HomeMy WebLinkAbout0064 MAPLE AVE Cv Ll McL-f 1 (�
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. Town of Barnstable Building
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Post Th�sGardSo That rt iS>,Vis�ble,From the Street A roved Plans;Must be;Retained on.Job antlahis,Card'Must be Kept
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6" PostedUntrl Final Inspection Has Been:N�ade �; 4
3Q. Permit Where"a=Certificate, ofOccu anc s Re uiretl,such BuIdmgwshalhNot be Occupied""unto a,Ernal;lnspection has,been made illl
Permit No. B-19-2351 Applicant Name: KUCHEL,SUZANNE&VILLINEAU, DAVID R Approvals
Date Issued: 08/01/2019 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/01/2020 Foundation:
Residential Maps/Lot 308-157� Zoning District: RB Sheathing:
Location: 64 MAPLE AVE,HYANNIS
Contractor'Name: Framing: 1
Owner on Record: KUCHEL,SUZANNE&VILLINEAU, DAVID1R Contractor License` , 2
Address: 64 MAPLE AVENUE Est t?rofect Cost: $15,000.00
' Chimney:
HYANNIS, MA 02601 Permit Fee: $126.50
Description: turn garage into den.office space and laundry room Fee Paid $126.50 Insulation:
Date 8/1/2019 Final:
Project Review Req: NOT TO BE USED AS A SEPARATE DWELLING UNIT
771M�
r
�. ,. •K= 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.
All work authorized by this permit shall conform to the approved application_and.the:approved construction documents"for which 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 lawsiand codes. g
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. rx
�.' >. Electrical
The Certificate of Occupancy will not be issued until all applicable signatur�esbythe BIdmg and F re�Offieials are provided onthis permit.
Minimum of Five Call Inspections Required for All Construction Work:
Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue Iming'is'instailed
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 cting 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
c�
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
• 9
Application Number...........
' Section 5—Detail
r(•fr�
Cost of Proposed Construction) /5i 000 Square Footage of Project Q. Q 5
Age of Structure. Dig Safe Number"i `'
Hoc)Se# Of Bedrooms Existing Total=#Of Bedrooms (proposed)` -'?J
110 MPH Wind Zone Compliance Method 0 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
Water Supply ❑ Public El Private
"
Sewage Disposal ❑ Municipal' ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I amusing,a crane ❑ Yes ❑ No
Section 7—Flood Zone.
Flood Zone Designation
Within or adjacent to a wetland,coastal bank? Yes ❑ No El
Section 8—Zoning_Information
Zoning District- Proposed Use ? Lot Area Sq.Ft:
Total Frontage Percentage of Lot"Coverage #of Dwelling Units(on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed
Side Yard Required Proposed 3
i
a
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last updated: 11/15/2018
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6 Application Number... ....L:....................... ..................
�G
�aLE,AS + n`C?�`��• Permit Fee.......................................
� Fee:.......................
1639.
Total Fee Paid
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TOWN OF BARP��'4A*1
at
Permit Approval by...............s.................On..... ...... .... . ......
BUILDING PERMIT —
iE6. ......Parcel.........�... ... ..............
Map.......... . ........ ...........
APPLICATION
Section 1 — Owner's Information and Project Location -
Project Address !a 9,4,1 Village -
Owners Name ,
Owners Legal Address q
o.
Ci At ZIMAIA State Zip
Owners Cell # O 1? . S'• E-mail A i A R Al PA A
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'
❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use .
k ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild ❑ Deck Apartment El Sprinkler System
k ❑ Addition ❑ Retaining wall ❑ : Solar
❑ Renovation Pool ❑ Insulation ,
Other—Specify
Section 4 - Work Description
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t Last undated: 11/15/2018
The Commonwealth of Massachusetts
Department Industrial Accidents
ep ment of
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
` Name(Business/Organization/Individual): 5�vjq�.[ i,,n
Address: —
City/State/Zip: ' AAA Q )Phone#: O (o q,+
Are you an employer?d4ck the appropriate box: Type of project(required):
1.❑ I am a employer with- 4. ❑I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp.insurance 00MP.i".", ce t
required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.2 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
mysel£[No workers'comp. right of exemption per MGL 12.❑Roof repairs
t c. 152,§1(4),and we have no
insurance required.] 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 infomratiou.
t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the subcontractors 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 andjob 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 a IA for insurance coverage verification.
I do hereby der the pain4 and penalties of perjury that the information provided above is true and correct.
Si ature: f Date l< 1,19
Phone#:
Official use only. Do not write in this area,to be complded by city or town of Icial
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(LLQ 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. Shoanld 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
P P
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,burn leaves etc.)said person is NOT required to complete this affidavit.
Y.
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 Ac 6dents
Office ofInvestipflons
600 Washington Stet
Boston,MA 02111 -
Tel.#617-727-4900 ext 446 or 1-877-MASSA.FE
Revised 4-2407 Fax#617-727-7749
www.maw.gov/dia
ABL MORTGAGE INSPECTION PLAN, >
tz
REGISTERED LAND SURVEYORS NAME ARTHUR G. BIRSCHNER & MAIARA V. SPAIRANt-KNAUSS
P.O.Box 70702
Quinsigamond Village Station LENDER
W ORCESTER,MA 01607
508-752-8050(PHONE) LOCATION 64 MAPLE AVENUE
508-752-8004(FAX) HYANNIS. MA
A Division of H. S. & T. Group, Inc. Ut
REGISTRY BARNTABLE SCALE 1 = 20 DATE 01 -02-18 �.
GASSED UPON DOCUMENTATION PROVIDED, REOUIREO MEASURE- DEED B00X/PACE CERT #1 94042 co
MENTS WERE MADE OF THE FRONTAGE AND BUILDINGS) SHOWN
ON THIS MORTGAGE INSPECTION PLAN. IN OUR JUDGEMENT ALL VISIBLE EASEMENTS ARE SHOWN AND THERE ARE NO YKXAT04 tiN OF Atq PLAN BOO,/PLAN 9638-G
OF 20NING REQUIREMENTS REGARDRNO STRUCTURES TO PROPERTY
LINES (UNLESS OTHERWISE NOTED IN DRAWING BELOW). WE CERTIFY THAT THE BUILDINGS)ARE NOT WITHIN THE
NOTE: NOT DEFINED ARE ABOVEGROUND POOLS, DRIVEWAYS, DANIEL
OR SHEDS WITH NO FOUNDATIONS, THIS IS A MORTGAGE `�^ SPECK FLOOD HAZARD AREA. SEE FEMA MAP:
INSPECTION PLAN: NOT AN INSTRUMENT SURVEY,00 NOT USE TO Cf J. .. G ry ry
ERECT FENCES, OTHER BOUNDARY STRUCTURES.OR TO PUWT TIVNAN N 568J D1D tt U7
SHRUBS. LOCATION OF THE STRUCTURE(S)SHOWN HEREON IS EITHER n) 40047 d L
IN COMPLIANCE WITH LOCAL ZONING FOR PROPERTY LINE OFFSET
REQUIREMENTS,OR IS EXEMPT FROM VIOLATION ENFORCEMENT FLODD HAZARD ZONE HAS BEEN DETERMINED BY SCALE AND
ACTION UNDER MASS. G.L. TITLE VII. CHIP. 40k SEC. 7, UNLESS IS NOT NECESSARILY ACCURATE. UNTIL DEFINITIVE PLANS ARE
THE ABISE OVE CERRTTIFICATID. O CERTIFICATIONSCATION IS MADE WITH THE PROVISION HAT ISSUED BY FELM AND/OR A VERTICAL CONTROL SURVEY IS
THE INFORMATION PROVIDED IS ACCURATE AND THAT THE MEASURE- PERFORMED, PRECISE ELEVATIONS CANNOT BE DETERMINED.
VENTS USED ARE ACCURATELY LOCATED IN RELATION TO THE
PROPERLY LINES.
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REQUESTING OFFICE:PIZZUTi & MAllEO, LLC, DRAWN BUD
REWESTED BY; CHECKED BY:
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Application Number...........................................
Section 9- Construction Supervisor
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email Cell #
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 180 CMR and the Town of Barnstable.Attach a copy of your license.
Signature Date
Section 10—Home Improvement Contractor
Name • Telephone Number
Address City State Zip
Registration Number 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...
Signature Date
Section 11 -Home Owners License Exemption-3
Home Owners Name:-M Q�l C K G �_2)CU YCT \
Telephone Number Cell or Work Number 50la,g is 6z _i7
I understand my resp ibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massach etts tate Building Code. I understand the construction inspection procedures,specific inspections and
documentati =re * 780 CMR and the Town of Barnstable.
Signature, cDate.
APPLICANT SIGNATURE
Signature Cl CO Date 'D 3
Print-Name,_ \ ck1 Cky Ck 5,ec�kyan Telephone Number ` 0
E-mail permit to:
`� �^ Last updated: 11/15/2018
� s
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)
Signature of Owner date
Print
Name
}
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Last updated: 11/15/2018
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