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HomeMy WebLinkAbout0011 OLD FISH HILLS ROAD I ®/ct H,'lls -wd, I ', Gt_S I y� ---------- -- g / 71s " Engineering Dept.(3rd floor) Map .3 -7 tf— Parcel `f- -Permit# S5L— House# Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) 9.{2 ' -3- 97 -Fee Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) . floor/School Admin. Bldg.) of1NE Planning Board 19 . - BARNSIABLE, is� MASS. g U �T L� r��r � zasq.sum ®Wl�► �r BARN STABLE CONNECTION PER A SEWER MIT FROM THE Building Permit A pl � Commue Q DIVISION PBI08 TO Project Street Address ,, Village �> Owner .9�cy/OAvQ Address ff.�P ctf' �UJ� Telephone R —0 3E Permit Request HaLc7©o,, First Floor 79s square feet Second Floor square feet Construction Type �t/v 0 0/49 Estimated Project Cost $ ��i 6i& - Zoning,District T2? Flood Plain /IUD Zarie Ca Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family &-' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes Urfro- On Old King's Highway ❑Yes @r11_o_ Basement Type: ❑Full ❑Crawl ❑Walkout MOther �2 ;UZL /Z Basement Finished Area(sq.ft.) 7,9k"' Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New_� Half: Existing New No.of Bedrooms: Existing JL New I Total Room Count(not including b : Existing New First Floor Room Count 1 Heat Type and Fuel: 21 Tas Oilaths ❑Electric ❑Other Central Air es ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes U<o - Garage: ❑Detached(size) //X L* Other Detached Structures: ❑Pool(size) 66A, ❑Attached(size) ❑Barn(size) ,Vayt ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes p�o If yes, site plan review# - Current Use ;Pes4r(PyCe Proposed Use FS tdcVCe Builder Information -- :[LC Name �7�Qf/?R/ ���, cIy ��,ys Telephone Number ���i/ 8/40 Address 5Y 7i—ouiZet d9e `?Q License# CS 05P307 k/ VA,E&ouT� Home Impr vement Contractor# on# SCP 30015VO aj NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRjCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C1147e O&IeX &j SIGNATURES_ DATE !� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERA41T NO. Ry� DATE ISSUED g � � MAP/PARCEL NO. ;F , r ADDRESS VILLAGE ; OWNER r DATE OF INSPECTION: FOUNDATION µ FRAME 4 INSULATION= ,_ f 7T FIREPLACE s 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH Q FINAL FINAL BUILDING `¢ tro DATE CLOSED OUT ar ASSOCIATION PLAN NO. �„—". r E r h Town of Barnstable The tARNSTA13M � K"5 i63� Department of Health Safety and Environmental Services ♦0 ArEDN1o'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: Z10601 1)0 //101-1 slney Est.Cost 146J606 Address of Work: Owner's Name 09 Date of Permit Application: hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name ' The Commonwealth Of Afassachusetts Department of Industrial Accidents Office of Investigations hllll N ashh ton Street Boston, Afu.Ys. 02111 Workers' Compensation Insurance Affidavit colic tnt information• Please PRINT•le�i p no, S4,&4/ location- .5t{ v li�[aJyJ/?(C+QeT12 city �1. V,4RoqoU/ yl Phone# 39Y_S_1 -& I am d homeowner performing all work myself. m a sole proprietor and have no one workinla, in anv capacity _ -... .-...w-•...-'"'-.v-..._...... .�'.�..,vs..._s+.?�r?:r•-e..en'..�s.+..;;r.+rr^.....:^.......n.+T!-ir............,.,K., ,...�...+ �. .�.-.r•*...'.........,�,,._-...._..-...... I am an emplover providing workers' compensation for my employees working on this job. coumativ name: address- cite- Phone#: - insurance co Voliev# [1 I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the followin_ workers' compensation polices: company name- address: cite- Rhone#• incur-ince ro Pniicv# ' __. ..,.1.::":!_.. n5-c^._�..-...�.: _-�. t....:�.. ...___._`-_-=...--._.4:�._-l-�T-'l:!rww_ - ^.:T,'1� _.-..�...yG�v_.i •Y�—� ._..-_.:.. ._. _I_1�.�(�yi.-r_._.•.w_.-.i.-.w�Jlr'.r.+Jrvi�.Y _ L '� -.._ l ..�.-.-..��-..-.• company mine: address: city- Phone#- insurance co Policy# ,,.,r_r..... ...r .,_�._.Attach r--.- additional sheet if tiecessa «. w"^~ • -�^�, r .-: --, ,__ --�'.�ir'..��....c..:r:...o..u --.:; ._�,�:� Failure to secure coverage:is required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one y cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement mac be forwarded ut the Office of Investigations of the DIA for coverage verification. 1 do herehr certify tinder the pains and penalties of perjun•that the information provided above is true and correct. Sifnature Date / gam Print name )e 30Y04-, Phone# 15 4lfl( ..6�'official use only do not write in this area to be completed by city or town official city or town: permit/license# rIBuilding Department Licensing Board check if immediate response is required c3Sclectmen's Office V. =.: Dllcalth Department contact person: phone#; I-lUther S. f r- Information and Instructions Massachusetts General Lags chapter 152 section 25 requires all emplovers to provide workers' compensation for their employees. As quoted from the "law". an empltrnee is defined as every person in the service of anc�ther'under any contract of hire, express or implied. oral or written. An employer is Mined as an individual, partnership, association, corporation or other legal entity•, or any two or more the fore�_oin�� enzagcd in a joint enterprise, and including the legal representatives of a dcceasctl employer. or the receiver or trustee of an individual , partnership, association or other legal entity, employing emplovers. However the owner of a dwelling house haying 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_ hour or oil the ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL cha.iter 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 ha been presented to the contracting authority. Applicants Please fill in the workers- compensation affidavit completely, by checking the box that applies to your situation and supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for continuation of insurance coverage. Also be sure to sign and date the affidavit. Tile 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 anv 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. Plea! be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned tc 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 question please do not hesitate to `=ive 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. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 H�. MV�QI�ME�V - �OH.T :T 4R J pq u GAR. n " N lieu ,-:d✓f._. ..,.wy.�... .�-x. _i.. �a.L :-.s. .•lam✓:L '. •�,_� ✓�e T�a.,,,,,�.,uaea� a�,./�aaoae%uaelZa .� .I DEP'ARIHENT OF PUBLIC SAFETY : CONSTRUCTION SUPERVISOR LICENSE Expires: Restrzicteyda STEUEN H 4EBARON . tvaLL&M s1'HONTAGUE OR COMMISSIONED Y YARHOUTH, HA 02673 .i as 1r'�`�g m�,d`0 •. � � � efMn< i J" k ' � lh-��5' T7�+t4• ��b 4�, ail e9 � vy. S y"1biYs•'�y���� � Assessor's office(1st Floor): Assessor's map and lot number 9 1' 3 S . Q q� iJ. .t.— o�INIt to Conservation(4th Floor): S. seeklr'(@�d floor): = " • Sewage Permit number seaNut • 0 Engineering Department(3rd floor):' ,/� �'• 47 o„�+e�q.`\o House number + ' 7 i ti o Yw Definitive Plan Approved by Planning Board s 19 APPLICATIONS PROCESSED18:30-9:30.A.M.and 1:00-2:00 P.M.only f TOWN OF BARNSTABLE :BUILDING ' INSPECTOR .APPLICATION FOR PERMIT TO / n TYPE OF CONSTRUCTION W (> a 19 2-3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informat' Location Proposed Use CT Zoning District C/r�//��y/5 Fire District Name of Owner l 0/'')�S �� /Il Address 5 (r/,'ris�//vQ /YANseN Name of Builder IN A/c,Y' Address t Name of Architect Address Number of Rooms Foundation Exterior d Roofing Floors C L° �12 e—k� Interior _ At V/Sn 0 Heating Plumbing Fireplace Approximate Cost G X'24 Area �� as Diagram of Lot and Building with Dimensions t Fee r 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 constr ion. Name Construction Siipervisor's License ` GODDARD, THOMAS No 36255 Permit For GARAGE J i Accessory to Dwelling 9 ' Location 4-4- Hyannis Owner Thomas Goddard ` Type of Construction.:, Frame � t Plot Lot 'ice� - - • / - . Permit Granted October 26,' 19 93 Date of Inspection: 4 Frame 19 Insulation ? 19 t Fireplace 19 - Date Completed ����Ch - 19 ' - ' - r • f 1� TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE.. ;. JOB; LOCATION / /0J "l-rey,2 6e,o c c.I. ,e Number Street Address Section Of Town _TI�101-V.9S/A 61' odd,9ez) p0/-96G/8O6 poi-7laJ=S�3a� "HOMEOWNER" -Ci / �'' N.. s a" �-`7�r S'6,/ Name, Home Phone Work Phone PRESENT' MAILING ADDRESS C 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 such homeowners to engage an individual 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 het/she resides or intends to reside, on which there is, or is intended to be a one to six 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) t • The �.undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and . regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATUREe wv_ - APPRQVAL OF BUILDING OFFICIAL Note: 'Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127 .0, Construction Control. s• MISCS i h s t. — _.-- — -- — — m Y S • 3 t - i Sov1h ref - Zo,A r.' 41, !ll �; --,L I I. n ,� ,� 3/a r�i'a 6 p►.r Ja L Peck Y4" 6410 C�*ts 2"K41 I'K rl � . ��Ick MoilLb �/ SlaiNc� s�km Jam m►L'� U O D r N, 34 � 221-0" 21 II 5 p►.ael bao�t II N u r _ -.- _ _ II N •t I r II W- INS 41-ol o.c. u j1 INS 1 — It X 11 J+ - z/` _ f I. 3 zl�pLrt z-0��` dk-vri l+n d ,aeA�fa yiW P►'+aL K lt+ lall gar• l-,L. 4 II 2"x 0 I Swaw wb, u �oLa lbW!1s4 �irlGk MoilLC I S'DI►.1 4V� :A Us.orm ryr4 r�' I-ITA bA P 2017 .. A.y+a1 Cc I h = I -O1 S4EE •/ J 11 d 1 s>tltK� IF "H Iop u°-IL 1 . �IM�� k llsl�b �.bb _ III n�i I,�i „AI ell ell ell ICI �I �� i ^T I�u�cra to�111E� rollo��i•et 7r1� o�qM p p„��nl 17'glq Ir >< tux 411 al s� NI ,31 a� I•P+ ZG�► ' i l-Low-- �•L I-o IIft I 1•IF 1EI 1 I 2z'-ou Pit-c+J7 �c-TYR, 121-0" +�`� ' a., L u u 2�S"Xd-b� 5 p�aal baolz o u 6 u v — i'' t\ r C laWTO -Tills (10 4'-on 6 n � _ 'I (t) z d —� O O = C Vo O — y d ZII K ro'I cu�I�ouab c kc7Io+4*L G, a Fn W-V/4' �� �R_�- -a .� F q N L LEI+riT a- P�►++s '�� �IesbaR IiMC�. -t± 4-t Nc �c �'RB'' FtlbIC,E fib• + w O.. - n� VZ _I a o ^ V t'K 4' 4T�Fbs 6 I►_ o � II �'Xq"slab 1441�><e W -91K4'Tio PL►TR " �— 2'.4'Ibp P"TI, . �r�-• CCOWTIHUOIK 2°R44'c et moo_ mQ'D sCE SECT.4C 1 40 > 4�. 4" 4u �rroM -jop -F �:: �-►Tr CTR�.nb) I`e w" , �4u — — ,CI`,_,�,h� — e&kt4 aY V]IV4 14ilaM.? I�ri�►� 4EGYCED 13'( - pkG, � r� 1 np0.evaD by - pt ILL I ' r a 19/411 1.t1..�. 1 z 5 4 r Ibll"lct 'Slla- Nase OFF T Ne.itS 17 " 4 3 � � V Ry L A` ''y f P a• SY .. ie •.' - r q•� x aw � q g 'C14 r co well- b' 116/81I lryIL 32' o,c, Is iL 12 e Iw C.C. CMS O,V[b ti4" �A" 11�Nclie j11.20 Cog-T. N It cl u x 24'<pLlc& t"` - SaT44 SI DLas NAI LiR ITT-�Io+�.IT x�i�r�C 11► , eb+"IT 2r',c4''TIE PL+.7E AI&4I-04 O,C, IT .kE. W WWL. 2'x4" TbP PULTe -top ' SM4V. "Jf1 is s11k lou4� S_ -INTO <TuDS OIN u 7" ¢' 7i�lurcb) Top/cork, It o'- '2-�� kEI+�IF, Robs ev 8o } f W K C4C IQ d �ali LI12i�Etb PDalN SLAM) ,416. lE i�y,i r 11.p'I F k � ✓'E I 'i ✓^ LAP pp "V MID.ItoF c415�T311rIC� '' 3y SNItk�Ls VoULD I"x8 �+'4ch TN o,c, T"lit 4' TIEP TE . `°FsFi --C St 1ISI��c+il�lkc��►A pnk�k��ln tNLk e teID M�ib a1/��p1IoGPL ubY4N a DsT'Y/la4+i T1S-p�2�"°c Kx Sli��' ___YS� a�� 2-24xr�l`112 -swim 73 azleoNC CT IN 14 D1i v�� �T4u Z NFt CON4 -ed Y'U *A SCALE s/4.I-o 1 co�le, W&LL IJ a� 1e '- A.8 1 W � — w I,r, II {�II C RMED oU�D�►Tio1.1 P 2017 (�� J suEETT h TOTa L y� 4 5'-4' 1=4' S'- 41 L 41 0 o a - /CoNC, .LAB (ip oR, o allc►lok �oL� � o ppa�y w - l��rr��c16►Itts t 94 T � ie N _.ks*4 '�cu ADS _ I�teM �t TC le.ode. *7 hook 5L.-0'-2' 41 u�Nba.�1o� LAB c ��a �►,� �.,� S�.c. lot�l '!4A� ��. 4 Slai'� �7Y� 4 Moo luxe" �� fib. ��.R`y loth l,,/o�1/o Sb ic, AI. A� L�C�C IIMk}T�LzL toRwAk _ Lebo kb L— �. lY • t�V�'loY40 NIX p. Y411 I -p P - 2017 toTAL �: 4o I_d' S' 4' V-61 4e m �LP o' o°WALL. "s o - bolt T�') all �o -0'' baaaa0000kt 8 - coNc,slAg Q De, o'-Ze _ 10 W,,W, z r 4B E-- R -Ito 411 ALT5 7� mo i L� MoUl.b ,Lam.4ALaU<IG WlPtok4 - R,o, 1:4-Ti I"x6'I IZAks h � Iblac; CT�� �4 r� C= -- Cp klC,gT Slbk g�%YATIo*I LovT 4 ; I - TOWN OF BARNSTABLE - CERTIFICATE OF OCCUPANCY .PARCEL ID 325 097 GEOBA SE ID 23889 `AbDRESS 140 HARBOR BLUFFS ROAD PHONE (508)862-03011 _ w ... HYANNIS _� LIP - LOT 71 & 72 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT HY PERMIT 24913 DESCRIPTION 29 X 12-1/2 ADD-N (PMT.020952) F PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORSECTS: Department of Health, Safety ARCHand Environmental Services TOTAL FEES: BOND TtiE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * • * BARNSTABLE. ' MASS. OWNER TASHA, MICHAEL J & HALCYONE 1639. ADDRESSPO BOX 933 fp�Cl PROVINCETOWN MA BUILDING DIVISION , BY DATEIISSUED 08/11/1997 EXPIRATION DATE f �tXN } - ... f . L YA13. t, Ill 325 097 G�:ut3A '�3Fit.1y AODRES:; 140 F[ARRf_,R BLU12FE I OAD (bOB)832 -0,7)01� riy,innIB Z.I D - OBA Uc:VELOPMEN`f H' HERMIT 20952 DESCRIPTION 29 X i2 -t/X 119RMI:T TYRE: BADDI TITLE BUILWX(x PMM f T Alf)DI.TION CONTRUW'TORS: LE BARON , S, .EVINM- Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL #?hE\ :eta 14.60 p �tN BOND - $.00 CONSTRUCTION "'COSTq $166,000.00 � �► 434 PESI D ADD/C1Ve/CQNV Z. "R VA'f * 'HARN3TABI.E. MASS. OWNEM HALCYON,', `l'AL,'1IA ADDRESS 140 IIATIT30R F3w' Frr BUILDING DIVISION EIYAW!f MA - > i r r'BY DA`1'F 02./051 199Y EXP I RA.i l tit- DA'11 THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPOR'AIMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY TH -TION STREET.OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WO SUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. '+''I ;,ti•;, j . MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLId118LE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE gNICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS / J d� 2 2 �n 2 �Z Ti YL, � L3 �� 1 EATING INSPECTION APPROVALS ENGINEERING DEPARTMENT ��_/� 2 B j, OFYHE$LTH, OTHER: /� SIl'1E J.AN REVIEW APPROVAL flro, o.j WORK SHALL NOT PROLE UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. - , J aQ BUIII . UING 3� Nor---q= IJEKEml& MIT YY :f y I I I s 1 � e 41 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . i, , Map Parcel (- a Permit# `7 Health Division Date Issued'— Conservation Division - Fee d ej i Tax Collector =Treasurer 4_ZZK Planning Dept. .�` Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis - Project Street Address '`10 Village }j �rrR� Owner hkAVC Address B ` c4i#1rsu2.t31ur):5 'Telephone t a —0 301 Permit Request Aix- 6rtitwz x FOUR r-ECT S Square feet: 1st floor: esting proposed 2nd floor:existing proposed Total new Estimated Project Cost a COW Zoning District Flood Plain Groundwater Overlay Construction Type. Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family V./Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old Kin 's Highway: El Yes ❑No` g g. :9 9 Y Basement Type: ❑Full ❑Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing g new First Floor.Room Count 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-U existing ❑new size Other: " ,Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes '❑No If yes,site plan review# 'Current Use Proposed Use - r BUILDER INFORMATION ' Name IL/I Telephone Number Address �o 6 . 113 WNA A+ ®ZS 1 . License# ` Home Improvement Contractor# a Wo P Worker's Compensation# )Jc- o('�iL'T�P� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _•_ FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/PARCEL NO. ` ADDRESS •VILLAGE b e i r. OWNER" DATE OF INSPECTION FOUNDATION ` R FRAME t, INSULATION b f z _ 4. `•, FIREPLACE y _ ELECTRICAL: ROUGH FINAL • t v .F j - }� PLUMBING: ROUGH FINAL GAS: ;_ ROUGH FINAL FINAL BUILDING ° n DATE CLOSED OUT E fe€ _ ASSOCIATION PLAN NO. 1 I e own ot jjarnstaDie BAOMAI s. Department of Health Safety and Environmental Services Fo ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date , AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. i Type of Work: ` Estimated Cost IEOJ � r�r Address of Work: f [fy&rc Owner's Name: �CYen-C "rq�'1�h Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR Date Owner's Name q*mis:Affidav Fie (:ommonweaun o massacitusem Department of Industrial Accidents 4 - -' r 4_ Office 011HY8508011s Mw 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insu/rraanc/e davit ////��� ���������%UP�- Q/�, ,/ name: S r ki 1//Y � f location city kT66 I Yo (ilk& l�'icL �41i,A.a S phone —.71�67 ❑ am a homeowner performing all work myself. I am a sole vrovrietor and have no one working in any capacity ❑ I am an employer providing workers compensation for my employees working on this job. comnnnv name: address: city phone#: insurance cn. oiicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who. have the follo«ing workers' compensation polices: r comnnnv name• address: - ;••.....;::.::.>: :...: city: phone#• .insurnnce co. . oiicv#:.... . comnnnv name: " address: city— :;..... ;;;;. .. phone#� .. imurance ROMM# ' .. r1� � G/////////%////%////%/�///%%%//////// .... ....... Failure to secure coverage as required under Section 2SA of MGL 152 can lead to the imposition of criminal penalties of a tine up to 51.500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a tine of 3100.00 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 under the pains and penalties of perjury that the information provided above it true and correct. signature: Date Print name: STrte Phone oinc al use oniv do not write in this area to be completed by city or town official city or town: permit/ncense 0 QBuilding Department ❑Licensing Board ❑check if hrbnediate response is required ❑Seleetmen'a OMee ❑Health Department contact person: phone p; ❑Others_ r (mum 9,95 P1A) - ALKLULAAA"LlUll uuL& ALLOLaIi"JULL3 - Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for theeM employees. As quoted from the "law", an employee is defined as every person in the service of another under any cc=-- 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 c: the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rece zwe: 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 c: 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 Iocal licensing agency shall withhold the issuance or renews: 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 bees presented to the contracting authority. , Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, 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 incnm=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 io the Department by mail or FAX unless other arrangements have bees 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 Deparaneat's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0111ce of lovestl0atlons 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 f M CUR AppmW&i '� •, TableJSZlb(continued) ; •' prescriptive Fackagm for One and Two-Family Residential Buildup Heated with Fossil Fuck i MAXIMUM MINIMUM Glazing Glaring Ceiling Wall I Floor Basearem Slab Heating/Cooling Ann'(•A) U-value= R-value' R value' R-valus Wall Perimeter Equipmem ElHctcq? Packarte I I I R value° R value' 5"1 to 6500 Heating Degree Days Q 12% 0.40 38 13 19 1 10 6 Nomrsi R 12% O.52 30 19 191 10 1 6 Normal S 12•/. 0.50 38 13 19 1 10 6 83 AFUE T 15% 0.36 38 13 29 1 WA WA Normal U 15% 1 0." 38 19 1 19 1 10 6 Normal V 15% 1 0.44 38 13 1 23 1 WA WA 83 ARM W 15% 0.52 30 19 1 19 1 10 6 85 AFUE X rj18% 9% 0.32 38 13 23 WA N/A Nomud Y9% 0.42 38 19 23 WA WA Normal Z8% 0.42 38 13 19 10 6 "AFUE AA OZO 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: z 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): _ S. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: r k= Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 W of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. t ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. " 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing, and interior drywall. For example,an R419 requirement could be met EITHER .by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or.mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages). Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3, 4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1 a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). ` c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels, the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 r ,y 4r .. g='k (j/ U/O�I7U717.O�ILII/CU�[IL d�ai(/GQ.rk1QC/LUJE� DEPARTMENT OF PUBLIC SAFETY CONSTRU.CTIUN.S.UPERVISOR LICENSE NumSer _ Ez Tres: - - Restricted To. IA STEVEN::a -KADY' crew PO BOX 493 - FALNOUTH. MA 02541 HOME IMPROVEMENT CONTRACTOR Registration 126014 t Type - INDIVIDUAL - Expiration 04/08/00 STEVEN KADY STEVEN L. KADY �IAUSET EAST/PO BOX 493 ADMINISTRATOR ALMOUTH MA 02541 Y;y Assessor's office(1 st Floor): Assessor's map and lot number ✓ �� M rpoTHE (TST BE J To` Board of Health(3rd floor): If $$ MOR TO Sewage Permit number N. DIUSTast,t f Engineering Department(3rd floor):- i639' House number Definitive Plan Approved by Planning Board tg APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only ` tt TOWN OF BARNSTABLE BUILDING INSPECTOR . . t APPLICATION FOR PERMIT TO �� rt'��p 4.L- %�ir/C I S'TRGf6T�?— . -.. ��7-�i�ep�- �CC'Gr_- TYPE OF CONSTRUCTION _ QD4PJ24-01 e- 19•1122 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: on �7` /d QIJ 2 �L�if F Locati � D l Proposed Use Zoning District Fire District Name of Owner �� f?� Address Name of Builder e.,r Address Name of Architect//`�' Address AJ Number of Rooms Foundation Exterior ///� Roofing / - Floors � Interior ( 9 S Heating JL I S////S Plumbing dd ? 9 Fireplace �1L�5�� Approximate Co Area Diagram of Lot and Building with Dimensions Fee o0 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ve s ction. Name C// vl�' '�• Construction Supervisor's License A/�9 T. A.. GODDARD No 35250 Permit For REMODEL & ADD DECK. Single Family Dwelling ' 140' Harbor Bluff Road location ! { ,:Hyannis Owner i Tt •N. Goddard Type ofiConstruction' Frame � I s r '. i.lt •• .t'' i i Plot# ? Lot Permit Granted -Auqu s t 4 , 19 9 2 { , Date of Inspection 19= 1 is a Date Completed 19" - Yi TOWN OF BARNSTABLE BUILDINGS DEPARTMENT !a i k' HOMEOWNER LICENSE EXEMPTION s` +- Ple"ase print. x. DAB JOB;: LOCATION Number Street Address I Section Of Town HOMEOWNER" 7.% GoD.,3 ,a a z. 1j. (rv2J�9nU �o� yG6 .fy/b .o�-7aS . 6 . Name'. Home. Phone Work Phone PRESENT MAILING ADDRESS c Nrrs n.v� GT, In/90a son/ �S City/Town �y SAD State Zip Code Thecurrent exemption for "homeowners" was extended to include ow� ner- occu ied dwellin s of six units or less and to �allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. i1 DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which heshe resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures acces'.sory to such use and/or farm structures. A person who constructs more than *,' 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 erformed u bui,dinv permit. (Section 109. 1. 1) nder the The undersigned "homeowner" assumes responsibility for compliance with the Stake Building Code and other applicable codes, by-laws, rules and ,. regulations. Theundersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum in ec ion procedures and eq ruirementssp 1, HOMEOWNER'S SIGNATURE o�lia �f y� APPR.QVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,,' or larger, will b required to comply with State Building Code Sec Control. ion 127.0, Construction mists ` x I � M1 :I HOME OWNER S EXEMPTION The code states that: "Any Home Owner performin work Permit is required shall be exempt from the provisions ofrthiscsectionlding (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that if Home Owner engages a person(s) for hire to do such work, that such Home . Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor see A for Licensing Construction Supervisors, Sectiond2X155) .. This Rules alack egulatios awareness often results in serious roblems of Owner hires unlicensed persons. P , Particularly when the Home` P In this case our Board cannot proceed against the unlicensed person as it wc:uld with,' licensed supervisor. : .The Home Owner acting as supervisor is u14:imately responsibae.`. To ensure that the .Home Owner is fully aware of his/her . responsibilities many communities require, as part of the permit application, that the Home Owner 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. Youw may care to amend and adopt such a form/certification for use in your community. t, 4 Jt `t y q�q! ;j. � 1 21 #a t f., f,l t t p 5 t} 4 � 1 r i 1 t � O � -- y Q _ 'YT 1 n tT �? �LC+S'k'I," . . _ t41, w . - I Fn (/1 � ` wi � ;xi � I/t � y a• Tr `1 r f r H A Locus LOT 70 F K _L OCA T/ ON MAP Assessors Map Parcel r ,' /00. 00 /h 24. 53 ' LOT67 �ousE / 24. 48 ' EXi s r/N4 % F, pPasED Q 4Aoe4hE /flDDir/oA/ • `�.J Q., .. tvl ao LOT 66 OWNER : MIKE HAL CYONE TARHA MORAN E NG W E E R I NG / I NC ■ 0FMgss9�� STEPHEN y 941 MAIN STREET. S0. HARWICH . MA 02661 old co 432-2878 0.3939; P PLOT PLAN OF LAND IN HARWICH . MASS . so Prepared For MIKE HAL CYONE TA$0YHA 140 HARBOR BLUFFS ROAD HYANN/ S . MA PROJECT TA SCHA SCALE : 1 " _ 20 ' IDA TE : 214197 : r , f 1 ! I ` 1 . Y r - w) 10- 1 _____--_ •�tt��i .. _ �:'ttir5jlti�+ .. 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FOR F=t`000 PLA1N ELEVATIONS. - f .. h_tr+f �r�r.t�i.F�T(_ • S�.E ENC-�1NEE12tNG PLRhI � MAX. 4�PTNry ��Rr�l.-.� P��f�l /k �J 2. _ y d.Ett wj n t,\- 1trA _ a:1-91 PL: 47, JP K_ Oil 406 UT e � A L L o.i.,�p . � ���.�``�}}..<>}zz ��11GyCNJEj "(`�`'�`C'r`F�4� f{`j A�►J hl�� j.JC}V'Tr,iirIIG s'iA, 1: r.' r('0l', 4) P J/rlLkp.``,r 1 I