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Home My WebLink About0011 LILLIAN DRIVE // ,L;�C �. ,�A,J � - - ---- .� ,. Town of Barnstable Buildin eTadh C HARI AI" PostUtPM^ r ificate.of Occupancy is Required;such Buildmg`shall N >tbe Occupied a»tll a Fina! Inspectronhasbeen made Permit t WheeCert Permit No. B-18-3543 Applicant Name: Roland Langevin Approvals Date Issued: 12/03/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 06/03/2019 Foundation: Location: it LILLIAN DRIVE, HYANNIS Map/Lot: 248-205 Zoning District: RB Sheathing: Owner on Record: CROWLEY, ROBERT W&JULIE Aµ Contractor Name: ROLAND LANGEVIN Framing: 1 Address: 23 BELLEVUE AVENUE i Contractor License,.,, CS-103861 2 .. WINCHESTER, MA 01890 ya Est Project Cost: $7,165.00 Chimney: Description: Air sealing,weatherstrip door&add sweep,attic 7f_60en R-26 Permit Fee: $86.54 Insulation: cellulose,attic hatch;seal &insluate,vent future bath fah, insulated Fee Paid $86.54 bath exhaust hose,4"flapper kit through gable,ventilation chutes, 7, Final: walls;wood sided 4' rigid board,basement sills R19 FG batt,4"x16" Date 12/3/2018 soffit vents. - - Plumbing/Gas Project Review Req: g •°w Rough Plumbing: . � �_O Building Official Final Plumbing: f Rough Gas: P, Final Gas: I .� This permit shall be deemed abandoned and invalid unless the work authonzetl by this permit is commenced witl m�six months afte`issuance. Electrical All work authorized by this permit shall conform to the approved application and the approved;const'tuction documents for wtiich'this permit has been granted. 5 A Service: All construction,alterations and changes of use of any building and structures shall beln compliance with the local Toning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and'shall 66'mamtain edopen for public,inspection for the entire duration of the work until the completion of the same. Rough: !: .. .. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final: Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection st7 Low Voltage 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 `� Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation _'P/ Final: 7.Final Inspection before Occupancy e< loth Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). w Engineering Dept.(5rd floor) Map 8 - Parcel �2 g j Permit# House# J� Date Issued v � Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �TNE Definitive Plan Approved by Planning Board 19 BARNSTABLE. TOWN OF BARNSTABLE Building Permit Application Project Street Address ]pfV L_OT _t4 e45- Village ��lS-v2Es!C lrl Lie , Owner 1 01,14,e ��' Address Telephone -Vd -1 Permit Request First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ -�;t(o Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Neat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other -Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No - r Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information NameC< �� -c/ Telephone Number Address License# 0 0 9,9 9 s,- ' 4, Home Improvement Contractor# / 256O> Worker's Compensation# -W-619 1,4Jr-K&0 7i-, NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ��c+ DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 4 FOR OFFICIAL USE ONLY PERMIT-NO. DATE ISSUED MAP/PARCEL NO. • 'F ADDRESS VILLAGE OWNER - DATE OF INSPECTION: # r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Tile eanttttuttivealllt of Afassachusctti w • �•3 •�1! . .r 't:-=��•��- Dcprrrtnu'frt Of 111dtlStrial Accidents 1� _; 1• ;:� �- �, office-of luvesl/gatlans 6110 If'ushittrtun Street •�'•,�':�; '�;� Boston. ,floss. p2111 Workers' Compensation Insurance Affidavit �1JiPiic'int'inforntatitin• PlE PRINT Z-61E ��f'e rrO `� •� cin ,�it%/it/lf `'"I i ®v(P hon• I am a Komeowner performing all wort: myself. ['j I am a sole proprietor and have no one working_ in any capacity :-... ....�.-�—•�-•��__,.��.�..==,�..-..wtc t---�-M!-11r!.+---ETA-. .. ,...�,v....�......—.r-��--��t'�-••—,.•w"`.....,,"..�..._-- I am an employer providing workers' compensation for m,% employees working on this job. •tddrect• city r6 ?/ifi (S y�(� Jthnne#i 7d��a �� inctrr•rrtcc co. [j I am a sole proprietor. general contractor. or homeowner(circle one) and have hired the contractors listed belo% who h the following workers compensation polices: enniatt ' n•trnc• iddrecc- cin•• nhnnc#• nniic� incur•rncc rn cnrnn•rn.• n•ttnc addre�c� win nhnnc it• insurance cn _ noiicy N Attach additional sheet if neccsiarv �.•� i� ^��'�* ' �' '=`�i1i a ^-ter'• ~�~�'�`�~'� iy�e•. .. ...wa'w� Failure it)se coverace as requtred under Section 3A of A1GL 1S3 can lead to the imposition of cnminai penalties of aline up to S1SOU.UU andiu secure une wears' imprisonment as twcil as civil penalties in the form of a STOP WORK ORDER and a litre of 5100.00 a dap against me. 1 understand that Copy of this maictuent may be forwarded to the Office of Investigations of the DIA for covertire verification. 1 rlo lterehr cctril utt/• the pains mtd euait' o perjurr that the information prodded above is true and correct. Signature Date Print nam `e ` 4, Phone# 720�O� w - T•official use uoly do not write in this area to 6e completed by city or town official ` t' city or to wn: permit/license it r'tlluiidine Department T Licensing lluard (] check if immediate response is required 0 Selectmen s 0f6cc ►_ �•. (211caith Department k contact Person: phone is: Mother. r llur►►caLJUll a►►u IIINtl uLlIMUN 1 Massichusetts General Laws chapter 152 section 25 requires all emplovcrs to provide workers* compensation for their employees. 4s quoted from the an cmplo ce is defined as every person in the service of another under any contract of hife. express or implied. oral or written. An einpl(!r r is dcf ined as an individual. partnership, association, corporation or other legal entity, or any two or more the fore--ohm, engaged in a,joint enterprise, and including the legal representatives of a deceased emplover, or the receiver or tntstee of an individual , partnership. association or other legal entity, employing employees. Ho%\,ever the owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the d\%•clHim, house of another who employs persons to do maintenance , construction or repair work on such dweliin;_ hous or on the urounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. tiiGL chapter 152 section 25 also states that m-cry state or local licensing agency si►all %vithhold the issuance or -eneW.'ll of a license or permit to operate a business or to construct buildings in the commonwealth for any ihpiicant who has not produced acceptable evidence of compliance with the insurance coverage required. -%dditionally.. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the )erformance of public work until acceptable evidence of compliance with the insurance requirements of this chapter ha ,,en presented to the contracting authority. .phlicants !ease fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and ippiying company names. address and phone numbers as all affidavits may be submitted to the Department of dustrial Accidents for confirmation of insurance coverage. Also be sure to sign and date ti►e affidavit. Tice 'tidavit should be returned to the city or town that the application for the permit or license is being requested. t the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required obtain a workers' compensation policy• please call the Department at the number listed below. . its• or Towns _ase be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas sure to fill in the permit/license number which will be used.as a reference number. The affidavits may be returned to Department by mail or FAX unless other arrangements have been made. :e Office of Investi=ations would like to thank you in advance for you cooperation and should you have any questions. :ase do not hesitate to give us a call. . e Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone n: (617) 7274900 ext. 406, 409 or 375 ofTMe r�r,_ . "� The Town of Barnstable • B�ver,+arE, • 9059. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissions For office use only 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. Type of Work: ,�o�� Est. Cost Address of Work: T4 _��-s/�(��°y/��• Y�'�� Owner's Name Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 DOVNOT 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. 51R Date Co tractor Name Registration No.. OR 4� • /.� (1 _. ., _, '�i -S �i vC. .� � � 1 1 �� _ i �_' "� � � r � �_ 1 � � , .9 ' v'� �" �' ,o �� x�y .. e �`r. t"p ��x . I+ �" i� irk .. � �M p'• - q'� Y.