HomeMy WebLinkAbout0021 PILGRIM LANE -4e-
pt
Town of BarnstableBuilding
PosBARNSTAHM
t This Gard=So."Thai rt as V�s�bleFrom theStreet,-A roved Plans=Must be_Retamed on Job andsthis".CardMust be"Ke t s .
M Rost'ed�Until Final Inspect% n�Has Been Mad Permit
,�'„, ,�>. .�sn is �,� d�r� '>. ,. �1 �� .,, s" Gam; fir, �. ',
° Where a�Certificate of Occu anc as Re aged:asuch Buildm shall,,°Not be OccG' ied unt�l:a Final lns ect�on�has been.,made
Permit No. B-17-1 Applicant Name: Cheryl Gruenstern
Approvals
Date Issued: 01/17/2017 Current Use: Structure
Permit Type: Building-Solar Panel-Residential Expiration Date: 07/17/2017 Foundation:
Location: 21 PILGRIM LANE, HYANNIS Map/Lot 310 100 Zoning District: RB Sheathing:
Owner on Record: PINET, LUCILLE _ r Co ctor,ntra Name: SOLAR CITY CORPORATION Framing: 1
Address: 21 PILGRIM LN Contractor License:, 168572 2
HYANNIS, MA 02601
i -Est Project Cost: $4,800.00 Chimney:
Description: Install solar panels on roof of existing house,with any upgrades,if Permit Fee: $85.00
applicable,as specified by PE in Design;To be�inter&n-hected with Insulation:
Fee Paid: $85.00
home electrical system. 3.38 kW 13 Panels 16 0263539 Final:
'Date '" 1/17/2017
Project Review Req: Install solar panels on roof of existing house;with any'upgrades, '
if applicable,as specified by PE in Design,To be interconnected� ;'� � ,r r fy Plumbing/Gas
with home electrical system. 3.38 kW i13 Panels 1B 0263539 c'V Rough Plumbing:
x Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized.by this permit is commenced within six months_%ter'issuance' Rough Gas:
All work authorized by this permit shall conform to the approved application and the approved construction documents for who this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by lawsiand codes. Final Gas:
This permit shall be displayed in a location clearly visible from access street iv road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. i E
_ Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by;tIV6 Buildmgand„Fire Off ials are provided on this'permit. Service:
Minimum of Five Call Inspections Required forAll Construction Work +' a
1.Foundation or Footing Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final:
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction. Final:
Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire-Department
Building plans are to be available on site
� gp
5. Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
Town of Barnstable �RECEiPT
MAS& 200 Main Street, Hyannis MA 02601 508-862-4038
Applicationg
for Building Permit 1(101b
Application No: TB-17-1 Date Recieved: 1/3/2017
Job Location: 21 PILGRIM LANE,HYANNIS
Permit For: Building-Solar Panel-Residential
Contractor's Name: SOLAR CITY CORPORATION State Lic. No: 168572
Address: 24 ST MARTIN STREET BLD 2UNIT I I, Applicant Phone: (508) 640-5397
MARLBOROUGH, MA 01752
(Home)Owner's Name: PINET,LUCILLE Phone: (774)487-6630 `
(Home)Owner's Address: 21 PILGRIM LN, HYANNIS,MA 02601 .
Work Description: Install solar panels on roof of existing house,with any upgrades, if applicable,as specified by PE in Design;
To be interconnected with home electrical system. 3.38 kW 13 Panels JB-0263539
Total Value Of Work To Be Performed: $4,800.00
Structure Size: 0.00 0.00 0.00
Width Depth Total Area
I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before
he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568).
I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by
filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to
accept coverage.
I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property-owner and have
been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the
Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and
specifications. All information contained within is true and accurate to the best of my knowledge and belief.
All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24
hours in advance.
Signed: Cheryl Gruenstern 1/3/2017 (508)640-5397
Applicant Date Telephone No.
Estimated Construction Costs/Permit Fees
Total Project Cost : $4,800.00 Date Paid Amount Paid Check#or CC# I Pay Type
Total.Permit Fee: $85.00 1/3/2017 $85.00 XXXX-XXXX-X)M Credit Card
8975
Total Permit Fee Paid: $85.00
x ' THIS "ISlTOTA PERIVI�IT
Engineering Dept.(3rd floor) Map Parcel lQ n _. Permit#
a House#.` / �/ ���.�rr! Lase. Date Issuedd
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee .��,$r 620
Conservation Office(4th floor)(8:30-9:30/1:00,2:00)
Planning Dept.(1st floor/School Admin. Bldg.) f �THE,p;-
1J*ect
Ian Approved by Planning Board 19 ;
-------------
RNSTARLE.�` _
TOWN OF BARNSTABLE- 'f° '59.
'��
Building Permit Application
et Address '
Village Ste' l f
Owner_ y a ,�' ��a � �QQGAddress
Telephone
;-Permit Request
' J
f
t �
f
i 1
First Floor square feet Second Floor t square feet
i
Construction Type r_k, C'L ,
Estimated Project Cost $ /rye, OD t
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
y/ Dwelling Type: Single Family 2/ Two Family ❑ Multi-Family(#units)
\� Age of Existing Structure Historic House ❑Yes a o On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑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
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 ❑ko If yes, site plan review#
Current Use Proposed Use
Builder Information
Name l Telephone Number 2 2� - Z
Address4o� t,��y� ,/S�L�1° # -
A
Home Improvement Contractor#
d
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
BUILDING PERMIT DENIED F E LOWING REASON(S)
1 �.
FOR OFFICIAL USE,ONLY ,
PERMIT NO.
DATE ISSUED_.
MAP/PARCEL NO.
or
ADDRESS J r { VILLAGE
OWNER
DATE OF INSPECTION:,
FOUNDATION * i
FRAME
"INSULATION
FIREPLACE
.rr.
•t
ELECTRICAL: r ROUGH � FINAL x - -
PLUMBING: ROUGH i FINAL'
GAS: ROUGH FINALI
FINAL BUILDING
rd
DATE_CLOSED OUT..
ASSOCIATION PLAN NO.
I
tz
`� ..x 4 SxEGISTRATION
=x , , CONTRACT a .
HOME IMPROVEMENTy. {
Board }of-s8azldn9 Re9Ulatia o m �301andards
place
Y7 One Asiburton k 08
�> "; MassacMusett r
HOME 'IMPROVEMENTCON'LRACERPratic gf 7�99
119983 p _ N
Registration { a2Y �sr �,
TYP 5 -N,WW 4
sir ,?- I
SFiONA SCHOFIELD HOME MAIN .
�SHQN A SCH;OFIED iz
t
HAMFSHIRE AVE k
r�� �HYANNIS AMA02601
p
.1
RE-ROOFING
If located in OKH or Hyannis Historic District-Certificate of Appropriateness required unless same
color/same materials specified on application
Map/parcel number
Sign-offs from
j/ Tax Collector
�#of squares of shingles or square footage of roof to be shingled
specify stripping old shingles or going over old roof.
If going over
how many roof layers existing now
what size are rafters? What is span?
Complete dwelling information for the Assessor's Dept.-if known
-t- a," r��- � h- .
Workerman's Comp. form
Home Improvement Contractor Affidavit(RESIDENTIAL ONLY)
Home Improvement Contractor's License
OR
Homeowner's License Exemption(RESIDENTIAL ONLY)
Check expiration date on license
COMMERCIAL WORK-No License is required.
Fee
g4bmis-PERMITS i
Rev 6/2/98
�o
• /'�"�'_ The Commonwealth of Massachusetts
' i Department of Industrial Accidents
== i Afiller ofINY85t 8981os
600 Washington Street
Boston,Mass 02111
Workers' Com ensation Insurance Affidavit
name: t 'P
z 2
location: , rK V c N r e 171 u` ,
citV L4 e U 1.5 7 '®Z phone#
E)llama
am a ho eowner performing all work myself.sole r rietor and have no one working in any ca acity
❑ I am an emplover providing workers' compensation for my employees working on this job.
companv name:
address: _.. . :.:.::... .. _._
city. phone#:
insurance co. R01icV#
//%///%iii;..
❑ 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:
comvanv name:
address:
city: phone
insurance cm >.:: ::.:.. 'oikcv#
WX
///////
comnanv name:
address-
city: phone#: >:<:
. ...
.....::;....... :.::>:.:..;:::
insurance CO. ;.::,::::::;:<::.... ::: ; . ;:.>.;:<»::>:..:_:::;:;.;;.:»>..:.::. ` olicv#
Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to SI,500.00 and/or
one years'imprisonment as well as civil penalties in the form of a STOP♦VORK ORDER and a fine of 3I00.00 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 verification.
I do hereby certify under the pains and pen fesg1pedurythat a information provided above is tru•and eorree
Si lure ° Date !'� _
—Ts sr
Print name�.�) �+A—) /` s� �ia,e I t' Phone# ,:Z?Z— 7,26
official use only do not write in this area to be completed by city or town official
city or town: permit/ifcense t# ❑Building Department
i]I.icensmg Board
❑checkif immediate response b required ❑Seleconen's Office
C3Hmlth Department
contact person: phone#; QOther
Urania 9/93 PJA)
Information and Instructions
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 con=r
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 c:
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the rece:rer
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
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 renev
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h.
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,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 in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying company names, address and phone numbers along with a certificate of insurance as all affidavits maybe
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 yoc
are required to obtain a workers' compensation policy, please call the Department at the number listed below.
117/71
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tE
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 permitilicense number which will be used as a reference number. The affidavits may be returned 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
Me of Imlesugallons
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone #: (617) 727-4900 eat. 406, 409 or 375
The Town of Barnstable
0 samd=
m � Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA=01
Ralph Crossco
Office: Mg-7904M Building Camsnissior-:
Fax: SOS-790-6730
For oM=use only
Permit no.
Date 9 AFFIDAVIT
SOME IMPROVEMENT'CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c 142A requires that the "reconstruction, alterations, renovation, repair, modernir dud
conversion, improvement. removal, demolition, or mast. cdon of an addition to any pre-existing
owner occupied building containing at least one but not more than fbur dwelling units or to
structures which are adlaceUt to such residence or building be done by registered contractors. with
certain exceptions.along •th other6- regni meats.
Type of Work: '
/ 7 Est.Cost v�GS —
Address of Worn: ell
Owner's Name Jam,
Date of Permit Appilation: //
I hereby certify that:
Registration is not required for the following reason(s):
Work esciuded by taw
_
_ ob under SI.000.
__Building not owner-occupied
Owner pulling own Permit
Notice is hereby given that:
OWNERS PULLING THM OWN PERMIT OR DEALING WTtIi UNREGISTERED
CONTRACTORS FOR DO R PROGRAM OR GiJARAN'I'Y FUND UNDER MGL 142A
ACt�55 TO THE•�
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for n.Per t the agent of the owner. -7
/ ✓ $
Dan tra iVame Registration Na
OR
Owners Name
Date