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HomeMy WebLinkAbout0025 PORTSIDE DRIVE f . po �-- 0 "7 F 4y c4i g g I A Town of Barnstable Building `Post This Cartl So'That it:�sUisible*From ihe.¢treet�Approve,"d Plans Must beRetamed on J.ob�athis CaFd Must be Kept 'Post'ec! • i Whe're a Certificate of 0ecupancyas Required,such Building shall Not be Occupied_until a�Finalrinspection=;has been made er *t Permit No. B-20-621 Applicant Name: ..William McCluskey Approvals Date Issued: 02/27/2020 Current Use: Structure Permit Type: Building Insulation-Residential Expiration Date: 08/27/2020 Foundation: Location: 25 PORTSIDE DRIVE, HYANNIS Map/Lot 289-071 Zoning District: RB Sheathing: Owner on Record: HASKELL, RICHARDB&SANDRA Ay (, xCon'tractor'Name: William;J McCluskley Framing: 1 Address: 25 PORTSIDE DRIVE . ). �,' Contractor License.6 102776 2 HYANNIS, MA 02601A, n Es Protect Cost: $4,000.00 Chimney: P.,' Description: Add R-19 fiberglass to the attic.Add R-10 rigid insulation to the r "Permit Fee: $85.00 " basement.Air seal the attic plane and basement wrth;'expanding x; Insulation: Fee�Paid§ $85.00 foam.General weatherization. p Date6. 2/27/2020 Final: Project Review Req: - _ � , � A � � � � Plumbing/Gas ,>L Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work auuthonze&, ythis permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved applicationand the approved construction documents forwhichs permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in with the local zonmgby laws and codes. This permit shall be displayed in a location clearly visible from access street or roadha'nd shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. , e Electrical The Certificate of Occupancy will not be issued until all applicable signa res by the Building and3Fire Officials are provided this",permit. Minimum of Five Call Inspections Required for All Construction Work.- Jr k,= Service: z xa 1.foundation or Footing ' ' Rough: 2.Sheathing Inspection 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: . . . b��. Z . .� Town of Barnstable Building Post This,Ca'rd So That rt isVis�bleF.rom the Streets` A roved IPlans Must,be;Retamed>on J,ob and this Card Must<be,Kept .,> 1ARMl3'['AtSi.�. �,,,, • b^ Posted Untfil Final Inspection�Has Ben MadeF r Y ; r F X j Where a Certificate ofOccupancyls Required,such Bwldmg shall Not be Occupied until a�F�nal Inspection°has been made �•'� Permit No. B-18-297 Applicant Name: Armen Safaryan Approvals Date Issued: 01/31/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/31/2018 Foundation: Location: 25 PORTSIDE DRIVE, HYANNIS Map/Lot 289 071 Zoning District: RB Sheathing: Owner on Record: HASKELL, RICHARD B&SANDRA A Contractor Name BARMEN SAFARYAN framing: 1 Address: 25 PORTSIDE DRIVE 3 Contractor Licensee. CSSL-106102 2 HYANNIS, MA 02601 �E q Est Project Cost: $4,150.00 Chimney: Y Description: Re-Roofing Permit Fee: $35.00 t Insulation: Project Review Req: , Fee Paid:. $35.00 Date 1/31/2018 Final: 5 _ Plumbing/Gas t aX, Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work a chonzed by this permit is commenced within six monthseafter"4"issuance. Rough Gas: All work authorized by this permit shall conform to the approved appl cation and the approved construction documenWp ts,fo�which his permit has been granted. � 1; R Final Gas:. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonmg,by laws and codes. OX.This permit shall be displayed in a location clearly visible from access street or road,and shall be maintained open for public nsp coon for the entire duration of the work until the completion of the same. ys Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Bwlding and Fire Offic as are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work n v g : 1.Foundation or Footing �� Rou h.. _ -x , 2.Sheathing Inspection Final: 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 Low Voltage.Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage final: Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. 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 f Town of Barnstable RECEiPr 81 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit `�A c � Application No: TB-18-297 Date Recieved: 1/31/2018 Job Location: 25 PORTSIDE DRIVE,HYANNIS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: ARMEN SAFARYAN State Lic. No: CSSL-106102 Address: Hyannis, MA 02601 Applicant Phone: (508) 776-2900 (Home)Owner's Name: HASKELL,RICHARD B& SANDRA A Phone: (508)737-0593 (Home)Owner's Address: 25 PORTSIDE DRIVE, HYANNIS,MA 02601 Work Description: Re-Roofing C7 ® n to Total Value Of Work To Be Performed: $4,150.00 oho va •— m Structure Size: 0.00 0.00 0.00 Width Depth Total 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: Armen Safaryan 1/31/2018 (508)776-2900 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $4,150.00 Date Paid Amount Paid Check#or CC# i, Pay Type __...I/31/2018 $35.00'- $�X X7{YY}OUC)C CreditCard M m Total Permit Fee: $35.00 8664 t Total Permit Fee Paid: $35.00 y Town of Barnstable *Permit# 9 F23 Expires 6 months issue date . X-PRESS PERMIT Regulatory Services Fee ` Thomas F.Geiler,Director OCT 12 2006 ]Building Division �-#i3�.� TOWN OF.BARNSTAR�.fiem Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 ©` V �. r - www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number �! O Property Address �,�' �86�-Tc�l�.� ni2ltJx ❑Residential Value of Work' /�® Minimum fee of$25.00 for'work under$6000.00 oc Owner's Name&Address -A/M0 4 r����R72f s%�fZ ��/yK"_ 1�SI�Q.rl�1/!S' �,� �,��©� • Contractor's Name Telephone Numbei6-6-69->9'95Z—OZv Homejmprovement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 644 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor (� I am the Homeowner ❑ 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) n Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *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. SIGNATURE: -09 Q:Fo=:expmtrg Revise061306 Department of lndiistriaZAccidents Office.of Investigations. ' d 600 Washington Street ` Boston,MA 02111 www.mangov/dia Workers' Compensation Insurance Affidavit: Bunters/Contractors/Electricians/Plumbers kpplicant Infflrmation Please Print Legibly (.kddress:_, ame(Business/orgdnizationandividual): b9�D4` 1P. ✓`� ty/State/Zip: 6ne#• ,S .re you an employer? heck the-appropriate box:: Type of project(required):- ❑ I ama-employer with' 4, ❑ I am a general contractor and I 6:. ❑ New construction employees(full'and/or part-time).* have hired the sub-contractors ElI am a sole proprietor or partner- listed on the attached sheet # 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, workers' comp,insurance: g. Building addition [No workers' comp.insurance 5• ❑ We are a corporation and its aired.] . • . officers have exercised their 10-❑ Electrical repairs or.additions I am a.homeowner doing all work right of exemption per MGL 11.❑ Phimbmg repairs or additions yself:[No workers' comp.- c. 152,§1(4),and we have nQ 12-❑ Roof repairs insurance required.]t employees. [No workers` comp,insurance required.] 13 ❑ Other ny applicant that checks box#1 must alsp fill out the section below showing their workers'compensation policy information `. iom thi eowners who subraits affidavit indicating they are doing all-work and then hire outside contractors mast submit a new affidavit indicating such mtractors that check this box must attached an additional sheet showing the name of the sub-contmbton and their workers'comp•policy information. . !m an employer that is providing workers'compensation insurance for my employees:'Below is the policy and job site Formation. Durance.Company Name: licy1 or Self-ins.Lic.#: Expiration Date: b Site Address: City/State/Zip: tach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ilure to,secure coverage as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a e up to$1,500s00 and/or one-year imprisonment, as well as civil penalties in to form of a STOP'WORK ORDER and a fine• up to$250.00 a day against the violater. Be advised that a copy of this statement may lie fbiw ded to the Office of resti •ons of the DIA for insurance coverage verification. `Fne by certi7jr the 'ains and penalties of perjury that the information pro ed above u true and correct: :. D D f Official a 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 Inspe 6. Other ctor 5.Plumbing Inspector Contact Person: Phone#• Information and Instructions iassachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. arsuant to this statute;an employee is defined as".••every person in the service of another under any contract ofhire, Kpress or implied,oral or written." ' ua aTtneq ' ,,association,corporation or other legal entity, or any two or more ,n employer is defined as:.an mdrvuti �.P . - f the foregoing-engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the artaership,association or' legal entity,employing employees. Howe other the eceiver or trustee of an individual,p . ,weer of a dwelling house having not more than'three apartments and who resides therein,or the occapant of the weUing house of another who employs persons to do maintenance, construction or repair woik-on such dwelling house a on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." 1 t vIGL chapter 152, §25C(6)also states that"every state or local licensing agency shall vYithhold't i issuance or enewal of a license or.permit to operate a business or to construct buildings in the commonw ealth for any ►pplicant who has not produced acceptable evidence-of compliance with the insurance coverage required." kdditionally,MGL chapter 152, §25C(7)states Neither the commonwealth nor any of its-political subdivisions shall inter into any contract for the performance of public work untilacceptable.'evidence.of compliance with the insurance :equiremeuts of this chapter have been presented to the contracting authority. .-pplicants 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 numbers)along with their certifieate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the > members orpartners, 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 retained to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Shouid you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Deparment 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 wliich will be used as a reference number. In addition, applicant that nnust 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 L(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'lkenses..A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Ot fice'of Investigations would lice 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' artm-nt of Ind4st iaL Accidents . . .. . >. .Office Qf Investigattions a X. 600 WashingEon Street 4 `E:'U •' ' Boston,MA 02111 Tel.#617-727-4900 ext 4G6 or'1,877-MASSAFE ]Fax#617-727,7749 . evised 5-26-05 wwwmiss.gov/din I Town of Barnstable r �FZHE Tpw Regulatory Services BARNSTABLE, : Thomas F.Geiler,Director 9 MASS.. i639. A,• Building Division rF0 MP'I 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 / ^ / Please Print LDATE L o �a jQ p f CATION: _� number street village OWNER": name home phone# w k phone# NT 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. T e undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department Znimum inspection procedures and requirements and that he/she will comply with said procedures and . equirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Town of Barnstable mot , Regulatory Services Thomas F.Geiler,Director Building Division • tARNBPABM • MA g Tom Perry,Building Commissioner i63q: ��0 iOTFo Mpt 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 k 508-790-6230 Approved: Fee: f �� (00 Permit#: HOME OCCUPATION REGISTRATION Date: t Name: Rc c,$ Lv_- (( Phone#:l Address: .2-S- pmr'+S C'G(c r i y Villager c. n n S Name of Business:__._0 Ck 40 rn Q Type of Business: CaL-,r tO Map/Lot: I Q- / EV'IT24T: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase-in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,' odors,electrical disturbance,heat,glare,humidity or other objectionable effects. . • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. N Applicant: �__�...� •.�, �c�s-�-�� Date: 0 Homeoc.doc Rev.5/30/03 { s TO ALL NEW BUSINESS OWNERS DATE: 1 a I-I-A� �a Fill in please: APPLICANT'S YOUR NAME: BUSINESS f YOUR HOME ADDRESS: xs P�r�s ide D ri.ie ebL �.�ts) Co TELEPHONE Tele h ne Number Home NAME OF NEW BUSINESS .* TYPE OF BUSINESS IS THIS A HOME OCCUPATION. YES �NO Have you been given approval from the building division? YES NO ADDRESS OF BUSIN ESS 3' r ` ` �- R MAP/PARCEL NUMBER to be in compliance with.the rules and regu lations of the Town of When startinganew business there are several-things you must do in order p need. Once you have obtained the required signatures, listed information ou ma n y 'st ou in obtaining the. y Barnstable. This form is intended to assist y 9Y below,you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you,get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corne Yarmouth Rd. Main Street) and you will find the following offices: 1. BUILDING CO IS N R'S OF This individual ha e n i for ed of n requir ments that pertain to this type of business. or d Si a ure** COMMENTS.- 2. BOAR F HEALTH This individual has been in med of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-YOU must get that through completion of the processes from the various departments involved. 901149QAAROVAL FORA BUSINESSZRANArfQIVL.Y Engineering Dept. (3rd floor) Map Parcel 021 Permit# 6 J House# jS Date Issued Board of Health(3rd floor)(8:15 9:30/1:00-4:30)9,--y.: ��' Fee 6 2rE,:2m Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) �d� R�✓ �c .) MUST BE r 19 :AM0 MPUANCE TOWN OF`BARNSTABLECODE AND S Building Permit Application 1160M ATIONS Prolect�StreetAddress Pon-/,E; >6/ 2/21b,(z- 44- Village ty Owner 12 Z c,ff J /.3 X 4i ,g fk L` Address Telephone Permit Request /�l-,0,�j!%o� = 0,-,V%V,-1V 6 ' P First Floor -,pop square feet Second Floor square feet Construction Type/C,Q}-mi L V Ccic�(J� ' L¢iYl Estimated Project Cost $ - 22;nnc) Zoning District 0 Q Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family 01 Two Family ❑ Multi-Family(#units) Age of Existing Structure_ Historic House ❑Yes 4 No On Old King's Highway ❑Yes j No Basement Type: M Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) /Lc3�2 oL,D Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing , New Half: Existing New No. of Bedrooms: Existing � New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas dOil ❑Electric ❑Other Central Air ❑Yes ['"1'10 Fireplaces: Existing YAZ.9 New Existing wood/coal stove ❑Yes (!hlo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ,None j9 Shed(size) 9 K 1�. ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name L Zlfi�e)Uaa►-1V/_Tel ephone Number Address ;j 4p0x2 is/✓ie D/Z/ (/ai�� License# ®D O 60. 19-;74, o p co / Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e/9a2�S'/_ y 13 42 SIGNATURE =�®cam tfT./, DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) � 1 • H - - FOR OFFICIAL USE ONLY r, PERMIT NO. C7 5 DATE ISSUED: t- h MAP/PARCEZ NO f c , x ADDRESS is VILLAGE'. OWNER C DATE OF INSPECTION: FOUNDATION FRAME INSULATION ��c�y 6 17 'i ►`'� " FIREPLACE r ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: G FINAL FINAL BUILDIN DATE CLOSED ASSOCIATION ol r= g - -- - '� - -_ :r-----vr.'.' - ,..i-" - - ',�_- _ .tF. -- ,.,a.`,.•.fir r..... �,�- ,,:�-- --="J _ �f- �;•; -;'� ,�- ..:y�" - '�^. .r•. �3 - 'T .wc e-.+'' •+�f=.•��.a t`: y .,a- ..5 ,��.- f. g. `r. ,,.3'F',°;�, -ci/3 "�✓� y`,s. - h t y?'t- •r :4. 3Y�„ `"' �. .:F-�,Fe 'r - _�- :.+- ��� •� s< .>-s_` t�'_.�.-, -vc.'St� `�Fls�. ,fin .'-4: - -8as `o +�s':,� .�:�... -�:r� 'r a '4t �:- �`� .,�,� :�'' 'd 7� �_ _ -"4.�_-:� d•4�'t� a�--y+' ?_'�- � »+rs� +� � �z q r a 12 ved OW Ljf R ti ` N zz v�� ��•� F�4 Hi4f GcJTfit� � - ,: ��' 6' '� _ - _ �ti;. - C i V 44 Co LAM fW r i ',3�.rf_ ��•,-Alf C d:?a � r�S Oi r' 0- `+"��V� - _��I`S� :�b d-C,__;y�! _ - _ - � '• .�//. _ � r}@�x -�a�� -44 Pk '•._ 'lye - {., • N6 _ '_l ! _ j - c1 L �:' �'-� - .�3._'0� s¢r �.•' �(/sT 'yJ xx '' :C�+.��'".' # _ -,. � '... 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Y + �� .. ��i� � :JQ� -.t�''~���R`�`.KP.."4.i3-.t.< � •.y :3,-�~'a'.o%S'�'}F ::��F��,;y:-a`tic•�t - •a::�:'$�i 3� � =. �-�.� <�''G�ta._ .-_ _ r. r:,,._�,.�„ �. .- >�as ...s �-"_ ^,_.�1 -�.,'!,,3�._..._R ��.�-+:+'lCyS- to�, ,. ry'� k HOME'IMPROVEMENT{CONTRACTOR ,fig istrat3oa' 105521 # " Ezplratlon , 07,117 98 HASKEII HOME .IMPROVEMENT ,.y' RICHARD B HASKELL` " G� w Qb sine Dr ✓fie.�ommovuuea„/ll a�2�auac/u�:relC DEPARTNENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE ` Nuaber: Expires: Restricted.To: 00 RICHARD B HASKELL 1 PORTSIDE DR HYANNIS, HA 02601 ' t • 4 VE r y . f. The Town=of Barnstable • lARrrsrasM , 9 M �' Department of Health Safety and Environmental Services AlF� �A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,.c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: C--00/0/'//Q-V&Est. Cost Address of Work: jrqL �¢�1//IJ/s Owner's Name J9-/L_0 2 Date of Permit Application: /o`Z.Z/O Z2 6 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name .+ - The ContmonK'eahh of.4fassachusettti Departtne»t of Industrial Accidents Office Of/nYeS&gallons 600 ►t'ashingtun Street Boston, A1as.v. 02111 Workers' Compensation Insurance Affidavit I IiTe PRINT le�ibl tl plic tit rotor/mation• b Y._ me 12V _ e git ic o el nhonc# e"/ I am a homeowner performing all work myself. I am a sole proprietor and have no one working: in any capacity .._ ..,on.... ..w!-.•:.,.�.,t��.---f!!+--q?i.+arsr,...,Ei!.[ _1-L..crR7�T+.t,:.�'•-* --•--•�1.--'-•--"-M-•-.F.*.�,r�—....-T•--..[+•------�•� I am an emplover providing workers' compensation,for my employees working on this job. cotnnam•name: address: city- phone#• insurance co policy# I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who ha%': the following workers' compensation polices: compnm• name- lddress• - - cih Rhone N. innirnncc co . .. •1'r:•!:.."."1-Q•••- � -.�Zr-t••v�� -�- �- �!"�"l�ayi�_'�.14�'7!••1^ .:.5--..F. ..T,TI � r� C .�.►� t-.L-3_ com nny name: iddre s' city phone#- insur�ncc co policy 0 .Attach addid alshc Met iftiecessary w►��T- - , .f.�� -' __T-c•t .�3 . •.`.�£..v.+•' .� a "vv"rs.: "' ..1'A'•' %.' � ...." Failure to secure coverage as required under Section 25A of;11GL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or unc years' imprisonment as%vcll as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification. !do hereby certij-under the pains and penalties of perjure•that the information provided above is true and correct. Lty�� Date Signature /\ !G�`7t�2b /fG¢��/Z L Phone# Print name - �'official use only do not�i-rite in this area to be completed by city or town official city or town: permitAicense# rlBuilding.Department [3Liccnsinn Board (]check if immediate response is required E3Selectmen's Officr Qllcalth Department contact person: phone#; rJOther Imifed 3?05 MA Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for thci employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An emplol•er is dcfincd as an individual, partnership, association, corporation or other legal entity, or any two or more the foregoing enLagcd 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 rn"•ner 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 ho: or on the arounds or building appurtenant thereto shall not because of such employment be deemed to be an employer MGL chapter 152 sec'hion 25 also states that ever} state or local licensing agene} shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any :applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter f; been presented to tine contracting authority. . . .. ....:.. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department ll 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 require to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that tlae affidavit is complete and printed legibly. Tlie Department has provided a space at tlae bottom o the affidavit for you to fill out in the event the Office of Investigations has to contact you.regarding the applicant. Pie be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned the Department by mail or FAX unless other arrangements have been made. Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questior please do not hesitate to give us a call. . Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street _ Boston,Ma. 02111 fax #: (617) 727-7749 phone 7: (617) 7-- -"100 ext. 406, 409 or 315 Assessor's map and lot number ............................................ P�oFINEro�y Sewage Permit number Qr.fc..., .,J ..✓.,! car^, . SEPTIC SYSTEM MU INSTALLED IN COMP T!►DLE, i t0use number ....................................................................... WITH TITLE '�o N & 9. ' ENVIRONMENTAL CODE �c;Yar a�0 TOWN OF BARNST 1B,1L ry1JLAT10NS BUILDING- INSPECTOR APPLICATION FOR PERMIT TO A.,0 .......0,0! 'I E ...........................:.........:...................... TYPE OF CONSTRUCTION .. .... ! ./Ay..A9 4 '�ii�............................................................ � ,� ............19.8,1........ :. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .`,7...�dlz �� ���C/�4....LT �`f /?��11�5...... f.. �.?..3........:........:.....: ProposedUse .... IL 2,L2 5.;................................................................ ........................................................ t Zoning District �!!7:............................................................Fire District .... eLlL�.. ............................................... Name of Owner A-;,FT h ...:Address .7. ....0� W 4....�fy.(L!rr2�S. Name of Builder ress ........5�..,01- 1C.................................,:................. Nameof Architect ..... ..........................................Address ......,3r ........................................................ Number of Rooms .A..4a0. A.00,o,? C..........................Foundation .. 0 ... .......................... Exterior k/14-1.1 r1....9'c laAlL, Roofing Floors .......0 .................................................................Interior ... ....!���'� . ®G r\.................:.................... _- r HeatingAi✓??..... ..................................................Plumbing .................................................................................. Fireplace ................................................ pp ...............� Approximate Cost ........... . ........ ....................... ril Definitive Plan Approved by Planning Board -----------_______-----------19________. Area .. .. ... 00 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH Ppo IV All� 151 4 5� Z37'A2 n6" t I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name p%&-e,4 ................... r � � | BASKELL L/ // ' ~ �N� . 234� .� '- T-� ��ADDITION ^ - No ................. Permit for .................................... Dormer -------------------' � � Location .�Portoide.�Dzive______.. _~` ' -----]]Y5A ' �l--------------.. ' - � , � Dvvnar ...Richard'E\.—Baslce1J....:........... , ^ ]7raouy Type of Construction -------------- ^ . ' . , '-------------------------- \ , Plot ............................ Lot ..................i�.......... ' ` .- ^ . . . Permit G,on*a6 --.SPptWxkbfx...2.3.A9 8I � Date of Inspection ------]P Doh» Completed .........................2.:T.'a�lg ��� ` � � PERMIT REFUSED ' . . ' .� . -----,--. ------'---- -- .lA . ^ ` ---'—'j'--'------------------' —.--------------~---------- . - . ------------~....---~--.----- ' � ' ----'---''~--'----~^--^--^----' Approved � ' ................................................ lA - � --------------'—^~^----~^--^' ' � -------`------------`^''--~^'' | , F } t, 7 { LOT 2-A 2. �By CALC) � — „W 109•4 BY PLAN) S80.02041 111.84 "E / N80 51'30 ,o 0 � o i LOT � 20.00' i '1 0 7-A ' � o° LOT o 3 � PATIO - 52f =HSE.= #41 7 _ - - -_ Q3 _- - - -24.2 30f S83 4O 50„ _ i B � C.B. (fnd) i (fnd) LOT 15 RE,S. ZONE.- "RB" This MORTGAGE INSPECTION plan is For FLOOD ZONE.- "C" Bank Use Only .TOWN: _h�YAN1VISS-_- _ REGISTRY -O-WNER: .��Cf�RD_�_&_5.1LV�8 J-_-fBSK�L DEED EF: _1C4ffZO --------BUYER: _RXF4vjff�------------------------- DATE: VAZR9 '=--------- PLAN REF: _L� ���----------SCALE:1"= ._3�'---FT. I HEREB >C CERTIFY TO P �RAT1Y41Y14 YANKEE `.SURVEY FIRST_ ICAN TIT: -THAT THE BUILDING A% OF SHOWN ON ;THIS. PLAN IS LOCATED ON THE GROUND AS ���`' PA CONSULTANTS CONSULTANTS SHOWN AND THAT ITS .POSITION ::DOES _--- CONFORM A 40B (SUITE 1) T0. THE ;ZONING LAW SETBACK REQUIREMENTS OF THE g MEq1THEW H INDUSTRY ROAD TOWN OF THAT No. 3 MARSTONS, MILJS, MA. 02648 IT DOES'SOT_ LIE WITHIN .,THE SPECIAL FLOOD HAZARD �fC ��� AREA, AS SHOWN ON THE H.U.D. MAP DATED_7/1hZ__ ssi �st s TEL 428.1'0055.' 250001-0006 D °�'�t, FAX 420-5553'.,, __ THIS PLAN NOT MADE FROM RUMENT 14953 DPG A � HEW— ------ SURVEY O BE USED FOR FENCES ETC NOT T . 7. c� . APPLICATION FOR PERMIT TO INSTALL AND REQUEST T FOR ELECTRICAL SERVICE # (� _ 299273 tr- Inspector of Wires ��'� - ('°�( � Wiring Permit # COM/Electric # Town of ��n.,uS/es i['� Massachusetts Building Permit #— --A Date /A 9r/ Customer: on (Street #). .� �J �,j-� 1�� t%,/'�-� Lot # in the village of A/I Aa-,u�4ji 5 utility pole number or underground number Customer's billing address Temporary v x New installation Change of service z. Starting date Job description�'Tr ... tir»nn�e�f. S� R JC / t e--t 1. 7-~,_ Arr /t 'c_. _�a.�.t!,c.�✓ '� y �t v�i nn /7- �yw(.�. F(,s,,v To 8 1,eK4, Service entrance voltage� 3� Amperage �b b Phase Wire size(cu or al.) a Conductor per phase -3 Number of meters_Z—Water heater Off peak: Yes-No— Estimated load:Electric heat kw, ights kw,Range dryer Motors,H.P.&Phase Ready for first inspection-' 2 9� _ Ready for final inspection Electrical ContractorM;ZZ 1a-1.v` [t it+tu... Lic. # 9 L 0 7 Telephone# y�T' Illy Address �.. t tas bn, PA2jT% t- ow, ^n& 1;2�i`l c Additional Remarks: .�. N� To' /3..�tJe c.-.� Do Not Write Below This Line ELECTRICAL WIRING INSPECTION CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE Temporary Service '= Roughing in e� i :.It Tif /'t Q_>� ."!4 C � Service and Meter Off Peak Meter * V aa Final Approval 46 15;i Disapproved' For the following reasons CERTIFICATE OF INSPECTION Date To the COMMONWEALTH ELECTRIC COMPANY.The installation described above has been completed and has this day been inspected and approval granted for connection to your service: Inspector of Wires WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION Permit Good For One Year From Date Of Issue CA 46 INSPECTOR'S NOTICE r a^ Office Use Only 7-tie Commonwealth of Alassachusetts PemritNo. Department of Public safety Occupancy&Fee Chocked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 3N0 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date vc��7 97 TOWN OF BARNSTABLE To the Inspect r of Tres: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) e /Ai - r et',_.� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ❑ NorM (Check Appropriate Box) Purpose of Building _Utility Authorization N0. Existing Service 1490 Amps //,5 / C-730 Volts Overhead KI Undgrd❑ No. of Meters_ New Service JOO Amps f/S / 930 Volts Overhead ® Undgrd ❑ No. of Meters_ Number of Feeders and Ampacity / Location and/ Nature of Proposed Electrical Work ?I -,-n,,o K,y�4,1.c,a,-, AeDce� �c�t (�I�PL.ve c . !fit ✓ e, IL�U� No. of Lighti g,Outlets No. of of Tubs No. of Mansformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets 9 No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No. of pumps Total Total Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal ❑Other ❑ Connection No. of Water Heaters KW Nov of No. of Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: , �� �' �/Ur�IJ-c✓' �/GiZt�dt/r�t�-cam �.� �5��. �s•yGu.r INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Insurance Policy including Completed Operations Coverage or is substantial equivalent. YES NO(] I have submitted valid proof of same to this office. YES NO ❑ If you have chec d YES, please indicate the type of coverage by cnecking the appropriate box. INSURANCE 91 BOND ❑ OTHER ❑ (Please Specify) xpiration ate Estimated Value of Electrical Work S q Work to Start ja .?6 rs Inspection Date Requested: Rough � " ! Final Signed under the penaltie of perjury: FIRM NAME . — `e,e��t� LIC..40- Licensee //C� y+`r�� n Siglnnature LIC. NO.rjakp Address (�',� f L �ic�a lf' J� //�sd�/L�� ��(�y� Bus. Tel. No. Alt. Tel. No. 741% OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S a Signature of Owner or Agent