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Shed �.
TOWN OF BARNSTABLE Permit
* BARNSTABLE, '
MASS.
16
Permit Number:
Application Ref: 201502276 20150867
Issue Date: 04/27/15
Applicant: CAMELIO, JOSEPH P & AMBER L
Proposed Use: Accessory Structure
Permit Type: SHEDS 200 SQ FT &UNDER
Permit Fee $ 35.00
Location 382 BUCKSKIN PATH
Map Parcel 191132
Town CENTERVILLE
Zoning District RC
Contractor PROPERTY OWNER
Remarks
INSTALL AN 8X10 SHED
Owner: CAMELIO, JOSEPH P & AMBER L
Address: 382 BUCKSKIN PATH
CENTERVILLE, MA 02632
Issued By: PR -
y POST THIS.CARD SO THAT IS VISIBLE FROM THE STREET
f `
---- Town of Barnstable
FTME ,� Regulatory Services
Richard V. Scali,Interim i
" saxivsrnsr�,� Building Division ec 3y a`0 Tom Perry,Building Commissioner ) An 9^ 25
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
la�Nnnitnl!wN6Y'n'EiN.rs'ANW'ga:
Office: 508-8624038 r3lVISION Fax: 508-790-6230
PERMIT# C� f Sd c)D cP FEE: $
SHED REGISTRATION'
RESIDENTIAL ONLY
200 square feet or less ,
39L &LLSLIo?M C:gh+Vi I�
Location of shed(address) Village
-fir 'S�Seah Cga-& o 534- 00
Property owner's name Telephone number
�x ID (30 31�?
Size of Shed Map/Parcel#
F I
Signature Date
Hyannis Main Street Waterfront Historic.District?
Old King's Highway Historic District Commission jurisdiction? `
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required) '1'
Sign off hours for Conservation 8:00-9:30&3:304:30
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
P .
Q-forms-shedreg
REV:116413
MORTGAG-E INSP-ECTIOIV PLAJV
APPLICANT: CAMELIEL TOWN: CENTERVILLE
OLD STAGE ROAD
(F.K A. CENTERVILLE—WEST BARNS TABLE ROAD)
-H
00
co
LOT 52
^� 144.35'
•
LOT 51
tt 'DECK
LOT 88
(PLAN 272158)
I
70 L7
LOT 50 _
LOT 87
z` (PLAN 272158) °
4
FLOOD PANEL: 250001 0015 C FLOOD ZONE: "C" DATE MAP REVISED: 08/19/1985
I HEREBY C=RTIF"THAT THIS MORTGAGE INSPECTION PLAN HAS BEEN PREPARED FOR: DATE: 06/24/08 SCALE: 1" = 40'
CAPE COD COOPERATIVE BANK DEED REF: 22403-182 PLAN REF: 244/67
li'E LOCATION OF THE OWELLING S1,1011M DOES NOT FALL%47HIN A SPECIAL FLOOD HAZARD ZONE.
PER TAPS INSPECION THE DWELLING APPEARS TO CONFORM TO THE LOCAL ZONING BYLAWS IN EFFECT THE STRUCTURES SHOVM ON THIS MORTGAGE INSPECTION PLAN ARE LOCATED BY TAPE SURV="
AT THE TIME OF CONSTRUCTION WITH RESPECT TO HORIZONTAL DIMENSIONAL SETERACY P.EOUIREMERTS ONLY. NO INSTRUMENT SURVEY WAS PERFORMED AND LOCATIONS SHOWN ARE APPROMMATE.
OR IS E2 PT FROM VIOLATION ENFORCEMENT ACTION UNDER MA GEIIZRAL LABS CHAPTER 40A AN INSTRUMENT SURVEY IS NECCESARY FOR PRECISE DETERMINATION O BUILDING LOCATIONS
SECTION 7. REFERENCE DEED SUBJECT TO AND W.Tr. THE BENEFIT OF ALL RIGHTS, RIGHTS OF. WAY, AND ENCROACHMENTS, IF ANY EX'ST, EITHER WAY ACROSS PROPERTY LINES. YANKEE LAND
EASEMENTS. RESERVATIONS AND RESTRICTIONS OF RECORD, IF ANY THERE SHALLL BE AND INSOFAR SURVEY COMPANY INC. SHALL NOT BE HELD LIABLE FOR DAMAGES RESULTING FROM ANY USE-
AS THE SAME ARE OF LEGAL FORCE AND EFFECT. iOF THIS PLAN FOR PURPOSES OTHER THAN MORTGAGE INSPECTION.
TELEPHONE: 508-428-0055 YANKEE LAND SURVEY COMPANY; INC
FAX: 508-420-5553 40 Industry Road, Morstons Mills, MA 02648
yankeesurvey®comcast.net www.yankeesurvey.com 39781 SH
ap' - Parcel /3 Permit# ( 0
�£ House# 0 7� date Issued "—Z- .
Board of Health(3rd floor)(8:15 -9:30/,1:00-4:30) �� -�t/A-V �+�°�p� AU rV
Conservation Office(4th floor)(8:30-9:30/1:00'2:00)
Planning Dept.(1st floor/School Admin. Bldg.) jrb Atr74
Definitive PI rove lanning Board 19U L
7 - L`,U'(BA'R A
TOWN OF BARNSTABLE
Building Permit Ap lication
Protect Street Address
Village // n
Owner l` Address ka—A
Telephone 5-0 g '7 7/' 7 6 7
Permit Request o2 c? �2x-?,c.
First Floor square feet Second Floor square feet
Construction Type
Estimated Project Cost $ `7 qQ. oe
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Struct re .5 0 ? Historic House ❑Yes ❑No On Old King's Highway El Yes ❑No
Basement Type: f Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing_� New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: CK"'a's ❑Oil ❑Electric ❑Other "
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) - Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes W40 If yes, site plan review#
Current Use Proposed Use
Builder Information
Name Telephone Number
Address 3 $ A 3 he l License#
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE C
BUILDING PERMIT DENIED FOR TH OLLOWING REASON(S)
���e I
j FOR OFFICIAL USE ONLYmmmi .F
w RMIT NO.
XTE ISSUED
*AP/PARCEL NO.
(l 1
ADDRESS r - VILLAGE
OWNER
DATE OF INSPECTION: '
FOUNDATION + ,
FRAME
INSULATION
FIREPLACE
ELECTRICAL ROUGH FINAL f
PLUMBING: �04ROUGH - ; FINALS
TROUGH FINAL
FINAL BUILDING,. ^ '
3
DATE CLOSED OUP
ASSOCIATION PLAIN NO. ` E
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www.cover-it-inc.com 203-931-4747 Fax: 931-4754 1-800-932-9344
mFORMATIQN SYSTEMS DEPARTMENT
T
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mi dC r `.ram " 3On ca`Iua
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• TJJr Cuntmu»It•l:•rrlllr f f Massacllurcrts
••�,='f_� Dc�parr»rrnt of Indusrrial.4cridcnn
• � 1• ! OflfcEdll�$alloas
611O Rarsilinr;7un Strea
�- workers, Compensation lnsuraner A>Tdavit
nip i-fn�"vvnn- _ — .i. ._ _. ...__. -
�• r
1 am a homeowner pertorming all wort;myself.
1 am a sole proprietor and have no one working in anv c2paciry
G tam an employer providing workers' compensation for my empfovees working on this job.
rmm�•rm•name•
+•ltl rears•
t�tt nhnne/t• '
nniin•a
ineunnt•e en -- _ --
.G I am a sole proprietor. nencraf contractor.or homeowner(dmie one)and have hired the contractors listed below who i
the following workers' compensation polices•
m gym• natnc•
r rlrMr
ein•• nhanc+�•
inainnro rn nniierod _� �._"
mnen%• n�rnv
ldrrs�•
•tt nhnne I�'
' svrtnr lr B --
Altsch additional sheet if neeesaary• �. "'��:•'•.�'• �. _-• . •• •« �,. -'�••����, _ -.. ""�
Failure insecure caveraee as required under zectton 3A of MGL M can teas to the tmpoauion of cninsom penalties of a liar up toSMOO.uo andru
war%•ears'imprisonment as%••ell as civil penalties in the form of a STOP%VORX ORDER and a ane of SIOUD a day against ma I undetsmad that:
cop.,of this statement ma} be furwardcd to the Omce of Investieations of the DU for corerito serilieation.
/do/urrhr crtr/ •uade t/rc p=Pcnandf prrjurr that the mfornw.-ion prorided aba"is trae and came=
Sianan;m
Print name Phone 0
allicial use unty do not-Me in this area to be completed by city or tower oRleial
. city or%%ruin• iurrnitlReense A Flnuildlnq Departmetn
• e3UeemtnO Board
Q cheek irimmediate response is required �deetmens OIRce
• Otteattb Department
course%person•
phone ftt r10ther._.
Information and Instructions
Massacltusctts General Laws chapter IS:!section 2-5 requiresall employers to provide workers' campest.1 i fo:
employees. As quoted irom the "fair".an emph rer is dcfincd as every person in the scr%,icc of all , r under an
contract of hire. express or implied. ora! or-mTitten.
An cmph rer is dcfincd as an individual. partnership. association. corporation or other Ic=I entity. or any two or
the foregoing enaa_t:d in a 'Dint enterprise,and including
the legal representatives of a deceased employer. or;ht:
J
. H _
rccci%•er or trustee of an individual . partnership. association or other legal entity. employing employees.
owner of a dweliin__ house having not more than three apartments and who resides therein. or the occupant of tite
dwelling house of another who employs persons to do maintenance, construction or repair wort: on such dtvelliti_
or oil the__rounds or building appurtenant thereto shall not because of such employment be deemed to be an e:np:e_
MGL chapter 152 section =5 also states that et•en•state or local licensing agency shall withlruld tite issu-Incc or
rcricival of a license or permit to operate a business or to construct buildings in the cammunlVealth Car any
prod acceptable evidence of compliance i%ith the insurance coverage required.
• ) lican who has not P
a t h
IP P
Additionall:, neither the commonwealth nor any of its political subdivisions shall enter into any contact for the
performance of public :yogi: until acceptable evidenceof compliance with the insurance requirements of this cllap:c:
been presented to the contracting authority.
ApliJlca:Is
Please fill in the workers' compensation affidavit completely, by checking the box that applies to year situc:ion anc
Supplying_company names. address and phone numbe s as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sun to sign and date the aitdavit. T11e
own that tine application for the permit or license is being requested.
,rr ::•it should be returned to rite gin or t
nu( :e Department of Industrial Accidents. Should you have any questions regarding the "law"or if.you are
to e`- ain a workers' compensation policti•. please call the Department at the number listed below.
City or,towns
Pie--se be sure that the affidati it is complete and printed legibly. The Department has provided a space at the bottorn
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding ;lie applicant. P'.
be sure to f.:i in the permit/license number which will be used as a reference number. The affidavits may be returnec
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 questic
:ease do not hesitate to aive us a call.
I'lie Department's address. teiepitone and fax number.
The Commonwealth Of?Massachusetts
Department of Industrial Accidents -•
ra- I
Other:W Investigations
600 Washington Street
Boston,:Ma. 02111
fax "rr
: (G I 7) 727-"749
The Town of Barnstable
9� 059. ,0�' Department of Health Safety and Environmental Services
'yEo " Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
Date ;
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 exception ong with other requirements.
-/-Type of WorkAgL Est. Cost G�0
✓Address of Work:
;/Owner's Name
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under1,040.
Building not owner-occupied
Owner 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 PROGI AM 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 Owner's Name.
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please print.
DTE 7 ,
JOB. LOCATION
Number Street address Section of town
"HOMEOWNER" M JQ g -771 70 7�
Name Home phone Work phone
m
PRESENT MAILING ADDRESS
v . ' ..r•
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 such homeowners to engage an in-
dividual 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 re-
side, 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 Officia
on a form acceptable to the Building Official, that he/she shall be responsibl
for all such work performed under the building permit. (Section 109. 1. 1)
The undersigned "homeowner" assumes responsibility for compliance with the Sta
Building Code and other applicable codes, by-laws, 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 compl with said procedures and requirements.
HOMEOWNER'S SIGNAT
URE l -
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35, 000 cubic feet, or larger, will be required
to comply with State Building Code Section 127. 0, Construction Control.
' HOME OWNER'S EXEMPTION
The code state that: "Any Home Owner 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
Home Owner engages a person (s) for hire to do such work, that such Home Owne:
shall act as supervisor. "
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for licensing Construction' Supervisors, Section 2. 15) . This lack of awareneE
often results in serious problems, particularly when the Home Owner hires
unlicensed persons. In this case our Board cannot proceed against the
inlicensed person as it would with licensed Supervisor. The Home ''Owner actir.
as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/tier responsibilities, man
communities require, as part of the permit application, that the Home Owner
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 to amend and adopt such a form/certification for use in your community.
MFORMATION
SYSTEMS DEPARTMENT
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Assehor's office(1 st Floor): ,, SEPTIC Sy'STEM MUST 13 C�THE Toy
• Assessor's map and lot number INSTALLED IN('s®IVlPLI,A
Bo�d of Health(3rd floor): ♦w
Sewage Permit number C," O WITH TITLE 5 •
Engineering Department(3rd floor): G �� ENVIRONMENTAL CODE t saWAS& LL
House number ` . , d - TOWIN EGH1G.AT'P0N �''T�oY Y.a��i'
Definitive Plan-Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTIONf1I�t9 t�
h 19--!7
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location� o�.
Proposed Use 13/&,S aC _ _. i4 i7 L. � 'LG Z4 G
Zoning District /�C Fire District
' Name of Owner 1'rl'L Address L5 ^7j5—
Name of.Builder C� l®1i� \ E, l` luin &.Address � `14 &cksk LL .1v'1 let t
Name of Architect Address
Number of Rooms 3 43 o EM'GfyS Foundation CEO �X+3-T7
Exterior S �/ S Roofings' t/
Floors d tJ Interior � ,Q S%die
Heating � —S Plumbing
Fireplace/ Approximate Cost
Area �f'JD 4 i-e_4 Cat ►-N4 e__
Diagram of Lot and Building with Dimensions Fee
Lie
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 s
Construction Supervisor's License Cog k14
KLW, STATIA M.
3
.µ
Ck No f3 3 8 7 0 Permit For Remodel Garage to Bedroom
r Single Family Dwelling
Location 382 Buckskin Path
+.
Centerville
Owner Statia M. Klux
-
Type of Construction Frame -� 1 ,:: "� ,'r ,-.t •� -
s ,
!r
Plot Lot '' {
s '
Permit-Granted July 18 , • r 19 90
rt �
� t -
Date of Inspection J%` 19 =
/ j
Date Completed 19
I
i
f '.
S•y 7 . d! '
r _ I
r y
r
Assessor's office(1st Floor):
Assessor's map and lot number k' ;. ! yof TNE.T�I`
Bosid of Health(3rd floor):
"Sewage Permit number """ '�0
Engineering Department(3rd floor): = sears ti
House number ::JL 1e,39
Definitive Plan Approved by Planning Board 19 �
APPLICATIONS PROCESSED 8:30-5:30 A.M.and 1:00-2:00 P.M.only Cr
` TOWN OF BARNSTABLE
In
RUILDIHGi.-/IHSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION �-z 9— t r
19 L
TO THE INSPECTOR OF BUILDINGS:
The undersign ed hereby applies lies for a permit according to the following information: JCS
Location , 32 oZ JB U C A—S AK///// ?A %1i
Pr e' 5!/t/[a 1 ,�' %`� i1'1 % Lr I G�i;f=l L ! V 6
Proposed Use �"
4.
Zoning Districts C Fire District CF/117 f V A 4 124
< " Name of Owner ?,� f //=} i'., /1 VN Address ,7
Name of Builder a. t! C ? � -. E\ E�k�l1Address ) 1Ud<s[ t( �G � E �'�tft
Name of Architect i Address
r
Number of Rooms f�F��i'adf�/S Foundation C.
Exterior/� �` -s Roofing 4 !_,
Floors 1/1�f1 ratr /P Interior P/ A7
Heating G Plumbing I / f�
Fireplace �1 K Approximate Cost � P V
Area U 4 r-e A CA A NS .
Diagram of Lot and Building with Dimensions Fee
382
f
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
'Name
/1
Construction Supervisor's License
KI,UM, STATIA 14. A-191—'A2
�.i
No 33870 Permit For Remodel Gar,_ge to Bedroom
Single Family Dwelling
Location 382 Buckskin Path
Centerville
Owner Statia M. Klum
Type of Construction Frame
Plot Lot
Permit Granted July 18 , 19 0
Date of Inspection 19
Date Completed 19
PERMIT COMPLETED 1/1I
t
M '
°`THE.T TOWN OF BAR.NSTABLE
SAHHSTADL"6 9 BUILDING INSPECTOR
CFO YpV a'
APPLICATIONFOR PERMIT TO .... . ..:. ...:....................................................................................................
TYPE OF CONSTRUCTION ......... ;�:::.....................................
,�....... .............19.' ..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .... ��+ ...�....�� .......... � ..�F.. + ".... -*`�
x . ...............................................
Proposed Use s�: . "::::.............................
Zoning District ..... a ... Fire District .............................................F ..................
f
Name of Owners ' �
� `~' .... .5��.............Address ......... .... $....................
Nameof Builder ........... ..t..................t.................................Address ....................................................................................
Nameof Architect ......... ....................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ...........:: ................................................
w
Exterior ....
*�f0�...... .....................................................Roofing ,. .
.............................
aw
Floors `-" Interior .......d ,.......... :.................................... ...�. .�.... ...:.... ...............................
lz=Heating ,� ............................Plumbing *� ."""
..... .;�;f V................................................. ................. ............................................................
Fireplace ...���'" � .:. r! ..........................Approximate Cost ..' „ ......,.�. ..
Difinitive Plan Approved by Planning Board ________________________________19________ J S dxry
Diagram of Lot and Building with Dimensions
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar. 'ng the above
construction.
Name ........ ... .. ..................................
mall, Alan
No .11.... Permit for .......one story
......... xwle... amily.dwell,ing .............
Location ......... uckskin Path
Centerville
...............................................................................
Owner ..............Alan ......Small...................................
Type of Construction frame
..........................
................................................................................ 1
Plot ............................ Lot .......... :?�..............
I
Permit Granted December 13 '71
.......................................19
Date of Inspection ...................... ............19
Date Completed ..... .....19 C�
PERMIT REFUSED
i
.............................................................. 19
............................................................................... F
t
...............................................................................
...............................................................................
Approved .,............................................... 19
...............................................................................
...............................................................................
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