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HomeMy WebLinkAbout0008 STALLION WAY � � � — � - . . ., ,, - ;, o � , ,, �� ,, �� ,� fw kw •j4 �.......tt��,,.. r- �.,,._,_..�,..-,...--.�__ ...._ .++. .-....o.�:..�.�w.'."'.`.....�o��- '-r_:�=.^g�i _ r_'-"j'. ...._ „r...,,. .-...ram _.-...-t...��t...r"`.^" _ -;,�...�.�raee..^-�-�--� ..,3! �s _ uAA�VILs-,-o� �� 2030 i NO 3�i�r�7 0(Q ��� lk pFt►IE,� Town of Barnstable erm�t p Expires 6 months fr m issue d Regulatory Services Fee + snttxsresi.E, + v� nsas 1639. Richard V.Scali, Director - ♦0 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 Map/parcel Number I—1 "" 1 66 ` Ob Not Valid without Red X-Press Imprint c /l � l Property Address ) a ( ` o .t u ���✓f f2 u S �'l i�� ��Gl. zli ❑Residential Value of Work$ �, QQQ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address j cc. e Contractor's Name a yyl. S /��/• �ua �'� Telephone Number 6, Home Improvement Contractor License#(if applicable) Email: �°��� Construction Supervisor's License#(if applicable) /y ' vP j'i��S, PERMIT ❑Workman's Compensation Insurance Check one: APR 112014 ❑�, am a sole proprietor_ �LF7 1 am the Homeowner__ ❑ 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 Request(check box) ❑ Re-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) ❑ Re-side 2 Replacement Windows/doors/sliders.U-Value . 7 0 (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 O must sign Property Owner Letter ermission. A copy of t e ome Impr nt Contractor ense&Construction Supervisors License is required. SIG ATN URE Q:\WPFILES\FORMS\building permit forms\EOESS.doc Revised 061313 ~ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AvOlicant Information Please Print Legibly Name(Business/Organization/Individual): \ a A 2 5 /"4 1 /f Address: City/State/Zip:/ a<< s /" /2 l�x Phone#: 7 02�3 �3 Are 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 e- 6. ❑New construction � employees(full and/or part-time).* have hired the sub-contractors 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 workingfor me in an capacity. employees and have workers' Y P ty \1 9. ❑Building addition [No workers' comp. insurance comp.insuranc e uired. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions =I q ] officers have exercised their 11. Plumbing repairs or additions 3. I am a homeowner doing all work ❑ g P 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 Homeowner who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. CtContractors that check this box must attached an additional sheet showing-th nam e me of the sub-contractors and state whether or not those-entities have <-employees. If the sub-contractors have employees,they must provide then workers'comp.policy number. I am an employer that is providing 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 for insurance coverage verifi 99,69. I do hereby certify u del the pai �an!pencadltdles rjury that the information provided above is true and correct Si ature: —Date: Phone#: A/-7 Official use only. Do not write in this area,to be completed by city or town officiaL I City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the-bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boshon,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of.Barnstable Regulatory Services ofTM� Richard V.Scali, Director Building Division swxxm�s> Tom Perry,Building Commissioner MASS. � 1639. 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: // JOB LOCATION: 'N`'P-"t lit-X number street village "HOMEOWNER": V 4KA-ff 2 .5 laf ��� T� —/��/ / / name home phone# work phone# CURRENT MAILING ADDRESS: ar 1 / ,` S / of 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"hotowner"certifies that he/she unde s the Town of Barnstable Building Department minimum inspectio pr cedures and re uirements an at a/she will comply with said procedures and requirements. Signature of Homeownerly001 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. L i r � • BARNEMu3I • ,r 1639. �,, Town of Barnstable . Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,'MA 02601 www.town.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 of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this ding pe t application for: (Address of J Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. ' Y Q:\WPHLESTORMS\building permit formAsmokecarbondetectors.doc. Revised 050412 Town of Barnstable Regulatory Services Thomas F.Geiler,Director • s+srrcrwar�, • . 3 ,�' Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 www.town.barustable.ma.us Office: 508-8624038 Fax: 508-790-623( PERNHT# FEE: $ C7 o� SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number Size of S ed Map/Parcel# . 2 Signaftue/r Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? /✓o 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 REV:042506 . . Open Space 5he f oukdaLi.o►s shown or: •thiA P. •i& 6ca ted aa. ehown°and *e to A ae tlna Of .the 901 M , Of Le. :: - ra e-�� �e�--J a vs es �• �i�ij . /z .Co•t 138 : S�e� 1S,94S of ,� ' . t fo"datiort N .`. Lor 131 0 ghompaort. P2oad SO wide S tal l ior` allay 50 wide ' 4 - Site Pton of Xand 4A AI&Wtorn &tt d, M4 4ein¢ tot 1781 as shown'orz a ptarc' of MWIt e t lld�i,Gl s 3 eh.4 'of 7 on 6-1647. cscale I"=30 ; Date 11-7-96 RU Cape 49 k►acbo.t Moad Ygmwr ins, 1W 026011 90 'o i �lGlsl y 4. T .. I '• ; : ; . Open Space ; . the �oucdafiion ahown:orc .this plarc ,v& 6cGted ae. shown1 and xee& the `--- de tbacJc'2e4 ; :of' the- 9owr*t j . 1 ,-Pot 138 -' � I S,99S ti� � • V Q I r I I - g'j Slhompdorc Road 1 j SO wtide i ' r I E �a1 3•�� E St i,on tuauf SO , wide 3 1 : Si to /.Can of Xand art.Mauton Mi,1.Le,, M9. : . •- : . Doti �amea Aktipoa.ti. ! ! € 9 .Co ati ilwwn;on a ptan. of kunt&t �. : /d" 3of 7 on 6-16-87. �caLe I"-30 i Date I I-7-96 - - Ru Cape £ eeninq j4gwuziis., M9 026011 _�.... .. - : . . i • : I is ! . ; . . : - �� _ a i I - Rpp i ! f_-•• j _ . . , s ;3 0 IMASBACKUK •� (y�7}�� py '[(y9 ag�j {yp�'4 5 � N!0^p♦a.P..sN p{ r dx �' by r• j �4' v' )'or'tcp583KC�t'�t�P C771 4e inStaki t .,.,—_ (-ts ®Y� RI1',.ihai tho On stt 'S� s� ¢ , s� ,� - �..rF:�'., _, _ it�s ;ler htas begin c�nsixu�twd ate a,FascAnrc at Zrovisions�fTitl S end.You for i3 sal Pon, C osesina� . �.��in da No. withft J, _.-..-'"^s , -- THE SY3. g t��TT ya CE$��+ry��g{. �+ Ty�q,}� �g• Qq/y 7 g y g /�'pg�� +�+p� 9�yk^ TIRE �i�t*�;y, g�4 pW`g�7, 6lPo� '�•�X A:KF.S CE'R LC YR.I D� �I,�F' V 17 d4141?. . �}^ ,.�0 Er of ��9�44,t1'��11 �tP�t��eAA RX. *- ` E y L <r�t \ + 4 � ��� P `Ah, f., •� � ..wt .♦`q IT 0 un Y ` _ ' 'uy a 1 � 7 k'^Y �_ Os U"i y .. t. d ?v fi__ -[• ,fit. 2,�� k ^v ,S , Ta CjP.lfiARNSTABLE CERTIF$Q, fOF OCCUPANCY' PARCEL ID 174 001 044 GEOBASW4 3886i t - ADDRESS 8 .STALLION WAY - 1 PHONE Marstons Mills { ��;°� ZIP - LOT 138 BLOCK. -,SOT SIZE- _ DBA DEVELOPMENT DISTRICT CO , PERMIT 21719 DESCRIPTION SINGLE FAMILY DWELLING (PMT-0184i3) PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY -CONTRACTORS: Department of Health, Safety i ARCHITECTS: Wiz-`:: and.-:Environmental Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $_00 756 CERTIFICATE OF OCCUPANCY * BARNSTABLF,639. +! MASS. . OWNER. .._ _ ANTIPO.BTI , _JAMES ._ ADDRESS ED INIr►� 102 STANHOPE ROAD BUILDI D 'WAQUOIT, MA 02536 By DATE ISSUED 03/14/1997 EXPIRATION DATE I I To Date / O Time WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTSTO SEE YOU URGENT . RETURNED YOU CALL Message T C Operator dAAMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS I WN 0 "B: 3TI RMIT j�0 B A S`L�' ',b aLi66 D 174 001 U,44 G . x 3 STALLION '�LNY ALDRES Z, B 'Lo"i, 's, I z E r,0, r i, r. Co-ell DISTRIC' 0 ) C, Dit" C.)I?HE N IX 10 zv. T �3 �0_7!','PIPT ION ."INGLE -�;AM LYA)WELLING r Yr LD IIPLE NEW RE!3 I Df-.:NT I A BLDG . PMT ROT ')WHE Department of Health, SAM,, I 0,14'�RA Gro PZS :'ERT C E R` A��: f�.rF,.��r: : . -$ . _ _..__ _ I :.and Ei mental Services f TAAL F EE S 27 8. 7 $.00 ENE 7. GONSTRUC.TION 1V J A- 00 G.LE FAM H 0 M,Z DETACHED -1 PRIVATE -P w RIM 63 OWNER ANTIPOSTI , JAMES- ADDRESS 102 STANHOPE ROAD BUILDIMG,DMS1 WAQUOTT, MA 02536 BY EXPIRATION -DATE ED 10/07/1996 DACE- I -u THIS PERMIT CONVEYS NO RIGHY.TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROP#RTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTR AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE-OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPEC33ONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE'RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- 2.PRIOR TO COVERING STRUCTOAL MEMBERS ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL IN ECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE 04PANCY St POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPVVALS PLUMBING INSPECTION'APPROVALS ELECTRICAL INSPECTION APPROVALS 00,�09 2 2 2 17 /)C-* -7 3- 1 41EATINVINSPECTIQN APPROVALS ENGINEERING DEPARTMENT 7 YP h• i -- . . . / .-T_ 2 BOARD OF HEALTH 47 TN V N REVIEW APPROVAL OTHER: 10 WORK SHALL NOT PROCEED UNTIL (/PERMIT WILL BECOME NULLI AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGE S OF CONSTRUC- MONTHS OF DATETHE Ft_R4'MIT IS ISSUED AS 'TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 49ineering Dept. (3rd floor) Map _ Parcel OC a Permit# /SV9 House# R" ` Datt Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) P(-1 's°� �Fee� oa 9k. 77 Conservation Office(4th floor)(8:30-9:36/1:00-2:00) - Planni pt. (1st floor/School Admin. Bldg.) Def' itive 'n Approved by Planning Board O U 19— O— SEPTIC S 'i"E X to c. 5 P 7 ► y er p 'a - S -9 3 ENS��LL� 's ,� 9 WAi NCB, TOWN OF BARNSTABLE Building Permit Application i l3 i_ Pr treet Address �, u_10 N bJ¢1-1 DEN L a-� $� d Village `'f a K;�. tyn_4 (Y\ (LCE /`'�A Owner Address Rct -Telephone SAS, 4-q SQ 4 D c/ 1 „o;f- Permit Request rr Ld—i n C.,CA,,:=e First Floor za / square feet Second Floor square feet Construction Type Lycoct ✓l c,-vy1 L-- Estimated Project Co } Zoning District Flood Plain Water Protection Lot Size 1.5 Cj �' Grandfathered es ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure /V011i,s- Historic House ❑Yes 01<0 On Old King's Highway ❑Yes Imo Basement Type: �ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) ibdsly-e Basement Unfinished Area(sq.ft) /(,/G1- Number of Baths: Full: Existing New cl;L Half: Existing New ltloly.e No.of Bedrooms: Existing New 3 Total Room Count(not mcl ing baths): Existing New of^ First Floor Room Count 3 Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: etached(size) Other Detached Structures: ❑Pool(size) Attached(size) c ❑Barn(size) ❑None ❑Shed(size) • ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use /ye N­2 Proposed Use Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO IGNATURE ! DATE BUILDING P IT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY i �,.�. L < PERMIT NO. DATE ISSUED rti MAP/PARCEL NO. •t ADDRESS VILLAGE DOWNER _ DATE OF INSPECTION: . FOUNDATION FRAME INSULATION f/9 q7 FIREPLACE. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. - .*- '-+-Y.s..-ti.....r- -vv�-.lr.+,+...v 4..:zrtF�.i3d'C,.t1F'L+'Yai� r..ryMrt:--.,.- .-<,.. __ __ ,. .r_`-•�•wt'-,,,�;r�......fc...r-i.:wf.�-ti,-:.._-.. ' .�. `okINE 11, The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS 059. �0 + Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location ; ( , l 4,,4 Permit Number I Owner 1 Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: f l A I 1 d n f! r c1 f C k 'If,,- r t) .Y Please call: 508-790-6227 for reeinspection. Inspected by � ! Date •--r-M-"T 1rw.. +w=wti .. . .�.� y. _ ,r :t .... -+,- ,.Y... .. .... ,1 v ' `. -„-„�v^.�..yr-..r],.�_� r The Town of Barnstable oFIKE A BARNSPABLE. • Department of Health Safety and Environmental Services t6yq. �0 �fo Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection 7,U 4 Location Permit Number /��/ ! 3 Owner Builder Arj -r , C0®s--r , One notice to remain on jobsite, one notice on file in Building Department. r .The following items need correcting: q � a i3Q-rw P,o-� Zvi t e Ce114,e- (A i Kc ,V t G I 3 G W A-y r m u, k o(a (T/ fGkPbSC'b UAPo2 -VSA•22' t?/Z, c4e114g. :�TiySu/o-r/o-v (G r a nj c 11!S U- ( A--r c S do-r W A--r e►z- D., 0 P S , r y C:P I 1 A 2. - U1 r r , Ati r �i Shaul MI f V Pi Iv 14-1 15 y Wo7' WA-rri - -r,4Nk- InMAY. S- /Y �r 21 S* OhJ G'Q f/A'L- .57-v12 S nq g - S P Please call: 508-790-6227 for re-inspection. Inspected by 9-2.,: i Date t `OF1HE i op The Town of Barnstable O �B BARNSTABLE. Department of Health Safety and Environmental Services ` Y MASS. . e � t639• �0 t ' piE1639. ' Building Division , - 367 Main Street, Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax:'C 508-790-6230 Building Commissioner ,f Inspection Correction Notice s e Type of Inspection `I Location 1 Permit Number ti r -Z I Owner Builder `d One notice to remainn jo ftte, one notice on file in Building Department. . r i The following items need correcting: na on V��-P A- e) -J 0 Y-vK,t-- ro /L, L4,)A- Ir� t.='f —t rrR Ak)-r-Ciletu-e � �� . 7-,� f U� 7-IS c-c.—q�",��ld It:1P f� "�"� Tt7 1�!C i�f1 � 4 / JAI a _ _ Ak j iJ ('in A,,I-A-Sl 44 Ar&4?, kA c R rl �.•. c7�tt�tC{ Ca �� +o t r+ Xlease call: 508-790-6227 , 'for reeinspection. a Inspected by Date k) ; ,� ' r "-' The Commonwealth of Massachusctts •Mi �. __.-�;_.- Department of lndustria/Accidents Office 011HY90#27AMS 600 Washingtun Street Boston,Mass. (12111 Workers' Compensation Insurance Affidavit Anrilcanf information: '-- Please PRINT'lebibjY - /``� name: -Q t7')CX A lh)fi /00( >L/ GG 1 I location:I D x �T'a t./A wQle� A?d citw. akt.lt t"ha gSS ®A 5.34C phone# EOM I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity _❑ I am an employer providing workers' compensation for my employees working on this job. company name: 00b,• - la cape LoowdlptJ'oluC t FLyoaS address X Sr Fo�K au'n Le-n cit-: Ert( !i c2uf 42 a.S S Phone#: S O L- S L 3 —6 727 insurance co. L j&Q/ZtL /71 j:2t a I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnam•name: (' (�Sc�, �2 Lt address: 0 S lyt?AL 1 .e city: l f11 Rhone#: Ez insuranceCO. neliev#! _ _ __ � _.. '?[l7;:: ':��a•,-?^-Y-�:-1'!:t:<.-x- -r-;�rr'�1�i'S�� ,-.'�•F':�Yc^+w,; .:n--r�--.-:3::!na•,-Ye�.c-r-':--r —..__...._.�:_. __...tea:.=�...�..� -----'-� —•� �, / - - — - .2'rc..:r'c'.�.��—a.i::a�a comnanv name: C�/�r,L c)(ULi, -TL n address: ( C14 t (r Y. �l 'tom TY�tJYY�.-e,�- �T city: phone#: insurance co. :F— IOU policy# 3 Ili 0 L 1 SC c —00 :Attach idditiiinal'sheet if neeesBa Wit" Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 andior one years'imprisonment as well as civil penalties in the form of a STOP NvORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby �'under the pains and pen lies 0 Pei that the information provided above is true and correct. Shmature Date /T Z,1� Print name va-M-eS A 1 Phone# 502' LC150402 official use only do not write in this area to be completed by city or town official city or town: permidlicense# nBuilding Department Licensing Board �check if immediate response is required pSeieetmen's Office tC' C311ealth Department contact person: phone#; r9Other (rmsed 3M5 PJA)' . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an enrpinree is defined as every person in the service of another wider any contract of hire, express or implied, oral or written. ;. :._>.. An cntpl( tver is defined as an individual, partnership, association, corporation or other legal entity, or any two or more o1 the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the arounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhuld.the issuance of- renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant ,viio has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. . 77 777 .:1.sltf}�`::..:.YAM!K.1;wi<,.i .�..':'.'.T. in'•• .__ Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. Tile Department has provided a space at tite bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. .:au'vr.+..».�;•....,........,.,..:..._-.-..+•.�..-:..._.-�.w�m�r.-rwr.,. .e.,s�,-.-a'?"„ � ..e:-esr..,+�. "'-e�"7'..;"•"=,'"��^':'��''''�R•1 *p++nw•+wv>+.. The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street w. Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE f �� JOB LOCATION Number Street address Section of town "HOMEOWNER" Name Home phone Work phone . . PRESENT MAILING ADDRESS 2 OLOOLL City/town, C State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less .and to allow such homeowners to engage an in- dividual 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 re- side, on which there is, or is intended to be, a one to six 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 Officia- 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 Stat Building Code .and other applicable codes, by-laws, 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 com ly with said proce ores and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION sY The code state that: "Any Home Owner performing work for which building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that. if Home Owner engages a person(s) for hire to do such work, that such -Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This lack of awarene: often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home "Owner- actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. mar. communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. w 04 12/96 y (M 5 r,, JAX 15088221691" iy ItfID CAPE' H17ANNI5 1 1, SL U LATTR1( r i 4 _ :. �k P� SYSTEM i x + i ✓'. 9 � ~al?BQL}7treeSi.4vcintl is;i a masf com �E B Rt1[�" le , fir f nt. ava�tc�le anywhere.The Avr�ittl systLzrri consists of fromes " r `\ wetitherstrtppirtg threst7olds.,'glass cfoot It; st ide'Iites on'd tranxoms- �' : = available from.a single monrlfotturer,f;ery Avcint.panei fealures a faarned-in•place polyurethane core aria in'intzgrat moulded rut;her bottom daa seal_ Each panel iS fCGtary prepare _ d#or hardwQre x t "` �> Beautifully embossed panei lest ns cna r -' ( , It factory glazed c'oor lies prauiae a wide Natter the rnatchmg flush ° orehrtect'ural s ies and possible cc mhrnattonst t r 1 EXterior entry doors.5hofl beAvanti s tern a~ r y n+anufactyred by r- t Peachfre2 Door Size and stylzs sho(l bE det(3 - d ort,p"Ion5 Panels.o ]]� t be full is/�", tEticknesss 2�gauge gafvcnized steel f4ces precistan a": f .+ t k moulded woad'stilehs and*op earl Ir4sert mot;Ided.neapreneExottQrt� . x' + Y l ? ,i rat)and seal all bonded by foamed=in r� [° y f r #9 w, p�°y E `Po y'ur }�tGh�sI0 e` + 4 } n P 1 4 l tames tb l?E PbrttleCcSa tne;"fpam' 9 ° � { , p t!'PL corn P+essi;ort wimathi r trip , t faetaly instolf'ed self`drai,ning aluminum ill-'wtth edjustable' ek;. #hreshot "f Rctory.martised for hinges and Ftarv,are_Aff'wcout and Steel-ccimporiL's fo berprime`pointed. Avanti Entry System fabtica act toaCC �r 1'. ria Q,rdanCe}vtY{1��(� [StQltClatt�5� �o- r ° r exceptwhere rtoren tr r +Iigent re uireliients xr ' � � .t •� ;. '� .. 8 a+ "'y, k b ,y '1 4rtre su•Pe'Crt�(L. J•1` r • i Door Panel 24,gau a galvanlzed steel ees Rvreep 1 r` "ystem•OakthiestaplQtutlgdlusi?.btt orpr'pper AGGESSflRlE$ { Preds;on moul0ed Pondzrc;z Pine Stites and tOp ''ContaCt to,d4Gr panel botto s seal K rail-insert-motttd=d eel and i1E0pr'ene bot:Om rest %Veatherstripping: Ppiycthjitne dove. St�itd;;rd Giass 7gaaris.-3v;Q Cites oti;a -tem- U arrd sE2l;31t ppnded to 2 ip/c tickriess in precision compressio R type;coped;Rr cvertep at cbm&9;reitr A oared exterip'-litp bran e tint te,Kofired tNit i ist#e ar fixblresbyafnamed-fn-pfacepotyurethahOCOre0ta fO'rcedtoresistshrink ge .-4. �2 V (leArtempared;extar ;.Y rt raper{twr`ttS. " �SuGiBnt density to provide vJue i4 a mmi- i Astiagals:Extruded^eliulgr PVC;fu9h mq nt:d cr.lit PLow Q m a ec cl' "rs f ;.* , dC+iVEtOiS.Concealed is :,d foot bplts �r�E w GnIi_s. l3 _.4pte'wood gnll;.B fU't` '�Ari 6 k mt Door t tree:. Factory,,giant c wrap-around Iite' -�Htnges" (Standard,lrYswiti9)tttlreet4, elgPtt 'pus 'Di"+ctamlrlg har�ovore'to`izcY;ry m {lt traRle,'irttegratly ponded to partel';et tlme.c`,panef, 61Y�ttbfoet hfrsges p'er oiler hngparte! r�m4:v �cer'vrs. ix§ fahricatiort:ttirti flush with`parg(t3css glass ttha; 2hlppins:fullymoriisedtofambans7'dbor'ed"o•firI515 . ' F+ trtcExUnders_'Prihe 3intai3 n da3i ism Bred 7wrrtsul jMulat;no,(Qptronzi'Glaang,iris duD brasti,' OGRgng(:'.`)salt cfo5mg spn'�4 extenders m:ke,trame' sio silt depthV a t vA " :'• a g 2 2h e.� :: (( -sill �eitderg Extf t io dEd' )9 Ned_'_ .tt type-for cutswing r r,ov 4;d aluminum exteMderS i t" 'Hardware P.repara.iori:prOvideiaztOutyzc`Cross' -5;e or ribs=r_mrnra5fg p;n:3)3 El pe�:,n j a esifi depth t bbr( inseftwith.is Crossbore,23 ".b�ckseC(21a " Cam Rance:A, r S;Ge;iifes.Z4 g3tge gavanrzed s eat€ar A ez p All units tb:nfeet O.f ex�Gsd'1SD5t' ova-fable ca bider),and;t"edge bo e.DEaCb01t the* 'titd�d PVC sites and Potts:.bonded oy,a(©.rt e�-n oFrjaEjCe standards,:IP 1 through?d7.P.Aiia€Fti- `i SarYiB,;t t !?"Cente+ t0 eertter Mattise fb>;2tl:x? laC4 of ratliaic;,caret `titt i�l<" ttiic<riess:fp P<Tei ire tasted and zzd to ttari#endLraric6 a qusre ca ner•'face pt _4 Rhilkt fltiorto Irglg bore aket ptg tlard door,pzn?is_,L)te`frame ,iiitagral:y t 3Cse stream in actiroroance with AST►vt c-iS2 wttii p le hour(:�minute)rang.C. fa1Y e rco le3t bgldedztttm9Ci �RZI(g4riC TICn,•rema zbtetnsttie ,lathou 48mn e)r , Fr3m PpnderQs pine toxte irk ed ,ut(y tea :slap to;allow eltemateigla rg of aped ial mser .• P } to.ita9ne"enctura iC rid 1 a etiose'Stre�m lP�L9 in itt wi beitsc:and rav9,�rbEe;morc6gd torhingesa?lid lock „Pgnetsfeetory inIfsr#rn,trdattes t4' gt h dGdi »;� •_ gtcprclari,Cg,with Aa `:E t ,a f� t' (19?8) USC i3 2{i87;i'C71 lb. 2tetUcmp } etreirforcec with steel°security !fiaTransairr�Asserr;ly Fondaros ,ime aLfrrila_ , 2iritec MM. r Stgie tale 18 SO ton 4,3-,10- t pOrsertts, tiled,0$9. a �m� °.Sri[SCbrrb;n2riort 2(uITtintlrit•?rt _prefini;heGtagk -".gctEat.0 rnpred'Twmsul-ins d�ting;'arrnng.'an�LfLC S7t}4-75)E_ D.'e�flt u"r{ln3re• ote 7 asset biad,ta ;e SutrslF incarpbsa3tng cot sealed leadfid tetrip-red insui brig Mass tasted rn as brdzrc~lvith�S vt E94 7H,75itrgm ` n„ tar t+,T t fa w e asy r; r a� ,y spread,45b S's e I On raurir�, h n /L t;rPf A • w.#" 4 , # r 1.. 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J � Y � s X i f E jt tta f 101 ft ' ... .�1 a �.. k rk F • =�(Y ' � � r ; pit ,;' _�• i '_ ���� '� J M1 Ir < � i e .•m.fy�qa��.1� �fi ya�+�',t;Aw a+'�"t^;*.�"ct ��4,+ erah.r g '9. s a,.-cl --- ol Tl r , I t t �l j ( QA tj � t 4 � 1 {I C,, t . nI � 4 '✓ Y k , t 7 �eta 4s $ I f \ t� ter,_—• L 7; , / e N r rq N i Z ^.; �� y:0 m N. ro 6 U •�'!,_ rdn f �� .r+ y � iy A t .s.:�'. tr• i: :r' W �. w':� � V• 4; yr �, V 01 Iyw,3 °� '',lclh1 cr• �' I _ t M •'w n I ♦ .. � � � is a. l E , Test pit $P-6723 : Open :Space Made 10-14-87 Wit. J. Dunning - - --- 75q -• --- --- No water encountered-... ' .... 1s8' is�' , fsc Perc. less 2 min per 1" Map 174 pcl 1-44 /2-9:4, T & S ts�•9 I .. ;L6t - 138 . : , . . . . I 15995 s : - \ Joe Thompson medium : j Road to _ 34. I fine �;�AR h ro:Eb N 500 wide sand IV stone LO o f D \ ► ; 2S' 4 ST � I Loy %3'7 Septic design d • No bedrooms 3 : ..; j Disposal... no N Req. leaching Sib' gpd Req. tank 1500 : gal . : Provided leaching I 1 ►s i 15x25=360x.74= 266.4 .-' ° : . 78x2=156x.74 = 115.4 ' ' - ; :..: . .. / Total 382.0 . gpd'� : • j 2 catch ~Stallion Way i53Kz basins ; j 50 ' wide -fto let-, no, *tale I • lo''M x.S�vex .. • our•oP f . 0-i- r to ^ C'G 64G7 \J4,- ri OOf�000 /O /4 11/•.• OoUGO U(/d OV� GldOp - i .._�.y __.. , v, G CJvv _ ._ I i. . .. • I . .1, • . ...1- i^O� �eJ.cl 6CiOtlu �.� Ca•ocCrw /Z Sro►,,e , 14 9.S Use' 8 high; capacity Infiltratois -" - A each row with 3 ' stone on sides+ 1 • ' n'� ,/ 1 .1 i. I ! //•'. 11.1 =___ RA_-TO 1 / /(i� ./.I,i//—_i_r rr r♦ i and middle; as shown. 8: nfiltto §: . . . I .. .�., .._. .. . .. :. .. .OQ,e000�.VtJ'._. ' .. = . .- - -- _.. �'ovvGCaot+vccc• .... aoc,a .. -... trw+c� t GOOIiOi©ONO aC/b B�'c:<•,.�..� -!. 4 G:�'�: ; Plan of Land in West Barnstable, MA For Joe Antiposti Being lot 138 as shown on a plan of . . Hunter Hills M sh.4 of Ton 6-16-87 '� Elevations are on N G V D Date Agent Barnstable board of health 's Scale: l"=30' Date 9-30-96 '� '` , ` All Cape Engineering i 49 Harbor- Road Hyannis; MA 02601 _.__... _�......_._. �M Of i M. . NE 0 32490 FCISTC�E� . r