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HomeMy WebLinkAbout0028 HOMEPORT DRIVE vL ��L � f i I t } Z- 1 �� .� Town of Barnstable Building '. This Card So,That it Is VisibleFrom the Street Approved Plans Must be Retained on Job and this Card'Must be`Kept �- imme'.iRt^R "- •' .rs �,; ,� ..:,a.w �k Y r s: dyn 3 °'�,,a �e 1 r P a t 7•.. Perlll• v Muse " Posted ;Post Until Final Inspection Has Been Madexy Ibs9. ♦. - nr„-X'`` '';' ,,.s x¢ et 3� �;',!•^u }. 4::: e >, '.. 'gam z:�xy ,;Y,n }:,,"cam, .,;'-- ti ,,.. " 'c ..,.,3 'K a X FF z, •''v'^:. Permit end" ;Where a Certificate�of Occupancy{is Required,such Building shall�Not be Occupied until a F�mal•inspection had been matle �' t Permit No. B-19-442 Applicant Name: Approvals Date Issued: 02/12/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 08/12/2019 Foundation: Location: .28 HOMEPORT DRIVE, HYANNIS Map/Lot 268 123 Zoning District: RB Sheathing: Owner on Record: TRIGLIA, ROBERT L&JOAN Contractor Name Framing: 1 Address: 8075 WOODPECKER TRAIL w :k = Contractor License 2 JACKSONVILLE, FL 32216 Est'Project Cost: $ 1,500.00 Chimney: Description: removing interior wall between kitchen and living room§ Permit Fee: $85.00 Insulation: Fee Paid " $85.00 Project Review Req: approved plan must be on site for inspection Date... 2/12/2019 Final: L \ Plumbing/Gas " R f Rough Plumbing: Building Official ° This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months af[er...issuance. Final'Plumbing: All work authorized by this permit shall conform to the approved application and therapproyed construction documents form ich 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 6y laws 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. The Certificate of Occupancy will not be issued until all applicable signatures by.the Bwldmg and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work `� a' Service: E 1.Foundation or Footing g 2.Sheathing Inspection F 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) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not.proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site . Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: tt1E ~O Application Number. .. ........... .1. ................ BARMAS& tABE. snaxsrnsr.E, • . . -� Permit Fee. Other Fee. ' Total Fee Paid............. . TOWN OF ABLE Permit Approval by... ,.. ..............on�... ( .-`. P ..... BUILDING PERMIT Map.. ..�.s. .1L1.... ...............Parcel..............5.. .............. APPLICATION Section 1 — Owner's Information and Project Location Project Address 2,CC2, �' c` . Village. ,ZAy111 N'S Owners Name Tcc)f 0 r r.e Owners Legal Address_�� S 1'\)0oA PQC KQ !- -rr C r r City , �' C (��•� 1 1' State L Zip ��-' Owners Cell # ��� --6� C - YL03E-mail 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 i ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ' ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar VRenovation ❑ Pool ❑ Insulation Other-Specify Section 4 - Work Description 4 Keyv" Off Ir. riCJr ` ®GicA �1" 1 - 4✓ e � i C +— e vir-5 0 W1 a Last updated: 11/15/2018 Application Number.......... ..:...................................... Section 5—Detail Cost of Proposed Construction �� b Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing 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 Waxer Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: N" r o -1' ��of 1 I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) a" 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 Last updated. 11/15/2018 . VIM � Town of Barnstable Building •� .= �' + ' �'za ,.:.' "�` n », ,€per `�` s a .'... �a�' s :.. ':•_: e Posi:This CardSo That it�s Visible From:the 5treetA roved;°Plans.Must be Retained,on J,ob-and this Card$Must be Ke t :s /ARK$TABLE; •: '� i , :.,m r"=. .> .,x., x ... - pp '`.•� -' ... '""; s z '� ;,� a P k� sA. M Posted Until Final:Inspection=Has Been,Made F Y Where.a,Certtficateof Occu anc is Re wired`such Builtlm shall Not be Occu ied until aF.mal Inspection has been made _ Permit Permit No. B-19-442 Applicant Name: Approvals Date Issued: 02/12/2019 Current Use: - Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 08/12/2019 Foundation: Location: 28 HOMEPORT DRIVE, HYANNIS Map/Lot 268-123 Zoning District: RB Sheathing: Owner on Record: TRIGLIA, ROBERT L&JOAN r Contractor Name' Framing: 1 Address: 8075 WOODPECKER TRAIL i Contractor License 2 JACKSONVILLE, FL 32216 � • Est Project Cost: $1,500.00 Chimney: Permit Fee: 85.00 g Description: removing interior wall between kitchen and livin room $ Insulation: b Fee Paid% $85.00 Project Review Req: approved plan must be on site for inspection Date 2/12/2019 Final: 57, Y3 C .T(M- 9J t — fi Plumbing/Gas Q Rough Plumbing: �o :'' � Building Official This permit shall be deemed abandoned and invalid unless the work authorzed by ith this permit is commenced win six m onths after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application<and the approved construction documents hich 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. This permit shall be displayed in a location clearly visible from access street or roadand shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. } `, ft Electrical sign The Certificate of Occupancy will not be issued until all applicable atures by the Building and Fire Qfficials�are provided on this permit. r v, Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection _ y. F Rough: 3.All Fireplaces must be inspected at the throat level before firestflue'lining is m"stalled " 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Barnstable Bldg. Dept. a {� 11► Q; C No -T -�—o SC Approved by: 0 1 Permit #: O I �vLL 19 NIT V 1 TC NE N 51 t e 10 CAfoF-P g c � i B�. M CL Liv 1 N C, F m 1< `T 3� c 1® 'Roam ' 10 to R x Oft r4 Ac 1 . {CL- e /? E I tl I1 A 1. f 4 7 4 i t Lim 1 e\, 61 c PL4c4p-r k • ^mac_xmatn4:..v+rsti-s•vn=v P .rsrsts�L �vtouAe-+ras-.a+u:.s+vn.c....m.a:x�w.cs�p�trom..nA.xs..aC�.:.•�aw-+: srau'.a++_v.�. - �: N � TO SCA ' F Mos LAMJ o i 2 Z-xB' V=i.,00(L 3-o l gT 16 oc C t DFg-��� 2>e S '� S o �Loc�t N y 2*>e ISTt N Ci �-► f ®BolseCascade l Triple 1-3/4" x 7-1/4" VERSA-LAM®2.0 3100 SP PASSED FB01 (Floor Beam) BC CALC®Member Report Dry 11 span I No cant. February 5,2019 10:17:44 Build 6782 Job name: File name: Address: 28 Homeport Drive Description: City,State,Zip: Hyannis,MA,02601 Specifier: Builder. Mohhmed Rahman Designer: Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers 0 Ilk 61 10-00.00 132 Total Horizontal Product Length 10-07-00 Reaction Summary (Down /Uplift) (Ibs) Bearing Live . Dead Snow Wind Roof Live B 1,3-1/2" 1905/0 693/0 B2,3-1/2" 1905/0 693/0 Loan Summary Live Dead Snow Wind Roof Trlbutan Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin.(lb/ft) . L 00-00-00 10-07-00 Top 11 00-00-0( 1 Ceiling Load Unf.Area(lb/ftz) L 00-00-00 10-07-00 Top 30 10 12-00-0( Controls Summary Value .%Allowable Duration Case Location Pos.Moment 6292 ft Ibs 50.1% 100% 1 05-03-08 End Shear 2158 Ibs 29.8% 100% 1 00-10-12 Total Load Deflection L/349(0.348") 68.8% n\a 1 05-03-08 Live Load Deflection L/476(0.255") . 75.6% n\a 2 05-03-08 Max Defl. 0.348" 34.8% n\a 1 05-03-08 Span/Depth 16.8 %Allow %Allow Bearing Supports Dim.(Lx" Value Support Member Material B1 Column 3-1/2"x 5-1/4" 2598 ibs n\a 18.9% Unspecified B2 Column 3-1/2"x 5-1/4" 2598 Ibs n\a 18.9% Unspecified Notes Design meets Code minimum(L/240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis is based on IBC 2009. Design based on Dry Service Condition. All FastenMaster screws may be installed from one side of multiply Versa-Lam beams. Member has no side loads. Connection Diagram: Full Length of Member 1�! b d e o To 0 a �4�—.a a e A... A -1 A ®Boise Cascade Triple 1-3/4"x 7-1/4" VERSA-LAM®2.0 3100 SP PASSED FB01 (Floor Beam) BC CALC@ Member Report Dry 11 span I No cant. February 5 2019 10:17:44 Build 6782 Job name: File name: Address: 28 Homeport Drive Description: City,State,Zip: Hyannis,MA,02601 Specifier: Builder: Mohhmed Rahman Designer: Kevin Lonkart Code reports: ESR-1040 Company: Mid Cape Home Centers Connection Diagram: Full Length of Member a minimum=2" c=3-1/4" b minimum=4" d=24" e minimum= 1" All FastenMaster screws may installed from one side of multiply Versa-Lam beams. Member has no side loads. Connectors are: FMFL005 Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based i building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.' obtain Installation Guide or ask questions,please call(800)232-0788 before installation. BC CALC®,BC FRAMER@,AJSTm, ALLJOIST@,BC RIM BOARDTM,BCN BOISE GLULAM-,BC FloorValue@, VERSA-LAM@,VERSA-RIM PLUS@, 35 TO, 1 U FEP 1 10 OWN 4 1.0 2 14 14 11 35 1:0 Town of Barnstable Building Department Services 1 srrarsrias.!� . RAW �t1i0 t'lorracs.( Rl1 � r Buddiat Cotemmuaatr :►1�a 11tsm.titrere.!it-s .. t www,tvrw.b3 ra its tFk.eps_a� (C)trKr: t X62-s03t Fix: to&--O%-A230 Property Owncr Must Completc and Sign This Section as Cyr of they subject PCOPCM ta�ttc(rq stlue 1__!___1G k ear.�....; to sct cm cnt txh2lf ....�3_.L.�=._� --+�. ►� =s a8 nutters rrl3uvc to woti :nchomtd by thus Lmkjwg pmwt sppbc2:a ft,r- (A,da m*s;of job) **Pool fcnccs MW Ahrms arc the rctponach.l,ty of the appl csnt, Poole its►t try lac ftllcd or utclvcd before fcncr cnsta�led and all final to=pt-ctiom are pe rformcd and a�cccptcd. ts .parr of Appkutc f tin NAMC l'rtec ti r D e E' i MR I-F,21 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Co n s l rgi�til�t�i§b.py ry i so r r CS-105918 I ` ', S�ires: 09/15/2020 MOHHMED S�HMA� T y 70.OLD PINNEY)'S LAN W C BARNSTABLE MA 02630'y,gi' �?Y a Commissioner C4 � = V/LBt�anvr�r�z�eall�o�'�'��[IdJ2C1Lt6JC�d � '_•• Office of Consumer Affairs&.Business°Regulation HOMEIMPROVEM ENT CONTRACTOR r TYRE EnIndividual Registration Expiration 173492� 10/08/2020 MOHHMED_RAffAANN i� BUIL < D/B/A ALL CAPQ DERS MOHHMED RAHMAN 1 70 OLD PHINNEYS LN o BARNSTABLE,MA 0200 Undersecretary Commonwealth of Massachusetts �! Division of Professional Licensure Board of Building Regulations and Standards Cons rtil�r{l '[Sj?grvisor kr Tf. CS-105918 =s' ires: 09/15/2020 MOHHMED S=RAHMA ,, Z 70 OLD PINN"' BARNSTABLE M� 02G30 qr Commissioner i j Registration valid for individual use only ' before the+expiration.elate. If found return to: Office;of Consumer Affairs and'Business Regulation. . 1000:'V a,shington Street-Suite 710 Boston;MA 02118 j Not valid without signatures i The Commonwealth of Massachusetts Im Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organi on/Individual): 77FYY\ Address: 7 0 A ��� � �Y,, 7s City/State/Zip:�Cr(NS41 o �63 b Phone#: � _ b I Z Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I 6. ❑New construction ployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. 6Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' g ❑Building addition [No workers' comp.insuran0e 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.❑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 . P—eP--,0✓1 e-e, I 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 indicating suck xContractors 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 worker;'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy 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 insurance coverage verification. l„ I do hereby certify under the pains and penallies of perjury that the information provided above is true and correct l.E P j Si afore Date: !Z "� 't ) -7 2 20 / i9 Phone# S° h� Official use only. Do not write in this area,to be completed by city,or town official 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 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." 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 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 Dgwtment of Industrial Accidents Mee of Investlgati�s 600 Washington Street Boston,MA 02111 Tel.#617 n7-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax##617-727-7749 www.maw.gov/dia Application Number........................................... Section 9- Construction Supervisor Name bhYY�q+� Telephone Number -CIS "' C �`�1 — 1 Z—g Address 76 wwoY City g,<,n..S �r t I.P State Zip d z C.3 0 License Number °I License Type C S Expiration Date q'/ f 5/ 20 Contractors Email S V aA ZCZao ( 56 kpo . C Q M Cell # 3�H — 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 Date V f Z/ 1 Section 10—Home Improvement Contractor Name J 0 k M a� R OA Telephone Number �'' L8 Address h� S city Ar n M� Zip 70 6'� d � ty� s'� �1-� state o 2 .� 3 Q Registration Number y Z Expiration Date 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 required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... G} I . Signature Date `T �'Z-/� i Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsbilities 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 �C1� Y�1�j7 ►61 Telephone Number E-mail permit to:S y 2 0 00�c / V I C Qom"' Last updated: 11/152018 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. 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 job) ( V 9 Signature of Owner date Print Name - i i Last updated. 11/15/2018 Application number... ..........' � Fee ............. ...... ® . s KAM Building Inspectors Initials...... . .......................... ! � Ak 2B w Date Issued...... . .f Map/Parcel...&.Ls.. A.............................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION a. Address of Project:� 6 R0V__e_P0V_ NUMBER STREET VILLAGE Owner's Name: 7 Gr_k%k Q_ 0 , h.r-P Phone Number Email Address: Cell Phone Number -1 Q Li Project cost$ ®�� Check one Residential ✓ Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize . to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK © Siding E!C_1 Windows (no header change)# 1 E] Insulation/Weatherization F-1 Doors (no header change)# Commercial Doors require an inspector's review ❑ Roof(not applying more than 1 layer of shingles) r Construction Debris will be going to 1s Q.S G` CONTRACTOR'S INFORMATION Contractor's name D Y\ Home Improvement Contractors Registration(if applicable)# (attach copy) Construction Supervisor's License# 1 d- I (attach copy) Email of Contractor s V' ` a 2-oo o g yx kod. Phone number .� " (A — 612-0 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY JS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER..................................................�......... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent Fuel source being used LP tank 201bs. or> Yes No , if yes, a gas permit is required. Natural Gas Yes No if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's 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'S SIGNATURE Signature 0(---- Date Z 2 All permit applications are subject to a building official's approval prior to issuance. Town of Barnstable Building Department Cervices xw U93 SM". 1 lr. fA 02W i (kl'�x 304i6:-�03t Fu: 50&79"230 Property Owner Must GA)mplete and Sign This Section If Vaine.A. Guild r as O wr of the %ubrr t ptv orwm i M hrrrbv mutt-tiew tiG 14 WMG to sit (in rnT behalf, m an rnstter, trismt tb VPOA at&Oozed by do bwd&vg fwmw sppbCstwa f rr (AdtlttM at joy) **POcA fcm s !nd 16nm Zit the a'sponstbd:ty of the appkInt Rl[)�i to be f lkd of unlaced before fence is installed and aU final a arr perf ►mxd and ac ceptcd. -sJgtuttttr of Appkant Print NMC q Commonwealth of Massachusetts Divisionof Professional Licensure Board of Building Regulations and Standards Coristgy-td�^bjnyvisor CS-105918 �' ires: 09/15/2020 I� �' .w MOHHMED S=RAHMA y 70.OLD.PINNF FPS LAND i L, $: BARNSTABIL M 02630�ryr Commissioner Registration-valid for Andwidual use-only before the expiration.date If',found return to: OffOrce of Consumer;Affairs and,Bu'Oness.Regulation 0 Wasfiington,St[eet-Suite 71.0 ~ Boston;.MA 02118 Not valid Without signatures + Commonwealth of Massachusetts Division of Professional Licensure f Board of Building Regulations and Standards Cons 't A-§Sp rvisor Tf. CS-105918 Fires: 09/15/2020 AV MOHHMED S-RAHMAN 70 OLD PINNF S BARNSTABLE M4 j Commissioner Officerbf Consumer Affairs&Business-Regulation H_OMEIMPROVEMENTrCONTRACTOR TYPE"AriclK idual j RenistrMI66IN Expiration ; i 1%32 10/08/2020 MOHHMED RAHMA�N D/B/A ALL CAPE;BUILD RS` MOHHMED RAHMAN` 70 OLD PHINNEYS LN . _ o BARNSTABLE,MA 02630 Undersecretary • i . i r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia ! Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information 1^Please Print Legibly Name(Business/Organization/Individual): �p � Address: Zo 6,W T -4i'�t Weis City/State/Zip: - O 2 G3 0 Phone#: C" Are you an employer?Check the appropriate box: Type of project(required): 1.❑ZLI a employer with 4. I am a general contractor and I oyees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2. I a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working forme in any capacity. employees and have workers' t 9. ❑Building addition [No workers' comp.insurance comp.insurance. El required.] 5. ❑ We are a corporation and its 10.❑ ectrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑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 q V 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 thepolicy 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 insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 1 `2 Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License#' Issuing Authority(circle one): 1.Board of Heilth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions �p 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." 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 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 fixture 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 Revised 4-24-07 www.mass.gov/dia f 02/06/2019 07:51 904--642-2639 FEDEX OFFICE 2394 PAGE 01 Town of Barnstable Building Department Services KAM c,►eue, Brian Florence,CBO Building Commissioner 200 Main St ree4 Hya>mis,MA 02601 www.tawn.barestable.ma.as Office: 50&862-4038 Fax: 508-790-6230 Property Owner Must ?= Complete and Sign This Section ' f UsimA_Builder g LA- .�. ,.. . I as Owner of the subject property hereby anthotize 1 14 Yhl c5 a4 A,, to act on my behalf, in all matters reladae to work authonzed by this building permit application for: (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. gpatme of Owner Signature of Applicant . 7 e4,/ Print Name Print Name 2-16 Date QrFORMS:O�WNERPERMfSSIONPOOLS Rev.M16/17 . Assessor's office,(1st floor): /J85 y STHErod ` /C Assessors map and lot number ....... ....6........./> Board of Health (3rd floor): SEPTIC SYSTEM MUST BE Sewage Permit number ........ INSTALLED IN COMPLIANC 9A]USTAME. Engineering Department (3rd,floor): i 039 ��� � VIIITIi TITLE 5 House number ............................................ 2 NV�IRONMENTAL CODE ANC o M a' APPLICATIONS PROCESSED.8:30-9:30 A.M. and 1:00 2:00 P.M. only 'inWN REGULATIONS TO-WN. 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ �i�,Q.......4��1�7LPl / �E! TYPEOF:CONSTRUCTION .........................G. . ..... ..... ........................ ......... ......................19-- 5/ TO THE INSPECTOR OF BUILDINGS: The uridersigned hereby applies for a permit according to the following information: � R .............� y.. J.......................... Location ....................................... ProposedUse ............. �f 1. ...... .................................................................:............................................ Zoning District "�' .......................Fire District � ............................................................. ................................................ Name of Owner .... /� `�/ l YlIA-1 .....Address �U f�<'kP��'f/... ��/(lP............................... ............ ......... .. .... .................. . ........... ........ .......... .... Name of Builder .. /%.Y. .... r�9t!...C <..............Address .................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................Foundation.. G ��'�� 4r ...................................... ......�1d"...1�% Exierior ....................................................................................Roofing .......................... .. ................................... Floors ��.! ..........................................................Interior .............1 Pj�Ol/Cf. ..................... ......... Heating ...........f'd/e«0.....44-.�....��.`..��...........................Plumbirig ...-.................:.......................f.................................. Fireplace ...el.......... .........................Approximate Cost zr o� Definitive Plan Approved by .Planning Board ________________________________19-------- - Area 0_0 Diagram of Lot and Building with Dimensions Fee .....f ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable reg.ar- the above construction. Name ..... ...... ......................................... Construction Supervisor's License TRIGLIA, ROBERT 28898 Repair Fire Damage No ....... ......... Permit for .................................... Single Family Dwelling ............................................................................... 28 Homeport Drive Location ................................................................ Hyannis ................................................................................. • Robert Triglia Owner .................... • . ........................................ ......... Type of Construction. .........Frame........................... .................................................. .............. ............... Plot ........................... Lot ................................ Permit Granted .......Fg.b.lzijar.y..3............19 86 Date'of Inspection ....................................19 Date Completed ......k..........19 E-7 > I Or M LJ - Assessor's office (1st floor): Q I Assessor's map and lot number ...... �� ! ........f Board of Health (3rd floor): Sewage Permit number •••• t 33ARNSTIBLE Engineering Department (3rd floor): 'oo M6 9. House number ............................... .�..... ...:�.�.... 1. •o�owara� APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING" INSPECTOR APPLICATION FOR PERMIT TO ........ 6e .................... l�i'.... ��' TYPE OF CONSTRUCTION ......................... '�°�'. ../4! .......:...../..fir. ...... ....................................... •• ---------------------19 = TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �P.....// /....... .............� � ��.1................................................................... Proposed Use ....... ...d'? 4. . C...... : +�Gf?{' /���.............................................................................................................. ........ .... Zoning District ` ' ....................Fire District ...........1*04 �............................................. j...... �A �` % ��f�GC/.......Address ....... % ! ,' y%' %...................................... /f�' Name of Owner ....1..:L.... ...... ;........... ............ Name of Builder .. �.....�.c./. t/G'� !... ....©................Address .......... ... l /--%f' .. ..(1. .......�.......................... .................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ...................................................................Foundation ........... .................................................................. i.Cica!-Pf dlie�o.G' .�fL.a�,«s...... /,17f�l�. Exterior .....................................................................................Roofing ................... .. Floors ' C .Interior -'`�/r HeatingJ..Plumbing ........ Fireplace ................../ ............ .................................................Approximate Cost ..................f.......:.f .....:............ ............. Definitive Plan Approved by Planning Board ________________________________19________ . Area i ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF, BOARD OF HEALTH l l OCCUPANCY PERMITS, REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations",6f the Town of Barnstable regardirgg the above construction. �-�w Name,,'....... .. %�.. . .........�...................... 7 Construction Supervisor's License .✓�..... .. .. �....... .. TRIGLIA, D0BERI A~268-123 No —. Permit for ..]lf���i�..�i��..D��ogc Single Family Dwelling --------------------------. , Location .......28..8umepo.rt..Drive______.. Hyannis � ..................................................................'..........'. � Ovvne, .........Qo6.ert �rig l.ia ________.. [ Frame Type of Construction .......................................... ' . . --------------------------' Plot ............................ Lot ................................ ' ' .Permit Granted ......... '3°.......l9 86 Date of Inspection ------------lA Dote Completed ------...-----.]g . ~ ' � � - � | ^ � / (7 ` �� K� 7-5v�� , ' . . ` / � V ��