HomeMy WebLinkAbout0015 CROSS WAY L
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PROJECT/
NAME. � �a �L �•�•
�CSe �l &272,QAlf
ADDRESS:/,!�— �.SS W?fy
PERMIT#
PERMIT DATE:
M/P: .5-- .�--
LARGE ROLLED PLANS ARE IN:
BOX 7
SLOT
DATECOMPLETED:
BY: 2
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 5 Parcel Application# -7® 3 Ig>
Health Division
Conservation Division 3k k3 " Lis f Permit#
Tax Collector Date Issued 2,ft 07
Treasurer Application Fee VQ c!6
Planning Dept. .. Permit Fee e,-77 0,
Date Definitive Plan Approved by Planning Board
Historic-OKH Preservation/Hyannis
Project Street Address r S
Villageat
Owner \ AddressC{ A_-� M n A G-e e r SQA T\/\
Telephone l �51 ® �-
Permit Request�(emow Ceo\ace_ (1A PXX Mk i n , 5-k 1"a l `n os RbCC A_t es
�m&tie P � S rh 5t3i P
L6 \e ,irAegy ' fenuw Aa1 WA) Tip, 40 n; PaPL1Y V11i I -h D 11 n ha 1'G
Square feet: 1 st floor:existing proposed q(�a 2nd floor:existing proposed Total new (�
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type Q,
Lot Size 6� (an Q UL Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family �A Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes �No On Old King's Highway: ❑Yes XNo
Basement Type: ❑Full .Crawl ❑Walkout ❑Other -
Basement Finished Area(sq.ft.) - - Basement Unfinished Area(sq.ft)
Number of Baths: Full:existing Q new01 _ Half:existing new 4
Number of Bedrooms: existing _ new
Total Room Count(not including baths):existing 5 new First Floor Room Count
Heat Type and Fuel: *Gas ❑Oil ❑ Electric ❑Other
Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ]No
rv,:,
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❑ F -
,. _ .. .: ..-.._._,
Commercial ❑Yes No If yes,siteplan review# �w �• ��.. __s
Current Use er Proposed Use
BUILDER INFORMATION I�
Nai3e 1 Telephone Number t� - J - I U
Address qy� mA n� Cree. Lrwe, License#
:1:x Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTIO DEBRIS R TING FROM THIS PROJECT WILL BE TAKEN TO A le d (Lb S P-r1I)CP
n
X SIGNATUR( C) DATE �
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t
FOR OFFICIAL USE ONLY
4 i
- y
PERMIT NO.'
DATE ISSUED $
MAP/PARCEL NO., j
A
ADDRESS VILLAGE
OWNER'
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
j FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL ,
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.'-
' _
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TAYLOR DESIGN ASSOC., INC. SHEET NO. OF
P.O. Box 1313
FORESTDALE, MA 02644 CALCULATED BY - G7 ( DATE
TEL./FAX: (508) 790-4686 --
* CHECKED BY
1�` yly fv 15 �CNL� SCALE C
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TAYLOR DESIGN ASSOC., INC. SHEET NO. OF, �P
P.O. Box 1313
FORESTDALE, MA 02644 CALCULATED BY C 7` DATE
TEL./FAX: (508) 790-4686
c / ` CHECKED BY DATE.
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TAYLOR DESIGN ASSOC., INC. SHEET NO. OF
P.O. Boz 1313
FORESTDALE, MA 02644 CALCULATED BY C=� DATE
TEL./FAX: (508) 790-4686
CHECKED BY DATE
l `�` jScriJrtif S SCALE
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TAYLOR DESIGN ASSOC., INC. SHEET NO. OF
P.O. Box 1313
FORESTDALE, MA 02644 CALCULATED BY —7 DATE -07
TEL./FAX: (508) 790-4686 CHECKED BY DATE
S7 C&.C) SCALE
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TAYLOR DESIGN ASSOC., INC. SHEET NO. OF
P.O. Box 1313 7
FORESTDALE, MA 026)44 CALCULATED BY—
TEL./FAX: DATE � �F/
(508) 790-4686 CHECKED BY DATE
L p. c' -y�J SCALE
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HE Town of Barnstable
yP�pF T Tp��O�
Regulatory Services
* BARNsrA'nLE, * Thomas F.Geiler,Director
9q, b 9 ,�� Building Division
ATF p �a 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
G� p� Please Print
DATE:
JOB LOCATION: '.J CV bSS G LJt��C S1 . W . kS I:��
Q�.
onumber s eet village IJ
"HOMEOWNER �U rid\e 311 - 6qb
name (�u `home phone# work phone#
CURRENT MAILING ADDRESS: -1 1� M( 1 Qv)3 U e d— hc,y e
Syy�hlalL� l � —1 tobq a
city/to'Am 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, aws, es and regulations.
The under!Homeowner
ed"homeo er"Fe es that he/she understands the Town of Barnstable Building Department
minim ection pr edure requirements and that he/she will comply with said procedures and
re 1 ,�
t
k
Si ature of P
t
Approval of Buildin fficial
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 pernut 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
Permit Number
MECcheck Compliance Report
Massachusetts Energy Code
MECcheck Software Version 3.2 Release l a Checked By/Date
TITLE:BRADLEY
CITY:Barnstable
STATE:Massachusetts
HDD:6137
CONSTRUCTION TYPE: 1 or 2 Family,Detached
HEATING SYSTEM TYPE:Other(Non-Electric Resistance)
DATE:02/01/07
DATE OF PLANS:01/31/07
PROJECT INFORMATION:
BRADLEY
15 CROSS WAY
HYANNISPORT,MA.
COMPLIANCE:Passes
Maximum UA=585
Your Home=548
6.3%Better Than Code
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-Value R-Value U-Factor UA
Ceiling 1:Flat Ceiling or Scissor Truss 2364 .30.0 0.0 83
Wall I'Wood Frame, 16"o.c. 2492 19.0 OA 106
Window 2:Vinyl Frame,Double Pane with Low-E 710 - 0.340 `. '241
Door 1:Solid 20 0.350 7
Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 2364 19.0 0.0 1 I 1
Furnace 1:Forced Hot Air,92 AFUE
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and.(.
submitted with the permit application. The proposed building has been designed to meet theMassachusetts Energy Code requirements 1
3.2 Release Ia..
The heating load for this bui"1`ding,>and the cooling lq - ' ppropriate,has been determined using the applicable Standard Design Condi
The HVAC equipment selected to t�®r"Iffe, shall be no greater than 125%of the design load as specified in Sections 780
Builder/Designer'0 f Date - f L
tea \ 177•G VVf/WILV/NYGLLLLlL V,J,1Il LLJJLL�.7LWJ GLLJ
Department of IndustrialAccidents
_ Office of Investigations
600 Washington Street
Boston,MA 02111
,• ` www.mass.gov/dia '
Workers' Co'MP ensation Insurance Affidavit: Builders/Contractors/]Eldetricians/Plumbers
Applicant'Information Please Print Leeib.jy
Name(Business/Orgmization/Individual): Q� \ C\(A 9)caAV ,�
Address: qL13 �Cl'���QC\a CCep�_ ar\\I Z�
City/State/Zip:S�\Ae• -TY\ -10 dq_o), Phone:#: d�J' — 31 A { 15q b
Are you an employer? Check the'appropriate box: Type of pioject(required):. .
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees(fall and/or part;time).* have hired the stab-contractors 6.. New construction .
2.[] I am a.sole proprietor or partner- listed on the•attached sheet. 7. ❑Remodeling
These sub-contractors have []Demolition
shipand employees 8. D n ,
❑ .
working for me in any capacity. employees and have workers
[No workers' comp.insurance - comp.insurance.$ 9. [�Building addition
required-] 5. ❑ Vice are a corporation aadits 10.❑Electrical repairs or additions
q ] ` officers have exercised their
'3.� I am a homeowner doing work 11.❑Plumbing repairs or additions .•
myself o workers' co right of exemption per MGL•
Y � �P• _ - 12.❑Roof repairs
insurance required.]fi c. 152,§1(4),and we have no
employees. [No workers' 13:7 Other
comp,insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this a£fidavi indicating they are doing all work and then hire outside contractors must submit a new affidavitindicating such.
tContractors that check this box must attached an additional sheet showing the name of the'sub-contractors and state whether ornot those entities have
employees: If the sub-contractors have employees,they must provider their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is.the polity and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic,#: Expiration Date:
Jcb Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page-(showing the policy number and expiration date).
Failure.to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine UP to$1,500.00 or e-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a. y ag ' e iolator, Be advised that a copy of this statement may be forwarded to the Oft ce of -
in esti ations o e DIA•f ante coverage verification.
I do hereby ce ify un the ins an nalties of perjury that the information provided above is true and corracf.
k.Si afore: Date:
Phone#: ZI '3 ,3
Official use C,nly,. o not write,in this area, o be completed by city or town offciaL
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
b.Other
Contact Person: Phone#:
Informa ion' and. Insttucti®ns
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written." ,
An employer is defined 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
= -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 ou the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that"every state or.local licensing agency shall withhold the issuance or
reneWa of a license or permit to'operate a business or to construct buildings in the commonwealth for any
applicant-who has not prod-aced-acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,•§25C(7)states`Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for;the performance of public work until-acceptable evidence of oompliauee 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-contiactor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members orpartners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
policy is fired, Beadvised that this affidavit may be submitted to the Department of Industrial
employees,a p y required. y
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit.or.license is being requested,not the Department of
Industrial Accidents Should you have any questions regarding the law-or-if you are required to obtain a workers.'.
compensation policy,please call the Department at the number listed below, Self-insured companies should-6nter 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 pennit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy-information(if necessary)and under"Job Site Address"the applicant should write"all-locations In . (city-or
town),"A.copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses, A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit mot related fo any business or commercial ventu o
(i.e.a dog license or permit to bum leaves-etc.)said person is NOT required to.complete this affidavit,
The Office of Investigations would hke to thank you in advance for your cooperation and should you have any questions,-
pleas a do not hesitate.to give us a call.
The Department's address,telephone-and fax number;:
° ` Co-mun a�.th of Massaphus6tts
Depatm t of haul Mci.d=ts'
Office¢f Investigations
• t;iOQ�ashi�g�€�Stroh •
Roston,MA U111
Tc,�1.#617-727-490.0 ext 406 or 1-0 77-MASSAFE
Fax 0 617-727-7 f49�
Revised 11-22.06 •
• www.maSs.gav/Clia ' .
Directions: r -s
1. Start at 200 MAIN ST, HYANNIS "• _ • '
2. Turn ri h t on MAIN ST, p °`
J. Turn right to GREENWOOD AVE off rotary - - '
4. Bear right on CRAIGWLLE BEACH RD
5. Turn left on 6TH AVE - Go to the end
6. Turn left on CROSS ST -Arrive at
15 CROSS ST, W. HYANNISPORT on the right.
'`F =
Phyllis A "a �0 Phylils A 'Ric .:
s W7/286 rj e . 5407/288
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Edge of Pave �h — -6 O Edge of Pave ry
y _„ O J
ohw oh r — '"" �+ ohw oh -- —
�W-e " ' ' 3" w r V ^ ASSESSORS REF.:
80.00'
Brr ! I 1 _ / 1 Sao Disposal Map 245, Parcel 42
Drive ' / + I \ Or1►e ' `' .� System Permit
\\ 1 \ --� A2005-639
! �f i 26.0'. 1 \ QS . Fd Septic
rad g By OVERLAY DISTRICT:
11--• Remove Fstin 1 �� 1
g,, I Walk &steps H� _ ` ( 26.0 1 Others
I ot - 1 6 -�� Wo 1�uAe I 1 t AP - Aquifer Protection District
- -----•-
\ �,.____� -� Lawn i -- _.L. r Roo � FLOOD ZONE:
¢QQ' I d _ / 1
�� t i ! / �O ' ..................Lot 324 i`��° j ! '� `•. \ Rot 324 A10 E1=11
1- �- ► 1 1... lot" 22 -' o ; 1.. .............. .Z tof'3'z2. Zone B& ( )
�2 c isl,na !o I13 2 2. j 1 Community Panel No.
ao u► Iq �Shrub 1 1 I s� En ass ! 1 #250001 0008 'D
i Remove E,iittingi 1 1 ,� + I • Po s , July2, 1992
shower&BulRpecd �1 f 3�• I I . 1
/ 1D.2' FF el. 11.5 io► o / / f0.2' i J
o `�' / r :... ..... oy o w' ZONE: RB
IN Existing -Sty �\ - 'L q �/ ,,,,, 1I c d;A• i o Area (min) 43,560 SF
B o w f D�vel�in9 i ° Proposed rN ' t ' ;
sl w i ::. .
Drywall i � . .�'� ';�:: �. i Fronfa a min) 20
11 00 Remo '-''" I / '}'" owo t '"" 14a ' `rY` / Width min) 100'
`� 11 ► : Setbac s:
Existing `tops /
�,, I I I"' i ► 1 111 m ::5:: I Fr
t f 1 f � I Side 10
9 W\fd'S• ,avw j Lawn ,1 6 r 1 j a 1 Rear 10
I t
ig 1.
A 1
nnc.4 iF• ���'• ed
/ 1
� i I
1
_ - •r"Snclosw
e .
1111• q�, L
Le end
ALsM�3 1 t 1 !
�( 1 O:O Lawn „ + 1 1 aked Ha alesPropose
I 1
y � � I 1` 1'• t fencing Drywall
` I 1 1 •, \`9� I`i: Np I I 1 I 1 �, V• ; \ • I I I Deciduous Tree
Lawn
aL sAt s'\ 1 1 ..\24: 10 50thoci�------ - / --•1.._�� :. '
t3,!NK 3 r ..� —BANK• J $ '14c SM 6\� 1 1\ >. .... •'' •• / i
Bordering Vegetated Wetland `�• \ � = —• — ANK 2 , r _ .� Lot 320 �` , •-••�,>, ••• �: . --• f Coniferous Tree
Flagged By ENSR ( 0610912006
) ♦ �. —— — 33-'14t- Z Lot 318 _. — _ — ._ ._ p. ~-
— n —
3-- — ,�-- 5 •3-� ® Gas Gate (round)
,� SAf�S`•�`�_4 BVW 2 T Coastal Bank Flagged AL SM 3 ,� 4 1 •' 0 CleanOUt
AL .�• --{� ��\ �� BY ENSR(0610912006) A. ```'`�,•••". �� BVW 2 � ® Catch Basin
SU 4 $Af 3 R � Bordering Vegetated Wetland SU 4 � light Post
`�• p Flagged By ENSR (0610912005 sm 3 `•� LD Wetiond Flag
7 Tap of Coastal Bank ` Top of Coastal Bank El CB H
AL � N by T0B DeRnition Q
AL SM 2� IL A by 70B Definition
Edge of salt Marsh � 3W. SM 2\ -() Guy
Flagged By ENSR (0610912006) �� W
� � AL Utility Pole
AL & It:. Edge of salt Marsh O
—OHW— Overhead Wires
Ili AL —25-— Elevation Contour
SU3 /" flagged 8y ENSR ( 06/09/2006) SM3 �-.
FE11/A Flood Zone Line On ZY�pF tiq�,°'+t � � � • ..•......0......... Underground Utility Line
From FlRe Panel Number �� �c�, '�I `' Underground Utility Line
250001 Dooe D(Rev.►„ry 1992) ✓ �o� RICH!'AD ��� ✓ r, 1'»:�?„�A W 9 Y
LHEUREUX
a
EXISTING CONDITIONS & DEMO p9� �ss��w PROPOSED IMPRO VEMENTSat
fi
Title: PREPARED BY PREPARED FOR. Notes/Revision:
Site Plan At Sullivan Engineering, .Inc. CapeSury 1.) The property line information shown .was a
.}� compiled from available record information.
15 Cross Way PO Box 659 7 Parker Road Patricia E Bradley
Osterville, MA 02055 Osterville MA 02655 '943 Midland Creek Dr
Barnstable, (W.Hyonnisport)Mass. (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fax tairied
SOUfhlakes TX 76092 2•,frome anponr heCgroundasurvey perftion was ormed on v
06/JUN/06
0
Draft: DWB JOD ~'
/ Fit?Id: WHK/CAM. 20 0 10 20 40 80 3.) The datum used is NGVD '29, a fixed mean -�
Date: Scale: Review. PS Comp/Draft: WHK sea level datum.
OCT 4, 2006 1 N. = 20' Proj # 2006028 Drawing # C479_5G1