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Home My WebLink About0027 CAMP STREET a� � - - \ � 1/14C,�r✓Cllti�1 !lam S//� w C I SINE TOWN OF BARNSTABLE Building 201409047* BABNSTABLE, * Issue Date: 12/30/14 Permit y MASS. �ArEG.39. A�� Applicant: TYLER,JONATHAN Permit Number: B 20143519 Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/29/15 Location 27 CAMP STREET Zoning District MS Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 327181 Permit Fee$ 76.50 Contractor TYLER,JONATHAN Village HYANNIS App Fee$ 50.00 License Num 072579 Est Construction Cost$ 15,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND COMPLETE REPAIRS TO INT/EXT INCL TRIM,INT TRIM&FLOORS, THIS CARD MUST BE KEPT POSTED UNTIL FINAL HARDWOOD,CAB,REPL WET INSUL/WALLS,COMPLETE CLEAN UP INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: TYLER,JONATHAN BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 2 LYNXHOLM CT INSPECTION HAS BEEN MADE. HYANNIS,MA 02601 ' Application Entered by: PF Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TOO' YANY STREET ALLEY'OR SIDEWALKDR ANY PART THEREOF,EITHER TEMPORARILY OR PE NENTLY.- ENCROACHP4IHNTS�ON PUBLIC OPERTY,Not SPECIFICALLY PERMITTED UNDER THE BUILDING CODE MUST BE APPROVED BY THE J,URISDICTION: STREET OR ALLEY GRADES A$,WELL AS DEPTH AND-LOCATION OF PUBLIC SEWERS MAY BE ' OBTAINED FROM THE DEPARTMENT PUBLIC WORKS .THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE,THE APPLICANT FROM THE CONDITIONS OP.ANY APPLICABLE SUBDIVISION RESTRICTIONS. ,� � MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 44.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). w t oil BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION z*T 8\ I C c(ai--7 Map Parcel pplication # Health Division Date Issued 12-30-1 c Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address C.Atw\R 5l f-- 1-C! Village tA SA A ty t,1 t S AA A, a) q (00 Owner mb07NA Address a (2AMO, 9,Axw Telephone " :3 64— 719L59 Permit Request C.�Yy�'J�-E'Z" Yk E='�!AX3�S �To t-VE—ik k t-A �X 10 ZIZ.�vr� "dip. 1�LOoks R��-�1� CABi►.��1:5 �-lI�Rjzwco b l�rI� V >� ►�i C./�TDyl W0 LL S . CPSMaw ��1�� Sc� =NT. Square feet: 1st floor: existing 1kS&proposed Nam'2nd floor: existing 7 ZO proposed`t20 Total new Zoning District kb\o Flood Plain Groundwater Overlay Project Valuatio &�onstruction Type y�/ont;! Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Z Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes X No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other _ Basement Finished Area (sq.ft.) 'ZgF;S Basement Unfinished Area (S ..t CD Number of Baths: Full: existing �Z new Half: existing new 0 Number of Bedrooms: LA existing Q new trJ � Total Room Count (not including baths): existing new 0 First Floor Roo Count Heat Type and Fuel: ❑ Gas ".Oil ❑ Electric ❑ Other Central Air: ❑Yes %-No Fireplaces: Existing k New Q Existing wood/coal stove: ❑Yes t9,No Detached garage:11t existing' ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0-existing ❑ new size 72b Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes o If yes, site plan review # Current Use Proposed Use1��l�Cl�l�. APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name SolaA' �lJ �� Telephone Number — 364.' 7q 571 Address J.r"hbinm CDs.T License # CS 1142 5rict RK A tv&ays #0r. 0 2,(01 Home Improvement Contractor# t 6�k 0 3 2 Email t1& Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' N 57F TII6/u SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER m DATE OF INSPECTION: FOUNDATION FRAME f •r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINALBUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i t - ' 77te Commannfea th of Massar-husetts Deparftnmt of lidlustrialAccidents OKwe o,finvest gations 600 Washington Street Boston,,MA 02111 wnnv.rnas_-,goi-1dia Workers' Compens:afion Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Aftplicant Information Please Print Le?ibly Dame(Busmensl6Fganizafioa&&vidnat): ,mi--�l 5A714 Q�Q Address-. City/State/Zip: 1JK3X!S IPhons Are you an employer" eck the appropriate;box: Type of of ect r uire _ 4. ❑ I ants general contractor and 1 3l?e In ] ct _ 1_❑ I am a employer with 6_ ❑New construction employees(full andlor pait-time)* have hired the sub-contractors. 2❑ I am a sale proprietor or partner- listed on the attached sheet 7- ❑Remodeling ship and have,no employees These sub-contractors have: g- ❑Demolition. w for mein an capacity. employees and have workers" oili-ing y 9_ ❑Building addition [No worlrrsrs'comp_insurance comp-insnrance:.1 5..❑ We area corporation and its 10_.❑Electrical repairs or additions 3_ I am a homeowner doing all work officers ha--m exercised their 11_❑Plug repairs or additions nry-self. [No workers'comp. right of ex,T z tioa per MGL 12❑Roof repairs insurance required]F c-152,§1(4),and we have na employees_[No workers' 13-0 Other comp-insurance required] 'Any sp Uumt fiat checks boa; 1 toast also fill out the section below showing their wotikeis'compensatioe policy inform- 7'�aome rs owne Who submit this this affidz=indkItmg they are doing all work and then hire outride contractors must smbmQ a ueR:affidavit mdi�such- +c antERctors that check this box must attached an additions]sheet sbowhig the name oaf the Wb-rn&t s=a state whether ornot those Entities have employees, Ifthe sub-contractats have employees,they nmst provide twir workers'comp,policy ntmhez I am an employer t$at is prmid&g workers'compensation insurance for nty,emrplayecu. Below is Ste policy and job site infotmation. Insurance Company Name. Policy A or Self-ens_Lac-�k Expiration Date: Job Site Address: CitVI''State/Zip: Attach a copy of the st-orke-rs'compensatixm 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$1,50M andlor one-yeariiupiisonmo*as well as civil penalties in the foim of a STOP WORK ORDERand 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 Im estigati of the DR far Tscurancq verification- I do hereiiy ce it 4T.Dgwigly thatthe an orrnatran ravided abiwe is hw-g and correct. signature: Date: 2� L Phone 9 Official use only. Da not write in t/his area,to be completed by city or town ofi'ciaL C itv or Town PermitUcense# Issuing Authority{circle one}: 1.Board of Health ?.Building Department 3.Cityll'own Clerk 4.Electrical Inspector 5.Plumbing,Inspector 6.Other Contact Person: Phone 9-- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 Iocal 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 aizy applicant wbo 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 ce6ficate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other roan 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 ofinsurance coverage. Also be sure to sign and date the affidavit. 'Ifie affidavit sbollld 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 ob-taro a woilke:rs' compensation policy,please call the Department at the number listed below. Self insured companies should enter weir 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 ad.d_tion,an applicant that must submit multiple penalUbcense applications in any given year,need only submit one afnda.vit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations ill (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 HIled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial ventoxe (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 hike to thank you in advance for your cooperation and shouldyou have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The-Commonwealth of Massachuse-its Depaxtment of Industrial Accidents Office of VEMioiians 600 Washington Strut Boston_MA 02111 Tel.9 617-727-49GO(�)ft 406 or 1-977 MASWE Revised4-24-07 Fax#617-727-7749 www.znass-gov/dia Town of Barnstable Regulatory Ser vices of •Richard V.Scali,Interim Director Building Division * aaxxslaBM '_ Tom Perry,Building Commissioner Mass. ' 1639. 10�' 200 Main Street, Hyannis,MA 02601 CFO MA't p www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print I Z I Z�� y JOB LOCATION: L ` CA.WP \!` srk!A mwt.1%� Ma, o ztia I number street village }� «HOMEOWNER": SOMATA{kt� N 11 CZ � 6q `qr name n e home phone# -. work phone# CURRENT MAILING ADDRESS: Z t"1 CA�� 6 9ET /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) R , 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 p cedu "�and he/she will comply with said procedures and requirements. Si atureofHomeowner 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. V 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. T:\KEVIN D\Building Changes\EXPRESS PERMI'nEXPRESS.doc Revised 061313 - r �1HE T � Town of Barnstable ` Regulatory Services BARNSTABLKRichard V.Scali,Director fo;9- A, Building Division Tom Perry,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 I, 'Tok-j PMAN*, Si L9— , as Owner of the subject property hereby authorize :iAIAM hik-N-,r. 22 to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Cloa e- of Owner tSlie of plicant Print Name Print Name v 2 zz 7-01 Date Q:FORMS:OwNTERPERMISS IONPOOLS Town of Barnstable Regulatory Services ��oFzxe r � Richard V.Scali,Director Building Division rt znxrrsrasrE Tom Perry,Building Commissioner ALAss. 1639 200 Main Street, Hyannis,Na 02601 AlEO �a www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRFSS: 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 hue 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`"bomeowner"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. Signaium 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. I 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 Iicensed 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\building permit forms\EXPRFSS.doc Revised 061313