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Town of Barnstable i111Cln
rn ost This Card So hat:is Visiblm.thexStreet A roved'Plans Must be Retained onuJo P pp oband this Card MustSAIDW be Kept
' Posted Until Final Inspection Has Been Made.
, Permit
lWhere a Certificate of Occupancy is Required,such Building shall Not be Occupiedruntil a Finalllnspectiort has been,made
Permit NO. B-19-3012 Applicant Name: MICHAEL WOESSNER DBA MICHAEL WOESSER Approvals
GENERAL CONTRACTOR
Structure
Date Issued: 10/02/2019 Current Use:
. Foundation: $oM, III, is
Permit Type: Building-Deck Expiration Date: 04/02/2020
Sheathing:
Location: 123 POND VIEW DRIVE,CENTERVILLE (• Map/Lot: 229-028 �'1 Zoning District: RD-1
Framing: 1to0
Owner on Record: EGAN,DONALD&HOLLANDS,GILLIAN ). Contractor Name: MICHAEL WOESSNER
2
Address: PO BOX 911 ,�.__Contractor License: CS-080957
PIKEVILLE, KY 41502 Chimney:
Est. Project Cost: $ 22,400.00
Description: REPLACE DETACHED DECK BUILD NEW DECK[N'SAME LOCATION Permit Fee: $ 110.00
Insulation:
(SAME DIMENSIONS)ALL PT FRAME,AZEK DECKING 9GREY)ADEK F
POST COVERS COASTAL RAIL SYSTEM i' Fee Paid': $ 110.00 Final
" Date:,.'`f 10/2/2019
Project Review Req: _ Plumbing/Gas
Rough Plumbing:
'Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas:
All work authorized by this permit shall conform to the approved application and the`approved construction documents,for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws"and codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for'pulilic inspection for the entire duration of the
work until the completion of the same. t Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work:j `f
1.Foundation or Footing Rough:.-.._--�n�^'"`�
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before,firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation
Low Voltage Final:
7.Final Inspection before Occupancy
Health
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. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
L4
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
F �. Application Number... �. ...................
• BARNSTnsi.F, •
nsAee Permit Fee:... ....... ........................Other Fee:. ....................
s6
fp�y1fCl
iTotal Fee Paid.....:...............:...:........::........... ......................
TOWN OF BARNSTABLE Permit Approval by. (y
BUILDING PERMIT
...
r n Map... . ... ..... .:.............Parcel...... .��......... ..........
APPLICATION
Section 1 Owner's Information and Project Location
Project Address _X"', Village -I
r
Owners Name � !!l/��
Owners Legal Address:.ril ,
City C �.�>,�v�'lis State Zip 024 3� .
Owners Cell#_So 7, 513 E-mail 6
Section 2 —Use of Structure
Use Group ❑' Commercial Structure over 35;000 cubic f Fet C
Commercial Structure"under 35#0 cubic 5 t
xx
Ingle%Two Family Dwelling
a ;
Section 3 -.TYPe of Permit e, Mi
New❑ Construction ❑ Move/Relocate ❑_Accessory Structure' -❑ Change of use '
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm
Rebuild Deck ,Apartment ❑ Sprinkler System
❑ Addition ❑ 'Re wall ❑`: Solar
El Renovation
. Pool ❑ Insulation
Other—Spec'fy+
-Section 4 -Work Description
( -!5-a2z, <a ��o 1�1s•c t�i�»� i�ant "
/ O.P�sse�tt4 'l���a� :.// 7" If .4 /_tee. Lam, 5f2 ,fie ecs�
r e.+n-Ae+aA. 11/1 CMM Q
Application Number.................................................
Section 5-Detail
Cost of Proposed Construction ,22 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 E. 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
Section 7—Flood Zone..
Flood Zone Designation
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)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed
Side Yard ,. Required Proposed
Has this property had relief from.the Zoning Board inAhe past? Tl Yes ❑ . No
Last undated: 11/15/2018
I ..
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street A
Boston,MA 02111
' www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): 4 c-" za,r 4'A
Address: /_20 �,��r� 1?12 _ Y
City/State/Zip:,P_ Phone#: s'a _ z•s - --
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
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.21'am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling
ship and have no employees These sub-contractors have g• ❑Demolition
working for me in any capacity.c employees and have workers'
t3'• � ,` t 9. El Building addition
[No workers'comp.insurance comp.insurance.
required.] 5. ❑.We area corporation and its 10.❑Electrical repair's 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. 152,§1(4),and we have no 13.�ther/>✓�/�
. employees.[No workers'
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their worker,'compensation policy information
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their worker,'comp.policy number.
I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site
information. t '
Insurance Company Name:�����,Q�r
Policy#or Self-ins.Lie..#: 92 y2 2 2 ' Expiration Date:RIZ91201f
Job Site Address: .e w City/State/Zip: CrA1,,e
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 certify under the pains and penalties of perjury that the information provided above is true and correct
Sieztature •��/�. i Date: R-�2 7/P,5,
z
Phone#• _Sow 92- 47Q3 . �. .
Official use only. Do not write in this area,to be.completed by city or town official
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 AM
r 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 S"an individual,partnership,association,corporatio or other legal entity,or any two or more
of the foregoing engaged' a joint enterprise,and including the legal 'ves of a deceased employer,or the
receiver or trustee of an in 'vidual,partnership,association or other legal ,employing employees. However the
owner of a dwelling house ving not more than three apartments and o resides therein,or the occupant of the
dwelling house of another w employs persons to do maintenance, on or repair work on such dwelling house
or on the grounds or building a thereto shall not because o h employment be deemed to be an employer."
MGL chapter 152,§25C(6)also that"every state or local li using agency shall withhold the issuance or
renewal of a license or permit to o rate a business or to co ct buildings in the commonwealth for any
applicant who has not produced acce table evidence of comp ance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7) "Neither the co onwealth nor any of its political subdivisions shall
enter into any contract for the performance o ublic.work un ' acceptable evidence of compliance with the insurance
requirements of this chapter have been present to the con g authority.-
Applicants -
Please fill out the workers' compensation affidavit co l ly,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es) d phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or L' ' iability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'com ensa*on insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this davit ay be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. o be sn to sign and date the affidavit. The affidavit should
be returned to the city or town that the application f the permit license is being requested,not the Department of
Industrial Accidents. Should you have any questio regarding the w or if you are required to obtain a workers'
compensation policy,please call the Department the number listed low. Self-insured companies should enter their
self-insurance license number on the appropriate ' e. '
City or Town Officials ` -
Please be sure that the affidavit is complete printed legibly. The Deparhn has provided a space at the bottom
of the affidavit for you to fill'out in the event a Office of Investigations has to tact you regarding the applicant.
Please be sure to fill in the permit/license n ber which will be used as a reference ber. In addition,an applicant
that must submit multiple permit/license ap lications in any given year,need only sub 't one affidavit indicating current
policy information(if necessary)and and "Job Site Address"the applicant should writ "all locations in (city or
town)."A copy of the affidavit that has b officially stamped or marked by the city or to may be provided to the
applicant as proof that a valid affidavit is n file for future permits or licenses. Anew affida 't must be filled out each
year.Where a home owner or citizen is o taming a license or permit not related to any busine or commercial venture
(i.e.a dog license or permit to bourn leav etc.)said person is NOT required to complete this vit.
. f
The Office of Investigations would like -thank you in advance for your cooperation and should yo have any questions,
please do not hesitate to give us a call.
The Department's address,telephone fax number:
e CommmwWth of Massachusetts
ffi Department of Industrial Accidents
Office ofI.nvestigatians 5
600 Washington Street
Roston,MA 42111 -
» TO.#617 727-49010 ext 4.46 or 1-877 MA.SSAFE
F Fax#617-727-7749'
Revised 4-24-07 .
- WWW:maw.gov/dia
Commonwealth of Massachusetts
„ Division of Professional Licensure
Board of Building Regulations and Standards
Constr4t iii ry sor
CS-080957 �' 4p.ires: 03/04/2020,
MICHAEL WGESSN .
170 NEW BOSN R ,
DENNIS MA 0268
1(�ISS 3a0�S
Commissioner '
C-4
Office of Consumer Affairs.and Business Regulation
1000.Washington Street - Suite 710
Boston, Massachusetts .02118..
Home Improvement Contractor;Registration r
' Type: Individual
MICHAEL WOESSNER } Registration: 169191
Expiration , 05/25/2021
D/B/A MICHAEL WOESSER,GENERAL CONTRACTOR
170 NEWBOSTON RD
DENNIS,MA 02638 L
r
4 Update Address and Return Card.
1 e's 20M-05/17
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registratidn valid for individual use only
TYPE:Individual ''before the expiration date.If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation ejs '
169.191 05/25/2021 ', ',1000 Washington Street -Suite 710 f
tp
MICHAEL WOESSNER-��,-,�. Boston,`MA 02118 ;
DB/A MICHAEL WOESSER-GENERAL CONTRACTOR
MICHAEL K.WOESSNER
170NEWBOSTON RD ��%wN �(�icGf�i L E
DENNIS,MA 02638 ' Undersecretary Not valid without signature '`
0110111 Town Boundary .-
Cj Parcels FY2018 �J�i..
Address Street Numbers /'� ,,`'�� ,
t
Buildings i' \,
Decks/Patios - ..
"`Zzt
0.0 Above Ground Swimming Pools
OF -_- - .
In Ground Swimming Pools
Paved Walkways '�Y229 027
= Unpaved Walkways # 119
® Stairways
Paved Roads
NNI
Unpaved Roads -
"`' Paved Driveways "'r .- '�$ a Unpaved Driveways ° 3
`- -1 Painted Lines
- Paved Parking Lots
0 Unpaved Parking Lots
Bridges
+ Railroad
�E-- Fences �, ,+.;. (AJ1 ^( -• ,
--�-- Guardrails /' `� t• �`\
SEC
Retaining Walls ass' _
Stone Walls f k
� Y. Other Walls
jj i
239-028 �LE /
\
Hedges
QQ Sports Areas -Y-
.'"",5: GolfAreas
Docks/Piers n
r
Boardwalks
'"'�•' Jetties z ..
a
_,_.......� Streams
— - Drainage Ditches
.,, Marsh Areas -
6 se
_,. Water Bodies „r m .
Spot Elevations(NAVD88)
Topo 10 It Contours(NAVD88) a x .-J
Topo 2 ft Contours(NAVD88) t
Wooded Areas Street Trees -- __
xCatchbasins
Monuments
Lamp Posts
Satellite DishrrL
Manholes ®®
Fuel Tanks
Utility Poles QM Water Tanks a 1
Signs ,
Flagpoles
Data Source Human-made features, Disclaimer This map is for planning purposes only.It is 1 inch=20 f¢et N
Town of Barnstable n dro rah topography,and ve vegetation were ..not adequate for legal boundary determination OFeet
y g p y, g Parcel lines on this map are only graphic q g ry ��`������
Conservation Division interpreted from 2014&2008 aerial photos representations of Assessor's tax parcels.They or regulatory interpretation.This map does no 0 g 10 20 30 4 W E
htto://www.town.barnstable.ma.us and may have been updated from more current are not true property boundaries and do not represent an on-the-ground survey.
From: Michael Woessner<woesmkw@aol.com>
Sent:Wednesday,August 7,2019.10:12 AM
To:glhollands@hotmail.com<glhollands@hotmail.com>
Subject:Deck contract
Michael Woessner General Contractor
170 New Boston Road
Dennis Ma 02638
508-292-4703
Construction supervisors lic.#C.S 080957
HIC registration# 169191
Client .
Gillian Hollands
123 Pond View Drive
Centerville Ma 02632
570-441-3513
Contract
1. Remove existing deck detached from house back of house facing pond.
2. Remove existing Footers facing Pond approximately 13.
3. Build new frame same width and length with existing angles approximate size 24 foot by 16 foot.
4. Install Footers according to building code 12 inch by 4 ft deep facing the pond (there are 4 on the
existing deck). The side of the deck facing back of a house we'll have approved Diamond Pier type Footers
all connections to Footers will be a galvanized Simpson ties. There are also 4 footers under the present
deck midway. Building code will determine the correct number and placement of footers.
5.The frame will be built out of 2 inch by 10 inch pressure treated joist complete double Rim joist.around
complete deck.
6.All joists will be hung with joist hangers.
7. Supports to footers facing Pond Side will be 6" by 6" pressure treated columns. With 6" by 6" cross-
braces Secured with appropriate Simpson ties.
8.The decking will be Timber Tech Azek. The color chosen by homeowner is Slate Gray Azek. Decking will
have a picture frame around the edges.
9.There will be a three sided stainless steel rail system the side facing the house will not need a railing
this is at ground level.
10.The rail system will consist of stainless steel rod top rail, stainless steel coated cable (Coastal rail) with
pressure treated 4" x 4" post with White Azek sleeve with decorative cap. With low voltage light cap this
will be plugged into existing electrical outlet at deck.
11.The perimeter of the frame will be capped with an Azek white board.
13. Contractor to remove and dispose of all job related debris.
14.-Contractor to provide rough sketches of frame for permit any engineering will be reviewed with
homeowner. .
15. Cost of work will be $22,400 deposit of 1/3 Less the initial $1,000 dollar deposit sent with this contract
after building permit approval, 1/3 halfway through and the final 3rd on completion of work and permit
sign off by Building Department.
Sign below if homeowner accepts contract
Homeowner......... .......................
I
Date........ v........ra� ...:. ...CT v t
Contractor"'A.r.' ,4A/��..........
Date.. s� ...,2�1... f.....................
Application Number...........................................
Section 9- Construction Supervisor
Name n Telephone Number 7_
Address l-2 o iv /o�r ®R R City State Zip c 2 4.?-v-
License Number o fro 9.5—2 License Type C-;r Expiration Date zliT2 e,
Contractors Email 6,.b,��, ?k, �u/. e--OA" Cell# _�'�A- 2 51 5P G.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 required by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signatures , Date P/1 2�2o�s
Section 10—Home Improvement Contractor
Name /Yl.�lp_//Ja<rs., s Telephone Number Xof-252 y24rp
Address Ry City State hgw Zip 0_2 63 A
Registration Number //_J/g i Expiration Date
I understand my responsibilities under the rules and regulation's 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.Attac}i'a copy of your H.I.C...
Signature/ ,. :fit r�� Date F-/6 �c�f
Section 11 -Home Owners License Exemption
Home Owners Name:
Telephone Number Cell or Work Number
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.
Signature Date
APPLICANT SIGNATURE
Signature 1_ �� Date k 2 zoo
Print Name Telephone Number S°o,P-Z 92- �i70�3
W0Qr rfw
E-mail permit to: &oo
Last undated: 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, ;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 job)
Signature of Owner date
Print Name
y
Last updated: 11/15/2018
■
0 M 0 MMEEMMEM M NONE No
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