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HomeMy WebLinkAbout0137 SEAGATE LANE ,317 FAD 3-q•- 17 �EVE Y Town of Barnstable *Permit# —/ 7 Y6 Fx�ues 6 month rom issue date Regulatory Services P'ee 3AMSTABM 9�prFMASS. A g Richard V.Scali,Director mV 1639• ♦0 �1 Building Division Paul Roma,Building Commissioner 14 2017 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us ' t—VN�[ABLE Office: 508-862-4038 1 ' � 508-790-6230 EXPRESS PEPMT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number a Property Address 3 ��� 4, �� §VW 4 /T d Residential Value of Work$ S i000 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �,��`� dJ 1't'�j Od Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) _ Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ©Tm the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque heck box) Er Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ;Qum, ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 01/25/17 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 02-14-2017 a 01:27pm Ct14: 855 t: Quitclaim Deed N' -'•' DoF=$� 7737 Fee: $684.00 Con,: $2004000.00 I,Tricia K. Rood f/k/a Tricia K. Brennan, a married woman, of 137 Seagate Lane, Hyannis, Massachusetts 02601, for consideration in the amount of Two Hundred Thousand Dollars ($200,000.00) Exact received, grant to Brian Bodjiak, of 2 Telegraph Hill Road, Sandwich, Massachusetts 02563 With QUITCLAIM COVENANTS The land in the Town of Barnstable (Hyannis) in the County of Barnstable,with the buildings and improvements thereon, bounded and described as follows: Westerly; by Seagate Lane, a private way, by a curve, a distance of one hundred eighty-five and 17/100 (185.17)feet; Northeasterly; by Lot 10, one hundred three and 25/100 (103.25)feet; Easterly; by a portion of Lot 2 seventy-one and 39/100 (71.39)feet; and Southerly; by land now or formerly of Henry and Jennie E. Celeski, Russell M. and Irene Snowdon and Walter and Evelyn A. Zion, two hundred ten and 77/100 (210.77) feet. c LOT 11 containing 11,820 square feet, more or less, as shown on a plan of land entitled: "Seagate, Subdivision Plan of Land in Hyannis, MA for W &T. Archibald, dated January 16, 1965, drawn by Mercer Engineering Corp.", which said plan is duly filed in the Barnstable County Registry of Deeds in PLAN BOOK 194, PAGE 153. Said premises are conveyed together with a right of way for all purposes over Seagate Lane to, and from Pine Street and Strawberry Hill Road, public ways.The above described premises are conveyed subject to and with the benefit of restrictions, rights and easements of record insofar as the same are now in force and effect. BfIR'N."••TABLE C: UNTY EXCISE ►F,x Bt'•RNSTABLE. COUNTY REGISTRY OF DEEDS Dci.a: 02--Vj--''2C117 rt 01:29pm Property Address: 137 Seagate Lane, Hyannis, MA 02601 c:;t; ,4 8�,�_; Dr,cv . :;7 Fee,, $•=12.00 Cons: $'#ffE_41-11 i„00 For Grantor's Title, see deed filed in the Barnstable County Registry of deeds at book 22826, page 216. Grantor herein waives any and all rights of homestead, whether by statute or declaration and certifies that there are no parties entitled to claim rights in homestead and that the premises conveyed hereunder is not and was not grantor's spouse's primary residence. ,=r ?'lie CommarnreaIth of-Marsadiusetts h Department of r"ndus--trialAcdderds 606 Wasliuigion Street Baston,41A 02111 - _wFY11!Tl1ASmgDPId711 tarisers-Cumpensafran=lns aai iiavat:St dersr ntgact rsJ IeciricianslP hers _ - App'iicant Infarmatian Please PFinf E,e�"illy --- Name Address: eityfstatel Pllne 0Z37 �lyo Are you an employer?.Checkthe appropriate box: Type of project(require: I.❑ I am a employer with. 4 ❑I am a general contractor and I p * have]shed the subr con�tcactors 6 [:]Newconsiratciiorr • employees(Rill anaifor par�time�. 2.❑ I am a sale proprietor orpartuer- listed on the attached sheet, ?- ❑Remodeling. sh=p and have no employees. '.These satb-con?aac#ors have g- ❑Demolition woti-ing far me in any capacity. employees andhave woad`ers' q..❑Building addition INa worl rs' comp.insurance Cop-msuranmi - regnired 5. ❑ We are a corporation and its M❑Electrical repairs cr ad�ions 3. am.a homeowner doing all work officers have eseacised their 11-❑Plumbingrepairs or additions of eg fion per MGL myself[No workers'camp_ right , I .and a have n:a 13 ofrepairs incnranre reed]1 employees.[No wod=s' -❑Other comp_insurance required_] #,zcy zMlicsatthat checimboa$1 mist also fMouEthe sectioabeIowsbnsfiag iheirwoticen'compensatiaapo&Y infbE=%9m. 1 JTmnm w nem who submit dus af0nd mffcxdnq they due doing all waal~sad then hire outside contrxtorsnmst mmbmit a new affidaeit indicating sacb- ZDantmctm thxt check this bout must attached sa additional sheet shooing the name of 1be sub-camtructors•and state whether or nut those eadtin ham e employees.Ifthesub-caatmctvmhaceemplapea-%gheyaystpmvi&t1Lek wodm&immp.policyaumbm - I ant art tTttiploy�r fltrrt is pre tIirtg workers'contpertsrrtiort utsrtratzce for tit}*entptoj�ees Setoty is t7tegotiry raid fob e tnf ormrrfian. . Insurance Company Name: Policy Ak'or Self--ins.Lic-4 Expiraficn Bate: Job Site Address Cityl5tatelztp: Attach arop},of the wort-ere coampensationpolicy declaration page(showing the policy,number and,expiration date). Failare to secure coverage as req*ed under Section 25A of MGL e.152 can lead to the imposition of criminal penalises of a fine up to$1,50a.00 anillor ode yesrimpfist)—t,as well as civil peaalties.in the form of a STOP WORK ORDERand a free of up-to$25Q_00 a day against the violator. Be adEdsed that a copy of this statement maybe forvmded to the Of of Investigations ofthe DIA for insurance coverage verificati.= I tfa 1wriby cer*uttdar tkepaitts andpetialtfis o fpeluj thatthe utfbrn%atiarrpr»iiWabm e h bare and carrect Simuture- �— �! Date: Phone A: R 7 3'7 '741U QBEdal use art£.. Do not write in this area,to be ctrraplited by tarp artonrn ajfrciat City or Town: FermitUcense if Issuing A.nthor€ty(tackone):..' ' L Board of Health 2.Budd Departtaeat 3.CityfTowrt Clerk 4 Electrical Fuspector &Plumbing Inspetter 6.Other Contact Person: Ph-one#: _ — ---- -- - - - - 6 Tuformatioia and lastmetious Mass�effs General Laws ffiVfrr 152 requires all emplvpers to prcMdm'Workers'compensation forth=eaployees- p � �Iayee is defined as`�.every person in the service of another under any coract of Imp, �• express or mnl2lied,oral or writfmf An eugrloy�is defned as-an md'iyidnal,pazt acrssTmip,association,corporaion or other legal entity,or any two or more of fhe foregoing ina Joint fie,andinclodmg the legal�esenfaiiVms of a deceased employer,or the receiver or tzostee of an individual,P aftimrmimp, association or otherlegal entity,etaploying employees- However the OW ner of a,dvleIlmg horse havingnot more than three apartraeois and who resides therein,or the•o coapant ofthe - do ce constar don or as woI.on such dwelling house dwelling horse of another who employs persons to mamtenan repair �, tbmanse of Ia eutbe deemedto be an employer. or on the grounds or Tirnl mu app n arrt►hereto sbaIl no �p Yin MM chapter 152.§25C(6)also sides that"every-2- t or local licensing agency shall withhold the issuance or f renewal of a Tic— a or permit to operate a business or to constrict buildings In the commonwealth for any applicantWho has notpraduced acceptable evidence of compliance with the;rrcnr�ce coverage required_" AdditionaRy,M.GE cbaptrx 152.§25CM states N6,fber the c=mazwcalth nor nay of ifs polidcal subdivisions shall enter into any contract for the performance ofpublic work umiml acceptable evidence of compliance with the i>lsom"dace-. req=rnents of this chapbz have been presented in the coidr�aulhozity_" Applicant - , e bows that to our situation and,if ifi. Y Ietel b aPPl3' e flI out the workers compensation affidavit completely. Y chug _ Plzas mP necessary,s-npply sub-contractor(s)name(s), addresses)andphonemmmber(s) alongwhhthen-certificate(s) of insurance. LimitmdLiabIty Compames(LLC)or Lmnted Liability Pmtamzsbips CLU)withno employees other than the members or pmtam-s,are not regcmrd to carry wolicros' cvnmpensafion msoxaace- Tf an L LC or LLP does have employees,apolicyisrequ>red- Beadvisedtbat this af ida-vit maybe sul-nft!t:ito the,Depa.-imentof adustrial Accidents for conismation of insru`aace coverage. .Also be sure to sign.and date die affidavit The afadaYit should be retained to ffie city or timm that the application for the permit or license is being requester not the Department of ; Ihdnstrial A r,ddmts. Sbonldyou have any question regarding the law or ifyou air regah'edto obtain a workers' compmsaiioupoliey,pleasecaIltheDepaitnmtatihennmberlisfedbelovt. Self-nisraedcompaniesshouIdentertheir self-m ce HCCMD number on the appropriate am. City or Town Otacials Please be sme that the affidavit is complete andprhcEedlegiibIy_ The Department has provided a space of the boffom of the affidavit for you to fM out in.thm event the Office of lnveStlgaiioI25 has to contact You regm ding the applicant_ Please be sure to fM in the pe�iYlicrose mnber which wM be used as a refereace number. Tn-addition,an applicant need o submit one affidavit indicating cat that must submit multiple pemiiNlicense apphf�tions m any given year, my . p olicy info=oation(if necessary)and under"Job Site Add ess"the applicant should write"all locations in (C3tY or- town)-'I A copy of thD-affidavit that has been of icial]y stamped or ma6ced by the city or town may be provided to the " applica Dt as-prooftbat a valid affidavit is on file for futo, permits or licenses. A n:,W affic tmust be filled oiit each year. here a home owner or citizen is obtaining a license or permit not rmlated�o any bvsmrss a commercial vie W (Le. a dog license or peonh to bum leaves etc_)said person is NO T reqaired to complete this affidavit The Office of Tnvestiga i=W013ld hke to tTiank you in a&mce for your cooperatiau and should you have any questions, please do not hes>ta�to give us a calL The Ueparimenfa address,ti lephone and fax number: C�azrManWf.-,alth�of Massachuse lb De amt afladxstdal Accident% ; t� JIMga &SU • $osI�E�11� Tf,,L 4 617-' -4 Qxt 406 ar 1477 MA 39.4FF- Fax#617`27 7M Revised 4-24-07 p m; �g� t� �WE Town of Barnstable Regulatory Services ` MAM Richard V. Scali,Director 6 ►�� Building Division. Paul Roma,Building Commissioner =- —200 Main Street,Hyannis,MA 02601 --wwwaown.barnstable.ma.us _ 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 matters relative to work authorized by this building permit application for: (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 QTORMS:OWNERPERMISSIONPOOLS v Town of Barnstable Regulatory Services drrIKE Richard V.Scali,Director df Building Division `* snxxsrM M Paul Roma,Building Commissioner m 200 Main Street, Hyannis,MA 02601 rEc www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Z 7 JOB LOCATION: �� number street �l/� 7 village "HOMEOWNER": &,',- l� ,� �U F 73 '7�L� name home phone# work phone# CURRENT MAILING ADDRESS: �� � /T//// city/town n state zip co e e The current exemption for"homeowners"wasxtended to include owner-occgRied 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 uirements at he/she will comply with said procedures and requirements. Si afore of 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. 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 ( erson a engages s)for hire to do such work,that such Homeowner shall-act as supervisor." P _ 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 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 fomu\EXPRESS.doc 06/20/16 IL � gut