Loading...
HomeMy WebLinkAbout0562 SKUNKNET ROAD _ O vow io 61 e • e ;. . e ti i. n , , a +r R t , 1 s u � � t- y T V b t 1 U 1 r �s . .., � j e i ' 9 To '�ll Date Time V WHALE YOU WER OUT M Of Phone Area Code Nu m Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL .-�Message a Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS 1 Town of Barnstable Building Post This Card So That rt�s Visible F.rom.the Street Approved Plans;I us be Retained on Job and this Card�Must be Kept + BARN•3YAr ' a u, 3. MA , F C Posted Until Final Inspection Has Been Made :' Per 163p boa Where a Certificate of Occupancy is Required,"such Build,mg shall Not tie Occupied until a Final Inspection has been made Mit �. . �. � �,� ..� .,,.� _a. �� a . , �,.. � � _� Permit No. B-19-4004 Applicant.Name: DAVID WOODS Approvals Date Issued: 11/27/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/27/2020 Foundation: Location: 526 SKUNKNET ROAD,CENTERVILLE Map/Lot: 169-0157002 Zoning District: RC Sheathing: Owner on Record: DEFEUDIS,AMY Contractor Name:-_ DAVID WOODS Framing: 1 Address: 526 SKUNKNET ROAD Contractor Licenser 132361 2 CENTERVILLE, MA 02632 "Est. Project Cost: -$7,000.00 Chimney: Description: roof Permit Fee: $35.70 Insulation: .F.e`e Paid:.,. $35.70 Project Review Req: Final: D t V 11/27/2019, Plumbing/Gas Rough Plumbing: �°y Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application'and the}approved construction documents for which hfis permit has been granted. Rough Gas: , All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws'and codes. This permit shall be displayed in a location clearly visible from access street or road.apd shall be maintained open for b pulic inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures byRthe Bwld ng and Fire Officials are�providetl onhis;permit. Minimum of Five Call Inspections Required for All Construction Work Service: 1.Foundation or Footing - r m E Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: 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" M(as set forth in GL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application numbe 1QWV OF IA . Fee.......S1......................................................... 7019 NOY 26 MASS Building Inspectors Initials...... .................. i63Q. a� ti I Date Issued.... ..Y �` .........�... ..........:................ w - Map/Parcel..........:............................. ......................... TOWN OF BARNSTABLE EXPEDITED PERMIT.APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION V Address of Project: hlo�,-ns�q,�k NUMBER THE T VILLAGE Owner's Name: Phone Number -2n i 1 V Email Address: G-n—?vP Cell hone Number , Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above Proert3' Y I hereby authorize ) S11 1 CA, to make application for ui ermit' accordanc with 780 CMR Owner Signature: Date: TYPE OF WORK © Siding 0 Windows (no header change)# 0 Insulation/Weatherization 0 Doors(no header change)# -.Commercial Doors require an inspector's review Roof(not applying more than,l layer of shingles) Construction Debris will be going to 2� j��� ?2- -2/ CONTRACTOR'S INFORMATION Contractor's name_.� �i'P� Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# 4f S D S�o p (attach copy) TZ7 2— Email of Contractor 0A1 fC Phone number �q�? 770 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN s A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.- Zr: APPLICATION NUMBER............................................................ *For Tents Only* p f 1 t Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes' No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 201bs. or>Yes No_____,if yes, a gas permit is required. Natural Gas Yes . No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4:30pm. Commercial events may require Fire Department approvab *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature �� _Date / r= All permit applications are subject to a building official's approval prior to issuance. t - ------ Zz The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ! Please Print Legibly Name(Business/Organization/Individual): l/ldd,ZJ!h S O/> a- Lim C Address:�`� i��`� City/State/Zip:�i�.Sfi,o�F W. e-.f 1 Phone#: 7 7,V1 Are you an employer?Check the appropriate box•` Type of project(required): 1.❑ I am a employer with 4. a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition workingfor me in an capacity. employees and have workers' Y P n'• # 9. ❑Building addition [No workers' comp.insurance comp.insurance. 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 12: oof repairs insurance required.]t c.1 152, §1(4),and we have no 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 thepolicy and job site information. 1 Insurance Company Name: Policy#or Self-ins.Lic.#: / y # Expiration Date: D Job Site Address �'J�/fcAl� � City/State/Zip: L 67 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the p ins an. enalti of perjury that the information provided abov is true nd correct Si ature a Date: r ' 2 Phone#: - r Official use only. Do not write in this area,to be completed by city or town official i City or Town: Permit/License# I Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other r Contact Person: Phone#: t I 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 building 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." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall 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,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)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. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation 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. Self-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 one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit 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 to give us a call. The Department s address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TMI`.f { CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EMEND 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 or wWorsed IMPORTANT: If the certificate holder Is an OffMONAL INSURED,the policy(ies)must trove ADDITIONAL INSURED provisions be if SUBROGATION IS WAIVED,subject to the terns and conditions of the pollcY,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 NAME: JIM HINDMAN RM PHON@ 506-771-838108-771-0663 Schlegel&Schlegel tms Broker . A NC Na):No: 34 Main Street ADDRESS: schiagefinsurarNce@9hnail.com West Yarmouth,MA 02673 AFFORDING AFFORDI COVERAGE NAK:0 INSUIMA: NGM INSURANCE COMPANY 14788 INSURED INSURER B: TRAVELERS MARCOS SILVA INSURER c DBA EMERSON CONSTRUCTION J INSURER D 67 SEA ST APT 11 INSURER E HYANHIS,MA 02601 ' INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 CLANS. TYPE OF INSURANCE PO=NUMBER EXP UNITS L'M 1,000,00C X COhrMERCIALGENLIUL LIAMUTY' EACH OCCURRENCE $ CLAMASmM* ®OCCUR y PREMISES Ea $ _ •= NED EXP one S 10,OOt A MPT9375T 111OW18 11109119 PERSONALBADVINJURY $ 1,000,001 GENERALAGGREGATE s 2,000+� GENLAGGREGATE LIMITAPPUES PER POLICY Q�CaT El LOC PRODUCTS-COMP/OPAGYs $ 2,�0,00, OTHER: rdaffoS $ AUTOMOBILE LIABILITY BODILY INJURY(Per Person) $ ANY AUTO T D SCHEDUU� BODILY INJURY(Per ONLY AUTOSIRED _ PRE D GE $ ONLY AUTOS ONLY S UMBRELLA LIABH=CLANSMMnAa0E EACH OCCURRENCE E EXCESS UAB AGGREGATE $ $ DED RETENTION$ WORKERS COMPENSATION SETA ER AND EMPLOYERS'LIABILITY YIN E.L.EACH ACCIDENT S 100,01 ANY t IETORIPARTNERIE%ECUTNE NIA WC4073205 04H7/19 0M17fZ0 100,04 B OFFIEMBER EXCLUDED? N EL DISEASE-EA EMPLOYE $ (mw in NN) 500A DESCR[PT{0OPERATKNdS below £L DISEASE-POLICY 1BMIT $ A DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 10.1,AdManal Ronarks Schedule.mall 6e ettadled N more space is required) MARCOS SILVA HAS ELECTED TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY CERTIFICATE HOLDER` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOA THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. , DAVID WOOD ' AUTHORIZED REPRESENTATIVE .. DAIANE BENFICA ®198&20jjWdV CORPORATION. All rights roar' ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD k a pq� Commonwealth of Massachusetts 1�ff Division of Professional Licensure Board of Building Regulations and Standards ConstrOct ibr!§6pervisor CS-035693 r ,pires: 01/18/2020 DAVID A.WOODS T - 43 MATTHEW WAY MARSTONS MILLS MA 02648 '� O Commissioner cz �' ✓/!P ri!//%1J20/A'LfIL'CG��II���lGy3C,,Z"-) aj, . office of Consumer.Affairs&Business Regulation ; `HOME'IMPROVEMENT CONTRACT a T1( Es Individual L!� n � .l i '1Jmn2�9?„07/30/2020 .: DAVID'1N00D51W= ' " h 3P'f'4' 'F-- 1'ti .A3 i. DAVID:A WOOD �`� lt` �. r 43 MATTHEV1f:WAY� MARSTONS MILLS,MA'02648 Undersecretary Qr. � Map Parcel ' '' Permit#--' House# � Date Issue a.Pin Board of\(1s toor)(8:15 -9:30/1:00-�36) Fee, dam` Conservath floor)(8:30-9:30/1:00-2:00) - • �`J �'�� Planning or/School Admin. Bldg.) �tHE w � Definitive Plan Approve y Planning Board 19 •- ; r - BARN LE. MA35 p � - � OWN OF BARNSTABLE ' Building Permit Applic Project Street Ad ess / Village _ �� - -' Address Owner Telephone —� Q , `Permit Request t E First Floor y square feet Second Floor square feet r Construction Type ' Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size av, &5 , Grandfathered ❑Yes ❑No Dwelling Type: Single Family ,5_____�Two Family ❑ Multi-Family(#units) Age of Existing Structure 4 Historic House ❑Yes �Te-�On Old King's Highway ❑Yes Uj+kar—" Basement Type: ull ❑ awl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft�� 1 ' Number of Baths: Full: Existin c New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas p Electric ❑Other Central Air ❑Yes Fireplaces:Existing New Existing wood/coal stove ❑Yes Garage: �Lj Detac (size) Other Detached Structures: ❑Pool(size) ttached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name G.}-ylJ�1� 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 FR M THIS PROJECT WILL BE TAKEN TO 6 SIGNATURE DA /Q BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY F PERMIT NO. DATE ISSUEDti r MAP/PARCEL NO. ` ADDRESS VILLAGE OWNER t DATE`OF.INSPECTION: FOUNDATION + ` FRAME t , :INSULATION FIREPLACE ' `ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS:4 ROUGH FINAL ' T FINAL BUILDING ; DATE CLOSED OUT ASSOCIATION PLAN NO. n The,Commonwealth of Massachusetts Inn __.- :_-- Department of Industrial Accidents G•r�9 600 Washington Street >+ Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: & city Z.: �Oe'�� �� hone# .� I homeowner performing all work myself. lamas ole pro rietor and have no one workin in any ca acity ❑ I am an employer providing workers' compensation for my employees working on this job. conlpanv name• ` address city phone#: insurance co. olicv# 711171111711171171171111111111111111111111111111111111111111111111111111111111111111111 ❑ I am a sole proprietor,,general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name address. city _. phone#: msnrance cci oltcv# cumpanv name address: ctty _ phone#: insurance co. olicv# Failure to secure coverage a,required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one yeah'imprisonment as well as civil penalties in the form oC a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of thLs statement may be forwarded to the Office of Investigations of the DIA for coverage verification I hereby c pains and penalties o jury the information provided above is true and correct Signature Date Co / _ AP Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", 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 building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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. Additionally,neither the commonwealth nor any of its political subdivisions shall 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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation 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. City or Towns 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 permi license number which will be used as a reference number. The affidavits may be returned fo the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Ofece of Investigations 600 Washington Street r Boston, Ma. 02111 fax#: (617) 727-7749 ^" phone#: (617) 727-4900 ext. 406, 409 or 375 The Town of Barnstable t $ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Ctossen Office: SCS-790-6227 Building Commissions Fax: 509-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT 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-existing 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. L-** Type of Work: ' Est.Cost ' ` ,-'Address of Work: ,,,'Own er's Name fJ ate of Permit Application: I hereby certify that: Registration is not required for the following reasons): Work excluded by law Job under SI,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 PROGZAM 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 Na a Registration No. OR i Da:e Owner's Name J Engineering Dept.(3rd floor) Map Z61' ParcelQ/5 ��40 Permit# House# .�Z Date Issued �� ��/ Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Pl-3'9 Q�V�7 Fee 7 Conservation Office.(4th floor)(8:30- 9:30/1:00-2:00) 1MA SEPTIC S � ot�:��3 � and 19. .Y INSI`AL,L DANCE mmi� N�lll��?N DE AND TOWN OF;BARNSTABL TOWN A SONS B ilding Permit Application t Project Street Add ess Village Owner ( ,-� � Address Telephone —' G Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost. $ Zoning District Flood Plain Water Protection Lot Size�6�j �c � Grandfathered ❑Yes ❑No 1 Dwelling Type: Single Family Zl-----fwo Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes �On Old King's Highway ❑Yes O.Na--, Basement Type: Lax 11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ��/ /� Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New��,� No. of Bedrooms: Existing New -Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas it ❑Electric ❑Other h Central Air ❑Yes L- o Fireplaces: Existing New Existing wood/coal stove ❑Yes ZLNn- - �, `Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ✓l/ ❑Attached(size) �/ ZZ�_ ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) 24ing Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 4a-Ko If yes, site plan review# - Current Use Proposed Use Builder Information Name - ephone Number -,7 7S� 7 Address License# e 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 BETAKEN TQZ i SIGNATURE DATE_ S��z/ 2 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. ctO V DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE X OWNEReft' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL E PLUMBING: ' RfiJGI FINAL GAS: R� G FINAL ' FINAL BUILDING;; ,'DATE•CLOSED OUTro /Z6 ASSOCIATION PLAI V0. m 1 1 .0 I/• /22.2 ' - --- - 5_ / X 33.7 \ X 33.1 i 0 \ C X 38.4 .� 3 - --c-- - _ 15-10 X 34.4 } 2 15-11 }� 3 19 / 7 15-1,3 15-12 X 30 fl 295 3 .8 X 29.3 / 8 ` „X 22.4 1 1 15_1 }/28.2 } ---------- ---- r }/29.0 � 2 7-1X �20, 5 16 X 19.2 }� ' F1LE# - A1787 _.. ..... _.___..._._ CENSUS TRACT# 129 CLIENT: STEVEN J. PIZZUI`I, ESQ. DEED BOOK 7602 PAGE 190 OWNER: CAROL A. KENNEAIX PLAN BOOK APPLICANT: MERLE OGRE PAGE LOT ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN SCALE: 1 OF LAND L O C A T E 'D AT 60 OCTOBER 11, 1996 562 DIET ROAD CFM'ERVIUZ, HIMWAC RUSUM ' oyn , N/F ZAMARRO 52 Q, 70.08' 30 31, — 8 31,867 SF o) mac"' 0 11 N � rasro�y rn 7 118.15' 0 IT 9 10 20.39' sic LTPST ' R 01gD ZONING DETERMINATION THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE.; WITH LOCAL APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII, CHAP. 90A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. FLOOD D TERMINATION 'T'HE :DWG-ylt.G S1.06;;: E;ER DOES 1V01 irAIA, W1rfiilN A SPECIAL FLOOD HAZARD.ZONE AS DELINEATED ON A MAP OF COMMUNITY # 250001 0015 C AS ZONE C DATED 8/19/85 BY THE NATIONAL FLOOD INSURANCE PROGRAM. CERTIFICATION I CERTIFY TO STEVEN J. PIZZUTI, ESQ. (91be :0)toue Raub &urbep (6:o. Mtn ev EASTERN MORTGAGE SERVICES, INC. AND d�+ Men Ve16p.3�Oab STEWART INSURANCE COMPANY, THAT THERE $ �E� ARE NO VISIBLE ENCROACHMENTS OR ,0eW Jkbforb, 0Z 02745 r TFA `. EASEMENTS EXCEPT AS SHOWN AND THAT 1 -800-993-3302 r1 THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPERVISION. J'ax 1 -800-993-3304 GENERAL NOTES: This mortgage Inspection plan was prepared for the above mentioned client only as of this date and Is not Intended or represented to be a land or property line survey. No corners were set. It cannot be used for preparing deed descriptions,construction or establishing fence,hedge or building lines. The land as shown heron Is based on client furnished Information and may be subject to further out-sales,takings,easements and rights of way. No responsibility Is extended to the land owner or occupant. It Is not Intended to be recorded. i h, ' t Lr 8 .. �•r u 4-1 r M•� �; I PLAN VIEW � TYYIGAL SECTION � L It a; �� TI I - ---- ---- ' ----- ---- �b r -- - ---- --- - ---------- i t -- -- --- ' I LIU 1 FRONT Ely wrloN LEFT SIDE ELEVASION . i Andrejs R. Strikls Architect '- e5 91vpc 9tav Lane•.Can-ttl9.IM 0263I !(500)�190-091e �' _ ➢�1�6![My.r M4sRi.[6S10i11[G ._ j7 n. ; 4010 Tlic• CUntnt0111fleaIth of:1 tassacfiuscttl •!;i _._. t�.. Dc•prtrtt►rcnt of litdustrial.9ccirlc•►rts office ofinvestI9,71I its 600 !f'as!►in;;lon StrCCt Boston. Ma.u. 0 111 Workers' Compensation Insurance Afriidavit i Ii n inf rtn iori• ._.. PI_ _p INT_�• location• I am a homeowner performing all work myself. 177 1 am a sole proprietor and have no one working in any capacity ��-. ..-.ww,.�.r.9M�..�..�{T�••��1Tw . .. .,.,�w.�.ww�w..=•!S.�-w•r.•'-w•.�.:►...w...-'...r--... - 7 1 am an eniplover providing workers' compensation for my emplovees working on this job. cornp•tm n•tmc• - address• cM•I ohnne#: insurance co noliev# [I I am a sole proprietor. general contractor. or homeowner(circle otre) and have hired the contractors listed below who haVe the following workers compensation polices: company nitnc• address: city phone 0- insurance rn nolicv!! ' •i. V..!"..-... _ .�..t.. _- _- tr-......�::��1a iT•'t^wrwy' �7T.,.- ...w.��.•..i.».-... . comninv n•tmc• address rite Rhone#• in-ur•nce co noiic�•# Attach additional sheet if necessary •.."".•:;_ ._.., _�;r:..;;. :"".�"'=`-�-•• �.•-"' -,.._-=-•�""»- Failure to secure cttverace:ts required under Section 3SA of AIGL 152 can lead to the imposition of criminal penalties of a line up to SI.500.00 andiur uric cars'imprisonment as,�•c11:ts civil penalties in the form of a STOP u'ORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this.statement may be forwarded to the OMcc of Investigations of the DIA for coverage verification. I rlo h ebt•certify rattler the p rrs mid penalties of perjure•that the information provided above is true and correct. Signature Date Print name L� O' �`'f Phone •official use only do not,write in this area to be completed by city or town ofRcial ciq or town: permit/license# r iguilding Department C3Ucensing Board check if immediate response is required 0sciectmen's Omcc t' Oticaith Department phone#• rj01hcr s. contact person:. � Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for their emplcn•ces.;..As quoted f Qom the "law'". an enrploree is defined as e\.ery person in the service of another under anv contract of�:} ire, express or implied. oral or written. . AY1 4 An emplm•er is defined as an individual. partnership. association. corporation or other legal entity. or anv two or morc . the foresoina 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 rnvner of a d\\•ellina house having not more than three apartments and who resides therein. or the occupant of the d\\�cllin- house of another who employs persons to do maintenance , construction or repair work on such dwellinuihous or oft the ;wounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL cliapter 152 section 25 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. Additionaii:•. acid-Cr th-- commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence. with the insurance requirements of this chapter ha been presented to the contracting authority. 77 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation 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 anv questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. - Citv or Towns 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. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investi=ations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. Tile Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents _..r' Office of Investigations 600 NA'ashinaton Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (6I7) 7274900 ext. 406, 409 or 375 . . °: The Town of Barnstable Department of Health Safety and Environmental Services .i Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT 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-existing 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; � azz St.Cost Address of ork: Owner's Name ' Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): -Work excluded by law Job under$1,000. —Buijlding 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 per as the agent of the owner: t Dat Contractor Name Registration No. OR Date Owner's Name . ; TOWN OF BARNSTABLE BUILDING DEPARTMENT rf HOMEOWNER LICENSE EXEMPTION ----------------------------------------------------------- ----- r Please print. . DATE JOB. LOCATION Q� Number S reet address Section of town "HOMEOWNER" .1'1z�ze�4_A A/e�10,5--� ame Home phone Work phone PRESENT MAILING ADDRESS • city town State Zip code The current exemption for "homeowners" was extended to include owner-occupi dwellings of six units or less and to allow such homeowners to engage an ir dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person (sl who owns a parcel of land on which he/she resides or intends to r side, 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 structure A person who constructs more than one home in a two-year period shall not b, considered a homeowner. Such "homeowner" shall submit to the Building Offi. on a form acceptable to the Building Official, that he/she shall be resnons for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Build ng Depart3ment min ' inspection procedures and requirement and that he/she ill'�omply with s id 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. I TOWN OF 888N8?88LZ S�IPOBT sUPPLIIMENT88Y/CONTINtTB'1'ION g�pOBT • S qg Drnszox NAME (LAST. FIRST. NlDDLE) ) NOTE DETAILS A 0BSEitVA=0NS-ITEMISE EVIDENCE, SERIAL 15 EM 1 , U J o C THE r, O.e * BARNSrABLE. • 94iA,E 59. h The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 1, 1998 Mr.Merle E. Moore 562 Skunknet Road Centerville MA 02632 RE: 562 Skunknet Road,Centerville.Mass.(Map 169 Parcel 015.8) Dear Property Owner: Our records indicate that your house at 562 Skunknet Road,Centerville is currently being used as a two- family home contrary to Barnstable Zoning Ordinances. You must contact this office as soon as possible to either: 1) apply for a building permit to restore the property to a single-family home. 2) apply to the Zoning Board of Appeals for a variance 3) prove that this is a legal two-family. You must contact this office immediately to tell us what direction you wish to take. Sincerely, (771 Dui r7 Gloria M.Urenas Zoning Enforcement Officer GMU:kl f169.015.8 table �� The.Town of Barns 0 MUUUWA= I ' ,�' Department of Health Safety and Environmental Services r . Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner 7;�a� RE:jG 9- 0 /,S elGk gty Owner:indicate that your house at P�� , 2 � Li/,is currently being used as a mily home contrary to Bamstable,Zonmg Ordinances. You must contact this office as soon as ither. 1) apply for a building permit to restore the property to a single family home 2) apply to the Zoning Boar ppe for a variance 3) prove that this is a 1 gal ily You must contact this office imm late y to tell us what direction you wish to take. Sincerely, Gloria M. Urenas Zoning Enforcement Officer GMU:ib J d .... ..... . { BI 1ILD......... Iv�C'~: 15/008 .;.;. , . ICES IBU ILD:�: ING t .... «skun met rd.'<; «> . :. :, •a:;::..••: NTE VI LLE AN::: NY.. .,.s;»..»;; x : ' '�s LLEGAL APT. .........:.....::.......:.. ........ ....: REFER TO R. S. ::;:: ::::::;::::;;;: �c S 1 6 1 r ^ Hi V J L>r N I r � 1 V ` h •r- 2 LL �K.-lJ E` r r V G J :y 'E, TOWN OF BARNSTABLE -_---__-_-- ``� e Permit No. ___________-_ t "�n.0 Building Inspector cash •O ■Y9 • ----------------------- °UR"" Bond OCCUPANCY PERMIT ------- - --_--- 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 first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date 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. ...................................................... 19...... ........................................................................_.....»»..........»..»».»»»._ Building Inspector Assessor's reap and lot number, ...�.� ..� }� ( rY/7 </ �v o� Sewage Permit number .... :....., .......................:.............. d � BAHHSTADLE, i House number .....:�lA..g. ................................................. . oo "639 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........C.A Irkh�A�k :....... `�.�?..'��^�n ck ..t,......... .. C . .................................. TYPEOF CONSTRUCTION ................K,0 .........c;`GM, .2........................................................................ 5�..:3............ 19.U? .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .�'n........ : ...... .......5 .�.� ............. .. ,rv��� ................................. ProposedUse .... nG � ........ MA—XA ........................................................................................................... Zoning District ..... Q..nn c .............................Fire District ....... A.. .'K...... .,�� .�f` �. .................. Nameof Owner ......................................................................Address ..............................................................:..................... Nameof Builder .. C. .rn ..... .......Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............A................................................Foundation ...4.C� A........�......).n.C.. . .......................... � I Exterior ......... ... 4K .p.....\.\S...Roofing ..............C.. .. !. ................................................... Floors ......*:-A0�....NC.A?.......... .......................Interior ............. Ar?.tt?cA--...................................... Heating ` An (.h.. .......................................Plumbing .............. .........P<s`A ........................................ Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area ..... Diagram of Lot and Building with Dimensions Fee o......................... SUBJECT TO APPROVAL OF BOARD OF HEALTHv�D :r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....... .....::!......................... UV SMITH, JAMES K. =169-15-8 l 23226 Two Story No ................. Permit--{or ................................... Single Family Dwellin ................................................................ ......... ... Location .,,Lot.......................................8 562 Skunkn t ' ...... .... Centerville ............................................................................... Owner .....James K. Smith Type of Construction .....game ................................................ ............................... Plot ............................ Lot+ ............................... f . Permit Granted .......Jurae..2....r............ig 81 Date of Inspection ....... ..........................19 Date Completed ....... ............................19 PERMIT REFUSED ............................. ................................. 19 r� ............................................................................... ................................................................................ .....ow...... ........�1�1 :�........................... T Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and-lot number THE •eg p� . p INSTALSEPTIC.SYST Sewage Permit number ...c .. .f.!•......:......................: s M LE s, • (l .,/M. WITH TITLE � �'BAB AO& LE, House number ......... ............. - r. • f 0 ENVIROINI I:ENTAL C 0- Y-a�em m4. =f TOWN OF 6BARN:ST�UjLj ` f RUILDIRG INSPECTOR W � N FOR PERMIT-TO ......... fll ....{...'..:.......1.y......... . .. ................................................ APPLICATIO TYPE OF CONSTRUCTION ......::.. :.....�.N :. . ......:��� :...:........ .....:............. .................... ............ ....... . ..........�... ........19. E. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: \\ Location •.•....... ...... ....... �`�t?f` .{l .... u�?'.............. � ��.�+.` .... Proposed Use .... ;��lO��e. ........ : ..................................... Zoning District ..... .1 .�. 7.SA............................Fire District �51J..1�.�..:�.��3�V.4.y\�... Nameof Owner ............................................... ... Address ............................................. ............................... Name--of Builder—.7:�5(kc-n... ...... ..... AJ .......Address ...:................................................................................ I, Name of Architect .. ...:.!. a .......................... ...................Address ...........•................................................ Number of Rooms: , ......... ... .' ....... ... ..... ........ ..... .......Foundation .... -4VJ`C���.. �?1�1U�C� Exterior ..C�.O?a�(J®. ........ .:. `e '...`��..Roofing ............... ........ �ol ^, `` ' Floors .... .y�.... .... .. ............. Interior,. . .......C�� .:" ....................................................... Heating .11.G -..............L3V�. .....................................Plumbing ..............�+. ! . :e.. Fireplace ................:................................•................................Approximate Cost .......4,1 ....................................JJ.... Jtr Definitive Plan Approved by Planning Board ________________________________19________. Area ....• - .--- ................... 1. s ` Diagram of Lot-.and with Dimensions Fee ..�L.... ,�....... . ........... SUBJECT TO—,APPROVAL—.OF, BOARD.OF HEALTH I hereby agree ree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..��i.lf'. ..��.......rJ1.l!`?...1`�..............:.......... SMITH, JAMES K. s 23226 Perm tor ...........No ... ...... ......S. ziale...Zam.a.l ;..Dwall.Ag........ �4ocation ... Qt...4.$..56.2...S. u ,z ?�. ...Ad.,. -� .......... G.�k1�.�x.�I�.a 7. .......... r........... r Owner .JAMQ.�i._.TK,....SX►��. Type of :Con ..Frame...................... struction i' r. :L�' ? , 47. Plot .............. ..... Lot, .............................. Permit Granted .......Jlux1e...23.,..... ..:`19 31 4 Date of Inspection 19 Date Completed !'Sal7 19 � �i ,• IF �l OP 8, _ `, y - - I PERMIT REFUSED 19 .. t ....................... ......... �� , - ..... .. .. i ...........................:. .. .. 41 Jr APPv d ` ....................................... 19 1 ............................................................................. r Y ` °F t7t—::S tr-KI nAXAI .:; r,�i�s�� w=c�nnt��! - 3 '�3t✓bszc�oM ��. 70•og + + rxI L,-( FL,aW s 110 \c , Q 33U G.pb. GJ �F l C -rA -A v- = -SSo t 60 %a ■ 4-9 USE:- t oc>0 6AL-. 5Po5,at_ PIT CSC- IO4C->O G&L. �. trio SF 9 2.S • : 77s G,p.r). � ��� �?¢ BVT-rom AZEA a Gip r—. 7,7 n q7.z��\ Ew° ToTA L -C�GS:G1.l - 425 G-RD. TOTAL t�A-1L�f r..NK IurzcoLe,TI00 74-re ..to SmI W,o¢ LL%. t 4 r.e l NA. 0 pt�T�~ q4 5'T f��� � • lV � � � I � . Tor 17W is ;ar; �f4. P� .Y _ LOAM t �'�Pe IU1R• 4�.0 Su85piL , t voo FI � IUV. .A 4 Pp� DKT Iw.1000 C-A�. 9G P s ' GOA�t 1►JV. LEAr-r~; k s .A ' t A ` Przo1�'IL. LoCATio" CF-J,�lus F -85 /2 t CVIZTII=-( T14AT- T14C—_ FovaAMON -5&4a vW i PLA►..t RRE- e►Jc�t_ i \A•' ►Tk T6• -= 5j Dr.LI►-•Ic-- 0T g j ' A/Jb SET��ACIt 1'.CQJ1�'�N�GI•.1T•; �1" Ta�G ' -z�'w�-:..�o"��-'�.��AT4`�t..�.. �+., ' PL. '$IL 339 i�G• d-`� 9ZCG15-rC Z .D LA1 D "t'' 05TEev%L-�.G o tWSri?'Lmk�c_w;- ! �c.::�'t Y .k Ye t~ oF'� Tom, 5alcwLn _ w ' API?l_I =W t r TOWN OF BARNSTABLE BUILDING PERMIT'APPLICATION i Map Z� L/5 DDT Parcel Permit# Health Division Y Date Issued Conservation Division �!/iA (� . • . .�. Fee`�4 -Tax Collector Treasurer cY� Planning Dept. ! ' Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address v Village Owner ') Address � . 1� Telephone • Permit Request • , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type ;- Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ` Two Family ❑ Multi-Family(#units) . Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: O Full ❑Crawl ❑Walkout ❑Other Basement Finished Area'(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms:, existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other ` Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size .Shed:❑existing ❑new size Other: Zoning Board of'Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE / BATE /�S� -FOR OFFICIAL USE ONLY PMMIT NO. DATE ISSUED _ — 'i i MAP/PARCEL NO. ,. «" + Yl ADFDRESS - VILLAGE ' ,,d F OWNER DATE OF INSPECTION: _ ♦ x ^ - -' a _ r f � �` 4 i � FOUNDATION FRAME .. INSULATION - - - ' FIREPLACE ELECTRICAL: ROUGH FINAL 4 — PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL r FINAL BUILDING DATE CLOSED OUT {` ASSOCIATION PLAN NO. • o ' The Town. of Barnstable FIME T Department of Health Safety and Environmental Services Building Division iARNSrABLF. ' 367 Main Street,Hyannis MA 02601 mass. ATBD MA'I Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: j, � _ =J/ 7 JOB LOCATION: numbe street iflage HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: / '7 �� 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,provide d 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 ins ection procedures and requirements and that he/she will comply with said procedures and requirem nts. Sign re Kromeowner 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMPTN FILE f A1787 CENSUS TRACT# 129 CLIENT: STEVEN J. PIZZUTI, ESQ. DEED BOOK 7602 PAGE 190 OWNER: CAROL A. KENNEALY PLAN BOOK PAGE LOT APPLICANT: RLE MOORE ASSESSORS PLAN 169 PLOT MORTGAGE INSPECTION 'PLAN , OF LAND LOCATED � AT SCALE: 1"=60" * ' OCTOBER 11, 1996 562 S UNKNET ROAD C NTERVILM, HASSA(31USEITS OZD `.fir N/F ZAMARRO r S2�A' -70.08'- 30.31 31,867 SF N co 118.15' . 7 o g .:. 10 20.39' SK UZ�TKNET READ ,, �; ZONING DETERMINATION THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE: WITH LOCAL APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII, CHAP. 40A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. ORDER NO. Cape Cod Fence Co. SALES AGREEMENT28440 ROUTE 28 - SO. YARMOUTH, MA. 02664 DATE TEL. 508-398-6041 HYANNIS II MASS. ONLY 1-800-352-7785 TEL:775-3030•FAX: 398-0091 ✓'Z �� NAME SHIP TO STREET STREET CiTY STATE ZIP CODE CITY STATE ZIP CODE INSTALLATION IIAE PHONE BUSINESS PHONE TELEPHONE NOTIFICATION STYLE NO.OF RAILS HEIGHT FURNISH AND INSTALL /may •� A CAPE COD FENCE / Z.ft. r!/t/��� ON YOUR PROPERTY IN ACCORDANCE WITH QUANTITIES AND LAYOUT SHOWN BELOW QUANTITY DESC RIPT ION UNIT TOTAL 3 DEPOSIT TOTAL SALE LSALANCE TAX ERMS I TOTAL ONE HALF WITH ORDER BALANCE ON COMPLETION / LAYOUT, INDICATE ON LAYOUT PICKET FACING ON EACH LINE OF FENCE. _,, CHECK LIST i - %INSTALL OR❑DEL.ONLY ST R HOME LeS4ES LJ NO �1KE DOWN&�FENCE LJ YES O a j�KE AWAY?gFENCE LJ YES I�"I�0 EAR BRUS LOR TREES Ifd"4ES LJ NO ,s t E@ CE FINISH�jDE B IN a OUT • ' Tom••./ P OF FENC O FOLL W GROUND gg } a BYES 1 0 Y g ` ES OR CABLES ' CCF OT ESPONSIBLE —� - t DIG SAFE# 3 POST SIZE 'i POST STYLE PICKET OR BOARD STYLE RAIL STYLE RAIL SIZE - GALV.OR VINYL i MAIL BILL TO ON OR OFF CAPE I SIGN LOCATION All quotations subject to conditions beyond our ntrol.CUSTOMER IS RESPONSIBLE FOR ESTABLISHING PROPERTY LINES AND FENCE LINES,and for conforming with local zoning by-laws. This quotation does not include costs met in ex raordinary conditions—striking ledge which may require the cementing of posts or the use of a compressor-for drilling and pinning posts,or clearing trees,brush or other obstructions from the working area.This contract embodies the entire understanding between the parties,and there are no verbal agreements or representations in connection therewith.It is understood that the title to all materials shall remain with Cape Cod Fence Co.until all payments have been made:If customer fails to make said payment it is agreed that Cape Cod Fence Co ay remove said ma rial from whatever premises it is located and customer shall pay for both installation and removal. CAPE COD F O. ES DEPT. -- BY ACCEPTED BY On accounts over 30 days, finance charges are computed at a periodic rate of 1'h% per month-Annual rote 18%.