HomeMy WebLinkAbout0005 GENERAL PATTON DRIVE 5 C�e„ernQ Pu.-1-b� De. - - - -
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Town of Barnstable Building
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Post This Cad So:T.hat""itis Visible Froir the Street `A , rovedmRlansMust be;Retained on.Job and this Card Musbe Keptr
M" Posted Until-F nal Inspection Ha" Been Made i ' �R. f,
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Wher;,e a.Certificate"of Occu, anc is Re, u red swch Bu�ldmg shall Not be�®ccupied unt>If a Final lnspection has been�made , . Permit
Permit No. B-17-4159 Applicant Name: David Cooper Approvals
Date Issued: 03/07/2018 Current Use: Structure
Permit Type: Building-Addition/Alteration-Commercial Expiration Date: 09/07/2018 Foundation:
Location: 5 GENERAL PATTON DRIVE, HYANNIS Map/Lot: 292-098 Zoning District: RB Sheathing:
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Owner on Record: NUNES, FABIO D&GOMES,ANDIARAContracto�Name DAVID COOPER Framing: 1
Address: 28 STONEY CLIFF ROAD Contractor Li cerise t S 108961 2
CENTERVILLE, MA 02632 Est Protect Cost: $25,000.00 Chimney:
Description: AT&T proposes to add a P6480i Galtronics small cell tenna to theE,,Permlt Fe4e: $327.50
Insulation:
top of the Utility pole located at 5 General Patton Drlv e,Hyannis 'R'
Fee Paid: $327.50
MA.The pole#is unmarked.Also proposed onthe pole is3a 12 x Final:
box tothe antenna oroted on osed meter forpower.s runft
gf om the
Date 3/7/2018
pole;
Al
proposed reading on pole, M
drawings are attached outlining the proposed,ddesslgn
1,4
Plumbing/Gas
�> 'v Rough Plumbing:
Pro ect Review Re _..... , "
1 4 Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
Rough Gas:
All work authorized by this permit shall conform to the approved appl oon and the approved construction documents for whit this permit has been granted.
00 Final Gas:
i
All construction,alterations and changes of use of any building and structures shall>be n compliance with the local zohip'4N laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. _ Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by''the Building and'.Fire Officials�a�re providedpbp is permit. Servi ce:
Minimum of Five Call Inspections Required for All Construction Work:;; $ Rough:
1.Foundation or Footing
2.Sheathing Inspection Final:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Final:
7.Final Inspection before Occupancy
Health
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department
Building plans are to be available on site Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENTj'`=~�
.�/�hAZt• 5�T
c), 0 C62_
�oFIKKE T Town of.Barnstable *Permit#
pExpires 6 mo r e U
Regulatory Services Fee °
snxxsrnBre, —
�cb 1 . Thomas F. Geiler,Director
0 Buildin Division
clykir
.1
OPS ® g Tom Perry,CBO, Building Commissioner
'�R/Vs, 200 Main Street,Hyannis,MA 02601 p
TA4�` www.town.barmstable.ma.us
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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 014f °
k,7 Residential Value of Work �- Minimum fee of$25.00 for work under$6000.00
Owner's Name&Address S
': IC
S'h4 VK
Contractor's Name Telephone Number
Home Improvement Contractor License#(Applicable)
LConstruction Supervisor's License#(if applicable)
' C�
k _
3
' ❑Workman's Compensation Insurance
l Check o
am a sole proprietor
❑ I am the Homeowner t
(. ❑ I have Worker's Compensation Insurance P
l .
l .. .Insurance Company Name
s C
'r Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to :�cv� ar
#Y.1 ❑Re-roof(not stripping. Going over existing layers of roof)
"a ❑ Re-side v �i
#of doors.
`. ❑ Replacement Windows/doors/sliders.U-Value (maximum .44)#of windows
C
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. V
***Note: Property Owner ust sign Property Owner Letter of Permission.
T. py o e me Improvement Contractors License& Construction Supervisors License is
re uir
SIGNATU
Q:\WPFILES\F00 \building permit forms\E RESS.doc
Revised.090809
-• •- 1Massachusetts- Department of Public SafetN
�! Board of Building Regulations and Standards
Construction Supervisor License
License: CS 6670
Restricted to: 00 ,zV
'.s r r F
� Sy
MICHAEL E MONGEAU
77 TRADERS LANE
d
W YARMOUTH, MA 02673 I
I
Expiration: 7/7/2011
Commissioner Tr#: 17349
--
License or registration valid for individul use only
i before the expiration date. If found'returRe to'
Office of Consumer Affairs and Business Reg
Plaza-Suite 5170
10 Park
'
Boston,.MA 02116
-thou s' nature
. Not vali � -
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• Massachusetts- Department of Public Safety
Board of Building; Regmiations and Standards
Construction Supervisor License
License: CS 6670
Restricted to: 00
MICHAEL E MONGEALI
77 TRADERS LANE__ I
W YARMOUTH,•MA 02673 '` ,
j.
Expiration: 7/7/2011
i
Commissioner Tr#: 17349. ,
Office of Consumer
Affair -
RHOME IMPROVEMENT CONTRACTOR
ness guiation
istr
9 ation. L_.., ;.
_ 126178
Expirat►or 4729/20 2
Type ) ira_d� Tr# 293990
u a
MICHAEL MONGE—A a
MICHAEL MONGq(_-
77 TRADERS LN '
T W.YARMOUTH, MA 026.3 �� l
Undersecretary
MIKE MONGEAU (508) 778-9797 l � PROPOSAL � 0
77 Traders Lane Cell(508)367-2646
W.Yarmouth,MA 02673 Home Improvement Lic.#+12678 Date:
Constr.Supervisor Lic.#006670
Proposal Submitted To:Mailing Address Work to be performed at:
Name: _64M,05
street: Street:
:Ay: City, �(, ��� ,c + LA. ...
Mate: Zip Code: State: Zip Code;
dome Phone: Work:
f c-&
Ne Hereby propose to furnish the materials and perform fhe labor necessary for the completion of
(b Removing old roof,install new roof with a �� c)
.�' �� � shingle
estimate sq.This price will in a 5 ear warranty on workmanship,new alumi-
num drip edge, 15#felt underlayment,roof vent collars,install ice and water barrier around
chimney,valleys,nail loose boards,clean gutters,and total clean up and removal of all
.debris. Color of roof is to be
Venting-can be critical on certain homes. Additional charge if wanted.
(a) Install V?_fit. of Cobra continuous ridge went option
(b) Install ff. of Hicks vented drip edge on soffit. option $
(c) Install .. '7 ff. of water&ice'.barrier.on.eaves to ..
prevent ice'damming option $
(d Other p
III material in guaranteed to be as specified,and the above work to be performed in accordance
iith the specifications submitted for above work and completed in a professional workmanlike
fanner for the sum of$ _;;q' . ~'"" with payments to be made as follo
)eposit of S /r am. Balance due upon completion V)
RespectFullysubmitted
CCEPTANCE OF PROPOSAL Any rotted or broken roof or trim boards unforeseen,repaired,will
ie above prices,specifications and conditions are be an extra cost above the quoted roof price.The charge for this
itisfactory and are hereby accepted:You are will be,if needed,$50/hr.plus materials.All agreements contin-
ithorized to do the work as specified. Payment will gent upon weather delays beyond our control,Not responsible
made as outlined above for wood and roof debris in attic area,or installation or removal
ate: i ' of gutter guard. Owner to remove all valuables from walls.
f
Liability Insurance on all above to betaken out by: Mike Mongeau
)nature: - t AV) 0�1���
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
r
Name (Business/Organization/Individual): C
Address: 47 �ia° Oeik_S Apq
City/State/Zip: - Wla0 '('-�, Phone #: 5(58` 7 7 1 l
Are you an employer?Check the appropriate box: Type of project(required):
1.El I am a employer with 4. Q I am a general contractor and I
6. ❑New construction
em to ees full and/or-art-time .* have hired the sub-contractors
p y ( p ) listed on the attached sheet. 7. ❑ Remodeling
2 I am a sole proprietor-or partner-
ship and have no employees These sub-contractors have g, �Demolition
kers'
working for me in any capacity. employees and have wor 9 Building addition
[No workers' comp. insurance comp. insurance.$
5. We are a corporation and its.. 10.❑ Electrical repairs or additions
required.] exercised their bin re airs or additions
3.❑ I am a homeowner doing all work officers have ex 11.❑ Plumbing p
right of exemption per MGL
myself. [No workers comp. hoof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have..
employees. If the sub-contractors have employees,they must provide their workers'comp,policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insuYTce coverage verification.
I do hereby c deqea and penalties of perjury that the information provided above is true and correct.
Si
Date: ko
Phone# ���
I Official use only. Do not write in this area, to be completed by city or town official
I 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 {J
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 einplo))ee is defined as "...every person in the service of another under.any contract 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 enteiprise, and including the legal representatives of a deceased employer, or the
� . , . \, t . , t a
receiver or trustee of an`mdwrdual?parinership, ass`ociation�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
1, ± '% ) " t r P Cti `
dwelling house of anot}er who employs persons+to-do maintenance,,eonstru,,tion or rep5air�work on such dwelling house r
i "'`•x "Ion�the''grounds oT�birilding appurtenant thereto shall not because of Such employment be deemed to be an employer.
r t
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 withthe insruance
requirements of this chapter have been presented to the contracting authority." '1
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 numbers)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'
the number listed below. Self-insured companies should enter their
compensation policy,please call the Department at
self-insurance license number on the appropriate line.
City or Town.Officra is
a prov
ided a space at the bottom
has• 1 The DepartmentP
Please be sure that the affidavit is complete and panted legibly. P
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 permi0license number which will be used as a.reference number. In addition, an applicant
that most submit multiple permitilicense 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 like to thank you in advance for your cooperatio an shouldyou 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 Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 4-24-07
www:mass.gov/dia