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HomeMy WebLinkAbout0184 SCHOOL STREET ..__. + O e G � U 3 1 t 184 SCHOOL ST. C.OTUIrr,... , .,- ELECTRICAL PERMIT HAS EXPIRED AND REMAINS UNFINALED FOR THE 'KITCHEN REMODEL f PERMIT NUMBER 20061778 { oFt lo,,, Town of Barnstable ti Regulatory Services BARNSTABLE, » ' MASS. Thomas F. Geiler,Director 1639. `0� A Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us E Office: 508-862-4038 Fax: 508-790-6230 { RE: 184 SCHOOL ST. COTUIT OUR RECORDS THE FOLLOWING ELECTRICAL PERMITS DOES NOT f HAVE A FINAL INSPECTION #20061778 ELECTRICAL PERMIT EXPIRED FOR WIRING OF. REMODELED KITCHEN ' - T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel V�9 Application# �� Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee 57, a Date Definitive Plan Approved by Planning Board Historic-OKH-�Ik Preservation/Hyannis Project Street Address - �T Village QXITLA T C72,63S Owner11'3ogeYrC r10 T-I)ft 4 Address 6A-M iE Telephone C-a2K (505—) b_s -QOQ 1 kxyvt� (505) ±yb—ILL-83 Permit Request _RevScNPM cf -y QE Aft t77�� V,gzi7 "?)rTP4 .� Square feet: 1 st floor:existing-1 0 proposed _ 2nd floor:existing 5, proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �UVV Construction Type &k5b__M Lot Size 66 LSr Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family k5, Two Family ❑ Multi-Family(#units) ; Age of Existing Structure ZS Historic House: ❑Yes .CWJo On Old King's Highway: ❑Yes 06,No Basement Type: Wull ❑Crawl LIN%alkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) /o Number of Baths: Full:existing z- new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new_ First Floor Room Count FR-W Heat Type and Fuel: ❑Gas O.Oil ❑Electric ❑Other Central Air: ❑Yes LQIo Fireplaces: Existing OPJ6 New Existing wood/coal stove: ❑Yes �E"o Detached garage:0 existing ❑new size Pool:❑existing ❑new. size Barn:❑existing ❑new-size: Attached garage:o�existing ❑new size Shed:0 existing ❑new size Other: f M- ); r e Zoning Board of Appeals Authorization ❑ Appeal# - -Recorded❑ Commercial ❑Yes O PNo If yes,site plan review# G `_ Current Use ,LT?\e'-i Qn4M J1L Proposed Use �E BUILDER INFORMATION PfvOQeFrr Name 4 . Telephone Number (SQ)) a 0001 Address I St+ cSQ-4-tML Sr License# CS 104&l04 81 Home Improvement Contractor# /d®13l M.4 O2-la 3 S Worker's Compensation# tl8 9-71 1 o&Qj ALL CONSTRUCTION DE RIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CIISet AS V-0-S?E SIGNATURE DATEU1�Y FOR OFFICIAL USE ONLY { PERMIT NO. DATE ISSUED ' b tMAP/PARCEL NO. .ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME o�z ��0 y4 /Qj1Z INSULATION ap,9 1Q Yam— r FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, AM 02111 '�H 5•�'i www.massgov/dia Workers' Compensation Insurance:Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibiy Name (Business/Organization/Ilidividual): no�CR—f Address: �.0• x 133 184 SG-IaoL ST. City/State/Zip: Cjr��i-f 1`�1(� Q2: Phone #: (SDS �Z$-000 1 Are you an employer? Check the-appropriate box: Type of project(required): 1.❑ I am a employer with 4. 1 am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• K Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working .for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑.We are a corporation and its required.] officers have exercised'their 10.❑ Electrical repairs.or additions 3.❑ I am a homeowner doing all work right of exemption per MGL .. 1 I.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.}t employees. [No workers' 13.0 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 suck tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'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: _ZukRiCVA — APAGi:;,>iCAtJ Policy#or Self-ins.Lic. #: 1 (tA 611 Expiration Date: 0"1 Job Site Address: Igit SCHOL �Sr- City/State/Zip:��InR 02435 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. 15.2 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as.11vil 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�ap3of this statement may be forwarded to the Office of Investigalions of the DIA for insurance coverage verification. 1 do hereby certi nd th pain nd nalti s of perjury that the information provided above is true and correct: Signature: Dater 111 c/o o Phone#: �50e) b=-B Goo I 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#: RightFax Hartford 6/15/2006. 9:24 PAGE 004/014 Fax Server \YY) ` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MYCOCK INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 20 SCHOOL ST ALTER THE COVERAGE AFFORDED BYTHE POLIC'JEj BELOW. PO BOX 437 COMPANIES AFFORDING COVERAGE COTUIT MA 02635 COMPANY 297SB p AMEgICAN ZURICH INSURANCE COMPANY INSURED COMPANY PADGETT BUILDERS INC B PO BOX 133 COMPANY COTUIT MA 02635 C COMPANY D COVERAGES. .... THIS IS TO CERTIFY THAT THEP• I... POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE(MM\DD\YY) DATE(MM\DO\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE a OCCUR. PERSONAL&ADV.INJURY OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ ARE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per Accident) $ PROPERTY DAMAGE $ GARAGE UABILTY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ fUMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM KER'S COMPENSATION AND STATUTORYLIMBS AfLOYER'SLIABILITY (LIB-9716A67-7-06) 06-01-06 06-01-07EACH ACCIDENT $PROPRIETOR! INCL DISEASE-POLICY LIMIT $NERS/EXECUTIVECERS ARE: EXCL DISEASE—EACKEMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. .GlTIF#CA' }#QE.t} F€ GA# ELi ATCt}D1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING INSPECTOR LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR 367 MAIN STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS MA 02635 AUTHORIZED REPRESENTATIVE ........... ............ Ai €�75 S. �J93)':..;. ::• :;.'.:; ; ...: ORC3G�? {{ 00-35,000 cf enclosed space 1 (MGL C.112 S.60L) 1 1A-Masonry only 1, ( ✓�ze �a7�nzaruuecr o��/e��na�ezc/zuaelld i , I-1&2 Family Homes 4 . x BOARD OF BUILDING REGULATIONS 4 ,Failure to possess a current edition of the It I License: CONSTRUCTION-SUPERVISOR I Massachusetts State Building Code F I r r I is cause for'revocation of this license. I { t ,. Number- CS O48859 i Bi h to�22/1944 f k Q '2/2008 Tr.no: 17133 'Rtstrieted1S�/rya/ i t ' r ROBERT R PADGETT , /<' i , � DIG SAFE CALL CENTER: (888)3444233 + 184 SCHOOL ST%FAO COTUIT, MA 02635 , 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: '' ; Board of Building Regulations and Standards Registrationa,1:00131 One Ashburton Place Rm 1301 ' Expiration 619/2008 r Boston,M . 2 08 Type Pnvate Corporation PADGETT BUILDERS INC ' Robert Padgett PO Box 133/184 Not valid without signatt Cotuit,MA 02635 DeputyAdministrator 1 °ftHE Tw,, Town of Barnstable Regulatory Services • BARNSfABLE, 'Ass. Thomas F.Geiler,Director A�f,6": � Building Division F Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT t HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: &TfrN Ttbh) OF kQ'CAe)e J d-j A- H Estimated Cost SS,Jzj ^ Address of Work: 54-Ptj23L 0 71_ ( InA 0-6 35 Owner's Name: J) Date of Application: 0i ZO D� 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 OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED U>JDER PENALTIES OF PERJURY I hereby apply for a permit as the agent f e o er: . 1 .o o� a© t 3 Dale Contractor ignature Registration No. . 11to104 Date Owner's SignP Q mpfiles.forms:homeaffi day Rev: 060606 I Town of Barnstable �`OFTHE T�~�•� Regulatory Services BARNSTABI.E, Thomas F.Geiler,Director 9 MASS. %639• Building Division RFD MA't s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: � � �aWD //►►� ��,,,,�� JOB LOCATION: number street �p village "HOMEOWNER": IMar,.r1z, T,.,Ea �Zi�^L�� C>00' name home phone# p work phone# (� CURRENT MA LJNNG ADDRESS: �t d 1 C3 ),( 1ls 3 l�� ���IR�ST Co-QkTT MA M2�e35 city/town state m 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 hue 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 of 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 d rsigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department pection oc ores and requirements and that he/she will comply with said procedures and req m ts. Si afore of Homeowner 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: r , Q:forms:homeexempt Table JS.Zlb(continued) Prescriptive Packages for doe and Two-Family Residential Buildings Heated with-Feratil Fuels MAXIMUM MINIMUM Glazing Glaring Ceiling Wall Floor Basement Slab Heating/Cooling Area'(Y.) U.value' R-valuel R-value' R-value' Wall Perimeter Equipment Efrtciemcy' Package R-value° R-value' 5701 to 6500 Heating Degree Days' Q' 12% 1 0.40 38 13 19 10 6 Normal R 12% 1 0.52 30 19 19 A. 10 6 Normal S 12% 0.30 38 13 19 10 - 6 85 AfUE T i 15Y• 036 381 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 23 NIA NIA 15 AFUE w 15% 0.52 30 19 19 10 6 85 AFUE X 18% 1 032 38 1 13 1 23 N/A NIA Normal Y 18% 0.42 31 19 25 NIA N/A Normal Z 18% 0.42 38 13 19 l0 6 90 AFUE AA 18% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: U SCHML. u1, 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 19 4. %GLAZING AREA(#3 DIVIDED BY#2): (O 5. SELECT PACKAGE(Q--AA-see chart above): 2e-rY)atDt:-i. F12sT Ft t--17C44ta,.i ArJb 1it-7-rI►,Sq r=ia!tir FwaZ- -&TW NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 1 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $ 50.00 e Change of Contractor/Builder $25.00 rr FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x-.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE d, f Q square feet x$64/sq.foot= x .0041= + 9 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x .0041= ACCESSORY STRUCTURE>120 sq. ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 �of,MEl Town of Barnstable ~' Regulatory Services 'r MUss. '$ Thomas F.Geiler,Director i619• ,0 Bnilcling Division. Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA M601 www.town.b arnstabl e.ma.us office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as.Owner of the subject property hereby authorizezne��Z' J��� ' to act on my behalf, in all matters relative to work authorized by this building permit application for. aEgll= ST-1 C4TELT, -T!A- 02-(o 3& (Address of Job) ignature of Owner Date a PYVM Print Name Q:FORMS:oWNERPERNCS SIGN , - , . t, I v : 1 - i ' i I _ I I I I. . I x _ : I a uJf? • I L ff_�144 -777771 745 F aswBT - -Xa I y : I �J I G -; 49 70 / 1?0 .5 n , i. Z - PF 8 � i E ���5T /ti 5y Supply New England's �.30 �r v3330 uU Z�x� _ Y• T ICtL11C y a. : I'v r F : x _ r • �� � _. . Kitchen & Bath Gallery - Hyannis Kitchen & Bath Gallery - Falmouth Kitchen th a ry- )"dgartown Kitn&3'd[h Galle PI mouth tr._et �ddres� �2 c o .. lyrz Rt. 28, 349 lyanough Road 556 Main Street ry y Kitchen & Bath Gallery Uxbridge Kitchen & Bath Gallery-Warwick 7 5 25 Eastline Road 100 Armstrong Road. 582_Quaker Highway 361 Jefferson Blvd. r. Hyannis, MA 02061 Falmouth, MA 02540 Edgartown, MA 02539 508. 790.2259 508.457.9720 9 Plymouth, MA 02360 South Uxbridge, MA 01569 Warwick, RI 02887 508.6.,6.9930 - 781.585.7900 .: - 508.278.7761 401.739.8147