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HomeMy WebLinkAbout0019 HARTFORD AVENUE i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I o Parcel D C3 Permit# 567q Health Division ® j bd5 ° Date Issued. D Conservation Division 1q0(Ax)M% /Fee 6 VV1 Tax Collector , �.LQ�- � �I f 901 SEPTIC SYSTEM MUST Sty 1 00 rqHe Treasurer Y`-�° � / INSTALLED IN COMPLIANCE Planning Dept. ENVIRONMENj4L CODE titil)WITH TITLE 5 Date Definitive Plan Approved by Planning Board TOWN REOULAT3mis Historic-OKH Preservation/Hyannis Project Street Address Village \ l l t 4 d Owner _i936%tiA NOCACkAddress .S 10 ✓D') t Telephone 3p q — (0 Permit Request L17ccy\� PUC�_ Square feet: 1st floor: existing q proposed 2nd floor: existing _ proposed 6 ? 2—Total new 1&7 Z_1_ Valuation 0 Zoning District Flood Plain Groundwater Overlay Construction Type �►*x�s`�. ���Ne 6' 0 Lot Size,; V 00 Grandfathered: ❑Yes kNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age 9f Existing Structure i�62— Historic House: ❑Yes Ao On Old King's Highway: ❑Yes )(No Basement Type: ❑ Full ❑Crawl El Walkout ❑Other 'I afement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �— .Number of Baths: Full: existing new / Half: existing new r Number 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 /Vo Fireplaces: Existing I New_G Existing wood/coal stove: ❑Yes )No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size�arn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: / Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use 51W&(_(, A-oA(L \ , �, ZCa—Proposed,llse &222� BUILDER INFORMATION Name TWC0,I145 Y�)Of_s Telephone Number �.y�• ,,� �l� Address Lima bP License# ® 9 (17 m/yb—LAiyA, YT1 6 C�` �Cy Home Improvement Contractor# l 0 Worker's Compensation Q ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 1 FOR OFFICIAL USE ONLY R - PERMIT NO. DATE ISSUED MAP/PARCEL NO. ' ADDRESS' VILLAGE OWNER _ 9 x 5 1 6L 3 DATE OF INSPECTION: FOUNDATION -` FRAME //oaxId2- .N Y s INSULATION FIREPLACE � ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH. FINAL GAS: ROUGH ` FINAL T " FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. Y The Commonwealth of Massachusetts 1— — •_: Department of Industrial Accidents office of10e5998110os --� _ 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance davit location440t A 6 crty / � � �f L�5 � � phone# ❑ I am a homeowner performing all work myself. I am a sole rietor and have no one world>z in aav acity rovidin workers' co ensation for my employees working on this job. ..:: :::.:.:::::::.:....::::::.::::::.:::.::::::.::. Cl I am an em lover g mP :::::::.................................::::::.:::::.::::.:::::::::::::.}::.}:;.:.}:.>:.};::.....:.....::;::;:: <;;><:::>::>::::>::>:::::::>::>:::: ;nam a ss .............. Vom ............. care " . `one CV h ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following.....o..r..:ke:.r:s:,:.co. p enon polices: .. : .: . : ::::m .... . ......: :..: : : .: _ .:.:::. _ :: : :: : : : :::. :::m ............. r; .............. ......:::.:::: ........ ..... ........... :address :}.:,{:::';::;;::::'.`•:::::.',,:{:::;2:;:is�i::Sr:}:;Sri:::;:;3::_::::�i::.w:•::;-}>:.:.;:;>::?•:::•::.};..}:.}:.>:;}:;i:=i:;;;:i:%:i:::::;^::::i�::i:::::�:::::::!:;`:;::;;:^t:::::::?:::;.. ::::::::::...:::.:::.:::::::::::::::::::..�::::::::.:::::::.::::•..::r::rriii:-r::r::;::-r;:i:::•}i::i:::;;'�.';:::;:r>:.i::::::< r.r:::::.}. .�::::-:. ....... ir:4i}rr;!4rr:i:v ii::v'• •: jiri'v:`i�`:i`�iiJ .....................::::::::::::::::::..}}}:•:}}ii:i}i}:i•:i3}}};}:?3}};3:;4}}i}}:?J}}fir.;}}}};•}}ii}}}:??•:}}:J:3i:•}}}}:??:....v.3}}}r Si;::::•:;:.:•.}:>.::4::i•}};•}{riri•:,;:•:.w;,-i. ...::::::::::::-w... ............ ............:...vv.. ..... ..... .................. ............................... ................................. .............:t....-:•.:v':.'.i><i;i:U??;ip}i%ti^::•}i:::vr,?•}:v}....'\'>:tryi}:C... ............... .....................................:•.............................:.................. ........r.}::::w:::::::.v:::::::::.v:•v.. .... .........wr.,..r....... .............::..... :::::.....::::..::Sir::rr:?•};-};,->:;;:r':,;:;:;:r`i:::>:.}:.::?.}}:.>}:.:.<:;::::::::<:::;::::::::.:.}:.:::.:>}:^}:.:?.:;:.:.Sa}}::.:::` :Y,.,............. Aiity# � :ram "dEies X. M. a ::: ::: ............................... .......:::: ::::::::::::::::.::::::.::.:::::::.:::::::::.::'::::::::.::::::::::::::::::::::::::::::::.::::....::::::::..................::... ... ... .::: :................:......:.......,...........:.......:.:..........,.:....:.................:.,......:...........:.:::. .. ..:::......:.::.::...:::. .......... n�nrance:co::.:::.....::;:::::.::::.: ............... vlawlfflll7lllllllllll FWh=to secure coverage as required under section 25A of MGL 152 an lead to the imposition of criminal penalties of a fine up to S1,S00.00 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 Otnce of Investigations of the DIA for coverage verification. I do hereby certify+ the pains Tfpenalties of perjury ihat-dw vtformation provided above is tru.and coned signature Date Print name �. .��— `'� Phone# g �� I official use only do not write in this area to be completed by city or town otflcial city or town:— permit/license k ❑Btdlding Department []Licensing Board nse is re aired ❑Selectmen's Office ❑checkifimmediaterespo q ❑Health Department contact person: phone fi; — ❑Other Ucvued 9/93 P1N ' r 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 use or on the grounds or another who employs persons to do maintenance;construction or repair work on such dwelling ho 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 renewa 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 m shall enter into for ents of this ve be en pies ce of public emed to the contk until racting acceptable evidence of compliance with the. suranc qua 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 maybe submitted to the Department of Industrial Accide for confirmation of insurance coverage Also be sure to sign and nts or town that the application for the permit or license is date the affidavit. The affidavit should be returned to the city ��w»or if you being requested, not the Department of IndustrW Accidents. Should you have any questions regarding the 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. , /%%%//////%�%/ Milli The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of 113vesugadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 lV _` . The Town of Barnstable • BARNsrnsLe. MASS. g Regulatory Services i679' •`� Thomas F. Geiler,Director, �Ea rM't Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508790-6230 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 regis red contractors,with certain exceptions,along with other requirements. ,_ �GO Estimated Cost A Type of Work: G © Address of Work: Owner's Name Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law MJob 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 'a• �_o� _ > 9� Date Contractor Name Registration No. OR s I Date Owner's Name q:forms:A f fidav:rev-070601 M CMR Appema 1 Table JS2-Ib(coadaossi) Fossil FoalsPrescriptive Pacica6a for One and T..Familr Residential Batldia0 grid wdb MAmmum hirmUAN Wail Flow Bntsaest Slab ing/Cooliag GU=9 Glaring CORM em9' gq,npmon Md Aim'(%) U.vaiuej R-veltte' R vsLtd ��� wall permterR &vatuef 5"1 to 6500 Hotta;D Normal Q 12% 0.40 3E ;1J 19 10 6 19 10 6 Noramt R 12% 032 30 19 6 95 AFUE S 12% OSO 3E 13 19 10 Normal 13 25 NIA N/A T 15% 0.36 3E 6 Normal U 15% 0.46 3E 19 19 10 NIA ES AFUE v 15•/0 0.44 3E 13 2S NIA Its AFUE W 15% 0.52 30 19 19 10 6 NIA Normal X l8•/. 032 3E 13 . 25 N/A fWA Note ni y 19% 0.42 3E 19 2S NIA �AFUE Z I8•/. 0.42 3E 1J - 9 10AA 19% OS0 30 l9 19 l0 90 AFUE ADDRESS OF PROPERTY: I. A , 1 2. SQUARE FOOTAGE OF ALL EKTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: ` 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DG ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION BUILDING INSPECTOR APPROVAL: YES: NO: q-foffns-f9803O3a 780 Cy1R Appendix J Footnotes to Table J5.2.1b: o sk liehu. and ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-,-lass doors, Y basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table fl.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 insulation and R-38 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof (if used). Do not include 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing exterior siding, structural sheathing, and interior drywall.For example,an R-19 requirement requirementsuldbeet apply EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing• wood-flame or mass(concrete,masonry,log)wall constructions,but do.not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements., or garages).Floors over outside air must meet the ceiling requirements. `T�.e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must me=: the same R-value requirement as above-grade walls. Windows and.sliding glass doors of conditioned b...,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3;4,or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5M la NOTES: a)Glazing areas and U-vaires,are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for.that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,'basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). - 43 i BUvm Robert and Patr4 is Crocker H` LW ffon Is land an �s WW MY riot-be eftliw qo +I +I O •;fit.: . r " wooer p - Af Advantage Mortgage MORTGAGE INSPECTION PLAN me rfITs(wu nBll wm 1 CERWY THAT THE SURDM MOM! DO ( ) C610ORM 10 S7 MAOK IaQUIR1113mom ' l A�4�s7V� /���G LE. (FRONT, SDE. •REAR SETBADK ONLY) OF Barns able M ?I OONSTPoUGIim. OR ARE [M rT VIOU7101 ACT10N UNDER.MASS. G:L MASSACHUSETTS TITLE VA. CHAPTER 40A. WITI N 7, MM OT11E]tr115E NOTED. I PURnOt CWFY THAT THIS PROPERTY Is Not LOCA70 M THE WABUSFED FLOOD DEED HAZARD AREK OOMMUNITY PANEL NO.:250001-0015C DATE: 7-2-82 7M OOMPANY IS NOT RESPOMM FOR ANY INDannEs MADE SU>SoaUDIT TO 11E RE7DORDW BOOK DATE OF THE LATEST D® OF RED011D. PAGE ME?EVFR BUI DDWS ARE SHOMI LESS THAN.ONE FOOT FROM THE PR P IT IS ADVISED CERT. NO. THAT A MORE PRECfSE SURVEY BE MADE TO VERWY THESE MEASUR UMC N OF M PLAN BK. PAGE THIS ERTIFICATK111 IS BASED ON THE LOGITK>!! OF SURVEY �T p� 4T A PROPERTY SURVEEG VEPOWATM OF SURVEY AND SHOD. pLµ f DATED_ _ 11AY BE AOOOMPLISM ONLY BY AN AOCURAM WRUIWID1T ' D TED '%i t� -nncA110N TO BE USED FOR MOR URP ONLY. -4 OFFSETS AS SHOWN ARE NO ;0E; 1'- USED FOR THE ESTABLISHMENT of B R A D F O R D No. U. ENGINEERING •CO. • P.D. Box.1244 ' '� " HAVE*KL MA. 01831 TAMES W. WMIOUKAS R4 TEL (9p) 373-2396 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildinj Additions $50.00 C Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE nn ld�quare feet x$96/sq.foot=kqt 0 2 x.0031= `l plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE � / ® x.0031= 1 0 _square feet x$64/sq.foot= ? �O plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ftt >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 L Above Ground Swimming Pool $25.00 I C7 Relocation/Moving $150.00 (plus above if applicable) Permit Fee I projcost �) � � O G ,.1 \I 77. P,OF tHE Tpy� The Town of Barnstable BABN5rABLE. Department of Health Safety and Environmental Services '67q. �0 prEo Mpg Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW ; '�-- Owner: Otoo-ke y, Map/Parcel: Project Addres l3uilder7McWAS or5e nti , The following items were noted on reviewing: 'uee C-OVS-5 0,Jk7d0ZU 110 69231-ATk2e Q P s_03ri nc" 4�v-- Wh do S , J Reviewed by: Date q:bui lding:forms:review f . E9SZ0 dN, youP ue -' �, - .. . ... .:.. S �p a�oysaile.l �6t !1CLV81SINIwOV • as�oN se�oU1 � ���� �NI1300N3�.35808 '8 SVNONI ZO/Bi/ Y80 :adc1 9i;.ZbOi. ::00rlejrdx3 ' :ooraeilsr6aa N013fl8!Np3 1N3N3A MI 3NON i BOARD OF BUILDING REGULATIONS t. Ucense: CONSTRUCTION SUPERVISOR 3 Number.•`CS 009474 Birthdate'98122 I957 4 T p _ 8/22/2003 Tr.no: 1519 . Restricts__d 00 THOMAS R MORSE. 393 LAKESHORE DR•. - � SANDWICH, MA 02563 ' Administrator 4 i . :i , A y,!+� i •1, Fatt ' '�.1ktr¢l'w18tS.l�,L':nJ1.�2� ,�� i` � � I • i HubL.. FT-1-1=77 R14HTI �4 T�o-t Ai► SMOKE DETECTORS O.K. kAN*STALE UILDING DEPT. i . f! r 10, ,^ '24.24INew Al•O.N. I -- fr..n.N.(2-) i. - ... 1 0►T t'Xibh N4 `yam r, EXI%T IN 9 K%TC116LJ r i � �-------� w A~A O � ►Xl5`C 111y \ � AM,L � M� fig�i.eJT" Cam, �tt `` i ��• • � O ' � 1 ',�i<: SG:':t:✓.i::f: �'7i. iSi:i'.tihfl!i� ;�, �eoll �sy i! �ot Foo•r�WCs-S l