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Home My WebLink About0634 SKUNKNET ROAD a Sin A „ t a .. . c a . c r, r 1 ea f n h: h , n ,,�„_.,f 3� . . �'� - .. � . . ._ . . �, _ _, n - w � _ _ _ ` k .. ,. .. .. G - �. 4 .- a ' ,.. n r - A � _ .� a+ _ _ - .. �. ., ,.� - _ p a y n = .. - -: .. I � _ �) .. :,. �. , ` _. I ,. w .. I � � _ n 1 � 13;f34 cil Town of Barnstable. *Permit# p - Expires 6 months rom issue date Regulatory Services - Fee t sAffivsrASLE. A � f mass Richard V.Scali,Director i63q..pe A, (I� ArEo►,� _ P,/ p Building Division TQ nAR 16?0' Tom Perry,CBO,Building Commissioner ""/!� U� / ,6 200 Main Street,Hyannis,MA 02601 17ARNS t www.town.barnstable.ma.us A�� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number G)No�alid without Red X-Press Imprint l(J"] �f -Property Address 63LI Slot'AkAEj go.4 rul TE:IgiD E— MA ya6 3 ,�2 , ❑Residential Value of Work$'i 000° °G Minimum fee of$35.00 for work under$6000.06 Owner_'s Name'&Address- t—AA)(_9 jj 0 63`I 5K(-aQKr\1U KID _ C&ut EK (—LL m6 0a6 Z Contractor's Name 'Telephone Number Home Improvement Contractor License#(if applicable) . Email: Construction Supervisor's License#(if applicable) ❑Workman's-Compensation.Insurance Check one: ❑ I am a sole proprietor UL 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) U—Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ 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 required': CSIGNAT-URE QAWPFILESTORWbuilding permit16XEXPRESS.doc Revised 040215 - _ 1 ?'lie Comurornvealt3t u,f?flrassri<clt=etts Department of ikdrrstrialAccidezas 4,f -ce a, mire igatiem 600 Washbigton,Street __n y Baston,IM4 02111 1b'F m nasmgovIdia Workers' Campensatian Insurance Affidavit: BuilderslCantractiirs/EIectricianslPlumbers Applicant Infer—.affan Please Print Legit Name(BasiIIesstOrganizatioaflndrvidoal} £-idtw J ZY�KUW SI< / Address: t;4 5K0rQ5ZJ i Ram r E&aEkV LLt /-1A 0a5`l0 GtylStatef ip: , {Phone 4 Are you an employer?Checkthe appropriate box: Type of project(required): I_ElI am a employer with 4 ❑I am a general contractor and I employees(fish andlor part-#ime * have hired the sub-contractors ❑ eS°c° °�ctT°a 2.❑ I am a sole proprietor orpartner- listed on the attached sheet, 'I. ❑Remodeling slip and have no employees These sub-contractors have $- ❑Demolition w rl ng for me in any capacity employees andhave wodcers 9.. Buildin addition [Na urorkers'comp.insurance comp-insurance-,I ❑ g required-] 5. ❑ We.are a corporation and its 10:❑Electrical repairs cr additions 3.%I am.a homeovmer doing all work officers have exercised their 11_❑Plumbingrepairs ot-additions myself o workers' right of exemption per MGL �- 12.❑Roofrepairg insurance required-]i c.152,§1(4h and we have no employees.[No workesg' 13_❑Other comp_insurance required_] 'Any snftsarG&at ckeclu box ftl mat also fill outthe section below shmdag thek woaeW campensatiaapohcgiafoemadmL 1 Homeaarners who submit this afiidat u in atmg they are thing all wA and then hire outside watsactors amct submit anew affidavit indicate sac' fCaatractas that check This box mast attached an additinual sheet shotrmg the name of the sub-conhscao-rs and state whether or not those entities ham erVlayees.Ifthesub contactneshave employees,the}'muscpmtide their worken'comp.policy number. I artr are eneploy�trr fleet is protzriire tvt7rkers'conrlrerlsatiurt i�rszuance for�sr}•entpIo}�ees Below is f tepaUcy and job site information n Insurance Compacy.Name: Policy 4i or Self--ins.Lic_4: l±ipirationDate: Job Site Address: City/state4z.p: Attach a cop} of the corkers'compensation.policy declaration page(showing the policy n rmber andexpiration 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 S1,50D 00 andror one-year m4msonme t as well as civil penalties,in the form of a STOP WORK ORDER and a Rime 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 mrifYcation. Ida tierc�by certsjj�nrtder tFtt=pauis cat perrah s ofperjuty that tine infonnatiait pnvrt ded abmv is Grua and c-arrect Sit rattsre Date:'%� A A(f H aZ G I,4 0 Official use orl£y. Do slot asrite in this.area,to be coanpleted by city artown offidat City or T"m: PernutEkense tE . Issuing Author'ty(circle One): " 1.Board of Health 2.BuTfng Department 3.City-tTo m Clerk 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phone#: i i , Information and Instructions M�carT�etts General Laws chapter 152 requires all,employers to provide workers'compensation for their employees. pn suaottD this stdxite-,aa.enpLyw is defined as."_.evmy person in the service of another under any contrart of hire, express or irpliecL oral or w " An mTL7ye2-is defined as"an individnal,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged m a joint enterpase,and i a--b the Iegal sepres ves of a deceased employer,or the receiver or tm-ustee of an individual,partnership,association or other legal entity,employing employees- However the owner of a dwelling house having not more thaa three apartments and who resides therein,or the occupant of the - dw Hi g house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grotmds or building appur� thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(t7 also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a bnsmess or to construct buildiags in the commonwealth for any applicant-who has notproduced acceptable evidence of compliance with tli'e 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 ofpubho work until acceptable evidence of compliance with the insUranCe•. to the c axifhoizty" e�s of this ter have been presented ont�acting req�mem � ' AppHc:=Is Please fill oin the vworkers'compensation affidavit completely,by cherT�a the,boxes that apply to your situation and,if necessary,supply sul- nt-ac-t or(s)name(s), addresses)and phone ni— er(s)along with their certificates)of inanrarice. Limited Liability Companies(LLC)or Limited LiabilityPartneiships(LLP)with no employees other than the members or partners,are not rbgah7Dd to cauy workers' compensation insurance. If an LLC or LLP does have empIoyees, a policy is required. Be advised that this affidaYrtmaybe snhmitted to the Department of Industrial Accidents for confmnaiion of insurance coverage. Also be sure to sign and date d[e affidavit The affidavit should , be refi=m d to the city or town that the application for the permit or license is being requestr-A not the Department of n A_ccidentr. Should you have any questions regardmg the law or if you are rcq a'ed to obtain a workers' companie compensation policy,please call the Department at the number listed below. Se s lf-inscned should enter their self fi su ce license number on tale appropriate Ise. City or Town Officials t . Please be sore that the affidavit is complete and primed legibly. The Department has provided a space of 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 iii the peiiiiitlhcense n=ber which will be used as a reference number. Iu addition, an applicant that must submit multipIe pemsWHcrose applications in any.given year,need only submit one affidavit indicating rr=t p olicy infbi mation.(if necessary)and under"Job Site Address"the applicant should write"all locations in (may or town)_-A copy of the-affidavit that has been officially stamped ormaxiced by the city or town may be provided to the " applicant as proof that a valid affidavit is oa file for futm'e permits or licenses A new of adavitmust be filled out each a license or permit not related to any business or commercial venture year.Where a home owner or citizen is obtaining , (Le_ a dog license or permit to bum leaves etc.)said person is NOT req�d to complete this affidavit The Office of Investigations would ae,to thank you in advance,for your cooperation and should you have any questions, please do not hesitate to give us a call. The Deparimenfs address telephone and fax number- T t CGIMM astir of Massa chustM Department of I Ust ial AoDideutq- Ce of fAVe&#ffatjo--� �t�4-T� gtan t Bostou�MA Oil lk Tt,-I.4 Cl'-727-4940�t 4.06 or I_97 MA-MAFJ� Fax 9 617-727 7749 Revised 4-24-07 sasxsresr.E Town of Barnstable ArED MAC� Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us a Office: 508-862-4038 t Y ti Fax: 508-790-6230 ' w Property O*ner Must Complete and Sign This Section. If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name " If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. M ' QAWPFILES\FORMS\building permit forms\MTRESS.doc Revised 046215 I� i Town of Barnstable u Regulatory Services SHE r � Richard V.Scali,Director, 4, g B uildin Division • s BAaNsrnsM Tom Perry'.Building Commissioner MASS. m Ass. • 9 i639. 16 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print L DATE i �{'JOB,LOCATION:i 63I SKUWKNEI N �a 0A0 I!E .01CL E 1144 Qdd 32 number street village "HOMEOWNER-:�JI it/ N�i�;�Vll� KI RTLEy f2yAW 7X50 WSK( 508 64`t s� ado a6i1 name home phone i work phone# . CURRENT MAILING ADDRESS: 6 3 Lf SI 1 AI K�K ( K OA D M (A =9VIr`L_E 0 city/town state Rp 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 shall be responsible for all such work�erformed under the building all such work�erformed under the buildingpermit. (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 require en d that he/she will comply with said procedures and requirements. Signature of Hom �- 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:\WPFILES\FORMS\building permit forms\EXPRESS.doe Revised 040215 f TOWN OF BARNSTABLE Permit No. __.____—_______________ Building Inspector Cash --------------—------g 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 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 Assessors map and lot number .... ... .. Jr/7..................... :. THE -SEPTIC us Sewage 'Ve�mit number ... .. .....:.........:......:....... T A Tee o" SYSTEM IN I_f..ED'iI 'CO�JI��'LI ' House number .....::.��. ��................ ...............;..............". WITH TITLE.5 9� �s E' Afl'H L 63 _ t PNVIRC71V14EI1EN1AL.CODE wAY'a�e0 OVA t-CELATIONS' TOWN , OF BARN.Sf-. AB - INSPECTOR--Y • ' I `'' �r 1 . .�. .. it BUILDING APPLICATION FOR PERMIT TO . '. .... .0 S:� co�' IN ...s TYPE`•OF., CONSTRUCTION .. ...........4T'O B. i... .: ��,M a �f x , ............................ TO THE INSPECTOR OF BUILDINGS: a The undersigned hereby applies for a permit aaccordin\g-to theQfollowing information: `\ Location 6.4�.,If...... .\CA......... Kl?d� `fin e0v........1\ ......... v►.`\ ................................... ProposedUse ..... .1.R ........ ............................................. .. ............. .................... Zoning District ......\��. .\. ` . . .......................Fire District ....... ..?. :.:... ..k ... ., ..:.... .... Name of Owner ............ EJ......... ...:. ........ ..........Address .................�6. n. .c,-b\.�........ _..._ Name of Builder, .,�, ......f ............. .... 13......Address ................. +'1.. '.C..'! !.��........................... Name of Architect ....................... ..... .............Address ....................... . ems' • Number of Rooms :r.... 4. ..._:.. ;...Foundation ...... S�:G. ` �4r?.�'1. e--- Exterior .C'2.0 ........ ..... \�� Roafng ..: � .. ...............: ............. p Floors >. ... ....V......... .......,....`............Interior ................. .........................:....... i................. v Heating ...... R.X-UA—X'k.C.-A...........................................Plumbing ................. ......... `?..................................... Fireplace .......... .. :.....................................................Approximate Cost ........ Q.��.v�. • Definitive Plan Approved by Planning Board ______________________________19________. Area ......S ; r.• 7� .._Di.a•g.rairn- .of..,L.ot, and. Building with Dimensions Fee / ��... SUBJECT TO APPROVAL OF BOARD OF HEALTH fT6AJ l y t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ...... .................... �x SMITH, JAMES K. s No 23 42. Armit for ..One l/2 Story S-Lncfle Family Dwelling n Location ...Lot #19 5 34 Skunknet Road. ...................Centervi.11e.............:.................. `� i �' James-K. Smith `. Owner .............................................. Type of,Construction Frame .......................... ..: .................................. ......... d Plot Lot `....... ...` C ^ -V- Permit Granted'eptember .10 `s,9 81 Date of.lnspection ............... ��l- `f19 Date Completed .....- ............19 6_1 r PERMIT REFUSED ........................................ .......j...... C1;9 ,. ..................................Z; ................. .....................................................r ................ Approved A. ...................................... 19 .4, ... .. k .. ..... ....... ... .. ......... '�'' , 11.71 St1-YsLG: tr AAntL•' - 3 7�5eooM i' 3 33o G.pv LILY Ft.ow = tip K % G .4 � -Ic _-t-A+.tlt = 330.,. Inc % • 49g 6.PU. = use- t000 SAL_. 'yl Postu., PiT - use- Gov 4� _ ,, 'j 1:3`L gF .9 2.S -V/7 n =F- .• t.13 �L BOTTOMBOTTOMv,7, Q ' 13 �+ t p .o I �.P�. aoR I 5 TC'T'At.- 'V�eS,164= LL 3 G•1?D. TANK ~ ,� a i{a ,I I.1� , } ;' •3 97'8. V f'�/A�. .� f 4 4 C.:� Pmr-o1.�T ow tZdTE . t I-m .oz t.E.`�i. • + f w9CHA�D r.tr f JO N A. � 1 SAX r hka 2fj'�48 yff�j\a SSIDMAL Im .' _ •I E. ; r j TOP 1•40 s IOo.C, ._ She Q�!Ppb vI�`T IW. ?7.3 92/ Gepnnc IM!•i j To�tK , Coilese fix,. G$ �wV, 1wa •�, SANcy G/>.L. .96.E 96•� ,' .: .�, -- r _ 44, ✓ LFAGH FIT $TONS IS • C6C'Ctr-%ED PLC) r PI-.A," PtzoT='tL.E=—;, LoGATI 4 t CERTIFY T6IAr THE �owk�DwrioI4 SU&rAi ! t 431:Qt�OIJ Gavt,PLYS WITIA TNT �j1DE.Lt►-�� j . AI.jD SE-ft3/tCK QCQutCEMc�-ITS of THE LOT -Toww of Z31Atz-I�ST 3t.. n QL ('�,. Qq r,Cl/�"�E`�`'8 �I. �. �+:'•L� �• �, ; , g%S;';iETCk c;. UY'i~ �4Jc_ , li,.. , REGIS't'cRED 1../Li•IG 5U2VGYo�zS (;GLA►.J IS UOT PAsr--t7 v�.1. A•J OSTEevtht_G o ` MILs:. • t ASI'`t1M.Cii.tT �,tJc:/C�{ T11L C3'FCS <<i 51 tGii/LD AP L.I A ti--i i+ :i,�. 's: r s ae.-•w,- f%AJC.rlF-- tl-rY' 1.._.�-i.li� I�.�r.[. / V �AAi L� Assessor's map and lot number ��....,�....................... yoF THE ray 81� 02 ( WQ Sewage aFermit number ,...............::.......:...... d °� Z BARNSBTABLE, i House number ,�.,.,b r............................................... a .......... 00,0�i639. 'EG MPY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO � .,. ..�.... �W g.��`n............. � -oa TYPE OF CONSTRUCTION ..................... � ,,�1,i,.(Yl �',J.............................................. .................. . . :........�� Via.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�permit according to the following information: Location . �7. ........ n......... < U.� n :.........ks�.....6....... v .`\.e--................................ ProposedUse .......:Uq W\ . ..................................................................................................................... Zoning .District ' , ?`........................Fire District `•-.An� Name of Owner Y\. ................. .` .......Address ............... ;.......�.:......................... Name of Builder7.M............� Ml .......Address ............... U, Nameof Architect .........................6......6.................................Address .................................................................................... Number of Rooms ............. ...............................................Foundation .........�?.t..!►.!M �. ......... ....K�,t1.�...�.A ....... Exterior CA.C.A:�A.....`lf..... �.......:�...... \.t\.....................Roofing ...............C:0,90n tA,��.................................. Floors )......... A .......................Interior .......... V `U .............................................. Heating ...........................................Plumbing . �G`-� Fireplace �_ S>°-..........................6..............................Approximate Cost ►�� C� O C. Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. �, Name .. �../_.XI S. ...: ?.... �;A.M1�.�. .................... SMITH, JAMES K. 6 9�—1 5-19 23442 One 1/2 Story No .......:..A Permit for .................................... Single Family Dwelling ............:r................................................................. Lot #19 634 Skunknet Rd. Location ................................................................ Centerville ............................................................................... James K. Smith Owner .................................................................. Type of Construction' —Fr. Me.......................... ............................................. .................................. Plot ............................ L=0t ................................ lPermit Granted .§29Pjember 10,....19 81 Date of Inspection 7 .......19 Date Completed ... .................................19 PE IT REFUSED .............................I.................................. 19 . ............................i................................................. ............................................................................... .. ..................... ................................ t7- .. .. ................................. Approved ................................................ 19 ............................................................................... ............................................................................... Town of Barnstable of TKE ram, regulatory Services 1% Thomas F.Geiler,Director Building Division snaxsrnat.e, MASS eg Tom Perry,Building Commissioner 1639. 0 Mpv A�0 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 �FkJ5 8-790-6230 • Approved: Fee: _qc�'7570y Permit#: 22� HOME OCCUPATION REGISTRATION Date: Name: Or!`t4y�� f� l tJ ( Phone# Address: O q S � li l Q Village: oov►CMG UJ)--L 1 Name of Business: LW C6o Scop V(3`_ Type of Business: ��C�ly' Map/Lot: �—/7�.� INTENT: It is the intent of this section to allow the residents of the 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. 1,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. 01 Applicant: Date: — Homeoc.doc Rev.5/30/03