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Home My WebLink About0290 TOWER HILL ROAD ago ��. y;ir-xd 1 �i a t r t f i t� 0 � i i ttt `, 1 �� t 14� TOWN OF BARNSTABLE BUIL G YYRIVAIT APPLICATION 4c� 4 Map l / Parcel Q Application # 0,'' a y Health Divisions Date Issued ` 3 /66 Conservation Division � Application Fee Planning Dept.t. �� Permit Fee p Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address a7 90 OW RV>ile -41,4 02�.S�s' Village Owner r02 JA/ d Address 36,7 M,4;41 P_ ,4T�.,.,,;,� M4 v.wof Telephone Permit Request � ;/e,,, 7�2 dH Rl W01 r��ldT 2a .spew .¢aA Zfty.reil+L. f AddS7at 6r6. /0 x .2D S� ao o Square feet: 1 st floor: existing 6 0 prop6sed.200c 2nd floor: existing proposed Total new _ram Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Wood t 4 cock Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) yIi3 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: IVY4 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 Detached,garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn existing❑ nr size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other��' cn - -� 030, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ �~ Commercial ]Yes ❑ No If yes, site plan review# 10 �. rn � I-Current Use crnwq Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name _dA%4,v 44UZO V Telephone Number 370? 590 - 41.2c Address /je zg k6 w ,,. :rZ License # J-0 0 y CAAV&el, -I9 0233 D Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �/' DATE .2- /6 6 / 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED r MAP/PARCEL N0. ADDRESS Y VILLAGE- OWNER - . � • - r DATE OF INSPECTION: FOUNDATION ,C FRAME t �. INSULATION t FIREPLACE r} ELECTRICAL: ROUGH ` FINAL PLUMBING: ROUGH FINAL ,-, ti r GAS: ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT '3 ASSOCIATION PLAN NO. R r , 5 , r T0'PPI2' o Barnstable, .. Regulatory SerFiCes Thomas F. GeRer,Director i Building Division Thomas Perry, CBO, BuDdiag Com' rolssioner 20O Xfain Street, Hyannis,MA D2-60 f ww R.towitb arras-a b I tna.= Officcc 508=8624038 Fax: 508-790-623C PLAN REVS W Owner `U �( ® cam Map/Pareel: Project Add-tSO' 6 70 `vim- J-<<LBuilder: �.'i LA V Za Dq The faII0 Win g items were noted on reviewing: CO U-)/ C- O�f IL 6i) GD a-c.P L-r�} tic C c,d-) C b--t R- 7eO P tJ' C- V-t c'Z 7 fcQ -c�L,;� ReYieyred by: 4 Dates: 3 — `-F - 1 �L . • ' Office of r 14v itigations. 660 Miihington Street `. .'...Boston;lVlA 02 . : . ivww.mass.gov/dia " . '. ' . : • - . Workers' CompensationInsuraiaceAffidavit: Builders/Contractors/Electridans/Plumbers A Iicant Information Please Print Legibly ' Name(Businessiorguazationllu&vidnan: l Bsvry �-F tge9eQNZf Aga. Address:' 3�'� -/n)9 e�✓ T City/State/Zip:. Phone.#: at 790.— �0�20 Are you an employer? Check.the appropriate bow .Type of project(required),. 1. I am a e to er with . 4. ❑ I am a general contractor and I mp y 6. ❑New construction . employees (RM and/oi part-time).'.. have hired the stib-:ontractors 2:❑ I am a'sole proprietor or partner- Iisted•on the-attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition employees and have workers' working for mein any capacity 9. ❑Budding addition comp.incttrance.t [No workers comp.insurance 10. Electrical repairs or additions _. 5. ❑ We are a corporation and its ❑ . required] officers have.exercised.their 11.0 Plumbing repairs or additions 3.❑ I am a homeowner•doing all work" right df exemption per MGL myself [No workers' comp. ' 12.❑Roof repaizs insurance required.]t c. 152, §1(4),and we have no to o workers' 13.❑ Other empees.[N y comp.ins rance required] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compmsafion policy information. t Homeowners who submmt this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors That check this box.must attached an additional sheet showing the name of the sub-confractors and state whether or not those entities have employees. If the sub-contractars 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: t� /✓ ' �, Policy#or Self-ins.Lic.#: Expiration Date: j Job Site Address: .290 •5;Mlcle/l ✓�� City/StateJZip:. .fTi✓oll� '. &A 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 cri�al 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 maybe forwarded to the Office of Investigations of the DU for insurance coverage verification. X do hereby certify unde a parxs and penalties of perjury that the information provided above is true and correct Signafore:. Date: 2 -� Phone#: i 2 0 Official use only. Do.not write in this area, tb be completed by,tit y.or town official City or.Town: Permit/License# Issuing Authority(& de' one): A.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other. Contact Person: Phone# Iuf®ryn`aon`.anda�strucion Massachusetts General Laws chapter 152 r0 Xr_s:aIl employers to provide workers' compensation.for their employees. `.• ' ' Pursuant mk this.statate,an employee is defined'as".:-every.perso i the service of.another under any contract of 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 ttie legal representatives of a deceased employer,or-the.. ......... ._...:_..,...._.__ ._.__ _ receiver or trastee-of an individual,partnership, association or o er legal entity,emp oymg emp oyees. owever e owner of a dwelling house having not more Siann three aparhnents and who resides therein,or the occupant of the . dwelling house of another who emu loys persons to do maintenance,.construction or repair work on such dwelling house or on the grounds or budding 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 prodnced•acceptable evidence of compliance with the.insmrance coverage required." Additionally,MGL chapter 152, §25C( )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 compliar ce Rrith the ins► i ce 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-contiactor(s)name(s),addresses)and phone numbers) along with their certificate(s) of incitrance. 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 regiired 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 petmit/license number which will be used as a reference number. In addition,an applicant - that must submit multiple pemzit/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 gown)."A copy of the affidavit_that has been officially stumped 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 fo any business or commercial venture (i c. 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: T114 AIL`moaviWth of MassarhusaU - DqwtmMt of liiftst:aal A mid,�-RtS Officc of luyel �tlttus - Bo4on, ILIA 02111 Td. # 617-727-4900 ext 406 or I- MASSAFE i Revised 11-22-06 Fix�617 72777M. .teas vjd1 . . . . IHE :Town o .Barristable Re lat r gu. ory:Services v Maas . �. Thomas F.':Geiler,'Director' . .. .. .. i'63q ' `0 '�Eo nwrt" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www:town.barnstable.ma.ns Office:. 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ?`7E/�i�El� .T ZO , as Owner of the subject property . hereby authorize 6R VA-V Lam}ti to.✓ to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted... S- e er SignatureofApplica-nt .s'T,,��',�E,[l J. s��,r�oi=z rc� � �^�YA:✓ ' L,4vZo�v - ' Print Name Print Name Dae Q:FORMS:OWNERPERMISSIONPOOLS.62012 oFr -.. . !x own of B`arnstabie . ti Regulatory Services I sAxxsrnst E. Thomas F.Geiler,Director. '.r s MASS. L .1639. ��' . .... ..' . . - uildingDivisian::;..: .' - • ArFn �k .Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 . wwwaown.barnstable.rua.us Office: 508-862-4038 Fax-- 508-790-6230 :. HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. . village "HOMEOwNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 Persons)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 withthe 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 requirements. Signature of Homeowner Approval of Building Official Note;.. Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control 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 sppervisor." 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 y, when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed personas 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/certifi cab on for use in your community. Q:forrns:hoi icexernpt N9assacIjusetts- Department of Public SJON .Boiird of Buildirih Re!4ulations and Standards Construction Supervisor License Liceri'se: CS" 65007 BRYAN E LAUZON 18 LAKEVIEW ST POBX 125 S CARVER, MA 02366 cam_ �y f Expiration: 8/23/2013' ('unnnisiuner, Tr#: 1839 Assessor's office(1st Floor): Assessor's map and lot number 7`a( (/ 5��7.�� oS TMt r 0 ' SYSTEM Q`�� Conservation — r_9 INSTALLED IN COMP MUST E `� Board of Health(3rd ibor): / H TITLES LIANC t DAIJ3TAD6 Sewage Permit number (v ENVII�ONNIEN�' E 5 ' `y` Engineering Department(3rd floor): Z`tJ �� , '"TOWN ENUL CODE AND ��o air 6, House number ! REGULATION 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 APPLICATION FOR PERMIT TO ��L�/z C/L!i/ ��//�c� f%�,C�/j!Ll �O p • TYPE OF CONSTRUCTION N000ll Olko vzI 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: �---- Location ':I i F} S �O N� CO 420 S l 1 ( 1 Q fl) Proposed Use t�Dl ,t'� /D� Wlels p/ Zoning District �+ Fire District Name of Owner 7e)wxr e- 2 4&y / J Address i Name of Builder Z3�&e Address Name of Architect Address Number of Rooms Foundation Ce-1Ne,- / Exterior CD/Jere%e �Uel� Roofing Floors CONC?e le Interior Heating APO//(_ Plumbing Iles Fireplace 1110Ne Approximate Cost Area ��0 Diagram of Lot and Building with ,'Oflansion9 Fee 79:�bm cvgTR. 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 Construction Supervisor's License TOWN OF BARNSTABLE No 35672 Permit For REBUILD ROOF _ COMFORT STATION " Location 290 Osterville _ Owner :,Town of Barnstable ; Type of Construction Frame ! _ Plot Lot ` Permit Granted February 25, 19 n 3 - _ ,- Date of Inspection ! 19 f _ Date Completed 19 t� { { i L e, i m o #Omen - Won - - C: Qc � G M U) `o c c f�L,l t0 m m � pq o ca wo17- k c) Y °' a , r. � ca V r, 0 g —.. : + 1'-3' —2•-10• 11'-10' 2•—W 1.-3. ,.� 20•-0• LO 1 Existing Floor Plan -p LO ctf (0 A-1 Scale: 1/2"=1'-0, 't7 a) CC Cli E = Q � :3 x < � Q ti Q N O WoUng Root - ow•w„ro,mE: etinp Roof .. .. Existing Batfi House Roof Codk W�t Bh� be ConnectionWU - to secwc Vent to be removed and repkced�I net btanpular vent . Board to be r. _ - removed .. 2 I J 3* rl Y ❑ a a � ` 4• I ��. FLN _ 11—8 I 3—B —I Z•-B• I 20'-0•— 2p'_p' le Sm as Notetl 06N12011 4 Existing South Elevation 5 Existing North Elevation 2 Existing East Elevation 3 Existing West Elevation A-1 Scale:1/4"=1'-0" A-1 Scale:1/4" Scale: 1/4"=1'-0" A-1 Scale:1/4"=1'-0" • '-11 1/2" '-11 1/2" align - � New Addition r� Existing Building 3'-3 Y"- 3'2" s� New Cleaning 1_p a Cleaning 2x4 strapping t co16"mers o.c. - — (typ),except at comers s a Supply Closet i\ _ %S pply Closet M ` New shingle Y"CDX Plywood New trim New facade MEN door New trim � ••+ ptP 2_p New slab 2'-0" Hand Dryer ESpigot for mop Q _ New foundation cfl o Baby Changing. Moisture barrier - (� o Station -- -- - New footing Q ° ° 2 Proposed East Elevation (n 6„ `n4 —_—New Roof with A-2 Scale: 1/2"=1'0" `o '- Gaf Elk shingles — align � cC N iv — — — Existing Building �� New Addition 2 � _ �o Q O - c N N M Roof I d O cu 1" Sheathing (5 typ. New trim boards- �' O ot$ Rafter c t3l 1" �., 3 p„ Stud 1x4 and 1x3 — O ECn IIIIIII IIIIIIIIIII IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII New shingle CU Blocking facade 0 o0 0 0 1 New prefinished cedar New trim F Q Cn � La�rout&M surements / payout& asurementt shingles New trim p( •6 Concrete for DA req irements o fo ADA re uirements n Block Wall Exterior grade Sheee 3 ShebLA-3 Y"plywood New slab 2„ EMEM 2 New foundation I o c j Pipe Chase I 2x4 blocking attached g Windows to be removed I I '� to existing block and 3 Proposed West Elevation New footing and blocked up to match g"' framing structure existing block wall H u A-2 Scale: 1/4"=1'-0" I Foundation 4^ " e 6 CL I I i `r° .. Electric service to be removed Foundation I i and replaced on the new b I addition o I I 6 I I I A-z -p n Foundation New Pitched Triangular t5 0 (.0 Foundation Footing Foundation Footing J I I Footing Gable Louver vent o I I i 6 Wall Detail Section New windows 0 E = Q A-2 Scale:1"=1'-0" a I 19'6Y" ---� I New shingle < ~J --- ,_p„_—.—.------ --------- --------- --- I facade C o rn y I ti Q N 0 New Foundation Footing — New Wall Additionb for 4000psi concrete slab with Proposed Addition& 20'-4"- fiber mesh re-inforcement c z I New foundation Exterior New slab 1 Proposed Floor Plan&Addition Emil PolyetheleneVapor Barrier 4 Proposed South Elevation A-2 Scale:1/2"=1'0" - - - - - - - - _- - - - - Minimum 8" q-2 Scale:1/4"=1'-0" z Foundation - - - - compacted bank M run gravel - #4 Rebar @ 16" q O.C.(typ.) n. _'_- -_-_ `Compacted . _- _-_ - earth 4„ 4„- Footing aw o (2)#4 Rebar(typ.) 3celeasNoatl osmvmii 16"x 10"Thick Concrete Footing, Min:4'-0"below grade 7 Foundation Detail Section 5 Existing North Elevation A-2 Scale:1"=1'-O" A-2 Scale: 1/4" r tt`` 6'-0• Ct �� Vz pobfick Toilet r B-Z892K11Y0.) �• �p See A . a side a door a Bide a do wo i f0• o o h _ / ... / Grab Bar 1 0 12•Win. ush Valve _— - I W diameter"s25 I 3Z•11(kr. 1 I CM E .. / _ .. Toila Paper otepmw 1 O - / \ F•1 �7 b Bad/ m !1 r O r I m 26• �' �• I 9e I 1B•O.C. 18*O.C. .. T B-Pa them to 2i0':4W dour - V C = Cenbr Tdlete in stalls Door epow AFlE7t the 42e - M -0 � 1.Door Wny to be towbd an the opposite arde from. \ at°g�et n a W _� 1 Regular Toilet Standards-Front Elevation the Tonet Paper Dispermere. 'm \ 1yalL 2.Handlwp stall must be Of x 72"min.Togete must $ Massachusetts ADA Grab Bar&Toilet Standa s w ot$ A-3 Scale:3/4"=1'0" ;a�tnale am p�a least am*al to AM I \ �• A-3 Scale:3/4"=1'0" F e.R shall have an elongated rim hung at a d mmdmum Night a 17. - 30•2 — 7 _ 4.Soap Dispeneare are Bobrkk 8-2111. located to the 'Pone a Roach'to meet ADA standards ' t�- \ CO j a ,Scbddc Toilet Co - Dirrpermor B-2822 - 4 ADA Restroom Standards-Plan i 4C A-3 Scale:3/4"=1'-0" T \ 101 O O O . - ♦1(Irror —— 0 I camccr.a..� Oct Hod *ail / n S! (PAL) 8• �Okr sdga Standard Partitions Oyp.) 17" Bo6A1dr 1080 1180 Durdlne $Orbs Sand elk- / Bobrkk Toilet Paper Overhead Braced — —__ \ / 'o Mwwu r 9-2892 -— \ ear Floor Spate . 2• — stir Floor Space _T _T E to r Fl or nlahad Flo - g to CU to C O N Standard PC tinom(Typ.) •mteh a O Cr O Bobrlek 1030/1180 Duroune 8't— - E SolOverhead BraPoa0wa0e- r 00 I 1 m _ 2 Regular Toilet Standards-Plan h A-3 Scale:3/4"=1'-0" 9 Massachusetts ADA Sink &Mirror Standards Cc H 5 ADA T.P.Dispenser Standards -Front Elevation A-3 Scale:3/4"=1'0" O 0 A-3 Scale:3/4"=1'-0" 10 Massachusetts ADA Sink Standards Q CV O a-1• I A-3 Scale:3/4"=1'-0" i ar stag Partition ti�• TOB-ADA Standard Restroom Details � - Folded Rdl �eeMo BobAek Tollet Paper BCoobartlak B- Hand He*211 / >' TPaperr .ayer . Dtapemor 8-2882 _ .. \ (1yR) —1 F—I IaMm. Babltdr ToOet ppaapprr on��Digwmor B 2892 / l [2" Standard PorWona(Typ.)./ -_Grab Bar D1• �Bob o6o wrmuna a tech Series sons lid anonc- overileoa Braced �4D - Rush Val" • 1- — - — —— > E x. Tolley— 44•Wa I E '�g piPal T IIR IRrS n I �♦ I I __ CT Sceleee Noted OM22011 m 28• 3 Regular Toilet Standards Side Elevation 6 ADA Grab Bar&Toilet Standards 7 ADA Grab Bar&Toilet Standards 11 Massachusetts ADA Dispenser Standards -_3 A-3 Scale:3/4"=1'-0" I,,A-3 Scale:3/4"=1'-0" A-3 A-3 Scale:3/4"=1'-0"