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HomeMy WebLinkAbout0145 BUCKWOOD DRIVE /fS Bue.(Zraa/ �,� 1_ _ � - \ i Town of Barnstable �THE Tp Building Department Services Brian Florence,CBO • uxxsrasr . • Building Commissioner Mass. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# r' �' �Sa Fm $35.00 SBXD REGISTRATION RESIDENTIAL ONLY 200 square feet or Iess e S `' �u C. woad D/L NYAwwIS wln- tbaI Location of shed(address) Village f�n� fi aAyvk SOo - 36a 29 1 Property owner's name Telephone number r Id x 4 2 —6 f , Size of Shed Map/Parcel# J 1009101 e Date Hyannis Main Street Waterfront Historic District? . Old King's Highway Historic District Commission jurisdiction? You must file with Old Ydng's Highway Conservation Commission(signature is required) Sign off ho'nrs 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 FEB. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. ='THIS FORM MUST U ACCOARANIEU BY A PLOY PLAN . Q-forms-sbedreg REV:08/6/17 pRTGAG E INSPECTIO N PLAN BOSTON S UR VE y� jNC. PO.i3oX 290220 07-07471 (617) 242-1313 Charlestown,MA 02129 APPL/CANT. HURD MA1N (617) 242-1616 FAx LOCATION; 145 BUCKWOOD DRIVE CITY STATE. HYANNIS, MA TO-'TO: D E E D /C ERT. 175796 EM/GRANT MORTGAGE C PLAN REF. OMPg I,I Y,INC. SCALE, 35404,q SCALE, 1 inch =20 feet PREPARED: 12-14-2007 75.00 LOT 28 to X, A Of W • N f: V DECK tat #145 1 STORY >x 75.00 sron Survey So/(ware BUCKWOOD DRIVE tructures are approximately located on the .They either conformed to the setback �ZH OF M hc local zoningy1 q`rS,yc ` According to Federal Emergency'uciion.or are xe apt I omtviolation tat y b y Management anent Agency dEOR�E � Ps.the major improvements on this properly fall in an m under M.G.L.Title VII,Chapter 40A, it there are no encroachments of major C. a designated as Zone. �O tnilwS ter way across property lines except:u CommunityM tereun. Panel No. ?1j Ellbetive Dalc: NOTE:Zone C is areas Of boundary or title insurance survey.This p s we U RV F ` This des gnat on is not based al�loodin g) its Board of 9(no shading). Regislratinn,.�..__._ Town of Barnstable Building PostTh'�s CacdSo That rt,'s.11ts'ble-'Fr<om theStreetA roved Plans Must beFReta',ned on Joband.th'sCard Must be.Ke,t BAEtNsrlBs.�; - " .� sail, =:'. • M" Posted U�nt'IFinal Inspection Has Been R W.here a�'Cet'ficate:of®ccu a`n'c s's Re u'red `suchBu'Id'n shall Not be Occu 'ed.untilaF.Enallns'"ect'o't has been made., Permit . '� .., Y � Applicant Name: Craig Orn Permit No. -1 -2217 •B 9 Approvals Date issued: 07/16/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential. Expiration Date: 01/16/2020 Foundation: Location: 14S BUCKWOOD DRIVE, HYANNIS _ Map/Lot: 272-086 Zoning District: RC-1 Sheathing: ' Contractor:Name: ;.,CRAIG MORN Framing: 1 I Owner on Record: BAYUK, ENET Address: 145 BUCKWOOD DRIVE " Contractor6'cense CS-080034 2 HYANNIS, MA 02601a: Est. Pro"ect Cost: 6 786.00 ti 1.,_ Chimney: E `� Y• Description: Installation of an interconnected rooftop PV ystem `12(290w) Permit Fee: $85.00 panels 3.48 KW DC - .` Insulation: p # Fee Paid:- $85.00 Project Review Req: Date 7/16/2019 Final: . Plumbing/Gas r _ Rough Plumbing: _- ui in Final Plumbing:icia uth This permit shall be deemed abandoned and invalid unless the work aonzed`byy Rh this permit is commenced w in six months after issuance All work authorized by this permit shall conform to the approved applka 66%nd the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and str`uttures shall be incompliance with the local zoningNby laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or,;road a,nd shall be maintained open for pu$hc mspection for the entire duration of the Final Gas: work until the completion of the same. T The Certificate of Occupancy will not be issued until all applicable signatures by9the Building and Fire Offi lss are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work„z .� �2 1.Foundation or Footing ; F Service: 2.Sheathing Inspection r ,. � f Rough: 3.All Fireplaces must be inspected at the throat level before firest flud lining is�nstalled.�- , 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Person 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 1 � - Fire Department '�� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: IKE rq� Town of Barnstable *Permit#C;)� 0 ti Expires 6 months from issue date Regulatory Services Fee • BAR MsrAsLE. Thomas F.Geiler,Director MASR 94>,, 059. a.0� Building Division C) ren ir+r►+ Tom Perry,CBO, Building Commissioner ' 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Cry Not Valid without Red X-Press Imprint Map/parcel Number ' Property Address f Y 1��-y m�-b A` f\ ` -i Pll ' Residential Value of Work Z�(3W Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address I�W171-t Contractor's Name Telephone Number 7 �q Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: X® IT ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance APR — 1 2008 Insurance Company Name TOWN.OF BARNSTABLE Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) dRe-roof(stripping old shingles) All construction debris will be taken to V ❑Re-roof(not stripping. Going over existing layers of roof) dRe-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors LiceW,i�„required. SIGNATURE: �i�G _ _Q'�A Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street ., Boston, MA 02111 ; www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information \ Please Print Le;~ibly Name(Business/Organization/Individual): i — - Address: l I-ve k—,-,,A A City/State/Zip:A,6o,,.,,,r H.01 Phone SC?d 17 ,$ R 7 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired.the sub-contractors 6. ❑New construction 2.El 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.$ quired.] 5. We area corporation and its 10.0"Electrical repairs or additions 3. I am a homeowner doing all work . officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] "Any applicant_that checks box#1 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. xContractors 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. Insurance Company Name: Policy#or Self-ins.Lic. M 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 statemerit 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. Si nagn tur � Date: Phone#: S cr. [ 7 g/S? 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 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 permit/license 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 4.06 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia ; i Town of Barnstable Regulatory Services BAMSTABIZ ; Thomas F.Geiler,Director 1639 & Building Division AjEp� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 01 —61K JOB LOCATION: I Ll S �.ZlCL�wc.a� �� r`�Io /►'r, number street village "HOMEOWNER":� 506 / 7 el"IF 7 name home phone# work phone# CURRENT MAILING ADDRESS: "t 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 Person(s)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 with the 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 supervisor." 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 when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as 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/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC Q: r , ,.. �t►+e ram, ~ Town of Barnstable BARNSTABLE, " '"ASS. 1639. Regulatory Services. ♦0 AlF p �s Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using.A Builder L ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized bythis building permit application for: (Address of Job) Signature of Owner Date Print Name Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revise020108 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION., . 100 Map /( � Parcel Application #C/ Health Division " Date Issued t3DO. Conservation Division Application Fe _ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Dice..� Village AYA,.,,-,,5- Owner Address` Telephone 4 7 Permit Request e-A Cee,-r -5 J ( Square feet: 1 st floor: existing ` qC0 proposed 2nd floor:' xisting proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type woe�R Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, C" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: l Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) God Number of Baths: Full: existing / new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new (3 First Floor Room Count Heat Type and Fuel: ZGas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes Llo Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: ❑existing 0 new:., size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: L1,1 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ y u. Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �;Wame � „1 Telephone Number 3 ? 1Ql9 7 Address License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE 3— 11 - O8' i w FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. r I} ADDRESS VILLAGE OWNER 4 DATE OF INSPECTION: r FOUNDATION t , FRAME INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL { GAS: ROUGH FINAL i FINAL BUILDING r _ ' DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 immmass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lel?ibly "Name(Business/Organization/Individual): ^,�-;I 14(,,�yl Address:.- City/State/-Zip: &,!t;h; ,'S / 0 o 6 o ) Phone.#: 150 9 Are you an employer?Check 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 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 g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9. ❑Building addition [No workers'comp.insurance comp. insurance. wired: -^-- 5. ❑ We are a corporation and its 10,❑ Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions homeowner doin"gaIl work ❑ g p 4 myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs �-`—-m•- r-sur`ance required]'t; c. 152`"` -��- , §14( .),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 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. ZContractors 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. lam 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.tic. #: 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 tip 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains andpenalties ofperjury that the information provided above is true and correct S ���e` �,� ��� /I Date: _3 11 C)$ _ kiK Phone#: 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 Instrncti®ns _ r 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-contractors)name(s),address(es) and phone number(s) along with their certificates)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 permit(license 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 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, lease do not hesitate to be us a call. P !n The Department's address,telephone-and fax number: The C6mmonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 i Tel: #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7744 Revised 11-22-06 www.mass.gov/dia L ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE-AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: Site Address: Print Town: Applicant Phone: Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS , r MAXIMUM MINIMUM Ceiling or Slab l: Basement -Option Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value Wall R-Value AFUE HSPFdof R-Value R-Value. and Depth National Appliance En 3 S R-3 8 . R-19 R-19 R-10 R-10, Conservation Act(NA4 ft. 1987 as amended,mini greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as.listed below. ❑ Option 2: �. REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck-Web which can be accessed at http://www.encrg cY odes.gov/rescheeld DDITIONS OI2 'A =ALTERATIONS T 0,EXISTIIVG BUIPDINGS OVER 5=YEARS OLD*= -- *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b= a) SF 100 x = % of glazing (b) Glazing area equals. SF b a If glazing is <:40%0 use.the chart below. If glaziri is,AO°/a.proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PI SCRIPTIVE'ENVELOPE'COMPONENT CRITERIA'ADDITIONS,TOzEXISTING t.LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM O -, MINIMUM I eiling Slab Perimeter El El glazing Wall Floor Basement Wall Exposed floor R-Value R-Value U-factor R-Value R-value R-Value and Depth .39 a R-13 R-19 R-10 R-10, 4 feet a R-30 ceiling insulatio maybe used in place of R-37 if the insulation achieves the full R-value over the,entire ceiling area(i.e.not compress I ed over exterior walls, and includingan access o enin s). SUNROOM-An addition or alteration to an existing building/dwelling unit where the total glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note:. Owner to fill out Consumer Information Form (found in Appendix 120.P) Oct.IHEr Town of Barnstable Regulatory Services x a - BARNSTABLE, : Thomas F. Geiler,Director .� MASS. 059. Building-Division lfD AAA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 --------------- HOMEOWNER LICENSE EXEMPTION Please Print C7J0b LOCATION' ! l s ,����,poav ljy/�,� number street village HOMEOWNER"_ ll?`� �!///P ��� ��7 9/97 --��— name // home phone# // work phone# CURRENTMA[T_TNGADDRESS: f1'7�� �.i`/2'.Ev.. n _ 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 lieense,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who ovens 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 with the State Building Code and other applicable codes, bylaws,rules and regulations. Th".ndersigned"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. x HOMEOWNER'S EXEMPTION r The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from,the provisions t' 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 supervisor." 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 when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed j 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 i several towns. You may care t amend and adopt such a form/certification for use in your community. Q:r0rMs:homeexempt ` f . J oFZHET Town of Barnstable Regulatory Services BA MASS. Thomas F. Geiler,Director rF16.19.�0 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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 Job) Signature of Owner Date x Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the--reverse:side Q:FORMS:OWNERPERMISSION I _ 1x& 1 To $FAtA AI>T� _ CI�A�k7j(,�- � SE Sp�ls ' ��P-=1�AT�:�_.�.::�:K`�:�4:�:�ti,1���'�KI►�[�.------ r��vu '_`1-lwf jam,. ...._ OF AggS S o MICHELE \� � CUCILO m -, a.• . Na.34774 N STRUCTUIR' L. • 9F^I STt F;� r 0 3��t1�8 PROPOSED MODIFICATIONS MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane, Centerville, Massachusetts 02632 EXISTING RESIDENCE Drawn By: MC Date: 03/11/08 Drawing 145 BUCK-WOOD DRIVE scale:)None Rev. 0 —HYANNIS, MA File Name: Hd Project No.2008-33 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.. - - Map Parcel f Application'# �� 0 cf Health Division - Date Issued Conservation Division ±� Application Fee 5 . Tax Collector Permit Fee Treasurer - Planning Dept. Date Definitive Plan Approved by Planning Board 1 Historic-OKH Preservation/Hyannis Project Street Address r�I >c%.(e—a c% Village Owner Address /y.S dr. Telephone 5VII 7 Permit Request -1'yo beck I one 19 6 ,y X W o C' )L Square feet: 1 st floor:existing 170 proposed 2nd floor:existing proposed Total new U Zoning District Flood Plain Groundwater Overlay Project Valuation /,S®y Construction Type w0c?k' Lot Size - ZS "`f` Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) Age of Existing Structure 35 Historic House: ❑Yes ❑'No On Old King's Highway: ❑Yes r3No Basement Type: a Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing t new Half:existing new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: Oi Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Ao Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool❑existing ❑new size Barn:❑existing ❑new', size= 'ry'a 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 Proposed Use BUILDER INFORMATION Name- frd` Telephone Number Address S L�� �" �,d� �� License# _t Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ���•. SIGNATURE /%% '` - ?' DATE �- f FOR OFFICIAL USE ONLY ' APPLICATION# i DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION I` FRAME INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING is DATE CLOSED OUT V ASSOCIATION PLAN NO. i� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �< Boston,MA 02111• 'y www.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information .Please Print Legib1Y Name CBusiness/Organization/Individual): •Address: /`r S City/State/Zip: h ate-...A.> 'h� _ Phone.#: S©g �+ '7 $1 7 Are you an employer? Check the appropriate box: :Type of project(required):. 4. I am a general contractor and I 1.❑ I am a employer with 6. ❑New construction . • •employees(full and/or part-time).* • have hired the sub contractors listed on the'attached sheet. 7.'-El Remodeling 1.0 I am a'sole proprietor or partner- These sub-contractors have ship and have no employees 8. �]Demolition employees and have workers' working for me in any capacity. 9. ❑Building addition [No workers' comp.insurance comp.insurance$' a corporation and its 10.❑Electrical repairs or additions 5. [] We are required.] officers have exercised their 11.❑Plumbing repairs or additions ' '3.Tam a homeowner doing all�work . myself.[No workers'comp. right of exemption per MGL 12•[]Roof repairs insurance. d.uire req ]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 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 anew affidavit indicating such. $Contractors that check this box must attached an additional.sheet showing the name of the Nub-contractors and state whether or not those entities have ; employees. If the sub-contractors have employees,they must providb their workers'comp.policy number. compensation insurance for my employees. Below is.the policy and job site 1 am an employer that is providing workers' 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 declaratiion page*(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MG 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 maybe forwarded to the Office of. Investigations of the WIA for insurance covera a verification. I do hereby certify under the p''ains•and penalties of per that the information provided above is true an'd correct. e Signatur �/��G�/� Date ��O t Phone# .9 'o a �i 7 7 " Official use only. Do not write in this area, tb be completed by.city or town off ciaL 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 Phone#: Contact Person: Town of Barnstable of THE ram, Regulatory Services BARNSTABLE, % Thomas F.Geiler,Director .� MASS. �A ED s619• a,0 Building Division T MAv Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 . www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: `� �.0 1 ac, JOB LOCATION: I L S number - street village "HOMEOWNER': &Vw,, 6-1-A name / home phone# work phone# CURRENT MAILING ADDRESS:-4 1 S 6sQ.k 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 Person(s)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 with the 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 35,060 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 requiredshall 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 supervisor." 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 when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as 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/certification for use in'your community. i Q:fol- s:homeexempt pP1HE lost, Town of Barnstable Regulatory Services w BARNSTABLE, + 9 MASS, �,, Thomas F. Geiler,Director i639. '°TEnnu,+" Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 5081-862-4038 Fax: 508-790-6230 Prope ty Owner Must Complete a d Sign This Section If Us i g A Builder r as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this bull g permit application for: A- ( dress of Job) Signature o Owner i ate Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:F0RMS:0WNERPERMISSf0N : .► MORTGAGE INSPECTION PLAN. t { BOSTON SURVEY INC. y � 07-07471 t P.O.Box 290220 Charlestown,MA 02129 (617) 242-1313 MAIN (617) 242-1616 FAX APPLICANT. HURD DEED/CERT: 175796 LOCATION: 145 BUCKWOOD DRIVE PLAN REF: 35404-A CITY, STATE: HYANNIS, MA SCALE 1 inch = 20 feet CERTIFIED TO: EMIGRANT MORTGAGE COMPANY,INC. PREPARED: 12-14-2007 75.00 LOT 28 A W tat DECK #145 1 STORY 75.00 ,994r�,Bosron.Sumey-SonWare - BUCKWOOD DRIVE The permanent stnicutres are approximately located on the SN OF MgSs9'`` According to Federal Emergency Management Agency ground as shown,They either conformed to the setback Cy naps,the major improvements on this property fall in an requirements of the local zoning ordinances in effect at GEORGE the time of consiruction or re exempt from violation C, a designated as Lone. 2 ,y enforcement action under M.G.L.Title VII,Chapter 40A, C r v I INS Community Panel No. 2,r Section 7,and that there are no encroachments of major Ellective Date:/ improvements either way:rcross properly lines except as %, L Shown and noled hereon. ti t 5' •` NOTE:Zone C is areas of minimal flooding(no shading). U F1v This designation is not based on an elevation certificate. NOTE:This is not a boundary or title insurance survey.This p s pre rdance to procedural and technical standards for Mortgage Loan Inspections as adopted by the Massachusetts Board of Registration of professiona ngineers and land surveyors,25,0 CMR 6.05,and use for any other purpose is prohibited.This plan is not to be used for recording,preparing deed descriptions,or const ction. ; Active Listing#20404953 �145 Buckv✓ood}Dr Hya nns;(MA026�1u v LP, "$299,9'00 . - Pro p Type 9 Y �. p yp Single Family Subdivision County Barnstable Village Hyannis Zoning Residential Sq.Ft./Source 1,000/Agent Estimated ;AwdlaUto Rooms 5 Lot Size/Source 0.25ac/(Assessors Records) Beds 3 Style/Desc Ranch/ Baths F/H 1/ Levels 1.0 Year Built 1973/Actual Tax ID 272-86-0-0-BARN (Remarks:—Move=in-condition 3'bedrooms 1 bath'ranch with a fmished_r_oom in thebasement,/fireplace,nice backyard and some updates .y.-. - done in the last 2 years.Great starter home!Convenient location/ Directions: Route 28 to Buckwood Drive#145. Showing Instr.: Appointment Req. General Information Garage/#Cars No/ Gar Desc Parking 1BasementlBasement Desc.Yes-/-Finished-Full-Interior Access Foundation 38/24 Concrete Wing Width/Wing Depth Street Description Public Interior Amenities Interior Features Floors Other Equipment/Appliances Living/Dining Room Combo Kitchen/Dining Room Combo Fireplaces/#Fireplaces Yes/1 Exterior Amenities Pool/Pool Description No/ Dock/Dock Description No/ Exterior Features Screens,Storm Doors,Storm Windows,Yard Siding Shingle,Vinyl/Aluminium Roof Asphalt,Pitched Assoc Fee/Fee Year / Assoc/Membership Required No/ Amenities Waterfront/Waterfront Desc No/ Waterview/Waterview Desc No/ Miles to Beach 2 Plus Water Acc Beach Own Public Beach Desc Ocean Beach/Lake/Pond Name Convenient to Major Highway,School,Shopping School District Neightborhood Amenities Mechanical Amenities Heating/Cooling Natural Gas,Hot Water Water/Sewer/Util Cable,Electricity,Gas,Telephone, Individual Sewer,Town Water Hot Water Natural Gas Legal/Tax Information Improvement Asmt $85,100 Land Asmt $129,300 Other Asmt $2,600 Total Asmt $217,000 Annual Taxes/Tax Year 0/ Annual Betterment 0 Unpaid Betterment 0 Title Ref-Book/Page/Cert 0/0 Plan To Be Assessed Unknown Spec Assessment Mass Use Code/Definition Undergmd Fuel No Asbestos No Lead Paint Unknown Flood Zone Not In Flood Zorn Printedby,Coastline Real Estate on 12/07104 at-3:37pml Information has not been verified,is not guaranteed,and is subject to change.Copyr!gFrt 2004 Cape Cod&Islands Multiple Listing Service,Inc.All rights reserved (Residential Client One Page View) �v 1 > ' SUN-DAY M ,�`� k :,::.:.......:.�:.::..:. ARCH 19; 2006 Mortgagee's Sale of Real Estate at Public Auction- \" COZY RANCH 145 BUCKWOOD DR1VE' THURSDAY, MARCH 23 AT 1:00 Rk-l' This cozy ranch with a lot of class has 2 bedrooms,,bath, kitchen,living room,-fireplace,den and wood deck..It is .heated by gas and'has approx.912 sq.ft.of living area on an approx. 10,880 sq:ft.lot X.D x� ........................................ ................. ...:.:.:..::.::... .. ::.: 3 t � S NE..:....._ r \ l� .........: CJV :< :.::...^i l: J 9�,�j V Cry* � ................. :.. t�7{ �y{�.y�y �} a"Y:✓�7.'.i::I:::i'i���YiT. � :wF:{�f. C(` J ..:...:.... gp Neither the Auctioneer,`the.Attorney for the, Mortgagee, \� nor the Mortgagee makes any representations as. to'the ' accurary'of the information contained'herein'.'. MORTGAGEE'S SALE OF REAL ESTATE 3 AT PUBLIC AUCTION ' m+r +Iaclt 21� Q�6 tat1AI Hyannis - Ranch •258 Arrowhead Drive •960 Sq.Ft.Gross Living Area •8;712 Sq.Ft.Lot -5 Rooms,2 Bedrooms;1.5 Baths ' esda >Vtarca 2t 12:�E} 'M Centerville - Ranch •33 Wequaquet Lane . • 1,092 Sq.Ft.Gross Living Area • 17,860 Sq.Ft.Lot •5 Rooms,3 Bedrooms,I Baths. TERMS:$5,060.00 cash or certified check at the time and place of the sale.The balance to,be paid within thirty (30) days at the law offices of Attorney for the Mortgagee. Auctioneer makes no representations as to the accuracy of the information contained herein. FRIEDL 1 E& CARTER ADJUSTMENT, INC. 436 Maier Street, P. O. Box 338 Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: -(••) Building Commissioner or Inspector of Buildings O Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL Hyannis, MA RE: Insured: COSTA, Marcio Property Address: '145 Buckwood Drive Hyannis, MA Policy Number: `H0354401 Type of Loss: Fire Date of Loss: 7/27/2004 File#: 100128 Claim has been made involving loss, damage or destruction of the above captioned property, which may either.exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. R. A. BRULE Adjuster 8/26/2004 . V.... - i I L t5 \\ OG ,�L a LA 16 r i z A 10 o;� S rA?Sad Qa i I (t I i F g `iz 1 i � IZ ' L VL i } 14 �� L I I i I I�ou��c. LvL j i } 4 i6 I kk V l i i i I I _ , a -- .n.. i I i