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Home My WebLink About0048 SEABOARD LANE I �� cTea;b�ar�L �� - � � _ F - i Town of Barnstable *Permit# ]Expires 6 e fr ue d Regulatory Services Fee s i MASS. i6396 Thomas F.Geiler,Director �� 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 PERMIT APPLICATION - RESIDENTIAL ONLY � Not Valid without Red X-Press Imprint Map/parcel Number �-- Property Address 19 9624 ACP ZA1- i /j ARA e &esidential Value of Work-$.� � �� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address LA Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) X-p R E S SPERMIT FWorkman's Compensation Insurance kCheck one: J U L 2 9 2013 kF_1I am a sole proprietor I am the Homeowner I%dI 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 Request(check box) �° Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to , �ltt�"�?S_ e� 0 Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: 0 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 provement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFU ES\FORMS\building permit forms\EXPRESS.doe Revised 061313 a The Commonwealth n,f Massachuse& Deparhnent of lndustrial Accidenis Office o,f inn igations . 600 Washington Street Boston,MA 02111 www;mass go3/dia Workers' Campemmtion Insurance Affidavits Builders/Cnntr2c#arslElect6cians/Plumhers Apiphcant Informahan / Please Print Lezib' Nme(Eosine.stOhgaai�tioallndiv dnal)_ �/ C� l Address: y9 . -Rr3®�.) L,\ - city/state/zip: 1&.2(V/tee (F e1 lAre you an employer. Check the appropriate box: Type of project(required): l.❑ I am a employer with 4- ❑ I am.a general comtracter and 1 6. ❑New can on employees(full and/or part-time).* have hired the sub cc�n�etoss 2.❑ I ant a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling These sub-contractors have ship anti have no empicey�ees. 8_ ❑Demolition working for me in any capacity. employees and have wodcers' [No workers' comp.inmxce comp.**�� n 1 9. ❑Building addition am regotred_] 5. ❑ We are a corporation and its 10_0 Electrical repairs or additions 3_ I am a homwwner doing all work officers have exercised their 11.0 Plumbing repairs oar additions myself[No workers'comp- right of egemptim per MGL 12_❑R.00f repairs insurance required.]I c.f52, §1(4),and we have no employ.[No workers' 13.❑Other comp..imsur$nce required.] '�Y r1 That chedss boa#1 nzast also fill our the secthm below shumngiheir waders'compensation ply infcrmatim I Homeawms.wb submit this affidims imfcnal they are doing all wa¢3t and then hoe outside cant actors-am submit a new aff davit mdicating sadL 1Conttaictars that ch-1r this bar mast attached an additional sheet showing the name of the and state whetm w arnot those entities have emphrj ees. If the sub-cannacturs have employee-%they must ptavide their workers'romp.policy number. I am an emphiyer that is providurg workers conrperrsa ion imurance for my employ em Below is the policy and job site iarformartirm Insurance company Name:. Policy#or Self-ins.:Lic.#: Fxpiraii=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 fadm of a STOP WORK ORDER and a Ene 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 Itrvestigations of the IA far insurance coverage verification_ I do hereby 41 under the pars a° a ' v ' ry that the informatawb proWArd abosw rs true and correct St Bate: Phone 0: Oral use only. Da not writs in this area,to be completed by diy ort@wn offs at City or Town: PermibMicense# Issuing Authority(circle one): 1.Board of Health 2.BmIding Department 3.City/Town Clerk d.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Town of Barnstable Regulatory Services A�RNcrAwF Thomas F.Geiler,Director 1639, `e� Building Division a ram' 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: � � I / JOB LOCATION: 4e number jn• street village Arl r "HOMEOWNER": d' name home phone# work phone# CURRENT MAILING ADDRESS: �! SCAt/S�J 't� /—/t. cityttown 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 OF HOMEOWNER provided e that th owner acts as supervisor. EF 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 dersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, byl s,rules and regulations. i e dersigned"home er"certifi e/she understands the Town of Barnstable Building Department minimum inspection pr es r ments and she will comply with said procedures and requirements. d � 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. HOMEOwNEWS 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. C:\Users\decollk\AppDaffi\Local\Microsoft\windows\Temporary Intemet Files\Contentoudook\QRE6=N\BXPRFSS.doc Revised 053012 OF'ME Town of Barnstable .� Regulatory Services Thomas F.Geiler,Director 019. pro r�Y' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and-Sign This Section If Using;A Builder I ` as Owner of the subject property hereby authorize to act on my behalf, in all roattets relative to work authorized by this building permit (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:FORMS:OWNERPERMISSIONPOOI-S 62012 Assessor's map /aand �I-o f� mber *-a7� ...............................�...,•.J. ...... p /& .FA IT H Se age Permit number 1��!r Z PA"STADLE, i MAaa House number ...... .. ..................................:........................ i NAM e00 639- M TOWN OF . -,BARNSTABLE BUILDIHG'.: - INSPECTOR APPLICATION FOR PERMIT TO � �� // -' � " TYPE OF CONSTRUCTION ............... C�.. ... /......`.............................................................................. ......................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to a following information: `d�T a 11 Location .. .....f..,�f ....................................................... ......................... ProposedUse ........ ,1 !. .... . 1l/J..l�/ .................................................................. .............................. Zoning District X6 ..............Fire District �..... l� Name of Owner ..611t ....Address Name of Builder .... /.!!.0 �... ...............Address ......... ....................................................... Name of Architect ............... ...................................Address Number of Rooms ....Foundation ................... ..l�l��I "�. .........��K/.: : . Exterior .....�C.GC/!!.�1C� ....:...................................Roofing :........ f. r� /......... ./.. ........ Floors .......L. ....l .. . (!?/�a..........lnterior ...... j.l••••• C.0................................................ Heating . . .. . .J�'11. ....................................Plumbing �(/v" �4' ................................. Fireplace ..........Approximate Cost �.�.. .Gl..�... ..................��.......................................... Definitive Plan Approved by Planning Board � _ �� -- - 19 - ---. Area L./.l"...�1.... . ............. ... Diagram of Lot and Building with` Dimensions Fee ✓' �.. ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 ` I hereby agree to conform to all the Rules and Regulations of the To n of Barns le regarding the above construction. Name:.................... ................ .... ............................. GREENBRIER CORP. 6 No 2 2 6 0 0.... Permit for Drie...S.tor• .......... ` ....Sing1Q. Xs3Jl ily....Dwel-ling................. r Q . t Location ....Lot #.7.•....4.8...Se3bnaxd..l,ane ...................HY.ann $......................................... "Owner _Greenbri .T...Cor-P.......................... Type of Construction ...Fxarre........................... ' . ................................................................................ r Plot ............................ Lot ................................ Permit Granted ...,October 21...... 19 $0 Date of Inspection .�!.I/... .�, . ��.....19 Date Completed ,!°. ../�.f�..19�/ t PERMIT REFUSED . ......................................... .............. 19 r ................................ . .......................:................... i ......................................................................... - v ............................................................................. ..................... ........................... . ...................... ' . - •f Approved ................................................ 19 ............................................................................... Assessor's map and of number � "x`..................... �� t,�� a f /� _ /, F:/G•5 r Fj r'y 1 /'C"if e* /T j .,� A, / �OF THEt0�y Sevva a Permit number . .......... : :'<<' Z BAHBSTOBLE, i House number oo MASS ......................................... p 1639, 9� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO .......:.........................�............................................................................................... TYPE OF CONSTRUCTION r.x d `;`� ................................................ TO THE INSPECTOR OF BUILDINGS: J� The undersigned hereby applies for a permit according to the following information: Location .... ! `'.:�..........`'��. %/ ''!��%r(f:. ..........`��.. :�...............:.... ""1'.- �`�.�f� J..`..�:... Proposed Use ...... %l i�f ... ?..'.:'�;�. ..!� .............................................................. ��' .... Zoning District .........................,................................................Fire District ............ Nacre of Owner ��r/.:....Address .........................................� t�:�.... ..........................�` �/.. << Nacre of Builder ..... ............... ::.....................Address .......... •?/ 1/t ....................................................... Nameof Architect ............................�..................................Address ............................. ....;............................................... Number of Rooms �--� ..........................Foundation %� %:........... /fit.: :: .................... Exterior �' '........... ': ...Roofin r. g ........... �. ................................................... Floors . ..: "I ... ... / .. ... -....... .... .... ;, r :.: =ys -,/t f;ry .Interior �i �`.. r '( fi:. �. Heating . ... ... j: .f.........................................Plumbing ....., t .. ...... ............................................... Fireplace ..:..........%U::...............................................................Approximate Cost ....... .. .......1/ / /................................ ...... Definitive Plan Approved by Planning Board 0___---------19 r_=__. Area Z...... .. ............................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH -• i II I� f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...............j..�/ .:'.... .........�.......... ................. �/Ai-0�V-r� GRE ��vV C)P-M,.'-NT CORP. A- RP A� No ..ZZU.Q-- Permit for ....One Story .....................Story.,..... y 1p:Wg�1.1in.c ............. ..... ....... .... Location` 140. %9.p-ab Q.ax d.. . ....Q.. ................Hyannia........................:................... Owner ...Gneenbr.i.er...CWZY....................... Type of Construction ... . Ame.......................... ................................................................................ Plot ............... ....... Lot ................................ Permit Granted ........!?gtobe)21,...lg 801 .......................... Date of Inspection ................I/...............19 Date Completed .............. ...................19 PERMIT REFUSED .................I... 19 . . ........ fir.. ............... ................. ........................................... ....... .... ..................... IP.Ifl/........................ Approved ................................................ 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE Pelt No. -1Z600 Building Inspector cash ---__—_-- •� W 9. OCCUPANCY PERMIT Bond __ XX No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Greenbrier Corp. Address Centerville Lot #7 49 Seaboard Lane Hyannis Wiring Inspector / , Inspection date �' ; � Plumbing Easpebtor � Inspection date ! > Inspection date Gas Inspector Engineering Department Inspection date fj 1 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL ' SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. (� `� Building Inspectorµ s , r 1 r 3 a awry ' i n1 fLe_ tz z ��• N - l S dx v — T 7 .. �;Sir• .. jl t tl CERTIFIED PLOT PLAN • h..it ,/- ��. aF ` f, - a ;•.- NEW CONSTRUCTION ONLY < TOP OF FOUNDATION IS L2- FEET IN y w: ABOVE LOW POINT OF ADJACENT ROAD. �. SCALE /`f1 , , ;` DATE= n, LOREDGE ENGINEERING CO.INC) k " * '�' `` 'r' •fj�� t CERTIFY THAT THE -- CLIENT SHOWN ON THIS PLAN 18 LOCATED EGISTERED REGISTERED JOB NO: r'` ' �'�'- ON INDICATED THE' GROUND A9 1 I TED AND ' CIVIL I LAND CONFORMS TO 'THE ZONING LAWS.ENGINEER SURVEYOR DR. BY: r �`� '. y OF BARNSTABLE , MASS. 712 MAIN ST. CH. BY: r' _ _. HYANAIIS .MASS eurcT /_AF, r,wTsr RE- . ,• �.et ,1:. a_._.._......�..J.._._�_..`__—......�.Y..--.—._._�__-___+.Y.._.__�_,_.�.,_ ',,. is i --�s. A. der L M b J ,•f •,y � i ;r , 5 ri � r� M � i,` �«x,E• 36 4- 5 z- r 5�._LN ✓Z U t lz I t 6 fe • a;•S1 LEGEND EXISTING SPOT ELEVATION Ox0 CERTIFIED PLOT, ,,. PLAN °a EXISTING CONTOUR --- 0 - - -0.0 ` 0 7- 7 FINISHED SPOT ELEVATION Y, r ri '1V FINISHED CONTOUR 0 - IN is 'APPROVED , BOARD OF: HEALTH JO a ABSf -` a g, ld SSO BATE AGENT- -- SCALE., 4-Q - DATE : LDIQEDGE ENGINEERING CO. lNG '` ` _ _ — f CLIENT I CERTIFY THAT THE PROPOSED } ' EGISTERE REGISTERED 'v0 ` "3 BUILDING SHOWN ON THIS PLAIT JOB NO. _ ` CIVIL LAND �.. ,. CONFORMS TO THE ZONING. .LAWS ' ', ENGINEERS SURVEYOR DR. BY OF BARNST BLE , MASS. .. ,. < �fi' - t c 712 MAIN ST. CH. BY f� " }= HYANNIS, MASS. SHEET ,OF.._-L DATE,,,,,, - REG. LAND SURVEYOR t1t Y�'r;,,ia.'1?' .ram « .. , ar -- - A•h,i . dj, :S �7 ..a�.r � NR .vr .G� -.