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. Town of BarnstableBuilding
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t Post This Card So°Tha ' ` fib esFrom`the Street A' rou d•P:Ians Must be:Retained o�n Job.and this Gard.Must be Ke't=
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Permit
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Permit No. B-19-2342 Applicant Name: O'NEILL,STEPHEN M &RAQUEL Approvals
Date Issued: 08/01/2019 Current Use: Structure
Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 02/01/2020 Foundation:
Residential Map/Lot: 249-119 Zoning District: RB Sheathing:
Location: 71 OLD STRAWBERRY HILL ROAD,HYANNIS ft '
ContractorName� Framing: 1
Owner on Record: O'NEILL,STEPHEN M&RAQUEL Contractorl►cense 2
Address: 71 OLD STRAWBERRY HILL ROAD �Est�Project Cost: $ 16,000.00
Chimney:
HYANNIS, MA 02601 ,. Permit F,ee: $131.60
Description: -turn garage i to entertainment room-replace 2 doors,8 windows- Fee Pad $ 131.60 Insulation:
add small 1/2 bath and galley style kitchen area reshmgle front s
Date 8/1/2019 Final:
and'2 gable ends
Project Review Req: ; _ v6- Plumbing/Gas
Rough Plumbing:
Building Official
This permit shall be deemed abandoned and invalid unless the work authonzed�by this permit is commenced within six months after issuance. Final Plumbing:
WE—
All All work authorized by this permit shall conform to the approved application antl the`approved construction documents=for which ths permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and str.'uctures shall be in compliance with the local zoning- y taws and codes.
This permit shall be displayed in a location clearly visible from access street or load and shall be maintained open for public mspection for the entire duration of the Final Gas:
work until the completion of the same. 3
ij
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are�p ded on this permit. Electrical
Minimum of Five Call Inspections Required for All Construction Work-1. �$ � Service:
1.Foundation or Footing v �
2.Sheathing Inspection e � � ��- Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is`uistalled""
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Health
"P ons c ting 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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
c
U/4 o/4"o Application Number
.......... .................................
8P
7-
BARNSTABM -04 1
MASS. 88 Permit Fee...44. 40.............Other Fee.........................
1639�
TotalFee Paid............. ................................................. ......
TOWN OF BARNSTABLE Permit Approval by........11W ....On...
W/- ...
BUILDING PERMIT
Map......... . ..............Parcel....... �,.......................
APPLICATION
Section 1 — Owner's Information and Project Location
TIA
Pro Village
OwneNa&e� C
OWffe—rsL_ej-al'Xddress *-I, QI A 44) p4c�
City--- State n-\a zip
Owners
Cill# SLID' 87 S—a6(4 E-mail
Section 2 —Use of Structure
Use,Group— 0 Commercial Structure over 35,000 cubic feet
El Commercial Structure under 35,000 cubic feet
❑ Single/Two Family Dwelling
Section-3 --Typp_of-Permit-,,
❑ New Construction ❑ Move/Relocate [:] Accessory Structure E] Change of use
El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm
R6build El Deck Apartme.nt ❑ Sprinkler System
❑ Addition ❑ Retaining wall Fj Solar
P'renovation ❑ Pool El Insulation
Other-Specify.
Section-_4.=Work-Descriptio
n
L
N_
Last undated: 11/15/201 8
Application Number....................................................
t .
Section 5—Detail00
Cost of Proposed Construction Square-Footage of Project :3` �,�� t. 6�� Sc
Age of Structure,lct-7--7, 1-1f,:, !4 rS Dig Safe Number
# Of Bedrooms Existing ?� Total-#Of Bedrooms(proposed) S Acre
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
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 ❑ No
�r
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑
Section 8—Zoning Information
Zoning District Proposed Use LotArea Sq. Ft.
Total Frontage Percentage of Lot Coverage # of Dwelling Units(on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed R
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last updated: 11/15/2018
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
+sa
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=l-1-=Home-Owners-License Exemption
Home`Owne s Name;; p a)!:�� CS
La
Tee lephone NumberCs- fi'7? -�'� Cell:o Work-Number
I understand my responsibilities under the rules and re for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I upder3te6i the construction inspection procedures,specific inspections and
documentation re '%ed 780 CMR d th T of Barnstable.
Signatures �Date, --tQ —
AP_:PLIC- SIGNATURE
Signature Date �«—
Print-Name Telephone Number
Email permit-to: Py3 c
Last updated: 11/15/2018
M •
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) ❑
Historic District ❑ Site Plan Review(if required) ❑
Fire Department 0
Conservation ❑
For commercial work,please take your plans directly to the fire department for approval,
Section 13 — Owner's Authorization
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
Last updated: 11/15/2018
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractorstlectricians/Plumbers
Applicant Information Please Print Legibly
'Na--Me(Business/Organization/Individual): 41pr_11 LJ \N�
(Address:. l(d
,City/State/Zip: ,O, one#•
Are you an employer. Check the appropriate box: Type of project(required):
4. I am a general contractor and I P J ( �1 �
1.❑ I am a employer with- ❑ g 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition
working for mein any capacity.acit3'• employees and have workers'
9. ❑Building addition
[No workers'comp.insurance comp.insurance?
r ] - 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself[No workers'comp. right of exemption per MGL 12.0 Roof repair
insurance required.]t C. 152,§1(4),and we have no
employees.[No workers' 13.E]Other
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 all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. r
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure 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 ad ' a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance cop v ' cation.
I do hereby der the pains d n of p that the information provided above is true and correct.
Si --Date: — —
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone M
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 Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Dgwtmm t of Indust,W Accidents
Office of Investigations
600 Washington Street _
Boston,MA 02111
Tel.#617 727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www;ram.gov/dia
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THE tO�♦� r TOWN OF . BAR.NSTABLE
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"6 BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
....................... ..... ... . . .... .. ....................................................................
TYPE OF CONSTRUCTION ....................__-1—A14-21V.... .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit acc rd'ng -to the fol owing information:
Location ............t,,01 ........./.. .. .... .. .. - ..��.....
ProposedUse ......... . � ....................................................................................................................
��
Zoning District ..............................................
../..........................Fire District ..............................................................................
Name of Owner �'c ,. .. !f �..� .�., ddress ......... �::"��L ;4.Af...
Name of Builder - �'. ... . �'-LZ.G?�'L...Address ......................... Xa-u_e.-.............................
Nameof Architect ..................... _.............................Address ................ ........................................................
XNumber of Rooms .......: ..b�. .............. ........Foundation .. .�.
Exterior ..lai,h...... �4 .. Z ! 1.....Roofing AC,.X 4 �. . ...
Floors `y� <�
Heating ...ilt�i �x d '6- .../� ....Plumbing .................... f .....�.,�..
Fireplace ....................fel� .. . -'�..........................................Approximate Cost ..............I.. C��. �G !!.....................
Definitive Plan Approved by Planning Board ---------------____-----------19________.
Diagram of .Lot and Building with Dimensions -FE
SUBJECT TO APPROVAL OF BOARD OF HEALTH r
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
:.. .Name .. .. .. ... .... ....3
Cedar acres Realty Trust
No ...15329Permit for ......one story.........
single family dwelling
...............................................................................
Location '71..Old..Stra.iTber.ry..Hi.11..Rd.........
L.
. ....... ........ ........ .... .... .... ......
Hyannis...........................................
.... . ...... .
Owner
Cedar Acres Aealty
.......................................................rust
...........
Type of Construction ...................frame
.......................
................................................................................
Plot ............................ Lot ........#1......4..................
Permit Granted .....August..4........... .....19. 72
............. ...
Date of Inspection ..................... .............19
Date Completed ....23......:.19
PERMIT REFUSED._,
................................................................
...............................................................................
................................................................................
........................................................................ ......
...............................................................................
Approved ................................................. 19
...............................................................................
...............................................................................
411
Assessor's map and lot number ............... sEPrlc SYSTE#Q MUST
BE
INSTALLED IN WMPLIacz.
�, D ............................. !F ITH ARTICLE It STA-M`.
Sewage Permit number ....... �/ /.' K....' SANITARY CODE. AND
REGLI1:/1TIQP6�a:.
yOFTNEt��y TOWN' OF BARNSTABLE
i 9ARNST"LE, i
"6 .e� BUILDING INSPECTOR
0 wpY a• _
APPLICATION FOR PERMIT TO 1 d..OXC...... �U.....r l .......................................
TYPEOF CONSTRUCTION ...... ...................................................................................................../........................
............ �d`.... ..ti%'..........19:7 ..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...�1..:�............�...�'.��.... ........................... �:�:�.c.f.................................................................
ProposedUse .. /1. �'� 1`1 ...................................................................................f..............................................
Zoning District ........................................................................Fire District ...
...
vzlzGe ��S 7�.Name of Owner .................... .. ...C ................Address ........... .Name of Builder .
.........................................Address
........................e
Nameof Architect ....,�.,,: :..........................................Address ....................................................................................
Numberof Rooms .....l......................................Foundation ..............................................................................
Exterior .. .".0....................................................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ..................................................................................Plumbing ..................................................................................
Fireplace ..................................................................................Approximate Cost ........................................^............... ..........
7 S.
Definitive Plan Approved by Planning Board ---------------_--_-----------19--------. Area .........�......... ................
sD
Diagram of Lot and Building with Dimensions
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
Ai®
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1.
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ........
Rosenber,, Alfred
No ...120.7. Permit for add...dec. k...to
....... ..... ..... ...
.........singl.e...f amily.ld e.J.a...Wg. ........ . ...
Location ........71,...01.d.&trawb.err.y..J-U11RDad
.........................Hyis...................................
Owner Alfred. . ...Rose. nberg. ...........
....... .... .. ..... ............ .....
; t
Type of Construction frame
..........................................
...................... ......................................................
Plot .......... r
............................ Lot ................................
Mai 6 74 r
Permit Granted ........................................19
Date of Inspection ...... :..:.........................19
Date Completed
PERMIT REFUSED I
........................................ ...................... 19
.... .: .._.............................. ................................. ` y,
..... ................................................
..•`........ ...........................................................
Apr�ogved .............................................. 19
............. .............................................................
.....................