m9 POLiMs BE ameemm g mu M saffiNT]AN DATA TaRNDP,.NOTICE WILL HE DREMERED 3 3000000 WITH 90 200 MAIN ST POLIDY PtoviszoNa. HYANNIS, MA 02601 waou�atnmmasarnsC r 9419 N • The Commonwealth of Massachusetts . f Department of Industrial Accidents Office oflnvestigations lit '' 81,tl ,� 600 Washington Street �is Boston, MA 02I11 www.massgov/did Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PluImbers Applicant Information Please Print Legibly Name (Business/t)rganizmbo vidual): / V c-. . Aaaress: c,V�.J " City/State/Zip: �l,( I Phone #: � . r n employer?Check the appropriate box: Type of project(required): a employer with 4. ❑ I am'a general contractor and I loyees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction a sole proprietor or partner- listed on the attached sheet.t ?•. ❑Remodeling and have no employees These sub-contractors have S. -Demolition ing for me in any capacity. workers' comp. insurance. g Building addition orkers' comp. insurance 5. ❑ We are a corporation and its red.] officers have exercised their 10.E Electrical repairs or additions a homeowner doing all work right of exemption per MGI; I l.❑ Plumbing repairs or additions f. [No workers' comp. c. 152, §1(4), and we have no 12,� Roof repairsnce required] t employees.(No workers' comp.insance required.] 13.❑ Other *Any applicant that checks box I l must also fill out the section below showing their workers'compensation policy infarmadon. t Homeowners who submit this affidavit indicating they are doing all work.and then hire outside contractors must submit anew affidavit indicating such. #Conhactors that check this box must attached an additional sheet showing the name of the soh-contractors and their workers'camp.paltry information. law an employer that is providing workers'COMPja�on insurance far my employees Below is the policy and job site information. Insurance Company Name: �. .Policy#or Self-ins.Lic.#: Cko Expiration Date: Job Site Address t 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. f do hereby certify under�s a�aUks ofperyua�aUks ofperyu that the information provided above it true and correct ii store: .Date: • 'hone Ofcw use only. Do not write in this area;to be completed by city or torn official City or Town: - Permit/license# Issuing Authority(circle one): •' a J 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 ofhire, express or implied, oral or written." An einplvyer 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 Iegal representatives 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 wbo bas not produced acceptable evidence of compliance with the insurance coverage required." A dditionally,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 wormers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)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=6 workers' compensation insurance. If an LLC or LLP does have employees,a policy is-required. 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 tows 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 wormers' 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 iii the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill io 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 burn 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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION lt74Map �, Parcel Health Division Z�/—/ ��Z��/-0< , ° ; - �� x� Date Issued n• �' •Q - Conservation Division r J ZS b/ u Fee.: Tax Collector - 4 /-o all 'EMC S -TEM IVMUS'r ' Treasurer r �0 L INSTALLED IN COMPLIANCE ��/�.�- 'WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN tIEOULATIONS �( Historic-OKH Ow 0,0,w Preservation/Hyannis Project Street Address MOW :S U,.6 n. u -0 40, Village Owner Address �c� f3QQr✓� l C� Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new�a g Valuation Zoning District Flood Plain Groundwater Overlay Construction Type ►-0 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. i Dwelling Type: Single Family Z/ Two Family ❑ Multi-Family(#units) it2� Age of Existing Structure Historic House: O Yes 5No On Old King's Highway: Cl Yes AOo 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 Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 4Gas ❑Oil ❑.Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:O existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION ( I Name GinzaM 1 1 as h Telephone Number Address U I License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE k 0/ . lle. DATE 0� - FOR OFFICIAL USE ONLY 'PER•Tf NO. V ��/ ' .. � �r ,. 2 - � • , - DATE ISSUED` MAP/PARCEL NO.. t' ` ADDRESS~ ' VILLAGE `•. ,� R OWNER q ,. • - DATE OF INSPECTION: ' FOUNDATIONy FRAME , INSULATION^ FIREPLACE ELECTRICAL: ROUGH -,FINAL PLUMBING: ROUGH .. FINAL GAS: ROUGH ` FINAL FINAL BUILDING F~ DATE CLOSED OUT _ � r ASSOCIATION PLAN NO. e A The Town of Barnstable MAM Regulatory Services Thomas F. Geiler, Director Building Division , "i Elbert Mhoeffer, Building Commissioner .i 367 Main Street,Hyannis MA 02601 f1 i Office: 508-862-4038 ` Fax: 508-790-6230 Permit no. Date t 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. ( (� Type of Work: r 1�11 Q� 1 l.1 Estimated Cost n Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 b XIner lding not owner-occupied ' pulling 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. OR Date` Da Owners Na me I , q:forms:Affidav / / / fill / ICI Y �:;! ..fir j �/::. .... i%• , ftom - .. ♦. 19A_ AM MAN . 11 1 • 11�• • 1 a .a• • 11 1 '• 11 ■ • 1 1 '1 Y I 111•�11 1 • 1 ♦ 11 �11111 ♦ ♦ /.q 1 ♦ I lift .1 . 11 1 �i/111 • '�1 / ----------------- ........... a , q 1 1 1 r l ♦ I I I I �1 1 � t1'1 1 1 • 1 1 , 1 , •I' 'I I ' 1 1, 1 f vl: 11, �iI ✓�� l.. 0 , .. cityor townoMcild QBuNing city or town: 13LIcensing Board ■ ■Health Depsrbmcnt 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 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 representatives 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 as 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,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 r Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and company names,address and phone members along with a certificate of insurance as all affidavits maybe supplying and submitted to the Department of IndusaW Accidents for coon of insurance coverage. Also be sure to sign =L: date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if You being lease call the Department at the n u fiber listed below. are requires to obtain a workers' compensation policy,p ep 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 Investigations has to contact you regarding the applicant. Please be sure to fill in the p..�ennidliceose number which will be used as a reference member. The affidavits may be rctoiiR to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Me of inyesduatlons 600 Washington street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 - The Town of Barnstable M .E : a►artsr,►acE, 9� 1e59. �e� Regulatory Services Thomas F. Geller, Director Building Division Elbert Ulshoeffer, Building Commissioner ' 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-62:0 HOMEOWNER LICENSE EJlE1 EMON Please Print DATE: JOB LOCATION: umber street village "HOMEOWNER": ley name j home phone# work phone# CURRENT MAILING ADDRESS:—iLL L o city/town state rip code The current exemption for"homeowners"was extended to include owner-occu ied 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. .,SiihatuA df Homeowne 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 EMIPT70N 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. 4 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:EXEMFM rt __.-.._ _...._._....._ . .-._-___._. _.. _---- //0;47rZ �-, 8A H I 1 I Assessor's mob(1 St("ioor): 0�3 D Assessor's map and lot number �o�TN E tp` Conservation Sep-ri Board of Health(3rd floor): �� R �*. • Sewage Permit number / 3�� ' Iq to Oki , 7E House nu department(3rd floor): Definitive Plan'Approved by Planning Board % — 19 3 Tow, ® i41V® APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only P/� i T® �S TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � �-(oyyG'�QQ ��2•�L� { TYPE OF CONSTRUCTION s 1 Ft� 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ` � ✓� �i��' �� L��( // ��/ A v dJ Proposed Use Zoning District �'✓ Fire District Name of Owner Address Name of Builder Address Name of Architect ��'-GCX�l'! Address Number of Rooms Foundation... Exterior Roofing �L Floors- - � � Interior Heating e, Plumbing �v C; a �. Fireplace CCJ�- J/1 1 Approximate Cost 0 17Ui G� Area OWs� - Diagram of Lot and Building with Dimensions 07(,6 S0 Fee 57,7,ry 762- J15 00 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 7 &, f IL Construction Supervisor's License SCUDDER BAY NOMINEE TRUST , No 36105 Permit For 1; Story � } Single Family Dwelling - - Location Lot #3 , 121 Beach Leaf Island Road ` �� - - Centerville - - Owner•Scudder Bay Nominee Trust- Type of Construction Frame Plot -Lot ! t. 4 _; Permit Granted .August 19 , 19 ; 93 Date of Inspection ` 19 , Jgc3mplt 19j r C ' b u4.. A TOWN OF BARNSTABLE Fermlt No...36105 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash` ,. 9 '639. x° e �o�►+` HYANNIS,MASS.02601 Bond .x ...... . CERTIFICATE OF USE AND OCCUPANCY Issued to Scudder. Bay No4iinee Trust _ Address Lot #3, 121 Beach Leaf Island .Road Centerville, 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 SATISFA'.CTORY. COMPLIANCE WITH:TOWN REQUIREMENTSAND.IN ACCORDANCE.WITH,.SECTION.119:0 OF THE MASSACHUSETTS STATE. ; BUILDING CODE. January 7 1 .. 94 ............................ 1.9.... ...... . .......... Building.Inspector A TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING 169 �� HYANNIS, MASS. 02601 s t MEMO TO: Town Clerk FROM: Building Department DATE: /0 /Q 9 4 An Occupancy Permit has been issued for the building authorized by BuildingPermit ` 7 ...."" ...................................................................................... issued to "�5r� I ...." ... ...._...... ......... . .. C,� Please release the performance bond. t.'•* ,...�._`.. alis:...iye�.• �_t c �-::� ,. .Y`Sr E 'i _�, :.e/ �L .,?�' .'._..»--..-�.---w..�.. OWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT h=187 0O 3 z ' ~ DATE August 19, 19 93 PER MIT(NO. ►�g V36105 ADDRESS APPILICANT Ba side idg. t„o. ent(x e 005645 . (NO.) (STREET) (CO'NTR'S LICENSE) PERMIT TO build Dwell)Ti() ( ) STORY Sil"IS 1.C! Fc llliiy Dwe lili(:N UMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT)- NO. (PROPOSED USE) AT (LOCATION) Lot #3, 1L1 Beach Leaf TSlard Road, Centervilje: D STR CT ZONING RD-1 (NO.) (STREET) - BETWEEN AND (CROSS STREET) (CROSS STREET) .LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION �T (TYPE) REMARKS: Sewage #F91-351 Bond VOLUME LU38 SCE. ft.. 170,000. PERMIT AREA ORl`3.Qa " (CUBIC/SQUARE FEET) ESTIMATED COST $ FEE Scwi(ji:L 13ay Nominee `)'rust OWNER l= c:. ' BUILDING DEPT. r .} ADDRESS BY U_ THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND i. FOUNDATIONS OR FOOTINGS. .MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL OU!RED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFOREE i OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �iq3 � Code ' o 0 2 - z - 3 t( HEATING INSPECTION APPROVALS 7EERIN RTMENT V qS /0 2 p h `� y ` q R F HEALTH THER SITE PLAN REVIEW APPROVAL (. l VIC WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. It _ � a 3,do 26, : - - k 3 t a- 2a m •x t � 41 ��. C 1159 1 worm , �p �r A Lcc 4.1G3D t • � , cE.eTi�iEo P P�A,v LOG,4T Th!E Fo��aaTroiJ CTv�c.t. SCA L 39 F J - / . 7io ,cif A.�v 3 . - OATE �2 (U/i2E�lEi(/!S Or��T.!;��' 7`olir�iV a.C" � �•C..4 it/ .2E.c'�.2Eit/C� OT CCA T,�'IO /T T cra 4 :Y SAXT,E,e AVyE B_�SE'o div.4if/ i2EG/STE.e'EI� ,C.Q,c% SU•el��Yar� Q ,45'ETS Sh�ofs�y S,oC/ /-GT /�S/ S APP,L/C,Qi✓T �R SiDG �Uit Di1JG The Town of Barnstable '= Conservation Department 1 SAW" 367 Main Street; Hyannis, MA 02601 r � Office 508-790-6245 Robert W. Gatewood FAX 508-775-3344 Conservation Administrator TO: Joseph Daluz, Building Commissioner FROM: Robert Gatewood �2 J RE: Occupancy Permit/Final inspection DATE: The following project has been granted an Order of Conditions by the Conservation Commission. Applicant: c.. Project: Location: a� '�.e ► L �r..� Map/Parcel: w G} +1 Our Permit #: SE 3- 1414 We would kindly ask that no Occupancy Permit or Final Inspection (as may apply) be granted by your department until a Certificate of Compliance for *the project has issued from.the Conservation Commission. V. Your assistance is very much appreciated. • I K. i I a� �r . SK[7-CHAT,zRU�ARCH ITE CTUR4` _— - .•. .. L9 00 R•c. cL A4 Z. I �.//WAIWD GOATI r.�c_ rAcL_.w'weows -by I I A L_SL.ID ERS 'BY PM—A { j W/C, S4,tivLc5 j - RLQ Lr-1 !:� GxTtinS WIC �JMI L1 fa4�S ' � _Tt,�1S E'h 4 NGL. TI}t-n-M:tLWAN to - � � •., - �' � .• x s '.:{Z.I'G H T _S I O E I.' a .rr" _ - -- LL---my-al- Eg C RrCKET FS H-41 I r i — A/Cn I I Q; I ¢.o. I'/¢+M x L. ,,.i ¢.o, 4a'/i'x 41 "N. & ^' OI x.o.31 C$ 163Ce cC2 � _TIIEATEO \o0 r.> x III V _OeC _- - (�1THEU•{ U N ' K a 241 L. . • I �aIX IZ Q� NN,I • 'e wx �'-B e"N �ININy k.ITCN. "� L°"y — -- - • -.UXO GS ' k VINyi. ® �i wA li (� I �K-. Oursied M. d J I P. OAK I S' PNy% �y •- —.. U o -1 1 • p • — �_ N I I d' OATT - T'm Rog I ' .. P.OAK - � - u .I z�, I 0 o ci I' P..ohK S. o F,GoNC sl-as p DH&4 TGN 2^ ra rip .PI ort Q ZQ In A c9 �''_<'.' -i �)• 13�-p,• S/B.F�.eu E.ETrz '. 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