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Permit No. B-19-2152 Applicant Name: MICHAEL RENZI Approvals
Date Issued: 07/17/2019 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 01/17/2020 Foundation:
Location: 54 CEDAR STREET, HYANNIS Map/Lot: 343-011 Zoning District: MS Sheathing:
Owner on Record: CAPITAL LEASING OF CAPE COD INC is�
Contractor Name MICHAELJ RENZI Framing: �arL lffZri
' Contractor License GSFA-058266 2
Address: 1141 OLD STAGE ROAD
CENTERVILLE, MA 02632 Est Protect Cost: $4,000.00 Chimney:
Description: BUILD UNFINISHED FRONT PORCH 8'-24' �µPerrnit Fee: $85.00
Insulation:
Project Review Req:. r k Fete Pa $85.00 Fina�
Datem « 7/17/2019 a�
Plumbing/Gas
h Rough Plumbing:
� Aw
BuildingOfficial Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work a6th6nze00his permit is commenced within six m nths aff r issuance.
All work authorized by this permit shall conform to the approved application and�the'approved construction documents for which th*i permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by laws:and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for putific mspectwn for the entire duration of the Final Gas:
work until the completion of the same. 9 �
�.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by,the Building and°Fire Officials arexprovided on this permit.
`Minimum of Five Call Inspections Required for All Construction Work�; Service:��, � z fi # � � �.
1.Foundation or Footing s b Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons con with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
_ Fire Department
_�% Building plans are to be available on site
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
----- ---------- - ----- ----
p 8 ApplicationNumber....S k.:.: ... ...1.
LDING DEPT
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g JUL 0 2 2019 Permit Fee.......................................Other Fee.. ..................
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TOWN OF Q Total Fee Paid............................................................... ......
ARNSTABLE
TOWN OF BARNSTABLE Permit Approval by..... &�.........on... ......
BUILDING PERMIT (
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Map........ 4Z.............Parcel...........L. .......................
APPLICATION
Section 1 — Owner's Information and Project Location -
Project Address ' Village
Owners Name 10,
. . ate ® 1 -u _ erL
Owners Legal Address-11"L14 � 74!J e �
t1
City �" (J'� I�[. State }, Zip Z
Owners Cell# J —7 3 E-mail
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
❑ Commeicial'Stiucture under 35,000 cubic feet
L7 Smgle/'F lling
Section 3 —Type of Permit_
Y
❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild _ XDeck Apartment ❑ Sprinkler System
❑ Addition ❑ Retaining wall ❑ Solar
❑ Renovation ❑ Pool ❑ Insulation
Other—Specify
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Section 4 - Work Description
C:
Last undated: 11/15/2018
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Application Number....................................................
Section 5—Detail
Cost of Proposed Constructio Square Footage of Project 9.9� `L LT
Age of Structure Dig Safe Number
#Of Bedrooms Existing Total#Of Bedrooms (proposed) (5
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
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Section 6—Project Specifics
P
WiringOil Tank Storage Smoke Detectors
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❑ Plumbing ❑ Gas ❑ Fire Suppression a
❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom
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Water Supply El Public ❑ Private
Sewage Disposal ❑ Municipal ❑ On Site
Historic District Hyannis Historic District Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ET'No
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_ I
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last updated 11/15/2018
- QX
The Commonwealth of Massachusetts
Department of IndustfialAccidents
Of of Investigations ,. .
f 606 Washington Street
Boston,.MA 02111
www mass.gov/dla
Workers' Compensation Insurance Affidavit:Builders/Contractors/Elec tricians/Plumbers
Applicant Information Please Print Legibly
Nance(Basi7.
ns/Organization/Individual):
. Aadr�� ,
State/Zi
��t3' P• Phone#:
(Are you'an employer?Check the appropriate bog: `Type of project,(required);
1.0 I am.a employer with 4. 0 I am ageneral contractor and I
* ;have hired the sub-contractors 6 Tew construction
ployees(full and/or part-time). .
2. 1 am a sole proprietor or partner- listed on the attached sheet. 7 ❑Remodeling
ship and have no employees These sub-contractors have 8. Demolition
workingfor me in an ca aci employees.and have workers'
Y P h' 9. ❑Building addition
[Ndworkers'comp.insurance comp.insurance S
required] 5, We are a corporatton and rts 10.[]Electrical repairs or additions
3.®YI am a homeowner doing all work officers have exercised their 11.❑Plumbingrepairs or additions
myself.[No workers'comp. light of exemption per MGL 12. ]Roof repairs ,
insurance required.]t c.-152' §1(4),and.we.have no
employees.[No workers' 13.0 Others O v� fort L.
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing then workers'compensation policy information
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
1Contractors that check this box must attached an additional sheet showing the name.of the sub-contractors and state_whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that is providing workers'-compensation insurance for my employees.-Below rs thepolicy and job site` '
information.
Insurance Company Name:
Policy#or Self-ins.Lic,#: Expiration Date:
Job Site Address: S`( reo*K City/State/Zip:66&61_41
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 maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do here certify under thepains and penalties of perjury that the information provided above is true and correct: .
Signature: 1(�l(✓ j X 1 Date:
Phone#: 'fo . .
Official use only. Do not write in this area,to be completed by city or town of
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of health 2..Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:.
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,.oral or written."
An enWloyer 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,§25Q6)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, §25CM 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 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 laww 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 penmitdicense 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 I any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts.
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 4-24-07 ,
www,mass.gov/dia
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Commonwealth of Massachusetts
'�®� Division of Professional Licensure
Board of Building Regulations and Standards
Construction�$1y�'- , 1 g 2 Family
CSFA-058266 �f
« c�ires: 01/30/2020
-_-
MICHAEL J F;CEN X
387 PHINNEYS
CENTERVILLE•
Commissioner
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:Individual
Res�is_ t�.atio�. Exairation
9�8b 02/03/2021
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MICHAELRENZI`;�
MICHAEL J.RENZI�`���
387 PHINNEY Undersecreta
CENTERVILLE, 0
MA 2632
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Application Number...........................................
Section 9- Construction Supervisor
Name AIL�d� Telephone Number
Address 3$ ) P(�w�,�y� (�City e U //r State A e�- Zip y t 6 3'L
License Number 6lg L4 License Type Expiration Date
Contractors Email iw t '(U.,-ii-e6,oj?nucI t e,@ 6-mj j l . C 0A Cell# 'y j
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signature�/4e.� a..(OA _ -Date
Section 10-Home Improvement,Contractor:,
Named Telephone Number S AM e
Address S a Mp City )qrn,4- State fA^,e Zip San%P
Registration Number I(( Z-0 Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature I&Acy Date
�r Section 11 -Home Owners License Exemption
r� ti
Home Owners Name: cAQ,_',® I 110AS i AJQ
Telephone Number Cell or Work Number )-3
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
S1Signature Date /
1 �/f
APPLICANT SIGNATURE
Sign ature
OX A Date
Print Name 'AA, j e ,Q 72- Telephone Number/ ( (® (
Email,permit to:
Last updated. l 1/15/2018
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required).
Historic District ❑ Site Plan Review(if required) ❑
.. Fire Department ❑
ti
Conservation -
For commercial work,please take your plans directly to the fire department for approval
Section 13— Owner's Authorization
I, as Owner of the subject property hereby
authorize �,�� 1-e..�i� to act on my behalf, iri all
matters relative to work authorized by this building permit application for:
�y redo 01 f{kAA. .)lJ
(Address of job)
Signature of Owner date
Print Name
r
Last updated:11/15/2018
_ Town ofrnstableBuilding
s [Post_ This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and thisCard,Must be Kept i
MASSL iPosted Until Final inspection Has Been Made.1639.�� e
rmit
!Where a.Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit NO. B-19-2167 Applicant Name: Henry Cassidy Approvals
Date Issued: 07/03/2019 Current Use: Structure
Permit Type: Building-Insulation—Residential Expiration Date: 01/03/2020 Foundation:
Ma. L -011 Zoning District: MS Sheathing:
Location: 54 CEDAR STREET, HYANNIS p/ of 343 n.
Owner on Record: CAPITAL LEASING OF CAPE COD INC Contractor Name: wHENRY E CASSIDY Framing: 1
,x
Address: 1141 OLD STAGE ROAD Contractor License: CS-100988 2
CENTERVILLE, MA 02632M 4 Est. Project Cost: $4,800.00 Chimney:
Description: Insulation Permit Fee: $85.00
r Insulation:
Project Review Req: Fee Paid: $85.00
Date: � 7/3/2019 Final:
Plumbing/Gas
Rough Plumbing:
��`�Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance.
All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forIpublic inspection for the entire duration of the
work until the completion of the same. ,
• '"' �` Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this;permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: f
1.Foundation or Footing Rough:
g
} 2.Sheathing Inspection ...m--.--
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
<*— Fire Department
Building plans are to be available on site ��'is� Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ®�