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HomeMy WebLinkAbout2956 MAIN STREET .. ����� �w� ��. � �. _. .. .. . �� . � o . . _r . _ _ o ', _, o �,, _ e a o �� n P ,� I f x Town of Barnstable *Permit# c � � � �l9iAI Tres 6 is o►n issue date �T �� Regulatory Services ee - 45— ' ` 2016 se3a `� Thomas F.Geiler,Director TO HNS IABLE Building Division Tom Perry,CBO, Building Commi§sioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address MA 3 ❑Residential Value of Work$ Minimum fee of$35.00 for work under$6000.0 Owner's Name&Address to Cl1 s-e— A4 4 CU t I dstc,Aj n,.,+,,�� Contractor's Name— ti/ Ls I) Telephone Number 56grz Home Improvement Contractor License#(if applicable Email: Construction Supervisor's License#(if applicable)9466 ❑Workman's Compensation Insurance Chec�k ne: 0, m a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company NameC gCe Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request heck box) / 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) �I I ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#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 Supervisor's License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit forms0TRESS.doc Revised 061313 S Y� The Commomvealth o,f?I1assaclttuetts Depar&ent v,f rnd=vial Acciderrtr ' - Office of1n gu#ions 600 Washueon meet - Boston,Ml4 02111 iminmasLgovIdia Workers' Ctsmpensaffan Insurance Affidavit:lkgders/Con&actars/EIwtric anslPhimbers tIi#Infarmafia Please Print LegUy Nate Addre Cityltatef Are you an employer?Check the appropriate box: I.❑ I am a employer uitiz 4_ ❑I am a general contactor and I Type of project(required)- employees(fu11 andfor Part-time).* 'rave lured the Solt-cont acfots 6- ❑New cons on 2 bXam a sole groprietar orpar tnw- lidted on the attached Sheet, 7_ ❑Remodeling sb£p and have no employees These sub-contractors have $_ ❑Demolition Wai-ing £Qrmein any capacity employees and have workers' INQ s 06mrs'Camp-fi=mnce comp-fimurance-1 p- ❑Buildring addition required-] 5_ ElWe area corporation and jts 10❑Electrcal repairs or additions 3_❑ I am a homeowner all work officers}rave exercised their d°� 1L❑Plumlringrepairs or'addxtitms myself[No workers'comp- right of CKCR43'ion per MGL 11❑Roof repairs require&]I c-152.g1(4�and we have nD employees_[No workers' ME]Other comp_msurance,required_) •+may eeppfi=emt cheCUbox#1 amst elsa fill out the swd-berox showing&eirworkexe cm3pmsatinapoyicyinfnemaffon_ #ffameeameis who submut this eon*-&r tMg they are doio;an wow sad then hoe m=&cnutrsctnts,,.st submit a Hem affidavit indicating sac3L emp1o3 cr .1ft t dtecl�this boa must snacked as addi�na2 sheet showing the name of the s�ca�ctDM and state whedW m Hat those euf des bwe er�luyees.Ifthesnh caat<ad slave emplbyw,aLey gmvide Qeit wmim , gyp.gerlizy aumbe>~ I ant aR etriplay�sr Heat is praudduzg varkers,caugwzsaidatz innsraRce for Rzy 0.uW 5F,OL>~ Beloer is eve ptriicy aRCi jab site iRafZtllttlatl, x Imce Company Name: _._. Policy 41-'or Self FxpinioaDate. Job Site Address Cifg/Statelsp: Attach a copy of the workers'compensationpoliey declaration page(shaving the policy,number and respiration date). Faihue to iconic coverage as required Hader Section 25A of MGL CN 15 can lead to the impasition of criminal penalties of a fine up to$U00.00 an&Or one-pear mf1sonmenk as well as t:'o penalties in tithe fbM of a STOP WORK ORDER and a lime Of up to$250-00 a day against the violater_ Be advised that a copy of this statement may be forwarded to the©ffice of Imrestrgatioas ofthe DIA far f mnance coverage verification- Ida IferdT car*und"the Pans andpl"JaWW°fFClutr'fhatthe iRforMaiiortptrovi&dabm�e is bare and camrect Date- Phone do's 3��• tivdal use&RTp. Pq ttat avr&ff in ttt€s ared6 to be=TpTeted by City©rtMn offi' cdat City or Town: PPeruddLiceuse# Issuing Au&o#tp(ci rrk one): L Board of I3 aIt 3.Building Department 3.City town Clerk 4-Electrical Inspector S.Phmbing fi-cpectc►r 6.Other Contact Person,: Phan#- 6 I� , 1 RAW Town of Barnstable Regulatory Services RFebsrd V.Stall,NwAr Building Division Hi mn -Puq,CE* Bu[ ing Commiwimr 200 iVtaia Sftcy .FP fiwk MA 02601 wwwADWM.bsnLstRbI&mv.us O#5= 308-96.24039 €= 5MI90-6230 Properq Owner Must Complete and Sri This.Section If Us t1 Builder a u .=of the s�jsck . hcrcb�authaeiz� r+' S;- _--_ ----.- ._.__._to act an mg behag, lu 2B matters relative to;woik aurtthoi xed by this buiEsiing pemiE appka ion fare (address of Job) Siplefe of --et f ats pn.nt N',M= . l'.Propstiy Oiler.b appl Ong fete'ptrpflt;please Complete fttomao Hera` Est xemPtsaa POrl'a 00 ti,e reverse side, F QAVr7RMMr17Rt�4'S gPama`bwAW SIM,doe �tGb'.�5�G9{EZli . From: David Chase david@circletree.com Subject: Building Permit Date: January 9,2016,8:57 AM To: Kim Bassett N1QWN@comcast.net,Nancy Weinstein nancyw259gmail.com y t 1 V�ae iPo�n�'rcwea�� 11 ��,��t Office orCousumer i�ffa►rs&;Business Regulation i) OME IMPROVEMENT CONTRACTOR egistraUon 159706 TYP.,e I� w• f a" fndividual,? l; r :Expirationt_-5 _ KIM M BASSETT 1 ' -KIM BASSETT 3775 MAIN$T 3 CUMMAQUID,MA 02637 Undersecretary achusetts Depa�ment of Public Safety 1 �. Mass ulations and Standards Board of Building Reg License: CSSL-099406 Supervisor Specialty cf Construction KIM M BASSETl p.0.BOX 75 02637 i CUMMAQUID MA ' (� Expiration: 1211212017 oner Cornrr►issi _-------- f r Town of BarnstableP it# Expires 6 mont/s a issue d e Regulatory Services Fee * �►xrtsreat.E, • MASS. Thomas F.Geiler,Director i639. �0 rFD MA't� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RES11DENTUL ONLY 1-7 9 Not Valid without Red X-Press Imprint � Map/parcel Number (( 1 Property Address 5 a, r n J/� P ���/�b6 I /J- 0,Z G ❑Residential Value of Work$. -zly 00•Ora Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Pate CI C e a 4,�-C �'1,��n Zee e�+4-1)Sire 6 I�e. �� 016 3d Contractor's Name K( 6 SS f.t f Telephone Number S,6 K-3 6 a. Home Improvement Contractor License#(if applicable) f,tj Q"T�G Email: w Construction Supervisor's License#(if applicable) `lq �}('2 ❑Workman's Compensation Insurance O C r — 7 2013 Che,9k one: II am a sole proprietor ❑ I am the Homeowner TOWN OF BARNSTABLE ❑ I have Worker's Compensation Insurance n Insurance Company Name iw t. 'I C. 5 L/l n Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) / LKe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken toQ/�f �/P (�tl Q // ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of ropf) -40,1)r 44ck - [g'Re-side /y7o tee m e XSI 5 A 9 ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows / #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked wiih 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. SIGNATURE: , Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 t. The Commonwealth o,f Mussachuse& D e,i,rtmerrt of IndustyialAccidews O,fee o,f inn ilg ions 600 Washmgion Street y Boston,M,4 02111 nwn,,massgvv1dia Workers' Compensation Insurance Affidavit:BuilderslContracbnrs�ri,cians/Plumbers Applicant Infunmatlon Please Print Lee&ly Name (BracmPg�IQ�ani anflndivirinal)_ r/YI c4SS@ Address: -1-7 rn SC,,A m J9=Q 0 Q, b37 City/Stu&zip: ,(n?fr Y? Pbone9-- SOF 36D-'Ty46 Are you an employer?Checkthe appropriate box: Type of project(required): 1.❑ I am a employer with 4- ❑ I am a general contractor and 1 6. ❑New capon 941oyees(W andlar part-time).* have hired the sub-c ors 2.EF I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees Tie sub-contractors have g_ ❑Demolition working for me in any capacity employees and have workers' o worloers' camp.inerxanre comp.insurance-1 9. ❑Building addition [N mg . . �. We are a corporation and its 10-❑Electrical repairs or additions required.] ❑ � 3-❑ I am a homeowner doing all work officers have exerdsed their I LE J Plumbing repairs or additions myself [No workers'comp. Tight of exemption per MGL insurance t c.152, §1(41 and we have no 12.❑Rnofri pairs ] employees-[No vTorkers' 13.0 Other comp.insurance required.] ' 3 nPPficaat that cheds has#1 must also fill out the section below shnwingtheir woders'caution policy information- F meav>ners Wlu submit Brio of idasdt m6cating they ne doing all wo*and then hire outside com mcion mmst submit a new afdnk indicating such. 1conhactors'd ar check this boar must attached as additiaaal sheet showing the zinue of the sub-canUxmcs and staDe whets orant those entities bave employees.If the sub-santractors lug employees,BLey in=provide their workers':comp.policy number- lam an employer thatisprov&Yng worriers'conTensadon inmrance for my enrpbayem Bestow is thepe icy aid job site information. Insurance Company Name: Policy#or Self-ins.11c.#: Exp.indiga Date: Job Site Address: CitylStatelZip: 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 MUL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one-year imprisonment,as well as civil penalties in the foam of a STOP WORK ORDER and a fine of up to$230-00 a day against the violator. Be advised that a copy of this datement may be forwarded to the Office of Investigatiew of the DIA for insurance coverage verification. Ida hereby catlfy ader the Prins andpenatlies ofpeduty that the information.pronAed above fs bw and correct Phone#: F nly. Do not wrfte in Ah area,to bs romp&e�d by cio or town offieW n: Permitiffkense#nguority(circle one): 1.Board of Health 3.EmIdnng Department 3.C Uy/roQn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Othter Contract Person: Phone�: t f 1� s ,oFTME Town of Barnstable Regulatory Services t $ Thomas F.Geiler,Director 16;q. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnsta6Ie.ma.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A, Builder I, �� n.C-1 C9 } C ) Q-1 -, as Owner of the subject property hereby authorizea:k�a�4 to act on my behalf, in all matters relative to work authorized by this building permit a (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q_ 0RW:0WNEUERIY=0NP00LS 62012 Town of Barnstable Regulatory Services ;I `* Thomas F.Geller,Director Ml� .``� Building Division Tom Perry,Building Commis oner 200 Main Street, Hyannis, 02601 www.town.barnstabl on Office: 508-862-4038 , Fax: 508-790-6230 HOMEOWNER LI EXEMPTION Pleas Print DATE: JOB LOCATION: number street village "HOMEOWNER": ; name home pho . # work phone# CURRENT MAII NG ADDRESS: cityttown state zip code The current exemption for"homeowners"was extended to clude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does no possess a license,,provided that the owner acts as supervisor. D ON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she re des or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures access 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 ho eo er. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall b res ible for all such work erformed under the buildin ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsib' for"comp'ance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/s understands the own of Barnstable Building Department minimum inspection procedures and requirements and that he/she will omply with said pr,,cedures and requirements. Signature ofHomeowner . Approval of Building Official Note: Three-family dwellings con g 35,000 cubic feet or large will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any ho owner performing work for wl�itich 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 w rk,that such Homeowner shall a ct as supervisor." Many homeowners who use this lxemption 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, hen 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 folly"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. C:\Usms\demUk kppDataV.ocai Microsoft\WmdowslTemporary Internet Files\ContentOudook1QRE6ZUBNOeRFSS.doc Revised 053012 �, rn > , • i Massachusetts -Department of Public Safety ,� �eom�rrzrnzcvecc o•, cutodoacoteGl� - Ofrwe of Consumer,Affairs&Vushfess Regulation 1 oal`d,of I3u•iitlfng Regul jations and Stand_ ardp. ME IMPROVEM,EPIT•COMTRACTOR. T e. II Construction Supet isu►•Slid►►N egistr3tion: 159706 , YP % License: CSSL-099406 xpiration: Individual IR ,��� ► ► t,,� . r IQM M•BASRE* - KIM M BASSETT 3775 MAIN Sx°REE { li ice• . I CUMMAQUJD MA ,U2.637 KIM BASSETT �° y I 3775 MAIN ST CUMMAQUID,MA 026371 Undersecretary � ��'`'"' � IZ?��� � Expiration Commissioner. 12/12/2013: P , License or registration valid for individul use only before the expiration date. If found return to: Office of.Consumer Affairs and Business Regulation y 10 Park Plaza-Suite 5170 Boston,MA 02116 Mot valid without signature ' Assessor's office(1st Floor): Assessor's map and lot number Lam/ i Quo*'THE>o``. Board of Health(3rd floor): Sewage Permit number BABdSTLDtL J Engineering Department(3rd floor): rues House number I c i639- Definitive Plan Approved by Planning Board 19 d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BAR.NSTABFE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ' 2-:'3 19 �0 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use Zoning District Fire District < - Name of Owner ��T�/C/� z e� Address (�z `U/9.,5-3--, 0242,S- Name of Builder U/�llf Address f� 2 Z Name of Architect121� /Y7J Addressoe ,bG�/l�Udr� o�iO�S Number of Rooms ����� ��/U0 Foundation / !> ��/l /G2 3' r Exterior G � ��/Wl{ � Roofing Floors l/v Interior Heating' Plumbing �G� y✓ L�i �� Fireplace /!f� Approximate Cost 2 d• a Area C d Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 7Construction Supervisor's License z��2 !` CHASE, PATRICIA L. Re No 33626 Permit For. ADDITION & AT.TERATIONS e t Single Family Dwelling r , Location 2956 Main Street Barnstable - • Owner Patricia L. Chase ~ „ ;Type of Construction Frame r; `Plot � ' Lot Permit Granted Granted March 26 , r 19 90 Date of Inspection /J//SAp 19 , t t Date Completed j 19 f r v �J r ! „--.}t�}�'-2-.�, F •._ 4•..1K,u c wrr+rr.i cr.nn.�. 2• „i . Mr sm on• :off”" w'o,, r y secnoO G.tv. C Giv�E a "� .L gtCflol� _EILVATOI�.afClbt►JOKkaFtDRM�4,... su•�t.fr�.0 mo&p DBtNL OF aY hjl� w4,t// _ frri.tsw�f o ...rw .. -- -� � NF.km�- ""—."Cron08�Tq rrr.rrr wr"•Y..� _ �.fs.�t.0 j L ..__.. �;i A-�/ OF= .•. /+��..�1 .�o w- 6EDP50DH•4 , b4-MOA bWPc- r•r nor>av� _ .C"".'.n::.:'.'$wa. 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M• w eil I --- mcr i/ M O � 1 i 9 _ b w '►1 �1 n.. rE�•L 1 ` ru fir. � � I d,' - tLtVAnol�ciU5tW01=Ir../7.r,►+tILY_pmN_ _. G o� �.I GIwGMbRK,�T-CeN ��te�nord _ eeenol.l. �Ixu�rc.�,e�.elzr< �_ ....r ..�.• �„ - K yuJlrJa P—M -� •n rasR IY...gr..r rRo w•f.erg.. .wr.. ��"`*..r� Y � ��~' ?�Rren••. r'IiroN 'rr,rw� � 1 r.Jr o o I h�.nvne ranee. ,t S •C 'uo�e i Ruwn o•• I C7Rl� ou I star= rr.rr r 1 j ..w .� _ i � e was fa 4 rer•. y \ CASEWORK 16 _ VN10l�4 C#711Ka 9�-- geLno+ -- - Iw11009 Ide**ewORK ELNkflaJ*l L.-do- Y RH CI6EwnRX rt eyA -ij t P-Ltwloo-f C-.Wo r- ��"�, -tea..•,�•.Iv :� Iw-- _ .w.:�-•r« s,T t1J•{Ky .' A'`" A7