HomeMy WebLinkAbout0012 OAK DRIVE
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.� Town, of Barnstable Building
Post This Car e Street Approved Plans Must be Retained on Job and this Card Mustxbe Kept E
�wcMAMw[tu�$ Posted Until'Final Inspection Has;Been Made n •
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a Where a Certificate bf Occupancy is Required,such Building shall Not be Occupied until a Final Inspection"has been made .M,
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Permit NO. B-19-4074 Applicant Name: ROBERT WALSH HARBORSIDE REMODELING' Approvals
Date Issued: 12/05/2019 Current Use: Structure
Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 06/05/2020 Foundation:
Location: 12 OAK DRIVE, HYANNIS Map/Lot: 266-012 Zoning District: RB Sheathing:
Owner on Record: CAMPION,ROBERT L& LORRAINE T Contractor Name. ROBERT G WALSH Framing: 1
Address: PO BOX 363 Contractor.License: CSFA-057394 2
WEST HYANNISPORT, MA 02672 _. Est Project Cost: $ 16,000.00 Chimney:
Description: windows Permit Fee: $81.60
Insulation:
Project Review Req: Fee Paid: $81.60
Date. 12/5/2019
Final:
Plumbing/Gas
P: Rough Plumbing:
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.
All work authorized by this permit shall conform to the approved application and the'approved construction documents£for ikfiich 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 zoningby 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 Official`s are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work:" Service:
1.Foundation or Footing
Rough:
2.Sheathing Inspection „„ „
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 Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
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).
�
Building plans are to be available on site Fire Department
_� �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
c
eU App' 'ion number. ..... ."
/C®INCH' Fee... ....��..�.. ..
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_ = o2�,9 Building Inspectors Initials.....
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FB4 48 Date Issued...........f...... ,..�..................................
Map/Parcel....ck..u........... ......................
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVESAVEATHERIZATION
PROPERTY INFORMATION
Address of Project: i,'
NUMBER STREET V!L A E
Owner's Name: Phone Numbe n l l 9�o- 14 S'
Email Address: Cell Phone Number s
Project cost$ � Cv �� Check one Residential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize
to make application for uilding permit in accordance with 780 CMR
Owner Signa Date:
TYPE OF WORK
❑ Siding 1 Windows(no header change) ❑ Insulation/Weatherization
❑ Doors(no header change)# Commercial Doors require an inspector's review
❑ Roof(not applying more than 1 layer of shingles)
Construction Debris will be going to ZZ2 D
CONTRACTOR'S INFORMATION
Contractor's name' D M,L-pIrt,,
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Home Improvement Contractors Registration(if applicable)# (attach copy)
Construction Supervisor's License# S (attach copy)
Email of Contractor b wl TO ® "fLJ yf-+- Phone number M qA
ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR/F THE SUBJECT PROPERTY-IS IN
• 0 nw-r^nln nie-rnIi+r vni I AAI Icr/nOTAIAI LJIC•rnDU•ADDDAI/AI DCCADC A DCDAAIT PA Al DC ICU ICn
APPLICATION NUMBER...........................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No ' (If yes'please attach floor plan with exits marked)
Dimensions of each'Teni X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location f s o each tent
P _ P O
Fuel source being used LP tank 20 lbs. or>Yes No____,if yes,a gas permit is required.
Natural Gas Yes •No , if yes,a gas permit.is required.
If food is being served at.your event please obtain a Health Department approval between the hours
of 8:00am-9.30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval
*WOOD/COAL/PELLET STOVES
Manufacturer# 'Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's 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'S SIGNATURE
Signature Date /2 --/1
-AU permit a pficadons are subject to a.building official's.approval prior to issuance.
The Commonwealth of Massachusetts
Department of IndustrialAccidents
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 Lezibly
Name(Business/Organization/Individual): 4Lk423 j o ad, i tit:�i
IV
Address: „D�� �ri_g
e�S
City/State/Zip: Phone#: -
Are you an employer?Check the appropriat bog: 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. am a sole proprietor or partner- , , , listed on the attached sheet. 7. ❑Remodeling. _ u
ItIhip and have no employees These sub-contractors have g, ❑Demolition
workingfor me in an capacity. employees and have workers'
Y P h'• $1 9. ❑Building addition,,
[No workers'comp.insurance comp. insurance: 10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑ P
3.❑ 1 am a homeowner doing all work officers have exercised their I LE]Plumbing repairs,or additions
myself. [No workers'comp. right of exemption per MGL 12.[3 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.
=Contractors 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.
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 insurance coverage verification.
I do hereby certify der the pains and penalties of edury that the information provided above is true and correct
Si afore: Date: f
Phone#: 4 Z8 — 6-g 5-6
Official use only. Do not write in this area,to be completed by city or town ofciaL .
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 construct in buildings 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-contractor(s)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 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 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 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 Industrial Accidents
office of Investigations
600 Washington.Street
Boston,MA 02111
Tel.#617-727-4900 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.mam.gov/dia
of
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Individual before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
141991 03/02/2020 One Ashburton Place-Suite 1301
ROBERT WALSH Boston,MA 02108
D/B/A HARBORSIDE REMODELING
ROBERT G.WALSH g
250 CAPTAIN CROSBY ROAD
CENTERVILLE,MA 02632 Undersecretary Not
✓valid without signature
Commonwealth of Massachusetts.
�r Division of Professional Licensme
Board of Building Regulations and Standards
Construction,S'UOP�OisOr,1 & 2 Family
CSFA-057394 = h'�plres 06/02/2021
ROBERT G WALSH
P.O.BOX 7131 v
MARSTONS MILLS MA 02648 x R. ,
Commissioner ,,�a�� •.� -G---
Town of Barnstable
THE Regulatory Services TOWIN Or; R "T
WRE
Richard V. Scali,Director �3
SA UMABLE ' 4a t tiG s 2 5 r'is f 0 1
9 MAss. g Building Division
0 �m
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us d1V 100,
Office: S08-862-4038 Fax: 508-790-6230
PERMI 0 FEE: $35.00
SHED REGISTRATION
RESIDENTIAL ONLY
200 square feet or11less
I �21 ✓ L— WCs
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OA- �y,gsln>IS �� �2T
Location of shed(address) Village
�o.3 Ems.� �- .C.o�Ai,✓�' ��"1 P�� r./ (� /7 - 9 6 2 - �{ �^ff 6
Property owner's name Telephone number
Size of Shed Map/Parcel#
�01
Signature Date
Hyannis Main Street Waterfront Historic District? N
Old King's Highway Historic District Commission jurisdiction? /y F—)
If over 120 square feet,you must file with Old King's Highway
Conservation Commission(signature is required)
Sign off hours for Conservation 8:00-9:30&3:30-4:30
PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE
COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A
PLOT PLAN
Q-forms-shedreg
REV:040914
Town of Barnstable Geographic Information System August 13,2014
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DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:266 Parcel:012 - Selected Parcel ® N
boundary determination or regulatory interpretation. Enlargements beyond a scale of Owner:CAMPION,ROBERT L&LORRAINE Total Assessed Value:$359400
1"=100'may not meet established map accuracy standards. The parcel lines on this map am'Abutters vv � CE
are only graphic representations of Assessors tax parcels. They are not true property Co-Owner: Acreage:0.19 acres
boundaries and do not represent accurate relationships to physical features on the map Location:12 OAK DRIVE '
Buffer
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such as building locations. .'',•��•
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Assessor's office(1st Floor):
1_ •Assessor's map and lot nu er �m+��s-{�a�{ 7�■p� V �qyc7�(�,1 n�1�k¢p 3� oa TMt o
Conservation(4th Floor) ---------� INSTALLED IN =411PUA
"F Board of Health(3rd floor): WTH •
Sewage Permit number t�R ® qr �.�. MASK
s�1 ' r O i670
Engineering Department(3rd floor):" / /� ,• -:k ��
House number �..__. .._�,. , y� A 'CoYxr
Definitive Plan A Planin 19
t ry
ti APPLICATIONS PROCESSED.8:30;9:30,A.M.'and 1:00-2:00 P.M.only
TOWN , OF BARNSTABLE
BUILDING : INSPECTOR
APPLICATION FOR PERMIT TO
=TYPE OF CONSTRUCTION Z1,K li T- b.�Z A t fD 4$11
q F M r 7S 19 �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location /A 011�l k. S T,
Proposed Use �1NC--LL r6AI Y' ~
Zoning District ' \ Fire District
D^
Name of Ownerl)l0aeTC4 bq96a1.1,g9 Address B/�L7-1/Yd02L 0& .7,/�Ga
Name of Builder (D,, C 13f-2.9PQ Address 41C �5��� R 1�. �i99�✓Of/F�,�a`k1
Name of Architect Address
Number of Rooms Foundation
Exterior Roofing
Floors Interior
Heating Plumbing c�
Fireplace Approximate Cost , J o
Area f�
Diagram of Lot and Building with Dimensions Fee
OCCUPANCY PERMITS REOUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name
Construction Siipervisor's License 4 UOo �
QU)iA�2 DOE7Gi�AS
AR
No -4-6� Permit For REROOF & f
RFSTDF DWEL
LING
Location l 9 nak 41-r <J/ 1
VI C =
Owner Douala's Farquhar
Type;of Construction'
Plot Lot
Permit Granted May 9 19 94 -
Date of Inspection: ,
Frame 19
Insulation 19 -
Fireplace 19—
Date Completed 19• �
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