HomeMy WebLinkAbout0069 OAKVIEW TERRACE Cv9 D�.k�� �w err.
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_ � CERTIFICATE OF COMPLETION
RISE
A,M / INSPECTION
ENGINEERING'
Mass Savd Home Energy Services
5 Dupont Avenue
South Yarmouth,MA 02664 Zustomer Name:Neil Maloney
:Email:neil:maloney@ooincast.net
Phone:508-827-786-0
Premise a Address:' 69'O'akview Terrace,Hyannis:MA 02601
Project-ID:3817675 yn
Was a combustion a est completedoN f �
Pre Blower' if applicable
Post Blower Door# if applicable
Date Inspected: 4 Inspector::
Time: Contractor: �, . Ci - .• ui a `h e c:a✓ G
�Otrat1011e3' riDos S!tfap 3 � a �� e"[IiiOC Rl �e @ o
AIR SEALING 8 ;'
ATTIC FLAT-6"FLOORED R-19 DENSE CELLULOSE 450 ') O
COMMON WALL:2"RIGID BOARD 150: ❑ .
ATTIC DAMMING-R-38 FIBERGLASS
RECESSED LIGHTS,SOFFITS, FLOOR,VAULTED 220 �. .� 0
CEILING AND BATH FAN
4"x 16"SOFFIT VENTS ,
BRING BOTH WHITE AND GRAY.SOFFIT IS.DARK 12
GRAY COLOR
ATTIC FLAT- 10"OPEN R-37 CELLULOSE 220 0. ❑
PULL-DOWN STAIR:THERMADOME,BUILT-UP
BUILD UP MAY NOT BE NEEDED BUT ADDED JUST
IN CASE AREA AROUND HATCH IS DAMAGED 1
WHEN EXISTING COVER IS REMOVED'BY HOME
OWNER
VENTILATION CHUTES 54 `
REMOVE EXISTING INSULATION-ATTIC 160 } riD 16 0
BASEMENT SILLS:R19 FG.BA TT 65 (p O
INSULATED BATH EXHAUST HOSE 1 9'
REMOVE EXISTING INSULATION-BASEMENT 30 C3 . El
Duct Sealing-4 Hours(not insulated,up to 200') 1
Notes:
Page 1 of 2
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Please Note:The inspection of the house is only for the purpose of finding Customer Authorization of Completed Work
out whether the Contractor completed the work.The custornershould riot
rely on the inspection for assurance that.the Contractor's work necessarily I confirm that-the measures listed above have been,completed to my
complies with all the laws and standards related to safety:It was the satisfaction.I have received a copy of.the Certificate of Completion
Contractor's sole responsibility to ensure that the measures were installed Inspection and hereby authorize the release of any final payments to the
properly and safely.In addition,this Post-Installation inspection does not Contractor.I understand that this Authorization-of Completed Work does
replace inspections by licensed inspectors where required by state or.,local not in any m er void any warranties provided to me by the Contractor: _
law.It is the duty of the`customerto obtain such required inspections. tm
����
—�_ �n )' 1 —_. Customer's Signature Date
Contractor's gnature Date
Inspector Authorization of Completed Work
I have inspected the house at the above address and determined that the
energy conservation measures listed above were completed by the
Contractor.
Inspector's Signature Date
Page 2 of 2
Town of Barnstable Ulldlilg
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Permit
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Pos
Permit No. B-19-1717 Applicant Name: MALONEY,NEILJ&DONNA M Approvals
Date Issued: 06/03/2019 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/03/2019 Foundation:
Location: 69 OAKVIEW TERRACE, HYANNIS Map/Lot 268-286 Zoning District: RB Sheathing:
Owner on Record: MALONEY, NEIL J&DONNA M Contractor Name; Framing: 1 0! 6 t
Address: 69 OAKVIEW TERRACE Co`ntractorLicense 2
HYANNIS, MA 02601 Est Project Cost: $12,000.00 Chimney:
Description: creep in existing deck with a permanent roof coming off�existing `Permit Fee: $ 111.20
Insulation:
roof.existing deck will be improved with sonat, w/brackets to Fee Paid:"' $ 111.20
hold the load of new roof.The existing deck is 16'o"ut from house& Final:
Date 6/3/2019
remain the same_.
Project Review Req: Plumbing/Gas
Rough Plumbing:
m, Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work aothor,A by this permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application;and theapproved construction document's for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structuresshall be in compliance with the local zoning by-laws and 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 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.and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing
Q.
2.Sheathing Inspection '' V Rough
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 Final:
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.
"Per contracting with unregistered contractors do not have access to the guaranty fund (as set forth in MGL c.142A). Final:
Building plans are to be available on site Fire Department
sz
c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
of THE toy,
OApplication Number.....d L
11 l
= snRNs ABM * 4
MAM g Permit Fee.......................................Other Fee........................
163
1 Total Fee Paid............................................................... ......
TOWN OF BARNSTABLE Permit Approval by..... . .......k........on....
BUILDING PERMIT �j,,
4 Map.......... .. .. .. ....Parcel.:......... ...1.�!..:............. —
APPLICATION
Section 1 Owner's Information and Project Location
Project Address (� 0 AK u; ff-w t o rc(t.n C L Village Y A N N; S
Owners Name
Owners Legal Address 0 A)C V i if 1 e(C(CA C.C d (��i N; S m A
City 0 Y r�- N s State ►M n Zip D a
Owners Cell# 3' `� _ 0 3 B E-mail l� M 19)o r+cz 2,
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
Single/Two Family Dwelling
Section 3 —Type of Permit
❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Al
G DEPT.
ystem
Rebuild � .Deck Apartment ❑ Sprinkler ystem . .
❑ Addition ❑ Retaining wall ❑ . Solar MAY 2 2 2019
❑ Renovation ❑ Pool ❑ Insulation TOWN OF B ARNSTABLE
Other—Specify
Section 4 - Work Description
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P)ywooD Zoar, 3 ` K';��t� rd�gl( .2 5-`rc66N �bor�S d- -Wa (aai.b
Dowri 1(6-4S
Application Number...................................................
Section 5—Detail
Cost of Proposed Construction Square Footage of Project >`` X
Age of Structure �a� `� �R� �'� CPU Dig Safe Number
# Of Bedrooms'Existing IV Total#Of Bedrooms (proposed) N 4
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
i
Water Supply' ❑ Public ❑ Private
Sewage Disposal ❑ Municipal ❑ On Site
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes E3 No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No L�
Section 8—Zoning Information
Zoning District 9`' Proposed Use Lot Area Sq. Ft. / j 4 s4
Total Frontage --IL—Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed
Rear-Yard Required 1 Proposed
Side Yard Required f o Proposedy
Has,this property had relief from.the Zoning`Board in the past?. ❑ Yes _ ❑ No
Tact—A.t—f- 11 n crnni Q
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CERTIFIED PLOT
TW -CONSTRUCTION ONLY = ;
'OP"OF 'FOUNDATION IS 315 FEET IN Y
loYa LOW POINT OF ADJACENT ASTA A L
.
SCALE: /'� 4 G DATE= '- I
�NErRINS CO.ifil Cft�`r'r`-` ' '� I CERTIFY THAT THE
CLIENT SHOWN ON THIS PLAN IS L06ATED
'ENS® (REGISTERED JOB NO. �`j U 47 ON THE GROUND AS INDICATEOT b
eF116. ,� LAND
4�3EE SURVEYOR DR.BY= �` :'' •4, CONFORMS TO THE ZONING LAYS
OF BARNS ABLE , MASS.
CH.BYi `..,
N, .ST 712 MAIN ST. # s AL 6
v, MASS. HYANNIS, MASS. SHEET OF. ! tf'AT F DEC LAND BURVIR -
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Qk The Commonwealth of Massachusetts
Depar'tnent of IndustidAccidents
Office of Invadgations
600 Washington Street
Boston,MA 02111
wwM.massgov/dia
Workers' Compensation Insurance Affidavit:Bwlders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/individual): / j C- M 19 I cNE L(
Address: (Q 0 A Ic 01 c? aJ TO X
City/State/Zip: l� YJ v�y� `S V � 6 Z66/Phone#: J 7 - 79 �e
Are you an employer?Check the appropriate bos: Type of project(required):
1.El am a employer with- 4. ❑ I am a general contractor and I
have hired the sub-contractors 6. ❑New construction '
employees(full and/or part-time). .
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7.. ❑Remodeling
These sub-contractors have
ship and have no employees � 8. ❑Oemolition
working for mein any capacity. employees and have workers' 9. [ Building addition
[No workers'comp.insuaance comp.insurance.:
rued.] 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.El Plumbing repairs or additions
myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs '
insurance r��,]t c. 152,§1(4),and we have no c 2'`CAJeb Pa/l c
employees.[No workers 13.ElOther' S
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing an work and then hue outside comhsctors most submit a new affidavit indicating such..
tConhaators that check this box must attached an additional sheet showing the name of the subcontractors and slate 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.Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date)..
Failure to secure coverage as required under Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pahis and penalties of perjury that the information provided above is true and correct. .
Si Date: Z ZU f
Phone#: �G F-d 7- 7 Y�'o
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.EIectrical 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 id the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(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 IndurstrW
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 Offiicials
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 mrmber. 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 CommwviWth of Massachusetts
Depa tmm t,of In&sftW Aeaidents
Office of Iuvestipti m
600 Washington Street
Bostua,MA 02111
Tel.#f 1'7-727-4900 ext 406 or 1-877-MA,SSAFF,
Fax#617-727-7749
Revised 424-07 www:M=.gov/dia
................................................ ............... ............... ............... .............. .....................
Existing deck.
Left side ofhouse !.&Railing.'. _ ..
Foundation 8' 8' Install 12'sonatube w/big foot.16'from house
Install 12' sonatube 8'
from house
Oiiginal plans had,W.sonatubes i6anged on this plan to;have:12"-sonatubes.. Total four new Installed sonatubes 2-8'from house,2-16'from house
As.mentioned the,two Oat a re:16'from house wilt have:28 x.28",big foot Emseo footings four.feetdeep.
<The screened porch will measurel6'out from house and 14'across the existing deck
1
Sonatubes wilt-have hold down brackets! + Q
._.....
CM
Rear of House Existing Deck Existing Side
Existing deck &Railing
Railing1. 16 of douse
Foundation
1
4 foot down 8'
16'from tibuse from
12"'snnatube House Onveway"
w)28 x 28' , 16 from house
Btg foot Install 12".Sonatube w/28 x 28'Emsco
<8ig foot
New sonatube and footing i-8'from house,1-16'this side
Ties Into z,,x.lpe
1S' Ties into Existing, 18'
Existing Roof- 18'roof ridge ��\ffTT1TI�TTITTI TTI'I1
Asphalt Roof Roof VJ�JJJJ
Existing 16'
Screened Doo House Side roof angle
3'Knee wall. 3'Knee wall Doo wall 2"x 8"rafters
16' 14'
16"OC
4' 4' Rear view 8'
4,
4"x 4 Posts every 4
10"Sonatubes
10"Sonatubes along side and rear.'. ;4:'Deefi
4''Deep
walls,
4 hold down brackets LefGside view
Right side view
Proposed screened„im porch.constructed:off existing.house arid existing deck_14.'wide:16' length.
O
^� 7v
m
3-2"x 8"Beams f�1
Tie in Rafters Wood."
GD M
to side walls Posts_
nee w II
14'
sonatubes
Top View. 4'deep
4 hold down brackets
1/2 GO Plywood_roof,.asphalt.shingle covering
H2 Clibs.on all,rafCers..
1
Application Number...........................................
Section 9- Construction Supervisor
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email Cell#
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signature Date
Section 10—Home Improvement Contractor
Name Telephone Number
Address City State Zip
Registration Number Expiration Date
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature Date
Section 11 —Home Owners License Exemption
Home Owners Name: /J(f- L W u tj 4
Telephone Number So F- Fa 7-7$ 0 Cell or Work Number )3 - 5(7-0.3 7
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature Date 3J zz Z-a/
APPLICANT SIGNATURE
r..
Signature Date z z.12°/
Print Name A) /,I A-to Telephone Number 5-o� - g_-D J7,_.7$6-,0
E-mail permit to: L • M 1�Go (aj C-0- wA C jo
-
Section 12—Department Sign-Offs
Health Department ❑ Zoning Board(if required)
Historic District ❑ Site Plan Review(if required) ❑
Fire Department ❑
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval
Section 13 — Owner's Authorization
I, , as Owner of the subject property hereby
authorize to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of job)
Signature of Owner date
Print Name
Town of Barnstable Building
s Post This Card So That it is Visible from the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
MAM wawsrn�►s WPosted Until Final Inspection Has Been Made. er •�t
. he re a Certificate.of Occupancy is Required,such Buildingshall Not be Occupied until a Final Inspection has been made.
k
Permit No. B-19-1833 Applicant Name: William Callahan Approvals
Date Issued: 06/04/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 12/04/2019 Foundation:
Location: 69 OAKVIEW TERRACE, HYANNIS Map/Lot268-286 Zoning District: RB Sheathing:
Owner on Record: MALONEY, NEIL J & DONNA M Contractor Name; -,WILLIAM CALLAHAN Framing: 1
Address: 69 OAKVIEW TERRACE i . Contractor License: CS=095581 2
g �
HYANNIS, MA 02601 ? _ ......_ • '_ j Est Project Cost: $4,500.00 Chimney:
Description: Installing Insulation t ,. Permit Fee: $85.00'
t € 1 Insulation:
J Fee Paid: $85.00
Project Review Req: i Y� Final:
Date- Via` 6/4/2019
Plumbing/Gas
Rough Plumbing:
rr _ Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas:'
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. -
a Final Gas:
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
The Certificate of Occupancy will not be issued until all applicable sign tures by the Building and Fire Officials'are provided on thispermit.
Minimum of Five Call Inspections Required for All Construction Work: r Service:
1.Foundation or Footing
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
5.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 TZ"k Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 0
t �'
S 11
_ .:. ;2
Assessor's map and lot number _ :7� '" l
,...... C�THE TO
I/J r/�
Sewage Permit number ...:............f� i✓..:.................................... ` d s
h i Z SAHB9TADLE, i
House number � +may}
90 MAH6
fI .................................... 0s�1639
�F0 Nix a�
n
TOWN OF BARNSTABLE
BUILDING INSPECTOR
xi
�C.�C-�. Qom. . � �'
�APPLICATtON FOR PERMIT TO ..... . ......... .... ........ ...... ............. ... ......... ....................:
TYPE OF CONSTRUCTION ......51.. ....... ....�1c,tl!L.L..
j
..........................�....4 ..19..R•C./
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to tba following information:,
Location yl ....Cyr•, x•., /.. ...... ..`w. y
Proposed Use ....S; ./' ..... .,t', �/y...... . .......:.........! .................
Zoning District ..........
/ ...Fire District /
.......... f^.w'•.......................................... ...1L� t!�n .................. ........
r
Name of Owner. k'1 l ..Ac '...A
it : f: � ,1 }.(,1 ...... ;
..
,t. ....• Name of Builder .��"•'� t... .(�r„b�Address .............................
Nameof:Architect .................................. ...............................Address .......... ......... ........................:...........:....... ..............
1c.......................
Number of Rooms ....................... ................ .........Foundation ......1 q .c .
Exterior ... .,.. ,�e...( '.. .. .................... Roofing .............................
Floors ... . ...........................................Interior .... ...............
,ram.. . //''���
Heating l '. ....................................... .....:... Plumbing l .,. ' . ... ....
Fireplace ............. �............................................ ........Approximate Cost ...::.;' ..... ...............
47
Definitive Plan Approved by Planning Board __„�___ ____/t _____19 Area r...........:.........
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
-i
I 'd
I hereby agree to conform to all the Rules and Regulations, of the Town of 'Barnstable regarding the above
construction.
Name
.. ��,,,r�
... ....:![......................
CAPRICORN REALTY TF.UST A=268;286
t + F
R .22A8.8.... Permit for ....Rtae...1/•.2...S.tory
.........Single„Fami.1y..JDwel ling............
Location L9t.,.#.4.1...6.9...GakVle.W•.Terrace
..............HYA;Aai.$.............................................. ,
Owner ...A a Itfi•:Trus
t. .....
Type of Construction Fname......................... -
................ ....... ...........................................
Plot ............................ Lot ................................ _
Permit Granted .....Saptembe ....1980
I
Date of Inspection ....................................19
Date Complete ......................................19
PERMIT REFUSED
... 19 _
............. ... . .. .
... . . ... . -/.........
t .
7
............ .............. . ...............................................
.......... ....................................................................
...............................................................................
Approved .......:........................................ 19
....................:.........................................................
Assessor's:,map and .lot number .... _.. ,I y. z: . �THE T
�•
Sewage Permit number• .. R::'!......�&.5.......:..................:..... SEP'1`'C.SYSTEM MUST
STq
MU
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Huse number '` WN714 C u/�
.......... .........................:....... r 11DLE
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. TITLE � MABa
Y - EAH/l�OITt�?y► ' i639 0�
ENTA ��av a`
TOWN- .OF BARNS AR i +sil
BUILDING INSPECTOR `:.
' APPLICATION FOR PERMIT TO .....
. mow.. s......
. .................
TYPE OF CONSTRUCTION /....
.... ...1.. ,1 �l"! L..!fV Y. d.. ...�../../5�
;,fi
... ...........0 � ..19..A..(./
TO THE INSPECTOR OF BUILDINGS: f
The undersigned hereby applies for a permit according tot following information:
����
Location .. .r?�... :Q .IC/�.. .� r/.......1�� � ..�� � /J.d` : `... /.
Proposed Use .... d.v.. . ..%........ ........ .�� . 1.. .�� ....................
Zoning District ............ .(,. ..................... ................... .Fire District .......... .v, /,S�.................. .......... 4
� .. i`t�' .....Address /7 ,...Gr. /�� 4 4_...0................
y`
Name of Owner L: . 1 .i.0 f f -3.. .... �. ..
Name of Builder . Ge.... ...Ca,,T)Qaddress ...................... ../............................ ...................
Name.of Architect ..Address
Number of Rooms ........................6.....................................Foundation :.....c c �—
Exierio'r .... .. .(,�.�.. .P...:.....................................Roofing ....... � . .kA./1..............................................
Floors ., 5 .. ..............................:s..........lnterior .... :!13 .: .7....` 6.. .........................
Heating ..... ...Plumbing .( ................
................................................. ...P�/� .s.
Fireplace .. ....................:.................................Approximate Cost ...... 1 oo...........................
Definitive Plan Approved by Planning Board 7__------19 Area ... .......�......
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF. BOARD OF HEALTH e
�6
I Pereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... ;. / ...... .. . .. ............................
CAPRICORN REALTY TRUST
4
PM&�..22.4.8&•• Permit for .011Q...1/..2...S.tory
Single..Fami�.y...1?WP_�..jj. g................
Location Lo ;.. ..Qakvi.ew..Terxace
Hyannis
...............................................................................
Owner .....CaPK1Q.Qrja...Realty...Txust...
• I
Type 'of Construction F.ramp..............................
Plot ...................................Lot ................................
Permit Granted ...Sek?tember 5,,,,,,19 80 r '
Date of Inspection,.,,.
Date Completed
PERMIT,REFUSED _ 3
... .. ................... , l .. -t • -
' 1 # �'
..... ... ±y... ,.... a
...........`� .............................................................
.
?pprovecl. ':............................................. 19
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F x CERTIFIED PLOT P . 4
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.i v"'CONSTRUCTION ONLY =
{� P .'FOUNDATION IS 21 s FEET IN �i �r.
Aqs L®W POINT ®F' ADJACENT � �� L � �1 �
F-
a i
a { ' SCALE: /� G'rDAT•E= A q '` � d= i
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E.fA1ff&ffR1Af6 CO IN Cf+'F r{:f c-. -� I CERTIFY .THAT THE L
CLIENTS
SHOWN ON' THIS PLAN IS
REGISTEREDo v f n
JOB NO. 7 ON THE GROUND AS INDICATES
LAND ---�— +r
a- QI E.
ISURVEYOR DR.®Y= CONFORMS TO THE ZONING LAMS
OF BARNS ABLE , MASS.
lN�flt' !�4 712 k1AI1d ST. CH-BY:
};
. "- S..---HYrAN IS,_-MASS: -8HEEFT = '!- DATE - -.REG. LAND SURD +A . "
x -_ Y
o''"` • TOWN OF BARNSTABLE 2 2 4 8 8
Permit No. ______-:_-_- _
Building Inspector Cash
OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been.obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Capricorn Realty Trust Address Hyannis
Lot #41, 69 Oakview Terrace Hyannis
Wiring Inspector ;i Inspection date
Plumbing rasp Inspection date
Gas Inspector Inspection date
vingineering Department Inspection da —
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL-
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
................................................_, 19_...._.„. ..............................Building.Inspector
fi r
f
TOWN OF BARNSTABLE Permit No. ___.22438
i nY�n,Y� Building Inspector Cash
� riva
OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, .different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until A
certificate of occupancy has been issued by the Building Inspector."
Issued to Capricorn Realty Trust Address Hyannis `
'A Lot #41, 69 oakview4Terrace Hyannis
Wiring Inspectors Inspection date �/ i(�f
Plumbing Easpec'ltor u t Inspection date
Gras Inspector # Inspection date
vtngineering Department �,r Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
............................................... , 1s_� _ ................................................................_.�
Building Inspector
TOWN OF BARNSTABLE Permit No. ------
Building Inspector
� raa CashVAX
OCCUPANCY PERMIT Bond
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Capricorn Realty TmSt Address Hyannis
Wiring Inspector �� r .- - Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
....................................................... 19_. _ ...................................... ... ..................
Building Inspector
�L
' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 6 Parcel a A cation
Health Division Date Issued,
Conservation Division Application Fee
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
9-7 3 p�
Historic - OKH _ Preservation/ Hyannis
Project Street Address b q d f4 k o;eZ u-3 e 22 y9 c e
Village 1�v"O I S
Owner /Jdil Miq lotjcry Address 17 b/,oar
Telephone 41/3 617- S q-7 c{/3 - ELI7 03E7
Permit Request f, A o iz b r i �'✓ . � L y
i20 ie m . oN L�i
Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 1,l -7 J
Zoning District f'C Flood Plain Groundwater Overlay
Project Valuation a�� Construction Type
Lot Size 16, `�S q S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family Two Family ❑ Multi-Family (# units)
Age of Existing Structure 33 y K s Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: X Full ❑ Crawl ❑Walkout 0 Other
Basement Finished Area(sq.ft.) 3 Z Basement Unfinished Area (sq.ft) 43-4
Number of Baths: Full: existing i new Half: existing 1 r,
Number of Bedrooms: L existing -new
Total Room Count (not including baths): existing 5 new 1 First Floor IM COUrIt` �
Heat Type and Fuel: $Gas ❑ Oil ❑ Electric ❑ Other
Central Air: 0 Yes ❑ No Fireplaces: Existing New Existing wood coal stove: ❑ s ❑ No
Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: ❑lexisting Q neva� size_
Attached garage: Olexisting ❑ 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
(BUILDER OR HOMEOWNER)
Celt V13— Fsg7- 03 87
Name I\1e L 1, Telephone Number 11f 3 -5_6 7-sy7�
Address /7 i1'l��crc,"wL�A �[l rc ��; d� License #
'L o o9 m clt bt�� MA D 116(, Home Improvement Contractor#
Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
W As�e h�1�nl 09 q c' nI
SIGNATURE DATE
t�
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
t
L
7
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
:_ ,-FOUNDATION.
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH ' FINAL
FINAL BUILDING
F•
t
DATE CLOSED OUT
ASSOCIATION PLAN NO. - �• -
The Commonwealth of Massachusetts
Department oflndustrial Accidents
Office of Investigations
` 600 Washington Street
Boston, MA 02111
wrpw.massgovidia
Workers' Compensation Insurance Affidavit: Bunders/Contracto rsi Electricians/Plumb'ers
Applicant Information ( Please Print Le ' l
13a�e(Bnsiness/Oro ni7afion/Individ�: /1�L`�*L. �i, /YI A,�o ev�
i' .
Address:. /% . 0)1 Kv%,5t : /Sl t 4e-6
City/stawap: Y Win);•5 M A-- OZ b a I i Phone#:
Are you an employer?Check the appropriate bog: a of project(required);
1.❑ I am a employer with 4. [] I am a general contractor and I
employees(fit11 and/or part-time).
* have hired the sub-contractors New construction
'2.El Listed on the attached sheet 7 Remodeling
I am a sole proprietor or partner- �
shipand have no em to�ees These sub-contractors have
P Y S[ 0 Demolition
working for me in any capacity. employees and have workers' i
[No workers'comp.insugance comp.innMince.t 9� Building addition
required,] 5. [] We are a corporation and its ' 10. Electrical repairs or additions
3. I am a homeowner doingall work ofcers have exercised their 1
Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.n Roof repairs
insurance required]t c. 152, §1(4),and we have no 14
employees. [No workers' 1 3.0 Other
comp.insurance required]
`Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policyiin rmatioa
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must s abrhit a new affidavit indicating such.
Conhsctors that check this box must attached an additional sheet showing the name of the sub-contractors and state tther or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp,policy number.
am an employer that is providing workers'compensation insurance for my employees B' w is the policy andjob site
aformation
aisuranee Company Name:
olicy#or Self-ins.Lie.# Expiration
:)b Site Address: City/State/Zip:
:teach a copy of the workers' compensation policy declaration page(showing the polio number and expiration date).
ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imp I secion of criminal penalties of a
ne to$1;500.00 and/or_one,.year.:imprisonment,as well as civil penalties in the form of a TOP WORK ORDER and a fine'
E vp to`$250.00 a day against the violator. Be advised that a copy of this statement may.be fp aided to the Office of
tvestigations of the DIA.for insuranee'coverage verification
do hereby certify and _the pains and penalties ofperjury that the information provided a5ove is true and correct.
atzre: I}ate: �a 13,
lone# `Y'/3 - S-6 7-f q 7
Official use only. Do not write in this area to be completed by city or town of ciaL
City or Town. Permit/i,i:cense#
lss�iag Authority(circle one): r
Z.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspect . 5.'Plumbing Inspector
,6,Other
Con4et Person. Phone#: i,
I -
Town of Barnstable
Regulatory Services,.
9EAMSTABIZ Thomas F.Geiler,Director
�b 1e39. ,m
�EDMA'IA 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
�n n Please Print
DATE: /,I 73' 7-0 r 3 /
JOB LOCATION: & 04 IC U/CI c,) I L`/Z. JJ y!?Ytl/i// .5
number/ / Nn street / h '/ village c,/
"HOMEOWNER": A L� L /'��A N c �'/ , N�.5 �56 7-SY 7 5/ c//2- d 7 7-0 3 F7
name home phone# werlFphone# 12Z((
CURRENT MAILING ADDRESS: /7 144( L(Z,'W dPa JaCA. b A -,jC
L d Al 'M C?A-D O�J ov1 R
city/town state zip code
The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow
homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-
family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form
acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section
109.1.1)
The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,
bylaws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection
procedures and requirements,,and that he/she will comply with said procedures and 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
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\Content.Outlook\QRE6ZUBN\EXPRESS.doc
Revised 053012
f -
Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
'A MAS M Building Division
Aj163.�A Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMITk,::;)61 �p,Q_O FEE: $
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or less
OnI< u10L"J 1ir-a-
Location of shed(address) -1 0 ,")- �-'J 4-
Village
15
Property owner's name Telephone number
ZE
CPOo
Size of Shed Map/Par el#
Signature Date --- r
do
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
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46
)VE LOW POINT' OF ADJACENT I IN 7
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SCAL12' �O'DATE
/fit C�'�,x:r r•.::.�-,.,..
CLIENT I C6 TIFV, THAT THE��g`�0��®"" REGIST'ERE® SH®4°�Ib ® TO�OS PdfI� Offi I* .'
C OL" rI LAN® JOB NO. . v 47 ®I� THE R ®UPI® Affi O�®OCA
QOkEER TEj6.- b
SURVEYOR DR.BY: o! r�,i�, CONFORMS T O THE
OF ®A NS ABLE
.1�.:BT' 712 COS.BY: I' ': o MASS.
MAIN ST. —� 9 �
S. HYANN15. MASS.
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