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HomeMy WebLinkAbout0118 POINT OF PINES AVENUE bra ,+.... !8 �c�ir,-� d���h�sf� �w��, . ,,J, .. 1. _ ! _ ., - x � .. 0 ". ,. rr P �} � - d � .. k g � .. ,_ i fl . . o ., . a y :commanwea.tth of- Massachusetts. . . . ' ., (n Sheet Metal Permit Map�Parcel �W Bate: Permit:# -3q-7q Estimated Job•cost-3 / v u Permit Fee::$ �7 �. OV 28 2016u Plans SubmEtted• 'ES NO Plans Reviewed: YzS NO Business License# Apphcaut I:icense# ormatiaB: Property Owner/Job:,Locafion.Jnformadon:. Business lnf Name:� ��®":-�. ,mot e�-�. � 5YJ Name:�7'Ih a.�� �'') e ;—le . ' •Street: b � �,t.�w�� � C�� .. Street: �/� �'o`"�- �L �'''�SST II City/TowrL cityfrown: Ge i/4e Telephone: ' 50 2 3 2 '14 4'j Telephone: ?2 y Photo LD.required/Copy of Photo.LD. attached: YES • INTO .T 1 - .nnrestrie�ed'liense .� dwe ' 3-stories or less and commercial -to 102000 sq. t/2-stories or less J 2�14�1-2 restricted to 71�ugs � i Residential: 1-2 fmmily ✓ Multi-family Condo/Townhouses Other Commercial: Office Retail 'Tndusttiat Educational Fire Dept Approval Institutional_ Other ' over.1.0,000 sq.fL Number of Stories: • Square Footage: under 10,000.•sq.� ft. Z ,. � _ • Sheet metal-workto be completed: New Work--� Renovation: HVAC -Metal Watershed Roofing: Kitchen Exhaust System Metal'chimney/Vents Air'Balagcin9 Provide detailed description of work to be doge: • ;� ���,L C1 ��r",S �w.C: �5/S �r��' fnJ��� /sal 7�Lzi CS � li /✓(�(o-y /�h ✓��/ ' �•�L /_V cd✓ch INSURANCE COVERAGE: �t 1 have a current limbility.insurance policy or its.eguivalentwhich meets•the requirements of M.G:L Ch.112 Yes[ktyo ❑ If you have eckea 21'indicate tie type-of cdvera30.by checking the appropriate box,below: I A Bab Myinsurance policy 0 Other type of indemnity ❑ Bond ❑ OWNEWS INSURANM WANEiZ:I am swam-e at the licensee does.-nof have the insurance coverage reWired by ChaPter 1?2 of the' Massachusetts General Laws,and that my.signW urH on'this-pennit applidation-walves.his rKplrement Check One Only -Owner. ❑ Agent ❑ - ` Signature of Owner or•Owne -s Agent I . {l 1 By checking this.b "Ihby cer6iy that ail of the details and Infornraffon•1 lave submitted(or entered)regarding this appflcadion are bve.aird ' accurate to the best of-my knowledge and•.tbafall sheet nistai work Enid instaliations.performed under the permit issued-forWs.appricatidn will be In compliance wHh all pertinent provisibri•of the MasSachuseHa'Building Code and Chapter 112 of the General Laws, Duct Inspection r ulred prior tor-insulation installation:YES • . NO l - • Prog�.ess.Insnectibns : : •• . Date Cammenfis ----------------- a1lnstiection Date Commerrts TTyypeof'Uc nse: rbe �❑Master-Rest ided 'hyfrown , ❑JoumeypeisM,. Signature of Licensee ,❑Joumeypersor Restricted Llcense•Nurz bor =ee ❑ Chf dc'at wnyw.rrrass,wddjj nspector Signature of Permit Approver y a . fos tag,MA 9Z _ - • ��r'�'f:LS� '{�gRa�.a�%TYn TncrrranrF,�_avit-$^t*Z+�35��``,�'3�f'fi?I���ririan 4lpFrrrrr�Tp� . xrT=I I7�mr�ad m� Me/asee print I�Fam� - = ✓✓�1 l ��c�� t.��w�,�c 1�' ]�C3� ltc,7>O=.� s� �c.�-z...�,;c d, � CftyjStttrT== 19744- S 4-1-ye f -5f,9 Are 1 ag eTngIoyer7 awktIm.RmTrizfe lst Type o f Fmimt(' L 5 Xam a employer with 4_ ❑I asap p �C= empIoyef is{fall andforgaLtAi= * t I❑ I am a sole Proprietor or partner- listed on the ached d �- ❑Brrnaddiog ship and have no employees Them vnb-oo3rsrtors have 8- E]Demalif= eusglayees ad have WO�P1S' �.ng fosmEi is aCFy CapaL�y: � g_ ❑ .g additian . [No urodoes'rtimp_inmzn=e �1 S_❑ We are a carpmmimaud ifs 10-0 E=fZ=I repairs or additions 3.❑ I an a honaeovmrr doing alt Work - officers 12-ve exercised f cir 110 Fk6bing=pzim of addrhaos... aghtof mper`bIm r yS,!Ij [NC) '�- I��Rnafsepa= i�saxanee ssgoisad j i c-15,§I(4€ aadwe lmm nno 13� ecopkyees-jNawad=& � {..ClCLLi Wi 11 Aso fMOlt the secdambelmrdmudugf3dLvmdxe per} ' �T�mwnesu�subm�•�his�a�cc�m�rc.�sg wey a��umg�rHar�c aasiffi�slm��ade�em�s*�m�rs�s�d�m�.-y saw •�fF cT*srY 13125 b�3YID'iFSt 9thiC 7[b e�AifirtnsT 5$CEY Shbi IDyt�'SE hSIDE��E = FSSL42f' SL' Imm ' Mq&3M,!g Iftie snb-C�Ctsh.-e dUPg-Xt F i&fir w-kMe-M3F 1303ky—mb— i�rux are sr�g�yeF°fhaf�sgrat tstrrl~ers'eniutt�rar�ce�'ar ts,}*c�£byes.�. �eln�is ffee,�ru�c}*arcd�nb zits . Po2Zy r'A CX f-m7 r,Iit;.g- G C - ��j �8te JDlf Site A�ddt / tf'v w C '�r=Ps v� - - fsta =�`��fey yr Ile- . Bch a oapry of the vmrkers'compeasxtion policy drcLa-sfian page(4ag the ormy b€araber axU cTBra.6iou dam). F;LU=to secnm cavgrap as wrier Secfi=25A:o€hML c- M em Irad to fhe imposition ofaimial PCaxT=aft fame up to$LSDD-OD and/or ow-ycarimpdmamed,as voeil as civil g=alfim in fhe fonts of$STUP WORK ORDER-and a fins ormp to 0-00 a day a'g$ffist f c,viaktor Be advised fd a copy of f$ix dWEM maybe forwardod to the€7f m of Im*esfigations o€f DI1 lot TM, +*,_ -cov a ve on - I da hereby certify under ampmar snoIttsr Bi s u fpn rm fiaa print&£ubave is ft7w tar£c�rr sct Siffiatn�: - In- phone 0ffc,al urn anF}: Llo rust ivribv in fIds area,to bs cmpteW by cdy av ium affSc&L City or Towa:' p! alf;cedse ' EM[dng c'M±hnsitg(drele one L Snarrd of$e2hk I BUift1Rg DegarEmeUt I axe Clerk 4 Efect dcai I asp Ior S.Plmaxbins Emspzcter .6.Cher Coact Fersaa.: Z'Iiih Information anal instructions hOMSaC,Wetls General Laws chapter 152 regnu es an=:rpIoyem to provide workers'compensafion for their employees. Pursaantln ffiis s-taixrte,an employee is defined as"._evezy person in the service of another under any contract ofhire, express orinoplied, oral or written." An emproye•is defined as`m 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,empIoying employees- however the owner of a dweI ling house having not more than three apmimeois and who resides therein,or the occupant of the - house of amodrerwho I to do mice dwelling employs persons ,consfructian or repair work on such dwelling house or on The grounds or building agpm-tenant thereto shall not because of such employmizat be deemed to bean employer" MGL chapter 152, §25C(6)also states th2t'every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constructburldbags in the commonwealth for any applicautwho has not produced acceptable evidence of compliance with the i'n&aran=coverage required.- Additionally. MGL ter 152 25 states` eifh e. _ � >§ C(7) 2�T er� commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of complipm with the insurance *cqTiremeats of this chapteahave been presented to the contracting authority_" Applicants Please fill out the workers'compensation affidavit completely,by checldug the boxes that apply to your situation and,if necessary,supply sub-contracor(s)name(s),address(es)andphone nzmmb s along with their certificate(s)of insurance Limited Liability Companies(LLC)or LmutedLiability PartneTshi�s(LLP)wifhno employees other than the, members or partams,are notrequired to carry workers' compensation ins r anm If an LLC or LLP does have employees, a policy i required_ Be advised that this affidavit may be 2mittnd to the Deparment of industrial Accidents for confirmation of incnra„ce Coverage. Also be sure to sign and date the affidavit The affidavit should be re-tamed to.fife city or town that the application for the pezmit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding fbz law or if you are required to obtain a workers' c:ompeosa ion policy,please caR the Department at the number listed below. Self-insured companies should enter their self-,nsucancehcensennmberon e th appropriate Ime_ . 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 ' Y ven the Office ofIn has in contact vesigainons ntac you regarding the applicant Please be suure to fill in the pennitllicense number which will be used as a reference number. In addition,au applicant that must subm tf multiple perniblicease applitatims in any given year,n=d only submif one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should writ$"all locations in (city or town)."A copy of the affidavit ihathas been officially stamped or madedby the city or town may be provided to the applicant as proofthat.a valid affidavit is on file fear fuin=permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pemurt not related to any business or commercial venture (Le-a dog license or permit to burn Immes etc.)said person is NOT requited to complete this affidaYit The Office,of Investigations would hike to thank you in advance far your cooperation and should you ha- e agy ••questions, please do not hesitate to give us a call The Department's address,telephone and fax number 'the COS jth of Massmch Depazfmeut cif aJ;lia�dm-ts 4.�ee az�uves ,t�ns .•. &Do Wafau stttt ` $emu,MA,02111 TeL A. 617 727-49W e�jft 446 Qr 14TT M RS� Revised 4-24-07 Fax 0 6I7-727-T-1-4r9 gavldia Town. of Barnstable Regulatory Services • M ASM Richard V.Scali,Director. ►�� Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , 'a m as er of the subject property _ l P Pam' r 1 hereby authorizeeL IC� � to act on my behalf, in all matters relative to work"authorized by this building permit application for V CR A01 ' C��' (Address of Job) **Pool fences and-alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final ins ections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS ACTIMEC-01 ASANTOS ACORN° CERTIFICATE OF LIABILITY INSURANCE D 1TE 1/23120 6 `-� 1/23/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy#es)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Viveiros Insurance Agency Inc. PHONE FAX Commercial Insurance Center (A/C,No,Ext):(844)898-9151 (a/c,Ne):(508)324�533 375 Airport Road A DRL Fall River,MA 02720 INSURERS AFFORDING COVERAGE NAIC# INSURER A:LibertyMutual INSURED INSURER B:Hartford Fire Insurance CO. 19682 Action Mechanical - - - INSURER C: 82 Sunset Circle INSURERD: Mashpee,MA 02649 INSURER E INSURER F:. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR SD WVD M /DD MID A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR BKS55691749 11/14/2016 11/14/2017 DAMAGE TO RENTED 300 000 RE SE Ea occurrence $ MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:. GENERAL AGGREGATE $ 2,000,000 POLICY 0 JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON 0V ED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N S TUTE E ANY PROPRIETOR/PARTNER/EXECUTIVE "08WECCG3612 08/26/2016 08/26l2017 500,000 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under 500,000DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main St ACCORDANCE WITH THE POLICY PROVISIONS. _ Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 6' '�&iw� :'»;<'�i�"�;�Ssk'tm iA��:L'4�iY3s:_,:t:�;3r.Cs�md§��»r ua�g.r�aaEt.:.mv" -_ ��aa' � ��T�E�'?g�"3�.#�,.k.;dt`y; r..�•ems* "s-;.`tea w'�""�is �s:=ors. a.-- - ---------------------------- 4c:N � m — X z m 1> X r rx— f /V � X I3 ua lip, ON 0 ti j 4k VC I 1 I l c n 4 1 m D t3 1 1 Ili E I 1 I .✓' aji•^° i i 7yj 1 Ti' J T,4 Dog rt z 1 m m 1 � IE �, I 2z 1 I 1 1 1• w \ 2 O 04� _ 1 1 1 1 i r 1 QQ tKr. �1 :t STAR! 'V' W I i O Z ID D l-4 l m m t / mm oZ ttY O X `, Q E -p p O m �t Z � 1 V 1 N 1 J 1 rt r ;z�.•�4ii�..t,3f.:1•Sin.:� ', n ,zr'�' u ',S"� v�?�.. i 1 T'a`t...a4 .. y.'.3t:- 2'-41� NEW DOOR u a. b N `° U33m ss 42"MAKE UP TABLE I F lnt' Y 5 NIGN WALL 3'- 4 1 4�� —O a ilg och Ad— ''� vie - —'-•�` .' z s�':- � ,Ij --y; - -: kd�-_'.�.��-.,Ti::s.._„:n..._:.- .nl..:�?...:.._+cFfn..:.f:..:�.ys�'�i,,..s..,v'�•�s_�S*�t2...<374zws:'Ei:;'u�!. &:'.� :.,....x .4�sn .Sxr.ai4'Tt^,S'.d"3;�% zi`.t'�.B.U.e- -.K'.I..��d ct,7 .a' :.a-,.:-`�-Y�;4 `Ya:��ti 1 1 1 1 A _ i 1 X 1 w I i EEEEFD ON 1 _ S a. 1 1 I oO , 1 �S • . . - _ m I 1 `fA�RS lu 1 I I � r m ° I _ ----- I � N t rri z M5 M ...� ,. � r..n,•s S ._. 4��+ � n�_�s...ss.n.,...�r. �e:�z±::s;;1��18"�sT>dkf"+f::.��c�.���7u"•'.'_a*:.�v� d • N t 1 II 00 00 .`e oil IVI e � s = Y _ m r . _ Q O , o . - N v9 Pik vv v40 vo�.v Q. 'V 4.-0' vc� ' I111- E 1 1 n (1 N. fifi 1111 till S. r, \ CA3 0 - I L 1 1111 =mO j: �` i:' �.•-&;�1 f f -f :, tin w.. fill till �� •�� 1111 V � D. un O U3 fill ' - O :. s` _ .- 1t11 III L a, Illl:- 1111'; i ' fill C • Itll = � - I I - .. ,m. fill z � I �• E- uu. r — — — — — — — — 1 . '0 fill it . I . I� - h 11 Y•. m wilt ® fill 1 ffi, —_— ---h -fill — — — _ — __ — ly 1111- -fill --- ' II r 1 L — — y; ' U � - tilt nlr _ ��$ tile. -r _ ..' ,�- _- - -� -_ ._-.- �• --._ �.il v >.� 4t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION' Map Parcel Application # Health Division Date Issued Conservation Division ®,ceq Application Fee Planning Dept. Rtisrge Permit Fee, 070. 06 <<c Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address or Pir,4(s ®� Village Owner LtA t. 4aeyA^(8 {f-6rtf_6Af Address Telephone -781 -q31 -Z(4 zG Permit Request t-iaff Aiblt R-C44Pbr.l d�` ��, l ' y/( +ALO .S�.. d^LO 11�604 'Akb LJ5L f 144� Y 5 vZo Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ` 00,E Construction Type R"VWU)0^I Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ..Gas ❑ Oil ❑ Electric ❑ Other Central Air: 29 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ 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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER)- Name Nfill" C CAAA� r- Telephone Number UJ�� Address o / �I Ow License # 0 J�gas ©as - - Home]rnprovement Contractor.# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -,AA0Wr(4 m au/VIP SIGNATURE '-DATE FOR OFFICIAL USE ONLY ' APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT ASSOCIATION PLAN NO. 'atvuceoaete; 'Dm-z* : IICw ClM1'. UNR am=bj. WITH bau CU. Ed �l NE111 KITCHEN -at EXISTING,. ®.a - - LAYOUT to IN _ • 'DIN G _ EXISTING FAMILY RM. I f s� _ _. P 5 -. 3'-6" 3'-2lsi° 5'-lIr A:. REr+ovE o silo on a 3PTl OF. ° TILE ; 7ILE I 1 + I m ' EXIST, -1 CO t AB 08S G-ron p-LAy. , TWAT DET FT 0 I a WAT DST R Mi -;FT QW p i EXISTING r4PEA!(Emonk �' ;`. EXISTING LIVING E"EXISTING - - - -- FOYER GARAGE ' 4 ,q. ROM E EXI ING S REVIEWED p UNIT S KE DETE R -z�-� (41' ierna*a (.Y-. - DATE ---BAaNSTt�61.E t)ILD G DEPT. --- - LANDING f' I � VON n 2 DATE g Ci3 FIRE DEPARTMENT T A C j TH SIGNATURES ARE REQUIRED FOR PERMUTING REPLACE EXISTING' t , L- '� GARAGE DOOR. -FIRST FLOOR FLAN FROPOSED 1-1 . c3p.) .17 m • F ----------------------------- ------ ----- --- m �i 3 , q �w � q _ S z O IT AJ 0ID, (E M -4 rn N n . Or .: -'O NFU DOOR UNIT, rti r 3 lot El ' Al-nab upTAMS U z ;3-414411 L . NM AMI 5,-2u • o' a 2-2 e p au V � �� 8-b'• � t! III m i a w 6 rn --- -- un rn ri , �a ' .26 D i til. 4 . - -- - ----------- -- -„-F--- 2 40 • � -9 D� F r"9 . Town of Barnstable Regulatory Services Richard V.Scali,Director Bnildia g Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mmis Office: 508-862-4038 Faic: 508-790-623'0 Property Owner Must Complete and Sign This Section, If Using A Builder �1subject property 2AeAt,5,o,!jer of the s-QL' as Ownl P Pert9 hereby authorize 1 kQ c,GL A fl �i� to act on my beb4 in all matters relative to work authorized by this building permit application for. 1 Ig a - o I�►�e-S , Cer��e� y%ae. o Z 4o 3 2-- (Address of Job) **Pool fences and alarns`are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final . inspections are performed and accepted. Signature of OvKer Signature of Applicant P t Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOIS Town of Barnstable " Regulatory Services dF Richard V.Scali, Director Building DivisionKAM - sns�srw>us. = Paul Roma,Building Commissioner �� 1 20` 0 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 11� . Office: 508-862-4038 I�� O� Fax: 509-790-6230 Y1� HO WNER LICENSE EXEMPTION DATE: Please Print JOB LOCATION: number village "HOMEOWNER": name ho phone# work phone# CURRENT MAILING ADDRESS: cit3 town state zip code .The current exemption for"homeowners"was extended to inc owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does o ossess a license,provided that the owner acts as supervisor. DEFIlVITION OF HO Person(s)who owns a parcel of land on which he/she resides r intends reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached stru es access to such use and/or farm structures. A person who constructs more than one home in a two-year p rod shall not considered a homeowner, Such "homeowner"shall submit to the Building Official on a f acceptable to a Building Official,that he/she shall be res onsible for all such work erformed under the buil ' ermit. (Section 9.1.1) The undersigned"homeowner"assumes responsibility for compliance with the Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/s understands the Town of Barnstab Building Department minimum inspection procedures and requiremen and that he/she will comply with said rocedures and requirements- Signature of Homeowner Approval-of Building Offi/tha llote: Threee ' containing 35,000 cubic feet or larger will be required to co 1y with the State Building Code 7.0 onstruction Control. HOMEOWNER'S EXEMPTION The Code stAny homeowner performing work for which a building permit is r uired . shall be exempt fromions of this section(Section 1-09.1.1-Licensing of construction Supe isors); provided that if the r engages a person(s)for hire to do such work,that such Homeowner hall act as supervisor." Many homeho use this exemption are unaware-that they are assuming the responsibilities of a supervisor(see A Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of aw ness often results in serious problems,particularly when the homeowner hires unlicensed persons. In- is 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 to amend and adopt such a form/certification for use in your community. ®Boise Cascade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SIP Floor Ream\F1301 �,. ...�, Dry 11 span No cantilevers 1 0/12 slope September 19, 2016 10:17:44 BL,ICALCOO Design Report Build 4516 File Name: BC CALC Project Job Name: Menegay Description: 1 st floor girder Address: 118 Point of Pines Dr Specifier: City, State, Zip: Centerville, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: IT BO 12-06-00 61 Total Horizontal Pr -Product Length-12-06 00 . Reaction Summary(Down / Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 3,500/0 96510 B ;..3-1/2" 3,500/0 965/0 Live Dead Snow Wind Roof Live Trill. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area(lb/ft"2) L .00-00-00 12-06-00 40 10 .14-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 12,949 ft-Ibs 61.9% 100% 1 06-03-00 End Shear 3,691 Ibs 3 9% 100% 1 01-01-00 Total Load Defl. U321 (0.451") 74.8% n/a 1 06-03-00 Live Load Defl. L/409 (0.353") 88% n/a 2 06-03-00 Max Defl. 0.451" 45.1% n/a 1 06-03-00 Span/Depth 15:2 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim.(L x W) Value Support Member Material BO Post 3-1/2" x 3-1/2" 4,465 Ibs. n/a 48.6% Unspecified B1 Post 3-1/2" x 3-1/2" 4,465 Ibs n/a 48.6% Unspecified Cautions Member is not fully supported at post BO. A connector is required at this bearing. Member is not fully supported at post B1. A connector is required at this bearing. Notes Design meets Code minimum (U240)Total load deflection criteria. Design meets Code minimum (L/360) Live load deflection criteria. , Design meets arbitrary (1") Maximum total load deflection criteria. Calculations assume Member is Fully Braced. Design based on Dry Service Condition. Deflections less than 1/8"were ignored in the results. Page 1 of 2 (mj� Boise Cascade Triple 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SIP , Floor Beam\171301 .hT Dry 11 span No cantilevers 1 0/12 slope September 19, 2016 10:17:44 BC�CALC O Design Report Build 4516 File Name:. BC CALC Project Job Name: Menegay Description: 1 st floor girder Address: 118 Point of Pines Dr Specifier: City, State, Zip: Centerville, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure —i b I— I--d—►1 Completeness and accuracy of input must be verified by anyone who would rely on l output as evidence of suitability for 0 0 particular application.Output here based c on building code-accepted design properties and analysis methods. `- • • Installation of Boise Cascade engineered e 0 0 0 wood products must be in accordance with - current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum = 2" c = 4 1/2" (800)232-0788 before installation. b minimum = 3" d = 24" e minimum = 3° BC CALCO,BC FRAMER@,AJSTM, ALLJOIST@,BC RIM BOARDTM,BCI@, Nailing schedule applies to both sides of the member. BOISE GLULAMTM,SIMPLE FRAMING Member has no side loads. SYSTEM@,VERSA-LAM@,VERSA-RIM Connectors are: 16d Sinker Nails PLUS@,VERSA-RIM@,VERSA-STRAND@,VERSA-STUDS are trademarks of Boise Cascade Wood Products L.L.C. CENTERVILLE-OSTERVILLE-MARSTONS \MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 John M.Farrington,Chief Martin O'l_.MacNeely,Fire Prevention Officer Philip H.Field,Jr.,Deputy Chief Michael G.Grossman,Fire Prevention Officer February 18, 2011 TO: Tom Perry, Building Commissioner Building Department Town of Barnstable - 200 Main Street Hyannis, MA. 02601 In accordance with MGL 148, Section 28A, the Centerville-Osterville- Marstons Mills Fire/Rescue Department brings to your attention the following potential violation(s) of 780 CMR: Massachusetts State Building Code for your review and/or interpretation of same. NAME/BUSINESS: Residence ADDRESS: 118 Point of Pines Ave., Centerville OBSERVANCE: During an oil burner inspection, I observed a room being use as a bedroom in the basement. There are windows present in the room, however the sill height is greater then 44" above the floor. I was not able to determine when the room was constructed or how long it has been in use. t) m 3 O Michael Grossman u = r Fire Prevention Officer ., C.O.M.M. Fire District 5 CC: Jeff Lauzon, Building Inspector - 0 "Commitment to Our Community" co D IH Town of BarnstaKe *Fern of o ly P� Expires 6 month jroi issue mate ix Regulatory Services Fee BARNSTABL Thomas F. Geiler,Director MASS. a fornA�0. Building, E. Division , Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number--- "� Property Address CJ �ti ® �� illt Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name & Address 0 A)© VA04,1 Mf AJUU -y Contractor's Na ill e / Q �t. __Telephone Number. I lomc Improvement Contractor License#(if applicable)___`�_ t✓ Construction Supervisor's License#(if applicable) `� t ❑Workman's Compensation Insurance Check one: ' I am a sole.proprietor ' -PRESS I am the HomeownerPEA IT ❑ I have Worker's Compensation Insurance OCT 02008 Insurance Company Name JVVN OF BA .NSTABL E Workman's Comp. Policy# CU 00 1/7 Z 70!� Copy of Insurance Compliance Certificate must be on.file. Pcrmit Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Y Replacement Windows/doors/sliders..U-Value (maximum .44) *Where required: issuance oCthis pennit does not exempt compliance with other town departinent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. -- -A copy of the Home improvement Contractors License is required. SIGNATURE: -- G' Q: WPFII-ES`JFORMS\building pennit fonns\EXPRESS.doc Revised 100608 0-fTH46 `Fowl of Ba> tastable Regulatory Services �atixx "arE� Thomas F. Geiler, Director E1639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i Property Owner Must Complete and Sign This Section If Using A Builder. as Owner of the subject property hereby authorize lCI-AqE L �`V AJ - to act on my behalf, in all.matters relative to work authorized by s n this building permit application for: g IVT Yf' PI'Ves (Address of Job) -9110 he S' ature of Ow er Date Print Name If Property Ow net is applying for permit please complete the Homeowners License Exemption Form on th'e reverse side. Town of Barnstable op IHe rp�y y� o Regulatory Services F saxxsTwsie ThomasF. Geiler, Director y M tiss q, i6Sq. Building Division pTEO �a Tom Perry,Building Commissioner . 200 Main Street; Hyannis, MA 02601 www.to-c,n.barnsiabI e.ma.us Office: 508-862-4038 Fax: 508-790-6230 / HOMOWNER LICENSE EXEMPTION Please Print f DATE: �- JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state rip 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 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 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 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 undersigned "homeowner certifies that he/she understands the Town of Barnstable Building Department mininnum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature 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 iog.1.1-Licensing of construction Supervisors);provided that if the homcowncr engages a parson(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 procccd against the unlicensed person as it would With a licensed Supervisor. The homeowner acting as Svpravisor 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 heVshe understands the rtspons:bilitics 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 fomt/certification for use in your community. ssor's map and lot number .... .P.-.4i.Z.._.r oFTNe vgPTIC SYSTEM MAST S e Permit number .........: INSTALLED IN C®MPLIANC • s WITH TITLE 5 : BAUSTME. House number 8...., T........................... EI��/IRMENTA ` L ON 90 roes �� . ..... s. CODE AND o'�1639'A, ' TOWN RE 0 MAY T A P P R 0 V ETOWN OF BARNSTAe§ Ma astable Conservation Commissioff nefi DaO ILDIHG INSPECTOR APPLICATION FOR PERMIT TO .... ...... Ll�...:.....:...1....... ....�' : ..:..................^.............................. TYPE OF CONSTRUCTION .......Kv: p.... . E....................................................................................... ................ lq.....G ..ti.....19........ lb TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (........��. !`F..... . . .W.✓.fU:...................... Location ....... .0..(.......�O.r�-........... c!J. ...fir... �� ......... pi............... i Proposed Use ..... JJu �+ .......1... �L��...... �f G ................................,.........`:.I... .......................... r ZoningDistrict ...��.. .��.....................................................Fire District ..........C ................................................................ Name of Owner ...;a.—k 1 o..... .. �1` '��C..................Address ...... 1�. ..: -,t � ...1 (;A%0 d� �t .49.dj-A4. cldressName of Builder f�°�. ........................... Nameof Architect ............................��................ ......t..Address .................................................................................... of Number of Rooms Foundation v Exterior %......cti .....................Roofing ..... ........../!... . ................... Floors �j/J. .(r �K. �f!�� d.�..................Interior �w�—/ho..... .. B�® /. ......... Heating ��%•,L.�...0..!�....................................................Plumbing ....� ��!�`....�Y.�.: �,,r.�...................... Fireplace .....; .W . .... ...............................................................Approximate. Cost ....... ..�a ................................................ • J rp Definitive Plan Approved by Planning Board ________________________________19-------- . Area ........�r�9?S�.................. Diagram of Lot and Building with Dimensions Fee .`........ 1021............. \\ SUBJECT TO APPROVAL OF BOARD OF HEALTH Ist I-l32 to OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ....C........ .G� �................... Construction Supervisor's License ....... Q�..� .�......... r _c { 0 29... Pe€mitorA..1 . .Story............... I i J Single Fancily Dwe ding .......................... �.:.... ...... .... ...................... f r Location hot if.62i; T118 Point of Pines Ave r^ #a Centerville a o. ....................................... Owner ....:r:3ohn C� McK on k Frain �, Type of Construction �....... ........................... ,,F .. .r.•. tr............ �...... .............................. c' PI'ot ............................ Lot ................... ........ March 13, ;; 86 Permit Granted ........................................:19 ��e�' it ,� —; _- ^ '�' '� �. • _ , Date o'f Inspection _ Ad 1 Date Completed ;`i �_...... .. .19 , _i �,,, :x. y x•r .r V — '\,, ,mot f �,• `� •••a t [' ae.•t f •L. r .. j:2 r ' �ter•'•f` - ,"7 'r t{ r J 1 BUIL ING TOWN OF BARNSTABLE, MASSACHUSETTS JOB WEATHER CARD DATE ` 19 PERMIT NO. `' h f e APPLICANT ADDRESS (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY - DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT (NO.) (STREET) ' BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK_ SIZE — BUILDING IS TO BE FT, WIDE BY FT. LONG BY_ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR - PERMIT - VOLUME - ESTIMATED COST _ FEE (CUBIC/SO.UARE FEET) OWNER BUILDING DEPT. ' ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY Of PERMANENTLY. ENCROACHMENTS ON PUBLIC® PROPERTY, NOT SPECIFICALLY PERMITTED UNDER- THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINEf FROM THEDEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT ODES NOT RELEASE THE APPLICANT FROM THE CONDITION'S OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND _I I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. - POST THIS CARD SO IT IS VISIBLE FROM STREET) BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Z — 2 — ` 2 3-- ---__— -- '-__— `iEAT:NG NSPE'Ti:NG APPROVALS E P. ERA N 1 SPEC TION APPROVAL e�EERING BOARD OF HEALIN NCFK .SAL_ NC7 �PO_EED UNT L 'rE PERMIT 'W!LL BECOME NULL AND VOID IF CONSTRUCTION NSFECT: NS iNOICATEO ON TH'5 CAP NSPECTOF 'AS A=-RCVED -. +E ;cam g WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE =A ) DE �R-ANGER FOR 9� TPL cc+.r^. STAGES JF CONS`RIiC'I�N' I PERMIT iS ISSUED AS NOTED AROVF. 1 OR WRITTEN NOTIFiCATION. t• oFTME>o TOWN OF BARNSTABLE Permit- No. .....�� �. ... BUILDING DEPARTMENT Bear& TOWN OFFICE BUILDING Cash .... .65 X 'tour HYANNIS,MASS.02601 Bond t"Q CERTIFICATE OF USE AND OCCUPANCY Issued to John C. McKeon Address lot #69 1 1 A Pninit of Pinup Rnnr1_ rpntp!-sri 11.E USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ..... .P Build ng Inspector r f l/ L) �6 3 � � r" .�O � ! of 5 .6 - ,..----i- - \T v t9l CERTIFIED PLOT . PLAN L O CATION: FOR /•..C:., D� r' 3 C A l E: = Zo DATE:J"C. Z6, .R E F E R E N C E: G. O� -4��� L3cao e;�3y3 O / 6t /63 D A Ti I CERTIFY T-0 THE BEST Of MY KNOWL pa EC: LAND 5U VEY0 AND BELIEF FROM INFORMATION ACQU R - D THAT THE /CVI-101977OA-✓ SHOWN ON THIS PLAN I3 LOCATED ON THE GROUND AS SHOWN HEREON. Of JOSEPH G M: v MONAHAN,JR. % J. M . MONAHAN , JR . & ASSOCIATES NO' ' 0 PROFESSIONAL LAND SURVEYORS .& ENG ( N_EE_RS �gOGsuR14����� T..OW.NE .PLAZA 900 ROUTE 1..34-.-.S.OUTH ..D_ENN.f_.5,_MA5.S., a.