HomeMy WebLinkAbout0063 ISALENE ROAD (3 TAtsv� ST
-- �
Town of Barnstable
FTME
Regulatory Services
Thomas F.Geiler,Director
+ BAMSTABM
MAS& Building Division
1639. ♦�
ATFo nM't" Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# FEE: $ 7 C�C�
SHED REGISTRATION
120 square feet or less
�3 1.5ALC- S i. I3EZ>T (RYA)3Nts parzT-
Location of shed(address) Village
E-bUA0 T. 50kLyr4S '413- NoF-- l9 4(o
Property owner's name Telephone number -
�a`x z aLI-631�
Size of Shed Map/Parcel#
Signature Date T'
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature is required)
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
mall
Q-forms-shedreg
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�..;• NOTE:THIS PLAN WAS PREPARED USING MEASUREMEI: S COM•
I CERTIFY TO: _//MOTI'�Y•T. CTD�VES� PLED FROM ASSESSORS OR DEED INFORMATION,APPA" i`IT OC•
CUPATION LINES,OR FROM PHYSICAL EVIDENCE.AND .3 NOT
BEEN VERIFIED BY AN ACTUAL INSTRUMENT SURVEY.U: ER NO
--"r-r CIRCUMSTANCES IS THE INFORMATION HEREON TO BE D TO
DETERMINE PROPERTY LINES.FOR CONSTRUCTION,OR CORD-
ING PURPOSES,OR FOR DEED DESCRIPTIONS.IF ACT(rk '.00A-
TION OF PROPERTY LINES IS NEEDED, NOTIFY SOUTH HORE
THAT TO THE BEST OF MY PROFESSIONAL BELIEF SURVEY CONSULTANTS,INC.FOR A FULL INSTRUMENT:.. .zveY.
THE STRUCTURES SHOWN ARE L CATED APPROX. '.
IMATELY AS DEPICTED.AND .jDO 0 DO NOT
CONFORM TO ZONING BYLAWS WITH'RESPECT TO -
HORIZONTAL DIMENSIONAL REQUIREMENTS AT THE - outh
TIME OF CONSTRUCTION.THERE ARE NO RIGHTS OF
WAY,EASEMENTS,OR JOINT DRIVEWAYS,OVER OR hOre
ACROSS SAID LAND VISIBLE ON THE SURFACE,OR S. _..
SHOWN ON THE RECORDED PLAT EXCEPT AS
SHOWN.I HAVE CONSULTED THE NATIONAL FLOOD Consultants, Inc.
INSURANCE RATE MAP AND THE STRUCTURE
f I IS NOT IN A SPECIAL FLOOD HAZARD Registered Land Surveyors
AREA. {F�IS
OOD ZONE '_,)��'OOD� QpQrBA & Civil Engineers
It OF M �� 167 R Summer Street, Kingston, MA 02364
(617) 582-2185 • (800) 479-7553
FAX (617) 582-2239 P.
MORTGAGE LOAN SCALE: -�
tA�o $auE�o�' INSPECTION PLAN
OF LAND IN DATE:
RPLS All JOB NO.
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel Permit# co 5 � r
Health Division OZ �Od - Date Issued7
Conservation Divisio -2— Application Fe
Tax Collector C Permit Fee tffp e
Treasurer s r(d� 'amb-a'm
SEPTIC SYSTEM MUST BE
Planning Dept. INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board "%TITLE$
E"RONMENTAL CODE AN'O
Historic-OKH Preservation/Hyannis TOWN REGULATIONS
Project Street Address 1J-1 C E N G
Village C t ,
Owner Address po zo, t-7 4`t ujr.ST�Iab
Telephone 'slc g" 1�
ermit Request - -W c�'
O oA! t
r Ux
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed.ICJ Total new_Tt
Zoning District Flood Plain Groundwater Overlay
Project Valuation 000 Construction Type O®�
Lot Size v 'a� Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure 0 +- Historic House: ❑Yes XNo On Old King's Highway: ❑Yes '*)(No
Basement Type: .Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) a� Basement Unfinished Area(sq.ft) I -A
Number of Baths: Full: existing new I Half:existing new
Number of Bedrooms: existing new
�.z
Total Room Count(not including baths): existing J� new First Floor Room C:
Heat Type and Fuel: ",Gas ❑Oil ❑ Electric ❑Other )
�r
Central Air: ❑Yes N Fireplaces: i o ep aces Existing _ t New Existing wood/coaEstl ❑Yes No
Detached garage:❑existing ❑new size Pool: ❑existing 0 new size Barn:❑existir, newt/ size
CD r-
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ANo If yes,site plan review#
Current Use Proposed Use
BUILDER INFORMATION
Name2�Cw A& T�q(+Gst DC— Telephone Number
Address 3 8 W tA E.,b License# 6- T-7 J 9
Home Improvement Contractor# ( 0
Worker's Compensation# �-
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
a C C-:) ®- C OV S A fkZ� U-)l AAA
SIGNATURE 1 W DATE 1
FOR OFFICIAL USE ONLY
c
PERMIT NO. 1 c ti f l
DATE-ISSUED — •
MAP/PARCEL NO. '. [ ;t, ; i� '"� ' ► .
ADDRESS r' f r — ( ' ) -krJ VILL'AGE� L,i
OWNER r n ' V� r . .+s • f` , '�
DATE OF INSPECTION: ! t — t t_a
FOUNDATION e
FRAME l� _ '�
4
INSULATION
X
FIREPLACE
ELECTRICAL: ROUGH FINAL._
1l tv
PLUMBING: ROUGH1 FINAL.'`'
GAS:._ , ROUGH Z _ �4 FINAL:"'_
—• `, r
FINAL BUILDING
--a.._. �e_� •.l g.r ` ._f -t'' / r' - _^ .,, Kam. r � t
DATE.CLOSED OUT --? 0 C` n
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
�t ={ Department of Industrial Accidents
OlfCo of/aYest/gat/ans
_ 600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit
. .._.....location 7)
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A hone#
❑ 1 am a omeowner performing all work myself.
I am a sole r r'etor and have no one worku in capacity
ty
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workers' co ensation for my employees worldng on this
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#ttsurance co...:.:::
❑ I am a sole proprietor, general contractor,or.homeowner(circle one) and have hired the contractors listed below who
have
workers co ens tiaon
the following ..................... ::...........::.:::.::................:�::.:..........,.:::::::::.�::.
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���nsnrant:e
or
Faurefi to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sne np to SI,500.00 md/
out years,iznprlsomneat as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against ma I undetatamd that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
I do hereby certify under the pains and penalties of perjury that the information provided above is trup.and correct
-•� > Date
signature q / L 1r► -�-
Print name lAJ `� ( ' Phoneofficial use only do not write in this area to be completed by city or town official
permit/license# ❑Bunding Department
city or town: ❑Licensing Board
re ❑Selectmen's Office
❑ ate check if immedi response is required ❑Health Department
contact person:
phone#; __ ❑Other
Ueviwd 9195 PIA)
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract
of hire, express or implied, oral or written. Y ti
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 section 25 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,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
ter have been resented to the contracting
e insurance requirements of this cha p
acceptable evidence of compliance with the p
authority.
Applicants
Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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.
wam
City or Towns
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 permitllicense number which will be used as a reference number. The affidavits may be returned to
the Department b mail or FAX unless other arrangements have been made.
ep Y .
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call.
The Department's address,telephone and fax number: r f
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 727-4900 ext. 406, 409 or 375
t t
i
°PYRE Tp�, Town of Barnstable
Regulatory Services
M
BARNSTABLE, ' Thomas F.Geiler,Director
9�ArE03 � Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions, along with other
requirements. (�
Type of Work: k+( ® -4 Estimated Cost ((0 Q' 0
Address of Work: (0 " S G-4 TE RJU U r--
Owner's Name: S 4 LV A-J C D W A(Z0
Date of Application: 9
I hereby certify that:
Registration is not required for the following reason(s):
❑Work excluded by law
❑Job Under$1,000
❑Building not owner-occupied
❑Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Date Owner's Name
Q:forms:homeaffidav
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p�erspttre Py cfcise+ford""d
MA?CIML114i Wa11 �cica�
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30 39 19 ID Nc mxl
W 1S'!. OJZ t3 23 WA N'A N� '
ofIEY. ' 0.42 3i. i 23 MA
90AFVL"
3i 13 !l 90 AnM
i, ADDRES 5 OF PROPERTY:
Z, SQUARE FOOTAGE OF ALL F, tIOR WALLS:
3. SQUARE FOOTAGE OF ALL GLAZING:
4, % GI,A7,ING AREA(#3 DIVMED BY#Z): ' t (L
PACKAGE(Q— AA-see chart move):
•. S: SELECT : • .
NOTE, MORE INVOLVED METHODS OF D
G ENERGY'REQUn EMUS
ARE AVAILABLE. ASK U5 FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
K NO:
YES:
q�forrns•f980303a I •
n
Footnoie's to Table'.15.2.1b:•
Glazing area is the ratio of the area of the glazing assemblies (including sliding-class doors, skyligh , d
basement windows if located In walls that enclose conditioned space, but excluding opaque doors) to the gross
area. expressed as a percentage. Up-to 1% of the total glazing arza may be excluded,from the U-value aquirement.
For example;3 fi gf*decorative glass may be excluded from a building design
with.300 ft g
of lazing
= After January 1, 5999, glazing values-must be tested and documented by the manufacturer in accordance whit
the National• Fenestration Rating Council (NFRC) test procedure, or takes'from Table 11.5.3a. U-values are for
whole units:'center-of-glass U-values cannot be Used.
° -Che ceiling R-values do riot assume a raised or oversized t uss coastruetion, If the
insulation achieves the full
insulation thickness• over the exterior walls without compression; R 30 insulation may be substituted for R-38
insulation and R-38 Insulation may be substituted-for R�-49 insulation. Ceiling R-values represent the spun of cavity
insulation plus insulating sheathing (if.used). For.ventilated ceilings,.insulating sheatbhg•must be placed between
the conditioned space an4t6 ventilated portion of the roof. used Do not include
R'Wall -values represent the sum of the wall cavity.iasul ca plus lasulating sheathing (�t{ )'
exterior siding,structural sheathing, and 1aterior'drywalL For example,as R-19 requimme,at.could be met EITHER
by R-19 cavity' insulation*OR*R-13•cavity insulation plus 1-6 insulating sheathing. Nall requirements 'app1Y to
wood-frame or mass(concrete,masory,n log)wall.construcddns,but do not apply to metal=frame construction.
ed spaces (such as unconditioned crawLspaces,basements,
3 The floos'requirements apply to floots'over uncondition
or garages). Floors over outside air must meet the ceiling requirements• , w de must
an individual basement wall with an average depth less than 50/o bolo grade
.e entire opaque portion of y
The P
mc_t the same R-value requirement as above-grade walls. Windows and sliding glass•doors of conditioned
b
...,aments must be included `with the other glazing. Hasemem doors must meet the door V-value requirement
d-scribed in Note b.
' The R-value requirements are for unheated slabs,Add an additional R Z for heated slabs.
' If the building utilizes elettric resistance heating use compliance approach 3;4, or S. If you plan to install more
than one piece-of heating equipment or.mcre-than one piece of cooling equipment, the equipment with the lowest'
efficiency must meet or exceed the efficiency required by the selected package.
'For'Heating'Degree Day requirements of the closest city or town seo Table JS-Z.la.
NOTES:
a) Glazing areas and U-values are maximum acceptable.levels.Insulation R-vaIues are minimum acceptable levels.
R-value requirements are for insulation only and do not include structural eamponeats.
b) Opaque doors in the building envelope must have a U-value no greater than a.3.5. Door U-vaIues must be tested
cordance with the NFRC test procedure or taken from the door U-Value
d documented b the manufacturer in accordance e
an Y elude th
t available in
U-value ratio for that door is no ,
lass and as aggregate g
a door contains gl�g.
in Table J1.5.3b. If g
glass area of the door with your windows and use the opaque door U-value to determine compliance of the door.'
One door may be excluded from this regitirement'(Le.,may have a i1-value greater than 035).
. c) If a ceiling,wall, floor,basement will,slab-edga,or crawl space wall component includes two or more areas with
different insulation levels,the component complies if the area-weighted average R.value is greater than or equal to
'the R-value requirement for that component. Glazing ar door components comply if the area.-weighted average U-
value of all windows or doors is less than or equal to the U-value requirement(0,35 for doors)..
- 43
RESIDENTIAL BUILDING PERNIIT FEES
APPLICATION FEE
New Buildings,Additions $50.00
Alterations/Renovations $25.00
Building Permit Amendment $25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
qsquare feet x$96/sq.foot= x.0031= —
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
1 3 C7 o square feet x$64/sq.foot= _ x.0031= �
plus from below(if applicable)
ACCESSORY STRUCTURE>120 sq.
>120 sf-500 sf ` $35.00
>500 sf-750 sf 50.00 '
>750 sf- 1000 sf 75.00
>1000 sf- 1500 sf .100.00
>1500 sf-Same as new building permit:
square feet x$96/sq.foot= x.0031=
STAND ALONE PERMITS
Open Porch x$30.00=
(number)
Deck __x$30.00=
(number)
Fireplace/Chimney x$25.00=
(number)
Inground Swimming Pool $60.00
Above Ground Swimming Pool $25.00
' Relocation/Moving S150.00
(plus above if applicable)
Permit Fee
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—� NOTE: THIS PLAN WAS PREPARED USING MEASUREMENTS COMPILED
f CERTIFY TO: J/I'�'JOT,�y,��� J�E FROM ASSESSORS OR DEED INFORMATION,APPARENT OCCUPATION
LINES, OR FROM PHYSICAL EVIDENCE,AND HAS NOT BEEN VERIFIED
-- BY AN ACTUAL INSTRUMENT SURVEY, UNDER NO CIRCUMSTANCES...IS-
THE INFORMATION HEREON TO BE USED TO DETERMINE PROPERTY
LINES,FOR CONSTRUCTION,OR RECORDING PURPOSES,OR FOR DEED
��O�T d, �a J^ DESCRIPTIONS.IF ACTUAL LOCATION OF PROPERTY LINES IS NEEDED,
!— s� ! NOTIFY SOUTH SHORE SURVEY CONSULTANTS, INC. FOR A FULL
THAT TO THE BEST OF MY PROFESSIONAL BELIEF INSTRUMENT SURVEY.
THE STRUCTURES SHOWN AR L CATED APPROXI-
MATELY AS DEPICTED AND K DO ❑ DO NOT
CONFORM TO ZONING BYLAWS WITH RESPECT TO
HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY, oath
OR ARE EXEMPT FROM VIOLATION ENFORCEMENT hOi'�
UNDER M.G.L. CHAPTER 40A, SECTION 7. 1 HAVE
CONSULTED THE NATIONAL FLOOD INSURANCE ul'Uesl
RATE MAP AND THE STRUCTURE ❑ IS A IS NOT
IN A SPECIAL FLOOD HAZARD AREA. COnsultants, Inc.
(FLOOD ZONE �_��5DDO�
Registered Land Surveyors
►•°`gee �f/o2/90� & Civil Engineers
se �ZHOFd}q t� 167 R Summer Street,Kingston,MA 02364
O G\STf S`r4 r
AFp�sa v (781)582-2185 •(800)479-7553
a
WILPIAM N : FAX(781) 582-2239 •e-mail: SSSURVEYCO@aol.com
d SYLVIA
4 No. 33947
aP� MORTGAGE LOAN SCALE: =07e
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BAYIT& UiLDING DEPT.
b�PyOFTHE't��♦� TOWN OF BARNSTABLE
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"6 9 BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO ..C�� ..I. . ::.... c .............................................
TYPE OF CONSTRUCTION ..... /.A
...........................................................................
................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for aWpermitccording to the following information:
/U PMLocation ... ...... � . .. �'�*'/^ � � ... ...........................................�. .. .
ProposedUse ... ... ...................................................................................................
ZoningDistrict ........-46>..71..............................................Fire District ..............................................................................
Name of Owner ... . .................Address /..�j
.'4......1047/................................
Nameof Build er .... t.�h ........................................Address ....................................................................................
Name of Architect "� ........Address
.......................................................... .................................. .................................................
Number of Rooms �....................................................Foundation .......... .........
. .. . ..... ... . .......................
Exterior .. . ........................................................Roofing ....��s.' ..... . . .......................
Floors °-. . ...
... ..................................................................Interior ..................... ............................................................
Heating ;40 p.....................................................................Plumbing ............... .........................................................
Fireplace ..................................................................................Approximate Cost ........c ® ............................................
Difinitive Plan Approved by Planning Board -----------------------__-------19________. �Q v
Diagram of Lot and Building with Dimensions _ �A
S�reP
f � _
t IlausNJ
� . a
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . . ....... ...
Cartwright, J.. W.
�'1 t
No .... 0781.. Permit for ....garage..................
...............................................................................
Location Isjene Road
......................................
West.Hyannisport..................
r
................................... ......................... I
Owner .............J. W. Cartwright..................
....
Type of Construction frame
.........................
................................................................................
JS
Plot ............................. Lot ................................
f
October.Permit Granted .........
.................. ...........1 q 66
I
Date of Inspection .- 1967
Date Completed 19
p ......................................
PERMIT REFUSED Q !
................................................................ 19 ,
S
2
............................................................................... S
................................................................................. I
...............................................................................
............................................................................... i
y
Approved ................................................ 19
...............................................................................
.................. .i
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SCALE: 'jY�'- n APPROVED BY: DRAWN BY
DATE: REVISED
Q AJ1 7,7iG 7
DRAWING NUMBER
24
77
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