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0295 OLD STRAWBERRY HILL ROAD
�e�^' � ter, �t,�-IS ervlt Ar-S, WE rA aulL 011ve Application Numb ........I............. ......... .......... BARNS-rABLE, FES 4 2g18 K"S. ToVV/V Permit Fee.............� .D...............Other Fee................ 16yq. BAR/VSZ48tt- Total Fee Paid............................................................... ...... TON" OF BARNSTABLE' Permit Approval by.... .....�On... S-h ........ ............. BUILDING PERMIT r� Map.............. 056.....................Parcel.........a v..o..................... ... APPLICATION Section 1 — Owner's Information and Project Location ProjectAddress /�Lqc Village h�l—rq Ail Owners Name. Owners Legal Address City State zip Owners Cell# 3,60 E-mail G. P S i v6 eA,l$ �&,hco -cool Section 27 Structural Use E] Single Two Family Dwelling F] Commercial Structure over 35,000 cubic feet E] Commercial Structure under 35,000 cubic feet Section 3 -t-Type of Permit F-1 New Construction ❑ Move/Relocate [:].Accessory Structure E] Change of use El Demo/(entire structure) D Finish Basement El Family/Amnesty El Fire Alarm Rebuild. El Deck Apartment El Sprinkler.System Addition Retaining wall F] Solar El Renovation. ❑ P,001. F1 Insulation Other—Specify Section 4 - Work Description - a 66 aZ Get IF �d Application Number.................................................... Section 5—Detail Cost of Proposed Construction bm' �'0 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method_ ❑ MA Checklist ❑ WFCM Checklist ❑ Design i � Section 6 —Project Specifics i ❑ Wiring ❑ Oil Tank Storage . ❑ Smoke Detectors i ❑ Plumbing ❑ Gas j ❑ 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 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 Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required _ Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ ,No i Application Number........................................... Section 9— Construction Supervisor i Name Telephone Number t Address City State Zip License Number License Type' Expiration Date Contractors Email Cell # F 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 a 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 S—ectiOn 11=Home Owners License Exemption l� s Home Owners Name: /_U"('S 0 EAq Telephone Number _�;V 9 Cell or Work Number ei 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 6 O Ell APPLICANT SIGNATURE Signature - _ Date Print Name d-u s <wy 14 Telephone Number E-mail permit to: /-(A o Last undated: 12/28/2017 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 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 T act nnilatPrl• 1')/7R/7017 i . 1 1 1� } l a i � ' D L { I �I / 1 1 I fo CIO �J¢;�!`yfPti H o a SA44 fq- CERTIFIED PLOT PL'AW t =/� 7T 0 Id S ati. 6rriy i ., i/ofo,.. NEWCONSTRUCTION ONLY �, ca - ---... --- Y � - -'...._.f-=- — ,� n :tom ITT:"i�Q- ► TOP OF FOUNDATION IS _a FEET @�� ABOVE LOW POINT OF ADJACENT �,�.� 11h f a �L � �UJ S. ROAD. SCALE ) _ 30 )ATE :0cj9, 1978 (ELDRIt®G'E ENGINEERINV CO. lk/G f ` I CERTIFY THAT THE - - CLIENT - - SHOWN ON THIS PLAN IS LOCATED EGOSTERED.I i REGISTEREDI JOB N0--) S-o(i ON THE. GROUND AS, INDICATED ANI D CIVIL I LAND ) ) CONFORMS TO THE ZONING LAWS ENGINEER; I�SUR!/EYORSl DR. BY: i\ OfBARNSTAE3LE MASS. _. f 3 NO MAIN .,7 r'�2 MAIN ` CH. BY: .;T. _ v� 31 �y7� d-` lot `0 YARfviOUTH, fJfAS-). H'YANNIS, MA" ;. �l�iE!✓Tf.. OF . _ DA'rE REG. LAND SURVEYOR fl� The Commonwealth of Massachusetts Department of Industrial Accidents VA Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia -� Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/Organization/Individual): 16-t4` Address: City/State/Zip: R u h l'S /4 Phone 3 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑Building addition Anllyself equired.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3 m a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Airy 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. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractDrs 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 thepolicy andjob 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 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 Wder th n�and penalties of perjury that the information provided above is true and correct Signature: ` /� Date: Phone#: e� (�f -36 t2S . 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#: t i Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." i 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( )states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the " members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense 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 ally stamped or marked by the city or town may be provided to the town)."A copy of the affidavit that has been offici 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. an questions, u in advance for our cooperation and should you havey qus , The Office of Investigations would hlce to thank you y P please do not hesitate to give us a call. The Department's address,telephone and fax number- The Commonwealth of Massachusetts Dgpmtment of Industrial Aeddents Office of Investigations 60-0 Wasbbgton meet BostDn,MA 02111 Tel,4 617-727-4900 ext 406 or 1-$ -"SAFE Fax#617-727-7749 Revised 4-24-07 www mm,gov/dia Town of BarnstableBuilding `""' ",sue. . a a ^ 'rRost This�Card So That rt isble From°the Street A roved.Plans Must beRetain on Job and this Card Must be Ke t aniixsrwes¢ r pNs,: s P Posted Until Final ins ect�on Has Been Made , x t§ , ° Where a Certificate, ®ccupancy s Required,such Bu�ldmg shall Not be Occupied until a F sat Inspects has been made Permit 9�. m =M. �. . : _.. Permit No. B-18-3607 Applicant Name: RIVERA, LUIS H Approvals Date Issued: 11/06/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/06/2019 Foundation: Location: 295 OLD STRAWBERRY HILL ROAD, HYANNIS Map/Lot 250-_080 Zoning District: RC-1 Sheathing: Owner on Record: RIVERA, LUIS H Contractor Name Framing: 1 Contractor License . Address: 295 OLD STRAWBERRY HILL ROAD �a Rx i% 2 HYANNIS, MA 02601 Est Protect Cost: $1,000.00 Chimney ' Perm Description: Mudroom,wall framing to enclose existing covered.front porch and ,it Fee: 85.00�� $ installing a storm soon Fee Pad $85.00 Insulation: Project Review Req: � Date 11/6/2018 Final: Plumb ing/Gas r Rough Plumbing: M , t Building Official final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by,,this permit is commenced within six months after issuance. All work authorized by this permit shall conform to-the approved application and the-approved construction documents# w or hich this permit has been granted: Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by,laws and codes. This permit shall be displayed in a location clearly visible from access street or=",road and shall be maintained open,0,publicl"' 'ttion for the entire duration of the work until the completion of the same. = Electrical Service: The Certificate of Occupancy will not be issued until all applicable signa'turrees by tfie�Buildmg avid Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: "` Rough: 1.Foundation or Footing "" 'T` 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspectionsto be completed priorto Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final' Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: �z - Building plans are to be available on site c All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ApplicationNumber....... ............................. .................. MAes. Peffiit Fee....................................:..Other Fee.................:...... TotalFee Paid..............r...................................................... . TOWN OF BARNSTABLE Permit Approval by................ ................on....... ....../........� BUILDING PEF IIT .IZM D (� . Map......._............ .........3m Parcel........................................... APPLICATION Section 1 — Owner's Information and Project Location Proj&Address 29S Old 5iYnAe• 'CL Village Owners Name lit 1 s i, 12 Owners Le Address Legal �e a �s State zip ® 1 ci ty � �-+ . Owners Cell# $ 36®- 36 Frmail 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 37 Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ",,Addition ❑ Retaining wall ❑ Solar BUILDING KEPT ❑ Renovation ❑ Pool ❑ Insulation OCT 31 2018 Other-Sp ecify , Section 4-Work Description -TOWN O BARN, ,4Bi_t r L4 Rio ` 57"OeM I � F T Act 7mdated:2/92019 Application Number.................................................... 1i Section 5—Detail Cost of Proposed Construction / ��60 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total,#Of Bedrooms(proposed) 110 MPH Wmd Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wning ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom A Waxer Supply ❑ Public 16'Privaxe Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes �No 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 Lot Area Sq.Ft Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required - Proposed Rear Yard Required Proposed y Side Yard Required. Proposed -� Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No i Last tmdated_2/9201 S i Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State -Tap License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Constriction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the contraction 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 Tap Registration Number Expiration Date I understand my responsibilities under the riles and regulation 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.LC... Signature Date Section 11-Home Owners License exemption (docmnentation ome Owners Name: fit tp5 ►Q��P•r4 elephone Number 5®� J' 60 a�3 6 f�Cell or Work Number 9 6- G understand my responsibilities under the riles and regulations for Licensed Construction Supervisor inaccordance with 780 MR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and required b 780 CMR and the Town of Barnstable. ignature Date APPLICANT SIGNATURE Sigftature D .. 1 '- } ate v Print Name Pt "IE94 ~� - 6 0 - 3,6(' Telephone Number S g 3 E L permit to: L t,41's . P i VSieA I g 900• C0 X1 % T e..F.....i,wr.l. Inmm0 Section 12—Department Sign-Offs P � Health Department Zoning Board(if required) El Historic District ❑ Site Plan Review(if regtured) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire deparonent for approval Section 13—Owner's Authorization 1�� I �, �( UeeA , 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 j ob) ZZ,e. Signature of Owner date Print Name ic 1 k Lest wdalc&219/2018 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Appliicccan Information Please Print Legibly NaLMe'(Business/Organization/Individual): �. 14 1j A'�ss• qs txxD � gay ! GZ , tcf s y/State/Zip: H 1V i s .Oo* 1 Phone#: S� j6� �O 36 � d Are you an employer?2Leck the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• t 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[1 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. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.`#: "°` Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure 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 Meeereby certify u er the pains andpenaldes ofperjury that the information provided above t is true and correct. Si � ature. 2 ` Date: P,h�ne#: D � 3 U 0 - 3 r � r 4 r Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-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 cant'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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. of Investigations would lice to thank you in advance for our cooperation and should you have an questions, The Officey y p y y q , please do not hesitate to give us a call. The Department's address,telephone and fax number: ; The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-8 77-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.mm.gov/dia j l5 IS 12 ti, o� CERTIFIED PLOT 7 5- NEb COFdS TITION IS � ' � FEET `'�:> I FOUNDATIOPd IS _-- TOP OF ADJACENT � 3G DATE :(3cj 3� 1978 ABOVE LOW ROINT OF SGALE:J ROAD. THE _ ,�,� tt � I CERTIFY THATIS LOCATEE -- G CO_i� T I/�° �� - SHO�IRf ON THIS PLAN INDICATED AC D (ELD �®GE E��INEERI__.._-.__ GLIEN y3 ON TORAASRTORTHEs YORIIE�G LAi�f9 EGISTERED . rREGISTERED JOB NO. S�'. --- C O N F MASS. CIVIL LAND F BARNS TABLE NE �. SURVEYORDRBY.: -- QNC/cl�3 15 d -'`- R E.NG ---_� CH. BY= -.._-- -! — APID gURV�Y® - ;T , 712 MAIN ` T. - REG. L 33 NO MAIN HYANNIS, MA:-J- SI-IEET _/n.c --- UA �E ;0 YARMOUTH, MASS. - f 1 f,S Uold- t 4 T. • , jjjj � � 1 ! 1 �i' �, r 4!. f /�/ J e9 � ,�+� f '�7 ��.f' !{\- }.. ��' _Mx •��*, ` AP I i ,4 P� � �� "��..•�� � f:�fi� A�� � r r ff l .,vo lit 1 0 I Ji 01 - 'F BUILDIN ,. DEPI , J 3 e OCT 3 201 � � — •` �� �` � a x TOVt[�i 0 BA , A ! I . (I o d� X 13 3 i at Af cSVL !C ! J' i Eye BUILD 1.) OCT 31 20i TOWN OF BARNS' t t Town of Barnstable Building `. Post This Card SoThat it is Visible;--From the Street„Approved;Plans Must be:Retained oJob and'th�sCard Must'be Kept , Permit MASS: -�PosteclUntil;Final Inspect�onHas,Been Made ,t , a ¢ "�, .� i Where a Certificate;of Occupancy is Required, ch Building shell Not be Occupied unt Ida Fi,nallnspe nahas been�rnade Permit No. B-18-458 Applicant Name: RIVERA, LUIS H Approvals Date Issued: 03/08/2018 Current Use Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/08/2018 Foundation: Location: 295 OLD STRAWBERRY HILL ROAD, HYANNIS Map/Lot 250-080 Zoning District: RC-1 Sheathing: Owner on Record: RIVERA,LUIS H Contractor,Name Framing: 1 Address: 295 OLD STRAWBERRY HILL ROAD Co ractorxLicense; 2 HYANNIS, MA 02601 , Est Protect Cost: $ 1,500.00 Chimney: Description: Building a ramp for my parents,access for wheel chairs . , „ F Insulation: ` Fee Paid! $85:00 Project Review Req: RAILINGS TO BE INSTALLED WHERE REQUIREM MAX SLPOE Rate 3/8/2018 Final: OF RAMP ONE IN TWELVE. ; ` iv aF Plumbing/Gas _ Rough Plumbing: 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. Rough Gas: All work authorized by this.permit shall conform to the approved applicaftion a'nd the-,,approved construction documents�'for yAch this permit has been granted. All construction,alterations and changes of use of any building and structures;shall be in compliance with the local zoning by laws and codes. Final Gas: i hall be displayed in a location clear) visible from access street or-road and shallbe maintained open for putlic,mspectionfor the entire duration of the - - This.permit sy P work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building a d'Fire Off!W'Is are',prov provided oon ttilspermit. Service: Minimum of Five Call Inspections Required for All Construction Work. � �.: ` 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 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 Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' Town of Barnstable Building• Post ThisCard So That it is;FUisible From the Street rA rovedPlans:Must.be Reta�nedyon Job and°;this CardMust beKe t ..: i,', �"' :'' 3v'R�p ,T r �,. y •.' ,, :P �n Permit ed Untifin Inspectionas bMreertificate`of°Ocu anc . ... ,��. w.F? Permit NO. B-16-3196 Applicant Name: Nathan Tissot Approvals Date Issued: 12/06/2016 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 06/06/2017 Foundation: Location: 295 OLD STRAWBERRY HILL ROAD, HYANNIS Map/Lot 250-080 Zoning District: RC-1 Sheathing: Owner on Record: RIVERA LUIS H ;Contractor Name: SOLAR CITY CORPORATION Framing: 1 Address: 295 OLD STRAWBERRY HILL ROAD Contractor License .168572 2 f � � HYANNIS, MA 02601 Est Project Cost: $ 10,000.00 Chimney: Description: Install solar electric panels on roof of existing�house with any #Permit Fee: $ 101.00 Pi- Insulation: upgrades,when applicable,specified by Design,To beinterconnected .y Fee Paid $ 101.00 with home electrical system. JB-0263418 6.7�6KW� 26 Panels Final: Date 12/6/2016 Project Review Req: Install solar electric panels on roof of existing house with any z F` upgrades,when applicable,specified by Design,6o 150 �= br ,:r r :. Plumbing/Gas interconnected with home electrical s ,ystern JB 0263418 ,F ,,UL ` Rough Plumbing: 6.76KW 26 Panels i uilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within ilz months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents#or which this permit has been granted. All construction,alterations and changes of use of any building and structur&s hall be in compliance with the local zoning by-laws and codes. 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. yZ. Electrical The Certificate of Occupancy will not be issued until all applicable signatures byFthe Building and Fire Off��als are provided on�this'permit. Service: Minimum of Five Call Inspections Required for All Construction Work: r n 1.Foundation or Footing N Rough: 2.Sheathing Inspection " 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: r ` 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: b Persons contracting with unregistered contractors do.not have access to the guaranty.fund".(as set forth in MG c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT - t: .;� _ ., . rt - � :: . - ` � � _ _ . . f a - y ,. . Q ., ,� _ a �., �_ v r ._ .. ». ..� - ., - z � � ' p�� 1 Town of Barnstable 71 C 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit Application No: TB-16-3196 Date Recieved: 10/31/2016 E Job Location: 295 OLD STRAWBERRY HILL ROAD,HYANNIS Permit For: Building-Solar Panel-Residential Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572 Address: 24 ST MARTIN STREET BLD 2UNIT 11, Applicant Phone: (508) 640-5839 MARLBOROUGH, MA 01752 (Home)Owner's Name: RIVERA,LUIS H Phone: (508)360-3610 (Home)Owner's Address: 295 OLD STRAWBERRY HILL ROAD, HYANNIS,MA 02601 Work Description: Install solar electric panels on roof of existing house with any upgrades,when applicable,specified by Design; To be interconnected with home electrical system. JB-0263418 6.76KW 26 Panels Q7 n Total Value Of Work To Be Performed: $10,000.00 I'; r Structure Size: 0.00 0.00 0.00 Width DepthTotal Area, I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Nathan Tissot 10/31/2016 (508)640-5839 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $109000;00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee:. $101.00 10/31/2016• $101.60 XXXX-XXXX-X} { _credit card 5477 Total Permit Fee Paid: 614 ft $101.00 �THISI�� Q9T A PE IT° � Town of BarnstablBuildin e ' `s'a.,',°'' ' ?': s C,:o, r- . r;'✓my :. ,'f s � i.e ..3 K'` w Post:Th�s Ca"rd So Tha is;Visible Fcoin.the Stre roved PlansMust be Retained.onJob an t ,.. . this Gard Must be Kept r DAYLA$I.P.. • "� .r^*",' ',ram 3rk,�. ., ';a rp{� , '£' `.�i .. '�' b 'ztc.r z, `7.- ..:v r 9Posted U PermOntil Final ins ect�on Has Been Made , Where a Cert�ficateof OccupancyissRequ�red,such Building shall Not`be Oceup�ed until a Final Iri'spectwon has'been made z Permit No. B-18-459 Applicant Name: RIVERA, LUIS H Approvals Date Issued: 03/08/2018 Current Use: Structure Permit Type: Building-Demolition-Accessory Expiration Date: 09/08/2018 Foundation: Location: t295 OLD STRAWBERRY HILL ROAD, HYANNIS Map/Lot: 250-080 Zoning District: RC-1 Sheathing: nt Owner on Record: RIVERA, LUIS H z Contractor Name: Framing: 1 0. Address: 295 OLD STRAWBERRY HILL ROAD g Con#ractor'L�e�nse 2 HYANNIS,`MA 02601 .' Est Protect Cost: $2;000.00 Chimney: Description: demo Pool er�Pmit Fee: $50.00 Insulation: Project Review Req: INSPECTION REQUIRED, z Fee Paid $50.00 N Date 3/8/2018 Final: D Z� a x r Plumbing/Gas Rough Plumbing: 77 _.A .. . ti BuildingOfficial Final Plumbing: V This permit shall be deemed abandoned and invalid unless the work authonzedbythis permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application andthe'japproved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shy II be in compliance with the local zornng by laws and codes. 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. %N Sir Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and, reOffiaals areprou�dedon 'permit. Service: Minimum of Five Call Inspections Required for All Construction Work y S.Foundation or Footing " � Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy tow 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 MG c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION F/hATL $ Map .�fl Parcel �d 13U/ Application #3 Health Division ®,�� ' Date Issued 3 S � S3 Conservation Division r r FES 4 2918 Application Fee Planning Dept. OwN®'fzBA �rl Permit Fee J5 - .0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis P_roject.Street Address �7 cl� !�- Village.� � >? Ow e`� u� /G-r 1)8Cal Address S a�� (Telephone-� ®tom " c� ® 3 l r Perm'itnRequesf"" Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation., QW• 070 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing 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 U.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) Telephone Number-t U� Addiess}�gS 11�� License # Home Improvement Contractor# Email:L.�l� /�/10��' -i q��0�1 • �O/V Workers Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SLGNATUREn t DATE- , ky , � FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 17m CommowireaWt of-Maysadr=etts. Department gfludus&ialAcddew& Q, C q hn- figatacros Barstow,ALI 02.1.E mviunra-sEgovIdia Wurlm& CampeusaizanInsurauceAffrdavib BEdldex-slCuntractarsMecbicn.slPlumbers ATpHtaidTmfGrma6axt ' Please Print l N ,c Add.�t�3 .. •. t;CityfStatmMIr- Ica N �I.tR PIW=lu _ 161 Are you an emisla`�er?G&eckthe appropriate bc= Type of project(refi;uired);: L❑ Iama employer wi 4 ❑I am a general cbnfmalorandI 6. New comtmctica employees(full andfor par#-time * have lairedtEw mb-coatmdam 2.❑•I am a Sale proprietor arpastner filed onfhe,attached sheet, 'F- ElRemodeliag Thise�b--cot actors have slip and base as employees. • $.,Q Demolifipu worIciagg forma in any capacity. employs and hare [NO V IO ' Comp-iacnffiCe cpmp.imrarcrp� �• �Busldmg addtb oa required I ❑ We are a corpomfim and its 10❑EleFftical repairs cara,dclifions 3 I am a hotn8owner doing atI work of6cars have exercised thek 1L0 Plumbingrepaim or additions. self o makers ?igbt cEf a arr; bn per M(M my N - 17❑Roofrgmim incrtxanre� ed�[ C.152,J1(4X and wehaveno emglogees_ Ipwo�ess' 1.311 wier ' cotes.msar�ce regrrire�� . ��rapp€i�t�archer�straz�l�alsusn.a�a�tl�sec�aaberow�xmdng�e"avro�Ce�'®p�atiaaporcyia�crosao�• • �Sa�eoaraecs�rho sabmit dris�5dacu+r�rsimg thv_p IIze•doia�alFvra�c 8a�(i1PIl bait a•atdde coa�ctarsamtt 5alfIDit a newa$idamt indioman SsirT. fOanhacin=-ffi�IJII-kthizbaacmustmttad d zildi[i-aldimt ofthesn6-matodxr,sad sbftw EdWtarnot•r�nsemiffffeshrVe emp9uy2e;.Ifthesvh-caatmctmcsfze enpIay5a%theym¢stgsaside their uvrkPa'ramp.paTi�aumises lrarrt art errtp r t7arrt is prut2rluz markers'compensrdimi iimiranwfor my*enzpkyees Mow is t7te poEq turd job she irr,jat�rzQliotL , Insurance Compaslyi�ame: - 'Paficy�pr Self-mom Iic� I�piEatiosI�e: Job fife Addre= citylStatelz�p: Aftach a copy of the warkere compmsationppIicrdeclaratioa page(showing the poFicy number and respiration date). Fail.nm to secure coverage as re;gdreduade�r Section 25A of MGI.m 152 can lead to the imipositim of rrirnrnaI penalties of a fine up to$UOD Oa andlpr one-year imprisormerc4 as will as civil penalties ra the form of a STOP WORD ORDER and a ffne, of up to Z100 a dap agpin&the violator. Be advised that a copy of this Atementstsay,ba forwarded fa flm Office of InyestEgations.ofthe DIA for ihsumm coverage"Mrificali= I do hereFry verb-r rdeer th and psrtatfres a.fpedkrry tTurtths htf arRudLV R mzs�d abotg is bars and camec-t --� ' Date trilpnE s� 3 ® � 3 1 ' af�ial trse artF}: 1?a trot tlarita i�t tft�axerr;ter Fie crrttspteted 5�r,�rtrta�r-zt�'rcr�nf City pr Town: l erm tff&eme:g Iss13ing A trrtfy(C rdle one).: L Board of$eaIt€i1.BuuTding Department 3.# ityirovn Clerk 4.F.ie cal Tk pectar S.Phrm-biilg Inslrecter 6.Other Comact Person: Thane#: — -- - —- 6 152 aII empIoyecs'to provide wr lke wmP�on for fbeir employees_ Macc�rlM=ffs Geall-aws r��. e�sonm$re sezvice of herder any co�raot ofli�e, p o this s[�,an�&5y,z is defined as-6—�yP or iruplic4 oral ar wiittem-" er is d�f l d as-an mdivi ffiA p��.association,�P�OII or othm legal'�Y,or�Y two or more An d is a oint andinclndmg the legal�se�ves of a deceased employer,ar the Of the foregoing� m i Vie' e�oYmg r�]Dyees_ MWE-,Ver the receiYer or irus�tee of an inrtrvidmll parfne�.ship,associafZDn or o$ies Iegal�Y, DW=ofadwellhzgh=Dhavingnotmoreth=t1�eapartmentsandv oresidesiheaeno,ortheo afthe- maims ce rl,,,clm_r_Fi an or repair wo�c on sib dwe e awrMaghonse of ano xvzbo employs Peons to do be&=edto be an employer. or b rntenaotth=to shaIlnDtbecanse of sash employment or oa the grotmds nildmg� • MGL c ter I52,§25CC6)also states that'eves'every Or la cal fire agancy shall withhold ffie zSsuaace or rettew•a.I of a ficertse ar permit to operate a b.&ess pr to constrict b�ffhL&in the co on�ealth for any c� thr rasa cr,coverage regIIrred-shall applicantvFho has notprDduced acceptable e4iffatce`of crimpTian AdriifronalIY,MOrL chapter I52,§25CM states¢Ideig=the caaamam E";•nor MY ofifs political snb�vi.�ioi s en r ink qMY coairact far the perMance ofpnblic wnrK n�I aDceptable e4idenc iof campIian cevi the msm� • eaaeiffs oftlais chsptMhavebeenp=eitt dintiiec�> t;,��.ar�hoz�y:' AppHcanfs ." e�sai5nn affida-a cm�jeb4,by 'h e boxes�aPPIY to pornr dblafian anti,if Phase fill o the vvo '�� es e�mber(s)aIong�ficir eertE�s)of necessaiY,Supply sob- {s)��s), ) �� other fbanthe L��dL��y Companies(f-LC)or I.imitEdLiabiIityP s( ) no e=rployees members or parfuexs.ale not regtdrnd to ca3'Y GOp=,�oa jn n= If an LLC or LLP dDes have ea�pIoyess,apolicy is regaited. Be advired this of adxyRmaybe sa to the Departiamt Of Industrial of insm Accide�fs for confrmaED-a �ce coverage Also ire see fo si giz and date e a davit The affidavit sb ovld bez�tnmed to e city or inwnthat tine application for thr pemit or license is being regaesh�not the D epajfME:at of S1T onldyon baQL any g f e law or ifyou are refired to obtain a v�o�s' rL rhJsi�tal Asddenfs antes sT campensat;nnpoliicy,plcnr.calltbeDepa�e�altbemmberlisedbelo-T Self-insmedccmp ionld enter their self-Tr,sala ce Hcensc nmaber cm f ie appxopIIafe Ime- City or Town Officials Please be sore that the affdavit is complete andpriired legibly_ The,Deparim ent.has provided a space the Dfthe affidav fir yoII1n f�otff mfize event the Office ofk7m-lg t�o"�has to co�actyou g aPP Hcant- Pleas a be sore to f I.l.in file pe�itlIicense�nber v�hich w�l be:IIsed as a ref�e�ce rnmmb�In addition,an applic�.t . Ie tense appliz�ions in any�y�,need only submit one a$davit indite "Ot that must=bn�mint p p (cry or policy it r atian CIf nay)and ffider"Tob Sre Q�ress"the apphca�shoDld�"au locaii�:ns in town)"A copy of the affidavitffiathas bey officially stamp e madced byfhe cffy or to may be provided to the applicant as proof that a valid affidav$is on file far f�•p=?3 or Hines A new affidavitrmnst be filed o Dt ear�i • year.Where ahome ovzner or cit�is obfaiaing aIicease or pe�not xe7afed-in aaYbusmess or eommEacial4� (ie_a dog license or peamlt to bam leaves et -)said person is RIOT to caurplete this affidavit sbanLi n Dave any gaPsi�ins, co ex tion and yo ofln woIIld]iketothankyoIIinadvancefaryoIIr ap The Office ves�ig�s please do nothesitafz to gwens a call The Departmex's address,telephone and fax nnmbcr ' Ca=M tk of salt-setts mtQfIiAastiAAoDideint-" ' laRgbmz oil 11 T(�-L 61-1-? -4 czrt 4-06 or 1477 MASSAM . exl4-24-D7 �z�p R.evts AWC Guide to Wood Construction in High Wind Areas:110 in-ph Wind Zone Massachusetts Checklist for Compliance(780 CAIR5301.2.1.1)I Check Compliance 1.1 SCOPE Wind Speed (3-sec.gust) ....... . .................................................... .. .................... 110 mph . .... . .. ..... ............ WindExposure Category.................................................................. ...............................................:.............B 1.2.APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories <_2 stories RoofPitch ..................................................:.......................(Fig 2)................................. 512:12 MeanRoof Height............:.................................................(Fig 2)................................................. . ft <_33' BuildingWidth,W...............................................................(Fig 3)................................................ _ft 5 80, BuildingLength,L ...................................................:..........(Fig 3)..................................................—ft <_80' Building Aspect Ratio(LNV) ...............................................(Fig 4). ................................... ***..... 5 3:1 Nominal Height of Tallest 0 enin z ...............(Fig4 < ' " 1.3 FRAMING CONNECTIONS General compliance with framing connections.:..................(Table 2).....:..:..:................::..........:....::.............:... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............................................................................................:................................. Concrete Masonry................................................................... ................................................................. . 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general.................. ..(Table 4). ....... ........................ .... Bolt Spacing from endrjoint of plate ...'. *....................(Fig 5). ................. . ............ in.5 6"—12" Bolt Embedment—concrete........................................(Fig 5).................................................. in.�:7" - Bolt Embedment—masonry.........................................(Fig 5): ........................................ in.>_15" Plate Washer......................................................... ....(Fig 5). .............................................z 3"x 3"x Y4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)........................:........... Maximum Floor Opening Dimension.... .......(Fig 6)................................................... ft 512'.Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6 Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.:..............(Fig 7).....,..............................................—ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).....................................................—ft 5 d Floor Bracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ..............:......:..................................(per 780 CMR Chapter 55)....................... Floor Sheathing Thickness ..............:.................................(per 780 CMR Chapter 55)....................... in. Floor Sheathing Fastening..................................................(fable 2)..._d nails at in edge/ in field 4.1 .WALLS tl Wall Height Loadbearing walls........................................................(Fig 10 and Table 5).......................... ft 510, Non-Loadbearing walls................................................(Fig 10 and Table 5). ....................... _ft 5 20', Wall Stud Spacing ........................................................(Fig 10 and Table 5)..................._in.5 24"o.c. Wall Story Offsets .(Figs 7&8)............................................ ft 5 d 4.2 .EXTERIOR WALLS' Wood Studs Loadbearing walls..............................:.........................(Table 5)..............................2x - ft_in. Non-Loadbeadn walls........................ .......2x -_ft-in. Gable End Wall Bracing Full Height Endwall Studs.........................:....................(Fig 10)............:..................................................... WSP Attic Floor Length...............................................(Fig 11). ................... ft�W/3 ' ..... ..... ..... .. Gypsum Ceiling Length(if WSP not.used)..................(Fig 11)................................:........... ft 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c.. (Fig 11).............................. .......... ................. or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate _ Splice Length ........................................................(Fig 13 and Table 6)...................... ..........._ft Splice Connection(no.of 16d common nails) .....:.......(Table 6)............................. e e AWC Guide to Wood Construction in Sigh Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7s0 CNm 5301.2.1.1)` Loadbearing Wall Connections Lateral(no. of 16d common nails)...............................(Tables 7). .................................................. Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Table 8)........................................................ , Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)............................... _ft_in.<_11 SillPlate Spans ........................................................(Table 9).................................._ft_in.511' Full Height Studs no.of studs ....................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans....................................:..........................(Table 9)................................ —ft_in.512' SillPlate Spans..........................:................................(Table 9).................................._ft_in.512' FullHeight Studs(no.of studs)....................................(Table 9)..........,............................................. Exterior Wall Sheathing to Resist Uplift and Shear SimultaneousV Minimum Building Dimension,W eningZ ..............................................................................._5 6'8' Nominal Height of Tallest Op SheathingType............................ .............(note 4).................................................... Edge Nail Spacing.:.......................................(fable 10 or note 4 if less)....................... in. . FieldNail Spacing.........................................(Table 10)................................................. in. Shear Connection(no.of 16d common nails)(Table 10)...................................................... _ Percent Full-Height Sheathing..........:............(Table 10)....................................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension,L . Nominal Height of Tallest Openingz......................................................................... 6'8' SheathingType.........................:...................(note 4)...................................................... Edge Nail Spacing............:............................(Table 11 or note 4 if less)....................... in. FieldNail Spacing ........................................(Table 11). .......... ....................... ...... in. Shear Connection(no.of 16d common nails)(Table 11). .................................................... _ Percent Full-Height Sheathing.......................(Table 11)................................................... _% 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?............................................................................................................................. 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)............._ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U= plf Lateral.............................................(Table 12). ................................. .....L= plf Shear........:.....................................(Table 12).............................................S= plf Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker.........................................(Figure 20)..........:.._ft 5 smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................................. (Table 14)............................................U= lb. ...... Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type...... ....................................I.....(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness......................................................................................... in.z 7/16'WSP Roof Sheathing Fastening...........................................(Table 2)....................................................... _ . Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e: Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11, 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. • I AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 Cauz 5301.2.1.1)t 4• a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16'and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ` ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment '-WHEN THIS EDGE RWM ON Fi14hA1NGE)SE80M4 • ATS�n,t . 11 11 11 11 11 1 ' 11 II 11 1 I 11 11 1 - • 11 11 1I 1 1 II 1 1 11 11 N IL G 1 1 It,� I II a 1 Ed 11 iL 'Q R ,I .I u �+ 11 IL LF 1 11 II 1 - I I I I 11�1 4E!grr 11 I{L_ 1 II It ii l I•{•{--� -L I L D60MEEDGE `------ 1% tdAlE SPAGpW3 — 1 ti • tsJlTiEt d 1 See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment • I AWC Guide to Wood Construction in Sigh Wind Areas:110 rnph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)` wad , 4 , I w , r,a I FRAMING MEMBERS I EDGER"EMAEDUITE I , I I I STAGGERS 3•MrJ NAIL PATTERN � PANEL PAWL EDGE Lr� DOME NAIL EDGE SPAMGDUAL Detail Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas;110 inph Wind Zone Massachusetts Checklist for Compliance (7so CMR 53o1.z.1.1)t FAQ*: WFCM Checklist Question: I understand if a new home is built in a town in a i10 mph wind zone then the American Forest and Paper Association (AF&PA) Wood Frame Construction Manual can be used to prescriptively design it. I also understand that in some cases the home can be framed per the WFCM wo mph p p Guide, if it meets certain requirements including but not limited to aspect ratio, roof height, number of stories, and exposure category (B). I have heard that Massachusetts has a "modified" checklist that can be used instead of the checklist at the end of the Guide. Is this true and what can you tell me about this "modified" checklist? Answer: You are correct on the items that you have noted. MA has modified the checklist in several important ways. The MA version allows a roof with a pitch up to and including 8 in 12 to not be "counted" as a story. Further it does not require steel hold downs and straps in many locations if full height sheathing is used as defined in the MA checklist. Further, if the building will have furring strips installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the ceiling joists are not required. There are other changes as well that were not noted here. The MA version of the checklist was formulated in recognition of the highly regarded framing methods used in MA for many years and wood framing that has. been used in North Carolina over the past 10 to 15 years which has performed well in severe hurricane weather in that state. *Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of the BBRS. To-Wn of Barnstable Regulatory Services �ariarama4. PIAM Richard V. Scab,Director. Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 509-862-4038 Fax: 508-790-6230 me Owner M s CComplete and Sign This Section'' ' df Using A"Builder 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) **Pool fences and alarms are the responsibility of the applicant Pools ''� •� � �'� are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. I Signature of Owner Signature of Applicant . Print Name . Print Name , Date r QTORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services �IHE r°� Richard V.Scali,Director ti Building Division swxivsrdss�.MAS.q Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 iOrEc www. townbarnstable-ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION DATE: Please Print I �® ' JOB LOCATION: v ^^ e number. streetVillage "HOMEOWNER": S,_ (/ _ 36® _3,6 1 name home phone# work phone# CURRENT MAILING ADDRESS: 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 proce es T99,7ements and that he/she will comply with said procedures and requirements. Signature of Ho eowner 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•lackof awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS�doc 06/20/16 'v s� i��n Page No. Kof r �Pag6sQ,j,_,_.. RICHARD ROONEY, ', frJk�t +$ ', E ELECTRICIAN t , P.O. Box 951 l POCASSET,MASSACHUSETTS 02559 Ty (508) 563.2772 I PROPOSAL SUBMITTED TO PHONE }DATE //( /�/� STREET, „ JOB NAME } CITY,STATE d ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE S� We hereby submit specifications and estimates for: i` j2)L-)/ e lC Gt We Propose hereby to furnish mat rial and labor—complete in accordance with above specifications, for the sum of: dollars($ 1. Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications Authori ed involving extra costs will be executed only upon written orders, and will become an extra Signatu VI law charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our Note:This proposal may be workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days. ` Acceptance of Proposal ——The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the Signature work as specified.Payment will be made as outlined above. Date of Acceptance: Signature ® To Reorder. L 800-225-6380 or nebs.com n r i Page No:. `' of .' p ges'. ` 4'��.r 5 �':,: RICHARD ROONEY ELECTRICIAN T ,. P.O. Box 951 POGASSET; MASSACHUSEtTS 02559 ti (508) 563.2772 PROPOSALL SUBMITTED TO gfis p� PHONE DATE j STREET ,l JOB NAME IN CITY,STATE and ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: 40 i t S We Propose hereby to furnish material and labor—complete in accordance with above specifications, for tt-e stem of: _ rr dollars($ Payment to be made as follows: b � All material r guaranteed to pr as specified. All work to vi completed in a workmanlike J manner according to standard.practices. Any alteration or deviation from above specifications Authorized jQ xjf i involving extra costs will be executed only upon written orders, and will become an extra Signature " _charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our Note:This proposal may be workers are fully covered by Workman's-Compensation Insurance. withdrawn by us if not accepted within days. Acceptance Of Proposal —The above prices,specifications _ and conditions are satisfactory and ate hereby accepted.You are authorized to do the Signature work as specified.Payment will be made as outlined above,',. .F Date of Acceptance "; °Signature t To Reorder. 800-225-6380 or rmbs.c m I « w o Page No. of Pages _FVP RICHARD ROONEYF ELECTRICIAN P.O. Box 951 POCASSET, MASSACHUSETTS 02559 (508) 563-2772 � PROPOSAL SUBMITTED TO j° � � PHONE DATE STREET .� JOB NAME CITY,STATE and-ill,CODE (� JOB LOCATION- J > ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: cztl 4� We Propose hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: ( dollars($ Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike / manner according to standard practices. An Authorized alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra Signature charge over and above the estimate. All agreements contingent upon strikes, accidents or. delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our Note:This proposal may be workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within / days. Acceptance of Proposal — above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the Signature ^�� work as specified.Payment will be made as outlined above.. Date of Acceptance: Signature — tr ® To Reorder 800-225.6380 or rreba.com Town of Barnstable BUlldln Post.:This Gard=So That itis Visible F omthe�Street A roved Plans,Must,be<Retametl Job:and thisCard Must:beKe `t 36 �. Posted Until,Final In pection Has Been Made � � x- �� �;� � f , y Where a Certificate of Occupancy is Required;such�Bu�ldmg;shall Not be Occupied`unttl aYFinal Inspection has'been made��� Permit Permit No. B-16-3166 Applicant Name: RIVERA,LUIS H Approvals Date Issued: 11/17/2016 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 05/17/2017 Foundation. Location: 295 OLD STRAWBERRY HILL ROAD, HYANNIS � Map/Lot 250-080 � Zoning District: RC-1 Sheathing: Owner on Record: RIVERA, LUIS H �Lontractor Name Framing: 1 Address: 295 OLD STRAWBERRY HILL ROAD 'Co ntt.acto�rLi�Censefr 2 ` F� � : � ..�.,• ...a ., HYANNIS, MA 02601 - Est Project Cost: $0.00 Chimney: Description: 10x12 Permit Fee:Et $35.00 Insulation: A Fee Paiml S 35.00 Project Review Req: 10x12 1 / 016 Final: D ato 1/17 2 Plumbing/Gas _ Rough Plumbing: AF Y, uilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within soc months after'issuance. ffl All work authorized by this permit shall conform to the approved appl ation and the approved construction documents fo6whidh this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall a in compliance with the local zon ng by lawsand codes. "Al , Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspectioh 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 signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work 1.Foundation or Footing 2.Sheathing Inspection , f„,�, ;�., Rough: NW 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 FinaL•• " All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1 -7 Town of Barnstable yL s Ce,T IKE'�Y,�4n ' Regulatory Services ` Richard V. Scali,Director " MUMS MIX ' Building Division - iOlFp ►�� Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PERMIT# l '4 f 6 6 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less Location of shed(address) Village Property owner's name 8U/` Telephone number / iD/NG o�p � T T�12no -F Size of Shed a 26 Map/Parc 70IVel# °is Signature Date Hyannis Main Street Waterfront Historic District? , Old King's Highway Historic District Commission jurisdiction? 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 REV:06/20/16 ry -_-— -'� _ /u I �—' OT PLAN CERTIFIE s t d�bC ttiy F / �� d G/ P1E1 C_ONS�UCTION 0NLY,: ,FEET nP'`s^r e-u�'•� 0 m 11 0 e k _ TOP OF FOUNDATION FSADJACENT �t �11 ABOVE LOW POINT 0 ,,� 3G � DATE d ► SCALE :J ROAD _— -. I CERTIFY THAT THE --- ----- .._ _ -,.-- .. tt // > � SHORN ON THIS PLAN _IS LOCATE[ _._. CLIENT V�. - �EL®��®GE Ef�GINE"�RlNG_._C0, 16oJG TERED� )S.C.S. - ON THE GRO THEs 70NINo LAWS 0 rREOIS I JOB NO � CONFORMS TO T EGISTERED LAND CIVIL I pR. BY �� ��� OF BARNSTABLE MASS. I t. OF CH. By 3119, � �' , EN(31P1EE �_. C 33 NO MAIN 1-i 112 MAIN ',T. �pTE REG. LAND SURbEY®R �0 YARMOI)TH, MASS. N'YANNI�,. MA': �. St-{EET -�-O� -- -- - - -- Citizen Web Request Page 2 of 2 System entry on 5/7/2015 10:55:33 AM: Assigned to Parziale,Jim System entry on 5/8/2015 3:41:57 PM: Request Closed by parzialj http://issgl2/lntemalWRS/WRequestPrint.aspx?ID=52467 2/12/2018 Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language 1 Assessing Division Property Lookup Results - 2015 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< 'Print Friendly Owner Information - Map/Block/Lot: 250 / 080/ - Use Code: 1010 Owner Owner Name as of 1/1/15 RIVERA,LUIS H Map/Block/Lot G/S MAPS 295 OLD STRAWBERRY HILL ROAD 250/080/ Property Address HYANNIS,MA.02601 295 OLD STRAWBERRY HILL ROAD Co-Owner Name Village:Hyannis Town Sewer At Address:Yes CIS Zoning Value:RC-1 Assessed Values 2015 - Map/Block/Lot: 250 / 080/ - Use Code: 1010 2015 Appraised Value 2015 Assessed Value Past Comparisons Building Value: $131,400 $131,400 Year Total Assessed Value Extra Features: $63,400 $63,400 2014-$319,100 2013-,$319,800 Outbuildings: $15,000 $15,000 2012-$315,000 Land Value: $108,700 $108,700 2011 -$315,700 2010-$315,700 2009-$321,400 2015 Totals $318,500 $318,500 2008-$357,800' 2007-$356,700 Residential Exemption Received=$87,192 Tax Information 2015 - Map/Block/Lot: 250 /080/ -Use Code: 1010 Taxes Hyannis FD Tax(Residential) $723 Fiscal Year 2015 TAX RATES HERE Community Preservation Act $64.53 Tax Town Tax(Residential) $2,1 51.16 2,938.69 Sales History-Map/Block/Lot: 250 / 080/ - Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: RIVERA,LUIS H 1998-10-29 C150642 $142000 HOPKINS,SCOTT F 1993-10-15 C131987 $122500 TENNYSON,ROZANN 1983-04-15 C91523 $78000 Photos 250 / 080/ - Use Code: 1010 x* Sketches - Map/Block/Lot: 250 / 080/ - Use Code: 1010 http://www.townofbamstable.us/Assessing/propertydisplayscreenl 5.asp?ap=0&searchparce... 5/6/2015 Official Website of The Town of Barnstable - Property Lookup Page 2 of 4 46�� r1 aNAt 'nn 2� 4 ra 9. -, AsBuilt Card N/A Constructions Details- Map/Block/Lot: 250 / 080/ -Use Code: 1010 Building Details Land Building value S 131,400 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $152,774 Bathrooms 2 Full+1 H Lot Size(Acres) 0.45 Model Residential Total Rooms 7 Rooms Appraised Value S 108,700 Style Ranch Heat Fuel Oil Assessed Value $108,700 Grade Average Heat Type Hot Water Year Built 1978 AC Type None Effective depreciation 14 Interior Floors CarpetHardwood Stories 1 Story Interior Walls Drywall Living Area sq/ft 1,884 Exterior Walls Wood on Sheath Gross Area sq/ft 4,764 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Outbuildings& Extra Features- Map/Block/Lot: 250 / 080/ - Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 1724 $30,000 $30,000 BFA Bsmt Fin-Avg 360 $5,600 $5,600 FPLI Fireplace 1 story 1 $3,500 $3,500 SPL2 Pool Vinyl 576 $12,200 S 12,200 WDCK Wood Decking 160 $2,800 $2,800 w/railings UST Utility Storage- 128 $1,400 $ 1,400 attached FOP Open Porch-roof- 484 S 12,800 $12,800 ceiling GAR Attached Garage 384 $ 10,100 $ 10,100 Sketch Legend Property Sketch Legend E12N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) http://www.townofbamstable.us/Assessing/Propertydisplayscreenl 5.asp?ap=O&searchparce... 5/6/2015 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRIG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Print Friendly Contact I Director of Assessing Jeffrey Rudziak P508-862-4022 1F 508-862-4722 3 I 18:30a.m.to 4:30p.m. l Helpful Links to Downloads Abatements SALES LISTINGS I Barnstable FD Residential i C.O.M.M FD Residential i I Commercial-industrial- Mixed Use Cotuit FD Residential Hyannis FD Residential 111, Townwide Condominium I W.Barnstable FD Residential Department of Revenue Exemptions I I Parcel Consolidation Questions about values Town Tax Rates Town Land Use Codes Helpful Maps t( All Town Maps ! Flood Insurance Maps 1 Property Maps Contact Director of Assessing I !Jeffrey Rudziak IP 508-862-4022 IF 508-862-4722 18:30a.m.to 4:30p.m. I Related Boards i http://www.townofbamstable.us/Assessing/Propertydisplayscreenl 5.asp?ap=O&searchparce... 5/6/2015 Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 Board of Assessors I i D ,TAUsf I n�Aes- FYI Tax Maps Owned and Operated by The Town of Barnstable-Information Technology Home I Departments&Services I Boards&Committees I Residents&Visitors I Doing Business I Town Calendar I Phone Directory I Employment I Email Town Hall http://www.townofbamstable.us/Assessing/propertydisplayscreen 15.asp?ap=0&searehparce... 5/6/2015 v4A C\-7 < .. ��AW(2A hAA-e.0 N I Q Q to ''T"qz ( � l( O cao 44,010 S • .. a � � -sue 5s++A a` TI l u_ c ✓fin _7V 9,1 54-14, _ I ��+��/ I ��_ - -�-��PJ i Jib � � �� �R� . ;___.__.�� -----j --- �,�5 D� � --- --- -- ��� ram--- Q °�`� � �f/�-�`-t � l-1 `d� -O`�I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION #2209�)5ecxc� Parcel Map Applicati Health-Division "Date Issued ;:Application Conservation Division Fee Planning Dept! Permit Fee' tffb Date Definitive'Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address Village 66�k_%A k Owner Address t. Telephone S-yl 736 0&f 00 Permit Request C DO: S46are feet: floor: ;�istin proposed 2nd floor: existing—proposed Total new Zoning District: Floo'd Plain Groundwater Overlay Project Valuation 00,0 Construction Type Lot Size 1U57, Grandfathered: C3 Yes VAo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family J Multi-Family (# units) Age of Existing Structure -?-0(6FF9 Historic House: Ll Yes ;4 No On Old King's Highway: L1 Yes L3 No Basement Type: X(Full LJ Crawl Q Walkout L3 Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)_ Number of Baths: Full: existing new Half: existing f rqew Number of Bedrooms: existing new C19 Total Room Count (not including baths): existing new First Floor m Couq� , Heat Type and Fuel: A Gas Ll Oil LJ Electric Ll Other Central Air: Ll Yes 196 No Fireplaces: Existing New Existing wood coal st&e: ArYes Df'No Detached garage: Q existing 0 new size—Pool-A existing C3 new size Barn: El existing Ll new size Attached garage:Yiexisting LJ new size —Shed:)O existing U new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded Ll Commercial LJ Yes ANo if yes, site plan review# Current,Use -JA Nz`14_i 0J iTa'_tue6 ;._Proposed Use- - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �CuUt r y6RA_ Telephone Number S-D$ 360 - Address/2qk-09 S;f4atA46t1i /�l License 1:6�LA VV, Home Improvement Contractor# V Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE_/0- 7 01 fa � ti FOR OFFICIAL USE ONLY APPLICATION# `= DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: F FOUNDATION FRAME S I; INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL l PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ,Y FINAL BUILDING it DATE CLOSED OUT ASSOCIATION PLAN NO. T1te Co It of Massachusetts Depar frnent of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Apoticant.Inforination Please Print Le 'bl Name (Business/Organization/Individual): a *\ Phone-#: e_Address: gS S�/�suc2 .City/State/Zip:ijja\A\AZ-5 MA 0 0 S�°� Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ 1 am a employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction have hired the sub-contractors employees (full andlorpsrt-time).* listed on I am a•sole proprietor or partner- the attached sheet 7, ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workei s' 9 (�j'Euilding addition [No workers' cozrrp.insurance Gomp.insurance.t ; 5. [] We are a corporation and its 1.0.❑Electrical repairs or,additions required.] . 3. 1 qu r homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions self. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compans-4on 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 m not those entities have mVloyecs. If the sub--contractors have employees,they must providh 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 MGt c. 152 can lead to the imposition of rtLirial penalties of a fine tip to 31,500.00 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 u er the ' and penalties of perjury that the information provided above is true and correct. Date; � rv� Thonc# — _- S 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#: �� O Information and I�����° to ees: -, r vide workers compensation for their emp, y ons em to ers to o P Massachusetts General Laws chapter 152 requires all p y p Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership, association,.corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other Iegal 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 e of a license or permit too operate a business or to construct buildings in the commonwealth for any renewal p p . applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." PP P Additionally,MGL chapter 152, §25C(7) stages '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 numbers) along with their certificate(s)of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LI2)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 nurqber listed below. Self-insured companies should enter their Self-insurance license number on the appropriate line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of tho 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/hcensc number which will be used as a reference number. In addition, an applicant that must submit multiple permit/licensc applications in any given year, need only submit onp affidavit indicating current policy information(if necessary) and under"Job Site Address" the applica.at should write"all locations is (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 fo 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 Cbmmanurean of Massachusf"tts Dcpartmont of Ind iO A.ocid,nts Office of Luvestigati.ons 600 Washington Strfet Boston, MA 02111 Tr,1. # 617-727-49-0.0 ext 4.06 w 1-87.7-MASSAFE Fax# 617-727-7749 Revised 11-22-06 . www.mass.gov/dia Town of Barnstable mopVE r, Regulatory Services BARNSTABLE, ' Thomas F. Geiler,Director MASS. q, 16,79 Building Division PTFD µA't A , Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 vc'vvsv.toA,n.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: o - JOB LOCATION: VS number street village „HOMEOWNER": G<<uS 14 R`(I AA- S� , '3 6®— name a. home phone N - work phone# CURRENT MAILING ADDRESS: 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 cedes, 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 Y. requireme s. ) Signa urc of Homeo er 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. IIOMEOWNER'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 Aith a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully award-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 fomT/certification for use in your community. �oFYHer°ti. Town of Barnstable 2°. Regulatory Services r r RARN Ssy°LE'g` Thomas F. Geiler, Director MA �Ar�fl �a`m Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.tovvn.barnst2ble.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property- Owner Must Complete and Sign This Section Zf Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work uthorized by t s building permit application for: (Address rob) 1 LDr �� Signature of Owner Date C � Print Name If Property Owner is applying for permit please-complete the Homeowners icense Exemption Form on the reverse-Ride. /V /.I S 3 -=YG lc 0 - s . . N r r„ ` Qu l C . �.. r r X a IL I ' � 1 ^ j CERTIFIED PLOT PLAN 77 .S f' NEW CONSTRUCTION ONLY TOP OF FOUNDATION FEET_.a FEET @@__�� ABOVE LOW POINT OF ADJACENT .�� a �°� ` ' � �B A S. ROA®. SCALE ) _ -0 )ATE :0cj � 197,6 IEL DRED-'G E ENGINE-ERI NG CO. /�/C) _. -_J I CERTIFY THAT THE CLIENTV. . �' SHOWN ON THIS PLAN IS LOCATED �BEGBSTERED. i'RE01STERED� __ _ CIVIL i i LAND i JOB N0. ;��/'%{-'� _. ON THE .GROUN9D AS INDICATED AND. EN01NEER-� SURVEYORS DR. BY: \ CONFORMS TO THE ZOI�tN(3 LAiJS -..___. �.. QF BARNSTABLE MASS_. C Fi. BY 33 NO MAIN ` T 7i2 MAIN T. — — 0 YARMOtiTH, MA: NYANNIS, MA—S. SHEET- 1 OF UA-r.E REG. LAND SURVEYOR r r --� 4 �33� �d'r� �`� �J• S �''� '�� aQ �3-1 o 1 F l <= �. �'vtNG d3���roc,M S10. �Tc+ r b D I3 8,4rN pyL&A `J 1� .0 Map , Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size ® Zoom Out fl 'J fl j In 11 hr R:4 I ® o- Turn map Jaye JPG r R �y :,� >-_--�•�N" '"`� _— selecting chec 69.35 - r Tow 360077 0 349LU 69.66 250D81 -250078 k307 r_ 8 r [1 Roa x 70.56 k �. r Votf 71.14ell fl�j map ,, 70.25 ? ---�,... F1 Pa r( 250079� , - � f�fj, GIP71:, 250080 1 E [' FEM 67.44 p7' ; r�f C 1 •, r Nei( 250081 �r _ NV 3 z. k ., 250082 . �f' r N281 :k �4 i 25DD5D � Water' r d g283 (J, StrE 65 Feet ,_ 6s 16' j 67.76 . ram, . .� S [_j Jett Set Scale 1" Aerial Photos_ 7� I MAP DISCLAIMER Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA v1.2.3083 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=250080&map... 10/7/2008 mot► , Town of Barnstable *Permit# �6 sc Expires 6 months from issue date uT .� Regulatory Services Fee - '* :MWSTA13M : Thomas F.Geiler,Director 659. Building Division Tom Perry,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 f � www.town.bamstable.ma.us. Office�: 508-862-403 ZQZb Fax: 508-790-6230 APR EXPRESSURMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint "(004 0' Map/parcel Dumber �?r ©B Property Address ❑Residential Value of Work �'• Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Ga S 1V �j ',v Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner n I have Worker's Compensation.Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) XRe-roof(stripping old shingles) All construction debris will be taken to L?? ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. 0. SIGNATURE: Q:\WPFILES\FORMS\building permit-forms\EXPRESS.doc Revise020108 The Commonwealth of Massachusetts . Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant.Information Please Print Legibly " � P Name(Business/Organization/Individual): Address: 1 S' iN City/State/Zip: Z•� t4 K_ t° Phone 360 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I . employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction .2.❑ I am a sole proprietor or partner-' listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9.-❑Building addition [No workers'comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.�.I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] . *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lia. M 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.un r the pains nd penalties of perjury that the information provided above is true and correct Signature: /d" Date: Phone#: OS 3 60 Is 0-ID 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#: f r Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation'for their.employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall _ enter into any contract for,the performance of public work until acceptable evidence of compliance v;zth 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 Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-72777744 Revised.11-22-06 www.mass.gov/dia *'THE Town of Barnstable �O Tp�� y�P Regulatory Services BARNSTABM Thomas F.Geiler,Director y MASS. g �A 1639• p.0 Building Division lEv � 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 Q Please Print DATE: JOB LOCATION: d� / i^2l��Jfj ' /"T7��L l-� "dq G number street p• village ".HOMEOWNER': �G[ / 5. �•� �f f/l —366O name home phonephone# work phone# CURRENT MAILING ADDRESS: `��� D�� / � � Ae Y_ y C L c )4ygt4 " 4 026o 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 witksaid procedures and require ts. Signature of Homeowner Approval of Building Official I 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. Q:forrrts:homeexempt oFTHET , Town of Barnstable ti Regulatory Services B'' "BLE f Huss. Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ,Signature of Owner Date , a Print Name IfrProperty Owner is applying for pen-nit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RM&O W NE RP ERM I S S I O N r _ -��'',�•"• . TOWN OF B.ARNSTABLE Permit No. -----20038 _ •AUn.� Building Inspector cash 039 OCCUPANCY PERMIT Bona "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 Arthur V. Viola Address. Box 962, Hyannis lot #75 295 Old Strawberry Hill Road, Hyannis Wiring Inspector — Inspection date //�� Plumbing Inspector Inspection date Gas Inspector �; Inspection date y/Engineering Department / 9r �f�� �'� Inspection date f- 6 - 7 a 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. r. C. ............ 19 . __....... �. Building Inspector U q 's map and lot'numb r ....... ...........�........ SEPTIC SYSTEM N1US T BE �oF *THE Se .................. :......... ................w a Pemit number ... . INSTALLED IN CONIPLlANCE WITH ARTICLE 11 STATE ' 33ABB9TADLE, J r 1 r rasa House number ..................... ................................................. 4 .: SANITARY CODE: AND TOWN vo i639. \0� i REGULATIONS. 10?M TOWN :,OF BARNSTABLE BUILDING"' 1#,9PECT0R _ Build a New Home APPLICATIONFOR PERMIT TO .....................................:............................................................................::......... TYPE OF CONSTRUCTION ,,,,,,,,,.;wood ' , ............................................................................................................... j..9-8 ...........19...7 8 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following.,, formation: 295 (lot 75 ) Old Strawberry Hill kzglx Rd. Hyannis Location ............................................................................... ............................ ................. ..................................................... Liveing Qt. ProposedUse ........... ...................................................................................................................... Zoning District .....Fire Dis ict ...Hyannis ........... ox g6.2...Ilyannis ............ Arthur V. Viola ,•.•..,.Address 331 Strawberry Hill Rd. Cent. . Nameof Owner .............................................................. .............................................................................. ..... Name of Builder V1Ctor d . Viola ,•.,Address walnut St. Marston Mills ................................................................ ................................................................... Name of Architect ..Arthur & .rictor Viola...... Address ................................. ................. ................................................................ . Number of Rooms .....6.............. .............Foundation Full Cement ............................... ..............................:............................................... Exierior Wood Sideing ...Roofing .....•Asphalthinles.............••.•...................................................................................... ........ ............. Rugs, Vinyl & Wood Paint Wall a er Floors Interior ............L.............. ?.. ..... �r�r���:!�.. J. ?�:`4�-...... ............................... Heating Hot Water 2 Zones ............Plumbing .PVC................................ ...................................................................... ........................................ Fireplace Brisk .Approximate Cost 45,.000,..00 Definitive Plan Approved by Planning Board ----------------_---------------19________, Area ... ....S.'............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTHQ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...................... ..... .......... `-�":...L ............. Viola, Arthur V. 0638 tory...... ................ Permit for .......... ....... ............s.i.ngl.e...fam.i.lv..dwell.i!n&...................... . ...... . .. . ........... . 295..Old Strawberry Hill Rd tion . Location ............ ............................................. .........................uygpgi§....................................... Owner ............ Viola.. .......................... Type of Cons"truction ...............ft4Re................. �7 ................................................................................ Plot ......................... Lot- ........... .............. 4- October 4 78 Permit Granted .............. j..................19 ( I I Date of Inspection ..... ........1.... ............ 9 Date Completed ... ...............19 PERMIT REFUSED ......................... 19 ..... ..................... .............. ............................ ..................... . ..................................... ......................................... Approved ..... .................................... ..... 19 ................................................................ ................ ............................................ Asse. 's, rrap and lot number ........ 2. �- .`Sawa Permit number ........................................................ Z BAWSTODLE, i House number ........":.... `..r `?............................................. 9�O MAO 0� �e ''fp YFY a• - TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO `... .c� .... .o.. ..................................................................................................................:.......... TYPE OF CONSTRUCTION ............. 2 od ..................................................................................................................... ............................. !..............19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...............'.1..:-t.......�...}. .:.......`. ..... �C...........t l L.....= ........:i .'....::Y ':....:a .......................... ProposedUse ............................................................................................................................................................................. Zoning District Fire District `yyan.lis .......................................... oOY. .. . .ri '�rirll�3............................................. i Anur V e Viola 331 Strawborry hill Ad e� Nameof Owner ......................................................................Address .................................... .................... . ...... ............. Victor J , Viola Walt:ut 3t. r ' j Name of Builder ........................................Address -- `StC' 11 _S Name of Architect Art'..Ur d 11COr .1101a Address .......................................................................... ...... ................................................................ Number of Rooms Foundation r'al1 v..'t:lent r) 1 Ass?'..-lt hi-i�-les Exterior ....................................................................................Roofing .................................... ..:........................................... Floors -V(U f 1'1J'� & V100e, '.,irit al r4.....................Interior ......... ....n cue_ —C?��/ !. , � 69 C1 : ._ C Heating .......t.......`..................:.'....':....................................Plumbing ..:V............................................................................ .� Fireplace .....?. i..:...................................................................Approximate Cost ......4.��.!....` .!.t............................... ........ Definitive Plan Approved by Planning Board __________________________ � � "� '--____19--------. Area ............... .......................... Diagram of Lot and Building with Dimensions Fee ............................. .. SUBJECT TO APPROVAL OF BOARD OF HEALTH bQ , r I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Namet.. !.......":... r .......................................................... Viola, Arthur V. A=250-80 F No .�20638 Permit for .......one.,story single family dwelling ,4 ' 295 Old Strawberry„Hill...ad, Location ............. Hyannis ............................................................................... Owner Arthur V.. Viola .............................. ................................... Type of Construction frame ................................ ............................................. „ Plot ............................ Lot ........it7.5................. October 4 8 Permit Granted .................: .....................19 7 Date of Inspect*—an%%"1 ....................19 Date Complete .....................................19 PERMIT REFU SED .............................. ............ .. ... m... 19 ..... ......... ... ... .r. ............. ....................................... . ............................. ..................................................,............................. Approved ............................................................................... ............................................................................... /V /.1 5 3 S'a E -- t � W U IN I_ < zna-- - �-A F y 4 CERTIFIED PLOT PLAINI 4 i 13u;,,<<;,s 1 -----� NEW CONSTRUCTION ON_ _LY . _ _ . ----------- 1 TOP OF FOUNDATION IS - FEET It 0 - � ABOVE ; LOW. POINT OF ADJACENT S ROAD. - e o SCALE/ It= 30 )ATE :0chd9T (EL DREDGE ENGINEERING CO. W-c� ff ``�o `, I CERTIFY THAT THE CLIENT V._.._._ __.._ SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED JOB NO. )S092, CIVIL LAND R ON THE GROUND AS INDICATED AND ENGINEERS. SURVEYO DR. 6Y CONFORMS TO THE ZONING LAW$ r,...._...-__.�. rJf BARNSTABLE MASS. 33 N0 MAIN S T 7 CH. BY: 12 MAIN T. ---- C4, 31l.y4 30 YARMOUTH, MASS. HYANNIS,.MAS., --- �,. - - r. -- - -� 1- , - Uh`rE RE6. LAND SURVEYOR Assessor's map and lot number ......... r�� � �'-Q__ �TNe T ......................... Sewage Permit number ................. ................................... if 6 (/5) : BAHB9TdDLE, i House number ... 9�C Mb 9 eta �o MAI a. TOWN OF BARNSTABLE .t BUILDING �"'INSPECTOR APPLICATION FOR PERMIT TO :........0 s.� /��' L3. ...... c d/s?. ! ...:......................................................... TYPE OF CONSTRUCTION .........I!.....f1.:?........�...'.�t?"� ............................. .............................................................. ......' .:...��......................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: S Location ...d.`7..5 .... � ...`5 ! !`'6 r� ../ ...f1......... �!��`°'?............................... ..................................... ProposedUse .... .�. �N..C ............................................................................................................................................. Zoning District —/ ....Fire District �7 �/��' Name of Owner .'.: ....' 9. ....'.....�.(nl!vys�'Yl:........Address .�r1.1� ��c✓S���r�,���i �X.1.�.1.!P.°�..:V,�, Name of Builder /.!!!' t ?9Ir�! - ..yL94,1 '........Address .. TY.. �J ............................ U. ..... .......... Name of Architect ......... ....... . ...............................................Address ...................:................................................................. Number of Rooms ..................................................................Foundation ....... .........--4 ?D c- / .................... Exlerior ...... .... ...................................................................Roofing .............. ................................................................ t f' Floors ......................................................Interior ......../.../ :.............................................:................. Heating ......e XK Ij.......................................................Plumbing ......ISACAAX.(/`.......................................................... Fireplace ...............U.,l..... '.....................................................Approximate. Cost ...............!;r.. ... ................. Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ./l.v. ........................ Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH �y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nam Y Construction Supervisor's License oa ................... TENNYSON, ROZANN A-250-80 . No 2.7.7.2.6.... Permit for Additi' S le.J�Mi.IYAVQU:UaGr................. LocatiV S-tr4:WIAQXVY.. Hi-11..Road ........Hyannis.................................................................. Owner ..............R0 .11 z�kZj TprM S.0a............ Y. Type of Construction .............. Az ............... ............................................................................... Plot ............................ Lot ................................. Permit Granted ....:...........Ail r........ 9......19 85 Date of Inspection .............................:......19 Date Completed ......................................19 7-6 3e-ys7—h--, ®� JOB CAPE COD sHEtr NO. OF 'iH'OM IMPROVEMENT SPECIALISTS 25 lyanough Road Route 28 CALCULATED BY DATE HYANNIS, MASSACHUSETTS 02601 CHECKED BY DATE (617) 775-2815 ` SCALE . ..... .. 9�5 DGvii�'��cJ Q���n��✓ r�L ,���7 : . ... 8� - ....... ....... ....... .. o ... ... ..... ,. ......_ ......... PIT 5 OL..c7.. Sr] PR=jo 20LI � Im..Gmmn.Wa 01471. 4 -_ J Assessor's ma and lot number ?r�'` �a : . .p ... SCEPTIC SYSTEM MUST ��osTHEto i L S2age� Permit number.............. ..... ........................... .. INSTALLED TITLE� �..��,d�� ♦� TIH /� .ij, n yam# r Z BIHBSeTADLE, House number ......�!-��`..... ... ......:. Pn � ,. � a` N 90' a ........... �i ,E�'P€0iN �D�pYa' TOWN 'OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........c..^? .. .. ...... i; ...:......................................................:.. TYPEOF CONSTRUCTION .........( .Q. ........ ....................................................................................... ............'/`...1......................19, . i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: SLocation ... ......................... ........1. : ?........................................................................ ProposedUse .... ./d ',f.r.Q.G .G. .... .................................................................................................................................... ' Zoning District !C V 1............................................Fire District %�~" ................... Name of Owner Alni.... .........Address lj�.. �i�S r s'1W..! �1? 0�...:Y.,.. Name of Builder tJlt4tw^ ". .'......Address "� ..� �J` `..............��! "N'�. .......... .. . . .. .............. Nameof Architect �............. .. ...............................................Address .................................................................................... Number of Rooms !- �'!J/+�?... -. s,.................................................................Foundation .... .. ../ .................... Exterior r..... ' � C ............................Roofing �•� Floors .. ...............................................................Interior .........PI!95-A.......................................................... }seating X..s � ...........................................Plumbing ............... ......................................................... Fireplace ................ /./..:.....................................................Approximate Cost ...............1�.! .!!.v....................................... Definitive Plan Approved by Planning Board ---------------____-----------19--------. Area ... .................. C v Diagram of Lot and Building with Dimensions Fee ..Q...�........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH �A `,174 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....f ........ 1...�� ................................... Y Construction Supervisor's License ............ . I TENNYSON, ROZANN A-2 —80 . t No .2.7..7.2.6:.. Permit for .Addi-tion...to...... .....S z ng1.e...Eami.1.y....dW& lj.ng................ S 295 Old Str w + Location a..b�.f; y. „Road,...Hyannis..................... .................. n M � ly Owner �..Rozann„ Tennyson,,,. - f ................. ,, z Type of Construction ,......,frame ..... .......... , ........... ............................................................... Plot .............f.............. Lot ................................ Permit Granted ...........A,Pr] 1...9............19 85 Datj, of Inspection 19 Date Completed ..................f ...19` C , F ti .s r , TOWN OF BARNSTABLE /�( Z seaasr to 0��M� MASSACHUSETTS O "q Solid Fuel Stove Permit �b R DATEOF APPLICATION .......:".d..` :...1....... ................................. FI PERMIT ............ ........................................ r-- F k l!�.. ........................ NAME Installer ......................... k!.. .e..r NAME (owner) .Gi................ ... ( ) ADDRESS c � 1�! ...,s ! w14 �..... ,rf+.�l.. :.. ADDRESS ....:................................................. ...... ................................................................ STOVETYPE .................................................................................................................. CHIMNEY: NEW ........................ EXISTING ........................ Manufacturer ................................................................................ CHIMNEY: Masonry ............................................................................................. ....................�.A�,v �l �e 7`/' Mass. Approval ....................... ....1.�.. !9............................................................................ CHIMNEY: Metal ................................................................................................... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the ................................................................................................... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. IssuedBy: ................... ..14:.. ::s..'e ...................................Title ...:..A..... . ......... ................. Date' .......................................... Permit to install expires 60 days after issue date Stove .......................................... ................................................................................................................................................................................................................................................................ StoveClearance ............................. .................................................................................................................................................................................................................................... Floor ..................................................G..�......1........!............................................................................................................................................................................................................................ c.�14 LL SmokePipe ...................................... SiN........................................................................................................................................................................................................................................................ SmokePipe Clearance ....................................... ............................................................................................................................................................................................................ Chimney ........................................................ ... :.................................................................................................. - a Smoke Detector .................... The undersigned hereby certifies that he installation 'of solid fuel burning stove and equipment made under au- thority of permit dated .......l�l... ..................... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................ Installer 1 3 �'✓ ............................................................ ........ ........... ............. INSTALLATION APPROVE ...................................................... Title. ......... ............ date WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT THE TOWN OF BARNSTABLE rYVI seaaerasti g .639. MASSACHUSETTS Solid Fuel Stove Permit c �Q DATE OF APPLICATION °`� �r FIRE IDEPT:ISSUING PERMIT u................ ............................................................ NAME (owner) xn Z� - "0 �� r� 1......................... NAME (Installer) �� u 2 r .........................:........ ...................................................................................................... r � �/�Q ��!3�✓�ari i-fa 401 A�2,1 J/-J.fir-,,— ADDRESS ........................................................................:........:.................................... ADDRESS ........................................................................................................................... Cis STOVE TYPE . d! r .... CHIMNEY NEW EXISTING.......................... ......................... ............. : ...................... . ........................ ........................ Manufacturer .....................�..�... ...J.�........^.................................................. CHIMNEY: Masonry ............................................................................................. .r Mass. Approval ............................. ............................................................................... CHIMNEY: Metal ................................................................................................... This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed address in accordance with an application on file with the ................................................................................................... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued.By: f� / ! } Title /J c 42 s ................. Date Permit to install expires 60 days after issue date Stove ......................................l cJ q rN t f 2, aim a17 ...................................................................................................................................................................................................................................................................... Stove Clearance•........................... .............................................:............................................................................................. ......................................................................................... Floor n�`��N ................................................... ...................................................................................................................................................................................................................................................... SmokePipe ...........................................`.`S.../N...'' .......c"''4l. .............................................................................................................................................................................................. SmokePipe Clearance ...................................... .�:r........................................................................................................................................................................................................... Chimney .............................:..............................x,, vp So�J.! .�.................... .........................................................................................................I.............. ............................................ Smoke Detector �' i ............................................. .. .. .. ................................................................................................................................................................... ............................... The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ....... f ��—�.. has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto ........................................................................ / Installer INSTALLATION APPROVED ............................................................ B .. .................................. Title .� .TV4 ....... date v WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT � '2c Assessor's mc;� and lot number .... ............. *THE -^ T v PLO O�y Sewage;Per number ..... ..�..... SEPTIC SYSTEM MUST K INSTALL S I ED COPI:lANCE t BABB9TADLE, • House number Va`iTH A TICLE II STATE ro NAB ................................................... SANITARY CODE AND TOWN � i639 `00 �'0 ypY p'' TOWN .'OF -BARNS A 'LE BUILDING INSPECTOR' APPLICATION FOR PERMIT TO .......... �,�!�`�?.........h6...X....3.'........ ......40.....!-......... TYPE OF CONSTRUCTION • . .......................................................... ..............�''.�` ...............19.. TO THE INSPECTOR OF BUILDINGS • 4,. ..,,,,M,.y..,.-...,�n:n+,s.....�.— ..,-...,�� ,... .. :...r+.......,W,,,.....-�.,...;,,;.�«.�-. ���:^w..,^r,..r�..a:..�...-..,.,c,.�,.-., k..-,..�t�C�a�.a� g - -.v'Sr ti,�:Jr- - i • � �".gA-.;x The undersigned hereby applies for a permit according t/o/the /following information: Location ...�.Z.��......0..�. . .....��./.. ' .:...l�.�L`..... ..................................... .........................._ - -- - Proposed Use ........Slat.f..[#!1..1.. f..............4.9..f.-,.....................................:....... ZoningDistrict ...........�.�..:�"............................................Fire District. .............................................................................. Name of Owner .... .fll.� .....d �..� ... ....... .Address ....s2:f..�l ... �1r?g!w! h� � L Name of Builder . . .. 1^iti C ... #'... f4✓L ..Address .....r..t. .. !r'! ........q.. ................. Name of Architect ....Address Number of Rooms �— e!v f:ee; e Foundation ......... Q.........:........:...........................:............... Exlerior -�-- .Roofing ................ .......................................................... Floors ........................Interior ........... .............................................................. ......................................................................... Heating ................................................. .............................Plumbing .................. ............................................. ... ` Fireplace .................................................................................Approximate Cost ...' '?! ................................................. ... '1� L Definitive Plan Approved by Planning Board ---------------____-----------19________. Area ................4 v..... .............. ` Diagram of Lot and Building with Dimensions Fee .......... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH j �9 I V I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. RAY .cPR INKLE CO., INC. Name .................................................................................. f vir... ..a, Arthur _ _ ��: � •----- �, ,`�--� No 21072 permit for .......,private swimming .... ..................... ' t .. . r i Loc 295 Old St awberry .Hill Rd. ....... ....... _. ....... Hyannis.............. .............:.. ,r i .... 4—- r 4 i c Owner Arthur Viola t Y Type-of Construction .......................................... t. t ................:............................................................... plot Lot ................................ r'•r -�. ,: Permit Granted ......March.;7..... -1979 Date of Inspection ..................................... 19 p Date Completed ........................ ..........',19�5� 4 PERMIT REFUSED x .•^ - 4— �- •k ................ ............................... .... 19 a ............................................................ .. ''.�.. ................................................. ..... .. .µ .......... ........................................................ ................. ................. .. ............................... ........ _ r Approved ................................................ 19 / ........................................................... Assessor's'map and lot number f r _................ of TNe ry Sewage Permw-1humber ......................:................/............... �/� BAWSTABLE, i Hou*a--n-uu`mber o MABL f J p'EG3 p 9� MPY of, - TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......... i.�! -^ x h// 0n /•(,I u r .fj L ......... .........................; ............................... A L,J 144 / 1,111 via ��f A� TYPE OF CONSTRUCTION ........................................................ ..............:.............................................................. -3/ >cZ ..................... .y 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a perm/it-according t`o/the /following information: Location ........:r...........::.``.`�......'..T�r uj,Ap - ..................................r- ........................:....... ProposedUse ........ ................ .. ................................................................................................................ i� G .Fire District Zoning District ............ ..................................../..................... /..................................................... Name of Owner ...............t. ...................., , Address .... .....................................................(� c J^ 11 r/ 1 ✓...: , c L.....� u!. Name of Builder ...........'r 'Jw/N�'�f' Address .... ...�JAct ;........i. . .. ............................ ............................... ....................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................................Foundation c. , c yr f� . w............................................................... Exterior ....................................................................................Roofing .................................................................................... Floors .......................................................................................Interior .................................................................................... Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................Approximate Cost ��Q U ................................ .................................................... �. Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area ...... .......... Diagram of Lot and Building with Dimensions ......... Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH i I _ aG r) A Lt/ N tr yl 1 7 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ....RAY SPRINKLE CO.t„INC......................„...„ Viola, Arthur A=250-80 � — ...Rd_ ' .................�YAPg1�—_-------------. | � Owner Type of Construction . M.,L' c�...)............................... -_- of Inspection` _ -----� Completed-~ r--- ................ PERMIT- EFUSED ' . . ____, — lV ^ �~ . '----- —''f—'�^'`-------' � r~ / � C.i--....—. -,'^....--.--...----~.— _ � ^—.-------.—.—.--~..,---...~--...—. . . ..—.--.--.—......—~.^...,.—.—~...—. Approved ................................................ l9 � ---------------~-^^----^^'—`— ' ----------^~—'------~'^^^^^^'~'^' Citizen Web Request Page 1 of 2 Citizen Request Management - Internal Use Request ID: 52467 Created: 5/7/2015 10:06:41 AM Status: Closed Assigned To: Parziale,Jim Health Office Anonymous: Yes Category: Chapter 170 : Housing Overcrowding E.C. Date: 5/21/2015 x, Created By: Citizen Citations: Time Worked: 1.00 Response Time: 8.00 •Requestor Details: Email: Request Location: 295 OLD STRAWBERRY HILL ROAD Hyannis, Ma 02601 Parcel Number: Map: 000 Block: 000 Lot: 000 Request: Overcrowded premises; illegal 2-bedroom apartment in basement w/2 large lizards. Open swimming pool in back. •Request Work History: Entered on 5/8/2015 3:41:57 PM by Parziale,Jim stopped at property and was granted access by owner.there is no basement apartment but i did observe two rooms in the basement that were being used for sleeping but lacked adequate secondary egress. i will send order letter to cease and desist sleeping there. up stairs there are 4 bedrooms which would allow 6 adults to live there. 5 adults live in the home. owners elderly parent live in the home and sibling of the owner are at home often to help care for these parents. owner feels this may be what is giving someone the impression that the home is over crowded. Internal Note History: Entered on 5/7/2015 10:06:41 AM by Wadlington, Ellen This is owner owned premises. System entry on 5/7/2015 10:06:41 AM: Assigned to Crocker, Sharon http://issgl2/IntemalWRS/WRequestPrint.aspx?ID=52467 2/12/2018