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HomeMy WebLinkAbout0346 GREAT MARSH ROAD 6 Gem It,oRsW Ad ACTIVE 6 21 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ` �r Parcel - '' 76 Permit# Health Division .� 7 � c Date Issued `� LS 61 Conservation Div. ion Ss I3 0 Fee Z9:. w Tax Collec , ilia o-riC SYSTEM MUST SE J Treasurer INSTALLED IN COMPLIANCE WITH TITLE 5 ENVIRONMENTAL CODE AND y P1n irrg-Buard— TOWN REGULATIONS Project Street Address Village Owner Ad' +v Address Telephone �. 1 a Permit Request A�✓U Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay truction Type 1 9A-,C ti Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Abe of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: 4Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 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 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 G r Telephone Number 7 7 Address I r 'r License# ('!t nr1`5 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO icl t ` SIGNATURE _ DATE 3 h; FOR OFFICIAL USE ONLY or y .• a,: .., C PERMIT NO. DATE ISSUED MAP/PARCEL NO. _ _j ADDRESS VILLAGE OWNI✓R . 6 DATE OF INSPECTION: z FOUNDATION FRAME INSULATION Y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH- r FINAL GAS: ROUGH FINAL FINAL BUILDING }• ^ �r GeN Ctiya r } DATE`CCOSED OUT = ASSOCIATION PLAN NO. • �F THE Tp�G� ti The Town of Barnstable �xrrsrneLe. • KASS. g Regulatory Services 1639• .m Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW . SUPPLEMENT TO PERMIT APPLICATION alterations renovation,repair,MGL c. 142A requires that the reconstruction, r,modernization,conversion, existin owner-occupied improvement,removal,demolition,or construction of an addition to any pre-existing building containing at least one but not more than four dwelling units or to structures which are adjacent to ontractors,with certain exceptions,along with other such residence or building be done by-registered c requirements. stimated Cos t O Ud Type of Workv� i Address of Work: a, r 9 Owner's Name: If ' t 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 O BLE HOME IMPROVEMENT WORK RE NOT HAVE CONTRACTORS FOR APPLICA ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALIZES OF PERJURY I her by apply for a permit as the agent of the owne 7 / G Registration No. ate Contractor Name . OR Date Owner's Name I—F q:forms:Affidav The Commonwealth of Massachusetts Department of Industrial Accidents offiCC 011/IYBSU980005 600 Washington Street Boston,Mass. 02111 Workers Com ensation Insurance Affidavit lee name: location !`P7�� hone# 7 city ❑�.,��.��I a homeowner performing all work myself. Ll am a sole pr rietor and have no one working in any ca acity %/%/ �% %//%% //%%-----%%%%%%%%%%%%%/%//%%/%%/���%��%�%%�%%%///%�%%%/%%%/ ❑ I am an employer providing workers' compensation for my employees working on this job. com any name: : ddaress. hone# d. insurance co: ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices com anv:name. X. ;;>:.;:.::.. address :::::. : ... a l� ne ci .....:..... .. :....... ''..i':i.:::: ::::!C::` '..:i!!.:`:::::ii''.:!i:i::::i:iii .'`::?{:i:i:i::::::i''!:i:}':is:i::i'•i::::::j:iF::::. a.... .. / iasnranee cQ<s, :. any name: address. - ' i '. hone iE - oli x. to siz000u_ iatarance co.:: a fine Faf>ure to secure coverage as required under ties m the Section tornrm of of as STOP WORK ORDER Sine ofGL I can had to the imposition of criminal S10 00 penalties agfainst m�I understand that ar one years'imprisomnent as well as dvII penal copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certi under the pains an penalties of perjury that the information provided above is tru,-an correct Date / 3 Signature - LP l phone# Print name - offlcial use only do not write in this area to be completed by city or town official perinit/license tt ❑Building Department city or town: ❑Licensing Board response i9 required ❑Selectmen's Office ❑checkif immediate q ❑Health Department contact person: phoned; - Other__--, (trimed 9/95 P)A) 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 o.r 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 renewer 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,neithertflu 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 and supplying company names,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 u d you have an ions regarding the `law or if yo being requested, not the Department of Industrial Accidents. Shoal y. y questions g are required to obtain a workers' compensation policy,please call the Department at the number listed below. PEI 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 y be retmmed to be sure to fill in the pernut/liccnse number which will e be used as a reference number. The affidavits may _ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like 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 amce of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 M CMR AppeMis J Table J=Ib(continued) Prescriptive Packages for Otte and Two-Family Residential Buildings Heated with Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Bas=cnt Slab He ating/Cooling Arta'(%) U-value= R-value R value' R-value' Wall pertme w Equipment Efficiency Package R-value° R value' 5701 to 6500 Heating Degree Days' Q 121'a 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 1 38 19 25 N/A N/A Normal Z 18% 0.42 38 13 .19 l0 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL 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 FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table.15.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors)to the gross wall 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 ft of glazing area. Z 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 J1.5.3a. 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 construction. 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 insulation may be substituted for R49 insulation. Ceiling R-values represent the sum of 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. 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. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. "Me 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 bi:.,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. " 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 J5.2.1 a 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 and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table.J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the 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 equal 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 91te Board of Building Regula ons and. Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 123067 Type: DBA Expiration: 12/02/2002 THOMAS EDLDRIDGE CONSTRUCTION THOMAS ELDRIDGE 138 SPRING ST. ' -- HYANNIS, MA 02601 ----- Update Address and return card.Mark reason for change d ❑ Address Renewal Employment ❑ Lost Card ✓sae i�amnravuuea�� o�'�ilfa /auaeaa _ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: - Registration: 123067 Board of Building Regulations and Standards Expiration: 12/02/2002 !I( One Ashburton Place Rm 1301 Type: INDIVIDUAL Boston,Ma.02108 THOMAS EDLDRIDGE CONSTRU THOMAS ELDRIDGE j 138 SPRING ST. HYANNIS,MA 02601 Administrator'' Not My without signature 014, lWad.1jaclWdeffa I - ' Board of Buildin a ulations pOne Ashburton P ace m 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 06/03/1958 Number: CS 059348 Expires:06/03/2002 Restricted To: 1G THOMAS S ELDRIDGE ' It 138 SPRING ST HYANNIS, MA 02601 Tr.no: 26316 " - Keep top for receipt and change of address notification. ,a F BOARS OF,EUILDINO REGULATIONS';" Ucenss .00NBTItUCTION SUPERVISOEt . F`Nwntiir�OS-' 43, 059348 �BlrthdabsrOtTlOGi%1958 , { i4 2002 Tr.no. 26318 's r�# . _ O THOMAS 138'SPRIN0 ST s HYANNIS, MA,02601 Administrator �2 vet 5 4 f 1 I STANDARD LEGEND NOTE:not all symbols will appear on a map 2 GOLF COURSE FAIRWAY ------ ono EDGE OF DECIDUOUS TREES EDGE OF BRUSH 7 ORCHARD OR NURSERY v-vV EDGE OF CONIFEROUS TREES ., MARSH AREA _ 2 2 MAP Z 1 EDGE OF WATER — DIRT ROAD /-- \�— DRIVEWAYL PARKING LOT I��--PAVED ROAD "" _ — DRAINAGE DITCH MAP 190 /O _ �' 'I — — — — PATH/TRAIL 169 _ X -____ PARCEL LINE** MAP no w---MAP# PARCEL NUMBER 354 1 #Ise0—HOUSE NUMBER MAIp 1 /CJ O 2 FOOT CONTOUR LINE O10 10 FOOT CONTOUR LINE 9 MA 210 Elevation based on NGVD29 34 6 >/4.9 SPOT ELEVATION oco STONE WALL -X—X— FENCE RETAINING WALL RAIL ROAD TRACK / STONE JETTY SWIMMING POOL PORCH/DECK ] BUILDING/STRUCTURE DOCK/PIER Q HYDRANT `E) VALVE OO MANHOLE F� ---------- O POST pm 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 O N S Y S T E M S U N I T a SIGN ® STORM DRAIN H PRINTED SCALE:IN FEET *NOTE:This mop is an enlargement of a **NOTE:The parcel lines are only graphic representations DATA SOURCES: Plonimetrics(man-made features)were interpreted from 1995 aerial photographs by The James I"=100'scale map and may NOT meet of property boundaries.They are not true locations,and W.Sewall Company.Topography and vegetation were interpreted(ram 1989 oeriol photographs by GEOD UTILITY POLE n TOWER W E 0 �© 20 40 National Map Accuracy Standards at this do not represent actual relationships to physical objects . Corporation. Plonimetrics,topography,and vegetation were mapped to meet Notional Mop Accuracy Standards a LIGHT POLE O ELECTRICBOX 3 I INCH=40 FEET* enlarged scale. on the map. at a scale of 1"=100'. Parcel lines were digitized from 2000 Town of Barnstable Assessor's tax maps. TNET��y� TOWN OF BARNSTABLE BARNSTABLE. i 9� 0pY- ,e�� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ °f..� ....` .. ..........`�.' a. .. C '......................................... TYPE OF CONSTRUCTION 4!� C(...........!4 /....... ... .. :.'............................. ..................T/.. ?'.................19. ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information:_f Location ...... -1......... .... � �v2 T f�v �'1 ���, .. . .......................... .. ........................ � 1� ^/ - ° ProposedUse ................................. .�'. I- ??.. . .......................................................................................'............................ ZoningDistrict ........................................................................Fire District ..................................................................::.......... Name of Owner ..</� iV�r ..�.... .!di!r kly....................Address ....... .e.....%�� ..........................................................OY� ""f Nameof Builder .................`......i....:'`..............................Address ..................°� ..�...... ........................................... Name of Architect . �"`�� P ! � .Address ...:...................................... Number of Rooms ........... .�............................................Foundation ...........06-o? "x� ... .. .../............. Exlerior ........ .............::......................... .1� v .....................Roofing ........... .. �............................................................. Floors Gfa.r ..........Interior ................ S%"........ ...... . ............................................ Heating ....0../.. ............d��4�...:.4uW.e..1,...................Plumbing �.(��� � � / �ce:�.... .... .............. ....el ...................... Fireplace '. ..........Approximate Cost.................................................... .................................................................. Difinitive Plan Approved by Planning Board ----------__--------------------19--------. / Diagram of Lot and Building with Dimensions T hereby agree t4 conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ........... L.�!'?!°.:.:4%...:...C{.�c.e..... ............................... � ^ Laverty, �rao� ��� � No —. Permit' for .....94A. --- _—. ��u��e .�uzoz�7 �9��1!pg-------. /�/°�l -~ / °' � Location --����t.{���s�.l6`��-------. +....................... ............................... Owner ---.������CL..]�B�#%�3r--..�---' / Type ofConstruction ........frAoe......................... " -----------------^--------'' ' �n / Plot ............................ Lot ---°=-----. �� �� Permit Granted —.�p���---_—'�.�—lA ��� Dote of Inspection .�^{���������A(L�--19 � Dote Completed lq ^ A ^ ^ ` . � . . � PERMIT REFUSED ............ 1p ' ' 1 ............................................ .................................. ^ . ~ . . . \ ' . ..—..^+----.-----------. .--------------.....—.—....-----. ----~---^—'--^--~^^--^—'—''---^' Approved ---------------- 19 --------.-----.------.~~..--. . . . . -----------^---------^'^^^—^`' ` . `