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Home My WebLink About0313 CASTLEWOOD CIRCLE (2) �'/3 � � , :�. �� The Town of Barnstable • BAtuvsreaM '9 .,e�, Department of Health Safety and Environmental Services Fo Mo't" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner SHED REGISTRATION V J Location of shed(address) Avrotvrd -F-e)e eE16q Wig- r77,jr C,21 4?6- Property owner's name Telephone number sk �a jT:� l1.rZ Size of Shed Map/Parcel# Signature Date — Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) , THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg 1 v \ LOT 114 8. �8 LOT 91 _ - - - - - -_ - DECK LOT 92 V LOT 1�1- T 79 49 � NOTE.- PRE-EXISTING 112 LOT 93 NONCONFORAfING. LOT Plan is For ,RES. ZONE. "RCI" This MORTGAGE INSPECTION Bank Use Only FLOOD ZONE' "C TOWN: YN -- — — — REGISTRY OWNER: roNro srros & cEalva saNTos FER—RErRA DEED REF: �4�1� — —BUYER: SEA — SCALE:1"= 20 . DATE: 10 5_Z9_2— — — PLAN REF: 19ZL97 — -- — -- I ggEREBY CERTIFY TO ��N1��1'�G �Q � RAN �\k of r YANKEE SURVEY its successors and/or assigns—_____THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS � P�L CONSULTANTS SHOWN AND THAT ITS POSITION DOES CO - TO THE ZONING` LAW SETBACK REQUIREMENTS OF THE MERn Q 143 ROUTE 149 TOWN OF ___BAgNST I,zE______________AND THAT yo MARSTONS MILLS, 0 02648 IT DOES_NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD `�fGlSTE��JQ,`` TEL 428-0055 AREA AS SHOWN ON THE H.U.D. MAP DATED_d/_j,9,/�Z_ FAX 420-5553 Co unit —Panel 250001 0005 T IS PLAN NOT MADE FROM AN INSTRUMENT 9624 BJS PAUL A. MERITH P SURVEY NOT TO BE USED FOR FENCES ETC. The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-8624038 Ralph'Crossen Fax: 508-790-6230 Building Commissioner 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. Type of Work: Q' P�c _ Estimated Cost.-2. �.:�- Address of Work: J /J 01S7ZE& V CC�iIiL�f Wk-af-AI AI IC Owner's Name: xf,�-�G y 2 k leE:.t jed4 Date of Application: el, - 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 ❑Building not owner-occupied tOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME 01PROVEMENT 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. t Date Contractor Name.. Registration No. OR Date Owner's Name q:forms:AfTdav M CLUt App moft J - . Ta kaz ab( � Pra.a ipdv PmWim for Oae and Two-Fao dy Ruidemw 13mmigg,gated with Fond Fula MAXIMUM MINIMUM WaII Roar B� Slab untiaw oolin tJ value= RrvaluLJ R value' EGvdu2 Wall Pltea Fl�� Ea— t'sdmge Rrvaiuet R.valuw 9701 to 6500 Hanna D Days' Q 12% 0.40 3E 1 13 19 t0 6 No:aml R 12% CU2 30 19 19 !0 6 Nomal S 129A 030 3E 13 19 10 6 M AFUE T 15% 0.36 3E 13 25 WA WA Nmmni U Is% OA6 3E 19 19 10 6 Natmal is% u.4+i �e 13 ?.�. i�iA WIA 25 AFUE W 15% M32 30 19 19 10 6 ES AFUE JC IV/. 032 38 13 23 W WA Nam d Y 18'/. Q42 3E 19 25 NA I WA Normai t 19% 0.42 3E 13 19 A0 1 6 90 AFUE AA 1a'/. OSO 30 1 19 19 10 1 6 90AnM 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR ALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): i NOTE: OTHER MORE INVOLVED METHODS F DETERMINING ENER REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS FORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-fo=4980303a 780 CMR Appendix J - Footnotes to Table J5.7-lb: 1 fs, and Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, sky igh basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-3 8 insulation and R 38 insulation may be substituted for R-49 insulation. Ceiling Revalues represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between . - ""-' vaUon of the FDA me conaiuoned apnea nuts LUG vcuuia►cd Y Wall R values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R-19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wail requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The enure opaqueportion of individual basement wall with an average depth less than 50%below grade must p any meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements.-are for unheated slabs.Add an additional R-2 for heated slabs. If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table JI.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 LOT 114 i N�753'15 LOT 91 � --=--_--� ~ �� l � 60 :-_____ LOT 9,2 cv _ � r -- ,w A e5f .o r t,T 1,3- ` s 5� 7g ¢g NOTE. PRE-EXISTING LOT 112 LOT 93 NONCONFORMING. MORTGAGE INSPECTION plan is. For FLOOD Zots. "C" M. ZONE "R,O1" Bank Use Onl _ REGISTRY OWNER: �X -s �MA-s_F _ DEED REF: . 64 _ 2D - FT. DATE; �4,l 2 PLAN REF: 1.9 7 SCALE:1" I. Of BY C wo ass _ THAT THE BUILDING � �" YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS PAUL s CONSULTANTS SHOWN _AND THAT ITS POSITION DOES _--- CONFORM H 143 ROUTE 149 TO THE ZONING LAW SETBACK REQUIREMENTS ,1,HAT ft MARSTONS iff=- MA 0284 TOWN OF o �`� TEL 428-0055 IT DOES_ LIE WITHIN THE SPECIAL FLOOD HAZARD FAX 420-5553 AREA AS SHOWN ON THE H.U.D. MAP ATED} _ ... ..T ,TNT XKA" U'R[lM AN INSTRI3MF.NT 4fs?s ' �a F � �, x r -� f �� xz $ I r� � � r �� q/�� r� v � �..9 _ p �{ �V n � _ _ 7 �° �. F 1 _ _ �Z V'o, � n �. a Department of Health San Biulding DIVWoII E 367 Maio SKIM AMmis MA Mal Ewa - O� 5034162 4MB Ralph Cmssea Fax: 309-790.6230 Buiidiag Cammiss noMEowN=LSUCZENMSE p�sPtiat . DATE roe U=Tv3N: CMMENrMABMO egos bomspboma� waeic�bOae¢ dhNmwa svm zip aws The cmv t=mpdan for"hnmemmere was c=dedto iaciadeied dweirmag of sk traits or teas ad to allow hooeowaasto zm btdividtraifwhimwbo donz=p zm awe, Mm (FBQ�OWNFS pamn(s)Who awns a pox did ca mb ch hdShC n1ftGriflomb to e'Cm QL Which th is,or i3 handed f0 be,awe artwo-my&v@Wm& ar demchedsUmc'I -=CmyjOswhUmzmMGrfzms=c== A who mmd m tmehaw inatwo-rwVo si notbe�ewdahomwww- Such p� to theBnRdmgOffuaai,t ohe0�ilb simil ditto t'he BmTd'mg�Offu�aa�ifa�a a �� /��/� • .... •vemms•it ALA„sm!h WO&"0 Tin •nad,,*,�iZ • rMCCD&.1�@cdm.109.L1) "bmwewne�'�v pME far �tbe dame Bm'Idmg code aad ather applicable mim bylaw,ztdw aadr 'p1C 'bo®eowae�'c=r=thathelshe nada�tba Town ofBoymble Bmidiag Depztmc mia�t pio�dmts wd�ents andtb$tivelsita wdI comply W�saidpaocEM"Gia aad pppnn►dafHsnidt�io Nata '13 4mfly dwdbp cmMiniux 3s.Mcubic fMar Jm trw0lbemq=cdto comply art&the State Balding Cab sodum,127.0 C.aosara dmCam ML MOB seadt*rw omeaornamg�es aPww()for �seoiaatSe�eoas109.1.1•tJwmsofwt�a8eP0etp0� dwffd e6 Wmsodomebwadr-*KsmhROmw=ws6dtaQaswe �tmaf� ��afasupa�r<seeAOP�OCC RaksdtR � �� 0° $0d0°Z13) '��aPasmesa��desmsa� �d wbeathefmmeaRmeldsaradiomsedpea� Intb�tas4��tbanoiia�ed;� wbhanceawdSPN nS�"'0�s mpsuofine .�� ss weafld a afa Uscd (Intbaim"Faffibissmisafmcwtudy tbsttbethatbdsbea�mmidstbe formaiayoaaY �a�town:. Ywmsf Ito toaeadamdadopts�afo®loa —. __-- a ommonwe ..-- ' Department of Industrial Accidents ::-'•._ . . = _ Office oll�resoffaaoos 600 Washington Street ..," Boston,Mass. 02111 Workers' Coen ensation Insurance davit Morar name: `� . `� e '�Yz" tr� p location: Z 1 a Lt' �o Ci d 1,�o C� city V't IS., �A- d-�� hone# � J-�-�rZ am a homeowner p ormmg all work mrysseul�f. tq 0 I am a sole Proprietor and have no one ❑ I am an employer providing workers' compenww.sation for,my employees working on this job. name :::::.:.:.:::.:::::::::.:: :>:::::::::..<...:. :»-,.--. ::::::. company .:::.:.:...:::.......'.i. ::.;:;:::<';:.::;:: ::»::;<:>:>::::;:<:><::::>':>:>:::::::>:>::`...:;:..........:<:: :: :.....:..:: I. stldte s s. ....:.::: :.:::. {{c::a:x:::�::i::•:;:i::: .. .............. ... .................................... :.;:.;:. insurance co.. . ... :.: ..........::.:...;''<:.:>:: olicv# .. ........:::. ...:.... %/ ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have . thefollowing_workers'..compensation polices:............:...,.:.:::.......:............ ...............:,.:..:..:.::::::.::.::.:::..:...:::.......................................................::::.:. ....I...........:..:::::::. :::: ....:.::::.:::::.::..:.::::::::::::::::::......::::::::::::::::::::.::.:... ..:....:::::::.::..:::....::::::::::::::::::...:..:.::.........:..:..:.:.:.:...:::::::.::::::.:::.::.::::::.::.::::::::::..�::::::::........ :.............::::....:.:::.....:......................:............................ . ....::::::.:::::::::.:.:.::.::::::..:..._.::......::::::..:._:.::::,::..::..::::.:.::._. .:..:................................................:::::: :::.:-X-:i:::::>:::: coravanvname :;:::;:.....:--:...<`:`:.:.: ?<:>::::.::<.:.<:.,.-...:.Z ;:::<::.<:;.<<;<:::. :::::::::::::::::::::: addre ss. . 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"'*, ..: ::::i:.. ., ec.. <:•. ::«: `': ..`.Vie.#::'..'.'. ..'?.....:' .;;'<,.'..''%.%'.':;::>:: .':�t :~:?:;y:;:%.:.:;:{::: %%:�:.::?:•;:?:z:.:<: :>:``:'`n On ................................. ............:::: dty:; :::::...... ;: :: :;;:.::::.:.:.....:::::::::... >..""I":. 0. .'':.i:::::i;:;;:�:':�:.i. {:;((:;:;:::};:}.::;i:;:>.::•:4i:::::iiiiiiiii:tiff:..,: ii::i:irv;%:;{:y;.,v,:v: :::;:ii:::::{::::is ii'::i:}:.:?iiiiii:ii:is itii:.ii'F..:yii;:;:::..::j;i::iii::ism::i::iii:!::i::'::':i::::?i iTi:i:'+i::iY':::i:�:::i.:.:::•::v::::::. ..........:::::::::::::::::.�:::::::::::: 1. ::::::::........::::::::::::::•::::::::•............:.:.::.�:::::::•:v:.�::::::::�::::::::::v.::......::....n..............s........................0:::: ..::.. .............................:J..................::.......... .. .............. ...................:.....e......................................... .. .. .................... ......... ........... }µ... .::::::.�:::.� ::•.:.•:.::.:.....,.....{•i:•:4:•::Oi:•i+::i:•:ir::. i:'ir)!a\L�ww>iNi:1S�ri:iiii:4::J insuianCe CO": :::::.:.:::::.::.:::.:•<•:r:,:nii;::.:;,::.:iii::a:<o;ii.;.:•:.. ;::;:,:..::. i ..1:a:;::a<aix. �� >i:...:•i:i.*->:•i:::::•:;:;:::;::::;:2:3;::>;;:ii; cambanv name: :'>.:>.:?><:»<>.:.:>.«<:.:.«:.«:.<:>:<:.:.>.;»..:.<::::.:: >. ffiffimmm. :..;;::.i;>.;.:.. ...: ...... .. .. . . .......... address. .:::.::•. :::X:,,:::.:::.:.: ::.::.ii:.i.ii i:.i::.:::::::::.:.:.: 1<one . ::.::.:::...:::::::......................:::::: ::... :::.:. :.: . ::::::::::::::::::: ....... .:...::i: .......::. :.:..:.:::::.:. ... ......... . . .... +:>s i:; ........................... ...::. :•i:;.;:.;;::.;;:{.:.:.;ii:.i::.;::.i:::.ii: i:.:::::......:::::.;.:::::::,::::::. i:.;:......::::.:::... ..................................::—,:.................,:..:;<:::::::. :::::::::::.;;:::::..::::::;.i::.....:::::..............i:::.:....::.....:::•::..::.:::::....,....:..i;.:.i;.:::::::.i..:. i::< .>.:::.;:.,..,.;;<:«:.;;i:;:.;::::.i:. i iiiii;:• i i....::. i;:.i:. i:.::.:;;:.;;;:.i:::.;>::.i i ii ii::.:::::.i::.i. i:.: i:.:::.i:.::.i;i::.i:.:.i::.: :;::.,.; .:>.»:.»»»:.i;iii>::>::::::»:::::, ::::.:::,.:.::.:::: 11 ::::::::::::::::::::::.:::::.:::..::::::.::.::::::..:::::..:::::.,:;:.:..: is i>::;.i:.:::.:.ii;::.ii:.ii. ::.::.:::::.::::::::::::,.:i:::,...................................>......... ...............:. .;:::.:,:::.......;... .;:.:.;:.i>.:.;:.;:. i:<:........:..i.:,......:.;:<.i:.>::.;; 11 ::::;i,:.:.::,::...:::::::::.:::.:::.. :.:::::- cv.#.....:::.::::.::,::::::,::::::.::::.:::::,,.:::::;.::;:::,:.:::::::::::.:::.:.:;:,,:::.::::._:,:... insurance co.... oli Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalfles of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a py otthis statement may he forwarded to the Office of Investigations of the DIA for coverage verification. I do her`eb`y_certify under the pains and penalties of perjury then the information provided above is trr�and comd Signature ...1-.c�-o -;(,c.�,-.�--�- Date' U�, 1&Il I _ _ al— Print name An 10`V�c'0 ''(-0-Ir V-a 1 t'G-. Phone# 'nn s°` �-a�l offidal use only do not write in this area to be completed by city or town o®dal . city or town: perm"Cense# CIBuilding Department OLicea�g Board ❑check if immediate response is required ❑Selectmen's Office • _ OHealth Department contact person: phone#; ❑Other lievieed 9/95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all,;employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 levesugations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# --'Health Division F'2, *fFa �� Date Issued /Conservation Division Feed Tax Collector _ 0��1�q SEPTIC SYSTEM MU3T EE Treasurer ,� � INSTALLED INCOMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village X71)A1`6 _ Owner Address �� ' ��1•�� Telephone D P7,5 Permit Request &—Af'_ (a,.— � �(t? �� —9 1 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type - Lot Size 3? L 77 Sy- tjc a Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family 06 Two Family ❑ Multi-Family(#units) Age of Existing Structure - Historic House: ❑Yes 21 No On Old King's Highway: ❑Yes Ri No Basement Type: 4 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing I new Half:existing I new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing , new First Floor Room Count Heat Type and Fuel: 9 Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes C�No Fireplaces: Existing New Existing wood/coal stove: ❑Yes iNo 0 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 BUILDER INFORMATION Name ,V7-o•t11;Q Telephone Number Address ��J�. G�i4SS/ "h--4f60-" l�P�,L�- License# Ail 91214710/ Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE . D E _ i/9 FOR OFFICIAL USE ONLY i P RMIT NO. DATE ISSUED- MAP/PARCEL NO.. t !, A } ADDRESS P '', . VILLAGE k OWNER r 'Z r DATE OF INSPECTION:` FOUNDATION �J J FRAME INSULATION FIREPLACE ELECTRICAL: ROUGIR f FINAL PLUMBING: ROUGE m FINAL ` GAS: Rlotigg H FINAL FINAL BUILDING !tl A = , Ir` m 4 ry DATE CLOSED OUT m ASSOCIATION PLAN NO. r ' ap �2?�_ Parcel Z`2 Permit# House# Date Issue and of Hea ( rd floor) :15 -9:30/, Fee 26 oj : onsery 'on 0 ce( floor) 8:3 - . .3Zdg.J. 0) la g Dept. 1st oor/Sch 1 drain. THE finitive Pla proved by nning Bo 19 _+ _ • BARNSTABLE. l f TOWN OF BARNSTABLE r Building� Permit Application t� c, Pro a et Address ' Village Owner 4-c- , Address � lb�LeaGC2��.�7,rCe_ u.,,u.o Telephone -Permit Request "First Floor �. B O square feet Second Floor square feet Construction Type Estimated Project Cost $ _;qM, 6-y Zoning District Flood Plain Water Protection Lot Size , '902 `7 Grandfathered ❑Yes No Dwelling Type: Single Family Two Family. ❑ Multi-Family(#units) Age of Existing Structure o24�edrs Historic House ❑Yes 21 No On Old King's Highway ❑Yes Z'No Basement Type: ❑Full ❑Crawl ('Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing l�New' First Floor Room Count Heat Type and Fuel: ZI Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes J No Fireplaces: Existing New Existing wood/coal stove EiYes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) 16 None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Id No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number —o Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. :, _ t - - 2•'~' t _ ` DATE ISSUED r , i MAP/PARCEL NO. 46 47. ADDRESS �. �, ¢ t VILLAGE' OWNER DATE OF INSPECTION: $ FOUNDATION FRAME INSULATION t , FIREPLACE K ELECTRICAL: ROUGH i FINAL PLUMBING: ROUGH FINAL ' r i o- GAS: ROUGH " FINAL" t ! FINAL BUILDING , DATE CLOSED OUT - t ASSOCIATION PLAN NO. , The Town of Barnstable • s�►sivsr,+st,E, • 9e},A � Department of Health Safety and Environmental Services TEo ` Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner ' For office use only 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. Type of Work:_T P— 4AID &eo®F1 fi/4 Est. Cost .0 9dD.av Address of Work: 313 /'_7e e(A.Z a5d Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner 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 PROGZAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as th ent of the owner: e Date Contractor'Name Registration No. OR Date Owner's Name .t Assessor's office(1st Floor): a // Assessor's map and lot bar el? ✓ j/ Conservation _ SEPTIC SYSTEM MUST BE ; -8oard,of Health(34floor): - INSTALLED IN COMPLIANC7, Sewage Permit number WITH TITLE 5 t DA ISTADLL Engineering Department(3rd floor): ENVIRONMENTAL GORE A"f ' �°° 0e 9• r. House number :ynRrR Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN , OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: 19 The undersigned hereby applies for a permit according to the following information: Location Proposed Use jil 00 11 f y) Zoning District Fire District Name of Owner JG l77- '1 t' 0 XT)� lAddre s" Name of Builder Address Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors --� ��% Interior Heating Plumbing i�C y►C� �1��'li� Fireplace Approximate Cost ®U C Area I Diagram of Lot and Building with Dimensions 12, 40 FeeQ I� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name -42 Construction Supervisor's License 1 � FERREIRA, ANTONIO S. SANTOS t No 35099 Permit For BUILD ADDITION Single Family Dwelling Location 313 Castlewood Circle Hyannis Owner Antonio S. Santos Ferreira , s Type of Construction. Frame , Plot Lot t /Permit Granted June 2 , 19~' 92 t Date of,Inspection Date Completed 19 F • c » i r y'.. b�, ��a 'gnu s. • ", r ~ _ ' . r r 1 1 • , k 1 r t r 1 t FILE # F6027 P0.60095 CENSUS TRACT # . CLIENT: Appraisal AssoclaVe—sof Mass. DEED BOOK PAGE OWNER: ` Fre ri a T Grossman PLAN BO PAGE LOT APPLICANT: Antonio Santos & Germana Santos ASSESSORS PLAN PLOT Ferre ra MORTGAGE - I NSPECT 'I0N PLAN of LAND r I N 1 B A R N S T A B L E u SCALE: 1." 30' JULY 11,` 1988 139a . LOT", DEq� ��... "STORY 79.45 2-1 kF LOT 112, LET 114 ,t DR,ve 24 N C levvccd .. I CERTIFY TO APPRAISAL- ASSOCIATES OF MASS„SENTRY FEDERAL. SAVINGS BANK_ AND ITS ''TITLE INSURNACE COMPANY, THAT THERE ARE: NOS VI=SIBLE 'ENCROACHMENTS OR EASEMENTS EXCEPT . AS SHOWN AND THAT THIS PLAN. WAS PREPARED UNDER MY IMMEDIATE SUPERVISION.' THE.; LOCATION OF DWELLING AS ' SHOWN IS.. IN COMPLIANCE WITH THE LOCAL ZONING BY LAWS WITH RESPECT TO HORIZONTAL DIMENTIONAL REQUIREMENTS �- _ THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE ASu DELINEATED ON A MAP OF COMMUNITY #250001C DATED8/19/85 BY THE f The Commonwealth of Massachusetts p _ Department of z Industrial Accidents �S P Office of/nsestigations _= t 600 Washington Street J Boston,Mass. 02111 Workers' Compensation Insurance Affidavit %/l/% /////%//////////////////,/////////////////////////////////////�//////' name: �� o� location: l,3 ef e_UJ&.- e city �� /TX-v phone#.Z 8 ! 7J_'z3�`5 Q�I am a homeowner performing all work myself. ❑ I am a sole r rietor and have no one world in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. company name:: address: . . phone#r . .. ..: insurance CO. policv# , ❑ I am a sole proprietor, general contractor, o homeowl er Zt le one) and have hired the contractors listed below who have the following workers' compensation polices: _ . company name: address:- ;,. -,. ,.: ;:; ' ;; city: one#: ohinsuranceo cv# campanv name.' address: __. city: :. rihone# .. insurance co. olicv# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that o copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certi under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print name 4A/7y2 N 6 d J�ZR Je e</;64 Phone# ''iye 3,9,.S ' official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the "law", 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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 pemut/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. , The Office of Investigations would like to thank you in advance for you 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 Imlesdusuoas 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 • TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION �j/, � � C' 10. �, Number Street address Section of town "HOMEOWNER" eu Name Home phone Work phone - PRESENT MAILING ADDRESS 3 1-3 - 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 such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, 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 Officiz on a form aceaptable to the Building Official, that he/she shall be responsib for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes responsibility for compliance with the Stel!i Building Code and other applicable codes, by-laws, 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix 0, Rules and Regulations for . licensing Construction Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Rome "Owner acti: as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/fier responsibilities, ma: communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community.