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Home My WebLink About0109 STETSON STREET �® 9 ��-�-e:f son s�; Town of Barnstable • a • n' g e PostThis Card,SoThat.it is Visible From the Street A _,provedPlansbMustsbeRetaned on Job andMthis Card,Mus#be Kept :s BAy2N'3TAB1.L: F .° ��.2 Permit �+ Posted Until'Flnal Inspectwn Has,Been Madew : WhereaCerttficatepof,Occuparrcyis,Required;such;Building shall Nof be Occupied until a;,Final Inspectio,n,has been made * �.:�..,«�..:a: Permit NO. B-18-3751 Applicant Name: JOSHUA THIBEAU Approvals Date Issued: 11/28/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/28/2019 Foundation: Residential Map/Lot 306-061 Zoning District: RB Sheathing: Location: 109 STETSON STREET, HYANNIS a Cohtractor�Name JOSHUA F THIBEAU Framing: 1 Owner on Record: Barbara Weakland a .' c Contractor'L" ' " $1`86029 2 Address: 109 STETSON STREET �� ' '� r Est Project Cost: $6,000.00 Chimney: HYANNIS, MA 02601 Permit Fee: $85.00 Description: Room in Basement for Hobby Work and Storage w Insulation: Fee Paid,; $85.00 Project Review Req: Must Comply with 780 CMR R303-Ventilation,780 CMR 305 Date 11/28/2018 Final: -Ceiling Height:Minimum finished ceiling height 6'8" code. f Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz months=after issuance. All work authorized by this permit shall conform to the approved application „ mfor whch this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures shall be in compliance with thedocalzon rigFby�la�wsand codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for public inspection for the entire duration of the Service: work until the completion of the same. fl a 4 x p Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. - Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting ' stered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). AppHadon Number......... ..IX................q k ;° S� • ' 111LDe1l '08 .CnbesFee............... DSA58. Permit Fee....................................... ... NOV j 3 2010 . . : ....... .... .... �. t , Total Fee Paid.......................... .. FOWN OF SARNS T TOWN OF BARNSTABLE psi .... ........... Permit by...... .. BUILDING PERMIT M .....(p. .......... ..PacxL.. ... ................... APPLICATION e Section 1 — Owner's Information.and',Project Location Village Project Address 1. Owners Name ' ,r k V , Owners Legal Address 113 `�� L� f� City .`1 C --1 w '� State 't zip Owners Cell# E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet �` ❑ Commercial Striicture•under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit New Construction ❑ Move/Relocate .❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty 0 Fire Alarm Rebuild ❑ Deck Apartment ❑;.i Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ®Renovation. ❑ Pool ❑ Insulation Other—Specify r� �n ti' s r 5 �e< Section"4 -Work Description 7 sgct nndated:7A201& - - -- --- ----------- Application Number...........................................y,...... Section 5—Detail Cost ofProposed=Construction (eQ!�)D Sgnare Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wmd Zone Compliance Method ❑`MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private - i Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �1 G�' rr,�7L, t,..�� C I am using a crane ❑ Yes No j Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard "Required Proposed Side Yard Required ' Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No Last miRtm-2192019 # 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 Applicant Information Please Print Legibly Name(Business/Organization/Individual): � Address: I? (17 -C�V l t� �►..3 City/State/Zip: 150 `e vi VB)S one#: ® S � `1 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full.and/or part-time). ' 2I am a sole proprietor or partner- listed on the attached sheet. 7. [R.Remodeling ship 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. Electrical required.] 5. ❑ We are a corporation and its ❑ repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work. - 11.❑Plumbing repairs or additions myself [No workers'comp.; right of exemption per MGL 12.❑Roof repairs c. 152 4 insurance required.]..t '§1O'and we have no . employees. [No workers' 13.❑Other' 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. 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.Lie.#: 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 r Investigations of the DIA for insurance coverage verification. I do hereby cerdfv under th , airs andpenalties ofpe jury that the information provided above is true and correct: Signafore: _ Date: { t.` s Phone#: l ® �. ` k ! 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 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 permittlicense 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 r Department of Industrial Accidents - Office of Investigadons 600 Washington Street Boston,ILIA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MMSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia 74 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR ndividnal o o Expiration E- 10/26/2020 JOSHUA F THf JOSHUA THIBE 73 UNCLE STANLY U SOUTH DENNIS,MA 2 0 Undersecretary. ,yam' P` j+r� � a..s d �3+—i'�' 'P.`31m-"�kt n c � u g",•_`Gs2,.�'&.'q{ak �x 984Cht'setts b d Safsty �v�rdsosf ,ullmFtiJaldhsa d Starldarcl5 .,q` �3; ty 7xt i {7t i'yq �,i e s a •.V 'A3, i• {a Llcer�sk GCS,�T097a5 x ;'f fir, r�" a; f onstr coon S.w'erYls.a L! JOSHl1A THIBEAU t '' fa 73.UNCLE STANLEYS_WAY ea ,'SOUTH,DENNISMA 02660} ' .nn l Ezpiratl,on~ ' '� Commissioner 04/.08/20 ° Registration valid for individual use only . _ before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ter. 1000 Washington Street-Suite 710 Boston,MA 02118 jf4ot valid without signature Ccfristructi n SuperVl orV.,i yb%At Rest ittecl to Unrestricted �uUdmgs of any use group Whiehanarn�t' Bless than`35 060:cu bid: feetr(99`1 oubii;meters of enclosed space. . ,^Failure.to possess:a current edition of the Massachusetts tale Building Code is cause for revocation of this lice,se j k1P$-Licensing information visit:,•WWW.MASS.GOV7DPS t l Application Number........................................... Section 9—.Construction Supervisor Name O �1 y� t 1?�lit Telephone Number �j p g f e y Address c. 5 City 5 b b� State i^. _Tap dA e,, License Number f 0`7 7q, 5 License Type �1,4 r Tira#ion Date ® p Cont=tors Email ® I.► + �3 i ell# S��' L( 1.06 q I tm `�^ s r my sp e a 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.Attach a copy of your license. Signature Section-10=Home Improve mbnt Contractor r Name G�,,,�s�1 (3.� Telephone Number 42 Address 3 ( `i City State 01 k Tip. R Registration Number r Expiration Date—_.._0_Z13 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code.-I 6derstand the construction inspection procedm es,specific inspections and documentation required by 7 and the Town ofBamstable.Attach a copy ofyour IUC... iY n Signature - Date Section 11—Home Owners License Exemption k Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the ruleiimd 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 SIGNATURE Signature Date ZZA4� Print NamesA➢�� J Telephone Number S yg L( ', E-mail permit to: v T s..�...,.i..a�a.�mnn-,o Section 12—Department Sign-Offs Health Department' ® Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Departments j ❑ ' " Conservation - - ` ❑ - "' For commercial work,please take your plans directly to the fire depwtnent for approval a Section 13-Owner's Authorization` I, 6CWEOVCt__ LAk a_t,(GvyJ as Owner of the-subject property hereby authorize L> . to act on my behalf in all matters relative to work authorized by this building permit application for: 1 n ' t a t ,D- of Address of'ob ( J ) Si a of Owner i —�aate _ fa, W Print Name . s " 1 ,! T - Last undated:2/9/2018 • ft C S � 1 � M l 'x Barnstable Bldg. Dept. Approved by. o1!rA9(— el Permit #: 9 N r,2 Al ------____--