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Home My WebLink About0297 STRAWBERRY HILL ROAD �q STD � ��// , ,. ,. � :, ., .� �� :, -. o ., �I .. A I'', ,.: t _., e _._— �.- g 4 u .. pliq 15-?4, Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Tel: 508-398-0398 Fax: 508-398-0399 8/8/15 r Town of Barnstable Thomas Perry CBO Building Commissioner , 200 Main St. Hyannis,MA 02601 �-- RE: Building Permit#201504687 TO: Building Inspector(s), ' This affidavit is to certify that all work completed for 297 Strawberry Hill Road, Centerville has been inspected by a third party Certified Building Performance Institute(BPI) Inspector. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 9 Application # Health Division Date Issue .35 -CC Conservation Division Application FeWA Planning Dept. Permit Fee S Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address �► �- raW �f �ti l Village C ef4er y'i l`e Owner 41nc I& n 0(r'l I l Address C All er 12� . cw6rvi l le Telephone 5 d 8 43 9- 0 305 Permit Request 11 a-A 12- 30 Ee 105e aJ 9-30 V6�lass to +h,, &Cc 84 R-19 - 6ertlass il -R _ 6asemeat- 11r- sen � �I►e (41� C &Ae an� (UP Mgt) c?cAAAc '4c eum, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) `LL' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's'Highway: _.0 Ye8-❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other -, Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.fit 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 X No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name c. Telephone Number s�g 4$ 03 g 8 Address I-D License # =-L I DA 4 9- 6 S'• tireloA fi MA 096 4 Home Improvement Contractor# ��38 Email Worker's Compensation # W W C 3 13 6 a � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO Yarrnew, �► SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# v DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts•- Department of Industrial Accidents,_ I 1 Congress Street,.Suite 100 p. Boston,MA 021I.4-201.7 wwxmass.gov/dia NN`orkers'Compensation Insurance Affidavit:Builders/Contractors/Ele.ctricians/Plum6ers." TO BE FILED WITH THE PERMITTING AUTHORITY. Apolicant Information Please Print'Legibiy Name (Business/Organization/Individual):Cape Save Inc .Address:7-0 Huntington Avenue ` City/State/Zip:South Yarmouth, MA-02664 phone#:50.8-398-0398 Y Are you an employer?Cheek the appropriate box: Type of project(requiied)[ 1: ✓ .I am a employer with employees(full andlorpart-time):# ❑ 7. 0 New construction 2. I am a sole proprietor orpartneiship and have no employees;working:forme in' ❑ 8.. E)Remodeling any capacity.(No workers'comp.insurance required.] 3.Fj I am a homeowner doing all work myself:[No workers'comp.insurance required]'. 9. El Demolition 10 Building addition - 4❑I am a homeowner and will be hiring contractors to conduct all work on.my property.. I wilt ensure that all contractors either haveworkers'compensation insurance;or are sole I Ln Electrical repairs or additions proprietors with no employees. 12.M Plumbing repairs or additions 5;M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.- 14 nsuRoof repairs Ilation 6.❑We are a corporation and its officers have exercised their right of exemption per MGL.c, 1 .�]Other _- 152,§1(4),and we have no employees.[No workers'comp.insurance required:] "Any applicant,that checks box#1 must also.fill out the section below shoving tbi it 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:Wesco Insurance Company Policy#or Self-ins.Lic.#:WWC3136274 + Expiration.Date:04/09/2016 Job Site Address: 297 Strawberry Hill Road City/State/Zip: Centerville Attach a copy of the.workers'compensation policy declaration page,(showing the policy number and:expiration date): Failure to secure coverage as required under.MGL c.152,§25A is a criminal violation punishable by a:fine up-to$1„500:00 and/or one-year imprisonment,as Wellas.civitpenalties an the:form of a STOP WORK ORDER and a fine of up to$250:00:a day against the violator.A copy of this statement may, be 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 Si ature;_ Date: 7/24/2015 Phone#:508-398-0398 Official use only. Do--not write in this area,to be completed by city or town official City or T,orYll► Permit(License Issuing:Authority(circle;one): 1.Board of Health 2;Building Department 3.City/Town Clerk 4.Electrical,Inspector 5.Plumbing:Insp, tor: 6.Other Contact Persons.. Phone:#: . . . _ • " -. - c ACC?RFJ �,.r.. CERTIFICATE of LIABIL,iTY INSU 3/24/2015 IMNC flATE(MMIDDM�YYy THIS CERTIFICATE IS ISSUED AS A;MATTER OF INFORMATION,ONLY AND:CONFERS NO RIGHTS UPO#THE CERTIFICATE'HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AF1.FORDED BY THE, POLICIES W.BELO THIS CERTIFICATE OF INSURANCE DOES. NOT CONSTITUTE A CONTRACT BETWEEN-THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER MPOR,TANT. I#the eertitlsate balder i5 an ADDITIONAL INSURED,the poNcy(!es)mtl5t be endor58d. 'If SUSROGATtON'IS WAIVM subject to SUBROGATION- the teens and conditions of the poilcy,-certain pollcles may require an endorsement. A:steement.on this certificate does not confer rights to the certificate holder in wau of such endorsements). PRODUCER NAME:c Colleen Crowley Risk Strategies Camopany PHOntE: (?131)913t"s-4400 Fa iC o:(481)963-4420 15 Pace2la Park DriveADDRESS- $Ccrowley@risk-strategies..com suite 240 INSURE S AFFORDING.COVERAGE NAIC 0 Raadtxlpn A -02358 mamgRA:Select InB. sib' ,America INSURED INSUMRs A11 xica gi'aancial Alliance 10212 Cape save., Inc INSURERc L.TesCo. Yasurance as 7 D Huntington-Ave -INSURER D. INSURERE Muth Yum filth 62664 INSURERF.. ; COVERAGES CERTIFICATE NUMBER:C3,1532491'S01 REVISION NUMBER: THIS-IS TO'CERTIFY TI AT DIS.POUCIES OF"WSURAWCE'LISTED BELOW HAVE BEEN ISSUED TO tWE'iNSURED"WAMED As01YE FOR-M`E"POLICY PERTOB INE3ICATED. NQ�PMTHSTAND�NO ANY REQUIREMENT,TERM OR-Con,, ON. OF'ANY CONTRACT OR OTHER DOCUMENT WtTH RESPECT TO WHICH TI 15 CERTIFICATE MAY BE.tSSUED.OR MAY PERTAIN,THE INSURANCE.AFFORDED BY THE POLICIES DESCRIBED.HEREIN:IS SUBJECT ALL'THE TERMS, DCCLUSIONS'AND CONOIT(ONS":OF SUCH POLICIES.LIMITS;SHOWN MAY HAVE BEEN REDUCED BY PAID:CLAIMS: TN—SLTR TYPEOF'tN9 !MCE.a OLICYEFF POiCYEXP Am wVDPOLICY NUMBER:. M lOD !00 LIMITS GENERAL LIABILnY EACH OCCURRENCE; $ 1 000,600 X COMMERCIAL GENERAL LMILiTY r GE N F A CLAIMS-MAOE'a OCCUR 1994480 0/16/2014 O/16/2015 MED ocwRence $ 00,000 EMrses 1 ., :. .. PERSONaI B P.DV IL4atlP.Y $, 1;:OQQ,0O0 GENERAL AGGREGATE::$ 2 000 t 000 GEN'L AGGREGATE LIMIT APPLIESPERc -PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY X RRO X LOC $ ` AUTOMOBILE COMBIN E8 ident 1.'000 000 ANY AUTO. BODILY INJURY(per 'person3 $ .ALL OS, scHEouLED 4 679660o i/e/20=4.. 1/gl2015, Auros AUTOS': BODILYMJURY(Per-aixdent) g Y` HfRED AUTOS , iJOt�-OV4PIED AUTOS: Q t3PE2TY:DAMAGE X; X UMB�LLA LIiiB ;' .X' OCCUR , EACH OCCURRENCE $ 11,000,000' A EXCESS:LIAB CLAIMSMAOE AGGREGATE $ l,000,QQO DED RETENTION CIE: 19944$4 0/16/2014 011VMS � woRl(tEIZSC4MPEN$fl110N _ � AND EMPLAYERS'LIABILITY �fSLAY9 11l �iltle2l for X V4£SF.4TU- OTH- ANY PROPRIETORIPARTNERIEXECUTIVE Y!N T S R overage. OFFICEPJMEMBER DCCt IOEEp? NfA E.L.EACH ACCIDENT $ 500 000 I. Hi _ /g/ 5 tlWms If yyees,desaibe wder ' , f E:L.-Qi5EASE-ER Eaf 0YE $: OQ DESCRIPTION;OFOPERATIONSbelotiv = E.L.DISEASE-POLICY LIMIT $' SQQ 000 r , DESCRIPTION OF OPERATIONSI LOCATIQNs 1 VEHICLES IAttachACORD 10I,Add@Tonal Remarks`Schedule,:if more space to requlrezr) Issued as ewideride of.insurance:-.. Thielsch Engineering, Inc is listed as. additional insured as'.respects,: Gene ral .iabiliG, .as'.reguirecl by writt co> trao't. CERTIFICATE HOLDER CANCELLATION msongtaCape]zghtct - . �� 'SFtDtfL'D i4t4Y f0f THE ABDi/E DESCRIBED ItiOL'tCtES t3E CA"NCELLED BEFORE THE 'EXPIRATION DATE THEREOF, NOTICE WILL EL DELIVERED IN. , Cape Light Conpact ACCORDANCE MOTH THE POLICY PROVISIONS. Attn: t�rgaret Song._. $O b4i 9Z7/SCtt. AUn-roRizEDROPREsENrAmye 3195. Main Street Barnstable,. MA U2630:;= chael. Christian/mc ACI7RD? (ZDt0IG5� 040 ,2 MAW D CONPOtaATjo tUi r6gMs Tessr�rea.IN8025(zotoost,ot The A D name and logo are registered marks of ACO 13: The Parties acknowledge that this Agreement is under seal. It is intended by the Parties that the Tenant or any successor Tenant is the intended beneficiary of the Agreement and shall have a right of enforcement. Property Owner's Signature: k Q4-uacc Date = f Phone: S-OF `' S Address: ( 71 Tenant Signatur Date Agency Approved Weatherization Company ��, All Cape Energy / Adam T. Incorporated / Alternative Weatherization ! Building Performance Contracting Cape Cod Insulatio . / �apeConservision Save / Frontier Energy Solutions / l.ohr& Sons Inc. Resolution Energy Agency Signature Date 1 L : .. .„ 1?G 1 `L��2 1?tGIC�'f`L� 1� ? 14C 11,eff`. Office of Consumer Affairs and Business Regulation -fir, 10 Park Plaza- Suite.5170 Boston,Massachusetts 02116' Home Improvement Conxractor Registration Registration: 171380 Type: Corporation ,lip Expiration:, 3/14/2016 Tr# 249649 CAPE SAVE INC. ! A WILLIAM McCLUSKEY �T 7-D HUNTINGTON AVENUE w -- SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. SCA 1 0 zone-o5r1, Address Renewal Employment 0 Lost Card �%lN`�ta-r�irruraccEetc�c�^_ �'�T+.�`rur�ccrelY • � °�` . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ` BIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistrat,on -171380 Type:. Office of Consumer Affairs and Business Regulation Expiration Q/4/2016 Corporation ' :10 Park Plaza Suite 5170 A Boston,MA 02116 CAPE SAVE INC. WILLIAM McCLUSKEY . NU y s 7-D HUNTINGTON AVEE SOUTH YARMOUTH,MA 02664 � Undersecretary Not vali rthout signature gar Massachusetts -Department of Public Safety , a 'Board of Bui.ding:Regulations and Standards ns�I u�uiwecoutiEa :License: CSSL-90277$ Wn.LTAM J MC('tU 37 NAUSET ROADrmouth 113A >� �bjF. -West Ya .` • Ys.A Expiration 'i- Commissioner 06l28/2017` ' ;b ' ' - • < t to . Tom of Barnstable Regulatory Services Thomas F.Geiler,Director { Building Division + Ra�n1SR'ARf� . 4 1S. Tom Perry,Building Commissioner t 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 Approved: r� Pee: Permit#: z qO HOME OCCUPATION REGISTRATION Date: og q Name: IJ Phone a ' Address: A r r rc U ;r V uagc: - - C �y Name of Business: t r idol, Type of Business:C 43,"-C--'A V V CA l O Map/Lot: INTENT: It is the intent of this section to allow die residents of the Town of Barnstable to operate a home occupation vithin single family dwellings,subject to die provisions of Section 4-1.4 of die Zonuig ordinance,prmided that the activity shill not be discernible from outside die dwelling. there shall be no increase in noise or odor;no`risua1 alteration to die premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundmater pollution. After registration nidth tie Building Inspector, a customary home occupation shall be permitted as of right subject to the foIloii*conditions: • The acti`aty is carried on by the permanent resident of a single family residential dwelling unit, located vrit hin 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.ui residential buildings,and there is no outside ei idence of such use. e No traffic viu be generated ui excess of normal residential volumes. 0 The use does not uivolve the production of offensive noise,`abhalion,smoke,dust or other pai ticular matter,. odors,electrical disturbance,heat,glare,hunudity or other objectionable effects. C Thhere is no storage or use of.toxic orina=dous materials,or flammable or explosWq 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 K2tnia the required fr-orit yard. e There is no exterior storage or display of materials or equipment. • There are no commercial vehicles related to tie'Customary'Home Occupation,other than one pan 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 tie Customary Home Occupation ivho is not a permanent resident of the dwelling t. 1, the undersigned,hi di the above restrictions for my home occupation I am registe T ig. i Applicant. Late: O U I Homeoc.doc Rev.01/3/08 YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years).. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st. Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. t x93 1 'iT ,i DATE: �� 3 Fill in please: APPLICANT'S YOUR NAME/S: USI S� / YOUR HOME ADD ESS: i TELEPHONE # Home Tel phone Number NAM OF CORPORATION N s S NAME OF NEW BUSINESS a 1 E OF BUSINESS O�. IS THIS A HOME OCCUPATIO '? N (� ADDRESS OF BUSINES r f 1 MAP/PARCEL NUMBER [Assessing] When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO ROO Main St. - (corner of Yarmouth Rd. & Main Street) .to make sure you have the appropriate permits and licenses required to legally operate siness in this town. 1. BUILDING CO MISSIO R'S OF This indivi ual h e ed a y er re uire ents that pertain to this type of busineMUST COMPLY WITH HOME.00CUPATION RULES AND REGULATIONS. FAILURE TO A o.rize ig at-7r CQMPh o MENT Y MAY RESULT IN FLNFq - L el ex—Q, I U V 2. BOAJ OF AEA.LTH This individual has beer[Varmed of the permit requirements that pertain to this type of business. MUST.,,0MPLY WITH ALL L I�G(��/�.(/t Ir*17ARDOUS fIrATERIAIS REC?t!I_ATinn�� Authorize Sign turn** COMMENTS: 3. CONSUMER AFFAIR 06(elen NSING AUTHORI This individual hainformed o the li sing r rements that pertain to this type of business. uthorized ignat COMMENTS: tip, Ih Town DIME of Barnstable rmit Expires 6 months from issue date Regulatory Services Fees _ nwarrsUat t t 9cb MASS.1639- 0� Thomas F.Geiler,Director Building Division X-PRESS' PERMIT Tom Perry,CBO, Building'Commissioner 200 Main Street,Hyannis,MA 02601 HP P -7 2012 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION RESIDEN1f1QAMONVARNSTABLE 'J G Not Valid without Red X-Press Imprint Map/parcel Number... 7 C Property Address �e esidential. .Value of Work—�� M nimum fee of$35.00 for work under$6000.00 L- Owner's Name&Address PC Contractor's Name Telephone.Number__ � � y� Home Improvement Contractor License#(if applicable)Ts Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: 2- 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, ox) e-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 #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ 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,eta ***Note: Propgy Owner must sign Property Owner Letter of Permission. A of the Home Improvement Contractors License&Construction Supervisors License is fired. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 053012 L c The Commonnealtah o,f Mosscrrbusetts Dgwhnent of Indushial Accidents O&e ofInvesfigations 600 Washington Stmet . Boston,M,4 02111 Workers' Compensation Insurance Affidavit- BuildersJContractursMectriciansiPh mhers Applicant Information Please I*rint Legibly Name(Busi��ondn&ddual): 'less - JE CitylSta ,74_ - �'_ Phone# :,re you an emploJrer?Check t e appropriate box: PO T project r �. am a contractor an 1�of ect�P ;1 (required): L I❑ I am a employer with ❑ d I 6- ❑New construction 1 andlor part-tom)* :have hired the sub-contractors 2- am a sole proprietor or partner- listed on the attached sheet. y- ❑Remodeling ship and have no employees Theme.sub-contractors have $- ❑Demolition employees and have wmicers' working for me in any capacity. 1 9- ❑Budding addition. [No workrequired. ers- comp-insurance comp.insurance.5. ❑ We are a.corporation and its 10.❑Electrical repairs or a,dditums ] officers have exercised their 11• Plumbing airs or.additions 3•❑ I am a ham�eoiivner doing all:work ❑ g rep self ' right of won per MGL �' �o workers 12-❑Roof repairs insurance require&]t c,152, §1(4X and we have.no employees-[No workers' 13.0 Other comp'-insurance,Rqurred-] �iag a�phcaIIt ,checks box#1 mast also fill out the section below showing:rhea�keie compensatiaa.policy informatim Aumeowners win submit this affidwk infficzdag they axe doing all work and dies hire outside conuactars>mtst mbmit a new affidavit indicating such- IContmaurs that check this box must attar Led an additianal sheet dhowing the name of the sub-ca uuxbm and:stm whether ornot those ent tm have wisp!ogees.:Irthesub-coat a.mrsbm emplayees,they must provide ter workers'a-p.polL7number- lam an employer that is prauid[ng workers'compensiWan,insurance for my_ezup1vjwe& Below is the poffry and job afte, information. Imo ance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Statet2 ip: 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 inipr sonmedt,as well as civil penalties in the form of.a STOP WORK ORDER and a fine ofup to$250-00 a day against the violator. Be advised that a copy of this statement may be forvatrded:to the Office of Investigations of the D for insurance coverage verification. I do hereby cerhfii dire the ns and a lily that the information-prov&d agove is true and correct Si tore: Date: Phone#: 9 �224 Offl al use only. De not write in this area,to be compide d by city or town o frciat City or Town. PermitUcense# Issuing Authority circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:. Phone#: 6 os • BARNSTABLE MASS. Town of Barnstable y iog9. ,�g Regulatory Services Thomas F. Geiler,Director. Building Division l Thomas Perry,CBO' Building.Commissioner 200 Main Street, Hyannis,MA 02601 www.toWn.barnstable.ma.us Office: 508-862403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as.Owner of the subject property y CQtt (�14 y , hereby authorize � 1 1 � . to act on m behalf, . in all matters relative to work authorized by this building permit application for: cT r I'e k1-1 a b;�kQ- (Address ofjob') Signature of Owner Date pcwv�eLc� Pa.V,Y,� Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Y QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 x �tHE t 'Town of Barnstable Regulatory Services * s�uvslAs . ' Thomas F. Geiler,Director ArEo ,�a Building Division 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 ti. � 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 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.doc -wised 051811 . License or registration valid:for individul use only before the expiration date. If found return to: Offi¢e of Consumer Affairs.and Business Regulation. fl 10 Park Plaza-Suite 5170 j Boston,MA 02116 �eMassaoh drgr srs 1 , Not valid without-sgnature ° °f Ue ,; ii co �i�strU�• `n9) ee went ofP i �I y en S do :-. .: UTT� Se, Cs�jerviso ns and biio Saf t p Q �usr_��.8000-r sand eY W A 72� ER s �a4rgs � 7 y T"L4. p2 N; _ Office Xe -& 6 N —fit_ OME IMP nsRO dmer A $�rs Co �• v Regist VEME B slness ration3 1326NT,C�NTRACT Regu/anon i oiler Ana - p�rat►on. I� g1 OR �. S. �g 013 l QUILrER �� Type I(, ff 1 Individual pica i SC 4 e 02iO3j?0�n 2a7o QU/LTER� 4 CE RAWgERRY 19 7 a U ;;. s.c �r1 _ nderSecret ' '-'.".+."._-"'"r'.'^r-..a^�'ti-�-�-..,.--�'-...-.jam' .,.�,,......,�.-r.,...,,,,.y1^.•-•c...•�-..,.�„ _.--�-. r...��.-rwr '�^Yr..-�..L: .+w..�....... .�..... . o+.n.. r,,. ,..-.+'1.......T ti Assessor.'s map and lot number 4C SYSTIN. Ow INSTr LLEUD �N COOL � 1 WITH ARTICLE- I S► TAT E SewagePermit number"/' )7r....... .........:......................... .......:. WI`�TMY : yofTNEro�� TOWN OF BARNSTA P li SAIUSTAIiLE, VARIL 9 A' BUILDING INSPECTOR O'FOm e r 1 APPLICATION FOR PERMIT TO .....9..&:..... :.L....... ......... (.. .L .................................. TYPE OF CONSTRUCTION . .............................................................................. .................................19. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ` ,/ C .. 1 . Location ......... 7..-4-:S�..V�. Y.c�iL��......9t..C.4......./ -%( ................................^....:..................:................................ ProposedUse . `.p' .................:........................................................................:. ................................................................... ` I Zoning District .. ...........rf ...'.0....................... ..........Fire District ... .. ? ...S1.a? .................................. Name of Owner ,'r+n n '� }/ : � C C 0 CI-LAY -V I L L _ A,49- ......Address .......` ............................... .. ... ....: � ..... Nameof Builder .....:.............................................................Address ..................................................................................... Nameof Architect ...................................................................Address .................................................................................... Number of Rooms ............................Foundation Exterior �"'�...G t�; %`.... IG�.G: .. ......................Roofing .fv�TF�........................................................ Floors d ��,.. Interior ... P� j ................... ..... Z ... .......................... Heating ..:EAA................... .. . ...........................Plumbing ................ �. ......... .. . ................................... .:.....:.....................................................Approximate Cost .. .�/ .p.6.0.:....................................... /-Fireplace ................� pp Definitive Plan Approved by Planning Board ________________________________19________. Areaf. .. ................ Diagram of Lot and Building with Dimensions Fee � � . SUBJECT TO APPROVAL OF BOARD OF HEALTH eft ' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .......................... Fanning, Eonmuro J. , �� c* JNo�.. —l�55� Permit for ......mn�..stmr�x__. , . . / .........��g�lm.. ..dwell� _______ ` i Location 1%��.1.7—. .8W...49ad...... ' . ^ . ( ---- ...............KenAteJ.V1ll.0....................... . Owner ................Zxw4);.d.^T^.. ---- '� � Type of Construction ............frame................... ^ � -----.------------^--------. ~ Plot ............................ Lot ................................ -. . ~' ' Permit Granted ....... 13 75 � } ^ �y [ � Date of Inspection l� �� ` Dote Completed -----']q ` ^ � PE0&80[ REFUSED � + , .----._—..-----.------ .... lA � - � .--------.---------,-------. ' ' ..__~___.____..______,.______.. } -- |� —'----'-------_—'—^----^---'r'' � ------------.—.—~----..~---�— . ~~ � � ' Approved ................................................ lV � ' - ' ---------------'--'—~------'' t --------------------'—''~^~^- . � ~ � Assessor's map and- lot number ..................................... ..... C � Sewage Permit number .(7....�........!.................................. FTFIET TOWN OF BARNSTABLE Z BAHBSTODLL "6 9 BUILDING INSPECTOR ��MPY a• APPLICATION FOR PERMIT TO .... ..................................... ...................................................................................... TYPE OF CONSTRUCTION ttlrr�, ............... ::--....................................................................... ... ................19,�. . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location -5T/1 d (, . ti) i IL1?�; ,! ( /-I-i ) .....................� t . ..................................... ........................... .. ................................................................... ProposedUse /` a%5 .................................................................................................. Zoning District `................................Fire District -t'!a? ,.................. - . ..... ............... ........r................................................ Name of Owner f1� � ,t,) 1 1"'rl At/. fix Address ..� .`y .......fr-��r�. ?....... !.'.!��.�..!..'..L.�.........?.t:�� ...................... .. ................................ Name of Builder ........`.?.;..." r `...............................................Address ................. ................................................................ Nameof Architect ..................................................................Address .................................................................................... E� L J C .) i_ Number of Rooms ..................................................................Foundation ..........................:.................................................. Exierior , .............. ........Roofing ! s Floors C Interior ...... ` Heating .......................Plumbing ..... ..... Fireplace ..................................................Approximate. Cost ....... .:.r' .. : ) . f ,_ - Definitive Plan Approved by Planning Board ________________________________19________. Area ............................:..... r_r , Diagram of Lot and Building with Dimensions Fee �� ' `^t SUBJECT TO APPROVAL OF BOARD OF HEALTH f I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........................... 1 Fanning, Edward J. ,::?. 4 '?. :Z- g� No ...17553... Permit for ...ane storyt single„family dwelling Location / .! Strawberry Hill„Road ............ ........................... rw1tlKm lig............................ Owner ..............Fdwar....J....Fanning.............. Type of Construction . .....f rft=....................... Plot ............................ Lot ................................ Permit Granted .........Janua.r.y..1.3 . 19 75 Date of Inspection ..... .............................19 Date Completed ......................................19 PERM T REFUSED .................................. . .......................... 19 .... ...................................l............................................ .............................. 7 4, Approved ........................... .................... 19 ............................................................................... I Y f Tj IL mTi -D / j9 T' a / ?' � r n x o �v+3Lt �= ttp ,� --- _�_----=-fir- - �d• �S ,� o40 , �I i� h►�A7• �' r • J - CD