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Home My WebLink About0041 YAWL ROAD Q a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION pjS l AB Map Parcel��3S J v �. j Application # 6,c Health Division Date Issued Conservation Division , Application Fee I Planning Dept. DIVISION Permit Fee 171 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 1 4AW L Village MPRb'KoQS Owner�p' jt- RUwC s_ MID") Address 'A % %►twit_ ` x-.&C) Telephone Permit Request A- G n %Q a Nx . L'sn yGn- z acy_ n1_4-- N N\e Square feet: 1 st floor: existing MS proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation >t S� —Construction Type t,�MAuJ Lot Size • %A to Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 5i/ Two Family ❑ Multi-Family (# units) Age of Existing Structure �a5'S Historic House: ❑Yes � Ctd o On Old King's Highway: ❑Yes 110 Basement Type: &'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) 01-114 Basement Unfinished Area (sq.ft) 1 LAU Number of Baths: Full: existing Z new Half: existing 1 new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Sas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes M/No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 2l0 Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: M/existing ❑ new size _Shed: Wexisting ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name fAIMMA , ZP .M- Telephone Number o �1 -1 ZS'�Z Address �A CnhQtcSS LA,&IC License # 0CkSN7,S Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DE IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE IT FOR OFFICIAL USE ONLY APPLICATION# --DATE ISSUED §. MAP/PARCEL NO. ADDRESS t..'VILLAGE OWNER , _ DATE OF INSPECTION: ? r , .FO.UNDATLONw,1160.,.,NO FRAME INSULATION. FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ._DATE CLOSED OUT i ASSOCIATION PLAN NO. ; II; The Commompealth of Massadlruseas Department of Industrial Accidents Office of 1•mwtigations 600 Washington Street _ Boston,MA 02111 wmv.mas&grw/dirt workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print 1,m'b Name \`Qe�`(X=M,�P�! nQC-SS\O•u1�L� I� C � �f Address: tom( Mn C),J-,� CnJAPrZiS Uy�S-c CityfStatel �CC� Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑FIam a employer with 4. ❑I am a general contractor and I oyees(full andlor part-time).* have hiredthe sub-contractors 6. ❑New oemstruction 2. a sole proprietor or partner- listed on the attached sheet: 7. ❑Remodeling ship and have no employees. Thy sub contractors have 8. ❑Demolition warLdng for me is any capacity: 11 and have worms' 9. ❑Building addition [No workers'comp.insurance omp required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No wonders'comp. right of exemption per MGL 12.❑I�eSf repairs insuranceiet��re�]T c. 152,§1(4X and we have no �/ ��C\C employees.[No workers' 13. Other camp.msurance required_]' ;Any applicaar&at ched:s boa 91 mast also fill outthe secdoubelow sliming their workers`compensationpoEcy information- Homemners wbo sub=st this affidavit iudkztm g they are doing all work sad&m hire cawde contractors mast submit a new affidavit indicating smrfi =Caauac I rs that check this boat must attacbed an additional sheet siwuiag the name of the sub-comm um,and stale whether or ant ftse enfities have employees. Ifthe dab-coat wurs bane employees,deym=prouide their workers'comp.policy number. lam an employ the is prouidb W markers'compensation inmiraum for my earphnyeex Below is the policy and job site information. Insurance Company Name: Policy#or Self=ins.Luc.#: Expiration Date: Job Site Address: CitylStawzip: Attach a copy of the workers' ensation policy declaration page(showing the policy number and expiration date.). Failure to secure coverage as r4pdunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50D.00 andlor year imprisonmenk as well as civil penatties.in the form of a STOP WORK ORDER and a fine of up to$250-00 a day ag . the violator. Be advised that a copy of this statement maybe forwarded to the Of of Investigations of the DIA insurance coverage vetcation. I do hereby carlrfjt rrr thep i s ryes ofgerjuty that the informationpra drd above fs true an rrect Sitmature: Date: ot Phone IOfjfcial use enhy. Do not aurae in this area,to be completed by city or town official, City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C ity1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 Information and Instructions ' Massachusetts Geheaal Laws chapter 152 reg irm all employers to provide workers'compensation for their employees. p 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 vnployEr is defined as"an individaaI,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a Joint use,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partneasbip,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(o)also sties that"every state or Iocal licensing agency shall withhold the issuance or renewal of a Iicease'or permit to operate a business or to constrdci buZdings 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)`status"Neither the cZmnaawe:alth nor arry�of its political subdivisions shall enter into any rommtract for the perfounaace ofpublic work until acceptable evidence of compliance with the insuran cd. ra r,- i ents of this chapter have Been presented to the contracting ammthozity."� �` r Applicants Please fill out the workers'compensation affidavit completely,by checl®g the boxes that apply to your situation and,if necessary,supply sub-contactor(s)nan e*), addresses)and phone numbers)along with their certficat-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or partners,are not requireed to carry workers' compensation insurance. If an LLC or UP does have employees, a policy is regnsed_ Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for conformation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retimmed to the city or town that the application for the permit or license is being requested,not the Department of Ind:ntrial Accidents./Shouldyou have any questions regarding the law or ifyou ate regnh-ed to obtain a workers' compealsation 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 in fill in the pent licrose number which will be used as a reference number. In addition, an applicant that must submit multiple pennidllicrose 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 oit 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 bum leaves etc.)said person is NOT requi rrd to complete this affidavit The Of of Investigations would Imke 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. . 4 -Thee CxN nwealth of Mul- chusetis 1?f_-paitment of h idusirial Accidents C� ce of I•ve5tgatio= 600_Wasbingtan St=t c Both MA Elul 11 TeL 4 617'27-4900 oxt 406 or 1-V7-MA&i.,� Fax#617-727-7749 Revised 4-24-07 wwW_mas5_gaYjdia - - - Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165291 Type: Private Corporation Expiration: 1/27/2016 Tr# 247914 TRADEMARK PROFESSIONALS MICHAEL BAKER 78 BRIDLE PATH MARSTONS MILLS, MA 02648 Update Address and return card.Mark reason for change. (� Address E] Renewal E] Employment Lost Card SCA 1 Co 20M-05/11 License or registration val' for individul use only \, office of Consumer Affairs&Busi ess Regulation before the expiration da . If found return to: �H2OME IMPROVEMENT CONTRACTOR Type. office of Consumer A rs and Business Regulation registration: 165291 10 Park Plaza-Suit 70 Expiration: 1I27/2016 Private Corporation Boston,MA 02116 r� TRADEMARK PROFESSIONALS MICHAEL BAKER 78 BRIDLE PATH 4a✓� _z— MARSTONS MILLS,MA 02648 Undersecret ry No valid without signature Massachusetts -Department of Public Safety ,Board of Building Reaulatijons ,nd'St3,r.dar. Constru Ction Supervisor License: CS-093325 , IA ra MICHAEL B BAIgR ' 78 BRIDLE PATH Mantons Mills MA- 026'a8 Expiration Conimissioner 08/06/2015 ems:•. , :. _ ,. ... 4 R "Y"' S.. f�. .�.• Sl�hlly y �J ._..4 -.Y� >L" ION �, {�T, -SFr ��i-• �.' 7 -- �.♦. .. sit !,. '�"�,. _. """ '_.� 'y, t,k •w �� '. .. ! •A� ; ys f '.•�� ✓ •++��S'•�[ M-,E. 7`? r �� .1l •J + 1'Y1%e+A A flat!� �(.a. r ','' BMW Y f� t•r.` ,•'1 1, •.�. �-Y. '� Ilk j • ; , y .ice i -. �� j i •��4�� .� s7�^;' � �� .'fir � . r r � � e �t .1 All �y _._. 4, -F 4WDAMSVOWN gla a C . # +,, ?' �,Fx $i51 E JtL�D.CAIVU SURVrYOR ,��p O-W GLRTlFY ' THAT xis FOU0ATION IS"COCd�E�=' _ ��S�.,OF w's� r 3X tar AS.SNOWN` ANa ONFORV S T D rnt r0 c� m o x 9RA*7 LF o-cme -HE REsa lNeo� Ar1D,CtT L1lU `S •� R4YMOND ►f Q f4t, ZI583 O si7 W • �� `� 31� Q 4 W L, ` ' �:;', w , n, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O��s Parcel Application Health Division Date Issued �3 l Conservation Division Application Fee lcy) Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis 1 �• Project Street Address Village i I 2T I �LJ Owner Address LA Telephone �, � �^1 :-.Permit.Request _ `" - - _ _ ZXlri 0 9.��'CQ Q i�_IJ1 Cr SNACK- 1 Anm&_ \ Square feet: 1 st floor: existingkX\!Lproposed 2nd floor: existing / proposed _Total new Zoning District Flood Plain Groundwater Overlay. G Project Valuation Zg CK�o Construction Type 'Lot Size 4 '4 (e Grandfathered: ❑Yes ❑ No If yes, attach s pportingcdocuentation. Dwelling Type: Single Family 1 Two Family ❑ Multi-Family (# units) Age of Existing Structure. \��7) - Historic House: ❑Yes �d No On Old King' Highwa .. ❑Y� ®Tlo -LL Basement Type: &'Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) �qao Basement Unfinished Area (sq.ft) Zinc Number of Baths: Full: existing i: new \ Half: existing \ new Number of Bedrooms: Z existing 1new Total Room Count (not including baths): existing 1A new 3 First Floor Room Count �1 Heat Type and Fuel: ZGas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes Q'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes o Detached garage:Zisting ❑ new size_Pool: ❑ existing ❑ new size_ Barn: ❑ existing ❑ new size_ Attached garage: sting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name LA\CA \''GCS J� Telephone Number Address -1� R_9_Q_Z- C*y'" License # Og33 Z� Home Improvement Contractor# 4!FEZ, Z�1 Email_ @_-CQWCtG Worker's Compensation # ALL CONSTRUCTION DE RIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �r�� \ 1 L4 FOR OFFICIAL USE ONLY 4 APPLICATION# DATE:ISSUED MAP/PARCEL NO'. 0 ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION FRAME X IV' INSULATION 1?�-&A(ov 1(10-7V(� P&4—, d FIREPLACE t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL° GAS: ROUGH FINAL FINAL BUILDING �?F//t/1 � 1 � �� &15- QAT,&CLOSED'OUT AUQMATION PLAN NO. 27w Coymm mush Of Mf ssaehMetf Demar�rrf1ndksftid Accidents office I 6frave-sikkafie"s 600 Wnsfibmtoin Street $osfonr MA 02M - rvKhv.tnass:go�din - W,orkers' Campensafian Insurance Affidavit BuildersfCnn"cturs/FJectri.cian&Oumbers 4*_,spl_H�nt Infarmation Please Prmf Legibly Name(Besmear! : i 21°M 9. N/, Cityfstat>?I7_ip: - Phhone A- lire you an employer?Check the appropriate box: Tz ect r 4. I ataa contractor and I 3' €�� -L❑ I a employer with ❑ ��. 6- employees(full aadlorpart4ime}* have lzict:d the� 0� 2 I am a sole or or er- " - '-'listed on the attached sheet - 7- Remodeling IP �� These sob-contractors have strip and have no employees 8_ ❑Demalitiou eroding for me in any capacity employees and have workers' 4 ❑Building addition . [No-workmrs'comp.insurance COIIIp_rncnran : reT a] 5- ❑ We are a cotporatimand its 10-0 Electrical repairs of additions 3.❑ I am a homwwner doing all worli officers have exercised their 11-0 Plnmbiag repairs or additions o workers,�- right.of exemption per MGL 12.❑Roof repairs myself [No c 152,§I(1F},and we have as insurance t�ired.�-j 13-0 Other employees.[No workers' comp-insurance required-] *flay�Pb thatcherks box-lams'A oflloutthesectionbelowshawkgfheirwotisets'compeasafionpolir}-�rmztttrd fi ffo-metrwners orho submit this sfcla-�m&c.ti�g tLey a2 doing aII zr °*1 fh�b~�*e wide caatxaanrs snbagir anew affidavit mfrirgtin snrL PCnnb:amrs that check this box must attached an additional sheet doR n„the name of 6e mb-cantr-�and state vrbether ormnt lbase mwffks have empkyees. If the sob-contmctars have employees,they aotst piuvide this warkere comp.policy number- lam m an employer ihra is prmadiug tnorkm'conq7ensrrtio.n irtsurarice for my employees. Betaty is t'he pQ cy and job sits informer-d HL Insurance CompanyNatne: Policy 9 or Self-ins-11,--4: Expiration Date: Job Site Address: LA\ "I � City/State/Zip_�� Attach a,0DPy Gftheworke3fcompensation policy declaratiou page.(shoving the policy number and expiration date). Failum to secure coverAa equired under Sectior<25A of MGL r 152 can lead to the imposition ofcriminal penalfies of a fine up to$L500.00 ane-yearimpriso as well as curd penalties in fire form of a STOP WORK ORDER and a fine of up to$250-00 a daythe violator. Be advised that a copy of this statement maybe forwarded to the Office of hwestigations of the Dnsurance coverage verffication- I do Ttereby ce&fy u 'is ttndpenai€ies ofpcdury t hatthe information pratridcgd abase is true and correct tore: Date: — \ Phone 9- tiff Edol use only. Da trot tprii:s in ttds area,to be compleW by city or town officraL City or Town: P'ermilUcense# Issuing Anthoritg(drde one): . L Board of Health 2.Building Department 3.CRTH,awn amk 4.Electrical brspector S.Ph=bmg bnsltector 6.Other Contact Person: Phone#- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees., Puisuantto this statute,an employee is defined as"_every person in the service of another under any contract ofhire, ' express or implied, oral or written." An employer is de£med 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 Iocal licensing agency shall withhold the issuance or i. renewal of a licensetr or permit to operate a business or to consuct buildings is the commonwealth for any applicant who has not produced acceptable evidence of compliance with the hnsura.nce.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 in crn ance 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 sulrcontractor(s)name(s), address(es)and phone numnber(s)along with their certi ncaic-(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)V&hno employees other than the members or partners,are not required to cant'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 insmmnce 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-in sm7ance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and prated 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 permittlicense applications in any given year,need only submif one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or r 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 fvtuae 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 veature (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations wound 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. at Commanwealth of Ma.ssachuset ,- Departneat off Indust ial A,ccidMnts Office of lavf,- igatFans 600 Wasbingtan StrefA- &oStGu, Q211 I Tel,#617-727-4905 exfi 4•06 or 1-977 MkSWE Revised 4-24-07 Fax# 617-727-7749 w_mass gov/dia �'WE r � Town of Barnstable Regulatory Services . . �BAIM M Richard V.Scali,Director i63p. �0 039. Building Division , Tom Perry,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 as Owner of the subject property hereby authorize M\e,��'(�C=� � 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 e applicant. Pools are not to be filled or utilized before fence is ' ed and all final inspections are performed and accepted. Signature of Owner Signa of Applicant r"C�— c. ep c Print Name Print Naive Date Q:FORM S:O WNERPERMISSIONPOOLS t4 Massachusetts - Department of Public Safety `'.,Board of Building Rggufations.and Stindards Construction Surcrvisor License: CS-093325 MICHAEL B BA1gR 78 BRIDLE PATH r' Marstons Mills MA Xl . 111 -":`X. - Expiration Commissioner 08/06/2015 i R _ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 165291 Type: Private Corporation Expiration: 1/27/2016 Tr# 247914 TRADEMARK PROFESSIONALS MICHAEL BAKER 78 BRIDLE PATH MARSTONS MILLS, MA 02648 : .S. Update Address and return card.Mark reason for change. SCA 1 {i 20M-05/11 - Address Renewal Employment Lost Card `'��e �Go•�ivrirvorrorrrl��o/.�CiF'(,rrdJrcc�irJcJ P"\ Office of Consumer Affairs&Busibess Regulation License or registration val' for individul use only rHOME IMPROVEMENT CONTRACTOR before the expiration da If found return to: egistration: 165291 Type: Office of Consumer Af rs and Business Regulation Expiration: , 1/27/2016. Private Corporation 10 Park Plaza-Suit 70 Boston,MAt02116TRADEMARK PROFESSIONALSMICHAEL BAKER 78 BRIDLE PATHMARSTONS MILLS,MA 02648Undcrsecretary Nout signature �111' Existing 1st Floor Douse Plan 9905 OHOM • � I I � Bathroom � I Dining Room Kitchen - LjI I e99Z m N 999Z 998Z 9999 9989 990E Living Room e o m N 999E i TradeMark Professionals Mike Baker Project Address: 4 Moon Compass Cole Residence Sandwich, MA 02563 41 Yawl Road 508-717-2982 Osterville, MA trademarkprof@comcast.net 10"dia footing 48"deep to frost line Footings 10" diameter 48" below grade Pressure Treated 2x8 frame with 2x8 galv joist hangers Center supporting girder- pressure treated triple 2x8 metal stapped to the frame and posts Pressure treated posts will be sifting on a gale post foot anchored with 8" J bolts Ledger 6" lead/bolt anchored locked to the concrete foundation staggered every 16" 20' Deck Elevation will be one step to finished grade - Grider and frame will be sitting on ground level footings O 30'-4" 3068 717�- II I � o Shower Walk Down UP JL— Existing shower I` li �i - j TRADEMARiI L1` '" l��w`' PROFESSIONALS Existing Basement wICHAEI aAKER 9�, OZ6S` �8. BRIOLE PAIN MARSIOMSHLLS JA 02669 2814Ho sole o 1 v M SMOK ETECTORS REVIEW- 9 -- ��ED �- - �Lf BARNSTABLE BUILDING DEPT. DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTIN: CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE. ' o UP - r LIVINGI REA 1116sgft I .,r IRADENARN PROFESSIONALS LNG � �� Vctu� AIC0AEL BAKER 18 BRIDLE PATH MARSTOMSKILLS MA O 40 � 508.111.19e1 Proposed Basement Egress Through Bulkhead In Ground Ejector Pump 2814HO 3068 O f� O e7 _ athroom I ' 72"Wet Bar (RI° 26M 2668 ® Fan 22-11 3/16 o Sewing Room N �_ t— Living 10'- 6" x 11' `1 7'-4 9/16"``) Room 2668 ao LAJJ 26M 28M FanTech Air Exchanger HRV Up to 1400sq' 120 CFM 3'-6" 2M - 2x4 Wall Construction w/PT Bottom Plates Closet - R-13 Fiberglass Insulation wNapor Barrier All Outside Walls Storage 4'x g' Egress Window Well &Window - 1/2" Drywall on the Ceilings &Walls Bedroom WellCraft 2062 w/Cover - Egress Window Well w/Egress Window ® 9 10'- 6" x 13'-9" -Air Exchanger HRV 120CFM o UP o> 917 sq' Finished Living Space Finished Ceiling Height 6'- 9" o � t oFt► , Town of Barnstable .*Permit# 6 3(� pExpires 6 months from issue date Regulatory Services Fee BAIMsTASLe, - Thomas� F. Geiler� Director A'.�b39• A10 ' ESS.PERMIT Building Division Tom Perry,CBO, Building Commissioner NOV 2008 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us • Office: 0RIER3 8.6ARNS-i.ABLE Fak_: 50.8-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 'Not Valid.without RedX--Press Imprint Map/parcel Number Property Address / 1611 W-1-1 —�� Residential Value of Work` , ' j.? - L,t a Minimum fee of$25.00 for work under$6000.06 Owner's Name&Address- �/LI !� C_ Contractor's Name Telephone Number home Improvement Contractor License#(if applicable) . Construction Supervisor's License-#(if applicable) ❑Workman's Compensation Insurance Check one: I am a''sole.proprietor. ti I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy.of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re.-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going-over existing layers of roof) ❑ Re-side Vy Replacement Windows/doors/sliders. U-Value ^_. (maximum .44) •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation;etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE:. ; Q:\WPFILESTORM$ uildin ' ermit forms\EXPRESS.doc Revised 100608 / The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance• davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legribly . Name(Business/Organization/Individual): ��flel�y /e&r'Zll C Address: / ��11 t- /L - City/State/Zip: BX/'fPil. _jj� ,Li Phone.#; QD 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 6. ❑New construction. employees(full and/or part-time).* have hired the sub-contractors 2:0 I am a sole proprietor of partner- listed on the attached sheet. 7...0 Remodeling ship and have no employees These sub-contractors have g, 0 Demolition working for me in any capacity. employees and have workers' 9 0 Building addition INo workers' comp.•insurance comp. insurance.t required.] 5: 0 We are a corporation and its 10.❑ Electrical repairs or additions 3�I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we'have no employees. [No workers' 13.2 Other/.1g�� comp. insurance required.] *Any applicant_that checks box#1 must also fill out the section below showing their workers'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-contractors and state whether or not those entities have employees. If the sub-contractors 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 thepolicy 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 tip 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 maybe forwarded to the_'Office,tf. Investigations of the MA for insurance coverage verification. I do hereby certify under the pains-and penalties of perjury that the information provided above is true and correct. -r— f Signature: Date: _ Phone#: Official use.only. Do not write in this area,to be completed by city or town offtciaL 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#: 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. d in a joint enterprise,and includi the legal representatives of ii deceased employer,-oi tlie` -"— - g g.engaged J a g g. rP � n g 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 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 1 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 permittlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site:Address" I.he 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 io any business or commercial venture (i.e. a dog license or permit to bum 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 ladustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 TO. # 617-727-4900 ext 406 or 1-877-N ASSAFE Fax 4 617-727-7749 . Revised 11-22-06 www.mass.gov/dia � rati Town of Barnstable Regulatory Services BARNST9 nUABiEss $ Thomas F.Geiler,Director i639 �Q' '�En,Mr 16 Building.-Division Tom Perry,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 as Owner of the subject.property hereby authorize to act on my behalf, I in all matters relative to work authorized by this building permit application'for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION Town of Barnstable_ ��Op THE 1p�y . �. Regulatory Services BARNSr.,BEF- : Thomas F. Geiler,Director 6 9. ,0� Building Division. PlFDi Tom Perry,Building Commissioner 200 Main.Street..Hyannis,MA 02601 . vt*w.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOI%EOWNER LICENSE EXEMPTION / [ Please Print DATE: 7 JOB LOCAnON: Gc/L . olti4j number street village "HOMEOWNER": �l name home phone# work phone# CURRENT MAILING ADDRESS: S? P eityhown 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. DEFINMON OF HOMEONVNER 1 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 requirements and that he/she will comply with said procedures and re ' ments Si atitre o 9 caner 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 rcquiisd 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 ad 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 cart t amend and adopt.such a form/certification for use in your community. Q:forrns:homeexempt _ <...-....:: : .. y:r...,y..,.�..,..... �.;L..,•. �.,.. ., _ ...a..,,, -�• _ . . - .. `+"' �;Lai:':2>'r�s'y.`-'a'.;,�aa�..; -.,.a;..<- Assessor's map and lot number .. .. 3 f1 CJ �P�pi THE Sewage Permit number ...........e.9 .......................... ro BARNSTABLE. i House number ............:.:................................... rasa 9 G� i639. Q YPY a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ............... '?............. ...................................................................... TYPE OF CONSTRUCTION ................ .................................................. 1 ................ ...............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �:(��r. �� ..... (�jlftad..............._..!1..............•..........;..red �.r-ate¢,�... .c-G-Cam/............... ProposedUse ......../-q........ !. r.....................,......................:....................................................................... Zoning District ..........RA...................................................Fire District ..... Name of Owner, V.Q ??.� .,��✓/ -o.. .� a�t� �Address .. .` ... 4 ..... ........................... Name of Builder. ......................—4 9-O? r er-�''......................Address ..:. 'U.................................................. Nameof Architect ..................................................................Address .......................................:�............................................. Number of Rooms ............... ...........................................Foundation .... -�?�c h- �C&—,................................... Exierior ...........Roofing ........ %. '. ! -;f1.. ...................................... Floors ........................................Interior ................................. l/ � t t/ ;.. _ _1 v:� - Heating ..................................................Plumbing ....... ........................................................................ .-- - - Fireplace ............... .................................................`...............Approximate•Cost //-� Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ...... .. 'r��1�............ Diagram of Lot and Building with Dimensions Feed SUBJECT TO APPROVAL OF BOARD OF HEALTH t 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. Nameu.. ' ..............:.. '........... .�'a ,ems.. ` H ............. s .%, DENNIS STAR STRUCTION A=98-35 CO79�� " No ..23964 One Story . ....... ...... Permit for .................................... Single Family Dwelling ............................................................................... Location .....Lot....#.1.4.......4.1...Yawl....Ro-a.d..... Marstons Mills ...................................................... ....................... Owner ....Dennis Star Construction .............................................................. Type of Construction ....F........me....ra .......................... ................................................................................ Plot ............................ Lot ................................. Permit Granted April .16, 82 ........................................19 Date of Inspection ....................................19 Date Completed ......................................19 � Assessor's map and lot numl3er INSTALLED IN COMMIANCE WITH TITLE 5 ENVIRONMENTAL C,0111�i House number Tf 0 MAY TOWN OF BARNSTABLE | ` BUILDING N �� INSPECTOR �� -- -- - ---- ~ -- ~- ~ ~~ ~~ ~ ~� .~ ~ ~~ ~~ APPLICATION FOR PERMIT TO --- —.--..-.---..-----------..--.-' . . TYPE OF CONSTRUCTION �� .. .��.��.��... ------] . . TO THE INSPECTOR OF BUILDINGS: . . The undersigned hereby for according the following information: af7 Nome of Architect --------------.-------'A66nss --------------------------'— «�- Number of Rooms ------�---------------'Foun6otion —. -----------' Emo,io, ' . � ----RooGng ' .................................................... le | i Floors, —. ------------. n^e,o, — ---__—_____ Heating ---- ��------------------.�um6ing � --'��—^� ........................................................ ' Fireplace / Approximate � � X/ ' u0 ----'_-------.��-------------' ----- —_-------------.— Definitive F1on Approved by Planning Board l9----' Area -- .......................... Diagram of Lot and Building with Dimensions Fee ........... .. ...... ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH ` v ^ o � | ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. - No .............. u yr';DENNIS STAR CONSTRUCTION c - No ...2 3 9 6 4.. Permit for One Story ..................................... Famly,...Dwelling................. Location .....LQ.t...#14......41. Yawl...Road .. .............. c NIdS. .P.i�s..Mills Owner .. tar Construction i p.�Xln�. .....S........................................... `4 Frame Type of Construction .......................................... a - '. ................................................................................ Plot ............................ Lot ................................ ` April 16 82 :I Permit Granted .......A...pr...............................19 Date of Inspection ....................... f Date Completed '' 19 .. ... 3 DP { } t' 41L ' f+�f� �:+ 3�11 r,^slti tt i.!•may*,r �4�t� y, �fiL F v'� '��(44'f�'��P.'x't � �?• r NN: '. �;;_;,Lau i "'�a�,�� •,� ,,�,�.�r� 4'v'. • '4. ^ t. OUNOA TION LOCATION J r•', MASS. 0 By ' 015 MED,LAND SURVEYOR -.-rxi�,-sic��•��zarr�rnL�C•= - -- -- �.i r NERfer GEftfff r TMAT TNf.9 RWNbA� 1S LOCAM Of w, . -�N ?Wf LOT AS.S+M OWN ANO TO THE Toow. :Wgw lovopw f IUNINS ftreuLArIONS REGARDING 3 SET If16NES AJVD d7 UNES 40 ` 21` .- R r � TOWN OF BARNSTABLE permit No. t Building Inspector »n.0 cash ------------------------- � �0r"Y•` OCCUPANCY PERMIT Bond ----__ --- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to t1PlliilS �t;ar taxi<triieticurt Address Soucii icar,iK) LL. q ,iA Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department _ ��,7 i Inspection date 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. .................................................. 19... . _ ........................................................................................................._._._ Building Inspector