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HomeMy WebLinkAbout0058 MEGAN ROAD ss rneg� f '! t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, Parcel a Application # L�f o.P o Health�Division Date Issued Conservation Division r Application Fee F Planning Dept. Permit Fee (00Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/ Hyannis Project Street Address ��� i)7 es?C?41 n r`5 Village Yyq oi'5 u'l l l a w 15 Owner /Oy*t D' Conn t, Address r�Gy►''"�- Telephone /O Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 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 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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other - Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/ .:al stove;❑Yes ❑ No S Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ r new size _ Barn: 0 Listing new; size_ v Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ C Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��r� 1ICC��i'h ,� Telephone Number Address A 9S4v P9r Ci rc le-- License# 07 00 3 50- 9-4/6'6) Home Improvement Contractor# I q 7 '3 3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 71vl �7 C" SIGNATURE DATE �� 1 FOR OFFICIAL USE ONLY APPLICATION# y ` -DATE ISSUED ,s t MAP/PARCEL NO. ry . ADDRESS VILLAGE OWNER- 7 DATE OF INSPECTION: FOUNDATION ti FRAME ` 'y INSULATION FIREPLACE `r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , t GAS: ROUGH FINAL t 'a FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f 4 Towne.of Barnstable Regulatory Services IIAMSKAS& Thomas F.Geiler,Director °rE16.19, � Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fa„: 508-790-6230 PLAN REVIEW Owner:'*-[—; t C c70f�'C C -� Map/Parceh 9 Project Address Builder: The following items were noted on reviewing: o g 0 7 G C) mat S i `7-o Reviewed by: Date: ' ` O ?S Q:Forms:Plnrvw' . , 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 'bl c/° Name(Business/Organizadondndividual): L�r Address: &,'46 5lv _eolr C.`r C. City/State/Zip: 0l4,11,'5 M^ Phone.#: 6 a? _29 3L� Are you an employer? Check the appropriate bog: 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.raq I am a sole proprietor or partner- These sub-contractors on the attached sheet. 7. ❑❑Remodeling ub-contractors have g. Demolition ship employees and have no partner- working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers' comp.-insurance comp•insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof 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 providb their workers'comp.policy nwnber: I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: . f. Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: A'e-9 Gl 4 City/State/Zip: Milq tmi�� r"r, 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 tip 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 insurance coverage verification. I do hereby certi under the�pa�i�njs-and penalties of a.'ury that the information provided above is true and correct Signature: �t/G d I.0 Date: �2 Phone is <6 d' -/O -7- "`7 Official use only. Do not write in this area,to be completed by city or town of xiaL 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 hue, 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 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-contractors)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 orTowwOfficials 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 brim leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like 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 lndustrial Accidents Office of Investigations 600 Washington Street # Boston,MA 02111 Te1. #617-727-4900 ext 4-06 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia . r r °F1HE l° Town of Barnstable Regulatory Services HAMSTABv MASS. LKg Thomas F. Geiler,Director Fo;Aga`` 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 Property Owner Must Complete and Sign This Section If Using A Builder 0U."j.-Q- , as Owner of the subject property hereby authorize /'M cCgv -J9� to act on my behalf, in all matters relative to work authorized by this building'permit application for: 56- /7?e9 g/L /00y11'40 ,'s 1;7--L (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side: h�'!lR AAC•l1WNFR PFR MTCCIf1N I v± Town of Barnstable c VHE Tp�� Regulatory Services t Thomas F. Geiler,Director BARNS TABLE, j. MASS. g, 16,9. Building Division PlfD �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 DATF: JOB LOCATION: number street village "HOMEOWNER": name 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 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 inspection procedures and requirements and that he/she will comply with said procedures and requirements. 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 t amend and adopt such a form/certification for use in your community. r;_ �/e �anr�naru o�./�aooac%ucCld .. Board of Building Regulations and Standards ` Construction Supervisor.License Licenec CS 70036 r � � � ,�. Birthdate 4a/3/1961 - E Tr# 8829 l ROBERT C MCCA I 9 KINGSWEAR CIR � f �-'�- S DENNIS,MA 02660 Commissioner �/ee �io�ovmoncuera,� o���aaoaa�suoefd6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR RsgistratWAF 147933 U 10 '.*23/2009 Tr# 133109 .Type. li lividual ROBERT C MCC JR ROBERT MCCARTHY JR 9 KINGSWEAR CIRGL!l:,: -•` SO DENNIS,MA 02660 Administrator 4 V McCarthyCarpentry Services Rob McCarthy 9 kingswear cir. c.s.lic#070036 h.i.c. Reg#147933 So.Dennis,MA,02660 phone #: 508-982-7936 Fax # 508-385-3299 .o Contract Proposal Tom Oconnell 58 Megan rd, Hyannis ,Mass JOB DESCRIPTION Construct New Deck Approx Size 14' x 16' 2x 10 Pressure Treated Frame w/2x8 beam pressure treated Decking Boards Hand Railings w/ 4 x 4 post 2 x 6 top rail - 2x4 bottom rail - 2x2 square ballisters "at 38 inchs in Height & spaced at 31/2 inchs apart 8 inch Cement Footings approx ,depth 4 ' deep 1 @ 4 ft wide set of stairs @ 2steps down to to groun * Remove All DEBRIS from Job Site Total Job Cost : $ 3,000.00 Contractors Signature Date : 5- .2 S-o y Homeowners Signature : ... Date : (-j THANK YOU : ROB M CCARTHY P } I l to h ( r # --- Z , /S 9 2 - CER'T' 1 ` E l' E D PLOT PLAN LOCATION �./)" .,� /5 '"...9 SCALE: / DATE — Ll- R E F E R E N C E; �-... �.c..4.�.. -�/�y.4•..Ni.S ,liy-/G LOWS •, .2�co2o�o .-97- 49.-7Ae-V57-/9AQZE: ooigG 3.7 QD AST E HEREBY CERTIFY THAT THE BUILDING RE LAND SURVFY4YR SHOWN ON THIS FLAN IS LOCATED 0 N tHE G R• O U N0 AS S HOV91N HEREON AND T HAT i T O o GS CONFORM r O THE OF Mks I ONI N G BY - LAWS OF THE TOWN OF f 4T s�cy t -fQle �s�`��L YY H E N C 0 N S T P, U C T E D i��- �•� i f3 JOSEPH M, a BARNSTABLE SURVEY CONSULTANTS, INC . .� Q/STEP�Q�. h _ F r¢w r JJ, ' (A\ L z� Jr P N 0 rA } S - z _ r ¢ D �` t b D e ^, `SCERT I. 1 {tE. .O 1, �r'.O� f � �1 1 L t C A T t: o N --T R'E R-C N C E" T' //z '.q s s.•,�o w.✓ .�EEo20�p /�T BA•2a/STA.CgLE >/ 6��3f7.3 ar pEEGtS /N �L.�9N,Qco c.: Z�/ �pG 3-7 0 AA T__" E. fNjot M Er FF E B.Y C E.R T I.F Y T"H- A T T HE. B U .1 L D I N G R Ed' L` A N D -:S U R V.E Y R S ff_O W N O N T H I S P L A N IS L.O C .A T E. D O N f� E. iG"R,.00' ND:- A SHOWN HE- REON' AND TisIAT IT Oos CONFORM TO THE t�OF� NVWG `BY - L' AwS OF THE: TO WN" 0F; 4 1OC-1.3TA,054 WHE- N C:ONSTRUCTE, D. . . JOSEPR v MdNAHAN,,AR. a AR'NSTA El.L It. SURVEY CoMs.0 LTA NTS, fNC "�@ - 40� i.W. AaMOu 'fH,..MAS-S: Nq tlRV�� t,Fr _ e t ` r--'a, C2?d� — � OEPTIC SYSTEM MUST BE Assessors map and lot number .. .... .................... ...... ... INSTALLED IN COMPLIANCE / WITH A"71CI_E II STATE Sewage Permit number �` $ANITA�tY CODE AND TOWN ...... ................................................... REGULATIONS. Pyo*TNETo�♦ TOWN OF BAR.NSTABLE • 0 BABB9TSDLE, i N 16q. BUILDING INSPECTOR 'ED M � /v�v APPLICATIONFOR PERMIT TO ..................... ............................................................. .r ........................... TYPE OF CONSTRUCTION ...... ........ ............................................................... .......... �........19. . TO-THE-INSPECTOR OF BUILDINGS:- The undersigned here y applies for a permit according to the following information: Location � ........% / ... � . ................... .............................. t 4 ProposedUse ...... ..... ...... ..�4/. . .... ... ............................. ................................ Zoning District ..... 'e- ....................................................Fire District ........ ..fir d l .............. Name of Owner ..CJ.../�% .....v/ f�.:1�!r...Address ...d..7 .... .....7R4X .. ................. Name of Builder ...........................................��. rt................�t ................ .....Address ........................ ................ ............................. I Name of Architect '� 1�..................l� 1� t i ....................................... ......Address ....................�.........................................................:...... .i / A! �f Number of Rooms ...... ..r..........................................Foundation .1..®.. �4.......... ............... ... .............. � //. Exterior ... ........ ... ... .......... . .r la... .... ....../............Roofing .., ���.... h.. .......................................... Floors � ��-�.% ®/�/� .Interior ........ ....,r ����1!r........................... C� ............................... HeatingT...CO`� Y.............../—--... ........................Plumbing ......./.................................................................... . Fireplace ................... ..........................................................Approximate Cost ....5jx...?...ap-e................ �.� ..�:. .' Definitive Plan Approved by Planning Board _____ ________ __ ______19_ .. Area ..... .. ."®'.... .......... ... Diagram of Lot and Building with Dimensions Fee Ste'—' SUBJECT TO APPROVAL OF BOARD OF HEALTH rl—bl? 1 c, ,Lb I hereby agree to conform to all the Rules and Regulations of the Town of B nstable garding the above construction. Name .. ..... . � ` . ................... Dacey, William Jr. 163 16 one story No ........ ...... Permit for...... ............... single family dwelling ............................................................................... Location U g Megan Road . .............. .............................................. Hyannis ! ............................................................................... Owner William Dacey, Jr. Type of Construction frame .......................................... ................................................................................ ' #112 Plot ............................ Lot ................................ Permit Granted ..............................18 ....19 73 r .... . n Date of Inspection ...... .......... ...............19 �2 3 73 M Date Completed ' (=D*PG&-74 + ` i PERMIT REFUSED ................................................................ 19 ........ . +: ............................................................................... i f ............................................................................... ............................................................................... J Approved ................................................ 19 ............................................................................... ............................................................................... Assessor's map and lot number ......P` /.. .. . v.. 'T IC SYSTEM MUST BE L 9- 1- 13 F �r.h r 'r Q,e. �� �i;.,���A.LED f,l CO .iPLIANC, .Ld �'�. 16/w �'I'TH A`-TIC', II STATE Sewage Permit number ..................... ............. ....Q!~'.:.... �ZW SVITAV CODE AND TOWN FEC.ULAT110 S. yofTNEro�1 T iN OF BARNSTABLE i BJHBSTSDLE. S =o, QY.a�O� BUILDING INSPECTOR daAd......6�,j APPLICATION FOR PERMIT TO .... d ....... . . ............. .................... TYPE OF CONSTRUCTION .......(„1...... .... ...... 19-23 _. -TO THE INSPECTOR OF BUILDINGS: The undersigned hereby, applies for a permit a 'ccor ng to the following information: o Location ... ... .................1. ............. /G? .Or`?/!...... ................................... .. . A Proposed Use .. a Zoning District ...... �.................... .. ............Fire District ...... �1 ........... o Name of Owner .. .:... .... ............ .Address .....dKx P/ ............. ........ li fr..............(`............`..f a� Name of Builder ........................................ ....Address ..................:..... f/ fi `t `- rr Name of Architect ....Address Number of Rooms ...................°/... /f6t_.-.,c4............ .......................................Foundation ...... ..........F. Exterior ... ........L.... .....................Roofing ... .............................................. Floors .,�2� �1•< 0Dr-.V 6.6 G ................Interior ., .,F/ -z tolnc,_/................................ Heating1/ ... ...............Plumbing ..........:o................................ ................................. I_Iefz� oew -� Fireplace ............�,)..............................................................Approximate Cos .��� .......................................... Definitive Plan Approved by Planning Board �'- 19 � Area . ' .......... SE -,S yfr�� si � - 5Diagram of Lot and Building with Dimen Fee ........................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH SV �N tou) l�r t I hereby agree to confor to all the Rules and Regulations of the Town of Ba stable regarding above construction. �� Name ... . ....... ................................. ................ ..... ....:.... Dacey, William E.Jr. i No ..16r���....Permit for .....aaa........Sae ......a�...Y. awel7 i? ......................................... Locationv� Me an Road g................................................. ...................... YaX4 .;3.... ...................................... Owner ..........Y4J]C........... Type of Construction ................frame.............. ................................................................................ Plot ............................ Lot ....... a 1.2....✓........... Permit Granted S.eptember. . . .....5........19 73 . . .......... . .. , Date of Inspection .......................... ........19 nn Date Completed ...� .��. '/.. ...19 PERMIT .REFUSED ................................................................ 19 ............................................................................... ............................................................................... .......................................................................... .. . i Approved ................................................ 19 f ! ............................................................................... r ............................................................................... i Si d G El eve�ro`►-'' .�-`-..�". 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