HomeMy WebLinkAbout0116 PONTIAC STREET 1 Cv �bn"E i a�.c 4S4 .
Town of Barnstable Building
x; 8asar r Post This Card So That it"is Visible From the Street-Approved Plans,Must.he Retained,on Job and,this Card Must be.Kept 1)
Posted'Until Final Inspection Has Been`Made. * i
• 1
16;p. , ermi
Where, Certificate of Occupancy is Required,such Building shall Not be'Occupied until a Final Inspection has been made.,.
Permit NO. B-19-4245 Applicant Name: ANDRE YARMALOVICH Approvals
Date Issued: 12/24/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/24/2020 Foundation:
Location: 116 PONTIAC STREET, HYANNIS Map/Lot 269 195 Zoning District: RB Sheathing:
Owner on Record: LYONS, MARY T Contractor NamANDRE YARMALOVICH Framing: 1
Address: 116 PONTIAC STREET Contractor License. 111305 2
HYANNIS, MA 02601 _;.- , s- �EstProject Cost: $5,900.00 Chimney:
Description: roof Permit Fee: $35.00
I -Insulation:
Project Review Req:
Fee Paid:' $35.00
Date: 12/24/2019
Final:
f
k �/1 Plumbing/Gas
i 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.
All work authorized by this permit shall conform to the approved application and.the approved construction documents for which thi's permit has been granted. Rough Gas:
All construction alterations and changes of use of an building and structures shalt be in compliance with the local zoning bi'laws and codes.
g Y g i P g _1' Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for;public_inspection for the entire duration of the
work until the completion of the same. `'`
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by`the Building and Fire OfficialsRare provided on this,permit Service:
Minimum of Five Call Inspections Required for All Construction Work
1.Foundation or Footing n Rough:
2.Sheathing Inspection t.��. _ R• .<� g
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 � ��C
J
Application number.. .....i
1... .........................
Fee................................................... .................
L _ Building Inspectors Initials.........
sues. ...............
Date Issued' ..:.:.............:k 1. ..................
Map/Parcel............. ....... ..... .............................
-TOWN OF BARNSTABLE .
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 16 ®� `�c - eke Gc n
NUMBER STREET WLAGE
Owner's Name: �f� Ltf Phone Number
Email Address: Cell Phone Number
Project cost$ S30 0 Check one esidential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for a building permit m accordance-with 780 CMR
Owner Signature: r Date:
TYPE OF WORK
❑ Siding ❑ Windows(no header change)# ❑ Insulation/Weatherization
❑ Doors(no header change)# Commercial Doors require an inspector's review
FIRoof(not applying more than 1 layer of shingles)
Construction Debris will be going to ��- '�► .t J �--�-
CONTRACTOR'S INFORMATION
Contractor's name
Home Improvement Contractors Registration(if applicable) (attach copy)
o" ,,,.,Construction Supervisor's License# e 9 ZZ13 03 (attach copy)
�C1�GC De? c.�
Email of Contractor-V/ Y"`W o Gov Phone,number Sby 290 3�t .
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY.IS IN
• ���e�r�n��n�rrn�rr vn1l •A►Icr/1DrA►A1 LIICT/1Dlr ADDD#11/AI DCCf1DC A 0CDAAIT/'AA1 DCicvirn
APPLICATION NUMBER.........................................................::
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with-the location(s)of each tent
Fuel source being used LP tank 20 lbs. or>Yes No_____,if yes, a gas permit is required.
Natural Gas Yes No ,if yes,a gas permit is required.
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
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
APPLICANT'S SIGNATURE
Signature Date J21,2 3
All permit app ication ar �jecta b ing official's approval prior to issuance.
r
The Commonwealth of Massachusetts
Department of IndustrialAccaenti.
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
Name (Business/Organization/Individual): '
Address: cJ �rl/1
City/State/Zip: !� t Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.CD am a employer with 2� 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.El am a sole proprietor or paitner- listed on the attached sheet, . T.❑Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition
workingfor me-in an capacity. employees and have workers'
Y P h' t 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 I I.❑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 ins ance for my employees. Below is the policy and job site
information. -
Insurance Company Name: -
Policy#or Self-ins.Lic.M. �5 1�' ! �6 � Expiration Date: 11 2�
Job Site Address: 11 I-Vtl City/State/Zip: d't
Attach a copy of the workers'compensation policy declaration page(showing the policy number4nd 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 insuran coverage verification.
I do hereby certify u er a pai and penalties of perjury that the information provided above is true and correct
Si ature: - Date:
Phone#: V v
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): r
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 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.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 CommQnwe�flth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington.Sheet
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 4-24-07
www.mass.gov/dia
Estimate
° Date Estimate#
EL LAN DS,
12/9/2019 1104
Horne improvem, en
Bel Islands Home Improvement
�Q4"1 ' .
204 Cinderella Terrace Name i Address f #�
Marstons Mills, Ma,02648 Mary Lyons
116 Pontiac Street,
Belislandsroofingandsiding.com Hyannis,Ma
508-280-1794
508-364-6909
Terms Project
Descnpbon � Qty s° x Rate Total ,
No! ,. ..
Extra charge to upgrade shingles to Landmark Pro is$450
POSSIBLE EXTRA:
Any rotted plywood,trim boards,lead flashing or other carpentry
needing replacement will be done and charged for as an extra at
rate of$60.00 per hour,plus 15%mark up materials
Bel ISlands Home Improvement Guarantees the labor for Lifetime
of roof and against Blow-offs for 15 Years.
Bel Islands Home Improvement:Carries Worksman's
Compensation and Public Liability Insurance on the above work,
certificate available upon request
Permit 200.00 200.00
Dumpster 550.00 550.00
Total $5,950.00
Page 2
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8 'S,,UN SWO-LSWvN Construction SuOervisor
yn—WW O vm i tl restricted.Buildings of any use group which contain.
WA 6 EiOMV :?,less than S5,000 cubic feet(801 cubic meters)of enclosed
t,- I space.
Lan
Failure to possess a current edition of the Massachusetts
State Building Code is cause for,tepocation of this license.
For information about this license
Call(617)727-3200 or visit wWw.mass.gov/dpl
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THIS CERTIFICATE IS ISSUED AS A MATTfR Of INT'ORMATION ONLY.AND.CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER..T"IS"
CERTIFICATE DOES.NOT AFFIRMATiVELY 04NEGATIVELY Af/END;EXTEND OR ALTER THE COVERAGE AFFOROED.SY THE POLICIES.
BELOW. THIS CERTIFICA'E OF INSURANCE.DOES"NOT CONSTITUT A CONTRACT 8IT4HEEA THE ISSUING IRSURER(SIi,AUTHtrRiTFD
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WORKEA.S COiAPENSATEON INSUEiANCE COVOUGE APPLIES OhtLY TQ TIE YIK3wms comPENsATION LAWS OF TK STATE CW MA. .
This ccrhfiaata cancihs and Isaipma des all provicu*issued ce»ileales:erdy as enay reiata to wa?Aers ocnWonsatian.ccvmage,
c: gTltfCAt:E aitTli�.ER. CAAitiEt"iDL7Il3Pl
6 V ENTERFRiSES SHOULt,ANY Sf THl,A0004 Otstsub u POLICIES HE ZA11Cf LLEO Elf ONt .
72A 14ORLANE iR.E E)FPI{LAT10Fti DATI I4NEW NOi7Vk ALL St DELNEREG .'A
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ACOO 25120ifi(08} Ih:e aC'0RO name and tog are reglsaeted masks of AC0$to "
Town of Barnstable
os"t This Card So That h;is UisiblerFrom the Street ,A roved Plans;Must;-be Retained on J;ob.and this Card Must„be,1 t
aea P T.
pp . p
�a' Posted;Until,Final Inspection Has Been Matle F ,
► ° Where a Certificate of Occu ancy is Required,such Buil`dmg;shall Not be,Occupiedunttl a,Fi;rtial lnspectionhas;been.made
, z ,;, 141,
,
Permit No. B-19-450 Applicant Name: todd leduc Approvals
Date Issued: 02/12/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date:;, 08/12/2019 Foundation:
Location: 116 PONTIAC STREET, HYANNIS Map/Lot: 269-195 Zoning District: RB Sheathing:
Owner on Record: LYONS,MARY T Contractor Name: TODD LEDUC Framing: 1
Address: 116 PONTIAC STREET Contra�CtorLlcense: CSSL-106019 2
HYANNIS, MA 02601 Est Prole�ct Cost: $2,282.00 `Chimney:
31
Description: Insulation;See Contract PermitfFee: $85.00
Insulaticri:
Project Review Req: signed installers certificate required to clo
Date 2/12/2019
se Fee Paid $85.00
Final:-
Plumbing/Gas
Rough Plumbing:
..._,, Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work aihorizedbythis permit is commenced within six;months after"issuance.
All work authorized by this permit shall conform to the approved appli tion and the approved construction documents fd which�this permit has been granted. Rough Gas: .
:..
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by=laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas
work until the completion of the same.
k Electrical
The Certificate of Occupancy will not be issued until all applicable signature's by the Building a d Fir Officials are provided on this permit.
Minimum of Five Call Inspections Required for AII Construction Work:., Service:
1.Foundation or Footing Rough: .
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
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).
Building plans are to be available on site -Fire Department
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
Streeter, Irene A1.=269-195
garage
No ................. Permit for ....................................
.................................... ..........................................
Location .............. FQr1U9Q..,atre.e.t..........
.............................
5 ............................
Owner .........xrqlnp...atral.er..........................
Type of Construction ................frame...............
......................................I............. ................. .....
Plot ............................ L t ........ ........ .....
Novemb)r 5 79
Permit Granted .........................................ig
Date of Inspection ..... .................19
Date Completed ....... .................19
PERMIT REFUSED
................. ......................... ..... .............. 19
............... .. .. ......
.............................. ................................................
............................................. ..............................
.....................................
Approved ....................
............................ 19
..............................................................I................
.................... ..........................................................
Assessor's map and lot number .. ` THE
ti.,. yoF
o ,
Sewage Permit number ...................:....................................
Z BARNSTABLE, i
Ause number ........................................................................ r MAea I
Apo,2639. \00
MPY a'
TOWN OF _• BARNSTABLE
BUILDING INSPECTOR
Y APPLICATION FOR PERMIT TO ..... -, !..!v ........... �' e?:�5' e. at= a....................................
...
TYPE OF CONSTRUCTIONS d � �-+ +...............................................�...........................................
..............:. . .............................19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for ,a�ppermit according to the following informations: /
Location .✓ , �t�!' »..............��...' �............' a':��'^r:'.".�°:`.`. .......................
................................................ r
r�
Proposed Use �' �r-a., .. G '�p.:.....................................................................................................
.........................................
Zoning District ..........................
.................................... District ..............................................................................
Name of Owner �� A►...c..S ,�`- ; "�.�,-' Address /�/ *' ./� '�' ►c � �`; .+ �sow�
................................................. ........................ ............. r
Name of Builder� �' ...... � f....Address � ..
Nameof Architect r..........................................:.......................Address ......................................................:....................�........
Numberof Rooms ..................................................................Foundation ..............................................................................
Exierior ...........................................................:........................Roofing ....................................................................................
Floors ......................................................................................Interior ....................................................................................
Heating ..................................................................................Plumbing ..................................................................................
a
fA1`� OCJ
Fireplace ..:...............................................................................Approximate Cost ..................6..................................................
Definitive Plan Approved by Planning Board ________________________________19________. Area . '� '� 1 '�
Diagram of Lot and Building with Dimensions Fee `r
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
i
,Li✓at!'s6.
R u
Y
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... .... ......�................................................
r
Assessor's map and lot number .. .9.. �. �C 04%. pe�� � 7
11 CF THE t0
'" MU
Sewage Permit number ....... .. !.�'1.�....:............................... �
SWAIM IN COMPL
EAHHSTADLE, i
louse number ........................:........................ .... WITH TITLE 5 90 Mb a �
ENVIRONMENTAL COS? ° �.39.
ENVIRa�e
V OypY
TOWN OF BARNSTTTH
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..... ?.. .r ........................ .. .......
TYPE OF CONSTRUCTION ..................... "1 .. ..... .. .....
:.1�:..................................19. ✓.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......................./ �6 e��1449�G► e-zt....:.......
i ✓'? � .......................
Proposed Use ��
...................... g ....................................................................................................
Zoning District .............................................................. .........Fire District
Name of Owner A� 'Q• .�
........Address .�.... ....'� '�/.sY!.r , ........,..�........ . .... ...
Name of Builder ...... .�?�Y .k�GJ .Address .��. i �' ` ..........:.........
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Nameof Architect .............................................. .......Address ...................... ...... ............. ...............................................
Numberof Rooms ................................................... .........Foundation...... ...............................................................................
Exterior ....................................................................:...............Roofing ....................................................................................
Floors .............................................................................. .Interior ................ ....... ...................................................:.................
Heating ..................................................................................Plumbing ..................................................................................
Fireplace
p ,..............Approximate Cost ............;I..DC ......��....................:::?.......
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Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ...............................
Diagram of Lot and Building with Dimensions Fee S/.
...............�............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
41
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Na .................... .................................................
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Streeter, Irene
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| 2l?89 garage
No ................. Permit for ....................................
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Location ...........ll6... . ____. .
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Owner --_—..Ir��ne..Streeter------.
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` Typezf Construction -----f):s�o�----- ^
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^Pennit <�non�xd ---.�ovembf�.�'5__.]9 79
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;'bate of 19
Inspection ^Date ` .
Completed .....................
74�a� .
PERMIT REFUSED
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