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Home My WebLink About0097 FRANKLIN AVENUE 1� `�YW�w9Lluw Crue . — - - — � \ �I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma 2 Parcel 2� �p � Application # Health Division Date Issued Z Conservation Division Application Fee } Planning Dept. Permit Fee �0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /Hyannis Project Street Address (3 7 t '�A QV_L rJ Ay2 Village [ y4y4 to l_s �— Owner klkA )C_u L Address 9-7 Y,L Telephone nl5h_ 77IC; - SGS(o Permit Request "'x• k 3 x t Z S b_Q A,u J�, 2tpL C-p r&7 rr Cox IZ Sty t�EC12 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ' Construction Type Lot Size CLc2e 5 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 91 Historic House: ❑Yes *(No On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 19 new Half: existing new Number bf Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: [ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing ✓ New Existing wood/coal stove: LTYes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn::,,0 existing❑ new size_ Attached garage: ❑ existing -❑ new size _Shed: ❑ existing ❑ new size _ Other Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name IL-L ( � .S Telephone Number �C7 Z��o • y t Address 2.S I D IC> CQA i 9 V(Li,e ms License # 10 I&A 1AVAQQ'0, Home Improvement Contractor# I W o 22 Z 0"Z_(D ® l Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �4¢1,3 S-'43Lk l r��SFt 2 �rt.4-r e orb SIGNATURE DATE 'J/7-2117, FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL aF GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN•NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Legib Name(Business/Organizadon/Individual):. 1011i iALA i r. d . Address: Z, car City/State/Zip: � O zcoo I Phone.#: S(OS e Zy(o. 1 y ct S Are you an employer?Check the appropriate box; Type of project(required). 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or * have hired the sub-contractors 6. 0 New construction . ). . 2. I am a sole proprietor or partner- Kfisted on the-attached sheet 7. ❑Remodeling c\ These sub-contractors have ship and have no employees 8. ❑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.❑ I am a homeowner doing all work officers have exercised their 11.El Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL _ 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional-sheet showing the name of the sub-contractors and state whether or not those entities have . employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. '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 insu;zm-u-wveAQ verification. I do hereby ce \n the ains-and nal es of perjury that the information provided above is true and correct Signature: Date: 2,3 /Z Phone#: rl no, 2 y y Official use only. Do not.write in this area,to be completed by city or town official City or Town: Permit/License# i Issuing Authority(circle one): .'L Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: . D�.THE rqy, Town of Barnstable Regulatory Services * BARNSrABLE, y MASS. Thomas F.Geiler,Director �1639. & Building Division " Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, van &o WI Is as.Owner of the subject property l P p tY hereby authorize 1 GLG A0 ge-1 to act on my behalf, in all matters relative to work authorized by.this building permit. (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. -a yUa Signature f Owner Signature of Applicant 04�AH '--3 Print Na e Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 �oF1HE T Town of Barnstable Regulatory Services BMWSTABLE, : Thomas F.Geiler,Director 6 9 A,O� Building Division rFD MA'I Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 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 unit"§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 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 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 Sup(7rvisors);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 care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt ,p�� ✓1ae f�anzna7rcueatiL/z oy✓v�aaacu�zuaecca License or registration valid for individul use only ate\ Office of Consumer Affairs&Business Regulation -_- HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:. _ - Registration: ,. 166225 Type: Office of Consumer Affairs and Business Regulation Expiration 5%10/2014 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 . WILLIAM R. REIS i t 3x WILLIAM REIS Y k F 251 OLD CRAIGVILLE RDA r goo HYANNIS, MA 02601 ` r Undersecret ry Not va id without signature . Massachusetts- Department of.Public Safety i Board of Building Rctrulations and St:undards Construction Supervisor License ` License: Cs 102341 , Restricted to: 00 WILLIAM REIS 251 OLD CRAIGVILLE RD HYANNIS, MA 02601 Expiration 9/17/2012 ('ummissi�,ner Tr#: 102341 A-1 �OF THE T�� ! TOWN OF BARNSTABLE 2 i BABBSTAHLF4 0 N039.AM BUILDING INSPECTOR 0 MPY�'' APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION ...... - 5\ ....... ...............19.... TO-THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location f� 'o ..�-.i..M.... �t.`tF..... !''� �.. 1.:�1.1.5...:...... �.:1... `�. ........ .............................. ProposedUse ... ................................................................................................................................................... Zoning District Fire District .-r........................................ Name of Owner ..;k�tfi•y ....Address .. . `�. + ,.Ay ......... Name of Builder ........... xe\ ....................Address Nameof Architect ..................................................................Address .................................................................................... Number of Rooms �� \2�=t. ..............�.............................................Foundation ................................ID.......................,................. Exlerior ......... �.)..:..i .....'624.. 's��.l? T..... `t` � ........................................Roofing ........�.�: ..�................................................... Floors0.15>."V ...................................Interior ......... '.`'\.........................::............................... Heating -A.o:—.�........ ........................................Plumbing .... ...!�7.... .............. Fireplace .......1. ..........................................................Approximate Cost ........f.�r...0"cp'®.................................. Definitive Plan Approved b /G 00 SF pP Y Planning Board --------------------------------19--------• Diagram of Lot and Building with Dimensions W � 7 S'" l.iJ U m Z O SUBJECT TO APPROVAL OF BOARD OF HEALTH Q i" f o CL U) O _ Uj /► UjLj (/1 �. Q Q z0 x J �- 0 Ld z LM CL, LU - -(n - O 0� '—' c~ii ry Q ��`� LL wa.\ 0O �, r c» Q . Z � _j _j 0 IM < -: N ® � 2 � m _� Z L_ -Dw -- s; w qz O < (D U � a Q _j � 0Z w I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable'regarding the above construction. Name .... .. .. .. .... Coughlin, Joseph F. I No ...1s 8.. Permit for ....one.story........._. i single family dwelling .................................................................................. Location . ..! Franklin Ave. .......................................................... Hyannis _ ............................................................................... Owner .............Joseph. .. ....Coughlin Coughlin............. .. ........... ... ................. Type of Construction frame i .......................................... , t ................................................................................ Plot ...........#104 ......................... .. Lot ............... f January 23 d Permit Granted ............................. ....:.....19 3 Date of Inspection . Date Completed ... ...Z..... ...7 3........19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... ! . ............................................................................... Approved ................................................ 19 ............................................................................... f t q i ' e__cx. _. 24' 17 14 t A NW I A p s i to 1 � Le 114. „� a r-►A�C�. �2 — ( ` ��h��C� !(p`� Eft _C.�,a!�.r'r'�fcf2 _ �" I f (2 .� xT. RA%Lo } Cam ' y