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HomeMy WebLinkAbout0017 BRIARCLIFF LANE c '. v o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map w Parcel Permit# 7 S 0 3 Health Division 1 Date Issued 10 13 V � Conservation Division G $ Fee M,60 Tax Collector Treasurers Planning Dept. Checked in By : -- Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address &1WC-1 Ir Lane.,. Village Z VI&L P Owner !� �9-tv � ��i IC�(di,�vJ Address" r. ,p Telephone Permit Request _ Square feet: 1 st floor: existing proposed 2- O 2nd floor: existing proposed Total nett • Valuation Q, 0ao Zoning District Flood Plain Grou,Later&erlay�T'_ Construction Type Lot Size Is 19C feS Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) j Age of Existing Structure o'/ Historic House: ❑Yes �f No On Old King's Highway: ❑Yes —Alo. Basement Type: 0 Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) l\/O/Y r_ Basement Unfinished Area(sq.ft) Aer Number of Baths: Full: existing LL 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 New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size r 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 f' BUILDER INFORMATION Io4�w Name ©u9 Telephone Number : Address License# a Home Improvement Contractor# _w Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO iT< SIGNATURE DATE r i u ` FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. 7 ADDRESS r VILLAGE OWNER ` a - DATE OF INSPECTION: A) FOUNDATION -+ �uyi a -L v FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL FINAL BUILDING 'r DATE CLOSED OUT ASSOCIATION PLAN NO. 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 Leiibl_y Name (Business/organizationlbdividu,, ) Address: i 2C i 2-D City/State/Zip: C e�-69�/C Phone#:, t ��c b�6 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 constriction employees(full and/or part time).* have hired the sub-contractors 7 2,_❑ 7. Remodeling I am a sole proprietor or partner- listed on the attached sheet t . ship and have no employees These sub-contractors have 8. .❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition (No workers' comp.insurance 5. ❑ We area corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their - 3.( I am a homeowner doing all work_ right of exemption per MGL 11.❑ Plumbing repairs or additions myself:[No workers' comp. c. 152,§1(4),and we have no. � 12.❑ Roof repairs insurance required.]t 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 submitthis affidavit indicating they are doing all work and then hire outside contactors must submit anew affidavit indicating such ;Contractors that check this box must attached an additional sheet showing the name of the sub-contactors and their workers'comp;policy information. 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.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 66ninal penalties of a fine up to$.1,500,.00 and/or one-year imprisomnent, as well as,civil penalties in the form of a STOP'WORK ORDER and a fine of u.p to$250.00 a day against the violator.,Be advised that a copy ofthis statementmay be forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby ce fy under the pa' and penalties of pe' ury that the information provided above is true and correct. Si ature: Date: Phone#• gf) official use only. Do not write in this area,to be completed by city.or town official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6,Other Contact Person: Phone#: information and Instructions '. Massachusetts General Laws chapter 152 requires an employers to provide w ce of another under amy co etract�oflhue�. Pursuant to this statute, an employee is defined as ...every person m the serve express or implied,oral or written." association,pQrporation or other legal entity,or any two or more An employer is defined aS" aua1,..P �: Io er,o-r the of the foregoing.engaged in a joint enterprise, and inchiding the legal representatives of a deceased emp y partnership,association or other legal entity, employing employees- HowcyeT:tl}e receiver or trustee of an individual,p resides therein or.the occupant of the than three apartments and who � having not more aP ' house h g . owner of a dwelling who to persons to do maintenance,construction or repair woilcbn such dwelling house e of another employs Pemployer." .. bons a an dwelling appurtenant thereto shall not because of such employment be deemed to b . or on the grounds or building apP • ce MGL chapter 152,§25 C(6)`also states that 'every state,or 1 Co I s calliccel t ingbui agency shall the c mmold the ih four any r renewal of a license or permit to operate a business or to ce•of compliance with the insurance coverage required."_ . applicant who has not produced acceptable eveden ter 152, 25C states"Neither the commonwealth nor any of its-political subdivisions shall Additionally,MGL chap .. § (� enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance 1equ rements of this chapter have been presented to the contracting authority." Applicants lion an if. Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation necessary,supply sub-contractors)name(s),address(es)and phone numbers) along with their certifieate(s)of. ili Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the Limited Liability mP have insurance. � � insurance. If an LLC or LLP does workers' co ensation members or partners, are not required to carry wo mP 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 sip an�dbeltlle the affidavit.t e ahe ep� should be returned to the city or town that the application for the permit or h g eq uestedl Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' lease call the Department at the number listed below.. Self-insured companies should enter their ensation olicy,p . comp P self-insurance license number on the appropriate line. City or ToNin Officials . to Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the btm of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicantapplicant' Please be sure•to fill in.the Permlt/hcense number which wdl be used as a reference numb ���indicating current ' en ear,need only submit that must submit multiple permit/license applications it any�v y Y policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in • (city or '°A copy of the. affidavitaffidavitthat has been officially stamped or marked by the city or town may be provided to the town). applicant as proofthat.a valid affidavit is on.file for.fature permits•orliaenses.,Anew affidavitmqstbe filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (ie. a dog license or permit to bum 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 . - Department of Industrial.Accidents a Office of Investigations ,. .600•Washingfol�Street . Boston,MA 02.111, Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www,mass.gov/dia 780 CUR Appmdis J . : .;a• Table J&Mb(eaadaaed) Heated wish Fowil Fads . Prescriptive Packages for due and Two.Fm m4 Residential Buildings IHiTIQV1UM MAXflwvm Heanng(Cooling 8laang aladog C.d11nB Well Floor Basemem pmeW Equipment Mcicueyr Area!('%a) U-value) R-value? R value, R value° �,vaiue� R vslue package 3701 to 6300 Headag Degree Days 6 Norma! 12% ' 0.40 38 13 19 10 6 Normal Q' 19 19 10 R 12Ya 0.52 30 6 -8i#lftJE g 120/0 0.50 38 13 19 10 N/A 33 13 25 NIA Normal- 0.46 38 19 I9 10 83 13 ,. Z3 NIA N/A 15'/a 0.4d. 18 6 HAM V,,...: .., 90 19 19 10 Normal. 1w .. I9a/a '04 NIA X IS% 032 38 13 25 N/A Normal 19 25 N/A N1A Y 18% 0.42 38 6 90 AH Z - 18% 0.42 38 13 19 !0 90 19 19 10 8 �p 18% 0.30 30 : 1, ADDRESS OF PROPERTY; --------------- ns r,94 -U4t-L ..l 2, SQUARE FOOTAGE OF ALL EXTERIOR WALLS:. ; FOOTAGE OF AL ' 3, SQUARE L GLAZING: 4, %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FORTIES INFORMATION.' BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-580303 a 780 CMR.Appendix J a Footnotes to Table A2.1b: area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and Glazing ar . . g wall ' doves if lo cate in walls that enclose conditioned space,but excluding opaque doors)to the gross baseme nt windows area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft=of decorative glass may be excluded from a building design with 300 fe of glazing area. =After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table JL.5.3.a. U-values are for whole units: center-of-glass U=values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss constr:icdon. If the insulation achieves-the full insulation thickness over the exterior walls without compression, R.30 insulation may .be substituted for_R 38 _:....__ insulation and R-38 insuyation riiay be iUbsfit<ited for-R-49 insulation: Ceiling R vaI�ies=represent the sum••o .cavity— insulation plus insulating sheathing (if.Used). For ventilated ceilings, insulating'sheathing must.be..placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing,and interior drywall.For example,an R 19 requirement could be met EITHER by R-19 cavity insulation OR R:13 cavity insulation plus R-6 insulating sheathing. Will requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces;basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass ,doors.of conditioned, basements must be included with the other glazing. Basement doors must.meet.the door.U-value requirement described in Note b. n additional R-2 for heated slabs. The described requirements are for unheated slabs.Add a If the building utilizes electric resistance heating use compliance approach 3;4, or 5.•'If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet.or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J511a NOTES: a) Glazing areas and.U-values are maximum acceptable levels.Insulation R-values are minimum acceptable-levels. R value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35.Door U-values must be tested documented b the manufacturer in accordance with the NFRC test procedure or taken from the door U-value and docum Y ate U-value rating for that door is not available, include the andana e g lass 8 in Table J1.5.3b. If a door contains g gE'x glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or egdal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 oFE Town of Barnstable °± Regulatory Services ' st Thomas F.Geiler,Director OtEa.12 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 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: Z _Estim ated Cost iY Addre�oWori,, l C u192-- V`n 4 y. Owner's Name: b 0 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: 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. is ® Date �- Ownei s__ame Q:forms1omeaffidav . a. RESIDENTIAL BUILDING PERAHT FEES APPLICATION FEE New Bindings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKS19EET NEW LIVING SPACE n square feet x$96/sq.foot x.0041= , 1 plus from below(if applicable) ALTERATIONSMENOVATIONS OF EXISTING SPACE_ square feet x$64/sq.foot= x.0041 plus from below(if applicable) . G,ARAGES'(attached&detached) square feet x$32/sq.& x.0041= 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.0041= 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) . Town of Barnstable s Regulatory Services • Thomas F.Geiler,Director • HARNs?ABLFw 4 e; Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Vice: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �} Please Print DATE JOB LOCATION. /' 7 �691 AR C L I FF LANE (f �N'7Ek VI C LE number , street village name home phone# work phone# � J CURRENT MAIL NG ADDRESS: ` 1 C o Y�J� 1 ta:L KT-t 62 L/-7 city/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 minimum inspection procedures and requirements and that he/she will comply with said procedures and re ' ements. . Si a f omeowner 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.cmot 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. Q:fornwhomeexempt v 1 #311 MAIN STREET PROPOSED MAP 208 LOT 114 W ROBERT H. & CAROL G. HAZELTON 5� X 11' r u-o o N 30'05'00" W LL DECK - 111.30' co 5015 a:(V- m M a° MAP �O8 EXISTING 10 CONCRETE 10x14 O N PARCEL 1 12 PAD 1. SHED '� 6 10,440f s.f. EX. 11' x 12 DECK #17 � --- Z 0 EX. H SE. J 1 —STORY l � o �oC) W/F m -- 14.7' a 00 ir 0)N� c�Y EXISTING C BRICK PAD _ M m M 0 PROPOSED 1.5' x6' o BAY WINDOW m �1`g86 80.71' N 30'05'00" W EDGE OF PAVEMENT BRIARCLIFF LANE EDGE OF PAVEMENT CERTIFIED PLOT PLAN 17 BRIARCLIFF LANE BARNSTABLE, MASS. SCALE: 1" =20' DATE: 9/23/2005 �cv��y �P��N OF MAS`r9 e oar' TIMOTHY cy� BENNETT ENGINEERING BENNETT N D SURVEYING,ENGINEERING,&DEVELOPMENT SERVICES fl No.3 5 LOCUS: MAP 208 LOT 112 PLAN REF: Bk•146 Pg:89 s, T PO BOX 297 TEL.(508)888-4868 DEED REF: Bk•51.62 Pg:171 l SAGAMORE BEACH,MA 02562 FAX.(508)888-4867 JOB NO: 0787 9 , o� 0 20 40 60 oFWE Town of Barnstable Regulatory Services '''NAM Thomas F. Geiler,Director 1639. � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: Project Address ( i e"1r C (Builder: W-►iz l- The following items were noted on reviewing: 1 \ 0 1-) rk � C�4 C) 1/� / 0 ["A A C�-Vv\ a, C V, �-0- 0 { Reviewed hy: Date: 1fq?CC J FF OU 16'3" (Open) O N&V DECK p CD�. 16'4" (Open -10°► 6'0"x 6'-8"SD N O o' N N O M �' 8'--1°' W--2 �e 04u L,-g, r� i 16= Open) o DECK CD _ O 4 5 16#-4" (Open -10 6'-0"x 6'-B"SD N G�S 0 (' 1 N1� FA m) �� N PA N Cf� O • M JIF