HomeMy WebLinkAbout0297 TOWER HILL ROAD n
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Town of Barnstable Building
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
MAE& Posted,Until Final Inspection Has Been Made. - Permit
059. �8
• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a final Inspection has been made.
Permit No. B-18-2716 Applicant Name: Mike McMahon
Approvals
Date Issued: 08/21/2018 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 02/21/2019 Foundation:
Location: 297 TOWER HILL ROAD,OSTERVILLE Map/Lot: _118-096 Zoning District: RC Sheathing:
Owner on Record: Gary Frieders Contractor Name,,MICHAEL T MCMAHON Framing: 1
Address: 297 Tower Hill Road - _ Contractor License: CS-068111 2
Osterville, MA 02655 ! Est. Project Cost: $6,695.00 Chimney:t Y:
Description: Weatherization,weather stripping,air sealing,and blown cellulose. Permit Fee: $85.00
Insulation:
Project Review Req: Fee Paid:{ $85.00
j Date: ' 8/21/2018 Final:
Plumbing/Gas
Rough Plumbing:
---� Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within'Six months after`issuance.
% Rough Gas:
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. Final 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. .�
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: -
1.Foundation or Footing J Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
i 6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
I Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. �,r_1P ���J`!� Health
Work shall not proceed until the Inspector has approved the various stages of construction. !j - Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
I�
ing Kept-(3rcMloor) Map Parcel Permit# 0 1 Z 2—
,J House#- g7g7 ._ � - Date Issued
a.p� I
Board of Health(3rd floor)(8:15 -9:30/1:00-#36j Fee p7�c �:,6uV
Conservation Office(4th floor)(8:30-9:30/1:00--2:00)
Planning Dept.(1st floor/School Admin. Bldg.) ►p,;-
:� �
DefinitiLPlanrov�d-b. Planning Board 19BARNSTABLE.
19.�� TOWN OYBARNSTABLE
Building Permit Application +
Project Street Address
Village (04eAV I �-P rn/9
Owner
Address
Telephone +
Permit Request
'First Floor square feet Second Floor square feet
Construction Type c
Estimated Project Cost $ a/&Z)
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
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)
❑Other(size)
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ❑No If yes, site plan review#
Current Use Proposed Use
Builder Information
Name dect-4q C Telephone Number
Address "71 -27q-a Co✓, C//7 License#
/
C..OAU� �/� . Home Improvement Contractor#
Worker's Compensation#IW I S/S 3 6
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 BETAKEN TO �C�/rdyld L7��
SIGNATURE IA DATE
BUILDING PERMIT DENIED FOR THE LLOWING REASON(S) fl
FOR OFFICIAL USE ONLY •,
PERMIT NO. 30 J ��
DATE ISSUED -
MAP/PARCEL NO.
ADDRESS `I"" VILLAGE 9
OWNER
' J 1
DATE OF.INSPECTION:
FOUNDATION t ,
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH , FINAL
PLUMBING: ROUGH FINAL.
GAS: ROUGH FINAL
FINAL BUILDING _�, 1j2 e �
DATE CLOSED OUT ' v
ASSOCIATION PLAN NO.
rt' Z11E Tq�O�
The Town of Barnstable
• s�atrsr� •
9NUB& ,0�' Department of Health Safety and Environmental Services
TED MAt�' Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only ,
Permit no.
Date '
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
Type of Work: Est.Cost
Address of Work:
Owner's Name a
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date' Contractor'Name Registration No.
OR
Date Owner's Name
y. .
The Commonwealth of Massachusetts
Department of Industrial Accidents
= Office 91/nsestiff0ons
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
name:
location:
city phone#
❑ I am a homeowner performing all work myself.
❑ I am a sole roprietor and have no one workin in any capacity
%�///to or a %
I am an employer providing workers' compensation for my employees working on this job
�.:.: ............
' ; ........ .
.
.. ........
....
.............
.......... ......
........ ...
address:. ............................
City:-: hone#:
insurance co. oltcv#
❑ 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:
comoanv name:
address:.
......
»:.:<
hn
one
ci #r
.#insurance ... : ......
/
co anv:name:in ;.:.. .:. .
......................................................
address
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piney .:::.
.. .. ....................................................
insurance cm.a. :..::;:.::::;::::>;:>>::>:;::>:>::<:>::>:<:::>:;;:;<:>::><;:>::;::>>:::
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage veriflcation.
1 do hereby certify a pains and ies of perjury that the information provided above is true and correct
Signature Date
Print name C � -� Phone#
official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required ❑Selectmen's Oflfce
❑Health Department
contact person: phone#; ❑Other
(mined 9/95 PJA)
l � Q
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or
trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be
submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is
being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you
are required to obtain a workers' compensation policy, please call the Department at the number listed below.
City or Towns
Please be sure that the affidavit is complete and printed legibly. 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. The affidavits may be returned io
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
amce of Imtesuga"Ons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375 .