HomeMy WebLinkAbout0081 FOURTH AVENUE (HYANNIS) jq fie.
Town of Barnstable
.� �. 'a ;zn e +`r�' "�.°<ze r�•:.� Building
Post This Card So That rt is 1lisible From the Streetf Approved Plans Must beRetamed on Joband this Card Must beKe t.I BAPOWABi$ ,..s '.'� �';� ire „ �'"`' '�" •
6 Posted UntilFinal Inspection Has Been Made � �
° �Whee aCert�ficateaof Occuan 'isRe "w�redsuch Bul�diri shall Not:be Occu ied>until a Fmel Irispectio`n has"been made Permit
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itiocc p ya � Q.e v, a " Tko ,g_.. i a �: Spa',_ \y �,,<.a �<
Permit NO. B-19-1819 Applicant Name: josh emond Approvals
Date Issued: 06/03/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 12/03/2019 Foundation:
Location: 81 FOURTH AVENUE(HYANNIS), HYANNIS Map/Lot 246-112 Zoning District: RB Sheathing:
Owner on Record: CONNOLLY,EDWARD J&MARY W Contractor Name .JOSH EMOND Framing: 1
-. . ..�.' x 2 -
Address: 1 LILY POND LANE Contractor License CS-078815
COHASSET, MA 02025 p . E t Project Cost: $2,020.00 Chimney:
41
Description: 100 sf 12" R38 FG bans for damming Permit Fee: $85.00
588 sf 12" layer of R44 Cellulose blow Insulation:
100 sf R38 FG batts to attics ace Fee Paid:=' $85.00
p Final:
675 sf R10 rigid board to crawlspace area Date 6/3/2019
88 rafter chutes
Plumbing/Gas
Project Review Req: >F. .. ,. Rough Plumbing:
.r; Building Official
Final Plumbing:,
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 the;approved construction documents-for,whi h this permit has been granted. Rough Gas:
M ,
All construction,alterations and changes of use of any building and structures shall be incompliance with the local zoning,by laws and codes.
This permit shall be displayed in a location clearly visible from access street or.road and shall be maintained open for pub; icj' ection for the entire duration of the Final Gas:
work until the completion of the same. "° Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by,the Building and Fire Officials are prodded on t�hi permit.
Service:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing
,. Rough:
2.Sheathing Inspection !� :,
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed.prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
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).
Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT ISSUED RECIPIENT ow420J E
(_77 I P
oFI K�E r�
- Town.of Barnstable. *Permit 6`I/14 0
Fapires{6 mo rom issue date
* Regulatory Services Fee
* snRxsrasc.E «
MASS. Richard V.Scali,Director
1639. ♦�
QED MA'1 A
Building Division .
Tom Perry,CBO,Building Commissioner
200 Main Street;Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
If[l_ fi
Not Valid without Red X-Press Imprint ;
Map/parcel Number lz K' k
Property Address Ara 1 L-+k 14 V'Q VV t
Residential Value of Work$ _ 5--ey Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
Contractor's Name 'dL.ir'` 14S�A Telephone Number `7?L/",;3-3^6 9 9 q
Home Improvement Contractor License#(if applicable) Email: bw_$D ci =bt N$<-
Construction Supervisor's License#(if applicable) C S FA 8S 79 9
❑Workman's Compensation Insurance
Check one:
I am a sole proprietor
❑ I am the Homeowner
4�
❑ I have Worker's Compensation insurance., JUN 2
Insurance Company Name
VVVIV
Workman's Comp.Policy# ®PP
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-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 required.
Separate Electrical&Fire Permits required.
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
SIGNATURE: e
Q:\WPFILES\FORMS\b AIding permit forms\EXPRESS.doc
Revised 061313
P
The Comitrroymeukic of vassachuset#s '
Deparhnent ref bukutri4al Accidents
- - Owe of rmlestika ions
600 Wayhi€tglba Street
Boston,MA 02LU
wmv. iass�gavfdia
orkers' Compensation hsuranm Affidavit:BuEilders/Cuntracturs/ ectricianMumbers
Applicant Information Please Print.Legibly
�a�(>3tisine€al6rganizafionlLdividnal]: �rb�r� La�,l�� .
Address: �'/D `9 l wa At
city/stagy _ Phone f- - to
Are you an employer?Check theAppropriate boz: �T , . a# o ect r
4. lama.a ctmfr.�ctor and i _ pr,1. - (pcq
1.❑ I am a employer with �- ❑ i 6_ New won
employees(full and/or part-time)-* hate e hired the sub-contractors.
I am a sore proprietor orpartner listed on the attached sheet 7. ❑Remodeling
ship and haze no emplayees These sob contractors have 8_ ❑Demolition
w forme in an c ci c employees and have workers"
o�g y aP`a t3 - SuraIIG1 9- ❑Building addition
[No Workers'comp:insurance Comp-u9
5..❑ We area corporation and its 10..❑Ebectrical repairs or additions
of cees. ave exercised 11_ Plmnbin airs or additions
3.❑ �am a homeowner doing all work h id their ❑ ��P ,
MySdfo workers' right12. Roof
insurance required.]T of exemption per MGL ❑ g
c_152,§1(4} anti we Ti2.me no e.
employees_[No WM1=3
_ 1.3.0 Oth,er
` - comlp_insurance required-1
'Any appYbumt that checks boa rl toast also fill oixt the section below shouring ihea eroz3ceisT rn�r�satio�pair i�tma[�u�
T Homeowner who submit this afadavit Ub ir3totg they are submit anew affidavit intricatm s rTi
=t antractos thst rTiPrY this box must sttarhed an additions)sheet shoveiag the name of the s1 d 0aatsctoc-s xnA state ubether arnot tbnw erfifws have
employees If the sub-couttactos have employees,fhtT—st piauide&Eir workers'comp.policy mmmber_
I am an emp&c wr Mat isprm idirrg itrorke-rs'congmnsation irmirruece for my*ampl&yem 1Jelaw is the pa&cy artdlob site
irrforrr;aliean. - .
Insurance Cornpany Name:
Policy 9 or Self-ins-Tic-4- Expiration}date.
Job Site Address: City/Statelzip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and ration date).
Failure to secure coverage as regtriredunder Section 25A of MILL c, 152 can lead to the imposition ofctiminal penalties of a
fine up to$1,500.Oa and/or one pearimprint,as well as civil penalties m 1he form of a STOP WORK ORDER and a fine.
ofup to S250-00 a:day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
fin estigations of the DIA for=%ur mce coverage verification-
Ida herebyr cwlhf r tks pants and penalftes of penury thatthe irrzormation prmi,&d abaue is hue and correct
Simature: Date- 6 Z /
Phone 9: 7 g"
Official use onFy. Da not write in this area,to be completed by d(V or town ofJiciaL
City or Town: PeruritUcense#
Issue Authority(circle one):
1.Board of health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector 5.Plumbbig Easpector
6.Other
Contact Person: Phone#_
6
t.
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuantto 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 apariments 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 shaII 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 compliaarce 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 number(s)along with their cer-ificate(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 insuurance tow-rage. Also be sure to sign and date the affidavit T ht 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 obtailn a workers'
compensation policy,please call the Department at the number listed below. Sell insured companies should enter their
self-insurannce license number on the appropriate line.
City or Town Officials
Please be are 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.c.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidaN t
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 Comiamwealth of Mnsachusi�-tts
Department of Indust aal A,cc%de. t
€}f bee of kyestigatioxis
600 wa sl i GIi s(=t
Britons MA 02111
TeI.A 617-727-4900 w 406 or I-& MASSAFE
Revised 4-24-07 Fax#6 1 7-727-7-14r-9
vr7ww mas-s—ga l&a.
`
snarrsTABLE
,�� Town of Barnstable
- plFD Mpy 6 .
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
P Building'Commissioner, A
200 Main Street, Hyannis,MA 0260 L
www.town.barnstable.ma.us
'E Office: 508-862-4038' �' ' ry Fax: 508-790-6230
Property Owner Must
�Coi-nplete and Sign This Section
If Using A Builder
1 .
I, L✓ /L� O Jlw- , 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: ,
r.
�� Ut61 Voc-
r (Address of Job)
Signature of Owner Date
Print Name ,
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPFILES\FORMS\building permit formsTYPRESS:doc
Revised 061313
Town of Barnstable
Regulatory Services
IKE rgyti Richard V.Scali,Director
Building Division
* snxrrsrnsc s Tom Perry,Building Commissioner
nusa
9Q3 039. ��� 200 Main Street, Hyannis,MA 02601
ArED �a www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street 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 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,ban 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-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 cannoi
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page
of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit,forms\EXPRESS.doc
Revised 061313
•
• 1 -
4.
Massachusetts -Departme,nt of Public.Safety
Board of Building Regulations and Standards p.
Con.ctructibn Super isor l &
License: CSFA-057394 a
ROBERT G WA15H /r
160 HIGHLAND AVE? a
Cotuit MA 02635
Expi`r`ation
Commissioner 06/02/2015
Ite. J:i(CCICCr`C'�lJ
-\ Office of Consumer Affairs&Business Regulahon 1 License or registration valid for individul use only
SOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
�Ftegistration: 141991 Type: Office of Consumer Affairs and Business Regulation
Expiration 3/312016 DBA 10 Park Plaza-Suite 5170
Boston,MA 02116
HARBORSIDE REMODELING
ROBERT WALSH
250 CAPTAIN CROSBY ROAD
CENTERVILLE,MA 02632 �— —
Undersecretary Not valid without signature
a
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you
must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law. .
DATE: �2 0 Fill in please:
R sx I APPLICANT'S YOUR NAME S:
I "- '" � BUSINESS YOUR HOME ADDRESS: f�>) ,Ccunt-L_ GYP 1.4, H d-21C
` TELEPHONE # Home Telephone Number S�� a0- c5v.%
. � SSKI m. ZN o33- S'T�- )Qs5- -k '
NAME OF CORPORATION:
NAME OF NEW BUSINESS Zb a TYPE OF BUSINESS rAgo l'o-J�
IS THIS A HOME OCCUPATION? YES- V ] I
ADDRESS OF BUSINESS I MAP/PARCEL NUMBER � �'' 1 1 (Assessing)
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally opera a you busirress in this town.
1. BUILDING CO tal
SSIO ER'S OFFICE :MUST COMPLY WITH HOME OCCUPATION
This individ e ififor m d f y rmi requirementpertain to this type of business.
RULES AND REGULATIONS. FAILURE TO
Auth ri gr;ature COMPLY MAY RESULT IN FINES.
MMEN
D ,l
2. BOARD OF HE TH
This individual has been informed of the permit requirements that pertain to this type of business.
f Authorized Signature*
1 COMMENTS-
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
Town of Barnstable
Building Department Services
FtHe r°�q, Brian Florence,CBO
o*
Building Commissioner
RAMsa'aBLE, 200 Main Street,Hyannis,MA 02601
Mass.
9 1639• ��� www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Approved:
Fee:
Permit#: f
HOME OCCUPATION REGISTRATION
Date:
Name: fa b21?J�— Phone#:_�4
Address: A U4e. Villager W, Nsio vvis
Name of Business: �YL�O)Z SIdF' t�B i yV�
Type of Business: Map/Lot: b ( �
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,'subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the
activity shall not be discemible from outside the.dwelling: there shall be no increase in noise or odor;no visual
alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal
residential volumes;and no increase in air or groundwater,pollution. .
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located
within that dwelling unit.
• Such use occupies no more than 400 square feet of space.`
• There are no external alterations to the dwelling which are not customary in residential buildings,and there
is no outside evidence of such use.
• No traffic will be generated in excess of normal residential volumes:
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular
matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects.
• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess
of normal household quantities.
• Any need for parking generated by such use shall be met on the same lot containing the Customary Home
Occupation,and not within the required front yard.
• There is no exterior storage or display of materials or equipment.
• There are no commercial vehicles related to the Customary Home Occupation,other than one van or one
pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing-the Customay Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included
•- No person shall bg employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit.
h the undersigned, ve re d and4agree 'h the abov restrictions for my home occupation I am registering.
Applicant: Date:
Homeoc.doc Rev.06/20/16