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HomeMy WebLinkAbout0038 CAPTAIN ELLIS LANE �„ F t ��� 73� �(��� 4 i �I } 1 � i t � I I i i Sly or IS ' I,IJoKKS�• /��V TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,Ma 50 Parcel O 11! Permit p .�y `alth Division ��� � � , 1 Date Issued g-.2-9 2-0oE� n3 a Conservation Division oJ, &Pk05, _ Co, �� Fee Tax Collector �10� - Treasurer 012= Planning Dept. �p Checked in By Date Definitive Plan Approved by Planning Board 0 Approved By Historic-OKH Preservation/Hyannis Project Street Address 60 :a - Village of vi Owner Jf e �— - (�Vi/� (/� Address 5�-ru t. cal 1 Q \ r Telephone Per it Request t ',f,` i Asa Square feet: 1 st floor: existing proposed� 2nd floor: existing l000 proposed i Tofal new*� • Valuation �� Zoning District Flood Plain Groundwater Overlay, ' Construction Type 60y • f Lot Size Grandfathered: ❑Yes ❑No If yes, attach supportin- cumentation. G_ Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) ; / Age of Existing Structure Historic House: ❑Yes ®'No On Old King's Hig way: ❑Yes ❑ No �. Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) D Basement Unfinished Area(sq.ft) / `.Number of Baths: . Full: existing new Half: existing new Nu'umber of Bedrooms: existing 3 new .Total Room Count(not including baths): existing new First Floor.Room Count Heat Type and Fuel: ❑Gases �ilu Electric ❑Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage: ❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# . Current Use Proposed Use .11 � BUILDER INFORMATION Name (/L� L- ✓ � Telephone Number Address 3 8 Cq 4_t L� _ License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE L? �►` ` FOR OFFICIAL USE ONLY PERMIT NO. r f • DATE ISSUED MAP/PARCEAO. ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: FOUNDATION FRAME INSULATION 1 FIREPLACE Fes- ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 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 a$"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), addresses)and phone numbers) 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 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, 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 f j 600 Washington Street . Boston,MA 02111. Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents ' . Office.of Investigations 600 Washington Street Boston,MA 02111 www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 4 Please Print Lesdbly Name (Business/organization/lwividual): J6 yy n L - 4q(, .. Address: City/State/Zip:,&dM h Phone#: ( � 75 Are you an employer? Check the-appropriate bog:. Type of project(required): i.❑ 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 1 7. Remodelin❑ g ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑ Electrical repairs or additions am a homeowner doing all work right of exemption per MGL 11- Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t 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- 'e t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating suck 1Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 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. #: 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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pen ' s of perjury that the information provided above is true and correct afore: Date: L 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#: °Frti Town of Barnstable Regulatory Services anSTABLE, ` Thomas F.Geiler,Director �EDMP'�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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Q � Estimated Cost Type of Work: f �� Address of Work: 1)b C 6' - �{ L �-►'s GW1 ' 6 Owner's Name: Date of Application: 14 0 I hereby certify that: Registration is not required for the following reason(s): nWork excluded by law ❑Job Under$1,000 nBuilding not owner-occupied Fibwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: eld1a � Date Contractor Name Registration No. OR Date Owner's Name Q*=:homeaffidav I Town of Barnstable Regulatory Services ' Thomas F.Geiler,Director BAEMABr c. ► ' '"39: Building Division rEvr Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Bee: 508-862-4038 'Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: C� 1 �j ) JOB LOCATION: 3 U �Y `11 1 ) t'`yl Gbl Vl C, ) J► "7�' ��C� I number street village P e- /� "HOMEOWNER": l L�1�► L • �l✓✓�G� t/c� U —7 L^✓ name home phone# work phone# CURRENT MAIL NG ADDRESS: SA�1M[o city/town state zip code The current exemption for"homeowners"was extended to include owner-ocoMied 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 *Psponsible for all such work performed under the building permit. (Section l09.1.1) 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 ,mnimlim inspection procedures and requirements and that he/she will comply with said procedures and req1iremeils. 7afore of Homeown 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:forms:homeexempt 7 . Assessor's m6p and lot-,number ...M.�. !�.l `' VJ )41. SEPTIC SYSTEM MOST BE Y - INSTALLED IN COMOLIANCE Sewage Permit number .......................:.................................. E WITH ARTICLE II STATE SANITARY CODE AND TOWN :L FTNEr�� x: TOWN OF 'BARNSTAIRLSF fps ''�~�► �'� L4' ` Z H>&H9TOD4E, i a BUILDING INSPECTOR 94p ti6}9•`'`0 _, ,� � ' ' APPLICATION .FOR PERMIT`TO ....... :.... ....'...R. ...... ............................................:.......................... . TYPE OF CONSTRUCTION ............ /..2 8.........................1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... aptain,.Ellis..Zane.....Hyannis.,.:NIA...................................... ................................... ProposedUse ...Residence................................................................................:....................................:............................ Zoning District Residential..........................................Fire District .............................................................................. Name of Owner ....RiCk�� l�lalek ................Address .................................................................................... Name of Builder .....James...K....ST11ith..........................Address Route...1.32.x..UYA iP:..................... ......... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .............. ..................................................Foundation .........Poured..................................................... Exterior .....Ged2 Shimle..........:...:..............................Roofing ......._ASlphalt...`��h z?g. ..................................... Floors .......Wall..t.o...Wall................................................Interior .......D:rY 1 0,1............................................................. Heating ... ' .......................................................................Plumbing ...............:.................................................................. • Fireplace ...Yes..............................................................................Approximate Cost ............ ................................... Definitive Plan Approved b y Planning Board ---------------___-----------19________. Area F..... .�7.................,........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I I hereby. agree to conform to all the Rules and Regulations of the-Town of Barnstable regarding the above construction. Name ... to,..................... -, Malek, Ricky ) 4 C 19489 — one story • No .... :........ Permit. for .................................... tingle family dwelling _. ................... ; Location Ca . p t. Ellis Lane t Hyannis r Ricky Malek ` Owner ................................................................... , Type of Construction frame w _. #11 - Plot ............:........,,. 'A �....... Lot ........ ................. .;y 4 Aagust ll 77 a Permit Granted ........................ Date of Inspection ... ...... .... 2...19 Date Completed /l. ° `1 ..�........19 PERMIT_REFUSED T 4� ....................... .__.. ...... ......................... 19 c ............................................................................... ..................... .4..:....... ........ ...............................•. ...... i Approved .... 19 r . ... . .................................................... . .............. N '= P � i u � 1 �o A` iy (� 'v\ t N '( � `- / S/G G 6LE✓ FE.�T ABO f/E L�O<t,a Zo ' / 'LOT"" ®LA /V L0CAr/OA/: N&�NivLS�M� s-5. /U , r T gyp, -- - SCALE 2 Z;OA'T& 7-29 7 PGA/V �2EF��2ENCE: L3�%�G LET /I AJS /n/ rEG�:GE s``1 1 I HLnef-aY C.6Rr/FY 7!WA T THE EX157- i ' /NG FOUNDA7'/ON GOCAT/ON /SQ�.�'QE O/S T E`��y� ` AS S�/OWAI A�vo D d� __CONF0�2/y Wl,-,q ( �SUR'0- 77144E SU/LD/NG 7E7 3ACe e6gU1QEM OF Tf,/z- TOWN OF Pi A Z/V 57-,4 6 L.E S/L�l/7}/ - -,� CQO wEL� + T.A w� cOw sr. Ysa2M0 v nt�aQ�M,4. Town of Barnstable INE'°'yti Regulatory Services Thomas F.Geiler,Director e ,t , l'ABL = BARNSTABLE, r� 163S. �� BuildingDivision d g 255STP - I 10, 17 ArED MA'S� Tom PerryBuilding Commissioner 200 Main Street, Hyannis,MA 02601 w:ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 COMPLAINT/INQUIRY REPORT Date: Rec'd by: a- qp:� Complaint Name: �Q V l Map/Parcel Location l Address: (F Originator Name: Street: 0l Village: State: Zip: Telephone: � �� ( Complaint Description: � wl � ( . ja 0 V) A ALA& A FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:forms:complaint r OF BAMSTABLE Building Inspector 2005 NOV 30 PM 3' 42 Town of Barnstable 200 Main Street Hyannis, MA 02601 DIVISION November 25, 2005 Dear Mr. Wheeler, I'm writing in regards to the addition under construction at 38 Captain Ellis Lane, - Hyannis. The original house was a small ranch style home- 15 feet in height at best. The addition in question is approximately 50 feet in height. The enclosed structure appears to be 80% completed. The owner has stated that the addition will be a workshop and additional living quarters. We are wondering if the building department, on receipt of building plans and specs, approved this massive structure in a residential zone? May we request that you send a qualified member of your inspections department to view this project please. Thank you, Captain Ellis Lane Residents °FINE A Town of Barnstable Regulatory Services SLAM ABM 9 MAM. g Thomas F. Geiler,Director 1639. A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 23,2005 Mr. John L. Farrell 38_Captain Ellis Lane' Hyannis,Ma 02601' Re: 40'x30 Storage Barn, Permit#86528 Dear Mr. Farrell, The proposed storage barn that you have since started constructing is a design that is unique to many, specifically the.wood foundation. At the start of the project I mentioned that the proposed was unfamiliar territory and stated that it would require compliance of the State Building Code. When we were discussing and reviewing the plans I optioned sections of the code for your convenience whereas your neglected to do so. I also suggested hiring an structural engineer to review your plans whereas again you've selected not to, assuming the cost was a factor. As the inspector, I issued the permit knowingly you accepted the responsibility under the (Homeowner License Exemption)to act and comply with the State Building Code. Unfortunately, after the fact I have found concerns regarding the floor system,which may result in safety issues; and on September 19;2005. I mentioned that it wasn't meeting the building code and.stated to you what changes were necessary. At that time we both decided and agreed on hiring an engineer to inspect the design of the floor and other options that may be used on top of the required 4' unbalanced fill outside the perimeter of the foundation. Page two: 36 Captain Ellis Lane I understand the frustration this may have cause, though I must act on my findings even after issuing the permit whereas I find concern for yours and others safety. When you meet with the engineer, please submit copies of the documentations for review. Sincerely, .Russell Wheeler Local Inspector of.Buildings Cc: Thomas Perry,Building Commissioner Representative Projects Bridges Sixth Street over WMECO Power Canal Montague, MA $350,000 1987 Leon Herzig Road over North River Colrain, MA $400,000 1989 South Schoolhouse Road over Glen Brook Leyden, MA $200,000 1990 West Hill Road over North Brook Hawley, MA $ 150,000 1991 Lower Hamden Road over Temple Brook Monson, MA $75,000 1994 Buckland Road over South River Ashfield, MA $175,000 1995 Congress Street Pedestrian Bridge Boston, MA $3,000,000 1997 Temporary Highway Bridge Leicester, MA $200,000 2003 Interim Pedestrian Bridge over Railroad Falmouth, MA $ 130,000 2000 Lower Hamden Road over Temple Brook Monson, MA $275,000 2005 Bridge Rehabilitation River Road over Westfield River Chesterfield, MA $200,000 1988 Bissell Covered Bridge over Mill Brook Charlemont, MA STUDY 1991 Mary Goodrich Bridge over Housatonic River Stockbridge, MA $26,000 1991 Lyonsville Road Covered Bridge Colrain, MA $250,000 1992 DEM Rail Trail Bridge Hadley, MA STUDY 1996 Bardwells Ferry Bridge over Deerfield River Conway, MA $95,000 . 1997 Grist Mill Pedestrian Bridge Amherst, MA $65,000 1997 Clinton Elementary School Bridge Clinton, MA STUDY 2000 O'Neil Private Bridge over Tidal Waterway Harwich, MA $11,000 2000 State Route 31 over Falluluh Brook Fitchburg, MA $210,00 2003 Two River Road Bridges over Westfield River Chesterfield, MA STUDY 2004 Three Mass MoCA Bridges over Hoosic River North Adams, MA $875,000 2004 Buildings Northampton Hotel Addition Northampton, MA $1,400,000 1989 St.Catherine of Siena Parish Center Springfield, MA $1,600,000 1990. Recycling Transfer Facility Building Amherst, MA $1,200,000 1991 Renovation of Memorial Square Parish Springfield, MA $1,200,000 1995 Brookside Condominium Northampton, MA $70,000 1999- Chapel in the Pines Eastham, MA STUDY 2000 Barbo's Furniture Warehouse Dennis, MA `$120,000 2000 Two Middleborough Firehouse's Middleborough, MA $1,800,000 2001 Partial restoration of Munson Hall at University of Mass. Amherst, MA $ 15,000 2001 Braun Subdivision Truro, MA $36,000 2002 Partial restoration of Old Grist Mill ` Townsend, MA $360,000 2003 Reconstruction of 391 •395 Commercial St.Condominium Provincetown, MA $400;000 2004 Restoration roof framing system for DPW Facility Building Eastham, MA $40,000 2004 Specialty Structures Mullins Convocation Center Steam Tunnel Amherst, MA $130,000 1992 Retaining Wall for NE Power Deerfield#2 Dam Conway•Shelburne, MA $460,000 1992 University of Massachusetts Utility Tunnel Amherst, MA $370,000 1997 First Congregational Church Chester, MA STUDY, 1997 Elutriation Tanks for Wastewater Treatment Plant Littleton, MA $60,000 1999 Burlington Skate Park Burlington, MA $35,000 2000 Breakers on the Ocean Foundation Betterments Dennisport, MA $18,000 2001 NESEA Station Outdoor Pavilion Greenfield, MA $35,000 2002 Green River Flood Wall Betterments Greenfield, MA $720,000 2002 Interim Construction: Shoring, underpinning&staging AGM Marine Construction Inc. •Construction staging Plymouth, MA $ 15,000 1990 Middlesex Corporation Inc. • Bridge staging Concord, MA 112,000 1993 D.W.White Inc. •Construction staging Newton, MA $9,000 1994 Fontaine Construction Inc. • Building shoring Longmeadow, MA $16,000 1995 E.T. &L.Corp. •Bridge cofferdam Falmouth, MA $370,000 2000 Draper Hall at University of Mass. • Building shoring r Amherst, MA $6,000, 2000 E.T.&L. Corp. • Underpinning wall Erving, MA $86,000 2004 M JDB Consulting Engineers 835 Samoset Rd. 76 King St.,P.O.Box 780 Eastham,MA 02642 Northampton,MA 01061 Telephone:508-255-1422 Telephone-413-369-4289 Introduction I[An DB Consulting Engineers was established in 1987 by Joseph Bianchi, P.E. as a professional structural engineering firm. The firm combines a proven ability and expertise in successfully serving the needs of our clients by executing and providing a broad range of structural engineering assignments for a wide varity of clients in the municipal and private sector. This firm is committed to the application of current state of the art and proven construction materials, testing methods and computer assisted design techniques for all our projects. JDB Consulting Engineers purposeful dedication to the philosophy that all investigative studies, drawings and specifications must be thorough, comprehensive and relevant. This results in projects which are completed efficiently, in a timely manner, and within the budgetary needs established by our clients. Bridges F + Foundry road bridge replacement Investigative evaluation of the Comprehensive structural restoration and retrofit of an existing crossing Morris Island Road bridge of two suspension bridges Colrain, MA Chatham, MA Stockbridge, MA Buildings & Horizontal Construction 40 m 46 aKA • 'mac. «*+ an ,:g::, Restoration of cooling tower for New public.library building Partial rehabilitation of historic MMWEC power plant facility Southwick, MA Captain Jacks Wharf condominium Ludlow, MA r Provincetown, MA Specialty Structures & Interim Construction _ nt a Lift system for two bridges Replacement of existing bascule Authentic restoration of over on interstate highway span with lift bridge.over Fore River historic timber covered bridge Enfield, CT Quincy•Weymonth, MA Ware• Hardwick, MA (D.3 ( 53 °g.VE Town of Barnstable "Permit# Expires 6 mo s jr issue da Regulatory Serv><ces Fee + BARNSTABI.E, • - r " " v MASS. $ Thomas F. Geiler,Director' n - ib;q. Building Division " Tom Perry, CBO; Building Commissioner 200 Main Street, Hyannis,,MA 026.01 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL-ONLY Not Valid without Red X-Press Imprint Map/parcel Number 0,5b c(, ii Property Address 1 E-Residential Value of Work Minimum=fee of$25.00 for work under$6000.00 1.i/ Owner'sName& Address JO� ve— `� ' �- = "r Contractor's Name Telephone Number Home Improvement Contractor License#Of applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation InsurancePERMIT Check one`. - E SS I am a sole proprietor I am the Homeowner JUN 2 OUT I have Worker's Compensation Insurance 16. TOV�I�I OF BA RNSTABh Insurance Company Name. , Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany'each permit. 6 . Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to. ❑ Re-roof(not stripping. Goingover. existing layers,of roof)a Re-side . #of doors •f 'Replacement Windows/do'ors/sliders.U-Value �' S L0 (maximum .44)# of Windows. *Where required: Issuance of this permit.does,notexempt compliance with other town department regulations,i.e.Historic,.Conservation;etc. ***Note: Property Owner r must sign Property Owner Letter of Permission., A copy of the Dome Improvement Contractors_License & Construction Supervisors License is; required. - F... SIGNATURE: .144 Q:\WPFILES\FORMS\building permit forms\E)TRESS.doc.. Revised 090809` x: a. The Commonwealth of Massachusetts Y ':Department of Industrial Accidents � 0 i ce of g Investi adons- •�' ff 600 Washington Street c Boston, MA 02111 yy www.mass.gov/dia workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant licant Information Please Print Le ibl Name.(Business/Organization/Individual):� // �- '-a�- a,o ] Address' (f qof Zfx/ ( S � C Gi vNi� 1 City/State/Zip: Phone #: S A S 0 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 have hired the sub-contractors.. _ employees(full and/or part-time). - - - -- � . 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. [ JBuilding addition, No workers' comp. insurance comp.,irisuranee.$ required.]. • S. We are a corporation and its' 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 1 1.O.Plumbing repairs or additions myself. [No workers' comp: -right of exemption per MGL 12.❑ Roof repairs o insurance required.] t c, 152, §1(4),and we have,n Other- employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and them hire outside contractors must submit a new affidavit indicating such. tContractors 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 workc�s'comp:policy number., I am an employer that is providing workers' compensation insurance f r my employees. Belorv`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 expiratinn 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 S250.00.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. 1 do hereby c rtify y nder the dins nd penalties ofperjury that theinformation provided above is true and correct. Si nature: Date: c v, Phone#: ly , to.he completed by city or town official Official use on( . Do not write to this area , City or Town; Y 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#: t nfor .atzon .and histructi®x's Massac husetts General Laws chapter 152 requires all employers to provide worker acompensation othep underoany contrac of hire, Pursuant to this statute, an employee is defined as "...every person in the.service o express or implied, oral or written:" her o Or An ein toyer is defined as "an individual,partnership, association, Corpo�esenlaliveat)on or s of legal deceased empl yew or the P of the foregoing engaged in ajoint enterprise, and including the her rep employees, However the legal cntlty3 receiver or trustee of an hividinalnot morehhanathroee aporlm'ents and who res des he.roein, or the occupant of the owner of a dwelling houseg s to do ma n Such dwelling house of another who cmp'loys person `because ofsuc construction mploymen o t be deemed to be aneemploye. or on the grounds or building appurtenant thereto shall no he MGL chapter 152, §25C(6) also slates that "every state Or local licensing agency shall struct buildings in the commonwealths for any r renewal of a license or permit to operate a business or to con applicant vvho has not produced acceptnble evidence e the of ocomnunonw alth nor any ofliance with the nls politicalce gsubdiivusioas shall Additionally, MGL chapter 152, §25C(7)states N • enter into any contract for the performance of public workuntil acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill ou t.the workers' compensation aff davit completely, by checking the boxes [liar apply to your situation and, if hone n necessary,supply sub-conlractor(s)name(s),, addresi(ms�ed and Liability Parrtnerships (LLP)withenoir Gempl'oyee(s other than the insurance, Limited Liability Companies (LLC)or L . members or partners, are not required to carry workers'affidavit maybe submitted to the Department of lndhstria] employees,a policy is required. Be advised that Accidents for confirmation of insurance coverage. Also be sure to sign and date lee uestadvntot he Departmen, The affidayiet ho{ld be returned to the city or sown that the application for the pennit or license g q , Industrial Accidents. Should you have any questions regarding the law to .ySelf-ins ou arc Bred compaquired to nies should enter their compensation policy,please call the Department at the number listed beloya.. self-insurance license number on the appropriate line. City or Town Officials a space at the Please be sure that the affidavit is complete and printed legibly, yestT Invhe estigations has to contact yo�artmenit has aragarding the applicant.bottom of the affidavit for you to.fil] out in the event the Office g Please be sure to fill in tha.permitllicense number which will be used need only submibone affidavit ndicatej-, In addition, an pi applicant Please that must,submrt multiple permit/hcense applications in any g y ( y i policy information (if necessary) and under'.`Job Site Address" the applicant should write"all locations in to he or town):''A copy of the affidavit that has been:officially stamped s or licenses, Anew affidavit muy the cl tY or town may st berfiilled 0111ovide h applicant as proof that a valid affidavit is on file for future p itizen is obtaining a licensn os Perm year, Where a hom it n required ot atoc ted to any i siness or mmercial complete this affidavit. venture e owner or c (i,e, a dog license or permit to burn leaves etc.) said perso 9 ike to thank you in advance for your cooperation and should you have any questions, The Office of Investigations would l 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 Te). # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 r ,. 4..• . - Town of Barnstable Regulatory Services i Thomas F. Geiler,Director ° Building Division pTFD 1i��a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us p Fax: 508-790-6230 Office: 508-862-4038 , -__ -- HOMEOWNER LICENSE EXEiYiPTION Please Print DATE: JOB LOCATION: d f t no bee ) (street T. village "HOMEOWNER": �6 vim"`' 1W ��`� (Svt0� � � name home phone# f work phone# • CURRENT MAILINO ADDRESS: 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 wh'o does not possess a license;provided that the owner acts as supervisor. DEFINITION OFHOMEOYYNER 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 hom6-in-a two-year.pen.od-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) The undersigned `.`homeowner'.assumes'responsibihty 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 Barnstabl`e Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and require ents. na re 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. }IOMEOWNER'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 Noriaeowncr shall act as supervisor." . Many homeowners who use this=emotion are unaware that they arc assurr ng the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often resuhs in serious problems,particularly when the homeowner 1L7CS unlicensed persons. In this case,our Board Cannot proceed against the unlicensed person as it would with a licerued 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 pail 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 fomL/certification,for use in your community. f n\WP711.F.C\PnRMS\homccxcmDLDOC ' oflHFT Town of Barnstable 1ReguWory Services uxxszas�, Thomas F. Geiler, Director 169 ,�� Building Division �Fb MA'S Q Tom Perry, Building Commissioner 200 Main Street;Hyannis,MA 02601 WjAaYA own.b arnstable.ma.us Fax: 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section if Using A Builder I, jo�' L k�/,/ �( , as Owner of the subject property to act on my behalf) hereby authorize in all matters relative to work authorized by this building permit application for: war (Address of job) Signature.of Owner Date Print Name If property Owner is applying for permit please complete the Homeo.wners License Exemption Form on the.reverse side. a DIME A Town of Barnstable Regulatory Services BARNSTAISM 9 MASS. g Thomas F. Geiler,Director W►o. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 23,2005 Mr. John L. Farrell 38 Captain Ellis Lane Hyannis,Ma 02601 Re: 40'x30 Storage Barn,Permit#86528 Dear Mr. Farrell, The proposed storage barn that you have since started constructing is a design that is unique to many, specifically the wood foundation. At the start of the project I mentioned that the proposed was unfamiliar territory and stated that it would require compliance of the State Building Code. When we were discussing and reviewing the plans I optioned sections of the code for your convenience whereas your neglected to do so. I also suggested hiring an structural engineer to review your plans whereas again you've selected not to, assuming the cost was a factor. As the inspector, I issued the permit knowingly you accepted the responsibility under the (Homeowner License Exemption)to act and comply with the State Building Code. Unfortunately, after the fact I have found concerns regarding the floor system,which may result in safety issues; and on September 19;2005. I mentioned that it wasn't meeting the building code and.stated to you what changes were necessary. At that time we both decided and agreed on hiring an engineer to inspect the design of the floor and other options that may be used on top of the required 4' unbalanced fill outside the perimeter of the foundation. I r� Page two: 36 Captain Ellis Lane I understand the frustration this may have cause, though I must act on my findings even after issuing the permit whereas I find concern for yours and others safety. When you meet with the engineer,please submit copies of the documentations for review. 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T � r + + a f y ,a, 3la C�p �. �/ls �/i3��s, Nl- •,x Cl IT 41 1 e n , r _ s r � ' r. �2l _ ' 14 ► , ' a IA- 2,4 ' � * ^"- ,r•-�"��/.'�.,� Vic.*. �, ,.. ° 't t ?a' 1 - e _" c �p � � < 9j�3/s e- s r " F y' 36 Captain _ _ 1r. 5 .I r 1 S T IT air f t # Mr 1 ,� 1 .r,1 ✓'� .• .,, / •' ` ' ►4 Ak- •1. alb ,.r �� M x s. f ',. y y�1. w •� .i'.. • S/ Ib T/ f rl f 0 we 4�k�ty7l-,�p�+1•;�,��� I 38 Ca � F v��JuP vz- ; . v G� Assessor's ma and lof number ......... 7 ' Sewage. Permit number .......................................................... c TOWN OF 16ARNSTLABLE t 9 °T1rp ABY � O R O 16 eel APPLICATION Ftit 1 \L11.5_ Cli ....�1: ...A r OR PERMIT:.TO f'' •' TYPE OF CONSTRUCTION ... Tdrtnr ..la y.av p... ...................................................... y.................................... ��2$ .......19 :.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby' applies for a permit according to the following information: " Location .11 Captain Ellis Lane, Hyannis,, 1 A .. .............................................................................................:......................:................................. rroposed Use ...��'sidenoe .......................................................................................................................... ........................ Zoning District . :e=si.dent.ial .Fire District .. ........................................................ .............................,........................................... t Name of Owner ...'Ri.ckV..Y1c`1l.e.k....................................Address.... ........... Name of Builder .....'.7.r�..t e.``�..•K, Spith .......Address 0ut.t' I�"F.„ �-..V.a-nn.i�i ............. .................. .................................................................. Nameof Architect .............................:....................................Address .................................................................................... Number of Rooms 5 .....Foundation Pour. ... . ............. ....................................................... Ceea, r Shingle A ph • •Shingle Exterior ............. .......................................,....................Roofing .................... .................................................. Floors :'.F.l� .. Zrd� .l,...............................................Interior .......�°r7.ry I;..;.......................................................... ...........................1"I'a.... Heating ....Plumbing ..... .... . ' Fireplace pp A roximate Cost .............. .. !.....C.. ..... ............................... Definitive Plan Approved by Planning Board ___________________________:____119________ !.Area ©.�....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH . i I hereby, agree to;conform to'all the Rules and Regulation's of the Town of Barnstable regarding the above. construction. `i Name Y.,,,.Sts.;an ... ��� c,....... ...... qy t•,..: R. '"1 Malek, Ricky A=250-106 . 19489 one,/ No ................. Permit for ............. raz ..... single family dwelling: /............ Location DCapt. Ellis Lane ......................................................... Hyannis ............................................................................... Owner R I.icky. ...Malek .. . ...... ........................................... Type of Construction frame ............................................................................... Plot ............................ Lot ......... ............... Permit Granted .......... ?trust .........19 77 Date of Inspection Date Completed ......................................19 PERMIT REFUSED ...... ................ ..'...... :................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... o . is (1 f avI JVdck}� �` PL " r �ay. � '' - �: P If 56 yc - 64. '08•03, PROP. RE-LOCATED SAS �s.7 LOT 11 -�. o ,co 16,3' t SQ. FT. V_ vy 65.0 J 11 Q, 64 66.0 ov2 Sip{ . 0.3, + 64.5 6 5.5 f ._ ., .. i '� r �, J.iRyIDi s•F .6�'. �'f�f x3-�*vv".v� _. 't � _ lb z w 0.S• 3 65 65• 64.8 / HE I 29 0 + 66.0 S" .5 i\ 65.� - !7 10 / r �7 EXIST. o o G I l DWELL. /� / •, U' O 65.9 k •, O (+) 5.7/Q BENCH MARK — HYDRANT �a . o , 66'8 TF - , ON TAG BOLT #521 ss.s' / H EL. = 67.4 (ASSMD) ���5 •0/ -- _ - - 4 - tih ONC. RE—USE EXISTING `SEPTIC TANK 6 _ PATIO / (PROVIDE SUITABLE TEES* 64.4 IF NECESSARY) 66,0 } 6S , GR L DRIVE 61.4 i + 6 . 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