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HomeMy WebLinkAbout0149 ISLAND AVENUE s AUTI VE Town of Barnstable Building - r. x ui ng a g '1 Post This-Card So,;That it is Visible From the Street Approved Plans'Must be Retained on'Job and this Card Must be Kept Posted Until Final Ins Lion Has Been Made A " ¢s� .. P z l $ g. Permit cupancy is Required,such Building ashallNot be:Occupied until4a Tina l;Inspection nhasrbeen made Where a CerEifIcate of Oc Permit No. B-18-3244 Applicant Name: HAKIM,JOSEPH E TR Approvals Date Issued: 10/03/2018 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Dater 04/03/2019 Foundation: Location: 149 ISLAND"AVENUE,HYANNIS Map/Lot: 26S-019 Zoning District: RF-1 Sheathing: Owner on Record: HAKIM,JOSEPH E TR Contractor Name: framing: 1 Address: 330 MADISON AVE.,#280 �" Contractor License 2 NEW YORK, NY 10017 "g -- Est.Project Cost: $0.00 Chimney: Description: 11x18 Shed Permit Fee: $35.00 Insulation: } Fee,Paid: $35.00 Project Review Req: 11'x18'shed to be placed on and within existing patios area final: u Date:. 10/3/2018 Plumbing/Gas Rough Plumbing: .. Building Official 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 this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and 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. I Electrical a_ 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 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where-applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final' "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are'to be available on site Final: All Permit Cards are the property of the APPLICANT-,ISSUED RECIPIENT r _ Town of Barnstable �zHE r ti Building Department Services s.'t�� Brian Florence CBO sAxxsresre. Building Commissioner MASS pr fD1631�-�16 200 Main Street, Hyannis,MA 02601 www.towu.barnstable.ma us Office: 508-862-403 8 Fax: 508-790-6230 PT+,RMTT FEE: $35.00 SHET)REGISTRATION RESIDENTIAL ONLY 200 square feet or less lrocadon of shed�(address) Village Property owner's name Telephone number Size of Shed Map/Parcel# Signature Date o Hyannis Main Sheet Waterfront Historic District? S� Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation S:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,TBERE MAY BE A REVIEW PROCESS AND APPLICATION FEB. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAMS. THIS FORM MUST BE ACCOMPANIED 13Y A - PLOT PLAN Q-forms-shedmeg M RSV:08/6/17 Vv is :.. ... ..... .:::. . pF SY-1 ........... 11F RA-12 M9'RA-9 RA-7 �'.'.'.'..:... ►T" Y - NF SII-13 RA .. F � i� RA-11 - - SM-4 .1 MARSH'':.:i::':'i:i:.:.:::�` `�• \ MF SM-14 ....... :(hOyv)...' +:. W--3 11i SY-12 ...... ......... p1.26•�2dYl.......� SET - . ...W.SM;.7. - e ... .... ...... BEAN POLE SET YIF SY-10 .: .'..':.{:11F:SLF•0'::.... .. ......':' '6• . . �. W- BEAN POLE SET SN-8 BEAN :r•• gyp• " POLESET _ V' - 11F SY DF CDL13 BEAN ., SET 11F CD-3 L.119.24. - TE. COASTAL CD-12 �' n.1 .Ja' 9F CD-6DUNE S A ND A V N %3 v� CD-11 STAKE SET PM SET. TM!dD p1/CIE 1 VaMw M CD-7 L..121b'-\ STmm ILEV,ti�6 " N ` CD-a aF CD-10/�- ` a a rn ?� $ . BEAN POLE SET Y 1� •9 io - - M. O VEGETAiIDN(GIs) d a 2' m ' � - 2 Oft PIPE FOUND Z i AREA .. VEGETATION(GIS) a COMPUTATION w LINE �cv� .-�-• � � � '- .. 910N PIPE POLE SET i 910N PPE FOUND . PPE MIND p POLE^'� OppAAMf . e .VIOL 11a BEAN -SET - ` TOTAL PARCEL MFA . . --per g��flag�tl05ilS•�ia�`� { � aD,ao6� �17E p Tpi€d Tev"V _ i (yp�1DPMADAREA e ?YING [, Q��i'Z - �o I2 OF SPAW4 a� w i►�1►I� . J SEAWALL Pt I mow.. 4�►i� v.D ,�,. ^ . . °. The Town of Barnstable KAM& tee$ Department of Health Safety and Environmental Services BuiIding Division 367 Main Street.Hyaanls MA 02d01 Offoe: 509-790.6227 Ralph 0ossrn • I Date o 2( 6ky Ai i`MAVIT HOME D"ROVEhIENT GbNTRACWR I.AW , SUPPLEMENT TO FERN[TAPPLLC 7WN MGL c 142A requires that the-rewnstmWoa,Altemdo= man, modems adon aonvemon, 1 imptommettt, remoml, demolition, or omsmiction of an addition to xY pm-adstWg owaer oocztpied building containing at Icast one but not morn than four dwelling hits or to ors which are adjacent ! to such residence or building be done by re&crad=tractom with rtain coo Boas.along with other Type of Work ��j-�y y . (�6![� - rat Cast Address of WorksQy st.A- t>) Oarer Name_ r Daze of Permit Applimtion I herabv certify that: Regisnation is not required for the folImAing mwon(s): Work Grdudcxi by law Job tinder S1,000 )welding not owaer�ocupied Owner pulling own paint N'cticc is hcrcbN,giwn All Ot1T*ER$PULLING THEIR OWN PERMIT OR DEAUNG IVTTH UNREGISTERED CONTRACTORS FOR APPLICAELE HOB rMYROV0,IEN7 WORK DO NOT HAVE ACCESS TO THE :'10N F=CSC=:' OR GiJA.F/.?.. FI�:\T1 LT,,OE•,RR AI L c. 147.A SIGNED UNDER PENALTIES OF PERJURY 1 hcrcby apply for a per:nit as the agent of the owner: oe II oZ0 l - D24 tractor name Refijistr bon No. OR ................. r r r ✓f7� -cow ` BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: .CS 015851 y Birthdate 09/2M.953 Expires: 09/28/2001 Tr. no: 5743 _ Restpctetl To: 00 CRAIG N ASHWORTH 385 SEA STREET HYANNIS, MA 02601 Administrator ...> r,Wt r,is;1• -s - 'F'._- 7" .:y P.l�c,., 77.`,.'' r �( t �'r ��kr\ ''4a +9,y,� ��i•. F,;�`�'J�J,•�,.��� t ,,. °Sr � - a4 r .. ' 1� �� i� CS� Yi-.teSkS+yf, ' ^ • hQ�'4\frr, iY x'.]S +Y 1 it r'' \t Y. � -i .. rx'T a./J�'SlU_����� } i �?' ✓ip'� ,✓.'r''�h'x�[.74a 2 k9 i,� rr 1-kf}4 rrl.�rt.1 tth xtt`O °4 r,^a i , .ri �.� S y \ h..•. �As�Ytd2 c rr i r y I i t u T e � , G?HOME' IMPRO.VE�IENT�CONT ,ACTO(. 4\kC�. 1iT,r+a, ".!.,•1�`?L{'�".....,Y; i- BoardMSFofBurtldi[ gf2egue]• .: ref. 4i'n. 'Ft1',:,e .'." `F r `, '°2s. 'v.{•.•a j r r CI.�'., ( �tr.;y° �. 11- r • � , -Nun e � : butr>rt0• t ,pi �C .,..�FROO�,II �°301 r�+ �J.�t�"�Ci� P3 it;,f n•.,.�i s, ,'a { �/ ,Ssir r'tr >,•.. . A r; "i] ".}T y4ff��r• t a��• iti^i v �t «�r �,{y tip! r t. hk v - S.+ !PL sac } _,rl :Yr,,[iu'j'�1i�+�1.t"� �j�r ',t,��'"�,': Y" �' G4; �'5���� '^ pJSS'`-�r"f tk•,tih'�t�f c.q.I xt'''' py'�(Y�1�� ,�, HOME IMRF�O,V tjVr�` !F2 ,CT0 p Re9istratl,o�''[ 10 --- {. .:.JhFyr'A.' � �•s�'S+�!ij;iS�.k�x Rr?r�r,� t �.��w'�. ¢/�30�,0O.��jT�,k��K,�,l � � `*q��,�kd:f,+}, 1....f ` �n i .. � t Type P.,RIVA Q .�E.'•C, F, R r 1 a: t 1r �-,r. '`b. n ) .r rF'r,•;ci rba ✓uaaaaa�rraella_ I -, � �/\ Vl,t qi ,F Y�t',�,•�� S �)�1 t � .�'.'� ,�'QY��..4.�',, Y :.' i. .i'"• .. - �r:lt r•• ,Y`. 1C h� "r . ,ail. � .� +'!' rr° �'frWo` ..rr••vrr ,f:.. ;i•r v.s .,ra' Q'r .. w. �d{r�. i.rt ,ri, �iA, /',,5 7i,,, ! , ,x.r ,i{� ,'rv..Y a+ ,°t, ,Gib rtiy HOME.VIMPROVEMENT>CONTRACTOR r 1•.�I'n ill 'ry+.tZft�:�t i .. t. :} .dt ,r J � Yp;� ,7.�r •. ti � �� � ��"u�<,�},';� �;3,.�t�� ) .�r�Regis,tra•tlon k 102014 ,<+ ERNESTk 0 R �5 & N t. �� w J ,s[.: r '..,: r ��w1TYP8. \PRIVATE,CORPORATION Cra.1.9 N r As • w ,r,.,�•'h R .r,F�.,,`, P >r 1 >�,� ? iiF ; .C'!.f f•� !.� +- ''f 4 ,+%���3 e ro t� .fi`fe,^ �t r•iK ,�1 ' '4z\ .. -, t .s y tir .Y, „Rt �EzpiT.ation 06/30/00 385 ~i.x 4 X ,.., i'jk, .s �' itLu. �:rP, ..�T' �r.. rA..,+4f�ri. `u.t, .'.[�+��. 9ry w.'ST.4 �[r �r�.� 1•; r� -.-. i xv�gFs`.Y.� Hya. nis MAC: O 601r ,t 1 4 . .,'.zxI ':�? ca� s�?ERNESTaB'NORRIS.8t' r. SON INC t, .. . '".x- t ;; -�a�i}�. ,� �r`.�, S.�r,�,:�,'�,� `A' re i�;7'M ��.x•. -�� �ti' •t`i�"�� .� t�',r,+'r�.1...,.�,,.,f s ��, ar � 3ti{� Craig N Ahworth t ' + ✓ �"�1' y�/ft�+ti'wP.T,.� C r t4\}llrt'�.,� ����� t u{,I,S �.�: ..-,'! �".(i�i,�M,,d.D,�Y.J>� vS�a°Jty�-• r r ''S'.• I •'! .r,i t �.q i.?��.Y�:+i���y� j��h'y'\ti� .�.�. .t. } .. e k�X,� .a5`Y° ,t�; w iL� uCADMINISjRATOR ,`H a�n1SiMA0260 - --- ... ..._ _...+.�.,_. 1 S '..� 1��:r YB 7�, T\:�::it 5)�'•sH' ,�u. ,.',�"y ,' ,r� tk v'r ' 2''i+`�t Sti;'1' t l+rftt r y 1 �. � I .- �c�..w-.-..1.•::..:u..+4. •_[?l' ..S,..y'�.C\4�Z�R..1"if t,�l^• r\r�'�/.pia r tl .f 7 i .. I i 3; Tile Cunrmurt r+'calth of lassach us efts Department of Industrial Accidents . � _ ' • ;~ • -.��� �nlceaJlar�st�9atlorrs 60011'ashinh"tun Strect Bustart.Mass. 02111 �-- '' Workers' Compensation Insurance Affidavit r,,.•,,,.,. o.,. - i'lensc PRiNTle�ibly - _nhnnc ❑ 1 am a homeowner performing all work myself. ❑ .I am a sole proprietor and have no one workin,in arty capacity 1 am an employer providin;workers' compensation for my employees working on this job. ERNEST B. NORRIS & SON, INC. 385 SEA STREET ' HYANNIS 508-775-0457 EASTERN CASUALTY INSURANCE COMPANY ,# WCG 1000807 A cu rn n --- •-- -- r` r � r•r-•-- to-r-+� '-- -- —' =- ". ❑ I am a sole proprietor,general contractor,or homeowner(circle ntre) and have hired the contractors listed below w. the following workers' compensarion polices.• rr c Rhone �urnncc rn ' Relict ft ' �-. • — -- ..ss*Jr+-ya�+�•r'v�T'�7—�'*T"*'"`�' --- - - ".'per. -,r�s47fz -W � .•tri�•n.a. c� • cin phone#t ' •• Relict#J . . .. .. �Attich additloasl'sheet if lleee�ll • '� ��'�"�� ~� 1 I r` ^^ ��f w l Failure io sctart co+•cr=gc as required under Section 3A of AIGL 1S3 as Uld to the imposidoa of criminal Pecaldes of a fiat up to SISOO.W une.can'imprisonment As well as civil penalties is the form Dior STOP WORK ORDER and aline ofS100.00 a day aptinst me. I anderstinc cops•of this statement mad•be forwarded to the Otrce of Iavestigations of the DIA for cave. ge rerilleation. 1 do herchr certify unrhr rlre pains and p ddzr of perjurr that the inforrmm on prmided abor+e a true and coned Pate Sicnature110CRAIG N. ASHWORTH Phone# 508-775-0457 Print name i 0OMCizl-Usc oah• do not write is this am to be completed by city or to�n•n ofItcisl cin or town,: perraitQlcense ff n8aildltr�Dep:rtmeat pUceasiug Beard • onse is required QSclectmen's Oftice ❑check if Immediate rap [Ittealth Detnrtmeat phoae it: norther contact ncrson: 'r ' TOWN OF BARNSTABLE/^B/UILDING PERMIT APPLICATION Map Parcel @f `zp".;� STE��UPS Tr �P# Health Division - y ��' f G0FJA:`Date Issued Conservation Division t / ° 9°� Fee 'f�J BG° . Tax Collector Treasurer Planning Dept. , Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis , Project Street Address ) 99 t✓A.4 t7 lq v 2.n Village fs Fog 0�t� � �� Owner ddress C o 1,3 a1z(5 Telephone C�a jl- t5 -7TS7 O �57 Permit Re uestAIt�T� ���c- l- (�1 b �r oJ � � � v� � vr-Y, I--r rcz_l G t 0 SULA -W.MLS 4 LOC 8• 7 ' v Square feet: 1 st floor: existing /U�` proposed O 2nd floor:_existing-'J�r� proposed Total new Estimated Project Cost LSD 6DO' Zoning District 1 Flood Plain Groundwater Overlay Construction �Tvoe Lot Size '7:6.53 �4G_ Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family � Two Family El Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ;(No On Old King's Highway: O Yes 'V)No Basement Type: A Full N Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) -Basement Unfinished Area(sq.ft) Number of Baths: Full:existing F new o . Half:existing :2 new Number of Bedrooms: existing Jam" new _ h Total Room Count(not including baths): existing �/02 new -0 First Floor Room Count 7 `a Heat Type and Fuel: ❑Gas /&Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: O Yes WNo Detached garage:N existing ❑new size Pool:0 existing O new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size -Shed:0 existing O new size Other: Zoning Board of Appeals Authorization O Appeal# �4 Recorded❑ Commercial ❑Yes No If yes,site plan review# Current Use �� �� � Proposed Used b �� BUILDER INFORMATION Name Jl, :t S �� l C- Telephone Number `7-7 Address g � '°' 1 License Home Improvement Contractor'# 1 2 7 Worker's Compensation# W C-67' leoo 8a7 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE l e 12- sly�1 - - FOR OFFICIAL USE ONLY PER NO DATE ISSUED MAP/PARCEL.NO. ADDRESS h$" VILLAGE 0 ' OWNER' , DATE OF INSPEC"TIQN: FOUNDATION FRAME - .INSULATION,--- FIREPLACE ELECTRf(%�'L: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: � 'ROUGH FINAL t ' FINAL BUILDING i DATE CLOSW OUT k ASSOCIATION PLAN NO. \ • »�`;I � it d'\\ � / ....,. ------------- --------- cn ii C r < 0 r— r !� WURT YARD _ d W zZ II Q P jI--- � I �; _ aunon xorl!e �i .n wo upie Nntwat ulnwu. . tloor[.Oow r4.Ow14 b.M[uM pvnalnme.[�.nn.[op.�a ' anwan. a.Ir.ow.r. ' wmrox mmee. �oae mwu - __ xlu: unmet - 1_-7 Da'°[.n Wrt+eoe wwa Npq kE4 a[c - ooeo MAIN FLOOR DEMOLITION NORTH A 2.1 ' 1 wdam.a w.N ge ea�oy� 7 1O""` .q�ev'w�nN;vNnp"'"'~"`' edmaax, axro.wax..ay..ay �Y .ppy Op tlAaroa�Npym4 aa�PWN�W { --- cony xw.ae*daa.v.mnrowM. ry 2 D� . .. LU Ndan MaxbWnba. __ nYWW - etmm pN g Q`4797 � 1. sivy NmIWy •` ''': •••� FmYTly ® � ___N1Ctlten w BetM1rodln w i,mramvuaro�ene.al lu x�r mm 9_ bra@ - �.tlroaaxle _ p NavpOne yam anagooelc oawseowscnmaWxp Q -q �� :`, sa. °�w.b"�.x � eO ..0 . 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O mui.wwbr�eevuueE RYax Meb btglp Nta hone IoanWWp ' alp tlsw RtE: 10/ILBB Gaily Rgror:anpaYe WBroe O W4 ayere Jllat.bWpll�. � JlaapWptlm Y.LLF: KNDIED Ea.M eatY.lwnuroagq nfbv.uup ney_n R.YM: NJvI BNB n6 "ate Ma.ewn6 Jla u� �x�p�ppy ® 4iML.t/a OELI�: YW .Wia P • wV O xue agaCty ® MAIN RfIDN RAN awWe naer.ulop ' WA y FLOOR PLAN A3.1 NORTH i Dw Sdwdule Korea rina�meR e��wmeaw. ••��••••••. tlro Pas.�e.W.aP.we le Epp CI am ur�Prv.:-eMx ^�• raan.eaRa �g 7 ' �Rwrscmelesar up Rancna�a fir/! aeu ssl r.Li [Pero �egprmrouMmcaRRa RPrw:EIRRb.sa. O wl^a rlrecEay. neaPrerr Rse..smwq�a.m m.rwcw�enp:siM-� - RRIPI:pRn wurnsw:r O GPty n. nae. ..rn aR W uero .Psn.R 71 74 O Rarowlruclwl roenavR.�Aamwn:N-n.aae n ra RmR ® O Rmw RruO BI O romp ® uBPn 1 t(1 BNh / O Bed FGoam j z ® wz ® P C.e. z DD « J I � CaeWng - - r.waa (fy� Bed Room mpbraan ® ® r , rEu � •wim�nnP. .woP.roP- ® Ortmeyeb�.i � PPYPrb. Mmc+nc m a, ' O G1Ero Rep PRafa,nnuEM e0.RPu. a1Rr RRIenaOallM1 M� PmPaPY. Raw.NrRaelrurnr N-a GPE.ro tPN..RI:I � Ilm Paths ' a, i� ♦erb Kw R.msul-PR:<.RaR PW ' RmNRr4 arWusPeq RNarcPa. © �n�aa�RPPa � JOOfBB ^ WiE: NISIBB _ • rWLLlN uave V R.Ruz 9:A1[: KMBiFD ' 6tnppaaa.uatr Mel rent v roarw� BRn1uF �a$u4 BW . uero NnPPrta.:rolr'MeP.ePP. �r:Porwr,;.t Po eaaR. 0. PPaewtrbr oeo:EB: eav RPanq RPRPart str "�' MMRgaa.4tr®.m,Wt . rwvmmmR bR.sl R..w.q+:car.u...ear:e ' . - erranro �P� ® SECOND FLOOR PEAK NORTH A3.2 ;. a yrs�l�a1+1�_jb_Mba_ w.a.+w gyP.bd 1 ppHAL vym ...ee... 41. awd rau./cr (Dnn.iF dilml,F.n oi�ea(1a�e.r. L 4• S I I 1 }} � - V aEd W s COFFEE BAR SECTION @ UUE DDOR MTH OFFSET HINGES MIA --------------- �i 66 L 575 8 g 4 'I a Q}< w x w BUILpNG 9ECilON (1SEGTION AT SHELVES �Q Isekae6eoragF - OqC'J.n^� 6erdm 6Lormge \ I ��® �d it �� - YY • - waing Brs t — lee pm.ul<u.aw. goer. m.ec ate • �Ilwv� wn: :mvice I • 1.'r' I'-Y I •• O FpOO�� gY.IG IV$.f lele ♦ t I I • ��'64' Xe.O.ueb NN 06GID - aAb961f 8 Q,a,Qq�F ® FpAe7ATlp1 RAN I QE PLAN QSHOWER SHELF SECTION -I SHELF PLAN OETNL r NORTH J I maf,.e ewsnHe ADDITON LJI FHLlj z� ----------------1------ -. J t 55OIWTO ELEVATION NOON ELEVATION luz Q< Wx _ J Q Q m r, 4 J aoau ,.aa.G �tll - Q Q ii w mow.. .won _ .won � ue r: xaos MTf: 16nYW A ® ` 4%df: AS NOIFD M.ff1T11: Ni41MG fHOiO: • � W6nMS I '� . A6.1 ` GAERCN ELEVATION RA}Sd,ENCL05URE ELEVATION I - GT t ` oa o0 • � a la�� , a a a _ . o w�ma 4 ber align 'u" e to un CxL CrYn - I vvi s-.r �«► sy vw 1 rru some at iauimwv NLG 1'-a'1'- e'-9- Y-0 Y �+�rtr HLG to Kitchen Elevation to Kitchen Elevation Nt` sn�rss KR z chen evati Elon 9.1.mow aro.l•w 9.1 wr sm+r-o 9. w.aro-ra - I I � .la.. ri,�imj k..— Wmd aJ.C.blend III..' KV- o 9A Kft hen acKkchen Elevation +i�+�++ _se-Kitchen Elevation Elevatlorl 9.1.cw.aroe•r s TMC LeMeth Trlw LAN gay - �Z Q Batlp'f Terdf w= Pantry enw o Q Jill I NlG d an Kitchen Elevation ae-Kkchen Elevation so Kitchen Elevation 9. .cws aro•-ro 9.7.w an•.re a.a•.ro Me- NlG °0P•O+1 Note A.PASS T77ROU" �.wve+m rum wsuroae: _ Remove shelves above - Remove radiator below. -- --- -- Install Gelling w/dowmNMs `p as shown CD O Refil sh counter. O O i 4 Install new shelves below °'°'n way xxes counter as Shown � ra.a.ra.Mrbwy.� GTf: IdISIBB 9 � .svw.'uela.r. wvt: armeo ouwr+ v ww on In RwMu [IEOaD: WY I m 'k- i. . wrws.ew.rum ' I Nip I NlG LAUNDRY ELEVATION_ ��1DINWG ROOM ELEVATION �1Bath Elevation A A 1 9. wuais1ro .1.cu+v r- 9. rr>ro-ro - - /• 1V s a � Q .r.aa �• u.•aaaa � nw,«on �� �TM•.�� SEWER ELEVATION �15HOWER ELEVATION �1M.BATH ELEVATION �1M.BATH ELEVATION �,M.BATH ELEVATION 9. 0 9. w►an•-ro sro.,a 9 a.a•-,•e aro•.,a ff�kx; mffi wm•,•�aRsmR sw aeuR c V ® W s M.BATH ELEVATION v "°"� s r VATION y OFFICE ELEVATION aes•,a � .Rr an•.,•a ai.•,a �'wA ►�' . t11 $`Q`Q �(�p• A Wsxwve W z Ul na page mz wa+=w?uaro p (�1M.BATH Plan "°' � 4 s. .R..am-,a BATH ELEVATION _�a BATH ELEVATION » HALL ELEVATION (�f( 9. w.ais•.,a 9. ....sie+,•a aro., y - + .� • 199r AK99 .3 . wrt: ,a,si99 4�IF: KN91rt1 r ORCRD: 1W • . w411A BMatbnR opt T Town of Barnstable *Perm#�0`3Q ExpRegulatory Servicesee 6 monthsjroor issue date r s , ; 70 5 S KAM � 1639. �s� Thomas F. Geiler,Director 1 Arft)MA't� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabld.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION - RESIDENTIAL ONLY I Not Valid without Red X-Press Imprint Map/parcel Number 2 6 S (>( ? Property dress R S��t/O A -entAe W � p r/ eJ esidential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name O VC ll r Telephone Number 4 Z p • 7D 2 �/ Home Improvement Contractor License#(if applicable) I g 3 1 q 2 Cons ion Supervisor's License#(if applicable) QS A s Cons Compensation Insurance SS P lERMIT Check one: ❑ I am oleproprietor- .JUN ❑ the Homeowner �. J 1 I have Worker's Compensation Insurance OWN ©F SARNST Insurance Company Name U OJT Qed Workman's Comp.Policy#__ 7�Q—00 t7 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(c box) Re-roof(stripping old shingles) All construction debris will be to 4e4 Qlv/�P ❑Re-roof(not stripping. Going over existing layers of roof) Re-side '�jj l o� ?S?Varc ph Q�jK r/ ❑ Replacement Windows/doors/sliders. U-Value #of doors (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Ownef must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License&Construction Supervisors License is quired. SIGNATURE: I �AWPFILESTORMSIbuilding ermit forms RESS.doc 3evised 070110 i The Commonwealth of Massach usetts ^; Department of Industrial Accidents ( ;1� ;• ? Office of Investigations 600 Washington Street Boston, ALL 02111 r www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers Applicant Information Please Print Leeibly Name (Business/organization/Individual): -FFt `I/17kMV Address: 1 3.5 / S7fL� ��fl City/State/Zip: Phone #: 50 Jr7 Are y an employer?Check the appropriate box: Type of project(required): I. 1 am a employer with 4. ❑ I am'a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet t ?•. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. g• .E] Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 1 l.❑!!,4mbing repairs or additions myself. [No workers' comp.` c. 152, §](4),and we have no 12. Roof repairs . insurance required.] t 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. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that isprovidin workers'compensation insurance for my employees Below is thepokcy and job site', l information. Insurance Company Name: 0� Policy#or Self-ins. Lic.#: 6a'j/U J�fl J2` 3 Expiration Date:' L b 2 Job Site Address: / :rile� AV, �,Y_ City/State/Zip: lw(s J�r. Attach a copy of the workers'compensation policy.declaration page (showing the policy numb rand exp' ation 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$],S00.00 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 maybe forwarded to the Office of Investigations of the DLA for insurance coverage verification. I do hereby c�eUunLthe ' and penalties of perjury that the information provided ovg is true and correct. . IzSi ature. Date. Phone_#L ;0_ � Official use only. Do not write in this area;to be completed by city or lawn official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspectgr 5.Plumbing Inspector 6.Other Information and Instructions Massachusetts General Laws chapter.]52 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-employ's persons t-o dd:maintenance, construction or repair work on such dwelling house _ or on the grounds or building appurtenant thereto shall not because of such employment bedeemed to bean.employer." MGL chapter 152, §23C(6)also states that"every state or local licensing agency shall.withhold the issuance or renewal of 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 certificates)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. oThe D giibn`ent 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 permitAicense 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 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 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 ext406 or 1-877-MASSAFE Fax# 617-727-7749 oFT ,� Town of Barnstable o F Regulatory Services y � Thomas F.Geiler,Director '�FDr '` Building Division Tom Perry,Building Conunissioner 200 Main Street,Hya=ais,MA 02601 wwfY.town.b arnstab le.ma.us Office: 508-8624038 - Fax: ,508-790-6230 s Property Owtier'Mus t Cor�aplete and Sign This Section { If Using A Builder : Y as Owner of ihz ,sub ect,property h.ereb authorize-- Y to act on my behalf, iu all matters relative to'work authorized by this building permit application for. dress of job) C7:4 laxe.sizilat (I,Y. o Owner Date • Print Name � `--J j #, , _ , If Properly Owner is applying for pertnit pleas e complete.the: 'a Homeowners License Exemption Form on :the reverse side. • Yt r Town of Barnstable of A� 0 e R veto Se ces• rvl y fL 1�yT .. .. - - _ a Thomas' F.Geiler,Director - MAss: 143¢ k•'� Building Division PrfO { Tom Perry,Building Commissioner , 4 200 Main-Street, Hyannis,MA 02601 www.town-b arnstable.ma.us ce_ 508-862-4038 - - Oi 08 ' 0 6230 . Fax 5 79 HOMEOWNER UMISE EKEMPT70N Please Print DATE joB LOCATION: F.. number street Village. name home phone# work phone# CURRENT MAILING ADDRESS: city/town -tato A P code 3 \ ; The current exemption for"homeowners"was extended to include owner-occupied dwellings of six-tn its or less and to allow homeownt rs to engage an individual for hire who does not possess a license,prm ided that the owner acts as su'pczvisor. DEF=ON OF HOryiEOw1t'ER Parson(s)who owns a parcel of land on which he/she resides or intends to reside,on wbieh.thcie is, or is intended to- be, a one or two-family dwelling, attached or,detached structures accessory to such use and/or farm structnres. A person who constrgcts more than 6ne,home in a two-year period shall not be considered a homeowner, Such "homeowner"shall submit to the Budding Ofcial on.a form acceptable to the Budding Official, that he/she shall be resporistble for all such work verformcd under the building pennit (Section 109.11).1) a. .t The undersigned `homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and iegn itions. the undersigned"homeowner"certif s that r-/she.understands the Town of Barnstable Bolding Department ' minim un insp6ction procedures and rcquirm=ts and that he/she will comply with said procedvres and requirements. A ; g Signature of Hamcmvna s Approval of Euilding,Ofcia1 ,r ~ Note: Thrce-family dweDings containing 35,000 cubic feet or larger will be required to t oa��y%with the State,Building Code Section 127.0 Construction Control. HOMEOWNER'S FxLm ION The Code states that Any homeowner pafotrtung work for which i building parrot is required shall be exempt fram the provisions of this section.(Sectian I D9.1.1 Liccusing of construction Supervisors);provided the t if the homcotyna engages a p=on(s)for hire to do such work,that such Homeowner shall act as supervisor." h airy homeowners who use this.czaaptiet are unzwart that they are assurrung the responsibilities of>t strpervisor.(sec Appendix Q Rules&R.cgula[ions for L.iccasing Construction Supavisms,Section 2.15) This lack of zwararrs Man results in serious problervs,particularly when the bomcowna hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with i licensed Supervisor. The horneown a acting as Suparisar is ultirrntcly responsrble To crone that the homeowner is folly aware of his/haresponnbilitirs,many communities require,as part of the permit apphra lion,. that the homeowner certify that hrJshe understands the responnbilitics of a Supervisor. On the last page of this issue is a;form currently used by several towns. You 'may care t zmrnd and adopt such i formlecrtiBcation for use in your community. 1 uiruiu imiuranuc ru-na-irr-anon nNr LD Luli un.oaaiii _ruui(uul.. %CC]RID CERTIFICATE 4F LIABILITY INSURANCE 4%2aj2011 THIS C*RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cemucaw npider is an ADDITIONAL INSURED,the pollcy(les)must be endorsed- tf SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsemerrL A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). RODUCER CONTACT NAME: _ Continental PHONE978-777-5619 X,No:978-777-48 247 NewburySt. E-MAIL ADDResS:Paulahalas@ ci.rcleinsuranae.net Danvers, MA 01923 %*vftefetsf AFPOaWNG covERACE NpIC9 1781639 INSUR5RA:Travelers Insurance Co. JSURED Toby W. Leary Fine Woodworking, Inc INSURER H:Continental Indemnity Co. 135 Barnstable Road INSURER C Hyannis MA 02 601 INSURER D INSURER E INSURER F :OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TTRR TYPE OF INSURANCE aDULm WV0 POLICY NUMBER SRUM P LI Y EFF MM/DD LIMITS GENERAL UABILnY EACH OCCURRENCE $ 1 00O 0 x COMMERCIAL GENERAL LIABILITY PREMISES Ea occrnrv." $ 00 0 CLAAr3-MADE -r OCCUR MED EXP(Any ons Parson) $ 5,0 A 680-6065N355 1:5/22/105/22/11 PERSONAL&ADV INJURY i$ 1,000,0 .5/22/115/22/12 GENERAL AGGREGATE S 2,000,0 GEN'L AGGREGATE LIMP;'APPLIES PER PRODUCTS-COMPIOP AGG S 2,000,0 i POLICY x I PRO- LOC d $ AUTOMOBILE LIABILITY Me awlMnt 8 1 r 000,6 j AN-AUTO BODILY INJURY(Per person) S ALL OWNED qX SCHEDULED BA-3292M97A 04/13/11 04/13/12 A AUTOSAUTOS BODILY INJURY(Per aCziderd) $ RHIRED AUTOS NON-OWNED AUTOS (Per apc idgnt g UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LL4B CLAIMS-MADE AGGREGATE S DED ;RETENTIONS $ WORKERS COMPENSATION A - AND EMPLOYERS LIABILnY R TWO LIMBS YIN ER ANY oROPRIETORRARTNERV(K nvE E.L.EACH ACCIDENT S 900,0 B oFFIcEwEMaER Excwmw "'" D 1/01 11 01 01/12 (Mandatory In ro� 46-$09632-01-03 E.L DISEASE,EA EMPLOYE S 500,0 ff dascribQ undw DESCRIPTION OP OPERATIONS below E.L DISEASE-POLICY LIMIT $ 500,0 )ESORIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Addi4ional Remaft Schedule,if mwe"oe Is roQulmd) CERTIFICATE HOLDER CANCELLATION Town of Sandwich SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEb aEF Building Dept ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Sandwich, MA 02537 ACCORDANCE WITH THE POLICY PROVISIONS. Fax-.508-437-0264 AUTHORIZED REPRESENTATIVE 0198&2010 ACORD CORPORATION. All fights reserved. ACORD25(2010105) The ACORD name and logo are registered marks of ACORD License of registration valid for individul use only .\ Office of Consumer Affairs&B smess Regulation g HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:f 143942 Type: Office of Consumer Affairs and Business Regulation • VOLE; Expiration: c8/17/2012 Private Corporatio!i10 Park Plaza-Suite 5170 Boston,MA0 116 RY FINE W-0-69KING, INC. TOBY LEARY 46 LAFRANCEIV HYANNIS,MA 02601 s Undersecretary Not vali without signature Massachusetts- Department of Public Safet% Board of Buildinl- Re-ulations and Standards Construction Supervisor License License: CS 84605 TOBY W LEARY 135 BARMSTABLE RD HYANNIS, MA 02601 Expiration: 7/18/2012 ('"nunissim er Tr#: 30776