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HomeMy WebLinkAbout0043 STETSON LANE l ��� Town of BarnstableBuilding P t ThlstlCard So.That>fta�s VISIble,From he Street=A „ roved Plans Musi be Reta ned on Job and thls�Card Must,be-Kept1 6 9. , Posted Until?Fina ln5pection Has Been�Made �' �� s boo R � � - � - Icateof Occu an�c is Re u�r;,ed such�Bwlldin �shallNot<be Occu led untll�``a;F„final n Inspectlon'has"bee made Permit Where a Certlf p y�, q � �,- , Permit No. B-19-952 Applicant Name: Scott Murdock Approvals Date issued: 04/12/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date:. 10/12/2019 Foundation:. Residential Map/Lot: 306 066 Zoning District: RB Sheathing: Location: 43 STETSON LANE, HYANNIS .� Confractor�Name , D.SCOTT MURDOCK Framing: 1 0 �� 9 Owner on Record: NANDA,ANJU&RAJIV i� Contractor License CS 080395 2 Address: 300 OLD PICKARD ROAD Est Project Cost: $7,000.00 Chimney: CONCORD MA 01742 Permit Fee: $85.70 Insulation: 6 4 I1 4 Description: remove/replace insulation and plaster 3'up from condr-v floor on F e Paid' $85.70 lower level due to ground water penetration rnnto�,area WFinal: � � Date 4/12/2019 Project Review Req: I� Plumbing/Gas Rough Plumbing: Building Official. Final Plumbing:, This permit shall be deemed abandoned and invalid unless the work author ied`by this permit is commenced within siz monthssA ersissuance. All work authorized by this permit shall conform to the approved application and "4,,approved construction d e ocumntsifor which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and strbcresshalll be in compliance with the local zoning by laws and codes. tu This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for 4mspeet1 for the entire duration of the Final Gas: work until the completion of the same. s Electrical The Certificate of Occupancy will not be issued until all applicable signatures y g p b the Buildm and Flre Officials are; roulded on this ermit.. Minimum of Five Call Inspections Required for All Construction Work ' ° � � Service: 1.Foundation or Footing �� 4r 2.Sheathing Inspection <,. '` .....A ' .,...: ._ `. 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) 6.Insulation Low Voltage Rough: 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: "Person tracting 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 f< All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 3. — �t „ Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee BMWSTAEM MAS& Thomas F.Geiler,Director i639. �0 plFo3�. Building Division `PRESS PERK Tom Perry,CBO, Building Commissioner '� 200 Main Street,Hyannis,MA 02601 AUG 2 9 2013 www.town.bamstable.ma.us Office: 508-8624038 TT Fax- 508-790-6230 EXPRESS PERMIT APPLICATION - RESIS Not Valid without Red X-Press Imprint STABLE Map/parcel Number ��� O�Q 1� Property Address 3 � tf Residential Value of Work Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address \� al S -P_ Contractor's Name f , .\-A� r L t— i Telephone Number Home Improvement Contractor License#(if applicable) t 02Z-7 Email: bkA e6 4 I j a 0 UJ)M.c Construction Supervisor's License#(if applicable) C S 1(c Q,� I ❑Workman's Compensation Insurance Che e: I am a sole proprietor ❑ I am the Homeowner ❑ I.have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Pemrit Request(check box) ❑ 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) ❑ Re-side ,Q-1teplacement Windows/doors/sliders.U-Value 3 `Z_ (maximum.35)#of windows - #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 060513 Emall. w �i vidul use only License or registrationexpiration date. If found d for treturn to'. before the Regulation Office of Consumer Affairs and Business laza-Suite 5170 10 Park P a' Boston,MA 02116 Not valid without signature Office-teon ro'Mr HOME IMPROVEMENT Caess egu a on ONTRegistration: RACTOR o1,02227 Expiration: Q14 Type: DBA - L• - I' jr ST—M •UILDING DOUGLAS WILLIAMS_ ~ 222 PINE ST CENTERVILLE, Undersecretary L -- - Massachusetts_ I DepartMent Board of Buil of p ding Re ublic Safet 1 Cunstruction Super,a oons and Standards License: CS-016981 BUG vSeT rs ., LAS j,222 PVq ST CIS.SR Centerville #*A0 CornmissloTl g l a Expiration 03/07/2614 l I The Commonirealth of Massackaseffs Department of Industrial Accide►rfr Ogre of Investigations 600 Washington Street Boston,MA 02111 imm mas&gosMia Workers' Compensation Insurance Affidavit: B,uiIdershComtmc#ors/ElectricianslPlumbers Applicant Information Please Print Legibly Name c C-, c-• h->K S Address: ®c City/Stat&Z . '� l 1° Phone 4�- Are you an employer?Check the appropriate box: T of project r 4. I am a. contractor and I Type P�J (required): 1.❑ -1 am a employer with ❑ 6. ❑New construction employees(full and/or part-time)* ha%>e_hied the sub-contractors 2 EI T �Te proprietor or partner- listed on the attached sleet 7. ❑Remode4ing ship and have no employees These sub-contractors have g_ ❑Demolition w for me mi a capacity. employees and have workers' atln� any � tY• 1 9. El Building addition, [No workers'coma.insurance comp.msuranoe- required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work avers have exercised their 1 L❑Plumbing repairs or additions myself [No wcwkers'tCtp. right of exemption per MGL 12.❑hoof repairs insurance required.]t C. 1.52, §1(4),and we hm a no employees.[No workers' 13.❑Other comp.insurance required.] *Amy applicant=that checks boa#1 must also fill out thbe section below shawiag their workers'compensation policy udbrmatiaa I Homwwaers who subuin this affidam indurating they are doing all weak and flea like outside contractors mast mubmit anew af5dsvit indicating such f Contactors that check this box m=attached an additional sheet sbowing the mane of dw s-eomtracbm and she whether ornot those entities have employees. If the sat-coot mom have employees,they nmat provide their workers'comp.policy number. I am an employer that is providing nwrken'cvmpsri=dv n insuraRce,for my employes Below is the polio wdiab s4te informatiom Insurance:Company Name: - Policy 4 or Self--ins.Lic.#: Expiration hate: Job Site Address: q City"State/Zip: o?-w�----� Attach a copy of the workers'compensation polio-declaration page(showing the policy number and expiation 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 farm of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to tine Office of Investigations of the DIA for insurance coverage verification. I do hereby-cet ffyy under the pains and penalties ofperjuty Mat the informa#ion provided above is hue and carrect i�e- Date: Phone Ojfflcial use only. Do not write in this area,to be completed by city or totm offic4at City or.Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityfFown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 #; FTHE ram, Town of Barnstable. �q Regulatory Services seaxsrAI= Thomas F.Qiler,Director asnss. Building 9�pTFDNIA p,��� B1tilding Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www-town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-62 30 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize Ovb i/L� I( L I*.t- to act on m behalf, . Y in ail matters relative to ymrk autl of zed bytEs Molding permit application for. . (Address of Job) 13 Signature of Pmer Date Pant I�Tarn4 ' QFORMS:0-W'-FPEi NIS ?ON - . = wn •+Y+ •v+ .i.i, ILUI 4.vv r t : L.L :Z.o r111 L-liur- G/UU3 r ax, z)uTvur Nov 29 07 1':51 P. -PRESS PERMIT 'DEC ' I 20.0:7 Town of Barnstable aPersltit=o2�? 1 Expfrsa 6 manthef"M istaedsce TOWN-OF BARNSTABLE Regalatolry Services Fee Thomas F.Ga'ier,Director Building Division Tom Perry,C % Building CommisSioner 200 Main Street,HYennis,ABA 02601 r. www.tawn barnsbble-zMus WE= 508-962-4(!3$ Fax:508-7S0-6Z30 VLP SS PERNUT APPLICk-TLQ, - YtESIMM&L QNLY Not Va"wftRout Red x-Press I1uepKilt Maplpared Number � �' � �-�`" q 3 P4�� tA,,�£ 1*47•t,)N)s Property Addrese ential yslw of Work Zg-%jVMinimum fee of$25.U0 for work under 56000.00 Owner's Name&Address Z/ Contractor's I�Tame Telephone N+IIaaber• . Hame b34V0vament C=tactor License#(if applicable) Construction Supervisor's Liceme#{if applicable} IlWorijon's Compeasation Insurance Check one- [] I a sole proprietor am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company'-`Tame Work nan's Cots.Puficy# ' Copy of jusuranee Compliance Certificate must be an Cite. Perinit Acquest(ebeck box) be taken to debris wi olt1 shin es ,�camsizitcxinn ll 1:9111 roof(stlapptng gl } []RC-r0a(not stripping. Going over existing layers of root) (�Re-lido. e Replacement WhdoWdoorslsliders. U Vaiue (IWXi2Mm•44) - +WbcM requimd: Usum.1 of M permit does not exempt cou Plismea wi@►abet tawo ds�ahnttttre6'a]a0rn19.i.a iTistwiq Conservalian,etc. \ Mote: Propexry*** mazwd si a or Le .of PermlWon. 4 f A copy me T Co a is required. iGNATURE: . 'Ts:exvmtrg , r3-2007 14:10 PAGE2 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a ' 600 Washington Street Boston,MA 02111' wrdw.mass.gov/dia ' Workers'Compensation Insurance Affiddvit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Tlease Print Legibly N e(Business/Org 'zation/Individual): Address:_Ll STr _'7 b 1V �► L City/State/Zip: A ig, �ja A 6Z46 I - Phone.#: ,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 sub 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• []Demolition *orkin for me in an capacity. employees and have workers' g Y P t3'• t. 9. ❑Building addition workers' comp,insurance - comp.insurance. 5 El We are a corporation and its 10.❑-Electrical repairs or additions . equired.] officers have exercised their 11. Pl bin repairs or additions ' '3. I am a homeowner doing ill-work . � g P right bf exemption per MGL o workers co 12. oof repairs myself. comp. [ ep Y 152. , , insurance.required]t c §14 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 Homeownem.who submit this affidavit indicating they are doing all work and then hire outside contactors mutt submit a new affidavit indicating'such. $Contractors that check this box mutt attached an additional sheet showing the name of the Sub-contactors and state whether ornot those entities have employees. If the sub-contractors have employees,they must providb 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 Names 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 statement maybe forwarded to the Office of Investigations of the CIA for insurance coverage verification --— Xdohereby certify de e s a'd penalties of perjury that the information provided brave is true and correct. Si ature. Date: zI. 21,-,V-7-. Phone Official use only. Do not writ#in this area, to be completed by,city or town.officiat City or Town: .Permit/License# Issuing Authority(circle.one): 1.Board of Health 2.BuildmgDepartment 3. City/Town Clerk 4.El ectrical i cal Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: barver 11/28/'2007 1: 11 :23 PM PAGE 3/003 Fax Server Nov 29 07 11,5?r, N Town of Barnstable regulatory aemeen t Thomas F.Geller,Director ' 6 Building Division Tons Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 wwwAawn barostable mA.us Office: 508-8624038 Fax: 508-790-6230 130i14FAWNER Ll<CSN&L E}�tgF1'lON /�� P'leaseprint DATE: ! JOB LOCAnOW number - Shed village -1aol owlv�x-: S'T�.�L �icw'4rpl ZY0_75'I— APZZ ZY0.73"1- 13 Z4 name home p3NmNe work phone# CURRENT'MARINO ADDRESS X t 16% Z2©y eityfxNwn State e+D code The current exerription for 410nRwnera"was extended to include own-occuaied dwellines of six units or less and to allow 11t.mowners to engage an inditiriduel for biro who does not possess a li sense,Rmided that the owner acts m suneavisor. DEFIIVMON of HOAMVI iER Person(s)who owns a parcel of land on which hsltshe resides or intends to reside,an which there is,or is intended to be,a one or two-fau-Ay dwelling,attached or detached sttucttM accessory to such use andlor farts str¢eiures. A parson who constructs more chart one home in a two-year period shall not be considered a homeowner. Such "horneownet"shall submit to the Building Official on a form acceptable to the Building Official,that ltleJshe shall be res onsible for all such work aerfoimed under the building vomit (Section 109.1.1) The tsndcrsigned"homeowner"zssmnes respoast'bDity for compliance with the State BuWing Code and other appboatile codes,bylaws,miles and regulations. The undersigned"homeowner"certifies dw he/she understands the Town of Barnstable Building Department ti<rst»rrittm ins echo es and requirements and that he/she will comply with said procedures and requirtmle tvre of Hamoawner Approves of BuDding Oficizl Note: Threw-fara ly dweHings enntaditing 35,000 cubic feet or law will be required to comply with the State Building Code Section 127.0 Construction Control. HOMROVVNSR'S=MPTtOiN The Code states tkut AnY honteownst perthtrmng work for wbich a building pan3t is tegtdred ahall be exempt from the provisions of_Nis section(Section 1.09.1.1-Lieetaing of contraction SuptrvisunN Ptovlded IW. if the homeowner engages a p03011(s)for?tite 10 do SWA work,that such Homeowner shall act as eupenrisor." Marty homeov n=who use this Sens Sptiiii are unaware that they are auumma the n sporeaibilides of*supanisor(see ApPendix Q. 1ta1S&regulations fbr Licemiag Cmsouadon Supovism,Section 2.M This lack of awareaen&Ann subs in acrlous problem',part;ul rtY when the hotaeowaer.rhea unleensed permona. In th:s ease,our Board=not proceed against lie unlicensed person as it would with a Heemd Supervisor. 71,bomeowneracting as Supervisor is alfim Wy responsthle. To sage that khe horneownaf is hilly aware of bislher responsibilities,many eonwondt s require,as pan or the pcm1h application, that the homeowner cettify that hetsbe aadesstands the reaponsaV.1ities of a SuPW%'iIQr. On the last page of thus imm is a form ctarcntly used by several towns. You may care t atnand and adopt such a fornrhxriifisxtioa;'ar us-.in your coam'.mtity- Q:foct rs:hanNecxempt F PAGE3 Assessor's map and lot number ....�7. �...6. 76"6 : - i ... ..... , u: r Sewage Permit number ... �QyO�?NErp�o s = TOWN' OF BARNSTABLE Z HA iSTADLE, • 9�o Mb 9 NUILDI,N.G INSPECTOR �F0 MAY a t. .... / APPLICATION FOR,PERMIT TO ................................................ ...:......:........................................................... . .........../..... ...................... ...._. / TYPE OF CONSTRUCTION . .,..?..�.1{�9:,/G�. .... ll.;l ..c!.��.•�i„(/e. �j..........:1 Q� Ci4 ............ ..'......... ...............1.9........ TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies fora permit according to the following information: Location .............../�//.......rV.! .........(mot. ��............................................................................. ProposedUse ...................................................:.........................:.....................:.................:............ ...:..................................... Zoning District ................ ......................................Fire District .... ....... ..� �` � .��....................................... Name of Owner .......�/ + :.....AddFess ..1� ...... .. .C.�Y .N.... ...... 001- &,-ata Name of Builder ... �i`.. ...Address ....... ' Nameof Architect ..................................................................Address ...................................................................................... 0 Numberof Rooms .:................................................................Foundation ..... ..................Gye. . ..............•...................... Exterior ....dvf�..�.a�. ...... ......: all. ..........................Roofing .......XY . .. ........................................... Floors ��` Y...............:....................................Interior .................................................................................... . Heating .....Plumbing ....................... .:....................................................... ,r(�5... .� ..�, i.., ... ...... . .. . 2G o Fireplace ..... .....................................................Approximate Cost ....:........�.........a..o.......................................... Definitive Plan Approved by Planning Board ________________________________19________ . Area .................:........................ Diagram of Lot and Building with Dimensions s® x Z Fee SUBJECT,TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the'Rules and Regulations of the Town of Barnstable regarding the above construction. NamL• .. .................. Bennett, Clancy t h 15896 = dwelling No ................ ,Permit .for .................................... _ (replaces`ox-iginal'owner) :.............:..:................................. Locatio1..,Stetson Lane n ... ..................................... L, Hyannis .......... .................................................. RIM Owner ........... Nancy Sennett .................... Type of Construction frame......................... I .. • ✓• `—Plot ... ............ .... Lot ................................ June 76 Kermit Granted ........................................19 ' y - .Date of Inspection .............:.......19 r Date Completed .... ../� ...............19 f ' PERMIT REFUSED • ? -, ................................................................ 19 '+ i j. .........................:........... i . ....................y......... 'f,/ /'• S!......................................................................... y f I ........................ ............................................ _ .. • - e �. M'1.:.......................................................................... t J i Approved .................................................19 - � ;,� ♦ ............................................................................... ; Assessor's map and lot number .................. . s Sewage Permit number ....... ..........Z..................................... n - TOWN OF BARNSTABLE CF TH E T S' i BARNSTABLE, 1639. BUILDING INSPECTOR y MUL of 101 M� PS a' ' APPLICATION FOR PERMIT TO I TYPE OF CONSTRUCTION �'��'� «?....... �� 'u�� � !'.`. l .. F ............. ......................... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .�! �/ .. ems-Jf✓ Location ...............,....`.... `.,.,.......... ............................................................................. ProposedUse ............................................................................................................................................................................. ��z Zoning District ................ ......................................Fire District ................ �'�� ...................... ....................... No of Owner .. ......t ...... :..,r ...:.......�.'.. ../...`.`....Address .....r...........� ..~y... ... /itJ�.y..- �f ....... � .�a°•� +' t' Aura ►S'1.. C Address .....:1. r ,•.!......•... ��.?.... Name of Builder ..... ... ...... ..... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..............Foundation -..� .e"� l�"- �'�....................... .................................................... ......................... Exterior ./ / / ,. ..............................Roofing .......,......... ........................................... .+gy.f� }'i r+ ................................Interior Floors .............. ................................... .................................................................................... C. � ....................Plumbin Heating ..........................:...,:...............,.... g ...................... ......................................................... Fireplace ......Approximate Cost . ..46Q..0 ........! .......................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Gr '„ "' Fee. ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above • construction. Name;!, / /.a!/ ...'.�.............. ^ x Nancy u-- — --- ffl ' �������»�� �~~ �~ � No..!M§......Permit for —. .._~�:' '—'---''il~��-----'-----`~------' Locution S1tgUmn..%ane....................... ......................0YNA1111.4........................................... Owner ........]NAAqY'Aq1949t�---------.. ' Type of Construction ......f%;#De......................... - -----.—....-------..--------.. . ` � Plot ............................. Lot ................................ ' . . . Jo�� 7� ' Permit Granted -------------.lg � � . Dote.of Inspection ------------lQ , -� - Dote Completed ------------'lg � , � � PERMIT REFUSED � ....—.._--------------.. lQ � � . --.��-- ' �� ............................ ' — .� y .' . .—.—..----.--..--..��---,—^..—.~--. � � ' - Approved .......................................... -----------.. lg � ...................................... -- 4 ................................... ". � ^ DOUG WILLIAMS CUSTOM BUILDING CO. P.O. Box 1069, Centerville,Massachusetts 02632-1069 Centerville,Mass 508-775-1500/1-866-524-0070 www.capecodhomebuilder.com e-mail homebuilda@comcast.net Town of Barnstable Building Department Hyannis Massachusetts 11-10-03 Sirs: Subject: building permit for 43 Stetson lane,Hyannis. This project at this location incorporated the following additions due to conditions found at the time of work being done. 4 headers were replaced due to rot sections of rear walls including plywood, studding and sill sections were replaced several floor joist were "sistered" due to end rot and lack of bearing on outside walls. sills on interior partitions were replaced and some studding replaced due to rot foundation walls were sealed due to cracks and water infiltration Electric wiring was found to be improperly done an replaced and inspected room configurations and partitions all remain the same. 2 new heat systems were installed. the kitchen cabinets are being replace and other work consists or repairing walks repairs to septic and painting.. all.appropriate inspections were and are being made. respectfully — Douglas L. Williams ir if DOUG WILLIAMS CUSTOM BUILDING CO. P.O. Box 1069, Centerville,Massachusetts 02632-1069 Centerville,Mass 508-775-1500/1-866-524-0070 www.capecodhomebuilder.com e-mail homebuilda@attbi.com Town of Barnstable Building Commissioner Yarmouth Road Haynnis � Massachusetts 02601 8-30-03 Subject;Building permit for 43 Stetson Lane, Hyannis Sir, By regulation I am required to notify you of a change in the scope of a building permit. The scope of the work at-this location has changed due to poor building procedures.used '- in the original construction of the house that were discovered during the work intended to be completed. We are now repairing and replacing rotted sections of the house that include floor joist, wall sections, headers, interior partitions, floors, siding and windows and securing the deck support system. Should you have any questions please call or come by the site. Respectfully, Douglas L. Williams Sr. v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapvA Parcel Permit# 7 ra0 Health Division Jcr ttS�[�u. �� g.-t'q-f73 ( RE Date Issued �l �� G 3 Conservation Division ZV 103 Al(- Application Fee 41 a2 S• ° Tax Collector /0 Permit Fee o C� Treasurer ��4Q3 _ sEP11C SYSTEM MUST BE Planning Dept. XI I.On IN COMPUTANCE 1=TITLE 5 Date Definitive Plan Approved by Planning Board RONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGUL TIONS Project Street Address it 13 Village Q11 VCV L Owner 1 P CR I,/eP, yA•$- Address �4:� Telephone :50 Z— k-3& Permit Request ,p- � <�sP 2- � � D - 4�m= Teo 4-r(L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation spa azse�� Construction Type __t W Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes `'"� On Old King's Highway: O Yes 0 No Basement Type: Kull ❑Crawl VValkout ❑Other Basement Finished Area(sq.ft.) W1 rent Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new 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 ew Existing wood/coal stove: 0 Yes ®No Detached garage:O existing O new size Po existing ❑new size Barn:O existing U new size Attached garage:O existing ❑new size Shed:❑existing O new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes, JJ No If yes,site plan review# Current-Use- vim/ Proposed Use -3,e4, BUILDER INFORMATION Name k-)wg Ls [E__L_ ��J-rv�� Telephone Number Address 1061 License 6-Z&7 2 Home Improvement Contractor# Worker's Compensation# _f� 501) 170t o�3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Lac 4-L- 4- SIGNATURE DATE / i t t FOR OFFICIAL USE ONLY t i PERMIT NO. - DATE ISSUED MAP/PARCEL NO. ° ADDRESS VILLAGE t OWNER _ a { IN DATE OF INSPECTION:� a R FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL GAS: ROUGH -4 .. FINAL FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. k . a r �r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Addit f ions $50.00 S Altemtions/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE ' square feet x$961sq.foot= x.0031= plus from below(if applicable) ' ALTERATIONSIRENOVATIONS OF EXISTING SPACE ` square feet x$641sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.1 ` >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$961sq.foot= STAND ALONE PERMPTS Open Porch _x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney _x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable ) Permit Fee1 .5. d P rojcost The Commonwealth of Massachusetts Department of industrial Accidents Office offolvestigatioos _ 600 Washington Street Boston,Mass. 02111 'Workers' Cam ensation Insurance Affidavit name: S , location: c( - • hone# ❑ I am a homeowner performing all work myself. ❑ I am a sole rietor and have no one workin in ca acitp a so, din workers' co ensation for my employees em 1 rove mp .:::::...t::.:.,..:i•:L->:.?:::{.}:{::.}:.•. ....::..........:.:;:..,:..:..:...:.::. .......:..:... ...:............:.}...:.<.::::}..as .name. .. :.::..........:..::.::::::::.............::.�•.:,:.:............................r:..::::::.:: :. 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'.:^.:;.:::�:.......::::...i.4;:?:?:•fir}i}:}:?<J:i}:{:;}:${:i:$f$:i i::$i:;}:Lt?}:i• •}i}:•}:•:y}:•:i:•}:•} ff:i:fffi:ri� ii;f::: �:y:i'>:ff':$ffj$ff:{iv$ff$f:t�i:::: y'f'`v'i-$%a'i`'>`vfi??`• •Y}:•`:t:•}?}}}:i:t•vff:ti;{:Siff:ti:i:•:i;n.n•:•:t•i •}:Y:., t;v:}:•}}?:{:?}}?; .....:....::::; one.#.......... •?:.}+;Y}:.:::•<}}:.<:::i:..�:::•?.::<:f':.i':•:•L:}:.:::}:.,i.:...f:'�;;}:.:;}:.:«;•: :.::...... . ..........................:.::::::.?}:<.}.;?}}:{;.::•}:t.;:i:.f;?:.}:: 1i :.;:...:... ...................... ....................................................... ........... a:.. Irdbm'e to secure coverage as required under Section 25A of MGL 151 can lead to the imposition of criminal penalties of a 8ne up to$1,500.00 amd/or one yem,imprisonment as w,eIL as civil penalties in the form of a STOP WORK ORDER and a flee of S1on.00 a day against and I mrderahmd that a copy of this statement may be fontarded to the Office of Investigations of the DIA for coverage verification.. I do hereby certify under the pains and penalties of perjury that the information provided above is trap Corr ,• . Signature t Date � _ Phone Print name official use only do not write in Oils area to be completed by city or town official ' city or town: permitllicense# ❑Bniiding Department ❑Licensing Board is required ❑Selectmen's Office ❑checkif immediate response q ❑Health Department contact person: phone#; - ❑Other (,Msed 9/95 PIA) t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a Icense or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. r Applicants ' Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of ftm=ce as all affidavits maybe T submitted to the Depa rtment 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. City or Towns 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. The affidavits may be retained to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Otffce of fnvesugaualls 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 I rt r r IME J Town of Barnstable ' Regulatory Services �$STABM MASS. � Thomas F.Geller,Director 1659. lfc MA Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 7«pP-10_5 Estimated Cost Ce-0 Address of Work: 4 cJ e)D I— / `c Owner's Name: B c t Q Date of Application:_ I hereby certify that: Registration is not required for the following reason(s): excluded by law �Iob Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I her y apply for a permit as the agent of the owner: D to Contractor Name Regis t'on No. OR Date Owner's Name Q:forms:homeaffidav °FS► r°,,� Town of Barnstable P °^ Regulatory Services BAMSTABLEv ASS.. '$ Thomas F.Geiler,Director , Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 W Fax: 508-790-6230 tY Prop er Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property � hereby authorize i ( - ��--�-� to act on my behalf, in all matters relative.to work authorized by this building permit application for: (Address of Job) 2 0 Signature of Owner ate Print Name Q:FO RM S:O W N ERP ERM IS S IO N Y ;I I -7 _ 1 BOARD OF BUILDIN`G-REULA"TI'Of`ISh,' License y pNSTRUC01 9$'WPERVISOR , , Numbers -004� ( Tr.n 19306 i DOUGLAS L WIL;.Iq = !y CEPhTERVILL-`E, MA Ad%nmistratr i