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Jl�'1111� i ,1, d 1 ��:,!,���:�',t";!�,� .�t il - ��,;"��;�;O,,,Y,,�­,F;�!I:i�i "' .1 ,�: . , r I, � , ., � � I lc'i�,t"�,.',��,�'��­,�;,,,�I��"­ � ,.'', �P',-,-' ,�;i­ " "" �,;�" �"' , �,�,.�4 , , . ,., '1, , , '' _ , , 1, I � .,l ," .'i i '­ �'�,",��""."'!,"'��'4'."'�.�r�?�,�"."i�",,,'�-,� �i "I `6,11 5T., Ii, ��`l ��'Vl�'111` 'Ili , � ,"k, il Ol,� ,"' I I., ".f��,'-',i'�i,-�,,�,,,-�,,,;�.����,,���'�",.,��,,I -,�1'1'1�1, �S:�� �111"i`""3��'�,�,�I'll�""I"�l'.�',�"""� !!Wi ," _?_ - , ," �l �, ,;,It, ,� I �.k"""i ,­ - I WT , I'll, , 1"-�,' , Town of Barnstable 1d1ri Post:This Ca'rd:So.,Thatit. sxVisible Fromthe'S,treet�A' roved~:Plans Must%be,Reianedon Job and,this�Card Must be.Ke t s �AAN*S[`ARS.Y:. • .`t% r�,':A`^ s s '§: is-. ` ` <: .. .:,� �p �"� *'" (Posted Until Final 14ss� ,.� Where a,Cert�ficate of„Occu aric`; is Re" u�red such>Buld�n shall°,No#be®ccu ied until a Final In's ection`has Peen made ei it Permit No. B-16-1339 Applicant Name: MOURA, PAULA C- Map/Lot: 250-159 Date Issued: 06/15/2016 Current Use: Zoning District: RD-1 Permit Type: Shed-Residential-200 sf and under Expiration Date: 12/15/2016 Contractor Name: Location: 166WEQUAQUET LANE,CENTERVILLE Est Project Cost: $0.00 Contractor License: Owner on Record: MOURA, PAULA C s .Perrnit Fee $35.00 Address: 166 WEQUAQUET LANE `vf Fee Paid $35.00 CENTERVILLE, MA 02632 Date: ' 6/15/2016 IN Description: install an 8x10 shed Project Review Req : §' Building Official W .. F This permit shall be deemed abandoned and invalid unless the work authorized by\,tLhis permit- commenced within six months after issuance. ' h; All work authorized by,this permit shall conform to the approved applicationand the,approved construction documentszfor which this permit has been granted. All construction,alterations and changes of use of any building and structures shall`be'in"complia'nce with 6' local zoru# 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 work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures y the Building and Fire Officials are provdd on this per mit. Minimum of Five Call Inspections Required for All Construction Work: F 1.Foundation or Footing r 2.Sheathing Inspection " 3.All Fireplaces must be inspected at the throat level before firest flue limng is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) g ,. 6.Insulation ' 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MG c.142A). Building plans are to be available on site 4 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable 'WE Regulatory Services Richard V; Scali,Director N O E VIA Na,- IMMSTAMM MAS& Building Division 3�eb1SN�y o39.t p Tom Perry,Building Commissioner 8�®NM0� 200 Main Street, Hyannis,MA 02601 910Z 8 www.town.bariistable.ma.us Office: 508-8624038 Fax1:i6'08-190-6230 PERMIT# ':" FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less , e-T" �G- Location of shed(ad ess) b Village -PAU ' Property owner's name Telephone number d 2�v- cam Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? ` Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 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:040914 . - Town of Barnstable. Regulatory Services Richard V.Scali,Director A $" MASS. Building Division 1639. �0CP j°rEo .�s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 9 �IA www.town.barnstable.ma.us 9'�'S5' Office: 508-862-4038 Fax: 508 790 6230 PERMIT# 1 C C� t v FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 66 Location of she (addre s) Village' v LA :i� w .. 5�g ��60 oq t �- Property owner's name Telephone number Size of Shed 1V�ap/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? (� Old King's Highway Historic District Commission jurisdiction? „ You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 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:040914 2110113.Town Boundary - - 251�-i2s24 123-ash Parcels FY2o16 ��� #6% u 1234 Address Street Numbers. Buildings ® hvw'iifad*ocatiotis of. ✓ OF-I Above Ground Swimming Pools t ; 0 QO In Ground Swimming Pools - Walkways Improved - 251-223 Walkways Unimproved #672 - - - Paths ®- Stairways ^- Paved Roads Unpaved Roads =: Paved Driveways 250-015-002 ,' 2 251-230-T00 Unpaved Driveways # 141s! # 109 r` i - - -Painted Lines _ Q - • Paved Parking Lots .., .A JQ :----- O Un aved Parkin Lots --- - Y .. • _ Bridges ( ... .. Railroad ., - .. .. .. .. .. —�� Fences..-,. _ .. .... _ ...-.... / - �— Guardrails . ------•- #166 —0- Retaining Walls.. ., - 00o Stone Walls t .QQ Sports Areas - .. Golf Areas % 250-144-T00 #:Docks/Piers o Boardwalks r �.. 250-158. ., Jetties .. -' #158 Streams - - — - Drainage Ditches, , ,_ Marsh Areas, • - �.._.. - WaterBodies ,X Spot Elevations(NAVD88) 250-144-H00 Topo to It Contours(NAVD88) Topo 2 ft contours(NAVD88) Q v # 105 -Wooded { . S/ -Wdd Areas Street Trees +� � ••,,, X Catchbasins . � •' Monuments - Lamp Posts .. •.,< - Towers 250-157 m Manholes # 150 ' - 250-145-T00 O Satellite Dish - #93" 250-145-H00 O Utility Poles Signs • O❑Fuel Tanks. - ............• .. # .. .. _. 93 ` - 00 Water Tanks Flagpoles .. Q Utility Boxes 250-156 O Posts # 140 .. C Pilings Town of �0�'ll'�d �l� Data Source Human-made features, Disclaimer This map is for planning purposes only. It is 1 inch=40 feet N 1 hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination _ - Feet Consemition Division interpreted from 2008 aerial photographs and representations of Assessor's tax parcels.They.or regulatory interpretation.This map does no O 10 20 40 60 8o W E bttp://www.town.barnstable.ma.us may have been updated from more current are not true property boundaries and do not represent an on-the-ground survey. 200 Main Street,Hyannis,MA 026o1 sources. Parcel lines were digitized from represent accurate relationships to physical Enlargements beyond a scale of 1"=too'may w . Town Of Barnstable - Regulatory Services o � . Richard V.Scali,Director �Q �sn �� � 2 '� - Building Division9. p � MASS, ren nnay° Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. a' Office: 508-862-4038 F`ax; 508-790-6230 COMPLAINTJN UIRY REPOT Date: �= 12ec d by: Complaint Name: Map/Parcel ^ Location Address• Le�`GrU���� �.� Originator Name: Street: )Jr w e&MP U,C Village: C iW75KVALI,"State: Zip: ,Q 3 e� Telephoner Ir Complaint Description: ,S{'f V � � � — 2 1� rjlT4 o IsUtc..�f4 G c d l FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forrds:complaint Revised 040414 f Citizen Web Request - Page 1 of 1 r BAA.\3TA13M r nb�g Citizen Request Management - Internal Use Request ID: 56002 Created: 4/28/2016 3:19:04 PM Status: Assigned To Staff Assigned To: Anderson, Robin Building Dept Anonymous: No Category: Zoning -Illegal apts E.C. Date: 5/12/2016 Created By: Shea,Sally Citations: Building Dept Time Worked: 0 Response Time: 0 Requestor Details: edson magalhaes 158 WEQUAQUET AVENUE Centerville Ma 02632 5083648114 •Email: Request Location: 166 WEQUAQUET LANE Centerville, Ma 02632 Parcel Number: Map: 250 Block: 159 Lot: 000 Request:, report of sheds(2) recently put on property without a permit and a basement apartment that has bedrooms bath and kitchen. . I Request Work History: Internal Note History: 1 System entry on 4/28/2016 3:19:04 PM: Related Request 56000 System entry on 4/28/2016 3:19:04 PM: Assigned to Anderson, Robin 1 1 http://issq 2/lntemaIWRS/WRequestPrint.aspx?ID=56002 5/3/2016 i 5 � 25452 moo•;` TOWN OF BARNSTABLE permit No. ----------__-__--_________ --- Building Inspector .. suanaU Cash r ---------------------- V—X--- OCCUPANCY PERMI'1" Bond ___________ _ y�__ �� Issued to S L S Trust Address lot #45 166 Weguaquet Lane, Centerville Wiring Inspector ��� � Inspection date Plumbing Inspect9i 1.; fO Inspection date v Gas Inspector Inspection date Engineering Department Inspection date//-; / -� -,Board of health - } / I spection date JJ THIS PERMIT WILL/NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. .... `:... ..................... ._. Buildin; Inspector V 4� i W 46 L � 4 s � , z I,z,")7 5�' tip 0 { s � i A f N 17 54'oz" .�/ i i i • M I w � rlvAQufT C ) � ••Fou ry a,�T e o n� G�►�r 1�-I CA7 I oN La 7 45 wrz42UApu r LA 4ekiTr-,R,,/IL4-C-, C3AKxJSTAI!5L"e/MA. AU(ot 17, I4�Y,-3 �/JM.M-\, ),4RVQ1L14 � A,i406. II\.1C. wx 601"ka0 C=PLWn00TA NMA On the basis of my knowledge, information'and belief, I certify to Tvcon o;�,Cn� .6/c_ that as .a. result of a- survey made on the ground on,^ LG 3 0 I find that: The st cture(s) are located on the site as Shown. e-c-PiA7 X Tu��Zon.il9 13y-.e ups The title- lines and lines of occupation of the site are as shosm hereon. t�0 OFM The site is situated in Flood Zone Non-!fit Co=unity Panel No. Z5'oww*/o,:PzPo Date:- 3 7C WILL AM �'yG N Date: WARWICK y No. 19771 H CIST s. ,or's map and lot number ........ , .��/ /� ,Sewage Permit number ........................................ ?"E.T°�; TOWN OF4ZARNSTABLE i BARISTADLE, "6 1BUILDINA!J', INSPECTOR APPLICATION FOR PERMIT TO l .I..�zSC � (.. ..�/.. ( � /" /g ...... TYPE OF CONSTRUCTION .... .................. ..... ............................... .............. .....................................�.. } tier ... ., ... . ........ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Location ........... .. .... ............ ..�... ........( ewProposed Use ....... �rLIC ...�...... !.1.. ................ Zoning District .... .. �..1...........................................Fire District .. � ,1 .............Address� I.. .�� . Name of Owner ` . .......... ..........:.... Name of Builder Z-o-e4.—..C,,�A..T . . ..........Address ............................................ Name of Architect/ ./ ..rJ�!..lJ. �/.. l�r:.G/.l Address ,/f ... ya0l� ..1..... Number of Rooms ..................... ...........................................Foundation .2`�..-of7L�v..... � `�<�••5 �( /•• • Exterior ...../"' i..l...' .. ... ...,,�.....................................Roofing ........... .. ........................................ Floors ....... ...................................................Interior .........� . .. �.... QC'4` . Heating ..............................Plumbing ......... ..... `' •:(...•.... ......... ,f Fireplace. ........ .. .......................................................Approximate Cost .........../.. .�© Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area ..... .................................. Diagram of Lot and Building with Dimensions Fee iF ....t� ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH W t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstabl egarding the above construction. Name ... ... . . ........ ..... ................. ` ' - - . Single Family Dwelling ' ---- `-----,,—=------.. . ^----- �..^ . � ^Location ..Lot_45�_IS.G.. t_Lane . - . .. . Centerville '''~—^~^.''~—'—'~^—'r--~------ ' , Ovvne,~.S.. ...Tz.ua.t.................................... Type of Construction F.r.anze ----./----. ^ ` ^ - / / ----''.-----^—'—'--^—~--~—^'^_—'' P16t —._—.—,..--. Lot —,--.--_---. ' . ~~ ' ' August 23,Permit --.--.----- 83 Perm .--.]g . ' Date of. nxpection --_----.----.]g / ~ Date - x���.�� . . ' 4 PERMIT REFUSED | / \ lA '- ..—..—...`,--~.^...^—~—..._~.,..,. � . ' ' . . / � ^'--'—`~^—^'`—^--'—^-----^'----'—^ ! - —_.—,-,--^.-.~....~......,~...—.'--.-..— ` . . � � --'---'~--`~'—^''-^'''---^--^'^'-~`'-'—^^ . . - ^ . ....—_---.~—.—^—....,..............—.—,, Approved ................................................ 19 _ ' ` -----.. . -- __.�L ........... . � y� . �[y�) . . Assessor's map and lot number r = ' Sewage Permit number 1 4, TRETO�yow TOWN OF BARNSTABLE Z BAUSTABLE, i "6 q BUILDING INSPECTOR APPLICATION FOR PERMIT TO !�.�..f:. ...<....: .. f .�. 1 '? /. /A I TYPEOF CONSTRUCTION ..................................................................................................................................... ........ ..... i.....i.................19.. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies ffor sa permit according to the following information:) ,G' �-�►- Location ......... /?�......`7 . ,,. ....... ......./� 1,�J....•r I ...........•/ ......./.`....��/���✓•� I Proposed Use ....... ..Pt ........ .... ... . ..... .. ........ ......... ........................................................... Zoning District ......�b..................................................Fire District ............... Name of Owner : ....... ................�a••...........: .............Address ... ..`�� . f``.........? ,............!`......?:.................. Name of Builder / f....... ���' r"f-� ..........Address /l. (` �, t. /, .... •%o G? /�-M Address ;��/fy7� �l ��lf+ s:?.�................... Name of Architect,'.......,.......... ........ ....................... ........,... Numberof Rooms ..................................................................Foundation .............................................................. Exterior ....... ....... .....................................Roofing .........../_.�?.............:�............................................... Floors -' ..................... f !'� ........................................Interior / Heating .. ..........�I.......... ....r.................................Plumbing ......... '..:.�................... .. . ..... .... . .. Fireplace ................Approximate Cost � f ..... .......................................... f. ............. Definitive Plan Approved by Planning Board ________________________________19________. Area .... ..................................... Diagram of Lot and Building with Dimensions Fee `... .................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable-regarding the above construction. i / Name ....�..� ...!......'....................................................... f o L a TRUST 35452-~ 13-2 S � � No ---.—.— Permit for --.--.����---.. / |) i ' � . S �9l� I�anzil� Dwelling ----------^----.--~--...----. Location Lot_4.5�__lG.S.. �^ � Centerville � y --------~''---------------- i � . � Owner ..S..I'—S—��z��.t___________.. )� Type of Construction .--on ]� =����— _-----. . � .............,..............................,................,............... /. . Plot ............................. Lot ................................ - \ . [ ' \ � Aoo��ot �3, 83 ' ' Permit Granted August lQ | i --'--'-------'—' ' Dote of Inspection ---..--------lg } / Dote Completed —.-----------'1q ( PiRMIT REFUSED � ' l9� _.—..-.~.,. ................................... � _._..—.,..~..--...-._..--.--'---.--..,' . —.—.—...--.------.....'..—...~....---.., � ^ !. .—.----.—.._.......,^......,—..—.--.- � ^ , Approved ---------------- l9 -------'—'—~^---^^^^^^^—'--^^—^''' ` --------^----^----^^~'--'—^' / SET TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT A=250-159 33319 DATE October 27, 19 89 PERMIT NO.NQ APPLICANT_ Wayne M. Chasson ADDRESS 93 Evergreen Dr. , Plarstoila M. #04549 (NO.) (STREET) (CONTR'S LICENSE) 01 PERMIT TO Ada Dormer (_) STORY Single Family Dwe111rict DWELLLRING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 166 Weauacquet Lane, Centerville Lot iF45 0ISTR CT—RC-1 (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT. SUBDIVISION LOT BLOCK SIZE. BUILDING I,S.TO BE FT. WIPE BY FT, LONG BY FT, IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION TO TYPE USE.GROUP BASEMENT WALLS OR FOUNDATION.. .. .. - (TYPE) REM4RKS: ��+n�,?g� #8��_ri41 AREA OR 12 1 -PERMIT VOLUME 1qU Area Change ESTIMATED COST $ 12,000.00 FEE $ 50. 00 (CUBIC/SQUARE FEET) - OWNER 11AF%1 Rar i the BUILDING DEPT, ADDRESS �_1A ;_ IAi]'llPf i.�n _� ?T7 - -r��i 11�+ BY t h tJTT Tag OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 � I 2 2 2 I r 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 1 OTHER 2 BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN RE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. Y i 1� �[} Y' 'V� M'� � d � +g � � .sue 0 ��.. � � � �/ � Assessor's office (1st Floor): Assessor's map and lot number �� —/5 cc r-7 IC SYSTEPA C15"g' Board of Health (3rd floor): E' t { '! ,�ZALLED IN COMP Sewage Permit number 6 ,f \�/��� •r��fl TITLE 5 Z DAHd9TpDLL, i Engineering Department(3rd floor): IsM71ONMENTAL CO House number Definitive Plan Approved by Planning Board 19 TOWN REGULATIO C MCI d' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTIONI) 7G CMG f 19 TO THE INSPECTOR OF BUILDINGS: The undersigned/hereby applies for ap�ermit according to the following information: l Location l r/C� /.( - U/fC� orf 4lU �107�,'��1f�(J/j-/�� �T Proposed Use Zoning District s `f Fire District f1� Name of Owner /V/Clyt" &,e Address 166 I-)A4) .F7"- A &7t1I?y1'4'-e- Name of Builder 4U21 07 kid, � A) Address "eAL Name of Architect Address Number of Rooms Foundation ,gl��/ Zti.J Exterior 377k(/ j;� A ` �"' ' . Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost /Z, G7SZ� Area Diagram of Lot and Building with Dimensions Fee Cf� 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. i Name Construction Supervisor's License, �L/�`16� BERUBE, MICHAEL • No 33319 Permit For ADD DORMER r• Single Family Dwelling Location 166 Weguaguet Lane Centerville Owner Michael Berube Type of Construction Frame Plot Lot Permit Granted October 27 , 19 89 Date of Inspection 19 Date Completed_ 19 r• MCC . r. r r: ('' `; t t 1 ;acgy�y4,, " R4.r x Assessor's office(1st Floor): Assessor's map and lot number �� yoF THE to` Board of Health (3rd floor): .-� p re'"Q ♦.4 Sewage Permit number ✓" d �G Z BLUSTAILL i Engineering Department(3rd floor): rnea House number i639. Definitive Plan Approved by Planning Board 19 �p r�r a• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ; TOWN OF ,,BARNSTABLE - BUILDING INSPECTOR APPLICATION FOR PERMIT TO 11 nn> TYPE OF CONSTRUCTION n 7/LPLJ ��f 1 C`yL �2 / "��GW�I n(-Z'll k TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies four a permit according to the following information: \ Location �19+a / ;C G� 04 6) LZ" 4 AJ �I--K7-e—\ U/ LK Proposed Use ��"� /„dirs COW : Zoning District Fire District 3 Name of Owner /71/� ���. Address f� - ��,�U� � Name of Builder Address �� LZ2�l t)Le-17U ✓��` �/fi�5?�it 3 i��'/�L<', Name of Architect Address Number of Rooms Foundation r-?/Z (6V "���t Exterior 5� Y(1(—2, / Roofing 1 5��,� 1, Floors Interior Heating, Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee _ OCCUPANCY PERMITS REQUIRED FOR'NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the abovjonstruclion. Name c'J�`"" 'Construction Supervisor's License. BERUBE, MICHAEL _ A=250-159 No 33319 Permit For ADD DORMER Single Fami 1W DwA1 1 i n? Location 166 We=iia—crTiPt Lane Centervillp Owner Michael Berube Type of Construction Frame Plot Lot Permit Granted Oct-_ober 27 , 19 89 f Date of Inspection 19 Date Completed 19 PERMIT COMPLETED 1/1/�(� 790-6227 JOSEPH D. DA rELEPHONEt XX7 EM Building Commiuioner np XAS4C7�34X TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 December 4, 1990 Mr. Wayne M. Chasson 93 Evergreen Drive Marstons Mills, MA RE: A=250-159 166 Wequaquet Lane, Marstons Mills Dear Mr. Chasson: Please contact this office re Town of Barnstable Building Permit #33319 dated October 27, 1990. Very truly yours, hrZ�Ber -a—� Building Inspector RRB/gr C • Pk \. � by _ (ZooT �nFTC-�s 21Qj Ib"uL �+ N ti �7 qs nl+n ti* e<s� 61r� ra - CHANGES , � D 1�1C7�E ��IA R OF Yz CQX_ 4 PKY TO D A Building In pect'on Depamment GK.TC-QIoZ uS,Nh�- Sfu GS SJ�'Ftivu2. �611C0K —' — I-- I I t III I I I I I I I 20o� ,�1TIIACK -9-e mPs-7Feacua.6 15 i � pe�Mt-Z HC-I bH t aE7EPM I NZ-� , cFF Cr- =rH15 Cxi S Y,�QG j� eo�JD-nlo�s. , 'LEI, \� F 7 f M ld'0 w �j FT. 1 a w. o n z5o lJ � A �I FTC T Town.of Barnstable *Permit # l PLO Q Expires 6 mont from issu dee Regulatory Services Fee 3 * saxxsrasr.E. 9. $ Richard V.Scali,Director Ut ED N31�P'I a`� Building Division . Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY /�✓ Not Valid without Red X-Press Imprint Map/parcel Numberoe,5 0/ 09 o.1 63al Property-Address.A ���-Residential Value_of:VJork-$ _3 ' Minimum fee of$35.00 for work under$6000 00 - - -Owner's Name&AddressT____- Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance ® Check one: ❑ I am a sole proprietor Cw,;,am the Homeowne ❑ r I have Worker's Compensation Insurance L a 8 Insurance Company Name TMAIA I Workman's Comp.Policy#. ARjySTAEjLe Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ' ❑ Re-roof(hurricane nailed)(stripping old shingles). All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) . ❑ Re-side [R 'Replacement�Wmdows/doors/sliders.U;Value (maximum.35)#of wind ows, #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. 'ZSIGNATURE:.'- Q:\WPFILES\FORMS\building permit f�orms\EXPRESS.doc Revised 061313 } Hie C:7ir manutwIth of-Massuchus2ift Dep7rhumt it7fly d-as&ialllccidents - - - , office of fimlesttiaas 600 Was- hLrigtsn Mreet Boston,MA 0-2111 Waliv.xtla smga"fdia ',orkers' Compensatian Insurance A fidavrL Bmlders/CoutractursMect iciauMumbers A.ninlxCal7t Information- Please Print Lesihly. � Q �� Gram:�-(Et�s>nesslOrgan�nn�,��,�>)_ � h6 A n- 6I)jQC Are you ail employer?Checicthe apprapriafe box: - -- ___.. _Type a#. o ect r l El am a employer with A-_ ❑ I am a Viral-ountractor and I 15_ ❑Neu*0cndcaction employees(full and/or part-time)-*. havehiredthe sub-contractors -2.0 I am a sole proprietor or partner- listed on the attached sheet; 7_ 0 Remodeling ship and,have.no employees These soh-contractors Dave S_ lkmolitioa wing for me in any capac-AT employees and have wodcers' 9_ ❑guildmg addition LNO workers'comp;ins mince - comp_insurance$ - .. . _ed] 5- We are a corporationaud its 10-C]Electrical repairs or additions Z officers bxm exercised their 13i-0 Pluming repairs or additions. I am hismeoun r doing all wad' myself-[No wcrkm'aanip- right ofexemg#idw IrfGL 12.0 Roof repaim annrranrt;r-�nited-]1 c-7.52,§I{4},anile l�raS`ego� employees-[Nix WDADers, 13_0 Other comp-insurance required:] "Any applies that checks box K nmst also fill out the section below showing il>es Sa*oaicexss'mn�pensafiog ltO y i rsoattor� 1 Mmeowners who s¢bxn t this of &vft io ffcj mE tiny ace doing R9 trc*and then him aide coutractom sorb_ �G�tcaeioa thst check this box mast sttar�e3 sn addioonsI street shooing the name of$re s�--c�s�rc and s�uhethei oez�ut those have anpInyees Iftbe sub-contaacturs have employees,they Est provide t:it wcxkegs'comp.policy number_ I am art empEvyer that is prmidfag workers compensation irtrrtrrarc!r far nzy empiayecu Bekty is thegaHcy artd job site fnforrrfiafian A Inmrance CompanyNarne: Policy 4 or self 2aS_Li(- 47 FxpiE flan Date: Job Site Address: Citv)statefztp: Attach a copy of the workers'compensation policy declaration page(showing the policy number and e3pn-afion date). Failure to secure coverage as requiredunder Sectica 25A of MGL c. 152 can lead to the imposititm ofertnrnal pmalfies of a fine up to S1,500.00 and/or one yearimprisa t,as well as civil penalties in tine form of a STOP STORK ORDEP-and s fine cfUP to$250_00 a day against the violator- Be advised that a copy of this statement maybe forwarded to the Office of Tmrest ations of the DIA far insurance coverage veriEcation_ I do hereby 919ify under tkapains and'penaWas of. pe jury thatthe informaiian proud abtwe is hiss and carrect S,iaatxty � III�� qff Ec ir£use only. Do not write rn f ds area,to he camp&gd by csiy or town oftciaf City or Town: PermtitUcense# 1:ssuing rinthmity(drele one): 1.Board of IleaTth 2.Building Department I CityfFown Qerk 4.Eledrical Fnspector 5.Pfumbi rg fuspector 6.Other Contact Person: PltaIIe#_ Information and Instructions Massachusetts.General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Ptusuantto f is_statute,an ernployee 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.appurtenart thereto shall.not because of such employment be deemed to be an employer.":. MGL chapter 152, §25C(6)also states that"every state or Iocal Licensing agency shall withhold the issuance or renewal of a License or permit to operate a business or to consfruct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter I52, §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-contractors)name(s),address(es)and phone numbers)along with their cercincate(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 maybe submitted to the Department of Industrial Accidents for confirmation of i„sur nce 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. Sel insured companies should enter their self-incttr2nce,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 applinations in any given year,need only submit one a, davit 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 affidati-it The Office of Investigations would ldce 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 h.,Corm mmalth of Massachusetts Department Gf 1ndustdajAoclde,� Mice of lrtvestigatxo-ILS 600 WasllinZan t ]Bostortz MA 0211 Tel-_A 617-727-4900 W 406 or I-a' MAS E Revised 4-24-07 Fax 9 617-727-7749 Town of Barnstable Regulatory Services e P�oFTHE TOIy,� Richard V.Scali,Director Building Division t BARNSras.LF, Tom Perry,Building Commissioner arnss. 200 Main Street, Hyannis,MA 02601 ATFD � www.town.barnstable.ma.us Office: 568-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print (D .ATE� .. y JOB LOCATION: number^a, _ street'? illage 4"_` . HOMEOWNER": �IiWVnl ��� name,. home phones# work_phon eY#. CURRENT MAILING ADDRESS: city/town"'" r- stare """" 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 proc ures and requirements and that he/she will comply with said procedures and requirements. " Awo`_y 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 ulfimatelp 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 * saxxsresr.E, f �$ i639� Town of Barnstable ATfD MP'�& Regulatory Services Richard V. Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Own Must Complete and Sig This Section If Using Builder I, , as Owner of the subject property hereby authorize to act on mp behalf, in all matters relative to work authoriz/dbhis building permit application for: (Ad ess of Job) Signature of Owner Date Print Name If Property Owner is pplying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHLESTORMS\building permit fonns\EXPRFSS.doc Revised 061313 00 �tM T Town of Barnstable de # �J Expires 6 mo tlrs Jro n issue date �s Regulatory Services Fee s . • anarrsUBM 9� sass.1639. $ Richard V.Scali,Interim Director QED MP'I A Building Division Tom Perry,CBO,Building Commissioner p� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � �i Not Valid without Red X-Press Imprint Map/parcel Number-�,f / ,,�1 / ,, Property Address A 'J r G V ?�, 7" tt/I �k n94 0)-C.,3 UL r _-. Residential .Value of Wo k$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) PERMIT ❑Workman's Compensation Insurance MAR 3 12014 Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name . Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken tol� ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) . ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. J� c SIGNATURE: Y p s� Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 r The.Commonwealth of Massachusetts _ Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl _ � ,n N3Irie(Business/Organization/lndividual): 0/J�24 Address: I V City/State/Zip: L ���''t'1 00' Thone#: '� 3 b o 0 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 I employees(full and/or part-time).* have hired the sub-contractors 6. []New constriction listed on the attached sheet 7. ❑Remodeling 2.❑ I am a sole proprietor or parer- ship and have no employees These sub-contractors have g• ❑Demolition workingfor me in an capacity. employees and have workers' Y comp.insurance 1 9. ❑Building addition [No workers comp.insurance ' required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions • ,- 3:� I am a homeowner doing aIl work � ❑ g P myself. [No workers'comp, right of exemption per MGL 12 'R6of repairs a 152, 1(4),and we have no � insurance required.]t employees.[No workers r13:0=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 hue 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 havc employees,they must provide their workers'comp.policy number. f 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.#: Expiration Date: �(r 9 (zC G(lt' v ' 11 y ll�� '1�Job Site Address: � , 1' � r'�/,� l� •� y � 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 DU for insurance coverage verification. I do hereby c under the pains and penalties of perjury that the information provided above is true and correct S,_ignatiu-e: U (MN' y(/� Date: Phone 4: Official 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 S.Plumbing Inspector 6. Other Contact Person: Phone#: r � Information and Instructions Massachusetts General Laws chapter 152 requires alll-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 dfhire, 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 Iocal 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 iasu once 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 Massachusetts - Department of Industrial Accidents Office of luvestigations 600 Washingtou Sftret. Boston.,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFB Revised 4-24-07 Fax##617-727-7749. wVVvu.mass.govfdia 1 .r sf f - Town of Barnstable - Regulatory Services r Ftti Teti Richard V.Scali,Interim Director Building Division Maxsranra, Tom Perry,Building Commissioner ass. 9� 1639., ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �/ J •! I 1 l / JOB-LOCATIOI+I: 1 yV� ��i� �(/L� t !/� lff!' �� C�� L nuRiber 1 street village ME �- i "HOOWNER»: � �,� i� � ���v` ��� 3 ��o �q r-� name J 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-yeas 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. G4M Signature of Homeowner Appinval 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 when the homeowner hires unlicensed persons. In this case,*our Board cannot results m serious problems,.particularly w p e, 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. �1HET° Town of Barnstable Regulatory Services . • �►axsrwsi.E. • 'Richard V.Scali,Interim Director �ED �k�e 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 Property Owner Must Complete. and Sign This S t*on If Usigg A Build as Owner of the subject property hereby authorize to act on my , in all matters relative to work autho ed b this building permit (Address of Job) Pool fences an alarms are the responsib' of the applicant. Pools are not to be filled or.utilized before fence is inst ed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date • �� � ,f. .F ;. . 132 LOCUS DATA , M,<< CURRENT OWNER PAULA C. MOURA N LOCUS , 6 i PLAN REFERENCE 375-20 �332j,, LOTIL DEED REFERENCE 24416-77J Q.e . �/ �<v�'./ZONING DISTRICT RD-1 - 65.1' FLOOD ZONE X oo LOCUS MAP NOT TO SCALE' ASSESSORS MAP,- •250 �l PARCEL 159 0 ./ o . 16-0106 OVERLAY DISTRICT ZONE -II WP J •`v 0't " a LOT AREA 21,296f S.F. -LOT ° 4;5 .. h - 21,296t S.F. . r - 'i u . V - DECK' oo,• " GHQ EXISTING PLO P L,A N: a :�, %a DRIVEWAYIV I h p / t UTILITY /#1'66 ' a o ONP ) < POLE. L — =1"' LOT. 46 WE-0UA 0UET �LANE41 N. N 1 Lp =� • V• CENTERVILLE, MASSN3 s MAY 30 2016 DAT E. 6 . 3 N, 2y.. SHEDS r OWNER APPLICANT; 6 P . i .. . ,., ,•,ir .a • . ' w Via. « f a PAL LA C'. MOURA, ` ,. \ W 19.0 11.6 166 WE UA UET LANE' ., . Q . Q - CENTERVILLE °Hp W MA 02632` / ,SHOF, LoT ,43 �W s� 64 33 ` SHEET 1 OF 1 0`' EDWARD . 2�y A. STONE: ' Y 26088. PREPARED BY: /,7 Na.:28980 EAS SURVEY, INC. P. O. BOX 1729 t z , LOT 44 . : 0 30 45 so SANDWICH , MA 02563 NOTE: GRAPHIC SCALE: PH. (508) 888-3619 THE WATER' LINE LOCATIONS DEPICTED' ' 1 INCH = 30 FEET CELL (508) 527-3600 HEREON ARE APPROXIMATE.. 'EAS.SURVEY©YAHOO.COM r .