HomeMy WebLinkAbout0167 HINCKLEY ROAD Town of Barnstable Building,, -. :.
Posh>This;CardSoT,.hat itfis Visible From the Street ;A, roved Plans.Must be Retained onyJob and'this Card IVlust be Kept
MAS& Posted Un09 til Final"Inspection Has Been Made s
ea R Where..a Certificate of Oceu anc �s°Re:"u red such"Buldm u='s,'hall Notbe Occu ied until a Final.lns,pection'has been;made Permit
� M,<�.°, .•. ,H, , p �Y, 9 .,,,,�„ , erg ... ,�. �:.. ,.a F.:p�,.,��,,: „ ... .. . � � �r �� s. .;. ��:� ���.
Permit No. B-18-2284 Applicant Name: Mike McMahon Approvals
Date Issued: 08/08/2018 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 02/08/2019 Foundation:
Location: 167 HINCKLEY ROAD,HYANNIS Map/Lot: 311 065 Zoning District: RB Sheathing:
Owner on Record: HASTINGS,JANE E Contractor Name ; MICHAEL T MCMAHON Framing: 1
i Y
Address: P O BOX 52 I Contractor; cerise: CS 068111 2
SOUTH YARMOUTH, MA 02664 Est Protect Cost: $3,000.00 Chimney:
K y•
Description: Weatherization,air sealing,weather strippingand blown cellulose Fee: $85.00
n� Insulation:
Fee Paid: $85.00
Project Review Req: k Y
'
bate-8/8/2018 T Final:
� ,.
.: wl Plumbing/Gas
Rough Plumbing:
BuildingOfficial
Final Plumbing:
.�
This permit shall be deemed abandoned and invalid unless the work authorized;by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for which thss permit has been granted. .
All construction,alterations and changes of use of any building and stelUctures shall be in compliance with the local zo I ring-',byAaws a d codes. Final Gas`.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures bythe"Building=and Fire Officials are provided on.this Permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: ,
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:'
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons con cting h unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
II Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
v
r
G-30 -tq r2
T Town.of Barnstable *Permit#������
' Expires 6 mo 's nsiss
Regulatory Services Fee
* BAMSrnar.E.
�$ Kass. $ Richard V.Scali,Director
163p.
CFO MA'I A
Building Division .
Tom Perry,CBO;Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.bamstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
3 )/ Not Valid without Red X-Press Imprint
Map/parcel Number / /
Property Address -C 60 C
Residential Value of Work$ 0[9* C5a Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address
�.� f0ac Gee -: S-YA aT OW6 - "A -Z C 7 3
Contractor's Name elephone N-t"umber
Home Improvement Contractor License#(if applicable) Ema ®
Construction Supervisor's License,#(if applicable)
❑Workman's Compensation Insurance SUN 2 5 ?414
Check one:
❑ I am a sole proprietor 'ro
I am the Homeowner �!/I FFI ® �qR have Worker's Compensation Insurance S
Tq13Le
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box) /
X. 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. '
S GNATURE:
Q:\WPFILES\FORMS\build' g permit forms\EXPRESS.doc
Revised 061313
The Commarmwalth ofMassachuseffiv
Deparhaent of hu&rst id Accidents ,
- Office of rmles ga iarrs
600 Wayh ngfon meet
Bastary.14 102111
wmv.mass.gavldier
Workers' Compensat€anLisarance Affidavit:BAdersfContractors ertriciansfPlumllers
Applkant Infarmation �^ Please Print Legibly
AName(Busizie�0ipn afion&&vidm1): `
Address_. Pi e—
citylstatel4p ni�JA,b?A...-- Phont,
Are you ail employer'Checlr - appropriate ba _ 6a� Teo#paalectfr
4- I a38ia ctsnfracfor and
. ._ - •� !�=
1_❑ I am a employer with ❑ 6- ❑ m New� siiasctioa
employees(fall andlorpait-#ime)* Have hired the sub-canir&dom
2._❑ I am a sole proprietor orpartnee listed on the attached sheet 7_ ❑Modeling
drip and have no employees These sub-oontractors have g- ❑Demolition
w for me.in an c ci �_ employees and have woxkers"
�$ y aP`a t5 _ 9- ❑Building addition .
Wc:workiars'coo4p_in manre comp_mtl�ran{7 Y
5-❑ We are a coiporationand its If#_.Q EkViical repairs or additions
reTired-]
Of haU�e exercised their 1I_ Plumbing airs or additions
3_ I am a hifineo�u,ner doing all word ❑ ��
myself[No warkrs,roarp- right of,exzemptionper MGL 11.❑Roof repairs
in�t-ancerequired_]T _ c_152,§1(4),and wehaseno,
employees_[No wotkers1 _.❑Other,'
comp insatance requiro-1.
'Any app that checks boa-C toast also f l out the section telow shntsiug ffi&wa kersT compensadon polity inffirmatimc
T lrnmeQwnets echo submit this affidavit mEmC*g they am doing ali rrofie sm d then hire outside contractors mn submit anew affidarit mdicaif. such_
*Goutcacturs that check this hoc must attached sa additional sheet shuwh6-the name of ffie sab-rn sand state uhetlter ornut these entities have t
employees- If the sa-coutxactors ha%e eaeployees,the}must provide their works'Comp.palicp mmmbez
I am an employer that isprmidiug rt orkers compensation aitsttr uzor far my,employee&' Below is thepaiiey aced job site
Insurance CompanyName:
policy:g or Self inn-I.iC-4-- c` 'I xpiration Dates:
Job Sites Address: Cttyr'StateiZtg_
Atf2ch a cepy of the wGrkers'compensation policy declaration page(showing the policy number aced expiration date).
Failure to secure cm-crage as iequireduulff Seetioat 25A of MGL c 152 can lead to the imposition of ritminal pmalties of a
Rile up to$1,50G_00 andlor one yearimprivonmerrt,as well as civil penalties in the faun of a STOP WORK ORDER and a fine.
of up to S250.00 a tiny against the violator_ Be advised that a copy of this statement maybe forwarded to the office of
Jmitesttgatiorm of the DIA for U-ISU anee coverage verification-
Ida hereby ect-li;fy►nAer tha pions duct enaTfies a�f`peq,ury thatfhe informatianprm*if abase is trim and correct
�,Dgt-:
Phone 0.
Qfficiat use onfy. Da not write in this area,to be completesd by C4 or town officraL
City or Town; PermitUcense#
•. Issuing Authority(circle one):
1.Board of Health 2.Building Depntti ent 3.CityTown Clerk 4_Medrical Inspector S.Plumbing Iuspector
6.Other
Phone#- '
Contact Person: - - '
6
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 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 beau employer."
MGL chapter 152, §25C(6)also stases that"every state or Iocal 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.-"
PP P P ,P g q
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 cei ncatc(s)of
insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the
members or paztners, 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 maybe submitted to the Deparhnent of indusiri.al
Accidents for confirmation of m' s uance coverage. Also be sure to sign and date the affidavit. 1he affidavit sboul_d
be returned to the city or town that the application for the permit or license is being requested,not the Depar'mrent of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obt aim a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-hisurance 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 is 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 permitllicense 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 ilz (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 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:
}
Tho Commonwealth of Massachusetts
Department of I�dustrial Accidents
Gffifice of kwst�gatiam
60()Washin, as Street
Roston,Imo.02111
Tel.A 617-727-49-00 W406 or 1-a MASWE
Revised 4-24-07 Fax#61 727-7-149
www.mass-gavIcha
Town of Barnstable
Regulatory Services
�0*"[HE TOtyy Richard V. Scali,Director
Building Division
vsrnsrs Tom Perry,Building Commissioner
9Q� -M 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: ( '
/ �� y
JOB LOCATION: � (,p� �� � f{'� � � ��"G ,
67
number / / rj]str t �� /J i lage
.HOMEOWNER":NA a,� L�HC /, �C � 1)4_6p�S_
name homephone# work phone#
CURRENT MAILING ADDRESS: -4 tj
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.
DEFINFFION 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
Zures and quirementsr that h she will comply with said procedures and requirements-
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 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:\WPFILES\FORMS\building permit forms\EXPRESS.doe
Revised 061313
r`
OF�E Tp� v
O�
w
t s +
r R RNSr"LK
�$ '� ,�� Town of Barnstable
b.
Regulatory Services
Richard V. Scali,Director
Building Division
Thomas Perry,CBO
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
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
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised 061313
As. `ors 'map`;and lot 'number ......... ,,��. � ��-! 5 is 4V ��SEi-11'C' A° BE
c? t- 4 INSTALLED INS
�. C 'LIRNC
/�� E
t, SewageoPermit number ,,S:G�� { t�'ITI I :?Ti>`, c i l STA T E
SAP-SITA cy CCDIa W D' TOWN
" 4� .vim �...
u{ .QyOfTHET A.
OF. BA1 "BLE :
(. i BAR-ISTMILL i
4AABa �- `i'i G'% ti639 ., n) 1111- 1NG � INSPECTOR'.,
f) � f e
4.. APPLICATION;,'FOR'PERMIT TO '—— � t1 e ....... ! .......................................................
TYPE OF,CONSTRUCTION .... e. r...........I....... ........ ................................ , ......... ....
1 G....... t ..................19 7...
TO THE INSPECTOR OF BUILDINGS:
•
The undersigned hereby applies for a permit according to the following information:
Lccatioh . . i✓� � . .......!.l.! fl.. 4.!. Q !.�t..................................... ................................................................
ProposedUse .A road✓j.................................... .... ............................................ ......................I.........................
Zoning District ...l..�r.... r...........:.........................................Fire District .... Qnl t� 6
............................................
Name of Owner .. C3.� �j.......9 s�Dlli�f9 .....................Address ...( 1. !'!�.��y k.!i...........k:{�Z..��Ylt!1.� .......
n (�
Name of Builder �� � ...4%.o✓l Jlt•UG�l;la►�...........Address .. � L�SC�'1'� .. c�' i A) ac ah�1
............................. . ................
Name of Architect ..................................................................Address .............................................I..
....................................
Numberof Rooms .... ......:..................................................Foundation .... ? A..........................................................
Exterior ...4/. .. .I 1.0. ......6.1j�.V1.............................................Roofing .,.....�.�.��G!..�......:.................... .
Q
Floors r . .s........................................................Interior ..��. ' t'3" �.....a Vl�....P. W°.
AI
.... .
./.Heating V.MA................................................................Plumbing .....AI®u�.........................................................
Fireplace .... ,. .. ................................ ...........................Approximate Cost ..... .QG .............................................:.
Definitive Plan Approved by Planning Board ________________________________19--------. Area ... .................
Diagram of Lot and Building with Dimensions Fee ...........
SUBJECT TO APPROVAL OF BOARD OF �HEALTH
T—
% .4*r
�--�� O
I her y agree to to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
IName ........................................................
I
Hastings, Ralph '
18114 -add to- single /
.......... Per`mit for..................................... `{?
family dwelling
a................................... ...................................
Location " .., 167 Hincklejr Road - r
r .. ...............
.Hyannis -
.......... ....................................... ..................
Ralph Hastings
Owner d ......... ...........
frame
Type, of;Construction
................'.�... .................................................... n► _ `
Plot .. ` ............... Lot ................................ t '�
Permit Granted ...DIP. , m6er...26....,...19 75
Date of'Inspection ..f.. .....� .76...............19
f �
Date Completed ......19
} , PERMIT'REFUSED r,
........................................................... 19 r s1
.... ...... ............ .................
' f. ......... .. .r. .............................-..................
Approved ..................................... ... 19
..........................................................................
.................... .........................................................
F
Asp sor's .map and lot number
Sewage Permit number
T"Er° TOWN OF BARNSTABLE
' Z B9BH9TdI1LS, i � �
"6 9 BUILDING ' INSPECTOR
�0 OR a'
APPLICATION FOR -PERMIT TO ....... ...........................................................
`'. TYPE OF CONSTRUCTION ...�,WF.......................................................................................:...................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
1 ,7 V 11��C le. y r Ko or)
Location .............................................................................,..........................................................................................................
rProposed Use ..I P(�r^OUW'........... ................................ ..................................................................................................
Zoning District ...1 ..... ........................................................Fire District P7 V�*r 0 E �:
...... ......
n IA ...RCS4T�NLai Address of r►Gt 1 P� ow,, t�� i„�'rt�YY .fir
Name of Owner .... ....... .......................... ..........
�fJ !" .. ( nrisirLx-1 tal!1...........Address �� 't CG........ ��•7, Jd?...........................
Name of Builder ............. r...........
Nameof Architect ..............................-...............................:...Address ......................................................................................
Number of Rooms Foundation ...........................................................
Exterior .. 1�✓1•E./ raa��hG..............................: ..Roofing .......&! G
Floors (2r'V:0 ................................................ racrr m o� Q H d pl y L4 664 �VIC,��rtq
Interior ...................................................................V... � t
r
iLHeating :A/dA).F................................................................Plumbing ......OVfI .....................................
N
Fire place 1CJ . .�.........:..................................................Approximate Cost ....:����
f,?
�\Defm tive Plan Approved,by�Planning Board ________________________________19________. Area ......... ......................
Diagram of Lot and-B,pilding with Dimensions Fee [v
SUBJECT TO APPROVAL OF BOARD—OF_HEALTH
0
I he eb gree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
� construction. � I
eName ...... ..................................................................
(751C
---------- _T
Hastings, ' Ralph
_l;W....1.8.11.4 Pe�mit for ......add...t.o s.i.1.hgle
.. .. .... . ....... .. .. ... .. ......
family dwelling
......................................
167 Hinckley Road
Location ..........
Hyannis
. ...............................................................................
Ralph Hastings V"
Owner ..................................................................
Type of Construction ............frame
..........................................
............................... ................................................
Plot ............................ Lot .................................
Permit Granted berr .......19 75
.................................
.. ...............
Date of Inspection ...................................19
Date Completed ............................ .........19
PERMIT REFUSED-
. ........................................ ....................... 19
...............................................................................
..... . . ............... .................
......... ...................... .... .................
... . ........ .. . ... ..............
77
proved lBia. ......................... ..... -19
........ .... ...... ................