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HomeMy WebLinkAbout0046 INDIAN TRAIL I IIII ��gECYCIfOrO UPC 12143 0 �� Now HASTING9.ON a i - _ __ ____�__s _ ���� � _._ __ .. ..__ _._ _ _--�- ------ T �'( 2� 2� .�T-r-c c� -�kc�sS � ���( _-� _� TOWN OF BARNSTABLE`BUILDING PERMIT APPLICATION Map 310 Parcel 4/4 � Permit# '37 q(o cf. Health Division �� 7� 3 z, 1' Date Issued. Conservation Division t j Fee Tax Collector Treasurer 57SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE ttt Planning Dept. p,v WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND Historic-,,OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address Village' Coy te-r.vi/I a ; r ' Owner , a Sid v Teo��ern, ; {' Address S(o Clete W,pftew J)n , f,U LSZ-C,rm Telephone 7-75-- 9,6 1/9 Permit Request Remove PZoc?' 40.D '6� Up F/cru,� j Square feet: 1st floor: existing 768 proposed_ ` 2nd floor: existing proposed 23�) Total newer Estimated Project Cost 435-.ilco Zoning District Flood Plain Groundwater Overlay Construction Type akep Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. - Dwelling Type: Single Family, ;4 Two Family .❑ Multi-Family(#units) Age of Existing Structure ay Xgs Historic House: ❑Yes ' ;(No On Old King's Highway: ❑Yes No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _ Qd Basement Unfinished Area(sq.ft) 7 69 Number of Baths: Full: existing' / new / Half:existing ar new 0 Number of Bedrooms: existing_ new AV 1 Total Room Count(not including baths): existing new a First Floor Room Count Heat Type and Fuel: 0 Gas. N(Oii ❑ Electric ❑Other Central Air: ❑Yes gNo Fireplaces: Existing / New Existing.wood/coal pstove: ❑Yes No 9 _ -Detached garage:❑existing Cl new size_ Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size _ Shed:❑existing ❑new 'size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 31547 40 a 2,1P*ynz,2 Telephone Number .SaB -7178- 99171 Address 3S Lt,14o�Lte zw 4L License# CS o 9 A36 i AW.9 cps 6 73 Home Improvement Contractor# 1zi 208 2 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE - DATE t t _ C r FOR OFFICIAL USE ONLY a PERMIT.NO. DATE ISSUED MAP/PARCEL NO. 1 , ADDRESS _ VILLAGE ��r` + �-'i - ' t'� .. 5• .. � /'+ r � a: '" .. OWNER DATE OF INSPECTION FOUNDATION 5 � t FRAME q1/2L INSULATION T � FIREPLACE ELECTRICAL: ROUGH FINAL• 4 PLUMBING: ROUGH _u FINALdq - ,? ir .+ GAS: ROUGH A} - = rC? FINALok FINAL BUILDING ',� ® mwc, ' _( r 7 �A } DATE CLOSED OUT + 4 _tr N 0 oc m - ASSOCIATION PLAN NO. r M i r ,•f J - t The Town of Barnstable • a�aHgcw� • 1 9. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 ; Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner i Permit no. Date AFFIDAVIT 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: • J,.Jo Floon ✓,op,s c) Estimated Cos 6-5- Ow Address of Work: Owner's Name: Date of Application:_ 9? I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under S 1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WrM UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Datd Contractor Name Registration No. OR Date Owner's Name g1orms:Affidav - --_ The Commonwealth of Massachusetts ......�� Department of Industrial Accidents a ce olinyestigatioes 600 Washington Street �i Boston,Mass. 02111 Workers'/ �%'pi�nsatit) name: obevzlrt"Vrir location: city f'e.vrryt v,*//4+ /Zi9 phone# SM- 77A- A/'�l ❑ I am a homeowner performing all work myself. I am a sole pro rietor and have no one working in any capacity %/%%%%%/%/ %%/%/% %%/////%%///%%% �% ❑ I am an employer providing tivorkers' compensation for my employees working on this job. company name address: city phone#: insurance cn. nnlicv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the folloning workers' compensation polices: company name• address: city: phone#- msurnnce cn. olicv# company name- :;:>::;;:•;:...:.: address: - city- phone#: insurance co. ::.: olicv# Failure to secure coverage as required under Section 15A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the OMce of Investigations of the DIA for coverage vetincation. I do herebv certify under the airs and penalties of perjury that the information provided above is tru,-and correct Signature —.Pate �a _ Print name o%r� O1�elri+/�+�.ye/1 Phone# -�8 77R— 95�'�J o fficially do not write in this area to be completed by city or town ofttcial permit/license# ❑Building Department ❑Licensing Board mediate response is required ❑Selectmen's Office❑Health Departmentn: phone#; ❑Other (Mm"a 9%95 PIA) Information and Instructions } , Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as eve ..:�, P every Person in the service of another under any co=- 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 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renews: 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,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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 resumed 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. City or Towns 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. The affidavits may be retuned io the Department by mail or FAX unless other arrangements have been made. The Office of.Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Deparuneat's address,telephone sad fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Invesugauans 600 Washington Street Boston;Ma. 02111 fax#: (617) 727-7749 phone #: (617) 7274900 ext. 406, 409 or 375 . • ; . � ✓fie TOa�nmzaiuura�i o��vcaadac�iuJelGt ( _ . DEPARTMENT OF PUBLIC SAFETY 1 CONSTRUCTION_SUPERVISOR LICENSE Nu�ber Expires: �. Restricted To 11 s' JOHN E :d$ERLANDER I( Oros/' 36 WASHINGTON AVE .� W YARMOUTH, MA 62673 G✓/�e i°oo+wnanara�i o�,/�aaaa�uraeldi HOME IMPROVEMENT CONTRACTOR Registration 127087 i Type - INDIVIDUAL Expiration 09/02/00 i JOHN OBERLANDER J,OH E. OBERLANDER 7-, r �'�5 wASHINGTON AVE VE r i W. YARMOUTH MA 02601 i I i I _ �10 II - �.,.. .I nu G. ■r.. -rr■■, J sera■ { "now —t ■a■■ O.No man ■r.. I ,: �.... � .... i � ■■■■ Illlfl8lllll '�- a■■ -� on, ■Him sees �■■■r ■s_■ � M ■: ��rr►�':: I AM M ' ftNM i;: A �j i rk f t t . . . �� 6 . 9AKrorIETRO REeDENCE i 46 ROM F,.� TMS ♦�♦ IV r i i d45si n , �; . I C y—+ i•' 171 11 LU Vol Ag SANTOPE:TRO RE8DENCE 40 WMN TRAL. T M s o o e CENTERVL.LE, MA ca FRAMO r i design , , �s ' II Mw�Y YY ���1111111� .Y Nunu �Irrrr1��� II- USE ' iSEM am un ■..■ memo NEES 06 Mol -, IIIL I10 �] 3-30-1999 8:30PM FROM HYANNIS FIRE DEPT. 508 778 e448 P. 2 FPQM. ! NEW E IGLANIV DESIGN PHOIAE NO. filar. 30 1999 �3447PM P? .......... ZIArqy Coda v x VM,!h'b;n, sfftWv-q 2,C'. CITY: STATE: ADD: 6117 TVL; 7 or 2 r"-lly, Dvacinod RLATlt,'fG 9Y971,14 TYPFz DATZ; 3-2-1999 =MPLIANCE: PASSES Uquivad UA = 433 Your Rome - 325 7vzivi,vts. R-V*iUs O-Value VIP. --------------------------------------------------- ------------------------- 'tg.0 D. 14V�LLST Wood Vrara,!W, Ic" C.C. 0 0.0 r,,L)k2XV0i Kindowu or Dgprs ;.69 0.330 56 FLOURS: Over. unconditiconod 3pncpl 7%A 010 0.0 36 AVAC FQVIPt-014T* F;Arna-,o, A.FVI; -------------------------------------------------------------------------- Vlf4 pf.L)j3Qv4f.i O.V.0 !Av.rq4 '-p eanalstcmC with the buillirg parrs, zFecifie.atieniri, 4ad r.)Lhor oubZittod with th6 p4rffii" The Pror.ozed oaildinq has bwvr ae4ign,W to tfii-or the the Kajaachusvttu Enerqy ritit WisLliCq 1"U for i.lujs 1(>a;3 L.' �GV b*4r4 dQt*rNift*'J using the CC" t... found 0 the Cad®. Thar RVAC squipnient. mlected Yo hoAz, or coal the ov,4 shAU be no gv"tc;r claari 1274 of th►- de6i7a LQad 4.0 zbp4�ltii-0 1,n Sections 1310 aftel .34 4 3-30-1999 8:31PM FROM HYANNIS FIRE DEPT- SOS 778 e448 P. 3 FRCM. NEW E115LAND DESIGI-wl PHONE NO, Nar. 3@ 1999 a4:44?M P4 DUCT V1JSULAT1Uj; r-41rt,.5 Shull be 4,4.7. 3 P'11 .tad hAyq or Z4'.z 1 L swqleQ using jauxitIc and f4br-mv bac),jnj tape Nnwrij,-d tc:O;Airq tc the inst*114tign Me.:41 topf; may Parmktted, Th" HVAC system aus? provj:41 A V0,0" f'.' di;; and w&tqr systems. i TEMPERATURE CONITROLr! I Thermostat* ar, roq%jjropa fc %.,vt4 separate HVA.(7. !;Ystc'!Yc_ A " alito"t'c n4d" to PAxt1&1!Y rearrirt or shl,.7: off the hqatinj and,/or wolirq jtput to **".h xQnP or floor --svi12 'ce prcwideQ. 1 XVAC 1r.QUIP-6'K7. 3TjjWC-j 1 ;aktod output sapec-Ity vi tca !*Alt zYcoter, is not greater thcl 3254 Qf the in Scctionn 78ocm ;?jo and 4.4� -cWiNVI'qrj PCOLSt 1 AIL hoatea wj.%vfcjnq pooj°, roust :have -gn en.'ort t'v4tov 4Pvar linlews over 206 ot thm hnarS.rn. r5r, y is xrgru voi.;rces. POOA 1lkIMP6 XVA-- PlPlma INSULmico: below 65 T must be in4t.'ato tc Gt�t P:n sing 'Irz.) $YSIENS; UMV pre3aure/t9rT. 201 Q, I. i Low tomperature 'I- Steam VuZciqn5ats any 1-5 2.0 COULINT0, SYSTD�15: Chilled water or D,5 0,75 1.0 refrigerant 2.5 1.5 Insulate eirculatinq hat water Pipe ,in,) I. ?in szzu (iri—) ;; C1RCLTLAT1-K,-,, KAIN,", a HEATED 1AMTEP. TEMP (T)s RUNCUTS 0-IR 1 01-1, ?.SR 2 + i7^-160 Q-t i 1.0 2.0 140-160 G.Z J 0.5 ----NOMS TO FIELD y)------------- � i | ` . . ' ~ f Kz Pc,-,son/Entity Involved Local Option Business name (if applicable) I I Area Code Phone Number ❑1Check This Box if I I I I u same address as Mr.,Ms., Mrs. First Name MI Last Name Suffix incident location. I U u Then skip the three ICJ' IUI duplicate address Street Type Suffix Number Prefix Street or Highway I lines. II l I Post Office Box Apt./Suite/Room City State zip Code .. ❑More people involved? Check this box and attach Supplemental Forms (NFIRS-lS) as necessary K2 owner ❑ Same as person involved? Then check this box and skip The rest of this section. u Local Option I I Business name (if Applicable) I I Area Code Phone Number ❑ Check this box if Mr.,Ms., Mrs. First Name _ MI Last Name Suffix same address as incident location. I I I I (- Then skip the three u u duplicate address Number Prefix Street or Highway Street Type Suffix lines. Post Office Box Apt./Suite/Room City ` State Zip Code L Remarks Local option Caller Name LOUIS Caller Phone 774-581-6341 Caller Address : SAA OIC : CAPT.BURCHELL Pats. : 0 AGR : NINone rpierce ; 2015/05/11 19:14:28 - 321 AT EVENT MANNING IS 1 rpierce ; 2015/05/11 19:11:31 NO SMOKE NO FIRE , rpierce ; 2015/05/11 19:12:41 ALARM SOUNDED , NOOW OFF rpierce ; 2015/05/11 19:19:31 321 - NO CO , ALARM NOT SOUNDING WILL FOLLOW UP WITH FIRE PREVENTION /CLEAR 1951 - 321 WENT BACK TO LOC , UNABLE TO REACH LANDLORD , WILL FOLLOW UP FIRE PREV IN A.M. Responded to an alarm that had previously sounded and the homes occupant needed assistance. 321 from Sta #1- arrived and was met by the homes occupant - Louis- who spoke little english and requested I help him with the alarm. No alarm was sounding, however I discoved a bedroom in the basement and a detector missing on the first floor hallway. The occupant stated they are renting the home and they have a water leak on the second floor. I discovered water L Authorization 18215 I IBURCHELL, THOMAS 'J. ICAPT 05 L.L2J 1 015 Officer in charge ID Signature Position or rank Assignment Month .Day Year Check Box if© 18215 I I BURCHELL, THOMAS J. I I CAPT 05 12 2015 same as Officer Member making report ID Signature - Position or rank Assignment Month Day Year in charge. omm fire district 01920 05/11/2015 15-0001486 MM DD YYYY L:21-9-20—j L`� u 11 2015 1 1 15-0001486 000 Complete FDID * State* Incident Date * Station Incident Number Exposure E Narrative * * a Narrative: Caller Name : LOUIS Caller Phone 774-581-6341 Caller Address : SAA OIC : CAPT.BURCHELL Pats. : 0 AGR : NINone rpierce ; 2015/05/11 19:14:28. - 321 AT EVENT MANNING IS 1 rpierce ; 2015/05/11 19:11:31 NO SMOKE NO FIRE , rpierce ; 2015/05/11 19:12:41 ALARM SOUNDED , NOOW OFF rpierce ; 2015/05/11 19:19:31 321 - NO CO , ALARM NOT SOUNDING WILL FOLLOW UP WITH FIRE. PREVENTION / CLEAR 1951 - 321 WENT BACK TO LOC , UNABLE TO REACH LANDLORD , WILL FOLLOW UP FIRE PREV IN A.M. Responded to an alarm that had previously sounded and the homes occupant needed assistance. 321 from Sta #1- arrived and was met by the homes occupant - Louis- who spoke little english and requested I help him with the alarm. No alarm was sounding, however I discoved a bedroom in the basement and a detector missing on the first floor hallway. The occupant stated they are renting t n the home e and they have a water leak on the second floor. I discover ed water pooring from the ceiling in a second floor bedroom from an attic AC unit. I advised the occupant to contact his landlord and to shut the AC unit off. Upon returning to the station the occupant - Louis called a second time reporting the alarm sounding again. I returned to the home and discovered the AC unit continuing to run. I shut the unit off myself and instructed Louis not to turn it back on. Further I removed a detector from the second floor bedroom ceiling and placed battery operated detectors in the second floor bedroom and first floor hallway. I advised Louis that our fire prevention division would be following up tomorrow. Louis was unable, to reach the property owner. tjb )mm fire district H '° 01920 05/11/2015 15-0001486