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Home My WebLink About0066 SCHOOL STREET 0 �� Assessor's map and lot number ............................................ Sewage Permit number ........................................................ BARNSTABLE, House number 0 rasa 039. 0 M TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO A J d ......S.t.v,5(c We 1 ;?I.-C, ................. TYPE OF CONSTRUCTION ....CAT f..................'(A.L..,.Vl k......... .......... ...........D ........ ` /' 19. . ............................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... ......... .......... .... ............................... .......................................................... ... .............. ... Proposed Use ....... .. ......... ............................................................................................ .(".4AIA.... .. d...... . r<..... ZoningDistrict ...................................................... ... ..........Fire District ......................................................... Name of Owner%�`(..�., 4, j 4 j-,,4 (A XCI.1.4 s tulx...SKAS ............................... `f4-1 i.;.. ....A.(—.O..Addres ....Ixtl C,-S r -6 44 74 Name of Builder .... ................Address ...................�.,q .... . .... ...... ... kn.?.Q. Name of Architect ..................V,Al ON. ..................Address ..................................................................................... —, Number of Rooms .......................I I ...Founclation LWQ.c�....................... ........................................ e Exterior .............Roofing ... S'A ............. .............Floors C�0—d. .............Interior ...... Heating .......................5AOA.. ............................................PluAing ...................................................... I Qt I Fireplace ....................... ' ............................................Approximate Cost ......... ................................. 11� Definitive Plan Approved by Planning Board --------------------------------19--------- Area ........ .............. /101f Diagram of Lot and Building with DimensionsFee ....................... ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 t 1161 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 ..... Con*ttruction Supervisor's License ... .......... M-_---'-_-- ' __-__' - -_--. — -- -_ ~ \ � `�33 [/ 35044 ADDITION No ................. Permit for -----.�.�...---- � ___S . .. ' ____ ' Location A./�..3QJIQQ.]...��Q.0.t.................... ' ....................Q.tui.t —]��{AX!...&... )Q A n.. atj,�0.. ' Type of Construction ...Frame.--................................................................................ Plot Lot ~' Permit u,onmm nx Date of , Inspection uo/a Completed ...../..............................19\ [~/[_/ ~ - ^ ' ' � � � � � a Assessor's map,and lot number ..� ............ ?HEt r.. Sewage Permit number Quo ABH B E, •rr nSBTa L House number ........L6............... ......o 9 - - TOWN ?DY -BARNSTABLE, BUILDING. INSPECTOR h co APPLICATION FOR PERMIT TO ..A ..... ........ ....... .. ..... .......>!...... .. ...... ....... .............. 10. �. s - i�'t TYPE OF CONSTRUCTION ... 1.o.C� .. flti,i!! ..t�... .... ldl.....4:"�:�.. ..... ..� .....QC�: -:.. . ................................. ...............19. . TO THE INSPECTOR OF BUILDINGS: The undersignne�d/ hereby applies for •a permit according to the following information: Location .......`G'�'? <<�1 C?C�.l...... ....... ........................................................... Proposed Use-'........ !a/Ir11i1,�, .. ..�'�.......... .C � :........ ............. ................................... Zoning District .............................................................. :Fire District ... �.±..5�.; : .......... .................... Name of Owners.. A 1:�. ....N •.4?..Address /.�1�...�[t...��,��:�8s .,�{.:5,�;,h I.�XG�,tU, r. Name of Builder ....0/01...W��ivt .....? . ... ..........Address G ..r7:�lLiC� � G �Q 1 C1 4 Ac, S Name of Architect ...... .... .I& .L. .....:.. ...."Address ......................................... ........ ....... Number of Rooms ............. .........l.: ..................................Foundation ..4..G �.:!: .../ �`.� ...................... Exteriorh 1'. ... .............................Roofing .. •dt,S4�(n�i.i........................................................... Floors Sn.YI . ""•l.G?C! .. �. . .Cam :.:.. :Interior ....: - 1. :`. .. �... ......:................. Heating ................::... ,e !.Yl. .,.......................................... bang'...........>�.o L.�...................................................... H Plum Fireplace ...................... .;.......,:°.,, ..............................Approximate Cost ...........:��.�... ... 7 S_ ..f�.. ... Definitive Plan Approved by Plannirig:Board ____t_____-__________________19.________. Area ........... ...... g Dia ram of Lot'and Building with Dimensions] ,. Fee .:........... .........tf7.�........s...... SUBJECT TO APPROVAL OF BOARD OF HEALTH, fog' 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 ..... .. �.. .�.. �-- r Construction Supervisor's' License ., .�.�.3.. �,�:.......... MANGIATICOr . EDGAR,.-&.. JEAN .► ..25044. .. Permit for f I 0- No '..... '� { Single Family Dwelling:... Location ..................66 School Street ...... .......... q ti Y ..........Cotuit................................................ Owner .Edgar & Jean...Mangiatico.... tType of Construction. Frame.......................................... -• _ _ -_ _. �-___ t N Plot .......... ........ ........ Lot .............. ........ 41 It PermitrGra *ed ...May...5.'.. �19 83 t I . _• -_ .i D_ate of�on6.:?`V............... ....f9 Date Completed .. .�. .i. . .19 r � * <``', P* i ' ems- <�i/. .. .. '� - -..- e � _,tea .. .. - ,•-i - �n � ro � �� oFIK r Town of Barnstable *Permit# 1 Expires 6 roVo- issue date Regulatory Services Feev .aaxNsrABLE, Thomas F. Geiler, Director � t+tass. 1639. ,�� Building Division PrFo n+a'�n Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5087790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Vatid without Red X-Press Imprint Map/parcel Number Property Address (0� ❑ Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name S(o 17 t-/a-( ' Telephone Number .off 3(a Home Improvement Contractor License# (if applicable) 90❑Workman's Compensation Insurance WPRESS PERMIT . Check one: _ ❑ I am a sole proprietor S E P 8 2008 ❑ I am the Homeowner 10I have Worker's Compensation Insurance. TOWN OF BARNSTABhE Insurance Company Name ( ,t f5--eI7:Y�j (/1"ll 6yi ...GG,(ile'Y c - Workman's Comp. Policy# uI ( 3 IS - (o 1 Copy of Insurance�ompliaree 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 ^' i ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department reTalati 'i.e. HistoriP,Conservation,etc: cr) tr 'Note: Property Owner must sign.Property Owner Letter of Permission z- A copy of the Home Improvement Contractors License is require. CA, !V P"- SIGNATURE: Q:\VvTFILES\FORMS\building permit forrns\EXPRESS.doc The ComrnonweaXth-of Massachusetts Department of industrial Accidents Office of Investigations , 600 Washington Street Boston, AM 02111 www_mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Con.tractors/Electricians/P7umbers Applicant Information Please Print Leffltbly Name(Business/organizxtion/IndividuaD: 7 A 1-C le ' Address d City/StatelZip: CAD � fT• , �_5'Phone.4_ Are you an employer? Check the appropriate bow Type of project(r`egnired)- 1.D1 am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees (full andlorpart.timc).* havc hired the stub-coutractprs 2111 am a sole proprietor or partner- These sub-confractors listed an the atjached sheet 7. ❑Remodeling ship and have no employees have g, 0 Demolition employees and have workers' working for mein any capacity. employees ❑Building addition [No workers' Cpmp.-msrrranrC pomp-insurance.t 5. [] We arc a corporation and its 10f]Electrical repairs or additior rtquu�] officers have exercised their 11.❑Plumbing repairs or additim 3111 am a homeowner doing all work myself: [No workers' comp_ right of exemption per MGL 12 ❑goof repairs t'incnrance required.] - - c. 152, §1(4), and we he no- e avmployees. [No workers' 13.[]Other . POMP. insunan"required.] t/wy zpphcant dial cl=lk box III rnUst aISD fM Dnt the r.=6m bclmv showing thcir way ,cornscnsa4on Policy inf6m ation. t Homcownca who eubroit this affidavit indicating icy arc doing all work and than hire outside contractor;must submit IL Mw affidavit indicating such. tConhactnrs that check this box umat attached an additional sheet showing the name of the sub-conh actors and state whether or not thosd entities have emplDycrs. If the sub-conhacbws have employees,they roust providh their vvo k 'gyp.pobcy number. I am.an employer that is providing workers'comperrsatiors insurance for my employees. Below is the policy and job site information. / lnnitarce Company Name_. � /3 f✓lrL✓ �t✓4 L.— /� Policy#or Self-ins.Lic.#: �/`��-� 3 f -� 80 0 Expiration Date: ! �i fob Site Addmss: C!/IJd l Citylsta dzip: C3G6 Attach a copy of the workers' compensation policy declaration page(showing the policy nnmber and ex-piratiort date; Failure to scmwc coverage as required under Section 25A of MGL c. 152 can lead to the imposition of eTimuial penalties of: 5ne iip to$1,500.00 and/or ont-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a f of up to$250.00 a day against the violator. Be advised that a copy of this stat;=rrit may be forwarded to the Office of Investigations of the D1A for insurance myCralizo vcrificatiam I do hereby certify anger the pa' d penalties of perjury that the information providEdgabonve'" true and correct Da tc: Phone#� �O e3 O tidal use only. Do not write in this area, tb be completed by city or town officiaL City or Town: Permit/Licewe# Ig"ng Authority(circle one): 1_Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other 1 - oV-VEr� 'Town of Barnstable Regulatory Services KASa Thomas F. Geiler,Director T�oMn�a Building Division'. Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mams Office: 508-862-4038 Fax: 508-790-6230 . Property Owner Must Complete and Sign This Section If Using A Budder i O //f 6 ca " , as Owner of the subject property hereby authorize 1'- Vc4(t to act on my behalf, in altmatters relative to work authorized by this building permit application for: 54. (Address of rob) Signatur Owner ate , Print N me If Property Owner is applying for permit please complete the Homeowners License Exemption Form on .tLc reverse side. Town. of Barnstable op'[HE rq�y y�, o Regulatory Services g Thomas F.Geiler,Director • SARNSTABt.E, p MASS. Building Division pl�D �a Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.b2rnsiable.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 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 1 o9.1,1-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 aie unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2,15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by sCvcral towns. You may care t amend and adopt such a fonn/certification for use in your community. . i ✓!e�a»�noozusea,LC� o�.,�/�twaac�uiaeCla '` Board of Building Regulations and Standards License or registration i alid for indi vidul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration =1.52902 One Ashburton Place Rm 1301 Expiration j0/1:3/2008 Boston,Ma.02108 T e OCEAN MOUNTAIN INC 0! SCOTT BUCKLEY� �} 4signature 244 SANTUIT RD. Not valid without COTUIT,MA 02635 Administrator i Liberty Mutual Group P.O. Box 9090 Liberty Mutual® Dover,NH03821-9090 Telephone(800)653-7893 Fax(603)-245-5330 August 8,2008 TOWN OF BARNSTABLE AT-IN:BLDG DEPT 367 MAIN STREET HYANNIS, MA 02601- RE: Certificate of Workers Compensation Insurance Insured: OCEAN MOUNTAIN CO INC 244 SANTOIT RD COTUIT, MA 02635 Policy Number: WC1-31S-361868-028 Effective: 6 /2 /2008 Expiration: 6/2 /2009 Coverage afforded under Workers Compensation Law of the following state(s): MA Emolovers Liabili!�,U.mits): Sole ProprietodPartner Coverage Election: Bodily Injury By Accident: $ 100,000 Each Accident 1 Bodily Injury b Disease: $ 100,000 Each Person lam' Y Bodily Injury by Disease: $ 500,000 Policy Limits i As of this date,the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusion conditions, and is not altered by any"requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AJ AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such.insurance as is afforded by those companies. cc: Insured: Producer of Record: OCEAN MOUNTAIN CO INC ALMEIDA&CARLSON INS 244 SANTOIT RD P O BOX 719 CH, MA 02563 COTUIT, MA 02635 SAND WI