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HomeMy WebLinkAbout0151 GREENWOOD AVENUE 8� ®7c, i I I I'' I '� i II L.� i' II� • li i Town of Barnstable ' Building � �.. • ��r � � `.. .>�..��:�.�.: � � - a `� � ' �� `?��`� �c�� G '� `• � u :•Post This Card So That rt;is•V�sible;_From the Street :Approved,Plans Must be,Retained on Job andahis Card Must beaKept Posted Until Final Inspection Has`Been Nlade �, w. Z 163¢ a: .....,: ;? .. r .ayk:v,k + a ^.` �. :' h .. a� r. : a" v Permit +" �Where�a Certificate of Occupanc �s Re"wired,such 13uildm shall Not be Occu fed until a Final,Ins ection has been made Permit No. B-19-1465 Applicant Name: JOHN OBERLANDER Approvals Date Issued: OS/22/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 11/22/2019 Foundation: Residential Map/Lot 288-070 Zoning District: RB Sheathing: Location: 151 GREENWOOD AVENUE, HYANNISa °+ " Contractor Name JOHN OBERLANDER Framing: 1 Owner on Record: PACHECO, MARC R&BARBARA Contractor License 127087 Address: 7 DARTMOUTH STREET f 2 Est Project Cost: $4,000.00 Chimney: TAUNTON, MA 02780-2513 Permit F e: $85.00 Description: bath remodel remove tub and the and the vanityand replace woth Insulation: Fee Paid $85.00 new no structural changes existing door and wmd`ow will stay Date 5/22/2019 Final Project Review Req: ', Mr Plumbing/Gas ng Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized byth s permit is commenced within six monthsF`ifterissuance. All work authorized by this permit shall conform to the approved application andtheapproved construction documents for wh chthis permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and strheucturesshall be in compliance with the local zon Mby laWvs and codes. This permit shall be displayed in a location clearly visible from access set o�road and shall be maintained open for p public inspection for the entire duration of the final Gas: , work until the completion of the same. s� , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire0ffifare!provide d on this permit. Minimum of Five Call Inspections Required for All ConstructionWork: � "°" Service: 1.Foundation or Footing -40 2-Sheathing Inspection ,' = '~ Rough: .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 Final: 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- "Pers tracting with unregistered contractors do not have access to the guaranty fund" (as set forth,in MGL c.142A). f� Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 05- ApplicationNumber............................................................. { S. s Permit Fee......... ...0................Otber Fee........................ FD Mfg a TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by.................................. on....` BUILDING PERAHT ��'j Map........ q V....................Parcel........ ..`......................... APPLICATION Section 1 — Owner's Information and Project Location Project Address /5-/ (Sn , aim -- Village- Owners Name Name _ 161V 8#-2r9 lPige ec 0 Owners Legal Address_ 157 A.,,-e City/V --tI^4T State /V�* Zip OP661 Owners Cell# 77Y c294 (o77/ E-mail &f k hkd 477MY Cow. Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move%Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm C Rebuild ❑ Deck Apartment © Sprinkler Stem r- ❑. Addition _ ❑ Retaining wall ❑ Solar T ; ca . D Renovation ❑ Pool ❑ Insulation z o_ v 'j Other-Specify. n Section 4 - Work Description M I' F, �i37� i�eync�©eI f2�' ac T7/� yc9M�J To7i� /9-,e7 12ep2d, A10 S rgUC R.-A-J CIA-J1We r QY'PTi DWA I wt�Ura� Application Number..... ........... ...... ..................... Section 5—Detail Cost of Proposed Construction 2600 Square Footage of Project 1/,S s Age of Structure 30 Yr- 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 ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal YOn Site Historic District ❑ Hyannis Historic District Old Kings Highway Debris Disposal Facility: %h W4,,P 7441-vSfer I am using a crane ❑ Yes 2 No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No E Section 8-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 Proposed Rear Yard Required Proposed Side Yard Required Proposed - Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No T act m q.tn 4- 11/1"Al 2 i -0-I&C9 -------------- IV6 r- N °FTME to,,� Town of Barnstable Regulatory Services 9 B � Thomns F.Geiler,Director KAM �''°TeD► i'�� Building Division Tom Perry, Building Commissioner, 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508 790-6230 r h. Property Owner Must " Complete and Sign This Section If Using A Builder I, -- - .;as..Owner.,of the.subject ptopeny •.•••• -•- •- hetebp authorize ��� QU' ( � i. .to.1ct on= .b.ehalf,. in all matters reladve.to wotk authorized•bg this building•permit-application for: (Address of Job) Signature of Own ate r (/1/1 i Print Name ^ • a n a t The Commonwealth of Massachusetts Department of IndmY&WAccidents Office of Investigations 600 Washhgton Street Boston,MA 02111 wwM.massgov/dia f Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Let?ibiy Name(Business/Organization/Indhidual): J�"' melh/ff-D 's- Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): I.❑ I am a employer with' 4. 0 I am a general contracooi and I 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 shy- 7. ❑Remodeling ship and have no employees These ors have 8. ❑Demolition working for mein any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp•insurance.: required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L n Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.0 Roof repairs t c. 152,§1(4),and we have no insurance required.] employees.[No workers' 13.E]Other comp.insurance required.] *Any applicant that checks box#1 must also fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicafing such. tContractors 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 poficy 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 certify under the pains and penalties of perjury that the information provided above is true and correct Si Date: t Phone#• LOD 0�y/ Ojj`tcial use only. Do not write in this area,to be completed by city or town ojj^icw 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#: 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 k 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 errtity,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." 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, §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 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 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 pennit(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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hlce 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: T w Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617 727-4400 ext 406 or 1-977 MA,SSAFE Fax#617-727-7749 Revised 42407 wwwxaaw.gov/dia w.gov/dia. . Application Number........................................... Section 9- Construction Supervisor Name Telephone Number 508 q 7d ®3 yl Address Ja ft lu_&,- 14it City S` Y~-h State M,* Zip License Number ('S 0'7;)341 License Type U.144roL g Expiration Date V4/i;gao Contractors Email 0 3 i i4/i=U C V9 t -0-0, C ow Cell# jcD8 •'q?,),- 03 L 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.Attach a copy of your license. Signature G/� �y'�� Date b / T Section 10-Home Improvement Contractor Name 5d" d'be.,AlPtro,0;, Telephone Number 5D8 ` _);2 83 Y V Address A;3 ft&&, ,, j-ek City S '/&2 m&--A State M9 Zip 4D66 Registration Number 7ol7®Q°? Expiration Date V/ k too:-o I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re . ed b 78 CMR and the Town of Barnstable.Attach a co of our H.I.C... �' Y PY Y � ,. Signature Date e/ v161 Section 11 -Home Owners License Exemption Home Owners Name: 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 Print Name id k'V c5 �,,lr� v��� Telephone Number 6 7 ky E-mail permit to: 0_R)E' 1yY1C6 e a,/61im CcM-1 ------------ Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval j 1 Section 13 — Owner's Authorization i 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 j ob) Signature of Owner date Print Name