HomeMy WebLinkAbout0095 LINDA LANE yS� .�,i nda.. �L-g'n �
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Piarcel 0 Permit#'9
4cl
Health Division I z 0 r
— 6� Date Issued �' ��"��
Conservation Division wo310 Fee
Tax Collector Application Fee
Treasurer -
Planning Dept. ChecMATj�G SEPTIC SYSTEM
LIMITED TO #OF BEDROOMS
Date Definitive Plan Approved by Planning Board Approved By
Historic-OKH Preservation/Hyannis �'��'� b y °l V oS
Project Street Address �-
Village
Owner�tN 1� 2c�� a—�2tL Cc,n,�`w4� 9 Address /��5� �o � n.� �nr
Telephone z5 fJ ) 3 6 o —o 9 `!J- (, o P 3&CS — 0 11
Permit Request 7 11 ch`b CIA S 119
1
Ago. Fl
Square feet: 1st floor: existing / P proposed 2nd floor: existing propose Total newer-�
Valuation � �\
d
J Zoning District Flood Plain Groundwater Overlay
Construction Type � �ti ceDWSJ
Lot Size ae,� Grandfathered: D Yes [/No If yes, attach supporting documentation.
A,
Dwelling Type: Single Family Two Family ❑ Multi-Family(#units)
Age of Existing Structure i96 Historic House: ❑Yes ❑No On Old King's Highway: O Yes ❑ No
Basement Type: Bull ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) '> Basement Unfinished Area(sq.ft) ( PS'i
Number of Baths: Full: existing new Half:existing 1 new
Number of Bedrooms: existing new =�
Total Room Count(not including baths): existing 60 new First Floor Room Count w P,
_�� rn
Heat Type and Fuel: ZGas ❑Oil ❑ Electric ❑Other n
Central Air: �s ❑No Fireplaces: Existing �� t New Existing wood/coal st ve: ❑YesPds
Detached garage:❑existing ❑new size Pool: D existing ❑new size Barn: ❑existing O new size
Attached garage:Elexisting 2�`hew size Z z X7Z Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
-Commercial—O Yes`—a4o — If yes, site plan review# _
Current Use s S i >> L r4 ,1 Proposed Use 5
_ BUILDER INFORMATION
Name 1,J0 � n/ �.�I �>✓� Telephone Number S-aif'
Address 99 4 ell License#
f� lvl 5 . "m Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE z9 DATE AgRig g%/Z-`O S—
FOR OFFICIAL USE ONLY
PERMIT NO.
,f DATE ISSUED F-
MAP/PARCEL NO. 1
ADDRESS VILLAGE
OWNER
'i
DATE OF INSPECTION:
FOUNDATION G+D CnG 9 27-o5
FRAME
INSULATION
FIREPLACE
fi
ELECTRICAL: ROUGH "; FINAL
PLUMBING: ROUGH FINAL j
K 0
GAS: ROUGH� C FINAL "
FINAL BUILDING a.Gi ®
cr l
t=
0 0
DATE CLOSED OUT
ASSOCIATION PLAN NO. `= 0
i A
F �
N
The Coin inonwealth of 41assachusetts
Department of Industrial Accidents
R
Office of Investigations
600 Washington Street, 7`h Floor
Boston, Mass, 02111
Workers' Compensation Insurance Affidavit Building/Plumbing/Electrical Contractors
.4ppllCanl i'ormahon., fi (
name: J G N J�-2e l
address: L t rV 't>4 ►� r✓
cites' I h�-tv '--IS state YVL zip t9 ij phone z 5� — 31*0 —
work site location(full address) '
1 am a homeowner performing all work myself. Project Type: ❑New Construction []Remodel
❑ , , proprietor working n, ,) p Q Addition
Building
am a sole ro netor an have no one worktn to an capacity.
❑ 1 am an employer providing workers' compensation for my employees working on this job.
company name:
address:
city: phone#:
insurance co. g y p W policy#
4 N�YFR�'p+IL'��'Y,U..da �..'WY. .� u ✓ a.4,�. $,<zWSI, ..�M Y.,....�,"x',t4r.3
I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have
the following workers' compensation polices:
company name:
address:
city phone#
insurance to. policy#
ftA»
company name:
address:
city: phone#•
insurance co policy#
Ata'c!i ad�ihtinal shetlf atxessa k H,,�.rrt33'q �}} ) rlwyy sty, <, � n �
y
....,H ___, ..,.. ....rye "�h.,.kTf+;G...,+3u.,,.mrc'°.Tl �,�c tsb� ?. ,.�d'',Sou...i,,Yi.'E�'}fi`9 °:dH .sSiv�✓< 7�.a,,�',_§,',i�t"a�r-< 4'"k,a. . �' '.,)a�fl' ''i'nd,3*£.a".
Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification.
1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature )) Date ///$-Lar S
Print name �At kr— y Phone#
official use only do not write in this area to be completed by city or town official
city or town: permit/license# ❑Building Department
❑Licensing Board
❑check if immediate response is required Qselectmen's Office
❑Neahh Department
contact person: - phone#; ❑Other
r �
r 1
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.
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 acceptable evidence of compliance with the insurance requirements of this chapter have
been presented to the contracting authority.
A
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Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation. Please
supply company name, 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.
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 permit/license number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
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.
�w�b f t✓�v rni �+ °��, �` S%'=. e�ix+ ��n %� � J�N,�R� i .,"�wW'w�` r��b�T mi'��;}°?✓xk 1"a,fM,sw,Jm� tl✓».,°�"M W Mda ��r;�+�t, ,�xM. '+i�The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of industrial Accidents
Office of Investigations
600 Washington Street,7`h Floor
Boston, Ma. 02111
fax #: (617) 727-7749
phone#: (617) 727-4900 ext. 406
RESIDENTIAL BUILDING PERMIT FEES
APPLICATION FEE
New Buildings $100.00
Residential Addition $ 50.00
Alterations/Renovations $ 50.00
Change of Contractor/Builder $ 25.00
FEE VALUE WORKSHEET
NEW LIVING SPACE
square feet x$96/sq. foot= x .0041=
plus from below(if applicable)
ALTERATIONS/RENOVATIONS OF EXISTING SPACE
square feet x$64/sq. foot= x .0041=
plus from below(if applicable)
GARAGES (attached&detached),
7�! square feet x$32/sq. ft. = 115 YP$ ,0�9x .0041= 6 3 ' S
ACCESSORY STRUCTURE>120 sq. ft.
>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.004 i=
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 $150.00
(plus above if applicable)
Permit Fee
Projcost
Rev:063004
Town of Barnstable
Regulatory Services
•�BARNSrABLE,
MASS.
$ Thomas F. Geiler,Director
.i63q �0
ATE639�s Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
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: Estimated Cost ' 0-d-
Address of Work: S` L t w. 7 4 ivt v� �— O oZ t?.
Owner's Name: ^, (�l1 e l
Date of Application: /a-- G S�
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
Zj;,wner 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.
. & 6 S OR
U-3-�
Date Owner's Name
Q:forms:homeaffidav
ofIKEr�
Town of Barnstable
Regulatory Services
uMrtvsrneLF Thomas F. Geiler,Director
�b39. ,�� Building Division
Ajfp�,la
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:
JOB LOCATION: �S /r/v Lb k Iry
number Istreet village
..HOMEOWNER": �L4"i ?42.eh-y SDI'- 360 - op/ soLf, 3bo --6y7d-
name home phone#1 work phone#
CURRENT MAILING ADDRESS: . 41 N t)4 i� .i,,
N Y 4-1 V i S P17 o19- C. r
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 one home in a two-year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit, (Section 109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other
applicable codes,bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum inspection procedures and requirements and that he/she will comply with said procedures and
requiremen .
Si6iture of Homeowner
Approval of Building Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building Code Section 127.0 Construction Control.
HOMEOWNER'S EXEMPTION
The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions
of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such
work,that such Homeowner shall act as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,
Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly
when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed x
Supervisor. The homeowner acting as Supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, .
that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by
several towns. You may care t amend and adopt such a form/certification for use in your community.
Q:forms:homeexempt
BC CALC1)2003 DESIGN REPORT-US Wednesday,October 19,200515:32
Triple 1 3/4" x 16" VERSA-LAM®2.0 3100 SP File Name: BC CALC Project:FBO8
Job Name: PARENT Description:
Address: 95 LINDEN LANE Specifier. RICKAINSWORTH
City,State,Zip:HYANNIS,,MA Designer.
Custiomer. PWILLIPS Company: HINCKLEY HOME CENTER
Code reports: ESR-1040 Misc: GARAGE DOOR HEADER
Standard Load-40 psf 1 10;psf Tdbutary,1,1-U0� ;�'
9 <�
5899 Ibs LL 5899 Ibs LL
2464lbs DL - 24641bs DL
Total Horizontal Length-16-MOO '
General Data.. Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur.
S Standard Load Unf.Area Left 00-00-00 16-06.00 Live 40 psf 11-00-00 100%
Member Type: Floor Beam Dead 10 psf 11-00-00 90%
Number of Spans: 1 1 Unf.Lin. Left 00-00-00 16-06-00 Live 275 plf n/a 115%
Left.Cantilever. No Dead 165 ptf nla 90%
Right Cantilever. No
Controls Summary
Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location
Tributary: 11-00-00 Moment 34495 ft4bs 53.5% 115% 3 1 -Internal
Neg.Moment 0 ft4bs n/a 100%
End Shear 7011 lbs 38.2% 115% 3 1 -Left
Total Load Defl. U420(0.477) 57.2% 3 1
Live Load: 40 psf Live Load Defl. U595(0.333') 80.7% 3 1
Dead Load: 10 psf Max Defl. 0.472' 47.2% 3 1
Partition Load: 0 psf
Duration: 100 Bearing Supports
Disclosure %Allow %Allow
' The completeness and accuracy of' Name Type Dim(L x W) ,Value Support Member Material ..
the input must be verified by anyone BO Wall/Plate 5-12"x 5-1/4" 8362 Ibs 68.1% 38.6% Spruce-Pine-Fir
who would rely on the output as B1 Wall/Plate 5-1/2"x 5-1/4" 8362 Ibs 68.1% 38.6%.. SprucaPine-Fir
evidence of suitability fora Notes
particular application. The output t
above is used upon building Design meets Code minimum(L/240)Total load deflection criteria
.v code-accepted design properties Design meets User specified(U480)Live load deflection criteria.
and analysis methods. Installation Design meets arbitrary(1")Maximum load deflection criteria.
of BOISE engineered wood Entered/Displayed Horizontal Span Length(s)=Clear Span+12 min.end bearing+12 intem-ediate bearing
products must be in accordance Connector Manufacturer:-Simpson Strong-Tie®Company Inc.
with the current Installation Guide
and the applicable building codes. Connection Diagram
To obtain an Installation Guide or if Connectors are:SDS 1/4 x 3-1/2 .
you have any questions,please call
(8W)232-0788 before beginning a=1ArZ' b r d
product installation. b=4"
c=2-1/2"
BC CALCO,BC FRAMER®,BCI®, d=24" 1
BC RIM BOARD-,BC OSB RIM a=1" ca
BOARD- BOISE GLULAM-,
VERSA-LAM®,VERSA-RIM®, • T• •
VERSA-RIM PLUS®, C
VERSA-STRANDTA°
VERSA-STUD®,ALLJOISTO and • • •
AJSTm are trademarks of
Boise Cascade Corporation.
e
Page 1 of 1
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AREA=11055tS.F.
' A.M. 248-88
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A.M 248-163
A.M 248-217 LOT 53
LOT 55
FLOOD ZONE "C" FO UNDA TION CERTIFICA TION RES ZONE. "R-B"
TOWN HYANNIS SCALE- I"=30' PL REF 165-41 ELEV.• N/A SETBACKS.- 20'-10'-10'
I CERTIFY THAT THE ABOVE ®�k&AAA`4 4� yANKE'E LAND SURVEYORS
FOUNDA71ON IS LOCATED ON ���qP���ss °®
°� & CONSULTANTS
THE GROUND AS SHOWN, AND yO
�. F 0. BOX 265
IT'S POSITION DOES I TEPHEi, UNIT 1, 40 INDUSTRY ROAD
CONFORM TO THE ZONING LAW v cti' .� MARSTONS MILLS, MA 02648
SETBACK REQUIREMENTS OF y`°r� TM 508—428—0055 FAX 508—420-5553
----- A STABLE
JOB r
STEPHE J. DOYLE, P.D S. DATE.• 04-27-05 NUMBER 5392OFND
LINDA _-- LOCUS
LOT 11
-«- OARLA P1��
LOT 10 4
LOT 9 o
E
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ISDALAN L �.
90. -
042,30»E
N79 LOT 12
A. M. 248—88
' LOT 54
HYANNIS
AREA=11055fS.F LOCUS MAP
PLAN REF. 165-41 .
�. ASSESSORS MAP: 248-88
CT
ZONING.• "RE"
SETBACKS: 20'-10'-10'
O „ 164 ;�, W ffEED REP 14384-283
....... ,.18.6 O .. .,
� ,,,,,,,•� ,� , , ,,,, _ FLOOD ZONE: FLOOD ZONE:
C
PLOT PLAN OF LAND
A.M. 248-221 w •......,.#95 ,,,,,,,,,,,,,,,,,,, ,,, O LOCATED AT
6. 0 p
, -11 3 p 95 LINDA LANE
LOT 56 ,,,,,,,,,,,,,,,,,,,,,,,,,,,.cn �
HYANNIS MA.
o PROPOSED ��o
O 17.5 COBBLE STONE ZS GARAGE
po PATIO �I J 21.7.
L _ _ o= i PREPARED FOR.
22 ERIC CUNNINGHAM
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112 82 �
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YANKEE LAND SURVEYORS
A.M. 248-163 `^���
A.M. - �,�-c��'�� & CONSULTANTS
248 217 P.O. BOX 265
LOT 53 GRAPHIC SCALE
LOT 55 zo ° '° zo ao INDUSTRY ROAD
MARSTONS MILLS, MA 02648
TEL• 508—428—0055 FAX 508—420—5553-
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