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Home My WebLink About0063 UNCLE WILLIES WAY Ce3 !lode Wil� Wal TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,�� Map 9'L. Parcel 3 if Permit# l s- 1ABLE a 3li o� Health Division � _ /� ® Ix�_-9h .� ��' � Date Issued Conservation Division) Al 03 , f'` - �- Application Fee Tax Collector �EPTIG 5Y$e C l �• Treasurer - - �_�-SEPJ G 51r ST BE } .,;�. !NSTkLLE®IN CO1APL L4NCE Planning Dept. WITH TITLE SENVIRONMENTAL CODE ANE Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 6 l 4 mot.. Village Owner e Y Address Telephone Permit Request /�o�e2"� �► A,, � � Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 3 � Zoning District Flood Plain Groundwater Overlay Project Valuation.3 0.7(3 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure / ` , Historic House: ❑Yes ,IdNo On Old King's Highway: ❑Yes o Basement Type�Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 900 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing Z new _ Half:existing nev 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 New Existin 0woodloal stove: Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name -�: X"Zo Cst Telephone Number 2 7 I $ 9 Address s C* 7 License# 0_S' V!j ca/ - �w Home Improvement Contractor# _/3 O Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ti "t FOR OFFICIAL USE ONLY i t PERMIT NO. ti DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE OWNER 1 k 1 DATE OF INSPECTION: SO ,y,I 4 FOUNDATION 0 /ZI; a FRAME FKsy! 3��zo y �� INSULATION IV !J 3�j zQ Y O h FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: Rd0d7H'-% FINAL FINAL BUILDING (•%Cf ► •'� .i..t' DATE CLOSED OUT I ASSOCIATION PLAN NO. ' 1% 3 The Commonwealth of Massachusetts u�) _ ( Department of Industrial Accidents F 600 Washington Street Boston,Mass. 02111 Workers' Coin ensation Insurance Affidavit-General Businesses name: address: a25 iZ'. E > 7 C) t . city�zy-fP.�9 P Z. c state: zip• QZ t;d / phone# work site location(full address): /p I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Bating Establishment 4 working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an em loyer with em loyees(full& art time,- ❑Other I am an employer providing workers'compensation for my employees working on this job. company neme: address: city Phone# insurance.co; olc # ❑ 1 am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: coinyany name: address: city. Phone#. insurance co. olic # company name: •: address city::. phone#: tnsurance lo,: olfcv,# Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the ains andpenalties ofperjury that the information provided above is true and correct. Signature ^ A �� /' / Date 103 Print name ��t X>h e r, �a�e !w Phone# 77 ^c official use only do not write in this area to be completed by city or town official city or town: permittlicense# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office i ❑Health Department contact person phone# ❑Other (mvised Sept 2003) 'v�7Ta�'.+c°C'- easefazes-zra^ rcs--•rrsca:msex: - 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 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits 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. 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 perrnit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would lice 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 off" invesuganns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 Town of Barnstable Regulatory Servides snxx s�sar E, t Thomas F.Geller,Director 9�A 1639• k,�� Building Division lFD µP't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 • Fax: 508-790-6230 Office: 508-862-4038 . Permit no. Date AFFIDAVIT HOME WROVEMENT 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 coatainnig at least one but not more than four dwelling units or to structures which are adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work' AZ 1 1 ice— Estimated Cost ® d Address of Work C��. -f �,� �(�- X 7 Owner's Name: Date of Application• I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OARS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORKDO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERNRY I hereby apply for a permit as the agent of the owner: 5' er4Z Date Con ctor Name Registration No. OR Date Owner's Name f RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE �' o Q o New Buildings,Additions $50.00 � Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE C/ square feet x$96/sq.foot= 3 �. Q`S A x.0031= plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE square feet x$64/sq. foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >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: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS 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 $150.00 (plus above if applicable) Permit Fee � � ��• projcost 7�0 CMR f.pMdEx I Ttble JI.Llb(coattuit ad) t11 gcsxs�liuel; prcterlptiYe Pxclugd for Doe%Ad T'yt$-F'smi1y Aaideatisl Haildiap Maud e►t MINIMUM HcatinglCoating MAXfMS1M Floor U%=ZM1 SlAb cnt Wc!=q? • all Fm Ccilln W pes}mcw Gla�irrg C}laritsg B c Arcs{`/�) 11.Yatuc� R-vaIu� R•Ya1ue R-Yal►se! �� R values R•ys1�c Par�3C 5101 to 6500 I3rstiag Deem DiJ•r' 6 Nara�sl 13 19 10 Normal 0.40 38 10 O.SZ 30 6 Q (9 19 6 15 AFUE 10 R * 0.50 13 19 NIA Normal g iZh 38 l3 � T r 036 38 19Q Normal 15/. 6 I5'h 0.44 is 19 WA 15 AFUE U I3 24 NIA 15 AFM Y 15'li 0.44 33 6 19 14 10 Normal SS'h 0.S2 30 i3 ZS NIA NIA 13% 0.32 31 Normal 14 25 NIA NIA 18'h 0.42 31 6 40 AFUE Y 18% 0.4Z 31 13 14 la 6 90.AF(TE Z 0.50 30 S9 14 SO • � Ill �/ � l v 1, ADDRESS OF PROPERTY: ,,,.�---- ` 2. gQ LJARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING, 4. olo GLAZING AREA(#3 DIVIDED BY 42): 5, SELECT PACKAGE AA'see chart above); 'NING EKERGY REQUIREMENTS NO•�; OTRIERIviORE INVOLVEDs FORTHI5 INFO ARE AVAILABLE'. ASK B�,DIKG INSPECTOR APPROVAL; N0: YES: q-forms•f980303a y Df tH Town of Barnstable Regulatory Services 3 13AMSTAMLL Thomas F.Geller,Director YAM 16J9;�.•�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-8624Q38 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder h� I, Pet-of the.subject property .... hereby authorize a')4- - � /j : ..to:act on rny..b ehalf,. in all matters relative to work authorize -by.this building.permlt•application for: (Address of Job) r S' of Owner ate Print Name - 0�� t / t a(15 t l�q 140 LA a�. i- n1 If a6 Gad 3 Seat F IT { _ 12- `E_ . -.Q•T t�f y � _--�.- IT rs� Im-5 CO Aw OF j � i � ! � I I i l � j ; � � ( j i oe pj� !! � � I I � I � f I h Lo- ID- 3 �hc% Z✓ lr�y� ✓� 721 - 9 979 Sa H h 4v Q hC)CA 1 N F LAN �S MAY NO-I- BE ACCU DATE STANDARD LEGEND NOTE:not all symbols will appear on a map -� GOLF COURSE FAIRWAY EDGE OF DECIDUOUS TREES - EDGE OF BRUSH- ORCHARD OR NURSERY V ;' `•. EDGE OF CONIFEROUS TREES -_ MARSH AREA EDGE OF WATER DIRT ROAD - DRIVEWAY E—PARKING LOT PAVED ROAD DRAINAGE DITCH ---- PATH/TRAIL MA 292 1� 1 PARCEL LINE** C,i 1 �U f-W 326 �— MAP# 021E PARCEL NUMBER #367 E HOUSE NUMBER 7 0 2 FOOT CONTOUR LINE —�— 10 F00T CONTOUR LINE Elevation based on NGVD29 r `,•�4.9 SPOT ELEVATION 6'3 STONE WALL -X—X- FENCE RETAINING WALL ;-t-;- RAIL ROAD TRACK STONE JETTY SWIMMING POOL PORCH/DECK 0 BUILDING/STRUCTURE J �=t- DOCK/PIER Q HYDRANT e VALVE O MANHOLE 0 POST 0FF FLAG POLE T O W N O F B A R N S T A B L E G E O G R A P H 1 C 1 N F O R M A T 1 0 N S Y S T E M S U N I T o SIGN ® STORM DRAIN PRINTED SCALE:IN FEET *NOTE:This map is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetria(man-made features)were interpreted from 1995 aerial photographs by The James w a TOWER 1°=10Ysale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted from 1989 aerial photographs by GEOD o UTILITY POLE e ry p Ps physical i pp topography,and vegetation were mapped to meet National Ma Q )Q 20 National Map Accuracy Standards at this do not represent actual relationships to h 'al objects Corporation. Plonimetria,ropogra p Acamry Standards 1 INOI=20 FEET* enlarged sale. an the map. of a scale of V=100'. Parcel lines were digitized from FY2004 Town of Barnstable Assessor's tax maps. -0 LIGHT POLE o ELECTRIC BOX Board of Building apulations one Ashburton Pace, m 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVIS Birthdate: 02/04/1967 Number: CS 0 Expires:02l04/2004 Restricted To: 00 STEPHEN E BOBOLA 24 ST FRANCIS CIR HYANNIS, MA 02601 Tr.no: 16123 Keep top for receipt and change of address notification. FA Ate 64mmanawald 's' = hoard of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Horne Improvement Contractor Registration Re i atio'V 11 Type: individua Expiration: 3131/20 cAROLYN BoBoLA CAROLYN BOSOLA 24 ST. FRANCIS CIRCLE HYANNIS, MA 02601 Update Address and return card. Mark reason for change. ♦,aa........ lD....�....1 Cmnlnamaht I no Cam