HomeMy WebLinkAbout0033 STRAIGHTWAY TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Mapl , < 67, 6 Parcel LOT Permit# Q
Health Division a `� v`� � Date Issued
Conservation Diwion j ��C �� C /� 2- Application Fee
Tax Collector 7-02--- SEPTIC'SyJfjWFge 6
Treasurers //! 7-O?� INSTALLED IN COMUSTPLIANCE
1BTH TITLE 5
Planning Dept. EIvV1 0j"IMENTAL CODE AW
Date Definitive Plan Approved by Planning Board T P .P,�`fCas
Historic-OKH Preservation/Hyannis
Project Street Address 3_S .37a'z.`fi"!4 1„t V.-i P- V
Village "-
Owner 5 - a, c e V�Address
Telephone S-U 5' -7 7 1 - k I G t' /f
Permit Request C� L� C-�� f�D 2 `7 ,X L-2 7 5 /
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation Construction Type
Lot Size Z Q CfZV-'r Grandfathered: ❑Yes ❑No If yes, attach supporting documentation.
Dwelling Type: Single Family 4.,1 Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House: ❑Yes W No On Old King's Highway: ❑Yes ,6 No
Basement Type: (&.Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 900 Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half:existing new
Number of Bedrooms: existing 1!S _ new
Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: .Gas ❑Oil AElectric ❑Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: XYes ❑No
Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size
Attached garage:Aexisting ❑new size Shed: existing ❑new size X 1 Other:
ZoningBoardlof Appeals Authorization ❑ Appeal# Recorded❑
Commercial O Yes O No If yes,site plan review#
fi-,._
Current Use Proposed Use
4 .
BUILDER INFORMATION
• Name J C�,m C- S U IN T J GZ Telephone Number 50 is- 7.7 ! - /61
t Ad ss — W P, License#
Home Improvement Contractor#
Worker's Compensation# //
ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BETAKEN TO 10>1 '� �P
SIGNATURE r DATE 6 Z
.h
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED ;
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
-f
DATE OF INSPECTION: e
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: R'OUGH t FINAL
PLUMBING: ROUGHd- FINAL
.r 7 ,
GAS: RAI _; FINAL
FINAL BUILDING ;;e
g t`3 ZZ
DATE CLOSED OUT
ASSOCIATION PLAN NO. _
� � ay
1� The Commonwealth of Massachusetts
- - - ,Department of Industrial Accidents
i _
flffrce oll17yesti90011S•-
600 Washington Street
. .Boston, Mass, 02111
Workers' Com ensation Insurance Affidavit /
location: _ f
hone#
ci all work tQyself:
X•I am a homeowner performing ca ac1
I am a sole ro rietoz and have no one wogs in
CCj % sole
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enalties of a Sne np to S 1,300.00 and/or
Faffure to secure covera;e i s required ender Section 25Abf MGL 152 cattlead to the imposition of esiirdnal p ;
one years'imprisonment as well is civil Penalties in the form of atipnapofth DIARfoDr ca 11 fine of�c$100.00 a day againitma Iutders(smdtliat a'
copy of this statementmay be forwarded to the Office of Investig
. ..• 'es-o er u thaLthe-information- rouide�abnue_is.Srv�aud-carrec't
and fP. •J ry- P -
- I do hereby-eitifyunzier-! � P
,
Date 1
Signature .�. .. , :" '�,..•• .
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' Print name
do not mite in this area to b e completed by city or town official
ofticialuse only
Permithicense# (3gviLdme Deputment
❑Licensing Soar&
city or town' - ❑Sdectnen's 0DIC!
contactperson: ^
.Information and Instructions
Massachusetts General Laws chapter�152 section 2e requires
as all eemvel0yers to provide erson in the serviceeof another under any ors' compensaticm for utract
,es.__As_quoted from the_`Iaw , an employe is. rY P ..
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ofhire,'express or implied, or or
An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of
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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 ...
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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 groiizids or
building appurtenant thereto'shall not because of such employment be deemed to be an employer:
MGL chapter 152 section 25 also states that eve o,construct state or obuildingscal rin the commonwealth for ng agency shall withhold any applicant who has
of a license or permit.to operate a business or
not produced acceptable evidence of compliance
enter into any coirtractfortheith the insurance coverage 1perfoAdditionally,
nanae o public workuntil
commonwealth-nor any of its political subdivisions
acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting
authorsty' -,;. .4 - rr•• /' //�/��� ��!y�%J�%�
applicants to your situation�and'
Please fill in the workers' compensation affidavit completely,by checking the box that applies Y
pply�8
names, address and phone numbers along with a certificate of insurance as all affidavits
su may be
supplying company itt�dto the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and
is
date the affidavit. Tlie•aflidavit should be returned to the city or town that the application ns re aze permit or. wce12
nsI- .YQu
being requested,not the Department of Industrial Accidents. Should you have any questions regarding
obtain a�vorkeis' cAmpensationpolicy,please call;'ttie Depaituierit atthe niunber'listed below:.
are required,tb .• . . 11
OVI
City or.Towns
e sure that the affidavit rs complete and printed legibly. The Department has provided a space at the bottom ofie
Please b Investigations h y ding the applicant. Please
affidavit for you to f311 out in the event the Office of Inve as to contact ou regaz Y �Y
-�-T� t- - be used as a reference ruiner.:The'affidavits ma ie'r t •.
be sure.to the.p ermME"ense nwnb er which will ;
by mail'or FAX unl.e'ss othei arrangements have been made -,
the Dep ; „.,..,,.
.5.
. d like to thanou indnce or you cooperation and should you have any estrous, .
The O$lce of Investigations wool k y- .. ,.,.a,. va f u;. .. . . .. ... . . _:!
,•
please do not hesitate to give us a call.
VON
The D artmene address,telephone and faxnumber. i �,.... ..
- Tire'Commonwealth Of Massachusetts
4,.
~Department of Industrial Accidents
- earl atians
Once of 1nY g . . .
600 Washington Street =f
Boston,Ma. 02111 ,
fax ff: (617) 727-7749
ii• (617) 727-4900 ezt. 406, 409 or 375
P�oEVE,o Town of Barnstable
h� Regulatory Services
* WMNS'AsIX, ' Thomas F.Geller,Director
Mass.
9`b/+rFpy a � Building Division
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date L
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion,
of an addition to an
1 demolition or construction Y pre-existing owner-occupied
improvement,removal, ,
building containing at lea
st one but not more than four dwelling units,or to structures which are adjacent
such residence or building be done by registered contractors,with certain exceptions, along with other
requirements.
Type of Work: �'�w \),e C K Q01(L C , Estimated Cost a 1000
Address of Work: ` �'� T(A-)0`�Q
Owner's Name: L1 °.S
Date of Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law ,
❑Job Under$1,000
OBuilding not owner-occupied
lKt Owner pulling own perr
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 hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR
Da e Owner's Name
Q:forms:homeaffidav
The Town of Barnstable
Regulatory Services
Thomas F. Geiler, Director
Building Division
Tom Perry, Building Commissioner
200 Main Street,Hyannis MA 02601
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
iPlease Print
DATE: ' I c z-
JOB LOCATION: J I a ` ' V 1—�-w V!�l y l t k eu�PrJ2 T
n tuber street village
"HOMEOWNER": �(�YYI`E?C �UYV i Y�L SC) -z-77I J-01 a —���6'
name home phone# work phone#
CURRENT MAILING ADDRESS:
c /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 inspecti procedures and requirements and that he/she will comply with said
dures and r q ' e eats
N
Si afore of Homeowner
V U
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 t amend and adopt such a form/certification for use in your community.
O:FORMS:EXEMPTN
Plot Plan _
a 123.22'
20.5'
41.58 30.5'
II �I4.o'
10.
O 0' 23.5
26.0
100.0'
37.5 10
'
a� 50.0'
68.8' ti
139.63'
Project Designer:
James & Alice Munafo Project Contact:
33 Straightway
West Hyannisport, MA Project W°#
508-771-8101
Date: Rev. Date:
2XG TREATED SURFACE
BOARDS; TYP.
24'-3"
DECKI NG SECTION
' SCALE: 114" = 1' - O"
14'
r
.1 J
DECKING PLAN
L SCALE: I/4" = I' - O"
Floating 1 1 DEKBRANDS Live Technical Support
. 14 x 2 4 P.O. BOX 14804
Foundation 1-800-664-2705
DeckSystems MPLS., MN 55414 7 Days a Week-365 Days a Year.
Y www.DECKPLANS.COM (612)331-4755 (5:00 am-9:00 pm CST)
✓DEKBRANDS and DEK-BLOCK are trademarks of Proshop Plans Co. These plans are for consumer use only.Licensed exclusively for use with Dek-Block brand piers. Cop right 2000 Proshop Plans Co.
14. —
Deck Plan
10.0'
25.5'
aT'r
Project Designer:
James & Alice Munafo Project Contact:
2X10 CONSTRUCTION 33 Straightway
- X2 LEDGER West H annis ort, MA Project# WO#
BUILT 16"ON CENTER y p
508-771-8101
Date: Rev. Date:
Sona Plan
i o
10.0'
10,0'
1
zs.s' `l/1
10'0
li
Project Designer:
James & Alice Munafo
Project Contact:
' 10" Sona Tube x 48" 33 Straightway
6"x 8"x 14' to stringers West Hyannisport, MA Project# W°#
508-771-8101
Dater Rev. Date:
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MINE TOWN OF BARNSTABLE
S .
i BARNSTABLE. i
M6 q ,,� BUILDING INSPECTOR
APPLICATION FOR PERMIT TO C ....
r..........
TYPE OF CONSTRUCTION ............4d..d.�.......>��"$+ `. �............��.x..ae........ .............................
s
................ . ........... .....192.2
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fora permit accordingto the following information:
Location .............., D..t. `.� ... ... 3.. .I.if 1.. IA....4:�1 .. .......P.4............ �.k"? .l...�.............................
ProposedUse ........... c�c�f iri�. ........................................................................................................................................
ZoningDistrict ...........................................:............................Fire District .....//.........................................................................
Name of Owner .....Ar—vim A.... a. ................ rolY�.�.?'t?l�............ ..
c_O .........Address 3 e� �..........5°,.. ..pt�tg�r
Name of Builder .Q`.t°.4! '.....V.e...�a ��..'e........................Address ..��/Ydlw c. .`3... .��..... ..........I!...... .R.t " a h
Nameof Architect ........................f.........................................Address .................................l.l...............................................
Number of Rooms .................. .............................................Foundation � .........�Q i"G.Y.` .. ..............
Exterior ...........kv.411.G1........S.�i we �-e.......................Roofing ...... .�) ../?.a..(.. .
Floors .............tx..�..............................................................Interior ......... �.................!......................................
Heating ............. ..........a.l........... .I..^.....................Plumbing ......... 1... 41.`� !.e:..................................................
Fireplace ..........................®'`^e...........................................Approximate Cost .......° .��). DOO,...................................
Definitive Plan Approved by Planning Board _____'Ar _ 2_______19
Diagram of Lot and Building',with Dimension s,.
--Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
a Lu
r.r 0 _
\ �
3 . 2-z: oQ (m � �
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L4 < LL-
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0 <
50 AU) = owe
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0 a 7)e .0 0
ue r
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151
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I hereby agree to conform to all the Rules and Regulations of the Town of Bar'nstable regarding the above
construction.
1
Name ...... ..................7 ..
�.. ..........................
v
Jodice, Leon J.
No ,.15953... Permit for .,, 1 1�2 story
single family dwelling
...............................................................................
Location ........Straig. .htway..Road
.......... . ........... ..............................
......................Hyannis.........................................
Owner ...........Leon J. Jodice...::...................
frame +
Type of Construction .......................................... 1
................................................................................
Plot ............................ Lot ....... �.....................
Permit Granted Ma19 72
Date of Inspection
Date Completed ......1.!�:33.
PERMIT REFUSED Cb b
.......... 19 rV
b
... ............................................
................................................................................
.............................................................:................
............................................................................... s
1
Approved .................................................. 19 I _
...............................................................................
...............................................................................
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
COMPLAINT/INQUIRY REPORT
Date 1.31,A i� Rec'd By Assessor's No.
Last Name t� First Name
ORIGINATOR Street
Village State Zip
Telephone:: Home Work—
Description:—
COMPLAINT - �a/�. uliL � 42 ��,�� s 2 r' A_*�t�
��%L/lyl/ . /�✓��1/✓� n A� Rail� 1 J /
e
INQUIRY
Requestor's Signature
COMPLAINT Street Address
= G
LOCATION
A= 7 6
OFFICE USE ONLY
INSPECTOR'S Date -al Inspector
ACTION/
COMMENTS JA 0aQ -
FOLLOW-UP
ACTION
ADDITIONAL
FLIEF0. ATTACHED
DISTRIBUTION: WHITE - DEPARTMENT FILE YELLOW - INSPECTOR
PINK - INSPECTOR (RETURN TO OFFICE MGR. )