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HomeMy WebLinkAbout0286 OLD TOWN ROAD �?�� �eC� �iz.�t� �q° i II TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ Parcel 1 L `( Permit#� Health Division (10b � Date Issued VA o Conservation Division J �'I�� ( '` BMW 12 PM Z; j 3 Application Fee � Tax Collector Permit Fee - o` s. o O Treasurer_ ~�f:'1`' SIp SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE VM TITLE 6 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANG Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address ( 9 ( 6 Village Owner _6P-41-4Q 'D0ti it Of (CIS' KOrt/Tti Address Y O -14-1QJ7— )C /� ii► ��r 4 r Telephone — q) b$ -6 7 3'O Permit Request rt., " 10 .f 1 L4 t -v-t 0 3— f A 10.0 '� ,.� , p F lz:- 1k , cool/ 4, z •Z0,7,(0 W%4&0Qw V.vi"J w a 1% (4,- lV0 14'FA [ 1",I)N Ov-,'Afttt Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new> Zoning District Flood Plain Groundwater Overlay Project Valuation I1 Construction Type Lu-®o,o Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0"" Two Family ❑ Multi-Family(#units) Age of Existing Structure 3�f Historic House: ❑Yes alqo— On Old King's Highway: ❑Yes 9<o_ Basement Type: R<ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing ` (o new First Floor Room Count Heat Type and Fuel: ff'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes @'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:0 existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ff l�o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name k Inv Telephone Number Address `3 Q i A/A,4 y t a P License# 5 '� (e Home Improvement Contractor# / Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO .4 0 t SIGNATURE r DATE 5X1 IJ FOR OFFICIAL USE ONLY M M. PERMIT NO. DATE ISSUED ° MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE • ti ELECTRICAL: ROUGH FINAL rti PLUMBING: ROUGH -� = : FINAL GAS: ROUGH i FINAL FINAL BUILDING _ t x. DATE CLOSED OUT s ASSOCIATION PLAN NO. l '1• e • The Commonwealth of Massachusetts �� M• Department of Industrial Accidents ' ,� =�•� -_= - Office of/nsest�gat�eos _ 600 Washington Street T Boston,Mass. 02111 Work Censation Insurance Affidavit name: 1 A 1 k-c_ location: 78 6 n \v 4a/ s ',(L 4, city IA,4 phone# C.� l •� "� a— ❑ I am a homeowner performing all work myself. P- am a sole netor and have no one works in ca achy I am an em 1 roviding workers'compensation for mry employees.working.on-this job. >' z> >': -1. z....:::::::..<:>::> c►tw oil # ; ..... ®'>ram a sole proprieto general contractor, r homeowner(circle one)and have hired the contractors IAX isted below who have the following workers' compensation polices. N. X.................. X. com an name ::.`::>.!viii:i•i:iii :viiii:i}ii:i:i•: h `• .............. ................... ;ii.` i. ..:.....:... ::....... :i:i;$:i ........ iiii>.:vviiiji:it:i:ii:i:;i:y:i:ii ii::iiiiii'rj::j::::iin::;:ij;:}ii:•ii:niiiih::;:'•.C::::$;.... ?tivfitiv:{•i:v: ........... f re35: ::::?::.... : ::::: non {:: •ti{v.�::{v::::•:i.{vii:•::r:ti^i;..;n.:.-.}:v.n:::::::...}}•::::i}ii:;:..•i �::..}iii};.�::::::!{:::::.�..:.....:.......................... ........:.......................iii::i:i'{•::.}•{:::::}}:•.:::}::......:;::...rJ;•.:..:::.�:•.......y.iX,Xi'.}:•..::.�::::-i:i:{4::v:i:^:P:{++{•}:i:-i:{?::.i:•ii}::�:{i:•: .. ...::•.:.::••:::.�:.: C::�i::::??:>:i;}:.. �.M':.,:.:.:<:.:.::.;y::::.::..::::•..:•::::;.::r_:.:i:^:!r.::•i:-iY..ii:.iy.:L.::•:::p:.ii::!.::::::4::ii:;i::i:ii:!:: :::::;>:>?::.>.:::�>:::>;::<: �:;•:;.i:.:•:•;i:-i;i:•i:ii>:<:i::i:iii>:•::is.:�:•;:•:<:;.;::•:::;;.;:;:.::. :: : :: ::::....:..::::.:::.................. ............:.:.:•::::::......::: '>`'' '. adtiressr on <p h LLII =z > > ? "jj:« isS` i ?i%''•i2�`"`'i'i"i?ji` i;;'i'?"% '3'??�%;}.::�,;,,:;,,,.,.;,. %;:,i. ' N 111TatY 0 i. Faflure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,SM.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verMcation I do hereby certify under the pains and penalties of perjury that the information provided above is tn.and correct. Off/Yl y Signature Date Print nameA b^/� f I $!i/ l Phone# official use only do not write in this area to be completed by city or town offlciai city or town: perndt/license# ❑Building Department ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office ❑Health Department contact person• phone#; ❑Other�� Umsed 9/95 PJla f Information and Instructions 1 Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", 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 dual Partnership, association or other legal entity, employing employees. However the owner of a diva , trustee of an in ,p P 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 section 25 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 ce table evidence of compliance with the insurance coverage required. Additionally,neither the produced acceptable P . not p P 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and hone numbers along with a certificate of insurance as all affidavits maybe _. DPP Ying mP Y P � 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 i:f you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns 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 Permitllicense number which will be used as a reference number. The affidavits may be reta rhRl io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 �oFZHe, Town of Barnstable Regulatory Services BnaxsrwBta, ' Thomas F.Geiler,Director - MAM �7 9�prF019. 04 Building DIVISIUn Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: n ) t _Jf Jk I f Al� 1-0 �®►%- e Estimated Cost Address of Work: �ate 1Q/C� AV Owner's Name: �r -t A 7 Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UY2ROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Icktracyt Name Registration No. OR Date Owner's Name RESIDENTIAL BUILDING PERNHT FEES APPLICATION FEE New Buildings,Additions $50.00 --�— Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKS NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE /17 Al --Sy�square feet x$64/sq.foot= 3 x.0031=9, d plus from below(if applicable) GARAGES (attached&detached) square feet x$32/sq.ft. ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit F e '019, ® � ��FZHE�O�'1 Town of Barnstable "P.�. Regulatory Services i BARMABLE, = Thomas F.Geiler,Director SS. MA , 1659.. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 5 08-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ` eOIJ Iq 6 ��d h p-0 e , as Owner of the subject property hereby authorize A/ A Z to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) Old %�w l� '1-1'�/o 3 S' tore of Owner — 'Da e Print Name p Board of$wilding Regulations and Standards.° HOME 1 VEME.NT CO. REACTOR I18,59 iT /03 MICHAEL RENT Y MICHAEL RE 387 PHINNEY'S LN\� r PENTERVILLE;MA 02632 � ITle-�omiwe /c.o�� o�"`ar B;©AlRb dfr SW LQIM:Ch R GI=hUATtO'NS i. License: CONST•RUCTfBN'So-RVrS-OR N!um'be5` 05826( B�rtftdat� flt1 63 t / 004 Tr.no: 13512 ( ff Restr�te� � MICHAEL J RE NOV 387 R,,HINNEYnS - CENTERVILL�, - i p BARN�STABLE- JOHN F. AND.ANNA..M.0 GPbeed in Book......1�7P......Paqe..��4 LandIn.............................R.......................... longing to............................ .......... ...... Land Court Certificate No....................in Book...............PC i ige......:7.......ln...B.A.R N.S.T.A.B L.E....Registry.9F...DEEDS........ Recorded Plan...RUDDER VILLAGEPSECTION 2 . BY RoBERT G. McGLON Date of Plan...m!�y... ..................... ..................................................... ... ..................................... In... ,P.ARNST.A B LE.Registry...p� PLAN Book...DEEDS IN P '.232........No... ...... Filed Plan No......-................................... ........ ........ ........................ .... BOUNDARY EXAMINATION SOUTH BOSTON : SAVINGS BANK KENNETH KERR, Eso. Wan No. SILVIO DECILIO, LOT o 7 44. ---low 9 Tog Y 15, 100. - OLD TOW ROAD 7'- JUNE 8, 1978 JN 24434 Scale 1 50. >F0j rTORW'-"SUNROOMs �r aches =State' wIdin Co D -� `..` ` en ectio L .2:3d ". The Massachusetts State Building Code(780 CAM) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER INFORMATION FORM is to be filed as part of the building permit application when a builder/contractor or homeowner, constructing/installing a house addition with very large percentage of glass to opaque wall,seeks to utilize a special energy conservation exemption option for "sunroom" additions to,an existing house (780 CMR, Appendix J, Section J1.1.23.1). This FORM is not intended to prevent a homeowner from selecting a "sunroom"of any size, configuration, orientation,form of construction or percent glazing,but rather is only intended to assist homeowners in becoming aware of some of the important energy conservation and year- round comfort considerations involved in selecting and utilizing a"sunroom"addition. The connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of.the main house. In the selection and construction/installation of"sunrooms", included below is a non-required, open-ended list of product and design considerations that a homeowner may wish to consider before actually constructing/installing a"sunroom".It is recommended that consumers carefully review these options with their designer, builder, or contractor, in order to minimize potential-energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AND DESIGN CONSIDERATIONS RELATED TO"SUNROOMS" • Solar Orientation and Natural Shading - • Type of Glazing • Insulating value • Solar heat gain • Frame materials • Glazing to frame sealing and gasketing materials/.seal durability and/or weather tightness of the sunroom • Adequate ventilation Operable windows and fans • Applied Shading Systems • Insulation level in floors,walls,and ceilings • Possible Sunroom isolation from the main house via a wall and/or door or slider • Heating and Cooling Methods: Efficiency,Zoning and Controls Homeowner Acknowledgment The Massachusetts State Building Code, Section J1.1.23.1,..requires that the actual oronerty owner(not the owner's agent or representative)acknowledge receipt of this CONSUMER INFORMATION FORM prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the information in this document concerning sunroom comfort and energy conservation. ignature of Actual Building Owner Date '7k)ne hoL)-o2 �ileei� �au`�J � Print Name Address of Permitted Project -3 9 kks 4 P&, , Ou Aev �V 0,?1,7 17 Owner Address(if different an projectlocation) Owner's telephone number i 7-7 BOARD OF BUILDING REGULATIONS Lse CONSTRUCTION SUPERVISOR I r Number CSC 058266 -, ; B�rth�tldte^`017301'1953 Tr.no: 13512 1 ', l .. „ II 387 PHINNEYS LN` `� CENTERVILLE, MA 02632= AdministrafbF 'n.-x v�,;aaec✓o /iG �O�I7/I�CO!�LU�PCdGCIL 6�✓.'I.�OOfLC/LUO.I.6�: y..` Board of Building Regulations and Standards,, (,,.: HOME IMPROVEMENT CONjf,ACTOR I Registration: 1;11859 Expiyration: 1=1/12/03 Type: DBA MICHAEL RENZI CONSTRUCTION MICHAEL RENZI 387 PHINNEY'S LN �� CENTERVILLE,MA 02632 Adoimst,atur Engineering Dept. (3rd floor) Map Paicel �� Permit#� House# — Date Issued c �q 5 -9:30/1:00 Fee, Co�_ -9.30/1:00 7'2:00) g.) d 19 BARNSTABLE, MASS °rEo vg+ TOWN OF BARNSTABLE. 6/7 Bu'lding Permit Application ' ro t treet Address 6/ & )y-. "� Village Owner a Address Telephone Permit Request First Floor square feet Second Floor square feet � x Construction Typeil Estimated Project Cost $ �� Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ull ❑Crawl ❑Walkout ❑Other " Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) " Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other V Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) - ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes p�To If yes, site plan review# Current Use Proposed Use / Builder Information Name , / LY Imo! Telephone Number J�1 2V Address �� 6,��y�? ��r License# } Home Improvement Contractor# !� j Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �,ey BUILDING PERMIT DENIED FORT O LOWING REASON(S)gm lob n ' z JIL FOR OFFICIAL USE ONLY _ PERMIT NO. e }y ��_ f :.ri f • - � r _ - - _ - ' _ ,� .. DATE ISSUED •+ f _ = + - ; '- MAP/PARCEL NO> ADDRESS VILLAGE OWNER DATE OFj�NSPECTION: FOUNDATION FRAME INSULATION -r FIREPLACE = ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL n } GAS:. ROUGH #FINAL FINAL-BUILDING DATE CLOSED OUT ` ASSOCIATION PLAN NO. f - ` ` The Commonwealth of Massachusetts ��� - - •� Department of Industrial Accidents ��= °°- ; r-_ Olticeof/mvestigatioos -. t 600 Washington Street Boston Mass. 02111 Workers' Com ensation Insurance Affidavit name: 14A A PC, / location: 11 ",.1 e city /�� ,a�J "� i/ �� �? ®✓ ! phone# ✓;7`•oD6 t ❑ am a� min omeowner performing all work myself. (l am a sole r rietor and have'no one workin in anv capacity ❑ I am an emplover providing workers' compensation for my employees working on this job. companv name address. city: phone# insurance co. Policv# ❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name• address: city phone#: in co comnanv name address- . city.. -::: ehone#. olicv# .:.:... iiisnrance co:. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to SI,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Ot11ce of Investigations of the DIA for coverage verification. 1 do hereby certify under th pains and penalties of perjury th the information provided above is true and correct Signature Date JrgZ /ffa _ Print name ,e a , /� f ��� Phone# ��' official use only do not write in this area to be completed by city or town ofilcial dty or town• permit/license# ❑Building Department ❑Licensing Board ❑checkff immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other :..... (tevaed 9/95 PIA) of,ME Tq� . '3 The Town of Barnstable • n'raw. • 9 " Department of Health Safety and Environmental Services rEo r�'r' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: p /a Estimated Cost z 'r_01_1> Address of Work: �� �� Owner's Name:__ ,y,�`e Date of Application: Ems. I hereby certify that: Registration is not required for the following reason(s): [:]Work excluded by law Job Under S 1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the oow'�ner:6, �,- & Date Contractor Warne Registration No. OR Date �r Owner's Name q:for ms:Affidav 3x a Xir " axe ' t rh L a HOME IMPROVEMENTCONTRACTt REGISTRATION ., Board egul of Building E7ati sand Standards One As.(iburton1'PlacMye o m 3301 x `o x��� Boston, Massachuset . mot v � r �3xrrt� „�, HOME :IMPROVEMENT CONTRACTORz Registration 129983�"; Exp1re, 1,C 9/kt� Y g x 27/99 Type DBAft x,LaF:. , -F6, 4 ��I '"`.�3 k SHON 'A SCHOFIELD� HOME MA N REPI tyq gar s`, SHON A SCHOFIELD3 ;' i ,� ," f• �33 HAMPSHIR�;�AVE Id Yk�v f =HYANNIS 4 MA }N #,, a�a��5_ �«, If