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HomeMy WebLinkAbout0005 LI'L LANE �� a� 7% Town of Barnstable Regulatory Services Richard V.Scah,Interim Director KAMBuilding Division 039.�► Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 0260.1 www.town.ba rnsta ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# O t S 6 FEE: $ SHED REGISTRATION RESIDENTIAL,ONLY 200 square feet or less OZ63 2— Location of shed(address) Village S,e,44--trej) 9UNA12EI-66 1�61tew%f qo 3 e Property owner's name Telephone number . Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction?. If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg I yl�P�'l4� �i� �@i��:� ��� 1- �:3a�ertrsts.tt• t �I "x, -=f•s.Y(iYti'r_F[11tti.fi#/4�3.x�,.rtt fill +rlYi n a, nitilvl e nrixl',f ij1i+<r�� :rft:?r i +1 eL 12f i ti'h'CiSga 1'nSi 6y`fY "'i sYN3 J1Ytl ri i td'S ffJ': .3,7 tY ..._._-.........._...._.__....._...�, _ �4Y�'ltdfD:'s rt:!:e"Gt1i:dx,',t.l;f2?•i1.17^.d?Ii � t113i.{''J;`.ir31�.} l`L.:?%^iS£t,..1,."`s;,i;'.:f—����.�17S)Y��`tl;%?!?4Y B tPY�•t'F!(S.1i� 9i�f:«�a. I i''l '40 /o [ fill?49''J 3INT'i111,11V" A1, 'lot '!t )l0 '"t.4.vQ 3... l,x,r, /x . i3 'tt"V ;!1 Ri,R M silk fit?r5, ' 3` %>''t t t MNOWN 31"T 7, 1 w t;l Feb 141�'06 07::SOa, . . Mac Dougal l 509-419-1087 p. 1 MORTGAGE INSPECTION PLAN• THIS PLAN WAS NOT CREATED FROM,AN INSTRUMENT SURVEY 'AND IS FOR MORTGAGE PURPOSES ONLY. MACDOUGALL SURVEY WILL NOT ASSUME LIABILITY FOR ANY OTHER USE).00 of w S a! 240 f LOTS cnI /� �� w -- �,• m ST aas - - I LOT 4 = 5' R� .00CIV N8 \ ! i N83 00 00 := --- 6 40�00"W opivrw 89't a w_,I__ - 0 CO a w 0 Io - I-- I+� � h �._ .-r, z I cn ` w 0i ,n ix c�I,i, S 00 WIZ R.O.W. AND UTILITY EASEMENT I PER CERTIFIED PLOT PLAN Im. BY ELDRIDGE ENGINEERING (4/15/83)�~in S85 00 "W 00 � a i . 10.61 r i 40 NOTE: �s� �s LI'L IT APPEARS THAT THE GRAVEL DRIVE ��O LAN E CROSSES OVER LOT 4 O., � LV 587CD 30 00- 5 I CERTIFY THAT'INNS MORTGAGE INSPECTION PLAN WAS PREPARED MI ACCORDANCE WITH 250 CMR SECTION B.05 OF THE MASSACHUSETTS RULES 8 REGULATIONS FOR THI PRACTICE OF LAND SURVEYING THE BUILDING SHOWN IS NOT AFFECTED BY A SPECIAL FLOOD HAZARD AREA;AND DOES_CONFORM TO THE LOCAL ZONING BY-LAWS IN EFFECT AT THE TIME OF CONMUCIM WITH RESPECT TO SETBACK REQUIREMENTS OR,IS EXEIAPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASSACNUS GENERAL LAWS CHAPTER 40A SECTION 7. REFE'RIaICED DEED SUBJECT TO AND WITH THE BENEFIT OF ALL RK>HM MOM OF WAY.EASEMENT% RESERVATIONS AND RESTRICTIONS OF RECORD IF ANY THERE BE AND ANSOFAR AS THE SAME ARE OF LEGAL FORCE AND EFFECT. r.• TOWN: CENTERMLLE DATE: 02/13/06 BUYER: SEAN G. & BERNADETTE MURPHY LENDER: NONE SCALE: 1"=50 — e•rA - DEED REF: 10797/204 MacDougall Surveyir PLAN REF: 366/63 & Associates': ' FLOOD ZONE: "C COMMUNITY PANEL, P_0. Box `2428 250001-0005-C Mashpee, Mo. 0264 DATED: 8/9/85 CURRENT ZONING: "RC-1" x (508)419=1086 fox. (508)419-1087 email: macdougallsurve JOB# 10009 Ocomcast.net Town of Barnstable F "Dwo Regulatory Services t Richard V. Scali,Director s a • HARNSTABLE, + MAM Conservation Division �E1639* A Robert W. Gatewood, Administrator 200 Main Street, Hyannis, MA 02601 E-mail:conservation u,town.bamstable.ma.us Office: 508-862-4093 Fax: 508-778-2412 Massachusetts Endangered Species Act Regulations Important changes to the MESA regulations took effect on July 1, 2005. Project proponents must now file project plans with the Natural Heritage & Endangered Species Program for proposed work within Priority Habitat regardless of the presence of wetland resource areas. It appears that your project is within Priority Habitat and therefore may require filing with NHESP. For more information please visit http://www.mass.gov/eea/agencies/dfg/dfw/natural-heritage/re ulatoKy-review/mass- endan eg red-species-act-mesa/ There you will find filing requirements, filing fees, a list of exemptions and other important information. You can speak with a member of the review staff at(508) 389- 6360. To avoid costly delays and the potential for criminal and civil penalties, please determine whether you need to file with NHESP before you begin work. You may view a hard copy of the Priority and Estimated Habitat maps in this office or view them online at http://maps.massgis.state.ma.us/PRI EST HAB/viewer.htm You may also submit an Information Request with NHESP for a list of species associated with the area. This will allow you to design the project to avoid or minimize the impact on rare species. QJWPFiles/Forms/MESA.doc revised MAY 12,2014 - 64 �0 IKE T Town of Barnstable *Permit# l Expires 6 ntonfhsfrom issue date Regulatory Services Fee Y �xNsrnac E, Thomas F. Geiler,Director v Mass. $ �p 059. Building Division rFo �a Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www:to wn.b arnstab l e.ma.us Office: 508-862-4038 Fax: K87790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid wiMout Red.t-Press Imprint Map/parcel Number 3 7 3a 1 O 6,3 Property Address /RResideritial Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address w Contractor's Name eL-r (n [j/ll,f T I/V G Telephone Number Home Improvement Contractor License# (if applicable) 3 11_-d- ❑Workman's Compensation Insurance- Check one: X-PRESS PERMIT ❑ I am a sole proprietor ❑ I the Homeowner S E P _ 3 2008 have Worker's Compensation Insurance Insurance Company Name �P,ee, _ TOWN OF.BARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box)Re-roof(stripping old shingles) All construction debris will be taken to &CP j ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum..44) *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. _. i A copy of the Home Improvement Contractors License is required. SIGNATURE: �ww� Q:\WPFILES\FORMS\building permit forms EXPRESS.doc Revisc020108 IslanddSu�wg and Roof ` n division of RLTConstruction,Inc. Proposal To. August 2,2008 Sean Murphy 5 Lil Lane Centerville, Ma. We are pleased to submit the following specifications and estimates for roof replacement. Remove existing asphalt shingles and flashings. 1e+A 6kV(j�jv! y' . /2�¢dee6c)aI-W�C Install aluminum drip edge and pipe flashings. �.1,441 /,l'? p- 1xV 4 Zek etl c Install 3 ft. ice shield to eaves, valleys, cheeks and chimneys. -fi72c (,t j le- �9-d,p( 770�V4, Install 30 lb. paper to remaining roof. (-? Install 50 yr. GAF architectural grade shingles. Install ridge vent to all ridges. S �_al Cal 1 tL L L y,S Clean up and haul away debris. (JN 6Go � We hereby propose to furnish material and labor - complete in accordance with the above specification, for the sum of: $`,9�0.00 _ PAYMENT TO BE MADE A LOWS: Payment in full due upon completion All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents,or delays beyond our control. Owners to carry fire,wind damage and other necessary insurance. RLT Construction,Inc. carries General Liability and Workman's Compensation Insurance. Certificates of Insurance provided upon request. ACCEPTANCE OF PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: p Z,/ d` Signature Start Date: Signature 31 Manni Circfe Centerviffe, Massachusetts 02632 Telephone 508.420.5243 and 508.833.5249 • .fax 508.420.1776 • EnniCcaperoofer@caperoofer.com The Commonwealth of Massachrisetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M14 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information c.�� / Please Print Leeb� Namr, (Business/ nizaEon/lndividuan: f1/ / f D� AdCTt;55: ( �r1at /r�i� City/5tate/Zip: �Y}� ltrrl�,�_/ - �o � Phone.#: �D " �7(.9 ' �9 Ara you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6. ❑New constriction . employees(full and/or part-timc).* have hired the sob-contractors 2.❑ I am a"sole proprietor or partner- listed on floe attached sheet. 7. ❑Remodcling ship and have m employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition • . [No workers' cpn�7.-msrrrrnre comp.insu ance-t 5. [] a We are corporation and its 10.[]-Ele 6icO repairs or additions rtqui.recL]3.El 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 ❑Roof repairs ir,crrrance required]t c_ 152, §1(4), and we have no employees. [No workers' 13.0 Other comp,insurance required_] •Any zpplicant that cheeks box#1 roust also fill out the=bon bclaw showing their work='comprnsation PoficY infmmation- t Homeowner who eubro t this of davit indiicafmg they=doing all work znd then hire outside contractors must subn-t anew affidavit indicating such. Y--=tractors drat ch=1c this box nmst attached an additional shoat showing thc name of the sub-contractors and state whether or not thosd cntitics have employers. If the sub contractors have employees,grey must provide their wo i=,comp•pDbuy number. I am are employer that is providing workers'compensation insurance for my employees. $'craw is the policy and jab rife information. Insurance Company Name: Af Policy#or Self-ins.Lic.#: Expiration Date- Job Site Address: S �l l %'!� �i�1l�P�t/r�� City/Statc/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to scenic coverage as required under Section 25A of MGL c. 152 can Ieaid to the imposition of crianal penalties of a fine rip to 3 1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fin: of up to $250.00 a day against the;violator. Be advised that a copy of this statcmcrit may be forwarded to the Office of Invrgfigations of the DIA for insurance coverer ,e verification. I do hereby cerkfy the pains•an "allies of perjury that the information provided above is true and correct — Phone#t 77 i O fickd use only. Do not write in This area, tb be complyled by city or town officlaL City or'rown: Permit/License# Isnring Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Phone#: Board of:Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrat n t 134286 Expirati n 10122/2009 Tr# 133426 t, RLT CONST INC=DBAISLAND SfDING&ROOFIN ! BONNIE TAYLOR � w 31 MANNI CIRCLE CENTERVILLE,MA 02362 4: Administrator ]l k' _ V RightFax C2-2 8/20/2008 .8 : 25 : 24 AM PAGE 3/003 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MWDD\YY) 08-20-08 PRODUCER THIS CERTIFICATE IS ISSUED AS'A MATTER OFINfORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EDWARD A GRAZUL INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO BOX 337 ALTER`THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE MARSTONS MILLS,MA 02648 COMPANY 28Y2K A HARTFORD GROUP INSURED COMPANY B . R L T CONSTRUCTION INC o COMPANY ro 31 MANNI CIRCLE C s CENTERVILLE,MA 02632 COMPANY D C: cy ', 1-- COVERAGE C) _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INdt ATED, '7`" NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED-GR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUC POLICIES.� �- LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.CO POLICY POLICY EFF POLICY EXP e LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM\DD\YY) DATE MITS I GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&AOV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one tire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-1051CO45-07 12-24-07 12-24-08 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE X INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COI�fP COVERAGE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TOWN OF BARNSTABLE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT ATTN:BUILDING DEPARTMENT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF 200 MAIN STREET ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25-5(3/93) Ramani Ayer r Town of Barnstable *Permit# 6 (,�5 Expires 6 mondirs from issue date Regulatory Services Feed O(oZ Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bam table.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ii Not Valid without Red X-Press Imprint , Map/parcel Number Property Address 5 Q 26 ,L M-ICesidential Value of Work( Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address J�_a,,,f IM 14 A K Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ®PRESS PERMIT [t�Iam the Homeowner ❑ I have Worker's Compensation Insurance O C T 18 2007 Insurance Company Name T(1WN nF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) -} ❑ Re-side Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: a Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department oflndustrial,4ecidents Office of Investigations 600 Washington Street Boston,AM 02111 , www.rn ass.gov/dia Workers"Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizstion/Individual):. f fit li IMURP1414 Address: 5: L L t-. • L&,,s City/State/Zip: (p, 42.i4L Phone.#: •---) 'FO --04-77� Are you an employer? Check the appropriate box: Type of project(required):, 1.❑ T I am a employer with 4. I am a general contractor and I New construction . employees (full and/or part-time).* have hired the stab-contractors11 , 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp. insurance.$, r aired] 5• ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.�LL'I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t C. 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. 1C6ntractoTs 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 providt their workers'comp.policy number. I am an employer that is provlding workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date), Failure,to secure coverage as required under Section 25A'of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the IOTA for insurance coverage verification. I do hereby ceiW under the pains•and penalties of perjury that the information provided above is true and correct: Signature; Date: ( 20O Phone# Official use only. Do not write in this area,'tb be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i �oFTHET Town of Barnstable Regulatory Services BARNSTABLE, : Thomas F. Geiler,Director Arwss. 039. A.� Building Division lfb INA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION L Please Print DATE: 0 c (�' 2,o o /� Q 1,� JOB LOCATION: f(_ L A-J l( ���J CJCX� (/4 Q 2G 3 7-- number street village "HOMEOWNER": SC A--/ y4 i4 2 PN4 S D 9 name home phone# work phone# CURRENT MAILING ADDRESS: - A - A—U oY E 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. Q Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor, The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. -0-OD c7a3> 'D 1 m DD-O 223 M 1 HD -<OCO m •<{-o D—i� Z7 I 3—f D01—E: TJ 32r Z 3 I mm z rz 3 mml—! M3D---1 !—I ! •••• =MMD l--I E ZZM m-om � 1 HDHO —i �-1D •-oz I U)HZTI t —a r0 (A 1 ZG7 t mmo m� m i TI-iz _ o f I I OOJ 7.0-0z m c o f o Om�� :m m i O mr m �) —I zm c7 o --4 m NC7N a _0� wmo Cf) -PI�~ ! o �� 6! ! O) 000 O rO 000 O I L I I I I I 1 I t � /1l07-F /F E/TNER THE S�oT/C TA�V/< OR 20 FT. /y//V. GEACN/wG y/T ARe MORE T/HA:/ /0 J� MIa crRAOEj 4 ?4'O/AM E7,ER CONCRETE COf/ER SWALL BE BROUGHT TO 4,TA0E.��+:✓ EXTRA C0NcR&TE 9�PYC l�/Pr J�i+ERYy CAST 7R0/Y CODER SAIAI-Z—L3E IJSEL? M/N. P/TCN /FIN GR/VEJ�/Ay Af- C'DYERS /8 PEiQ FT. 2�J. M i�I. CONCR�TE a G .�oE CO✓ER CLEAN SANG r o . / 8,4 CA- L L LQt//D LEYEL 4 4"4C.6s7 /ICON P/PE D 0 fl o e.o may►o pIF fY$ _-3�® b MlN.P/TC1d GAL. a • • • • • • • • „� WASHFO S7?�NE D/ST . . • • • • o . sepr!C TA NW BGX o . a i 8 • s • •.� • ��• �. n . n • • • • DrI/'' • • • I 0 1%4shiED STa�YE - • • 1 0 7 O • • O o 4 0 /� x Z S . PREG45 T SEEPAGE ?9-x r;o F 7�_ • a. • . • • • • • • d ��DV. A tp A!t s i. • • • . • . • • o P/T OR E-QVI ,(AIV,CAP7 EL"OVATIONS Pi,T Gw-v*f+ cr ry. S�$� Y • s s EL E'' �3,5 INI/ER7- AT BUILp/NC' OS FT G f7 L►/AM. C(3EE TABULATION INLET SEPTIC Ti4/VK `•'n =3 FT. . - 0fJ7LE7 SEPTIC -rAN/< INLET OlSTRlBLT/ON BOX Y FT. GROUND WATEIT TABLE OdTLETD/STR/BtIT'lON BOX ?1..7 SECT/O/V OF /Ivt�r cE.nCN/NG v>T �•g Cr SEkVAGE O/S 00;SA L .SY.S7'G�M TABULATION ,EACH!/VC T p1MENSlON A FT; DES/GX CRITERIA a/ffHvs/oN $ FT- MUM'SeR OF BEDROOMS tRa.4GELI/,SPOSAL /NIT N o � SOIL LOG SD/L TEST TOT•4L E.7711VIA-reD FLOW 3 3 O GDAY SOIL TEST A/ SOIL TES-r**,E NUMBER OWL 4rACX/N6 PITS /� PATE 0. SOIL TEST SIDR 4—wACH/1VG PER P/T SCA PT. ' RESC/LTS BOTTOM L64CfI//VG PER P/T $Q RT Loi4�j /�ERCGLAT/ON DATE#I «ss f'?l N111N H 7-0r, 4t LEAG'H/NG AREA '—U 6 SQ. FT Tv�so/L PEVCOLA770oV RATE Ar 2 '`tN Mf 11i.f lNCfsd .Q'ESEKt/E LEACN/N6 AREA SQ. FT. M Fa s� .!� f= 1190f cr,>a�rc.! -6 SM OF c`�\ZN OF MASS• 1A. " -+ S N� v RSE H cg 9 No.10951�O ,� EL DREDGE ENG/A/.EaRlmG CO,/NC 8 9 �GI57EP 7/2 J►lA/N ST.NAL HY.4Nn/sS. /vlgSJ, i $ ® W0 6ROVNt7 Lfi4TER ENCOUNTERBO. CL/ENT: L 3E C. '' DFdZE # ! 83 r •0R0 u"z> LvA TnER AT ELE✓. O y .` JOB NO. ©.faS SHEET 20F J i 4rir'� "ir TOWN OF BARNSTABLE ? 25244 v , �Permit No. ---------------------------------- ���� Building Inspector cash rua ,679• { �O Iwo OCCUPANCY PERMIT Bond --------—x--------" Issued to S L 5 Trust Address lot #4 3 Li'l Lane, 'Hyannis Wiring Inspector , " Inspection date Plumbing Inspectorrf� � !,,�� _ Inspection date Gas Inspector X-52 1 Inspection date Engineering.Department Z/ E / - Inspection date) Board of Health 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 j REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. 19.....!._ '........................ ........................................................_....._ ti Building Inspector FROM -- TOWN OF BARNST 3LE Mr. Francis Lahteine . , .� BUILDING. DEPARTMENT. Town Clerk 3bd' WAIN-STREET p� HYANNIS, MA 1 . *1 ♦s ny.#P+o AM'a. R 4 &'11 +Y r. a��A' .P�?OI'iE!'. 775-1120 SUBJECT: FOLD HERE + _ DATE March 5 1984 MESSAGE Work has been completed ' naers WPe . . � . . sTrgst)k• Please release Bona­ DATE REPLY _. i. .. SIGNED N87•RM1 \ RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPYI PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. Assessor's map and lot num et5 r"...... f, Q �•: Sewage Permit number ..... ��..-.... ..�?..c�.�....... �'V� ` 9C SYSTEPa;A 'OUST Op INSTALLED IN, COI;PUAWUp I BARNSTADLE. House number 3 _ 9 NAea KV p yWITH TITLE O, 039.1LO �+1�4E6NTAL ''��TOWN OF BAl 8, TAB" L BUILDING ' I.NSPECTOR J APPLICATION FOR PERMIT TO 2 :j....1..f TYPE OF CONSTRUCTION ........6V-490-V..............r - /..r.`. .......................................... 2-1-2 am? ....2..�.......................19.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......e� .... ............ .�. � ��,�... ��.. :..... ......... /.............. Proposed Use ..... P�, .�....V...�.1 .. 1P .` ��.1....1..fi�.. Zoning District ......(K.....P... /.1 .................Fire District Name of Owner ....C.. .��........[......�v. ...Address ....1..�..�.�...� ...... .......... .. Name of Builder .0 v<.J ........ ........Address ..................................a............................ .... (........ Name of Architect��!.d. ./'I.k'p ...PZ-P,.15../.�1..Y.......Address (�. .... ...... ��� Number of Rooms ...&.....................................................:...Foundation ... : ��.... Exterior .C.. �jl�.....y� ...�d Roofing ........ �.�,7 .4'?. :G�,/.........�,� lam/..... �y� c LFloors 1Lz6..........................................Interior ........... Heating ...... ......... . i .'..............} .'............Plumbing .. G!(...................................................... Fireplace ......... ........... Approximate Cost .649 ii .......�1.. Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area ............. Diagram of tot and Building with Dimensions Fee, .....� �'75 ............................ SUBJECT TO APPROVAL OF BOARD OF HEALTH • M1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable egarding the above construction. Name ..........A. . ........ ........... Construction Supervisor's License .....C/.v !. �.. S Y OSLS TRUST j 25224 1z Story NO. ...'............ Permit for ..................... _ :....S i.14.9112...F:dm .1y...Dv�e.] lijag............ Location ....... .a,.U...Ldne:............ Hyannis O~ •wner SLS TRUST ... ... ....................................... • . Type of Construction ......tame.......................... ........•••................................... _ ............................ Plot Lot ............................... June 21 83 Permit Granted .........................................1.9 2 Date of,Inspection ..............................1.9 -'�^ , �3 Dote Completed Z:........... 1 � J IT Assessor's map an`d lot number ..t :.5, :"./- Q.-k- ~V of THE tO Sewage Permit number .....f..f:�..w.... . . . ............................aL.... Z B98BSTADLE, i House number p t639. pYAya\ TOWN OF BARNSTABLE BUILDING INSPECTOR S CR 0 ` -7 �. ..... ............." s' 'w............................. APPLICATION FOR PERMIT TO . 6 ......................................... TYPE OF CONSTRUCTION �f.,.<�..�. � ��� ..... f. 3. ..................y. .....y........................................................................ .......................19. .. i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: l f - h�. Location .... . -� �. ..... ............ /�.`%...::. ..<. ;"� _.� (2 ProposedUse ..... .... .... :�� .............................i ......... .. Zoning District ...... .....P.............. ..............................Fire District ....... �,a!C� ..�l�J .............. .......... Name of Owner .... d.....� ..1..........Address ... �.... .. t /�Ir �... Name of Builder ...........................:�:�!:.�.....G�-�!'.�........Address .................................... Name of Architect/$ /.C?. i i ..... .1 zY.......Address Number of Rooms ��'-���.......r.-......... ...... ..................................Foundation ......�� s��..•••:• . ....... �.. ... ...... Exterior f�t1........ ��!...�A .Roofing ...... ........�, ' �i ,' //' + ./� .. Floors ......................................Interior .......... ................ Heating .......... .Plumbing . ..................................... Fireplace . .......... �: ,-'�: -" '......................................Approximate.Cost ........:�.l�...... ........ Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area .........1r...................... ���� Diagram of Lot and Building with Dimensions Fee ........................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r t 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 ........ .���. .................. .............................. Construction Supervisor's License � � .......................... ... .... SLS TRUST 11-2 Story No .......... Permit for .................................... Sin Dwelling ............. ..... .. . .......................................... Location ...Lan.e.................... .. ....... .. Hyannis ............................................................................... SLS TRUST Owner .................................................................. Type of Construction ....Frame ........................ .. .... ..... ................................................................................ Plot ............................ Lot ................................ Permit Granted ...... Tune 21,.............19 8 3 Date of Inspection ....................................19 Date Completed ......................................19 o 13 'SST � r �C .l AA L oT F:��r 17, //12- 1eel i A t''it'd P��( i'�F�,� r.t (�A P PE2 s'F ram ; +IAGTtr� 11Z; J - E. N 3( Y G r b. woe_ F 47 �T3 , E ®� t^NK MlN 3 FN�fl'84.SN 7sr`. •t f✓j �0 ff 4 CL \ { oo A15 Me T o ALB R C !� !' RSE v, f N0.10951�0 "'J r CERTIFIED PLOT PLAN �A N /-115, '/Il_fl// -S , VV OZ 7 4o f- ' _ :.. - --- - SCALE, = O DATE 4�/J�S y $ c"LDREDGE EIVGI/YE'Efitllda d:o_ //V R �,� oF ��, I CERTIFY THAT THE CL:r���'��r��c y � -- -- o� SHOWN ON THIS PLAN IS` LOCATI� ° EGI°TERE® Rk018TERFD n657 �" ON THE GROUND As INDICATE G A ��, CIVIL LAND a. 4OQ,°0. ,,.,,.....,.. ' 4 A NGINEER suRVEv®R � ev� i: ® coNeoRMs To THE zowlNo � , 712 MAIN 's T R E E'T CH.bY@ .-,�--=--- "® su��° x x , b . PUv VIC- aJ 3' 2 + p � Q' L sV t 07 - w r �4 }yi � ��.,.,A•reQ- 1. _ E p�H —� N . F 4;e 4.o i zpro I y' �i F V a / Zw,vv . o� a cY3 ^N 8S°UQ'DO"E c N Pa UML EhSEME�T } r /f n a w z J�. I r b c 9'1' PCA.Nwim6 �Z-A NE �1 L Ci AE -Fn.vjQ Z�tir . : RELuLnT LEGEND ,gvYr3�R 'Y CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION : Ox0 QL� STD EXISTING : CONTOUR 0 - 1 LL ID' Gor G/'G ' FINISHED 'SPOT ELEVATION" (4o 'u�,� F�ivD Pu/ju�, w'4`�) HY n✓a/l_s FINISHED .:CONTOURIN 0 APPROVED.# BOARD. OF HEALTH DATE AGENT: f SCALES / 4 0' DATE, OF Af LDREDGE ENGINEERINO G4. IN CLIENT I CERTIFY THAT THE EGISTERE REGISTERED JOB. NO. :'8._...�'_... ti ;_ SHOWN ON THIS PLAN CIVLL- LAND i CONFORMS . TO THE ZONING LAWS ' OR.®Y , .4.,�1 o` 0 F Q ��✓sr d L_. M A S S. E�«� �- , € ENGINEER SURVEY ?12 MAi N STREET CH.BY E' osuc� i7 9 HYANN I S, MASS. , �:_ DATE _ G. LAND: SURVEYO SHEET_.L. OF.