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HomeMy WebLinkAbout0036 CENTER LANE .. � . , w. _ _ . � � u ^ . .: e ti. ,.. .. _,. ... .. .�. _., _ y :.. i _ c. ,-. -. +� r., ,. r � r v �� _ .. � .. - � - � .� .. ,� ,. '' � e ;. .�. .. .. i a, .�: ,� :.. .. ... ... :, _ ' .4 .. .. r .. y .. _ !y ,. ,. 1 - _ .. '' ,. - .. .,. 0 _ ,. .... � y _ .. _. ., �; _ ., s ,. _ .. . .. � - .- ,., - - ., ,. n. � a _ � _ .. i i a .. � .� e ... ... .. . x ,.. 'i .. � .. a ., ... - ,. � I 4 F ; ,1 .. '... � Y ,. r. � .. -, �.: .- .. _. :. ,. � .:� _ � � � ,. .., � c � �Q i - .. .. .. .. ,. j .. .; 11/02'94 17:02 'C8177277122 DEPT IN'D ACCID Zoo T —r,. Coriunoc2cUeafili ol ��Wjac{Iusetf� ' �aParfinenl o�.,)'nc�friap,�lccic�enf� 600 Walqton..Shf l James J.Campbell &3 On, //lamaga A 02f f 1 _ Commissioner Workers' Compensation Insurance Affidavit I 1 � with a principal place of business at: (QW/Stutizip) do hereby certify under the pains and penalties of perjury, that: 0 1 am an employer providing workers' compensation coverage for my employees working on this Job. Insurance Company Policy Humber O I am a'sole proprietor and have no one working for me in any capacity. (} I am a sole proprietor, general contractor or 1onieowner e one) and have Eared the contractors listed below who have the following wo ers' comrolpensation policies: r Contractor Insurance Co parry/Po[icy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I underst<nd th--t::copy of Leis s=tement will be fonrarded to the Office of Investigations of the DiA for coverage verification and that failure to secure coverage as ree:ired under Section 25A of MGL 152 can lead to the imposition of criminal penalties consistine of 2 fine of up to s 1,500.00 and/or cr,-- years' impriscrment as well as civil penalties in the for:cf a STOP WORK O ER and a fine of S 100.00 a day against me. Signed this day of 1,9 �1 S A Licensee/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 r TnT,7\T 07 RAATTQTART A RTTTT TTTTC -PFRMTT if _ • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION / Number Street address Section of town "HOMEOWNER" N e Home phone Work phone PRESENT 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six 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 acGeptable 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 Stat Building Code -and other applicable codes, by-laws, 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 mpl with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will- be -required to comply. with State .Building Code Section 127:0;. Construction Control. HOME OWNER'S EXEMPTION f The code state that: "Any Home Owner 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 Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a' supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of iwarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed_ Supervisor. The. Home "owner-'actin as supervisor is P ultimatel y responsible. To ensure that the Home Owner is fully aware of his/her responsibilitiesi. man communities require, as part of the permit applicatio n, tha t the Home 'Owner certify that he/she understands the responsibilities of a last page of this issue is a form currently usedbyseveralutowns. You may care to amend and adopt such a form/certification for use in your community. 'r The Town of Barnstable MPMABM �e� Department of Health Safety and Environmental Services 1659. � Building Division 367 Main Street,Hyannis MA 02601 Office: 509-790-6227 Ralph Cmssen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME EWPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-ex=ng owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Est.Cost Address of Work: Owner.Name:T 12ey/ Date of Permit Application: &6 ',A�2 I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR/ Date Owner's name --�--�..-..r.--r ,..+....-.- ,...w.t,s_�,y......-...-�..^.i..._.,�,_,�..+r�.re-r."r�-- t.?�^�...•�sy-........v - •---...w..,..-..,..:��..-..,.%�....-..-r.«e••.... �^-�.r-r-.n ._ ...+.-...•�-.'^'^^'"•.'^'^^`l Assessor's map and lot number ......................................::.. ' Sewage Permit number ................:...::".. � FtNEr0�o TOWN OF BARNSTABLE Z BAHH9TADLE, i "6 9 BUILDING INSPECTOR ��YPY Or y APPLICATION FOR PERMIT TO ....... Z..... ' ............. ... ....... �... ... TYPEOF CONSTRUCTION ..................................................................................................................................... ........ .. ........... .............. 5s TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location9.... f/I1 .... ..... / '�r4'..i/ .L,�ir.................................................................................. ProposedUse ...�A' �` � ..................................................................................................................... ......... Zoning District ........... to...I..............................................Fire District . .............. ..... ...... :....... ............ ... .... .. . ....... Name of Owner � !9.NP.. P�'i a33fii11/ ......Address �9 GSA/Z�4 E r Name of Builder ...FRANA..... ..K04.... ry..................Address ./.............7............................. . 74,64. Nameof Architect ..............14.0.,W.......................................Address ................................................................. T(..4��1.r.........................................Foundation .G�'. 11r...FdG T .( - Number of Rooms .......... ........... (f`A.A4.�z- C .Exterior ......... . ..�.."..................................................Roofing ...........��..��....r........................................................... Floors ..................1!.O� Y.....................................................Interior ...........ly.!0*. ......................................................... Heating ............../Vm/ .......................................................Plumbing .........�4.1�/r�.......................................................... ...................Approximate Cost f iN d 0.0 Fireplace "�(.O..1lr/.,f%.................................... ...... ... ............j!.......................................... Definitive Plan Approved by Planning Board -------------------_-----------19________ . Area 3 Z: .......................... Q d Diagram of Lot and Building with Dimensions Fee :..............--'...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH l TW-5 sl-K��rG I g To 8r PN CrC !L v e ^ ell Lit G 1 Of Ft IN!Td r _ . 7�2 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. `G.. , Name ....... .................. ...................... ,.r...................... Dromiu, Armand \ i - No —l7S5l.. Permit for .... a��..�m..���a��— | . � � ...................... ' Location ........ - { ~ ' ..........................^=wter.^+.J.^P.--.__----_. . Ovvhe, ...............4kxman6.l):rQPAA-------. | ^ ~ ^ Type of Construction ...........fz=m------.. --------.--.---------------' Plot ............................ Lot ___________ . - Permit Granted -- '9—./--.lg 75 ` Date of Inspection ~ --]V ^ ^ 7 .- -' Dote Completed ..�----]A � 1 ' PERMIT REFUSED -----'-------..-------- lA - � .-------------------------. . . � - � . � ^—_--.—~------------------- � . .------------^.—..----.-----�.. . - ' . / . . . . ----------------^—^''..—^---'z�' ' ^ ' Approved ............................................. lV , ^ . ----------------^^--------- . � ' ----------'----------'—^'—^'^—' �=� | ` - P'^X. .-, __+t•wVy_.+.:'_ ..r'*ti..: s i�A"t��._lYti: :/"" ..... ,..•'�.... .a.✓�a".1 .. .. .,^"", _ '�'A,.+ 'sue,... 4-w+ . _. Assessor's map and lot number ........ ....`. .................... Sewage Permit number "``� '� ` � '°"' . �................ . . .. .v�.............. ��QyOFTHE'TQ�y.� TOWN OF BARNSTABLE BABBSTABLE, i ; Mb 9 BUILD INSPECTOR APPLICATION FOR PERMIT TO ....................:............:................: :.......................�. �' / . ............ ................. TYPEOF CONSTRUCTION ..................................................................................................................................... ......... t�'-Y)... ............19........ TO THE INSPECTOR OF BUILDINGS:The undersigned hereby applies for a permit according to the following information: Location .. ca ��' G"� �? -'... tr1/►�{ r f h,�' :. �a.f.::. :....... ProposedUse .... .., . ^..'... ....................................................................... Zoning District .... ..... District s ...... f4 f+' A r'v'! �1i dUI ' C n/!�S' Nameof Owner ............�........�......................�............:Address ...:...........:�.................:.................:. `^ t lIC .)" Cal ' vnr u�.� .r.!vS s I �` 7 l Name of Builder .............:....�........,.............................................Address .....!':................. Name of Architect ......................................Address ..................... Number of Rooms AfoA/ " ..................................................................Foundation ........................................................... Exierior .........5��-A.A...A.�r''� Roofing �y o �//� ...................................................... .......................:::-.......................................................... <r- Floors ..0�(.;_.....................................................Interior ............. '!? /� ........................................................ ...................... Heating ......... ....... _ ............................................ A-�h� - I - - � . - I ;4.. :.P:lumbing: - 41-4 Fireplace nn! ost ........ �.. �.......Approximate C .... ........................................... Definitive Plan Approved by Planning Board _______________________________19________. Area ...... .. .�. ......................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH To R F i ` 1 _ � i t � q,r i i-r A I A 0 7 Cr I !V t r l INfT FG y 1-7 f x r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .......... ...:.....t... � '........................ Drouin, Armand 571- No ....L7.551.. Permit for .......add...tQ................ ...g,,ax.age............... .. ..... Location ..................................... Centerville ................................................... Armand Drouin// Owner ............................................ Type of Construction ........f.r.a.w..................... ................................................... ............................ Plot ............................. Lot .............................. Permit Granted .......Jan/ary...9..............19 75 ............... Date of Inspection ....../..........................19 Date Completed .......19....................... . P RMIT REFUSED ................................................................ 19 ..................... ......................................................... ................... ............................................................ ................ .......... ................................................... ............. ............................... .. ............................. Approved ......................................(PT 19 . . .... ........................................................................ ............................................................................... 5 , 1. S �� - ��� � wJ � ... .' �Y. L ' . . z.�.. .�a F��r -.. .I Mr -r � ' 4 f �. TOWN OF BARNSTABLE rb BUILDING PERMIT PARCEL ID 251 055 GEOBASE ID 16137 ADDRESS 36 CENTER LANE PHONE Cbnterville ZIP LOT 4 BLOCK LOT SIZE .._ j DBA . DEVELOPMENT.1 DISTRICT CO I i PERMIT •6642 DESCRIPTION REFOOY 16 SQ_FT. 1` PERMIT TYPE BROOF TITLE BUILDING PERMIT R' OFING - Department of Health, Safety CONTRACTORS: PROPERTY OWNER and Environmental Services ARCHITECTS: TOTA� FEES: $80.00 THE - BOND 1 $.00 Ox CONSTRUCTION COSTS $2,040.00 I 750 ROOFING AND SIDING 1 PRIVATE ;)*) kry + + HARNSTABLE. • I MASS. OWNER DROUIN, HELEN T ADDRESS 39 CENTER LANE # 0 CENTERV I LLE MA BUILD °'�9 DIV N r i DATE ISSUED 06/2.1/1995 EXPIRATION DATE BY ,�(/ DIVISION APPROVALS FOR CERTIFICATE OF'OCCUPANCY TO BE'SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING:`.• h DATE: t COMMENTS: + r M PLUMBING!' DATE: COMMENTS: ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS:. OTHER: DATE: p COMMENTS: t TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARK COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME. ^ TOWN OF BARNSTABLE BUILDING PERMIT ARCEL ID 251 055 GEOBASE ID .16137 ADI RESS -:.36• 'CEAIT R LANE PHONE ",Cc'i�tervi e ZIP. LOT, t�: BLOCK LOT SIZE DBA DEVELOPMENT, DISTRICT CO PERMIT =''�6642 DESCRIPTION REFOOF� 16 SQ.FT. PERMIT TYPE BROOF TITLE BUILDING PERMIT ROOFING wt . Department of Health, Safety [ CONTRACTORS': PROPERTY OWNER and Environmental Services iARCHTT,E.CTS: ,.TOTAL FEES� - $60.00 Tkf ! BOND $.00 _ O� CONSTRU.PTIOAT COSTS $2;040.00 Qr 750 ROOFING AND SIDING 1 PRIVATE 4) E>EIu►RN} STABLE, MASS. �► I. OWNER. SItOUIN, HELEN T l i6g9. ADDRESS : " 39 CENTER LANE E� I. ICENTERVILLE MA �� . 'F BUIL DIV I N. HATE ISSUED 06/21/1995 EXPIRATION DATE BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST.BE APPROVED 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 FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED,ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS I II 2 2 2 I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL. WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX- CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 BUILDING PERMIT �� sessor's Office(lst floor) Map =a5 Lot =N Permit# ._�co#ol-,- if Conservation Office(4th floor) ? Date Issued -=�v�, -02/ s Board of Health(3rd floor)(8:30-9:30/1:00,-2:00) - Fee- DO engineering Dept. (3rd.floor) House#1 Planning"Dept.(1st floor/School Admin.Bldg.) BARNSTABLE, Definitive Pla � ed.by Planning Board 19 a fDlM�� TOWN OF;BARNSTABLE 3 6 Building Permit Application Project Street Bess _r r&nte,r' C-. m, Village a±i�c&/i^��-� Owner Address Telephone Permit Request Total 1 Story Area(include 1 story-garages&decks) square feet r Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached. Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. #6642 DATE ISSUED June 21, 1995 MAP/PARCEL NO. 251.055 ADDRESS, 36 Center Lane VILLAGE Osterville, MA OWNER Helen T. Drouin t:,• DATE OF INSPECTION: i FOUNDATION 1 FRAME INSULATION - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ;; '. ROUGH FINAL FINAL BiJING , DATE CLOSED OUT ASSOCIATION PLAN NO.