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Home My WebLink About0421 STRAWBERRY HILL ROAD �, , � . � � a �� n � -� �� - o �. . . y � � _. .� � � . . _ �.: w . , �, � � �� ,� .. a _ . r __ d - � ti , a � � � ,o a _ , . .._ , 4 a ° - r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, y Parcel �D Permit# 52 Aalth Division - 16— -Date Issued Conservation Division LsL M/—' Fee * r Tax Collector E —I Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Addressaz L Village ckrwav1, ��- Owner Addresses Telephone o l9 Permit Request4&A� RAT /°upu �-66 a.3 S= Square feet: 1st floor: existing proposed 2nd floor: existing proposed total new %V Valuation 6ioning District Flood Plain . Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes _ ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure C5. Historic House: ❑Yes . allo On Old King's Highway: ❑Yes &1�0 Basement Type: ❑ Full ❑Crawl ❑Walkout 2Mther � 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 IC4— new First Floor Room Count Heat Type and Fuel: &6a's ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:M-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 • r BUILDER INFORMATION . fNamed�d lLa.� Telephone Number toe Address License# (JZAkLo <<,Q� Home Improvement Contractor# 2,6 Worker's Compensation#" ALL CO KCTIO,N EBRIS RESULTI G ROM THIS PROJECT WILL BE TAKEN TO - SIGNATU DATE ICK _ y . FOR OFFICIAL USE ONLY R t. PERMIT NO. a i 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. I The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street t Boston,MA 02111 ,�•°� www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AppHcant Information Please Print Legibly Name usiness/or zation/Individual): (B f� Address: City/State/Zip: C�Ls(�VCV��diA(-( �� `Phone Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I 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 x Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its &Iam edofficers have exercised their 10.❑ Electrical repairs or.additions 3. homeowner doing all work right of exemption per MGL 11- Plumbing repairs or additions myself.[No workers' comp. c. 152,§1(4),and we have no •12.❑ Rooflairs insurance required.] t employees. [No workers'comp.insurance required.] 13.[✓]OtherC :Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information "• Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site reformation. nsurance Company Name: ?olicy#or Self-ins.Lic. #: Expiration Date: lob Site Address: City/State/Zip: %.ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). ailure to.secure cow as required under Section 25A of MGL c. 152 cari lead to the imposition of criminal penalties of a ine up to$.1,50 ;00 0 and/or o -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine >f up to$250.00 a day against th violator. Be advised that a copy of this statement may forwarded to the Office of nve t gaff o the DIA for ins ce coverage verification. 'd ere by ce the pai s a d penalties of penury that the information ormation provide a ove is t e and co ecz ii e:. Date: Z� 'hone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ,$ pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, r express or implied,oral or written." An employer is defined as"an indivi4at,: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, 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, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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.. Self-insured companies should enter their self-insurance license number on the appropriate line. 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 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. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for:future permits or licenses..A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit" The Office of Investigations would hike to thank you in advance for your 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 a ..Office of Investigations 600 Washington Street Boston,MA 021 It Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia i Town of Barnstable Regulatory Services `* ssresi.E, ' Thomas F.Geiler,Director KAM 9�'`7f019. 1% 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 Permit no. Date AFFIDAVIT HOME ZUROVEMENT 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 adi acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r p� Type of Work: ��A, N��U tcc Estimated Cost Address of Work: Owner's Name: 4k Date of Application: I hereby certify that: Registration is not required for the following reason(s):/ F W rk excluded by law ❑ ob Under$1,000 (1Building not owner-occupied [R�' wner 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 UNDER PENALTIES OF PERJURY I hereby apply for a permit a agen a owner: Date Co ctor Name Registration No. DA R Date s Name Q:forms:homeaffidav Town of Barnstable pF'THE p� Regulatory Services sntwsrnBre Thomas F.Geiler,Director MASS. �. Building Division pTFD �a 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: b < c JOB LOCATION: 4 Z J-\V- �W Lk (.i—k— number ,�n I �? stree /village "HOMEOWNER": � Z`( lCil��i'�I sb,J �C7 - j( � �51 J� name �, n .home phone# work phone# CURRENT MAILING ADDRESS: city/town 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 suuervisor. 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 res o or a ch work erformed under the building permit. (Section 109.1.1) e undersigned"homeo r"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, es and regulations. e un ersigned"homeo 'certifies that he/she understands the Town of Barnstable Building Department minim ection proce s and requirements and that he/she will comply with said procedures and requir Si owner 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 pemtit 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 fomn/certification for use in your community. Q:fornu:homeexempt Y AS/LOT 165 GJ _ o------37-' AS/LOT 53 =GAR-_- 6 �y s '0 /oc 00, 01 ===:# ~= f0 -- �;� LOT 1 w - PLAN 2.181105 % S89°?4 '30"W 129. 81 ' LOT 4 PLAN 251/90 Plan "RB'• W 1 This MORTGAGE INSPECTION Bank 1eo KES. Z0,' � On1,- F1.00f)JUA RISIANC&§ AND MEASUREMENTSON HIF EL64 SHOULD BE VERIFIED BY AS T-v <':a ------ REGIST,- 0WNER:.DO.ta: DEED REF: -Lo766+F10_—_-- BUYER: -AL•I,RZ-PYTE'Rhl�:---- - - - --- - - - - - DATE: _31_ 9al-OL- PLAN HEF: _S_Ef A80 MONO ! HEREBY CERTIFY TO .I_ - -Q A.; i - _ THAT THE BUILDING i SHOWN OV THIS PLAN IS LOCATED ON THE GROUND .'AS SHOWN ACID THAT ITS POSITION DOES ___- CONFORM "'.0 THE ZONING LAW SETBACK REQUIREMENTS OF THE OWN OF!_ 4ffA9X _TAd4E___.__-,____�--AND THAT am IT DOES_NOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD AREA AS SHOWN ON THE H.U.D. MAP DATED-A-I:IM _ E TEL �29 ut'' C'o un' - anel .250001 0005 C - T1411S PLAN NOT MADE FROM AN i . \1`T SL"RVEY 1 1 � 1 • ,2 z v - �i1 � t 3 � � I u z � 1 1 ti f I i a i� I I 1 1 k 1 I 3 oFVE roh, Town of Barnstable _," *Permit# 70 0 -3 Expires 6 months from ise,date ' Regulatory Services Fee BARNSTABLE, ' v� i `m$ Thomas F.Geiler,Director '°'fo►r►o+°' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT Office: 508-862-4038 /� Fax: 508-790-6230 2003 EXPRESS PERAUT APPLICATION - RESIDENTIAL DULY r/ Not Valid without Red X--Press Imprint TOWN OF BARNSTABLE Map/parcel Number �7 0 S LT 42.1 To-w 44 Property A dress Residential Value of Work Owner's Name&Address F-+'t� �' • ,` 2, OW 5W �+(U- 6�v ra Vi LL 1, Contractor's Name Telephone Number � � 9� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance PI one: m a sole proprietor m the Homeowner ❑ I have Worker's Compensation Insurance �- m Insura Company Name Insurance a�GC.(� t�L ✓VG r C� Workman's Comp.Policy# Permit 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 [ Bzp1aGczQent Windows. U-Value (maximum.44) *Where required: lssu of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. **No e: Pr p rty Owner must sign Property Owner Letter of Permission. H Improvement Contractors License is required. Sign u Q:Forms:expmtrg Revise053003 Assessor's map and lot number....... ..-:.c.� iJ.... .- SEPTIC SYSTEM MUST E �OFINETO� Sewage Permit' number ... .. INSTALLED IN COG PLIAN 0 Z/ .... ...... ........... WITH TITLE 5 � Z BASB9TADLE, i House number ..............?....".Y... ENVIRONMENTAL CODE A M�a TOWN REGULATIONS o0 YpY Cr 9 TOWN ' OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO st!✓ v Z ........ —W eej .vzw................................ TYPE OF CONSTRUCTION .................... ooG>r...... ........................ e,............................................. ..... `..�9..........................19.. • TO 4E INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: .t, T.�,► Location ................... .....................................................��+ .G ................. ....................................................... Proposed Use .................. /r 4...�d!L•��!�...................................................................................................................... ZoningDistrict :.:.....................................................................Fire District ................................................................./............ Nameof Owner .......:.......................�.. ... Address ... ..... .......................................... Name of Builder .... +C'?.............Address ....... e!' ............................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms Foundation r...�f........................ Exterior .....................................:.................Roofng ........... .� ........G.vX....a i1w. .'��."0!. ."'� C� .... ..... ............. . ....... ...... . ..1 Floors 6 NCB£.�.. E ................Interior Heating ............... ......................................................Plumbing .................................................................................. Fireplace ......................................Approximate. Cost �a s Definitive Plan Approved by Planning. Board ________________________________19________ . Area .................................. ..::N. Diagram of Lot and Building with Dimensions Fee (� SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 0 � 3 9��F F7— 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. %wfe ................. ......... .. ............. Construction Supervisor's License ....C..y'` / z� MARTIN, WILLIAM 28250 One Story No ................. Permit for .................................... Single'*`�I Family Dwelling • ....... . .................................................................... 421 Strawberry. Hill Road Location ................................................................ Hyannis ............................................................................... Owner .... William Martin ............................................................. Type of Construction .....Frame......... ........ . ................... ................................................................................ Plot ........................ Lot .................................. - Permit Granted ....... July. 26, ............ .......................19 85 Date of Inspection .....................................19 .................19 Date Completed ............ r-T 4 M M M > rn rn Assessor's map and lot number ...... . ....... e ' oF7NET0 ----- SeMrage Permit number ....... d� ................ ............ .........,. 1 2/ 9 AHH l+1r, i I7 " MAM House number ......`...... .... ............................................. �0 39• 77 / ,b 0� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........../� .?:!c... %'� fit. ......... •"'! ='® " ................................ TYPE CONSTRUCTION erg ' .. ............................................ �........:...... .....................19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: y . 0 Location .................. .......... .......... ProposedUse ...........................�,+�00. ..............................................................................:....................................... Zoning District . .Fire District ........................................................ Name of Owner .........c"f�'!`r.............................' .�, ,,��r t .o° -''.�..-� ...... ......Address ............................... ................. Name of Builder, "-". .... .............Address Q�.".J. ... +�.... � .............. c7.I P. Name of 'Architect ...................................................Address ..................... Numberof 'Rooms ..................................................................Foundation ................................� ......... Exierior ! � P ...Roofing'° .............." Floors � /� ...Int6rior .......... ............................ ................................................. Heating '�. ..._.....Plumbingi '....... '^—_. ........... . Fireplace �`— ...Appyroximate Cost ... .�............................. ..... .. .... ... . Definitive Plan Approved by Planning Board ____________________________'___19________. Area ...........................:...... .... . ti Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH ;, ry OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS- 9 I herebyagree to conform to all the Rules and',,Regulations of the Town of Barnstable regarding the above cons ruction. A, b CN cara -s',• �. =.............. Construction Supervisor's License .. Z MARTIN, WILLIAM A=248-50 2825d'' One Story No ................. Permit for .................................... Single Family Dwelling ............................................................................... Location 421 Strawberry Hill Road ................................................................ le .................. .......�� .......... Owner .....William Martin ............................................................ Type of Construction ......Frame .................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted ......July..26,................ 1.9 85 Date of Inspection ....................................19 Date Completed ......................................19 G6YX G 1 i l 1 ,