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HomeMy WebLinkAbout0848 STRAWBERRY HILL ROAD ��� �. a 'i R a 4 i I 9 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 9 Parcel Application # Health Division Date Issued 3`d Conservation Division Application Fee _ Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 0A Ir✓ l Village fi/1 Owner ;[/(, ULO idv Address l Y*-4 c.. Telephone - 7iY '41- r411 Permit Request /(//--iv -Elo if (11 TJ n Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 17,120 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 ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ 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 0 w Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ®;Yes© No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ rreLw s- o. Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ PQ Commercial ❑Yes 4lo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J o 5 W Telephone Number -7?9 - 2 3,�' 612 Address ,�J, /9v S 7' License #_0 C6z"Ite- AIA Home Improvement Contractor#Enn aila 0 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a17-&' l�v' SIGNATURE DATE 1� 4 FOR OFFICIAL USE ONLY - y APPLICATION# DATE-ISSUED - MAP/PARCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: ,rFQUNDATION+� =x4,� K[. 3t t �s • FRAME INSULATION t+.t ,r kok)LA ,•, - A 1 FIREPLACE ELECTRICAL: . ROUGH FINAL - - - - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL '4 FINAL BUILDING:. DATE CLOSED OUT' ASSOCIATION PLAN NO. t The Commonwealth of Massachusetts Department of Industrial Accidents IV Office of Investigations 600 W askington Street Boston,MA 02111 wwm ma-&Lgvu!dla Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Apiplicant Information tc / Please Print 'b Name(B Name p�T_ L'1 p Address: /%KJ City/state/Zip: 626�ZPhone,,�- Aire you an employer?Check the appropriate box Type of project(required):1.El4.I am a employer with ❑ I am s general contractor and I 6. ❑New won. employees(full and/or part-fime).* have hied the sub-c�ors 2 I am a sole proprietor or partner- wed on 1he attached sheet 7. g Remodeling slop and have no employees Tie sub-contractors have g_ ❑Demolition working Ycapacity.for me in an employees and have ems' 1 9. ❑Building addition tu�[No workers' comp.insance comp.insurance. required] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers ha-Y a exercised their 11..❑Plumbing repairs or additions nVsel£ [No workers'comp- right of exemption per MGL 12.❑Roof repairs insurance required.]1 c.152,§1(4),and we have no employees [No workers' 131:1 Other comp.insurance required]. *Any appti,c=that checks boa#1 nmst also fill out the sec@on below showing ire¢workers`compensation policy iafm cation. I Homeowners wbo submit this affidavit indicating they ale doing all wmk and then hue outside contractors mast submit a new affidavit mdkAtmg s acb_ tContmciors that check this boa must attached an additional sheet showing the name of die sub-contractm and state whether or not those Entities bzve employees. If the sub-contractors have employees,they must pmvide their workers'comp.policy number. I am an employer that ispmsiding x,orkers'compensation insurance far my engAWees. Be-low 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 oferiminal 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 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 dLe,,DIA for insurance coverage verification. I do hereby c r derthan 'ns dF raldes ofperjury that the information provided a e is and correct Signature0-': Date: Phone#: `2 43 OBIM"-al use only. Do not write in this area,to be campleted by city or,town official. City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Budding Department 3.Cigaown Clerk 4.Electrical Inspector 5.Plumber Inspector 6.Other Contact Person: Phone#: 6 Office of Consumer Affairs&B 1 usmess Re gulation HOME IMPROVEMENT C License or registration valid for individul use only Registration:, CONTRACTOR before the expiration date. 14288t If found return to: Expiration: 5/28f201q Type: Office of Consumer F= ---_—" DBA Affairs and Business Re W 10 Park Plaza-Suite 5170 gulation T BAY BUILDERS - � { y Boston,MA 02116 i JOSHUA WILSON-� 34 MAIN STREET CENTERVILLE,MA _ �Undersecretary 40tal' without signa ure u APAL rviassachusetts -Department of Public Safety .Boardof.Building-Regulations and Standards . Construction'Supen isor License: CS-082213 ._. JOSHUA D WILSQ'N . �• *` 34 MAIN ST Centerville MA 026321. l " . i� "'•gyp;. \: C.omm.,issioner 06123/2014 �VE Town of Barnstable Regulatory Services BUM * Thomas F.Geiler,Director ' 1639. � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, &,sr, , as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit. y�S�r �✓er�j'k;�/ / �eH�`�rGi/Ie /�� G263 (Address of Job) **Pool fences and alarms are the responsibility of the applicant.' Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature_od Owner Signature of Applicant !J�'lli�� �sa�wz/ye �� ��%19r� �So��.ei4,P Print Name Print Name Date Q:FORMS:OWNERPEPMISSIONPOOLS 62012 e •a Town of Barnstable Regulatory Services ' eAanA`S ` Thomas F.Geiler,Director r 639. 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 HOMEOWNER LICENSE EXEMPTION q_ x� f�o�3 Please Print DATE: JOB LOCATION: number street village .HOIv>EowNEx: !✓i�//�,N.a 56W_&e1;y e name C' < ,L home phone# / work phone# CURRENT MAILING ADDRESS: d y d �//�!(/� Ce h fe,, i/!P i✓1 Oo2�32 cityhown 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 re ements and that he/she will comply with said procedures and requirements. '1✓G�� Signature ofHom owner 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 cannot 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. C:\Users\decolldc\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EX?RESS.doc Revised 053012 3 Dote t uc(� v� LU5200 �p�t�LE 6�szANt� i 5 US��J J -�LID a I Sz S - u2 Li J i €Z :h lid. 9Z d3S (101 g 1ovisave d0 N Ol D ^ . .. � M HOME 1MPROVEMENT CONTRACTORS RE6ISTRATION 8oardof Building and Standards ° . One Ashburton Place - �oom 1301 ! Boston, Mastizachusetts 02108 IMPROVEM �NT CONTRACTOF�: ' ;tration 100740 Expiration 06/23/94 � - PHIVATE CORPORAT[ON �c` ` HOME IMPROVEMENT CONTRACTOR Registration 188/4W Capizzi Home lmprovem��nt , ] nc . ^ Type - PRIVATE CORPORATION Thom0�s Capizzi , Sr . Expirmtimm 66/23/34 1645 Newton Rd. Capizz/ Hose lmp'ovmmmot, In( Cotuit MA 02635 lhosao Capisi/ Sr. 1645 Newton Rd. m/MI°IS'"~"" �o:mt MA u/u/o � � ` ` - ~ ' ` . � � { -T. Assessor's office(1st Floor): •7� /� _ / / L/� Assessor's map and lot number p( y (� OS Conservation w � w Board of Health(3rd floor): • Sewage.Permit number t DASM"& 9 ! � rua Engineering Department(3rd floor): �o 039. \�d° House number fit°r�r a• Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN - OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO I TYPE OF CONSTRUCTION — 24e-� L tX--J' 19 5X--3 TO THE INSPECTOR OF.BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2�lit� GG Proposed Use. Zoning District Fire District Name of Owner Xle? I' ��GG1//�irJ ,�(/GfIL�//1/E Address �B�iP/ /� Glx�" Name of Builder Address 41- Name of Architect Address `�— Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area e -6 , Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin e a ove con ut ttion. Name Construction Supervisor's License /eq O ,ram SOUWEINE, _WILLIAM F No 35625 Permit For Reshingle Roof Single Family Dwelling Location 848 Strawberry Hill Road t Centerville �. Owner William Souweine Type of Construction Frame Plot Lot Permit Granted January 25 , 19 93 Date of Inspection 19 Date Completed 19