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Home My WebLink About0054 SYLVAN DRIVE Sy Sy 9 �a-n `�I �, a89 - 0�-l7 __ r - 5 M EAD KEEPING YOU ORG/��(ANIZED No. 10230 H163 SUSTAINABLE MIN.RECYCLED Ifrh �INITIATVVE CONTENT 10%FIXII Certloea Fiber sourcing POST-CONSUMER NmW WWWARproommdrr awrsao MADE IN USA GET ORGANIZEDa SME =OM . Town of Barnstable Building Post This Card So That rt�s Visible From the Street Approved;Plans Must be Retained own Job and this Card Must be Kept �, KAM l 1639 -b$�' Posted Until.Final. spection °` Whe e a Certificate of Occu` nc'is:Re u ed'such Buildm shall Not be Occu ied u t Ira Final3lns ection has been made '' 1 eli mft �..»�:'�.,....«�"�a1,. ��" a,. mom...............,b�.... .�..p :. P Permit No. B-19-698 Applicant Name: HERSEY,JEREMY E&JENNIFER A Approvals Date Issued: 03/19/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/19/2019 Foundation: Location: 54 SYLVAN DRIVE, HYANNIS Map/Lot 289-047 Zoning District: RB Sheathin " k':7 7--l-1, ; Owner on Record: HERSEY,JEREMY E&JENNIFER A 1 r Contractor"Name- . Framing: 1 Address: 54 SYLVAN DRIVES ; Contractor:License �� 2 HYANNIS, MA 02601 � EstProJ ct Cost: $6,500.00 Chimney: Permit Fee: $170.00 Description: Enclosing Car Port into a garage. _ A ; Insulation: FeePa�d= $ 170.00 Project Review Req: Heat detector required per code, Maintain fire separation per 3/19/2019 Final: code.. Plumbing/Gas Rough Plumbing: Building Official c Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afters ssuance. All work authorized by this permit shall conform to the approved application and xapproved construction documents fKwhich this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shalkbe 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. _ i Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building andFire Officials are provided on this,permit. Minimum of Five Call Inspections Required for All Construction Work: r ,. gh Service:a�' 1.Foundation or Footing 2.Sheathing Inspection ��b � � Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is'insfalled 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contr ng with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: f7 Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �J 1 ~O Application Number.... ......'.. . ....... s rt BARNSPAMY, • MASS. � Permit Fee.......................................Other Fee...... ............ '0ri�o 5 �O,/�Q/� �f TotaYFee Paid TOWN OF BARNSTABLE Permit Approval by.......Ae .......On.....�, !07.... BUILDING PERMIT Map..........�� .......Parcel......... —................. APPLICATION Section 1 — Owner's Information and Project Location - Project Address a �oJA ' Village n\� Owners Name QI l l Owners Legal Address City q Acun( s State Zip (oC� Owners Cell 6a (6w E-mail @ ` ( . Section 2 —Use of Structure . �_ Use Group ❑ Commercial Structure over 35 cubic Fe-et a, ❑ Commercial Structure under 35;o o cubic feet Single/Two Family Dwelling W Section 3 —Type of Permit v ' ' ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use p ❑ Demo/ entire structure )) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System i ❑ Addition ❑ Retaining wall ❑ . Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify i ' a ction 4 Work Iscription Last undated: 11/15201 S r a Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind 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 Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No t _ r Section 7—Flood Zone Flood Zone Designation a 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) j 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 ❑ No i Last updated: 11/15/2018 f �F t r, r I � t i t - 7{yff Y 1` I, t �I i g t 1. i Tf . n� 24 .414 10 4. r»S t a mot ° ' w e t a *s 7 `•� 1 - '. ��`yf �,� Inv7`!" I � j The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111. www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Maine(Business/Organization/Individual): AN-4z�TpS Address: "1 Net City/State/Zip: hpE MWA Phone#: 5 ��j��Q06 Are you an employer? eck the appropriate boa: Type of project(required): 1.ElI am a employer with. 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6.. New constriction 2.❑ I am-a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. employees and have workers' 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 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 15Z§1(4),and we have no employees.tNo 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 hue outside contractors must submit a new affidavit indicating such. tConttactors that check this box must attached an additional sheet showing the name of the sub-contactors 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 isproviding workers'compensation insurance for my employees. Below is thepolicy 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 Investigations of the DIA for insurance coverage verification. 1 do hereby c fy under the pains and penalties of perjury that the information provide/d a ' e' e and correct Signature: Date: 9 Phone#: Official use only. Do not write in this area,to be completed by city or town gf xial 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 cant'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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 0f ce of luvestigatlaw . 600 Washington Sheet Briton,MA 02111 - Tel.#617-727-4404 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www,ni=.gov/dia i Dom-- 1 :34S s 370 .06-15 2515 1 :03 Ctf :216447 BARNSTABLE LAND COURT REGISTRY {Space above this line reserved for Registry of Deeds use} QUITCLAIM DEED I,MERILYN E. SEAMAN,being unmarried,surviving tenant by the entirety,of Hyannis, 1VIA; for consideration paid and full consideration of THREE HUNDRED FIFTY-FIVE o THOUSAND AND 00/100 ($355,000.00) DOLLARS grant to JEREAfY E. HERSEY and JENNIFER A. CASSIDY, joint tenants with rights of C survivorship,hereafter of 54 Sylvan Drive, Hyannis,MA 02601 x with QUITCLAIM covenants q The land in Barnstable (Hyannis), Barnstable County,Massachusetts,together with any buildings thereon, described as follows: CA LOT 13 n y v LAND COURT PLAN 24740-B -b -ti There is appurtenant to said lot the right to use Sylvan Drive and the 40 foot Way shown on said plan for all purposes for which streets and ways are customarily used in common with 0 others who may now be.or hereafter become entitled thereto. 2 Subject to and with the benefit of all rights,rights of way,easements,appurtenances, reservations and restrictions of record,if any there be and insofar as the same are of Iegal force and effect. The Grantor hereby waives any and all rights of Homestead in and to the premises conveyed hereby and warrants and represents under the pains and penalties of perjury that there are no persons entitled to any rights of Homestead under M.G.L.c. 188 in the premises conveyed by this deed. I,MERILYN E.SEAMAN,wife of the late FRANK A. SEAMAN,do under oath depose and say that at the time of his death on July 16,2004, FRANK A. SEAMAN and I were still married and there had been no divorce. For Grantor's title,see Certificate No. 54182. Also see death certificate of FRANK A. SEAMAN registered herewith. Executed under the pains and penalties of perjury as a sealed instrument on the date annexed to my signature. Date: MERILYN SEAMAN COMMONWEALTH OF MASSACHUSETTS County of Barnstable On this 131J— day of June, 2018, before me, the undersigned notary public, personally appeared MERIYLN E.• SEAMAN, proved to me through satisfactory evidence of identification,which was V—j a driver's license and/or [ j to be the person whose name is signed on the preceding or attached document in my presence and swore or affirmed to me that the contents of this document are truthful and accurate to the best of her knowledge and belief, and acknowledge to me that s oluntar' its stated purpose. MAROARET M.MARSTON Nobuy Public Comm a&of Ma=Chu etts Notary Public: My Commission Expires: My Commission Expires: February 1,2019 11ASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 06-15-201E 0 01:03am CtlVL: ,744 Doct: 1349370 Fee: $1r214.10 . Cons: $355000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Data_: o -15-2013 8 01:03Pm c.tls: 74.4 Doct: 1348370 Fee: sly036.30 Cons: $355? 00-00 BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register Application Number........................................... e. Section 9- Construction Supervisor Name Telephone Number Address City State Zip r License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and 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 -Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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 H.I.C... Signature Date l = �Section_11 —Home Owners License Emption� Home Owners Name: - Telephone Number Cell or Work Number 5c-e 3 I understand my responsibilities under the rules and 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�re_ d by 780 CMR and the Town of Barnstable. Signature Date -P-LICANT--SIGNATURE Signature I Date b ( I Print Name lephone Number l � II E-mail permit to: b ckpas Last updated. 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization i i L , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of j ob) Signature of Owner date Print Name Last updated: 11/15/2018 J