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HomeMy WebLinkAbout0410 OAK STREET (CENT./W.BARN) ,�. ,s .., @ ': `�� ru......_2__`. y...�......3yv 3 ..n.e............u.C..w�....�....... ._...Y�.. .Y..�.u......_..,.t...ac.,« �.. `� }}bq d� I _` r {.� �� I i 5 �r F I� oFs r Town of Barnstable .. *Permit# � 67� { Expires 6 mores fr m ' date Regulatory Services Fee * r RA6i MBLE, Thomas F. Geiler, Director doo buss. � 9 16 S& a,� Building Division rFo Ina'+ Torn Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www:town.barns table.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not {valid without Red X-Press Imprint Map/parcel Number 9 Y ©c K r Property Address [)a,I< S 7 ll ®Residential Value of Work 3SOO Minimum fee of$25.00 for ivork under$6000.00 Owner's Name &Address Tay Contractor's Name if 4 Jr, -4-f d t Telephone Number___a6 2 Home Improvement Contractor License# (if applicable) ❑Workman's Compensation Insurance �� '' l L U Check one: I am a sole proprietor S E P • 2 Z008 ❑ lam the Homeowner _ ❑ I have Worker's Compensation Insurance r TMAIN F BARNSTAB1E; Insurance Company Name /�,�w. /=�.,,`Iry ��s y c, /� n r.i.�•4ti Workman's Comp. Policy# A(30/ k 02—.) i Copy of Insurance Compliance Certificate must be orrfile. Permit Request(check.box) [O Re-'roof(stripping old shingles) All construction debris will be taken to l i4.a:k-t?�•1 4 ,�� .`f ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *Where required: Issuance of this permit does not exempt compliance with other town department regulation i C. Historic,Conservation,etc. �dQ�Sa P�Itl ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPP CSS.doC Revise020108 f The Comynonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostorz, ML4 02111 1 www.mass.gov/dia. Workers' Compensation Xnsurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information / Please Print Le�iblY_ NaIrie (Business oTkanizahowlndividual): 144, Address: /c�. oc •+-c 4 s� City/StatdZip: G��r7 w�.,�sti,..� 4 Phone.#: Are you an employer? Check the appropriate bow F7. D ject(required): 1.❑ I am a employer with 4. I am a general contractor and I construction employees(full and/or part-tiros).* have hired the suh-contractors 2. I am a sole proprietor or partner- listed an the attached sheet odeling ship and have no employees These sub-contractors have g, n Demolition working for me in any capacity. employees and have workers'working Building addition No workers' Camp.ms�tranr_e cow.tnsurancz.l S. [] We arc a corporation and its 10.[]Electrical repairs or additions rtgtured] officers have exercised their ME]Plumbing repairs or additions 3.❑ I am a homcowncr doing all work myself [No workers' comp. right of exemption per MGL 12 ❑Roof repairs insurance regnired]t c. 152, §1(4),and we havc no employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#I smut also fin out the section below showing their work='compaisatian policy inficaTnatio-, t.Hora=woas who subIIvt this afBdavit indicating they an:doing all work and than hire outside contactors must submit anew affidavit indicating such tcontractors that cb=lc this box nmst attached an additional sheet showing the naive of the sub-contractors and stale whether or not those entities have employees. If the sub,,ontrrctms have ,npioy=C,tbey must providt thcir workers'wisp.policy number. I am arc employer that is providing workers'compensat on insurance for nary employees. Below is the policy and jab site information. Insurance CompanyNarnc: Policy#or Sclf-ins.Lic.#: ExpirationDatc: lob Site Address: City/StatcJZip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to sccurc coverage as requ and under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,5DO.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 S250.00 a day against the violator. Be advised that a copy of this sta-tc nci t may be forwarded to the Office of Investigations of the MA for insnttance coverage ycrifi.caticm- - I do hereby certi under ains•and penalties of perjury that the information provided above is true and.correct- Si c: Date: 0 d' — Phonc i- S'a ^3C Z '7/ O fecW use.only. Do not write in this area, to be computed by city or lown offic1 L City or Towa: 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 Phone#: Op THE rpm Town of Barnstable - r + Regulatory Sea-vices MkRr + rN "BMASS + Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder r, 7,14 as Owner of the subject property hereby authorize �a ^— o to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of job) lgq 1/0 igna of Owner Dat Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable �ofSHE Tp��� o Regulatory Services Thomas F. Geiler, Director 9 BA MASS. $ �� `b ,65g. Building Division pTfD '�a Tom Perry,-Building Comrnissioner . 200 Main Street, Hyannis, MA 02601 ��•� viww.town.barnsiable.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: _ JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state rip code The current.exemption for"homeowners"was extended to i lu owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who oes not ossess a license,provided that the owner acts as supervisor. DEFINITION F HOMEONVN „•k Person(s) who owns a parcel of land on which he/she re des or intends to eside, on which there is, or is intended to, be, a one or two-family dwelling,attached or detached, tructures accessory such use and/or farm strvctures�`AI. a in a two- far period shall not be c nsidered a homeowner. Such person who constructs more than one homey p "homeowner"shall submit to the Building Official op�a form acceptable to the ilding Official, that he/she shall be responsible for all such work performed under the bdinpermit. (Section 109. 1) The undersigned"homeowner"assumes responsibility for compliance with the State uilding Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable B ilding Department minimum inspection procedures and requireme is and that he/she will comply with said pro edures 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 Cogstruction 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 persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption sic unaware that they are assuming the responstbilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supa-visors,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 helshe understands the responnbilitics of a Supervisor. On the last page of this issue is a farm currently used by several towns. You may care t amend and adopt such a fom✓ccrtification for use in your community. ✓�ze �oan��wnweai o� aaaczc�iudet7a 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: lug Board of Building Regulations and Standards Registration: 102149 One Ashburton Place Rm 1301 Expiratlon 6'30/2010 Tr# 268765 Boston,Ma.02108 :;rType Indilvidual 1 JOHN JOHNSON=lrbi John Johnson rti PO Box 118 160 Church Stf Not v d without signature Administrator W. Barnstable,MA 02668 _ . . a " � I A "1 /Qq D5- The Town of Barnstable ��1-� dF Permit# Massachusetts wexsres�. : Date 1-2 AF MAW SOLID FUEL STOVE PERMIT 039. Fee .s�.o'd This constitutes an official stove permit after inspection and approval by the building inspector. Owner ro-k eAAVAI�� Telephone no. ��' Address of Property Y(10 0& �� Villager Q/I.WVkA& Location and Stove Type Q, 4�k b u Date: S' �. r Btfilding Inspector The solid fuel burning stove at the above locatio passe failed: inspection Assessor's office(1st Floor): Assessor's map and lot number GO S�P�^SYSTEM `THE t0`+ Conservation a '115.'ALLED 1N O �§ Board of Health(3rd floor): ,d V �� s �®��LS f �° -�- seassrant Sewage Permit number :�.0 � �6 IL. d' Engineering Department(3rd floor): �y,I S onto asr��� House number ��0 Definitive Plan Approved by Planning Board tg , � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNS A LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ADD 70 TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 4t!1 ® ` �•A '1t�S 7 /C�/��jLL�.� Proposed Use Zoning District l= Fire District �T 7 Name of Owner f 019 V X AL-t g ly Address q`l ohit sr w, BAelu 7,-qa[6 Name of Builder Address Name of Architect i Address Number of Rooms / Foundation Exterior C44P&A1U> Roofing 4-5PI i Floors 10t03> Interior Heating �� 407, 41,e Plumbing s al t Fireplace Approximate Cos Area (� Diagram of Lot and Building with Dimensions Fee 16 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License c K.ALMAN, TOBY No 3 4 6 7 3 Permit For--ADai-T LO-N - !-.-Single Family Dwel l-i .Location 41 JO Oak, Street L ' :Centerville 'j = r"r =� ; ! .0 Owner i" -Toby Kalman Type of Construction Frame a '. Rile �i c. ' } .• - - { � - !.i � ! i I � n r A E r� -I 4 Z , i; ^•I t f i t i to cr Plot Lot Permit Granted }November:Yl 91 k r Date of Inspection 19 J _ Date Completed - 19 �- t � i 71 T s^ I = I f f t I -4 ssessor's map and lot. number ....17*............................. THE Sewage .Permit number ......:................................................. MAWiTAMLE, Housenumber ........................................................................ MAG& 1639- NAY a. TOWN : OF BARNSTABLE BUILDING ! INSPECTOR APPLICATION FOR PERMIT ........�4noq.k........ .................................................................... TYPEOF CONSTRUCTION ................................................................................................................. .............................. ................19...7.7 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....*Z(.. ............��7......... ....................................................................................... ProposedUse .....6.%-.4.e ................................................................................................................ ZoningDistrict ........le...........................................................Fire District .... ......................................... C-7 Name of Owner ...... ....... ,4N...................Ad dress .....!� !J.M.............. ................................................... Name of Builder i-Ty. F ..............Address t4c ... .................................... 77,N) Nameof Architect ..................................................................Address .................................................................................... 7 Number of Rooms ...........I.................. .................................Foundation .......43(.Q.P�.....I................................................ Exterior ...... k..... ...........................Roofing ........tA) 1_ A...................................................................... Floors ......................................................................................Interior .........�VA............................................................... Heating ..... ............................................................Plumbing ....#,0UA-#Q6.............................................................. Fireplace .......................................................................Approximate Cost ............................................ . . ............... Definitive Plan Approved by Planning Board -------------------------------19--------- Area Z......: ............................. Diagram of Lot and Building with Dimensions Fee ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH L) 0V QX I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .............. .. .......................................................... Kalman, Toby E. 21210 add greenhouse No ................. Permit for .................................... to dwelling ............................................................................... Oak Street Location ......... ............................................... West Barnstable .....................I................................. ...................... Owner ...........Toby...E.......K.alma.n............ ........ .. . ........ .. ............. Type of Construction ........................................... ............................................................................... Plot .......... ................. Lot ................................. Permit Granted ...... .......April..19........19 79 Date of Insp6ction ....................................19 A . • Date Completed ..............74".j ...........19 �o PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............... ..................... ......................................... ........................................................... ................... Approvecl ......................................... 19 ..................................... ......................................... ............................................................................... -,+,....-__+..^�-ma`s_ti:r......rti.-.. .•`..,;..-...-^-..r.o�+..Y"'.,'-�"-..-.,.-....�-'�-r•..rrr..,_. -...r`^^+'+-----�-..--�..,.>-.�.-n., .........+..rt-1...-�..--•��"-��--;-•w.h.+:--y l 4 9 Assessor's ma and lot number''.:.:.... -BE /� ' INSTALLED I COMPLIANCE�nsTa nl IV[Pt.a Sewage Permit number ......jr.l..a 2.........:. .....:.:. WITH ARTICLE it STATE r w SANITARY CODE. AN4100 Qyo�THEr,�� TOWN *.. OF BARNST ` � ..... SAR33TADLE, i O M6 9 SIJILDING INSPECTOR am a. T1t. l .....APPLICATION FOR `PERMIT TO ...'.TD . .... k .... l .................................................. l ` c^ p TYPE OF CONSTRUCTION ...1 y......... P..o. ................................................................ vr......�. ........19. . . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � ► C-6A)Location .04 ........ ? ......... ......... ...................`E...". ./LC. :.......... ProposedUse ... e...................................................................................................................................... F Zoning District l�^.....................................................Fire District :.:.... .... ....... .......... NSo�E�/..�.���a ...... , .... Name of Owner .. (M. ......4.4 ..............Address .�1�1.�.C�l.. U..0?�.rS�d��t�... Name of Builder'T44o —D....pells..eb...............:......Address ..F45r...�EkN.ASS........................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ....��...........................: ................Foundation .��l�C.......t��.�%F� Exterior ....C� i � 0!.. !�........................................Roofing ..... �TT/�4-�. ... . . ..... .. .................................................... Floors ....Wap.. ..............................................................Interior -111V .. ..... ........................................ HeatingR .Plumbing e.... uJ . !. .�........... /................................. . ...................................... Fireplace .... n.....3!:QC.......................Approximate Cost ....:..1.. ,..O..oQ.i.00............................ Definitive Plan Approved b Plannin Board _________ off . ..` ' Pp Y 9 �-------T-------19.41-. Area .�...�.... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �eQ G9 rn 014, 10 /0. ,/0fg1 , / 0& s � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ....l4.. ............ Kalman, Toby E. No ...1DAI- ... Permit for ....le.1/2L;.St-0tY ..............sipg1gJArAily..dw.Wng................ Location' tre"r-tN.Y-Ap.................... ..........................�­Qmdax.vllle......................... Owner ........... Type of*Construction ..........f rme..................... ..........;..;.;................................................................ Plot ............................ Lot ................................ Permit Granted .......September***01 1*1­ ..19 74 1T, 4' Date of Inspection ........... ...................19 Date Completed ................. PERMIT REFUSED .................... 19 ................................................................................ ..................................................................... ............................................................ Ap-krbved ................................................ 19 rt ��{.: ......................................................................... ve ............... ........................................................... 11� f 1 i _J. I I�r `lf � } I-� !� � —��I �•_I I� ` � { I I , '..I». I I ' , 1 i i- �, r j = t � E f I �+� i 1 i'. ((f�i�t! I � yjn r 4 , t ll I l I i I i I -.(.f „ } 1.'!_ I } I i- I "� I ��� I1 '� ' t ' Ir • ;� � Ii1sr I ! {, ' al � I I ! ! ��-!. -i ! ' / I ! � t ` ��,,_r,--(-j..{ � f.•1 I I , �_.I ; _�� � �-j.� I � � �- 4 !_' i I I 1 E I I � 1 � i ' ' ����.��,,.� j I __ �^—fir., �,j_�i 1 i i i � i�i 1 �1 ! _j.! i ! i_I I,� I fj_i ^� ' I { I l I �. ( i I � I ! 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