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HomeMy WebLinkAbout0157 LUMBERT MILL ROAD it�' -.. ..:y� ::. - -� '-, ,. - •� r :. _ .'f w r n ' , Y w , , , w r . to r : •k r. 'CI • - yl C Town of Barnstable Building a PostThis Card So That it is Visible From the;Street'~=Approved Plans Must be Retained on Job and this Card Must be_-Kept 8AAN$CABi.�. - ` - - - - _ ,.. MAS&. �� Posted Until'Final Inspection HasBeen'Made t �� �� �� axt� � Where a Certificate of Occupancy is Required,such Bwldmg shall Not be Occupied until a Final Inspectw�has been made. Permit No. B-20-1133 Applicant Name: CIMCO CONSTRUCTION INC. Approvals Date Issued: 05/26/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-.Residential' Expiration Date: 11/26/2020 Foundation: Location: 157 LUMBERT MILL ROAD,CENTERVILLE Map/Lot: 168-021 — W Zoning District: RC Sheathing: Owner on Record: BARRIGAS,JUDITH S&ACACIO Contractor Name" CIMCO CONSTRUCTION INC. Framing: 1 Address: 175 FIVE CORNERS ROAD Contractor License: 161550 2 CENTERVILLE, MA 02632 " Est. Project Cost: $ 1,200.00 Chimney: Description: remove corner portion of rotted area three season room. Replace ] Permit Feb: $85.00 using 4x4 p.t. replace sheathing. install siding alike Insulation: Fee Paid:, $85.00 Date. 3' 5/26/2020 Final: Project Review Req: 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 application and theiapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall 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. ) i - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: g Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 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 of SNE . �Q^ Application Number.......... .... . � w BARNSTABLF,MASS. Permit Fee..........35...............Zoning District........................ 019. '°rFv 1u►or°i Total Fee Paid^:-.._. . .....................BItDIND PT. .. TOWN OF BARNSTABLE Permit Approval b i } 4e, t Z� PP by.. TOWN BUILDING PERMIT Map............14 f.............Parcel....10A.JJ.F.BAR NSTA BL E APPLICATION Section 1 — Owner's Information and Project Location Project Address 151 Lth13e' Mil( r � • Village 6c I T C--6j i 116 Owners Name JG LJ JS rr . . � P Owners Legal Address 197 L&M wel Mat City ��N l�iZy 1�' C State MA . Zip 6143 2% Owners Cell # E-mail 1051 IJeAAR Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 00, Single/Two Family Dwelling ''- Section 3 - Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure)- ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler_System ❑ Addition ❑ Retaining wall ❑ Solar Renovation/ )2qAt N ❑ Pool ❑ Foundation Only Other- Specify Section 4 Work Description M .M gebuk a (c, U h 114 RT U 1 5 Wgfj .TASTAU S )bin I Last updated: 1/31/2020 Application Number.................................................... Section 5—Detail Cost of Pro osed,Cdfistruction NO, Project 1 Q � Square Footage of Proj4 p q g Age of Structure Dig Safe Number # Of Bedrooms Existing 3 Total # Of Bedrooms (proposed) r 110 MPH Wind Zone Compliance Method' ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics ❑ Wiring ❑ Oil+Tank Storage: Smoke Detectors c ,\ ;►t t Plumbing y.,; ❑ Gas ❑ Fire Suppression V y l r��':.'r`ll FFf '. i ' C a i 3 �3 r t 1 ' , `• { 0 Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom {r.as tt it z ° ` Publi Water.Supp}ly„ y0 c�i j .❑ ,Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8 — Zoning Information Zoning District Proposed Use Lot'Area Sq.kFi., Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed .�yj's t' ..`'^t° e- - i '.R F •t � J^....f { f . . 'r } ,f y. Y Rear Yard Required Proposed Side Yara Required °f�` Proposed Has this property had relief from the Zoning Board in the past•. ❑ 'Yes .❑-- No a Last updated: 1/31/2020 ` The Commonwealth of Massachusetts Deparbrent`of Industrial Accidents Office Of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizadm/Individual): Address: P• 00Y City/State/Zip: SAOMOO Phone#: Are you an employer?-Check the appropriate box: Type of project(required): 1.El I am a employer with 4. [� I am a general contractor and 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- wed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition workingY capacity. Paci for me in an employees and have workers' n'• 9. El Building addition [No workers'comp.insurance mp.insurance.: . 5. e are a corporation and its 10.❑Electrical repairs or additions required-] officers have exercised their 1 L❑ �repairs or additions Plumb' 3.❑ I am a homeowner doing all.work P right of exemption per MGL myself[No workers comp. 12.❑Roof repairs insiu ante required.]t - c. 152,§1(4),and we have no E �Nlal� Pal tJ employees.[No workers' 13.❑-Other r. comp.insurance required.] `Any applicant that checks box 41 must also flu out the section below showing their workers'compensation policy information .G.< t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors 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. If the sub-contractors have employees,they must provide their workers'comp.policy number. .'.• I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: — Policy#or Self-ins.Lic.M 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 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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi er the sins and penalties ..perjury that the information provided above is true and correct L Date: A/ -M ?�U Si store: r Phone#: �Q O .333 Ojjicial use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person iri the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the t dwelling house of another who employs i persons to do maintenance,construction or repair work on such dwelling house or on the groimds or buildmg appiutenaal:thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withliold�the assaance or renewal of a license or pe'raait to operate a'business or to constrict buildings:in the commonwealth for any applicant who has not produced acceptable evidence of compliance'with'the`insurancecoverageSrequired" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public-work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority" Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)'along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy.is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents &for infi=m'ation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: T ` , The Commonwealth of Massachusetts Department of Industrial Acddtrnts Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia ' Application Number........................................... Section 9— Construction Supervisor Name 61�4 d Telephone Number 5-0g" 33� 15SZ Address 1'57 LgY4W r►r1;11 IV City f�i1it � State �• Zip License Number 0429s7 License Type Expiration DateJ11W 1-4 Contractors Email TW6 6U1 CAI i- �,J6-Ir Cell # :90 1345 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and 's documentation re 80 CMR and the Town of Barnstable.Attach;a'copy of your license. Signature F Section 10 —Home Imp rovementIContlractof+' +.. Name 36617 r VI,BN10 Telephone Number J61P- Address 15 .Wily Ci1UrK-Wt t(G State MA Zip 0 2L�$,► , Registration Number RoK0 Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts St a Building Code..I understand the construction inspection procedures,specific inspections and documentation requ' by 7 0 CMR and the Town of Barnstable.Attach a copy of your H.I.C... nn Signature Date /�PJLt 7-0. Ze 24 Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780. CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date 4 Ni /U �'•J Print Name Ca',T (. rn dtjo Telephone Number E-mail permit to: j osco bLt"(ce Xt e COMCASi, NC�r Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ Fire Department!",- y # ' i Conservations . +'� ❑ t, w, �.s� ' L ;Gy; For commercial work,please take your plans directly to the fire department fir approvak Section 13 — Owner's Authorization I, USA K ( WO�J 0 , as Owner of the subject property hereby ;f authorize S� _� y. 'M 61b „to act on my_behalf, in all matters relative to work authorized by this building permit application for: 15 Qe MAI Q \ (Address of job) , ignature of��wne`.V t. '; �. �. - .t. -date',,! da to t 1 Print Name Last updated: 1/31/2020 t C9 t)F THE TQIy Town of]Barnstable rmit 0 9 g Expires 6 montks fro i we Regulatory Services Fee raszs,MASS 4 1659. Thomas F. Geiler,Director b Building Division - Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.to wn.b amstab l e.m a us z Office: 508-862-•4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number (00 : o ,) Property Address' ❑Residential Value of Work _r.0 0 Clt-,.Afinimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name l.,a,rt�Clo '� ��1 �--�� � �i--� �G h •Telephone F ome Improvement Contractor License#(if applicable) /�� 5 j 7 q construction Supervisor's License#(if applicable) 4�" FEB 21 2012 ]Workman's Compensation Insurance. �®��•��,���� Check one: ' � STALE y w 0 I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance isurance Company Name 7orkman's Camp. Policy# opy of Insurance Compliance Certificate must accompany each.permit�" :rmit Request(check box) Re-roof(stripping old shingles) All constructibn debris will be taken to �V A/ i ❑Re-roof(not stripping. Going-over existing layers of roof) ' Re-side #of doors ❑ Replacement�Windows/doors/sliders; U-Value (maximum .44)#of windows *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. NATURE: . PFILESIFORM51bm7ding-permit formslEXPRESS.doC The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations v v d 600 Washington Street ' t Boston,MA 02111 www.mass.gov/dia = Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information .. Please Print Le gib ti Name(Business/Organization/Individual): �40 — t. L ' Address: F' _ City/State/Zip:: ;n Phone.#:. jOef 23 1 V f Are you an employer? Check the.ap opriate.box:. _ Type of project(required):: 1.❑ I am a employer with' 4. ❑',I am a general contractor and I . employees(full and/or part-time).* have-hired the sub-contractors 6. ❑New construction . 2. I am a'sole proprietor or partner-T listed`on the attached sheet. 7. ❑Remodeling ' ship and have no employees These sub.-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P t3' 9, ❑Building addition [No workers'comp.insurance comp.insurance. = d.re uire 5. ❑ We are a corporation.and its 10.❑Electrical repairs or additions required.] i h i h ffi work ocers have exercised ter 11. 3.El am a homeowner doing all ` ❑'Plumbing repairs or additions myself o workers' co right of exemption per MGL Y mp 1.2.❑Roof repairs insurance required.]t c.`152,§1(4);and we have no - employees. [No;workers' 13.❑ Other com' insurance require *Any applicant that checks box#1 must also All out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavif indicating they are doing all work and then hire outside contractors must submit'anew affidavit indicating such.'. $Contractors 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. If the sub-contractors have employees,they must provide their;workers'comp.policy number.,- lam an employer that is providing workers'compensation insurance for my employees: Below is the policy,and job site information. Insurance Company Name:`_ Policy#or Self-ins:Lie. 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 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 vio]ator. Be advised that a copy:of this statement may be forwarded to the Office of , Investi ations of the DIA for insurance covera a:verification. I do herebycertify er the pains-and //en��alties of peijgq,that the information provided above is true and,correct. Si afore: o!/ `Date: Phone" Official use only. Do not write in this area,to be completed by city or town.offlciaL City or,Town: - Permit/License#. ; Issuing Authority(circle one): 1.Board of Health 2.Building Department 3:City/Town Clerk 4 Electrical Inspector 5:Plumbing Inspector 6.Other , Contact Person: v .Phone#:. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person,in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a'-joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.'.' MGL 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 business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority," Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit.or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city-or . town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance_for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. .The Commonwealth of Massachusedi Department of Industrial Accidents Office of Investigations ' r 600 Washington Street Boston,NIA 42111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax#617-727-7749 www.mass..gov/dig 'IKETown_ of Barnstable * Regulatory.Services . r MASS g Thomas1639. F. Geiler,Director. Fn► +" 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 Prop a Owner. �Y Must. , Complete.and Sign This Section If Using A Builder _ I, AcACtco isAP_JUC4 0, , as Owner of the subject . - l property Perty hereby authorize to act on tay:behalf, in all'ma.tters relative to work authorized by this buildingpeM3it ' As 3 L U ku t P o C,�,L - (Address of job)'- Pool fences and alarms are the responsibility'of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections Areperformed and accepted: U Signature of QVIlet S' store of Applica}t' s; Print Name Print Name 0 � ; Date Q:FORMS:O W NERPERMISSIONPobLS �tHE Town of Barnstable Regulatory Services = XiMNSTASLE, * Thomas F.Geiler,Director . y MASS. Eo 39. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 v Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER„: name home 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 procedures and requirements and that he/she will comply with 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 current) used b several towns. You may care�t amend Y Y y and adopt such a form/certification for use in your community. Q:forms:homeexempt W.guildrni(yl C°nsrrU�ti n.. R(.ula .. r�i'l'tlbli License: CS io41p,J�Per �sornL;Cen.Ct clay l�. se a CgRCOS a 20 CA PT FIGUHR p SpUTH YA Noyes Ro UrN MA 02664 = ,.. ^x Piration: 812S/2013 4 - �Q 1Q, 1 ✓ll.� � 'b�//� -: DTI C3,77i7'Z(ffai�F:a� Office of Consumer Affairs&Bi�smess Regulation r HOME IMPROVEMENT CONTR;gCTOR Re istration:9 -l53792 TYPe Expiration 1/8/2013 DBA ;+ P C&-F.REMODELING i CARLbS" FI _ i G E ,ROA 20 CAPTAIN NO.YES RQ S.YARMOUTH,MA U dersecretary n i r nrnnnnnriv _ .. - ' • Y G� '_ �'Iassaclu�>ctts- pcp:irtmcnt of public Su�ct� Board ul•Building Re-uLition.s and Standards. .. Construction Supervisor License License: CS 104107 C ARLOS F IGU EIR OA 20 CAPTAIN NOYES R D SOUTH YARMOUTH MA 02664 Expiration: 8/25/2013 nnr i nor _. I Tr`: 104107 � a.tnjuugts}noy;!m P!JVA ION i 91TZ6 V.w`uo;sog 04-IS aT!nS_m1a liva OT uo1;eln29-d ssaumsng puu saie,Bd munsuoO;o aawp o tun a i ono a e uoI t.tidga a ;a to a j . p 33I ' ; p ; u 3qe Ib gluo asn Inpinlput.to;'pgsA uol1t:.t;sl;Ia to 3su3317 sl 1 s Town of Barnstable oFz�ram, Regulatory Services o Thomas F.Geiler,Director Building Division R RARNSTABIB + h An Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4039 Fax: 508-790-6230 Approved, Fee: rf-1 CA Permit#: HOME OCCUPATION REGISTRATION Date: 2 Name:. T Phone#: Address: �s�7 ld%r�,�iGr� ` � V&ge: Name of Business: g4�i 1-21er a�t/dS Type of Business: //il9n�` d�� -� d<t Map/Lot: zi��' �✓�� INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space; 1101" • There are no external alterations to the dwelling which are not customary in residential buildings, and there is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects, o There is no-storage•or:use of toxic orhazardou$materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be mei.on the same lot containing the Customary Home •, Occupation,,and not within the required front yard. • There is no exterior storage or display of materials or equipment. In • There is no commercial vehicles related to the Customary Home Occupation, other than one van or one pick=up-tr.ueknot�•exceed•one torr:capicity,and one trailer not to exceed 20 feet in length and not to exr�ed 4 tires;parked.on the same lot containing the Customary Home.Occupation. • No sign shall be displayed indicating the Customary Home,Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the i dwelling unit. . I,._the undersigned,haver agr wi above restrictions for my home occupation I am registering. Applicant Date: 2 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS THE BUSINESS NAME in town (which you must do by M.G.L.- it does no give you p mission to operate.) You must first obtain the necessary signature_s on this form at 200 Main St., Hyannis. Take the completed form to, the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601.(Town Hall) and get the Business.,Certificate that is required by law. Fill in please: Date: y ` APPLICANT'S NAME: - � YOUR HOME ADDRESS: /S 7 Z1,7AWr /`��G.�l�, d�e�l�Gri//v ,,4 � A :) BUSINESS TELEPHONE # HOME TELELPHONE #: NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? ..�_ YES NO ADDRESS OF BUSINESS /rZ' L �'I,LL i2�j ��J1 MAP/PARCEL NUMBER 6 (Assessing) When starting a new business there are several things you must do to be in compliance with the rules and regulations of the Town of. Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses.required to legally operate your business in town. 1. BUILDING CO SS NER'S OFFICE This individu I h s ee yme�f an permiquirements that pertain to this t c�f�� .VVITFI HOME OCCUPATION r. ES AND REGULATI ut rized Signer re**. LY MAY RESULT IN FINES. 01VIM E NTS: —� 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized.Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: s ZONING VERIFICATION TO: Linda Edson FROM: Kim M. Gomez - Leased Dousing Coordinator RE: Legal Rental Unit Verification Date". Unit Type. --mi / Bedroom Size: Map & Parcel No.: The owner of the above listed property is entering into a contract with us for the rental of the property as listed above. Please verify by signing below that the unit is legal and meets all zoning requirements for a rental in the town of Barnstable. If it does not, please list reason here: Than o for vour s ance in this matter. SSi store Print name Date VIA FAX: ;90-6230 A'MvP Section 8 Rev. 8106 T d ?,T668LLB0ST joygnu 2uisnoH ejge4sujeg e09 :60 L0 9'0 �+ -W TOWN OF BARNSTABLEJ BUILDING PERMIT APPLICATION Map Parcel Permit# Igo-too Health Div` ion 3—fs 34' 1 - Date Issued I�Io y Conservation Division Ci CL Application Fee *6-7 �ax Collector s 9�r9 /6 Permit Fee � reasurer � Planning Dept. t. Date Definitive Plan Approved by Planning Board SEPTIC SYSTEM MUST BE Historic-OKH Preservation/Hyannis INSTALLED IN COMPLIANCE neTN TM F 5 Project Street Address 1 5� L��bt'a a a !rQ_ AN REGULATIONS ENVIRONMENTAL CODE AND Village Owner (5L5 8 A F_&t!e1.A3 Address .lS 4_14, Telephone O G'�Iy Permit Request A- I;t ,C Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -0 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 5/ Two Family ❑ Multi-Family(#units) Age of Existing Structure LLyRS Historic House: ❑Yes @1Vo On Old King's Highway: ❑Yes U No Basement Type: Gtull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ' ' Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: @'Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes 5irNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes 9flo eV Cn Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑ w size Attached garage: l '•- ' �-_ g g R(existing ❑new size t6 X t 3. Shed:❑existing ❑new size Other: �.�J_ Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ( Commercial ❑Yes ❑No If yes,site plan review# -Current Use .,�,• �- - -. - Proposed Use=r rn BUILDER INFORMATION Name (�;g_S g� b _z 13S- . _ Telephone Number ��l� ,S��S��C ,,Address AAjAot 4ok License# G>2e yoa-icy /�A • Home Improvement Contractor# ®-kC,tt q Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE J FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER I DATE OF INSPECTION: FOUNDATION - FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL, GAS: ROUGH FINAL, m FINAL BUILDING 1����I� lk-;M m Cl F- DATE CLOSED OUT f2 . 5 r ASSOCIATION PLAN NO.J ' c'y 2 S ¢ N • 1i of��E TO' of Barnstable • ' '" ��, Regulatory services. 1 a� $ Thomas 7.Geiier,Director• Building Division _ lFb h1A'� . • Tom Perry,Building Commissioner• 200 Main Street, Hyannis,MA 02601 , 0ffirm: 508-862-4038 Pax: 508-790-6230 permit no• Date AUMA IT • HOME IMPROVEMENT CONTRACTOR LAW . SUPLEMENT TO PZPJY 'APTLICATION • MQL c,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •improvement;:removal,demolition,or contraction of an addition to any pre-existing owner-occupied building containht at least one but not more than four dwelling units or to structures which are adjacent to such residence or building b e done by registered contractors,with certain exceptions,along with other requiraments, • Type of Work:« 'bec-K J* I >C !I--Estimated cost �I 000. ee Address of Work: 15-7 L%A-••8 eg--F • M Owner's I hereby certify that: Re.#stration is not required for the following reason(s): ' []Work excluded bylaw []lob Under$1,000 ' []Building not owner-occupied jROwner pulling own pewlit , Notice is hereby given that; . . . oWnpa PULLING THM.R OWN PERMIT OR DEALING WITH UNREGISTERED f CONTRACTORS FOR APPIAC4,li HOME MUROVEMENT WORKDO NOT 11A ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY YM UNDER MGL c.142k ' SIGNED UNDERPBNALTMS OF PERJURY 'I hereby apply for apernut as the agent of the ovmer: Date Contractor Name RegistrationNo. D 9Emer's Name The Commonwealth of Massachusetts •. • Department of Industrial Accidents' 600'Washington Street Boston,Mass. 02111'. Workers' Com ensation.Insurance Affidavit-General Businesses •- gam, .� �9�'�-S _ ��.tQ/� �' 'c f —+ _ :•� ' address; e-f state: a4 zi Di 6 hone 034 U.— o full address I� [ fir` �' 1 tiL li(�' 1!✓J�e4.• work site locafiori ' [] I am.a sole proprietor and have no one Business Types []Retail[]Restaurant%Bar/Bating Establishment ' worksng in any capacity. [�Office❑ Safes(mcluding•Real Estate,Autos etc.)' ❑I am an em to er with eta•10 ees(fiill& art time: Other � �%� mu� n/%///T//////y emjpl/oy/ees working on this job., %%/%%%%%/emu I an��loyer providing vto , ,r:�+ .y.':.{:�'a{..1:4t r •r: �'i`'c .,5;;::• .•r.s`�,'.^.' ,c' ••d:i••1i ':+?I'�''' •fir :l: ','..•:e:., COIIl'ati•S1arIIH: ,:.. .� _; i:: },. , .. ','ri•=i;• .•(': '+:f. 4; '�• 'r' - s. .rp :9 '}. .i',,,1 '4' 'u• •r Y4.•;r ,:. •f.a,v',.: �1.: .it>:?�. ••j i, ": 'l•. ..a '.. .: .%J•..' -5::•r'.':i..+i` +;+.yi. .}: !.. :r.•' :)" x'( wti. r}•-/'., r e. '+• .•qr._:1•:•q: .. {•.y' S: LaT •i:r•' r ;' •••'.. •.:�i:'1 :•t?' ,i 7.''-,'�`' ... :r .,: bona..#:::,+::�;'_ ; •, . .i 11I• n Ce.CO: .•..:..1: '4 0,• ..•: �1.;�`;':.; •�!. ..°'.: '..:;• , in5 ...: '...•.�:.:>: :.•:.,:'.. .::.;_...; i //a �j I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: i {'i.r: i:S•"� +t:+� 'r+' r+�:.�t: ..e •':' S'i: 'i"' "�"`-l``, ':T.a 1'n'k..��t;�.,i. :.;.::�' _ ca en 'n'ariYe: ^.+: M1,„..�1, !„�•�'f :Y. +V .!r '1�• •,%. i,�. �i•� fI + •l, i f• i•=+.:.�. �.. • ,•=••4 IR Li sddress:. t'!r� ,t•a �7?.•,.'t:;�:i3^`r?:'I;. '�:,::1 �:.;• ,. •ij,�, J. •.t. •�!.�•r::r y= ,.�' .1, e.#.. :r Cl � ,„, :.�, ;.rv�.�y:'I`. lr�y.;. 'e'1,,r::• <,^a'.�. { :;r''�••:i.�_.::+ . •ii�,Ah.�. •'r: r.`"' '+ ' i" i:�:•a,. v;.c .;.•.'r`+ ,:N?7;1:'•;' C' OliC /:Y :;}• ::' `f' insurance-co. address:. =. ..• ' r .,:,L .rt•.. .ti.. !i'1.',• r4' ',•1L�ti .TLLsm'.,,•+ ^{'4, '1 .. `i •. ,',_ - :i•• .:f :'t: 'i., �.� •a. .i 81�•s•+.•c{, -7.*•. _ri,',-- ,' .I:;'„ •:.,•i'.:1:° to 1 icy insurance'eb: Failure to secure coverage s9 required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'impr�onment as well as civil penalties In the foim of a STOP WORK ORDER and a rive of$100.00 a day against me. I understand that$ copy of the statement maybe forsvasded to lice Office of Investigations of the M for coverage verification. I do hereby eerti under thepains and penalties of perjury that the inf formation provided-above is true and�rfe . Date _ l e (,Signatuie Phone# �S$g" 3 t 3 4•-•• . Print name J official use only do not write in this area to be completed by city or town official city or town: permit/license it ❑Building Department , []Licensing Board ❑Selectmen's Office ❑'checkif immediate response is required 0$ealth Departmenrtmen t contact person: - phone Y; ❑Other _ (ravib edSept2003) _ Inforniation and Instructions. Massachusetts General Laws chapter�152 section 25,regees all employers to provide workers' compensation for their. :mployees: quoted from the `law', an employee is.defined as every person in the service'of another under any contract lie oral or written. of hire; express or imp •�� � ; association, corporation or other legal entity, or any two or more of An employe r is defined as an individual,partnership, rp • the foregoing engaged in a•joint enterprise, and including the legal representatives of a deceased,en7ployer, or the receiver or trustee of an individual,partnership,, association or other legal entity, employing employees. 'However the owner of a dwelling house ba`nng'iot-more.than three apaxtrnents and-who resides therein, or the.occupant,of the dwelling house of mother who employs persons to do.rnaintenance, construction or repair work on such dwelling house 6r on the grounds or building appurtenant the, shall not because of suchemployment.be deemed to be:an employer.. ' MGL chapter 152 section 25 also'states fhaf every state*or local licensing agency shall withhold the issuance or renewal of a license or permit.to operate a business or to construct buildings in the.cOmmonweaIth for any applicant who has not produced acceptable evidence�of.compliance with the insurance coverage required. A3ditionally, neither the' ' coir>rrionwealthnonany.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fil] in .the workers''compensation affidavit completely,by checking the box that applies to your situation.:Please ddress and phone numbers along with a certificate of insurance as all affidavits may be submitted supply company dame, a to the Departrnerit of Industrial Accidents-for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavii.should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`flaw"or if you ale q t e iimpber'listedbe ow. lease call the D artmen at the . Tequired to obtain a workers. •compensation pohcy,p eP i City or Towns . sure that the affidavit is ebmPlete and-printed legibly. The Department has provided a space at the bottom of the Please be affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the app f licant. Please sure to fi11.in the permit/Jicense number.which will be used as a reference number.. The.affidavits.inay.be.returned to, unless other arrangements have been made. the Department bj�.mail or FAX• The Office of Investigations pleas would like to thank ybu in advance for you cooperation and should you have any questions,' do not hesitate to give us a call. ' / The Department's address,telephone and fax number: . , The Commonwealth Of Massachusetts, Department of Industrial Accidents 6ft�ce o(�nitssti�atlens ' 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext.406 i Town of Barnstable regulatory Services Thomas F.Geller,Director BAMSrABM MASS. ,0� Building Division .DIED�p Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma:us Office: 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Se,r `/ JOB LOCATION: /97 LK'''r&aT R,d wo Cet, W1✓!!Ie number street village "HOMEOWNER!': 64Ss-OV-R b name home phone# work phone# CURRENT MAILING ADDRESS: Aoycli-4L D✓- Gte,srot,le MA . ©�yy city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwelling of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,Qrovided 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 requirements and that he/she will comply with said procedures and requir ts. 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:forms:homeexempt c^Y_l o N o f o MYY LI N E JM Y N CYT 'B E cc A E STANDARD LEGEND \ / NOTE:not all symbols will appear on a map 6 ` ;4 1 - GOLF COURSE FAIRWAY 00 1 �� � .� EDGE OF DECIDUOUS TREES � ' ! � � _ '` - EDGE OF BRUSH ORCHARD OR NURSERY EDGE OF CONIFEROUS TREES MARSH AREA _ . : .....- EDGE OF WATER DIRT ROAD 1 ❑ DRIVEWAY PARKING LOT ❑ s PAVED ROAD ----- DRAINAGE DITCH r 1 --——— PATH/TRAIL PARCEL LINE** MAP 326 �— MAP#021-,--PARCEL NUMBER #367 E HOUSE NUMBER 2 FOOT CONTOUR LINE j I _._ i r � [J`] ~�` —!0 10 FOOT CONTOUR LINE / Elevation based on NGVD29 JJJ1 ❑ 6 MAP 8 ,, \ • 4.9 SPOT ELEVATION f Sl ,'`. 08 Zr STONE WALL - ; FENCE, RETAINING WALL + + - RAIL ROAD TRACK STONE JETTY - 1 i I / - \- � SWIMMINGPOOL , f PORCH/DECK i 0 BUILDING/STRUCTURE DOCK/PIER —- _ -✓ i\ \ / q HYDRANT ❑ / e VALVE O MANHOLE MAP 168 o POST OF' FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 O N S Y S T E M S U N 1 T .a SIGN ® STORM DRAIN x PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James 1"=100'scale map and may NOT meet of property boundaries.They are not hue locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD 0 UTILITY POLE II TOWER w- —a National Ma Accuracy Standards at this do not represent actual relationships to h ual objects Corporation. Planimetrics,topography,and v vegetation were mapped to meet National Ma Accuracy Standards �' � 20 w 4� � ry P P P YS I Pe9 PP P ry s 1 INCH=40 FEET* enlarged sca e• on the map. at a scale of 1"=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps. ¢ LIGHT POLE O ELECTRIC BOX i v bomb< 2 r Eyct� � aFf `1 I Q &.4IVAJ17-4.0 Desr esp4ovt- pi/ )x#4 --- ------ --------- ------ oF�HE Ia,,, Town of Barnstable *Permit# 7 17lZL Expires 6 months from issue date ,,,,�, ,� , : Regulatory Services Fee 9b Thomas F.Geiler,Director .p �ATfD MA't A �©�I Building Division Tom Perry, Building Commissioner A•PRE 200 Main Street, Hyannis,MA 02601 e� Office: 508-862-4038 JUN Fax: 508-790-6230 � 7 2004 EXPRESS PERMIT PP without APPLICATION Press(RESIDENTIAL ONL"OF E3AR NL P NSILASLE Map/parcel Number Property Address S-7 LCfh�3c2r �1iif p / ❑Residential Value of Work Owner's Name&Address LN AA-)-- l- 0 R, Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on tile. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side [Replacement Windows. U-Value (maximum.44) *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. Home Improvement Contractors License is required. Signature Q:Forms:expmtrg Revise053003 rYl v i J b �. '�rrii�"--��a,�• !h, � i � � A.�. � _ p,#� � � i�r((a�� ���ll�t�s,�� 1 ey`f4i� `+'.��yy'':►•4 '� _,,�' � r� .tea ..s '+ �i' '' ,�r.� .< m � i• �I�h`� .. `'p�1�'a / • A ,��'�� +ems c d�.`.r s's+ •. v � ...,; • ;? 7 g 1MMM� F xT wl mid '` �' � � fir; '°''• A e 74f -44 , :� � . rl Wit'•,, ` , r ~ r • � 3� .yg-' oil 6 1' All -. "• .r tr Mc- — *�+-�"'�•...,� .y � � �.y, s- "r `. s ',s r "^a'' +�'.. - ,, -, a"�,.- ;�, � Wiz* .. 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"'+.':,1, .'� �`�t� •y• �.•.,� ^a�'r �•»;;y�.`�- ,s._,�"5,t �,�p� ; +r''•,. ?�a. `*... .c:� '"�' ''+�',,. k, `"�2 "a ; c+- #s r..«`.�.,r*t�'a`j";' '�`,'4�tEf���7" i$ z,� . tJ i � `x -•.„"e �%' 4 ,, rx y`y r�"x,'�.'."`�Y'� pF r� "�''�y rw_, .� arr?*' .]�. `�� �z� -l�r"•a�.:s+�ic�: '� _ �, :� -x;- s.--1 ~<`�' _ L` ,•r" " ,�' .., . *d x. mf` 'r*•� 1'"S� � � t i��C,r .-:� -?a�.` •�•e5s. ;i�rs � ';.. g.:. • rL o" �• � 'r�g, s: "'t"'?,;'�TJ"r � � � .� . '" '� �.,�' R ��i " ,ah t �: x k' � nR� r»,; ,A'r„ '� , 1 w . m-� , r faA , w w n - 71 Assessor's .map' and lot number ............ � � ' L a l SEP ric Sewage Permit number . a�! cD p; � PC a'� A,q d" (� P�Of HE Tp�y n Q. T O N O F' B 1L RI k' r`: ADZ �+ . i BAHH9TAIILE,;� 9 0 ,sue "b q , BM1I, DING INSPECTOR APPLICATION?FOR PERMIT To .. /j 4UF G'�O��p....... e U....:'.................... ....................................... TYPEOF CONSTRUCTION ...............................................'....................................................................................... h� S ..................19.�.`7� .............................. TO THE INSPECTOR OF BUILDINGS: t w The, undersigned hereby applies for a permit according to the following information: Location �..� .: U .l'>L.. .l. .../.:(.11 ,..... Y.... ....C. T .X.. ................................................... Proposed Use/4,�d.yt.. .. TfkPAX..... L '( ��/�i-,.1Jb U�...'...F!! .1.�.�............................V� .......... Zoning District Fire District.......�LG�„ _ S T�'..?.e)i.1 P'......• ............................................................... ........ . ...... Name of Owner PY.4.....r ............Address W..... Nameof Builder .........:................................:.........................Address .................—............................................................... Name of Architect f ................Address Number of Rooms �- ..................................................................Foundation .............................................................................. Exierior ....................................................... ........................Roofing .............. ..............................................................•... Floors .................................--......-....•.".........................................Interior .................................................................................... �' Heating -...........................................Plumbing .............. ............................................................... Fireplace ............................... . ...............................................Appr oximate. lc�ost ,�!�w?f ^......................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH k-1V G L S CP W/%h 6 r � TFht 30f-F 7- ,—o s Pii 74N4- POO 1� i3 N� yUVS� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . G"! /,,,/ .. ..6.. ................ ~ Paul K. � � _ . � �� JNol7g�7 � ' `-----�._Panni� f�r --.�qy!�..&�����.. ___. l.......................................... ^ ' ' . . ` Location ---^_1�7 . Mill Road ' C������111� --------.. ~-~---------. . 9spl K. Prescott Owner ------------------'.---'' P001 Typo of Construction -------------- � � . . / ^ -.---f r^--------------------'' ~~` ~+ ' p�� ` �� - ' - -------.. ----------.. � ° . ^ ' ' � �� 7� Permit Granted ����=~°=^ lV � n -- -----.��--. ' - . � . Dote.of Inspection ............................ --lg Date [omo|��e6 --.. ^��---lg� ~ . ~ PERMIT REFUSED -----'-_.~------------.. 19 � � ........................................... , - . � -------`----------~'----_-- � . . , .----..-------.....—.---~—~--- � ^ . ---..-----.—.---------.-----.. � . - . . ° ` -----..---------.. lV � �.� -�� ' -------------------------.` i ----------.---------..---.-- , . . Assessor's map and ,lot number ... ..�.: .:... ............. ° Sewage Permit number ' i �0*THET TOWN­ OF BARNSTABLE 9ASBSTA13LE; 06 MP Ya.��� 1,111LDING INSPECTOR y t- i1 i APPLICATION FOR PERMIT TO ... I�3. ..u�..... vw1?.............. .. '............................................................... TYPEOF CONSTRUCTION ...................:................................................................................................................. .........................`.....................19.7.`. 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .. . ..Z U1V� �n1 G 1� l �'1 i L I_ l�/7. ( t Al r C-,r li'/L �..��.................................................. ................................................................................................... �7� ....................... .....s,i..... ..........................�.r..l...........F..�....../.t 1..1../ !�........../i....S...G...�....1../..L..�..`...sed ... ..Propo ..........!� Zoning District ..................................................Fire DistrictCE!V.l "��il�/� �!- - C' 5 i f/✓l 1 / l� ...................... ......................................................... Name of Owner U ...n�FS C..� .............Address / 1�7 /- Glk 0 6: 7- IV14 i ............. ........ ..................................:.:,............................................ (1-Al i t- /? Nameof Builder ............................................Address .................... Name of Architect r.........................................Address ................ Numberof Rooms .................... .............................................Foundation ......... .............:..................................................... Exierior ......................................................-..-.............................Roofing .................................................................................... ...........Interior .................................... Floors --' ................................................ ............................................................................ Heating — — ...............Plumbing .........................................Approximate Cost Fireplace ......................................... .:.............:.C..............................:. Definitive Plan Approved by Planning Board --------------------------------19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i 119 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. j Name ........................ �:. .... .....................:..:.. � ........... Prescott, Paul K. A=168-21 17957 privat sw ing No .................. Permit for. ..................... ...... ........ pool,_i(abbve ground) .......................................... a t 2 ..n-g ........ ............ 1 157 Lumbert Mi.11 Road ... .................. Location ............................................. Centerville ................................................ ... ................. . ..................... Paul K. Pres�lott Owner .................................................................. Type of Construction .........�4......................... ............................ ......... ................................... Plot ............................. t ................................ Permit Granted ............ 75 Date.of Inspect[ h .........I...........................19 Date Qoi /7d .......... .............................19 OERMIT AEFUSED ............. ............................................. 19 . ........./................................................................... ....... ........................................................................ ............................................................................... ............................................................................ Appro�/d .... ... . 19 ............................... . ...... ................ ................ ..........................................