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HomeMy WebLinkAbout0018 CEDRIC ROAD 1 _. 1 r 4 s � '�` ➢ "H,i FF��t r�x ` nt >r r{R r � �� r 'w [!F' �� ';� tY JF �.: r t ffF M ; ... G _ 1 •� �i { 1� �,. ., F �' w� �` � �'� 9� ,t 4. .r.. .If1f. .:�. 1 'rD: ';� � ! J{5 a 1° iYyri; .r+•�R ',l'.. ...,� .. e,r„ . . ,.,��,', i, .. ,y,F,r. .; �, .sir rt_ ,Fti ,ys.�..%t / �.Ri• ..z, =R`' - < ��;.� 4, �, ¢��{ ,) ��. .,r'T' 1: 4 1� t'/�'fit t n 4Y ,f3i��. o � , ^arc ., a.r_ [,. ,:. �r �y r�. ., r � :yy �. � C.. ;, .r..: p i � sr•� ,� ` o � .. . ,,. _ �. o. .. a ., ' � - , ., � 1 a, a n , E -. ..... ,: r ,. `. � - �,. .. ,- .. ,. .. a ., . '�. .. . a. • + � �� � A r ,. h 5. ... 1 ry o � � �. r- $. � R Q�� � � '• a'r'r � � - � t. a 1M .. -. i ,y ' , �'.. , "u ,a o � n. .. r� -� • n � � � �� _ e .a ..1 .� - ,- , n _ i . r ..: .. �. .. .� � ' . .. y � , -. ,, r +n .. .. �. � n � .� 5. i .1 .. � .-e , � � �. i .. r a R �' ._ r a� � .. _ �� -' i _ .. � 1 s �:. � ..- ` ,,. " o i - w. a .. � � � �. 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THE r Town of Barnstable *Permit�0/00 3 6� Expires 6 month om i. y � Regulatory Services Fee ` BARNSTABLE, 9cb 1639.MASS. � Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.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 Property Address /rd CP��C,e .yrP2Yil/e Aid Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 14'e-9r�f' eG,,,� AP Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec one: - am a sole proprietor MAy 31 '� I am the Homeowner ❑ I have Worker's Compensation Insurance TQ'A' 2013 YY Insurance Company Name 'y OFPn - Workman's,Comp.Policy# Srge�c Copy of Insurance Compliance Certificate_must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to i&-azu''wae 2/1 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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 re red. SIGNATURE: C:\Users\decollik\AppData\Local\Micros6ft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 1 he Coarnnon-weaalih Of Massachusetts Depaartinrent of Industrial Accidents Of five of f Invesligtat ons ' 600 Washington Street ,w Boston,M4 02111 wma mass.gosr'd%o Workers'Compensation Insurance. fidavit:Builders/CGntr-.ictoi-s/ElectliciansIplumbers Applicant Information. Please Print Le gib Na1t7e_(Busirse€sxOraatias�hidiidual= ��rPL /� . /s�� C iy;StateJZrp:&,Fe—,v��Vz- �Z.e. IAML Phone#. 737 d-P6 2 Are you an employer?Check the appropriate box; , T of project(required): 1_❑ I am a employes with 4- ❑I am.a general contractor and I �'pe p J { .� = employees(full andror part-time).* have fired'the sub-contractors 6.. ❑Nev constsaa tson 2 ❑ I am a sole proprietor or partner listed on the attached sheet. 7_ ❑Remodeling shipand have no employees.ees. These sub-contractors have pS. ❑Demolition wcTkin, forme:in an; ca cit,,F. employees and hatie'a workers' g Y Pa 9_ ❑Building,addition corn insurance. [No orkers'comp-insurance p rrecl.] �. ❑ Sze.are a eorporatiou and its 10_❑Electrical repairs or additions. (-37 -a ma homeowner doing all work officers have exercised their 11_Q Plumbing repairs or additions mysel£*[No workers'comp. right of exemption pas IaIGL 12.❑Roofrepairs insurance required.]1 c. 152, §1(4),and we have no employees- o workers' 13.❑'Ether 1'�`[N comp_insurance required_]; 'Any appal-cant thatchecksboxi l mum also fill outthe sectionbelow showing theirworle s.'compensation policy infonnation- Homeowners who submit this:affidm it.indezatine.they are doing all molts:and then here outside:contractors must sobntit a new,affidavit indicatian such- !Contractors that check this box must attached an.additions@ sheet showing the nauxe of the sub-contractors and state whether or not those endues have employees. If the sub-cantractoss have employees,they must proUzde their workers'comp.policy number. I rain an einployer that is proi i:dinrg nwrkers'coralpensation insrarauce for my earplolwm Belon,is tile,policy,and job it : inform,alirira, Insurance Company Frame: Policy it or Self-ins.Lic-w: Expiration Date: Job Site Address: City{StateiZ.ip: Attach.a copy of the:workers'compensation.policy declaration page(shoving the policy number and expiration date). Failure to secure co aefage as required.under Section 25A of MGL c, 152 can lead to the impasition of criminal penalties of a fine up to$1,500_00 an&of one-}year imprisonment,as well as cMI penalties in the form of a STOP WORK ORDER and.a fine of up to MOM a.day against the violator. Be advised that a copy of this staterneut may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi nder tare pains and penalties oAf perjrary that the infortriartion prasided above is lane and correct Si! ;tore;: r Official use only. Do;tot write in this(area,to be,completed by citty or town of ciaL a - Cits or Totin: Permit/License Issuing An:thwity(circle once): 1.Board of Health 2.Building Department 3.CitvfTo`vn Clerk 4..Electrical Inspector.5.Plumbing Inspector 6.Other Contact Person; Phone#: 6 OpTME TO Town of Barnstable �L Regulatory Services g Y 9Bn MASSSetE'�a Thomas F.Geiler,Director 0 3 9. �16 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 HOMEOWNER LICENSE EXEMPTION Please Print DATE: --131,112 /J / JOB LOCATION: �0 C.PO'.�/C tee A40l le4lllle F numb / L street i village c C�"HOMEOWNER": �fP�-��/� �C/7e �J -737(c��� Sl�i7l� name yhome phone# work phone# CURRENT MAILING ADDRESS: 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 proce res and requirements and that he/she will comply with said procedures and requirements. ignature 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. i C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 model: BREWSTER 7"ET°�♦ TOWN OF BARNSTABLE i i 13ARESTAZLE. i 0 pY.��O� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... uild One Family Dwelling ......................................................................................................... TYPE OF CONSTRUCTION ....................wOOd....�ame...................................................................................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to-fhe following information: Location / /f a"el Nf4I4/, e— �Of...... �1............(.lV�/.(.... . dP..........T.(f3lP�//. ��... .............. .....................:.................................... ProposedUse ..........ReSldentia.l...................................................................................................................................... Zoning District RD-1 ........................Fire District ...Centerville-Osterville ................................................ ............................................................ Name of Owner ...Norma Realty..Cor�. ,,,,Address .,,Ashley Drive Centerville Name of Builder .or.me.s.t Home,s.�..Inc............... .address same ..... . ......:............................................................................. Name of Architect .......nOne................................................Address .................................................................................... ... Number of Rooms 6 Poured Concrete .................................................................Foundation ................. ...................................................... Exterior Siding Roofing Asphalt ................................................................................ .................................................................................... Floors Carp...... ..................................................Interior ...................Drywall................:............................. Heating Warm—Air plumbing 1 Baths ................... .................................. .................................................................................. es........................................................Approximate Cost �20�000......................................... Fireplace ...................y ........... Definitive Plan Approved by Planning Board ________________________________19________. �5'60 _o � Diagram of Lot and Building with Dimensions �� ®� SUBJECT TO APPROVAL OF BOARD OF HEALTH ) X w _ 9V- � CO0 rL r? L7 �, _j J J J F_ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. a n Nameo .....L41"t- o�.V�........................ i Norma Really Corp. e No ... ... Permit for ,,,,,,one story single family dwelling ............................................................................... Location ..ff Cedric..Roa. ..... d (Pindridge. . ...II) ............. .... .... . ................. . . Centerville ............................................................................... F Owner ..............Norma Realty..�O.�'............. I i ' C frame t L_ Type of Construction .......................................... .� ................................................................................ f Plo t ............................ Lot ............1`................... O . September 27 72 Permit Granted ........................................19 r d I Date of Inspection Date Completed ....1.`� ..��,•..el.�.�l��'�� PERMIT REFUSEDL l LL ................................................................ 19 L „ ............................................................................... ........................................... .... ........................ I 4. l:: ............................................................................ ............................................................................... L _ i Approved ................................................ 19 ............................................................................... ...............................................................................