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Home My WebLink About0334 CRAIGVILLE BEACH ROAD 33� c�� 7�u �� - ---- - -- - i. �. Eggineering Dept.(3rd floor) Map 6 7 Parcel g 3 ; Permit# House# Date Issued � - Board of Health(3rd floor)-(8:15 -9:30/1:00-4:309Z floor)(8:30- 9:30/1:00-2:00) "*/7Z7) min. Bldg.) SEP' IC SY T BE INSTALLED 19 ANCE iftoIT ENVIR®NME E AND TOWN OF BARNSTABLE TOWN REG so%Fs Building Permit Application n Project Street Address 5.32 C rai a vl l(c &-act. Village tv. L+1ja,nnic Dort Owner . Rcs,SC t( A. C��'soN S- Address 'Z P-�d pk_ R-d• Telephone Permit Request Re— 601-5$-&C�- f too First Floor square feet Second Floor o�qO square feet Construction Type Uioock wc� Estimated Project Cost $ Z:;tzo. od Zoning,District R Vd"I f? ( 96 Flood Plain Water Protection Lot Size • 1-16 .A-coeE Grandfathered ❑Yes ❑No Dwelling Type: Single Family E( Two Family ❑ Multi-Family(#units) Age of Existing Structure 5� Historic House ❑Yes LrNo On Old King's Highway ❑Yes El-No Basement Type: prVu-11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Z New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas UrOi1 ❑Electric ❑Other Central Air ❑Yes p.No Fireplaces: Existing ✓New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) one ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name �vSSell (9 l gs nli Telephone Number `�� Z- �'l 7 Z 7 Address Z IM.,r/,( License# (_,_4JLgn"/h , S 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 ti � � t F+1 t 7 e,•' .. t PERMIT NO.,' DATE ISSUED � MAP/PARCEL NO. 73 -' ADDRESS - E VILLAGE ;$ OWNER DATE OF INSPECTION: . 4 FOUNDATION FRAME l{s , INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH' FINAL GAS: ••RZ7U H, FINAL , r : .(_ FINAUBUILDING % DATE CLOSED OUT . 4... J SAY i ASSOCIATION PLAN""icTO. a:a „� �1,►�t'ClZ St �E � . 2 X. z �`(016- -- A l!/ili n1)AA n 2- WALL SSA S 6 a v V LI FL662 su s ' i i v of l� �T/D/�l wi4LL 7- � Fva 7AI6 l •t , f it of 1 . • I _4 w ..• The" omm of Barnstable SCCOra'. Fug✓ 3Z O � V , c ),CIO Oe 4- Tp- +� plc 4c, pe-u) Re(,s- ,ate Scar o� l�e_ s c� f 500 beu) S6+-9-oct- c��t ��'S TM The Town of Barnstable NAM 1e$ Department of Health Safety and Environmental Services �,r,�• Building Division 367 Main Street,Hyannis MA 02601 Ralph Crosson Office: 508-790.6227 Building Cotnmissiaz: Fax: 508-790-6230 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL r— 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 otherrequirements. Type of Work: . �•`re es-/v"t-h-ery Est.Cost, nn C�4;�ftJ de- �S�aG� �t 4 XAddress of Work: 1 Ow 's Name Date of Permit Application: �-2 /'(F 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 the agent of the owner. Date Contractor Name Registration No. OR Date Owner-s Name The Cont»toitlrealth of:1fassachusetts %"'► I._w Departmeizi of Industrial Accidents Office ff"Weslfgallons 600 !f ashiarton Street Bosto».Mass. 02111 Workers' Compensation Insurance Affidavit _..�... ' �1PPIIC'lnt information• " name• - �tJsS� C f' 0•�-- �c �Sart� . ./Locan • n a� L �t l ✓t�I�L k�c� ma homeown r performing all work myself. I am a sole proprietor and have no one working_ in any capacity [ I am an entplover providin_ workers' compensation for my employees working on this job. comminN, name: atldrecs: cif,•- phone#- - insurance cn Polio•# ..,... .. ...,............. ..._........ _.._.... ._. _ [� I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the followin! workers' compensation polices: company nnmc- adtirrss: sin ,phone t!- incurinrc ro nnlicN•0 Ii.::.._„�Y.._ _ _ `•:Y- •_ _ -_ �J f'_-'^':�::�."\L iT"f!•7.w:s.� ...�T�.:.__ .�� •rR•~...�.._'—_— cnmrian.s' nnmc• atldrecc• rip phone Of- insurance co "olio• Attach additional sheet if neccssa�I :..� ;r'^- + - +!"' I ♦ � '•'a' ~lr:' �'�" v :''...'-'-��' _�Jw .iW...�_Y�.��!-.-- J�l_Y►•.IZJ_�_.. _.r__-_. r-r iyOt_-.�w..�.ri4y�._..._..i._r-_��i'��.� ..Wa'wrlL Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1r500.U0 andior one.scars'imprisonment:ts well as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. I understand that a cop} of this..statement may be forwarded to the Offce of investigations of the DIA for coverage verification. I do hercht ccrtift utd the pains and penaltics of perjurt•that the information provided above is true utt .correct. Si_naturc Date( �i t0/� Phone 7/-. 11-19- Print name /`t., >± of iicml use onl do not„rite in this area to be completed by city or town offciai sin_ or tm,n: permit license a# CBuilding Department E ❑Licensing Board E Selectmen's Office t_ �check if imtncdiatc response is required ❑ ❑Health Department contact person: phone it: rj0thcr r 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 etnpinree is defined as every person in the service of another under ally contract of-hire, express or implied. oral or written. ' An enrplt rer is defined as an individual, partnership, association. corporation or other legal entity•, or anv two or more . the fore-oin�_ criumued in a joint enterprise, and including the le`_al 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 dwellin�u, 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, hous or oft tine :rounds 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 rcncival of a license or permit to operate a business or to construct buildings in the commonwealth for am• applicant who has not produced acceptable evidence of compliance with the in 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 ha 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 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. Tile 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 tiie 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 tine Office of Investigations has to contact you regarding the applicant. Pleas 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. Tile 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. r-y.v-�+ ..�-.--..,.... --�.w.r.-.�•.. -»�+..._..--.•r r�..www�a ..wrr_•vowv►-'r.•�Tv�+•wa.w..^. Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents rr Office of Investigations 600 NVashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 1 " TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Phase print. c DATE LOCATION 3 ��i v/�lC ,��c� l7` ll Ul i2rS c�:%? Number Street address Section of town HOMEOWNER" 91,55 e, /7 Z 7 .. . . - Name Home phone Work phone . /J / .fir• . . PRESENT MAILING ADDRESS '6 2 6 . 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: Persons) 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 OfficiE on a form acceptable to the Building Official, that he/she shall be responsib-1 for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes . responsibility for compliance with the Ste 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 compl with said procedures and requirements. re&HOMEOWNER'S SIGNATU t 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 whidh 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 Q, 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 Home "dwner acti as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/tier 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 dare to amend and adopt such a form/certification for use in your community. TOWN OF BARNSTABLE WIRING P[ERMIT ARCEL ID 267 083 ---GEOBAS-E-7ID 16911 DRESS-3-34 -CRAIGVILLE BEACH ROA__--• PHONE W HYANNISPORT- ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31712 DESCRIPTION INSPECT FOR FIRE-DISCONNECTED-NOTE 7 TEMANTS PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 06/23/1998 EXPIRATION DATE 10 : 00 a.m. Inspection of wiring damage to home and electrical service with respect to fire damage on 2nd floor bedroom front of home. A: The electrical service is of the old type 60-degree cloth covered cable which useful life has expired. SERVICE will require replacement. B; General condition of wiring is combination of metal clad cable and non-mettalic cable occuping the same enclosures in many cases. All devices will require opening boxes and correcR80rfneftt allBadffI' Saf@I grounding conditions. and E-1V1r0ninenfti Service: C: Found outlet in vacinity of fire that was not grounded and without clamp connected to grounded bo} D: Located 12 ' extension cord damaged, approximatly 8" about 48" in from en This cord was shorted without questi Talked with Jack Grant about cause. Woman stated candle was the cause? E; Electricity Disconnected until ; i arrangement are make to remove all hazards. . R.H Weston BUILDING uIVISIM TOWN OF BARNSTABLE WIRING P[ERMIT PARCEL ID 267 083 GEOBASE ID 16911 ADDRESS 334 CRAIGVILLE BEACH ROA PHONE W HYANNISPORT ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31712 DESCRIPTION INSPECT FOR FIRE-DISCONNECTED-NOTE 7 TEMANTS PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 06/23/1998 EXPIRATION DATE Department of Heaiffl, Safer, and EsivirOnmenbi Service: O•a i •NAM Mgr �1� M� BUILDING 13MISION _ BY TOWN OF BARNSTABLE WIRING P[ERMIT PARCEL ID 267 083 GEOBASE ID 16911 ADDRESS 334 CRAIGVILLE BEACH ROA PHONE W HYANNISPORT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31712 DESCRIPTION INSPECT FOR FIRE-DISCONNECTED-NOTE 7 TEMANTS PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER ARCHITECTS: TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 06/23/1998 EXPIRATION DATE 10 : 00 a.m. Inspection of wiring damage to home and electrical service with respect to fire damage on 2nd floor bedroom front of home. A: The electrical service is of the old type 60-degree cloth covered cable which useful life has expired. SERVICE will require replacement. B; General condition of wiring is combination of metal clad cable and non-mettalic cable occuping the same enclosures in many. cases. All devices will require opening boxes and correa@pp�eht Of Hoar! Safer` grounding conditions. and Env rpJIB Onfti SOr icas C:, Found outlet in vacinity of fire that was. not grounded and without clamp connected to grounded boy D: Located 12 ' extension cord damaged;. approximatly 8" about 48" in from en This cord was shorted without questi Q� Talked with Jack Grant about cause. Woman stated candle was the cause? i ; E; Electricity Disconnected until # arrangement are make to remove all hazards. R.H Weston 13UIL IIIIG nIVISION ref' • =Y - Poo ♦. . A, aSJ mm I. ► IN MWIP 1 I �•I 1 I Ot..l IMM W,MIA i � _ J _ � I . .. ' I 1 1 i • 1 TOWN OF BARNSTABLE WIRING P[ERMIT PARCEL ID 267 083 GEOBASE ID 16911 ADDRESS 334 CRAIGVILLE BEACH ROA PHONE W HYANNISPORT ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 31712 DESCRIPTION INSPECT FOR FIRE-DISCONNECTED-NOTE 7 TEMANTS PERMIT TYPE BESAFE TITLE ELECTRICAL SAFETY INSPECT CONTRACTORS: PROPERTY OWNER ARCHITECTS: TOTAL FEES: -- -- BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE DATE ISSUED 06/23/1998 EXPIRATION DATE Department of ligaithl Safe: and E.-=virortmei Servica ..a 4r M� BUILDINTG UNIS;ON av