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Home My WebLink About0039 MASSACHUSETTS AVENUE 34 n�ass�chuse��s Avg F. .� �R r,'-Asss (1st floor): 3 P ®®, r-o4 , o*TNE .� ...... ............ ........:.....Assessor's map and lot number ........ toa Board of Health (3rd floor): WP o SewaJa Permit number .............S..-.. ° BAflH9TADLL. o DA Engingering Department (3rd floor): 3 9oc t63 9. �® Housenumber' ........................................................................ �odAY01' APPLICATIONS PROCESSED 8:30'-9:30 A-M, and 1:00-2:00 P.M. only TOWN OF IOARINSTAIDD LIE APPLICATION FOR PERMIT TO (le.�.. ............................ .........�......,..e........ ............G�'... ............................... Lvoad TYPE-OF CONSTRUCTION �i�Z.f !?�.�......................................................................... \ . March 9,...1.................19...... ..... ... .. T THE INSPECTOR; OF BUILDINGS: The undersigned hereby applies for a' permit according to the following information: 7 � Location .........39...Mass, ,AVA n.?l.. .F....H;7a.nn.i. .............................................................. ............ Proposed Use ....Residence. . ..................... .................................................................::"'::::................................................. .. .... .. . Zoning District ..................... .. .............!;......................Fire District ...........HyanrilS, MAC' Name of Owner ......R cha.r;d,.Ga,1lziQhier.................::'.Ad.dress ....�sDJTIE?...a.-S...ak?C��............................................... cin Name of Builder ,Jazrt, , .. 3..,..E+1 t, �s...W. 51�7.. .avian......................Addressl...9 �....X.army?1th..R�a.d.,X?rm �i. .b.nnrt, MA Nameof Architect .......... ---..................._..;r................................Address .................................................................................... Number of Rooms .....2...additioTiaj.............................Foundation ...(;.C'TIl?X?t...h�:Q( k............................................ Exterior .........CeAr...shing. AA ......................................Roofing Asphalt...shingle............................................ Floors Wood Sheet rock .................................................................................,,.. Interior ....................................... Heating ,. Fo..rC.ed ..hot...w.a.te.r.... Copper .. .... .. . .. .. .. .. .... .. .............................. g ............ ................................................................. Fireplace NO .................................................Approximate Cost ...$.30r0000`00 r .............................I......................... Definitive Plan Approved by Planning Board ____ ______ _ _ _19_ ______ . Area ..... ........,./..X1!................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I ' OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / NameQ ...................I, it f Construction Supervisor's License . 001400 . ..................... IGALLAGHER, RICHARD A No Permit for ....Additioa...to..Garage ........Single,.F m..',Iy..J).W.e,) ............a... _j.jag........ Location ...LO;....U.......... ..................ByaXiais.part ................................ Owner .....R i.Q.h A.K.d...GA1.1agher................ Type of Construction, .....Frame........................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ....Malxb...1.5...............19 88 Date of Inspection ....................................19 Date Completed ......................................19 _ 1 y it .. i I , 1,10 ST FL - 1 ..... ..._........ J C21� 1 , r i I , C25 i e. 6 /QEha[A7�l� � r L33 i G13 O i •4--- .RELocA?tR 01 . 1y 6 1rj '� 7 . s sruoy:: . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) m -A= �C&L DATA .dy ...I.Kxat m.ta,t `.•//��" /��j'L"�, 11 Locus AMP �t�•+n c ....� ` Z-- aF-1 +•v�o uI PCL.33 i sc.ALE is MASSAGHUSEZTS Avg esr t.n c1. 2 opp� p � e • Lv y,�Iw4 J q T,69 2 L R r a D O a Poop � O m FJ p ' 4 21,2Z5 6 v. { e V 0 2 6TY FR^ME �/C>_LING V D cy I1,5 l g fna. �^®b•14 .Da W p 9 CRAYTpN AVE f f•� B,A,XW5T►.19L6 PL"U1atG 150/VL0 RAN OF LAIyo M�fGwti Ju06QTr�SVHUIV IOIo..: IN TATT:`' 6J^�4�� I�i�y�� CNV,4MIOPOV.Z� y�40'��• coR E6wrQZ> ►•'L G►Lt�4H�R S DaaD Rc.F $K.T11 pG.-�LZ� ,.PRISGIL.LI.P.G�'.L.L►.f.HTQ _. ,. _ _ �_ „�t. ..;.,s�.;+.+ s.. 1. 20. +. . .4.. . 9..,,... . �►�E C t4999 , yYCGKT Fs�t�'`L.iu•io_e 3uivcyo¢5 `-��.w�e,�.'C•6 rGRVIl�.6'��MAO$ �"U'_' I --T.,y ZI-InT �<LP Api' IN GON►oQ MIT( w1 TN4 ANb 4opU L>.TIO NS oY THE _ QaG.1bTGRS oc oen.��S. PRELIMINARY g. e31Bo b wAssesscy's offioe (1st floor): 33 "MmellTHET m� Assessor's map and lot number ......v4. .................. YWLLE r�Ctf1iN �� oho Board'of Health (3rd floor): CE C� Sewage Permit number ........•vi/r•�•• ,� •KA91"i'mN " ENTAI. CODE AND 'BAUSTADLE, i raes Engineering Department (3rd floor): q RE/±��t °o 039. 0� House number .........................................!......:....................... S APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00.2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �.. ..................... TYPE OF CONSTRUCTION ............GUI[7o....... i!Z. ............................................................................... March...9........................19.8.8.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........3.9.:.Yia.55.. .;.A.venue.,...Hyann.isoort DiA.................................... ��• ........... ...... ................. ProposedUse ....ResiderlG.e................................................................................................................................................. Zoning District R t�......................................Fire District Hyannis Name of Owner ......Ri.chard...Ga.l ghe.r...................Address ...Sallne...d ...abo.V..e.............................................. Name of Builder ..JaMeS...4V.....SU11i.Van......................Address13.9...11..... 'ar,L•1au.th..Ro.a-d.,.YarTmiaut�?)Uxt, 1,Lz1 Nameof Architect .............--...............................................Address .................................................................................... Number of Rooms .....2...a.ddit.iQll..al..............................Foundation ...cement...b IQQk............................................ Exterior .........Cedar shinq.l6........................................Roofing Asphalt...shined.e............................................ Floors �Iood .Interior ...Sheet,..rock Forced. hot- water .........Plumbin Copoer Healing ................................................. g._............ .. ........................:......................................... Fireplace No .....................................................Approximate Cost $30, 000 . 00 Definitive Plan Approved by Planning Board ________________________________19-------- . Area 7. . .................... Diagram of Lot and Building with Dimensions Fee ll ...............v........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _ SS OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam9. .4?.'. . . .. .. .................. ,�� Z/.'��......... 11 Construction Supervisor's License ..00.14 9.0.1.4-0.0.................. GALLAGHER, RICHARD the No Permit forr ... dditi-QrL-to...Garage .......S.i n g.1 F Mi I.y...D.welling......... rn #q Location .....T?P.t... .........19.... 4. ............ v............. S.P P ......................... Owner ....Richard.... G.a.1.1.a.gjjQr .. .. ................. Type of Construction .........FAZZLMe.................... •7_ ............................................................................... Plot ..... .................... Lot ................................ I Permit Granted ..........March* 1.............I........5,........19 88 e of pec ion ...................... ........ 19 �6 Com ted ......... .......................... ..... 19 Z.- V im cgs 0 S; i °Ft"Er°. Town of Barnstable &40MST,BLE, 01 200 Main Street Tel.(508)862-4038 KAM& 0p_ �ATfoMAA�. INSPECTION REPORT Permit: Building -Alteration INTERIOR Work Only - Residential Use: Date: 12/17/2018 3:14 PM Inspector : bowerse Permit Number : B-18-821 Name: John & Leslie Strachan Address: 39 MASSACHUSETTS AVENUE, HYANNIS Unit No. Inspection Type Inspection Item Status Comment Building Final A- Inspection Results NIC Insulation in Crawl and basement not to code Insulation needed on all 3/4 hot water and all Hydro heat pipes Makeup air needed for kitchen exas if over 400 CFM Finished 3rd floor with 6 ft ceilings No ventalation provided for home Inspection Overall Comment: Fail Overall Inspection Status: Not Reviewed Re-Inspection Date: - Inspector Signature Owner Signature Total Score: 100 SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING DEPT, DATE MASTER BED u ROOM ® FI E DEPARTMENT q sD BOTH SIGNATURE°ARE.REQUIRED FOR PERMITTING SD aI�SUP GUEST \ GENERAL NOTES: BEDROOM BD E%ISTING SINGLE FAMILY RESIDENCE CONSTRUCTED PRIOR TO 1990 _ 4 NO BASEMENT TWO LEVELS PLUS ATTIC 1 LEVEL 1-SMOKE DETECTOR PLAN • �f�Ttl r,�'ip� I'� "�I .SD • DSD UP DOWN BED ROOM SMOKE DETECTOR NOTES/KEY SO-SMOKE DETECTOR --- SMOKE DETECTORS TO BE INTERCONNECTED,AC POW ERED W ITH BATTERY / BACKUP. S .I �DI-/l4 L w r(i(./ SMOKE DETECTORS WITHIN FEET OF ' BATHROOM OR KITCHEN BED ROOM • TO BE PHOTOELECTRIC Fi, f �vG � � `�i r.y��`�t�uu�S,�tu�• �I Y I.t�.I. 1� i, n LEVEL 2-SMOKE DETECTOR PLAN 3 ATTIC SMOKE DETECTOR PLAN N STRACHAN RESIDENCE ERED K ARe 39 Massachusetts Ave Hyannisport MA QF ARCHITECT DATE 04/19/18 Lab/Life.Science.Architecture,Inc. DRAWING TITLE Na 1017• ISSUE FOR PERMIT Street Fifth Floor SMOKE DETECTOR PLANS eoerDN, 112 South W SCALE 1I8"=1'-0" Boston MA 617.337.54711 91 ALL DIMENSIONS AND EXISTING CONDITIONS SHALL BE CHECKED AND VERIFIED BY THE CONTRACTOR BEFORE PROCEEDING WITH THE WORK MDF SHEET FA-1 Town of Barnstable uillrig ost;�PThis.Card"So"That it Is�Ulsable;Frorn�the Street Approved,PlansMust be�Retamed:'on��J,ob and this�Card Musty be Kept , •1ARNtlYA[iLE, ��r6,,: ��"r.•'� x, ;e .,�" .E'% ,.r2', � 'r' �,� 1 '�3"'� r, �' � '.� R z ��a �' ��' • M?+ Posted Until Final Inspection Has Been Made `% f� %. v .. �/`f, Permit 1Nhe""e,a�C,ert�ficate ofOcew anc is Re ured,Fsuch Buldmgshall Not beOccup�ed until a<F,nal Inspectaonhas=been made Permit NO. B-18-821 Applicant Name: john Strachan Approvals Date Issued: 04/25/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 10/25/2018 Foundation: Residential Map/Lot: 287-033-001 Zoning District: RF-1 Sheathing: Location: 39 MASSACHUSETTS AVENUE, HYANNIS ' Y` L z - Contractor ame Framing: 149 q my<8 Owner on Record: John&Leslie Strachan ; a Contractor License: s _ 2 r Address: 83 ELM STREET �< Est�ProJect Cost: $60,000.00 Chimney: . CHARLESTOWN,MA 02129 Permit Fee: $356.00 Insulation: Description: Updating two bathrooms,(sinks,toilets,shower,tiles)adding a third Fee Paid ,' $356.00 OK ` «�Ig Ie�yLdjK bathroom and master bedroom. Remodelm K tchenandnew z g : - Date 4/25/2018 Final appliances.Adding new floors. Replacing all windows that are k "n leaking. � Plumbing/Gas ' �, Jim Project Review Re NEW BEDROOM-SMOKE DETECTOR UPGRADE REQUIRED Rough Plumbing: J G .. g Buildin Official "It �. g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a thorizedby�ts permit is commenced within six�months after Issuance. Rough Gas: All work authorized by this permit shall conform to the approved application andthe approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures hall be in compliance with the local zomn by laws''a�nd codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for pubhc�nspection for the entire duration of the �a ' work until the completion of the same. a = , Electrical k P i The Certificate of Occupancy will not be issued until all applicable signatures by�the,Building and:FirekOfficials are provided3ooffthis permit. Service: Minimum of Five Call Inspections Required for All Construction Work -� : � ��, °. 1.Foundation or Footing M �r Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ONE'E . Town of Barnstable Building 1. - "°� 4 ,Post This Car So That it is Visib eFFromtheFStreet-:A roved•Plans Must be Retained on Job and his Card Must be`Ke t Permi .AxIN'FTrABIs, • ''.. '� :°�S;<' ,•,.:' � `.kr' :. �c �,.s�.� t pP, � `. �,`�;i: �` � � '' ` :. � � ` s� �` p �' 1 Poste Whed UntII;F,inal Inspection HaswBeen Madea ,a t �. �� t • re Certificate of Occapancy;��s Required,such Building shall Notbe`Occup�edunt�l a Fina!Inspection hasbeen�made , Permit No. B-18-2928 Applicant Name: FRANKLIN W KELLEY Approvals Date Issued: 09/06/2018 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 03/06/2019 Foundation: Location: 39 MASSACHUSETTS AVENUE, HYANNIS Map/Lot 287 033 001 Zoning District: RF-1 Sheathing: Owner on Record: GREGG,JOHN F&CHRISTINE M ; "ft ntractorName '� FRANKLIN W KELLEY Framing: 1 Address: 83 ELM STREET C Contractor License 22259 2 z CHARLESTOWN, MA 02129 ` v_ �.' N Est reject Cost: $36,000.00 Chimney: Description: INSTALLATION OF 2 SYSTEMS HYDRO-AIR V1YITAC DUCTWORK- Perm it Fee: $'85.00 3 FLOORS-BATH VENT GAS BOILER $ ;k Insulation: FeePald $85.00 Project Review Req: Dates 9/6/2018 Final: Plumbing/Gas j t 'r Rough Plumbing: Building Official Final Plumbing: a Rough Gas: 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 f E-'i this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning-bIaws a d codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical i '7IJR r x s Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Off "s are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:'a ` r :' Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Commonwealth of Massachusetts Sheet Metal Permit Mapt Parcel _'b Date: ` 1 ' Permit# Estimated Job Cost: $ D� �-' �� - Z ,P 't Fee: $ Plans Submitted: YES NO H% P,� Reviewed: YES NO Business License# Applicant 3 L > Dense# Business Information: Property Owner/Job Location Information: Name: Name: STYLgc��l� Street: Street: -2,`' 455,0,e 5e- 5 City/Town: City/Town: Telephone: 6 Telephone: Photo I.D. required 1 Copy of Photo I.D. attached: YES NO �,.itw J-1/M-1-unrestricted license J-2/.M-27restricted to dwellings -stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. " over 10,000 sq. ft. Number of Stories: Sheet metal wo7tocompleted: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System � h Metal Chimney%Vents ' Air Balancing �1 i Provide detailed description of work to be done: ' G�5 �� DATE(MM/DDIYYYY) A`�off® CERTIFICATE OF LIABILITY INSURANCE 8/1/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE (800)403-2448 FAX No): (866)828-2424 USI INSURANCE SERVICES LLC AADD ESS Certificate@Hanover.com 75 JOHN ROBERTS RD BLDG C INSURERS AFFORDING COVERAGE NAIC# SOUTH PORTLAND ME 04106 INSURER A: Allmerica Financial Benefit 41840 INSURED INSURER B: Hanover Insurance Co 22292 FRANK W KELLEY INSURERC: DBA FRANK KELLY PLUMBING INSURER D: 24 FREDERICKSBURG AVE INSURER E: HARWICH MA 02645 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER M IDDI YY MM/IDD LIMITS POLICY EFF POLICY EXP LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO—1 $ CLAIMSMADE OCCUR PREMISES EaEoccurrence $ MED EXP(Any one person) $ PERSONAL S ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY 1-1JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: y $ AUTOMOBILE LIABILITY COMBIN accident ED SINGLE LIMIT $ Ee _ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 A OWNED ✓ SCHEDULED N N AWN 979465506 11/15/2017 11/15/2018 BODILY INJURY(Per accident) $ 1,000,000 AUTOS ONLY AUTOS ✓ HIRED NON-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY AUTOS ONLY (Pr accdent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ SOO,000 B OFFICER/MEMBEREXCLUDED? � N/A N WHS A791487 02 01/0vz018 01/01/2019 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE AUTHORIZED REPRESENTATIVE 732 MAIN ST BARNSTABLE MA 02630 - ` CON 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i r INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch.112 Yes oba""' 11 If you have checked)LU, indicate the type of coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By sl r Title ed � Cityfl'own ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: Co Fee$ ❑ Check at www.mass.agy4 l Email: Inspector Signature of Permit Approval The CoMYROMvh OP&y5ac7umettv De m ent gf1udrrshid Accide; Office Gfh"v:ftafiv= 600 WashuWarc Mreet Boston,MA 02HI mvmmasLgvP1dra Workers' CumpensatranIusumnce AffidaviL B,ml-derslContractersMeebic gnsd'k bers App Infarmafn Please Print f DIY Na=(H �(R(�,J 11- 14Q.1Ile 4 Ai3d�t c�le �c.k5 v✓ �l-'Q' G taw�- Ua% t), c, `'•'� Phonei- Are you an employer?Checkthe appropriate bom ' Type of project(regui ed}: L❑ I am a employer•vzi& ' 4. ❑I am a general caatrackw and I 6_ El New coos a employees{fall amfar part-f=e}* have hired i&e sglr-comk�a�tas ,�,! 2. I am a sale groplietor orpartaes- listed onthe atUwfied sheet ?- ship and have no employees . •These sub-contractms have g_•Q Demolifion Wading farrow in any capacity.. en3plOyeeS andlsave worms' 9. ❑gIIilcring addition INo w dmrs'comp.in umce comp_iucurance f 5. 0 We area corporation ands 10:0 repairs or ad�ions I. officers h=exErrsed their iL lnmbsa re aizs or gdditiaas 3.❑ I ama bomea=er doing all wow P my"sdf-[No•waik:e s'comp- Of per 1' Q. I ofrepairs incn=e regaimd-I i c.152,§1(4}and we have rro 13.0 fltfies"` employees-[No Wad=e cam kmrzme mT irecL] ��apapp6�4d�atcbedesbazffl d—sa-Moutthe secdonbelows1w�69TV011ne e-Mfi0=VGHCY iUff=mS9a1L ffameovraes�dmsubmit ibisEffiLml7ila tbep��TT�4ag�adcsad(hPIIbFIeautsid�Ca�[5�Stsobmitanewaffi[�TFit a5McTL f03 6-ffixtrkxd bmc Most atfadse�m[ad slsheetsbnumgthenameaE@iesal�coatrsttoa�dsbRe�he �natfbnsee esb� employees.iftbesvb-*��hsseeagla5—,dxYmnM pm-,de&w wadm&camp.11GHU mmsber- I am an eutpiaper thatisprovidiag workers'caarperrsattrrtt inmrance for uzy srrrplal'ees $ei`aav is filePoUcy andiota sus t�cfarraaiinn. ' Iv3,urance CampariyName: 'Policy 4L or Self-ins..Iic_ F=RatiDnDat--- Job%tel4ddres� CdglStafe� p: Attach a copy ofthe work-ere compensationpolicy-declara4ion page(showing the policy number and expiration date). Fa&m to secure coverage as requireduuder Section 25A o€MGL c-l-can lead to the imposition of criminal Penattses of a fide up to$U0D 0a sncVbr one-gear imprisc nmeirt,Rswell as civil.peaalbies mthe form of a STOP WORK ORDIRand a fine of up to 0_Q{l a day against ffi.e vialdor. Be ad;dsed that a copy of dais sbaemed maybe forumded.ta the Office of Investzp om oftbe DIA for iflstn-ance-coverage verifraftla Ida hereby c r the lei;bus e d cmre�t Phone ik (i"use only. Da nat mvite is tfds axea,to be cvrrspieted by diF artarcn Official City or Ta mr. PerniftUcense 9 Lssmng Ansaarhy(eueIe Aae): L Board of Realth 2.lb>ffiffing Departmmt 3.CStylrowa Clerk 4.Ehrtrical Ikspecto€ S.Phoubing Inspector 6.Other Cantact Person: Phone- #- Information and Instru, etions Mz=,c*�Ge�=al Laws ffiVt •M reggaes all empIapms to provide wow'=nP=szion fM•6==eozpIayees- Pnrsaar±-,o this sPatafe,as nmpIvy,=is deed as.`�,evm:ypersonia txe service of another under any confrad of Yn., czpress or bnpliett oral or wrab=.7 An.mmp&Ter is dn7FmpA as as j mdxyidnal,parftj=sl�,emoc�iom,caipon fon or athear legal etxiffy,or nap tFi'D or more of the fnx-egoiag=gaged is a joint enfe<• d=,aadmclndmg the Iegal neprescabfives of a deceased employes,or the re cea or tUS ee of as mcTvidmal,per,=och ion cr other Iegal e titL=nplaylmg en3:plO9=r- HOWDver f m owner ofa dwellinghouseb Vfiig- otmorethanthree apartme�s andwho resides arthe occapa�ofthe dwmIImg house of - ano&er who mrr�Ioys pmsons to do mamf�co, aastrm±i on or repair wane on such dweIllingg house or on the grounds or bmllmg qVMtMzntihereb shannotbecanse of sach eozplaymrmtbe deemed to be an employed" MITT_chapter 152.§25C(6)also sin s flat¢evay, F f or local'firms agency shall withhold the ice—ceor renewal of a license or permit to operate a busnaess or to construct bui-Iffings in the commonwealth for any applicantvtho bus notproduced acceptable evidence of compliance with thr-ftmrtranre coverage regairecl°' Arldi6n-11y MM chapterL5Z,§25C(7)s dos fiNeiffierthe cm=_mrweahh.norguyofidspolifir-alsnbdiivisi®.s shall enter info any conttart forthe prance ofpubho wox3cunfil axep able evMenm of compliancewitb.the mmmm3-c6 regain of this chapter have lieenp=CMtCd•fnmecallfr m anthol�±y." . Applicants Please f i1l obt the woxlsers'compeasafim affidavit completely,by checkmg the boxes 1hat apply to your sitnaiion and,if necessary,Mpply sIIb� s)name(s), addmss(es)andphom nomber(s)alongwiftLtles ceri icafe(s)of =m-ance. Limited Liabtity C:omp=es(LLC)or L=itrdLiabx7zf'yPMt=Ml3ips CLEF)withno ea3ployees ather thM the members or parbacz-s,are not rejoiced to carry wurke&ccuupeasafim ins�c- If en LLC or LLP does have rmployem,a.policy isrequi ed. Be advisedthattlis of idayitmaybe�n7�"�txyf. parhne�of lndm�xial Acciden s ror confmnafinn of in�rrran ce coverage: Also be sure to sign and date the affidavit: The afhriavit should be-reamed to iho cify or town flist the application fDr the pemhit or license is being reque not me Deparbnemi of Indasbapl ccide nts Shouldyon hsvo any gamtions regaudmg the law or ifydu are rcgazcd to obt em a worlsrs' compsSati_O"Poficy,pleasecaILthzDepatnca3tatflenmaberlisfedbelow Self- coraparaesshouldentrtiheir self-msnrance license'm mber am the agpropr>att:line. City or Town Officials- Please be sere that the of u avit is complete andphm illegibly. The Departmenthas provided a space at ff=bottom ofthe affidavit for youth 01 out in the eveutthe Office ofI-avestigaiions has to yon,eg idingthe applirmt Pleasebem=tof iinthepen�/ croserarinber which will be:used asa=:Fr noom=bcr. Iu.adt tion,anapplir-ant .gnat must sabmit 3nUhiPIe p=WHcease appliM inns is any given year,need only mflmit me affidavit indicafmg cuu E t p olicy m:Eb ation.[xf necessary)and under`Job Site;Q-dd_ress"tie applicantshould wxte"aU locatinqns in (cay or town)_'A copy of the-affidavit that has beca officially stamped or mated by the ciy ar t owm may be provided-to ffie ' applicant as prooffmt a valid affidavit is oa file for fjtme'permifs or 1•xc:=es. A new affidavrtm nt be f Mcd out each year.Where a home owner or chi2m is obtam a license or pmmitnotre7.ated to any busme ss or commercial Ye e (Le. a dog license orpemit to boon leaves eta.)said person is NOT reqoired to complete this affidavit. The,Of ofInTesigafions wouldlilmta tlankyoumadvance for ymz cooperaiionand shouldyomhave anygaestians, please do nothcsit$ to give us a c M The,DcPaitmenf's address,telephone and fax mmmber: . - Dm�ntc�flnndAo�deni� (ice of�e�frg�tio� Boni..,MA EMI I Rev1sed424-07 t 1 _ W OMMONWEp►L 'WOF.MiA►SPill 11111111111111111 { gQARB R , j SHEET METAL y�►ORKERS , OLLOWING LIOENSEW � ISSUES Tk1E F �,._ ;;.--�„'--•, a ��'� I MA$TE4R UNRESTRICTED; rrr`� Z3 1zt ,, F}Zp�NKLIN z I ;v< y 24 .......DpJRG AVE W HARWICH:MA 02645 3' y,, Company • ' •dInsulationPhone Number 08 Applicator Name Installation Date Rr JobsiteAddress • • • Massachusetts Ave. Hyanni • • • • • • • • • • NumberPermit • . • • , � • • .. � ✓i ii� .,� �. .u' r..._... ,n,,:„r,�n, ;;,,;,,,,,, ,,,ri., ,�, n, ,.,.n, :r,,,,/./Gr✓�i.,.......... .,..,., .,., ,.. ,, z�>...,., r..:... .s� . ...> ,'�,. 3i/ ...:.:.. / ,..,..._,. r.//r .,r ..,..r r//- n, ,.,.... ,�zr,. // / / / /s f>. , f H<..Locaton,::of„Insu(aton / Thrckne s Total R Ualue A roximate.,S. F„t ., , , ,.,.c.. ',,,,6G,.�,i..�ii„na,�.,.,..,,e..,,,,_„c,,,,,,.,n,K,.,,, „,;,,,,, ,,,..i.,,.,,, �>,;;,,,.,,,.:A::v�„/6„9c„,.�,/ - r_,.;a,,,,;.';.. ., „,�r,,,,,.�/,� .,,,, ,�*,.,;;-,a, ,.,,,,,✓d „d/�.�.�,,,�,n�..lrx ,.w,.,i„�,,,,,,,,,,,,,,„n„1,;�., -- _ ..:..�:.4.,., r..:...,... intumescent Coating -Used Locatio"n / Thickness /.Covera e, Rate /�; g AGRI BALANCEO Company Name Cape Cod Insulation Phone Number 508-775-1214 . . Applicator Name Installation Date 9-7-2018 Jobsite Address 39 Massachusetts Ave. Hyannis Port 'A-Side Lot #'s PA86001801 Permit Number B-Side Lot #'s P11881908318 Walls Attic & Cathedral 8.5" R-38 1900 Rim Joist 5.5" R-24 260 - •., a -s • o - • - . e - � . - www.Demilec.com 49DEMILEC Commonwealth of Massachusetts Sheet Metal Permit Map Parcel Date: Permit# Estimated Job Cost: $ Permit Fee: $ . Plans Submitted: YES NO Plans Reviewed: YES NO Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: Name: Street: Street: City/Town.: City/Town: Telephone: Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initial J-1/M-1-unrestricted license J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney%Vents ' Air Balancing Provide.detailed description of work to be done: r INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑ No ❑ If you have checked)LU, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity Q Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waiyes this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Proiress Inspections Date Comments Final Inspection Date Comments Type of License: By ❑ Master Title ❑ Master-Restricted Cityrrown ❑Journeyperson Signature of Licensee Permit.# ❑Journeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.9ov_/dn_I Email: Inspector Signature of Permit Approval Va*h O 1 srWcir=e&S The C�asts#om ,�' Deartwent cfiudustri��l Acaz de r OffWe of�IKiV= 600 Wasis nVon&reet _ Bostan,M,4 02111 'PPlYl1 masmgm/dia Warkers� CampensiUm Insurmce Affidavit~Bwl& •slCnIItmchwsMet'bacorn sd3h tubers Ante 1nfMMMf= Please Print+ � N&=[B Addrem Are you an employer?Checkthe appropriate boss ' Type of project{required}: L❑ I am a employer with 4. ❑I am a genwd cmfmctar.and I • 6. ❑New oonsfr a employees(fall andfor pat-f=e).* have hired the sub-canbmct s 2.❑ I am a sale prgPdetm orgartuer- listed on.the attached sheet ?- ❑Rem od ing ship and bane no employees . These sob cnatx-actars have U❑Demdufibn and warlti-tag rm for e in any capacity. �!a� 9. ❑Build addition up6m a camp-insurance comp-iusurammI 5. ❑ We are a zmporafim and its 10-0 E -rat rig ct additions 3.❑ �j. officers have exercised tieir 1L Plumbin se ails or addifions I=a a bdmeo=w dautg all Var3c ❑ P myse-M[Na wokkm'getup_ tigbt of§1{ Dn per MO-a have no' L.❑RDofrepais iticrrc=erequired-]1 employees.[No w06=3 13.❑other cow immmme reqx&e&] 'Any app&��Sccbe�:Gas�l nmst also fiIla�tIne secBa¢beiawshmaia§�r wodced mmge�apn�gi Qa an= ag and auma�cne�a �ostsohmitanewaffidaeyt aSWTi �aa�ea�wl�o sabot sus af5daru` they daia� fCaarisc�csThxt Ytlasbustutusat�d maddi ctsheetsboormgthenameof6�es co�scross�dstr�ex]sethe«nottbnseea�tiesbzve ea�io3eas.'If the snh-=tMdnFsh emP19YW- &eYamstPM%-2dE9LeW WUdMWCMnp.gaRUUMnBM .Tam an erlipLffyer Mat is praruiriurg workers'com pm. srd an in=rancefor azy emp`&jmes Below is ffie poficy and fi7h site in,forr irdatz Insurance CompanyName: Pa-ficp 4,Cr Self-ins..I.ic--&,L FXpiration.Dat m Job Tife Addre= cifylStafe z�pl Bch a copy of the workers'compewation.poUcydecl'arration page(showing the policy number and ezpiration date). Faiiure to secure coverage as required under Sertibn Z5A o€MGL a 15 can lead to the impositim of criminal pemtises of a fine up to$154U OD andlor one-gear impdsm nsent,as w&as civil.peuali ies m the form of a STOP WORRY OBDFRand s fine of up to$250_QO a day against the violator. Be advised that a copy of ibis staatmumi maybe forwarded,fa the Office of Imvestigafions of n DIAL.for inswm3ce coverap Yeaffcah xL I ri`o fieegby csrhfjy asradsr tkspairts and psrl �.f�parjury fhatfJre hz farMatiW pMidkd aTimra i€hers and correct Si�atnr Date Phase rk Of d d um anl. Do stet writs in dds area,tar be completed by city arrtalvn OJOICiaL City or Town: Perxniff icense;g Issmng-AzEffierity(circle oe): L Board of$•e9th BuilTmg Department:3.CAyf£o n.Clerk 4 Efectrical I'nspednr S.Phunbing Inspector 6.Usher Canbct Person: Ph*=#- - — 6 orma-ion and Instructions r ��GebeaalLaws chap=M regm=all e�,Ivyerstfl providewr 'eampeas on f5�rthea employees. ° I to this stadnts,an�Ioyre is dcfined ss¢:ePelypersonm�e se;v�`ce of mes moder any Mntaact ofliize, e;sx=oriO3pliec%Dial or wry" An mmP&yer is ded�med as saa m aT Par�etsTi�,associsfiom�omporatian oa=legal e�ity or sap two or mt�e of fhe foregnmg cogaged is a1C)fi3±=d=PIISC6 and f m gal...-,,. seofatives of a dxeased employer,cr lie receivrr or t Usb=of su md•vidaA pmtammbi p,associatian or oresIegal eafitL empirtymg emploYecs. However fe owner of dweIImghomehavmgnotmatetb m-ilxree apartramis andwho residesf6iereh3,or the occap83:t oftbe - dweIImg house of anD&er who empIoys pmsans to do mai r i� ,c=I mrt;rm or repair waik on such dwelling house or on flee:grounds or bm-Hmg appmt=L rtfhercb shaIlnotb=use of sarh employment be deemedfn be au-e33ployer." MGL chapfrr 152,§25C(6)also sfdrs that¢every5F I or IocaI Ill pig agmcy shall withhoIrI the ieraan ce or renewal of a ficease.or permit to operate a business or to construct buildings=a the cofumonweal$i for any applicant-frho has notproduced acceptable evidmm of cdmplian.ce wig tor-Insurance.coverage required-" Adri dnnall;M(iL chapter 152,§25C(7)s9a±r-s-Neifhzrihe=Trm-awcahh nor&y ofits political sabEvisims shall ester m-to any contact fiatthe perfm=m a ofpmbho w033cuaff acceptable evEmce of complia mv&h-the insurance._ regpm= fs of this chap =have Been present�d to the Contardng anfhorhy_' - Phase fol oil the wormers?compeosafion affidavit compleelp,by checEngtdie boxcs ffia±apply to your sifsafron and,if necessary,supply s❑b-� s)name(s), addnms(es)and phamenrmber(s)gong wifhthew cmtEcafe(s)of =man=. Iz tedLmhility Compmnc.-(LLC)or Lmm3tedLiabilifyParft=mbips(LIP)ono employees o•Fher shun the members or partners,are not regoaed to cm:ry wodm&compensation insurance_ Ifan.LLC or LLP does have q I. Be advisedthatthis a$zdayitmaybe sabmitied to the Department of Industrial employees,a.policy is re Accidents for comfmafion ofmsm7nr�P coverage. Also besm-e to stn and datetice af=_dzYIL The a-Edavitshould beTetamed to the ciiy or town that the application for the penxit or license is being requested notthe Department of Tndastaal Accidmtm Shouldyou have My gnestions regatdmg the law or ifyou are regret ed to obtain a wo3rss, conxpensaionpoRcy,pI=secaIlfbeDepuimmtattbennuiberlisied below. Self-msoredcompaniesabouIdentrr.their self-jasarance license rnmber an the appropriate line City or Town Officials- Please be sure that the affidavit is coupler andprio:tcd Iegfly_ The Departmenthas provided a space at ff=bottmu of the of idavitfor youto fill outiathe eveatthe Office ofInvestigaiimshas to con:tactycuregm mgthe applicant_ PleasebesuretofillmthepeamiflIicemst:== cTwhichwMbc:-mcdasaref$=commmber. Iua.difidon,snapplicant t must sahmit mubiple p emnifffice:nse applitmiions in any given yem,need only salmzit one affidavit indicating eun-ent . p olicy k5o a-fion Cif nay)and under`Tub Me ate"the applicant should writs-EU I0 .-ms m (city ar n town)_'A copy of the-affidavitthat has been officially stamped cr mmkcdbythe city or town may be pro-vided-to the - applicant as pmofthat a valid affidavit is ou f lIc fDr"M I -e`pe�its or hcev m A new atfi lwkm„st-be filed out each year.Wh=m a home owner or cY=n is obfainffig a license or pmmitnotmlateA;D any bnsi,eSS or mmmeaeial veCLtore (ie_a dog license orpemiit to bran Iemve_s etc.)said pe m is NOTrcqo±:od to complefe this affidavit. ' The of ofInyes%,ations wouldhImto.fi=kyouinadvance foryrna cooped ion and sbouldyamhave my-gaeslons, please do not hcsa-tr to give us a call_ The Departm-mes address.telephmc and fax m mbm-- _ - ' - mt of -]Accidents Btu..,MA O�III -T 14, 617' -4 cESE4-€6orI-977IfA SAFE Facet 617-72'-7749 I�vistd¢24--07 e r �'WE, Town of Barnstable Building Department Services BAMSTAKA ` Brian Florence,CBO XAM 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 I, dam- �-C, u ,as Owner of the subject property hereby authorize �r ,-XA lL 21�.�-` to act on my behalf in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms ate the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S- a of Owner Signature of Applicant Print Name Print Name al Date Q:F0RI%IS:0 VVWMERMIS SIONP00LS Rev:08/16/17 Town of Barnstable Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 ♦ AIANRIL T.4, i ' xess �, www.town.barnstable.maus Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityAown 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. DEFENITTON 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 pon (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 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 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your commnnity. Q:\WPFIL.ESWORMS\building permit forms\EXPRESS.doc 08/16/17 Assessors map; and lot •number .............................. Sewage ;Permit number .... ................... ..................... • 1:r *THE O o� ..� . TOWN . ., OF I�A.Iu I� 'II"A��L . r g EAWWS ADZE, o — G i t3MIL ra': ; APPLICATION';FOR,PERMIT TO ......... .... ............ .. .... _ ............................. ............. TYPEOF CONSTRUCTION .... ;...............................................................- .• � .....•^•.' .................. ................... � .rO,THE INSPECTOR_ OF BUILDINGS: t� The undersigned hereby applies for a ,permit according to the following information: Location ...f. -�`�''�l�• ProposedUse „1; s� � ems' r•l-•= 1� ......................................................................................................... Zoning District ........Fire District Name of Owner -......:..... . Address ..................... ....... .. .... ......... Name of Builder <<�crG�uQ-�.. :...;//�! C .............Address .1. ( P............. ... .. ..:.. .... ...... / A �" Name of Architect/':f`...::........ �� ,— �~ram„/.<�� .............................. r.« �• �' ,('�' Address :..............r. Number of Rooms � `� `�' /..................Foundation .......................................... ........................................... ................................. -Exierior ! ',,.�.. �.............. .....Roofing G' r'riyo,!�'.......!%.1;i�. _��0.....�n`............. ................'F. .. - ..................... % '• , Floors ................................................................Interior .cam<<'... ....................................................... i"Y% Heatings •:..., r::"/+ ................................. . ......Plumbing ........:�.....-...•........ G ;........................................... Fireplace ............................................................... ........:.........Approximate Cost ......... il i'n r_J .. ............................................... Definitive Plan Approved by Planning Board -------------------_-----------19________ - Area ...... ?j r± ..: ............... Diagram of Lot and' Building with Dimensions Fee /1) 7 SUBJECT TO APPROVAL OF BOARD OF HEALTH I � . I hereby agree to conform to all the Rules and Regulations of-the Town.of Barnstable regarding the above construction. ' Name/..................................................... j i r t Gallagher, Edward N. A-=287--t,331 18113 add to sing ' � No ................. Permit for_ ,...................... family dwelling ..........................................WZR.... 4> Location ......... Q ................................................. Hyannisport ............................................................................... Owner .........Edward...M. Gallagher......... ....... ..... .. . ......... ............ .. ame Type of Construction .... ............................ ................................................................................ Plot .................. ......Lot ................................ -- m;b r Permit Granted ......................�Deqe ....26... 9 75 Date of Inspection .................. .................19 Date Completed ......... .................19 'PERMIT REFUSED ............./............... ................................ 19 ............... ,.. ....................................... d............................ --- ---- - --- . ... .... ..... ............... . ....... .. ................................. ... ..... .... .. ........ ...... ........... Approved ....................................... ......... 19 ............................................................................... .......................................................................... Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Friday, March 09, 2018 8:32 AM To: jwstrachan@gmail.com' r Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-689 Applicant, Please be advised we are unable to process the application above because of the following: 1) Incomplete construction documents. ( No plot plan submitted showing new three season room, no framing plans for new three season room) 2) Denial from Board of Health. Please submit the required documents as soon as possible.Thank you. Jeffrey Lauzon Chief Local Inspector (508) 862-4034 jeffrey.lauzon town.barnstable.ma.us r Town of Barnstable I�EEiPT t 200 Main Street H 01 NAM � Hyannis MA 02 Y 6 508-862-4038 Application for Bullldm Permit l�e�d s 5a� oS g Application No: TB-18-689 Date Recieved: 3/6/2018 Job Location: 39 MASSACHUSETTS AVENUE,HYANNIS Permit For: Building-Addition/Alteration-Residential Contractor's Name: State Lic. No: Address: Applicant Phone: (617) 308-8508 (Home)Owner's Name: John& Leslie Strachan Phone: (617)308-8508 (Home)Owner's Address: 83 ELM STREET, CHARLESTOWN,MA 02129 Work Description: Demolition,put in new floors, replace tile and vanity in two bathrooms add a third bathroom. install 3 season roof over existing deck. replace old cabinets in kitchen and add new appliances. Replace all windows and re shingle the outside of the house. Make appropriate repairs for leaks in the ceiling. '0 Q 3W!r CD Total Value Of Work To Be Performed: $200,000.00 1 1,j €� P Structure Size: 0.00 0.00 OtiTQI cap Width Depth Totat•AreaE o vt r— rn I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: john Strachan 3/6/2018 (617)308-8508 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $200,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $1,070.00 3/6/2018 $1,020.00 XXXX-XXXX-XXXX-€ Credit Card 9806 Total Permit Fee Paid: $1,070.00 3/6/2018 $50.00 XXXX-XXXX XXXX-i Credit Card 9806