Loading...
HomeMy WebLinkAbout0097 MAIN STREET (CENT.) .,� u .' .. .: - 2 _ _ .�s!a 3 a� .. ' a .. .- �- � � �y .:. ��; c v , c .. L � .. .. . � �. � � � / ,. � I. .. .. p .. .. - �t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1Map Parcel rz, t, Permit# i aria' Of" Bi"a 'S'_D\;BLE Health-Division - Date Issued CY2 Conservation Division J e z P ' ' application Fee Tax Collector II oil �/�0��— - - Permit Feev Treasurer INST&LED IN CONIPLIANC Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANl TOWN REGUWTIONS Historic-OKH Preservation/Hyannis Project Street Address `+ Village C,5c-,4 AsusU N L€ Owner ��A PYl i A) Rlf�i Address ms S` . , Telephone FL 7T��7c? qD?-7ft Permit Request &ppnc_, a E- /t /lI :@ !/I,G 1 av Square feet: 1 st floor: existing proposed 2nd floor: existing propose?7 Total new Zoning District Flood Plain Groundwater Overlay d ' Project Valuation ct Construction Type L1,6,1 L4 . Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ' Dwelling Type: Single Family 30' Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 D b e/7& Historic House: Cl Yes 2f4o On Old King's Higf way: ❑::Yes ` No Basement Type: El Full �rawl El Walkout ❑Other 3 a a Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1 ca Number of Baths: Full: existing / new Half: existing_ 2 new Number of Bedrooms: existing_ new, � r rn Total Room Count(not including baths): existing new First Floor Room(Pount C:) w Heat Type and Fuel: ❑,Gas ❑Oil ❑ Electric ❑Other S oml"eg iVOA�r,,E' ;G7CL 194! ,FSO Central Air: ❑Yes ❑ No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes ❑No Detached garage: O existing ❑new size x)D Pool: ❑existing ❑new size NO Barn:C4xisting ❑new size Attached garage:❑existing ❑new size NU Shed:B 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 (,Lx� /O/j,S`p Name `` Telephone Number 7%L)_S216 , Addres6� License# ' 3 OR 0 Home Improvement Contractor# Worker's Compensation# CALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE O o`k 0 Lack, FOR OFFICIAL USE ONLY PERMIT NO. r s DATE ISSUED MAP/, CEL NO. `\ ADDRi$S f f' F r VILLAGE:..,) . F OWNER. -�;� :.,: -• .. " s `f � -. — .. ' ,. DATE OF INSPECTION: FOUNDATION -� 4:0 ? j FRAME `� } INSULATION FIREPLACE i € ELECTRICAL: ROUGH FINAL'° , PLUMBING: ROUGH--: FINAL GAS: ROUGH! E ; , FINAL FINAL BUILDING ' DATE,CLOSED OUT 71 01 r ASSOCIATION PLAN NO. s _ e R T_ The Commonwealth of Massachusetts - Department of Industrial Accidents ONCO o//n1=998Maos t — 600 Washington Street Boston,Mass. 02111 Workers Co m ensation Insurance Affidavit name �1`/1�0N �Gl TZ location ci hone# I am a homeowner performing all work myself. 7 5c,�7 5� ❑ I am a sole Drc.Trietor and have no one working in any ca icity % �/��/%%/G%%%%%%/�%%%�%/G�//�///////�%/ I am an em to roviding workers' compensation for my employees working on this job. X. :grli#ress: _ cr phone# X. xx 91CSttance co::>.. ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have e following workers' compensation polices: xx ame. cam . „ss?Ar ire a ................. yy •`iF `:> i`cii?yr`i�?i%i"?r�ii�ir!3 ? i'i ' }ii }"i'rz" '`tint elm... »:>«::uh - ,»» s s.. '< �.w.. s an .. stittcess .....::.:..:...:::. . ....::.... n1�nCC S0� We :... oli' Fafiure to aecare coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$I,S00.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a Sae of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincation. I do hereby certify under the pains and a fftfes of perjury that the information provided above is true and correct Si Date gnature _ �f C 2//: %5 —�9S- 2 9Print nameC—I I Phone#tM A- 87/!� MINIMIZE IN 11110 IN official use only do not write in this area to be completed by city or town official city or town: permitilicense# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other Orased 9/95 PJA) 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 every person in the service of another under any contract of hire,express or implied, oral or written. An Y emP to er is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of rise and including the legal representatives of a deceased employer,or the receiver or ed in a joint ante g g the foregoing engaged J � ' trustee of an individual,partnership, association or other legal entity, employing em employees.Yees. 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 renewal din s in the commonwealth for an applicant who has r to construct bull Y business o g of a license or permit to operate a Additionally,neither the produced acceptable evidence of complian ce with the insurance coverage required. Ad y, not p P for the performance of public work until commonwealth nor any of its political subdivisions shall enter into any contract o p P acble 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 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. 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/licease number which will be used as a reference number. The affidavits may,.be retmrned tr the Deparanent 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 Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Me of Invesduations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 • - ti y°FiHe ro Town Of Barnstable Regulatory Services '* BARNSrABLE, ' Thomas F. Geiler,Director ; y nsass. $ °°ArEp �a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date qb",))02=. 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 ty registered contractors,with certain exceptions, along with other requirements. z; P Ey cY Type of Work: SG� � �e �� Estimated Cost ! n' r.ti Address of Work: `fir/VSf � detJrl/L Owner's Name: J�'r,�� lU• �I'�'�-�-1� . Date of Application: O 0 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law, []Job Under$1,000 ElBuilding not owner occupied r weer 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 s ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. ". 4 SIGNED UNDER PENALTIES OF PERJURY, ` I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. �.L� / • OR Da aOwner's Name O:fbmis:homeaffidav Town of Barnstable 114E Regulatory Services " * Thomas F.Geiler,Director * aAlttvsrAsr.E. 9 MASS. g cb i6Jg. .0 Building Division Al fog a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: 4ar)10a= JOB LOCATION_V7������� :. number n /�strtreet �°� /village "HOMEOWNER':�L//J�l"A—) �(�[i J 5-09 P7�O /16� name home phone# work phone# CURRENT MAILING ADDRESS: C (7f� I7d'LJJ flo CIO cityffown 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 su eervisor. 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 tinder the building permit. (Section l09.1.1) 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 requirements and that he/she will comply with said procedures and requir a s. Si ur f Homeowner Approval of Building Official Note: Three-family dwellings containing 3 5,000 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. Q:forms:homeexempt 4 r #a3 STANDARD LEGEND NOTE:not all symbols will appear on a map - MAP 208 GOLF COURSE FAIRWAY 1 1 Y EDGE OF DECIDUOUS TREES EDGE OF BRUSH "°- MAP 228 r i ORCHARD OR NURSERY 1154 — / X 1 11#2 - v—v-V--7 EDGE OF CONIFEROUS TREES MARSH AREA EDGE OFWATE R DIRT ROAD �r o I � DRIVEWAY PARKING LOT PAVED ROAD MAP 208 P 228 MAP 228 t, j 9 — — DRAINAGE DITCH #8 20' ,r \\\ �15 5 !-.. #15 # —— - — PATH/TRAI L PARCEL LINE** - . MAP I10 E--- MAP# 21 E— PARCEL NUMBER #1860 E HOUSE NUMBER r MAP 228 Q 2 FOOT CONTOUR LINE MAP 228 x 1 — — 10 FOOT CONTOUR LINE ____ / fa MAP 208 MAP 08 #60 Elevation based on NGVD29 ^ 70 I j�4.9 SPOT ELEVATION #80; coo STONE WALL P208 !�� - ------ — r, X—X- FENCE 92 �� #115 RETAINING WALL MAP 208 — RAIL ROAD TRACK rt 91 i\• © STONE JETTY / rzz #SIT, � i - - SWIMMING POOL G _ S � MAP 208 '� PORCH/DECK.. 90 * ❑ BUILDING/STRUCTURE ' \\ u DOCK/PIER 3 HYDRANT .. __ e VALVE OO MANHOLE a y 0 POST 0' FLAG POLE T O W N - O F B A R N .S T A B L E G E O G R A P H 1 C 1 N F O, R M A T 1 O N• S Y S T E M S U N. 1 'T a SIGN ® STORM DRAIN H= PRINTED SCALE:IN FEET *NOTE:Planimetrics,topography,and **NOTE:The parcel lines are only graphic representations DATA SOURCES: Planimetrics(man-made features)were interpreted from 1995 aerial photographs by The James t ve etotion were mapped to meet Notional of roe boundaries.They are not true locations,and W.Sewall Company.Topographyand vegetation were interpreted ham 1989 aerialphotographs b GEOD UTILITY POLE n TOWER 9 PP property nV eY �A P Y w.a i 0 50 . 100 Map Accuracy Standards at a scale of do not represent actual relationships to physical objects Corporation.Planimetria,topography,and vegetation were mapped to meet National Map Accuracy Standards O LIGHT POLE o •ELECTRIC BOX s 1 INCH=100 FEET an the map. at o scale of 1"=100'. Parcel lines were digitized ham 2000 Town of Barnstable Assessor's tax maps. C: n I IV C-)_ `-'J4l X CO d)/-� 4:: L? v Sdc) )E% f11'4)C-E RS r47- F_ ©© R a r S7' lU�S WgI.Ls 7'0 6)�4v.4v1,7,'D r �. DWELL i X 6 G,)!7"rf 6 1'44C- 'RoS 7-S M-X 7 0,0, 1'I, 1000 psi - — 1.;300;000 ps l I yl)lc<.II vtilues 1-01' SOLlHle1-11 Xell()w Title #2 (Pressure Treated) Exterior tlsc; (e.g. (lecl(s) u oist Size } Spacing 12xG 2x5 WO 2x.1.2 12" S-G I I a4-3 174 16 7:4 0.0 - '12.4 .15-0 20 6-7 8-1 i 11-0 13-5 2411 - 6-0 8-2 -U-1. 12-3 F o O PZEq-F 7, 990 v tdrT S !t Jo�sT N 11'X . I ' it FT. -I. ' I r l wnbrraI- • An r s -j 6 �M ® a s b =- r 1 � � I j 3 �e 1 Q ■■■■■■■■■■ NOON NOON ' EENNN■NMMENNNMMME■ ■NONE ■■s®■N®■■■N■NE■s ONE n■■aN■E■E■e■ ■■ M■■NMEEMEMEMMMMENEMN■N■■N■■■■NON■■NEON■■® ■■■■■■■■EMMMMM■E■■■■■■M■■o■■■■o■No®■ME■MEMENNEEM mom MENNOME MOSER mom MEN MEMO MME O■E■®■■■■N■■■E■■■■■MEmommom MEN MEMO ME fMNM ; , ► ■■■■■NNE■■OONMNMNONNMONONNNMMEMMMM■MMO ONE NONE ME MOM MWEEMENEW", ME ■E■NEs■M■■E■■■■■■E■M mom■am■■■■■■MENEM■■NNE ■ ®■■■■■■■■ENMNMNOME■M■ OMO■E■■■OEM■®■MIS ■■ ME■■■NONE■■■MEMO■■®N■NOONMEEMEINEI■m. N■o■■■ SOME mom MEN MAIM■■■■■■MEMOS MEE No 0 mom ME ommm ■■®■ ENE M SOMME mom ■mM■■■MM 0 ■■■ ® S■mom■■■®■■1 ON■N■■■E■■■EOM■■■■ OEM■ ' MEMMEMENMEMME�NI nME� ■ ■E ■■ ■■m MNo m now NEB®■■NONE■ . MMM SEEMn M■■■ ■ � ■ ■ _ Nam■® _ . . M . a � MEMO ■ EMOM NM■MME■NMN ■■■ �Hv� �.I t