Loading...
HomeMy WebLinkAbout0040 STEERE WAY �a cS�-�-� Gc� �� ��_ �_ , Town f Barnstable Building� B 'n Post-This-Card So That it is Visible From the Street Approved Plans`Must be Retained on'Job and this Card Must be Kept 3 $ Posted Until:Final Inspection Has:.Been Made. a ;� -` M Ma+'' Where a Certificate:of Occupancy i§"Required,such Building shall Not be Occupied until'a,Final Inspection has been made. I Permit Permit No. B-18-1369 Applicant Name: Jonathan Whipple Approvals Date Issued: 05/24/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 11/24/2018 Foundation: Location: 40 STEERE WAY, MARSTONS MILLS Map/Lot: 149-160 Zoning District: RF Sheathing: Owner on Record: LAVIGNE, PETER J&MICHELLE TRS Contractor Name: ,JONATHAN N WHIPPLE Framing: 1 Address: 40 STEERE WAY ' Contractor License: CS-078683 2 MARSTONS MILLS, MA 02648 Est. Project Cost: $2,857.00 Chimney: I y: Description: Insulation. Insulate the attic. f % Permit Fee: $85.00 Insulation: Fee Paid:' $85.00 Project Review Req: i Date 5/24/2018 Final: l Plumbing/Gas Building Official Rough Plumbing: 4 This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas: Y The Certificate of Occupancy will not be issued until all applicable signatures by the Building and-Fire-Officials are provided on this.permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing Inspection , ` 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable �ECEi 200 Main Street Hyannis MA 02601 508-862-4038 Application for Building Permit PP g Application No: TB-18-1369 Date Recieved:. 5/3/2018 Job Location: 40 STEERE WAY,MARSTONS MILLS Permit For: Building-Insulation-Residential Contractor's Name: JONATHAN N WHIPPLE State Lic. No: CS-078683 Address: Webster, MA 01570 Applicant Phone: (508) 279-1110 (Home)Owner's Name: LAVIGNE,PETER J& MICHELLE TRS Phone: (508)428-0167 (Home)Owner's Address: 40 STEERE WAY, MARSTONS MILLS,MA 02648 Work Description: Insulation. Insulate the attic. ) � CJ a� -.E r 0 CD W W ro � Total Value Of Work To Be Performed: $2,857.00 N . Structure Size: 0.00 0.00 0(00 Width DepthTotal Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Jonathan Whipple 5/3/2018 (508)279-1110. Applicant Date Telephone No. - ' Estimated Construction Costs/Permit Fees Total.Project Cost: $2,857.00 Date Paid Amount Paid Check#or CC# Pay Type j-.,Total Permit Fee: $85.00 5/3/2018 $35:00 Paypal Paypal Total Permit Fee Paid: $85.00 5/3/2018 $50.00 Paypal Paypal • ZT . Commonwealth of Massachusetts Sheet Metal Permit Map Parcel ll�� Date: Permi6A ® 6 9 Estimated Job Cost: $ Permit Fee: $ Plans Submitted: YES NO Plans Reviewed: YES NO p Business License# 3 0 Applicant License# Business Information: Property 0 /Job on Information:�'t Name: ge(AtAU�" � �IC9, Name: z Street: 3 d el 1 �'l/�� Street: e City/Town: d_!qh­tj"b<' City/T wn: Telephone: ��%�' d'0 7 Telep one: Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1 - -unrestricted license Y N J-2_ �R-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. f / storiesr lei / NO Residential: 1-2 family ✓ Multi-family Condo/TownhousesO er Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other co M Square Footage: under 10,000 sq. ft. over 10,000 sq. ft..— Number of Stories: Sheet metal work to be completed: New Work: y Renovation: HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: NSURANCE COVERAGE: i have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No ❑ f you have checked ;indicate the type of coverage by checking the appropriate box below: k liability insurance policy'~ Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Aassachusetts General Laws, and that my signature on this permit application waives this requirement. - - Check One Only • r S � Owner L Agent Signature of Owner or Owner's Agent ly checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and ccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be i com'pliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments ��Type ""of License: Y - aster , itle ❑ Master-Restricted ityrrown ❑Joumeyperson Signature of Licensee ermit# ❑Joumeyperson-Restricted License Number: S Be$ ❑ Check at www.mass.gov/dol spector Signature of Permit Approval r , - - The Commonwealth ofMassachusetts Department oflndustrial accidents Office of Investigations. 600 Washington Street Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le bl Name(Busin _ a6 -Address: City/State/Zip: Phone.#: Are you an employer?Check the appropriate boa: a of ro'ect(required): 4. I am a general contractor and I TypP J ( q d):: 1.� I am a employer with� ❑ g - ❑ . employees(full and/or part time) 6. New construction .*. have hired the stub=contractors 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling ship and have no employees These sub-cofactors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building [No workers' comp.insurance comp inenrae,# addition required.] 5. We are a corporation and its . ME]Electrical repairs or additions .3.❑ I am a homeowner doing till work officers have exercised their 11,❑Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12❑Roof rep gs rusurance required.]t c. 152, §1(4), and we have no employees.[No workers' 13Otber comp.insurance required] *Any applicant that checks box#1 must also M out tie section below showing their wor1=1 compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contracto►s and state whether or not those entities have employees. if the sub-conhacton have employees,they must provide their 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: //Z•�A't/�'L E/ l/�1 S Policy#or Self-ins.Lic. #00' �q� Expiration Date: Ag lob Site Address: City/State/Zip: d . G Attach a copy of the workers' compensation policy de aration 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 tip to`$1,500.00 and/or one-year impr m sonent, 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi der the p a enalties of perjury that the information provided above ' true d correct: signafore: • Dam: v�., . . • Phone 4- Official use only. Do not write in this area, to be co Leted or.town o � by�' ffwiaL City or Town:, PermitUcense# : -Issuing Authority(circle one): : i .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: I - ' IHE anaNsTnsM '"^� 1639 Town of Barnstable y �AjFG MP'�A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Cornmissioaer - 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 —,as Owner of the subject property hereby authorize d u E GZ. / �d''1 A4 to act on my behalf, in all matters relative to work authorized by this building permit application for: 7 V �7&6 S--rb),U AA rc.&s (Address of Job) Signature o Owner V date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Usersldecollik\AppData\LocaiNicrosoft\Windows\Temporary intemet Files\Content.Outlook\DDV87AAZ\EXPPESS.doc Revised 072110 HUSETTS � i'SSQ732 -` �Y f J�ZB-20 t 3•Q5-25- mac" • !.CkASS -AFST ](NGT. SF � 9; •Mp55?C Z. t4:CROOKElYCARTWAY • '���2sasso .' �b .: a `!.f,::• 6 i:' ':i .•'1 •/�� ...( � / Imo. L i .i �/ SHEET METAL WORKERS AS A MASTER-UNRESTRICTED c ROBERT G BOURQUE 14 CROOKED CARTWAY MARSTONS MILLS MA 02648- 100 6435 05/28/12 972249 Home Energy Raters LLC BTorrey @EnergyCodeHelp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test Address: 40 Steere Way Marstons Mills, Date — May 21, 2012 Test Type — Post Construction Leakage to outside. Conditioned floor area =2869 Sq FT. To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 229 CFM (2869 /100 x 8 = 229.52) Duct leakage tested = 215 CFM Post Construction Test — Combined Duct Blaster and Blower door This Home complies with Section 403.2.2 Of the 2009 IECC Code Date of Test: 5-17-2012 Technician: C Mazola Test File: Bourque Customer: Bourque heating Building Address: 40 Steere Marstons Mills,Ma 02648 Phone: 1-800-464-3828 Fax: Test Results 1. Measured Duct Leakage: 216.0 CFM 140.6 sq.in.(+I-0.0%) 2. Duct Leakage as a Percent of System Airflow: 3. Duct Leakage as a Percent of Building Floor Area: 7.5% 4. Leakage Split: Supply Side: Return Side: 5. Duct Leakage Curve: Flow Coefficient(C): 31.2 Exponent(n): 0.600(Assumed) 6 Test Settings. Test Mode: Pressurization Test Pressure: 25.0 Pa Equipment: Series 0 Minneapolis Duct Blaster Test Type: Outside Leakage (Combined Duct Blaster and Blower Door Test) Building and System Parameters: Floor Area: 2869 sq.ft. Average Supply Operating Pressure: Pa System Airflow: Average Return Operating Pressure: Pa Contact our office with any questions, Bruce Torrey, Certified HERS Rater :Home Energy Raters LLC 05/22/2012 TUE 14: 42 FAX 508 420 5406 Leonard Insurance Agency 1&01/001 i MMIDDMIYY) • ACORDT, CERTIFICATE OF LIABILITY INSURANCE OS/DATE(MMIDON 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policypes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME: FAX Leonard Insurance Agency, Inc. PAHrcONE Ems: SO8.428.6921 AIC,No:SO&.420.S406 683 Main Street E-MAIL ADDRESS: Suite B INSURERS AFFORDING COVERAGE NAIC s Osterville, MA 026SS INSURERA: Continental Casualty INSURED BOURQUE HEATING & COOLING CO.INC. INSURERB: P. 0. BOX 770 INSURER C: MARSTONS MILLS, MA 02648 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:Work Comp REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE (NSR WVO POLICY NUMBER MM/DDIYYYY MMIDD P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS40ADE FE OCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GERL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/bP AGG S POLICY PROJEC7 LOC $ AUTOMOBILE LIABILITYCOMBINED SINGLE[MIT— Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Par accident) $ AUTOS AUTOS HIRED AUTOS NO"WNED A $ AUTOS Peraccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ I EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENnONS $ WORKERS COMPENSATION C A O - AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUT Y I N TO BE ISSUED#0102463 05117/2012 05/1712013 E.L.EACH ACCIDENT $ 11000,000 A OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 11000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) eating and Cooling contractor in Massachusetts. CERTIFICATE HOLDER CANCELLATION FAX: S08.790.6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Barnstable Building Department A DRUM RESENTATIVE 200 Main Street Hy nnis, MA 02601 ©1988-2010 A D ORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD -n k 5(.4t., l AL)a_'6?_ }'' i''P 'T' � 5 " ,-jq ��t , s MIT . v '7 .• A7@',�',� 7't +,^rye, pi TOWN OF BARNSTABLE Permit No. .U23.?....... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash :.NN.(//1A�/JJ•� .639 ��� ►�'' HYANNIS,MASS.02601 Bond ....�.... ... I��� CERTIFICATE OF USE AND OCCUPANCY Issued to William L. Schulze Address Lot- Ali 40 c+-P-ro I?ay Marstons Mi11Q, Mass, USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ......All.qust..29....... I9.....9.Q....... ......... a? --............. Bui ing Inspector °•. TOWN OF BARNSTABLE BUILDING DEPARTMENT ! Ssaaar : TOWN OFFICE BUILDING rua HYANNIS, MASS. 02601 �0 rAY M' MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit -has been issued ,for the building authorized by BuildingPermit #.... .'c. ? ..... ...................................._.........._.........._.......... ...................... . .....___ issued to .....Gf/ � C% f P ..............................................._....._........ 1 Please release the performance bond. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A DATA TOWN OF I,BARNSTABLE,VASSACHUSETTS BUILDING 1%1 DATE .� S�• • 19 PERMIT NO. �{ APPLICANT_ �l)iii;;`""( }, (:•I- ADDRESS t.•, ;, (•, P (NO.) (STREET) ,(COI,�­S LICENSE) A !..PERMIT TO r NUMBER OF (TYPE ! :i:•J,: ) (_) STORY : wDWELLING UNITS (TYPE OFF IMPR OVME NT) NO. (PROPOSED USE) AT (LOCATION) 1-o"L_ i;3,r �LI _ ZONING (NO.) ---_.— _ _. DISTRICT__ (STREET) BETWEEN AND (CROSS STREET) (CROSS. STREET) SUBDIVISION LOI LOT ' ULOCK SITE BUILOING'IS TO BE FT, WIDE BY F7. LONG BY t FT. IN HEIGHT AND SHALL CONFORM IN I,ON STRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (4-7 Y P E•B REMARKS: :J L.cI:;.•., i c�t:'".i v.; q AREA OR ,j.t i v VOLUME "''.i `• - ESI IMAIED COST �t ) PERMIT (CUBIC/SOUARE FEET) --— FEE $ OWNER i.�..Li_i_•...,, ...i.i...$j'. ADDRESS u` '� -`�''�t-•l „ . . , BUILDING DEPT. BY / THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEM PORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER T H E BUILDING CODE N(UST BE.AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY'BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PER OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MIT DOES NOT RELEASE THE APPLICANT FROM TIII CONDITIONS MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MAD:_. WHERtc .. CE:RT71 ELECTRICAL, PLUMR:NG AND -wCATE ._F C•CCUPP,P:•:" IS RE- MF_CHAN (:.AI In�cTy, T10 N.S.,. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS _ ---PLUMBING INSPLCI'IUN APPROVALS _ ELECTRICAL INSPECTION APPROVN S �q• 1 r 2 2— e.u 'zo _. 1.11 AI IN(;IN:.I'I r 111 IN•`J'I'I(i IV.AI?: I:NGINIIIIIIdG Id I•AItIN41'.'OTHER — .Fi — _ __ _ )L�' �a ; BOARD OF HEAL] _— I ' I WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS N 0 T STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON'I I{IS CARD CAN BE CONSTRUCTION. PERMIT :S ISSUED AS NO1 ED AROVE. ARRANGED FOR BY TELEPHIINL' OR WRITTEN NOTIFICATION. 359.08' NI o m 0 1 33.8 . 3 Sd,4s�*sF m m N ti a.52.50 p.350.00 LT S'rE6QE �,fs►.Y I SOB # 88-217 CERTIFIED PLOT PLAN PREPARED FOR: LOCATION: STEERE WAY MAR . MILLS SCALE: 1=50 DATE: 8/31/88 REFERENCE: L-3 PB 424' PG 40 WILLIAM SCHULZE I HEREBY CERTIFY THAT THE BUILDING i - „SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. _` •. ._ . " .. ,o���,�,��+ of c McELWEE = down cape engineering, inc . No.33602 CIVIL ENGINEERS F LAND SURVEYORS ROUTE 6A YARMOUTH MA DATE REG. D SURVEYOR akCk Assessor's office (1st odor): t� IC SYSTEM MUST BE Assessor's map and lot number ......., . .. .....� C0MPL1A E v ` Board of Health (3rd floor): TITLE 5 Sewage Permit number . .....'(�. .. ..�.T'� .�. t BASJ9TODLE, i EK EN TAOCODE AK Engineering Department (3rd floor): e roc ra39, House number ........ .........Q.w......................... TOWN REGULATIONS `�0VR j Definitive Plan Approved by PlannRg BSdard ____�__`_ ______ _____19 g�D__ . i APPLICATIONS PROCESSED 8:30-9:30 A.M. -and 1:00-2:00'P.M. only - TOWN 'OF F BARNSTABLE BUILDING INSPECTOR _ APPLICATION FOR PERMIT TO ...................... ........1/.!J.................... ti (J`... TYPE OF CONSTRUCTION ................ 5...�. .3'.�1 . .................................................................................... ....../.)...........19. .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according /to the following information: Location .... � .. /<.. ......V V !.../.. /ZSN .....M�LC�............ �..... ................. Proposed Use .............. L LI�C� .. ........................................................ i Zoning District ............... ...............Fire District �—G cGYl �.tJ6f Name of Owner /../lt G.!'1!'...Lam.... G h.!.. /'?..........Address ... ... q.` .... Name of Builder �� Y .. r�.?^�. -e!. ...........Address b �AG.(� 1. .r...e,�.I.... . 11 Name of Architect ... )....+!0' ..1✓..... .._� `�/� ... � �....!�....��..:Address .................................................................................... Number of Rooms ............................................ .......... Foundation ................................................ Exlerior ............ . .......52 4.41..............................Roofing ......... .5...u/ ....... ......................................... Floors i�.........��I...-........;..........."".. ...........................Interior ........ J��GY ........... ................................................................ Heating ....../ iG .!�'°�. ' ...................................Plumbing ............................. ...................................... Fireplace .......... ............................................................. ...Approximate Cost jU• ��.........,......................... Area \ ...... Diagram of Lot and Building with Dimensions Fee .. ....2.......�S.. . .......... /(:Poo OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ..v.'rv. Q ................. Construction Supervisor's License Q. y.ly. . SCHULZE, WILLIAM L. 22 No ...... ... Permit for .... ........... SinglSingle Family. Dwelling e :....... ..... Location .... 40 Steere..Way... ............................. ...... Marstons Mills ........................................................................... Owner ........William L. Schulze Type of Construction ...Frame ............................... ....... ................................................... ........................... Plot ...................... Lot ................................ Permit"Granted ........Se.p.te ..,.7,. ..,9 88 . .. .. .....m...be.....r.. Date of Inspection ...15I.Q.6---R."?..19 Date Copieta 4R .A..............19 it 111aAd Assessor's office"Mst POW,): OF T N E TO Assessor's map and lot number ............. ....... ...`..,/............. Board of Health (3rd floor)- Sewage Permit number � C�y...... .v ...a................. Z 13A"STADLE, i Engineering Department (3rd floor): �oo�zb 9- House number ............................. ;•✓�....:. g�D O YpY Definitive Plan Approved by Planning Board ____ _-__ ----------____19________ . APPLICATIONS PROCESSED 8:30'-9:30 A.M. and. 1:00-2:00~ P.M.-only TOWN OF BARNSTABLE BUILDING INSPECTOR P. APPLICATION FOR PERMIT TO .................. ................................................................ TYPE OF CONSTRUCTION ................. ti TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /2 ... �g.£.......'.... ..... �..�.......... A�J s.. .s� v�/�. , ................. .............��..Z4 . �..........................roposed Use v. ' Zoning District ..........'.`.r ...........................:..:....................Fire District �. . .. ...!..'.f.../...'. ............. �/�/�t e ►�r� L� �G.-� Address D Z �.G a�)�$,�Lj lr(JGi y 4 r L., Nomeof Owner ......1............................................................. ........... ........... - J Name of Builder ../\ .. .C? .. WLti ✓J ........... ....�I b.:�Z71�C..... �. 1�► ........ Yr r�'! ` Name of Architect L.'.... G1' Address ....................................................................................� ! .. . . t �4 Number of Rooms ................�............................................Foundation ... ,yC�"e... .:. Exterior . . 1...........G �l'�........SIG�.�..�..............................Roofing ......... '�li/�i ...... �-"�'� � nq Floors ............. ....t.................................................Interior ...................al �'\ . Heating ......... ...... ( .............1.......................::..........:.......:;Plumbing V.. ......... T _ . -_. ..t............................... .........�..... Fireplace ..........Z................................................................Approximate Cost ...........U . ........................... Area ..............................:........... i Diagram 'of Lot and Building with Dimensions Fee r, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. .................... Construction Supervisor's License n. .�.. �............... 7- 1 - ' SCHULZE, WILLIAM L. A-149-160 No ...3.22.3.7.. Permit for ...1 y Stor . ............. Single Familx Dwelling Location ..Lot...#3..........40 Steere Wax .. Marstons Mills ,... .. ......................................................... , i Owner .1-1—liam L. Schulze .................................................... Type of Construction ......Frame- r ............................................................................... Plot ............................ Lot ................................ Permit Granted ......Sept.ember. ....7, 88 ... ....... .... .......19 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT COMPLETED 1/1/ Q 1 I J / 1-0 /64!9 Coe LugEngineering Dept. (3rd floor) Map Paicel -� Permit# 9D House# y0 Date Issued "_Board of Health(3rd floor)(8:15 -9:30/1:00-+?e) Fee conservation Office(4th floor)(8:30- 9:36/1:00-2:00)' 1 01 Manning-Dept.(1st floor/School Admin. Bldg.) EPTIC IHE UST BE flan Approved by Planning Board 19 INSTAL LIANCE TOWN OF;BARNSTABLLEN IR NM CODE AND Building Permit Application TOWN REGULATIONS Project Street Address din 5-reurze" .hAY Village Al&ILS7oNS M ILl-S 1hIFS S Owner (=RV- L, VI6NE' Address Q � 4/0 3-rk'92 E' kill W1, Telephone .SOM t4?-8 -b/G 7 -Permit Request 70 yof�p swm (O �g X 18 • I -First Floor /LQ square feet Second Floor square feet Construction Type M1 baA Estimated Project Cost $ 4$Op ?100 Zoning District Flood Plain Water Protection Lot Size - /, /G +c Grandfathered ❑Yes ❑No I Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) L ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name O t'%11V L02, Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE a!! ATE G A19 c BUILDING PERk4IIT DENIED FOR THE FOLLOWING REASON(S) OC' G 4(qy FOR OFFICIAL USE ONLY b PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE . .OWNER DATE OF;INSPECTION: FOUNDATION , FRAME I INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: RQ�F3/GH 9 4-� FINAL FINAL BUILDING ' �jc �' R DATE CLOSED OU'2 � tr ASSOCIATION PLAN t7 P •. The.Town of Barnstable ;� �$ De�artmeat of Health Safety and Environmental Services Building Division 367 Maia Sues:,Hyannis MA 02601 Off!= 308-790.6:M7 gCanes'b =r :src-: 8uiidia Fax: 308-790-6730 For offl=use only Permit as Dare AFFIDAVIT HOME MOROVEMENTZONTRACTOR LAW SUPPLE AEN T TO PERMIT APPLICATION MGL c. 142A requires tbat the "reconstruction, alterations, renovation, repair, Modernization. conversion. improvement, removal, demolition, or construction of an addition to any pre-ezisting owner occupied building containing at least one but not more than tour dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain czceptions.along with other requirements ` Type of Work: . S1� Est. Cost„ Address of Work:_ y0 5 7 ee(zlt In NY vw�Z S WI{LtfS Owner's Name ?e--r&-YL LAvir,ly Date of Permit Appilcaticn: I hereby certify that: Registration is not required for the following renson(s): Work mdaded by taw _Job under S1.00L Building not owner-occupied _b_Owner palling own permit Notice is hereby guest that: OWN PERMIT OR DEALIIVG WTt1;i UNREGISTERED OWNERS .pULLMG '1I� CONTRACTORS FOR APPLICABLE PROGRA OR=AARAr=FUND UNDER MGLO 142A T HAVE ACt�SS TO TSE.� SIGYED UNDER pMALT'IESS OF PERIURY t hereby apply for a permit as the agent of the owner- Dau Contractor tame Registration No. OR 40 9 6 -7 4�A' Date ownees N rue The Commonwealth of Massachusetts Department of Industrial Accidents •,l _== office offMe5992lloos 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit location 140 STF6-02 E bJ Cin, MIVLS7 - M It,-l.-S DIOR phone# SbB' Zg !to I am a homeowner performing all work myself. ❑ I am a soleroprietor and have no one working in any ca acity ❑ I am an employer providing workers compensation for my employees working on this job. com nnv name: address: dtv- phone Al. insurance cn. 2ftIiCV# IG'!!!Gl 1/1///iu ❑ 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: .... .. cam anv names ■ddrom: M dh- phone#• `^ insurance cnMM eiiev# :`:""•:' cam anv names 7 ..... s:;::;::::•.:.... address• dtv- phone#s d:9 w Insurance co ' :' Am a �i /i Failure to seewe coverage an required under Section 25A of 1tGL 152 can lead to the imposition of eriminaf pmaltles of a line up to SI.500.00 and/or one years'imprisomnmt as well as dill penalties in the form of a STOP WORK ORDER and a foie of 3100.00 a day against me. I understand that a copy of this atatem ns may be forwarded to the Mcc of Investigations of the DIA for coverage vetidcatim 1 do hereby certify under the paint and penalties of perjury that the information provided above is trues and correrx Signattue Date - Print name Phase d oincial use only do not If. in ids am to be completed by city or town ofEWW Sty or town• petmitllicense# ❑Building Department (]I.tcenstng Board checkifinunediate response is required ❑Sdeettnm'.OlRce OHeaM Department eontaet person: phone#• • ❑Other ::........... (Rwm 9195 PJA) �1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for tbrir employees. As quoted from the "law", an employee is defined as every person in the service of another under any coax 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 sore of die foregoing engaged in a joint enterprise, and including the legal representatives of a deceased emplover, or the itc.—n-er --,time 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 Awrml..,e TPVVnnC rn(in maintenance , construction or repair work On such dwelling house or an the grounds c: -» 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 withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the comm omvealth 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 eon==ng authority. NNEENMEMMEMEMEEMEN MINI Applicants rPlease.fill in the workers' compensation affidavit completely, by checking the box that applies to your srtu ition and ' supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be ;submitted to the Department of ladustrial 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. 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 applic=[L Please be sure to fill in the permiulicense number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arraagemeats have bees made. The Office of investigations would like to thank you in advance for you cooperation and should you have any questions.. please io not hesitate to give us a call. /. The Departteat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 011lce of Investigations 600 Washington street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 eat. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER .LICENSE EXEMPTION Please print. DATE (A/74� JOB LOCATION Number Street address Section of town "HOMEOWNER" P�rE�t 1/�6 Nfs 508-If28'UI(o So - 2 - (►3 Name 8 �° � s , Home phone Work phone . - PRESENT MAILING ADDRESS Q n 579�L-mc- �1�R�Z"or.0• VA it-Ls W1�- a26 q'9 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 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: Pexson(sj 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 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 Officia on a form acceptable to the Building Official, that he/she shall be responsibl for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Sta- Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town Barnstable Building Department minimum inspection procedures and requiremofents and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE �� e" ' 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. I HOME OWNER' S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owre: shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 0, 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* act-= as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/Fier 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. I � _ I I 1 i N' V� I Fk.POSED i SNED i Elv 1 GO.+c -cuwD. I(� ' , SCwgGE 'o�SPoSt�. 165. T 3 4s�*st= o m � N 1 p-52.t0 50.00 :I r Boa # 8c�-217 CERTIFIED PLOT PLAN LOCATION. STEERE WAY MAR . MILLS PREPARED FOR: SCALE: 1=50 DATE: 8/3 1/88 REFERENCE. L-3 PB 424 PG 40 WILLIAM SCHULZE I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. ulm down cape engineering, inc . No.33602 ^ j CIVIL ENGINEERS 1 LAND SURVEYORS ROUTE 6A YARMOUTH MA DATE PEG.'VTD SURVEYOP. l3 e/o K 17- io � I I 13 , ► %C.00R t ' r • i I I i � i t I i � �J a;�• ���,� �.� • i l � � � � i i i a�3 Zr. y x r' I � 1 !-.} i..4 �7 63 Pq 1 IIK .2x�j x I sz q y 3 y r/ts07c,t 4-L - i- C a a x Lf x /o' 1 1 1 F 5v 0 t2 oC r' i 4 ec ion �— "_° IO�g' y, (� l Glq7 tali L L 5 ti 2 x 6 k g ' NFADt7t r qo„ ......... IX4 z ; / I x� Zu� k /Z ' \ •, l�f CTs D 3S � qy• � + � I �' � SgFj 3 i l7 sQ � 1 ;L7 {S 0 3 to zy J t T Fit h�l V N�L -34 TA DdTUM MSL/� D T1�tcEt 1 T-:eoA. ' lam' • . �U 4� : �f �, PIPE �I"ft-�• 14" F, ;,;tIL,E;r, oT�+EeW�sE ti1prED, r 4, D�IC>tl L.�a►�(> A.✓_L,1�IZ1�C�.ST UertTS c,�.5r+o -44. t. I 5, P t FL�i t.1.TS St-k�u.. PjE M oPE t,•1 v.7E'2'T"l CrN T � � Ca, �r.1STRUG"tto�l pETdtt.6 To f3E ►J p[,�peD4t1C,t Wt � �, � � � / MAC E�iVtRO�•►t�Et�T�.t, GOC7E "'CITI.E'�' r � I I � .Tt�151�t.t�l 2 t''�t�Pp��WoCK o�1L-`I bND coE�aL1l.D t�07 'aE u 5E D FoE POopEeTy L-t ti1G s'TA i4� '� � �.,,,w .t*O \� j t� � _ r�l ( ':J- � •� ---- ---�L�t ��v�QYEQ ' R•-'�.�► � ,_7 �� \ 1�, �� --_ __ If Z s ;-L.C)kl,� 'P�, _ t✓, I�;nliv I NI 03 � za �aEp ro�1E `l4.1�1 �X LALCI 14, 4c7 12-,c t 1,,E (7�L L6KA TAAJ VL -� Q- 4 ;� v� ✓ ' r DES �'� �^ �� • 7! ? " ITE a►.I o G. L-1�C �' ►`1 1 -i_ . .t Toe: Uown Gape enff2(f6 'inq /I7G '� + Scc►t.E i� -I�� Da?� �i '-'I` r� '� � ' No x>>Gz ',� aA..et I. t �D o� Kfd►,Tt� ,,��� ZS t tSa�/�si r +►d +Y 'RTE -{eeNtoLlTu, NtoSs A A. o�lail�• . ` P E. �� �f'PR0�1 ED Tia"fE