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Home My WebLink About0104 SIXTH AVENUE (HYANNIS) 'oy S', x Rue-, _ i Town of BarnstableBuilding- ".:`;. '' .,..,., '�t...' .<'. ,v;.; .-' •"�°.':'«w >Ir., s ,y.;�,:� ""n "Y,e„vs ?i �,,d,,;,; F'-'g,; ,."`"' t �.e;' :,;, `�. ,.,,i, PostThis Card So"That rt.�s Visible,-From;theStreet=`A roved Plans Must be°Retained on Job,and this CardMwst be Ke` p t � Permit a It en�udWhere a Certificate,of Oecupancy,is Required,,as`uch Buildmg shallNot:be Occupied iant�l aF, nallnspection has n bee made Permit No: B-18-1261 Applicant Name: J GROUP Approvals Date Issued: 05/08/2018 Current Use: Structure_ Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 11/08/2018 Foundation: Location: 104 SIXTH AVENUE(HYANNIS), HYANNIS Map/Lot 245-086 Zoning District: RB Sheathing: PKX Owner on Record: HODGES,KEITH A&DEBORAH ; - 1 Contractor Name Al GROUP Framing: 1 Address: 71 ARLINGTON ROAD , Contractor'License152773 2 WOBURN, MA 01801 ? EstProlect Cost: $3,000.00 Chimney: Description: RESIDE Permit Fee: $35.00 - Insulation: Project Review Req: FeePaid ` 535.00 F Date 5/8/2018 Final: > - Plumbing/Gas Rough Plumbing: iZ A Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized1by�this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application"and the approved construction documents f&which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: 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 ft'Akwork until the completion of the same. �� & y � - Electrical The Certificate of Occupancy will not be issued until all applicable signatureesiby the Bwldmg and Fire Offic"IS are prow ded on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work:' 1.Foundation or Footing ° Rough: h: 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: • Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health - Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �T"E,� Town of Barnstable *Permit Building EVres a timonthsfrom issue date H,m,,, Brian Florence,CBp MAM Building Commissioner°4, j°rEo 200 Main Street,Hyannis,MA 026014t www.town.barnstable.ma.us Office: 508-862-4038 T®RIA R�5 2018 Fax:-568-790-6230 EXPRESS PERMIT APPLICATION - RESIDEN Map/parcel Number Not Valid without Red X-Press Imprint J (f (p t� Property Address t`, Ave' / / '7i'9 NA/ , ®Z4 14 ®'Residential Value of Work$ .1 !3 00 Minimum fee of$35.00 for work under$6000.00- �G!? ' vc.Owner's Name&Address� j7`/ i'7/".,, ��G�� n t`�L-_ Contractor's Name.D= a.J0D Telephone Number Home Improvement Contractor License#(if applicable) 773 Email: / ��' J ��t✓�tl do eejwn c� Construction Supervisor's License#(if applicable) �� r} )L ❑Workman's Compensation Insurance Check:one: DIfam 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 accompany each permit. Permit Request(check box) f ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) . R—Ke-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: '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&Construction Supervisors License is required. SIGNATUR(/4 QAWPFILES\F0RMS1EXPRESS2017 r r`r The Comuromveaitit r�,f Massad rmsettr Deparhme tt o,fIndusbid Acciderds x — Office of raper igadem 600 Washington meet -- Boston,AA 02M nFs nv masLgov1dia Workers' Campensafran Insurance davit:Bmlders(ContractursJEIec&icians/Pkmbers Applicant Information Please Print E �bly Name r ,P�nr ��✓ 1%1/�� City/Staters ` u 2 17 3 Are you an employer?Checktlie appropriate boz: ' Type of project(required) L❑ I am a employerwith , 4. ❑I am a general contractor and I 6- [-]New camst�cf� employees(fall anWor part-timed s have hired the sub-cambcac'toLs 2.2 I am a sale propdsetof Orpartnr- listed on the attached sheet 7. ❑Remodeling strip and have no-emplcyees . These seb-contractars hate g..❑Demolition - wocLd.n; for Me.in any capa�cit� empI°yew and havewozkers' 9. ❑Build addition WoLbe[s' MMp.inn=nce comp-msararnce# reTtred.] 5. ❑ We are a oosporafi=and its 10❑Elecf:ical repairs or additions '3.❑ I ama homeov=doing all work officers have exercised their 1L❑Plutahingiepasrs or additions, • sigtt of exemption per MGL £�o.�or� gyp- 1?❑Roafrepairs a ` . insu uce required-]T c.152,§1(4h aadwe have no i employees.[No wozkers' 13-0 Other camp- ] #Any appIiczntdaccbeds1m=F1Estalsoffio�thesactroabeTowshDuiag[henaoricets'cempe�satioapa�yi as I M msemmrs who sabre it this sfodava imams they am domg su we dt sni&mmm outside coubmctom—st snbffiit a aety affidaeg iadiesiiag each. IComilsct. tbar cherlr this boat must sttached sa sdditiamal sheet sag thenuae of flte=1b-cumftzct=snd state whether or notthase eemities ham empioyees.If thesalrtaatzctaeshave eorpI g-%they=xsrpmvidc die7a work-'comp.policy numb-- I unt an e11lplay�r fliai;i�rpra>`ddit;g tvQrkers'cot[rper[sr�c'art ir[srtrarecs fQr Icxl*empFnj�ee� $ei'oty is iitepsrticy aruI jQb setts information Insurauce Company tiara: Puficy 44 of Self-in-3.Lic-4 F-Vivdon Date: Job Ste Address= Cify/Statetzip: Attach a copy of the Workers'compensationpolicy-declaration page(showing the policy number and expiration date). Farilnre to secure coverage as requiredunder Section 25A of MGL m IR can lead to the imposition of criminal penalties of a fine up to$1,50D.OD andrar one yearimprisonmeut,as well as civil penalties is the farm of a STOP WORK ORDERand a lime o€up to$250-00 a day against the tiiolabor. Be advised that a copy of this statement maybe Rwwarded to the Office of Invest gations offhe DI&for ins=ance coverage vender.. Ida herATcett&ander the pains mldparaNks ofverjhjy that fhs inf orma#imf preni-i it abmra is bare acid correct 42 Phone ik 52)9 249 �? y 0J9&a1 use 0711p. Do atat Esrita in dds area,to be evinpl<etad by city artotrd offierat City or Town.: PerruitUcense;g Issuing Aatlsority(code one): L Board of Health I Bui3dmg Department 3.CtFlTosen Clerk #Electrical hispector 5.Plumbing Inspector 6.Other Contact Person Phone#: armatian and Instructions Maecach setts General Laws chapires M req=m all=gloyess W Provide wariieas'c"Peosation for their emPIoyees. Pursuat in this stone,an CnVT.nyr=is defined as.¢.c7my person in tiie seavicc of anaer mader any contact ofhire, eesprew or implied,oral or vrift-en. An erzpkyEr is defmcd as"air md]ividual,pmtnmmbi�,association,corporAdon or other legal entity,or any two or more of the fi3regoing in.aJ else,and inclndmg time legal sepresenfatives of a deceased employees,or the receiver or trustee of an ioS&ichmal,partoecshrp,association or other legal entity,employing er�mloyees. However the owner of a dweIling house havmgnotmcre than three apartments andwho resides therein,or the occupant ofthe - dwelling house of anof er who employs p=S=to do mahtman-cc,construction Cr repair work on such ciweIling house or on the groumds or bui7dmg appmtPnnrtthemto shallmtbecanse of such employmentbe deemedto be an employees." MGL chapter 152,§25C{6)also states that¢every sty or local lii=usl g agency shall withhold ffie issuance or renewal of a license or permit to operate a business or to contract buRdiags is the commonwealth for any applrcantwho has notproduced acceptable evidence of cdmpE-me with the insurance coverage required." Additionally,mar,chapter 152, §25C(7)states aNeifber the coanmg aweahh nor any of ifs political subdivisions shall entz MtD any contrast for the perfmn an ce ofpablic work ntI acceptable evi deuce of complfi ace with the ma ce., rerlum-ements of this cbaptea have been presented to the cantw ing auth oizty." ApPHczn-Ls Please f of otrt the w0330s'compensation affidavit completely,by checking ho boxes ffiat apply to your situation anci,if necessaly sapPIY sulo �s)name(s). add=s(es)andphonemmummber(s)alongwiththeir=tCEcate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability (LLP)withno =3ployees other than the members or partners,are not rbgoi ed to c auy workers' compensation fi=mce- If an LLC or LLP does ha-m employees,a policy is regaired_ Be advised that this affidayit maybe sulmmittt-d to the Department of Industrial Accidents for confm oration of hLm nmnce coverage. Also be sure to sign and date the affidavit The affidavit should bc-retomed to ,$e city or town that the application for the permit or license is being regnestA not the Department of . Lnxb s r•ig 1i�cide� Shonldyon bane airy questions regarding the law or¢•you are req�d to obtain a workers' lease call the Department at the n=bcz listad below. Self-insured companies should e�`�x their ensation policy; eP comp P c3'�P s elf-niter ce license abet on.the appropriate line. City or Town Officials Please be sore that th:a affidavit is complete and printed.legibly. The Department has provided a space at 11ic bottom of the affidavit for you to fill ourt in the event the Office of Investigations has to contact Yon regarding the applicant Please be sure to f M in the permit icensc==ber which will be used as a reference number. In addition,an.applicant st mast submit multiple permitlIic $i ense appht;E ons m any given year,need only submit one affidavit indicating cent policy ion znlafion(if nay)and nnder-Job ST:e 14 d&essr the applicant shorn write¢aII locations in_ --(CftY or town)-'*A copy of the-affidavit that has been.officially s upped or marlred by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fd= 'pe nits or licenses- A new affidavit must be fined out each year.Whem a home owner or citizen is obtaining a license or permit not related tQ any bush=s or commercial ventae (L e_ a dog license or permit to bum-Ieaves e#-.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you nmdv a -mce for your cooperation and should you.have any questions, please do nothesitafE to give vs a call. The Department's ad&ws,telephone and fax mmibet: . went Gflud ia�Accldenis �4i� Qn Street �Qst��E�11F 2`(,-L 61617' -4900 cxt 4€6 or 1-977 1LA&SAFE' Fag 617'27 7M Revise�424-t)7 .m, gag�cfia. . s. Massachusetts Department of Public Safety qjBoard of Building Regulations and Standards License: CSFA-062822 Construction Supervisor 1 & 2 Family - -• DANIEL C WOOD 153 POWDER POINT _ DUXBURY MA 02332 Expiration: Commissioner 03/28/2018 fie �panimo�ruaecc�o�C�ac�aueelta Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration::t0'1S2773 Type: ExpirationGJg82ffl8 DBA J GROUP • DANIEL WOOD j 153 POWDER POINT*' DUXBURY,MA 02332 - ` Undersecretary Construction Supervisor 1 &2 Family Restricted to: Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. DPS Licensing information visit: WWW.MASS.GOV/DPS License or registration valid for individual use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signature i °F'It HE Tqt, Town of.Barnstable Building Department ' MASS..L4 " Brian Florence,CBO v�Al 1639. a � Building Commissioner ED MAy . 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This.Section If Using A Builder I, �5 r%7# T' C�rS , as Owner of the subject property hereby authorized D/ti sit Luj o to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Sig stare Iof droner. Signature of Applicant - Print Name P Name Date UORM&OWNERPERMISSIONP00LS Rev: 10/17 1UWH Vt DaruaiaUlc �oFtHe ram, Building Department ti e� Brian Florence CBO • Building Commissioner seaivsTA=, p MA $ 200 Main Street, Hyannis,MA 02601 039. ♦0 'OrEn Mai" 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: cityltown 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"bomeowner"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 to amend and adopt such a form/certification for use in your community. Details Page 1 of 1 Licensee Details Demographic Information Full Name: DANIEL C WOOD Owner Name: License Address Information ity: Duxbury tate: MA ipcode: 02332 ount : United States License Information License No: CSFA-062822 License Type: Construction Supervisor 1 &2 Family Profession: Building Licenses Date of Last Renewal: 5/7/2018 Issue Date: Expiration Date: 3/28/2020 License Status: Active Today's Date: 5/8/2018 Secondary License Type: Doing Business As: [Status Change Reason: License Renewal Prere uisite Information No Prerequisite Information Y 4. http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=1&license_id=251777& 5/8/2018