HomeMy WebLinkAbout0077 MARSTON AVENUE i
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Town of Barnstable Building
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Post This Car`iSo Tfi"et rty�s Uis�ble From the StreetApp�ovgd".Plans Must beRetainedon Job and-this Card Must be Kept .r
tARSJtT[A(3L . ' 'z.�:: t.�„i� 'P, i
M Posted UntilFinal Inspxectio.n Hash""een �
i639. ' ' r d such>Buildin shall Not be�Occu ied until a Fin'ailns`'ettion`has been made
Permit
Where a�Certificate of Occupancys R qui ems' , .g ,. p .. .._p. .,,_..... . �., ..,a ;na
Permit NO. B-20-678 Applicant Name: Craig Bishop Approvals
Date Issued: 03/04/2020 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 09/04/2020 Foundation:
Location: 77 MARSTON AVENUE, HYANNIS Map/Lot. 288-127 Zoning District: RF-1 Sheathing:
E F t 1
Owner on Record: SMITH,SCOTT A& NANCY W -', Contractor Name ,; CRAIG P BISHOP Framing: 1
Address: PO BOX 725
' Contractor License ' 109777 2
ANNIS PORT MA 02647 (.r EstPro'ect Cost: 1783.00
HY $ Chimney:
J Y
Description: Air Sealing&Weatherization Permit Fee: $85.00
Insulation:
.� s Fee Paid" $85.00
r
Project Review Req:• I° < .<, � Final..
;; f,�• _ a _' 3/4/2020'
g , R s
z,.
Plumbing/Gas
hr Rough Plumbing:
�,A: _- ...__. ._• >_ .: Building Official
� �-�.•, �•_� � � Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authoraed by this permit is commenced within six rnonths afte[issuance.
All work authorized by this permit shall conform to the approved application and theapproved construction documenfsfor whiehthis permit has been granted. Rough Gas:
,_ W � r
alterations and changes of use of an building and structuresshallbe in compliance with the local zoning by lawsand codes.
All construction, g Y g
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publict nspe, ion for the entire duration of the Final Gas:
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building.3h&Fk6 Officials are prov ded on this permit.
Minimum of Five Call Inspections Required for All Construction Work 1 � ,.' Service.
1.Foundation or Footing 'a
2.Sheathing Inspection _ _ Rough:
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
S.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" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
fale —( _
XmPRESS PERMIT
Town of Barnstable *Permit#5 1 ��
C Expires 6 m . fr m issue dote
�O'�
d! Regulatory Services Fee
# #
• BAnIVSTABTA
MASS. �$ Thomas F.Geiler,Director
RNSTAOLE Building Division
ildin
Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma us
Office: 508-862-4038 •. Fax:.508-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number
t�C
Property Address 'SS' /�}(�' 91.�1�6 / "% �i�`i'�
Residential Value,of ' Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address ,
4W
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
L?rI am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to .
❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof)
Re-side
#of doors
replacement Windows/doors/sliders.U-Value. (maximum.35)#of windows
❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. .
Separate Electr p&Fire Permits required.
*Where required: Issuan this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: rty Owner must sign Property Owner.Letter of Permission.
y of the Home Improvement Contractors License&Construction Supervisors
.License is
fired.
SIGNATURE:
nAlUD rr Fc\TnRMC\hnildin t forms=RESS.doc ,
The Calnm n wealth,o,f assachusetds
Department a,Industrial Aeciderr#s
O,otce of Invesfigafions
600 Washingtrin Street
Boston,M417211.1 .
wrc*rv.m gav/din
Workers' Compensafitan Insurance ,davit+ Bmhlersf�ntractorsJElecfric anslPl�nmbers
Applicant Information Please Print Lezibly
Name- � tionlhubidual): 0
�-`
CitylSiRel : Phone#
Are you an employerf Check the appropri;01 x Type of project(required):
1.❑ I am a employes with #/ I am a gel contractor and I 6 ❑New consfntction
employees(fall andtor patrt�ime).* � 'have ltirexl the sub-con�acbars
2.❑ I am a sole proprietor or ptartner-
lasted an the attached sheet, 7. ❑Remodeling
ship.and have no employees These sub-contractors l $_ ❑Demolitxog
warlrislg for me in any capacity. employees and have wc&,ers' g ❑Building addition
�o�km' comp-insurance camp-insurance I
10. Electrical or additions
required.] 5. ❑ We area corporation and its ❑ repairs
3!❑ I am a homeowner doing all work officers have exercised thew 11_❑Plumbing repairs or additions
mysseSf. [No workers'camp right of exemption per MGL 12.El Roof repairs
insurance required]r c.152,$1(4),and we have no
employees-[No workers' 13.❑other
comp-msuuanee reTURA-]
'Any applicant that checks box#1 mast also falow the section below showing their workers'compensation policy inf miatiam
I Homeowners wbo submit this affidavit M&c3=9 they redoing all val and then hire outside contractors mast submit a new affidavit indicating such.
tCantraacters ibat check this boa mast attached Zm addiiinna!sheet showing the name of the suit-contoctors and state wbether or not those entities bare
emptayees. iftbe sub-antmams have emplipy-ees,they iininy avide dwir workers'comp.policy number.
jam are omplrj8r thatisptvvidbtg.workers'compensatisn insurance for rriy employ Bdaff is then pvi[iey and,job site
informadom .
Insurance Company Name:
Policy#or.Self ins.Lice.# Expiration Bate:
Job Site Address- City1`State/Zip:
Attest h 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(ar 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 a the violator. Be a&sed that a copy of this statement may be forwarded to the Office of
Rwestigatiens of the D 4r,�n-ance coverage verificaticn.
I do hereby certi epians and ye s rr.fpet7 w y#JW the inforiraaiiva Pr my ded is iris and correct
eu
Phone#: e
offidal xs+e only: not write is this area,to be crrrnpleted by city or town o iciat
City or Town• PermiitAlcense#
issuing Authority(arde one):
1..Board.of Health 2.Budding Department 3.Citylrawn Clerk Electrical Inspector 5.Plumbing Inspector
Other..
Phone#; .
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Ott
+... ••��•� ,R � �, �t .'tits ,��1
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°Fz Tom,, Town of Barnstable
ti
P Regulatory Services
BARNSTABLE ' Thomas F. Geiler,Director
9Q 19
�f�MA1 Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office:. 508-862-403 8 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
a Please Print
DATE: 014
JOB-LOCATION:--
�-�__n_ulnb& �jstreeeet` �j village j V�' 9
HOMEOWNER": l.L L""'![!7 VQ(J��-�'i l � / 77" L�'`'
name home phone# work phone# /
—6URRENT.MAIL-ING ADDRLSS-:—RQ
city/town state zip co
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 undersigne homeowner"assumes responsibility,for compliance with the State Building Code and other applicable codes,
bylaws, rules egulations.
The undersi ed omeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedur quirements and that he/she will comply with said procedures and requirements.
�� II
Signatur owner
Approval of Bui ing Official.
Note: hree-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code
Section 127.0'Co struction 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.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 fomi/certification for use in your community. .
Anr - .. . .. ..
y
* awaxsTns[E
9� � Town of Barnstable
,etFD Mp l a
Regulatory Services '
Thomas F. Geiler,Director.
Building Division
Thomas Perry, CBO
Building Commissioner
200 Main.Street, Hyannis,MA 02601
www.town.ba rnstable.in a.us
t y 44
Office: 508-862-4038 ,., , ,, Fax: 508=790-6230
Property Owner Must
Complete and Sign This Section ' - r
If UsingA Builder,'
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: ,
f
. r
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on.the
reverse side.
1WPFILESTORMS\buildin Q: g Permit formslEXPRESS.doc
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Ma Parcel A pplication #261
p
Health Division Date Issued 3
Conservation Division Application Fee
Planning Dept. Permit Fee /
Date Definitive Plan Approved by Planning Board
Historic - OKH — Preservation / Hyannis
P�ro-ject Street Address-��� & lfiz
Village
Owner`-Cl�tt Sltil�`TC� J Address
Telephone
r-Per-m-it Request! L _,,00
a! AM
I K d IV "11V14 F Of la 141
IaZA f7'
Q��t-�sffil"odr exi ting proposed n 1 or: exi ng pM��ed Total new
Zoning District Flood Plain Groundwater Overlay
P-roject Valuation&W, Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq�p)
Number of Baths: Full: existing new Half: existing new ::F
Number of Bedrooms: existing _new p o
V CA
Total Room Count (not including bath:3): existing new First Floor Roi m Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal stogie: es ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPL-ICANT INFORMATION
(BUILDER OR HOMEOWNER) 608. 280`
Name,l` (r �ltil� �Telephone Number ���
Address /T�F:rJIU/<S y;�l/ License #
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION D IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE
- r
FOR OFFICIAL USE ONLY
APPLICATION#
r DATE ISSUED
MAP/PARCEL NO. ' {
ADDRESS VILLAGE
OWNER 1
1
DATE OF INSPECTION:
` ✓•FOUNDATION, _
Lt •
FRAME
INSULATION `
3
i
'R
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL 4
FINAL BUILDING
' DATE CLOSED-OUT
ASSOCIATION PLAN NO. r `
.rV 4.• ,
s
F. f
The Commonwealth of Massachusetts
Department of IndustfialAccidents
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
NaMe-(Business/Organization/Individual):—�2 i JQ&A
v
�Acldr-ess _970
City/State p. s Phone�#: � ` !�
Are you an employer?theck the appropriate Lox: Type of project(required):
1.❑ I am a employer.with 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
These sub-contractors have g• ❑Demolition
ship and have no employees I�
working for me in an capacity. employees and have workers'
g Y P n'• 1#� 9. ❑Building addition
[No workers'comp. insurance comp. insurance,
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insiaance 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 oat 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.
<k6ntiactois that check this-box-must attached an-additional`sheet showing the name_of the sub contractors and state whether or nofthose entities have
--��
employees-If the sub=contractors ha—ve employees,they must provide_ —ih_ -e_ ers=comp.policy-number
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job 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 cover a as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,50-0.00 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 da gainst the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of for insurance coverage verification.
I do hereby..ce r the pains and penalties of perjury that the information provided ve is true and correct
Signature.— — Date:
Phone#:
Ofj7cial useno not write in this area,to be completed by city or town officiaL
City or Tow 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: w Phone#:
Information and .Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuantto 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 Iicense 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(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 Iicense 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 enterthai.r
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
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.
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 '
I
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel,`#617-727-4900 ext 406 or 1-877-MASSAUE
Zevised 4-24-07 Fax# 617-727-7749
www.mass.gov/dia
:Y
sKVE,
Town of Barnstable
RegWatory Services
t BAPJ4S`rA , f Thomas F. Geiler,Director
Mass.
9� s639• BU11ClIIlg D1V1S1oII
�TED MA'I a
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.b arnstable.ma.us
Office: 509-862-4038 Fax:.508-790-6230
HOMEOWNER LICENSE EXEMPTION
6"15 Please Print
1/
DATE: jJ ���{{{
017
JOB`L-OCATION �—//,WW
number -r street village
"HOMEOWNER": i l C/
name /� home
phone# work phone#
CURRENT MAILING ADDRESS: ll M /y1�flIXJ�V/4/ /I/C/,r wo
&wW_s Pew- //J#
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellinZs 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 ylaws,rules and regulations.
The undersi omeowner"certifies that he/she understands the Town of Barnstable Building Department
minimum' on procedures and requirements and that he/she will comply with said procedures and
require
Sign re-g owne�
Approval of Bu ing Official
Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the
State Building de Section 127.0 Construction Control.
i
HOMEOWNER'S EXEMPTION i
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.
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:fomns:homeexempt I I
. i
. I
r .
oFE ram,, Town of Barnstable
x�
0
Regulatory Services
' Thomas F.Geiler,Director
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
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on ray behalf,
in all matters relative to work authorized by this building p t
(Address of J b) ,A
**Pool fences and alarms are th responsibility of the applicant. Pools
are not to be filled or utilized befo , ce is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
QTORMS:OWNERPERMISSIONPOOLS 6/2012
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TOTAL DISTANCE
t Boy se CascadeTriple 1,3/4" x9-1/2" VERSA-LAM®-2.0 3100 SP Designs\FB01
r•
Dry 1 span I.No cantilevers 1 0/12 slope" Friday,April 05, 2013
BC CALC®Design Report-US 17-00-00 OCS
Build 2258 file Name: 'BC CALC Project'
Job Name: Description: Designs\FB01`
Address: Specifier:
City, State, Zip: , ,Designer:
Customer: ` Company:
Code reports: ESR-1040 M.isc:
-
i I I I , i I • I � 1 i - i . i l < .i � I 11 � , � �_ I � i
z;4=n -'�;€.�t.5�• s yi a .are' �s -,�s -.-�`rp - +, a�,;�; � '.� i -s.#�, � � f� -�`' �;f ',r:'v .� �, ^ca--'�i: ' £i f € '' --'" _ � r-,
_3. � '�"..'.,c"5 - ".--�.•-x ;t.� -� �r mania �� f,.�_.� i�,H=t-,��• ,4 ':�:r-"�ek:. '� g r ��uE,�kE.^7;`",.,,,+:?'a ° ,.:n ��h -:-:j. � '� �>b -k �,�Nm
BO B1
' Total Horizontal Product Length=11-00-00
Reaction Summary(Down/Uplift) (lbs) _
Bearing Live Dead Snow Wind ""Roof Live
BO, 3-1/2" 4,675/0 1,947/0
B1, 3-1/2" 4,675/0 1,947/0
Live Dead Snow `Wind Roof Live OCS
Load Summary
Tag Description Load Type Ref: Start End 100% 90% .115%°. 160%, 125%°
1 Standard Load Unf.Area'(lb/ft12) L 00-00-00 11-00-00, 40 10 17-00-00
2 Unf, Area (lb/f:12) .: L 00-00-00 11-00-00 10' `10 17-00-00
Controls Summary Value %Allowable Duration Case Location Disclosure. . .
Pos. Moment 16,725 ft-lbs 79.9% 100%'•, 1 05-06-00 Completeness and accuracy of input must
End Shear 5,318 Ibs 56.1% `100% 1 'w 01-01,00 be verified by anyone who would rely on
Total Load Defl. U284 0.446" 84:6% n/a 1 05-06-00 output as evidence of suitability for
( ) particular application.Output here based
Live Load Defl U402(0.315") _,89.6% n/a,, 2. :05-06-00` on building code-accepted design
Max Defl. 0.446" 44.6% n/a 1 ; 05-06-00:.:properties and analysis methods.
Span Depth 13.3 '. n/a n/a 0 00-00-00 Installation of BOISE engineered wood
products must be in accordance with'
4 current Installation Guide and applicable
%-Allow-t %Allow `.building codes.To obtain Installation Guide
Bearing Supports Dim (L x V1) Value Support Member Material or ask questions,please call
BO Post 3-1/2"x 8-1/2" 6,623 Ibs n/a -72.1% Unspecified (800)232-0788 before installation.
131 Post 3-1/2"x 3-1/2" 6,623 Ibs n/a ` 72..1% Unspecified gG CALCO;BC FRAMER@,AJS�^, -
ALLJOISTO,BC RIM BOARD-,BCIO,
LAMTM SI
CBUtIOnS BOISE GLU MPLE FRAMING
Member is not full supported at post BO..A connector is re wired at this bearin , SYSTEM@,VERSA-LAM®,VERSA-RIM
y pp p q 9•; PLUS®,VERSA=RIM® '
Member is not fully supported at post B1. A.connector is required at this bearing.; VERSA-STRAND@,VERSA-STUDO are
trademarks of Boise.Cascade Wood
Notes Products L.L.C.
Design meets Code minimum (U240)Total load deflection criteria:
Design meets Code minimum,(U360) Live load.deflection criteria:~ ,
Design meets arbitrary(1") Maximum total load deflection criteria.
Calculations assume member is fully laterally braced:
Design based on Dry Service Condition.
Fastener:Manufacturer, TrussLok(tm)
Page.1 of 2
Boise Cascade - Triple 1-3/4" x 9-1/2" VERSA-LAMO-2.0..3100 SP" Designs1FB01
Dry 1 span [No cantilevers 0/.12 slope Friday,April 05, 2013
BC CALCO Design Report- US .17-00-00 OCS
Build 2258 File Name: BC CALL Project
Job Name: Description: Designs\FB01
Address:" Specifier:
City, State, Zip: , Designer:.
Customer: Company:
Code reports: ESR-1040 Misc:
Connection Diagram Disclosure
�{ b d Completeness and accuracy of input must
L� be verified by anyone who would rely on
a output as evidence of suitability for
0 • particular application.Output here based
on building code-accepted design
properties and analysis methods.
• �—• • Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
e building codes:To obtain Installation Guide
or ask questions,please call
a minimum =2" _ c= 5-1/2" (800)232-0788 before installation.
b minimum =4" d=24" -
e minimum = 1 BC CALCO,BC FRAMER@,A STM
ALLJOISTO,BC RIM BOARD , BCIO
All TrussLok screws may be installed from one side of multiple ply VERSA-LAM beams. BOISE GLULAMTM SIMPLE FRAMING
SYSTEAll TrussLok screws maybe installed from one side'of multiply Versa-Lam beams. PLUS@,V,VERSA-LAM@,VERSA-RIM
LUS@ VERSA-RIM@,
Member has no side loads. VERSA-STRANDO,VERSA-STUD@ are
Connectors are: FMTSL005 trademarks of Boise Cascade Wood
Products L.L.C.
Page`2 of 2
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�` •' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
r
Map- Parcel Application # 0. aqQ
Health Division Date Issued
Conservation Division Application Fee ®
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH Preservation/Hyannis
— Y
Project Stre t Address
Village z
Owner 5�� �Lrl Address ✓ NeW51-ow.5S
Telephone 96 ' '�Lq ( O).
Permit Request K(�JiUk1G% to-'et
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 91Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout - ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sr"-1 ) '
Number of Baths: Full: existing new Half: existing �J`�tm �.
Number of Bedrooms: existing _new a
Total Room Count (not including bath:): existing new First Floor R om Coun�t� §
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: Yes ❑ No
Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
- 4 - (BUILDER OR-HOMEOWNER) ® K �
Name �, I A Telephone Numbef �� `�Yb d
Address l' aLr � V�' License #
Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION D S RESULTING FROM THIS PROJECT WILL BE TAKEN TO
t
SIGNATURE DATE '
F FOR OFFICIAL USE ONLY
` APPLICATION#
y ` DATE ISSUED
t `
`. MAP/PARCEL NO.
4
1
4
ADDRESS VILLAGE
4 OWNER
DATE OF INSPECTION:
�,!: FOUNDATION .
FRAME
INSULATION
'. FIREPLACE
'4 ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL '
FINAL BUILDING
s
d
DATE CLOSED OUT.
ASSOCIATION PLAN NO.
The Commonwealth of Massachusetts
Department of Industrial Accidents
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
Name(Business/Organizati n/Individual): o.
Address: Jjt---c
City/State/Zip: / "c/e #: -
Are you an employer Check the appropriat$0m "g Type of project(required):
1.El am a employer with 4. eneral 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 g• ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P tS'• 9. ❑Building addition
[No,workers' comp.insurance comp. insurance.:
quired.] 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.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑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 ill 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 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 the policy and job 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 coveragep required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.0Ist ne-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of thr insurance coverage verification.
I do hereby c the pains and penalties of perjury that the information provided a ove is true and correct
Signature: Date:
Phone#: � a
Official use only. Do not write in this area,to be completed by city or town official
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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)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. 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. 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.
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 0211.1
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07
Fax#617-727-7749
wwvv.mass.gov/dia
�TIM Town of Barnstable
Regulatory Services
m * Thomas F.Geiler,Director
1639. 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
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
n b treeett ^� /�/r�2 7Viillagee
"HOMEOWNER":fib �t� L�� ��L—, �7� t/ !J , 1 DK6�
name n homep one# work phone#
CURRENT MAILING ADDRESS: /J
ci 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 eowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules r4"I'l .ations.
The 4suirements
omeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
proc and that he/she will comply with said procedures and requirements.
Signat77
re ier
Approval of BuildiAg 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.
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.
C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Conten[.Outlook\QRE6ZUBN\EXPRESS.doc
Revised 053012
�'ME, Town of Barnstable
ti
Regulatory Services
• &UMSTABLE +
MAss, g, Thomas F.Geiler,Director
i639• �0
ATE r„a�" 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
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize to act on my behalf,
in all matters relative to work authorized by this building permit.
(Address of job)
**Pool fences and alarms are the ibili ons resP tY of the applicant. Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
Signature of Owner Signature of Applicant
Print Name Print Name
Date
Q:FORM&OWNERPERMISSIONPOOLS 6/2012
Town of Barnstable
Regulatory Services
K I IAJMSTM e •
Thomas F. Geiler,Director
Building Division
rFD MA'S A
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Date April 10, 2013
Scott and Nancy Smith
77 Marston Avenue
Hyannis, MA 02601
Dear Mr. and Mrs. Smith:
This letter is to inform you that you are currently in violation of Barnstable Zoning
Ordinance 240-11. Any use other than a Single-Family home is prohibited (basement
apartment). You must contact this office by May 1, 2013, to arrange to bring the above
address into compliance or be subject to fines of no more than $100.00, per violation, per
day.
Sincerely,
Brenda Coyle
Division Assistant
Enclosure
cc: Robin Anderson
Zoning Enforcement Officer
i Ale a) �C ) ne--F`Osk,I
J
v
f
Parcel Detail Page 1 of 3
xxft
a _
a` 7
=6
lea
Logged In As: Parcel Detail Tuesday,April 9 2013
Debi Barrows
Parcel Lookuo
Parcel Info
Parcel ID 288-127 DeveloLoo� LOT 126& 14B I
Location 177 MARSTON AVENUE I Pri Frontage 1160
Sec Road 1 Sec
Frontage
village�HYANNIS Fire District I HYANNIS
Town sewer exists at this address No I Road Index 0987
Asbuilt Septic Scan: Interactive ,. a
288127_1 Map
Owner Info
Owner JJP MORGAN MTG AQUIS CORP Co-owner(%SMITH, SCOTT A& NANCY W I
Streets 177 MARSTON AVENUE I Street2 I
City I HYANNIS _ I State MA zip� Country
Land Info
Acres�0.44 � use Single Fam MDL-01 I zoning RF-1 Nghbd,0106 m
Topography Level I Road Paved I
Utilities I Public Water,Gas,Septic I Location
Construction Info
Building 1 of 1
Year 1959 —_I Roof Gable/Hip I Ext Wood Shingle
Built Struct — Wall
Living I2312 ( Roof Asph/F GIs/Cmp I AC None I
ArealL Cover Type
Style Cape Cod Int Drywall Bed 5 Bedrooms
p Wall�.__ry Rooms
1 Int= Baths
Model Residential I Floor I Carpet I Rooms L 3 Full
Heat Total
Grade jAverage I Type Hot Water I Rooms 10 Rooms I �r
Stories 11 1/2 Stories ( Heat I Found-
ation[Gas
Fuel[Gas poured Conc.
Gross 5127 I
Area
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21876 4/9/2013
Parcel Detail Page 2 of 3
Permit History
Issue Date Purpose Permit# Amount Insp Date Comments
5/2/2005 Remodel 83785 1$1,200 10/5/2005 12:00:00 AM
Visit History
Date Who Purpose
10/5/2005 12:00:00 AM Martin Flynn Drive by inspection only
2/20/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
12/15/1988 12:00:00 AM ML Meas/Listed-Interior Access
Sales History
Line Sale Date Owner Book/Page Sale Price
1 7/26/2012 JP MORGAN MTG AQUIS CORP 26530/26 $299,900
2 4/30/1999 FITZGERALD, ROBERT C & LISA RYAN 12237/258 $145,000
3 7/31/1979 FITZGERALD, ROBERT G &BETTY J 2959/219 $0
4 13/29/2013 1 SMITH, SCOTT A& NANCY W 27251/161 $280,000
- Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2013 $165,400 $66,000 $2,100 $140,800 $374,300
2 2012 $169,100 $57,800 $1,700 $135,400 $364,000
3 2011 $196,500 $25,500 $0 $135,400 $357,400
4 2010 $196,100 $26,500 $0 $137,600 $359,200
5 2009 $204,000 $31,600 $0 $174,300 $409,900
6 2008 $212,000 $31,600 $0 $190,800 $434,400
8 2007 $243,500 $31,600 $0 $190,800 $465,900
9 2006 $228,500 $31,600 $0 $198,400 $458,500
10 2005 $202,800 $28,200 $0 $141,500 $372,500
11 2004 $167,000 $28,200 $0 $141,500 $336,700
12 2003 $145,800 $28,200 $0 $47,200 $221,200
13 2002 $137,300 $6,200 $0 $47,200 $190,700
14 2001 $137,300 $6,400 $0 $47,200 $190,900
15 2000 $115,600 $6,200 $0 $54,100 $175,900
16 1999 $115,600 $6,200 $0 $54,100 $175,900
17 1998 $115,600 $7,000 $0 $54,100 $176,700
18 1997 $108,900 $0 $0 $54,100 $163,000
19 1996 $108,900 $0 $0 - $54,100 $163,000
20 1995 $108,900 $0 $0 $54,100 $163,000
21 1994 $98,200 $0 $0 $48,700 $146,900
22 1993 $98,200 $0 $0 $48,700 $146,900
23 1992 $111,900 $0 $0 $54,100 $166,000
24 1991 $136,600 $0 $0 $50,500 $187,100
25 1990 $136,600 $0 $0 $50,500 $187,100
26 1989 $138,900 $0 $0 $50,500 $189,400
27 1988 $82,700 $0 $0 $26,400 $109,100
28 1987 $82,700 $0 $0 $26,400 $109,100
29 1986 $82,700 $0 $0 $26,400 $109,100
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21876 4/9/2013
i
Parcel Detail Page 3 of 3
� Photos
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21876 4/9/2013
Parcel Detail Page 1 of 3
kIASS
i
Logged in As: Pa f Ce I Detail
Tuesday,April 9 2013
Debi Barrows
Parcel Lookuo
Parcel Info
Parcel ID 288-127 I DevelopeeY LOT 12B& 14B
Location 177 MARSTON AVENUE I Pri Frontage 1160
Sec Road( I Sec
Frontage
Village 1HYANNIS I Fire District I HYANNIS
Town sewer exists at this address[No I Road Index 0987
Asbuilt Septic Scan: Interactive
288127_1 Map
t.
- Owner Info
Owner JJP MORGAN MTG AQUIS CORP I Co-owner I%SMITH, SCOTT A& NANCY W
Streets 177 MARSTON AVENUE street2
City I HYANNIS I State FMA zip 02601 Country I
- Land Info
Acres 10.44 J use Single Fam MDL-01 I zoning IRF-1 Nghbd I0106 Ji
Topography Level I Road Paved
Utilities I Public Water,Gas,Septic I Location I
- Construction Info
Building 1 of i
Year 1959 I Roof Gable/Hip �I Ext Wood Shingle
Built Struct Wall
Living Roof AC
i
Area 2312 I cover Asph/F GIs/Cmp Type one
Style Cape Cod wan Drywall Rooms 5 Bedrooms
� =
Model Residential In Carpet Bath 3 Full I � _
Floor Rooms
Grade jAverage � � Heat Hot Water Total 10 Rooms I �
L '
Type Rooms �
Stories 11 1/2 Stories I Heat Gas - Found-
Fuel ation Poured Conc.
Gross 5127
Area
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21876 4/9/2013
Parcel Detail Page 2 of 3
Permit History
Issue Date Purpose Permit# Amount rInsp Date Comments
5/2/2005 Remodel 83785 $1,200 5/200512:00:00AM
- Visit History
Date Who Purpose
10/5/2005 12:00:00 AM Martin Flynn Drive by inspection only
2/20/2002 12:00:00 AM Paul Talbot Meas/Listed-Interior Access
12/15/1988 12:00:00 AM ML Meas/Listed-Interior Access
Sales History
Line Sale Date Owner Book/Page Sale Price
1 7/26/2012 JP MORGAN MTG AQUIS CORP 26530/26 $299,900
2 4/30/1999 FITZGERALD, ROBERT C& LISA RYAN 12237/258 $145,000
3 7/31/1979 FITZGERALD, ROBERT G & BETTY J 2959/219 $0
4 3/29/2013 1 SMITH, SCOTT A& NANCY W 27251/161 $280,000
- Assessment History
Save# Year Building Value XF Value OB Value Land Value Total Parcel Value
1 2013 $165,400 $66,000 $2,100 $140,800 $374,300
2 2012 $169,100 $57,800 $1,700 $135,400 $364,000
3 2011 $196,500 $25,500 $0 $135,400 $357,400
4 2010 $196,100 $25,500 $0 $137,600 $359,200
5 2009 $204,000 $31,600 $0 $174,300 $409,900
6 2008 $212,000 $31,600 $0 $190,800 $434,400
8 2007 $243,500 $31,600 $0 $190,800 $465,900
9 2006 $228,500 $31,600 $0 $198,400 $458,500
10 2005 $202,800 $28,200 $0 $141,500 $372,500
11 2004 $167,000 $28,200 $0 $141,500 $336,700
12 2003 $145,800 $28,200 $0 $47,200 $221,200
13 2002 $137,300 $6,200 $0 $47,200 $190,700
14 2001 $137,300 $6,400 $0 $47,200 $190,900
15 2000 $115,600 $6,200 $0 $54,100 $175,900
16 1999 $115,600 $6,20.0 $0 $54,100 $175,900
17 1998 $115,600 $7,000 $0 $54,100 $176',700
18 1997 $108,900 $0 $0 $54,100 $163,000
19 1996 $108,900 $0 $0 $54,100 $163,000
20 1995 $108,900 $0 $0 $54,100 $163,000
21 1994 $98,200 $0 $0 $48,700 $146,900
22 1993 $98,200 $0 $0 $48,700 $146,900
23 1992 $111,900 $0 $0 $54,100 $166,000
24 1991 $136,600 $0 $0 $50,500 $187,100
25 1990 $136,600 $0 $0 $50,500 $187,100
26 1989 $138,900 $0 $0 $50,500 $189,400
27 1988 $82,700 $0 $0 $26,400 $109,100
28 1987 $82,700 $0 $0 $26,400 $109,100
29 1986 $82,700 $0 $0 $26,400 $109,100
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21876 4/9/2013
i
Parcel Detail Page 3 of 3
Photos
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=21876 4/9/2013
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map Parcel 2? Permit#
Health Division Q ,3 r (3 C�� /c') Date Issued
Conservation Division qjzq /�_ Application Fee
� • � �
Tax Collector Permit Fee o-2 - v
CTreasurer mI SYSTEM
Planning Dept. € YAR LLD IEV COMPL IANO.'-,
Date Definitive Plan Approved by Planning Board WITH TITLE 5
� f��� EIVTAL CODE Ar''D
Historic-OKH Preservation/Hyannis NAS
SCULA3➢ ru
Project Street Address
Village
Owner :L 12&Z�u\`Z) Address :� f�l S -V o
Telephone S fe"St Y3 >r
Permit Request ►`�vP 13C0poye^7.S S LAYg?'��c�
Square feet: 1st floor: existing proposed 2nd floor: existing t1 proposed Total new
fi Zoning District Flood Plain Groundwater Overlay
dot Project Valuation R—°D- Construction Type
Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ElYes ❑No On Old King's Higi, ay: ❑ s ]No
Basement Type: ❑Full ❑Crawl Walkout Cl Other ,
f
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) ( _10
cry
Number of Baths: Full: existing new Half:existing ndW
Number of Bedrooms: existing new M M
Total Room Count(not including baths):existing new First Floor Room Count
Heat Type and Fuel: XGas ❑Oil ❑Electric ❑Other
Central Air: ❑Yes CyNo Fireplaces: Existing '2— New 0 Existing wood/coal stove: ❑Yes ONo
Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size
Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other:
Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes Po If yes,site plan review#
Current Use Proposed Use
UILDER INFORMATION
Name ��ca� r^ f^ � ���� V_, Telephone Number F �7 X 3 2(
Address S T License#
Home Improvement Contractor#
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 1'
SIGNATURE DATE 2 e ds—
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER ~
DATE OF INSPECTION:
FOUNDATION
1
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
r--
DATE CLOSED OUT --
ASSOCIATION PLAN NO.
• r'
C
_- _- The Commonwealth
m nwealth o Massachusetts
Department of Industrial Accidents
' Office of Investigations
600 Washington Street, 7'h Floor.,
' Boston,Mass. 02111
Workers'Compensation Insurance Affidavit.Buildin lumbin lectrical Contractors
" .a:
name: e r l .^ l�Z Ci IQ. -
address: n AA S T 0 C
city �� ~� m� state: M zip: a��:`� 'phone# L_`���
work site location full address :
I am a homeowner performing all work myself. Project Type: ❑New Construction Remodel
❑ I am a sole proprietor and have no one working in an capacity. ❑Building Addition
1 �'�3.""�•t�.�..'' .ii'. _,.�..�'Y�.. _ +y�,a; � +. ';'•%`:.`:..._ '� ..`':t' a .';,1'•,�Cz'
•y" +!.. 3'7'" i 9' saw ?..'a lo. S'a l.''^.i••:� :-e. �4.}��.
❑ I am an employer providing workers'compensation for my employees working on this job.
company name,
address:
city phone#'
insurance co. D01ICJ#
❑ I am a sole proprietor,general contractor,ovhomeowner ircle one) and have hired the contractors listed below who have
the following workers' compensation polices:
COMID, n name:
address: _
city / shone#:
Insurance co. # � �;l•
y yp� wry oli yy �yy 4 ta��yq,� y�. �r(,�+�` p
,'0, y ..0: ��tf8. ..�h.4t''1:'�r,�T,'A.•.f ST�`L'#SbTXJi`�w.'..M P.'•�e�dTlS"�" D:
company name:
address:
city: phone#•
insurance co. nolisl
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 5100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereby certify j the Sins nd Pena ies of per' mat-the information provided above is true and correct.
� �
Signature ff Date, •
Print name Phone#
[.h.ck
nly do not write in this area to be completed by city or town official
r�
: permit/license# ❑Building Department
[]Licensing Board
immediate response is required ❑Selectmen's Office
❑Health Department
son: phone#; ❑Other
D3)
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.
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.
The Department's address,telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street,7te Floor
Boston,Ma. 02111
fax#: (617)727-7749
phone#: (617) 727-4900 ext.406
Town of Barnstable
GF tHE Tp�
Regulatory Services,
Thomas F.Geiler,Director
Building Division ,
pTEo ° Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTIQN
Please Print
DATE:
� � V`�AqSfda� PstJ � dl 'i,GlNli`'� S�y2"
JOB LOCATION: village
" number _ . street
7�
ray 3G� d`/%`7
"HOMEOWNER name work phone#home phone# •
CURRENT MAILING ADDRESS: O b 6x
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 individAl.for hire who does not possess a license,provided that the owner acts as-
supervisor.
DEFINITION OF HOMEOWNER
Persons)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 andlor 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
zesvonsible 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 Bamstable Building Department
m;n;rrnim inspecti n r ced 9s and requirements and that he/she will comply with said procedures and
requirements?
Signature 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
h Supervisor. The homeowner acting as Supervisor is ultixnatelyresponsible.
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 cornmunity.
Q:farms:homeexempt
r Town of BarnstableILd 4
h
' " Regulatory Services
BAwMABLE,� Thomas F.Geller,Director
�A 1611 p,� Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Fax: 508-790-6230
Office: 508-862-4038
Permit no.
AFFIDAVIT
HOME IlaROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION -
requires that the"reconstruction,alterations,renovation,repair, o iernizatl'on�conversion,
MGL c. 142A q ��--
improvement,removal,demolition,or construction of an addition to any pre-e owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adj scent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements:
Estimated Cost r 2dU
Type of Work: (�v(�
Address bf Work: � � ���S T di"� 'A`✓ S 1/'�i,!��—r-�'j r'� � ,.+'
Owner's Name:
I
Date of Application: S
I hereby certify that:
Registration is not required for the following reason(s):
[]Work excluded by law
[]Job Under$1,000
QBuilding not owner-occupied
caner pulling own permit
Notice is hereby given that: RED
OWNERS PULLING THEIR OWN PERMIT OR DEALING
WITH UNREGISTF
WORK DO NOT HAVE
CONTRACTORS FOR APPLICABLE HOME IMPR
ACCESS T O THE ARBITRATION PROGRAM OP.GUARp.NTY FUND UNDERMGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY i
I hereby apply for a permit as the agent of the owner; -
Contractor Name - Registration No.
Date
Date /b Owner's Name
Q:fatms:homeafEidav
oFtKE 11, Town 'of Barnstable F
Regulatory Services
aARNHAaLe,
9 MASS. $ Thomas F. Geiler.,Director 1639.
oi p�"�� Building Division
Thomas Perry,Building Commissioner
200 Main Street, Hyannis,-M:A'02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: :508-790-6230
RE: 77 MARSTON AVE HYANNIS
OUR RECORDS THE FOLLOWING
ELECTRICAL PERMITS DOES' NOT
HAVE A FINAL INSPECTION #83. 5 94
s
ELECTRICAL PERMIT EXPIRED
FOR WIRING. OF THE UPSTAIRS x
BEDROOMS
f.
I
• . .�o�a� off,
Town of Barnstable *Permit#
Expires 6 months from issue d
,, , . Regulatory Services Fee
�
`0� Thomas F.Geiler,Director�EO"`"`� Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601PRESS PERMIT
Office: 508-862.4038 -
Fax: 508-790-6230 O j *2004
EXPRESS PL+'WMIT APPLICATION - RESImENTLA-L ONL
Not Yalid without Red X-Press Imprint 'TOWN OF BARNSTABLE
tap/parcel Number 41
roperty Address 0 9 1-r eA Tom► Aj LT— fiY
Residential Value of Work S Ooa •i Minimum fee of.$25.00 for work under$6000.00
mmer's Name&Address
`( /
bntractor's Name f`�`'`��" 2 Telephone Number S U 7`l J S�3
fome Improvement Contractor License#(if applicable)
:onstruction Supervisor's License#(if applicable)
]Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Bwmce Company Name
Vorkman's Comp.Policy#
'opy of Insurance Compliance Certificate must be on file.
ermit Request(check box)
�R roof(stripping old shingles) All construction debris will be taken to
❑Reroof(not stripping. Going over existing layers of roof)
ORe-side
❑ Replacement Windows. U-Value (maximum.44)
*'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Prop caner must sign Property Owner Letter of Permission.
Ho r ent Contractors License is required.
ignature
:Forms:expmtrg
cmcO63004
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CARBON MONOXIDE ALARMS
MUST BE INSTALLED PER
MASSACHUSETTS BUILDING CODE
E DETE ORS REVIEWED
BARNSTABLE BUILDIN DEPT. DATE
FIRE DEPARTMENT DATE
BOTH.IGNATURESARE REOUlRED FOR PERMITtNG
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