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HomeMy WebLinkAbout0190 SHORT BEACH ROAD l�� ���id��-�C,�� � � �fw . R .� r � 5 y� c .. ° a o n ,:` u �, �y e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parce. U�' Permit# Z 6 �Q ` Health Division c �� Date Issued '' G Conservation Division J' D J . .���/35 PL�N� Application Fee e ` Tax Collector y -. Permit Fee ` �s SE?7:C fC IN GI��I C7LIST Treasurer o TALLER IN CO.%1pLIA WITH TITLE g d��.0 Planning Dept. E►�MROPd�fIE . Date Definitive Plan Approved b Planning Board TOM NTAL CODE` pP Y 9 M REGULA,710tI.S Historic-OKH Preservation/Hyannis Project Street Address 110 Village Ce-tivy 1.. Owner L")6 �� c,I Address scG.wsc_ xF Telephone 7_2 d -5Y L S o Permit Request ccic r, Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total newC9_� Zoning District Flood Plain Groundwater Overlay Project Valuation O,iA4&e Q Construction Type j. j� � Lot Size ? Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ®' Two Family ❑ Multi-Family(#units) Age of Existing Structure k z/0 Historic House: ❑Yes 4ft On Old King's Highway: ❑Yes W-No Basement Type: .❑Full Drawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2- new Half: existing new Number of Bedrooms: existing 3 new 5 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: &Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes CLNo 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.- T_... -- Proposed Use. BUILDER INFORMATION Name Telephone Number -7 7 S 2'7&0 Address 6-1i Jo, License# Q&U'7 1 C ` Home Improvement Contractor# /(20 71 b Worker's Compensation# (old 23Lt &Qt ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �,��atyh, SIGNATURE DATE P��ti'/lr3 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. � 1 ADDRESS VILLAGE, OWNER - r 1 DATE OF INSPECTION: FOUNDATION t FRAME INSULATION•' ' 1 FIREPLACE 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH' `t t C FINAL FINAL BUILDING DATE CLOSED OUT I 1 I I ASSOCIATION PLAN NO. 1 I �1 The Commonwealth of Massachusetts ...... '-= Department of Industrial Accidents aff om oflvyestfgatlans 600 Washington Street ass. 02111 Boston,M Workers' Com ensation Insurance Affidavit, / VIA nam cation: u PLO _ hone# ^d Z ElI am a homeowner performing all Work myself. 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I�derstuzd that a our years'imprisonment as wen as dva p e veritication• copy of this statementmsy be forward to the Office otInvesdgations ofthe DIA for coverage th aim and penalties ofPedwY that the information Provided above is truo anti ct corre I do hereby certify under Date - M sigaat= Phone Print name oilidd use only do potwrite in this area to be completed by city or town ofadal OB�g Department peradt/license# C)LicuWng Board city or town: Clsdectmea's Office ❑ dieckif fn=edlde response is miuired ❑$ealth Departa=t Other_ phone#; contact person' (rcy sad 9/95 PIAa r Information and Instructions for ir Massachusetts General Laws chapter�152 section 25�ed wee d�as everyers to ersonProvide inthe serviceeof another�underany coentract employees. As quoted from the 'law", an employee P of hire, express or implied, oral or written. An employer is defined as an individual, partnership,artnershi 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 employee"s. However the owner of a I than three apartments and who resides therein, or the occupant of the dwelling house of dwelling house having not ma int n ce, construction or repair work on such dwelling house or on the grounds or another who employs persons to do nl'L�ena_. 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 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 uaiil 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 lyaour situ maybe supplying company names, nd address and phone numbers along with a certificate-of innimr ents for confirmation of coverage. Also be sure to sign and submitted to the Deparimeut of Industrial Accid 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`haw"or if you are requires to obtain a workers' compensation policy,please call the Department at the number listed below. PON City or Towns Please be sure that the affidavit is complete and prkted legibly. The Department has provided a space at the bottom of the event the Office of Investigations has to contact you regarding the applicant. Please affidavit for you to fill out in the be sure to fill in the pelmitllicens0 number which will be used as a reference number. The affidavits maybe retunred to the Department by mall 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 Office of Invesugatlans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone.#: (617) 727-4900 ext. 406, 409 or 375 �oFZHE,° Town of Barnstable Regulatory Services _ BA MsMLX, ' Thomas F.Geiler,Director MASS 9� i639' `°� BuilcliII Division a g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-962-4038 Fax: 508-790-6230 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. n�1 Type.of Work: L-mo-co s Estimated Cost Suy Address of Work: 1 -to OLD- Owner's Name: Date of Application: Al 3 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 IlY1PROVEMENT 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: 0105G "., /Gd Date Contractor Name Registration No. OR Date Owner's Name i DFSHE r ' Town of Barnstable ti Regulatory Services r + Thomas F.Geiler,Director `b°TEo;p.� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 54e,3c (,)o -G-1 , as Owner of the subject propetty... hereby authotiz e c� VA o c,c.� to act on my b ehalf,. in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:F0RMS:07MEUER2VLSSMN 71. Board of Building Regulations and Standards .HOME ll"O�VEMENT CONTRACTOR Regisa�t c t - 0071.8 23/2004 1(; Ni q ate Corporation ; MOGAN&CO.,I _ 1 r fir, Francis Mogan,J F ` i. 68 JOYCE-ANNE R'l: Centerville,MA 02632 Administrator �, � �1e T�omvnzaizu�etz�/.� a�,/�,cwaac�u�aella � i BO'A+RD OF B G lUlDNN;G RE�qUUL-TI'ONS Jcense: CONS-TRU'CTION-SUPERVISOR I Numtxer'..C5`. 026 /1" �! Bi�i,�tMdete 11@/03M6�'�k47 } Ec 3 Tr.no: 6750 PRANCIS E MOGAtJ 68 JOYG'E ANN RD / i C,E NTERVILLE, MA 92632 A ir�nstrator m ' i - d—e-a�i� V SOY y 4, i �t2 ►�J�sy• �o`�s p►�.c7 � ,. 7• ol j ' J I i r o t I %) * °� c 'J Q 4 r Fo 10 V v ti Am From- T-610 P.002/002 F-551 'COMMENDED NIAXI UM SPANS FOR FLOOR JOISTS 60 PSF LIVE LOAD PLUS 10 PSF DEAD LOAD T ' Normal Duration Loading* Dead Load-- 10 psf Live Load 60 psf Fb= 1000 psi E= 1 x3oo oOo psi I (Typical Values for Pressure.Presertirative Treated sa ` Pine#2 used under exterior conditions, e.g. decks) n yellow Joist Joist Size Spacing 24 W 2x1O 2x12 12" 8-9 11=6 14g 17-11 1061 1061 1061 1Q+61 16" 7-11 10-6 16-3 1167 1167r13-4 1167 1167 20" 7-4 10.0 12-4 15„1 1242 12U 1248 1262 24" 6-11 • 9.2 11-8 14-2 1336 1336• 1336 1336 4 Design-Criteria;. Dew: 'Far 60 psf Live toad Limited to span in inches divided by 360. Sir_ e_�nc the Live load of 60 psi Plus dead load of 1O psf determiryes fiber stress shown. 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