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Assessor'.office(1st Floor): O$
Assessor's map and lot number U - 433 ti TWE T w "
- .-/ k ..
Board of Health(3rd floor): ,,. 'f� INSTALLED I�� ODPL' "
Sewage Permit number ° !�/knIZ
WITH 'TITLE 5 t: asa�:9rsnLL
Engineering Department(3rd floor): ENVIRONMENTAL COD 16 �
House number 0'00 690M PS G y O R R r) 39-
Definitive Plan Approved by Planning Board 19 TOWN REGIIL�'TI®(� r�r d`
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN, OF BARNSTABLE
BUILDING : INSPECTOR
�4
APPLICATION FOR PERMIT TO L�1 ��Cf kI rc*,! W
TYPE OF CONSTRUCTION
AffiL 1 / 19 l /
F
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a-permit according to the following information:
Location o P ) V D p � :r �V l���- Mo 6j )
Proposed Use�1 ► T�" �� J f l Q `� f
Zoning District Fire District
Name of Owner L I Address )uo VUe ��
t=
Name of Builder �� �� Address CU
Name of Architect Address
Number of Rooms ) Foundation p
'Exterior C� Roofing 's`
Floors Interior
Heating Plumbing
Fireplace N Approximate Cost
Area l
Diagram of Lot and Building with Dimensions Fee IS6
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I I hereby agree to conform to all the Rules:and Regulations of the Town of Barnstable regarding the above construction.
Nam
Construction Supervisor's License '
BALDWIN, JOHN & NATALIE W.
`=lam No. Permit For Build Addition F
Single Family ''Dwelling
Location 1200 Bumps River Road
Centerville
Owner. John & -Natalie W. Baldwin
k r
Type of Construction Frame
Plot Lot
F r
Permit Granted Apr i t 2 3 , 19 91 i
F , �� �9�
• Date of Inspection 19 - ' . •
'a Date Completed 1/ 7r c1/ 7 .19 E
r b ,
447 -
L •
F
vw....
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Assessor's office(1st Floor)
Assessor's map and lot number �8'' 0 3 3 ' � - � ypi3TNE>C`
.Board of Health(3rd floor):,��/ L 17�
f 'Sewage Permit number Ak -0or 7711E', _
Engineering Department(3rd flmo ,): R — t'Deta�,s6sT9House number 3snta
'Definitive Plan Approved by Planning Board 19a,rrr d�
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF- BARNSTABLE L
BUILDING INSPECTOR
A ,
APPLICATION FOR PERMIT TOIL
TYPE OF CONSTRUCTION i'1l A t F
Apo ,9
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location / )0 1 ,41-P I/1 3� D C� � MR
Proposed Used
! Zoning District Fire District A
•Name of Owner �'.,
v ,d_#1V /hh 11i LIJI/''* Address ��00 o1), fir-
IT
Name of Builder) C /� E AddressCd �
1
Name of Architect Address f
Number of Rooms Foundation �Cexfi j-0a
�., C�,�� �}�'•���� �-��'�-��.�' mow.
Exterior Roofing
Floors Interior ~�
Heatin C� L Plumbing
9
Fireplace Approximate Cost,_ �. ) a
rat Z y! r c f
�Gt Gt✓ C1Areai (,
Diagram of Lot and Building with Dimensions Fee
it J
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
4_
I 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 .
BALDWIN, JOHN & NATALIE W. A=188-033 �' S
/g8=a3�
No 34288 Permit For Build Addition
Single Fami1v Dwelling
Location —lps River Road
Centerville
Owner John & Natalie W. Baldwin
Type of Construction Frame
Plot Lot
Y
Permit Granted April 23, 19 91
Date of Inspection 19
Date Completed 19
PERMIT COMPLE0ji_11.
f /
? TOWN` OF BARNSTABLE
BUILDING DEPARTMENT
HOMEOWNE R LICENSE
EXEMPTION=====__
Please; print.
. U
DATE
JOB LOCATION
Number l LLB `; , `z,
St r ee s
t address Section
= `of tow11�'HOMEOWNERI ` /
Name �li►rr� 721— 7�� _
Home.
phone Work ,phone;PRESENT. MAILING ADDRESS Old �lv�Pf t
. � ,•w � j ,�4rA�1�' i1,
�F V1&I
1 y oWn
State
The current exemption for " -ZiP code
dwellin s homeowners was extended to include owner-occupied
g of six units or e less and to allow such homeowner
dlvidual for hire who does not
acts as su ervisor. Possess a license s to Occupied
in_
DEFINITION OF HOMEOWNER: Provided that the owner
Person(s) who owns a - '
side; on which there parcel of land on which he/she resides or intends to re-
attached or detached structures laccessorntended to
A person who constructs more than one home be, a one to six family dwelling, I
be
considered a homeowner. Y to such use and/or farm structures.'. `
Such me in a two-year period shall .not is
ial
on a form acceptable to the Building Official
shall submit to the Building
for all such work �oerformeddt Buildin eOf iciil'
that he/she shall be responsible
The undersi ned '� ermit. (Section 109.1.1)Building g '!homeowner" assumes responsibility
g Code and other applicable codes, for compliance with the Stat
The undersigned by-laws, rules and regulations.
Barnstable g "homeowner" certifies that
Building Departm nt he/she understands
and that he/she will minimum inspection the=Town 'of .
comply n h said Procedures and requirements
HOMEOWNER'S SIGNATURE �
APPROVAL OF BUILDING OFF C AL
Note: Three family
to comply with State ding 35' 000 cubic .or
g Code Section feet
larger,127. 0, will be required
C onstruction Control.
J
4 �
HOME OWNER'S EXEMPTION
The code state that; Any Home Owner performing work for which a buildin'
permit is required shall be exempt from the ;provisions of this g
(Section 109. 1 . 1 - Licensingsection
Home Owner engages a persons) ffornhirectoodossuchvwork; that�suchdHomet n shall act as supervisor. " Owner
Many Home Owners who use this exemption are unaware that the
the responsibilities of a supervisor (see A Y are assuming
for -'licensing' Construction Supervisors, Secpiond2X14; . Ru This and :Regulations
often results in serious problems, particularly when the Hom lack of awarene:
unlicensed persons. In this case our Board cannot proceed against.'
Owner hires
inlicensed person as it would with licensed Supervisor. gainst...the : ,
as supervisor is ultimately responsible, p isor. The Home Owner actir.
To ensure that the Home Owner is fully aware of his/her re y
communities require, as a s onsi
certify that part of the Permit application, p bil at the e ds, ,mar
he/she understands the re Owner
lastah�supervisor. OOnethe
last page of this issue is a form currently used b se
care to amend and adopt such a form
currently used
Y several towns.., You may
ion for
use -in your community.
WAS? M
a, Mot Stoo
can
r
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... f. _ r = 1 '.,,1LT•Fc- v`C`c^s.' <.s .fig' - ,t 5- t>'-. r S
:. ,.,-,yf -4 � ... ,. :. '- kr v's-.-: i -.. .. �:'. 4 �As 3^`-. d`• '"h �,y - 1 'f 1 1�
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e t -N COIL ' ( m 11�
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TWO
•y�1��� .fix �.st ' ,
a
toor.$f
its. v
;A
y
- Town of Barnstable,. Permit.# 60 6�
4, `, f• Expires 6 months from issue date
Regulatory Services r g Fee
Thomas F.Geiler,Director
Building Division07
Tom Perry,CBO, Building Commissioner :. r
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
f ��Map/parcel Number
Property Address FU C(E r �� C%C ;/1`�t L (e_�
Residential Value of Work Minimum fee of$25.00 for work under$6000.00
,
Owner's Name&Address g o o-•i.
_ b -7U
Contractor's Name D.� P� E• ��� /14 Telephone Number S_� �` ' b t-- q
Home Improvement Contractor License#(if applicable)f
Construction Supervisor's License#(if applicable) F Y-PRESS PERMIT
❑Workman's Compensation Insurance ,. NOV 2 7`2007
Check one
I am a sole proprietor « ` TOWN OF BARNSTABLF.
❑ I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name A
-
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on.file.:' "
Permit Request(check box)
.
Re-roof(stripping old shingles.) All construction debris will be taken to
Yta F�R.auT#.
Re-roof not stripping. Going over _ existing layers of roof)
0
° Re-side _
Replacement Windows/doors/shders. U-Value (maxnnum*j
*Where required:. Issuance of this permit does not exempt compliance with other town mdepartmentregulations,i.e.-Histonc,'ConseN tion;etc. '
***Note: Property Owner must sign Pro er Owner Letter of Permission t
P rtY lm P tY ,
A copy of the Hordye\Impiovement_Contractors License is required:
SIGNATURE:
Q:Fomis:expmtrg
Revise061306
' The Commonwealth of Massachusetts
Department of Industriat Accidents
Office of Investigations
' 600 Washington Street
Boston,MA 02111
wfvw.massgov/dia '
Workers}Compensation Insurance Affiddvit: Builders/Contractors/Electricians/Plumbers
_Apulicant Information Please Print Legibly
Name(Business/Organization/fndividual): �
•Address:
City/State/Zip:�i � III Phone.#: Sa$ `Z`7
Are you an employer?Check the appropriate bog: :Type of project(required)
❑ I am a employer with 4. [] I am a general contractor and I
1,
6. ❑New construction .
employees(full and/or part time).* • have hired the sub-contractors
listed on the-attached sheet. 7.*❑Remodeling
2. I am a'sole proprietor or partner- These sub-contractors have
ship and have no employees . 8. ❑Demolition
employees and have workers'
'working for me in any capacity. t. 9• []Budding addition
[No workers' comp.insurance comp.insurance. 10.❑Electrical repairs or additions
required.) 5. ❑ We are a corporation and its
'3.❑ I am a homeowner doing ill-work . officers have exercised their 11.0 Plumbing repairs or additions '
myself,[No workers'comp. right of exemption per MGL 12.[]Roof repairs
insurance.required]t c. 152, §1(4),and we have no
] employees. [No workers' 13.❑Other
comp,insurance required]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowncrs.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tcontcactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. Zthe sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance fvr my employees. Below is.the policy and job site'
information.
Insurance Company Nayne:
Policy#or Self-ins.Lic.# Expiration Date:
Job Site Address• 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 lip 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.
I do hereby certify under the pains•and penalti of perjury thatihe information provided above is true and correct.
Si afore Date � -To _
�o� 7
Phone#:
Official use only. Do not write in this area, to be completed by.city or town:officiaL
i City or Town: ...
Permit/License#
Issuing Authority(circle one):
J.Board of Health 2.Building Department 3.City/Town Clerk 4.ElectricaI Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
11/26/2007 17:22 919789987690 PAGE 02/02
Town. of Barnstable
Regulatory Services
n� Thomas F.Geiler,Director
oMPY Ruildiiing Division
Tom Perry,Building Commissioner
200 Maip Sweet,btyao31s,ivtA 02601
WWW town,gArnsta6le.ma.us
Office: 308-862-4038 -Pax; 508-790-6230
Property Owner Must
Complete and Sign This Section
If Wing A Builder
'
Z, ��e�sf�n/o as Owner of the sub'e
hereby author= r s N f</,v to act on my behalf,
in all mamas XdAtive to-work authorized by this bukirxg pemut application for: A/c'ti,I,2 e l:7
(,Address of rob) /
Signature of Owner
Pent Name
If 'l�% rty owner is applying for permit Teas a Complete the
Homeowners License Exemption Form. on the reverse side.:
Q:FOWS:O WNERPP_R.MIS-WON
✓die -�o�ru�nrnZwecc� o���ac�uae�6 -
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR .before the expiration date. If found return to:
150889
Board of Building Regulations and Standards
Registration
W Ezpiratior 5/5/2008.
One Ashburton Place Rm 1301 .
Boston,Ma 02108
Type- individual
JOSEPH E.KINGt i
JOSEPH KING '
36 CHECKERBERRY LN.w--�
WEST YARMOUTH;MA 02673 Deputy Administrator Not*a1idthout signature
. r
Town of Barnstable
Building
r Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on°Job and this Card Must be Kept
rwxi STABr c
PAAS& Posted Until Final Inspection Has Been Made.1639.6
4 Permit
° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a.Final Inspection has been made. 1
Permit NO. B-19-1320 Applicant Name: Michael McMahon Approvals
Current Use: Structure
Date Issued: 04/23/2019
Permit Type: Building- Insulation- Residential Expiration Date: 10/23/2019 Foundation:
Location: 2 FULLER ROAD,CENTERVILLE Map/Lot: 188-033 Zoning District: RD-1 Sheathing:
Owner on Record: MYRICK,WILLIAM T JR& MARY Contractor Name `4 MICHAEL T MCMAHON Framing: 1
Address: 2 FULLER'ROAD 'Contractor License: CS=068111 2
CENTERVILLE, MA 02632T Est. Project Cost: $6,758.00 Chimney:
Description: Weatherization,weather stripping,air sealing, blown cellulose Permit Fee: $85.00
I i Insulation:
Project Review Req: Fee Paid.` $-85.00 .
bt
Date: 4/23/2019 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 after'issuance.
All work authorized by this permit shall conform to the approved applicationandAhe approved construction documents for which this permit has been granted. Rough Gas
All construction,alterations and changes of use of any building and structuresshall be in compliance with the.local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same.. l`
-- 1 Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire officials are provided on this permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing f• Rough:
2.Sheathing Inspection -� w �,••n ..w K �'
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 for 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 / <`` Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT pY<'✓' I
S