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HomeMy WebLinkAbout0055 KINGS WAY i I �� 1; �� 1 1 1 �, ,� '� TO'A 4 OF BARNSTABLE . SANTOS ELECTRIC P.O. Box 363 - Hyannis, MA 02601 (508) 790--4658 JOB NAME: v�j /tM��/Y`/C,c�t�.ZrZ DATE: 1 LOCATION: CONTACT: DESCRIPTION l 4 TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION. Map Parcel Application# Health Division t Date Issued ate Conservation Division - Application fee (� Tax Collector ' Permit Fee t ►, Treasurer Planning Dept. - Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ' Project Stree�t A d ss ,y1G �,L�yNr G h rn►s yY1 �8� Village o�- TcenP_ Qacer 5 Address `ZS kL,) 15 5+ _ 1114 Telephone 2Ct 2 - M?-CoF, -r r\ Permit Request r - U31 Square feet: 1 st floor:existing 9-, Z- proposed 2nd floor:existing proposed Total new �a , Zoning District Flood Plain Q111in Groundwater Overlay P-rof�aluation �2 0O Construction Type Lot Size Grandfathered: ❑Yes Ao If yes, attach supporting documentation. Dwelling Type: Single Family 31 Two Family ❑ Multi-Family(#units) , = 1 Age of Existing S-ur cture r 5 Historic House: ❑Yes NkNo On Old King's Highway: ❑Yes ANo Basement Type: _Full ❑Crawl ❑Walkout ❑Other Basement-Finished Area(sq ft.) Basement Unfinished Area(sq.ft) 991 Number of Baths: Full;-: 'sting new ® Half:existing O new O t C;) . Number of Bedrooms: existing 3 new G Total Room Count(not including baths):existing new 0 First Floor Room Count I Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing ! New_0 Existing wood/coal stove: ❑Yes > No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:;l existing ❑new size qOO Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Of No If yes, site plan review# —- Current Use Proposed Use BUILDER INFORMATION Name Telephone Number_ Address ��2 L;�,�,9+`S 5* License# V h WA ba(ob\ Home Improvement.Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ' SIGRE-� Lf s4 (,`,( DATE Z T she gear re 20�o rs -- FOR OFFICIAL USE ONLY -APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER 4 DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH -FINAL GAS: ROUGH FINAL FINAL BUILDING t) DATE CLOSED OUT ASSOCIATION PLAN NO. i E'O�'Y Town-of Barnstable ' Regulatory Services R!ST'ABT'E' Thomas F.Geiler,Director ss. MA ' i63 Building Division rED MPt b Tom Perry,Building Commissioner 200 Main Street, Hyan is,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date . AFFIDAVIT HOME MROVEMENT 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. a , ��Type of Work _ CCzY%0&e X Estimated Cost 2z 000 ,Address_of W--ork:_ y -n S��Q� bun 4) P l2 e�T'f s r---Date-of-Application—_ *_8jr a ]0-2 f Lhereby certify.tha • Registration is not required for the following reason(s): MWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied 1590wner_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. � r Date Id er's Name - - The Commonwealth of Massachusetts Department of lndustrialAccidents 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 c�-N—=C`susin /sse Organization/Individual): Ll sc, CmN,r�' itfP k Xrene, Addr �5 LP�-`s + City/State%Zip.: Y- Zn yn4 6 a Phone.#: 501 '2a12- NA Z 6 Are you an employer? Check the appropriate box: Type of project(required):, 1.❑ I 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. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance. $ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions ha ve ave exercised their I am a homeowner doing all work o 11. Plumbing repairs or additions myselL [No workers' comp. right of exemption per MGL 12.X Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' . •13.❑ Other comp. insurance required.] , 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors frave employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below 1sthe policy andjob site information. Insurance Company Name: Policy 4 or Self-ins.Lic.M 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 tip 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the 1JIA for insurance coveraga verification. 1 I do hereby WnInd ains-and penalties of perjury that the in((f''��ormation provideed above is true and correct:Sienatt:= Lisa i f rV.5'C Date: U Phone J��15' �i Z— `4 74 Official use only. Do not write in this area,'to be completed by city or town officlal City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector '6 Other Contact Person: Phone#: Y zabra��zxO(ea�taaa� ' proscrfptira Pseksgd for due sail T wo-psmil•R"Idaatisl'safidinp Seate$�+fib'F5Os*T('P'Fels ' hYAXfI4dLTM • • MIRIMLIM ' 4laxing Glaang Ceiling Well Floor B}searra! Stab •SeattaglCooling � ent Eliidm mar('!a) U-valac= R-valuer ' R-Yah:ef R-Yeluc' Wall Fesirc 84'�Fm . • psi' So R valuer R--mlusr .. 5701 to 6500 Scstleg Degrsr Days! . 1Z°fa 0.40 38 13 l9 10 b Naiiasl 12% 0S2 30 19 0. l9 I0. b Wonsssl R 5D 38 I3 19 b 13-AFUE 14 • IiVa 36 38 13 13 NIA NIA. Normal' . 'r � ' � •Normal Ip 15% 0,4� 38 19 19 10 b 15'!a D.�4 38 I3 23 N!A 1'UA 13 A�{JE Y b U AFUE �y 15y. am 30 19 19 10 l8/. 0.32 38 • 13 2S —NIA N!A Normal Y 11%, Q42 38 19 25 NIA N!A~ NGM-j I3'f. 6.4Z 38. I3 19 id b 90 AFUE A; 1 o'�a G 50 3D 19 19 10 6 90 AFU B I. ADDRESS OF PROPERTY: 55 A)E 4 n n ti 5 VIVA O 24 0) 2, SQUARE FOOTAGE OF ALL•EXIRIOR WALLS: 1.2 �S 3, SQUARE FOOTAGE OF ALL GLAZING: 1. - 4, % dLAZINO AREA 03 DIVIDED BY'42): 5, SELECT PACKAGE AA-see chart above): ; NOTE, OTHER MORE INVOLVED NMTFIOI3S OF DEIM:U INIlAI G ENERGY REQUIREty=-- S ARE AVAILABLE, ASK•US FOR THIS MORMATION, BMI)ING'INSPECTOR APPROVAL: NO, • YES,. . 1 . q7fistu�-f�aD303a • 1 �OFTHE,p� Town of Barnstable . Regulatory Services BABNSTABLE, : Thomas F.Geiler,Director MASS. pr 039. A.�� Building Division ED MP'1 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: b1 _ JOB LOCATION: Yq r1,r1�Cj )number n �T— ' street ' village"HOMEOWNER": l�\ �L l'»�Yr�o�)! wg5,t?:c 5a�'���"iE>y ` %�jg3—D ,6JL name home phone# work phone# CURRENT MAILING ADDRESS: 4k SOOVAI oi!naw i i+% r-d city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than Wilt'home in a two-year pericr shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned`.`homeowner"certifies that he/she understands the Town of Barnstable.Building Department. minimum inspection procedures and requirements and that he/she will comply with said procedures and requir nt . nature of eowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control: HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed, �! Supervisor. The homeowner acting as Supervisor is ultimately responsible. r: To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. 5. Town of Barnstable vAm rG, akf&A+wi4,L ` do Regulatory Services . „ Thomas F.Geiler,Director 9'" MASS. � Building Division �, n n►s� "1659. K#)J&s w y i°iEo Mpg(► Tom Perry Building Commissioner rr 200 Main Street, Hyannis,MA 02601 .,;V11 r►cJ. (�.63►t G�'u'�� Office: 508-8624038 Fax: 508-790-6230 COMPLAINUINOUIRY REPORT Date: / Rec'd by: L v [o Complaint Name:�s !.�W 1S ROIG�OQ Map/Parcel Location f7dress: ,S'�S� <in/C-�s 0.4 Y 14 VA ,u N tS M A Originator Name: 1 G�JLt�2. c-a.o g o "Al e z• js • SSK,r d w . Jc��1Ny WA) Street: INj C. fy r� Village: State: Zip: A430 .�C�r�c1 ucr{v�j lc.ur�v rnof��e �-�Du.K �3ue�nc 0 Telephone. NOTE: Ak!% hhoes Fret �7` .u,o Mrs & Ca1rW "WJZ r» ui �.O l . Complaint Description: 141N 2e Q1Sk126'D 11e_biC/fS ON klk,�RSWA•y Adjawnt -jr 1,0 W S�. `JC COL. &&g pbACK q_ak '• - by.b, t sfect Ra,4-lad bL/ 1�ou ' ss K�rU� ��y. 5'MaE� wtioh� Z how�e oa properly C �N�G D N rV", ,0 P." &V-C,e.. a C[00 . l�IA V �n serer A�ct�"o $a.11erlrs ®F >v VcveW,4 - As, ma 1J S V9(acc cv� oll! ktiv S �f i,v 7J1 FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:fonns:complaint 1 Barnstable Assessing Search Results Page 1 of 3 - e� , P r� v � k2 Home: Departments:Assessors Division: Its ion: Property Assessment Search Results, .r u.. � i 55 KINGS WAY Owner: Property Sketch Legend ROGERS, IRENE M 17[�i1 ..._..77=_ Map/Parcel/Parcel Extension 310 /146/ I ' Mailing Addressu ROGERS, IRENE M i 1 85 LEWIS RD HYANNIS, MA.02601 2004 Assessed Values: Appraised Value Assessed Value Building Value: $66,700 $66,700 Extra Features: $2,300 $2,300 Outbuildings: $0 $0 Land Value: $74,200 $74,200 Interactive Property Map: Ma requires Plug in: Totals:$ 143,200 $ 143,200 1 have visited the maps before ; First time users Show Me The MaoaP''k ;+9WClick Here April 2001 photos available Sales History: Owner: Sale Date Book/Page: Sale Price: }' ROGERS, IRENE M 1/15/1982 C87811 $0 http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/AssessO3/displayparce103.asp?mappa... 9/26/2003 Barnstable Assessing Search Results Page 2 of 3 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Tax information will be available on 10/15/03 Town Fire District Rates Other Rates 6.61 Barnstable 2.01 Land Bank 3%of Town Tax C.O.M.M. 1.10 Cotuit 1.52 Hyannis 2.03 West Barnstable 1.36 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.16 Year Built 1941 Appraised Value$74,200 Living Area 982 Assessed Value $74,200 Replacement Cost$88,946 Depreciation 25 Building Value 66,700 Construction Details Style Ranch Interior Floors Carpet Model Residential Interior Walls Drywall Grade Average Minus Heat Fuel Gas Stories 1 Story Heat Type Hot Air Exterior Walls Wood Shingle AC Type None Roof Structure Gable/Hip Bedrooms 3 Bedrooms Roof Cover Asph/F GIs/Cmp Bathrooms 1 Bathroom Total Rooms 5 Rooms t. Extra Building Features http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/Assess03/displayparce103.asp?mappa... 9/26/2003 Barnstable Assessing Search Results Page 3 of 3 Code Description Units/SQ ft Appraised Value Assessed Value FPL1 Fireplace 1 $2,300 $2,300 Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished). FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) M �l http://www.town.bamstable.ma.us/tob02/Depts/AdministrativeServices/Finance/Assessing/AssessO3/displayparce103.asp?mappa... 9/26/2003 PW Ai •-",...: � s..' ....-.r ;��_F' .r+� \. � �►g { ,a ,/`7,`7" �`ti � '�Y.w• #.�Ti .•'lily_ e..s.�w'�`"' , '*j' �w '.� ,� ���� � ,,fit ( t w• �,`•"t ,-'ri w4 if.� "'�"'�" � : � r;. r Fi • r: 1 . f 1' l � � �..—-- *t• as i .� '�' • ;�' i� pia���-y♦, _ :" � }'�"� i■•. �'� _j �. � MYP t j- . fin V� i t� t v 3 r pbjy� • .a., !a} .� 4^{(.�e,�.�y E ,y Yy y 'a •: .,.� t + t t rug � •� �� � ` .',":� �' d i• 1 J,,,*;/�.. � :�+p {: �a •tea '•' b / L• \.� V ���w'�..Y',s !: ma`s , �:~----"�' a _ �,� � S.R� tir � 'r .�6-' •` may. ,is?. •�� ki �� �..� + gyp*. ` }�' ,,,}}•"",,t '* n• i ♦ r•�� —� � � I•YM1f'� ,. !. �♦.. ��'�r'-trca�J' Ti^' +may` .tea � ,' .+:* �' r tS-� ,� .'ky �4 �' •" Mi.';{'p,�♦ AA 04 w yx �y • ri a41 Lawl i(] �'re 6 }� , 1�,, :^'''�� �.• "r' • , AT Atli �}} mar /1 . .• ��..- /i K ". r .r .. 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