HomeMy WebLinkAbout0156 MEGAN ROAD �56 me�.. '1td .
Town of Barnstable r v Building
o�
Post This Card So That it is Visible From the Street Approved:Plans Must be Retained on,Job and,this Card Must be Kept,
Posted Unt ,. ;,:.:„
I Final`Inspection Has Made.
p _y.. .. .g. Occupied until a Final Inspection has Permit
Where a Certificate of.Occuanc is Required,such Buildm shall Not be
1_nm..a,�..,.-• . M ._.,_.._. been.made.
Permit No. B-19-3634 Applicant Name: MAIA,JOSE CELSO Approvals
Date Issued: 11/06/2019 Current Use: Structure
Permit Type: Building-Detached Accessory Structure- Expiration Date: 05/06/2020 Foundation:
Residential Map/Lot: 291-259 Zoning District: RB Sheathing:
Location: 156 MEGAN ROAD, HYANNIS
Contractor Name: Framing: 1
Owner on Record: MAIA,JOSE CELSO Contractor License: 2
Address: 156 MEGAN ROAD Est. Project Cost: $7,000.00
Chimney:
HYANNIS, MA 02601 Permit Fee: $221.40
Description: Build a detached two car garage on my backyard Fee Paid: $221.40 Insulation:
Project Review Req: Must meet current building code requirements. Must have a Date: ,' 11/6/2019 Final:
foundation with bolts at 24" on center: Narrow wall f`r
construction required for garage door wall. �, � Plumbing/Gas
Building Official Rough Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after,issuance. Final Plumbing:
All work authorized by this permit shall conform to the approved application#and the`approved construction documents foe which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-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 Final Gas:
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 are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: _ Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue Immg is installed "^` -
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
6.Insulation Low Voltage Rough:
7.Final Inspection before Occupancy
Low Voltage Final:
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. Health
"Person contractln )ithunregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final:
Fire Department
Building plans are to be available on site
II Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
THE
Application Number.. ... .... q....................
... .
N OF GARNS!A q 0,
MASS. Permit Fee............:w ......................Other Fee:.......................
039.
h. 19 OCT 29 AN IV, 35
TotalFee Paid............................................................... ......
TOWN XT LE Permit Approval by......../..q... A.............
BUILDING PERMIT I
Map........................................Parcel........ ........ .....................
APPLICATION
Section 1 — Owner's Information and Project Location
TfoiLect-Address_ ks g it r 6,AAA J04 9 . Village t -1,-A A,IM
'(0--�ers-Name 5,C—
((fige—ri'legal Address C;6 AE�xl
City� t'( i4�UN� State it,(A zip (f)26 0
k�e—rsC-ell#17IL'f )IaS E-mail W 96aa-v"taco. col-Al
G .
Section 2 —Use of Structure
Use Group =_ ❑ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
❑ Single/Two Family Dwelling
Section 3 — Type of Permit
❑ New Construction El Move/Relocate % A ❑ Change of use
❑ Demo/(entire structure) ❑ Finish Basement El Family/Amnesty D Fire Alarm
Rebuild El Deck Apartment El Sprinkler System
❑ Addition E] Retaining wall E] Solar
El Renovation El Pool 0 Insulation
Other-Specify
Section 4 -Work Description
L\0 A
C*4 P.71 ILO C- 6A
T.Fiqt iinfiAtrA. 11/1 inni R
Application Number....................................................
Section 5—Detail
tCos ofPio osed Construction r $e Fo eo- f Project jc I
�.
Age of Structure Dig Safe Number
# Of Bedrooms Existing Total#Of Bedrooms (proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
i
i
Section 6—Project Specifics
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom
Water Supply ❑ Public ❑ Private
Sewage Disposal ❑ Municipal ❑ On Site
Historic District Hyannis Historic District Old Kings Highway
Debris Disposal Facility: I am using a crane ❑ Yes ❑ No
Section 7—Flood Zone
Flood Zone Designation
Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑
Section 8—Zoning Information
Zoning District Proposed Use Lot Area Sq. Ft.
Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site)
Setbacks Front Yard Required Proposed
Rear Yard Required Proposed
Side Yard Required Proposed
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
Last updated: 11/15/2018
Application Number...........................................
Section 9- Construction Supervisor
Name Telephone Number
Address City State '-Zip
License Number License Type Expiration Date
Contractors Email Cell #
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license.
Signature Date
Section 10—Home Improvement Contractor
Name Telephone Number
Address City State Zip
Registration Number Expiration Date.
I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C...
Signature - Date
ESection 11 —CHome Owners License_Exemption
Home Owners Name:
Telephone Number Cell or Work Number
I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780
CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and
documentation required by 780 CMR and the Town of Barnstable.
Signature Date
APPLICANT SIGNATURE
CSignature
Print-Nar e e- Q S r tiles i Telephone-Number Ent) a - p o2
rE,mailipermit:to
ti
Last updated: 11/IS/2018
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) ❑
Historic District ❑ Site Plan Review(if required) ❑
Fire Department ❑
a
Conservation
For commercial work,please take your plans directly to the fire department for approval.
Section 13—Owner's Authorization
i
as Owner of the subject property hereby
authorize to act on my behalf, in all
matters relative to work authorized by this building permit application for:
(Address of job)
Signature of Owner date
Print Name
i
Last updated: 11/15/2018
The Commonwealth of Massachuselft
Department of IndustrialAccidents
Office of Investigations
600 Washington Street
Boston,AM 02111
www massgov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
-"`NcZi11e-(Business/org—mization/Individual): �,� A4 f
Address: —L5,6 ,tlE-sEA,) (�0/4(D
,City/State/Zip-, AJd k' -/V A- 0a601 Phone#: 671'7LO9 'ISO-2—
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
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2. I am a soleproprietor or ariner-
listed on the attached sheet. 7. ❑Remodeling
P h t b These sub-contractors have ship and have no employees T 8. ❑Demolition ,
working for me in any capacity. employees and have workers'comp. El Building addition
[No workers'comp.insurance comp.insurance.t
5. ❑ We are a corporation and its 10-❑Electrical repairs or additions
kv required.] officers officers have exercised their 11. Plumb' repairs or additions
3.MI_am.a.homeowner-dofiPP11 work ❑ �
myselL-Ko workers omp. right of exemption per MGL 12.❑Roof repairs
���req�.�1 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 foam 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 certify under the pains andpenaltles ofperjwy that the information provided above is true and correct
Si _ 1�-Dat�T
Phone*— ( ��
t Ojj trial use only. Do not write in this area,to be completed by city or town gfj`icial
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,
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 constrict 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 certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than their
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 bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would Ifice 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
Dgwtment of Industrial Accidents
Office of Investigations
600 Washington.Street
Bo 21 -MA a 11
Tel.#617-727-4900 ext 406 or 1-877-MA.SSAFE
Revised 4-24-07 Fax#617-727-7749
www:m►ass.gov/dia
y/-ems-�
Assessor's map and lot number ................................... ...... fl� � 4 �w
SEPTIC SYS fEM M� S BE
V1:03TALLED IN COMPLIANCE
Sewage. Permit number ..........V....................t:..................... t'':iTH A-I'TICLE II STATE
SANITARY CODE AND TOWN
�Qy�FtNETO�o TOWN OF BAR NE
i •BAHBSTOIILS, i •�
ry 9� 19ae�� BUILDING INSPECTOR
v
rN .... ..............�.... ...... ......
APPLICATION FOR PERMIT TO ...... ..��..®.Itl,
off'
TYPEOF CONSTRUCTION ....... .....................................................................................................:..:....................
...............19..�..
TO THE INSPECTOR OF BUILDINGS:
The undersigned Freby applies for a permit according to the following information:
Location ........ .... ............. ........... ............ ................. ................................., ...... ..... .. ..........
&.�f';-
Proposed Use clamam....... .... .... ........... ........... ... . .........................`.......
Zoning District ...... Fire District ......... ....................... ........
y/ ) ........................
(/�/
Name of Owner ... ......... ........ ............ ..Address ....�1....1........................�
Name of Builder f� !' /. f (�
A
....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....... ........................................
�j ,�...........................................Foundation .
/may
Numberof Rooms .................. ....! �!..../.: ................ .... ............... ...... ..
Exterior ........60 .. ....................a Gt..� .......Roofing ..... 5 . /l.'! ... .........................................
Floors ............................................Interior ..... .. . ..........................
............. �(?�.. ...
Heating ........../........./. -
. .. .. . .. ....:G ...... .Plumbing ......../............................—..^..........................................
Fireplace .............�................................................................Approximate Cost .....e. ..!?.....0.6)..................................
Definitive Plan Approved by Planning Board _ ------i g 2�. Area ...................
...
Diagram of Lot and Building with Dimensions Fee :...... ..`�'. . .............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH,'-'
0 �
O0
`1 �f1bi
r d
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I hereby agree to conform to all the Rules and Regulations of the Tow, of stable rega ing the above
construction.
Name .. .. ................................ .........
Dacey, William E. Jr.
a
16546 Permit for one story
No ........... ....................................
single family dwelling
............................................................................:..
Location ....... gan—Road.................................
...................... annis......................................
Owner .............William E. Dacey, Jr.
.....................................................
Type of Construction fzame
............... ........................
�I
Plot ........................ Lot .............. ...........
Permit Granted Sep.tember. . .. ....5 19 73
...... ........ . .. ..
Date of Inspection ............:. .....................19
Date Completed ...19-
PERMIT REFUSED
I
.......................................... .................. 19
................................................................................
...............................................................................
Approved ................................................. 19 t
............................................................................... f
.................... .........................................................
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