HomeMy WebLinkAbout4803 FALMOUTH ROAD/RTE 28 `I�l03 �-IFLMo �D
Town of Barnstable Building
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PoshisCard So That rt is<U�s�ble From the Street Approved,,Plans;Must be Retamedon Job andth�s Card Must.beaKe t
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Posted ll t ecion Has Been"Made � ;� : �;
1639- � s..'�.. . � .� ,..� p �'.'��..�. '�.. �gym. ;• � �� r � ,: m?�� �°� � ��� � {� � � '� x« �.,' � �c � Permit
Whew CertficateofOccupancy,Ris Regw�redsuch Bdmg shallNot be Occu ieduntilza Final Inspection has tieenmatle u
Permit NO. B-18-3563 Applicant Name: RetroFit Insulation Approvals
Date Issued: 10/30/2018 C Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 04/30/2019 Foundation:
Location: 4803 FALMOUTH ROAD/RTE 28,COTUIT Map/Lot 009-022 Zoning District: RF Sheathing:
Owner on Record: HALLETT,CECILIA P ESTATE OF Contractor Named .,RETROFIT INSULATION INC. Framing: 1
Address: 4803 FALMOUTH ROAD Contractor License 160461 2
COTUIT; MA 02635 a Est Proj?ect Cost: $7,091.00 Chimney:
Y=
Description: 14" layer cellulose open attic,damming,install cellulose to the. Permit Fee: $86.16
sheetrock or plaster ceiling walls of stairwell,Take temporary Insulation:
, Fee Paid $86.16
access to attic,insulate attic door,air sealing;,door kits`and sweeps, Final:
install cellulose to exterior walls,install R-21 closed cell spray foam ;Date � 10/30/2018
insulation to crawlspace perimeter wall, insulate and seala, MVr
• b Plumbing/Gas
crawlspace door with 2 rigid board
01
Rough Plumbing:
Project Review Req: 'A Building Official
t F Y
Final Plumbing:
Rough Gas:
A Final Gas:
� R
Electrical
This permit shall be deemed abandoned and invalid unless the work authorzed by thispermit is commenced within six months after issuance.
All work authorized b this permit shall conform to the approved a IicaYion and the a roued construction documentsfor which this permit has been ranted. Service:
Y P PP PP PP P g
All construction,alterations and changes of use of any building and structure5shall bes n com%pliance withttheloeal zoning by=laws and codes. Rough:
;tom
This permit shall be displayed in a location clearly visible from access street„or road and,shall„be maintained o,pen_for public inspection for the entire duration of the
work until the completion of the same. Final
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough:
Minimum of Five Call Inspections Required for All Construction Work:
1.Foundation or Footing
2.Sheathing Inspection Low Voltage Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspecti n�
5.Prior to Covering Structural Members(Frame Inspection) �( Final:
6.Insulation
7.Final Inspection before Occupancy Fire Department
Final:
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.
Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.Womlack Co.,Inc.
ADJUSTERS AND APPRAISERS
December 30, 2016
Barnstable Town Hall DApr
Building Inspector 'A AI/
To A 04?�1I
367 Main Street W/',/01�
Hyannis, MA 02601
RE- ASSURED: Waiter Hallett Jr. &Cecilia Hallett
LOSS LOCATION: 4803 Falmouth Rd, Cotuit, MA 02635
POLICY NO: 1321829
TYPE OF LOSS: Fire
DATE OF LOSS: 12/30/2016
OUR FILE NO: 16-03897
To Whom it May Concern:
Claim has been made involving loss, damage or destruction of the above-captioned property, which
may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to
be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 36 is
appropriate, please direct it to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
Very truly yours,
Patrick Shea
Adjuster
pts@mccormackadjuster.com
cc: Board of Health
42 Ho[brookAvenue,Braintree,MA 021841-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602
www.mccormackadjuster.com
Town of Barnstable *permit
#
Regulato Seli'V1CCS Expires 6 mon8rs rom issue date
s�axsrAsr.E, ; Fee
s �e� Thomas F.Geiler,Director 1
Building Division
Tom Perry, CBO, Building Commissioner �Q,
200 Main Street,Hyannis,MA 02601 )"
www.town.bamstabid.ma.us
Office: 508-862-4038
EXPRESS PERMIT APPLICATION - RESIED L ONLY 508-790-6230
Not Valid without Red X-Press Imprint
Map/parcel Number 0/ DV
Property Address vet, O R T- Zi $'
['rResidential Value of Wor Od Minimum fee of$35.00 for work under$6000.00'.
Owner's Name&Address
------------
Contractor's Name -
Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
i ,
❑Workman's Compensation Insurance
❑Chec one: lfovo /N C')F BARNS TABLE
Wam a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation,Insurance
Insurance Company Name
Workman's Comp. Policy#
:opy of Insurance Compliance Certificate must accompany each permit. C
'ermit Request(check box)
ETO'Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping, Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value #of doors
(maximum.44)#of windows
*Where required: Issuance of this permit does not exempt compliance with other town departrnent regulations,i.e.Historic,Conservation,etc.
***Note: Property Owner must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construc
required. tion Supervisors License is
.NATURE:
i
TFILESTORMSIbuilding permit formslEXPRESS.doc i
ised 070110 i
The Commonwealth of Massachusetts
Department oflndustrial Accidents
(, L Office of Investigations
i s:Y L 1 600 Washington Street
41
/ Boston, MA 02111
www.mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/PIumbers
A licant Information Please Print LeiziblY
Name (Business/Or ganization/Individual): /
Address: O /—
City/State/Zip: Loto( /1._ _ Phone
Vship
employer?Check the appropriate box: Type of project(required):
employer with 4: ❑ I am a general contractor and I6. '�.New construction
yees(full and/or part-time).* have hired the sub-eontracfors
sole proprietor or partrier listed on the attached sheet.1. 7•. ❑Remodelingdhave no employees These sub-contractors have 8. [� Demolition
g for me in any capacity. workers' comp. insurance. 9. Building additionrkers' comp. insurance 5. 0.We are a corporation and its I0.❑Electrical repairs or additions
�� d.] officers have exercised their
3.L� 1 am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself.[No workeft'.comp. c. 152, §](4), and we have no 12.E] Roof repairs .
insurance required.] t employees.[No workers' l3.❑ Other
comp. insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'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
1contractors that check this box must attached an additional sheet showing the name of the sub-contracton and their.grorke7s'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: 7 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 criminal penalties of a .
fine up to$1,300.00 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 maybe forwarded to the Office of
Investigations of the DIA for.insurance coverage verification.
I do hereby cerd under t pains nd penahY, f perjury that the information provided-above is true and correct
Si mature: Date: OZ.W
Phone#:
Ogicial use only. Do not write in this areai,to be completed by city or town offx&L
City or Town: - Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3: City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector
6.Other
J
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 emyloyer 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."
• 5
MGL chapter 152, §25C(6)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 wbo has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry'workers' compensation insurance. If an LLC or LLP does have
employees,a policy is Tequired. Be advised that this affidavit 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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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 m the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as roof that a valid affidavit is on file for future permits or licenses.
pp proof p � ens s. Anew affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc. said person is NOT required to com Mete this affidavit.P ) P 9 P � �•
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
Office of Investigations' '
600 Washington Street
Boston,.MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
1
• t
���•rl•tt:ray .
Town of Barnstable
Regulatory Services
i Thomas F.Geller,Director
gb .1bg Building Division
QED Tom Perry,Building Commissioner
200 Niiiri-Strcat; Ayanais, MA 02601
. n•wsr.fo�bu•astable_ma..us
Office: 508-962403 8 Fax: 508-790-6230
HOMEOWNER LICF.A`5E EXEMPTION
plrlse Print
DATE O
JOB LOCA'nON: / AT �-
number
`,� strce! village
'�-1oMEowNER•': ��i�`t ,Z�-��'S .5'�'�'- ���a �i��� .
name
hmne phone dt work phone# .
CLIRRFNf MAILING ADDRESS:
eityhown state Zip code
The aurent exemption.for"homeowners"was extended to include owner-occupied dwellings of six its or less and
to allow homeowners to engage an individual for hire who does not possess a license,provided that tl` owner arts as
super visor.
DEFINITION OF HOM rOWhMR -t-
Person(s)who owns a parcel of land on which he/she resides or intends to reside, an wliich.thcre is, or is intended to
be, a one or two-bmi[ly dwelling, attached or detached struetarts accessory to such use and/or faun stuuettre.s. A
person who constrgcts mare than one home in a two-year period shall not be considered a bomeowner. Such
"homeowner"shall submit to the Building Official on a.form.acceptable to the Budding Official, that he/she shall be
resyoristble for all such work performed under the building permit (Section I09.1.1).
The undersigned`homeowner"assumes responaility for compliance with the State Building Code and other
applicable codes, bylaws,rules and regulations. .
The uundcrsigncd"homeowner"certifies tbat.hc/shc.understands the Town of Barnstable Budding Department
r,,;,,;m„r„inspGetion procedures and r=piir acts and that he/she will comply with said procedures and-
k i 4
r Of Cln7edY1T7 -
Approval ofButlding Official ,
Note: Tbree-family dwellings containing 35,000 cubic feet or larger will be required to courply with the '
State Building Code Section 127.0 Constrnctibn Control.
' HOI�OWKER'S EXEMPTION
The Code states that Any hornww rrpeforn ing work for which a building permit is required span be exempt$inn the provisions
of this section(Soeticn l D9.1.1-Licensing of construction Supervisors);provided that if the homeovmrr engages a pasoa(s)for biro to do such
work,that s�uCch liomeown a shall act as supervisor'•
Macy homeowners who use this rscmption'arc unaw=that they arc assurning the rasponsrbDitics of a supervisor(see Appendix Q,
Rules&Regina dons for Licrminz Consimcd n Supervisors,Section 2-15) This lack of awareness bfl=t=lts in serious problems,particularly
vhcn the homcownc hires unliernsed pawns. h,this case,our Board cannot proceed against the tmlieensed person as it wmtld with 1:liccnscd
;upavisor. The hameowo er acting as Supervisor is ultimately responsible
To errs=that the homeowner is fury awnoc of hislhe-nz mmu sponnbilitics,many conities regrm-e,as part of the perrrit application,
tat the homeowncr citify tbat belshe understands the rrsponnbilitics of a Supervisor. On the last page of this issue is a.form currrnt)y used by
:veral towns. You may care t atrrnd and adopt such a forrrnJecrt:iBcx cn for use in Your commLmity.
'x
Town of Barnstable
a
Regulatory Services
Thomas F.Geller,Director
Building Division,
Tom Perry,BuiIdiag Commissionef
200 Main Street,Hyannis,MA 02601
www.town.barnstab le.ma.us
Office: 508-862-4 03 8
Fax: 508-790-623 0
Property awnerMus t '
_ Complete and Sign This Section'�
If tJsin�A Builder
.10
X , as Owner of the subject property
hereby autho ' S'
to act on my behalf,
M all matters relative to wQrk authorized by this building permit application for.
(Address of Job)
Signature of Owner Date
If Property Owneris applying forpernzitplease complete. the
Homeowners License Exemption Form on :the reverse side.
Town of Barnstable
optt+e
. Services
r�
Thomas P. Geiler,Director
• Building Division
BARNSrABLE, w
y MAss,• Tom Perry, Building Commissioner
t63q: �0
arFo�pta 200 Main Street, Hyannis, MA 02601
www.tovvn.barnstahle.ma.us
Office; 508-862-4038 Fa 508-790-6230
Approved
Fee
Permit#:
HOME OCCUPATION'REGISTRATION
Date
Name:%J.�/G' 1�-c-G� �Yli� Phone 9: ,6eF
Address: Village: Lowe ko
Mime of"Business:_ �? ,r f�2 _;� lzd111/_� __ A�hla 4e —
(hype of Business. /j' / Map/Lot: 6��
INTENT: It is the iuteut of this section to allow,tlie resideuts of he'17mvu of Barnstable to operate a honie occupation
iirithin single family dwellings,subject to the provisiolts of Section 4-1.4 oldie lolling ordinance; provided that the acti6fy
slllll not be discernible from outside the divelling: there sliall be no Increase in noise or odor; 110 Visual alteration to the
premises lvllic:h rvOLIld suggest anything other than a residential use;no increase in traffic aboe%e nprrnal residential volumes;
and no increase in air or-groundwater pollution. _
After registration itritlr the Building hlspector,a customary'home occupation shall be permitted,as of right subject to the
foltowiilg conditio(ls:
• The actierity is carried on by the permanent resident of a single family residential chvelling unit,located mthili
that dwelling unit..
• Such use occupies no more than 400 squa-l-e feet of space:
There are no external alterations to the chvelling ivliicli are not customary in residential buildings,and there is
uo outside evidence of'such use.
• No in,[Tic will be generated in excess of normal residential volumes.
The use does[lot involve the production of offensive noise, vibration,smoke;dust or oilier particular lnat(er,
odors, electrical.disturbance, heat,glare, humidity or Wittier objectionable effects.
There is uo storage or use of toxic or hazardous materials, or flammable or explosive materials, in excess of
normal household quantities.
• Any need for parking genented by such use shall be met.011 the same.lot c•ontaiuirrg the Customary Home
Occupation;and not«Rhin flee required front yard.
• "There is no exterior storage or display of'materials or equipment.
• "There are no commercial vehicles related to the Customary Home OCUlpatl011,other than one van or one
t� Hick-up truck not to exceed one ton capaci(y,and one trliler not to exceed 20.feet iu lenk;tlr and not to
1 exceed &tires,parked oil the same lot containing the Customary Home Occupation.
• No sigh
"shall be displayed indicating the Customary Honre Oc•cupatiou.
• If the Custoliiary Uo lie Occupation is listed or advertised as a business,the street address shall not be
included.
No person shall be employed in the Customary Honre Occripatiorl ti•ho is'not a permanent resident of the
divelling uliit;
1,the undersigired, have read and agrreee�%itli the above restrictions for any holtle occutation I and regis(erill.q.
tlpplic init /�' Date: Z�/b
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate:ONLY REGISTERS YOUR NAME in town.(which . `
you must do by M.G.L.-it does not give you.permission to operate.) Business Certificates are available at the Town Clerk's Office, lot FL.,367
Main Street, Hyannis;MA 02601 (Town Hall)
DATE: Wo l0 Fill in please:
a APPLICANT'S YOUR NAME/S: t�lz
BUSINESS YOUR HOME ADDRESS:r
a Csi l J V;.t r/ _ 3 5
v., f TELEPHONE # Home Telephone Number UU L/
NAME OF CORPORATION: j
NAME OF NEW BUSINESS P_Ged n TYPE OF BUSINESS
1S THIS A HOME OCCUPATION? YES NO _ ,ik� ,3
ADDRESS OF BUSINESS i 1 F , ` MAP/PARCEL NUMBER (Assessing)
When starting a new business there are several things you must do in.order to be in compliance with the rules and regulations C of the 1"o R of
Barnstable. This form is intended to assist you in obtaining the information you may need-. You MUST GO TO 200 Main St. (corner of Yarmouth
Rd. & Main Street).to make sure you have the-appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COM ISSION 's OFFICE V Od VETS
T COMPLY WITH HOME OCCUPATION
This individ�y I ha b n nforne o y p rmit e uire nts that pertain to this type of bu AND REGULATIONS. FAILl1RETO
At+th ize Si nature * lPC()MpLy MAY RESULT Ifs! I^I�l �.
12BOARD
MENTS:U -- T(�
OF HEAL
This individual has en informed of the per it requir ents that.pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has n in e of the licensing requirements that pertain to this type of business
Authorized Signature*
COMMENTS: