HomeMy WebLinkAbout0040 SPRING STREET Lj!(� �renc, �f.
i�
j _ .__�_ ._ �� __� _
I
. Town of Barnstable Building77,wY ible w..*>r ..�"* .»
s �r� r Post This Card Soi That rt is'Vis Forn ed P andsth the`Street EApprovlansMust fbe Retained on Job is Card Must be Kept ;
v M^ Posted Until°Fnal Inspection Has Been Made F` "
Permit
aWhece aPCertificate of Occupancy Required,such ewldng shall Not be Occupied util a Final Inspection has been m�ade �r R
Permit NO. B-19-3561 Applicant Name: BARRY MERRILL Approvals
Date Issued: 10/23/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 04/23/2020 Foundation:
Location: 40 SPRING STREET, HYANNIS Map/Lot: 328-090 Zoning District: SF Sheathing:
Owner on Record: ISHAM, HAROLD K JR&ISABELLE K Contractor'Namec a,_BARRY MERRILL Framing: 1
Address: 19 BARNACLE ROAD Contractor Cicen'se:.'161458 _ ` 2
YARMOUTH PORT, MA 02675Est Project Cost: $5,100.00 Chimney:
Description: roof Permit F"ee: $35.00
Insulation:
Project Review Req: fee Paid: $35.00
Date 10/23/2019 Final:
k
-- 0 Plumbing/Gas
x Rough Plumbing:
Building Official
Final Plumbing: _
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after-,issuarice.
All work authorized by this permit shall conform to the approved application•and the approved 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.. x
y3
JD
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Offitialss e�prowded on this permit.
Minimum of Five Call Inspections Required for All Construction Work: µ F Service:
1.Foundation or Footing z
2.Sheathing Inspection x Rough:
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:
Application number....................
Fee . 'J ....".......................................................
v
OCTKAM
2 3 2019 Building Inspectors Initials......................................
s
IIn�pp ,--fi u
t 71l1 0 8AHIV.�fr1BLE Date Issued.:............ . ..................V.....................
Map/Parcel.. � v V
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project:
ER TREET VIL AGE
Owner's Name: Z7 9 .,75A Ant Phone Number
Email Address: Cell Phone Number 11—Slo o%fib
Project cost$ S Aga Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize,
to make application for a building permit in accordance with 780 CR M
Owner Signature: Date:
TYPE OF WORK
❑ Siding ❑ Windows (no header change)# ❑ Insulation%Weatherization
❑ Doors(no header change)# Commercial Doors require an inspector's review-
�Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to YA
CONTRACTOR'S INFORMATION
Contractor's name �`/' ��'✓` }
Home Improvement Contractors Registration(if applicable)# /4,1 (attach copy)
Construction Supervisor's License# 0 S (attach copy)
Email of Contractor Phone number .08a 36a-.do9-
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY IS IN.
APPLICATION NUMBER............................................................ ! .
*For Tents Only*
Date Tent(s)will be erected Removed on number,of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event•.
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent
Fuel source being used LP tank 201bs. or>Yes No____,if yes, a gas permit is required.
Natural Gas Yes No ,if yes,a gas permit is required.
-If food is being served at.your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CAM 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 c-
Date l� �3
APPLICANT'S SIGNATURE
Signature Date
All permit applications are subject to a building official's approval prior to issuance.
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/C_ontractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual)' 4eel_71�:5 t���,
Address:
City/State/Zip: Oe-m-rIv e—, y��l��' � Phone#: 6 o O Z
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
, .,��►ployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
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. Demolition
workingfor in an capacity. employees and have workers'
Y P tY• # 9. ❑.Building addition
[No workers'comp.insurance comp.insurance.
required.] 5. We are a corporation and its 10.❑Electrical repairs or additions
3:❑ I am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no ,
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 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.
am an employer that is providing workers'compensation insurance for my employees. Below is the policy'and job site
information.
Insurance Company Name: f/7/�?/i e_Lcv S —
Policy#or Self-ins..Lic.#: 6A40 [F 6ZIP A-)3/ Expiration Date: ::�/z 406
Job Site Address: �6 City/State/Zip: yl4,vs�,
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 DIA for insurance coverage verification.
I do hereby tify underthe pains and penalties ofperjury that the information.provided above is true and correct
Si afore: Date: /6
Phone# G7�
Official use only. Do not write in this area,to be completed by city or town ofciaL
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 license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the 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 home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office ce of Investigations
600 Washington Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mass.gov/dia
MID CAPE ROOFING
312 Skunknet Road
Centerville,MA 02632
508-385-8801 J 508-360-8097
Barry Merrill&Paul Merrill
C5_P,5-"ri2f'
Job Site Address r Mailing Address
Name: Hank Isham Name: Harold Isham
Street:40 Spring St. Street: 19 Barnacle Rd.
City: Hyannis City:Yarmouth Port
Phone: (774) 810-0700 Zip code:02675
We hereby propose to furnish all the materials and all the labor necessary for the completion of
the roof replacement of the dwelling at the above address. The proper permit will be obtained.
The existing roof will be removed and disposed of. The roof will be replaced with CertainTeed
Landmark shingles, color Pewterwood.
8"white aluminum drip edge and proper starting shingles will be installed along the gutter line
and all rake trim. 3' Ice&Water shield will be installed on bottom edges of roof. New pipe,
vent collars will be installed. Old flashing on chimney will be replaced with new lead flashing.
Necessary counter flashing will be done around chimney,sun tunnel and pipe flanges. 15 pound
felt paper will be applied. The shingles will be installed using 6 roofing nails (1%inch).
The sheathing under the ridgeline of the roof will be cut and Harvey brand ridge vents will be
- installed. CertainTeed ridge cap will be installed over!vents. New gutter guards provided by,
owner of dwelling will be installed. All walls and landscaping will be protected from damage.
The property will be raked and cleaned of all debris.
Mid Cape Roofing guarantees the workmanship for a period of ten years. All material is,
guaranteed to be as specified. It will be completed in a substantial workmanlike manner for the
sum of$5,100. All discounts have been applied: The total will be paid on completion of work.
Any alteration or deviation from the above specifications involving extra cast will become are
additional charge'over and above the estimate and will be discussed with the homeowner.
Respectively submitted by Mid Cape Roofing.
NOTE: This proposal may be withdrawn by Mid Cape hoof ng if not accepted within 30 days.
Acceptance of Proposal
The above prices,specifications and conditions are satisfactory and are hereby accepted_ Mid
Cape Roofing is hereby authorized to perform work as specified with payments made as
outlined above.
�0Ct ?01�
Accepted: -
Office of Consumer Affairs Busi a 11
construction +. HOM IMPROVEMENT Regulation
Unrestricted- Su CONTRACTOR
less than Buildings of pervisor - TYPE:Individual
35,000 cubic fee any use a is
/ Ex 'ratio t(991 cub-
space.
c►nete Shich contain y ' tG1458
space. )of enclosed
BARRY MERRIEL 12/01/2020
PRRY MERRILL
3' SKUNKNET ROAD{ ,Q CCph_
CENTERVILLE,MA 02632 1
Failure to E'
state Possess•a current
Under— rs�
Building C edition
For ode is cause for rev of the Massachusetts
-.Call inforrriation about oCation of this liiren
(617)727 ut this -
s
-3200 or visit license se.
►�ww.mass.gov/dpj
r .. -
::
l
Registration valid for individual use only Commonwealth of Massachusetts l before the expiration date. if found return to: i 9 r
Office of Consumer Affairs and:Business Regti1 Division of Professional Licensure..
Bgard of Building Regulations and Standards
1000 Washington Street-�Suite 7lo -
Boston,MA 02118 i `
• \ + , Const`{t�i�lliily�t5pervisor
CS-0�4428 3 } r �j0res:05/21/2020
BARRY B MERRILL
Not aiid without Signature 312 SKUNNKkajT RDA t+
CENTERVILLE 0263Z .�
i
Commissioner ;i
cave✓/4c,i--cl ,door c-)cf Door �y�- CO,
Q-f-
Gth � Doc
e ar a�ovG �� 7d v ed S ASP
GrO'n
r -
� ��
-4v �..�
c