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0017 PATIENCE LANE
�� �� �. i —nn-A (le Town of Barnstable REEIPT AKA 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building PermitER I) a Application No: TB-16-3040 Date Recieved: 10/14/2016 Job Location: 17 PATIENCE LANE,COTUIT _1 Permit For: Building-Solar Panel-Residential 1 Contractor's Name: GREGG LACASSE State l-ic. No: CS-10361, A . Address: Mattapoisett, MA 02739 Applicant Phone: (508) 291-0007 (Home)Owner's Name: DIMSA,ARMINAS Phone: (508)292-2584 (Home)Owner's Address: 17 PATIENCE LANE, COTUIT;MA 02635 Work Description: Install 5.13kW solar panels on roof.Will not exceed roof panel,but will add 6" to roof height. 18 total panels.BN � II Total Value Of Work To Be Performed: $18,000.00 Structure Size: 0.00 , 0.00 _ 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every`contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation'Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his.intent'to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Gregg Lacasse 10/14/2016 (508)291-0007 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $18,000.00 Date Paid Amount Paid Check#Tor CC# Pay Type Total Permit Fee:. $141.80 - Total Permit Fee Paid: $0.00 NO A �"® 6 £ �} - K� _ f oFTHE, , Town of Barnstable . *Permit# c, "�. Regulatory Services fee 6 mo`hsm issue date sex►vsTasce. y� Mass. Richard V.Scali,Director. 16;q. ♦0 iDTen Ma+" Building Division Paul Roma,Building Commissioner A 200 Main Street,Hyannis,MA 02601 TQWn 122016 www.town.barnstable.ma.us ,V OF p (� Office: 508-862-4038 C7A'I� Sj0�8z0E6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address r�] (�fJ C i Residential Value of Work$ 5000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 4Q�A I Aim D(/4 S A-- 19- B 1i4 I Ric ts Contractor's Name Telephone Number 7 09L9L2$8 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) E94rkman's Compensation Insurance Check one: ❑ I am a sole proprietor' L� 1 am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name W.orkman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Rep'est(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to f ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#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 Impr ve ent Contractors License&Construction Supervisors License is required. SIGNATURE: QAWPFILES\ ORWbuilding permit formsTYPRESS.doc 06/20/16 'lie Coosrarrrc�enIth a ?�assr€clizrsdts Departwait•of Industrial Acciderds - - Office of.Fmwstigadom. 600 Washington Street K. Baston,AM 02111 mvin masmgovIdia Warkers' Cramp. ensat an Insurance Affidavit-Bmlders(GantractursMecfricianslPhanhers Appliran'_t Infwmatinu tom'/ P'lease Brent F.e�7aly Name�Susmeessl�rganQai���•;�r��1r�I� ��' -' �J/1 I"'��' Address: �/(J C(z- ��tg� Phonon 10&2 2,-z s Are you au employer?Check the appropriate box: Type of project(required: I.❑ I am a employer with 4. ❑I am a general contractor and I p � 6_ ❑ ar New consrructian employees(full andfor part-ime * have hired the sub-contractors 2.❑ I am a sole proprietor•orpartaer- listed onthe attached sheet, 7- ❑IZPmodeSiug sbip and have no employees. These sub coe�rac#ors have g_ ❑Demolition working, forme in any capacity: employees andhate wodcers .9. .❑Building addition [NO n mdmrs'camp_ixasranre Comp_insurano--$ required-] 5. ❑ We are a corporation and its ldQ❑Electrical repairs or additions 3. 1 am fiomeoumer doing all work officers have exercised their 1L❑Plumbsngrepaiss or additions unlit of exempf ion per MGL rnysel€[Nowa�rkrrc comp- 13_[:1 Roof r insurance required-]1 c.152, §1(4,andwe have no 1319'Other Ut Z-OPE employees-(No,workers' comp_insurance required.) �e1.uy apglitsat�at chedcshoa�1 nmsi also finovtthe sedioabeIows7xmEiag their wod'cers"campeasabaapaTicg i�a�suoa: i #MmeDwaerswba sabrmt¢hiss sfbda<<u iagEcatiag they ne dmng mUwc do sad&&him auwdeco==tarsnmst submit anew affidavit hxhc iaa sacb fCaat<aciasYbxt checkihas boa must znwlied madditinna shaet shon!=gffienaneof the sub-ccateaDrs end statewhe&er arnotihose eniitieshave employees.If the zu6toatnctnshave employees,they=stpmride their warken'romp.policg awmher. .Tam arc enipLapr that ispr4nVierg markers'eomperesrdion inswrance for my engvfayees Below is tFurpa-iiV and joh s*e inforrrrcriiaee. Insurance company'Nrame:` Policy 44,or Self-ins.Lic--4,,L Ekpir-ation Date: Job Site Addre= cityfStateizip: Aftach aro'py of the workers'compensation.policy declaration page(shaving the policy number and expiration date). Failure to secure coverage as required.under Seztibn 25A of MGL c_1572 can lead to the imposition of criminal penalties of a flue up to$1,54t}OD and for ane-yea'r imprisonment,as w6U as ri%il penalties in the form of a STOP STORK ORDER and a fine of upto$250_00 a day against the violator_ Re ad,,ised that a copy of this statement maybe R warded fn the Office of lavestigatiores of the D1A for insurance coverage t-edfica ion.. I do ifereby certify wtder th. es zed penahies a.f pet aiy Mattka irrformatrarrpr�mitW abm a!s furs acid carrect Siffiature: Date LS I tZ 021dal use only. ,Do not write in this area,to be campfeted by c*y artown offFeiaL City or Town: PermitUceuse# Issuing Authority(circle one): L Board of Health 2.Building Department 3.MyMwn Clerk 4.Electrical Inspector S.P.Iumbing Inspector 6.Other Coact Person: ` Phone#: Taformation and lastructions Mac.ca_r_Tinsett.-General LAWS I52 all I ens In de workers' ensafron for thDir I =. �� �� Pam- �P �P� pz¢suantto this sf�e,an.enplvyee is defined as"may person in a seavi ce of another under any contract of hire, eap}ress or rmplied,oral or writer_" An ez Tkyer is defined as"an infyidnal,partnership,assoQatian;corporation or other legal eu±ity,or auy two or more of the foregoing engaged is a Joint entmpase,and including tTie Iegal rep=Sen-ta&es of a deceased employer,or the - receiver or ttustee of an mdividnal,partnersbip,associafim or other Iegal entity,employing eurpl-oyees- gowever the o - owner of a.dwellinghonse h��notmore than ti�ree aparfineots and�a residesi3�erem,or the c�p�t of thf-- dwelling house of another who employs persons to do maintezi m,construction or repair work.on such dwelling house or oa the gvtmds or building appurtenant$ieretu shall not because of Bach employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every stale or Ioca1 Iiceasing agency shall withhold the issuance a renewal of a Eceuzse or permit to operate a business or to construct buildings in the cotumonwealth for any e ce o coin Tian.ce with th-e incrrrance covers e rued-" t aduced acre table evcd n f g eq'� applicant:who has no pr p p MGL ter I52 2S states" 6i ffi=the commaawealth nor any ofids political subdivisions shall Additionally, � ,§ �� - enter MtD any contract for the performance of public work unfit acceptable evidence of compliance with the insurance._ rur:iremets of this chapter have been presented to the contracting authozdy." A-PPIicants Please fill obt the woikers' compensation affidavit completely,by checl:iiig ho boxes!hat apply to your situation and,if s address es and one n=b s along with their certificate(s) of necessary,supply sub�ontractor(s)name{), ( ) ph �() „srara_„ce. Lmmrted Liability Companies(LLC)or Limited Liability-Partneahips(LLP)withno employees other than the members or partners,are not required to taffy woikczs'compensation insurance If an LLC or L.LP does have empioy=s;,apolicyisregaked. Be advised that this affidayit maybe submittedta the,Departrnentoflndustrial Accidents for confirmation of insurance coverage. Also be sere to sign and date the affidavit The affidavit should be retrmae-d to the city or town that the application for the permit or license is being requested,not the Department of Ldnsftial Accidents. Shouldyou have any questions regarding the law or ifyou ate rujairedto obtain a woIkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-io carsr,ce license number an tha appropriate line. City or Town Officials--_- - - -- -- - - Please be sure that the affidavit is templets 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 oflnvestigations has to contactyouregarding the applicant_ Please be sure to fill.in the pemnitllice e;number which will be used as a reference mmber. k addition,an applicant that must sobmiL m - I e�.WHcense applications is any given year,need only submit one affidavit indicating cmrent e P b ite A dress'the ' lica3t should wee all locxtons in (may or policy inf in ation if aces-saty)and under Jo S P J " the that has been,offici ed or maimed by the city or town may b e provided to the town) A copy of �yP applicant as-proof fiat a valid affidavit is on file for future pei nits or licenses. A new affidavit:oaust be tilled out each year.Wh=a home owner or citizen is obtaining a license or permit not related to any business or commercial vent (i-e. a dog license or permit to bum leaves etc.)saidperson is NOT required to complete this affidavit The Office of Inytstigaii=would.hke to =k you is advance for yom cooperaiicrn and shoIIld you have any gnesiions, please do not hesitate to give in a call- The Dej�arfinemfs a.ddrms,telephone and fax number_ CG_ - r of Mass chasetts Degaitnmt cif I�dmtdak Ao0idMts - 6Q)4 woman st-f-'d BQstan.,MA EMI I Tf,-1.1617' -4 cxt 406 or 1-9771v3 A SQ� Fax#617 727 7M Revised 4-24--07 p massg�d �TNE Town of Barnstable Regulatory Services `' ' ` Richard V.Scali,Director 6 ►�� Building Division. Paul Roma,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 Section If Using A Builder I as Owner of the subject property hereby authorize to act on my behalf, in all matters.relative to work authorized by this building permit application for: -(Address of Job) r **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. _ Signature-of Owner Signature of Applicant Print Name Print Name_° { Date QTORM&OWNERPERMISSIONPOOLS J Town of Barnstable Regulatory Services 1 op THE Richard V.Scali,Director Building Division t sAJMEM aie Paul Roma,Building Commissioner MARI E 639. ��0� 200 Main Street, Hyannis,Na 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE:JOB LOCATION: ^ I 4— q,::NC 1_�j G 0 Tv IT number street village ..HOMEOWNER": _Z �lU�5 name home phone# work phone# CURRENT MAILING ADDRESS: CoTk) C 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 procedur d regy emen id that he/she will comply with said proceduresrand requirements. I� . Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing.Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 Town of Barnstable *Permit -70S-7,AB Expires 6 months from issue date Regulatory Services Fee - 5. Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner O ` 200 Main Street,Hyannis,MA 02601 1" www.town.bamstable.ma.us 1 Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint OS�Map/parcel Number 67-2--�>Ct _ Property Address W 17 N C;- 1 -N. col V 1 17 j 02- 6 3 5 ( Residential Value of Work Qv Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address # ��)1J`�S I'►S f Awl(3pe- 0�') CCIA U ( 1 r �1 1 94 9 5 Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workmm's Compensation Insurance -PRESS PERMIT Check one: I am a sole proprietor S E P 12 2007 I am the Homeowner ❑ I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. f w ***Note: Property Owner must sign Property Owner Letter of Perrrus4m; 6 A copy of the Home Improvement Contractors License is required. SIGNATURE: , Q:Forms:expmtrg Revise061306 t The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street -Boston,MA 02111 , www.mass.gov/dia Workers" Compensation Insurance_Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):. .Address: Rt k tocq L� C.�U (� h� ©Z6 6 City/State/Zip: Phone.#: �05 2Q2_ Z 6d�l Are you an employer? Check the appropriate box: -Type of project(required):, 1.❑ I am a employer with 4. I am a general contractor and I . employees (full and/or part time). * have hired the stib-contractors 6. ❑New construction . 2.❑ I am asole proprietor or partner- listed on the-attached sheet. 7: El Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3. I am ahomeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12,[]Roof repairs insurance,required.] t c. 152, §1(4),and we have no employees. [No workers' . •13.2 Other S k R 1 N G 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. TContractors that check this box must attached on additional sheet sbowing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contactors have employees,they must providb their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below isihe policy and fob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State0p' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),; Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif_y/under the pains•and peennalties—of perjury that the information provided above is true and correct Sienature• � � ` Date: C)Q (2-(0 Phone#: Official use only. Do not write in this area,'tb be completed by city or town afftciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ♦.N OEVE T Town of Barnstable Regulatory Services 1ARNHABr.E. Thomas F.Geiler,Director MASS. 'plFt 639. � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 ------------ HOMEOWNER LICENSE EXEMPTION Please Print DATE: 0 1Q� 1 12) m JOB LOCATION: number 1, street village / "HOMEOWNER": Z�IOA S 1 t4 6 A hQ82giZ 2;y name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned."homeowner"assumes responsibility for compliance with the State Building Code.and other. applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable.Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of 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. Town of Barnstable F THE ° C Regulatory Services Thomas F.Geller,Director + snxx&rABM 9� ' � 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 r PERMIT# 7 7 F Y 3 FEE: $ SHED REGISTRATION 120 square feet or less 64 -T Al /U C 0 Location of shed(address) Village Property owner's name Telephone number f' Size of Shed Map/Parcel# Dr Signature DatedC 2. r— C Hyannis Main Street Waterfront Historic District? > ;z a�m Old King's Highway Historic District Commission jurisdiction? 11/d — A co 'Conservation Commission(signature is required) c,,a.< rn r� 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:121901 LOT 64 ~ - S62 N 1 LOT ` 61 . . LOT 65: --=:NSE=N- o s 0 1T 0 o DECK LOT 60 C'' k EL -CTRI LOT VISE yA �,�t 66 ApE AND A MEN COM C �Al�,r y E LOT 59 *FORMERLY ✓OANNE BOSAK RES, ZONE.- "Rf" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- ""C"" TOWN: _C __ REGISTRY OWNER: JQAN ,�_ ��Q DEED REF: _B�0nk Use Only 11� --- -____--BUYER: 1BBYhR�K�yjy�YF.ST---------.-- ---- - ' - : DATE: _9 18/�9�--------- — PLAN REF: _226•24.D-,FHZ�T_�---SCALE:I"= 30"---FT l HEREBY CERTIFY TO 1u6N1_Qf'Ad1EB1GA______.____ ___THAT THE BUILDING ���+ OF k,��re YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS 'SHOWN AND THAT ITS POSITION DOES ____ CONFORM ° PAUL GT" CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE Ai�AITHCrY 40B (SUITE 5) TOWN OF BB�N�TAQL _____________AND THAT ha. : �� INDUSTRY ROAD IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD o AREA AS SHOWN ON THE H.U.D. MAP DATED_ " 'I` n`C1s Cps MARSTONS MIL1S, MA 02648 Co munit - anel 250001 0018 D � -- !7,VA; LAVa ' TEL 428-0055 FAX: 420-5553 ' �'' fi1� ISLS _____ THIS PLAN NOT MADE FROM AN I STRUMENT PAn. A. SURVEY, NOT TO BE USED FOR FENCES, ETC. 24942 MRC r _ •,•��.y--'r�'��Nsr"'�"4"..-n ...i�1~yr. r,...i,•j"ti'tp.w.;rrc. ..Fr+..>- -i.r11rM"w.eyyr..��e-M•rr(wM•vy '.>��. .. w�.„:�•."p"'ry't}fiw.yr"".tn,..err+I7`if'1"-'+ 'h.+Y4►M.i."K'+✓`".�'yRs....n:-r+v.y .' v f Assessor's office(1 sc Floor): Assessor's map and;lot number Board of Health(3rd floor): G ems°w `w Sewage;Permit number�3 7 � �a Engineering Department(3rd floor): 2 DAH39TAXE I rus House number- / 7 t6y9. Definitive Plan Approved by Planning Board 19 �D air d' APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00=2A0 P.M.-only' TOWNS: OFBARNSTABLE BUILDING INSPECTOR y� APPLICATION FOR PERMIT 1. , c In v�xde c_ TYPE OF CONSTRUCTION WCZ24 U 19 —�-- TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location l� ru)e° ,� Krz—VIIL 00+0 1 . n Proposed Use 'S , — :7 h 1 Zoning,District Fire District Name of Owner �0(3 rI h ��1 CQ Address C0 o( l t( 1) Name of Builder 0/flA Address Name of Architect �/"!1 Address Number of Rooms— Foundation All SO IV /cJ Exterior 7 •SV U3 Roofing Floors Interior ( Heating NON Plumbing �-- Fireplace Approximate Cost Area 2 nz Diagram of Lot and Building with Dimensions ; Fee h. t k 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. � r Nam i Co s,�truction Supervisor's License C3N�-" t RICE, JOANNE S. A=039-050 a No 34514 permit For Replace & Enlarge Deck Single Family Dwelling Location 17 Patience Lane - Cotuit Owner Joanne S. Rice Type of Construction Frame Plot Lot Permit Granted April 9 , 19 91 Date of Inspection 19 Date Completed 19 ' s- �� - Assessor's map'and lot number.'.............. .... ........................ THE T��y Sewage Permit- number .......... ��� 60.......(^' Z BARNSTABLE, i House number / :. MABa A.. .........................:........ .... 0 L �O,o,1639. 9� � .Fp MPY a� TOWN OF BARN-STABL-E t BUILDING INSPECTOR 'APPLICATION FOR PERMIT TO ;TYPE OF CONSTRUCTION ....Woi.O.Q............RAK ................................................................................ .Q•.�. .�. ............19.. TO THE INSPECTOR OF BUILDINGS: The undersignedf hereby applie�+s for a permit according to the/following information: � Location ............1--p ..............1�. ......... r--....11V..14 ..........41. ..1�.�.1. ..................................................... Proposed Use ... .......... �'". 1. -`4 ..=-�a.4i ��1. .............................................................................. ZoningDistrict ....... F........................................................Fire District .... .lr..dO............................................. Name of Owner .z3-,Pa0.....C........ ...............Address Name of Builder (,r14 +!.IV.i.,,. TR14 � .M ................ ny - Address ............./.".... ................................. Name of Architect AQ. j .ti ..abI , Aq.�...............Address .44 .....6..A.....��� SAQ\M..�8 . Number of Rooms ........(49.....................................................:Foundation 1...Wi r.!J..�. '6(-I-- .O.Q.I E.N-Y.�.5........................ Exterior � .....Roofing .........: Floors (.Apo.( ..............\A.N.xt-....a...���P�� ..........Interior ...71AIEf Z94:: .................................................... Heating { . ....4. .......................::........../ffi\9--- Approx .........Plumbing ...... ................................................. Fireplace .� ..gX�. `uE............. .... . . ...........� imate Cost 4.ov...................................... 1}& ` Definitive Plan Approved by Planning Board ----- � -------------19k . Area .........r ........ .... . Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH �c1�' F 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. ' ow � Name ....... ........ ............:..............1....�"`!."..�..... cp Construction Supervisor's License .................................... MCKEON, JOHN C. A=39-50 No Permit for ... .......... .........Si.n.g.1.9...F.ami.1v...DWQ.jjjXj.g............ .... .. . .. ....... Location ....LQ.t...65 1-7...R.a.ti. .ence...Way ................... ............................................ Owner ...... ...C....MC.Keoxi............:.......... Type of Construction ...Frame.......................... ................................................................................ Plot ............................ Lot ................................. Permit Granted .......April.. .. ........19 85 . ..... ....... Date of Inspection ....................................19 Date Completed ... ..................................19 0-0 Assessor's office(1 S'El (�i st.Floor): SYSTEM MUST SS Assessor's map and.-lot number C®MPL'AMc+ ypi THE T0` i Board of Health(3rd,floor): t ¢ INSTALLED IN o 2 a r # WITt4 TITLE 5 Sewage Permit number ) ;�7� 1 '. ,Q„ &'. : �- rr p�R�f�� t 1AHa9TSDL6 Engineering Department(3rd floor) ? ENVlR® clue House number + /:7 ,� �pF, �o 1639' Definitive Plan Approved by,Planning Board _ 19 DNA a' APPLICATIONS PROCESSED 8:30-9:30A.MM.and 1:00-2:00 P.M.only ` R si#p ° E P AWN 0* OF ! BARNSTABLE ' 0 Sa St le conservatioZL ILDIHG IH'SPECTO ,Data S I� ; 00LICATION FOR PERMIT TO CIO TYPE OF CONSTRUCTION CZ2dr ( y i p U 19 i TO THE INSPECTOR OF BUILDINGS: The undersigned hereLby applies for a permit accornding to the }following information: I. Location I� T(M e-.YlC kJVt o Proposed Use �J I Zoning District Fire District �n [) (± n �. )'7 Q Name of Owner < VI 1 C� Address 1r �� Name of Builder Address Name of Architect /!I Address Number of Rooms Foundation. A "s 0'y0 `���eC Exterior z-V//Y Roofing Floors Interior ` » I Heating A-) Plumbing Fireplace ��� Approximate Cost ff 3501 � Area ;2 ��oa 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 above construction. 8 i Nam S .. Co st ion Supervisor's License 0 CC� h,e RICE, JOANNE S. j 34514 r Re mace & Enlarge Deck No Permit Fo y Single F anA Isv DwLlincrcr "Location "17. .P a t lTa a n e _ r ` �'COtuit to Owner. Joanne `S ice ft: Type of Construction Fkam , Plot- Lot 01 f.Au us 9 _ ,„ 91 c r Permit Granted g 19 Date of Inspection '-' 19 .E r Date Completed - 19 W illy 5 Cu 1 5 rol Nj c tom; --N127011 '40"W LOT # 65 - o 6 � O A t' o Oo ##17 k Scale: L=85.00 `' .- IV S27011'4011E 1" 30' PATIENCE LANE 40.29 "I CERTIFY THAT THE BUILDING SHOWN _ ON THIS PLAN IS AS IT ACTUALLY EXISTS AND THAT IT CONFORMS TO THE TOWN OF BARNSTABLE PLOT PLAN OF LAND j ZONING REGULATIONS. I FURTHER- CERTIFY located in THAT THE SUBJECT PROPERTY SHOWN BARNSTABLE, MA. HEREON DOES NOT LIE WITHIN THE , prepared for 100 YEAR FLOOD PLAIN" •''="'`�• _ LOUIS C. RICE o F r44s�9� DATE: JUNE 4, .198E , a' J GREOGEG. C�J / MMSARDO m n g 1 Pi n g SANITARY IT A -o ,p No. 32533 � Flood Zone Information from F sTS Community Map : 250001 0018 C FSS�onAL Er�,'�" Dated :8/19/85 24 F'ursrtli Ave., S. Yarn,:xith, Pb1 TOWN OF BARNSTABLE BUILDING DEPARTMENT _ HOMEOWNER LICEN4E. EXEMPTION :` '. oaaaaaaiasssaaasaasaa=: Please-iprint DATE "` n, ✓'. a JOB LOCATION ,.r •' .w r Number Street address U' Section of town "HOMEOWNER" IL �• Name Home phone Work phone PRESENT MAILI G ADDRESS � ���,r i1<'• '' r:. .�1:. .. . lty own State . ;; The current exemption for "homeowners" was extended Zip.�Code dwellin s ended to include owner-occupied of six units or less and to allow such homeowners to engage dlvidual for hire who does not possess a license acts as sut�ervisor, g ge an-.in-. Provided that the owner:: DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides side, on which there is attached or detached strucctureslaccessorto be ides fa intends- toli re . a one to six family dwelling, A person who constructs more than one home in a two-year considQred 'a homeowner. Suc �� y to such use and/or farm structures.•• on a form ac h homeowner". shall submit to shall not be for a Ceptable to the Build ' the 11 . such work erformed under1the0buildin / Building Official that he she shall be res onsible The.•undersi ned " ,� ermit. (Section 109.1.1j Building g •homeowner assumes ,.responsibility for compliance with the Sta g Code •and other applicable codes, by-laws, rules an The undersigned d regulations. t Barnstable Building"homeowner" certifies that he/she understands the Town of • and that / Department minimum �+ he/she will comply with said Procedures procedures and requirements HOMEOWNER'S SIGNATURE and requirements. APPROVAL OF BUILDING OF ICIAL Note: .. Three family � to Comply dwellings -35, 000 cubic feet P1 with State Buildingor larger, Code Section 127. 0, be required r 7 t • i f i 1 HOME OWNER'S EXEMPTION . The code. state that: "Any Home Owner performing work for which •a::bu ding Y.. t permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided .that ;if E Home Owner engages a person (s) for hire to do such work, that -suah me .Ownez shall act as supervisor. " Ho Many Home Owners who use this exemption are unaware that the are the responsibilities of a supervisor (see A y assuming for licensing Construction Supervisors, . Sectiond2x 5) Rules and Regulations often results in seriousproblems, - particularly • 15) . This lack of' awareries unlicensed persons. In this case our Board cannot eProceed n the oagame instrtheres inlicensed person as it would with licensed Supervisor. The Home ' Owner actir as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her res o communities require, as part of the permit application p the Hoities,. man certify that he/she understands the responsibilities of ahsupexvisore 6Onethe last page of this issue is a form currently used by several care to amend and adopt such a form/certification for use in your communit towns. You may Y i L THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A , DATA TOWN OF BARNSTABLE Permit No. _ _.-..------__- t Building Inspector cash ---------- -- OCCUPANCY PERMIT Bond -----_--.----� /D Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date 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. ....................................................... ]9........... .........................................................................................._.........._._....... Building Inspector F m�Py�f c�.w TOWN OF BARNSTABLE BUILDING DEPARTMENT t seas�r : TOWN OFFICE BUILDING rua t619. �� HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by 1 Building Permit $k... . .. Ts.. ( .. ......_................................................ ......... issued to ......... 1►! ....... !..1 ��.�-./ Q ....... ............. .. ..... Please release the performance bond. v� r,. MYCOCK, KILROY, GREEN & M.CLAUGHLIN, P.C. ATTORNEYS AT LAW 171 MAIN STREET BERNARD T. KILROY HYANNIS, MASSACHUSETTS 02601 OF COUNSEL ALAN A. GREEN AREA CODE 617 EDWIN S. MYCOCK CHARLES S. MCLAUGHLIN, JR. MICHAEL D. FORD 771-5070 ADDRESS ALL MAIL JAMES M. FALLA - P.O. Box 960 . HYANNIS. MASS. 02601 MARK D. CARCHIDI - REFER TO FILE # 84-1-903 April 24 , 1985 Mr. Joseph Daluz, Building Inspector Town of Barnstable Main Street Hyannis, Mass. 02601 Re: Lot 64 , now owned by Cynthia L. McKeon under Certificate of Title No. 99414; and Lot 65, now owned by John C. McKeon uncer Certificate of Title No. 99513. (Also known as Lots 48 and 50) Patience Lane, Cotuit Dear Mr. Daluz: As you know the above lots do not meet the current dimensional requirements of the Zoning By-Law. On February 18, 1975, the above lots went into ownership separate from that of adjoining lots while said lots enjoyed the statutory plan protection. for building purposes under Section 7A of former Chapter 40A of the Massachusetts General Laws. Because of the above, our current By-Law grandfather . clause gives the lots building protection. If you need any further information, please feel free to contact me. Ver truly yours, ernard T. Kilroy BTK/vj s Lp7 6 { Al G z /S , Uo �~ c i ' 6' N d" FoNl% v .6 Z;9 r ti l ,45,041 s- F = � v7� � 6 s, to 113,SRO S,F 1 CERTIFIED PLOT PLAN T 6.- PA T/C GE L A ,C. -s r F 3r• 1.�� ` J _ •,a• CJ tJ t 7- / T ' .w 13Yc R�lS � si�o t`r f IN A at at 45 Fa. � 6i` SCALE, / "=4o DATE, 4%2¢/�, N n��kc°n/ I CERTIFY THAT 'THE Fou,vOl CLIENT .. 8MOWN ON THIS PLAN 13 LOCATED S;St7�TERED RE013TERE0 �SvG3 ON THE GROUND AS INDICATED AND, CLYII: LAMD JOd MO. ......,,..�,,. = CONFORMS TO THE ZONINGa=- ENGINEER 8URVEYOR OR BY+ A ' OF DARNSTAs E, MA88 .a 12' MA I N S T R.EE,T i , , ,,; ,: � N N I3 MASS. BHEET,,,L„OIF. DATE . RE®. LAND SURVEYOJt e g Assessor's map and lot number 3/... ..... S ; C ;. . SAOT'IC=SYSTEPA HUS, YNE,o� Sewage Permit number r am ... #NSTALLED IIN`I MOe_[ frl �TITLE BAUSTAIiLE. ,~ House number .... .,::.?T...... .. ...................................... ��I � ��M,011 1%48NTA 'o mm '� T. OF. rBARNSTABLE BUILDING - INSPECTOR . APPLICATION FOR PERMIT TO .... ...... ., .........: '...............................:..................:...........:.. 'f' TYPE OF"CONSTRUCTION .:.. Q. , . ..... ...: ... ..................................................................... .�. ............19.. TO THE INSPECTOR OF BUILDINGS: , The undersignedp hereby applies for a permit according to the following information:. Location ............}-- . :.. ' ....�D-,?�. ......�A�T' .. �'. .A . .. :Cm.l. .. ............. y .................. Proposed Use . ,�. Cj. ........C' iv!4.1�-.(....... :. ... ....... ................ ............................... Zoning `District :........ ............................................... .............:.....................:~..................Fire District ...:. . , ,. 1 . ��a.�... Name of Owrier'.: ®.1 ..... .......Mc r....f.....Address .....��..Gkxeu, 1� Name of Builder �J�Y'�N mil` Cj ..:.......Address ................ ................................................. Name of Architect .��7. .5 ..�..� �Ch1�i........:......Address .:. ....: mo . a.'` .1....:................... If, ``�lI Number of Rooms ........ ......................................................Foundation'' . :..... 1. Exierior CAT �4.01.tA .......................Roofsng / ........... ..... ........................... :. Floors .. . ®3r.... -a.. C Q Interior � � 1 �.�- f .. . .............. t ' -@ ... r Heating' ..................................... .........Plumbing ....... ................................................ I Fireplace . . .,. X I .:.........:.t... ....�-X.... l Approximate. Cost........ f.. ©..... Definitive Plan Approved by Planning Board. ---_-Z�.� --------------194�. . Area ......... .......•. ........��� v DiagraM.of Lot and Building with Dimensions Fee .. -............. SUBJECT APPROVAL OF BOARD OF HEALTH F f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of-Ba+rnstable regarding the above construction. aName . ..I ............ . .. ... . .. :�.<... ...... „Construction Supervisor's License ......BQ.i.3.q, ,,......... I MCKEON, JOHN C. !� No Permit for ....One Story........ r ... .......... Location ..Lot... .........1.7....PzLU-ence.„Wa-.y ........... ...........................................` Jon Owner ? ..: `...M�Kes�n.... i - }f. l —_ „- Type ..of Construction. ......Frame ........ ................... :.. .. ._. .......................... 76 Al % 'Plot ..... Lot=_ . ........ Aprl t Ir 1J 1 Permit Granted ...........................` 219 s� Date of'Inspection Ga. �......... .19 Date',Completed 177 1-71 �f r• • ! .r +