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HomeMy WebLinkAbout0028 FOREST STREET Gv, �� DK ���e����u�. `sJ TOWN OF BARNSTABLE BUILDING PER APPLICATION Map o2(e6 Parcel 16 (;� W"" Permit# a '2 Health Division �\ Date Issued 3 - Conservation Division Z, J� Fee Y� tp ,- Tax Collector Treasurer "-� 1 L"O, , ,.J Planning Dept. (�1 �� "�� J Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis �o Project Street Address 28 �lele,Fs7- Village /0,64 Owner S��yIAxcl Address 2 Z l rX f}.S �'b, tV0S 1)[r0XD dyJ/y- Telephone -(C12- "e ea / Permit Request 6 AIG U W 17A waleleskr- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation �.3 , © Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size `oo X /Z 0 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ell"' Two Family ❑ Multi-Family(#units) Age of Existing Structure 7o !/As Historic House: ❑Yes 2110 On Old King's Highway: ❑Yes ❑ No Basement Type: 9"Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) 6,00 Number of Baths: Full: existing / new Half: existing new Number of Bedrooms: existing `1/ new Total Room Count(not including baths): existing C9 new First Floor Room Count 41 Heat Type and Fuel: was ❑Oil ❑ Electric ❑Other Central Air: ❑Yes Y`No Fireplaces: Existing e) New Existing wood/coal stove: UrY—es ❑ No t Detached garage:❑existing C!rn-ew size �/�- Pool: ❑existing ❑new size Barn:❑existing ❑net size ZZ Attached garage: ❑existing IfSW size y Shed:❑existing ❑new size Other: Q Gf CD U� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ C > 711 .1 ' Commercial ❑Yes [(No- If yes,site plan review Current Use Proposed Use CO m BUILDER INFORMATION Name �'�-��9�/� SGA�y /A gG 2 /"Telephone Number Address 2 2_ Rc) t ,License# -_ PS y -T F09/J /� /� Home Improvement Contractor# v r�.Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 1,e� DATE �,��C, /o '../ 4 FOR OFFICIAL USE ONLY t PERMIT NO. DATE ISSUED 3 MA�- /PARCEL NO. I ADDRESS VILLAGE OWNER , DATE OF INSPECTION: FOUNDATION FRAME �/�j2 rn k 3�: 3�� 37 INSULATION + j s FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' 4 ` FINAL BUILDING. �C�n0 B /K -7� � zae-j F y ' DATE CLOSED OUT ASSOCIATION PLAN NO. I q }.. The Town of-Barnstable Regulatory Services Thomas F. GeRer,Director -Building Division Peter F. DiM.atteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. .I 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. /' 60 Type.of Work: . r-7,67 t- Estimated Cost /3 Address of Work: 2 g /X:le/e-r5 T Owner's Name:' lT 44-o.D. �C-110V 41 ou Date of Application: I hereby certify that: Registration is not required for the following reason(s): E]Work excluded by law []Job Under$1,000 OBuilding not owner-occupied (P w er pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME EvIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ' Date Contractor Name Registration No. OR glocros:Affidav aev-122001 The Commonwealth of M assacn userrs --_-�- - Department of Industrial Accidents d = — exce OflovcsMIUMS 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit 1/2 G l9ov L,4,o Z GtJS%rev i lam' /�r9.�. zone# 978-G 9 -92� t am a homeowner perfaming am work myself.(j? [am a sole rietor and have no one wbrkit in ca acit�' ////% %%%%%/r / /%%%%////%//%/%%%%/%%%%/%%%/%��%%/%//%/%%///� • ° ' ' keis'•co easationformyemployeesworldng.onthisjob. :.•• dm w m er rovi 1 g �.... 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I understand Sid a )py of thb statemmi may be forwarded to the Office of Investigation of the DIA for coverage veriacation. do hereby certify under thep"ns and penalties pe)7u'Y at the infornmation provided above is tiw-aced carted rDate Z'3°T U 2 .iguature Print name (Phone 0 oincial use only do not write in this area to be completed by city or town ofitdal petatitlucense# rl$uildinz Department city or town: []Licensing Board re cored ❑Selectmen's OffLce ❑checkif Immediate response is q OHealth Department contact person: phone#; ❑Other (revised 9195 PJA Information and Instructions achusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their )yees. As quoted from the 'law", an employee is defined as every person in the service of another under any contract e, express or implied, orai.or written.. giployer is defined as an individual- partnership, association, corporation or other legal entity, or any two or more of )regoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or ;e of an individual, partnership, association or other legal entity, employing.employees. However the owner cf•a ing house having not more than three apartments and who resides therein; or the occupant of the dwelling house of ier who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or ing appurtenant thereto shall not because-of such employment be deemed to be an employer. chapter.152 section 25 also states that every state or local licensing agency shall withhold the:issuance or renewal license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has produced acceptable evidence of compliance with the insurance coverage required. Additionally,.neither the nonwealth nor.any of its political subdivisions shall enter into any contract for the performance of public work until ptable.evidence of compliance with the ffis,rance requirements of this chapter have been presented to the'contracting ority. dicants ,se fill in the workers', compensation affidavit'completely,by checking the box that applies:to your situation and plying.compwy,names, address and phone numbers along with a certificate of in urance*as all�affidavits maybe miffed to the Department of Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and. e the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is ig requested, not the Department of Industrial Accidents. Should you have any questions regarding the'law'or if you required to obtain a-workers' compensation policy,,please call the Department at the number listed below. y or Towns ase be,sure that the affidavit is*complete and printed legibly. The Department.has provided a space atthe bottom of the .davit for you to fill out in the event,the Office of Investigations.has to contact you regarding the applicant. Please sure to fill in the peiinitllicease number which will be used as a reference number. The affidavits may be returned to Department by mail or FAX'unless"otliei"arrangements have'been made:-----.-- e Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. ase do not hesitate to give us a call. Le Department`§address,telephone a4d fax number: " The Commonwealth .Of Massachusetts' Department of Industrial Accidents Me of 16vestigatloas 600 Washington Street Boston,Ma. 02111. fa=#: (617) 727-7749 phone#: (617) 727.4900 eat. 406, 409..or 375. r- Y RESIDENTIAL: SHEDS -POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50A >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE a Q:forms:dkcost eff:082301 ,n 1 Town of Barnstable t)F THE Tp� Regulatory Services anxxsTnsLe Thomas F.Geiler,Director y MASS. � �p i6;q• �m 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: Z F0 �� I W, I I AN av l S m number / street Gn village © "HOMEOWNER': phone hone# work hone# name P CURRENT MAILING ADDRESS: I (nX W FFST POAD o/SSA city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for-hire.who does not possess a license,provided that the owner acts as su eervisor. 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 requirepiepts. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger.will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities-of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a form/certification for use in your community. Q:forms:homeexempt (3 (A�A6 C ElH T> . . . . . . . . . . . . . . . . . 4P266 76 4AP es f" �V 7( 1, P.oF11HET�ti The Town of Barnstable 9AR S Department of Health Safety and Environmental Services ' 7 MASS. 0P _ . °jFOMpy Building Division "- 367 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection'Correction Notice Type of Inspection LocationWkypord P-) Lf es'± S't Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. 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