HomeMy WebLinkAbout0066 ARROWHEAD DRIVE �6 Q. AV%�
J �.
1
.�' ►. Town of Barnstable 'Building
BAJWsreuse Post This Card SoTtiat it.is Yis�ble From the Street Approved Plans Must be Retained on Job and this Card Must'be Kept
s " Posted�Until Fal InspectlonHas Been Made ', ;
eaivr` Wh"ere:a Certificate ofOccu°panty is Required such Bu�ldmg shall Notbe Occupied unt�I,a,Final Inspectionhas beenmade �r Permit
Permit No. B-19-2674 Applicant Name:
Approvals
Date Issued: 09/03/2019 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 03/03/2020 Foundation:
Residential Map/Lot: 271-054 Zoning District: RB Sheathing:
Location: 66 ARROWHEAD DRIVE, HYANNIS
Contractor Name:> Framing: 1
J -
Owner on Record: PERREAULT,JENNY E&ROBERT C Contractor„License:
, M, 2
Address: 66 ARROWHEAD DR n�: Est Project Cost: $7,000.00
Chimney:
HYANNIS, MA 02601 ( Permit Fe'e: $85.70
�.
Description: Finish basement-add 1/2 bath,entertainment room'and train Insulation:
p Fee Paid :' $85.70
room &drop ceiling.Smoke detectors '
Dates 9/3/2019 Final:
Project Review Req:
i
Plumbing/Gas
Rough Plumbing:
z.
+ Building Official
2.
This permit shall be deemed abandoned and invalid unless the work authonzed'by this permit is commenced within six.months after,issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application and the'approved construction documents for whi4h'this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning by laws and codes. Rough Gas:
This permit shall be displayed in a location clearly visible from access steeet or road and shall be maintained open for pubficli spectiop for the entire duration of the Final Gas:
work until the completion of the same. �` I
�zA
The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire®ffiaals are provided,on this.permit.
Electrical
Minimum of Five Call Inspections Required for All Construction Work:' Service:
1.Foundation or Footing
2.Sheathing Inspection )'' a ,• Rough:
3.All Fireplaces must be inspected at the throat level before firest flue''lining issinstaffed`
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Application Number.
asn88 � A Permit Fee......Z4?.t...t ............OtherFee:
1639• �
9G 19 PH 4: Total Fee Paid............._.. ......................................... ....
TON OF BARNSTABLE Permit Approval by W . ....on....��0 3.1.9.
BUILDING WAT �p
- � map......c�.V.................Parcel......�l..��......:..............
APPLICATION
Section 1 — Owner's Information and Project Location -
Project Address$���n f�t-rC)W heca d nr . Village ah n
Owners NameK'� �� Y� �► �C,�'h�-P (���' 'T
Owners Legal Address es-Nxyl- .
City State Zip
Owners Cell# 10 2-!J E-mail I
Section 2 Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
.❑ Single/Two Family Dwelling
Section 3 'Type of Permit
❑ New Construction NO Move/Relocate ❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild ❑ Deck Apartment Sprinkler System
❑ Addition Retaining wall ❑ Solar
❑ Renovation ❑ Pool, ❑ Insulation
Other—Specify
Section 4 - Work Description
I r � '112 �r--
Cei, r\
r eo+,,-A.+.A• 1 1/1 QMl11 4
r
Application Number................... ...............................
. Section 5—Detail t '
Cost of Proposed Construction — Square Footage of Project
Age of Structure Dig Safe Number
# Of Bedrooms Existing Total#Of Bedrooms (proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom
i
Water Supply _ ❑ Public ❑ Private
Sewage Disposal ❑ Municipal ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed j
Side Yard Required Proposed
i
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last undated: 11/15/2018
----- -.
r
The Commonwealth'of Massachusetts `
Department of IndustrikdAccidents
Office of Invest1gations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia ;
Workers' Compensation Insurance Affidavit: Builders/Contractors/Blectiicians/Plumbers
Applicant Infs mmation Please Print Legibly
Name(B mess/Organization/Individual)i�hm A e rr-P b
Ad es's:
/State/Zi - VAQ1toQ Phone#:
Are you an employer?Check the appropriate bog: Type of project(required): ,
1.El I am a em to er with 4. ❑ I am'a general contractor and I
p Y 6. ❑New construction
employees(full and/or part-time).* have hired 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 8• ❑Demolition
working for me in an aci employees and have workers'
,� Y capacity. t 9. ❑Building addition
[No workers'comp.insurance cow' 0e 10. Electrical repairs or additions
Zreg11il.�] 5. ❑ We are a corporation and its, ❑ rep
3. I am a homeowner doing all work officers have exercised their _ 11.❑Plumbing repairs or additions
myself[No workers'comp.. of exemption per MGL 12.❑Roof repairs
t c. 152,§1(4),and we have no
insurance required.] '
employees.[No workers' 13.❑Other
' . comp.insurance required.]
*Any applicant that checks box#I 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.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
4 -
Insurance Company Name:
Policy#or Self-ins.Lie.#: 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 r
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 certify under the pains and penalties of perjury that the information provided above is true and correct
St Lure:
Date:
gI
Pfiro a#: - . ,
Oj,j`icial 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
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 shad 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-contractors)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 member 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 permittlicense 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 bike 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 Maschusetts
Department of Industrsa
ial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111 -
Tel.#617-727-4900 ext 446 or 1-877-MA.SSA,FE
Revised 4-24-07 Fax#617-727-7749 ,
www;mam.gov/dia
E
t
Application Number...........................................
Section 9—Construction Supervisor
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email Cell #
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 Town of Barnstable.Attach a copy of your license.
Signature Date
Section 10-Home Improvement Contractor
Name Telephone Number
Address City' State Zip
Registration Number Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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 Town of Barnstable.Attach a copy of your H.I.C...
Signature Date
Section 11 Home Owners License Exemption
Home Owners Name:
Telephone Number� 2 (���- . 2.�Cell or ork Number ( _
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 the Town of Barnstable. `
ignature Date
APPLICANT SIGNATURE
Si - ature Date 11 01
t Name ,,)f)n n ��Y-r-� Telephone Number �_1(� < <J�
-mail permit to:
Last undated: 11/15/2018
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) ❑
Historic District ❑ Site Plan Review(if required) ❑
i
Fire Department ❑
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval
Section 13 Owner's Authorization
i
I, , as Owner of the subject property hereby
authorize to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of j ob)
Signature of Owner date
Print Name
i
Y r f n
f
Last updated: 11/15/2018
r'lOv�£C Ck,s'F' , k'"7 �� �� vV�il� I S
ovqtjv
Alp —T� -, T --- �J' `� od
1 1 .. -t i_ �� 1.. 1 1 _ / ' C.E.9D.t V"� 'J V�11�.1 �'n
��� r I L - - thee r- +-
�[ ';
" ti •. /�- a
�� { \ �'.
�1CoD '.
v.. I :.,'' , ,., .
� .
/7EP i/ f��c�4f6�E�(i1/r�"
!, I.
'mot"` ,n � -
-4-� I.
.
.
�.
-'1
t,' i
i .
�y. \� .
tt��
W
I. : fi
mp` k 7 {,It I{
l� �6 j .
F -:---� _ - ' .
„ \ \':\. u
\ f --
\ :.. / k.
?<a ,�
._ .
..
%.. .\
\ ,
I
�.
a Z �1 f!
t pf.
.' a1.
r1
I I
` e, , \ Ili ! `1, �}''. � �� �9 E ' \ !�
1. } (— d , f
+ oo¢ ti
1 a
t.: v 4 ;.
o ... n �: 6..
Wit'
I.
,- - _
1C — C- ._t ..._ .
,,_. .'
--'
s I
� ' r
l + N '
: . t r %L
�� coo, O, �'� ✓L' s�11;: .�c?.r�'
� e t��Q a- �°' of
� �
2
!� �
!�lG FT .�/1.J�/ , .. - : Tom~. �Q - \.-_VW f.1>X CiI
� . , . . , D- ....-1-1 I'. I.-
--
I r1 t
v
I '
• -., lU E} � �,- i .�4
�6
f - b
r I \ V �x
< I
I �r
0
d I�.
,
�r- = ---�
,.7
,
fi v -
E-yy0\"nr,I'S 1
Town of Barnstable
s oFIHE r Regulatory Services
Richard V.Scali,Director
B,9M� ; Building Division
r MASS.60 Tom Perry,Building Commissioner
�'ArEn rmat°' 200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Approved:
Fee:. . c3 5—
Permit#: . 3
HOME OCCUPATION REGISTRATION
Date: 3 21 L,
Name: n nm T L)b2r-t PP rr r^a A cL-_Phone#: -Sri- -7 1
Address:(p� ja)l)J�O a Village:
.Name of Business: 4 om P Qu(1
Type of Business: Map/Lot:
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation.
within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual.alteration to the
premises which would suggest'anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions: I
• The activity is carved on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
•, Such use occupies no more than 400 square feet of space.
• There are no external alterations to the dwelling which are not customary in residential buildings,and there is
no outside.evidence of such use.
• No traffic will be generated in excess of normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,
odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of
normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation. .
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit
I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering.
Applicant �-c�� {+1 a� � n Date: Z/ /
Homeoe.doc Rev.103113
ti
YOU WISH TO OPEN A BUSINESS?For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall)and get the Business Certificate that is
required by law.
, .. DATE: -d Z. I in Fill in please:
APPLICANT'S YOUR NAME/S: J P n c� k cYn PP r r-e Ca u 1
BUSINESS YOUR HOME ADDRESS: t,( �r rc)w 1�P v\�a D�
" + TELEPHONE # Horne Telephone Numbers w
NAME OF CORPORATION:
NAME OF NEW BUSINESS gun TYPE OF BUSINESS i1 v' l
IS THIS A HOME OCCUPATION? YES j —, /
ADDRESS OF BUSINESS f f�i� Q : 0 MAP/PARCEL NUMBER 21�" CJ S 7 (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST' GO TO 200 Main St..- (corner of Yarmouth
Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'9Signature
This individual has been ' f permit requirements that pertain to this type of.business.
MUST COMPLY WITH HOMEOCCUPATION
ut orize * RULES AND REGULATIONS. FAILURE TO
COMMENTS: COMPLY MAY RESULT IN FINF.0,
2. BOAR
D
This individual has been informed of the permit requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed>of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS: �
TNETo�°o TOWN OF BAR.NSTABLE
i BAWSTADLE, i
p�
"6 9 BUILDING INSPECTOR
'FD MPY a'
APPLICATION FOR PERMIT TO ...................... < < � Q............................ ...... .... ...............................
TYPE OF CONSTRUCTIOND...Q..0 ........? / �,�`'...................................... .. .......................................
.... ...................................19.. C�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location �...:. .. UGC../ . ...............t�i ..,r �.n� .........
. .
Propcsed- Uqe ........... ./ D..4!Y E4...I... ...... .....................................................................................................
Zoning District ..........1\ A..... .............................Fire District ...........� .....................
Nameof Owner ..... 7......A .1..�✓...............Address ....................................................................................
Nameof Builder ...Y!.1 .: . . ....... ...........;...Address ....................................................................................
Name of Architect . ,t. ./............du.j..`..............Address ....................................................................................
Number of Rooms ....... .....7�. Z.A-le �..e�e.g........Foundation ........�.. l� �... . .. ..... ... .......... ........ .....................
/ r
Exierior ....................4104.,l......................................................Roofing ......................S......... ......................................
/ r
Floors ............(' :. ..11�l. "/il.(................... lC.............Interior .............��`�.r!l/°oE+:..:.....................I.................
Heating ........................................................::.Plumbing ..................................................................................
Fireplace ......... ...........................................................Approximate Cost ..........,..�� ✓
. .. ...............................................
Difinitive Plan Approved by Planning Board _2-_ —______1971d e` ,5-7
Diagram of Lot and Building with Dimensions ,z:7Ce,
C9
G
l
i
hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
„, Name ..................................................................................
�
�
�
. ^
Kuil. Gerrit
194
08 build addition
Location-..77��.,&r.rowhead Drive
rlis
.........................=.==`=`=-----------`-
Db�l
Owner --.\q����---------'--'---'
' � \ �
)
Type of Construction -------------'..
/
�
^
-----^-------'-----------'-'' > �
Plot .. ��
----.----. ................................
�
|
Permit Granted 6et«bar. �, lQ 7D �
'' '------' ' \ (
Dote of Inspection .+ -- / ..l9 7-0
�
~ ~ �~^ !
Dote Completed ---��..����..��---]A
� PERMIT REFUSED �
--^^~^-------.---------. lV
'
^^--------'-'`~----^---'----'-''
^-~---.---.--...-.---.---~~--.- .
~---'~~--^-^------^--^^--'--`-
�
N ' -
� ^.---..-----.----...-..---.-.-,.. .
--__�
�
Approved lQ
_`-'-y-.-��-------- '
�
-^-------------^^-^-~-^^--'--
-
----.--.---.-----------.--..,
�
. �
'
-
�' x
i:. .
r :., h -
��`c, J�
N
c /c6 r^
Td{
..� _�_._
�l. - w .
11
'9 d
i- i- mot' `
i 4
r�
I
f I kTA—i,:F �t
;p i �! .
- 7� t
—^h--� I `.. ..STin.' F't A?-A �'T..- C
r I I - R:
' �? i -may 4 -�
y \
7
t Q
�3 ,
i Y I h I a
v I':' ` � I
Z
h41 ��x 4
�F, ;L .
�� - I: 1
J �r' ,i 1 ro
�� T
I .
�1
:` I 1 I
r
1
e
A,I v 2n a�
..1 ,` \
1 3 I i t (\�'�'
1
J - ,, .�
x Ry
r� �..
I
:I 0
/J �I )r
-
r 1
1.:Y
.
�,
.
0
#,�
I
� _
— _ a
p i;i
�``t
V. 1 I; r'
\, '.
��
.I y
� I c\
)! :
fy
, . k -j
l �� , C_
1/
\y
.
:'
6
-,. `�
-- ..
:7
-�.�
{
•
•
(r 91, !
1
T,
=.1
i
n;
, r
,. 1.
` I l
I _
. 1
I -
M�,< �l ` I.
`fit I i •'; ' .t , � i,1 I
1 I ' I I
I .
-
I
I I
i l Irk77
:.
f,