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Home My WebLink About0183 HINCKLEY ROAD ./�3 �� ` I' s - i +� • a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map i Parcel - .Application # �� 1 �� Health bivision Date Issued a S l 1 C) Conservation Division ,. Application Fee, S Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Pr— Historic - OKH Preservation/ Hyannis Project Street.Address I A, i lau &aj tutils Village r�,II C Owner U'ld(`L k co, 6wi C61 Address ��C`� cS�a�eS 0f 77CAU MA 641% Telephone mv fiq-ID63 Permit Request �elh o l- S - Meet K I Idiiu -e. C C Square feet: 1 st floor: existing proposed 2nd floor: existing N 4roposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation `1 O bbb Construction Type Lot Size b 5 U�. Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes G(No On Old King's Highway: ❑Yes &'No Basement Type: ❑ Full ❑ Crawl 5/Walkout ❑Other Basement Finished Area(sq.ft.) Al L14 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new `e Number of Bedrooms: existing 157new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: [H Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes iNo Fireplaces: Existing 16 New �" Existing woodlcoal stove: ❑ryes .U(No Detached garage: ❑existing ❑ new size—Pool: ❑existing ❑ new size _ Barn:q existing Fµ new size_ Attached garage: ❑ existing ❑ new size _Shed: Wexisting ❑ 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) NameLLP11%Lhaw IS Telephone Number ol czlio Address G License # I' r Home Improvement Contractor# Worker's Compensation # _j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 15��10A) �)J �[I —_FdLAN aV 0 SIGNATURE DATE A, a _ a FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME �t INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents i Office of Investigations IY 600 Washington Street �, Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricians/P lumbers Applicant Information Please Print Le ibl Name (Business/Organization/Individual): d II1L. a .des Address: City/State/Z.ip: - �) MA . PIZ 0 Phone #: 55u 1" 00 Are you an employer? Check the appropriate box: F pe of project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I ❑New construction * have hired the sub-contractors_ .. employees(full and/or part-time). --- — ------- _ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. P'Remode.ling ship and have no employees These sub-contractors have . 8. ❑ Demolition and have workers'; working for me in any capacity. employees9. ❑ Building addition [No workers comp. insurance.$ comp. insurance 10.gElectrical epairs or additions �(required.] 5. ❑ We are a corporation and its 3.LdJ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.[O"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. 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. 1 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.Lie.#: 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 insurance coverage verification. I do hereby cc fy under t pains ankpe allies of perjury that,the information provided above.is true and correct. Si nature: ce, Date: Phone -�� Official use only. Do not write in this area, to be completed by city or town offtciaC 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 r Phone#: Contact Person: �1 information and. lostructiot�s Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an err',ployee 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 dwellinghouse of another who employs persons to do maintenance, constriction or repair work on such dvvelling house e deemed to be an employer." e f such em to ment b Z not o Y or on the grounds or building appurtenant thereto shall no P MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or per 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." its f political subdivisions shall "Neither the commonwealth nor any o p a ter 152 25C 7 states N •Additionally,MGL.ch p , § ( ) '-Work until acceptable evidence of compliance with the insurance ance ofpublic. w P ter into an contract for the perform en Y 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-contractor(s) 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. AIso 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. Shouldyou 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 permiUlicense 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. Anew 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 0,e, a dog license or permit to bum leave$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 1-87.7-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.i-.-iass.gov/dia • J Town of Barnstable oFz�r� - o Regulatory Services swrwsTnsLe Thomas F.Geiler,Director MA98. 9� 1639. �� Building Division pTFD MA't A 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: I —I JOB LOCATION: umber &A�Jcxs street �( (� village um"HOMEOWNER": 'll. / og— I , `/ 1 I➢V I v n me I QQ home phone# work phone# CURRENT MAILING ADDRESS: I L �117G(e� l)IlrPfl� city/town state —�ip 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 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 min' um inspection procedures and requirements and that he/she will comply with said procedures and re rements. ture 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 t several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORM S\homeexempt.DOC oFtHE Town of Barnstable Regulatory Services " STAB Mass. Thomas F. Geiler,Director y $ 4i'°rFv �a`0 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Ommer 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: 'I (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the LIomeownpers License Exemption ]Form on the reverse side. Q:FORMS:O WNERPERMISSION ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR -ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: inl��.P o CrL kJ111�QS Site Address: e IrA Prr r ''ff r� Town: `fCt �A/iS Applicant Phone: Applicant Signature:*0 ( Date of Application:NEW CONSTRUChoose ONE of the following two o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE- AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab Option 1: Basement Q �. Fenestration exposed ' Wall Floor Wall Perimeter AFUE HSPF SEER . ' U-factor floors R-Value R-Value R-Value R-Value R-Value and Depth National Appliance Energy R-10, Conservation Act(NAECA)of ` •35 R-38 R-19 R-19 R-10 4 ft. 1987 as amended,minimums or greater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: REScheck Version 4.1.2 or later variant software analysis must be completed (780 CMR 6107.3.2) REScheck—Web which can be accessed at http•//www ener&co des.gTov/rescheck/ ADDITIONS OWALTER.A,TIONS TO EXISTING BUILDINGS OVER.S YEARS OLD* *Buildings under 5 years old must use option 41 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equ4ls Formula: (100 x b _ a) S`TT 100 x - _ % of glazing b a (b) Glazing area equals. SF If glazing is < 40% use the chart below, If glazing is > 40 %' proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Slab Perimeter Fenestration Exposed floors all Floor Basement Wall R-Value U-factor R-Value R-Value R-value R-Value and Depth .39 R-37 a R-13 R-19 R-10 R-10, 4,feet a R-30 ceiling insulation may be.used in place of -value R-37 if the insulation achieves the full R over the entire ceiling area(i.e. not compressed over exterior walls, and including any access openings)'. SUNROOM—An addition or alteration to an existing building/dwelling unit where the total ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form (found in A endix 120.P) ► �c�i� ca Ul t f, f � �LA 1 i I 1 i � f I 0 Message Page 1 of 1 Roma, Paul From: Roma, Paul Sent: Friday, November 05, 2010 10:02 AM To: 'Joyce.Benevides@kraft.com'. Subject: RE: 183 Hinckley- Bedroom Windows; HI JOY, .THE HARVEY DEALER IS WRONG IN SAYING:A TILT/WASH WINDOW MEETS EMERGENCY EGRESS REQUIREMENTS AND IN SAYING IT DOES., IS.CREATING A DANGEROUS AND ILLEGAL SITUATION. 780 CMR 5310 AND ITS COMMENTARY ARE'.VERY CLEAR ABOUT THE REQUIREMENTS. LET ME KNOW IFYOU NEED MORE DETAILS. PAUL -----Original Message=, =- From: Joyce.Benevides@kraft.com [mailto:Joyce.Benevides@kraft.com] Sent:-Thursday, November 04,2010 9:5.4 AM To: Roma, Paul Subject: 183 Hinckley.- Bedroom Windows Good Morning Paul, Thanks again for coming out,and explaining to us about the'windows. We do have a question which we should have asked but didn't. When.we called the Harvey Dealer where we purchased the windows and explained to him our dilemma he brought to our attention that all the windows we purchased are tilt and pop out. Tops and Bottoms come out. which would meet the requirements you had explained to us. WE completely forgot about that. The window in question is 32 x 48 and clearly if an 4emergency was to happen t the space to pop out would be"at code. Was this something we all might have:overlooked? Please let us know your suggestions. Thanks for your time," .- Joy 41 .A. � r&t foods Joy Benevides." Region Sales Analyst KRAFT Foodservice,Charlotte/Tampa/Broker South" Zone 8" .Office #ti 508-261-2732 Fax# 508-261-2727 E]oyce.Benevides@kraft.com Aut A,;A M '7i ♦ ♦ ' ti�dltae r�°5t a+riwino �' 6 . 11/5/2010 MAP INSULATION CO,INC, f r r r E.O.HOX 1309 r .; .OF : J . SAAQAMORE MACH,MA 02562 TEL 508 888 3599AH FAX 508 888 9609 J. FAX TRANSMISSION in DATE ��Z-3 //p TO:. �-�9-�N!� FROM: MAP INSULATION CO INC. NUMBER OF PAGES INCLUDING COVER: G - s - 6 93> �N�S 1 s , a M.A.P. INSTALLEDBUILDING PRODUCTS P.O. BOX 1309 SAGAMORE BEACH, MA. 02562 . . (508) 888-3599 (508) 888-9609 Fax =w Date b - J ob-completed: fvlo n /z 0 0 Address of foam C3 AM, application: �ql fc Inches• sprayed in: Ceiling ,Walls ' Slopes " o• Overhang Bsm' t Ceil Stwl Blockers & Runners Cath Ceil Cath Walls Knee Walls AM Walls Crawl Ceil Installers Signature: f: f l