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HomeMy WebLinkAbout0030 SEARS AVENUE a � � � l i �` ' i 1 �} � . L .. - -- .-,v _ � _ - _ _-_ _. � j � �INE Town of Barnstable *Permit# 0/(L a �� Expires 6 mo the from iss date Regulatory Services Fee � sasrrsrnBt.E. � Mass. . Richard V.Scali,Interim Director D Mfa A �'A Building Division p� OF-8ARt4S Perry,CBO,Building Commissioner ® t� 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ,r of Valid without Red X-Press Imprint Map/parcel Number �/ o [ ( (f Property Address _To S&,j "4ae �j��°f— �f� 026 J,— Residential Value of Work $—$_6 1 2['� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name rJ hr-t°C n ) Telephone Number .SB,F 7 c) Home Improvement Contractor License#(if applicable) 1�f�o-�3 Email: c �� (.^, �') f •,°� Construction Supervisor's License#(if applicable) rj�j 7 s OWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ® I have Worker's Compensation Insurance Insurance Company Name (� Workman's Comp.Policy#_ GZZ y/)31-1—2—/O 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 y4lriu.)7L P�4 ❑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 requir SIGNATURE: TAKEVIN_D\Building Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 cn cn —I T p �' '� m D C0 O e .11 '1 o �7i � o O p 'x0 1 ►mod. ccoo, R R o Z n' m o o c m o Qo- 0otj Dto o +_ o o v c y N m uh M a -i: jfj e �)i itj�++-• tn. Z '"'n o I � .. _ m p; W CrQ •o Massachusetts- Department of Public Safety IV . Board of Building Regulations and Standards Construction Supervisor Specialtv c License: CSSL-099351 TM B.KEATINC ; 54 Lower Brook W- South Yarmouth NIA 02614 Expiration ✓.•�, . � 05/11/2014 Commissioner. CERTIFICATE OF LIABILITY INSURANCE F­DMIDDIYYYY) IM /16/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER PAUL SCHLEGEL NAME: SCHLEGEL INSURANCE BROKERS INC PHONE FAX (A/C,No,EXt): 508-771-8381 (A/c No)508-771-0663 34 MAIN STREET E-MAIL ADDRESS: SCHLEGELINSURANCE@GMAIL.COM WEST YARMOUTH MA 02673 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:COLONY INSURANCE INSURED INSURER B:CNA Timothy Keating Dba Keating Construction INSURER C 54 Lower Brook Road INSURER D: INSURER E: South Yarmouth, MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AVULIbUUM POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY GL3594908 03/20/2014 03/20/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 500,000 CLAIMS-MADE rx I OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINULE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS - NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS - (Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION 0224N37-2-10 03/09/201403/09/2015 1 WCsTATuT oTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N/A - E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below - - E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) TIMOTHY KEATING HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPESNATION POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRES TATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The CountronweaNt of Massachusetts DepartIney:t of Indicstrial Accidents Office of Invesfigations 600 Washington Street Boston,M4 02111 tv►vrt:ntas�go��/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/E]ectricians/Plumbers Applicant Information Please Print Let=rbly Name(Business/Organizatioa&dividuat)--_ Ti r 7 Address: S ` Lax, i�coz O City/State/Zip: S c%!1,uJ Phone# I 7d o 27l)l Are you an employer?Check the appropriate box. 1. I am a employer with ® 4. ❑ 1 am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6-.❑.New constriction 2.❑ I am a sole proprietor or partner listed on the attached sheet. 7. EYRemodeling ship and have no employees These sub-contractors have g- ❑Demolition working for me:in any capacity. employees and have workers` [No workers'comp.insurance comp.insurance.1 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their i 1_[I Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roofrepairs insurance required.)i c_152, §1(4),and we have no employees.[No workers' 13.0 Other comp-insurance required.) 1'Any applicam that checks box#1 tttttsr also lill out the section below showing their workers'compensation policy infamatim Homeowners who submit this affidavit indicating they are doing aU work and then hire outside contractors mast 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 entity have employees. If the subcontractors have employees,they must provide their workers'com p.policy number... I am an employer that is providing nrorkers'compensation insurance for my employees. Below is tine poU47 and job site information. Insurance Company Name: /V Policy i#or Self-ins.Lic_*: O ZZ Expiration Date: Job Site Address —3-6 l a—r Aur City/State z:ip:/'e 4:'4- t*� QzGgf`— 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 2.5A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 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-6olator. 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 a pains and penalties of pediny that the information provided above is bne and correct Si lure: rZ Bate: I Phone : ` Hof-. ZIll Official use only. Do not write in.this area,to be completed by,city or town official, City or Town: Permit/Uceuse# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk A.Electrical Inspector S.Plumbing Inspector 6.Other _ Contact Person•.. o�TME • BARNSTABM • 5 9. Town of Barnstable Regulatory Services Richard V.Scali,Interim 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 Owner Must Complete and Sign This Section , If Using A Builder F as Owner of the subject property hereby authorize Le f< +d^f (©AI �/Cr�"62 to act on my behalf, in all matters relative to work authorized by this building permit application for:, (Address of Job) r , Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN_Muilding Changes\EXPRESS PERMITIEXPRESS.doe Revised 061313 uviTOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY ' PARCEL ID 018 071 002 GEOBASE ID 35900 j ADDRESS 30 SEARS ROAD PHONE COTUIT ZIP — I LOT 3 & 4 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT I PERMIT 33672 DESCRIPTION SINGLE FAMILY DWELLING (PMT.036809) F'PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL_,FEES BOND $.00 - ox CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BARN3PL M • MA83. 039. FD MA'S BUILDIN 30DIV S s BY DATE ISSUED 09/29/1998 EXPIRATION DATE �..y :...a'•... c..:..+�;.��..�tv,M�KA_U! S7'd'F�'t..��f;'itt�'�T'1;bWe..a�YA:y..:..•,F?4fiE*a"^.�.:;f:c,�y-;.a.;i.4.:in"`w�ti^.+�.'�=l�Tt[°''ar..�'�.:.....-�..�: -�,t+S*t'»YUiK'r'"(+-•�'�"'�r�►^'C'�� TOWN'OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT DATE JUZ1E: 20 a 1994 PERMIT NO. o IV i/V APPLICANT Theodore W. Buckley - ARDREss _30 Seams Ave.., +Co'tuit - �'T IN0.) p(STREET) (CONTR'S LICENSE) PERMIT TO Build new dwelling I L � STORY single family dwelling NUMBERD.WELLIN OF G UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 30 Sears Avenue, Co'tuit ZONINGDISTR t(NO.) (STREET) , BETWEEN AND " (GROSS STREET) (GROSS STREET) LOT _ SUBDIVISION LOT BLOCK sy SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY s _yi F.T. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION •'' ' E• •� (TYPE) REMARKS: Sewa` 4a #93-447 �.. +„r $87.50 AREA OR VOLUME 10-92 sq. f t• 50,0 0 ESTIMATED COST $ �.• FEEMIT s (CUBIC/SQ IUARE FEET) - i►► �0. OWNER �heodore 7Bt�uckley ADDRESS 30 Sears Ave. , Cotuit BUILDING DEPTt�� BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY--G'RADES AS WELL AS DEPTH AND LOCATION OF .PUBLIC SEW 'RS`MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION R,:ESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHXLL 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 ~� 2 Y %RAJ 3 / e : I HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT Z�= l 6 / � 2 1 5 _R E T `.:J7 �. Ye 9 9 9 9 OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF i WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. BUILDING PERMIT Town of Barnstable i R,,,, A Building Division bAML rF0 Md� S67 Main street,Hyannis,MA 026,01 �6�2 — a 3Fr Fax(508)790-6230 1 s 41 THE FOLLOWING IS/ARE THE BEST ' IMAGES FROM POOR QUALITY ORIGINALS) .� , Im ^ E DATA TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING FERMI A=016 071.002 DATE ull;aC: 1994 PERM! T,NO.5,� N° 36809 APPLICANT- Theodore 6i. buckle, ADDRESS 30 Seal-S give• • 'Cotuit (NO.) ((STREET)) (CONTR'S LICENSE) PERMIT TO Buiid new E�wellia g � I STORY sinUle family dwelling NUMBER OF I . (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) .DWELLING UNITS N) 30 Sears Ay' enuc' COtult ZONING pF DISTRIC (STREET) AND ,rA PP :s � 0 Ep r;. LOT Er` r Y W� ROVED J �- :� A. PR, + µTO 5 � .: N TAQ E 111 rOF Bq NSTq � LONG BY �W pF BAR S =� � , � . 4 Gas BLE , : � TO� �3 �0,Pf r c '••bi .,rsa ,• .�.,•r- s'+ s,s '+xr BASEMENT WA �.�+` 4 5 PI robing 3 3 : $37. 50 AREA OR VOLUME 1092 sq. ft. 50 000 MIT ESTIMATED COST FEEgIIg� (CUBIC/SQUARE FEET) OWNER T1hc!c d o rr' Buckley ADDRESS / 30 'i ears Ave. Cutuit BUILDING DEPT:: �' �/�- /11 B THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART.THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS 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 UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. . ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTIONAPPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 ����'"�..�..' 1�/V✓ 3 / 9 �^ HEATING INSPECTION APPROVALS ('/ ENGINEERING DEPARTMENT 2 BOA'qD OF HEALTH OTHER SITE PLAN REVIEW APPROVAL # Ile � WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE 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. �,1� GP,� /O H Pov►+D ------ W '0 �v o �e, STY f'1v0 C LPT c ao C-e- I d 44 f -309'-.L va- ntt 1 7 N 0 u j C PCQ b Pth'l.i) Iq n %9oHm FL A M A-P 16 PtIQcL. 1 -'L fr1�D LoT PLAs•-.J 1"I�iZ E O 6.J I S L CGf4'" ""� 1 1.1 �L'L-04T 0►.! T� �TY�f�. Mo►ru�ncti,TS SH=Wu A-w0 e.=m0LIrrS -/vi-m4 1�4E ��o�L�N AND Sf=77yAe+� 2��u��n���.Ts Loc,4T101�: AV1=�tv�- drr Tt{E Tcrr.�N of awA WvSMA4SLI= A,,C, !S f rs�t GdTV t'1'y M A S.S . -m4c— ftlXIDP LA,i i i P1 e-M La-01 92) IU, PL A►-1 OA M : oS•26,-14 L 11-F15 ?C.fk-.1-4 !S T !3 PL. 13!G. 19 PCB• 1 �A .� i+ TC5 C ISM f►-!1= LoT L I H�'� 6 I-sTE-p-M-C� 1{'P�L,IG�tr..dT: l`r�cS�cE£ ��.tE.�f, �r u„�• � �13oS� i —� COMMONWEALTH OF V�— F=2 MA$�ACHU���TSDEFAR]17 N7 OF L DDST MY i►ACCIDENrs, 600 WASHINGTON STREET fames.: Campoec BOSTON, MASSACHUSL=02111 Corr,-,asione- WORKERS' COMPENSATION INSURANCEAFFIDAVTT (licensee/permittee) with a principal place of business/residence at: e a (Ciostaae/72p). do hereby certify,under the pains and penalties of perjury;that j] I am an employer providing the following workers'compensation coverage for my employees working on this job. Insurance Company Policy Number - O 1 am a sole proprietor and have no one working for me O 1 am a sole proprietor,general contractor or homeowner(cirde one)and have hired the contractors listed below ' who have the following workers'compensation insurance politics: Name of Contractor Insurance Comp=y/Poliey Number Name of Contmaoi Insurance Company/Policy Number Dame of Contractor Insurance Company/Policy Number 1 am a homeowner performing all the work myself. NOTE:.Pleasc be aware twat while bortseowoers woo emplov persons to ca taainunanee,construction or repairworlc on a dwcliint of not roorr 6an L`.rcc units in which tie horcowacr also tesides or on the Frouncs appurtenant thereto arc not generally eonsicered to be employers uac.cr tie Wotlters' Cotnpcpsation Ae;(Cl-C 152.sec 1(5)),application by a bomeowoer for a license or permit may eviccr:ce tic lc=al tutus of an emmployer under the'Workers'Compensation AeL .gill be for•yarccc to trc_ric;:;r..�.t of is cut;s.�Aeadenu Ofnee orinsurancc for mvc 2z ycr.,1 _;her, ,nc .- ice rc cayc:-ec as rceu:cc ti,_ is poii;ion of erirrinal peralcic ennsi=p-JL of: %:-c a%cr :.:cloy to 5.5n0.00 impri:ormcrt or up to one vea:aac c Ze.^.a J S L-s the form of a Stop work Orde::nd 2 fine of S l 00.00 a cav aFains:mc. Slencc this a ;:V of , 19 '/ 3 Fc:mi— a TOWN OF BARNSTABLE 4 i f BUILDING DEPARTMENTVII +t, HOMEOWNER LICENSE EXEMPTION *� �r�� 0. Please print. e 'yi ti y ti f '7'�' r ryiy t � % 4-JOB LOCATION � f Number �. Street Address ` 1 yftifi "HOMEOWNER Section Of , 1y3 5' Na S Home Phone Work Phone PRESENT MAILING ADDRESS j�.. 1 City Town - Z__ 'aF State current exemption for "homeowners " Z pt`COd occu'pie' ': I dwellings of six units or lesswand etoeallowed tsuchchode ow— ner= nage ;an individual for hire who does not osses Ithe owner acts meowners'. to tti.ss. t F as su ervisor. P s a licena.e, provided'ztha { iDEFINITION OF HOMEOWNER; S]Person. s i , Mb' de( who owns a Parcel of land on which he/she resides , . , . on which there is, or is intended to be or intends t0: dwelling, attached or detached structures to e, a one to. six famil ,�;fi ustructures. A person who constructs more than oneyhome to sich use and%or'trf . w'period shall not be considered a homeowner, Building Official on a forma n a two , n}that a/she shall be res onsible fo Such "homeowner" shall, subm acceptable to the Building ,Official"4�k .buinQ permit. (Section 109 , 1 , 1 � r all such work erformed under th`e/a '{ �rTh9 undersigned "homeowner" assumes responsibil ' � �,State Building Nay - N t g Code and other applicable ity :for compliance 'with f ` regulations, plicable codes, by-laws, rules'.,: +A j r r r ders 'lgned "homeowner" certifies that he/she and ' ` ' Barnstable Building Department minimum under ` �f1+ requirements inspection the Town of<< procedures and , r HOMEOWNER'S SIGNATURE r,.APPROVAL OF BUILDING OFFIC'TAL _ Three family comply dwellings 35 , 00 0 �' s Control. Ply with State Build0 cubic feet, or larger, wi fit g Code Section 127 11 be , • g, Construction {ri y y z sr C� HOME OWNER' S EXEMPTION The code states that. : "hn t�wner y Ilomr, performing work for which a buildi'ng,: permit is required �- iiall be exem,::'.: from t}ie provisions of this section'—_ h (Section 109 . 1 . 1 - Licensing of Construction Supervisors) ; provided that6,iZ";: , � Home Owner engages a person ( s ) for hire to do such work, that such Houle Tr Owner shall act as supervisor. " Man Home Owners who use this exemption are unaware that the are, assumn y ",5,,} �the',:responsibilities of a supervisor y n' p ( see Appendix Q, Rules and Regulations`r ¢�� Licensing Construction Supervisors , Section 2 . 15 ) . This lack .of awareness often results in serious problems , particularly when the ''Home:t, k4`s' Owne=. hires unlicensed persons . In this case our Board cannot .proceed :. agains.t the unlicensed person as it would with licensed supervisor.,, :The ome`-Owner acting as supervisor is ultimately responsible. fret To ensure that the Home Owner is full aware of Y his/h er responsibilitles, r` ;. many communities req;i.ire , as part of the permit application, that the Home —Owner certify that h ,/she t:nderst Inds the responsibilities of a supervisor.':' ,x r y :.On .the last page of his i.:,sue S a form currently used by several towns. You may care to amen and adopt such a form/certification for use in ,your community. C r J•'.k 1. a'�K.•:: f ' Vt 4 „'Ir <?• o I I: 1 I e o 00, 6ARAGE'DCOR S - `_'. ✓cr one. � ic.e "-�RLQD. - - •/r i- I � I ao /ea I ,�III -� _o �•�maa +�� :.z�J.2.Y f - :i I _ m r. N N -'. IL a-e au „e r FSIGAJ( 1 _ fl-.'. 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SG�6CONdERBa.w�o- pi �_ GRAoC ' -�'.3�PG+a �6_a_�I 16v.a_it a•.u.t.w+owca'ws � <aw/aFia� -riwna wer .. G TRnu ,s uc , .. A AS R e?a. cMCNT Yat. - / YYY-S T - ce 3 p[H , r i'�-.-_-_--__----.-----.-- -_----i'`'� �. Nor- - -. � fl_'`--- _ - - _ -r-•-_-- � t.• -_ -_- _ rai - - -r 'ti •'P A/,YE I:.rAY GRAaC R/GHT S/OE ELEV. — FRONT ELEV.4T/ON Ad r y HILI - .. r-T'-1- i a •�a�fr' C—./.a Qr'1G�CI QT—I�=1Q I - I I I OCI v.E_.Gan yG I 714 LEF SIDE ELEV. REAR ELEVAT/O.C/ f - n -c' :e' 2:.i �=d a=/i a:d ,:C 9=r'� i=o' -d z:C /:d 1=//- z=d �_Y-d •yd a:d g_d y ' .. b r,•r,o.� 000+. .-.1'-.\ -4 ° ! � ° �- _ .. I .Vj � � •�i o: � � , 1 - -i- j - .` �- o � r--7-- --1 n o /a�r �--j'--il 1 --f--- x � __! _ � � �_ I � 1 ----- , vl •� i ., �y��� � rl !. _� � i y �1 � i�•ol /x\ '�r �'�T I—'�01 I •Ll. I o» i 1 •�( _� �-�e.e...c I 1 \� _-ry__- �U j .�I -- - L L � A:d � � tc- �, 2-„' � a:9• � a'a',I�?:o � vnw. cY a..s..7"_�y �ro^/rRy .sc J T-- . ' � MBT/L OR/P E06L� sc�s C'TQ C�= r - - UPPER' LJdLL j GL. T ENTRANCE' V Q uie..vc w/ •cxr.a��vwo 2 EJVT•PANC - d'w.u•� :uu.a+�..m- � ®�_ I I K/T�c•IEN !� 3 ..� ,• � � C.evWn1.L � 4.sG urn-e+,Mr. � ��.�"+r iusw...aricw. O N" Sim Al • �� � � .. � a..o � I , �I�wr '-. x uewr �u - Cc ; b I��!��1114 Y u. ,tip- .�• 'w�l.i;.o � I I� i e i 18, 41 1 � a swF i. '' .n •:, -�' , :.t�m,:va J �r��T I�Ij}1�T�� .. !i,'ll!Ii I I III 3 _ - p ®•c'vc. � 3 a we b 3 ..ee,e I - O _ - •$ G45Eh.lENT = /�1IIII.� - ` � s:.$' a'•e' �, do•.. y �I s�Y� a _ j � d'ea.ve..arra m O ? a.+e%�+�«,aco O ., On•' O� ,. // ✓ .. i... c�r..aur` yr _� f .'�roaT� co.+C,..rQ St.n�`lo - .ti, .. _ .. J8x•e-co..o.�rr 'Donut � �co....�;uu/�..00nuc - �' .. _ i /VTER/OR ELEV.4T/OVS �� n I : • i •- I Assessor's office(1st Floor): � ��, ,� Wt Assd`sor's map a dot number ���- 0 7Ai 02S ° ' ;r r" 'n Conse ation -'�' ��►'� �3INSTALLED IN C WITH TIT i6oard of Health(3rd floor): NV6R®NMENTA p�Sewage Permit number IS°°d�s�s r. TOWN ECG •� Engineering Department(3rd floor): 30 House number - o arr Definitive Plan Approved by Planning Board -19 a _c /APPLICATIONS PROCESSED 8:30-9:36A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR t APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION AV 19 ` { TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 5 t .S 14VEs 067-V>T kors 3 �f Proposed Use ��`'���� i���" Zoning District Fire District' Name of Owner � Address ✓ � 4. �JV{ Cvt5;� Name of Builder -,ti 4 ,-Address Name of Architect Address Number of Rooms Foundation `s Exterior Roofinga� z Floors -'�'�'li�< Interior Heating Plumbing _ kL-4 Fireplace -! Approximate Cost ✓ ®�Area Diagram of Lot and Building with Dimensions Fee oz e 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 / 1 r BUCKLEY, THEODORE No Permit For BUILD NEW DWELLING 1i story SINGLE FAMILY DWELL NG Location 30 Sears Ave_ Cotuit Owner Theodore W. Buckley , Type of Construction ' Plot Lot " ' Permit Granted June 2 0: 19 94 Date of,lnspection // -/ Date Completed 1i r� -19 �J hw.3,jM,�...+rt.+.sd."'vw...--t_...•.�--r.-q,•„r.._.._,._ .. .�....,_ .,,:W.:_�.t.._.,..-..,��. r••-v •-...F-•.h. ,. ...�w•n..•v7+-r+• -gY�i.T;feral.*,c.r,�..+-yas•r'�rF'M.f.``•s`,r"''i„( -�"!w. iSY tv.1 .:'^s'a �s"3' - `OpI14E ip,_ The Town of Barnstable - BARARI_ E. MASS. ! Department of Health Safety and Environmental Services 0 1639• �e "rE9. Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection ] Location 3,6 439 ..e�•....,� Permit Number Owner Builder tl,. One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: r G i z V-at(� LILT H , () VA d r Al Please call: 508-j7990-6227 for re-inspection. Inspected by Date v 1