HomeMy WebLinkAbout0016 OAK NECK ROAD A45C
Town of Barnstable y ldlil
eta .. F, ,. *'.�; 's�3r;' :3S i �' �`Zr..„ L'« ✓' :-,«'X Nr,
Post This Card So That�t�s Visible"From the Street Approved P,,lans Must beaRetamed on Joband this Card Mustbe Kept
OARMl3CAEtLE, 4 �� ,'.q �' 3 ,, ,� fy z
6 �� PostehAt iil iin' Inspection Has Been Matle r + y
d° Where a-,Certificate-of Occupancy is Requiredf such Building shall Not be Occupied until a Final Inspection;hasbeen made
Permit
ui
Permit No. B-20-771 Applicant Name: FBOX LLC Ap
provals
Date Issued: 03/19/2020 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 09/19/2020 Foundation:
Location: 16 OAK NECK ROAD, HYANNIS Map/Lot: 308-200 Zoning District: RB Sheathing:
Owner on Record: FBOX LLC Contractor Name Framing: 1
Address: PO BOX 2220 Contra ctor..License 2
EstMASHPEE, MA 02649 Protect Cost: $2,300.00
Chimney:
Description: exterior painting and shingle repair as needed! kitchen cabinet Perm�tee: $85.00
Insulation:
replacement. Dry wall repair and insulation replacement ass needed. F` 'Pad $85.00
add some insulation in attic 3/19/2020 Final:
Project Review Req� Smoke CO upgrade for entire home maYbe re uired�
rY Plumbing/Gas
Rough Plumbing:
r«. Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorizedzby this permit is commenced within six months afiekissuance.
All work authorized by this permit shall conform to the approved application�and the approved construction documents f11,or which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall lie incompliance with the local zomng'by laws and codes.
This permit shall be displayed in location clearly visible from access street or road nd shall be maintained open for public inspe o for the entire duration of the Final Gas:
work until the completion of the same. a
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the�Buildmg and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work �� Service:
1.Foundation or Footing 1,
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue-fining is insta""fled"```
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
"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:
Application Number............ .......7 2/...............
U
MAS&BLF, Permit Fee.........:?�$ ...............Zoning District........................
1 39.
CEO MA'S A
TotalFee Paid ............................................................... ......
n 1 ae,
TOWN OF BARNSTABLE Permit Approval by...U.0................on.�-17-!&......
SC
BUILDING PERMIT ANIVE-o
APPLICATION Map.....I........ .........................Parcel.
.............
Section 1 — Owner's Information and Project Location
Project Address Village
Owners Name 6—16 0) V
Owners Legal Address
City State zip Oo2&0
re�W Wql
Owners Cell # E-mail //Z)
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 E] Accessory Structure ❑ Change of use
El Demo/(entire structure) El Finish Basement El Family/Amnesty ❑ Fire Alarm
Rebuild 0 Deck Apartment El Sprinkler System
F-1 Addition R Retaining wall F] Solar BUILDING DEPT.
Renovation F1 Pool El Foundation Only MAR 1.0 2020
Other— Specify
Section 4 - Work Description T(DVVV'1'N\' "OF BARNSTABLE
m q11W <j�V pWq, rfXt,�t_�? qJ //7
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14 k_T4,ems m/-- e,
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1'1,rQ(4117AI
5am �e I OLI-t 0 k7 e n1tiv Ty.�� r t� o9_4 E
Last updated: 1/3 1/2020
Application Number....................................................
1
Section 5—Detail
Cost of Proposed Construction 2 Square Footage of Project / V )_0
Age'of Structure l (/` S Dig Safe Number
# Of,Bedrooms Existing , Total# Of Bedrooms (proposed)
110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design
a
Section 6— Project Specifics
❑ Wiring Oil Tank Storage , ❑ Smoke Detectors
❑ Plumbing ❑ Gas ❑ Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom
Water Supply t - ❑ Public_ ❑,Private
Sewage Disposal ❑ Municipal ❑ On Site 9
Historic District ❑ Hyannis Historic District ❑ Old Kings Highway
Debris Disposal Facility: I am using a crane Cl 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
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MAR 10 2020 MAR 10 2024
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PROPOSED MODIFICATIONS MICHELE . CUDILO, P.E.
Consulting Structural En ineer
Centerville. Moaaaohusetta 02632-1979 508 771-7fi01
Drawn By: MCA=D:rawing
16 OAK NECK RD.
Hyannis, MA Scale: . AS NOTFileome:
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The Commonwealth of Massachusetts
Department of IndustddAccidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/tlia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information �f r Please Print Legibly
Name(Business/Organization/Individual):
Address: 16 Oak 9�eqycl g C
City/State/Zip: Phone M �0� 56
Are you an employer?dfheck the appropriate bog: Type of project(required):
1.❑ I am a employer with- 4. ❑ I am a general contractor and I
6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. gRemodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity.acttY• employees and have workers'
9. ❑Building addition
[No workers'comp.insurance co pp.msurance•2
required.] 5. [ e are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs
rosin mce required.]t a 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.
tConvuctors 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.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 mcon-ance coverage verification.
I do hereby certify under the
pains andpenaldes ofperjury that the information provided above is h7e and correct
signahre:
Date:--
Phone#• M ? �O
OffWal 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#:
I
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 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 permittlicense 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 firture 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 relaxed 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 bike 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 + ,
Qffi'tce of Investigatiow
600 Washington Street
BostM MA 021.11 _ , -
Tel.#617-727-4900 ext 406 or 1-877-MASSAM
Revised 4-24-07 Fax#617-727-7749
www.mm.gov/dia
s
Application Number..........
Section 9— Construction Supervisor
E Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
I
r
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
a
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: /�6/k/ Z/—(f
Telephone Number Cell or Work Number S0Y 9 9
E
r
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.
r
Signature Date
APPLICANT SIGNATURE
Signature Date OC 1 o
1
Print Name �C�l ` �� ( al/YI�` Telephone Number
E-mail permit to: �afi ` L o
Last updated: /3I/2020
f
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 approvak
i
Section 13 — Owner's Authorization
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:
j
(Address of job)
I
Signature of Owner date
i
i
Print Name
i
I
- I
i
1
i
i
i
Last updated: 1/31/2020
i
Town ofBarnstable Building
' •, �} 6'.�4L,. %':,�,L �;' f��. „ xT„ 'b' '�M�'$ 3,, ��,. '•'r... h'z`" l;;,per 3. �:>'V xi'v>, �,°,.'� {.� "z',...�,� �i°�.73v%"°'?. ,,,� ��. ,
Post This Card So That it is Visible From the Street">Approued Plans MustbeRetamed on Job and this Card�IVlust be Keptz ;.
BARNS'I'AItL6, • zr �, - 4 a " .:,'�` '�. `'� .r s c�+° ",. a -' :; t ,
ems. Posted Until Final Inspection Has Been Madera � � �
r ,.,:¢ .W h F Permit
Where a Cert�ficate`of Occupancy isRequ�red;suchBu�ldmg shall Not be Occupied until a Final Inspection has'been made
Permit No. B-19-1885 Applicant Name: KENILEY,CHRISTOPHER H Approvals
Date Issued: 06/14/2019 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/14/2019 Foundation:
Location: 16 OAK NECK ROAD, HYANNIS Map/Lot 308 200 Zoning District: RB Sheathing:
Owner on Record: KENILEY,CHRISTOPHER H �� zCntractorNarrie: Framing: 1
Address: 16 OAK NECK ROAD ; Contractor Licenser 2
411
Est Project Cost: $23,000.00
HYANNIS, MA 02601 , Chimney:
"° Permit Fee:
Description: EXERIOR PAINTING AND SHINGLE REPAIR AS NEEDED:WINDOW $167.30
REPLACEMENT AND SLIDING GLASS DOOR KITCHEN CABINET Fee Paid:' $ 167.30 Insulation:
REPLACEMENT. KITCHEN APPLIANCE REPLACMENT� D12YV1"ALL Date Final:
REPAIR&REPLACE AS NEEDED
, 6/14/2019
Project Review Req: F � l�� Plumbing/Gas
Rough Plumbing:
F Building Official
• ' Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by.this permit is commenced within sizim6nths after issuance.
All work authorized by this permit shall conform to the approved application and theapproved construction documents for which this permit has been granted.
e 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.
The Certificate of occupancy will not be issued until all applicable si natures b the Buildm and'Fire Officials are provide on this permit. Electrical
p Y PP g Y g ,F P
Minimum of Five Call Inspections Required for All Construction Work
3k N Service:
z .
1.Foundation or Footing
frR
2.Sheathing Inspection c ��,s 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 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
t w �� All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
. - - - . C7` - -- __--
~p �� Application Number. �.t ..........................................
t
Mnes Permit Fee.A...............................Other Fee........................
�Fp Irw� Total Fee Paid......................................................:........ ......
TOWN OF BARNSTABLE Permit Approval by..... :. on....<� � �9...
n
BUILDING PERMIT
Map..... " ....................Parcel..... ........................
APPLICATION
Section.l_-Owner's,Infor-mation.and.Project Location
Pioject=Address.- K k1cc,�-- KJQ Village
Owners Names y
Owners-Legal Address ®o �� � f�H►S� �� 0�601
State mA Zip 01
Owners Cell# �;-D g 2-"7`i 952 4- E-mail
Section 2 —Use of Structure
Use Group ❑ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
❑ Single/TwoTamily Dwelling
Section-3 Type of Permit
❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use
❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Firms Alarm ca A..
Rebuild ElDeck Apartment ❑ Sp&kle>S,yst =
❑ Addition ❑ Retaining wall ❑ Solar Zo z
VRenovation ❑ Pool ❑ Insulation .
Other—Specifyrn
Fc Section 4-Work Description
r
I
��o r OE I c m B- ,� I►'� cl �it CEe, V?ep ja a o w d oW
11qCa r
E. QQ I�MQ S� Co tar i vt
�-1
- .........
r '
Application Number.....................................................
Section 5—Detail
Cost of Proposed Construction 7000 Square Footage of Project f y
Age of Structure 00 y" 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 X
❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
❑ Plumbing ❑ Gas Fire-Suppression
❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom
S
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
- - a
Side Yard Required Proposed j
Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No
i
d
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_,
The Commonwealth of Massachuseto
Deparbnent of IndunWdAccidents
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
'Name(Business/Organizntion/Individual)•
.-Address: Q k� �J e.r-V Ada
City/State/Zip:'-, ol w to IDS ,M O 12-6 01 Phone#:Z® 9-2-7�� Z
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 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. ®'Ifmodeling
ship and have no-employees These sub-contractors have 8. ❑Demolition
working for mein any capacity. employees and have workers'
[No workers'comp.
9. El Building addition
insurance comp.insurance.: -
] 5. We are a corporation and its 10.❑Electrical repairs or additions
-3.W am a homeowner doing all work officers have exercised their I LF1 Phunbing repairs or additions
myself(No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance regai od]t c. 152,§1(4),and we have no
employees.[No workers' 13.❑Other
comp.insurance required.]
*Any applicant that checks box 91 mast 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 mist 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.
I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic,#: Expiration Date:
Job Site Address: City/Stale/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 ands r the pains and penalties of perjury that the information provided above is true and correct.
Si _ �--Date:
G- - tp
(Phone#:, 2:'f 2" 1
Ojj'tcial 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 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),addres (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 first 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 regardmg the law or if you are required to obtain a workers'
compensation policy,please call the Department at the mrmber 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 pmmit(license number which will be used as a reference number. In addition,an applicant
that must submit multiple permittlicense 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 f rt u e 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 Commtxtwealth ofMOMWhusefts {
DgWtMent of In&sldd Aeddents ; „
Q e of zavestdgadow `
f 00 Washington Street
Boston,MA 02111 -
Tel.#617-727-4400 ext 406 or 1-877-MASSAFE
Revised 4-24-07 Fax#617-727-7749
www.ni=.gov/dia
;e
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
i 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...
I . Signature Date
i,
Section-ll=Home Owners.License Exemption
Home-_Owners-Name: Vlt^ S Kew I IQ
Telephone Number Cell or Work Number
O q-Z'7 -Q �
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.
a'
gnature C�/�/l Date ��'f
APPLICANT SIGNATURE
4
Signature a&� Date ( -7—t
Print Name G�VT t Telephone Number g� �'--
3
E-mail permit to: L e�) �e ��_ �/�r Lt dd c C-0/ j
Section 12—Department Sign-Offs
Health Department ❑ Zoning Board(if required) ❑
1
Historic District ❑ Site Pian Review(if required) ❑
Fire Department ❑
Conservation ❑
'i
For commercial work,please take your plans directly to the fire department for approval
Section 13—Owner's Authorization
; a
I, , as Owner of the:subject property hereby I
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
ii
1
r • • • ••r•n u•n•n - 1
GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1
FOUNDATIONS
1.2.All,
o site l ocat hi inform
F to the requirements of the Massachusetts State Building Code,latest edition.
and grading informa'hon,.see Site:Plan,by others.
3. Assumed net allowable soil bearing capacity,,q=3000 psf,.for a medium sand/gravel composition. Other soils encountered,
contact the Engineer,of Record.
4. Concrete: Minirtium 28 day strength,fc=300C psi;3/4"aggregate,designed per American Concrete Institute Code,latest
issue,maximum slump=4".
a.) Anchor-bons ASTM A307 galvanized,min.5/8'diameter, 12"long,:w/2-1/2"hook spaced per Code Checklist,or in
concrete piers w/Simpson ABU-series base;SPACED . o1 for slab-on-grade construction(i.e.Garage,Basement,etc.).
b.) All walls to have min.2#4 top horizontal,2"cleai,to prevent shiukage .
c.) All walls longer than 25'shall have vertical control joint with watersto
FRANVIING pping between wait joint.
OD
i.,All workmanship to conform to the requirements of the Massachusetts Statebuilding Code,latest edition. Z C C
2.Structural Design Loads: z O
Dead Loads:Actual Weight of Building Components
Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ca
» ATTIC Storage=20 psf +�
-Living Floor 40 psf Z c p
Sleeping Floor=30 psf c—e M
Decks and Balconies=40 psf >
Wind Load: Criteria used for 110 MPH Exposure`B or C as noted per plans CC)3. Structural Steel: (as required) m
a. ASTM A572.Grade 50,shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes:
9/1.6"diameter.
b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes.
Alternatively,field weld by certified welders.
c. Deflection Criteria: L/360 total load deflection.
4.Timber Framing:
a:All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better.
b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,-E=1,600,000 psi,or better.
c. Laminated Veneer Lumber:All L.V.L.shall be'I.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psis
Fc_par=3035 psi_ Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900psi,E=1,900 ksi,"Fv=285 psi,Fc_per=750 psi,
Fc_par=2900-psi. Note that Microllam and Parallam may be used interchangeably.
1. Deflection Criteria: L/480 Live Load,L/360 Total Load
2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing.
5.Metal Connectors:
As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail
holes filled,with the size nail as specified by mfgr..oi herein.
a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps;over top of.plywood,spaced 16''o/c;
Rafter to Ridge Plate: Collar ties min. l x6C3a 16"o/c at top or Simpson Straps over top of-plywood spaced 16"o/c
b. Rafter ends to top plate. Simpson H2.5A
c. Band Joist: Simpson straps at 4'o/c: CS- 4R-48"centered at band joist
16.Bolts:
Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than
bolt diameter.Bolt heads and nuts shall bearr on standard malleable iron washers,or square plate washers.A1l nuts shall be
retightened at completion of job.
7. Blocking:
a. Blocking shall be solid blocking,2x minimum,and full depth of member.
b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing
to this blocking for the.first 48 of these building corners.
c.Nailing Schedule:
Solid Blocking to Bearing 2-8d toenails ea.side
Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End
,,._.. d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach
plywood edges to this blocking
8.Nailing Schedule:
All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically.
Multiple Studs 16d fad 12"staggered
a.A11 nails shall be common wire nails:
b. Sub-bore where;nails tend to split wood.
9. Headers less than 4'-01',use 2-2x6;all others per MA State Building Code.
r+ ZN OFMRss �
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CUDILO flb0-
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PROPOSED MODIFICATIONS MICHELE CUDILO, P.E.
Consultin . Structural En ineer
Centerville; Massachusetts 02632-1979 508 771-7601
Drawn B MC Date: 06/2.1/19
16 OAK NECK RD. y: Drawing
Hyannis, MA Scale: AS NOTED Rev, 0
File Nome.FREEMAN Project No.2019-170
OF
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Property Print
{� 6/18/19 2.13 PM
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AsBuilt Card N/A
62N Barn-any 2nd story area FPC Open Porch Concrete Floor
. REF Reference Only
BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium
BMT Basement Area (Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure
BRN. Barn GAR Garage
TQS Three Quarters Story(Finished)
CAN Canopy GAZ t Gazebo UAT Attic Area(Unfinished)
CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished)
FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished)
FCP Carport KEN Kennel UTO Three Quarters Story (Unfinished)
FEP Enclosed Porch MZ7 Mezzanine, Unfinished UUA Unfinished Utility Attic
FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished)
FOP Open or Screened in Porch PRT Portico WDK Wood Deck
PTO Patio
Construction Details
I
Building Details
Land
Building value $ 112,500 Bedrooms 3 Bedrooms
USE CODE 1010
Replacement Cost $187546 Bathrooms 1 Full-I Half Lot Size(Acres) 0.09
Model Residential Total Rooms 6 Rooms Appraised Value $ 113,600
Style Conventional Heat Fuel Gas Assessed Value $ 113,600
https://townofbarnstable.us/Departments/Assessing/Property_values/print_19.asp?ap=0&sea,chparce1=308200&print=true
Page 3 of 4
YOU WISH TO OPEN A BUSINESS? •
For Your Information: Business Certificates COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town
(WHICH YOU MUST DO BY M.G.L. - it does no.t give you permission to operate). You must first obtain the necessary signatures on this form
at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1'' F1., 367 Main St., Hyannis, MA 02601(Town Hall) and get
the Business Certificate that is required by law.
Fill in please:
DATE: Op
9.
APPLICANT'S YOUR NAME: 6mw 06!146
r' BUSINESS YOUR HOME ADDRESS:
/�l,,N.it,► s ki A OZ�D v
TELEPHONE # Home Telephone Number. _ �3179
NAME OF NEW.BUSINESS /L655. _TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO
�2►9�J�le ��
Have you been given approval from the building division? YES NO l�• GU
ADDRESS OF BUSINESS
MAP/PARCEL NUMBER 30 - Q L"
`v .c
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of
Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this
town.
1. BUILDING CO MISSIO ER'S OF ICE
This indivi ual ha en iC m'd an p rmit requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION
RULES AND REGULATIONS. FAILURE TO
A tho ed Sigr►at COMPLY MAY RESULT IN FINES.
COMMENTS
2. BOARD OF HEALTH
This individual has een ' ed of the p ;At r em ents that pertain to this type of business.
Authorized Signature**
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
COMMENTS:
. .
Town of Barnstable
Regulatory Services
o Thomas F. Geiler,Director
uarrs-reat.E,
Building Division
v i6 . . �� Tom Perry,Building Commissioner
�DTEp 9. 200 Main Street, Hyannis,MA 02601
Office: 508-862-"4038 Fax: 508-790-6230
Approved: _
Fee: ( 0 S
Permf t
HOME OCCUPATION REGISTRATION
D ate: A �0 1
Name:_ l v l o k")./lJ Phone#:
Address: & l/ki IL)6-&)L !2uyq UI VVdlage: /A AJ A-J rs II
Name of Business: L--Jl/Ei lv1 �2g �� / 2 '�v9 .6 !r
Type of Business: Ib /Z
�i Map/Lot: ' 9 L-' I"tq
INTE : It is the intent of this section to allow the residents.of the Town of Barnstable to operate a home occupation
within single family dwellings, subject to the provisions of Section�•1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling, there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector, a customary home occupation shall be permitted as of right subject to the
following conditions:
LJ • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling unit.
• Such use occupies no more than 400 square feet of space;
• There are no external alterations to the dwelling which are not customary in residential buildings, and there is
no outside evidence of such use.
• No traffic will be generated in excess of.normal residential volumes,
• The use does mot involve the production of offensive noise, vibration,smoke,dust or other particular matter,'
odors, electrical disturbance,heat,glare,humidity or other objectionable effects,
•' There is no"storage-or.use of toxic or-hazardous materials, or flammable or explosive materials,in excess of
non mal household quantities,
• Any need for parking generated by such use shall be meE.on the •same lot containing the Customary Home
Occupation, and not within the required front yard.
• There is no exterior storage or display of materials or equipment
• There is no commercial vehicles related to the Customary Home Occupation, other than one van or one --
pick-up-guck•not-to•exceed•one ton,capacity, and one trailer not to exceed 20 feet in length and not to
exceed 4 tires,parked on the same lot containing the Customary Home Occupation.
• No sign shall be displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
• No person shall be employed in the Customary Home Occupation who is not a permanent resident of the
dwelling unit .
I, the undersigned,have read and
agree
/with theee above rrtstriictions for my home occupation I am registering. )I
AnnTir�rit. N"���2%� !/ ..���I`--.<:J"'_ L.�', pafP• �j ���/�� /
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I Z BAHBST"LE. i
MAM 9 BUILDING INSPECT®
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APPLICATION FOR PERMIT TO ........1.2, .... . .. . .......... .......... ..`�.... ..... ........�....;.............. .....
TYPE OF CONSTRUCTION ..................� ...
. ...�.....19. 7 I
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for apermit according to the following 'nformati n:
Location ......... ���4 .... ... ....... ..17. ....... ... ...... ..... ................... .... .. .... .........../. .. .........
4.........
Proposed Use ............ ..........:......... .... ........ ............. lJ...!? .......... ...............................................................
ZoningDistrict .......................... ............................................Fire District .................................
12
Name of Owner .. ............... ..........Address k W � `kvj "
... . ......... . .... ... ....... ......... ................................... .... .... .
Name of Builder ..... . .... .....................Address ....................... .f'� ..........................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms �e.............................................................Foundation ..
I - � x
s r
Exterior ..... . fa......... . .C( .. ng ..: .! .f�'.1............ .................... � .
Floors ... ... . ... ..... ....... ....................................................Interior .........................................::4.......................................
Heating .....................Plumbing .......................... ......................................................
Fireplace ...........................f.....................................................Approximate Cost ...............................................................
Difinitive Plan Approved by Planning Board __________________________
66
Diagram of Lot and Building with DimensionsLd
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .............................:....................................................
T �
Lyons, John J ,.
DES 31 id
No ...1J.7A L Permit for ........tool shed -�
................
............................................................................... �.
Location .............roar.. a..Sir,.................
...........................gyanaais....................................
Owner ...............John..P....Ly.nns.......................
Type of Construction ....................f:ram®............
i
................................................................................
Plot ........................ Lot ................................
Permit Granted ..........April 8 ....19 71 {
..........................
Date of Inspection ........... .......... .............19
Date Completed ... .. ...� ... �.........19
PERMIT REFUSED {
................... ........................................... 19
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...............................................................................
................................................................................
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...............................................................................
...............................................................................
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Approved ................................................ 19
...............................................................................
.................... ., .................................................... f r'