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HomeMy WebLinkAbout0045 PINE VALLEY ROAD 5'S RV ✓AttcY '� . rZ Via Town of Barnstable BuRding Post This Card So That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept BARNSMOLL s,Ass. Posted Until Final inspection Has Been Made. �� �' 1639. �� Jl ll n1+° Where a Certificate of Occupancy is Required,such Building shall..Not be Occupied until a Final Inspection has been made. 1Y. Permit No. B-20-2469 Applicant Name: Roland Langevin Approvals Date Issued: 09/08/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 03/08/2021 Foundation: Location: 45 PINE VALLEY ROAD,HYANNIS Map/Lot:�248-063 Zoning District: RB Sheathing: Owner on Record: KAYAJAN,MICHAEL F Contractor Name:`'-,INSULATE 2 SAVE INC. Framing: 1 r Address: 45 DWIGHT STREET UNIT#1 Contractor License: 180747 2 BROOKLINE, MA 02446 ! T - "^ti Est. Project Cost: $9,324.00 Chimney: Description: damming,attic flat,attic access,kneewall slope,air sealing`, �� Permit Fee: $97.55 common walls,basement ceiling,bulkhead door site-built,( i Insulation: E Fee Paid: $97.55 crawlspace,install vent chutes and hoses,installing roof vents and Final: soffit vents. # �_ Date: ff', 9/8/2020 Project Review Req: 2 Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. ' This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. F° ! Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:! / Service: 1.Foundation or Footing i 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed u 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: II • ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0,;7 '. Permit# Health Division Date Issued / Conservation Division Fee 00 - Tax Collector a lk IL +•., ,+ Treasurer Planning Dept. f Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis i Project Street Address 1�S /fie VXZY Rd• F .-VillageI ���S Owner ' /L/l.A , Address S• -C Telephone t 4 Permit,Request c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Estimated Project Cost Zoning.District Flood Plain Groundwater Overlay Construction Type Lot,Size Grandfathered: .❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family � Two Family ❑ Multi-Family(#units) Age of Existing Structure '5(g �2 Historic House:_ ❑Yes ❑No 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 Number of Bedrooms: existing new � E E Total Room Count(not including baths)-."existing new First Floor Room Count _7:2 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other < Central Air: ❑Yes ❑No, Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑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 1 BUILDER INFORMATION Name --J''¢ � �� Telephone Number - p - Address /4 O �ax '� License# A/ Y t " Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7/17 A1'y FOR OFFICIAL USE ONLY PERMIT,NO. - • �` DATE ISSUED MAP/PARCEL NO. . .- � �' ; � £• f VILLAGE • • - '' � _ .� ' ADDRESS - r 'OWNER DATE OF INSPECTION,, , ' FOUNDATION FRAME INSULATION FIREPLACE - y ELECTRICAL: ROUGH FINAL s. PLUMBING: ROUGH - FINAL.. ` GAS: "ROUGH FINAL FINAL BUILDING,1 ` , z ' f `" '• f DATE CLOSED OUT ASSOCIATION PLAN NO. r ,1 t P • E i a - ' t EVE - ti The Town of Barnstable • snxNsrnsc.e. • . Department of Health Safety and Environmental Services ArFD Meg" 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. J Type of Work: :)9 it q;yo 7gEstimated Cost 7 c�C • �'�' L Address of Work: '�� ��'U V1+�e_l'1� �� Owner's Name: ��� Date of Application: Z 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 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 f r a permit as the nt of the owner: Date Contractor Nam Registration No. OR Date Owner's Name g1orms:Affidav f . :,L\ The Commonwealth of Massachusetts . . =.ate:- ,-=_. . i, - Department of Industrial Accidents Office offoFesM OMons :- T 600 Washington Street . __ Boston,Mass. 02111 Workers' Compensation Insurance davit i ��������������� �� ����������������������������������������������� name: - 1'/M�eS C wy, Zse: f� location: ( G !J ,Y I.�J city :1/x��'S A'� Qhone# °�f a, -- �� ❑ I am a homeowner performing all work myself. ' 201" m a a sole r rietor and have no one workin in ca aclty % ///%%%%%%%��%%%%%%/%��%%%%%%/%/% %%/%%%D/%%%%%/%/%%%%��%%/%/%%%%%%%%��/%%%%%/��%�/��%%/�%�%%%//G%%%%%%// I.❑ I am an employer providing workers' compensation for my employees working on this job. ...... cbmnanv.:name.. «: ... address, .:'..>::::::>:::;::::::;>:<:>::><:::>::>::::>:>::;:::>:::;: ho a#: ::;:::.: .: :::::::::::;:.;..::.: .::...:: . ...,.. insurance co. _._ olrcv# :.::<::::::::...::.::.:...:::: ///// ❑ 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: ........:..:.... - ,. :.....:::::::::: .. ..::. ::.::..:. comaanv name. ;:; .. :....... . .: address.. .:..... .,. :.::::::.::.:::.::.;....:::::::....*::>:::;;:.:;:.:::c::::::. .:.. .. ;::::.:.;..;.::;:::.::::.:. ::::.-:.;.. ..... ..::.. .. % 3:;.:. .. «:. citv: . .. ... ... .. Qhonts# ,..: :::::...: :;;...::.:::•:::.:.: ....::.:................ ;:.:....::.:: :.-,:.:...:.... ......... .... ....................... :::..:.: �:.::: :::. .,:.�::::::::"':.;:::..:.::: .;::.:::•;::.;:•;::.;;. msnranceca :.:....... .....:. ........ ;::;;;:.;:..oucv# ;::: ;..::::::::::;:;::;:;::;:;::>:>«: .:..:: :::::. ... ::::::::::.. :•::::.:::. ............ samQan�:name. :...::.;;.;..;;:.: .;::. • :.:.: address. ct _ . phone# ..... ....... .......:.::.::.... .. .. .::...::::.::::::... .....:::.: ....:;:.:. .......... . :.......... ...... ..... "...... .. ....�..... ... - :i::::ii:: ;:::isc:::::?:•::2::":%: :::':''::::::;':.:':.:::::i::::,:*',*:::`;::-.:: ;::;::.;;:::%":':i::i:::.::'::i':':::: . :iM:,:ii:;��::i�::i::::::,��.,:i::,i::,::::i::�..,.._.:: �/. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 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 verification. I do hereby certi Lundff,hep ' and penalties of perjury that the information provided above it true and correct Date `/117 -q-� Signature _ _ Print name e� X, 6e_)r Phone# ?-�C� -- V17 g79 official use only do not write in this area to be completed by city or town officlal city or town: permit/license# . QBufiding Department ❑Licensing Board ❑check if immediate response is requited ❑Selectmen's Office • OHealth Department contact person: phone#; ❑Other (revised 9/95 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 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 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 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 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. ��////Ii,. 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 permit/license 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 Oltice of Inllestlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 NONE G�VfAEIi CONTRACTOR £�` J we L izae 1 1310 . f p v- ua r h, 3 �� ea�dv PC Boz 231/ 6 5ycaeore Sf ADMINISTRATOR zXb NYaDO1S��}La MA 026�1 ioZ'': r� Assessor's ma and lot number U 3 s T �a a p f�G 6r fGEGG�OC�_ �' Sewage Permit number b a��r0a�1 ... . °f'T"ET°�° TOWN OF BARNSTABLE L BJHBSTADLE, i "6 UU'ILDIHG INSPECTOR . '�E'p MPY a' • a Aj4 APPLICATION FOR PERMIT TO ................. ... - .... .......... .. .....{1................................�............... TYPEOF CONSTRUCTION ..............................................................:....................::.... ........................................... ............... .............................19.....:.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for ca permit according according to the following information: Location ........� /I ''�✓j _l [ V dC ,� f'jl ................................................ ........ ..................... .................................................................................. ProposedUse ...............A/tv �:"�......vl..o.Q1 f�`;`�....................................... ........................................I......................... r Zoning District ...!....t ..........................................................Fire District ........;k ................................................................... Nameof Owner ,IA4.1 ... •y 1�/!•.................Address .................................................................................... . � / ft3 HIL6. ; till Nameof Builder ......... ...............................Address ....:......... ....... . ` Name of Architect .........../.......................................................Address ....................::.............................................................. &J 011��-101 Numberof Rooms ..................................................................:Foundation .................................................. rr Exterior l i ]' �... 7 `1 r�E�(�f� (� I . ...........Roofing .........: �• •,4-144 ?�..`................................... ............................................ .... !j•�t�!(J& rf/. � !A1,j,c !-- Floors ......................................................................................Interior .............. .................................................................... t Heating ...........................................................................Plumbing .................................................................................. e Fireplace ............... .................................................................Approximate Cost .............: ?? . ... ..?...U........ �? Definitive Plan Approved by Planning Board ________________________________19________. , Area A /�...: ..�' )....�'�r. .'. c' Diagram of Lot and Building with Dimensions x Fee f - J ................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH V I I � � a ` ie i • ' I i I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / q Name .......... Kava^mo, John A=240~63 10710 add to n' le ' ' No ................. Permitfor -------.�.�.--. ` family- dwelling ----.—.------.--------.-----.. � Location —�������_—�1oe..�.,._alley--- —Road--- -----.' ' ~~ ' ----.---�.�^��.��-----.^----.---.. . . KAyajan .. �Jobn-- — / Type or Construction ` ' . ' P| ' Permit u,onxsu ' Date of Inspection" ' uo/e Completed ' ` PERMIT~ ~E . . . ......./.................. 19 ............. --- ^ . . ' —. . ....---.. . . . � ......... ........................................�^'^----'~^ ' ' ^ � . � .--------.'�—.---....~--.—.---, ` ^ Approved ................................................ lV ' ^ ` -------.---------------.---. . ^ � -----------.---------.—..—..— . ' ssesso map a l µ ..:r �.. f? A r's lot number and G0G/�U _ /��'7 c^ /L `L ribAeofled ov � .,.:.hGU l �`� ; �� Se age,Permit number ................... ......................:.....:. ....... TOWN OF �BARNSTABLE y�F.7HE Z B9HHSTAB ilf "Aa rt BUILDING INSPECTOR pp i63q. `00 .� q`� �MPY Or• r�' . y APPLICATION FOR_PERMIT TO .. .... L.L.... �......................... .... ..... . .....� r .. A( TYPE OF CONSTRUCTION ...................... f.........................0 !c F'L L f �i ............... ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned reby ap s for a permit Ccording to the f Ilowing information: Location ................... . ............�..... . ....,................. ....... .............. ................................................................... ` ProposedUse ........... /.`/..�.�y..... ... 0 ......................................... .................................................................... Zoning' District ... ..........Z4* ' ......................................Fire District . ... ../`. /V/V�S.............................. �QrN.. .. v A/ Nameof Owner ..... .. :.I*..... ................Address .................................................................................... V Name of Builder .. °..............!4..,.. ...............................Address ....... ............................ CzAfqjeV1.az- . Nameof Architect ..................................................................Address ................... . .............................................................. ......................................Foundation ........ Q�f l. �o e��7 Number of Roo s .. 4............. ....... ................. Exterior ......... .. ...... F..LI..I.}✓. �... ......:...Roofing ............... T .l:........................................ V. Interior ......... y W/-I > / Floors -:........................ .� ...............!4! .................................. Hea ..... .........ting ....... �-.............................,..............................Plumbing .................................................................................. O . Fireplace I .........Approximate Cost Q(3 . .i ©......... .. ................................ Definitive Plan Approved by Planning Board ______________________________19________. Area . . .....3.1: !.. ... w�Diagram of Lot and Build- iKg••.with Dimensions Fee —^ SUBJECT TO APPROVAL OF BOARD OF HEALTH /r LO hereby agree to conform to c1l the Rules and Regulations of the Town of Barnstable regarding the above construction. JT+� Name .. ... .. ...... .......... rr Kayajan, John _ 18710 add to single _ No ..................Permit for .................................... t familY...dwelling..... `.: Location: , Valley Road.. a 'Pine............... :....:.......................H�►anni s................................. Owner John "jan •` r ti - - Type of Construction .......frame 3 ................................................... ................... , <Y I - -j L e • - / _ k i s Plot ........ ............... Lot .... 1 Oc. ....ber 12 76 _Permit Granted'............. O .............. 19 r Date'Of. Inspection .�/./... ..... ... 19" iro Date Completed „l r� �.................19 A PERMIT REFUSED ......................... .......... 19 ...... ............................................ ................... ............. ' ..................................... "•' �, t � -t. .:.... ............... ............................_................... ..l.................................... ................................... + - .• � Approve ................................................... ..........:....................................' 19 l •....• ......................................... ................... '• ' ' : S • R - • l .......... .... ....................................................... • _ -