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HomeMy WebLinkAbout0025 SIXTH AVENUE (HYANNIS)r - _ , _ _ _ _ ,err Application number........ft- za- Lq /3 ........................................ 38 . 716 _ BUILDING DEPT. Fee.............................................................................. Building Inspectors Initials.....P.�.......... ' SEP 0 2 2020 g p .... TOWN OF BARNSTA BLE Date Issued....... 111 )2-01.....:............................ Map/Parcel........4.6.. .I... ........................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: d•�-t� ��� i,,, �}. NUMBER STREET VILILAriE Owner's Name: Yh lv% Phone Number Email Address: Cell Phone Number_ &I q00 10 Project cost $ �7, 6 h 0 Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorizee�s^ s to make application for a building permit in accordance with 780 CMR lag (z Owner Signature: A n N Date: 1170 TYPE OF WORK 0 Siding ❑ Windows(no header change)# Doors (no header change)# MInsulation/Weatherization q Roof(not applying more than 1 layer of shingles) © Commercial Doors require an inspector's review Construction Debris will be going to Certificate of occupancy with no construction (complete below) ' Occupant/family relationship or business name or Existing amnesty apartment(attach a copy of recorded comprehensive permit) CONTRACTOR'S INFORMATION Contractor's name—2-C-\v Home Improvement Contractors Registration(if applicable)# 1 L 1 °I 1 (attach copy) Construction Supervisor's License# 613 �Z �?l � (attach copy) . Email of Contractor kA,C (ZO io Phone number ELY 14 2-p -O T S-0 ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY/S/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. t APPLICATION NUMBER *For Tents Only* Date Tent(s)will be erectedg Removed on' Cr W[1 t1 e- 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 , _,_.18A7P,h�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 zW-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 1 -2,6 All permit applications are subject to a building official's approval prior to issuance. The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations. 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): `i Address: 6 b 02e y 6l e t City/State/Zip: f t'►'U0 t `�26� Phone M.. 5bq' V 2­0 Are you an employer?Check the appr rate box: Type of project(required):_ employees(full and/or part-time).* - 1.❑ I am a employer with 4. ❑ I am a general contractor and I , have hired the sub-contractors 6. ❑New construction - - 2V I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling hip and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs`or additions 3.[1 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp. insurance required.] *Any applicant that checks box kl must also fill out the section below showing their workers'.compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date, Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a . fine up to$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certify nder the pains an penalties of erjury that the information provided above is true and correct Signafore: Date: / 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#: 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 liceiise�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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Iuvestigatiaus 600 Washington.Street 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 I . Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction,5.t isWs1 & 2 Family ! v A � CSFA-057394 t - Frji Plres: 06/02/2021 agg ROBERTG WALSH P.O.BOX 713!< f MARSTONS M!�-LS MA 02648'V a Commissioner ,, C��/re�arn�narecnea�l�oI�✓llirz;;;tce�u�e/% - - Office of Consumer Affairs&Business Regulation. HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:.Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 141997,E=_ -`_; 03/02/2022. 1000 Washington Street -Suite 710 ROBERT WALSH Boston,MA 02118 i f D/B/A HARBORSIDE REMODELING ROBERT G WALSH 60 DEERFIELD RD OSTERVILLE,MA 02655- Not valid without signature Undersecretary .� Town of Barnstable__ _ Building ' ,Post This Card So That it is Visible;From thiiStreet Approved Plans Must be Retained on Job"a.this Card Must:be Kept srnei e massMade.,.,, w e� lbsv � ,Posted Until Final Inspection.Has Been Matle . �'I�IIl ,Where a Certificate of Occupancy'Is Regwred,such Building shall Not be Occupied until a'Final Inspection has been made Permit Permit NO. B-20-2473 Applicant Name: 'ROBERT G WALSH _ _ Approvals Date Issued: 09/04/2020 Current Use: A Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 03/04/2021 Foundation: Location: 25 SIXTH AVENUE(HYANNIS),HYANNIS Map/Lot: 246-145 Zoning District: RB Sheathing: Owner on Record: DRISCOLL,JOSEPH F&MARY J TRS Contractor Name: ROBERT G WALSH Framing: 1 Address: 106 EDGEHILL ROAD Contractor License:Y CSFk057394 2 MILTON, MA 02186 Est. Project Cost: '$7,600.00 Chimney: ,Description: Roof Permit F e: $38.76 i Insulation: Project Review Req: � vFee Paid: $38.76 Date: 9/4/2020 Final: Plumbing/Gas Rough Plumbing: . LBuilding 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 theapproved construction documents for 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. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by thertBuilding and fire Officials are provided on this permit. Minimum of Five Call inspections Required for All 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). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: � f eo'THE, ►. Town of Barnstable *Permit# Expires 6 m the rom issue date °s Regulatory Services Fee BARNSrABLE, : Thomas F.Geiler,Director MAS& 1639. g Buildin Division T Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.banistable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint i Map/parcel Number .5 Property Address J 1�' /4 y� S i �/:�a►�j✓ i S P.DF r Residential Value of Work /Op U Minimum fee of$25.00 for work under$6000.00. Owner's Name&Address 06 cI?N Contractor's Name d cS P �-F F. C°© f I _Telephone Number /j/'7 h 7,2 — b �S Home Improvement Contractor License#(if applicable) ❑Workman'sCompensationInsurarice -PRESS PERMIT Check one: ❑ I am as ole proprietor MAY 2 2o�g I am the Homeowner . I have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance.Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side C Faot-4 r) .� ❑ Replacement Windows/doors/sliders.U-Value (maximum.,A *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: QAWPFILESTORMSIbuilding permit forms\EXPRESS.doC Revise020108 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information n Please Print Le gib Name(Business/Organization/Individual): `)05�(�H` 1— `�(� / Address: S ity/State/Zip: a Phone-#: 17 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. [] I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the stab-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g;employees and have workers' Demolition working for me in any capacity. $ 9. ❑Building addition [No workers' camp.-insurance comp.insurance. required,] S. � We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs c. 152, §1(4),and we have no ]t ❑employees. [No workers' 13. Other 1=RoN insurance required.] comp.insurance required.] *Any applicant that checks box#1 must also fM out the section below showing their workers'cornpcnsati.on policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit anew affidavit indicating such. tCantractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. if the sub-contractor;have employees,they must pravidt.their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 statrmmit may be forwarded to the Office of Investigations of the WA for insurance coverage verification. I do hereby certify under the pains•and penalties of perju the information provided above is true and correct Signature: .L ��4 Date: VPhone# �� k 7j` ` l /7 — Official use only. Do not write in this area,to be completed by city or town officiate 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 rnntact Person: :Phone#• r Information and Instructions Massachusetts General Laws chapter 152 requires an 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,constriction 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(cs) and phone number(s) along with their certificatc(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 sore to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit,must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to btirn leaves etc.)said person is NOT required to complete this.affidavit. The Office of Investigations would ale to thank you in advance for your cooperation and should you have any questions, please do not hesitate toy give us a call The Departnncnt's address,telephone-and fax number. The Commonwealth of Massachusetts Departmamt of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4904 ext 4-06 4r 1-977-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia f Town of Barnstable =' ��p YHE Tp�y Regulatory Services L saxrrsTwarr Thomas F. Geiler,Director MASS. Building Division .�rFo M1�r s Tom Perry,Building Commissioner . 200 Main Street, Hyannis,MA 02601 u^ww.town.barnstabl e.ma.us Office: S08-862-4038 Fax: 508-790-6230 _-------- HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: % JC TW 14 4-116 WC-7s/ A)Al/S number street 10 ` svi7fllage "HOMEOWNER': 1^5 c? L1 1=. .`nizGS C40 name home ph e# — work phone#� CURRENT MArLING 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. atur f 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 1o4.i.I-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. _J �FYHEIp� Town of Barnstable Regulatory Services snaxsres Thomas F. Geiler,Director � -CjA t63q. �� 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 Own Must Comp ete and Sig his Section Using uilder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work a orized by this uilding permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption,Form on the reverse side. i J `Assessor's office(1st,Floor): �> Assessor's map and lot number e;,? THE r Conservation(4th Floor): `-I' 11'4STALLED 9� O Board of Health(3rd floor): " , "" 1,� ITN • Sewage Permit number 1 ENVIRONMENTAL �t Engineering Depar,Cmant(3rd floor): +F/ TOWN REGULA House number p' Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.,and 1:00-2:00 P.M.only TOWN : OF � BARNSTABLE BUILDING INSPECTOR rr r APPLICATION FOR PERMIT TO O P, £m 8 TYPE OF CONSTRUCTION c 1974 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location aE X T 14 )q l/G . 7/y,q ht 14 15'Q6 p� hi fJ Proposed Use su i-n r�-` tL n "T"i dq CIE Zoning District 9.13 Fire District niv t S Name of Owner MR.1.'►'t,us :D&t SCnA Address /O 4 Z!�F J 0 OF 141-11 Name of Builder 61 ©W At Eg. Address -I Name of Architect JOAN. It ANC-. Cn, _ Address 3 5' / ,FO c kc:� !� e 011,70 Number of Rooms Foundation B�®C!� Exterior ate' ��� Roofing 5HI V- C�, S Floors 1'R 2� I"' Interior C,/ Heating No/V E�, Plumbing Fireplace 1zS Approximate Cost fd— �� a usq iv Area e 40 Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name � �iu/l C Construction S""pervisor's License ©�` j`f: P, " DRISCOLL, JOSEPH No . " Permit For REMODEL & ADDITION I Single- Family Dwelling Location 25 Sixth Avenue Hyannisport { Owner' Joseph Driscoll Type of Construction Frame Plot Lot A = a �,. Febeuary 1 , 19' 9 4 Permit Gran,ted � Date of Inspection: -� Frame ✓ �%� 19 Insulation 19 ` Fireplace 19 i Date Completed 19. - 1 � 4 bsa f ,L,ss�.�� d+ ... .. .: _ Y .. .. n .. ... Heu .17 I 1 L . .IMh a ewlrlca G aa -��F — INLY W4 Mf yy Ku:�•KMI—� _ - FLccR_F"m Puu ' � };: � to=� d .. �_ � �n'-•F -.���� - N htl� f4lVAIION va'.:,y, 1 tiH!i1N�mM \ 2v.uwl;• _'� au•me s o ; DFI r= 1 G LaEv.ETE T1q/ y.d ehwJ- r. es�ne. 1 . 1YPK.`L VE 11+N�N6 .I - 1 ' L.U(F• -b Il!EK.EM'•1U f.xtO Y'�IUJM.tA.�[� NEl 7Jt. ."ERS k f.T%MV KLEYI f%MA) �\.. �' - �f(lY7LN E+M!�b M,4NA _ _ WiN SlI R Vf41-IFIb i w art \_ u /<a / M&G- FPHlkIG PLAN y, o oil !J:.• lfil L 6N/EIO M'EOMi• L ws-rf w J �i �� �I �. ;i Qom.• J- ;;�I I IM `'4 owl 1. I ! i,ti I �N.i.uMa a•u.Ef.y i_NE. as LbW uuz.aw— - / � t! ," ,+ .. riV tart 1 "'v �`I � \- - � - �iza•v rawmw'.. 1 I 1 `� xsi w E" —,— �' aue rx Nen t rM.NauNn. �,1 1 f It�fua-w�lnw :1 I y atnE vErN � _ a a �I I ENv+iVF alti.M 44 � insr mwl e.V cTiorJ - - � .. wrtwa ra rxrzr.wanw,E++rr uxEra Nw � ��1 �: • - �� KIP fKAMING PIFu 81F, F I W, �rsb n tF14 r[yf Naar . Le.fr Ja^ �' R rVaJnEM 1 ) TrfML VfLIL fRW raN� /. I - 6JRf••'/..a.sbrr•,tr.tr.v.ry \ f.•-trc Y•r+uJ .u,D i '4[':2H. RN+ k'ryWxO r 7/bnJLx'r. @ 16ac r Mttr7 weal � \ �• .�(wiLH EnM��f�ent) ___ _ WM bN n CtGr-INO - IthWiG6f n rr.[ba of a 4- /ll - xtilL910 WLL.- PK/rMIN(a PIhN v4' L � t F I "a. 't Hw twa a w l &J'allWa ray. t i 5 S:'. y i i R•m I t �' - _ n 7 Nb,ar,[._o tuw� _ wws-pm- 0 L v.n w_wnfn v wv_w_ - I I � i I I I � ... Caw• '�i _ I A I _ ' •.. '. ,� 4Hr Nx0.d•R Gf-r✓,� I t.-NW � xfM+uAl•Rar __ _ / �,� n \ . { �.IeaG ... i CIa.1•xw'a•t'a iY:l.. .. % .����GL 4 �� } % 1 } A ' °pyl. I rascew t •'. � itt I�' � I .ram•_ t�- .: .., ''.Hw a axHw� / rMc iWRIWaR ruu.m 1 + � cm�st � +, �.... -':. ,• �,,mJ[a aea.rt(,a o) rw+b. I � - [ttnw.wram u . -Kxl f'rxuft0-at. rrI� II 4[M[06M 1 eWv�bf ew.Js rW.t D) bM�Wt MIIFp'IDfIMhYJ � A T104 A �t•,oa Yf ,.. - ey'wM na cuf IWEMN Kw+W rpur[W.4— - r r !S . 1 Y.ODP FRAMING PIAU i• M TOWN-.;OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION J Is 1lk7 /9 p_,. SS 7- Number Street Address -Section Of Town "HOMEOWNER" )"a-t-hip,S e,51zeH 677JK Name Home P one Work Phone PRESENT 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 such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) 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 to six 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE �ua/J APPROVAL OF BUILDING 0 FICIAL Note: Three family dwellings 35,000 cubic feet, or larger,- will .be required to comply with State Building Code Section 127.0, Construction i Yti HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing e P g 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) ; Home Owner engages a ) provided that if, person(s) for hire to do such work, that such Owner shall act as supervisor." Home . Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q Rules for Licensing Construction Supervisors, Section 2.15) . This alackeoflations awareness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the unlicensed person as it would with licensed supervisor. The Home Owner acting as supervisor is ultimately responsible. To' ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. Wm. E. Robinson Septic Service - - P. O. Box 1089 Cerite'We MA02632- ` 7754776 July. 16, 1993 Craigville Realty Craigville Beach Rd W. Hyannisport MA Upon inspection at 25 6th Ave in'W. Hyannisport, I. found that this cesspool has not been used for several years. It should "be 'u'sed`for a couple of months :and then. cleaned out. After which this "system should be satisfactory for seasonal/normal use. If a dishwasher/washing machine is installed, or year round use of this =cottage occurs, -this system should be replaced, with a new..Title 5 Sepic System. Clean out. after initial use---$130 . 00 Replace system .with, new Title 57--$2, 200..00 Sincere C; W.E. Robinson Sr. ' ���� :..t � phi_��" � �-- S { 1K•t 1! f �-s« 777 _W",{il\ mt am.a r`�r-�,*,fn. 3'm'4nN"i 5 ".,l +.•.' .. i r �`�.� 1-7 - R- �� ��'ni 1 t'� �jre tTn h d*' ...wa1+ ,,..K•a � - ,� r"t .WLJ1/.•� '� K ._ `•' Sk •..1 ...:,}tti�� ,.�"'' b �� �/'� Tt °. t , atr.. `a a A j }° •:ce, Y P r`sa i1 r Ss.t ,Fs r3" wPNv� s x ,. - . ...... .. � �/ PASS ,YAt�.FS-;i.' es . ` z� tP r•W�•� \ 1 -I��� 1 �/ I� °"> { yQl zx t � � " _ � ��7 y ,. ��� i . :, 1 or• ! .�;P �R' wa,s� 9 .-v.. *.r> ,,,�,-. s -.r .. �..,,,. ,,..n.,s• <,t '�..te�-v l � '�, gle r,» .a,., ''$I.�s t w-`'_ t '' R,(,f�'va� •; �l"1(1 ,t i�KJIW x .1 is Vol Town TOW w _ ' �' .a yw:• � .A ,�i>ir�4 ;ra�,asa't - w .v .s♦ .,x �; �.,.,,,. 4 06 �• ly Aid 'aV:FT^'�• bR x-k 4 s: '��"'� } S�x�. •,. 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(/7�..,-� ll��_ .�X//���.�j�y/'�� rsf,'�//'/.��4(��J1{� `i ,. � r ��� , _ ,.. { r � k ,� -- Vv II W^�s'4r i •y1 Y Ir�/.w �...-'�f� �..�� .... ,_ .:... ... ...... ... 1�+ � k k .?-�YV-�;... -r�l��! �r..,.4.I� ' ^. .FA'..xi.+w+.-���'..6"I:V �V�..�..�,.... ..,:R/� �.,�_.-•..:O��.rao- . ._._..'._. 3`.� f r���I I-.�,,,�• ...�. ua..z�.v!`� �. w..+..,q J' � _-w4• ;e5 .-...,. � Rr}*: • \, 1�« 1,��� � �_ya � �a, ,,,fit �W,�•St ',P#"��,�ti� #r F Rio_. • .../�� � ���./��� ,+ C� �" ..,� •���: �' ' - .... s � t � *r..�s$�lc.�,a ii•�!'Z/ ,<L,�"� ...f.�i ,l�O�� �`.....1�"1'``1�+�"`-, .,. 1 r A �' t f{ � ■, •\ � A F,.'�/•r• .� :. ,I,. �'- Yam+ .��� —!� ^"" i� 4� •V.+��.er�. 4 �� i - � L' _� �.S\��1 Jam+' � � x 7 t �5 _.—..�... i '�• .: 5 ,,' Q 9A 1(� �'j,�J'�M A i 11',a" �'�c`T,^V�'( '., ,/'�_'�!1��'�../�� _�!�/J,li ./ a 1 I uV� �, 7{ t f x,+ -.w,.w*}:.+w.-•e�kr.. i ., � .... u.t,a , .. _:.ay„ .x *4 w� � •r.�.....�F...,- .. .�. _.. - APPLICATION.FOR PERMIT TO INSTALL AND REQUEST FOR ELECTRICAL SERVICE Inspector of Wires Wiring Permit#--s COM/Electric# Town of —g � �. Massachusetts Building Permit# Date Customer. = & e t ( �►¢Sl { on(Street#) 2 S &A A Lot.# in the village of utility pole number or underground number '9 Customer's billing address' Temporary -New installation ��� Change of service Starting.Date Job description 1A4 s v-le 9 2Tk4 Service entrance voltage Amperage Phase Wire size,(cu.or al.). L Conductor per phase Number ofm.eters Water heater Off peak:Yes— No- Estimated load: Electric heat. kw, lights kw,Range dryer Motors, H.P.& Phase — Ready for first inspection Ready for final inspection Electrical Contractor Lic.# -2/air Telephone# -Address.. Additional Remarks:, Do Not Write Below This Line ELECTRICAL WIRING INSPECTION-CERTIFICATE INSPECTOR OF WIRES INSPECTIONS DATE FEE CHARGE .;. Temporary Service Roughing in Service and Meter Off Peak;Meter ponmo Rnnn Final:Approval UlluilhAILCLUSrfiNGG / '7 Disapproved' *For the following reasons - /✓D7Ce 4/ Cz+ Si_LLiF°Cf flnt3�� Lf�GS7//IGsif/Cs�,G" i✓� d3 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. cn 46-1 White—COM/Electric Green-Inspector Canary—Town Receipt Pink—Inspector's Copy Goldenrod—Electrical Contractor to COM/Electric o�ee�f•ke�dr Tt)e CommoniLeatth of Massachusetts pcnnitNo. l?10 .01 rt f Deportment of Public Safety Oxvpancydc Fee Chacked r5 BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:00 3190 (leaveblu&) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance With the Maasachusens Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN IRK OR TYPE ALL INFORHATION) Date TOWN OF BARNSTABLE To the Inspector of Hires: The undersigned applies for a permit �toperform the electrical work described below. Location (Street b Number) ✓ G i�'t't'c�S yorq Other or Tenant t 5 ecG Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No [Et— (Check Appropriate Box) Purpose of Building ►✓L /vt _Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W/,i^ Total No. of Lighting Outlets No. of Not tubs No. of Transformers KVA No. of Lighting Fixtures Swimming Pool grnd. ❑Above In-grnd. ❑ Generators KVA . c Li No. of Emergency Lighting 8 No. of Receptacle Outlets No. of oil Burners Batter Units No. of Switch Outlets No.I of Gas Burners ! FIRE ALARMS No. of Zones Total- No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices Heat Total Total No. of Sounding Devices No. of No. of Disposals pumps Tons KW � No. of Self Contained No. of Dishwashers Space/Area Heating Detection/Sounding Devices ❑ Municipal ❑Other No. of Dryers Heating Devices KW Local Connection No, of o. o Low Voltage No. of Water Heaters Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Li bilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES[/'� NO 8 I have submitted valid proof of same to this office. YES[r NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ 'OTHER ❑ (Please Specify) xpirati—n ate Estimated Value of Electrical Work S /eG•4-,n Final Work to Start Inspection Date Requested: Rough Signed under the penalties of perjury: LIC. AO- FIRM NAME_ �' l Ft�` Signature G� LIC. NO. 5� xsr Licensee !V Bus. T 1. No. -7�S�Vi Address `� Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware t 4at the Licensee does not have the isignatureconethis permit su - stantial equivalent as required by Massachusetts General ws, and that my 8 application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S�_— Signature of Omer or Agent fdEkl"PiILGO °7^!y"Ei.i- !n NEW e; '."-ZF-E(E,-.L• .�Li, - HEW Ij ! r h ���' � ! ni ( I In` ��I_I.�I !y �� {I �� ;t i I iu I!-i i `as t it __ _ �-- - - - - - -- - -- - --- - -L ,�. �' x I• III \ � w li I I. UNlts 6F ACOTIr-N Ii — G O JP—�,� k-, f-IG$E alf t � �,EVj�TION u6 -I'-G fl li) _ u I < ti U - --- -_ 'Fr } - 8_yii if I �iG ELEVi loN ,4�,,�I I - - rlEw �Z. � I K�fcNEN �Ifr,UE, eccM_ I - I j FEII a n O n � I EH"i L1 L u JC Z nl '�III ILA �. r- I } a � n F�DI-IT Ef.EV�TIoN !/a•d�l'�P �I.�N �/YI!_!, LII ! /!�\