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HomeMy WebLinkAbout1057 SANTUIT-NEWTOWN ROAD l0s7 Sn 4t4_'j N&&v4c:,t6 nq O �P7 ®a8 t ��� I Town of Barnstable Building n t � s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept M" Posted'Untit Final:lnspection Has Been-Made. 6-3 p.� Permit Where a Certificate of Occupancy is Required,such Budding shall Not be Occupied until a Final Inspection has-been,made. Permit NO. B-19-111 Applicant Name: SCARES PEREIRA, EDUARDO COELHO Approvals Date Issued: 01/23/2019 Current Use: Structure Permit Type: Building-Addition/Alteration -Residential Expiration Date: 07/23/2019 Foundation: Location: 1057 SANTUIT-NEWTOWN ROAD, COTUIT Map/Lot, 027-008 p u Zoning District: RF Sheathing: Owner on.Record: SOARES PEREIRA, EDUARDO COELHO Contractor Name ., Framing: 1 Address: 17 HAMPSHIRE AVE Contractor License: I 2 _Est 'Project Cost: $20,000.00 HYANNIS, MA 02601 -' A Chimney: Description: Intall new Kitchen Cabinet Replace Door Install=new Baseboards, ` PermtFee: $ 152.00 Intall new Floor, install new bath cabinets, re Lace same drywalls., Insulation: P Y Fee Paid: S 152.00 and smoke detectors ` � '.Date � 1/23/2019 Final: Project Review Req: R302.3-min.lhr fire-resistance wall assembly from foundation to bottom of roof sheathing w/UL listed Plumbing/Gas penetrations. l l .mac Rough Plumbing: Building Official Final Plumbing: r _ Rough Gas: Final Gas: , This permit shall be deemed abandoned and invalid unless the work authorized by this perm it.is.commenced-within six months after issuance. Electrical 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 structuresshall be in compliance with the local zoning by-laws and codes. Service: This permit shall be displayed in a location clearly visible from access street or,road and shall-be maintained open for public`inspection for the entire duration of the work until the completion of the same. z - Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. final: Minimum of Five Call Inspections Required for All Construction Work: Low Voltage'Rough: 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 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation final: 7.Final Inspection before Occupancy Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 5 fT p Application Number...... �. .. .�. .�.............. 1AIBNME&E, : T001TNI! { ` BARNSTABLE MASS. ` Permit Fee......................... ........Other Fee........................ .J ..: Total Fee Paid............. :... _ . . ...... • t TOWN OF BARNSTABLF- ,.-. Permit Approval by .. on.....� `.�: . ..... �.�.. BUILDING PERMIT' Map... ...� ...........Paroer......... . APPLICATION Section 1 — Owner's Information and Project Location Project Address_ i G Az W&,v/,Village Owners Name Owners Legal Address /_� (/� ,, �S fie,-,� -i4(„� (/ City ,,, N f s State /1"I Zip 0 -9 Owners Cell# 355 0 E-mail ' Section 2-Use of Structure Use Crroup ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet .V ❑ Single/-Two Family Dwelling Section 3— Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar Renovation ❑ Pool ❑ Insulation Other Specify Section 4 - Work Description i A/ S f a L Al i- V k-, 144 PA4 l� t'OLA c P De, d- f f V s_f A L ti P UI bg*fly CA '„V e-f s j 29 DGA C O P ®IAA L./,q S PPPf J /UPCi J�� PCB Ye?C)l- Last updated. 11/15/2018 ,. Application Number........... . : Section 5—Detail Cost of Proposed Construction�0 UG/a 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 ❑ .Smoke Detectors [] Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i 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 in the past? ❑ Yes " ❑ No Last updated: 11/15/2018 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 Legibly Name(Business/Organization/Individual): ���r��?ht( Mkt 1-19// Address: City/State/Zip: w o a a Phone Are you an employerl theck the appropriate bog: 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.❑ I am a sole proprietor or partner- listed on the attached sheet.• 7. ❑Remodeling These sub-contractors have ship and have no employees 8. ❑Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions -� myself � comP o workers' . right of exemption per MGL Y . - 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 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 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 workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy 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 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 co of this statement may be forwarded to the Office of Investigations of the DIA for insurance covera I do hereby certify and h ain penalties of perjury that the information provided above is true and correct Signature: Date: _ Phone#: 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#: 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 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." 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 who 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-contractor(s)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 cant'workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial The affidavit should Also be sure to sign e affidavit. Accidents for confirmation of insurance coverage. gn and date th 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 in 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 roof that a valid affidavit is on file for future permits or licenses. Anew affidavit must be filled out each PP as P 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 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 Industrz.al.Accidents office of Investigations 600 Washington.Street Boston,MA 0211.1 Tel..#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gav/dia WOOD-FRAME FLOOR/CEILING WS4-1.1 One Hour Fire-Resistive Wood-Frame Wall Assembly 2x4 Wood Stud Wall -100%Design Load -ASTM E 119/NFPA 251 1 4 2 3 r 2 1. Framing-Nominal 2x4 wood studs, spaced 16 in. o.c., double top plates, single bottom plate 2. Sheathing- 5/8 in. Type X gypsum'wallboard, 4.ft. wide, applied horizontally. Horizontal joints are unblocked. Horizontal application of wallboard represents the direction of least fire resistance as opposed to vertical applica- tion. P pp PP tion. 3. Insulation- 3-1/2 in. thick mineral wool insulation(2.5 pcf,nominal) 4. Fasteners-2-1/4 in. #6 Type S drywall screws, spaced 12 in. o.c. 5. Joints and Fastener Heads-Wallboard joints covered with paper tape and joint compound, fastener heads covered with joint compound Tests conducted at the Fire Test Laboratory of National Gypsum Research Center Test No: WP-1248 (Fire Endurance) March 29, 2000 WP-1246(Hose Stream) March 09, 20.00 Third Party Witness: Intertek Testing Services Report J20-06170.1 This assembly was tested atn100%design load, calculated in accordance with the 2005 National Design i Specification©for Wood Construction. The authority having jurisdiction should be consulted to assure acceptance of this report. Copyright©2010 American Wood Council January 2009 F - Application Number............................................ Section 9= Construction Supervisor b Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 kCMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and F documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations 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.Attach a copy of your H.LC... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: epi-Aoi�-d Telephone Number FC?6 ?,gg0 Cell or Work Number 67 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 Date Print Name ! ��� Tr���,� N� Telephone Number E-mail permit to: lC 1/�4,1 �A(A Lbn1a.4, l .C OA--7 Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department Zoning Board(if required) ❑ 1 Historic District 0 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 . r Last updated: 11/152018 = II.1I I 1II�.I I.:I.1-1..I�1 I II'I�­-I�II I�.I.k1�.�.�I�­.�-..-:I�II..I.'..I��.�:I�..,.I.�.I I..,�.,I�..­���,I�.:��-I I.II,.i�-II-.,IIII:.l.I��I1..I.�I-.-l-I.1­.,II�..�I I II��'"....�­I-.I...,�.­.��/�'­:�.I.I--.,.,�1­I I'.-Z­1..I 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