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HomeMy WebLinkAbout0134 OLD TOWN ROAD 01 cl l o u-),r) �i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # : .9 Health Division Date Issued Conservation Division Application Fee ff's Planning Dept. Permit Fee Z Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ;Project Street Address 43 G/ 426� 7r'�/r7 /C/ X114 as coi I'V llag'e ZA&/0_,a/ S Owner i V eV- 7 0 Address lgaoGl Ma, Telephone� 3 s S, Permit-Request > V NL� v Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District r Flood Plain Groundwater Overlay Project Valuatio ') Construction Type / Lot Size 7;_`/U 5 Grandfathered: ❑Yes 3 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes �kNo On Old King's Highway: ❑Yes ,�(No Basement Type: ❑ Full ❑ Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq;ft)_:� oPPT. Number of Baths: Full: existing_ new _ Half: existing new Number of Bedrooms: existing _new JUL 24 2V n h-NgT'AsLE Total Room Count (not including baths): existing new First-Floor RoorntOount Heat Type and Fuel: 2(Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes 21 No Fireplaces: Existing New 0 Existing wood/coal stove: ❑Yes U/No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION Al 6/,M 11al2, (BUILDER OR HOMEOWNER) Name i ;d Telephone Number, AAddress S License# "tla �d- Home Improvement Contractor# Email 0 - (671y Worker's Compensation # ALL CONSTRU ION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �� l/ 15ATE i FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAM Zr/M INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. E Ylk Co7r mompeaWt of-Mossadiusetts Depaatttreut of1u huts d AcciderzYg ` �. �o�'.�ttgatEi�s • 600 Washington&reet -- Iias€ozz,AM 021-11 • }VFV14L n1lISS�,gffP�[�t[t Warkers' Campensafimt Inmu-ance Af 0xvit:Builder-dCantractars/FJechicLmisiPhombers AyPHcamt1nfm=ffan Please Print Le IY Na= r. r n �BncfnRcelY a� GC /-14 G( i3-11 0%1 T�� W Cifgftatf 1ilr / ;S Phorr� Are you an employer?theckthe appropriate bo= ' T L El �P°�I am a 1 with 4. ❑I am a general.contractor.and I 6.Type of e project(required): ❑New oanstrucEiam employees(full andfor part-time)' art time)* l avelired.fhe sub=contmctom 2.D I am a sole proprietor or partner- Usted on the attached sheet:. 7. ❑Remodeling ship and have no employees These sub-•conftactors bate g.,ElDemolifroa wo ling fornn is any capacity. a uployem andhave xvoric�rs' 9. ❑Building additioa. ENO vupdom ' Comp.iinsum a comp.kart ., r � 5. ❑ ire are a coipontionand its 10-❑EleF ica repairs or ad�oas 3.ld`" ,ama homeo-Mer doing au Work offcershave emscised th6w 1L❑Plurnbmgrepairs or additions. set€ o w kecs' _ fightof esomgfiou per MGL 2 �n�e requited]i c.152,§1(4)6 and we have no L.El Roofrepairs employees-[Nowot3cers' 13.❑Other comp.insurmme-required_] Any inmastalsoSIla�th�sec0ioabeIaw�ntdngifie¢wo3ces'compeasatinupa�c9ia�cros`aom #Sameownss�zlsu sahogtt�ris�da<<a;r+�rs+;Tg thv_y u�duing alFwa�c aa+itbmhFxe antsid¢conlnctorsamst snhmitanearsffidavR iodicatino sacs_ rCa -ffi ehea this box must sttarhed sa addi[i=al shed s7mumg thenmme of gybe sub-ca9rzct*m xad state ache m arnot tense entitieshwe emp9oyees.Ifthesuh cast esbzveemPIoSsts;tbe3'msstprnti&the!r zrarkea'-=Mp.poli ynumbEz I a,rn arz ezzrp�er Herd;i�rpra�atiitr�markers'cott�errsrdtarz i�zsrzrazrca for rrz�*enrpin}�e¢s ,SeIar�is tJte paficy�azrd jQh she izz�arrzzahbrt . Insarance Company Name: 'Policy 41 or Self-ins.IiC- rkpiEatioaDate: Job Site Addre= ChylStafe/Mo: Adach a copy of the waders'compensationpaUcy-dech"tion page(showing the policy number and expiration date). Failure to sew coverage as requued under Section 2 5A of MQ.c.157—can lead to the imposition of criminal penalties of a fine up to$]., OUG an&Gr one-year imprison as well as civil penalties in tiie farm of a STOP WORK ORDER and a ftrie of up to$250-00 a dap against:the violator. Be adtised Unt a copy of this sb&mmt maybe forwarded fo the Of of lavesErgatinns of the DIA for insurance coverage veriffba ion- , 'Ida hereby cadj6t aucder tote pions andpeiuEh u ofped try tfurtflre irzforwad p m*&d a6/ais is bars arzd earrect o jicial use airy. Do zzat Wrke in tfb area,fft be CMnpieted by cafy artot«r offrcfat City or'T'oww. Perms icense# bsuing AM&&r4(tide one): L.Board of$•eaItfi Building Ilepar(ment 3.C�,Towa Qerk 4.Electrical Inspector S.PFumhing Inspector 6.Other Contact Person: non e#: Laformation a�d 111St etiORS ha=ar_Tiasetts4 Geitc al.Laws chapter 152 rego�es all®ploy='o ProvideW01k=e��on fozfi�a empI(3yees Pmsrmntto this Vie,as Magee is defined as-¢.eYelYperson in Bie service of Maud,=under any coat act ofbiae, empress or implied,oral or A MFIDy�1s def fed as"an individual,partnershiP,amcfidcm,coxp ir orafion or other legal entity,or any two or more of the foregoing engaged in a joint entcrprLso,and mcb ffing the legal represeata&=of a deceased employer,or f e receiver or tro s of an im dxvid�pa�hip, association or oB�erIegal entity,employing employ- However the ownet of a dymilirg hD D swing not m am tbamm free aP3rtm=fs and who resides therein,or the occ upant of the- dweIlmg horse of another who employs pexsans to do make,cans T uc on or repair WDIk on such dwelling horse or on fine grounds or bmIdmg apputenantr theroto d3zU mtbmanse of such employment be deemed to be an employer." MGL d apter 152,§25C(6)also states that¢every state or local firensi g agency sl�aIl oId$te issuance ar renew-al of a Ticcn a or permit to opmmte a husmess or to construct buffff ngs in the�ruraDn�ealtii for any applicantWIho has notprodnced acceptable evidence of c6mpllancewi$i tote insurance-cDv=ageregakedf A&fitiDnaIly.M(H chapter 152,§25CC7)states fiTmffi r the cc==- Weala nor aiuy ofits political subdivisions shall enter into any confract for the perbnznanc ofpublic work-until acceptable evidmce of complian cewbh the msurmc6 reqni-emmfs of this djaptPa have been p=mated to the conixacth'ig.anthoi5iy:, Applicants Please fill Dirt the w0]3o=,compensation affidavit completely,by chug the:boxes-1hat apply to your situation and,if nmessalL Supply sob-cont a s)n=e(s)' rs)and phmm numbers)alongwith'fficir=tiffcab*)of amen or IrimitedLiabMtyP Fs(LLP)with.no Moyers other than the insuuance. Limited LiaH Come (1 � members or partners,are not required to carry wa d=-e compensation jamn-mce. If an LLC or LLp does hate �pToyees,apolicyisrequired. Beadvsedtbat this afdayk maybe sabmi�dtathe Department oflndusfrial Aceideofs mr confirmafm of insurance coverage Also be sure to sign and date ire affidavit: The,affidavit should of beretamed to!he city or townthat the applieaii.on for the peu tit or license is being rvVzsted,not the D epa�e-f IndastrjA A-cddenfs. Shonldyon have ray questions regarding the law ar ifyon are required to obtain a workers' compensationpolicy,PleasecalltheDepartmentattienumberlistedbeIow Self-insuredcom em paniesshouldtMweir self-5ngrance license number oa tie Appiogriate line. City or Town r Please b e srn a that tiie affidavit is comp Iete and.ptit�:d Ieglly. The Department has provided.a space at tize bottom of the affidavit for you to frIl out is the event the office oflnvm-��has to comtaayou mgmaing the applicant_ Please be sure to fill in tb.e peMit/Iic=r.comber which Will be used as a refm-ence nIImbe'r. In addition,as aPPhcmt carrent tl�must=hzoit multiple pconit icens e applesions in my given year,need only sabmit one affidavit md; � p olicy info= ation Cif necessary)and under°lob Ste A&Arms7 the applicant should v;mite-all ID cations in (CILY or .town)--A copy of the-affidavitthathas bevn officially stamped ormadredbythe city ortnwn maybe provided to the licant as proofthd a valid affidavit is on frIe for fatnre•permi:s or licenses A new affidavitunrst be filed opt 6szh app year.Vheze ahome owacc or dfizim is obtaining al D==or pe�mitnotre7atndtD anybrrRmPCc QT Comrbercl3l Yee a dog license or peanit to bum leaves etc.)said person is NOT required to complete this affidavit no Office oflnmesfigafims would]lke th to ankyouin advance for your cooperadon.and shouldyon have any questions. please do nothesitateto givens a call. . Iho DcRp mfs address,telephone and fax nnnber: 1 C0IMMMTMIt3E of Magmchnsettg - �c�flndAc�i�1�n� _ floe af� ��ia� �r?s�au�Irk�111 . TC.4 617-727-4900 cat 406 or 1477 MA29AF xevised4-24--07 -n�CTId Town of Barnstable Regulatory Services , oF Richard V.Scali,Director Building Division t RATOMAE=$ Paul Roma,Building Commissioner ASS 1e3 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: . —��/ JOB LOCATION: / J L` O L)92,0 9 numberpave VOyU j, street vi e "IIo1vlEowNER": �i &4W (VV) 3�-XO �1�/7 name c� / l Chome phone# .work phone# CURRENT MAILING ADDRESS: Z cityttown state zip code Thi current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedure and .nts and that he/she will comply with said procedures and requirements. G of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack-of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page- this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\FMRESS.doc r 06/20/16 Town of Barnstable Regulatory Services NIAMRichard V.Scali,Director. Building Division. Panl Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 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) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPODI S t•!:e 8ae� r�' �� �> � o-a~' ' � ` .q ''�.�d� �' +"yd �k a�'o'�._� ;� r4 � k � ! f� . �,.�•. y�Lf� qpg' y �'� A�tgdg 8 2.d,1�� }e „`.h,,a. a'�`. B� S ui:. 1*4 _ r =•.,moo '� ♦.E� ■ x: t Or Tq 3 •; ® . .c< ter■ v` P�i�7t• °� DC•� :n� H� 8 "ryry` ��1± V.� P e.. •,� l . m W 3 ��tr R'ra,� �t >$11'�.�1 y*.r.�R `'.•� .��• ' '�.. �•. ,,� E erg. ��• Joseph N1 verify location G I Bettencourt AI eneral Notes: 4 of knee wall in field I — Contractor shall install clips,blocking and BEDROOM-1 o straps as required by building code. I _ i � Contractor shall confirm all dimensions in i field prior to beginning construction Contractor and owner shall select all J 11 / finishes, windows, doors and roofing I� existing J — Nome owner and contractor to set i II roof final location for windows framing nrr o to remain this side of 3'-0 ridge N.centmi st—t xi t ng p Peabody.M. s ajl ir BATHROOM I 508-527-4107 t r on I I , •,II Cn F Y�I� I � I BED ROOM-2 verify location °J f of knee wall I _ in field existing existing roof roof below below Y Proposed Second Floor Plan r, Proposed Roof Framing Plan tU Roof Construction: — 2%10" rafters 16"o.c. �^ — r-38 bott insulation 0 — 5/8" plywood sheathing new — building paper ridge _ roofing to be selected by owner and contractor Q,7 install J" strapping A — new drywall ceiling and paint finish Exterior Walls: 2"x6" walls studs <Zp N, r—)Qtt insulation 7-5-2017 vapor barrier — drywall with paint finish exterior shingles and / trim to match existing Existing First Floor to Remain Existing First Floor to Remain-/ t`' ..a •e ,•.as^°�y�Y.,�it3 �,• `� �t� � e..� t ,,. �.z?#eq :�:t$ ��: r 'r,,.`.4, �`" �.:/� ... as :'�('� ...sr � ��• a r AN �a•'�IG� 9� '°•'�' �,t{•��# �• ak�" C� .` g.�a s, w e 4 � x ,• t :� � �s �� ) ��.w 'yam• '�+R• ��. � � -'j: �. a ti► ,`,a'�'• a. o • as�".g .. '► 4+ >,� r� '�« �'t '�+�a '�' • � �. + �qi-a �' 3,�`� Ova. 5 elk a y} btmeO } `�«• '4. 3 f� = '• ° _ -Y IL v�> ,.- ^Ma► a «• # y Joseoil NI r I eette_ncourt Al verify location I General Notes: in knee wall I — Contractor shall install clips,blocking and in field I BED ROOM-1 straps as required by building code. I I v — Contractor shall confirm all dimensions in CIO field prior to beginning construction _ Contractor and owner shall select all finishes, windows, doors and roofing l existing J — Home owner and contractor to set _ I roof final location for windows framing r,f •�',I�•.!;�." F.BATHROOM to remain, I• this side of 3 ridge N.C-bo-]Si,-t s airxi n sae-say aio7 t r ill in i� EL i I . � n O 1�1.T~, O 6 m verify location I BED ROOM-2 °U ' of knee wall in field I �o existing existing roof roof below below v Proposed Second Floor Plan Proposed Roof Framing Plan cU Roof Construction: — 2"x10' rafters 15"o.c. �^- - r-38 butt insulation O — 5/8" plywood sheathing Q building paper new ridge — roofing to be selected by owner and contractor (U — install J" strapping — new drywall ceiling and paint finish Exterior Walls: � I/ 2"x5"r�� ails studs o r—�.tlttt insulation 7-5-2017 vapor barrier drywall with point finish exterior shingles and / / trim to match existing Existing First Floor.to Remain J Existing First Floor to Remain-/ I a�. Town of Barnstable *Permit �lD� Z� Expires 6 months m issue dat Regulatory Services Fee k . BAMSTA1114 PERMITThomas F.Geiler,Director D MA't Building Division SEP 10 Z012 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us o VVNsQF2q NSTABLE Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number g Property Address � a / Residential Value of Wor Z Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address y� r Y \ �/ (�✓1 l3 aft Contractor's Name_ �O� ���� / Telephone Number I— 750— $I7 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) CS 0 qS 1-5 1 ❑Workman's Compensation Insurance Chi one: []'I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# .Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ t(check box} Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A co of the Home Im rovement Contractors License&Construction Supervisors License is re red. SIGNATURE: r Q:\WPFILES\FORMS\buil g permit forms EXPRESS.dpc Revised 053012 I • BARNSTABLB. 9� Town of Barnstable Ar fp�,t a Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable.ina.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder , as Owner of the subject property hereby authorize ,To yl �(��G-1 to act on my behalf, in all matters relative to work authorized by this building permit application for: (34 f cQ Towv�- 2J. �tgalA►k�s o� fA czcoof (Address of Job) Signature of Owner Date r D Pall 1 e l.i. V C G�X ►'v�cx.`'L Print Name If Property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. Q:\WPHLESTORMS\building permit forms\EXPRESS.doc Revised 051811 3 Town of Barnstable Regulatory Services BARNSTABIX ' Thomas F. Geiler,Director 9� i6 1b� AIFo ,,A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us. Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) z The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. r The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building-Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION - The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as-supervisor." Many homeowners who use this exemption are unaware that they are assuming the``responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc ''-_vised 051811 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations - 600 Washington Street Boston,MA 02111 ` 4 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /j Please Print Legibly Name(Business/Orgmizationandividual):. /C' C�l, S Address: ?�- j"1 (4-1 n Sf City/State/Zip: � r.� 1 ✓\ MA 01903 Phone.#: Are you an employer?Check the appropriate bog: Type of project(required):, 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction.. /employees(full and/or part time).* have hired the stab-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' [No workers' comp.insurance.. . comp.insurance. $• 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions . 3.❑ I am a homeowner doing all-work ❑ , g P myself. [No workers' comp. right of exemption per MGL . 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑ Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contracto.s 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&ndej the pains-and pe aloes of perjury that the information provided above is true and correct Si tore: Date: Phone#: '78 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#: . Licensee Details Demographic Information Full Name: JOHN M TUCCI Gender: Owner Name: License Address Information Address: 2 MARTIN STREET Address 2: City: BURLINGTON State: MA ipcode: 01803 Count : United States License Information License No: CS-095259 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal Issue Date: 9/19/2010 Expiration Date: 9/19/2012 License Status: Active Today's Date: 9/9/2012 Secondary License: Doing Business As: ,Status Change: Prerequisite Information No Prerequisite Information Close Window Preferred Details ©2011 Commonwealth of Massachusetts Site Policies Contact Us Site Map su� -^---- n � ';jaiti�MElf�fyrt.Rfl1/EME iM T qr , JOHN TUCCL. MARTIN STREET a ` ~ t ;t�URLIN�TON :MA 01803 � Undersecretary ., ti��aei� J � Lobg— ��,fOrllidltFidu��uSe�Only � aCar,� N'I�i1'ro ' a '` j '� d i git© (�'I'C ilrn�t0 r!T b1G I—,CAM"!N!'il dl USId'!c'�S3�iEgiIiatl f `' }�+s 0pVO! �� ilOi0 ISlai`"t. cy � ' .. fr? ,a ,,t-„F �k vrc V 6t,vano without signature s D i ryt - L ' 1 , v n 4 v ^M _ n 4 w,. x sunnmsnr fw " MR {�` e�• _ ,.,.�'..., "w.. r:ate"''• d^ vs ��W�'705-—A �,,.y, aaa.. § ua iH:f'e— �",��°`�._.c v 6 ��'i•;w, a .r 1�sk tiq.'^,. �"'cf t fi.- T,'•' iMt- +.+lf" w .... 'w ".` .wy'r. ~�,` T"�"�a,q, ....:FJ':4 .rc .W �+fe°".«• yf'raM•"yR OF .a U9. '.,yw. � ._ ..�.. _._-_�... *M-» .,."� .�.. ,•.�.�w.,,-., -r"k'La. yam`a, ..,,yt,. a°a ry"�ii ,; �"•',.:, � :,._ -,..» , � ,. ,. arm. T , 134 OldTow n Road yan H 112 k I The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Fax: 508-790-6230 Home Occupation Registration Date: —7, r -,?o U Name: �'L P ® Gv O c tz Phone Z 7!� 3 3 Address: 1�7 L/ b GO MOP 4CO Village: Name of Business: �N O t yWe-,E e—F— ` Type of Business: AWU�WtF— O k INTENT: 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 4-1.4 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: 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 not 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 normal household quantities. • Any need for parking generated by such use shall be met 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 truck 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 a ee with the above restrictions for my home occupation I am registering. / Applicant: Dater 2 CgU l Homeoc.doc TOP PLATE GENERAL NOTES: 9'x1.5"x4 1.All work shall conform to Massachusetts Building Code and all Federal, State and Town of Hyannis laws,codes and , 9' _ (��•J regulations as each may apply. ---- 2.All existing conditions must be verified in field. If discrepancies are found,they have to be reported to the Engineer } prior to start of work. Omissions or conflicts between the various elements of the working drawings and/or the specifications shall be brought to the attention of the Engineer prior to the start of such work. 3'-10" BOTTOM PLATE 9'x1.5"x4" 3.The Contractor shall supervise and direct the work and shall be solely responsible for the construction means, methods,techniques,sequences and procedures, including but not limited to bracing and shoring. 4.The Contractor agrees that in accordance with generally accepted construction practices,the Contractor shall assume sole and complete responsibility for the job site conditions during the course of construction,including the 0 ` safetyof all persons and property,and that this requirement shall apply continuous) and not be limited to normal LOAD BEARING " ` P P P Y� q PP Y Y working hours. EXTERIOR WALL 5. All work shall be performed in a first class and workmanlike manner in conformity with the plans and specifications, —_— —---- ------ ----- and shall be in good usable condition at the completion of the Project. 6. The Contractor shall field verify all existing conditions,utility locations and structure placement, prior to start of the FASTENERS SD SCREWS#9x2l" work.The Contractor will observe all possible precautions to avoid damage to same.Any damage to existing structures @ 6"OC OR 8d NAILS @4"OC and utilities,whether shown or not on the drawings,shall be repaired or replaced at the Contractor's expense. 7. Prior to bidding the work the Contractor shall visit the site and thoroughly satisfy himself as to the actual conditions and quantities,if any. No claim against the Owner or Engineer will be allowed for any excess or deficiency therein, actual or relative. 1 BATHROOM FLOOR REINFORCEMENT-SECTION 8. All proprietary connectors and manufactured blocks to be installed according to manufacturer's specifications. SCALE: STRUCTURAL NOTES: LOAD BEARING 1 EXTERIOR WALL S100 1.After recommended plates are attached the floor joists,the existing joists will retain their original capacity or better. 2"DIA HOLE —— = 2.5"DIA HOLE c? 8' 1'4" 1'-10" 1'-9" 1'4" CHIMNEY —— — — CHASE 2x6 JOISTS F 1, NONLOAD t OF SAS BEARING icy WALL STANI3LAV BERDICHEVSKY -� LOAD BEARING STRUCTURAL CA NO.38862 ` WALL o /STER�� BATHROOM FLOOR REINFORCEMENT-PLAN �s`S�ONAL ENG� SCALE:4" BERDI Consulting OWNER: Proposed Framing Plan 25 Wayland Hills Rd. 134 Old Town Rd Scale: 1/4"= 1`-0" Wayland, MA 01778 Hyannis, MA S 1 OO Tel: (508) 308-9012 y • • i I #` , a Ok Al 44 � '�►- ;�. � R� x �� c � � , ems, a • i y , , �f� #: • :; .. ,. wf � � o « '.. 'iw,� �„ a �',fA*�.���f�=+Yp..�� f+�Y��.Y '1+':'� 't.� - � ,,#. �( }� '3r A `'+ w � *w ,# .s;•;�,yp ,..a�.s °A.:'K ,,` � ",' f w`fi`..Yiy,��A�i1t s� "` `�y'"'�K~''�•9l e ` � t • f '~: f Y ,,,r 11 a-� s~ .S per. �. i is # 1F cv w dormer r s e_ • � n m er" ,r n: t a „ � r ��' i ,+'� �q . �� . a +J. �..�>, ,�t<; �� -•� wa '' 'js "y �' n�+Y.. 1 '�!1� �.� � � 1 '!�p�t¢y"�M`d ,S ��.'� `�i Y w�i• �t ,.F, p'.� � � A 2 M:, ,r' �I� `Y+�'y � •rc "II - _ f • _A,11 Y M �� L -- - Joseph M I Bettencourt AIA verify location I General Notes: of knee wall I ' . _ o field Contractor shall install clips,blocking and in BED ROOM -1 straps as required by building code. p - Contractor shall confirm all dimensions in CT field prior to beginning construction - I - Contractor and owner shall select all finishes, windows, doors and roofing 7 existing — Home owner and contractor to set ` ` 1 roof final location for windows framing to remain 0 0 this side of I F� 7 —�" rid e N. Central Street g Peabody,Ma xi t n CD j I 508-527-4107 s air - BATHROOM t r a n 1 , x ca ' verify location BED ROOM -2 of knee wall Piz in fieldtj existing I roof roof below below ' Proposed Second Floor Plan Proposed Roof Framing Plan 2 Roof Construction: — 2„x10', rafters 16"o c. — r-38 bott insulation - 5/8" plywood sheathing �- building paper new ridge — roofing to be selected " by owner and contractor Q� - install 4" strapping Z — new drywall ceiling and paint finish Exterior Walls: 2"x6" walls studs � , r—� butt insulation 7-5-2017 — vapor barrier — drywall with paint finish - exterior shingles and trim to match existing Existing First Floor to Remain Existing First Floor to Remain AExisting -1 .Pro osed Buildin Section O General Building Section ,� p g