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1934 MAIN ST./RTE 6A(W.BARN.)
..v S M EACH® Na 63L OR UPC IMO smsad.om • Meft to UM P e 0 W i Town of Barnstable Building -M Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept BAIMAB MAS& Posted Until Final Inspection Has Been Made.t639. Permit �� ' 039. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-811 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 04/13/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/13/2020 Foundation: Location: 1934 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 216-035 Zoning District: RF Sheathing: Owner on Record: WRIGHT,ANDREW C&VIRGINIA E Contractor Name: HOMEOWNER IS APPLICANT Framing: 1 EXEMPT Contractor License: EXE Address: 1934 MAIN STREET � 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 100.00 Chimney: Description: Windows(2) Permit Fee: $35.00 f Insulation: Project Review Req: Fee Paid $35.00 Final: Date: 4/13/2020 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 y rx months afte issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and str0uctures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: 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. Minimum of Five Call Inspections Required for All Construction Work: Service:- 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: rso ing 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 �c Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT io - Application nu4er:a "..�0 11U/4,o Fee ..................... ............................. IIV pp MASS MqR 1 Fpl. Building Inspectors Initials......l .m................... zest. �` T r74//VOF 20 Bg Date Issued............ (..�3.1.Z©............................... A�S�gB Mapl ..... ....l.(�Parcel.. ............... F TOWN OF BARNSTABLE SCANt�. EXPEDITED PERMIT APPLICATION: r ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION �"-- PROPERTY INFORMATION Ad ress of Project: (q3 4 Ae 4, 'I 1465-1 B}ENffA ON-, ER"` STREET��` V'IIiL"AGEYO' W@. re hs-Name: h r,1 D R..� W R K i1 Phon ier 8 5? 93 9. 0 52-L, REina l"Address: P CWr1 jk4o a�Lam Cell Phone Number Sri NoP ojecticost$ 0® Check one Resin d'e tial ✓ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: Date: " WT-YPEf0FiW-ORK=22-=� ED Siding 0 Windows (no header change)# a" 0 Doors (no header change)# EDInsulation/Weatherization EJ Roof(not applying more than 1 layer of shingles) 0 Commercial Doors require an inspector's review Construction Debris will be going to E] Certificate of occupancy with no construction (complete below) Occupant/family relationship or business name or Existing amnesty apartment (attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor urA Phone number _ ALL PROPERTIES THAT HAVE STRUCTURES VER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER...........................................`............ 1 ' *For Tents Only* ,. • Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X , X Additional tent dimensions can be attached on a separate piece of paper. st� Purpose o -Event Check one;°this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No , if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model /I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side OiVIEOWNER--S-L-ICENSE EXEMP—TION I r � 1. elephone IVumber�3 `39� 2. f C-el�l"or�Work'riumberl►�"� I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the loof arnstable. Signature.----- C-Datf (=3 ZD 7,0 APPLICANT'S SIGNATURE ignature CDate.--az—&-)Lft All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts .f Department o De art Industrial Accidents P Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 3ITle-(� Busine s rg�anization/Individual): 4N OV.(�d kJ(P l<Ell Address:•--.I q.>3`1" MGL,t� J � WKI' 2NS'(A g LC City/9Eie—e-/Zip:• R g� E M �� hone #: 6 5' - 939. b Are you an employer?aeck 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 hived the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees { These sub-contractors.have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions am:a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no ❑ p employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 111 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. $Contractors 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. am an employer that is providing workers'compensation insurance for my employees. Below is the policy 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 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdfypnderlhe pat7 and enaldes of perjury that the information provided above is true and correct. 5 ..�'e &,("/ A �-� D_ate:—._I_?J ' ,,07, Phone ' b 7/ Official use only. Do not write in this area,to be completed by city or town official 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 s 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 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 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 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/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 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 to any business or commercial venture (i.e.a dog license or permit to burn 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 Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia Town of Barnstable snR.S Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Shed MA&% $ Posted Until Final Inspection Has Been Made. 03¢ Registration '�a�• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. b Registration Number: B-20-810 Applicant Name: WRIGHT,ANDREW C&VIRGINIA E Ap provals Date Issued: 04/13/2020 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 10/13/2020 Foundation: Location: 1934 MAIN ST./RTE 6A(W.BARN.),WEST Map/Lot: 216-035 Zoning District: RF Sheathing: Owner on Record: WRIGHT,ANDREW C&VIRGINIA E Contractor Name: HOMEOWNER IS APPLICANT Framing: 1 \1. Address: 1934 MAIN STREET Contractor License: EXEMPT 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $0.00 Chimney: Description: install new shed 12 x 12 Permit Fee: $35.00 f Insulation: Project Review Req: Fee Paid:J $35.00 Date: 4/13/2020 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 aftelissuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st uctures shall be in compliance with the local zoning by-laws and codes. 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 Final Gas: 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_ Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons acting With unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department fi Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: i *r6 BUILDING DEPT. To�v�a of Barnstable THE rqy� Building Department Services MAR .13 2020 Brian Florence, CBO • 3�3* *�3rT, • Building Commissioner TOWN OF BARNSTABLE MA$3 ibsq.06 200 Main Street', Hyannis,MA 02601 ED www.town.barnstable mans Office: 508-862-4038 Fag: 508-790-6230 PERMU# $35.00 SCANNED SHED REGISTRATION RESIDENTIAL ONLY 100 square feet or less 11 434 M A I J S-r Ili( �3Ap-NsnfsLc Location of shed(address) Village No-)gz� + �LRG1\j)A VK1 wr .F 5- 0 '5-7,lo, lPr6perty owner's name Telephone mmitrr Size of Shed Map/Parc # Signature Date Hyannis Main.Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off boors for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT*PLAN Q fbrms-sbe&eg REV:08/6/17 !STOP FNDN. AT EL. 82.2' SYSTEM PROFILE ACCESS COVER TO WITHIN 6" OF FIN. GRADE (NOT TO SCALE) ACCESS COVER (WATERTIGHT) TO 72.5 MINIMUM .75' OF COVER OVER PRECAST WITHIN 6" OF FIN. GRADE 2% SLOPE REQUIRED OVER SYSTEM 2" DOUBLE WASHED PEAS ONE- RUN PIPE LEVEL 78.3±* FOR FIRST 2' PROPOSED 1500 / 70 50,7 GALLON SEPTIC 70 25� / TANK (H- 10 ) GAS 69.O' ~ BAFFLE 69.17' �� o O o CD C7 U [ MIN 68.67 pppp CD OO.[ ( 2 7. SLOPE) �6" CRUSHED STONE OR MECHANICAL go 2 0CD TEE SIZES: 0 ElCD O O CD [ COMPACTION. (15.221 [2]) $o$g, DEPTH OF FLOW = 4 MIN ( 2 SLOPE) ( 1 % SLOPE) 3/4" TO 1 1/2" DOUBLE WASH INLET DEPTH = 10" OUTLET DEPTH = 14" FOUNDATION— 50' SEPTIC TANK 52' D' BOX 12' LE/ *THE INSTALLER SHALL VERIFY THE FAC LOCATIONS OF ALL UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS PRIOR TO INSTALLING ANY PORTION OF 5' REMOVAL OF UNSUITABLE SOIL REQUIRED SEPTIC SYSTEM AROUND PERIMETER OF LEACHING FACILITY, DOWN TO SUITABLE SOIL LAYER (DOWN ABOUT I 7.5' - SEE TH2). REPLACE WITH CLEAN MED. SAND. ENGINEER TO INSPECT AND CERTIFY K REMOVAL ^ 't � BENCHMARK W — ___�� CONCRETE BOUND ��--- I ELE V>=71.24' i OW ` HOUSE WELL ALL BUILDING SEWERS MUST'--- ;„Z - POST CONNECT TO NEW SYSTEM I DRIVED I I NOTE: MANY FALLEN TREES ( � AND MUCH BRUSH THI .I IN THIS AREA i a GARAGE CP 1 / 6, POSSIBLE ^h o8 �-,, CESSPOOLS s� �— ,s j9 0 \9` << EXISTING EL e` OUT DWELLING =78.3't TF=82.2' 6� STONE SEE NOTE I FOUNDATION fJ O F p S NOTE: MEASUREMENT TO TOP OF PIPE !� TAKEN 4' INSIDE FOUNDATION W PIPE GOES DOWN INTO DIRT CELLAR I To 25 FT GP R.O.W. y� p 1 W I LOT AREA I 37,400 SFt I L=140.84' R-570.00 MAIN STREET - ROUTE 6A 3-340