HomeMy WebLinkAbout0092 FOURTH AVENUE (HYANNIS) qa ��� ��
— � f-- _ —�
Town of Barnstable
��._ ... _ _ .. Building
r �xn Post This Card So That it is Visible,From the Street-Approved'Plans Must be Retained on lob and this Card Must be Kept
Posted Until Final Inspection Has Been Made. er i+
s6�p ti 1 1
Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a.;Final Inspection-has been made. R
Permit No. B-20-1883 Applicant Name: Scott Doughman Approvals
Date Issued: 07/22/2020 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/22/2021 Foundation:
Location: 92 FOURTH AVENUE(HYANNIS), HYANNIS Map/Lot:�246-095 _ Zoning District: RB Sheathing:
Owner on Record: .PLUNKETT,'KEVIN R& LACEY G _ Contractor JName:"° ,HOME DEPOT USA INC Framing: 1
Address: 5 PARK TERRACE Contractor License: 112785 2
WEST ROXBURY,MA 02132 T Est. Project Cost: $ 10,818.00 Chimney:
Description: Install 11 vinyl replacement windows and 1 vinyl patio door. No Permit Fee: $55.17
� p Insulation:
changes to the structure of the opening, U factor is 29
g p g' �+ Fee Paid:' $55.17
i / Final:
Project Review Req: GLAZING REPLACED IN HAZARDOUS LOCATIONS AS DEFINEDr N> Date. ' 7/22/2020
IN 780 CMR MUST BE TEMPERED OR EQUAL
c Plumbing/Gas
. _ Rough Plumbing:
Building Official mom.. 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 which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-law s,and' codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas:
work until the completion of the same. k '
Electrical
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: Service:
1.foundation or Footing
2.Sheathing Inspection —' Rough:
-�
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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT OW�,.E, Final:
�/►2 A-SL S�T
Town of Barnstable Building
' Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
�^ Posted Until Final Inspection Has Been Made. It
639. Where a Certificate of Occupancy is Required,such Building shall Not be OccupiedLntil a Final Inspection has been made
Permit No. B-19-1440 Applicant Name: Scott Crosby Approvals
Date Issued: 04/30/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 10/30/2019 Foundation:
Location: 92 FOURTH AVENUE(HYANNIS), HYANNIS Map/Lot 246-095 Zoning District: RB- Sheathing:
Owner on Record: PLUNKETT, KEVIN R& LACEY G i Contractor Name` SCOTT E CROSBY Framing: 1
I
Address: 5 PARK TERRACE g Contra ctor;License: CS-043556 2
WEST ROXBURY, MA 02132 - Est Project Cost: $ 11,000.00 Chimney:
Description: Replace(2)windows, replace sidewall south facing gable end "Permit Fee: $56.10
Insulation:
( Fee Paid:'I' $ 56.10
Project Review Req: +"
Date: 4/30/2019 Final:
� � C Plumbing/Gas
Rough Plumbing:
. � .
I 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 which this permit has been granted. Rough 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.
� a -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. r
€ Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire_Officials are provided on thislpermit..
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 rt
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 i Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT C 0 ?�
S¢i �r
o�TT Town of Barnstable �(. yatQSj�
ermit
Expires 6 molt m issue dat
Regulatory Services Fee
sAxxsraat.E,
y MASS,
Thomas F. Geiler,Director
MA
Building Division
Tom Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstab I&.ma.us
Office: 508-862-4038
EXPRESS PERMIT APPLICATION - RESIDE Fax: 508-790-6230
NTIAL ONLY
Valirl willrout-Red X-Press imprint - -
Map/parcel.Number C:7 -I
Property AddressK `
Residential Value of Work 2Q�)O' Minimum fee of S35.00 for work under 56000.00
Owner's Name &Address +?
-----------------
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) `<
❑Workman's Compensation Insurance
Check one: `sri
a sole proprietor " t❑ I am the Homeowner
❑ I have Worker's Compensation,Insurance TOWN OF BARNSTABLE
Insurance Company Name
Workman's Comp. Policy#
Copy of Insurance Compliance Certificate must accompany each permit.:
Permit Request(check box)
❑ Re-roof(stripping old shingles) All construction debris will be taken to
❑ Re-roof(riot stripping. Going over existing layers of roof)
�/Re-side
- .. I •
replacement Window door liders. U-Value #of doors
(maximum ,44)#of windows
"Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc.
***Note: Property Ownei must sign Property Owner Letter of Permission:
ui
A cop f the Home Improvement Contractors License & Construction Supervisors License.is
r
IGNATURE:
',WDnI CON Cl10 A C1 L. :IA:-..-__-•.r_ t....�......... '
The Commonwealth of Massachusetts
r N I Department of Industrial Accidents
t = d Office of Investigations
' M.., l
600 )Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Aff davit:,Builders/Contractors/Electricians/Plumbers
Applicant Information Pease.Print Legibly
NflIIle(Business/Organization/Individual):
Address:—
JrkJ t
CC_ity/State/Zip: -V" , , C�l/1 c� `F CP,hone-#: Wit: ) �O
Are you an employer?Check the appropriate box:, ; f Type of project(required):
1. ❑ I am a employer with, 4. ❑ I am a general contractor and I 6, ElNew construction
employees(full and/or part-time).* have hired the sub-contractors.
2. El am a sole proprietor or partner-
listed on the attached sheet. '❑ Remodeling
ship and have no employees , These sub-contractors have 8. ❑ Demolition
workingfor me in an capacity-.. workers,' comp. insurance. _ - g• Buildin addition
Y ❑� g . .'
j [No workers' comp insurance` S ❑ We are a corporation and its
required.]
officers have exercised their I0.❑ Electrical.repairs or additions
� 1 am a homeowner doing all work right of exemption per MGL l 1.❑ Plumbing repairs or'additions
Te"myself.[No workers' comp. c; §1 152, 4 O,-and we have no 12.D Roof repairs ,. •
insurance required] t.. employees. [No workers' ' 1311 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 anew-affidavit indicating such. _
3Contractors that check this box musTattached an additional sheet showing the name ofthe sub-contractors and their workers,'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is'the policy 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 ofMGL 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 maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification:,
I do hereby certify der,the pains and penalizes of perjury that the information provided above is true and correct
Si ature:
,..pl
01 t g
Official use only. Do not write in this area;to he completed by city or town official i
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
c
0
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."
tt 1 1
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, §2.5C(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 number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the,
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have td
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
Office of Investigations'
600 Washington Street
Boston,.MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
's
Town of Barnstable
�,,,of T►�rOky ,
Regulatory Services
Thomas F. Geiler,Director
Md34
Building Division
PrfD
Tom Perry, Building Commissioner'
200 Mairi.Street,_Hyannis,MA_02601
www.town-barnstable-ma.us
Office: 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
C Please Print
DATE: Sj
JOB LocnnoN:
number street y vill e
"HOMEOWNER":
name' home phone# work phone#
cLRj E="knJNG ADDRESS: A9,
cityhown states rip code
The current exemption for"homeowners"was extended to include owner-occupied dwellines 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 BOM.EOWNER
Person(s)wbo owns-a parcel of land on which he/she resides or intends to reside,on which.thire 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 constrycts more-than one home in a two-year period shall not be considered a borwowner. 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,heAhe.undersbmds'the Town of Bar sfable Building Department
minimum ' tion procedures and requirements and that.he/she will comply with said procedures and
requir
Signature o omeowner
Approval of Burlding.Offtcial
Note: Three-familydwellings containing 35,000 cubic feet or larger will be required to comply.with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S ExzmmON
The Code states that: ,"Any homeowner perfom-dng work for which a building permit is required shall be exempt from the provisions
of this section.(Sectian 109.1.1-Licerrsih9 of construction Supctyisors);provided that if the homcowncr engages a p==(s)for hire to do such
work that such Homeowner shall act as supervisor"
Many homeowners who use this exemption arc unawar=that they art assuming the responsibilities of a supervisor(sec Appcndix.Q,
Rules&Regulations for Licensing Construction Supervisors,Scctioo 2.15) This lack of awareness bftcn 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 uttimatcly responsible. ¢=`
To cnsure that the homwwncr is fully aware of his/}rerresponnbilitics,many communities require,as part of thc permit application,
that the homeowner certify that hdshe 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 fomn/cct-65cation for use in your eorrununity.
Tyr � Town of Barnstable
Regulatory Services
s�.exsrAsc.�
9 Russ $ Thomas F. Geiler,Director
Building Division
Tom Perry,Building Conunissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.mq.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owrier Must
Complete and Sign This Section
If Using A Builder
as.Owner of the subject.property
hereby authorize to act on my behalf,
M all matters relative to work authorized by this building permit application for.
(Address of Jab)
Signature of Owner Date
Print N2j=
If PropeLjy Owner is applying for permit please complete. fine
Homeowners License Exemption Form on the reverse side.