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HomeMy WebLinkAbout0100 OAK HILL ROAD 1 i Town of Barnstable r � ��� g 200 Main Street,Hyannis,MA Tel.(508)862-4644 i679. �0 INSPECTION REPORT Permit: Building - Peck Use: Date: 6/24/2020 3:30 PM Inspector: barrowsd Permit Number : TB-20-1583 Name: MCLAUGHLIN, SUSAN D Address: 100 OAK HILL ROAD, HYANNIS Unit No. Inspection Type . Inspection Item Status Comment Building Admin - BA- Decks, Porches, NIC need plans attached Sheds, Decks, Gazebos- Cross Porches, Gazebos, Section, Framing, Detail Pools on Plans Building Admin - BA- Homeowner's NIC need completed exemtion form attached Sheds, Decks, License.Exemption Porches, Gazebos, Form, if Homeowner is Pools Applicant Building Admin BA- Site Plan showing NIC need plot plan locating deck within setbacks attached Sheds,becks, location of proposed Porches, Gazebos, work. (If required) Pools Building Admin - . BA-Workman's Comp NIC need completed affidavit attached Sheds, Decks, Affidavit Porches, Gazebos, Pools — Inspection Overall Comment: Overall Inspection Status: FAILED Re-Inspection Date: s Inspector Signature Owner Signature Total Score: 100 Town of Barnstable44 REcaEiPT . ` SAFOWABL& 200 Main Street, Hyannis MA 02601 508-862-4038 a Application for Building Permit I BUILDING DEPT. Application No: TB-20-1583 Date Recieved: 6/24/2020 Job Location: 100 OAK HILL ROAD,HYANNIS JUN 2 4 ,2020 Permit For: Building-Deck TOWN OF BARNSTABLE Contractor's Name: State Lic. No: Address: Applicant Phone: (774) 327-8027 (Home)Owner's Name: MCLAUGHLIN,SUSAN D Phone: (774)327-8027 (Home)Owner's Address: 100 OAK HILL ROAD, HYANNIS,MA 02601 Work Description: Deck onto from of house at front door. A wheelchair ramp to be added at a later date. Total Value Of Work To Be Performed: $2,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area f I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). 1 understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief, All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Susan McLaughlin 6/24/2020 (774)327-8027 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $2,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $110.00 6/24/2020 $60.00 Paypal Paypal Total Permit Fee Paid: $110.00 6/24/2020 $50 00 Paypal Paypal Town of Barnstable w_ Building warn 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 Until Final Inspection Has Been Made. � i63o 1 H�e�n111 R Where a Certificate of Occupancy is Required,such Building shall Not be Occupied'until a Final Inspection has been made. Permit No. B-20-1583 Applicant Name: Susan McLaughlin Approvals Date Issued: 07/07/2020 Current Use: Structure Permit Type: Building—Deck Expiration Date: 01/07/2021 Foundation: Location: 100 OAK HILL ROAD, HYANNIS Map/Lot 248-064 _ Zoning District: RIB Sheathing: Owner on Record: MCLAUGHLIN,SUSAN D Contractor Name. Framing: Zy J Address: 100 OAK HILL ROAD Contractor License. 4` 2 HYANNIS, MA 02601 Est. Project Cost: $2,000.00 _- Chimney: Description: Deck onto from of house at front door. A wheelchair ramp'to be Permit Fee: $ 110.00 added at a later date. Insulation: " Fee Paid::" $ 110.00 Project Review Req: Front Landing and Ramp for access i Date 7/7/2020 Final: Plumbing/Gas Rough Plumbing: t Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after1issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for 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. ; F 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 lining is'installed 4.Wiring&Plumbing Inspections to be completed priorto 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 "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: oFi"e row ti O^ 4 i Application Number......./ ...�6....A..��.,�...�1................... , BAMSfABU,� U I L D NG DEPT. Permit Fee.............Z14............Zoning District........................ o39. � MAY 01 2020 ZcTotal Fee Paid ............................................................... ...... TOWgg��4q88 TOWN OF BARNSTAB'RN- E Permit A roval b On........................... BUILDING PERMIT Map........... .l... .........Parcel......�.�..��........................ APPLICATION Section 1 — Owner's Information and Project Location Project Address - _Village C_ Owners Name L �, Owners Legal Address CD Z City JLTW n0 t"s State Zip 7)'L Owners Cell # � 0_2J=_ E-mail 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 �ew Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild YDeck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other— Specify r Section 4 - Work Description w n r� 1 Last updated: 1/31/2020 Application Number.................... ....t...;....................... Section 5—Detail Cost of Proposed Construction Square Footage of Projects ' Age of Structure Dig Safe Number # Of Bedrooms Existing_ Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6 — Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System Y. ❑ 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: 1/31/2020 BUILDING DEPT. The Commonwealth of Massachusetts Department of IndushidAccidents MAY 01 2020 Office of Invest1gations 600 Washington StreetTOWN OF BARNSTABLE Boston,MA 02111 www.m ass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organizadm/Individual): Address: City/State/Zip: '/ Phone P 77D Z7.6 Are you an employe . heck the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. I am a general contractor and I ployees(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 ship and have no employees These sub-contractors have g° Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance.x 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 repair insurance regthred°]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Otber__2) e_ comp.insurance required-] *Any applicant that cbecks 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-contractor;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.Lie,#: 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 instaance coverage verification. I do hereby certify der p d penalties of perjury that the information provided above is true and correct Si store: Date: ° Phone#: Official use only. Do not write in this area,to be completed by city or town official 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-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 cant'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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple pemuttlicense 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 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 ofInvestiptions 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 MASSAM Revised 4-24-07 Fax#617-727-7749 Www;maw.govfdia - ' "�,^a.r .� .a. ����.��� � ��' i t ¢ �•.. � � �. �s0,�obi d � � tPk ' n314 �pA��{i '��+i° 'w���►���� ��e�' # rcr^]y" s '�,,, �, x a ,d kf�� a �" "" roc yy�. 'emu► * � i � � 'li"�i a' t a,.:;" CM F' ki ic ® n r-- � rn � �t a ��cG"e �; a���� 1► 'a a � �� W �i All� �Iiw Ac 3 a y'S' S Al wi Sdi °� k uP lo-. j { , - ---.• ;'a'^ "^ <ra �..� '- r ''"`'! 'ems' '= '� , If j7 a, r w .i, .4 s 9 a 4 p I i + f w i 1 f f� F y I F 1 t ytj p i 4 t a l l P 100 OAS ° ' - 0260( 8 4 A ( It9C6o ©� ........... 1.31 �����,� .i'�•./• ,• :.N" ���_ r ram..� :' �f '+� *s;�/ �fr� ���,... .+^"r �•� ,err/'•�• •k. ...ter^., r .., •'m'•n y-... ®con rl.-I �✓ 40 { w � r— , r ' Application Number... ............................. ........... Section 9— Construction Supervisor Name Telephone Number Address City State Zip License Number License'' e Ex iration Date YP P 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 i Date Section 10—Home Improvement Contractor Name i'/S S/Au c 72p.J Telephone Number 7;�9 Address i/rev,, City — State Zip 0 -! e Registration Number & �� Expiration Date �.d I understand my responsibilities under the rules and regulations for Home Improvement,Contractors in accordance with 780 r. CMR the Massachusetts State Buil ' g-Code. I understand the construction inspection procedures,specific inspections and documentation required - 780 an the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section l l — Home 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 Signature Date Print Name Telephone Number E-mail permit to: Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ aI Conservation ❑ For commercial work,please take your plans directly to the fire department for approval I • i ra 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: 1/31/2020 i J Town of Barnstable Building sawvsrwsi a Post This Card So That it is Visible From the Stre et"`Approved Plans Must be Retained on Job and this Card Must be Kept MASS �$ Posted"Until Final Inspection Has Been Made �e�' 1� rasa ti Jl Y 39. Where a Certificate of�Occupancy is Required,such,Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-19-3830 Applicant Name: HOMEOWNER IS APPLICANT Approvals. Date Issued: 11/25/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 05/25/2020 Foundation: Residential Map/Lot: 248-064 Zoning District: RB Sheathing: Location: 100 OAK HILL ROAD, HYANNIS Contractor Name: IOMEOWNER IS APPLICANT Framing: 1 Owner on Record: MCLAUGHLIN,SUSAN D Contractor License: EXEMPT 2 Address: 100 OAK HILL ROAD Est. Project Cost: $3,000.00 Chimney : HYANNIS, MA 02601 s Permit Fee: $85.00 Description: Master Bathroom renovation. Doubling Floor Joists Running under Insulation: Fee Paid: $85.00 parallel Walls and Under Heavy Loads Doublimg Checked Joists and 3/4 ply cracked joists per Ses Recommendations;adding brackets. Date: 11/25/2019 Final: where needed. Plumbing/Gas Project Review Req: Structural Engineer's Recommendations required on Rough Plumbing: inspection of frame. 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 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:i 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 priorto 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: "Per ons contract) with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT OF 114ME Application Numbe,.,. 41 Permit Fee.............................. . ......Other Fee:....... ............. 163 R Total Fee4llft............. ......... . .................... /t ��.V TOWN OF BARNSTABLE Permit Approval by.......... On..../. BUILDING PERMIT .... ... .... ...mapoxg....................ParceL.C. .... ......... ................ APPLICATION Section 1 — Owner's Information and Project Location Project Address (,k)Q 0 "11 Village Ode4n I.,W. Owners Name tn. , .115 Owners Legal Address ?Lot. 42 City. State Zi A0 MAC - 2 .9 3 2--7' !ON-? 44 0 Owners Cell# E-mail M ham" '' Section 2 —Ilse of Structure Use Grog_ ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic feet D"Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate [:] Accessory Structure ❑ Change of use 0 Demo/(entire structure) 0 Finish Basement El Family/Amnesty El Fire Alarm Rebuild El 'Deck Apartment Sprinkler System Addition ❑ Retaining wall Solar Renovation 0 Pool El Insulation Other—Specify Section 4 - Work Description agJ�f M21'J41 im 64UAW a Cl Li /,a� 1-aa,e ddA 31 IL T.ajzt undated: 11/15/201 R fi Application Number................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project J) SSP Age.pf Structure u y d� Dig Safe Number # Of Bedrooms Existing o� Total#Of Bedrooms (proposed) 110,;MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring= ❑ Oil Tank Storage r ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ' ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal` ❑ Municipal ❑ On Site f Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes M--<0 Section 7—Flood Zone Flood Zone Designation N 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 i Has this property had relief from the Zoning Board in the past?' ❑ Yes ❑ No i Last updated: 11/15/2018 it 1M Q 'I s'q 54 ev\ -1 =6-fit t�-t 61-ot � !ilk \� s j \ / . . ,� •/ The Commonwealth of Massachusetts Departinent of IndushmidAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Buflders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organization/Individual): �'— Address: .100 City/State/Zip: Gl k�S Oki Phone#: �� r 32� " SO_177 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.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. E�k=odeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' [No rrkers'comp.insurance ce insurance.: 9. Building addition inetaran ��• required..] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.al 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 ins wane 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 int'ormation. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast 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 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 incm•anpe coverage verification. I do hereby c under the airs andpenahld ofperjury that the information provided above is true and correct. Si wr /7 Date: -U 1 Phone#• l-l l`3 2 � 9D 1� Ojfuial use only. Do not write in this area,to be completed by city or town official 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 k 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 the grounds or building thereto shall not because of such employment be deemed to be an employer." ar n � rag appurtenant 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(LLQ 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-insmred 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 firtuire 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 O fflee of Investigations 600 Washington Street Briton,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877 MASSAM Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia Application Number. Section 9- Construction Supervisor Name Telephone Number Address City State Zip - License Number License Type` Expiration Date 4 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. i 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 Section 11 —Home Owners License Exemption Home Owners Name:s12t� ZA Telephone Number Z 3 2-7'SC)i)Cell or Work Number 77q` I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Mass etts State Building Code. I understand the construction inspection procedures,specific inspections and documentatio re ed by 780 CMR and the Town of Barnstable. , � lD Signature DateIV APPLICANT SIGNATURE Signature Date 1 1'G r 3Z7-OA Print Name ��S (/\ � (� Telephone Numb E-mail permit to: V�m Tact iinriatrrl• 11/1 S/�flt R i Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13.— Owner's Authorization i 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 - - ham.-_� r 4.,.. ._-�:wi•' , r; Last undated: 11/15/2018 Town of Barnstable Building k ",� xB"�ta ,g xa;sj � .;-` + � 3 �,' �`�y�, 3 �< �'� ,.,,'`��3�.'•�',��"�<..: � ..�?�i` � , �"� ��t. ..v�-,� �� - x d' g y Pos oste t Th�sCard So That it isU�sible"From theStreetA rovedPlansMustbe-Retained dnsJoband�this.Gard�Must be Ke t z ., iAELE. •- -'��'�` '�, ,." ':1' ' �.�', `''r ;w.. -''"Pxp 4 '�`..; ;=_i A �z�"W'�• ,. �s"°""�:.: a` .` ;` • 16� " Pd Untll Final�InspectionHasBeen Made „ yam +° Wherea Certificate of Occu anc"'.`�Re used such Buliim4 shall Notwbe,Occu iedunt�t a Fnal lns ect�on:has.been made e1 1jjlt . `t .. - p.. aye. ..q a. . ,.. : g: , P Permit No. B-19-2030 Applicant Name: MCLAUGHLIN,SUSAN D Approvals Date issued: 06/26/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 12/26/2019 Foundation: Residential Map/Lot 248-064 Zoning District: RB Sheathing: Location: 100 OAK HILL ROAD, HYANNIS gr Contractor;Name:, Framing: 1 Owner on Record: MCLAUGHLIN,SUSAN D ."Contractor ticense 2 o Address: 100 OAK HILL �ROAD ` - Est Project Cost: $7,000.00. Chimney: HYANNIS, MA 02601 Permit Fee: $85.70 Description: door from mud-room to garage-fire wall,garage wall,removal of Fee Paid $85.70 Insulation: partition wall in kitchen&kitchen/dining room dividing wall. Date 6/26/2019 Final: Moving pantry doo/opening from kitchen to hallway'framing m where pantry door was in kitchen. New leaders`twhe'a needed - i�-- Sheetrocking where needed.changingopening of entrance to -- "? Plumbing/Gas kitchen from mudroom decreased by 3 inches Rough Plumbing: a b �b 3p Building Official Project Review Req: �k.. Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by�this permit is commenced within six months after,issuance. Rough Gas: All work authorized by this permit shall conform to the approved application end the approved construction documents for which th s permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws'arid codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or ad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical R f. The Certificate of Occupancy will not be issued until all applicable signatures by,the Bwlding and,Fire Officials are provided on th,is`permit. Service: Minimum of Five Call Inspections Required for All Construction Work.. 1 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy 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 contra ith unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: A I Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT BUILDWIr., ... ........................ Application Number............. C.....DC) 3 JUN 19 n, BARMAEMZ� KASEL TOVViv Permit Fee....... ..........Other Fee........................ 163 TotalFee Paid...... ........................................................ ...... TOWN OF BARNSTABLE Permit Approval by.......A40.........On...... BUILDING PERMIT APPLICATIONMap...........C�?.Yr...........Parcel............0.6..�.................. Section 1 — Owne'r's Information and Project Location Project Address- Village �yANNA! Owners Name-.. cf SA JNJ Ak� L, Owners Legal Address— lz(-�44t­e- a::Z. CoB City State zip Owners Cell # 3-1-7 E-mail Section 2 -Use of Structure Use Group_ ❑ Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,060 cubic feet a-Single/Two Family Dwelling Section 3 - Type of Permit ❑ New Construction E] Move Relocate E] Accessory Structure E] Change of use El Demo/(entire structure) ❑ 'Finish Basement El Family/Amnesty ❑ Fire Alarm Rebuild El Deck Apartment El Sprinkler System E] Addition ❑ Retaining wall ❑ Solar Renovation- ❑ Pool El Insulation Other-Specify Section 4 - Work Description ROAA— NAAb L(t� -tD 0 ctrxq g- �-L wk I i'J'01 �2 VAC� - le, VA i1c.y� o -NA rA L,,-YcLU ro6o,#N pa"'k, 'OLt—r—'67 1\.,t lu f t,% JJ"i AAAL 11111,�rj 4A a e4 J c 4 -astlk WL�� A I'V Ile Last undated: 11/15/2018 i ' t Application Number.................................................... Section 5—Detail Cost of Proposed ConstruLction, 'C-u Square Footage of Project Age of Structure_ `�) Y� Dig Safe Number $r #Of Bedrooms Existing Total#Of Bedrooms (proposed) 3 110 MPH Wind Zone Compliance Method ❑ MA Checklist WFCM Checklist ❑ Design 1 Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression t ❑ Heating System ❑ Masonry Chimney ` ' `❑ Add/relocate bedroom Water Supply El Public 0 Private 1 Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes.,5�No Section 7—Flood Zone I' 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 F Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 f - - --- The Commonwealth ofMassachuseft Department of IndustdalAccidents Office of Investigations IF 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). Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.ElI 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' t 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.A I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions right of exemption per MGL myself.[No workers comp. 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. tContiactors 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 thepollcy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 c ff Under the pains and enalties of perjury that the information provided above is true and correct. f. Sim Date: 6 `C i C) Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical 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 constr ct 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 contacting 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(LLQ 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 hike 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 CommomwWth of Massachusetts Department of Industrial Accidents Owe of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASSA.FE Revised 4-24-07 Fax#617-727-7749 www:mass.gov/dia Application Number........................................... Section 9- Construction Supervisor Name Telephone Number p 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 a 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. R 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 M: 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.LC... Signature Date Section 11 -Home Owners License Exemption y Home Owners Name: via k 12 ' Telephone Number Cell or Work Number 5/4/l/t I understand my responsibilities under the rales.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 Signature C Date Print Name Q qU U/ Telephone Number E-mail permit to: ,k � Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required) ❑ ' Fire Department ❑ 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 Fq • II s 1 Last updated: 11115/2018 pt stable B De i trl c _ - _ - O It � . . I , { ,ado( ' + I pi , t i f • • • i 4 , � r i ' r 1 r t I ! k , - - - - T - .. _ - - - - - e _ - p E t� �� p,-0(71 � � t ' 1 C 1 V 31 Q 1 v " I D Mir, SUN 1 WA I � u •W C1 I v`Z(.kUILY OF MgSsgcyG = MICNELE. s CUOILO o gTRl1CTURAL n No 34774 O �Q 9FGISTEP• SSIONN� RESD. MODIFICATIONS MICHELE CUDIM, E. Consulting Structural Engineer Centerville, Massachusetts 02632-1979 (508)771-7601 Drawn By: MC Date: 06/18/19 D r awi n 100 OAK HILL RD. t g HYANNIS, MA scaler 1ZIAS NOTED Rev. 0 S K- 1 File Name:BRANDON Project No.2019-160 I �I 4 s. All> surs-94 I A35(EA. ekb) , I i tN Of,4q4s sq o`a MICHELE CUDILO STRUCTURAL No 34774, O G/STEP�c �SS�OIYVAI E���' RESD. MODIFICATIONS MICHE,LE UDILO, P.E. . ��/� Consulting Structural Engineer Centerville, Massachusetts 02632-1979 (508)771-7601 Drawn By: MC Date: 06/18/19 Drawing 100 OAK HILL RD. u , HYANNIS, MA Scale: 6-IAS NOTED Rev. 0 _ 2 SK File Name:BRANDON Project No.2019-160 i </ j I i { I i F LA -- ewe) 3i I � # C t 1 t . � � } � — — i � -1' � i • s � i .�a 3� . - - . � . . , . — —' — -..V.�.. .�' i _ __ __ __ �_--- ---- - _� �- � s � � A `,r' rY �T — � t o � "S. -- --- — — — � --- — --- __.... .��22 _ — � —— — -- __ - __--_ -__�a - - ��--1.�- G��T_�_ . ___ - -_ _ ,.._ .- , , . . �. . - - .- - __ -- ---- t�I - --- -- - -- _ - � -- �� . , , . ,, - _. � ✓ �� i i ,� 4 � h i _ - � � __ _�..-- �—'-----'------... —_ _ �_. a __ '.�__ � -- � — .--- } - � , i ` ,. 4. • •� i f .K,__, "' 1 i � �`i Town of Barnstable Building "`,' �1 d�", �y :s � �.� � �: � Post This=.Card So That it is7 J` ie From th`e Street Alcoved Plans Must b Retained on Job andahis Card Musf be Kept �� M' Posted UntilFinal inspection Has-Been Made , m f634. Al PP�/rI111t ° Where�Certcate oaf OccupancyRequ�red,sou hBuild ng shall Not beOccup ed until a F�na�lnspectionhas been made Permit No. B-19-1499 Applicant Name: Stephen Dickinson Approvals Date Issued: 06/03/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 12/03/2019 Foundation: Location: 100 OAK HILL ROAD,HYANNIS Map/Lot: 2487064 Zoning District: RB Sheathing: Owner on Record: MCLAUGHLIN,SUSAN D Contractor Name- STEPHEN T DICKINSON Framing: 1 Address: 100 OAK HILL ROAD Contractor License. CS 081843 2 HYANNIS, MA 02601 Est Project Cost: $11,160.00 Chimney: Description: Same for same, replacing 16 double hung windows u,factor 030, P.et ffii f Fee: $56.92 replacing 1 direct set fixed frame u factor 0.27 Insulation: Fee Pald $56.92 E 6/3/2019 Final: Project Review Req: Date F,13 F - _ Plumbing/Gas Rough Plumbing: - w ui in icia This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced withf six months after issuan2. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures-shall be in compliance with the local zoning;by laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public h'spection for the entire duration of the work until the completion of the same. Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and,Fire Officials are�pr'ov-ided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: \ 1.Foundation or Footing �. Service: 2.Sheathing Inspection 1 V R, ` 3.All Fireplaces must be inspected at the throat level before firest flue'Immg is.installed u � it ,,-w° Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: S.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 "Perso s- ontracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: , Buildingplans are to be available on site p Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable Building Post`This Card So That rt�is U�s�ble�Frorn„=the;Street Approved Plans'Must be.Retamed on Job,and,this Card Must be Kept > .'e. ' • M" Posted UntiluFinal Inspection Has Been Made a r 363 "x iebsw £ ., �` .. ., `< • .:.�rl.. %�.n.. ,.. - Permit ° Wh'ere a`Cert�ficate ofOccu "anc .s'Re u;red;'such Bwldmgshall�Notbe��Occupied°until a.Final.lnspectio3n'„has been made ,���K ej iljlt Permit No. B-19-166 Applicant Name: MCLAUGHLIN,SUSAN D Approvals Date Issued: 01/25/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/25/2019 e Foundation: Residential Map/Lot: 248-064 Zoning District: RB Sheathing: Location: 1000AK HILL ROAD, HYANNIS Contractor=Name Framing: Owner on Record: MCLAUGHLIN,SUSAN D ��• ContractorLicerise 2 Address: 100 OAK HILL ROAD � � Est Project Cost: $5,000.00 Chimney: HYANNIS, MA 02601 Permit Fee: $85.00 Description: Remove hallway door to closet and open closettAoz.bathroom Fee Paid- $85.00 Insulation: ��� replace bathroom door with pocket door redo tub surround Date 1/25/2019 Final: sheetrock where needed Plumbing/Gas Project Review Req: " Rough Plumbing: ' r Building Official Final Plumbing: A f � Rough Gas: Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months a fteriiissuance. All work authorized by this permit shall conform to the approved appl cation and thelapproved construction documents for whichthis permit has been granted. �,: Electrical All construction,alterations and changes of use of any building and structures shall be in compliance with the local zonin&by7,'I" and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be mamtamed ope!,m or publ inspection for the entire duration of the Service: work until the completion of the same. , t Rough: 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: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 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 Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) Health 6.Insulation 7.Final Inspection before Occupancy Final' Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. _ Final: "Persons contracting with u gister contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 6, Application Number... ............................ BARNSTAIRX Permit Fee......�5........................Other Fee. 1639. TotalFee Paid.................................................................. ...... e � TOWN OF BAIVN8TABLI Permit Approval by..... ll�..........,6, ........on......h!:07... BUELDINGTERNUT MV �...I.........................Paroel .. ............................ ........ ....... APPLICATION Section 1 — Owner's Information and Project Location Project Address IM HIV- AU Village Owners Name Owners Legal Address— CIA City State Mo— zi-P Owners Cell# E-mail ",Ak, Section 2—Use of Structure Use Group— F] Commercial Structure over 35,000 cubic feet El Commercial Structure under 35,060 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction R Move/Relocate E] Accessory Structure ❑ Change of use El Demo/(entire structure) El Finish Basement ❑ Family/Amnesty El Fire Alarm Rebuild El Deck Apartment El Sprinkler System ❑ Addition E] ' Retaining wall Solar Renovation ❑ Pool ❑",Insulation Other—Specify Section 4 - Work Description toA r, txviA rn A r 1,., 00 AMA .51 Ski ck. An; kwj� Last updated. 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project r Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom i 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 i Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 d� TOWN OF BARNSTABLE PERMIT CHECKLIST Sign off hours for Health and Conservation are 8-9:34�a.m. and 3:304:30 p.m* A complete permit application includes filling all sections 1-13 1. NEW STRUCTURES/REMODELING/RENOVATION/ADDITIONS ❑ Site Plan showing setbacks of proposed and existing structures ❑ Commercial—One complete set of full sized plans one reduced 11"x17" (plans may require a stamp by an architect or engineer). ❑ Residential - 5 Sets of floor plans no larger than 11"x 17" smoke/co detectors marked ❑ Worker's Comp. Affidavit and policy(if required) ❑ Res Check or COM check from the 2015 International Energy Cod Council(IECC) Letter of financial Interest for new houses only(not required for rebuild after teardown) ❑ Performance bond made out for$4.00/foot of road frontage(new construction only) 2. DEMOLTION OF A BUILDING (NOT PARITIAL) ❑ Everything above plus shut off letters from following utility companies: ❑ Gas ❑ Electrical ❑ Water ❑ Sewer(if required) 3. DECKS/PORCHES/GAZEEBOS/INSULATION/SOLAR/POOLS/SHEDS ❑ Site Plan showing proposed location ❑ Construction plans showing framing detail (if new framing), Pools—Barrier details,pool specs(engineers design) ❑ Workman's Comp Affidavit and policy(if required) FAMILY APARTMENTS ❑ Section 1 Plus: ❑ Family Apartments are subject to approval from the Building Commissioner. Agreement must be signed, notarized and recorded at the Registry of Deeds and returned to the Building Department. .o. F "�, f � � + ! + f y ! � � � .� �- �.�. i � � � � � f � � � � � ' ; � � � a +_ � I r � � � � ' � ' '� � � � � , . � � � � I � � � � � i � i t � � � � � � { � � ii � � � � � ad � I t s i � � i w. � � ', I �, � `` i � � r + � : 1 1 � � I � � � I I ' �� ��i� ' � � � 1 '/ � ' i i P �` � i�' "Y 1 � i O � 9� Q i��� 1 , ' I � , .. � ; • i P � � � # � � e t i + � � + s � � � � � i ' � ' - - .006 NO i 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 Legibly A, Name(Business/Organizadon/Individual): iA 6&V1 C; Address: lap Oak R® City/State/Zip: ; &_-, 09(01 Phone#: 7741 ,3 Z Q Are you an employer?deck 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 sole proprietor or partner- listed on the attached sheet. . 7. [5.Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' t 9. ❑Building addition [No workers' comp.insurance comp'insurance' 10. Electrical required.] 5. ❑ We are a corporation and its ❑ repairs or additions 3.g 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#I 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 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 under th ains and enaLtiec ofperjury that the information provided above is true and correct Si ature: v '^"' Date: Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL 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 id 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 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 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 lnvestigadow 600 Washington Street Bastan,ILIA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAM Fax#617-727-7749 Revised 4-24-07 www,mass.govfdia r Building Detail Page 1 of 1 7W kh -•.:t�+� 4L�.S Ise; _ � Z R l �' Logged In As: Bu i n Detail Wednesday,January 16 2019 r Parcel Lookup Parcel Detail Code Description Gross Area Effective Area Living Area BMT Basement Area 1428 0 0 UAT Attic, Unfinished 1956 196 0 BAS First Floor 1549 1549 1549 GAR Attached Garage 1 528 0 .211 Extra Features - - -. _�_...�.. ._.� -_..._..._._..___ _.... ......... ......... ......... ......._. ......... ..... ......... ...................... . Code Description Units Unit Price Year Built Value Comments GAR Attached Garage 528.00 33.43 1988 $11,400 BRR Bsmt Rec Rm-Average 240.00 8.05 1988 $1,400 FPL2 Fireplace 1.5 stories 1.00 5,696.00 1988 $4,000 BMT . Basement-Unfinished 1428.00 26.01 1988 $24,300 Out Buildings Code Description Units Unit Price Year Built value Comments http://issgl2/intranet/propdata/BuildingDetail.aspx?PID=17622&BID=18226&N=1&NN=1 1/16/2019 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 Section 11 —Home Owners License Exemption Home Owners Name: a' !`h pie /1.12 - Telephone Number 7zq 8 ZY7 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 T wn of Barnstable. Signature Date APPLICANT SIGNATURE Signature a' Date Print Name � �" �-Q Tele hone Number-771 CbZ� P � E-mail permit to: `' Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if required)>❑ 7 Fire Department ❑ i Conservation ❑ j 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 r 11/152018 Last updated 3 r lK Town of Barnstable *Permit# ° a P�pFTME fpiy�p Expires 6 months from issue date Regulatory Services Fee tnxtvsrnsr.E, y M^A• $ Thomas F.Geiler,Director rfo►�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 .PRESS PERMIT Office: 508-862-4038 Imo Fax: 508-790-6230 1 7 2003 (,?� EXPRESS PERMIT APPLICATION - RESIDENTIAIJ��1LY Not Valid without Red X-Press Imprint TOWN OF BARNSTABLE Map/parcel Number 0 6 Property Address JU Residential Value of Work n _ r�-i � Owner's Name&Address lt � 11101P70 ~1 5 Contractor's Name t_ Telephone Number___�� Home Improvement Contractor License#(if applicable) J l S Construction Supervisor's License#(if applicable) ' JaWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# X t Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner Property Owner Letter of Permission. e vement actors License is required. Signature Q:Forms:expmtrg Revise053003 - . FRASER CONST CTION Roofing & Siding Specialists P.O. BOX 1845, Cotuit MA 02635 F \ Phone 1-508-428-2292 & FAX 1-508-428-0123 SIDEWALL PROPOSAL May 2, 2003 Mr. & Mrs. Richard Cressy 100 Oak Hill Road Hyannis, MA 02601 Phone: (508) 775-8807 SIDEWALL Remove & Replace Supply & Install- Spline existing trim with 151b Felt Supply & Install-Tyvek House Wrap Throughout Supply & Install- 16" White Cedar Extras Supply & Install - 1 3/8" Hot Dipped Galvanized Ring Shanked Nails Supply 8s Install- 16oz Copper on all Flashing Points TOTAL INVESTMENT WHITE. CEDAR SIDEWALL: $8,250.00 Payable immediately upon completion NO MONEY DOWN - NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA- AMERICAN EXPRESS FRASER CONSTRUCTION Carries Workman's Compensation and Public Liability Insurance on the above work. DATE OF ACCEPTANCE: O 3 SUBMITTED BY: HOMEOWNER F ER NSTRUCTION