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0268 MONOMOY CIRCLE
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Approvals Date Issued: 11/13/2018 Current Use: Structure Permit Type: Building_Insulation-Residential Expiration Date: 05/13/2019 Foundation:, Location: 268 MONOMOY CIRCLE,CENTERVILLE Map/Lot: 190-210 Zoning District: RC Sheathing: Owner on Record: LABER,7ASON R&1ENNIFER M Contractor,Name Carl J Rebello Framing: : 1 s`Address: 268 MONOMOY CIR Contr ctor=Uc CS _ D84358 2 CENTERVILLE MA 02632. Cost:Est Pro ect 6 098.00 st : J $ Chimney: Description: Insulation &Air Sealing. Permit Fee: $85.00 z. .� Insulation.: ' Fee Paid $85.00 Project Review Req: ; Final: Date. 11/13/2018 } ,f Plumbing/Gas a (17� - A uo . . Rough Plumbing: � Building Official Final Plumbing: This permit shall be deemed abandoned and.invalid unless the work authonzedby this permit is commenced within six months after issuance. Rough G8S`. All work authorized b this permit shall conform to the approved a lication and a roved construction documents for whlch'this ermithas been ranted. g Y P PP PP PP P g All construction,alterations and changes of use of any building and structures�shalhbe in compliance with the local zoning by laws'and codes. Final Gas: 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 work until the completion of the same. b Electrical I The Certificate of Occupancy will not be issued until all applicable signatures by,fhe Building and.Fire Officials are prrovided on this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work 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" (asset forth in MGL c.142A).. Fire Department j Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Qu��Jrf a Town of Barnstable *Permit : Expirl tf mon is front issue date . X-PRESS PERMIT T Regulatory Services .6 Thomas F.Geiler,Director AUG 2 4 2007 Building Division ���° TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 U www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number l9�Zg(o Property Address 6�7 ET Residential Value of Work4 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Ur4;r,17 Lqb er A6Y AIdAemey y,/r c.Cnl ram,'Ile A17A Contractor's Name Telephone Number 5-24— 7f e " �90 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 file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to 1 ❑ e-roof(not stripping. Going over existing layers of roof) Re-side d,4-- � dReplacement Windows/doors/sliders. 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. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 Town of Barnstable �DFSHE Tp�� y�P Regulatory Services . * BARNSTABLE. % Thomas F.Geiler,Director 9 MASS. 0.19• .0 Building Division Tens s 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 'f Please Print DATE: �/ 'or�� — D JOB LOCATION: R68 44mome'y er/- Ile M,4 02672` number // —/ street p p �p village p •HOMEOWNER": ow_ 6O 7 G. 4el" �0e 7 /O—Y7df- P O_ 77P— 3 P/p name home phone# work phone# CURRENT MAILING ADDRESS: 0 tc 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 requir nts. Si ature of Homeowner Approval of Building Officialmil Note: Three-fay dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 121.0 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 The Commonwealth of Massachusetts • Department of IndustrialAecidenis Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance.Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Lesribly C--��ity/State/Zip: ame (Business/Organization/Individual):. c�V&f1 ddress: o?loP' IMA M oy el%, rvrWr /l�lr4 Phone.#: $��- 7f®- ypor Are you an employer? Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. ❑ I am a general contractor and T . employees(full and/or part-time). have hired the sub-contractors 6. New construction . 2.'0 I am a'sole proprietor or partner- listed on the-attached sheet 7. ❑Remodeling These sub-contractors have ' ship and have no employees 8. ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp. insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 101Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' camp. 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 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 end state whether or not those entities have employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance far my employees Below 1sthe 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 maybe forwarded to the Office of Livest4rations of the DIA for insurance coveragae verification. do �reby certify:enadykepains-andpenalties of perjury that the information provided�above is true and correct. S' ature: �� Date: O -� —d _ Phone#: Or— / 7 9 Official use only. Do not write in this area,to be completed by city or town ofciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Town of Barnstable Regulatory Services Thomas F.Geiler,Director • RARNMBI.e - g l 3`"' a i ,� �L 9� b � Buildin Division ''{ ` �tiR,NST is aTfp �° Tom Perry,Building Commissioneno,, 200 Main Street, Hyannis,MA 02601 AN I I PM 2: 31 . www,town.barnstable.ma.us Office: 508-862-403 8 l `;;'j S(G:' ax:--Sp8-790-623 Od PERNIIT# �JO �(0� v FEE: $ SHED REGISTRATION 120 square feet or less 6267 Ma/10moy Circ /r, Cehkyvf' ll In ,L ez& 2- Location of shed(address) Village Property owner's name Telephone number r � i Size of Shed Map/Parcel 2 A ZPA ature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(sig re is required) Sign off hours for Consery tion 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV;042506 4ot • - N O -- � ` = (o(,•• R_z�o L�e vS ���� ,800 222c►, P � 66AIRt"T.e4e (::1041Nry NOTE: THIS PLAN WAS PREPARED USING MEASUREMENTS COMPILED CERTIFY TO: ��� FROM ASSESSORS OR DEED INFORMATION,APPARENT OCCUPATION LINES, OR FROM PHYSICAL EVIDENCE,AND HAS NOT BEEN VERIFIED �—^- BY AN ACTUAL INSTRUMENT SURVEY. UNDER NO CIRCUMSTANCES IS THE INFORMATION HEREON TO BE USED TO DETERMINE, PROPERTY LINES,FOR CONSTRUCTION,OR RECORDING PURPOSES,OR FOR DEED _f5- / DESCRIPTIONS.IF ACTUAL LOCATION OF PROPERTY LINES IS NEEDED, NOTIFY SOUTH SHORE SURVEY CONSULTANTS, INC. FOR A FULL THAT TO THE BEST OF MY PROFESSIONAL BELIEF. INSTRUMENT SURVEY. THE STRUCTURES SHOWN ARE LOCATED APPROXI-. MATELY AS DEPICTED AND A-bO ❑ DO NOT CONFORM TO ZONING BYLAWS WITH RESPECT TO OUtIi HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY, OR ARE EXEMPT FROM VIOLATION ENFORCEMENT hOre UNDER M.G.L. CHAPTER 40A, SECTION 7. 1 HAVE . CONSULTED THE NATIONAL FLOOD I URANCE UPUey RATE MAP AND THE STRUCTURE ❑ IS.�IS NOT : Consultants, Inc IN A SPECIAL FLOG HAZARD AREA --- (FLOOD ZONE ) e7 o_�` Registered Land Surveyors p_iH of n1gss & Civil Engineers 0►srE9 4c 167 R Summer Street, 'Kingston,MA 02364 cm P. ra (781)582-2185 (800)479-7553 SYNin Na FAX(781)582-2239•e-mail: sshori@idt.net 33947� P / �arop SuflUE+�Q � . MORTGAGE LOAN SCALE: INSPECTION PLAN OF LAND IN DATE: RPLS 3l 9 //�� ?JOB NO. Assessor's office(1 st Floor): Assessor's map and lot � number A9 poi tN t Toy Conservation 3'—b ^'/ g ~� I '1 -SYST �,,�t�P `. Board of Health(3rd fb r13YALL Ily C0 or): . `Sewage Permit number �� � ti Engineering Department 3rd floor): � ����� rua 'House number ¢ . MAI -''Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE t BUILDING INSPECT OR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: r Location ao`"/q eigc L z- Iry/ 2U11,L = �Z,4 Proposed Use SZAS6I'U14 L- Zoning District Fire District Name of Owner Address �60 d��IQ Q U1144-- Name of Builder /f I/S` o�cu � //�d7 Clgqy Name of Architect �aufs/OPos Address —15404E- Number of Rooms x Foundation Exterior GU J/ ��Y1 � Roofing > � A4 Floors Interior Heating Plumbing Fireplace Approximate CostQ0©_ d a Area �� oB Diagram of Lot and Building with Dimensions ; Fee 't i I f I �6 S OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the aboveLcontruction. Name IS Construction Supervisor's License a�88 T�6 I?FG-w 10 of'Q®/ MUSSEY, JOHN w No8"8-8- Permit For Build Sun Room Single Family Dwelling y Location 268 Monomy Circle _ r t Centerville Owner John Mussey _ Type of Construction Frame Plot Lot - I Permit Granted May 19 , - 19 93 , i � ;•µ � Date of Inspection 19 + Date Completed [ 5 / �1� 19 i J i \' ASPHAL lz t%-101 u REVIslot - 17 - 9 1- - 3 . . is sioF . 2 � it 12 ACAS 2 vcb -� rk � I I4 WALLS ,cal v f - � @ 6''oc r5 - 17 -93 2 - 3 FRO K r��LFA T'p i Oi!t BPS �L4 Zito@ �b„ 4�- SAUNaTuBES / I I)f@ J4' w�si ntisoru PLAT9S Fo¢LAgs H t 3 - 5 _R�v►s� ors �oufuloQ /6o � o� A s se go s map: and lot number L.. . l &14/' 3 - ?� r f t SEPTIC SYSTEM MUST BE e Sewage Permit number .... INSTALLED IN COMPLIANCE WITH ARTICLE If STATE SANITARY yo*THEro�y r TOWN OF- BA I L ' "" t' i BABISTADLE,'i ; "✓ [ ' i639Moor RU101' ' G � INSPECTOR APPLICATION FOR PERMIT TO � �°S. ?�.....�.d........ .��.......... - ........................................ c' TYPEOF CONSTRUCTION .......................................:....:..:......................... ` ........................... .........:.......... c } � .... .......1927 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following \information: Location ... t ......... '.0..... .............. ProposedUse .......... ........4 ve! ,r !! .....................................................I.:....................... ..............................................Fire District ...........e.—.0 .......................................:.......... Zoning District ...........� Name of Owner�� .. .... `?. ' .`. .Address Name of Builderj�y� .`� ......�1 C'Cif/Cf7<<o ................Address .......`.1 .... .......... .................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .....................3 ............................................. ................................................................................ Exierior .................:..................................................................Roofing .........:.........:................................................................ Floors .........................................Interior ................... ............................................. ....................................:............................ Heating ....Plumbing Fireplace ..................................................................................Approximate Cost Definitive Plan Approved by Planning Board -------------------_-----------19________. Area �— vro Diagram of Lot and Building with Dimensions. Fee .j SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. — " G..... `..::......... Mussey, Robert S. No .1$98.6......:Permit for ..f iu tsli-darmer...... - sfi• le..£aanil dw,e Location .26a..Monamoy..Circle ..................... ..............Cent rvi.Ue......................................... Owner ...Robert... ....Mussey............................. ' f.. Type of Construction f.r.aMe.............................. ................................................................................ J Plot ......Y...................... Lot .............................:.. . Permit Granted ..Mas ..k......................19 77 J o Date of Inspection . ... .......19 Date Completed .-.;�/ ...............19 PERMIT REFUSED a .�...... ..i ..................................... {{, .......... t #" ...... - ..................................................... Fri Approved ................................................ .19 ........................................................................ V i �v 0 z . r FEE 11_ a rl � TOWN , (7F� BARNSTABLE, MASS. °D� u a dV4 19 0 o�•� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO V C u� V _......................................................................._.__.._........._..___........_..................................__........I.............. ..............................................................................I..............._..... �� O .•. (PROPERTY OWNER) (ADDRESS) bo o b w a TO ...................................._........................._........................__..................... _.............._......................................................................................................I....................... 14 .8 O (BUILD) I TER) (REPAIR) ID y y A R ..........._._.... .............................. .................................................... _......... _................. ..__.__. Cf� C (TYPE OF BUILDING) (APPROXIMATE SIZE) a7 M oa LOCATION ........................._............................_............_......_........................___ ..._......................................................................................................_...._..._ ----- d (STREET AND NUMBER) (VILLAGE) � m M NAME OF BUILDER OR CONTRACTOR _ ...___.._.._.._...__.._......._..___......._._..._..................._............_._..................................__............ d d� APPROXIMATE COST d 07 A o�m,d o I HEREBY AOEE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN OF BARNSTABLE REGARDING THE ABOVE CONSTRUCTION. od /- PO c p M (D C y (OWNER) (CONTRACTOR) C13 O Jj 0 p d __......._......._...__._..._.....__..._.._._._.............._.__.................................................................................... y 0. e BUILDING INSPECTOR Subject to Approval of Board of Health. — 1 5M 3. � p: .��G+;a .i ,.1�J1�..iT �v �l ^t:w.1� +`� P'� �+�'q.•''� s• od;:a .;+ I ti`*"' N 'e["..: ;ai '5 e'Spm title,: it aJ f1 f J f y i y -^ --.... ..•`_..-..-ti.-.ti..---.-+-�""..�_..-r..,.�,•_,,,.--._ �j .•.•.--.�..,,-.-.J'!'br-�.-......••---�*....�.-..�;.^�r�r•....-+a..��-,..�..L,.�-.•.r-.�.---•+-"---.—^,-"'"" -. ...,ram•.—'i Assessor'-:�map` and 'Got number " `' 1 . � INSTALLED IN COMPLIAMM Se 'age' Permit number .. ....��i.. ` �'.................:. ...::... WITH AkTICLE II 5TA1S SANITARY CAM AMD,,�T t L. TOWN OF BARNS' E i ypi THE i BAB39TADLE, i 1639. ` DUILDIHG IN�.SPECTOR APPLICATIONFOR' PERMIT TO ... . .................................................................:.................................................. tee. TYPE OF CONSTRUCTION ....... �r" ............:......... f I. .3l... 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followingenfomotiion: Location ...... .... ........ .... ............Me7)n ........ ....... ... .................................... Proposed Use ...dF lea. . . Zoning District .......................................Z041-*O& .. ..................Fire District ........... ......................................................... Nameof Owner ...V... °'.�.�. ......................Address ........... ...... ........ ..................................... Name of Builder ................Address Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms .......... ........................ ......................... ......................... Exterior ...... . :..'.. .,4..........................................Roofing ........ ..................... . .... .. .. ...................... ................. Floors ............. .................................................... .... ..................................................Interior ...... .......... Heating ......P„ ... .........................................Plumbing y Fireplace .... . ... ...... .. ..... .. ............. ....................................Approximate Cost ..... ... Definitive Plan Approved by Planning Board -----------_----__-----------19________. Area /�"'a S`�' Diagram of Lot and Building with Dimensions Fee ..................... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of BarnstablIre rding the above construction. ...........�..... .... . .......................... Name Small, Alan E. one story, Nb ..:.............. Permit for .................................... single family dwelling 4 Locatic onomoy Circle Centerville ............................................................................... Owner ,,. Alan E. Small ....................................... Type of Construction frame ................................................................................ #65 Plot ......................... .. Lot ................................ December 31 74 Permit Granted ....19 -.................................... Date of Inspection A D/7�l 9 Date Completed 7. ..........19 1 ' PERMIT REFUSED ........ .................................................... 19 ............................................................................... s ......... ............. ................................................. ............. .'......................................................... . I Approved ............................................................................... t= ...............................................................................