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Home My WebLink About0071 SAINT JOSEPH STREET 71asepl��s S� � TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel Application# b l W ` Health Division Date Issued- �� 6 Conservation Division Application Fee OD Tax Collector Permit Fee Of �7Z Treasurer � - Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address '7 / ; . —��5��'�f S? . Village N 1a-0 n i s Owner �� "''� Address 7 I S i. 70 sE-P F F S - Telephone Permit Requeste�yi o tee. tsa iCk ,_ (Ac w New iit J O X Z 4 t� L Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new. Zoning District Flood Plain Groundwater Overlay Project Valuation G 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 a 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/co stove: '0 Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ex ting �w 9tze Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Z Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Cammercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION / (CtA CS-09) Name ��vv►GS �. � u�S Telephone Number l 5 Q��4` -'Z. � -77 Address 5 MA-1 Sj License# L, 0 0 8 Mkgf+P vn A- cV-Z_U 5 Home Improvement Contractor# /02 �27 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO :.Oe+sST A,/3 L� SIGNATURE ( DATE d'"2' /7 " t � ' FOR OFFICIAL USE ONLY . APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ' FRAME INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL 3, GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT . ASSOCIATION PLAN NO. i' �T►+E Y Town of Barnstable Regulatory Services iARNsrAB LT. '\ ` �.. Thomas F.Geiler,Director ••JJ `TEo►9,; Building Division �,0 Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta b l e.ma xs 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW, Owner: IC! PL f_=dZ : Map/Parcel: r Project Address 71 ST- S IPr7 Builder:_ ;`, l— C_C—L-6 c.j S 1-4 ,y The following items were noted on reviewing: s� �I a. F6 2 t G¢X S�A c-I r"'l G-- r Reviewed by: Date:—. Q:Forms:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents 0 ce of Investigations 'n on Street • e fi 600 Washington . Boston,MA 02111' wyOw.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/ElectricianslPlumbers Applicant Information .Please Print Lezibly Name(Business/Organization/Individual): I 0a r r.�� £ n e- L� /�2d U e c� Address: 'S City/State/Zip: K)+. dILP`f-�j Phone.#: �S�i;� �•�7 — 21�'6 Are you an employer?Check the appropriate box: :Type of project(required):. 1." I am a employer with 1 4• ❑ I am a general contractor and I \ * have hired sub-contractors 6• ❑New construction ` . employees(full and/or part-time). h hid the 7. Remodelin 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet g ship and have no employees These sub-contractors have 8. Demolition employees and have workers' working for me in any capacity. 9. -[]Building addition comp.insurance$• [No workers comp.insurance 10.❑Electrical repairs or additions required.] 5. We are a corporation and its 3.❑ I am a homeowner doing all work . officers have exercised their l l.❑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 13.❑Other • employees. [No workers' 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 pub-contractors and state whether ornot 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.#: �e (�e1 _ �g ( ��g2 01 Expiration Date: D 5' — t7`� _ 08 Job Site Address' � dbS 4*0� S? City/State/Zip: r 0ZA0 Attach a copy of-the workers' compensation policy declaration page'(showing the policy nurn4 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 lip 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 maybe forwarded to the Office of Investigations of the CIA for insirranoe coverage verification. Ido hereby c under thepains a penalties ofperjury that the information provided above is true and correct. Si afore: Date: I-,, . Phone 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#: oFTHE►� Town of Barnstable Regulatory Services vBARNSTA LE, Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.-ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, \�� _ r— 1 J'`"I "\ , as Owner of the subject property hereby authorize �I��w«s -b. �6(�oc,us r�a,4- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) t 12- 07 07 Signature of Own r Date A&7 a 1)k- !=. Print If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION ' r , Town of Barnstable t)F THE Tp� Regulatory Services 1 BARNSfABLE. Thomas.F.Geiler,Director MASS. + • 9 1639• A.� Building Division lFn � 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 DATE: JOB LOCATION: number street village "HOMEOWNER": 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 procedures and requirements and that he/she will comply with said procedures and requirements. 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 I Board of Building Regulations and Standards F HOME IMPROVEMENT CONTRACTOR Reglstration:�192827 126463. ' EzPlr�tin: 2008 Try , x� D +A�� • FELLOWS BUILDING&=NOMEM ROVEMEIVT James Fellows 5 Main Street �. Mashpee,MA 02649 Admmtstrator r Board of B ild,�" iu!ealt� g Re + Construction Su gaiah° S and Sta nda b; pe►visorLicense i• 1 Lee cs Bnthilate� 40858 r, fr atlo 0 4�009 TO, 6184 l MASHPEE _ r MA 02649 Commissioner.."- — f 77 a 1 . TRAVELERS S WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CHANGE DOCUMENT WC 99 99 98( A) POLICY NUMBER: (GKUB-88i X822-2-07) CHANCE EFFECTIVE DATE: 05-09-07 NCCI CO CODE: 11347 INSURER: THE TRAVELERS INDEMNITY COMPANY INSURED'S N�%ME: FELLOWS, JAMES DBA FELLOWS BUILDING & HOME IMPROVEMENT This change is issued by the'Company or Companies that issued the policy and forms a part of the policy. It is agreed that the policy is amended as tollows: An absence of,an entry in the premium spaces below means that the premium adjustment, if any, will be made at time of audit. ADDITIONAL PREMIUM $ 894 RETURN PREMIUM $ NIL ADDITIONAL UPON-PREMIUM $- 37 RETURN NON-PREMIUM $ NIL THE CURRENT POLICY EXPOSURES AND/OR CLASSIFICATIONS HAVE BEEN UPDATED TO REFLECT THE LATEST AVAILABLE AUDIT INFORMATION. THE FCLLOU'ING ENDORSEMENT(S) IS ADDED: WC6904060G-01 POLICY INFORMATION PAGE ENDORSEMENT-EXP - WC89041500-01 POLICY INFO PAGE ENDT WC89061400-01 POLICY INFORMATION PAGE ENDORSEMENT WC999998 A-01 CHANGE DOCUMENT THE FOLLOWING PREMIUM BASIS(S) IS AMENDED TO READ: STATE : MASSACHUSETTS C LOCATION- 001 01 JE CLASSIFICA" ION: CARPENTRY-DETACHED'ONE- OR TWO-FAMILY DWELLINGS CODE : 9� 5645 PREMYUM BASIS: 45165 .RATE : 9.03 PREMIUM: 4078Min m o r DATE OF ISSUE: 05-23-07 DS CHANGE NO:001 PAGE 001 OF LAST POL. EFF. DATE: 05-09-07 . POL. EXP. DATE: fly-09-08 OFFICE: ORLANDO IN®U5 AFF 161 PRODUCER: 22LGR oo,s®, COUNTERSIGNED AGENT 3 9-/.1 Fa+�� l oo,i g 07 -2.. .-.. . a h no ly -7- �SH OF M� O� GEORGE yG J. IANIDES .A Na 22123 C 7hc .0.0 .S d � dm ' ��s sum Formo' fitr�nEn `: ws e ' e A ' . . Assessor's map and lot number ...M. r, c�-1 SEPTIC SYSTEM' MUST 'BE, j t Sewage Permit numberd ..... .{ s INSTALLED IN COMPLIANCE WITH ARTICLE II STATE o r }: } THE TOsWN�. OFB-ARI Aj`_ ' L` TOWN.. •P^ (Q .q •ii1 4. � y " i E9flB9TADIiFy 9� m0,39 bum 9 : � BUIII.DIHG d INSPECTOR a` APPLICATION'FOR.PERMIT TO 4; ... .......................:. :.......................... i TYPE OF CONSTRUCTION . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�permit according to the following/information: Location ........................ ........��...�,1........... ...�........ / � L�/e ................. !:�TB Proposed Use ............ ......... ...............................................................................................,......................... ZoningDistrict :........:. ......... .........:.............. Fire District..... ................ .. .. .......................... ........... .......... Nameof Owner �&► `1G. ...... .. ...........Address .................................................................................... Nameof Builder .....................................(............................Address ...............................................................:.................... Nameof Architect ..................................................................Address ................:....... ........................................................... Numberof Rooms .................................:................................Foundation ...... V- as............................... Exterior .................... ..................... ....Roofing...... .. ... ................................... Floors .Interior .............................. .................................................................................... Heating -.......................:........... .Plumbing .::..:..:....`.. :.:......................... ... .... ........ Fireplace /�`/�/� p ........................... .............:.....................................Approximate Cost ................. ....'......!.I................................ Definitive Plan Approved-by Planning Board ----------------_---------------19--------. Area ........................................ Diagram of Lot and Building with Dimensions. Fee �I......... .r,......... SUBJECT TO APPROVAL OF BOARD OF HEALTH i � o I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. Name1ry!! !t...�C ,... ............ { 19556 Norman Barboza A-291-212 No .195....... ............................................................................... Location ..........71 St. Joseph St... ' t ..............Hyannis..................................`............. Owner ...NOT.m#n.B0Fb474......... "�' rya, � � . .w�r'n- �•' ....- a 'ap° 1, '' r• ,5' -.. ._.. .. .. _ _�... � �, Type of Construction ........F'rAme....................... r Plot A:291-212........ Lot ...........`: .................. Permit Granted .......�!p6t.. T 31 .......19 77 -Date of Inspection ..... .. 1 ..19 -Date Completed ........................ -. . ...19 PERMIT&REFUSEDr .. ri .. ..................... ............... ............................. ................ .. _ _ ................................................ .......................... ......... ........................... .... ` �'' - '.�• ' '• L,.r3 Ap°H roved ............................................ 19 ............................................................................... i Assessor's map and lot number ... .............:. Sewage Permit number f�A� .. •. -✓iA/ ... f f y0F7NET0�y TOWN OF BARNSTABLE BA NSTADLB, i o aYa�e� BUILDING INSPECTOR APPLICATION FOR PERMIT TO '!��.`"` TYPE OF CONSTRUCTION ................................_.'...' ^/J l...... :C'......................................................................... .I ........ .......C, . ............192� TO THE' INSPECTOR OF BUILDINGS: The undersigned hereby applies for aap� p�ermit according to the followii�n�g'�information: Location ....................... ............-.... .f.. ........ ! ¢.?. ........ — .. ........................... !..:` .. ................. ProposedUse .............�..:-1..�........... .......--^.... .... ......................... .................. 1 ZoningDistrict .........................!........ ...............................Fire District .................. ...................................................... Name of Owner ...��i�rmR.n..... (Nti......t�....11...............Address .................................................................................... Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ...... a.: `.............................................. Exierior !!W. ..` ...Roofing �noT— `.................................................................... v ` Floors Y'r"�`� `�' ��.... Interior .................................................................................... Heating ..................................................................................Plumbing .............. T............................................................. Fireplace ......................................................................Approximate Cost � I �U � !•� ...................................... ..........f.............................. ` . Definitive Plan Approved by Planning Board ________________________________19________. Area ..........r'.................. Diagram of Lot and Building with Dimensions Fee ............................ ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH - 4 r ♦ f !`tt �S I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name✓?!?!!!. / /,1 ................................. 19556 Normau B7a- �"Ozl," 1-212 ' -29 No ..M.*..... Permit for t!?nl4n................ .......................................... .................................. . Location ........ ....... ..... .... Hy*prij a I ................................... .............. ............................ ..... Owner .......Y?FRa:R-..BarboZa ...................................... Type of C r..ulc.ion. ............. .Xma................ ........... . .... .. . ...... ..................... ........ Plot ........... Permit nted t 31.........19 77 Date of • ,ion .....................................19 Date Completed` ..... .......................19 EMIT,,, USED ........................ ........ ........ .......... 19 ................ ........ ..... ........... ..... .. ........................ ... . ...... ..I....... .................. .. ..... 71........ ........... ..................... ..... .... ......... Approved ......................... ... ... 19 .............. .... ......................... ............................................................................... SEPTIC SYSTEM X%6X -11 - q-4 - 3 INSTALLED IN COMPLIANCE WITH ARTICLE II STATE SANITARY CODE AND TOWN REGULA - TOWN OF BARNSTABLE y0*THE t0 33 STADLE, i MUM e r RUILG INSPECTOR_ war°'' , . I�, APPLICATION FOR PERMIT TO ......................... TYPE OF CONSTRUCTION ....................................:.................:.......... .......> J. ~ .. ........ ...Z ...........1923 TO THE INSPECTOR OF BUILDINGS: The undersign/ej hereby applies for a permit according to the following information: Location ........ .. ..... .. ..' . .... .. .... ........ ..a� ... �... - ............... ! %"" v � - Proposed Use .. .. .. ... . . ...fl � ................................................:............................................................................ Zoning District .......... .. ...... .......Fire District ��............................................ Name of Owner ...... ........ .. ......Address .. ,,,,, � „�!' .. Nameof Builder ...:.. ..42,el) ,°.:..................................Address ........ .. ................................................. Name'of Architect ..............................Address ......'SCa,.ej. ::.......................................:............ Numberof Rooms ...........(e.....R.....................................Foundation ...�Cl/l...'....................`.'....A.................................. Exierior ..... idn. ....... ...........................Roofing 004 Floors C..t4i/t 40 ..............................._............................Interior .... �........ � ............................................. / Heating ... .. ........ ............ ................Plumbing ! —(. .,! .. _ _--- / Fireplace ....... .......................................................................Approximate Cost ....1. .... ........................................ Definitive Plan Approved by Planning Board -------------------_-----------19--------. �L�3 b Diagram of Lot and Building with Dimensions SUBJECT TO APPROVAL OF BOARD OF HEALTH 100 5 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Q Name . ... '~ ,: ^mrouzn Corp. � ' No — �one.��.��. Permit -----.��.--.. ~ � ` ---- ......o g-----..Locationr ' � \ .\_4°.. .4t___._____ � ------.��5wrallu-------------- ' | Ovvne, ...........DXQUIU..CmM" ........................... Type of Construction .............. —_--_.. !-----^--------------`------ � #w6 . . Plot ............................ Lot ................................ i | August . . ' ( 6 } Permit Gronxe6. --..............'..-----.lg ^~�� ' Date of Inspection '.. lP | ' ^ ! � 'PERMIT REFUSED . | ` ' ...................... lV ` � . -------------',-------..'---- . � \ / ' � | ^—_—~--`------------------.. ` ' —.--.—.--^----.—..------.----- \ | ----.-------~----~.-------- | / ! Approved ................................................ lV ' � � ^ --------------------------' ----- ._—.— .................................................. . U / " / 2 v) y 3 ` zt- , � x ' ZX � — y hAuT IT SO N {! v+ \ i TT • In, 1,F4-1 vm� S_j k_ f4� vc i Po5 w i f ........... x - ! 1 IT i ♦ ._ __.....-}_ .. _ _; . ids��,... .. -. -. . .. �'_a+. s _ r CAP ,JOB4aYti 1:� .!: FELLOWS BUILDING &-HOME IMPROVEMENT SHEET NO. OF 5 Main Street CALCULATED BY DATE MASHPEE, MASSACHUSE17S 02649 ti (508) 477-5196 CHECKED BY p� DATE SCALE 1.� Y7 refs a PRIODUCT 227.1(Padded 11-EDGE)PRODUCT 227A.1(Padded 17'EDGE)l5�e—M w Inc..Groi_on,Mass.01471.To Order PNONE TOLL FREE 1.800.225fi380 `�-�_ .y - -' +. - s _a ,''•:ti':�':. .. ,. ..