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Home My WebLink About0322 MEGAN ROAD ' I � � a � 3 n-t • �� . Town of Barnstable *Permit# ' Regulatory Services fee 6 mo": rom issue e snxrtsrAsr.�, MAss Richard V.Scali,Director 1639. Building Division ; Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 3 K P4- Residential Value of Work$ d b Mini m f e of$35.00 for work under$6000.00 Owner's Name&Address Contractor's NameC c t/t-� Telephone Number $ ` 775 '� Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) Cs S L. —O q-q f 1 z ❑Workman's Compensation Insurance oRRIESS O. Clieck one: I am a sole proprietor AUG 16 2016 I am the Homeowner 1 ❑ I have Worker's Compensation Insurance TOWN of BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Re est(check box) Va r.p c�' • Re roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to / ''j' si' �� f ❑"`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. SIGNATURE: Q XIIL;� QAWPFILESTORMSUilding permit forms\EXPRESS.doc 06/20/16 J The CommompeaM of Massadt D trraent cr !'trdirstria�Accidents 600 Waskftwtoxi Street Boston,MA 02111 ' fcgvtn.max�gFotv�dia ' . Workere Cumpensatimt Insurnce Affidzv&� PntractGrslEledncians Phrmbers Applicant Informatcan Please Pit Leeffily Frame West Yarmouth, MA 02673 Phone: 508-775-6448 CitWSta,& one it Are you an employer?eheckthe appropriate box: Tyke of project(ret}miredl : 1.❑ I ant a employes with 4_ ❑I wn a general contractor and I 6- ❑New oanstructica employees(fill andfor part-time)-* have hiredthe sd -cantr cEoss 2. I am a sole propiiietos orpartaecr listed ou the attached sheet, 7. ❑RerrtodeH99 s*and have no employees These sub-confractors have g_ ❑Demalffion wadang forme in any capacity. employees and have wo&.rs' 9. .❑Ruildicg addition [No wozim&comp.im%xance compp.inererarxr reclnired-] 5. ❑ We are a corporatica and its 10-❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1L❑Plumbing repairs or additions myself[No workers'vamp- right of §I{ ffidon erM(have no L_[�Roafrepai� insurance reqtired_j employees.(No wow' 13_❑other coup_msuranee required-] #Any gy&- teatchedabos K—st also fmo=the sed aabeiowa�the¢wodcere compeasstiaapoRcginfficmxdmL l Hameowaers Who submit dais affidavit-aTrz=they RM dain�-all Woad anti Bien him outsi&ca=ulm Mmist Mlmit anew affidad mdirstiaa sure, 'Ca tMCt asthat checkt3dz boot must attar-Iv ail.aaa;r;mal sheet showing&ammne of the sub-contra: n sad state WLedm ca nut thnse a dtiesh.ne employees.I€tbesob-ca=daashace euplQFeesi 1hey=srPmvide&w wo&e'gip•pabS manber lam an evzpIqj�er djatis providfrtg workers'contperesrdimi hmtranmfor wry aarpgyeex Betoov is tiTtepuliry and feb sIc irzformatian. , Ittsurance Company Niame- 'Policy 41 or Self-ice Lim F piaatioaI' e: Job Site A.ddre= CitylStzwz p: Attach a-copy of the workers'compensatlonpolicy declaration page(showing the policy,number and expiration date). Faiiare to secure coverage as required under Settioa 25A of Mt=I.,c.157 can lead to the imposition of rd-istal penald of a hue up fio$1,54a 4a asdrar at�year imprisogmeut,as wren as rim peualt es.ih the fans of a STOP WORK ORDER and a frme of up la$250-00 a clay against the violator. Be adtdsed that a copy of tbis statement maybe forwarded to the Office of IIIvestigations ofthe DIA,for iasutance coverage I do&erdry cer ji& tks pains andpenaItfss ofpcdarp that the frafarmatimrprcrtiiW abmw is tree and carrect it : Date 1 'owe)l� Phone lk SZ7g 7 ORkiidummil y Do oat ova ca write in this mea,to be aripietesd 5p city srtoirn ojok at Ck or Town: Fermi f Acense f 1J bssuiig Amthurity(dick one): L Boand of Health I-Bugxng Department.3.cdyfTown aerk 4-Electrical Inspector S.Plumbing Inspector 6.Other Contact Person Pho ih 6 laformation and las-rnc ions R ass:ar3 mCes General Laws chaps 152 r mq=m all eugIoyers to provide wows'manpm afton for their employees: � Pnzsuantto thiS sty,an eVPloyee is dafined as¢�everg person in ffie service of ao other Mader auy CM±MC-ofhfi empress or implied oral or vzftk n." An mmpkyEr is deed as ran m3ivirbA Parinersh�p,assocrEdion,axporaflon or other legal met t9,or any two or more of the foregoing engaged is a Joint eoiaprise,and inchidmg the legal reln eseves of a deceased employees,or the receiver or trust=of an mdividnA paitnmmbJp.association or other legal entity,employing employees. However the owner of a.dvmIling house having not mare than three apartments and who resides fereb3�or the occupant of the - dwaIIing house of aapfer who employs persons to do maitance,caasfrar on or repair wo&on such dwelling house or on the groun& orbuaT mgapppmten-it-ffi etu shallnntbecanse of such employment be deemed to be an moployer." MM chap tern 152,§ ��25 also s d s that? everysty`or local g agency shall wi-Ebfiold ffie issu=ce or ' , renewal of a license or permit to operate a'bvsiness asr ti5 rnnstrucf binZdings in the cmr¢maawealth far any applicantwho has not produced acceptable"evidence of compliance with thenm branm.coveragerequired-" Addib Y �o MGL ter l52,§25CU)states�Nmf lmthe nor�y ofifs poltraI subdivisions shah � 'c until le evidence of Iiepcewith the msaranoe;._ eu�.s info any contract for the perivmzance ofpnbh work accept °omP - " mcf==euts of bits d apir:rhave been presented-to the contracting ani'hOUty. Applicants Please fill out the wo&=' comp emsat on affidavit completely,by g the boxes ffiat apply to your sitnation and,if necessaiL supply Sa mntzacEor(s)name(s), address(es)and phonemimber(s) along with their=tlficate(S) of mmmmce. Limited Liability Companies(LLC)or Lmnted Liability'Paz�brps(LI.P)W no �Ioyexs otter tTaan the members or pm taci-4,are not regmrc d to c=y workers'compensaticm mstrt snce. If an LLC or LLP does hate empIoyees,apolicyisrequned. B r,advised-ffiat:this a-ffidayk may be mbmitted to the DepaTfmcut of Industrial Accidents fur confamaiion of msnrance coverage Also be sure to sign and darn the affidavit. The affidavit should be retied to$e city or town that the application for fhe permit or license is being rc#csted,not the Department of hxfi sftjg A r1-; =is_ Should you have any guestims regarcE g the law or ifyou are requn-ed to obtam a workers' mmpeaisation policy,please call tile:Department at fha rnber li stud below: Self-inm=companies should eu,'ra their self msaran.ce Ramose number on the appropriate line City or Town Ofi-zcials Please be maze that the affidavit is comPleba and prh:trd.legibly. The Departmemthas provided a space at tTie bottom. of the,affidavit for you to fill out iathe event the Office ofInvesiig4xoS has to comh3ztyouregmdingthe applicant. Please be sure to Ellin the penniVlicmm mnnber wbirh will be used as a reference m mben In addition,an applicant that must sabmit mulliple p e appht at=m any glum year,need only submit one at indicating cUIrmt p olicy infoanation(ff nwzssmy)and under"Job Sim Address"the applicant should Writ--'all locations in (may or_ ;own)-,,A copy of the-affidavit that has been officially stamped or marked by the city or town may be provided to the ' applicant as#oofthat a valid affidavit is on file for future pemits or licenses Anew afidavitmrLSt be fiIled out each year.Where a home owner or citizen is obtaining a license or pemnrtnot related to any business or commercial (Le.a dog Hine or peunk to bum leaves a .)said person is NOT regrmed to complete this affidavit The Office of Investigations would.libe to thank you in advance for your mcper4am and should yotz have any questions, please do not hem to give MS a call. The Deeparf menfs addrmss,telephone and fax zmmbea: TCCk=MmWmn of J&ssaCh7 .Depaifmmt cif l idusad;al Accidents t�tce of�e .fio� - Ted..#617' -4900 eft.4fl6 w 1477 Ma W3-� Fax 9 617 727 7M WW I',cursed 4-24-07gldiR. CA Gy Town of Barnstable Regulatory Services MAM,�arsrnars, : _ Richard V.Sca' Director Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I P , as Owner of the subject property / 5 hereby authorize 66 e- to act on my behalf in all matters relative to work authorized by this building permit application for. e (Adcliess of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or ed before fence is installed and all final inspections are p o ed and accepted. S' a-of Owner S' e of Ap,plicarV Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division BARNSTAIRE, Paul Roma,Building Commissioner MAM 639. M�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Q Please Print DATE: D " Ito ?V/Jl JOB LOCATION: 3 a a` number village "HOMEOWNER": name a phone# work phone# i/ CURRENT MAILING SS: h coogwn state `— zip code The current exemption for"homeo ers"was extended to include owner-ocMied 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 /procedur s and requiremen that he/she will comply with said procedures and requirements. J/ - Signature eowner 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. v 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) Thisjlack 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forrns\EXPRESS.doc 06/20/16 a t eoorrr�zoracaeull/o�C�/�crao�cc/er�eC�a i License or registration valid for individul use only \ Office of Consumer Affairs&Bushiess Regulation g a IOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ",Registration 150889 Type: Office of Consumer Affairs and Business Regulation Expiration 51.5120:'1;8z, Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 I w Jb9EPH E.KING 1 JOSEPH KING ; h 36 CHECKERBERRY LN r "L,_t,'{ WEST YARMOUTH, MA 02673 Undersecretary Not/valid without signature Massachusetts Department of Public Safety ry � Board of Building Regulations and Standards . License: CSSL-099166 Construction Supervisor Specialty , . JOSEPH E KING V Al 36 CHECKERBERRY LANE, WEST YARMOUTH MA .02673 CA— Expiration: Commissioner 01/24/2018 j ze anr��aoauueu, a o, � .aeac/ccoe�) License or registration valid for individul use onl ` \ Office of Consumer Affairs&Business Regulation g y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 1`5088g Type: g Expiration: ;515%2038, Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 J6,9EPH E.KING JOSEPH KING 1 .j .{ 36 CHECKERBERRY LN _\�,a_. •__� �` WEST YARMOUTH, MA 02673 Undersecretar y ✓' Not/valid without signature " Construction Supervisor Specialty - Restricted to: CSSL-RF-Roofing CSSL-WS-Windows and Siding Failure to possess a current edition of the Massachusetts State Building.Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS '4�oFt lati Town of Barnstable *Permit# � �•" Expires 6months-from issue date • PERMIT Regulatory Services Fee 1639•. �0 Thomas F.Geiler,Director 16 2002 Building Division TOWN OF BARNSTABLE Tom Perry, Building Commissioner X-PRESS PERMIT 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 J U L 1'X 2002 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESD)VW 1 FCP&RPSTABLE �} Not Valid without Red X-Press imprint Map/parcel Number 1 ' a9 0 Property Address .� O'n a"n is Inn co)a 0c) Residential ' Value of Work Owner's Name&Address C)oZ�.0 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 �- —d ® I am the Homeowner ►w ❑ I have Worker's Compensation Insurance C r— o -Insurance Company Name { rn co �o Workman's Comp.Policy# u, Permit Request(check box) ca c,a M ❑ 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. U-Value (maximum 44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. i Signa. l Q:Forms:expmtrg Revised121901 Assessor's map and lot,number ...��..=:.�.1 6 Sew 9Se Permit number .........!... ......................................... *7HE.T TOWN , OF BARNSTABLE) i BARNSTABLE, i i'�, ' ✓� ��,� a K o`',,� BUILDING INSPECTOR O�G MPY . APPLICATION FOR PERMIT TO ...... ..................................................... ........................................................... TYPE OF CONSTRUCTION .... .... 1 .... ... ..""`..^ •. _. k ..... .. ._. . ._ ....19... . .............. . ...................._..... ....... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Rj Location v 1 ..............:........................ .... . ProposedUse ......... ... .1',... . ... ..hl ..tv.... .........................................;; ...................1........................................................... .... I t rk Zoning District ........... .... ........................................Fire District .... � /`� Name of Owner � A P-L.... Address ... .Name of Builder • z .... :-:............Address ................., ............................................ Name of Architect ..................................................................Address .................................................................. ............... ... Number of Rooms _ � �- `_� ..................`.'�............................................Foundation ................................�C............................................ Exterior ..................L- ... c:�^•......:St t. e�tA.. ........Roofing ....... ........ . / �u - Floors �......... .......`.................................................Interior ......................( � Heating ... .........Plumbing (,`� _ _ .............. Fireplace .................. ..............................................................Approximate Cost .,...,.,� Definitive Plan Approved by Planning Board _______________________________19________ . Area . "y ! .,r Ay . rr tt�� ......... 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. r Name :�....................................., ............,.........,....... Wynn, Charles A=291-290 00 ..18 3 t 5.0.... Permit for .......on.e..s.t.o..y.,. ..... . . .. .... .. r sing1le family dwelling ............................................................................... Location.2_2_Meg..a.n..Road. ............................... .............. .. Hyannis ............................................................... Charles Wynn Owner ............................................ Type of Constructi(""- -frame Construction............................ .............. .................... ............. Plot ............................. Lot #100 Permit Grantees.'- A 11...N......... .....19 76 Date of lnspec�t n ....................................19 Date Completed .. ....................................19 PERMIT R FUSED........... '19 ................................................................ ............................. ............... ..... .. ........ .............................. . ........... ..... ................................. ............................I..................................................... Approved ................................................. .19 ............................................................................... .................. ..................... V*. ............................ .Y Assessor's map and lot number .....................� ` „' : I l:. O �S- 1' �` SEPTIC SYSTEM MUST BE 73 INSTALLED IN 'COMPLIANCE 4 Sew�ge nPermit number ...................._........................... ............ WITH A'3TI:CLE 11 STATE i s Z7, SANITARY ;CODE AND TOW QofTNEToy♦ .w .� " TOWN `= OF BARI�i� IS IIABLV BAHB.STABLE, M6 9 _ BUILDING 'INSPECTOR: 'E0.�1Fy a.i - 01 r APPLICATION FOR PERMIT TO .. +c....`.................................. ............ .... .. ... .... . _ TYPE OF CONSTRUCTION ............. ' ...... ..... .. .. ... . .. ......... ... ......192 4 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .......� .................. ..�'.......................'.1�.... ..........................................,...•...,..........,..,. y�, / ..............................................:....................................... Proposed Use .........�.�1...--�....�.1,..�.`:X...11�................. Zoning District ........... ... ........................................Fire District ......,.. . .. ........................................................ ......,......... o ii f,, �, Name of Owner I i'i 1. ...4 Au. -....Address ............1 f _ _ _ . . . Name of Builder ..... .....1✓i........ '�...:.....................Address L Nameof Architect ..................................................................Address ............................................... Number of Rooms .................. ......................................Foundation .......!...............................e- .,,......,...,.. Exterior .................. {J�"�_....0 1.. .,......Roofing .......,..... ... .. . ........,...........,............,,......._ . .. e` c Floors .� ......................................................Interior ............., ............................ ................... ............. I. Heating _..... ........1 ( ... � ......................Plumbing ................t..........:v................ . ... -_ . Fireplace ..................I..............................................................Approximate Cost ......................... ......................,,........ 6 J 57 ... Definitive Plan Approved by Planning Board ---------------_--_-----------19--------. Area .. ...Q.. ..,,...............�1. Diagram of Lot and Building with Dimensions Fee -7 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. i/ r Name ....................... ........... Wynn, Charles 18360 one story, No �......:'. .,.... Permit'for ...........6..............%......... sinr gle family dwelling ............................................................................... Locationv` Megan Road.............................................. y Hyannis Owne Charles Wynn , ......... t •+/ ......... w . r framex Type of Construction #` ...`........... ....................................... .................... 4 - Plot ... ....... .. Lot ...... #100.............. Permit Granted ............AP.ril... 8.....:.:..,19 76 `- rti Date of Inspection ...... ..........................19 Date Completed ........19 L - A y -PERMIV,REFUSED t j r............................_ .. ...................................d . 19 •..................... • .. ........ ..» . .�"F" '.rr- "•� _ _ t y _ .............................. ro, -y............... ......•••................ .................... .. .A ......... .• ... .. .....• ' �^�'�'�Y 4 + • 4 y ry - ............... . .. ........................................................ .. / Approved .................................... ... 19 ` .................................................... ............... n a ,C 0 r /0040 B J( k i CERTIFIED PLOT PLAN L0CATION Yfl �le� SCALE: ! � -3fl� DATE 99, 9ZA94197� REFERENCE : 6,F11.1a Acgr- Iao .9 ,5 6h�oa.'.v D.tJ �fl.�p cOU/✓T P,�r9,tJ QATE 5 I HEREBY CERTIFY THAT THE 8Ui LDING REG. LAND SURVE : OR � SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND f, T H AT 1 r _ A22 F_5 CONFORM T O THE P�SN OF Mgss ZONING BY - LAWS OF THE TOWN OF G A51,E_ WHEN C O N S T R U C T E D. _ JOSEPH M. �, I MONAHAN,JR. 10 l BARNS"TABLE SURVEY CONSULTANTS, INC. - STER_1 W-CST `FARMOUTH�MASS . y� HDSU A