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Home My WebLink About0058 BERNARD CIRCLE 1 ,,,,. � .. ,., ,, 4 ,_ a .. �, r a3, _ e a a 'I o G �. /of � r l Jr f Town of Barnstable , �TNE tb,,'� - Regulatory Services Richard V.Scali,Director BUILDING DEPT B" MAS&''� Building Division ` fD 96 •��m Paul Roma,Building Commissioner DEC 20 2016 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BARNSTABLE Office: 508-862-403 8 - Fax: 508-790-6230 PERNIIT# �` ! l.' , ' FEE': $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less L CZWi, q vl'LLIL Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel# C I + � a• ignature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? r You must file with Old King's Highway - Conservation Commission(signature is required) Sign off hours for Conservation 8:0079:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN n Q-forms-shedreg 'REV:06/20/16 � .� Legend Parcel r Town Boundary ,., PO Railroad Tracks Buildings 140060. ..: Painted Lines # 9; Parking Lots ME Paved Unpaved \ Driveways 4$ Paved 2 7€i Unpaved \ :� 11' Roads 0.Bridges 48061 Paved Roads 6 .� 1� Unpaved l r ., 1#4'15 Streams Mars Water t Bodies J x mar ! r � : 3 r df \was a e � f.: r 1 " M\ MR- �� g s� z, ! w .111 46OF, Y F i Q tF ,(p n? 28 .140021 F Map printed on: 12/20/2016 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town Of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street;Hyannis,MA 026ot O 42 83 0 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 508-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:I inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us f 4 IKE Town of Barnstable *Permit pl bc�%o Expires 6 nwnthsjrq#re �T Regulatory Services' Fee snxtasTABM 9�'0t MASS.3 �`�$ Richard V.Scali,Interim Director f!� ED MP't l Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Y� Property Address .5 8 Ljf PW,r\V ci P. CEAOfR V 1 LL.r AM a2 6 .3.� ❑Residential Value of Work$ 16600 14-1 in fee of$35.00 for work under$6000.00 Owner's Name&Address /fia/D,PF > /�42HFI iC4 S0 �;ZrWAI,eD Cy r��vrLL r IV4--- pot 6 3-2 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: "PRESS El am a sole proprietor IT Hj l am the Homeowner ❑rI have Worker's Compensation Insurance JAN 17 2014 Insurance Company Name Workman's Comp.Policy# ' —TOWN OF SARNSTABLE Copy of Insurance Compliance Certificate must accompany each permit. 2 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 y�,/� TReplacement Windows/doors/sliders.U-Value Pao-o- (maximum.35)#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 Howd Improvement Contractors License&Construction Supervisors License is require (--SIGNATURE-. —------------ QAWPIFILESTORN[Mbuilding permit formsTYPRESS.doc Revised 061313 _. r� The Commun eakh of Massat.kmetts R Depparhnent of Industrial Accidefrls Office of Investigations 600 Washington Street y. Boston,CIA 02111 t4nvmmass.gav/dia Workers' Compensation Insurance Affidavit:Bu ldersfCon s/Ph mbers Applicaut Information �f Please Print Legibly Name 9kvinezDgauization&&vidaai): '6 1 �1 Z�C�i l� Address: �S� I RAM-RD a4 City/state! ip: ��/? RvI��. l Ph6one# `�� .15 7 Ff Are you an employer"Check the appropriate boa: Type of project(required): 1-❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors r 2.El am a sole proprie#ar or part4er- listed on the attached sheet. �- ❑Remodeling ship and have no employees Thy sob-contractors have g- ❑Demolition working for me in any capacity- employees and have wodcers' �_ ❑Building addition [No workers'comp-insurance comp_insurartmi required_] 5_ ❑ We are a corporation and its 10.❑Electrical repairs or additions 13 I am a homeowner doing all work oflxcers have exercised their i L❑Plumbing repairs or additions myself o ' right of exemption per MGL � workers c'�P- 12.❑Roof repairs insurance required_]T c. 152, §1(4X and we have no employees.[No workers' 13_❑Other comp_insurance required_] *Any appficaae that checks boa#1 must also fill out the section below showing their workers'compensation policy information_ 1 Homeowners who submit this afftdava indicating they ale doing all work and then hire outside coutrwtors®ast submit a new affidavit indicating sueh. kontractors that cheek this box must attached an additionsl sheet showing the mmme of the sub-cmuractors and stare whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'romp.policy number_ .1am an employer thatisptmiding workers'compensation insurance for my employees.-Below is the policy and job site information. Insurance Company Name: Policy 9 or Self--ins.Lic.4: Expiration Date: Job Site Address: City/State/zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and motion 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 fiarwarded to the Office of Investigations of the DIA for insurance coverage verification_ I do hereby c 6400n�dth e pains and pen ahim ofperjtto.,that A#info rmadan pro idrd above is true and correct Si ��® ! Z,c� 1 p hate: Phone#: SO �o O , 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense-9 Issuing Autbority(circle one): t 1.Board of Health 2.Budding Department 3.Cityffown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 6 r� Town of Barnstable �r Regulatory Services pFtt E r, Richard V.Scali,Interim.Director Building Division RAZxsrnsla. Tom Perry,Building Commissioner MASSi639%639., 200 Main Street, Hyannis,MA 02601 9 `��' www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ; Please Print DATE: V?y 'JOB LOCATION: 5, /✓��iV /�R V number street village `HOMEOWNER": 14AIDPF l ��2Ktt _5-og—qOO-5 7 SIVVC name n/ home phone# work phone# CURRENT MAILING ADDRESS: /J fRNARD C4 9. C,skl7,FRvi 0.26 32 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 undersi o wner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection. proc s ements and that he/she will comply w, 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 Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is . ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last.page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit formsENFRESS.doC Revised 061313 i Town of Barnstable Regulatory Services IIAMSTABIX MAs . Richard V.Scali,Interim Director 0.59. �0 ' oN,pr� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 10/13 Assessor's map and lot number ...../ u......... U...... Ostt- i1-OYSTEM MUST g INST,%Llm IN CONAPLIANCE VVIII-1 A7, T2-LE 11 STATE E Sewage Permit number ........................... . ........•••••••••••••••• SANITARY CODE AND TOWN REGULATIONS, QyOFtHEr TOWN OF BARNSTABLE j BARNSTIBLE, i 1639. •e� OId® HC INSPECTOR �'E tlPY p" APPLICATION FOR PERMIT TO ................buy..ld..singl.e...famiI y...dwelling.................................. TYPE OF CONSTRUCTION wood frame .............................................................................................................:....................... 4'.�?.s....l............................19...7.4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according 'to the-'following information: Lot #58 Bernard Circle, Centerville, Mass. Location ....................................................................................................................................................................................... Proposed Use ..........R.e§identlal................................... Zoning District ........ ...................................................Fire District .Cent.er.ville-.Osterville................... Name of Owner ......NA.1;me.St-Ramez...Inc...................Address .No.ttirigham...Dr.ive........................................ Nameof Builder .....$=.e.....................................................Address .................................................................................... Nameof Architect ..none.....................................................Address ..................................... ............................................... Number of Rooms ... .............................................................Foundation .£u1.l...1.0.!!...........•pota,r•ad...oancre:te..... Exlerior ............ siding asphalt ...................................................... :........................................................................Roofing .............................. Floors car drywall ........................................................... ........pet..........................................................Interior ......................... Heating warmair by gas.............................Plumbing ....?...baths Fireplace ...............yes...........................................................Approximate Cost ....�3 000. 00 ................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area / ! 4f ..... .....®0............... Diagram of Lot and Building with Dimensions Fee . ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH //0 6 51 r 44. b � U �l��,fP. I hereby agree to conform to all the Rules and Regulations of the Town Barnstaergaing the above construction. Name ..... ....... ................. Normest Homes, Inc. 16896 one story t No ................. Permit for .................................... single family dwelling ............................................................................... Locati ......Bernard Circle ............... Centerville ............................................................................... Owner ............. Normest. . . .. . .... Homes, Inc, .... ...... . .. ...... ..... ................... frame I Type of Construction .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ........February 15 ....19 74 r ............................ Date of Inspection .....................................19 . Date Completed Sbd�L 194 9 PERMIT REFUSED I ................................................ 19 ............................................................................... ................................................................................ l ............................................................................... 4 } i I Approved ................................................. 19 ............................................................................... i Assessor's map and lot number ems— ::.... slenc STEM ICi9't.IsT BE 4} n , INSTALLED f" avC E =Permit num ^, Sewage' ber ...; ( . � . � 8sf�C E nr SANITARY CODE EAND TOWN TOWN, OF BARNSEPAM ypi TN t0 i zAmrSTAME; i 9 BQ11D1AG INSPECTOR VV APPLICATION FOR PERMIT TO. ......................................................... TYPE OF .CONSTRUCTION ........................................... .... .... ..................................... ..........................................V�• ...197f TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 0 � � C� IZC%.E CiGUT1MVI Uz ... .. ....... .... ..... .... Proposed Use ........... � �.1`1�! r'........................................................... ....... .. . Zoning District .. .v.............................................Fire District ........... 1..Il ........................... ............ .......... Le Name of Owner ...... ` . ......... ........Address .........: ...... . ............"1!"�.....�..J�{Ll. Name of Builder .........1�.V�....... ..��!� ........Address .........5..". ' .. . `�... .................. .. .......................... c Name of Architect .................../�!�..................................Address .................................................................................... I............................................Foundation ...............c� �....,? Number of Rooms ..t..'..,.............. pp AA'' D !/�9p 4 .�1.!".k...................Roofing .................. .. P Exterior .................... . ..... ....... .... �. ..ftu ... r P 1JV Floors ................�A.(r.......................................................Interior ............. a Heating Plumbing..... .. .. . ...... Fireplace ..................................................................................Approximate Cost .........?1�#... ................................... .. i 9 '0o Definitive Plan Approved by Planning Board ____________________________ _1 -_______. Area .................................... Diagram of Lot and Building with Dimensions —� Fee 5......5 SUBJECT TO APPROVAL OF BOARD OF HEALTHell F2 f l V� �pJ �L I hereby agree to conform to all the Rules and Regulations of tATownrnstable regard' gthe aboveconstruction. Name . ......... .........1 Cohen, Richard 17263 add/osinagle family No .................. Permit for .................................... `Idwelling ............................................................................... 58 Bernard Circle Location ................................................................ Centerville Owner .................................................................. ,-K7 I Type of Construction frame.......................................... ...............;................................................................ 'Plot ............................ Lot ................................ • Permit Granted ...... . . ..... 19 74 Date of Inspection ...... . -Date Completed .. .....I:. 7 PERMIT REFUSED.; 19.................................................... ....... r_n .......................................... ............. ............ ............................................................................. ............................................................................ App'rovecl ................................................. 19 T r Assessor's map and lot number ..........i.:.... •�J � G� Sewage Permit number ..�/3.'.....a---. ..1............... �OFTMEt��y TOWN OF BARNSTABLE Z EASBSTADLE, i DE Y39- BUILDING INSPECTOR PY p" eLON APPLICATION FOR PERMIT TO TYPE OAF CONSTRUCTION S(.N G.C. r w i L�� W t1.l i .................... .... ............ ......... .............. ..................................................... .............A..4.( . ..........19-7 t.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .&.. A�0 C t RC t-e CC��I ESL ... ............................ �...... .....VIt'1 ............................................... .... ...... ProposedUse .............:.............................. .............P .............................................................................................................. (+ Zoning District ..............1 .2...............................................Fire District .......... �........r �............................................ Name of Owner P\\G ' ` ""`-� '} � N(4"CLe r ......................................................Address ......................4.:..........,.......................:........................ V0 �t � Name of Builder Dq....�'�....... .�.� .......A ?........Address ................. ......................................................... Nameof Architect ................. ..................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ............... ..... AS.......................... Exterior ...................�AIQk:�........ f` � Roofing ..*! ................. ..................... Floors 4.. .Interior k.. � """ .............. t ....... .................................................... "� ......... Heating .............. A A....................................................Plumbing ............................ Fireplace ................��'".............................................................Approximate Cost ...............kF..�. ...... ..................................... -' Definitive Plan Approved by Planning Board ________________________________19_______ , Area � .......,1.5!'. .................. r-' Diagram of Lot and Building with Dimensions Fee 73 SUBJECT TO APPROVAL OF BOARD OF HEALTH F0 Cw f I hereby agree to conform to all the Rules and Regulations of the Town of-Barnstable regarding the above construction. c Nome . .. .................... .... . ........................................ Cohen, Richard No .l72f3—. Permit for —.,add..to..singLe.. ^ v� — ..dwpell1zug.......................................... 58 Bernard Circle Location ------------^--------' Centerville --------------------------' Richard Cohen Owner ........................................ Type of Construction ----�a Construction --me-------- -----^--------------------'' Plot ............................ Lot ................................ Permit Granted ........AVgg `..lj............1p 74 Date of Inspection ------------l9 � Dote Completed ...................................... PERMIT REFUSED .----_---------------. lA � -------~------------------. . - ^—~---^---'---^'------------`' ' ''--^--'---------^^----^—'--'-- ----^-----.—..--------..----.. ' Approved ................................................. lg ' ---------------^^'^^------~—' ----------------'----~—^—~—'