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HomeMy WebLinkAbout0018 GLENEAGLE DRIVE � Ei�e�ea�Ole dam": , IMME Town of Barnstable oerini� �0; Expires 6 months om issue e Regulatory Services Fee It It s�xrrsrasr.EMASSIt 039.� m� Thomas F.Geiler,Director A- SS Building Division 'ERMIT Tom Perry, CBO, Building Commissioner NOV 2 2011 200 Main Street, Hyannis,MA 02601 _ www.town.barnstable.ma.us OWN �r -9AR Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY ` Not Valid without Red X-Press Imprint Map/parcel Number Property Address AL iS Ieh t 6yle Cse�AA I-e- Residential Value of Work Al Minimum fee of$35.00 for work under$6000.00 Owner's Name&AddressTT � ' Contractor's Name &L(��e_ Telephone Number _ 00 (061 Home Improvement Contractor License#(if applicable) V : Xlr qY g/ Z-673 Construction Supervisor's License#(if applicable) h 54 9 , ❑Workman's Compensation Insurance ` Ch ck one: I am a sole proprietor . ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit.. Permit Request.(check box) pQ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) X f . ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does,not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. 3IGNATURE: 2AWPHLESTORMSIbuilding permit formslEXPRESS.iioc Zevised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesdgadons 600 Washington Street Boston, MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): sr,,� Address: P L30A fa 0i`;? City/State/Zip: �l/vl�v�` .2qC �( - phone #: 0 Are you an employer? Check the appropriate box: p y 4. [� I am a general contractor and T Type of project(required): 1.[] am a em to er withemployees(full and/or part-time).* have hired the sub-contractors6• ❑New construction 2.L)N I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.$ 9. ❑Building addition required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4),and we have no 12.5ZRoofrepairs employees. [No workers' '13.❑ Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must 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 entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lin#: Expiration Date: Job Site Address: City/State/Zip: 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 up 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 statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided,above is true and correct signafore: , Date: Phone#: F only. Do not write in this area,to be completed by city or town official wn• Permit/License# hority(circle one): Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: r �1"E'aw,, Town of Barnstable Regulato rY Services BARNsrests, P.+as Thomas R Geiler,Director i639. 1� n►�►y' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 *Ww.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, _ , I �p I l�l I ✓�- 1"� ` '"`b K(� as Owner of the subject ptopertp hereby authorize �Vl to act on my behalf, in all'matters relative to work authorized by this building permit 0— (Ad ess of Job) Pool fences and alarms are'the responsibility of the applicant. Pools s are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signa e of Owner Signature of Applicant i uo ivy Y�1 hl6 RL'Olt Print Name Print Name -6 Z) Date ov" Zv Q:FORW oWNERPERMISSIONP00LS �1HE r, Town of Barnstable Regulatory Services * B,ut RrABLE, Thomas F. Geiler,Director Mass. i639. A`�� Building Division fD NIP'i Tom Perry,Building Commissioner 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: 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 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. Q:forms:homeexempt _ I ! License or registration valid for indrvidul use only before the expiration date. )1 found return to: Office of Consumer Affairs and Business Regulation 10.Park Plaza-Suite 5170 Boston,MA 02116. _ Not valid without�signa�ture . r 44 72 Office o oosumer airs m ess e u a on j HOME IMPROVEMENT CONTRACTOR Registration 139952 TYPP: .. Expiration: 9/81 013 I ndividuaL_ M.KEENE, WADE KEENE mot-= �= 19 VICKERSON AVE` EPr j SAGAMORE BEACH;MA 02562 Undersecretary i Nlassachusetts- Dep irtrnenrof'Public Safet} Board of Buildint, ,, Regulations and Standards Construction Supervisor License License: CS 58549 Restricted to: 00 WADE M KEENE PO BOX 1095 SAGAMORE BEACH, MA 02562 � Expiration: 4/23/2012 ' � mmisviunrc Tr#: 22745-,., r C) Town of Barnstable F'THE rqs� Regulatory Services o� a t'E Thomas F.Geiler,Director TOI�N OF BARNSTAB 9RARN9TABLE'0 Building Division E� 6 . 1 9 -9 AN 9. Ar��39�p�0 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# `l FEE: $ - SHED REGISTRATION 120 square feet.or less ffi 6 Location of shed(address) Village �IV-6tkii - AA 0P-1-6 )!_O L .©�5�5� Property owner's name Telephone number 16 ' x 1 Size of Shed Map/Parcel# Siena re Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. T PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A = PLOT PLAN Q-forms-shedreg REV:042506 f b�s►'.:.'�.1 CAA A _ .�-:.�_._- �.�:__a __ -._ _.. .- _._� _ ___----- -- ---- s1 uGt_E !r atif��� • 3 - SEYRG TA�.Ik•• �Ci5p��49tjGPv, 53 I uKr= v1SPoSAL. P1T VIP lGoO GdL. i +N' �`�2�O� , • I So S.F K• �.•S = 3''t 5 G.P� ���J oo � TTOM ARt_A i �a S.C' "�''iO (� �Y1 i 1. , Q 5A . .. FrA j . o r.�. : : ! T; �,:i G's•F �`" 1oz-3 PL.dTto►,t QdTC.' t f 4t Z Mr1.1 otL f: S,l� �. .-TEST No C, OF �y„cmeaa . �TY►j: C ! 1 �j, i t rn : ) 1 U1.,•"+ 477�C-�4G� I7 �"'�G77> t7T7``Tf `�.. 4 INY t_oIM: p 4"p,Pe IvOGa wv IoZ.o sua Poi �, T iuu r LP TIC. FAQ. 100.0 i • ENV: I ���. LEACIA U1t Tw YJAW ; N CaTOWra r C�2 T 1 Pt C-b Pt-oT Pt_A#,-i � �2o t'l 1..� � l-caGbT10�-1 • GENTE V I�..t_. 1 CrstCrl F%( I T"AT Tt� F�vNZ�A.•t'►v til 5ti•1awa1 PL.d 1�1 f2EF=E1Z�tJc� 2EU1-4 -ComPL-Y, ' WITH *r"c-. ;ttc-u 64v.*. xS SvkoVtIl4 V 1j AND KGQ0l2--tAU& 4TA; OF '1'WF-- Ql_�t�l T?A-c6-r J"U1�1Sc I'�2 TbwN of �A�IJ°, Q�tr=Atilt 1 s. 1-101 �/ BA2t,15�-A.$trE L oc-&-r E» W rAi f4 T"e rl.:.00tb pt-AI U. - GaNsv►=T'ANT5 DATA 2 D (J D »A X'('e Q 1. uy V-- %U4C..---__ Town of Barnstable Regulatory Services OF 1NE Tp� Thomas F.Geiler,Director Building Division BARNWABLE. " MAC $ Tom Perry,Building Commissioner s6gq. 10 i°tFo Mpt s 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: , , Permit#: ( — HOME OCCUPATION REGISTRATION Date: v U� U Name: Phone#: �/ c2'7 R-6 Address: Village: Lhll kl Name of Business: Type of Business: Au i Map/Lot: INTENT: It is the intent of this section to allow the residents e Town of Barnstable to operate a home occupation within single family dwellings, subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit, located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials, in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. .• No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: =. T2 Date: oZ D Homeoc.doc Rev.5/30/03 TO ALL NJEW BUSINESS OWNERS DATE; Fill in ple e: �J APPLICA T'S R YOUR NAME: (at no BUSINESS YOUR HOME ADDRESS n�Ye ti r Telephone . umber Home TELEPHONE NAME OF NEW BUSINESS TYPE OF BUSINESS o IS THIS A HOME OCCUPATION? YES [LaNO Have you been given approval from the building division? YES NO i �'` /IAP/PARCEL NUMBER 9 ' ADDRESS OF BUSINESS , When starting a new business there are sev al things you must do in order to be in compliance with the rules and re lations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. &.Main Street) and you will find the following offices: 1. BUIhDING COMMISSIONER'S OFFICE This individual ha en infor of any permit requirements that pertain to this type of business. uthorized S' na COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: .3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in'the town (which you must do by M.G.L. it does not give you permission to operate-you must get that through completion of the processes from the various departments involved.. �IGNIfIE5A PRO VAL FORA BUSINESS UPTIFIGArf Oft Y Assessor's map and; lot number ....`:.........:...... THE .... ...... i Sewage Permit number .`... :. . ........... g ...............,...... Z BARNSTABLE, S House number ` NA66 3.................................................................... 90� t639. 0� '�TE'p MFy a` TOWN OF BARNSTABLE R BUILDING INSPECTOR f I APPLICATION FOR PERMIT TO < 1 -C o ..........:................... .......... ..........h..z�... ............................. TYPE OF CONSTRUCTION ...L-A,�.,) /1= ............................................................................................. ......... . ...............y &2.....19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the // following information: Location ....... ..... .....S..1..... -� :::..:5:,,: - ( 1.fi n........}:.-;?::l.e ,;?.n .�........................ ProposedUse ...nN .... ^.....(.: ........................................................................................................................4................. ZoningDistrict ....................................................................... Fire District ................� ........................................ � . , Name of Owner .c> >t.c.�tw � L Lax Address �3OX 1tne �t2 ,�� ... ..v�� .... ...........:�.. ..........`� Nameof Builder. ....................................................................Address ............... c._.�......................................................... Name of Architect ..............?...................................................Address ...............e?.c: .............................................................. Number of Rooms ........(.........................................................Foundation ,... Exterior ..:l cat. „�.„cr. t .......................... ...............................................Roofing ..........►....:..`............................................................... Floors %a� ! ..cam .t .�r�.,. .Interior ..{ ........ .�?� .,a r( ........................................... ................�................................................................ ... Heating . ..... . ..... %t '-.....�r..4........................................Plumbing ...::.�...:� �: C .............................................• Fireplace .... .............................................................................Approximate Cost .......` . .. c��� J...................................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .....!.4-i.,34 'S i .............................. Diagram of Lot and Building with Dimensions Fee 'rw.........:................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ('jjo z, r e 1 , 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 ................................:................................................- --, t __ _ U DACU REALTY TRUST A=191-165 No 24039 permit for One Story � n ie Family Dwellinq . ....9.............................................................. ' Location .,Lot...#54 1.8 Gleneagle.,Dr. Centerville ............................................................................... Owner ,Daco Realty Trust ...................................................... ' Frame ......................... Type of Construction ................. ................................................................................ Plot ............................ Lot ................................ Permit Granted ......May.. l2...................19 82 Date of Inspection ....................................19 Date Completed ......................................19 I� Y' sor's.map and lot number .... % /... A-3 .. $ „ �pU Tpl► TH.E Sewage Permit number .:.. '�................ EM UST b�P ♦� ,`i . EPTIC S T i fV$tp L�1D,l it OMPLIA 411 AUSTAI HoOse .nujnber ...V. ..�........... 26`'1 'WITH TITLE 5 90 aea LE RON pp�� TAL C ��Ey h�nC t F�MPY a' a 9H 0.t TOWN.. . OF "RAR.NA i DU:11DI G. IHS?ECT APPLICATION FOR PERMIT TO GtiS.�l ..^� '� ..... TYPE OF CONSTRUCTION' ��l�lQ:r.'.:.b.,��'t4^^'��:........................................................ _ . f ;• ............................... �, ................... y • � fit, 4 (,b t � 1 . fist- TO THE INSPECTOROF BUILDIA"6? y The undersigned hereby applies for a •permit'accord+rig to the':following mformationc Location ....: ... ��� ...... ... ........ ........ Proposed Use �_.. : :. ............... ......... ......:... Zoning District ..:... ... .............. .................Fire District Name of Owner ................. ca ��.Q. � �30� 7c�a. t �-.4 Name of Builder— ...................................... :...........Address .......................................................... Name of Architect' .......:.. .................................................Address S - C.. ......... .........,........ Number of, Rooms .....: ........ ...............................:.:.........Foundation t ��. .. .. �' _. �o Exlerior .. ^ll �, .f�Q�!-�. :.... ..Roofing,. ��.1� �'.... Floors SrJ.�!�?.:.. ..:.. 4. .: ::...:.. .......Interior' 4✓° :.... Heating ..... . . f......................................Plumbing .. .p�...1.�.9r1.'!..$....... . .. �.: ...CQ ? �^...... Fireplace .....�..................: . .. Approximate CostJ� tOdd. :....:... .... ...... ..f.. Definitive Plan Approved by Planning Board ____________________________19_:______, ' Area � 3� s J�Q. Diagram of Lot and Building .with Dimensions Fee ......��............................ ' SUBJ•ECT`TO'APPROVAL• .OF.BOARD OF HEALTH ` � -- yOCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to,all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name . ... .... DACO REALTY TRUST 24039 Permit for Build one Story ... .................................... Single Family Dwelling ............................................................................... Location ....Lot t...#..................5 4 ...8 1 ...........................Gi e en 1 ag e Dr. Centerville ................................................................... ........... Daco Realty Trust-- .. Owner .................................................................. it Type of Construction ..Frame.......................... ............................................................................... Plot ............................ Lot ................................. May 12, 82 APermit Granted ........................................19 Date of ........ .......19 44 Date Completed 19 A ob o° 7/L�l�z � , , � - C. vc „��"”'• TOWN OF BARNSTABLE Permit No. 24039 ram' 0 -___--_-_— '__• - 1 »n.n Building Inspector cash ___-- •e raa OCCUPANCY PERMIT Bond "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor h l occupied until first having been obtained from the Building Inspector. No buildings al be o cup ed t a certificate of occupancy has been issued by the Building Inspector." Issued to DACD Tealty Trust Address Box 762, Centerville lot #'54, 18 Gl.eneagle Drive, Centerville Wiring Inspector • Inspection date Plumbing Inspector {� r•. Inspection date Gas Inspector ,t'�'n '_ s"- i ,' Inspection date X Engineering Department ° F� !rf1 �r f Inspection date THIS PERMIT WILL NOT BE VALID,i AND%THE-BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON, SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. `; ,l9 9 .27........ _ ..y. Building_Inspector SI u4�E l=AM 1 L.�P • 3 Os`Y V-,L.ro"w : 1to 4 :3 3301 .53 Se�Tt G T Ayk • ° x I So yl=49 s 6p . 'g'3 ( . �15PoSAt_ PVT V;E tGdO 4Sbl-. 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