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HomeMy WebLinkAbout0014 ESTEY AVENUE /if Fad. G� �i. i!�, 0(0 i i i i �As)ir� LOT 142 LOT 143 o 90.00. o LOT 141 / Oeck I / LOT. 146 o SHOWER LOT 140 #14......... / 1 ft EXISTING FOUNDATION , co _N .TOTAL AREA LOTS 140 & 141 " 3 10187.7 SO.- FT. p. co •W �1 f y Sl GAR. / LOT 139 ti FLOOD ZONE R FO UNDA TION CERTIFICA TION RES ZoNE.. RR TOWN. HYANNIS SCALE- I"--30' PL REF- 91103, 1841109 ELEV. N/A SETBACKS. 20'-10'-10' THE FOUNDATION IS SHOWN ON THE PLAN YANIl�� LAN AS IT EXISTS ON THE GRO °°°®, a Or rto�SS� SURVEY CO INC. cy CO. , 'STEFHEN `nk 119 ROUTE 149 J. DOYLE b. MARSTONS MILLS, MA 02648 TEL: 508-428-0055 FAX 508-420-5553 c u JOB vvv 1© — l DATE.•10/1412011 NUMBER 54716 h TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, ��C //. Parcel. ° U �' `.Application # l I Q ZZ tP O Health Division Date Issued Conservation Division Lc, "l U3 Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis U Project Street Address Village 7 L. d� Pl� ��e� Owner �1�1'�� c1 Address �� � , �4i�}'a� 30Y9 Telephone off' V) �6 Permit Request 17 x l 3 rho'� +'�J� 1 y��U,� } Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes l'o On Old King's Highway: ❑Yes C1l0 Basement Type: ull ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing l new Half: existing new Number of Bedrooms: existing _new -' Ca Total Room Count (not including baths): existing new First Floor Room Count' Heat Type and Fuel: r&G<a's ❑Oil ❑ Electric ❑ Other ', r� Central Air: ❑Yes &IGo Fireplaces: Existing New Existing wood/coal stove: ❑.Yes Flo x ,, Detached garage:Ming ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing `U neW:1 size_ Attached garage: ❑ existing 0 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 APPLICANT INFORMATION / / (BUILDER OR HOMEOWNER) Name r� ✓� ( c"-' Telephone Number 5_6 Y_ y 66 Ad f ress 7 �� � �`� License# �� � "v� c �► J =�� Home Improvement Contractor# ` Worker's Compensation # ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL-BE TAKEN TO SIGNATURE DATE i y f FOR OFFICIAL USE ONLY j i APPLICATION# __DATE JSSUED =MAP/PARCEL NO. - i ADDRESS VILLAGE OWNER F DATE OF INSPECTION: .,__FOUNDATI;ONJ+r , 0 FRAME Y INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL i s PLUMBING: ROUGH FINAL •, GAS: ROUGH ` ' FINAL __ FINAL BUILDING ,i DATE CLOSED OUT ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts t N; Department of Industrial Accidents I y Office of Investigations 600 Washington Street Boston, MA 02111 r=� www.mass.gov/dia Workers' Compensation insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/IndividuaQ: �1�lac` CJ1tiy/✓1� < Address: City/State/Zip: (2-epv�lcl t_ 16d. G�kL_?�_ Phone Are you an em ployer? Check the appropriate box: Type of project(required): I.❑ I am a emploith 4. ❑ I arri a general contractor and I 6. ❑New construction employees ( If d/or part-time).* have hired the sub-contractors 2. ❑ I am a sole.proprietor or partner- listed on the attached sheet. # 7. ❑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' comp. insurance 5. ❑ We are a corporation and its fi ]0.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.).fi employees. [No workers' comp, insurance required.] 13.❑Other *Any applicant that checks box#I must also£II out the section below showing their 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. xContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site ,information. Insurance Company Name: `�1 `�. Y �" `✓7 �"" c i)c Policy#.or Self-ins, Lic. #:.6 C -oos-5—/76 y/2-0 Expiration Date: Job Site Address:. 0r iT 5 City/State/Zip: A` oxlt,> Attach a copy of the workers' compensation policy declaration page (showing the policy nu bar 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 s1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of STOP WORK ORDER and a fine of up to s250:00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi the pains and penalties of perjury that the information provided above is true and correct. Si natur 2 // Date: Phone#(__ F ialuseonly. Do not write in this area, to be completed by city or town official r Town:. Permit/License# g Authority(circle one): rd of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector er 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 an contract of hire rY P Y , 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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewat.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, §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 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-contractor(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 or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have a 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 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 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 permit/license number which will be used as a reference number. In addition,an applicant . that must submit multiple permit/licease 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 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, ILIA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MAS.SAFE Fax # 617-727-7749 J ^ A/YC Guide to Wood Co"S11 1c6011 ill flr.'. li bYir-id lb-ccrs: .110 /iiph i•Yil-ld z0rr.c ieciclzs f �'ol- C 111 �Zj,1.11Ce (780 CNfR 5301 2.1.1) assac.ill.isetts CI 1 Check Compliance 1.'1 SCOPE Wind Speed(3-sec. gust)..:................... ........... .............,.................................. 110 mph Wind Exposure Category ............................ ..............................................................B Wind Exposure Cate o Engineering Required For Entire Project'... .. C p 9 ry............. 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) stories :5 2 stories RoofPitch ....................:......................................................(Fig 2) .. ........................................ P" :5 12:12 ✓i (Fig 2 ............... .1�ft 5 33' P/ MeanRoof Height .....................................................:........( 9 )...:...........I... Fi 3 ft s 80' BuildingWidth, W .................................................................( 9 )........,..................,,........,.......... (Fig 3 F Irft s-80' BuildingLength, L .... ........ ..........................( 9 ).:.......,....................................... ✓, 9 Fi 4 !, c 3:1 Building Aspect Ratio (UW) .......,.Z...... .............................( 9 )...,....•...........•........................... Nominal Height of Tallest Opening ...:.........................:.....(Fig 4)...,...............:................ . 1.3 FRAMING CONNECTIONS General compliance with framing connections .................(Table 2)...................,.. ......................................... 2.1 FOUNDATION Foundation Walls meeting requirements of.780 CMR 5404.1-' Concrete.... •............................................. ...•.......... Concrete Masonry .......................................................•... 2.2 ANCHORAGE TO FOUNDATIONi'3• 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only ' Bolt Spacing general .....,.......:.(Table 4)........... ............................. _ in. Bolt Bolt Spacing From end/joint of plate ...............:.............(Fig 5)........,................ ......... in. _6' •12" ............................... . din. > 7" Bolt Embedment-concrete.........................................(Fig 5).,........... Bolt Embedment-masonry.•...........:........:.•.....•..........(Fig 5)..:. ....,..r...... �- 5 >3 x3"x PlateWasher......................................................• (Fig ).......•......................... 3:1 FLOORS Floor-framing member spans checked ......................... (per 780 CMR Chapter 55)......... Maximum Floor Opening Dimension....:............. ................(Fig 6).................................................... fts12` Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..:............I.........I............. Maximum Floor.Joist Setbacksft s d Supporting Loadbearing Walls or Sheaf-wall................(Fig.7)......... Maximum Cantilevered Floor Joists ft s d Supporting Loadbearing Walls.orShearwall .::...........(Fig 8).........:..;,,.... F1oor.Bracin'g at Endwalls..............:.....................................(Fig'9).................................................. ... ........ . Floor Sheathing Type .......:............................................:....(per 780 CMR.Chapter 55).......................... ........ �~ (per 780 C Cha ter 55 .... in: Floor Sheathing Thickness,...... ••.;".'"(p P Floor Sheathing Fastening............:................: (Table 2).._d nails at- in:edge/ in field t/1 4.1 WALLS . Wall Height ft.< 10' .. t/ Loadbearing walls..........:...................................•.........(Fig 10 and Table 5) ,...(Fig 10 and Table 5 Non-Loadbearing walls.......•.......................::.......... . { g 5)........................... ft s 20' i Wall Stud Spacing. ....•.• (Fig 10 and Table 5) .•......• ....... bin.s 24".o•d rl Wall Story Offsets •...... ....... (Figs 7 & 8).............. .........,..._ ft <d 4.2 EXTERIOR WALLS' 1 i Wood Studs Loadbearing walls...................... ............................... (Table,5).......... ....................2x_C -2 ft*in. ...........•...................2x�- ft � in. Non-Loadbearing walls........................I................,.......(Table 5) Gable End Wall Bracing 10 :...,... Full Height Endwall Studs...'............................. ....:.....•(Fig ).......... .......•..,....,,................. WSPAttic Floor Length......:..:.............. .....................,(Fig 11)..............,.........•........ - ft z W/3 'Gypsum Ceiling.Length (if WSP not used).-.-.... 11)............................................ . and.2 x 4 Continuous Lateral Brace.@ 6 ft, o.c• .. (Fig 11)................. ....................................... ..... or 1 z 3 ceiling furring strips @ 16 spacing min. with 2 x 4 blocking @ 4 ft, spacing in end joist or truss bays It WC Gitir/e to FI%od Coirs7rr✓ctinrr i;r. Hi,4T/r 110 mph J 11-11Y zoll , 4/[,1SS,rICIIIISSCtt,S .CIlC4CICIlSf OT" CO III pli.,g11Ce (790Ci1VIR5301.2.1.1)' Loadbearing Wall Connections Lateral (no. of 1:6d common nails)........................,........(Tables 7)............ ....................:..,..........._... — ✓ Non-Loadbearing Wall Connections ✓_ Lateral(no,of 16d common nails)................................(Table 8)....................................................... tLoad Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ` .........................................:.......,..,,...(Table 9). ............................... �ft in. < I V SillPlate Spans .........................................................(Table 9)..................................._Eft_in.S 11' Full Height Studs (no. of studs)....:..... ...:. .....................(Table 9)..........:.................,.......................... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9)• Header Spans.............................................................(Table 9)...........:....................... ft_in. < 12' Sill Plate Spans.... ....... ...................................•.........(Table 9)........:.............................�_ ft in, < 12" Full Height Studs (no. of studs)....................................(Table 9)..................I.,................................... -�T �— Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W t .rr Nominal Height of Tallest Openingz ......................................... ............................�<6 8 SheathingType..............................................(note 4)..................................:.................. if Edge Nail Spacing.:........:..............................(Table 10 or note 4 if less)........................�in. +i Field Nail S acin Table 10 .......: ..................:..................... izin. �^ Shear Connection (no. of 16d common nails)(Table 10)..................:.................I................... � Percent Full-Height Sheathing.......................(Table 10).........................................,.......... % 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts)........:......:.... Maximum Building Dimension, L Nominal Height of Tallest Opening2...............:........................................................L <6'8 Sheathing Type....I........I.................................(note 4)...................................I..........I...... . Edge Nail-Spacing........................................•(Table 11 or note 4 if less)........................ in. v Field Nail Spacing.......................................:..(Table 11)................................................... in. cu . Shear Connection (no, of 16d.common nails)(Table 11).............::...:........................I..........., Percent Full-Height Sheathing ..... Table 11 5%Additional Sheathing for Wall with*Opening> 6'8"(Design Concepts).................:.. Wall Cladding Rated for Wind Speed?...... ....... ........................... SA ROOFS Roof framing member spans checked?:......:................(For Rafters use AWC Span Tool, see BBRS Webslte) Roof Overhang ............•...............I.......................(Figure 19) ............. ft<smalle[of 2'or U3 dr Truss or Rafter Connections at Loadbearing Walls Proprietary.Conn ecfors Uplift .... Table 12 U=-L2qlf Lateral:....*....... ........ .............(Table 12)..................................:..............L= i`7�plf t/ . Shear....... ...... ....................(Table 12).............................................S=_7 pif . Ridge Strap Connections, if collar ties not used per page 21... (Table 13)............................... T= plf Gable Rake Outlooker...........................................(Figure 20) ..... ft ft s smaller of 2'or L/ Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).............................................U= lb. Lateral(no. of 16d common nails)...(Table 14)........:...............................L= . lb. Roof Sheathing Type................:.:................................(per 780 CMR Chapters 58 and 59) ........... ..... Roof Sheathing Thickness........ ..........:..............:..... ...............................................Ain. _> 7/16"WSP Roof Sheathing Fastening:..::. ...................................(Table 2)............................I............................_ L/ Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301:2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the.WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps.per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b Exception:Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.. r Town of Barnstable .Regulatory Services HAItTISi'ASL.� Thomas F. Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstab(e.ma.us Office: 509-862-403 8 Pax: 508-790-623 Property Owner Must Complete and Sign This Section If Using A Builder I, P1 / L, P D_ 21 as Q-wner of the subject property hereby authorize Fig 7 r pp 6' 6p N to act on my behalf, m,A matters rEladve to work authorized by this building permit application for. 41VN/S (Address of job) Signature of Owner Date Pnat Name If Property Owner is applying forpemnitplease complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable v`'of Y�ray • Regulatory Services t� Thomas F. Geiler,Director s.u;rrsnist.E. . Building Division �PrfD �a Tom Perry, Building Commissioner 200 Mairi.Street,_Hyannis, MA 02601 vc ww.town.barnstable.ma.us Office: 508-862-4038 Fax. 508-790-6230 I OM3z-OWNER LICENSE EXEAfPT1ON Please Print DATE: JOB LOCATION: number s trcct 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 lii.re who.does not.possess a license, provided that the owner acts as supervisor. DEFINMON OF HOMEOWNER ' Persons) 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 constrgcts 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 be/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 um inspection procedures and requirements and that he/she will comply with said procedures and requirements, x Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or largdr will be required to comply with the State Building Code Section 127.0 Construction Control. HOhfEO WKER'S EXEMPTION .'flee Code states that "Any homeowner performing work for which a building permit is required sha11 be exempt from the provisions of this section.(Scotian 109.1.1 -Licensing of construction Supcnrisors);provided that if the homcowncr c ngagcs a pc sons)for hint to do such work, that such Homcowna shall act as supervisor." Many homeowners who use this exemption an unaware that they are assuning the responsibilities of a supmzsor(see Appendix Q, Rules&Rcgb.lations for Licensing Construction Supervisorr,Section 2.15) This lack of awareness bften results in serious problems,particularly when the homeowner hires trnlicrnsed persons. In this ease,our Board cannot proceed against the unlicensed person as it would with a licotsed Supervisor. The:homeowner acting as Supervisor is ultimately responsrblc. To ensure that the homeowner is fully aware of his/her risponsibilitics,many communities require,as part of the permit application, that the hDnreDV,mrr ccT ify that he/she understands the msponnbilitics 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 formcertifrcation for use in your community. NOTICE NOTICE TO TO EMPLOYEE S EMPLOYEES R The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that 1(we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: ASSOCIATED EMPLOYERS INSURANCE COMPANY NAME OF INSURANCE COMPANY 54 THIRD AVENUE P.O. BOX 4070 BURLINGTON MA 01803-0970 ADDRESS OF INSURANCE COMPANY WCC 5005786012011 03/16/2011 - 03/16/2012 POLICY NUMBER EFFECTIVE DATES Malcolm& Parsons Insurance 6 Freeman Street- P O Box 527 Agency Inc Stoughton, MA 02072 (781) 344-3200 NAME OF INSURANCE AGENT ADDRESS PHONE Peter Appleton dba Appleton Construction 37 Baird Way Centerville, MA 02632 EMPLOYER ADDRESS 01131/2011 EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY). DATE _MEDICAL TREATMENT The above named insurer is'required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby notified that the insurer has arranged for such attention at the NEAREST AND BEST MEDICAL FACILITY NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER HOME IMPROVEMENT CONTRACe � before the License or registration gstr ti valid for individul use only Registration: .;.a103218 pi date. If found return to: a Type: Office of Consumer Affairs and Business Regulation Expiration: 120 7A. _ ��� -.�,,12 DBA :. 10 Park Plaza-Suite 5170 A TON CONSTR-IiCTION ,-, Boston,MA 02116 Peter Appleton 37 Baird Way 2Notvalid Centerville, MA 026Undersecf ctary without atu •!Q 110:h- u��tt.r_ C ll f, Wh/itt" I tttlelitr1jt o/ Restri recto e: CS S4j4n S(J rVyts r it an(/St ty ,Sa/Ctr. 3�T�� qP OD °r en�t J CFN ERVjWAy`�TpN �� MA 02632 Expiratton• _ T 6/812 pt2 26907 Brockway-Smith Company FA AWindowalls'ndersen- Brosco Architectural Group C Serving Greater Northeast Architects since 1890 W� � Office and Exhibit Area: 146 DASCOMB ROAD (Route 93-Exit 42) 800-225-7912 L ANDOVER,MA 01810 FAX (24 hours) 800-242-4533 COMMERCIAL RESIDENTIAL DATE JOB 4— i , I lill, { C� tt ) ttt t 4 77 -4— FT_ t --.__.. 1 t Yoaila.6le_lo ser_ue yaU_1Wil�i_ ' uo� of��r'ces,� ino�ow efailny anon c�pec rifle I ENTRY DOOR SYSTEM Andersen "Rain Sensitized" I I ( Wood and Steel Automatic Closing Hinged French Patio Doors ROOF WINDOWS Brockway-Smith Company - . AWindowalls'ndersen- Brosco Architectural Group ❑, Serving Greater Northeast.Architects since 1890 Ott�ce and Exhibit Area: 146 DASCOMB ROAD (Route 93-Exit 42) 800-225-7912 .1=416 i • ANDOVER,MA 01810 FAX (24 hours) 800-242-4533 COMMERCIAL - RESIDENTIAL _. DATE JOB$ ; c i I I i i Ej q t { +�� {.a.»,...�C».........»•j,...,..»»ap»...,,.».�5..».....{ «... ..,...,.„«.„.„��" .».... w ..Y.,».... ..{ - F...-»..«. --d»»•.-. «......5>,»». v».««.:W.=.»6.. { .. ...»»....may,_„»..„..f�.....». Ll ...4 »... I f { I {rg C- €� I 3 4 }}t�------^-§-^.»..'..--„ti«...»»�.. ...'q•...,.�..«».�..'�«:-- ,��-.-w&....�.....%. ......»...�1cy�.� ....w».>+ ,«..„( .we.M-•a...^�......«,.,.. �.«....,.f.:.:.»»....5.....>.....5{ -.«Y.-:.»«..�,,....«+ ..«-L. 4Lj ✓ZU.QIlQ,6le to ser_ue. o_u ruif __✓�uo� el J rlce ,..__ lno�o{we1QIIn }Qno�cS ecrifin. I ENTRY DOOR SYSTEM Andersen "Rain Sensitized". I I ( Wood and Steel Automatic Closing Hinged French Patio Doors ROOF WINDOWS Brockway-Smith Company AWindowallendersen Brosco Architectural Group C. Serving Greater Northeast Architects since 1890 WOffice and Exhibit Area: 146 DASCOMB ROAD (Route 93-Exit 42) 800-225-7912 ANDOVER,MA01810 • FAX (24 hours) 800-242-4533 COMMERCIAL - RESIDENTIAL DATE JOB v w � f s f # 4 t {{I E k 1 f i l ualfa.6fe_fo st r_ue you u�r uo�9ef.J�r. ces.,__ in,o�ozu_ e air'ny .a1 d Sp c &)r1-1j jq I ENTRY DOOR SYSTEM Andersen `.`Rain Sensitized" I I I Wood and Steel Automatic Closing Hinged French Patio Doors ROOF WINDOWS du lop �5 A- � u -v Li tf � v e 3 • S• PO91 F ,N� F Iw3u1wliOk-- 4 31h I r /N rt T 0u J4 b C Oiv S TRvC 7 :S.R D b 0(R°rVVj.:t R. z it W A L 13ED goo" v B Fe ROOM � C LnSe -r �A`RS h � J v C.1 lu, �u V ry N/Speh S 7oR,.l C`E s 4 1 a. if a �✓/ze�ia.�vrnzaozrrea�o ./Llaoa�u./r�ael/ , HOME IMPROVEMENT CONTRACTOR Registration 103218 Type - DBA Expiration 07/06/94 Appleton Construction Peter J. Appleton 31 Baird Way ,I ADMINISTRATOR Centerville MA 026Z i ; Assessor's office(1st Floor): �: Assessor's map and lot nmb uer i TNc Conservation %� - a ,T -9� Board Health floor): . Sewagea Permit number ber '�d W N Sri.()A U � � rua Engineering Department(3rd floor): House number ` ` 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 K0 0 0 CO Au S T/Z U C T Z)OM TYPE OF CONSTRUCTION Woo V. rR A iM,E 19 93 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according.to the following information: i Location �S Tom'tie U e Al 4 N N /S M�4 ss- Proposed Use .S U r{?FYI E-4 D W C L L 1 AI Zoning District Fire District Name of Owner P b• C r I� /Z ����' Address Name of Builder Pr_--r 2 App L E 70N Address 7 1341 RDs WAY C&Iu TF1EU/LLc Name of Architect Address 1•YESE'A1 T Number of Rooms D qw,!: k lZ/vl.S Foundation /-y LL 131;X&mc-v 'i= Cpi'uCP_F_7`,-_ &ctk- Exterior 1-OH!-re C&-m R s kilt' a-L&s Roofing 146p qL?jrj3C_k&G,4S J'/41Ajj.4FS Floors S/ C P Y1-1/00 D Interior /d P2 f LVA L Heating / Plumbing Fireplace N 0 A)E Approximate Cost $S 0 Area Diagram of Lot and Building with Dimensions. Fee yG' 20 �ovsL . 2z� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of BarnstVrardinthe above c struction. Name Construction Supervisor's License c)d�� GRIFFIN, P.D. & E.F. , �1• No 35673 Permit For BUILD DORMER Sinale Family Dwelling Location 14 Estey Avenue Hyannis -S Owner P•` D. & E. F. Griffin; Type of Construction Frame Plot' Lot Permit Granted February 25, 19 93 b Date of Inspection ��SJ/93 19 Date Completed ©��'/�a r 19 I - ' L _ a I ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION / Map Parcel �n,»,,� 2 Permit# J� Health Division 3 �� ��i��v � Date Issued SSG 3 �l Conservation Division Y, S, / Application Fees Tax Collector � ; � � �� Permit Fee �S'. Q O Treasurer loo Planning Dept. CC OBBTAII�ASEM NGINFERING DIV 101V PRICTION PERMIT OR TO CCNST Date Definitive Plan Approved by Planning Board ixUCTION Historic-OKH Preservation/Hyannis Project Street Address Village Z*,5 i S Owner Ph 1-/1 i l e ti 9 lr-�i n1 Address Telephone 152�1 0 -7 7/ 6 %D Permit Request dtae—� ��-c- _c am Ceh Square feet: 1 st floor: existing �� proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay b � Project Valuatio I,5-40 ° Construction Type l,_"O p--Aa4vtp— Lot Size Grandfathered: ❑Yes ©'6o If yes, attach supporting documentation. Dwelling Type: Single Family U"" Two Family ❑ Multi-Family(#units) Age of Existing Structure_/9 q Historic Houser ❑Yes ©'No On 0ld King's Highway: ❑Yes B-140 Basement Type: ©Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 29_ Number of Baths: Full: existing new Half:existing f new Number of Bedrooms: existing _ new Total Room Count(not including baths): existing new First Floor Room Count L Heat Type and Fuel: ❑Gas ®"Oil ❑ Electric ❑Other Central Air: ❑Yes 01% Fireplaces: Existing a New Existing wood/coal stove: ❑Yes Cho Detached garage:@/existing ❑new size12'�'Xa1 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 GL CaA Proposed Use BUILDER INFORMATION —zk7 Name �'l f7/� / 9a��� �/1 Telephone Number ��d�' 2 Address License# !�, 1. S Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE ? C.4N Zf4 SIGNATURE C, . DATE c5 --/O 9 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL-NO. ADDRESS ' +" _ VILLAGE OWNER r DATE OF INSPECTION: FOUNDATION FRAME 6rtZ Al .3 INSULATION • d FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE,CLOSED OUT ASSOCIATION PLAN NO. t ' The Commonwealth of Massachusetts -. - Department of Industrial Accidents _ == — Office olloyesffoRmoos 600 Washington Street Boston,Mass. 02111 Workers' Com .nation Insurance Affidavit Cflc j name f 1 i �' �1 l E' F 1/l 1e it location. I citV x71--- Er I am a ho eowner performing all work myself. D to % ❑ I am a sole Proprietor and have no one works m* capacity ��%%%%/%% %%/%��%%%%%%%/%%%%/%%//%%���%%%%/%%%%%/G%/%%�/�%/G/%�%////////%///%%%/% I am an 1 roviding workers' compensation for my employees working•on this job. . . :: : ::::::::::::::::: :::::::::: :: :::: :: ... :com an >;:.;:.:::::::>::;•.::>::;:::.:;:;X. ;::<•>:<.:.<:<.:;::.�.:;:.;::. :::::::......::....:..:.:...:::......... . . X., ......... ................:::.::: address.. �:::.;,.::::::...........: hOn :.:;;:.;:.;:......;;;.::.::.::......................... .......... :.:.::.........:::.:.......:..:.:.•....::::.:::::::::;::;.:::.:;::.::.:.:::.: :.:... ..:.:.;..;::::::............:...:::::::.:.:;;;:::::::::::.::::::.....:.;:.:::..;:..:.:::::::;;; ;,;: cites riseran blcv ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followingworkers' compensation polices; ...................................................N. ..........,..,..:.,.,::.:n::.::>.::::::..: com an ::name:; .....:::..:::: 1 ••!..... .....�::.:•+:. ........... .. .:..:.::.: vv:- ..:...:.�:....::. :•:.......................:.::........................::•::::..........................::::::..:......................................:::::.�............v.......:::•.�::•::::.�:•v::v.�::::.. {tiri•: ::......................• ........................... ................................ v....�::::::•::::::n�::::::.....n.......................... j( :r:T::•v: ••: .......... : ::%;:;iii:%::::F::: "fie . . >b fin ..........;;:�>:.;::;;•;-;•;•;:::;;;:•:::�;::•;;:�>•�>:>.�::::•::::i;::•>:.;':;:�:•Gil`;:::;<:;:�>:>::«•::>::::::.;.»::; x::>::':::::::i':.:;•::::•:•>:: fi... o1i ran ......sa:nam address .,e on h w nNikM, j P an�e to secure coverage as required mtder Section ZSA o[MGL 152 can lead to the imposition of criminal penalties of a nne up to S1,500.00 and/or one years'imprisonment as well a,dvfi penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a espy of thb atatemeat may be fonearded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is truo and coned Signature ` ' Date 2 -�/ E G,k.% r ''� Phone# � Print name `' - 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 ❑checkif immediate response is required ❑Selechncn's Office ❑Health Department contact person. phone#; -- ❑Other (revised 9/95 PIA) 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 X 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 e ;F submitted to the Department of Industrial Accidents for confirmation of insumce coverage. Also be sure to sign and d'. 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 retxmieidtn 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 Of Ice of Investl9auans 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 �OFZHe rq�� Town of Barnstable Regulatory Services _ snaxsrwtrAMASS ' Thomas F.Geiler,Director 9�pTE 019. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-403 8 Fax: 508-790-6230 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 Wozk: 9E-PL,4 C r ty 4 9,1 �,6 001L l ;?,CAII n 9(N)Estimated Cost Address of Work. 1 L� E� s 7tr v &_ . ' /� y�/,vti> j� Owner's Name: ��I L I P y � / L I E N R/ F/N Date of Application: 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 26wner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UYIPROVEMENT 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: Date Contractor Name Registration No. OR Date Owner's Name The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: /� number street village "HOMEOWNER!': p a l/fl �1� e 1V CR;FF/'// -7 7/ 6 $90 r So 9 6,70 ?6 9 6 name home phone# -work phone# CURRENT MAII ING ADDRESS: D 5tyr9 /!/S� rid , 0a 7-7 7 city/town state zip code The current exemption for"homeowners"was extended to include owner-oc.gUied 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 pernvt 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. 7 e 2 A -T� o ivs 1� 4rurvrS - --- - -- - --- ----r- -- _.. .__A.- _ - - - -�-- - -- -- ---- -- - - - -- -' .. - - - - - k: ., :; i _ _ -;;�;� � �t•� -� ..�.. .. ,. „� ;�.r ��;,�, .�,�� - - �� =�.} -- 1 Yl 9 9 i Fallurs to pcasass acurrea : _ l DEPARTMENT OF PUBLIC SAFETY AlassachusettsStateamNdia9 COMMONWEALTH ONE ASHBORTON PLACE, Oodoiscauss for revocatioo OF BOSTON,MA 02108 :, " of this tfce+ise. CAUTION MASSACHUSETTS FOR PROTECTION AGAINST EXPIRATION DATE i EFFECTIVE DATE LIC-NO. THEFT,PUT RIGHT THUMB PRINT IN APPROPRIATE E RESTRICTIONS i X ON LICENSE. o - o Z . BLASTING OPERATORS `° MUST INCLUDE PHOTO. z = .'. , i -.I PHOTO(BLASTING OPR ONU1• FEE: I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED-OR-SIGNATURE OF THE COMMISSIONER J V i HEIGHT: L 4 , j SIGN IN -�''7 0 _ SIG RE OF LICEN E THIS ARRIE CUMENT MUST BED - CARRIEDON THE PERSON OF'�. NER � THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT GAGEDINTHISOCCUPATION.. �Z�gZO'tlW ajj�naa�uaa � ;w� - uojajdd:4"1 uot�ana�suo0 uololddtl uotleatd%3 V6/90/LO tl80 - ad.11 8luol 1109ellst6a, a010gjN00 }N3Wiilucd;3?? Assessor's office(1st Floor), r i Assessor's map and lot number �' � i TIME to`` t ' Conservation(4th Floor):Board of Health(3rd floor): 31 _. • Sewage Permit number t tasa»rant y riva Engineering Department(3rd floor): 'ego House number Ito 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 A-3141-/C TYPE OF CONSTRUCTION _ 1( '57 P6� e51 v✓L�¢ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a/permit according to the following information: Locations/"�`7 Proposed Use p X �� LOeG� a Zoning District Fire District Name of Owner H'��'` (,"/LiG���i✓ Address Name of Builder �T,I Po``da o`' Address Name of Architect Address y� Number of Rooms Foundation C/)x>Cv1 e��- �� �( �✓P'�S � �� Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area -401 Diagram of Lot and Building with Dimensions Fee OL I I i � C OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re ding a above construction. Name Construe' n Siiperviso�r's,�Li•cense Zr)r0� _ / t(2 f -t.jr GRIFFIN, PHIL r; No Permit Permit For BUILD SUN DECK. Single Family dwelling ` Location 14 Es.tey Road Hyannis Owner, Phil Griffin Type of Construction Frame t I Plot Lot _ Permit Granted July 23, 1 g 9 3 Date of Inspection: Frame 19 Insulation 19 t Fireplace 19 Date Completed �/ 19 y L • i i LOT 142 y r, LOT143 � £ J � o, 00, LOT 141wA k / � o LOCUS MAP LOT 146 PLAN REP 9-103 184-109 w SHOWER LOT 140 DEED REF` 8429-199 ib """""""",,,,, ASSESSORS MAP. 324—086 ,,,,,,,,,,, , ZONING: R8 Z S 1. I ft SETBACKS 20 —10 —10 #14:;;;;;;;' FLOOD ZONE: B PANEL NUMBER: 250001 0006 D76� 1 2ft / DATED.- 0710211992 OVERLAY DI.ST AP •4 0.Sft Co O. f: ' .Y,, PROPOSED ADDITION 00 `v TOTAL AREA :LOTS 140 & 141 PLOT PLAN OF LAND 10187.7 SQ. FT. LOCATED A7` ��:• � _ .,,-+.�. - "• � • :�; -• �' 14 ESTEY AVENUE HYANNIS, MA Co GAR. � � PREPARED FOR LOT 139 PHILIP D. GRIFFIN APRIL 14, 2011 Alt. 4� REV APRIL 20, 2011 ®������sT���� •`, s RE �f Est) e 51trhEv s REV qw ` YANKEE LAND SURVEY GRAPHIC SCALE ' tip, �� ®� CO., INC. ® tq �� 20 0 10 20 40 ; �� v ® _ 119 ROUTE 149 MARSTONS MILLS, MA 02648 TEL 508-428-0055 FAX 508-420-5553 1 inch = 20 ft WOMASURVEYWONCAST.JVET WWW.YAATMWVRVEY.CON SHEET 1 OF 1 JOB ,¢� 54716 SH i I