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HomeMy WebLinkAbout0037 FOURTH AVENUE (HYANNIS) Town of Barnstable Building �i ¥ ya s � � � r �� '��. '> _ ;• �, .. .' '�" u c_;3v'�" 's',," ,fir .., � . �r _ Post This Card�SoThat rt is;'Vis�bleaFrom;the Street Approved.Plans Must be=Retained on;Job and,this Card�Must be,Kept �, M" Posted Until';Final Inspection Has°Been Made * � � 039���. �- y�m earl Where a Certificate;of.,,Occupancy is Required,such;Bnildmg shall Not be Occupied untU a.Final Inspection has been made Permit xaa_�. _' L .Permit N'o. B-48-3946 Applicant Name: DALE C DAVIES Approvals Datelssued: 11/30/2018 s Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 05/30/2019 Foundation: System , . Map/Lot. 246-122 Zoning District: RB Sheathing: Location: 37 FOURTH AVENUE(HYANNIS), HYANNIS d Co'n'tractorName:;. DALE C DAVIES Framing: 1 Owner on Record: MCCABE,.PATRICIA '' ' Contractor License GS-076391 2 Address: 1119 W SILVER CREEK ROAD .. � Est Project Cost: $0.00 Chimney: GILBERT,AZ 85233 i Permit Fee. . $35.00 Description: INSTALL HARDWIRE, BATTERY BACKUP SMOKES ANDCODETETORS Insulation: p e Paid:; $35.00 Fe Dat Final: Project Review Req: e 11/30/2018 77 .: Plumbing/Gas i .. ' Rough Plumbing: Building Official . _ Final Plumbing: s •,issuance. Rough Gas: This permit shall be deemed abandoned and invalid unless the work authonzed ix m iby this permit is commenced within sonths after a 3 - ' All work authorized by this permit shall conform to the approved application and the approved construction documentts,for,which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures=shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access stree t or-road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. � � " Service: The Certificate of Occupancy will not be issued until all applicable signatures bq the Building and 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) y 6:Insulation. Low Voltage final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: _ Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT puk /VG AppIic anon Number.. • saalvsrssr,�, Nov MAM 7'OV 8 ..Othea Fee........................ TotalFee Paid..................................................................... TOWNOF BARNSTABLE Pmm&Approval by....................:............ .... ......._ BUILDING PERMIT ... ...................... arT............._..... .......... APPLICATION Section I—Owner's Information and Project Location Project Address 3 7 1:�-o k A Vtilage--L�Y,c,-h n i S Owners Name PL 4-r ( L t G c ct k - Owners Legal Address I/ l cP W _sj1V.7. C2 tz:�f2o City ��3 Ll2.T' State .4fa,26 a A, Zip Syz 3 3 Owners Cell# `ago - y cf e. E-mail 'WL�s µ ru c c AN—' S'43 ,w Section 2—Use,of Stractare Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet U3ingle/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ElCge 'han of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty LV.1 Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar . ❑ Renovation ❑ Pool El Insulation C - Other—Specify Section 4-Work Description g p,+�er� Q c�c.r-- S r-r a l Ce- S T s►ct m+ds�219/2QI8 Y Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project {' Age of Structure Dig Safe Number 1 1 # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage �oke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry 4Chimney 4' y ' ; ` 0 Add/relocate bedroom � Water.Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I an using a crane ❑ Yes 0 No Section 7—Flood Zone • Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information i Zoning District Proposed Use Lot Area Sq.Ft. 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 Last undated n2018 lid '\ The Commonwealth of Massachusetts Department oflndustrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ,^ Please Print Legibly Did Name(Business/Organization/Individual): I-e C_ 3/4,0 t G: S Address:. City/State/Zip: SA,,o wtc.L. U"`A 3 Phone#: I?Lf23g 2 3 l Are you an employer?Check the appropriate box: Type of project(required): i.a I am a employer with employees(full and/orpart-time).• 7. 0 New construction j 2.2ram a sole proprietor or partnership and have no employees working for me in $. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.[D I am,a homeowner doing all work myself.[No workers'comp.insurance required.)t 10 Building addition 4.[]l am a homeowner and will be hiring contractors to conduct all work on my property. I will I 11.Q Electrical repairs or additions ensure that'all contractors either have workers'.compensation insurance or are sole t proprietors with no employees. 12.®Plumbing repairs or additions 54—]1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance f ckn 6.[]We are a corporation and its officers have exercised their right of exemption per MGL C. 14.®Other Delt{ s 152,51(4),and we have no employees.[No workers'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 subcontractors have employees,they must provide their workers'comp.policy number. I am 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.Lic.#: Expiration Date:_ Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. - I.do hereby certify under thepains and penalties of perjury that the information provided above is true and correct mature:C:� � �-�Q( Date: /I is o 1 it Phone#• 7 7 -Z3 G Z-5 19 , Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department.3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • �F of Town of Barnstable Building Department Services BARNSTABU& ' Brian Florence,CBO 059. Building Commissioner 200 Main Street,Hyannis,MA 02601 f wwwAown.barnstable.ma.us gffice: 508-862-4038 �� Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder f ( C)� e C ,as Owner of the subject.property t: hereby authorize t to act on my behalf, in all matters relative to work authorized by this building permit application for:3-7 . f a4 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant � . .. TDAf- G. iqJ 1 is 5 Print Name Print Name 6z-5— co Dat Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 I Massachusetts Department of Public Safety: Constructioni. Supervisor. _ ;t {_ Board of Building Regulatiol>s:andStandardsi2e5tricted to _>..inreshic ed Buiidmgs'of any.us4.groiip which contain License:CS-07B391 less than°3 ,000 cubic feet(991 cubic meters)of" Construction`$upervisor °`.enclosed space. -DALE C:DAVIES 23 NEWTOWN ROAD SANDWICH MA 02585 Failure to '"ma cumwit won offhe Massachusetts k t �i rnz�— .. piration:: State BuiWing>rode is cause for:revocation of3lmis mfe. missiofiner ' - °03723P1019 ` ¢ DPS Licensing information visa W WW MASS C�OV/DP3` L- - ��e�cain�zza�rivealf�•af'�3T�asrac�u�.tefl�3 _ �'� Oiflce.of ConeumerAifabs&Business Regina= :HOME IMPROVEMENT CONTRACTOR Registration eA bair individual use only TYPi Indroidual ! .. before the expiration date. If found return to R iwm Fxoirdtion..: Ofil"of.Consumes Affairs aTtd Bmtsirtess Regulatioim� ;10 Park Plaza=Suite S170' ti=)20i9 Bosbon,MA.02116 s DALE C.DAMES DALE DAMES _ 4f 3 Newmwm Road ,�_ Sandw►lctr MA'02563. :- ` . - - - Undersecretary . ° Not validwltl►oat.signature Application Number............................................ �._ Section 9—.Construction Supervisor Name Gov Telephone Number 7 7i/ 23 Address 2-3 nld w cw w Sur,,v"ri c. �o� city state M A- Zip D z)F.. 3 License Number c--� 0? License.Type G S Expiration Date Z 3 / Contractors Email cQG� cQ o%ocG i ce�C-Ao-"t Cell# 7 Z( 2,738 -2--9 j 6 I understand my responsibilities under the rates 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 the Town of Barnstable.Attach a copy of your Iicense. Signature c � Date 1 t )ir )19, • Section-10—Home Improvement Contractor Name_ J>Alt- - c.. l)"/FS Telephone Number • -7-3 2,3 no -?tg 1 Address 23 n LA- - w h 44w City S Peh exz'4 State Vi*Tp b z SZ 3 Registration Number S� Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contactors in accordance with 780 CUR the Massachusetts State Building Code. I undwstand the construction inspection procedures,specific inspections and documentation r ' d by 7/8►0 CMR and the Town of Barnstable.Attach a copy of your H LC... Signature c.sc-� C_ `y.�lu Date it 13,o b4o Section 11—Home Owners License Exemption Home Owners Name: 4 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 1( <, Print Name (e_ C- 'j-40 CS Telephone Number E-mail permit to: _ ah, c- 04.v i U>VA Itmnnio Section 12—Department Sign-Offs Health Department © Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation y ❑ .,x m... ., a For commercial work,please take your plans directly to the fire deparbnent for approval CSec�ion 13OwneYsAnthortion as Owner of the roe hereby 1 I, J property rt5' Y authorize i to act on my behalf, M,,all authorized b this building ern i a lication for:_ matters relative to work auth y g p pP (Address of job) j A. 1 i Signature of Owner Print Name I . 1 J Last undated:219/2018 Town of Barnstable f� � � u � Building Post;;?his Card So That it.isVls�ble Fromuthe_St[eet :.A , roved:Plans�Must bye=Retained onJob and this Card Must be Ke`'t r pp p 14 P;Rm" sted Until`Final Inspection Has Been Made k F = SGfQ 'v* ,; . pre a Cert1 ermlt Permit No. B-18-2173 Applicant Name: DALE C. DAVIES Approvals Date Issued: 08/01/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/01/2019 Foundation: Location: 37 FOURTH AVENUE(HYANNIS), HYANNIS Map/Lot: 246-122 Zoning District: RB Sheathing: Owner on Record: MCCABE, PATRICIA Contractor Name DALE C DAVIES Framing: 1 Address: 1119 W SILVER CREEK ROADContractorLicense CS 076391 2 TN GILBERT,AZ 85233 Est Project Cost: $24,000.00 Chimney: Description: Construct New 14'x25 PT Deck with Azek PVGDecking Construct Permrt3Fee: $ 172.40 New 11x14 Roof Connecting 2 Existing Roofs Over'DeCk Enlarge 3 �� Insulation: Fee Pald $172.40 Tiny Closets into 1 for New'Washer/Dryer closet Reroof entire Final Date ;� 8/1/2018 house. . � Project Review Req: , � Plumbing/Gas s Rough Plumbing: ,,,Building Official Final Plumbing: Rough Gas: Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and theapp roved„construction documents fowhieh this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures shall be n�coinpliance wit,h the local zoning by laws and codes. � � y � This permit shall be displayed in a location clearly visible from access street or road and shall be maintained'open for pubbc inspection for the entire duration of the Service: work until the completion of the same. Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing Low Voltage Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). c� Town of Barnstable � , � �.� 'n Builds g Post This Card,So That it��s U�s�bleFcom'the Street-•A roved3`PlanstMust beReta'ined on Job and this Card Must be Keu st ,;_ P is BARTHYABLX •' s '� s'.. 4"����.�,�.r�,'. `�j,�'u "�p rr �� :_.'� DPP .�t'� "'� . '*z.� C � z c� � H' � Mom` Posted Until:Final inspection Iias�Been�Made ��� � � �, � ��, � � s wudR . Where a:Cert�ficateof Occu ancas-Re aired such'Buiidin shalhNot�be Occu ied<unfil a Final Ins ect�oo,has.been made Permit . , Y�.; �:. .� ,..., .rp. ,.y.;�« ., '<.. ,.w�� ,. g... ..� .v, _... .. •spa,..�..� •.�.:,: .. .:. �....�.:... ....r :. ,W... , ,.. � _ Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT tj _ Mgr � ��x � � k �'•�e � �`• � �`c .. a a$ WA �x a W s * AppliadmNumber..(LlAra.­.�21: ..S...... .....Other Fee.. NAeQ PCM h Fee...... ...` . Totmi Fec Paid.... .... . TOWN OF BARNSTABLE ' permit Apmvil iy.. .le�A--.......on....$ BUILDING PERMIT Q�.M ..........PaMCL........ ...._..� .. APPLICATION Section 1— Owner's Information and-Project:Location Project Address 3 4 T-K,4 VE— (cf. Village- /2�k/g Owners Owners Legal Address I f 9 V S!f(JV Z C• C state 4.91 Zvh A Zip F3� 3 3 Owners Cell# ��® y8,, 6 A/c ` Section 2-Use of Structure Use Group A1, o � ❑ Commercial , over 35,000 rabic feet _ ❑ Coin`meraiahStructtne:und=35,000 cubic feet J U L 0 6 207 [ Single/Two Family Dwelling P _ OF n 'Section 3—Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure . ❑ Change of use ❑ Demo/(entire str�) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild RDeck Apartment ❑ Sprinkler System [?Addition ❑ R taiaing wall ❑ Solar' ❑ Renovation ❑ Pool ❑ Insulation . Other—Specify Utz &W dCd C LSLr7' �,,i•� S/ D/� �I� Section 4-Work Description (z)h,5 72c/c A!eAJ 141 � LS' T L / �J',�� ZL=Y.. J�✓C ':c N Ad Con g7 ! T ant nndahn&2192019 ',.,,...Application Number.................................................... Section 5—Detail Cost of Proposed'Co tnsteuciion boo v+�'. � Square Footage of Project 35 0 S a Age of St<vcture /960 S ? Dig Safe Number #Of Bedrooms, .Existing �3 Total#Of Bedrooms(proposed) 110 MPH wind Zone compliance Method; ❑ MA checklist ❑ WFCM Checklist [,"Design Section 6—Project Specifics [Firing Oil Tank Storage [1 Smoke Detectors E] Plumbing ❑ Gas Fire Suppression . J ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom —Water Supply ZPublic Private _ Sewage Disposal ❑ Municipal 'R On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway 11'1 vOW 7-X4/ C4ri2— �� Debris Disposal Facility: ��g Ey J,9 2 U K7 I am using a mane ❑ 13 Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No lam" Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Za Proposed EY,I-Sl L—& 2 S ' Rear Yard Required 10 Proposed' 2/ r C'X(S�/✓� Side Yard Required lO Proposed 6([S G- 7 Has this property had relief from the Zoning Board in the past? ❑ Yes D--" No i Last mdated:2 MO IS J Aassachusetts Department of Public Safety. Construcfion Sapennsor Board of Swirling Regulations:and Standards Restricted to 1 = lnrestnefed Buildings_of any.us6 groop which contain License:CS-076391 less than 35,000 cubic fees(991 cubic meters)of` Construction Supervisor --enclo§ed_space. DALE C:DAVIES - 23BEWTOWN R014D is :, -SANMICH-MA 02bBS 4 Failure to possess a current edition of the Massachusetts `� ' State Building iGode is cause for-reviocaiton or�thrs lioehse. - ,.t. missioner" 03/2312019 t)PS Licensing infornmMon vW WWW MASS C,IOV/DPS� /ze�cat�a»totuuezrl�ofEzf�truac�uttefl�i ;- i - �,k. Office of ConmarAHairs&Bosinws aeguion� HOME IMPROVEMENT CONTRACTOR ';; Registration valid•for Individual use orgy TYPE:In.. : t -before the expiration date. if found return to on 6coiraticn : I Office df Consumer Affairs and Business Regulatto -::10 Park Plaza -Suite 5170' �t:r D,4iE C.DAMES :DALE DAVIES !. . 23 Newtpvm Avail C s :Sandvdch MA_Q2 i .= UndersaxQtary i; .:Not valid.without signatu 7 "� Legend � � ♦ � �.. ,, � '' �,,�e `�,ti El Parcels Town Boundary - rY 5 246.110 — Railroad Tracks #28 0 Buildings ` —Painted Lines } 246187 Parking Lots 1 029 y,r :,c.:: 11 Paved . - ,,,,,,•�-", '" ` C Unpaved 246189 Driveways. #'2 0 Paved - .'tY 0 Unpaved Roads ®Paved Road ❑Unpaved Road 246111 Br1tlee #36 0 Paved Median Streams Marsh ArAJWater Bodies O 46122 246188 1 l( f - r 246116—. C246104---- #63 ti Map printed on: 7/6/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are _ Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026oi 0 21 42 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale:1 inch= 21 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us f The Commonwealth of Massachusetts . .f Department o De art Industrial Accidents P Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information - / Please Print Legibly Name(Business/Organization/Individual): 30/q L� �� S Address: 23 AfChf To(,r'it/ l-O,,ofO City/State/Zip: -S old 9���2� Phone#: Z 38 2 918 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 1 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance.: required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152,§1(4)i and we have no employees.[No workers' 13. Other DC Ct&i 1430 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 subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am 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.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required 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 ce • under the pat d penalties of perjury that the information provided above is true and correct . .Signature: C a j Date: Z� 1 U Phone# 77 �3v � ZOO Official use only. Do not write in this area,to be completed by city or town official 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#: Town of Barnstable Building Department Services tW Brian Florence,CBO MAM 059. 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, r cA J E C A A40- C-41 85' ,as Owner of the subject property hereby authorize ID q L6- c ie 5 to act on my behalf, in all matters relative to work authorized by this building permit application for: 3-7 k fs fi/4vi vi MA%S - (Address 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. Q2 4 Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 McCabe Res.for Dale Davies, Bldr. , ,Beam for Roof extension Roof Beam#1 Prepared by: LFG Date: 7/02/18 Selection (2) 1-314x 11-7/8 1.9E TJ Microllam LVL Lu=0.0 Ft Conditions NDS 2012 Min Bearing Area R1=2.5 in' R2=2.5 in' (1.5) DL Defl= 0.10 in Data Beam Span 14.0 ft Reaction 1 LL 1155# Reaction 2 LL 1155# Beam Wt per ft 10.68# Reaction 1 TL 1615# Reaction 2 TL 1615# Bm Wt Included 150# Maximum V 1615# Max Moment 5652'# Max V(Reduced) 1386# TL Max Defl L/240 TL Actual'Defl L/649 LL Max Defl L/360 LL Actual Defl L/>1000 Attributes Section (in3) Shear(in 2) TL Defl (in) LL Defl Actual 82.26 41.56 0.26 0.16 Critical 30.10 10.95 0.70 0.47 Status OK OK OK OK Ratio 37% 26% 37% 35% Fb(psi) Fv(psi) E (psi x mil) Fc (psi) Values Reference Values 2250 190 1.8 650 Adjusted Values 2253 190 1.8 650 Adjustments CF Size Factor 1.001 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform LL: 165 Uniform TL:. 220 =A ,,FIED Aq�, GI AMAy��F Q JCS �F Cj, No. 4929 o 1 E.SANDWICH MA Uniform Load A R1 = 1615 R2= 1615 SPAN = 14 FT Uniform and partial uniform loads are Ibs per lineal ft. Notes Patricia McCabe Res./for Dale Davies, Builder 37 4th avenue Hyannis, MA Application Number............................................ Section 9-.Construction Supervisor Name D,4[e Telephone Number 77 238 2v I Address �31�� w h / Ab City SA,W 1-If e State Tap 2 License Numbwe5- f)763F1 License Type Expiration Date -2 3 " 7a I S Contractors Email da(,e C Ac,Q j eS OU W A IeT Cell# 7'7 -2Z> I understand my responsiblWes under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code.'•I understand the'construction inspection prO=bre%specific inspections and documentation required by 780 Oa and the Town of Barnstable.Attach a copy of your license. Signattae Date 6 Section-10-Home Improvement Contractor. --Name�� -Cc- - i Tel hone Number -= �� ` - - ---_ Address2��� ,,*V J� City S�HJ901�C'tr! -.State G�/a- 'T p 02 5Z-3 — — Registration Number/S V 3 YS_ Expiration Date 0Z 2 7/7, f I understand my responsibfflides under the rules and regulation for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I tmderstand the ca nstr uctian inspection procedures,specific inspections and docrumenfatioi re by 780 the Town of Barnstable.Attach a copy of your H.LC... Signature C- :Q Date Section 11-Home Owners License Exemption t Home Owners Name: y Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed`Cousiractim Supervisor in accordance with 780 CMR the hf&wachusetts State Bufldmg Code. I wand the construction inspection procedures,specific inspections and docamentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNA Si - Zs Date �O r Print Name R�, c- f r=-S Telephone Number '?7�f 2-3 Z �'� E-mail permit to: a"le- C CQO-v/ e S c,Nm C/t�l y T------A..&"nInpM10 Section 12—Department Sign-Offs , i Health Department ® Zoning Board(if required Historic District ❑ Site Plan Review Of required ❑ Fire Department ' ❑ } Conservation ` c For commercial wor4 please take your phw d rec dy to the fire depar nad for approval Section 13—Owner's Authorization L , 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: (Address of job) ' Signature of Owner. date - Print Name " ' Last=date&2192018 yOFTNET��` TOWN OF BARNSTABLE • BMUSTum i a pYh�•� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....a ..,,.o/A. .. (....... .................................................................. TYPE OF CONSTRUCTION ®� .............`. .....19.1/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according according to the following information: Location ..b,��. 4-�t-1— ....... 1-1-1- ..�(��... j!.••. ...... .. .. . ... er�JL ................................................. ProposedUse ......... ........................................................................................................................................ ZoningDistrict .... .....C9'.......................................................Fire District ..` . .... . ... t. . ..... .......................................... Name of Owner /% ....2 .L'...6ae.....................Address .......�:..:'7...... ....................................................... ame of Builder ....................Address .A Cl....................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ....f...........................................................Foundation ...... ........ .... .. ..... ......................... Exterior ... . ..... rf.. .... ...... . ......................................Roofing ...: ...... . .... .. .... ........................ Floors ......;. . . ........ . ....................................................Interior ..... ................................................. Heating ..............................................................Plumbing ......` d""c ........................................................... Fireplace �n[...............................................................Approximate Cost ....... /.�i . ........................................ Difinitive Plan Approved by Planning Board ---------------____-----------19________. / Diagram of Lot and Building with DimensionsLd � a U) < cn U j � J 6� , � L � � z < _ < LL LL o 0 o cn 1 o o > � 0-1 :., o � Q Jv 1 I— f L X VLLJ mLjj Li - —4 o _c 6/ oLU < z � R z V (n 'r � Q Q � I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. �� :.r/. ?'✓G:.. .............. McCabe, Miles DEC 3 1 1971 ........add to single No ... Permit for ....................... family dwelling ............................................................................... Location -6q . Avenue ... ........ ......................................... West Hyannisport ............................................................................... Owner Miles McCabe ................................................................. Type of Construction ..............f.........rame................. .. . ..................I.............................................................. Plot ............................ Lot ................................ June 21 71 1} Permit Granted ........................................19 Date of Inspection ........... ........... ...........19 Date Completed ..... . (/71i ........19 PERMIT REFUSED C7 ................................................................ 19 ................................................................................ ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... e Assgssor's Office(1st floor) Map 7"' 149 Lot Permit# ��(} Conservation Office(4th floor) Date Issued 7- /9 4, Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) Feed. Engineering Dept. (3rd floor) House 44� Planning Dept.(1st floor/School Admin. Bldg.) BARNSPABLE. ` Definitive Plan Approved by Planning Board 19 MABS , ' TOWN OF BARN Building Permit Application Project -reet Address_ F4 0/- 7-# Village 11111,42 - Me- c9be rtie fIMS 109 ..Owner?,97* 1 I 14 C -e ' o &A&ress/c� /Y/L eSIlV Telephone �D— 0�,30 PST �t oXbvhy N Permit Request' /S�/�6 c ) ` Q-o square feet S /,0V 6v y To1aL2-SiePy-Ad ) square feet Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size q ®, 160 $ �3e p X 1- Grandfathered . Zoning Board of Appeals Authorization Recorded Current Use < 'ja ee 1p7f�e55� Proposed Use Construction Type Commercial Residential Dwelling Type ingle Famil Two Family Multi-Family Age of Existing Structure ���5 ? Basement Type: Finished Historic House A/O Unfinished Q,00 � Old King's Highway / �— Number of Baths f No.of Bedrooms Total Room Count(not including baths First Floor Heat Type and Fuel ,3y R S �\ Central Air Fireplace P Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ���� �j�f�/� Telephone Number ,� Address ,/SO 1191Xe/t� 'ere-V License# � �� 1'�/GCS /�iJ�, Home Improvement Contractor# /15)23 yy Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO •SIGNATUR Da BUILD MIT DEN FOR THE FOLL G REASO s� FOR OFFICIAL USE ONLY l PERMIT NO. 9104 DATE ISSUED 7/19/9 5 + MAP/PARCEL NO, 246 122 - f 37 Fourth Avenue - i -W. Hyannisport ADDRESS �i VILLAGE %z OWNER Mary Patricia McCabe' f ` DATE OF INSPECTION: FOUNDATION f FRAME INSUIIATION µ FIREPLACE --ELECTRICAL: ROUGH FINAL 4 PLUMBING:. ROUGH ' FINAL GAS: ROUGtC H . FINAL FINAL BUILDING ' 1 Nv DATE CLOSED OUT L/� ASSOCIATION PLAN NO. i 111,02'94 l i:02 $617 i 2 i i 122 DEPT IN'D ACCID • Conunofzcuealt�i o� i'�i��czc�iu�etf� ' ..C�apartment o�-�,z�Er�.,./�lcctdants - . 600 WUyloit Stmel &Eon, V4"aJU&4AJfe 02 f f 1 m Ja es J.Campbell Commissioner Workers' Compensation Insurance Affidavit 17-1 � eaoensec�permiass) with a principal place of business at: All /L (QW/St"iZip) do hereby certify under the pains and penalties of perjury, that:° () I am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Humber am a sole proprietor and'have no one'working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies:_ Contractor Insurance Company/Policy Number Contractor " Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. 1 understand that.-3 copy of This s=tement will be fo:v:arded to the Office of invesds2tions of the 01A for coverage verification and that failure to sect: ceverage s rec ited under Section 25A of MGL 152 can lead to the Imposition of criminal penalties eonsisdne of a fine of up to s 1,soo.00 and/or Years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flne of S 100.00 a day against mc. i 7f �K 1,9 Signed this � day of , Licensee/P rmittee Building Department Licensing Board Selectmen Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY fdl�Infopa�a�aeanMt OF ONE ASHBORTON PLACE Af�$fB11Nd1� MASSACHUSETTS BOSTON,MA 02108 Q lYf�tOlfOlNOQAdOR Of thisliA1s11oMN. LICENSE EXPIRATION DATE 0.5- � CONSTR. SUPERVISOR CAUTION 08/19/1995 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE T 06/30/1993 000656 o PRINT IN APPROPRIATE BOX ON LICENSE. gJOHN J BALONER JR A 9180 EVERGREEN OR 9 BLASTING OPERATORS SS N 033-28-8722 O MRSTN MILL MA 02648 0 MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) iFfi .00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: *A49 DOB I I .. ..; _ 8/19/1940 THIS DOCUMENT MUST BE « SrDj E IN FU VE SIGNA NE .._..- Q CARRIEDON THE PERSON OF THE HOLDER WHEN EN- ti, s•a_ u c o ''OTN,HRS.ftH�HT7HUMB PRINT GAGEDINTHISOCCUPATION. �l i? -� ,+i r'�h:;.. �••!1( �''�'�+',;�i��y':,y,T�:�;�, \ti k3r'S �S.�y,}.Y -:t;+i t r -,a�. ,{� •, °�yyh .+ {'^Y �7HSs f s1g.., .�'- Ity r+. W:F(,•. . AKi �.�s;; fi$�3, �a'�''r, �;r.`•+�.r���1; yllas9 r��Ya"'�'1��4� I!Y�i 7; "All r ri �' �"=j�L'���j'•i,G�At SidC,� `,"r;1'r a �.�{�}a yftiW�S�4h:.�['Ti,����i1*h�''Y tSv �' "^•r g a y is��;• I ' ,d,�'�°Y�L�wik� ,.0 �^���'r`+1! ('}r �����,:.. '4 HOME -,•IMPROVEMEN`T CONTRACTORS REG; -TRATp{Ib ,�yy U ^ yy p,jTLyC,,ty , Zt -a a[.rl1.1./C:yY•4C .1 L ! .lm. N4 •yy� '4•t �4'L 1i t ,y faBoard ''of�Buxlding''Regulatons',anda : ,ta 'ands• Jy ;�xfk "► `� �yG � 'h.' ..- Y.� ,i'r,-`�:9 �( t��;, iet''�"�.. '(.��n"�i�T'}. y �'� - �'• k�ed'-�te.tq �rra�t-,' Q.ne Ashburton�;P1aceJjC f>lROOrft �:,°' ..6�f{fr y �SIuR�� "!v; .,. F,I sy. Boston, '> Massachasetts 02:1.08= <: � a� , �•T �, F ..j� trl ai,-;? "3,1-+�, .±.,"-.,-o--.ta4 7,:ifA�t ?.yl� �y�''.n'4 - .,�r^ass, �•' ,,r�S'�'I y���',.�"/M`��''��,`+}�t' .i,� � 5 •y `-'rCli a y,i`t i„' 1 �1� ��, r�'1' HOME IMPROV�MENT�`'CONTRACTOR U !!: '4 ss-., w,yr ,-.� i.r•,r y'n ..:UI,,,^. i 'bs c.`qs -'T��i I "' '}k`s..• x 5 t . _� ,� ,Regist,ration'?'1�09344Y> "Ys Expir:ation091Q ', t- t `#. t f i.,,}�>• f"` �uv t' i`Y-�yt'J, rNt 9 '3fila ( y, A !.a 1.;r ' J 8: ) 7-f:` w fl x 1. r i ry,- � '� � I-n�4^`° .Sj 4 T'4Q{✓...3. �', Type`t'r ,r � it ki �JI 4 T x i s , 'a�i a ?M ._ ✓C n ti S F s,i t ti.�,�7 r �t Ertc Z ,, tic y. i a ` 1IOMEIMRROVEMENT�;CONTRACTOR egl ' fiuYlti. ''• Rstr'�ation`��109344 - d aY ♦!'+' '� _t % t,tii!�*}t �_ Of.i K t� !1',r. r���� � 07� 1 �'^ u ��79 �t-vt.-t. y BALDNER' COy `k DI IDUAL f RAM I NG" 1JR 7 , , x 9+�%14./96 BALMER " �, { , �� f180 EVERGREEN CDR c .,s.,��� P. '.- J'd• ..c..1'- T- / U "'S'" i ,,,, ry .;�•� h r . C �i itr x1 - ''.i;,• :s' :,. MARSTONS MILLS AMA r02648 ��+ .il,( +; � L� -a ,�; BALDNERFRAMIN6C0 (.r 'Vbgl, .:�. F / :' r4 .-,/ w ..c s< �"r. t $ 469 J-.'--8ALDNER,tlK .r+ C t t -v I fi�.{4. n f` � 1 ���1d.yl•+i"Li9��,:�n �`�,:,si r�tY�s'"!v 3r .�,4�Na ..f5�'rr�y�r=,�£�'''��,1 "'cSp�n'c , iz�-�{ ��t,� ,�i+t�.,•. ��r..��,h,krrs i g a r " ' "� ` �.� �' '�' ri ': }� i " r�;;, ,pry '•`f ., . '. w 7�, t 80 EVERGREEN DR ;4�3 yr,f� ,.Y1 y �.r I Y - .k '�U �r - I 1'f 7 y'( J!i• s..a �'"n4'l: r�^•. ♦v.�f,.�i.-,..-.ri.�Y•: RSTONS_ NILL5 NA 02648' 3 S `..rift �.. f 5.�# r r ti s�S�.. pp ��.,, ) `i��. .i�•l� ry1'(!�y �, 'S y.('?✓"'��.,; i� -x (n ' 4 i �` l�.s�E '1 'ti as �,f .ti Y�• .,!/ 7 r y: '�'�:� rV"T�iM• ',�yree7� ��� �.r,'3`i'J'>�r9�'dNt ri+.�/{'�' L' ���;.. _A•.�i Jt;..t{, r -I�i'.i ..y 1/,,��I , ��"i ri( ( �-.4 r la�ria�t - L i.{{�� ,!� .- � t T--'„r! A-}, u �� -- ti,=✓Jr r�.ra1, �r'r',t-J{��I`•,.s (:�'� �,< ..1�'fi.. �e. .rt ����1, 2•�r.�r!-'h�'�.!{ +.$rs )J'Y'i„r��r i; . ,�.sL .::e�L.tE- :+•:�d��iY-':3'Rx,el,w%4•.y..�-f�-d-a.+w�-j9r._. -},1-I';eca,`�s.�� r. l �ar�L..is.p�..u•�sJ�ew}ZcLbuYuitJL'.4Yy;�1- - The Town of Barnstable BARM &,g Department of Health Safety and Environmental Services 16,59. Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6n7 Ralph Cross= Fax: 508 775-3344 . Building Commission For office use only ` Permit no. Date AFTIDAVIT HOME DIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMT APPLICATION ` MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-eadsting 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 Work / - S� /,l/ C 6mof.Co �, Address of Work: 2 0 O mer.Name: Date of Permit Application: .- I hereby certify that: Registration is not requiicd for the following neason(s): Work excluded by law Job under S1,000` Building not owner-occupied t Owner pulling own permit Notice is hereby given that: , OWNERS PULLING THEIR OWN PERMIT OR DEALING WTIII UNREGISTERED CONTRACTORS FOR, APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A „z. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for arpermit as the'agent of the owner. 'Ifn Date Contra70me Registration No. OR ' Date Owners name �: ■__ _s .. -_ -._.�� .. �� � s �_..T�...:,_ �.,_... _�'� - - �_-. ....' _.. _ -. O - - . - ■ -N -...■ ■■- _ -■ -Eel■■ rV91111 ■.r■.u.�IIN■. .G wmE trl�.et�i ■ ■G� - ■ Gam.■w� �t Gi'■- �'i. :■■ ■i . ■e .:.�I I ! -�!!f_a1-■eu� . .. s..or�••9! IL■ IC!�. 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