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0080 CHILDS STREET
�$D � C�1�� lc�s .fie.; , : . . :. �r , ., •- 4.... ... � .. .z i - P . _ Town of BarnstableBuilding : Post_This Card So That itts,V�s�ble From,the Street A�` roved Plans;Must,be Retained onyJob and�this Card Must=be"Ke t�., :.- �A�2�8!Ab9wt3I.&.:- '�. ;' .• .p• ..�� ,dt' Yk�,�..� � .�?'�;�` a' . '�Z � '3... �" p{�ru� "k � e��..;� a - £ a R ,� 6p '�" 4 163a t?ostedUnt�l Foal Inspection HasBeen Made Q ���a ��� �,�, ,��a �� � � Per mit � ��Certificate of�Occupancy is Regwred,such Bu►Idmg shall Not be Occupiedunt�I�a�Final Inspection has,�been made s Permit No. B-18-1488 Applicant Name: JOSEPH E. KING Approvals Date Issued: 05/14/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/14/2018 Foundation: Location: 80 CHILDS STREET,CENTERVILLE Map/Lot 249-143 Zoning District: RD-1 Sheathing: Owner on Record: WOOD DYER,PAULA TR Contra or Name: JOSEPH E. KING Framing: 1 Address: PO BOX 1993 r f Contractor License 150889 2 BROOKLINE, MA 02446 EstProject Cost: $ 10,000.00 Chimney: Description: reroofing(stripping old shingles) ' rit F mee: $51.00 Insulation: Project.Review Req: Fee Paid:-,, $51.00 Datea 5/14/2018 Final: i h Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorised-by this permit is commenced within six-months afteroissuance. Rough Gas: s •. All work authorized by this permit shall conform to the approved applicatidhs ni' the,approved construction documents forwhich this permit has been granted. All construction,alterations and changes of use of any building and struuress�s-shall be in compliance with the local zoning by laws and codes. Final Gas: ct This permit shall be displayed in a location clearly visible from access streets road'and shall be maintained open for public'mspectton for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures�by the Buil�duig F re�Cfficials are provided ontFiis permit. Service: Minimum of Five Call Inspections Required for All Construction Work: �� N ,! " 1.Foundation or Footing Rough: 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final:. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT oFs r Town- of Barnstable . *Permit � tie Regulatory Services fees 6 months from issue date. BARNSTABLE. MASS. }Richard V.Scali,Director. o 51 . O i 1639. A�e� A'F0 � Building Division R � Paul Roma,Building Commissioner. 200 Main Street Hyannis AY c ` www.town barnstable.ma MPAJ -Office: 508=862 4038= _ Fax: 508-790-6230 , EXPRESS PERMIT APPLICATION - RESIDENTIAL —---------------Not-Valid-without-Red-X-Press-I Tint ---- ----- - - --- ---- - Map/parcel Number ,�y 4 , Property Address �' S" 1 ih 3 Residential Value of Work$ '10; Minimum fee of$35.00 for work under$0000 00 M Owner's Name&Address 1? Q U k A- �OCJTD Contractor's Name .J- ' Telephone Number S$U 3- Z'7 5 44$. Home Improvement Contractor License#(if applicable) L S d 9'VT Email: Construction Supervisor's License'#(if applicable) C. S$L— t�)'9 [f&L ❑Workman's Compensation'Insurance Check one: I am a sole proprietor I am the Homeowner F , ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Tls'e-roof (checkbox) (hurricane nailed)(stripping old shingles) All construction debris will�be taken to ra-rm-OL76- M'Y" 5 :' ❑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 Improvement Contractors License&Construction Supervisors License is SIGNA?I C QAWPFIL STORMS\building permit formsEXPRESS.doc 06/20/16 Die CommornreaItit a•f Massadjusetts Departine it a,frul•.rrstrial Accra mt s r==- Q,��e OfIMW&tigatiWU: 600 Washington Street -- Bastvm,41A.02111 - tT,o kers'-C amp ensafcffnInsu aiceAffidavi Bt de -Cnii rid6i lkfr ians(P liens Applicant Tnfarmafan Please Fly Le��liy Joe King Address: West Yarmouth,MA 02673 Phone: 508-775-6448 �itgftatel f Phone Are you an employer?Check the appropriate boat ., Type of praject,{regniredDt: I.❑ I am a employer 4 El am a gesreral confmctor and I p Y�with 6. 0 I'dety construction employees(full andfor part-lime).* have hired the sub-conb actors 2.0I.am a sole propdetor orpartner- listed on the attached sheet. I ❑Remodeling s4>Fp and have no employees 'Mere snb-cantractors have 8. ElDemolition wadzin,g, far me in any capacity- employ audbn a workers' 9. .ElBnildmg addition Wo nrorknis'camp.mi sura nre Cep nsuran�$ repaired_] 3_ ❑ ale are a coiparafioa and its 10:❑Electrical repairs or adc5fions 3.❑ I am a homeowner doing all work officers have.exercised their 11-❑Plumbing repairs or additions myself[No workers'camp- tight of esemption per.MGL 13_[�I�oofrepairs jamz=e required-]i c.152,§In andwe have no employees.[No workers' 13,❑Other cone.im xwMe required_] •Any app&mtdatcbed box9lmnstalsofiIloulthesectioab9 wshoningiheawwRe&ca®persabaupo&cyinF=mUaa Hamemuers Who suit this d'fi&VA M&Cat Mj tlw_y azednin9 BH Wa i aaAdum bim autddetaatmctatsamst submit a newamdieiYmdidsdnfl sme-11 fCaalzsc' that cbedk this boot must attar�as additional sheet shoumg the name cf Ibe sub-camecAnrs and state whether ar nat tbnse entities ham employees.Ifthesvb-tart zdashave empioyers,9heynnIstpmvi their tracker'tamp.paliq aumber_ I am are erriploysr tliat-is pratzding taerkers'comvaisatiorr urszirarrce f br fsr}*eniplaJWes. $etaav is ITI9Pr»ticy dnd job sit- Insurance Company'Name: "Policy 4L er Self--ins_Lic_-,Ik Mxpiratias Bate: , Job Site Address: City/Statel2�.tp: Attach aropy of the wort-ere compensationpolicy declaration page(shoving the policy,number and.espiration date). Failure to secure coverage as regained.under Se-cdon 25A of MGL m 1572 can lead to the imtposidon of criminal penalties of a fine up to$1,50a 00 andfor otie-yearimprisoumeut,as well as riiil peaalties.in$re farm of a STOP WORK ORDER and s frme of up is$250-00 a day against the violator_ Be advised that a copy of this statement Wray be forwarded to the Office of Irrvestsgations of the DIA,for instrancA;coverage serifftaion. I�fo tter certf tdt�r the its ari' r�afties A7 flratflre ire ormatrtrrr rar-irIed abmw's tars and correct f3 P� Fg ffP sy f P Siasaature_ ''Date- Phone Qf 7cial use arA£y. Do not write in thu area,to be crrrapFeted,by city arto wn o fj,f ffr.'c&I City or Tawn: Perm tUcense 9 Issuing A ibority(carte wit): L Board of$ealth I.Buiidiug Department 3.C ity/rown Clerk 4.13ectrical Inspector 5.Phambing Inspector b.Other Contact Person: Phone#: Tuformalion. and Jnsbmefions � a MassaGhus is General Laws cbapira I52 req� aIl employers'in provide woII-eas'campeusaiion far their=VIoyees. . `� in$ire service of another under any coniract:ofhae, this side an e�is defined as. _.every p esson Pm sr�i-i�o ��3' express or implied,oral or " An employer is defined as"an indryidnal,partamlbip,assocfition,corporation or other Iegal eatiiy,or any two or more of the foregoing=gaged is a Joint=bxprise,and including the Iegal representatives of a deceased employer,or the receiver ar tustee of an individnal,pMtl3=shrp,associafim or otherlegal entity,employing emiPloyees_ However the owner of a.dwelling house havatgnot more than tbree apartments and.-who resides therein,or the occupant of the- dwelliag house of anomer who employs persons to do ma nte:==,runstrarf_i on or repair work.on such dwelling house or on the grounds or buldmg app�anf thereto shall not beoanse of sackemplayment be deemed to be an employer." GL cJzapter I52,§25C 6)also stairs that"eve3y sfate'or-local licensing agency shall withhold the issuance or renevral of a licerzse or permit to operate a Diikiness or ti'const ct beings in the coramonwealt h for any appplicanf who has notprodnced acceptable-evidence of cdrapliiance with�e hmmrauce.coverage required." Additionally.MGL chapter 152,§25C(7)states fiTeitherthe c cmw,eal inor ally of political subdivisions shah enter ink any contract for the performance ofpnbho work u uff acceptable evidence of compliance with the insurance. requsemerds of this chapter have been presented in the contacti g ardhoay" App4cax{s ' PIcase fill out the worlsras'compensation affidavit completely,by ch=ld c IlLe boxes dLa±apply to your sitnation and,if necessary,simply sub-mntractor(s)name(s), addresses)andphonenumber(s) along with their certificates)of insurance- Licaitmd Liabaity Companies(LLC)or Limited Liability Pmta=hips(I.LP)witTino employees other than the members or palfu rs,are not mqui ed to carry workers' comp ensafron i asorance. If an L LC or LLP does have empIoyees,apolicyisrequire Be advised that this affidavit may be;sobmith--dto the DeparfinentofludustriaI Accidents for conffmaation of insrraance coverage. Also be sure to sign and date the affidavit The affidavit should be retamm(--d to the city or town that the application for the permit or license is being requested,not the Department of LTdmsirial Aecides. Shouldyou have any questions regardmg the Jaw or ifyou are regBnedtn obtain a workers' compensation policy,please call the Department at the number listed below. Selfrfimxmd companies should enter their self-insurance license zrumber on the appropQiate line. City or Town Officials f _ Please be sure that the affidavit is complete andpriafedlegiibly. The Depar(menthas provided a space at the bottom of the affidavit for you to fiIl out in the event the Office of Iuvm-dgat fans has to contact you rsgardmg tine applicant Please b e sure to fill in the penniOiee ase nwnber which will be used as a refercam numbcs. In-addid0n,an applicant that must submit m_ulfip10 pennWlicemse appliza]ions is any given 7car,need.only submit one affidavit mdicating cat policy fi fom.alion.(if necessary)and under'rlob Site Address"the applicant should write"all locations in (city or town)_"A copy of the affidavit that has be=officially stamped or maimed by the city or town may be provided to the ' applicant as proofthat a valid affidavit is on file for fuinre permits or licenses A new affidavit must be fiIled out each year.Where a home owner or citizen is obtaining a license or permit not related to any busmrss or commercial venue (ie_a dog lioense or pert to burn leaves etc.)said person is MOT rearmed to complete this affidavit The Office of lnvesdga�ons would like to tfiank you is advance for your cooperation and should you have any questions, please do not heshate to give us a call. The Departmmf's address,tnlePhone and fax number- . IIega�m�nt cif lud�ial Acci��nts _ Tv,-1.' 617-727-4900 Qmt 406 car Fax 9 617727 M Revised 4-24-07 - ma sgczg� a 1 ; �VE Town of Barnstable Regulatory Services Richard V. Scali,Director , 63¢ ►'� Building Division: ►yea Paul Roma,Building Commissioner f -200-Main Street,Hyannis,MA'02601 , _---wwwaown:barnstable.nicus Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Usi= A Builder I. U k A W b y-D 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: 64 IL OS s T (Address of Job) **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 aS' e of Applic N Print.Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable „ Regulatory Services of'THE Richard V.Scali,Director Building Division - snRtvsTABM Paul Roma,Building Commissioner ' �E����� 200 Main Street, Hyannis,MA 02601 , www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION _ Please Print DATE: t , 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 j 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 fbrms\EXPRESS.doC r 06/20/16 N ' off :-J. N , - a r N C ` Y I ✓0174 KCJIf77/724��L%4%CLU✓l.O�✓//(�Q,,1c1CLC/LCGJP��r�• Office of Consumer Affairs&Business Regulation _ r rn HOME IMPROVEMENT CONTRACTOR Registration valid L a, o �'t5i<) TYPE•,Individual ,u �1 \ \ before the expirati . ��., Re istraio;\ Expiration Office of Consumc M c o Q` - ¢'. _ �5�$8— — `05/04/2020 One Ashburton PI; o �'� �� ,p JOSEPH E KING' Boston,MA 0210f a c � '_}�We JOSEPH E.KINGAr . `o •— �j Ix 36 CHECKERBERRY L N y i E o 3 7 h 1\,tiO\00 W EST YARMOUTH MA 2673 M Val Y Y M Undersecretary E a °° W y oz o L• co IUYc O O wLu 2 V m Q (n O • 3 x2 • F • yq-iy� Asse�or's reap and lot number ........ .... ....... ... ............ 8EpTIC SYSTEM MUSS INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE Sewage Permit number ..1 .................................................. SANITARY CODE AND T®VIIIV F �BAR 7T BLE P�Of THE TO 71 WN♦1 � U ii • s,.I'd; 1639.0 N BUIL�DIN:G INSPECTOR _t PY�'' ' v APPLICATION FOR PERMIT TO .......... ........... ....... ................. ........ .... .............. TYPEOF CONSTRUCTION ......................#..:. .......: !6 ................................................................. J ....................19./.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appliesr a permit according to the followin information: 411 Location ............ ............�...........C ....�IR ................. ................................................................. 'RewProposed Use .G.... . .4........ .'.P ........�.4). . ........... s Zoning District ............... ........ ......................Fire District .... ...��.... Name of Owner . -?.`.......'Y...l'J ..................Address .l. f.,�.....Z.ieqXll�✓...41 ... .:.66 �%s�l'" Name of Builder (..D.a..�..........(...1�..dy.Sf.....................Address /. �/..... .�( ✓.....�� 5��''oer/I✓„/.'1v/� Name of Architect � ....Address Numberof Rooms ...7.........................................................Foundation .... 0/j/. /.C... .......................................... :e Exterior .... / ......................................................Roofing ....��. ., ............................................. Floors ............................................................Interior T 4141�...aa V<g ................ .. .... ... ........................ Heating l r� L' Plumbing .......... cc ........................................Approximate Cost /1Sd a Fireplace ........ ...�.7............... .�. ............................... Definitive Plan Approved by Planning Board __________________-----------19_______. Area ........ ............................. Diagram of Lot and:Building with Dimensions � � Fee ... ........ ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ��•�� t 0 17-6 o � O K CIC I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th bove construction. t Name �>/� .............................. .......... Wood, Rosa I&°s° ` No .. - Permit for Anmm.. .. ` ---..S#Iz4e..���..AVQUIXg--. . , tboohon (Jp - ..axe.et.......................... � --------.^~-~�~.n-u---------- Owner ..............I "" .y _________.. ' �Typo of Construction .........�����_______.. . . « Y ^ ----..--------------------.. q / ^ � Plot ............................ Lot ................................ " ~ ` � � � Permit Granted ..........%���ember.5 -]9 ^ rfY bate .' D Dote Como|e�e6 . 4 � PERMIT REFUSED � .----'------.----------.. lA ' - u�~ .---.^�..�-��.�----------------. � ----.---.-.----...----------. ` » � '-'----^---------^-----^^^---' � + � ---------.-.~-----.---.----.. � '^ . \ V ' \' M Approved ................................................ lA . ' -----------------^---~----'' t ' y -------------------------... . � . . ` -_� - � | --II " ,� ,, � � . I � - -- ,. i Q,".-.. -� �- � 0 - I - I ,, .1 . . 1 17—.- "i� ��,'�:t� � ", � , ,, .: . 1, r,.� — — 4.,1 �..,,�,��......"', 1, , � �f,:'.-�, ,- *i,p I -I . . I, '. . . Vr , l , , . I" .,i�t,I I, �, � ; - . ..; - - I 1.`�, ,�� -��4— ,.— — — . , - - � I --,,,-�,i,_-_,-,�-,.,4—*��,l �' -I- 4� - (1-7 - ,-,4 —,I �, o " , , ,. ., � , —, � 11; I � �� �,,� . � ,-,,, �—V. . ;�,�1,"��,r vt -r,;,,,, 4 -1, . . -�,�,!, �� , 1 1; % -111*1'� 1, �- , 7�— . .. 4-1, . I-1 .. -. , .. .! -, , .- - � � , - I , ll .- � --�L,� -,4� .. I. " ,� I'll t", � , , . - I - 11 . 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