The URL can be used to link to this page

Home My WebLink About0067 CENTERBROOK LANEF (o'7n- -��c-bo a �.R • °> TOWN OF BARNSTABLE 2753n Permit No. ---------------------------- { i Building Inspector , cash +w•. .. . .� OCCUPANCY PERMIT Bond ----___-___- _ � e' Issued to Greenbrier Corp. Address lot #9 FJ 67 Centerbrook Lane, Centerville Wiring Inspector '` � '�" Inspection date . ems_ Plumbing Inspector(..,. r/ Inspection date Gas Inspector O)r*� �+ �s�o' �� Inspection date ✓Engineering Department _, rf�i �• / Inspection dates �- Board of Health � 'r1LLG� Inspection date Cj, 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. s ,!! ,i '..... ��........, 19.4� Building Inspector r s ti ��,.o�� O•�ow TOWN OF BARNSTABLE BUILDING DEPARTMENT = sAIVIT go TOWN OFFICE BUILDING rya HYANNIS, MASS. 02601 r� MEMO TO: Town Clerk FROM: Building Department DATE: � An Occupancy Permit has been issued for the building authorized by Building Permit ` �} issuedto .................... ;L7 ...........................................' r. �. Please release the performance bond. L,,T. o N 39 J /9 00" .� 1 z Zo•oo L oT 9 scM / G GC)9 SF h It t, 0 J�9P (Q r i Aso•oo CN INVIi , CERTIFIED PLOT PLAN • p� R0BERT G BRUCE tdE1N CONSTRUCTION ONLY i 8 B�1gR L_oT �,v=lLF3R ,gAzE CEA/r�AVI _ :TOPS OF FOUNDATION IS T FEET �' o IN A;I�OVE ' L01W> POINT OF ADJACENT as su�� AJIBS A ,L. o V SCALES l 30 DATE IFE6 of 85 Y 4 x GE E QI EL' INI� C . 1 CERTIFY THAT THE �� ATiOI✓ CLIENT �. �,E� z SHOWN ON THIS PLAN 19 LOCATED f e g EBISTERED REGISTERED JOB NO. gam , ON 'THE GROUND AS INDICATED `A" 77 � ," CLVIL LAND ' CONFORMS TO THE ZONINS LAW.9 ti ENQINEER SURVEYOR Wit:BYE . ,,,,_ QF ® RNSTAB E, MA8 r.,.-�. ....,. r t , ' 712., M A I N. S T R E.ET " ' H YA N hl I S, MASS: SN99T.,L,.OF„L pATE RED. LAND SURVEYOR 00-4 Assessor's map and lot number c�f� S8G! SEPTIC fi< Sewage Permit number ........ ............. `y • �Q Z BAflB9Ta LE, i House- number ................................ . ............ . .................... 1,6 LA�r r, 'F0 r a TOWN OF BARNSTABLE BUILDING INSPECTOR Dw-c. ...rP..1.. ..APPLICATION FOR PERMIT TO ...... . CC.. .... I.A. :.. R TYPE OF CONSTRUCTION .......... .Q.Q..C .... ? �l � ....................... . . . .....19.. �1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accordiinq to the following information: / Location ......4X.®L... ....../........ C' .J Q.! ./,�.q........ ?�.:�'1.Aez—vj.1. . .................. ProposedUse !� �... .� .��•• . .............................................................................................................. Zoning District ............................................................Fire'District ......( Name of Owner ...... �/,P. ..r7i,�r�'0�... Address ........f0X.: ��)...... � Name of Builder ................. � .e-:.......................Address ...........................: Name of Architect .........:........................................................Address CP .,......Foundation ... .. ..... �� ClS� Number of Rooms ....... ......................................... .......................................'� AExterior ..... .�. C $-nRoofing / Floors I/•�f�.... .... �� ... Interior .!� `�C? .............................................. ... ........ ..... .... ....... Heating ... . �'� .......................Plumbing ....... 1.../A:... .. tAj p ... U Approximate �.. ......... Fireplace ...A roximate. Cost o� � Definitive Plan Approved by Planning Board -------- ------19_!/_ Area Diagram of Lot and Building with Dimensions Fee ...... ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH Q( 7 l l O X l ( oe e 2 �b t % r�ooa�s OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to oil the Rules and Regulations of the Town of Barnsta egarding a above construction. - Name ................................................. . ........ .. ................ Construction Supervisor's License ........ .��1..7....1... BRIER CORP. No , 27530... Permit for ....V'11.StS?XY.............. 5Singler Family...?? Q].1, xlg..................... Location ... l..... ...CeYI ]rLX1k....L,c3L12 .................. .................................... Owner CO.p...................:. Type of Construction ...Frame............................ ......................R........................................................... Plot ............................ Lot .. _ i February 19, Permit Granted 85 Date of Inspection ....................................19 77 , Date,Completed .,�Gr.. ...............1 Assessor's map,and lot number ...� - .1�........./..• a..... . f THET pr< sgG Sewage Permit number ��xx a Z I,HBSTAILL House number ......�...J............ r rasa ....................... ' °p,e�1639. \0 r TOWN OF BARNSTABLE BUILDING INSPECTOR F - dry Sct',cC .c.J .....�r� APPLICATION FOR PERMIT TO ..........::........................................... ............................ TYPE OF CONSTRUCTION ........................... .............. .......... ,z� �......19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit 1, accor to the following ing information: C ' � . "—le .. � �Location f .. ProposedUse .... .lf. ..../ ...... � �..Pr ............................................................................................................ ZoningDistrict ...... ...................................................Fire District ..... .Z .............................................. Nameof Owner ................................... .:.9 /...:............ ,...Address ........................•: .................. Nameof Builder ................ rt�'. �. ..........................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... d co,,�q Number of Rooms .. .................................t.........c............Foundation ...v.•... ....................................... �. Exierior .......�:. k...�,�.kha Roofing ..� ............. / Floors ...... ..................Interior ..... _ ..��. ... ...........,.. ..................................... Heating ........r ................. ��.. .......................Plumbing ...... ...,. ....f1...R��................................................... tsY 5 Fireplace .......................................... ...... .... Approximate. Cost .........•.....: ........ Definitive Plan Approved b Planning Board ________1i��/ 19 v__1. Area pP Y 9 --.--7- -- Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTHf f� -,2 ( Jr- OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardingrthe above construction. I Name ................................................. .. ..... ........... '] Construction Supervisor's License ........�/... ../... GREENBRIER CORP. No 27530 Permit for 12/oone ......... Single Family Dwell ......................................... ....... ...... Location Lot 67 Cenk ane .............. ... . Centerville ' ................................................. ............Owner Greenbrier Corp..................................... ..... Type of Construction ...Frame ................................................................................ Plot ............................ Lot ................................ Permit Granted .......ebruary..l9, 19 85 Date of Inspection ....................................19 Date Completed ......................................19 i l °F r Town.of Barnstable *Permit# " CO2C�7�� . Expires 6 months fr m issue date Regulatory Services Fee `/ r BARNSPABLE, « Thomas F.Geiler,Director 'Kass i639• ,�� Building Division rEb MA'I a Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number / 22, Ci / Property Address 7 �• .�1` 1�� L7td�� ( iy' ,1y'LA�tLt� ®Residential Value of Work ��r��d Minimum fee of$25.00 for work under$6000.00 �� ff Owner's Name&Address ' Contractor's Name Telephone Number [�`�^(� 1� Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor �] I am the Homeowner -PRESS PERMIT ❑ I have Worker's Compensation Insurance ' JUL 1 5 2008 Insurance Company Name Workman's Comp.Policy# TOWN OF BARNSTABLE 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'/y'�cr. P-� ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side l n r Replacement Windows/doors/sliders. U-Value (maximum.44) .., 5` *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 wired NQJSIAI1� 9S I kid 'S tr,i' n[ul SIGNATURE 19 Q:\WPFILES\FORMS\building permit fbrms\EXPRESS.doc Revise020108 } The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 z www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AL.pplicant Information Please Print Le ' 1 Nang(Busmess/Otganizarionllndividuai : IF Address: City/State/Zip: Phone.#: Are you an employer? Check the appropriate box: Type of pioject(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New constnxtion employees(full and/or part time).* have hired the rab-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition employee's and have workers' working for me in any capacity. �to y 9. ❑Building addition Coles.incrzrance.t [No workers' Comp.insurance 5. We are a corporation and its 10.❑Electrical repass or additions required] -�' 3. I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself-[No workers' comp. right of exemption per MGL 12❑Roof repairs rance t c. 152, §1(4),and we have no r ] employees. [No workers' 13.❑Other comp,insirranre requ ire&] *Any applicant that checks box 91 most also fill out the section blow showing their warkers'c=npeasation policy information. t Homeowners who submit this affidavit indicating fey are doing al work and then hire outside contractors must submit anew affidavit indicating such. lcontract=that check this box mast attached an additional sheet showing the name of the sub-cmtractors and stain whether or not 1hosa entities have employees. If the sub-contractors have employees,they must pmvi&their work='comp.policy number. i I am an employer that is providing workers'compensation insurance for my employees Below is the polity and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Addn=: City/Stazelzip: 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 tip 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 statcmerit may be forwarded to the Office of Investigations of the bIA for insurance coverage verification. - -- - I des hereby cl under epains-andpentylti of perjw y that the information provided above is true and correct Xr '4 Si e Date: _ A-5�, Vs Phone# , OfjkW use only. Do not write in this area,to be completed by city or town official i City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 4 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing.engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or budding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." e' the commonwealth nor an of its political subdivisions shall Additionally,MGL chapter 152, §25C(�states'Neither y Y enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,it necessary,supply sub-contractor(s)name(s),addresses)and phone numbcr(s).along with their certificate(s)of insurance. Limited Liability Companies•(LLG)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required B4 advised that this affidavit may be submitted to the Department of Industrial Accidents for confrmation of insurance coverage. Also be sure to sign and date the affidavit'. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Sclf-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit(license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit onp affidavit indicating current policy information(if necessary)and under"Job Site Address" (re applicant should write"all locations in (city or town)."A copy of the af5davit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate txi give us a call The Department's address,telephone-and fax number. The Ummonwealth of M=arhusetts Deparhment of Industrial Accidents Office of Investigations 600 Washington Street Boston,ILIA 02111 TO. #617-727-4900 ext 4-06 or 1-977 MASSAFE Fax#617-727-774R Revi--A 11-22-06 www.mass.gov/dia �ogVEr Town of Barnstable Regulatory Services ` B&IMSTABIAThomas F.Geiler,Director 039. sASS. - Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: S08-862-4038 Fax: S08-790-6230 Property Owner Must t Complete and•Sign This Section �. . If Using A Builder T 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) Signature of Owner Date I Print Name r If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 6. Town of Barnstable moor.trte r � Regulatory Services ` Thomas F.Geiler,Director BARNSTABLE. : f. b 9. �� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: S08-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print ,mot DATE: 11 U L-It �y F a 8 JOB LOCATION: r! number street village Q� � 77 ..HOMEOWNER.': .J r C ew—w -3wo y� oZ.d D name -/ home phoneeO# work phone.# CURRENT MAILING ADDRESS: city/town state zip code w,...-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 -...sue.:.,,,.,.�,-d- supervisor. _ .. 0. DEFINTFION 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 regluirements. , IW&w gnature 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 perfomdng 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 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.