Loading...
HomeMy WebLinkAbout0016 GEORGE STREET 1� �'�o�� �-r a TOWN-OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel9'f Q d'� Permit# Health Division �;!GeV Date Issued Conservation Division �� oo� Fee y Tax Collector ° SEPTIC-SYSTEM MUST BE Treasurer INSTALLED IN COMPLIANCE Planning Dept. , WITH TITLE 5 ENVIRONMENTAL CODE.AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS ; Historic-OKH Preservation/Hyannis �"' i Project Street Address Village Owner f o✓i 't" ob D cl yi l el s Address Telephone '"7 7 5 J��_2 b) Permit Request fib y ! 7C '2' a Dec) r4i.®VI slenf Y-a�v ni -B'14-Y-47 Lau dt d!!!cj (L� Square feet: 1st floor:existing I 161* proposed 371 2nd floor: existing proposed Total new _3�� 1,t2o Estimated Project Cost oning District f Flood Plain , Groundwater Overlay , A? Construction Type AJcj-h6 v\ Lot Size F."LJ IQ7 S i; Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 3 6 sj eemes Historic House: ❑Yes )4 No - On Old King's Highway: ❑Yes \�,No Basement Type: A Crawl ❑Walkout ❑Other qq Basement Finished Area(sq.ft.) � Basement Unfin`fshed Area(sq.ft) I O 1 L4 S 6 Number of Baths: Full: existing new Half:existing' new G Number of Bedrooms: existing_ new ,?Total Room Count(not including baths):existing 6 new First Floor Room Count 8 Heat Type and Fuel: ❑Gas �4 Oil fi❑ Electric ❑Other Central Air: ❑Yes V 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:�6 existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes' No If yes,site plan review# , Current Use e Proposed Use BUILDER INFORMATION Name e as e6ove__ Telephone Number —7 -.4� Address C''C.Cr Al r_S License# F6 - { — V 6 �c�fleY�� -t Avdvl n ►/-IS Home Improvement Contractor# L'�yl a 0 ✓1, Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO' L' SIGNATURE Z���DATE � � ti •r FOR OFFICIAL USE ONLY TERMIT NO: " DATE ISSUED MAP/PARCEL NO. �, •,c *ti ,' 4 i � cJ a - �, �. y .+.-i £ f"+gJ � - �r^�' V .•. '- ro s _ � R e J-t e a 6�f'. ADDRESS rg_ VILLAGE ' y rt F S!:F X� - ' s, is •� •+ `9 ,y n= � ... I r: A _ � .. i ^4 y ;, OWNER F _ „ DATE OF INSPECTIO.' r m f• _ n .. _ ,t j 1 „°,,' �• .' ` . F , ! - . as `4 �. ) t FOUNDATION FRAME INSULATION , t FIREPLACE . ELECTRICAL: ROUGH +k'FINAL PLUMBING: ROUGHS rr , FINAL ',+ GAS: Rouffm FINAL FINAL BUILDING 19 DATE CLOSED OUTr ;< p ASSOCIATION PLAN NO: L 1 ' rt , The Commonwealth of Massachusetts Department of Industrial Accidents _ -• • ._� : Olficrolltnestigatioas 600 Washington Street ; ... ' Boston,Mass. 02111 Workers' Com ensation Insurance Adavit name -VO be -r fxec-400 17 a✓!I.I.,—Is location: e• city 61 0-11 P1 vl t r ec 6 O` he# E 6 I am a homeowner performing all work myself. 0*'1 d c v i I am a sole rietor and have no one working in any ca acity %/%////O---- I am an employer p g: lvvidin workers' compensation for my employees working on this job.: ❑ ::.:.::..;:<; :.::.:....::::..:.::..:.::::.::::.:>:>::.;::;;:: ::<:<::>:::. company name address.. ;::;:.;:;:;;:...:..:.;:.;: :.::::::. . ........:... ::. :.:. :::;.. ct ::..:::.:.. hone#r ......... ::::;;:: : insurance co. oitcv# ❑ I am a sole proprietor, general contractor, homeown (circle one)and have hired the contractors listed below who have ' compensation polices:the followingmilnsa ...... ... .P :::::.:: company ........... name ...:::::::.::.:............... ................ . address. > ;:» :;.;:>:.:.;:.;;.<:::::.. ..... .....:........ ...........:....... .................... ............................. .... ................... ...............................:. :15 e hors ..................................................................................................... .......................................................................................................................... .......................................................................................................:................ .. . . ............... :::.:.............:.<.::............:..::::.................:.:::.:::::::...............,.:::.::::.:..........:..:::::.,........::: in . ''`'•` c an v na me- address: :., ....:.....:. .. ... ..... ........ .. one. .. .:. .. city: :. ............:.;::.�:.::::::.::::::;::.�:::._:.................... . . ::.... - ... -�:.:......... ::::: ...........:........................... :.::•::•X.:....:•:: r:::::.:y::iS r.;:::•:::;:•:::•:•;:;•y:t:• .y::::x:::.:•;::.::::;;.::.;:�;..:i:a :#...:::.:::.:.:::::;.....:<.: ::.:.;:.::i obi:;;.::•::;:.:: .:.,.. :. ....:,-_ olicv insurance 1/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of 1111 crhninal penalties of a fine ail to SI,S00.00 and/or one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against ma I m�derstand that a copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties o ury that the information provided above is trap and correct AA Date _ signature Print name �n N t �� o✓i[G!S Phone# -7 78 5 5 6 Ccontact nly do not write in this area to be completed by city or town official permittlicense# ❑Building Department OI,icensmg Board �H:,rd: en's Office mmediate response is required ❑Health Department on• phone#; ��er—�— (tevued 9/95 PIA) ^ TibbdSZlb(eoatl>:Qed) i Press iptire Paelca;m for Qas and Two-Fa=RY Renideatlal Boildlags Seated Aitb Fossil Fmula . MAXIMUM AfamUM ' QIamm a g Ceilias Wall Floor 8taeommmt Slab Hea=wCooliag Am'('JL) U-valmm i R-valtt- B•valm' R.vdmc Wall F= FMae= p= = R.vdrral R.valm, 3701 to 6500 Hendnx Degree Daw Q 12% 0.40 31 13 19 10 6 No=al j g 12% 0JZ 30 19 19 10 6 No=mf S 12•8A OJO 31 13 19 10 6 15 AFUE T 15% 036 j 3i 13 25 WA WA Normal U 13% 046 31 19 19 10 1 6 Normal v i»'i avd �e i.i Aw NM •.... u AFZIE I W 15% 032 30 19 19 10 . 6 S AFUE JC IE% 032 31 13 25 WA WA Normal Y Im. 0.42 31 19 21 WA WA Nmmai Z 1BOA 0.42 3i 13 19 10 6 90AFJE AA Ilm OJO 30 l9 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY. Qe0 ylq e_ S Ff[,�cnr7 i 9 m CA. 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart.above): NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR AP OVAL YES: NO: q-forms-090303a SHE r� The Town of Barnstable M � 9�A �0� Department of Health Safety and Environmental Services 9. rEc t Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. -I,,/ Type of Work: al �► Estimated Cost Address of Work: O V ge Owner's Name: �,A D a n c e is '� o '` G- Date of Application: off a�o 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 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 as the agent of the owner: Date Contractor _ e Registration No. Date Owner's e q:forms:Affidav ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE g square feet X $55/sq. foot= 4 'v°�f,12,0 GARAGE (UNFINISHED) square feet X $25/sq. foot= PORCH - square feet X $20/sq. foot= DECK square feet X $15/sq. foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost g990915b Table J=b(eo=*toed) Armu ipttre Paeisa;ea for des mod Two•F=dY Ruideodal Boildlop gated with Foaail Faeb MAXIMUM MUM ale cciumg Well Hoar Baasfeat .4w Headag/t.00liag )j U.�,v �� R-value' VW& : Wall Aai� �P�= Ema R � p=kR= Rrv� I &value 5101 to 6500 Headnw Deww Dada' Q 12Y. Q.40 31 13 19 10 1 6 Norcmi a 12% ms2 30 19 19 10 6 Na=ai s 12•9L dso 31 13 19 l0 6 U AFUE T 15% 0.36 31 13 23 WA WA Normal U 13% OA6 3E 19 19 j 10 6 Normal •: "� ..•. WIA 2S AFUE 1► 177i IR44 Je 1.+ &a tv� .�.. w 13% osZ 30 19 19 10 . 6 U AFUE X 18*/. 0.32 31 13 23 WA WA Normal Y 13•/. 142 31 19 2S WA WA Normal Z 1E%. 1 0.42 32 13 19 10 6 90 AFUE AA Ir/. Os0 30 19 19 10 A 6 1 90 AF[JE 6�1. ADDRESS OF PROPERTY: U 0 00,E— S SQUARE FOOT 2. .Q AGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): ✓(J S. SELECT PACKAGE(Q —AA-see chart above): ��� f.�IF& NOTE. OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APP VAL: YES: NO: q-forms-080303a A Ef L1111 CENSUS TRACT# 122 CLIENT: 'ROBERTS, FARRELL & ROWLEY DEED BOOK C.T.#45828 PAGE ` OWNER: THOMPSON, ROBERT E. & EILEEN I. PLAN BOOK L.C.#14034H PAGE LOT2 APPLICANT: E. ANN DANIELS ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN ' OF LAND LOCATED AT . 28 GEORGE ,ST'REE�' SCALE: 1'-30 JULY i7', 1997 , HYANNLS, MA - LOT 10 N LOT 11 LOT 12 105.09, BLOCK 3 SHED LOT.2 12,200 SF+— O ao r5 0 LOT 3 v LOT 1 CONC. T ^2O 1 STY GAR w W N O � w j a 110.00' L, i 110'+-TO KENT STREET GEURG� STREET ZONING DETERMINATION THE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE WITH LOCAL APPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION ENFOREMENT ACTION UNDER MASS.. G.L. TITLE VII, CHAP. 40A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRUMENT SURVEY IS ADVISED WHEN STRUCTURES ARE SHOWN TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING SETBACK LINES. FLOOD DETERMINATION THE DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY # 250001 0005C AS ZONE C DATED 8/19/85 BY THE NATIONAL FLOOD INSURANCE PROGRAM CERTIFICATION I CERTIFY TO ROBERTS, FARRELL & ROWLEY, t R or�lr COMMONWEALTH UNITED MORTGAGE COMPANY 01,br Otartr llitub Oururg Ulu. QQ �`yG AND ITS TITLE INSURANCE COMPANY, THAT Men Ar11ru Rvab CAR ER THERE ARE NO VISIBLE ENCROACHMENTS OR New sSeUvrb, -1 A II2745 # � EASEMENTS EXCEPT AS SHOWN AND THAT THIS 1-90II-993-33II2 PLAN WAS PREPARED UNDER MY IMMEDIATE tt3E 1—$t1Q-993-33Q4 SUPERVISION. GENERAL NOTES: This mortgage inspection plan was prepared for the above mentioned client as of this date and is not intended or represented to be a land or property line survey. No comers were set. It cannot be used for preparing deed descriptions, construction or establishing fence, hedge or building lines. The land as shown hereon is based on client furnished information and may be subject to further out—sales, taking, easements and right of way. No responsibility is extended to the land owner or occupant. It is not intended to be recorded. The Town of Barnstal)le FT I Tp� O Department of Health Safety and Environmental Services w � Building Division BAttNSTAB.t:. ' 367 Main Street,Hyannis MA 02601 Mnss. i639. ��rED MA't A Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Buildincy Commissioner HOMEOWNER LICENSE EXEMPTION II Please Print DATE: �9 �C�J .2010 O JOB LOCATION: / �C a�q e g C, number (/ street village "HOMEOWNER": no ^� / or e_d _ Jbnle/S name home phone# work phone# CURRENT MAILING ADDRESS: ©� o�c 12 TA OLt,I 1 3 0c, 02,60) city/t&wn state zip code The current exemption for"homeowners"was extended to include owner-occuQied 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 minimum inspec 'on procedures and requirements and that he/she will comply with said procedures and requ ire �L 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 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 to amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMMN SMOKE DETECTORS O.K. NEW �Sl!OKE DETECTOR REQUIREMENTS BA STABLE BUILDING DEPT. AriE: NOW LAW. EVEN THE ADDITION OF q UPGRADEIt OFTHEM _. ... �_ - IMP Mot a og ve wl H E H ` pL`AN ACCORD°I•NGt,'� AND�HAVE ELECTRICIAN TAKE OUT THE APP UR PERMIT AT THE ARX DEPARTI�rbTP�T� o < { vo 21 Q /4� N I iifYYY ��I a:. uF � 1 j t j j 11 M \ 1V X e S � � d � D _ nisi.. v �' � oA vnct giro VIN s rrrrr �Oda �r k" t y o F j - (I * + 3 �' yA air F 4 I I � I F I T r L I 0A, IUD is I i � I I 32 i i G_ 116 S c a /,! n i S �i4►