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HomeMy WebLinkAbout0181 FIFTH AVENUE (HYANNIS) - - - - ,✓ � - -- i ' 3• Town of Barnstable Building Post:This Card So T;hatit isV�s�b1e;From the Street< Approved Plans Must be Retained on Job and;this Card Must be Kept 6 $ Posted Until`Finat 1 spectionHas Been Made4 RV1/here a Certificateof,Occu anc'"is Re aired such Build�n" 'shall Not>be Occu ied until a;F�nal.lris e;tion h`as teen'made. Permit .,..., Permit No. B-19-1155 Applicant Name: ROBERT WALSH DBA HARBORSIDE REMODELING Approvals Date Issued: 06/26/2019 Current Use: Structure Permit Type: Building-Deck Expiration Date: 12/26/2019 Foundation: Location: 181 FIFTH AVENUE(HYANNIS), HYANNIS Map/Lot 245-107 Zoning District: RB Sheathing: Owner on Record: SOUZA,THOMAS G&SYLVIE G Contractor Name:'` ROBERT WALSH DBA Framing: 1 HARBORSIDE REMODELING Address: 88 NICHOLS STREET 2 NORWOOD,MA 02062 Contractpt..License: 141991 t . Chimney: Description: Build 506 sgft deck after removing existing deck PT Fram Simpson Est Protect Cost: $21,400.00 hold down ties,azec decking and trade mark rails -Permit Fee: $110.00 Insulation: Final:. Fee Paid: $110.00 Special Permit No.2019-028. Recorded 6/26/19 RMCK Date: 6/26/2019 Project Review Req: Plumbing/Gas Rough Plumbing: � �s Final Plumbing: .._ g x 1 g ildin Official i This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterdssuance. Rough Gas: All work authorized by this permit shall conform to the approved appli ation:and the approved construction documents•for6' hich this permit has been granted. 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 orroad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical 3 �.- � Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building apd Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Per.sans.cqQtracting 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 �e A_�__ __ _�_ _ : _� i 1n i J� �1 ���� (��' v � " � •! c� � � � ..... .. .. _ O�SHE O Application Number......... 5 /.....".!.........5.................... 11�tBa Permit Fee........I.:` D ............Other Fee........................ 039. ►�� BUI LDIIVG DEPT Total Fee Paid:............................................................... ...... TOWN OF BARNN A JR9 Permit Approval by... ��.....G!!%.........On...--- - - -.19 BUILDING RNST4BLE lviap............:1 .................... APPLICATION Section 1 — Owner's Information and Project Location Project Address 1 A v4Z Village Q. JA I Ig►.Jw jS puak7 Owners Name S C�4.2 Owners Legal Address /ii'lC/�!!G City .,N®/I�.�©a n State . H 4 s s zip D zo s � Owners Cell# (ol -T -3 3 —q E-mail r1le 5o tw za J!r a—, ca Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ - Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify. Section 4 - Work Description sdy✓ &OiA- d rn T eSte— , Z C.- rib!chA 'h r"11& vwA-n w AA —lr h6!A4 IWO J,�� d-cs 75,oyA// Wd it Last undated: 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction `3- Square Footage of Project r66 S Age of Structure L&Vj, • Dig Safe Number # Of Bedrooms Existing x _`yA Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method R lv A Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: rtiw6tie, � I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. o Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No' 11/15/2018 Last updated: Application Number........................................... Section 9= Construction Supervisor N Telephone Number 576 - 14 2-10- es'g 58 Address -I 13 City ft�a a4w;S V y;,0 5 State P"A , Zip csa j'y`Q License Number (56'73 19 License Type CSP A Expiration Date Co 1 -Z zz 1 et Contractors Email 10 mac. 96 ( C' ,c�a�, lri-y, Cell# !,Sa4 1 412_a% I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requir by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date 1 Section 10—Home Improvement Contractor ! Name Telephone Number v90-g 20— os6t Address �Z13 City &►aq,�� M;I)S State Y4 A Zip C-),t, 417 Registration Number 1441 '[cj t Expiration Date ��, Z) a6a•0 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b 780 'MR and the T wn of Barnstable.Attach a copy of your H.I.C... i . Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature - Date Print Name �e✓c.�' ►5� Telephone Number Lj — a�S� E-mail permit to: \xc�, r_ Lot updated:11n5n018. Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ i Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval 3 i Section 13— Owner's Authorization 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: rW A-ye (Address of job) Signature of Owner date TL�a nits G S o c. Print Name Last updated: 11/15/2018 TOWN OF BARNSTABLE PERMIT CHECKLIST Sign cuff hours for Health and Conservation are 8-9:34 alto. and 3:304:10 p.m. A condo applkadon includes filing all secdons 1-13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ® Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"xl7"(plans may require a stamp by an architect or engineer). Residential - 5 Sets of floor plans no larger than 11"x 17"smoke/co detectors marked ❑ Worker's Comp.Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) :D Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: D Gas ❑ Electrical D Water ❑ Sewer(if required) 3.-DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location Construction plans showing framing detail(if new framing), ❑ Pools—Barrier details,pool specs(engineers design) ❑ Workman's Comp Affidavit and policy(if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. The Commonwealth of Massachusetts Department of IndustridAccidents Office of Investigations 600 Washington Street Boston,MA 02111 wwM.mass gov/dia Workers' Compensation Insurance Affidavit: Bulders/Contractors/Electricians%Plnmbers Applicant Information Please Print Lep-ibly Name(Business/Organization/Individual):. � , Address: , City/State/Zip: lS 6 9 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.K I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling p p p These sub-contractors have ship and have no employees 8. ❑Demolition working for mein any capacity. employees and have workers' ❑ [No workers'comp.insurance comp.insurance'$ 9. Building addition required.] 5. ❑ 10.We are a corporation and its ❑Electrical repairs or additions officers have exercised their I I. Plumb' repairs or additions 3.El I am a homeowner doing all work o right of exemption per MGL ❑ � myself.[No workers comp. emP p 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑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 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/Stute/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Si store: Date: Phone 2-0 — S Official use only. Do not write in this area,to be completed by city or town qfficiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: - Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An 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 renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §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-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the 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/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to 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 Me of Investigations 660 Washington Street Boston,MA 02111 Tel.#617 727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749: www,mam.gov/diaL 7#,OHA r f r y4V I6 Sa MZ4 /J' I�f d=ems a/ Gt/r /�j/,++" /✓��d� d1 °" Lem REFERENCES: Assessors Mop:245 Parcel: 107 Ocean Drive Deed Book 89571107 E ZONE:RB Setbacks: S&T Front:20'min IT Edge of Pavement ® R-14.2• N87*21'33E Set Side: 10'min 100.00' �i Rear. 10'min I I - I I (n I 1 m I 25 0' f Lot 344 � 1 I �- I �h E 16.5' z y o #181 O Gi NJo 2 Sty w/f O Dwelling p N 00 O V O O 27.4' ° z` Lot 342 "Q s .f F Deck s Lot 340 o S&T%. n m set S87'21'33"W Set t 100.00' N/F Barbara M Latimer Tr. 9888/343 LHEURMX a�S�;312 PLOT PLAN IN rofessionol Lad Surveyor R6te HA-RJVSTABC (West Hyannisport) NOTES: MASS, 1.) The structures shown were located on the ground DATE: 181NOV103 SCALE: 1"=20' �•. +C 1 +H + n + 1 onnz 05 10 15 20 30 40 FEET J I Mckechnie, Robert From: Mckechnie, Robert Sent: Wednesday,April 17, 2019 12:37 PM To: 'buc80@comcast.net' Subject: Application T13-19-1155, 181 Fifth Avenue, Hyannis Good Afternoon, Your application is denied due to the following:: 1.) The new deck does not meet the requirements of the RB Zoning District. The minimum allowable set back is 10 Feet. We will reopen your application for review if you supply a plan that complies with zoning. Thank you, Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4033 1 Bk 32117 Po 1 O4r 00-29866 ' 06-26-2019 a 01 a 14Q BARNST;ABLE TOW1 CLERK Town of Barnstable, .. •� Zoning Board of Appear JUN 5 P 1 5Q Decision and Notice Special Permit No. 2019-028-Souza § 240-92(B) - Nonconforming structures used as single- or two-family residences To allow the replacement of a nonconforming deck Summary: Granted with Conditions Applicant: Thomas G. and Sylvie G. Souza Property Address: 181 Fifth Avenue, Hyannisport (Hyannis), MA Assessor's Map/Parcel: 245/107 Zoning: Residence B District Hearing Date: May 22, 2019 Recording Information: Deed: Book 8957 Page 107 Background Thomas G. & Sylvie G. Souza applied for a Special Permit in accordance with Section 240-92.6 - Nonconforming Structures Used as Single and Two Family Residences. The Applicants propose to remove and replace the existing deck which encroaches into the side yard setbacks. The current setback requirement for the district in which it is located is ten (10) feet. The property is located at 181 Fifth Avenue, Hyannis, MA as shown on Assessor's Map 245 as Parcel 107. It is located in the Residence B (RB)Zoning District. The subject property is a .23 acre lot with frontage on Ocean Drive and Fifth Avenue in Hyannisport (Hyannis). According to the Assessor's records, the property is improved with one single family three-bedroom dwelling of 3,822 gross square feet (1,880 square feet of living area), and was constructed in 1950. The dwelling is set back approximately 25 feet from Ocean Drive and approximately 27.4 feet from Fifth Avenue. The existing deck is located to the rear of the dwelling and has a rear setback of 8.8 feet where 10 feet is required. The area is residential in nature and small lot sizes appear typical in the area. The lot is served by on-site septic and public water. Procedural & Hearing Summary Special Permit Application No. 2019-028 to remove and replace an existing nonconforming deck was filed at the Town Clerk's office and the office of the Zoning Board of Appeals on April 23, 2019. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters and interested parties in accordance with MGL Chapter 40A. The hearing was opened on May 22, 2019 at which time the Board found to grant the Special Permit subject to conditions. Board Members deciding this appeal were Alex Rodolakis, David Hirsch, Herbert Bodensiek, Paul Pinard and Bob Twiss. The Applicant, Tom Souza, presented the application before the Board. He stated the deck is unsafe and must be replaced but will stay in the same footprint. Mr. Souza presented a letter of support from an abutter, Stacey Evers. The Board Chair requested public comment. Ms. Evers spoke in support of the project. The Board felt this was a reasonable request and appreciated the support from the abutter. Findings of Fact At the hearing on May 22, 2019, the Board unanimously made the following findings of fact in Special Permit Application No. 2019-028, a request to remove and replace a nonconforming deck: 3 r Town of Barnstable Zoning Board of Appeals-Decision and Notice Special Permit No. 2019-028-Souza 1. The application falls within a category specifically excepted in the ordinance for a grant of a special permit. Section 240-92 allows for the expansion or alteration of a preexisting nonconforming structure used as a single-family residence with a Special Permit. 2. After an evaluation of all the evidence presented, the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. The Board found that the abutter is in support of the project. 3. The proposed alteration/expansion of the dwelling will not be substantially more detrimental to the neighborhood than the existing building or structure. The Board found this is a replacement of an existing deck and felt it was not substantially more detrimental to the neighborhood. , The vote to accept the findings was: AYE: Alex Rodolakis, David Hirsch, Herbert Bodensiek, Paul Pinard and Bob Twiss NAY: None Decision Based upon the findings a motion was duly made and seconded to grant the Applicants the relief being sought with the following conditions: 1. Special Permit No. 2019-028 is granted to Thomas G. and Sylvie G. Souza to remove and replace the nonconforming deck located 8.8 feet from the rear setback at 181 Fifth Avenue, Hyannisport (Hyannis), MA. 2. The proposed alterations will be in substantial conformance with the sketch plan by Contractor Robert Walsh included in the application package. 3. The proposed deck shall not be closer than 8.8 feet from the setback. 4. This alteration/construction shall represent full build-out of the lot. No additional increase in building coverage or gross square footage shall be permitted without prior approval of this Board. 5. All mechanical equipment associated with the dwelling (air conditioners, electric generators, etc.) shall be located so as to conform to the required setbacks for the district and screened from neighboring homes and the public right-of-way. 6. This decision shall be recorded at the Barnstable County Registry of Deeds and copies filed with the Zoning Board of Appeals and Building Division. The rights authorized by this special permit must be exercised within two years, unless extended. The vote was: AYE: Alex Rodolakis, David Hirsch, Herbert Bodensiek, Paul Pinard and Bob Twiss NAY: None Ordered Special Permit No. 2019-028 to remove and replace the existing deck which encroaches into the setbacks at 181 Fifth Avenue, Hyannisport (Hyannis), MA, has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision must be exercised within two years unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstable Town Clerk. 2 ut t Town of Barnstable Zoning Board of Appeals- Decision and Notice Special P rmit No. 2019-0 -Souza Z/M/ AlexIoddrakis, Chair Date Sign d I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this - 'l , day of under the pains and penalties of perjury. Ann Quirk, Town Clerk 1 Q ! 1629 - '�"W. `� :{tip �. BARNSTABLE REGISTRY.OF DEEDS �`�,\,��A�y����,,.� John F. Meade, Register i tt _ ..y.s.. Ni -Ar Commonwealth of Massachusetts Division of Professional Licensure r Board of Building Regulations and Standards Construction,Sup'etViSOr,1 & 2 Family , CSFA-057394 �:. F-gpires 06/02/2019 ROBERT G WALSH P.O.BOX713 , MARSTONS MILLS MA VIM Commissioner CIL ,t ,r, r Mir.�.;r(ck"w/L" __... .. �� License or registration valid for individul use only ion before the expiration date. If found return to: Office of Consumer Affairs&Business Regulat =__ �r,!HOME IMPROVEMENT CONTRACTOR Registration: 14199 Office of Consumer Affairs and Business Regulation i1 Type' 10 Park Plaza-Suite 5170 ..> Expiration: 3/3/2018. DBA Boston,MA 02116 HARBORSIDE REMODELING' ROBERT WALSH 250 CAPTAIN CROSBY ROAD Li Ly .1 fr CENTERVILLE,MA 02632 Undersecretary I Not valid without signature M o Bamstable Bldg. Dept. � 11s� V coo a Approved by: o o Permit #: x co Z z N rj `I l� rL . P T 1 D ,roe ► THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAI,(S) '�y. �3 ,.u `3 #•t a 2:Y a ri t < `� $ a .c s y.cv +h, z. ' . ll�'ei� `ht' �:.. �.qx,a, �' f v8�;L •.3 � Y 3. t 7"! �M G �� ! b°' �' �' •' �r?a.b-.i,. �'•;�z-:f+��o-..-%�?�**.rw x' �r ,;�,n ,� '�` t a``' - � 5. a _:{5.s-� ,•s � t* - 1• � ` _ k'}; ? '"`P1�.*"�;1. i v.. - `•-^..-e L F-'� � �., aye�;�}F�` '�!�•'°�j� }._ Jim �IM„� � <. ��i•-�.s. .,.�, }.._ � #'��.- ,. i��,,�u.ems-1¢'g �:I� �',ptt'.�s�. °c t0 WN ej— y ^ s � ti IA S 1 4 r; d aY+' zl w r3" 3 t � t�w r � �i�� �p• -���.�� �a t�� �,�q�,'"ypf,rrc� *r:G�*�f'��.y�y"' _ 5��;, q tLr t, - e kkf &��. `5 �sl �>• t >� rite � �. } v +: a�, � v:''p n t:A Y l c`. X' ��� lr _ F i � , ♦ ► 1. � �,� . . ,, ♦ ��� pis I► `'� , 11 ♦ � � � `* ,tip �� � +� ` t1 • � 1' ►�, � •. �� � I ► 0 '�y9 v� ; i� ~� (t'�� � � � � ���.�-ice• � The Com»to»wealth of.1fassachusettl Depart»re»t ojJndtrstrial Accidents , N' 600 fi'ashinrton Street Boston.A1ass. 02111 Workers' Compensation Insurance AlTdavit eRnlic��n nformation=� Plestse PRi1VT 161,L� name* locition- citv nhnnc# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity .2'1., .. .. - .4. ... .y..�cu.pr I am an employer providing workers' compensation for my employees working on this job. om Pt �� atldrecs a A ohnne insurance —HAUL 1Q, � c-,P-- 17 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: Sompan3•name: - address: �•• phone#!: incur�ncc co policy h I.�+.�u....���'-'..T:��-_ —.. •tl1•:I'+T. '.)t�crs'='T"s•%..:'T'.R'vfs'�t�[„'�i'?�• � -- •�T:Ei7�J�II�•'Sri•.��'rrT.�S4F�7F' �'n4y`.i(w�'7'^'.'^.'. S company name: ^ddress- city phone#• incur�nce co policy h :Attach additional sheet if neet�saryr;.,n7.:`w <;�t; r+ *�-: .:-�:• :•*:r�, c, �; ;;; Failure to secure coverage as required under Section 25A of DIGL 152 can lead to the imposition of criminal penalties of s fine up to s1.500.00 and/or One years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification. !do herebt•certifj•undo t/te airs and Pena of petjun'that thee nforntation provided above is true and comet Si_nature OA- Date Print name 0 t4 . Phone# Et -'- contact do not write in this area to be completed by city or town official permit/license# r'IBuilding Department Licensing Board diate response is required OSeleetmen's Office C31lcalth Department phone#; 1-1O1her Imised 3195 P)A) • CRC ` ' / The Town of Barnstable S Department of Health Safety and Environmental Services Building Division 367 Main Street,Hymis MA 02601 Ralph Crosses Office: 508 790-6227 Building Commisdoi Faye 508 775-33" For office use only Permit no. Date AFFIDAVIT HOME II"ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion' improvement,remo%-4 demolition, or construction of an addition to any pm-edsting owner occadjacent building containing at least one but not more than four dwelling units or to structures which am to such residence or building be done by registered contractors,with certain exceptions, along with other requirements- Type of Work: / [h�� Address of Work: gala' Owner.Name• Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work crduded by law Job under S1,000 Building not caner-occupied W=pulling cam permit Notice is hereby gh-en that: CONTRACTORS OWNERS PULLING MiER OWN PERMIT OR DEALINRICG DSO NOT HAVE . LESS TO THE FOR APPLICABLE HOME IMPROVEMENT ARBrrRATION 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. O010l Date Contra " name Registration No. OR Owner's name - I 67-zA�- t oF� ram, Town of Barnstable *Permit# Expires 6 vmnlhsfr r Issire date N Regulatory Services Fee BAVISTABLA i6 Richard V.Scali,Interim Director S 9. �� ArFD MA'1� 1� Building Division ����Q u Tom Perry,CBO,Building Commissi o���� 200 Main Street,Hyannis,MA 0260 11 2015 www.town.bamstable.ma.us SEp 23 Office: 508-862-4038 30 EXPRESS ERNIIT APPLICATION - RESIDEMAD Y /� Q Not Yalld wlihout Red X-Press Itnprint Map/parcel Number d" Property Address I �� residential Value of'Work$ '/l D'✓lJ . Minimum£ee of$35.00 for work under$6000.00 ONvner's Name&Address S Tm7z 9(3 (� clno S Nor a m Contractor's Name \�I W`t IBC.S Telephone Number 190 . 4✓� Home Improvement Contractor License#(if applicable) I I 0 Email: �01 Construction Supervisor's License#(if applicable) r� ❑Workman's Compensation Insurance Chec one: am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque (check box) Me-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value` {maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections requited. Separate Electrical&Tire Permits required. *inhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e,historic,Conservation,etc. ***Note: Property Owner must si r rty Owner Letter of Permission. A copy a or I prove nt Contractors License&Construction Supervisors License is qui d. SIGNATURE: QANVPPILESIPO mg permit fbrmslEXPRESS.doc Revised 061313 °FmE l Town of Barnstable Regulatory Services ySTAD Thomas F.Geller,Director 1619. 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 Property Owner Must Complete and Sign This Section If Using A Builder I ! z 1 -- to as Owner of the subject e —, 1 property riy hereby authorize r to act on my beh4 in all mattets relative to work authorized by this building permit � � ► K� AMtess of Job) **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. Signature of O her ' atute of Applican Print Name Print Name 190 Ils Date Q-FORMS:OWNERPERMISSIONT00LS 612012 r 27ie Comrrtarticmult ofMassaclitesefts Daparftwif o,f'l'iulrrstrid Accidents Of fee of investigafions 600 Wash-higtdyt Street Bosfon,MA 02111 wmminassgovIdia Workers' CampensafioxxIwmance Affidavit BiidderslConiractursMectricianslPlumbers AmAicauthformation Please Frintr Legibly Name 03usinewo ganintionllndividnao: /� Address: Pb Y Q� I city/Stat MP: ' 7' lone#' y Are you an emtploye ? eckthe appropriate box: Type afproject(reggired): 1.❑ I am a employer with 4. ❑ amI a a general ctmtractor and I 6. ❑New � gees(felt andlorpact-ime)* hat;ehiiredtfle sub-contractors 2. asxi a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling drip and hate no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [Na tvOYICPIS'COnip.insurance comp.msnrance. $ 9- []Building addition reqnired] 5. ❑ We are a corporationand its 10-0 Electrical repairs or additions 3.❑ I am a homeowner doing all work- of5cers have exercised their 1L[]Plumbing repairs or additions myself[No workers'comp: right of exemptiorzper MGL 12-El Roof repairs insurance required.]t c.152.§1(4),and we have no employees_[No workers' 13-❑Other comp.insurance required.] *Any epPHcsut thstchecksbooM tmastalm Mout the sectionbelowshowing tbe3awodme compemoon policy infnraatimL 1Hameawntss vrbo submit this affidavit iadfcating they ne doing all no*and then Lim outside conaactors rmrs-submit anew affidavit indicating such- tCantracrors that check this box must attached an additional sheet shorting they meaf&a soft-rn iftxbm imd state vrhathertxnot those Mwkshmm employees. IfthesubtoutractotshaceempIoyrzes,ffieytmT pmvidetheirworkers`comp.policyrnmtber. f aria air erliployer fliatisproiitgng workers'congaeiaatiun irtsrirauce for zriy ettgdoyees Betaty is firepolicy road job sits information. Insurance CompanyName: Policy 4 or Self-ins.Li(- Job Site Address: City/StatelZip: Attach a copy of the workers compensation policy declaration page(sltowing the policy number Axed expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition ofrriminal Penalties of a fine up to$1,500.00 and/or one yearitnprisonmenk as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the vioIato $t:advised that a^..ty::of this statement may be forwarded to the Office of Im testigations of the DIA a co ge verification. Ida h ee ire a prrii penalties ofperjury dint ilre informcdkti protdde&tinge is �ea d correct Si ttxre: Date Phone 0: �1 G O,#Wirt ase o)dy. Do not irrite i u fibs arerc,lobe cony led by cify or tolvn official, City or Town: PeratitUcense 9 rssuingAuthozity(circle one): 1.Board of Health 2.Building Department I City/rown Clerk 4.EIectrical Inspector S.Plumbing luxpector 6.tither cantict Person: Phone it: 6 I t Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: CSSL-099138 y JAWS P CURLED` 287 FOLLER ROAD I Centerville mA 0632' r >I*VA Expiration 01/28l2016 Commissioner ' ,� C��e�anrnaa-».coe�rlC�o�C�2�aaa�cc�tcleCtJ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only @iOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: . 24310 Type: Office of Consumer Affairs and Business Regulation k, xpiration•=-611[20_-T=• Individual 10 Park Plaza-Suite 5170 Boston ]VIA 02116 James Curley James Curley 287 Fuller Rd- Centerville,MA 02632 Undersecretary t valid without signs re Y Permit# A c ssa� p �2 16 — Parcel /O �o 1 f/ p Conservation Office(4th floor)(8:30- 9:30/1:00- 2:00) `L�a // Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)$9�/��?' IV S' /f4Fee y3, Engineering Dept.(3rd floor) House# .T"/, /c- t-6 �IK BARNSTABLE. ` 19 SEPTIC SYSTE E . INSTALLED 1N CI, TOWN OF BARNSTABLE WnN%ME a Building Permit Applicatio 4VIRONMENTAL CODE AND TOM REGUL.ATCOK13 PrMtreetdress �' Ave � Village 0 �,�tt31.�I�dt �-_— k v P •ILA Owner Address -7:1 ' )f Telephone. - -� Permit Request �1, o Kf'Ltle- ,y, Mai LP o EX.;fi i' rC— ` &YRaq e,Et10e,A-H'd 11 First Floor 5110 square feet Second Floor 4 * t I �- �;� t square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size 10 Grandfathered ? Zoning Board of Appeals Authorization Recorded r Current Use �i, �� p, „rt Proposed Use Construction Type J4 ,� y,A�LA ell►ra Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure _ � '�' Basement Type: Finished / Historic House Unfinished !/ Old King's Highway Number of Baths Va E3 Sts 11'i A i� No.of Bedrooms is'fin Total Room Count(not including baths) 14��� � �eLL) d 440Z.First Floor Heat Type and Fuel ` H 1) OtL Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name -1 n) I Telephone Number - Address 42 �A.�O License# `(� �y Oazh ..I Home Improvement Contractor# , - Worker's Compensation# 03 22,4j� 01 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRI RESULTING FROM THIS PROJECT WILL BETAKEN TO ua SIGNATURE &L KOKO; 44E 4V,4W DATE BUILDING PERMIT DENIED FOR THE FO LOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. r 1 DATE ISSUED MAP/PARCEL NO. - iIf ; tr i ADDRESS } VILLAGE ) - OWNER s J? DATE OF INSPECTION: FOUNDATION'., yi _ FRAME Io.r INSULATION FIREPLACE- ELECTRICAL: ROUGH t, FINAL PLUMBING: ROUGH;q FINAL GAS: ROUGHS ru ` FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` r , a 1 a 1 1 r j 1 / f 1 f rV L�elak C] X-Ls ,, T I-ksTf LO0 I r..f. _ Home Improvement specialists ofCopeCod - SCALE I 7 x APPROVED BY _ DRAWN BY DATE. t '� �..p VC' . W. DRAWING NUMBER m u+ tYCC f I 3 • 1 i � 1 , 0 all L L--- i 1 ' { 1 Home improvement Specialists os Cope Cod SCALE APPROVED BY DRAWN BY DATE y' uF i �K I .`X ' DPAWING NUMBER m �o s W W d SUPPL Y CO t� �'ye�w �-cx�� Skew `►�� 5/�' C��� � '� ��rr��� ,� � 1 i NO improvement Specialists i of Cope Cod i ' PPNOvED By ADRAWN DDT j 5- Aw i;rf a NEW ENL:�-� �•+ ,-.�'ri+t `+R C'JPP(ti �,n r— a I 3 1 Nome Improvement Specialists of Cope Cod SCALE I r ' APPROVED BY DRAWN BY DATE '~tRa DRAWING NUMBER r: m