Loading...
HomeMy WebLinkAbout1379 BUMPS RIVER ROAD ':. C. � M '.. � � � � .� •. s �p .. ... r .., ::. .. '. r� ... .. '�.. 2, .. . ., ... +t+� X. C - - U , _: a .. �. - 4 f Town of Barnstable *Permit# e- -o?3ff j gyres 6 months rom issue date Regulatory, Services fee _�s_ — . 1ARxsrABLE, Mesa Richard V.Scali,Director �FDN1P`�' Building Division #) Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 AUG 17 2016 www.town.bamstable.ma.us A p' �rr- Office: 508-862-4038 rOWN gaxr1)A# J ,I80LE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 8 O U,Property Address t 3 71 Saps p s i/�nn 1 w' r rzzA e en 'Tt,,vile . M,4 ❑Residential Value of Work$ S'a°O�s®� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address W t A. r 6 64�r � 03�_ Contractor's Name s'&1F'- Telephone Number .5279 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor [-T am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name S I�'�`hl ' (� 3 r t y� �t>7 '"i/� Z7 7 'G�-G�✓e'E' ' -w Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will-be taken to 13-qr'/1 S¢gAc /iwirz ❑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.' )141 1 SIGNATURE: —v QAWPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16' , j G} _ 27ze CezumomverzM ofAassrzdjuseift Mr N Depwrtment af1'ndustriat Accidents Offikeof .; 600 F,Prrs7zirwaan Street Boston,MA 02111 - - knrv�tbr�eas��ov�din - Wcw.1;ers' Co-gensationIusurauce AfFrlavit:BuffderslContaract6rsMectdcianstPhunbers APPHc2mt1nfarM2tiGU se F1II Dame - ��I!1�i�.t, A : 'CIM[2,1� rr Are YOU an employer?Checkthe appropriate box: Type of project(requimq-- 1.❑ I am a employes with. 4 ❑I am.a general cotanctor and I 6. ❑New constructic employew(full andfor part-fiime;)-* 1mve hned1 a sub-conlraofors 2.❑ I am a sole proprietor orpartner- listed rmthe attached sheet 7- ❑RE=deliag ship and have tw.emplayees • These sub-confractors have g_ ❑Demdlitioa 10 andhave Wodmrs' wadnng forme in any capacity- � � 9. ,❑B.uilding acTdifion [N4 WodoHrS'Comp.fizsu ante % camp-Msuran f r ] 5- ❑ We are a corpmfim and its 10-0 ElectFioal repairs or aairlste= 3.K14 am a homeoRmer doing all work officers have exercised their 1L❑=Gfrqxirr. repairs or additions myself o worlters' right of exemption per MGL v[ insurancef��d-11 - w C.152,§1(4) aadwe have no 1r_ employees-[No 13-0 Other comp-ksarance mquire&] •any appffes��at cbe�ksbos�l mast also fiIIort�fhe secfioaheLowsi�ug the¢•wo¢kei.*.'comppnT�cgi�o¢�sfiaa_ TMmeownerswho submit chicmffidavifinausbggdeyRm doing zUsrelanddijm him mtsa&rambxcei,•s su L Kant 3UCt=tF�l f-'hWl M.box must rftt-hed sa additional sheet showing the name of the&u4-ccmtrzcWa aad state whether or not those emitieshave employees.Ifthesob-raataaae hmempIoyea%fimy msrpmvde wad'=p-polkS er- I am an euiplayer Mat is prerurdirtg�t�arI�ers'cotttpertsafiore utsrirat3ca�or my emplo}�ee� $eIaav is flta policy anti job site i>z�ormatian Insurance Company Name: P licp 4t'ar Self-ins-Uc_ l pirafiias Ilate: Job Site Addae= citylStafetrp: Attach a-ctxgy of the workers'compeusation.policy declaration page(showing-the policy,number and expiration date). Fare to secutt~coverage as regmred under Section 25A of MGI.a 152 can lead to the imposition of criminal penalties of a fine uP#a$1,54a 00 andrar dne-yearimpfisonmeata as Weil as right penalties i $�m e fo>�of a STOP�d(3R DRDERaid aEme of up to -00 a dap agar#the violat=.Ze whised that a cDpy'of this sit m.ayr be forwarded to the Office of lums#gations office DIA,for ins=wce coverage-vmdffcz6bn- f rl<o Jten-sity, ultra pains andpsrtah ky ofpedWy fhatthe in ormai6rz pmitW abm a h;bars and correct . PbMe �� t),f eiaf am wily. Do rest wrtbt in dth afea,to be evinplete+d by tidy ortopra oretat City or Town: PeroWl icense S Leg Andwrity(title one): L Board of Health 2. Dqartment 3.CityiTown Clerk 4.Electrical htspect.or 5.Plumbing ng Inspector &Other Cota#act Person: Phone ih 6 laformation and lnsti uefions ' hfims:cachnsetts Ge�nezal Laws chapter 152 raq=S all=Ploy=to pr'OVIde W011 TaS'ccmmpensaflcn,for then'a ozmploy=. parsaantto this sue,an enp&g.r is defined as¢.evezypersonm the stavi.ce of another mud=my caiftact ofhaey ! egress or implied anal or wz:ft ." An evrploym-is de fined as-an individual,Partuership,assor�iiOn,corporation or other legal eaf±y,or arty two or more of tit a foregoing is a joint=±Eqd=,and inclndmg the legal relsese�ives of a deceased employer,-V r t or other oying loyees. However the receiver'or trastee:of an individual,p�.�ip,association ��tY.� � and-who residesth orthe o offbe- owner of a,dv,,elling horse having not morean�th apar(me�s erein, , �p dw Mug house of another who m3ploys pe=s to do majff=mcx,`'`""truz'an or repair wmk cm such dweI3mg BOUSa or an the grounds or bml mu agp thereto shall notbcoanse of such e3131 oym be deemedto be an=ploym" MCM 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,lilisiness or to cons{r¢ct bindings in the commonwealth for rap licant-Who has not produced acceptable evidence of coutpfianc a with t1m insurance.cov rage repair p Additionally.MGL chapter 152,§25C(7)states-Neither the a w nor,ra ed." y of its political snbclivisions shall Iiancewifh the insurance. e�fnr min any caaiiact inr,the pet=nce ofpnbIic work unfit ac=pfable evidence of crimp . rP�ets of this cbaptea have been prese d fn the eofxact:mg anfhoityf ti�v `-4 t,' Applicants PIease fijL oid the wotl='compensation affidavit completely,by djeczjdag;b a boxes that apply to your sitnaiion and,if nmess rL supply sub-co r(s)nm*s), addresses)aid phone nnmber(s)along with thDir=tEcate(s) of awes or Lmatedl ab�riyPa t=mbrps(LLP)wrthno eanploye�s other than the ��,,,-ar,ce. LimitedLiahilityComp (LLC) . members or partners,an not required to eauy worker'compensation If an LLC or L.LP does have e D arfmeut of Industrial T is Be advised affidayitmaybe snbmitfedto ffi ep _o oIicy regnir,rd. • �P - • should Accidents far confirmation of n,cman rp coverage. Also he sure to sign and date the affidavrt. The a 5davrt be ret=(--d to the city or town that the application for the pennit or license is being requested,not the Department of A cat e,:ts Shanld you have ray gnestions regal mg the law or ifyou are required to obtain a worms' compensation policy,please call the Department at the nmnbea listed below. Self-insraed cowries should ear t aeir s elf n,Sjn Ce llcG7se nos on the line City or Town Offcials Please be sure that the affidavit is complete and priced legibly. Tile Depattmenthas provided a space at iiie botl= of the affidavit for you to fill out is the event the Office of7nvestigations has to com ac't you regarding the applicant Please:be sure to Ell in the pezmit/Iicense nw.nbes win as aferemcenummbes In-addition,an applicant will be used re . fhb mast submit 3=1410 P=Wlicen se applitmiioas in any given year,neej only submit one affidavit indicating emzent policy information(if ne y)and under',job Site Address"the applicant should write"all locations in (ci-y or- towa).'A copy of the-affidavit that has been officially stamped or m mked by file city or town may be provided to the applicant as-prooythd a valid affidavit is on file for 53tm putts or licenses. Anew affidavit must be fned oft each year.Where a home owned or citizen is obtaining a license or pranit not im ated to any bn m=or commercial (ie-a dog license or permit in bum leaves etr. said person is RIOT req�ed to complete this affidavit The Of ofInyesfiga iamwouldllilreto ff=kyoumadvance for your mopeaaf ion.and should yomhav�e zayyquestions, please do not hesitate to give ns a call. The Dei�artmeafs atidress,telephone and fax rmmber. �� .iaent cif Iliciial Ao�id�nts E NJ,�t os�o-u=M.&Q111 Fax It 617 727 7749 xevised.4-24-07 F' i Town of Barnstable Regulatory Services t B" ' * Richard V. Scab,Director. 1"9. ►� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 ( www.town.barnstable.maxs . Office: 508-862-4038 Fax: 50_8-79016230 Property;,Owner Must ,•,. �, j Complete and'Sign This Section If Using A Builder ' actti�� as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit application for (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 Nitre Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory,Services a dF Richard V.Scali,Director Building Division IARNSTAI= t Paul Roma,Building Commissioner 6;9. M�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 I HOMEOWNER LICENSE EXEMPTION Please Print DATE: �I1 7//6 p�j r — JOB LOCATION: )y 7 GC� Ryor p� R 1 tek— ';Z e 717`I—V1 number street O village "HOMEOVVAIER": w y 11� A. ^ve I�_ ✓�® � &00"? - name home phone# work phone# CURRENT MAILING ADDRESS: 15 d7 Coll O>-e.3L- 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 r quirr is and that he/she will comply with said procedures and requirements. LI 1't� Signature of Homeowner i in 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 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 forms\EXPRESS.doc 06/20/16 Town of BarnstableBuilding ' ` '' � x `-is Visible:-Fromthey treat A royed.Plans Must be=Retaned,on lob andN#his Card�Mus Abe Ke°'t � ' PostThis Gard So That,�t S pp P 'RI' A � � Cert�ficaterofrOccu anc ��s4Re u�red�swchBwldm shall NotpbeOccu ,ied.unt�l a Fenal lnspect�or has�beenbmade �; er Permit No. B-16-2318 Applicant Name: MONROE,WILLIAM&ANN Map/Lot: 188-066. Date Issued: 08/17/2016 Current Use: ", Zoning District: RD-1 Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 02/17/2017 Contractor Name: c. Location: 1379BUMPS RIVER ROAD,CENTERVILLE Est Project Cost: $0.00 Contractor License: � t Owner on Record: MONROE,WILLIAM&ANN Permit Fee $35.0051'v ` Address: 1379 BUMPS RIVER ROAD , Fee Paid ` $35.00 IR CENTERVILLE, MA 02632 er 8/_ 17/2016 Description: 12x16 Shed Project Review Reg:rt. 12x16 Shed M , F Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit commenced witMn sx moknths after issuance. All work authorized by this permit shall conform to the approved application and the"a°pproved�const�ucticim ocuuments'for?,% this permit has been granted. ,. All construction,alterations and changes of use of any building and structures WF shall be'in compliance with•the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access stree or roaatl a d shall be maintained openi tfor public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable sign,kures by the Building and Fire Officials are provided on thnpermit. Minimum of Five Call Inspections Required for All Construction Work= ' 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lmmgsnstalled a 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Structural Members Frame Inspection) t" 5.Prior to Covering S ( p ) 6.Insulation r - 7.Final Inspection before Occupancy " Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site, All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT f Town of Barnstable BUILDING ©EpT ,�"'� Regulatory Services AUG 1 Richard V. Scali,Interim Director 112016 ; , Building Division TOWN OF g 1639. LE �a Tom+.Perry,Building Commissioner 13ARNST,g,„ y 200 Main Street, Hyannis,MA 02601 i+ $ ►kT4 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# I G'�/1 ( FEE: $ a SHED REGISTRATION RESIDENTIAL ONLY 206 square feet or less 13-71 urns l v>°>✓ �oa� Can r v u 0<-, Location of shed(addr ss) Village Will, t A /ion moe - sag-ago & cnbg Property owner's name Telephone number 0 323 Size of Shed Map/Parcel# �✓ lye Signature' Date Hyannis Main Street Waterfront Historic District? 1 y O Old King's Highway Historic District Commission jurisdiction? /VC-) If over 120 square feet,you must file'with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30` PLEASE NOTE:,IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAV BE A REVIEW:PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. p THIS`FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:110413 a =i y. "'File tiu'tnber: 150402-1 iJNREGISTERED LAND Attorney: CAPE COD TITLE&ESCROW ( Deed Book 2002. Poe 270 Lender: # Plan Book Pa a Lot(s) Owner: .LAMES&WILLIAM MONROE REGISTERED LAND .Reg. Book Sheet !ut(s): Date: 4/14/2015 Certificate of Title Assessor's Ala r 188 Blk: Lot 66 Censets Tract. MORTGAGE INSPECTION PLAN Scale: 11"=_120' j 1379 BUMPS RIVER ROAD, CENTERVILLE, MA LOT 62 LOT 63 LOT 154 LOT 64 .� "to J , P6'6 LOT 155 LOT 113 10� LOT 65 '= LOT 67 LOT 68 160'3 BUMPS RIVER ROAD r w. t CERTIFICATION Y BANK,AND THEIR TITLE INSURANCE COMPAN CON TED(WITIIHAT THE MAIN IRESPECP TDO T 1'IONOR NY 1 CERTIFY'PO THE-ABOVE ATTORNi , ERAI pWELLING WAS IN COMPLIANCE WITH THE LOCAL ZONING BYLAWS IN EFFECT L SETBACK REQUIREMENTS ONLY?®R IS EXEMPT FROM V E IOLATION NFORCE14iENT ACTION UNDER MASS`CEN STRUCTURA _._ — LAZ�'TITLE V11,CHAPTER 40A,SECTION 7. ION IS BASED ON DEED,AND/OR ASSESSOR'S MAP CUPCUp 0.A MORE) AC TE REPRESENTATION WILL NOTE:LOT CONFIGURAT REQUIRE AN INSTRUMENT SURVEY. Ilk FLOOD DETERMINATION BY SCALE,THE DWELLING SHOWN HERE DOE S NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY r IONAL FLOOD INSURANCE PROGRAM #25001 C0563J AS ZONE X DATED 7-16-2014 BY THE NAT OF lfq I 1 , NEIL Olde Stone Plot Plan Service, I<LC40 .O. Box 1166 �u° h Lakeville, MA 02347- • ; ��� � 3 F Tel: (SOO) 993-3302 . ' Fax: (SOO) 993-3304 ~' ` p � , shown are approximate only. An instru ent survey line dimensions,fences and lot configuration and PLEASE NOTE: This inspection determ nationnot the toffbuild an i�ng c«tions encroachments,property tope furnished information only or assessor's map& would fl required for an accurate No responsibility is extended to the landowner or may reflect different information than shown here. The land as shown is based on occupation and Ps be subject to efelyhar out-sales,mortgage intspectioneand snot be be ts and rights reco recorded.y survey , N �► iw _ t i _ n Lege d + }OM Parcels k'v A Town Boundary �3 r N #2T #2 #24.:: Railroad Tracks ( . . Buildings # . 1125 III #29: 1112d6 �� ..; r` t #22Painted Lines Parking Lots _� r 1133 r. � Paved ti.... ! # r 1402: `-~ Unpaved Driveways 4fit / Paved �# Q'� # � t ! {. :. f Unpaved 7. 137 f Roads M Paved Road Unpav Bridgeed Road :�. ... `.,y.�-..— J/ ■Paved Median - - `t `y Streams f Marsh r � Water Bodies #C! ##64 ,. kfN #13 t: 7 3 s t 1 . 1112ZT f ' #61t4 lag 011 66. ` s.tip . 3# T 'w'• �'.. P P / / 7 p pure y p y�p Town of Barnstable GIS Unit Ma rimed on: 8 28 201 This ma �s for illustration purposes only.It is not Parcel lines shown on this ma are only graphic 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 026ol O 167 333 0 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8_86 2_4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 167 feet cartographic errors or omissions. gis@town.bamstable.ma.us