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HomeMy WebLinkAbout0085 CHESTNUT STREET �, 5 C �,�s�-h �-t- - S-� �. � i �.� UVPWAKON N. .- 2 Fuller St. Carve,MA 02330 mcmahoninsulation@gmail.com 781-831-1234 " Completion Date:03/27/2019 Permit#: B-19-131 Address:85 Chestnut St.Hyannis,MA.02601 Attn:Building Inspector Jeffrey Lauzon for the Town of Barnstable, We installed the following insulation/completed the following-work at " �85 Chestnut St.Hyannis, MA.02601 g , Including: Walls:dense pack cellulose to fill wail cavities via "drill-and-fill"methods This work has been completed to stretch energy codes'applicable at the time of installation._The walls have been scanned for voids(missing insulation)with IR scans by our own crews. This work is utility funded-and audited,'and is heldto thehighe_st7standards of workmanship ' and quality:All work has been completed in compliance with Si it Building Code 780 CMR. Please don't hesitate to contact us witMrany questions!" Respectfully, Michael T. McMahon Owner 781431-1234 Jf: Town of Barnstable Building lding f a Post This Card So That it is Visible,From the Street-Appr`oved Plans Must be:'Retained on Job and this Card Must be Kept w�rerrAeY.e, 4 *'^ Posted Until.Final Inspection Has Been Made. er �+ •bsa 1. Where,a Certificate'of Occupancy-is Required,such Budding shall Not'be Occupied until a Final Inspection has been made Permit No. B-19-131 Applicant Name: Michael McMahon Approvals Date Issued: 01/14/2019 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 07/14/2019 Foundation: Location: 85 CHESTNUT STREET, HYANNIS Map/Lot 309 120 Zoning District: RB Sheathing: Owner on Record: WEBSTER,JAMES E&OLGA L Contractor.Name: MICHAEL T MCMAHON Framing: 1 i4 Address: 85 CHESTNUT STREET Contractor License CS=068111 2 HYANNIS, MA 02601 Est. Project Cost: $5,746.00 Chimney: Description: Weatherization,weather stripping, air sealing, blown cellulose . PermitFee:• $85.00 v Insulation: Project Review Req: i ,fee Paid ` S 85:00 Date: 1/14/2019 Final: Plumbing/Gas I Rough Plumbing: a g g Building Official FinaLPlumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after=;issuance. P Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. g 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 for.public inspection for the entire duration of the work until the completion of the same. P Electrical 4 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: 1.Foundation or Footing 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 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICA7(ION Map ✓O� Parcel ' U� V. Application # ✓ f� Health Division Date Issued 7 Conservation Division Application Fee II Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ate S IF—,i?_ . Project Street Address_` Village .' � Owner Address Telephone Off 77!�i '7 7 Permit Request A A,, —01 ,Aga4zn. Ael Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation T 19'7 l�Construction Type Lot Size /` Grandfathered: ❑Yes ❑ No If yes, attach sgbp�porrting documentation. Dwelling Type: Single Family CST Two Family ❑ Multi-Famil6 # Ai&l 0% ` CU Age of Existing Structure Historic House: ❑Yes ❑ No 4©n OId,King's Highway: ❑Yes ❑ No Basement Type: Q Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) JJW Basement Unfinished Area (sq.ft) lC Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil e'Electric ❑Other Central Air: ❑Yes a<00 Fireplaces: Existing New Existing wood/coal stove: ❑Yes d o Detached garage: ❑Jexisting ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ oe Attached garage: aexisting ❑ new size _Shed: existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes dINo If yes, site plan review# Current Use Proposed Use 4,cA4_ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I Telephone Number 7794 '01021 Address /A3 a License # o1 6 13l IA papa i Home Improvement Contractor# 117RH 3 Email : fit ae&> a&� Worker's Compensation # 1Cu,!s 5 ~04qc1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 9 r'��/, FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 2-Yi -7 INSULATION r, FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING1h:417 e DATE CLOSED OUT ASSOCIATION PLAN NO. I O® " ' DATE(MMIDD/YYYY) AC CERTIFICATE OF LIABILITY INSURANCE �..� C 9/23/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(iss)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Jane Logan - ' Andrew G. Gordon, Inc. PHONE (781)659-2262 aC No;(761)659-4725 306 Washington Street AD Ress:Jane@agordon.com s INSURERS AFFORDING COVERAGE NAIC# I Norwell MA 02061 INSURERA:Llbert Mutual Agency I INSURED INSURER B:Commerce Ins. Co. 34754 Lux Renovations, LLC, DBA: Owens Corning"of New INSURERC:Peerless Insurance Co. 24198 60 Shawmut Road INSURERD:Star Insurance Company 18023 INSURER E: Canton MA 02021 INSURER F: COVERAGES CERTIFICATE NUMBER�Master JL 9/16/16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS a CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , INSR OL s BR POLICY EFF POLICY EXP LIMBS LTR TYPE OF INSURANCE POLICY NUMBER MM DD MMI D ij X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE-TO RENTED $ 100,000 y A CLAIMS MADE OCCUR PREMISES Ea occurrence CBP8512851' 9/5/2016 9/5/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 s X I JECT ❑LOC 2,000,000 POLICY❑PRO OTHER: t COMBINED SINGLE LIMIT $ o AUTOMOBILE LIABILITY - E accident) ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED X LP7677 4/4/2016 4/4/2017 BODILY INJURY(Par accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE Is 1,000,000 C EXCESS LIAB X CLAIMS-MADE AGGREGATE $ 1,000,000 DED I X RETENTION$ 10,0001 CU8511953 9/5/2016 9/5/2017 $ WORKERS COMPENSATION X I SPTEARTUTF ERH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? y N I A D (Mandatory In NH) XWS57350449 5/24/2016 5/24/2017 E.L.,OISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE=POLICY.LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Cert Holder is added as an Additional Insured to General Liability Coverage per Blanket AI form 22-133 and Umbrella as coverage is "follow form" where required by written contract. WC excludes Dan Bawabe a Paul Deguglielmo, both LLC Members CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Insured's Copy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jane Logan/LOGAN 1~ ©1988-2014 ACORD CORPORATION. All,rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 onreo+l 4 0 Owens Corning Basement Finishing Systems • 0 of New England Webster,James&.Olga Contractor /Agent Authorization From 85 Cnestnut'st Hyannis;'AV 02601 508-778-7207 I, 5� authorize Owens ComingBasement nt Finishing Systems of Boston to sign the building permit application on my behalf,to perform the work at: Home Owners Signature: Date: 1l -1 Project Manager Signature: Date: - 60 Shawmut Road+ Canton,MA 02021 *.Phone: 7817821-0060 • Fax: 781-821-8552 • www.ocboston.com c� II CORNING • • _ NOON ■■■■s■ ■�-i■■� � 4 ::��* � .* ANN NONE■ ■■■� ■ l ■`���� ..�� ■■■®■■N N ■Our ■■ ■i ■ �� I INNNO ■ EO ■ . . . - u ►NOON■®■■■■■ mIN mom 0 0 In , O■ ® ����� r No r ■ ;� `. � i NNN■ rya _ ■■■ ■ NNE■ ■ ■■ NOON ■■■ ■■N � Ae r e s: r a 6xk a ' -------------I---------------- n V Yr s• r { • �u n V k 1 Massachusetts-Department of Public Safety , "Board of 3uiiding Reguiations and Standards construction Sunt.iii iiur License: CS-075131 EDWARD T.ALLN 30 STORMY HII3. ' Dedham MA 02026 x' Expiration. Commissioner 02/27/2017 Office of Consumer Affairs d Business Regulation 10 Park Plaza Suite 51.70 ' Boston, M sachusetts 02116 Home Improve ontractor Registration m Registration: 137943 z Type: Supplement Card r Expiration: 1/2972017, LUX RENOVATIONS, LLC. ti EDWARD ALLEN rn i >o• 60 SHAWMUT RD �, ---- CANTON, MA 02021 4 ��!°n•3r s�Qv��w Update Address and return card.Mark reason for change. .CAI e, 20M-05111 -Address Renewal - Employment E3 Lost Card �a�omrmzoouu�a�C-�aasae�uieet!a . Rice of Consumer Affairs&Business Regulation License or registration valid for individut use only - ME IMPROV4.MT CONTRACTOR before the expiration date. If found return to: egistratio 3 T Office of Consumer Affairs and Business Regulation Type: 10 Park Plaza-Suite 5170 Expira"� Z Su Boston,MA 02116 — _' j~ pp(ement Card . LUX RENOVATION OWENS CORNING 1 ISHING SYSTEMS, EDWARD ALLEN _ 60 SHAWMUT RD CANTON,MA 02021 Undersecretary Not valid without signature Town of Barnstable Regulatory Services ` MAS& Richard V.Scab,Director. 5 Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Y Complete and Sign This Section . If Using A Builder I , as Owner of the subject property hereby authorize to act on my behalf . in all matters relative to work authorized by this building permit application for: ` 9.S k, d 3GO (Address of J ) Pool fences and alarms are the responsibility of the applicant Pools • are not to be filled or utilized before fence is installed and all final . inspections are performed and accepted. tF Signature of Owner Signature of Applicant Print Narn-a Print Name F Date Q:FORMS:OWNERPERMISSIONPOOLS Town of Barnstable ` Regulatory Services aIF Richard V.Scali, Director Building Division l ' ""'"'�'•� -Paul Roma,Building Commissioner MASS, 16 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING 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 who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be,considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. ; The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. _ Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your.community. The Cownwnwealth ofMazya&usdft Zh7 arftffeNt qf, 1nd=bidAcdd=tv Offwe of1mz*ati&= 600 wasrlhwon&zrzt Boston,MA 02HI . '. TEvrvx�.mars_gvQ��ia Warlmrs' Cmn3pe Insm-mce Af ffidwft-Bmldet-dCuuh-Ar+mm.lFl c&ic LmsfPlumbers AM3liC2Mt Iflf®rmafDU Please Prixd Tame - c Address d� ciwst ilr. Phase- -7 7t/ fq3?6.27 Eire�t Ja n employer?Checkthe appmprriate bay Type,of project(required):I.[ 7aam a employer vii& IS 4. ❑I aar a genrsal ca tdoctafr and I 6- ❑New comsfxucEin employees(hall an1br part-ime * have lured1he s 2.❑ I am a sole prcpaetcmr orpattaer- fisted on tite of whed sheep y- B J5Q&&g ship and have no employees Thm sub-c�s have $ ❑Demalifiaa woddag mime.in any capacity- =&ZeesandhavewodmW 4_ ❑Butldmg ad3iiiCa. Wo Wad ers'comp.ius�n:ce CQmF-m $ a d-1 I`❑ We are a,=pomf i m and its 16-❑EkdiLCal repairs or adQim. 3.❑ lama bomeawmer doing all wadc officers have exercised ffiek 1L❑Flumbiagrepairs or adcrifiams of au MCM �f[Ido�varloecs onmF- ugli£ �- � ME]Roof repairs . ;nn�required-]i c-M J1(4)6 audwe1ave na [No wMiMM, aE oamr c=qL insmance Vie&] •drip agpffBsst ebecksbos zl mast elan fiII aalhe sectFoa he�ew�osv @era wa¢iGas'�mpersatinupoIi�gi � tHameoammmbo submit daszffidamAim gthey zmdamgOwalaadlinubkeaatsleiecantxccocs�s sdbnntzn&w2ffldnft indirsim sari AM=3Ld=ff t ebtec3,thk boa Est xt =.-Aditi�sl s3reet s6oa thenxmeof the �rl sta�etcheths�notthase eontiesba� employees.Ifthesn�c 6h�e�f mnsrgmm&&ek 'C—P-pG&-F=M3bK I am an evipZ*er f W igprauFding workers'catnperrsaf on $elow is ii iep:rlrcy Md job sate irrformrrlrcrr. _ '- '. Insnat a Campany Name: r ✓t _ . Pfl-ficy 44 ar Self-ins.Iic.ar X�3 S-0 )4 y Iff Job Site 1ld&egs_ Attach a:copy of the warkere cbmzpeasaiioap declaration page(showing the poficy number and expiration(late}. Failure t D secure,coverage as required under Sun,25A of MQ.t`157 can lwd tD tfse impositiaa of ctimmal penalties of a fine up to$1,50a OQ an ca-One-geRrimprisanmeat.as weA as civil penalties in the faaa of a STOP VMRX OT DERand a Hme of up to$250FKJ a day against the violatar_ Be advised that a copy of this sbdemeuit may.be fxnwarded to flue Of Of Iaxrestig�ofthe DIA for finummce coverage veri Sc afion. Ida hoz y esrkfp uudar tita pains andpenaWm ofyerjiLty flutt the inf orma€va pravi&d abom fs hm and correct y Phone r�- 77q Offl;id am a nl. Do test mite im dib areq,to be crrurp&od by city artopm off renal Cky or"Fawn: Pertficense# ' Leg A fimrdy(cirde one): L Bmd of lregffi y B mWin g Depax s.CSVrownCbxiL 4.Electrical ir specmr 5.Pinnibi�r to C.Other Contact Person Phow#: 6 1 1 li i f 11 f f 1f �J: ••:- -ass �.■. ii• _ .."..it �•■•1�- I M.lt. ••�.w is rf ■ • •••7.1�.• ►rlt am.M.1•Y..■./1 WOMEN ■ M./l■ • n aY..•1 ■■ it 1. r_t■■li' _t■ �.1/ • - •- .n�. :a. - •Mw.r it t• - • :..•■• ■n■ _I. rn■n :r • an a %i II • •% .itn■i1 : -1■ 1■..• •t■: •7:• ■■►w■I.r :R•AY■■•l■ In.• _t■•7■ .1 •■t�' -•J: M■1■1 ■1 :n• ••• a .■.1 - • u 1.7 "••n �■_r.•�• n •u ana:, u■�� _n• n u ot.: i■- _- :n u t nar •_. n rw■t• _AR•.ert■n1 n •■■ -__ sun M■■u • n: slur .•i :••. i1- •••ate • _ •- lo• ■•1 ■_ n• .• nu - n:n wi .ua mi■1., :.■■ -•■• :.v•- is�+ �/u a n . «n•m.n • n- ■ l22 ta■ a■•it:• •.• anu •• t iw m 1. •. u anuat.n r- u■ . 1 r■u. a r_n ••■■. u■ l . ■-•- lu■_ ••th- • ••1. [. 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I •■ 7- ul mn/ - •Mm 1� • .Mr w • :• Yr.M - ••.■ - ••••�' • M■• /Ml ••Y.tt Il: ►M■� •7 r a■►. 1 1• ■ia 1. .tt ••YI.w • runt.•a A- •�■t•■� - ■• rat - • r a.n 1 ■. r.en �:• �:t v: t r i. •It � it■n �■ [I ►•It.n i•- ■• = ■■ ■' � �. • ► ...�••:n•1 ^aa ■ e- t■ n.n. •• n :.•-I■r- a ••u rr••M .um a•• .•. • at ..• _u •.a.tu■ 1•i+■.■ 1u 113i.•i1• f ■tit A rli ��...ti1n• t.■ ■ �� s.■ 70-/ 1J i■ 1Y ■1Y Town of Barnstable auk ,��TME' ti Regulatory Services D/NG DFpr c. Richard V.Scali,Director FEB 03MASQ * lARNbTABLE, � `U , - ,e� Building Division T�VV/V 16 tEp 3g6 a Tom Perry,Building Commissioner ARNST 200 Main Street, Hyannis,MA 02601 AB�F www.town.barnstable.ma.us Office: 50 862-4038 Fax: 508-790-6230 PERMIT# °��C FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 5 a s - Location of shed(address) Village Prope owner' name Telephone number • k • �l 1 2 D. �;L S 0 y Size of Shed Map/Parcel# —qdjllkl V;0 C;L�-3 - C�-b 141 Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? , You must file with Old King's Highway Conservation Commission(signature is required) AVOid Sign-off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE ., COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A s PLOT PLAN 1p4e,�r-VVto,&� Q-forms-shedreg 1l REV:040914 I �./ 'Town of Barnstable Geographic Information System February 3,2016 309050 309051 #78 #72 309052 #681 309049 #90 CNEsruur sr 309048 . - ' #104 ;, 309120 309119 #85 #75 rA • � 3os63 a 309138 309121 #105 #52 .' 309122 #48 309123 #44 Feet DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:309 Parcel:120 - boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:WEBSTER,JAMES E 8 OLGA L Total Assessed Value:$193000 Selected Parcel 1"=100'may not meeCestablished map accuracy standards. The parcel lines on this map � ,� _ are only graphic representations of Assessors tax parcels. They are not true property Co-Owner Acreage:0.25 acres - Abutters boundaries and do not represent accurate relationships to physical features on the map Location:85 CHESTNUT STREET ' such as building locations. BufferXX THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) im A- I DATA PFRP11II�PAYMENT RECCIPT -,� TO K4F BMNSTMLE r,l3lJ:ILDING OEPARTME�r -200'MAIN STR5F-T HYANNIS, OATS a �y }} 7 F � I � KIA f { M 5 X-PRESS PERWPWwn of Barnstable *Permit# 0 / J U N 2.2 2006 Lxp s 6 months from issue date Regulatory Services Fee �j TOWN OF BARNSTAIREas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PMET APPLICATION - RESIDENTIAL ONLY Not Valid wid tout Red X-Press Imprint Map/parcel Number 3 Q , 9,Q Property Address F-�1 a .S Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address r)I Q a rb A.f'VL PAS 1/1L � o t v.3Mh Do`2 a 1 Contractor's Name Telephone Number 5b O Home Impro ent Contractor License#(if applicable) Construction Supe ' or's License#(if applicable ❑Workman's Compensa Insurance Check one: ❑ I am a sole pro riet I e omeo r ❑ I have Worke ' n ance Insurance Comp an ame Workman's Omp.Policy# Copy o nsurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof j A Re-side [� Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. '✓ SIGNATURE: Q:Forms:expmtrg Revise071405 f The Gommonweaun of inassacnusens Department of Industrial Accidents Office of Investigations M 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legib] ante (Business/Organization/Individual). TA9 GLW Address: l City/State/Zip:_tL&4 Yl LS t4A D.Uc))- . Phone#: 5n& —:Z 1 Are you an employer? Check the'appropriate bog: Type of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I employees(fnll and/or part-time).* have hired the sub-contractors 6• ❑ New construction Z.❑ I am a sole proprietor or partner- listed on the attached sheet ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp,insurance. g, ❑ Building addition [No workers'.wm:p.insurance 5• ElWe area corporation and its ,,required.] officers have exercised their 10.❑ Electrical repairs or additions I am a homeowner doing all work right of exemption per MGL 111 Plumbing repairs o-x addiuons myself.[No workers' comp. C. 152,§1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp.insurance required.] 131 Other Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for.my employees. Below is the policy and job site ,iformation. osurance Company Name: 'olicy#or Self-ins.Lie. #: Expiration Date: ob Site Address: City/State/Zip: sttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 f up to$250.00 a day against the violator. Be advised that.a copy of this statement maybe forwarded to the Office of avestigations of the DIA for insurance coverage verification. do reby certify un er the pe ins andpenalties ofperjury that the information provided above is true and correct � azure: Da : 'hone#: 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 Reaith 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6. Other Contact Fersou: Phone#: r Town of Barnstable THE Regulatory Services sAuasiAt3i.E, : Thomas F.Geiler,Director % MASS. g 1e19 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 HOMEOWNER LICENSE EXEMPTION Please Print ATE: JOB LOCATION``:: ll % 5 number street village c "HOMEOWNER": � � — U, 5D0 6 name home phone# e oorkQ phone# CURRENT MAILING ADDRESS: is , -D.?-6o � city/ state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as . supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one of two-familydwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,roles 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 requiremen Signature of H eowner 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 Assessor's map and lot`number ... , Y• CFTNEtO ti ; Sewage Permit number .... ...b................ L.. .., . ................... O� Z EAHHSTADLE, i House number a 90 . manek 4 i639• 9� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... !!/fit ..... .I`? ..... ........:............................................................... ... TYPEOF CONSTRUCTION .....A� ............................................................................................................... ..................... .......19�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby`applies for a permit according, to the following information: Location ......... � ..n'G.7�UT.... .5r........,�.••t -4 5......................................................... ................................... ProposedUse ...... ....................................................................................................................... P ZoningDistrict ........................................................................Fire District ....................................:......................................... Name of Owner ...... ..................Address ....&-.. e�X ................. Name of Builder ..... " .... `r%...................Address ..z. `7.. a�"MT"-9��if ... .... `................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................... ..........................................Foundation ....................................... Exter., �i / i�? ................Roofing f ior ............ / ...................... . ...................................................... Floorsemzi rior ...............................................................Inte ....c..�.......................................................... Heating ................-NAa......... . �...................................................Plumbing ........: `!`f 1. ....................................................... Fireplace ............. 0............................................................:Approximate Cost ......'.. �...�CQ:..................... Definitive Plan Approved by Planning Board ________________________________19_______. Area ..... ...1...........;.................... Diagram of Lot and Building with Dimensions "'"z' Fee ..................... ....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 411 i r ` F 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 .. <.. t�° a! "f •?,.......................................................... 7 Construction Supervisor's License A)�NCHETTE, DORIA A-309-120 2*4597 ADDITION No ................. Permit for ............................... .... Single Family Dwelling ........................................................................ ....... Location ....85 Chestnut Stre ............................................ ..... ...................H...y...a..n...n..i...s ........................................... Owner ......Do.r.ia....Bl.a.nc.he.t.te................... .... .. .... .... .. .... .... .. .... Type of Construction .....Frame............................... ..... ................................................................................ Plot ............................ Lot ................................ Permit Granted .. November 30.. 82 .............................19 Date of Inspection .....19 Date Completed ......................................19 tA Assessor's map and lot number ...•1.(14.7,1.1 ,q .: . �. . .... D THE TOE Sewage Permit number ....X ............ d Z 33UNSTAX E. i C House number. O�. .......... ro MAee f O 39• �0 • G MpY a' r TOWN OF rBARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......zw4l:.....sa,.... .......................................................................... TYPE OF CONSTRUCTION ......A?.QQq�................................:. .................... :.................... TO THE INSPECTOR OF BUILDINGS: `- The undersigned hereby applies for a permit according to the following information: Location ......... ... ...... T......../..7.?�R/1t7.fS................................................................................................ ProposedUse .......("F;v '. .. ....................................................................................................................... ZoningDistrict ........................................................................Fire District ............................................................................... Name of Owner .1 /A.....e �!9.t1.G.�i. TTe..................Address .... f'1T .T.... ..:...Hy................... Name of Builder 10!fK....59/.Y.!Y1&AC..... or...................Address ..�.g9..r�!'��G/Y,ST��� '...�c1 y ................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ......................1.........................................Foundation ... ........................................................... ...Roofing ..... ..Exterior ............ ...:. ?./.� ( ^5.......................... . !.e ............................................... Floors ! rJJ•£ ....................................................Interior ....c�. . �9.G'� Heating .................. .h.0..................................................Plumbing ........ 6...................................................... Fireplace ............4/1Q.............................................................Approximate Cost .......2).10. •.......................... ................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ......q ...... .................... Diagram of Lot and Building with Dimensions Fee J . '" SUBJECT TO APPROVAL OF BOARD OF HEALTH L N 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 . .,rl/ . ". .6................. .. ........ Construction Supervisor's License ...�.Q.L C.17�.3............ L A N C H-1];Tt'!I DORIA iB 24597 ADDITION No ................. Permit for ..................................... Single Family Dwelling ............................................................................... 85 Chestnut Street Location ................................................................ Hyannis. ................;,�............................................................. (-156ria Blanchette Owner .................................................................. Frame Type "of Construction .......................................... -4 ................................................ ................. P16t ............................ Lot ............................... November 30I' 82 �rmit;�,'qranted .......... ........ ,.... g ............ Date of InspectiT .... ............... 19$-3 'Completed ..............................K7....190 Date