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Home My WebLink About0790 IYANNOUGH ROAD/RTE132 - CAPETOWN PLAZA EXTERIOR DROP CEILING /10 Gnu �L�-z�;' C.A� P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map_ -��'� Parcel Permit# 0 1//1 V�l Health Division IT A25 Date Issued Conservation Division Application Fee Tax Collector Permit Fee - Treasurer Planning Dept. CONNECTOMMACCOUNT Date Definitive Plan Approved by Planning Board 22 Historic-OKH Preservation/Hyannis Project Street Addresses-2x,_,+., Village _�1�(a► , s c/ V12�AN Q6T�att.. RoPc&n4S�S Owner G/a• P4 LL—� Address c T,=� PLAL6 Stc, q o Telephone fo 1 1 • ac�a Permit Request fki�c c o S� r•.t w nr Gy- -%o A."-z `T`1 LIF C f UbO- iR t S F i �'Fh'ArL I'�Asp r a32,eo-u Square feet: 1st floor: existing 7 proposed p 2nd floor: existing p proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0, Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ,w Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure V2i-I Historic House: ❑Yes C.No On Old King's Highway: ❑Yes W No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other M o$Js Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Q l-, Number of Baths: Full: existing k-,, /.- new Half:existing new Number of Bedrooms: existing r,Jh� new Total Room Count(not including baths): existing w/.. new First Floor Room Count Heat Type and Fuel: 217Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing PI& New Existing wood/coal stove: ❑Yes El—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: BUILDER INFORMATION Names m45 Ca4;tea Telephone Number _5Z*_g- &8Ft-&3 q3 it Address 70 R. go 9 I License# Q&755G 5a.�►clw:rJ-, w. nc�3 Home Improvement Contractor# C e C Cov►,mar&. l Worker's Compensation# _ VLJ C &00 q 3 fP-7o I ;iQo ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE U 7 FOR OFFICIAL USE ONLY PERMIT NO. i DATE-ISSUED ' = MAP/PARCEL NO. J ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION r _ . FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH m FINAL FINAL BUILDING f DATE CLOSED OUT " h r ASSOCIATION PLAN NO. ' 5 COMMERCIAL.BUILDING PERMIT FEES . APPLICATION FEE _ New Buildings,Additions $150.00 Alterations/Renovations $100.00 Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONSMENOVATIONS OF EXISTING SPACE square feet X$96/sq.foot= X.0081= STORAGE BUILDINGS ONLY square feet X,$32.00/sq.foot= X.0081 COMMprojc0st Rev:063004 f The Commonwealth of Massachusetts , Department of industrial Accidents — - OAl6'8 BIl,imrsd�8de�s - 600 Washington Street Boston,Mass. 02111 Workers' CO ensation Insurance Affidavit-General Businesses IIame ��• � �GSIC10 C. �C ( l�iY10hZ/C�� 'i+iJle�• _ state: �� ap• daSb3 phone# �Q^ 3�/ TZ work t'oa fu ad as: - I am a sole proprietor and have no one Business Type: Retail❑Restaurant/BarBating Establishment working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.) ❑I am an emppto er with etn loyees full& art time). [�•6ther G=Stil2e4l o►, I am an employer providing v{orkt�s' compensation for my.employees working on this job, com an ame: bone#•' c insurance. / I am a sole proprietor and have hired the iudepeadent contractors listed below who nave the following workers' compensation polices: coin�'en name: <;" ••` '' •'� Ofii W'. insurance co. - WE WINE, r coin-•en•• aiiie address .. " ci .. hone#f InSLr8t1C9'C0.•,f•.•i.'.,?+„!:.(;;;::,::;: .',.:. •.,,• �.-.,�;•;. ;+ .:<.•;r •.,:V.' •• + • .,,_...•..... ,+.. •..- ., WE ME 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 tine of$100.00 a day against me.I understand that p copy of this statem t maybe forwarded to the Office of Investigations of the DIA for coverage verification I do here art' under a ai s and penalties of perjury that the information provided above is tru an corned 0 Signs ate 9 , Print name VG�m>2S .t��S i no Phone# ray?- M 43 y3. y official we only do not write in this area to be,completed by city or town official city or town, permit/license,# ❑Building Department OLicensing Board OMce ❑check if immediate response is required ❑Selectmen's(]Health Departmenrtmen t , p ❑Other contactperson: phone - (mvned sepL IDD3) • o 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. gm Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation Please supply company name, address andphcne 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. 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 maybe returned to the Department by mafi 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 on of Imsagauens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext.406 of Town of Barnstable do T Regulatory Services SONSIMM, Thomas F.Geller,Director 61 Building Division Tom Perry, Building Commissioner 200 Main Street, IYymmis,MA 02601 www.town.barnstable.ma.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder Vn�N. I, Dp,.v„n �2 tvsa� tM V fffrrvf;, 44 , as GNMe-r of the subject property hereby authorize:.�- A--C' CXNV%r-NgSTLbj '�rims to act on mybehalf, in all rriatters relative to work authorized bythis building permit application for: (Address of Job) Signature of Ate' ate Print Name { r ra a >r s y I � ` i f f �J M DONN®Brand Suspension Systems Technical Service 800 USG.4YOUA ' L/J Environmental Web Site www.usg.com Samples/Literature 888 874.2450 ' • ,' Samples/Literature Fax 888 874.2348 Customer Service 800 950.3839 , Literature Number AC3029 UL Classified-Rated Load 15/16"Tee System ASTM Class Length Height Item No. Class Color 4'Hanger 5'Hanger 6'Hanger Spacing Spacing Spacing Main Tee IntermediateDuty2 12' 1-1/2" FlatWhite 12lbs./LF 6.1lbs./LF 3.6lbs./LF ZXLA24 ,) Custom ; .......................:................................. ...........................................................:.................................................................. Heavy Duty 12' 1-1/2" FlatWhite 16lbs./LF 7.3lbs./LF 4.91bs./LF ZXLA26 ,) Custom Cross Teel-1/2" E4' 1-1/2" FlatWhite (38 mm) ZXLA224 ,) Custom 1-1/2" FlatWhite ZXLA424 ,) Custom Grid/Edge Wall Molding Deta113 Wall Moldings3 (SO) Wall Angle " M7Z 1J7/8 (SL) L r/e-J (SLT) (M7z)° ED/ (SLB) A (MA ICU _ f Color Installation L.A.Research ZXLA Fire-Rated Assemblies 3.For more information on Contact your Customer Service Must be installed in compliance Report Compliance 1 hr.:A-202,G-208,G-229, moldings,see Perimeter representative for color with ASTM C636,CISCA,and DONNO Brand suspension G-241,L-206,L-209,P-201, Options Selector(AC3044). requests. standard industry practices. systems manufactured by USG P-204,P-210,P-267 4.Panels must be specified to Material Limitations Interiors,Inc.,have been 1-1/2 hr.:A-202,A-210,G-211, be field cut to size and field Double web,hot-dipped Severe Environmental reviewed and G-229,G-236,G-241,L-208, revealed to provide as wide a galvanized,painted steel tee Requirements:For exterior are approved by listing in one P-230,P-239,P-268 lay-on edge as possible. with painted aluminum cap. applications,suspension should or more of the following L.A. 2 hr.:A-202,A-210,G-022, 5.For detailing and module Recycled content be reviewed by a structural Research Report numbers: G-040,G-208,G-211,G-218, loading requestAC2740RC. 25%.See information on how, engineer. 22179,23451,24095. G-229,G-236,G-248,G-258, Safety First! d recycled content is computed ICBO Evaluation ASTM C635 Standard L-211,P-237,P-241 Follow good safety and on the Environmental Selector Report Compliance for Load Compliance Footnotes: industrial hygiene practices (SC2254). See ICBO Evaluation Service, This system meets or exceeds 1.Hanger wire spacing and during handling and installing of Inc.,Evaluation Report No. UL load compliance specifi- ' locations must be per the UL all products and systems.Take 2244 for allowable values cations perASTM C635.Main design, necessary precautions and and/or conditions of use tees will not deflect more than 2.Load test data shows uniform wear the appropriate personal concerning material presented 1/8"over a 48"span(or(L/360) load in Ibs./LF based on simple protective equipment as in this document,as it is subject in light duty,intermediate duty span tests in accordance with needed.Read material safety to re-examination,revision, or heavy duty categories. ASTM C635 deflection limit on data sheets and related and possible cancellation. U360. literature on products before specification and/or installation. Manufactured by The following are trademarks of USG. USG Interiors,Inc. Interiors,Inc.,or a related company: 94 125 South Franklin DONN,DxrA,OLQcx-RELEASE,OSG,DaA. Chicago,IL 60606 ' +y+ Acoustical Ceilings Technical Service 800 USG.4YOU SheodeBrande t l Web Site www.usg.com Samples/Literature 888 874.2450 �, Samples/Literature Fax 888 874.2348 Customer Service 800 950. Lay-In Ceiling Tile ClimaPlus Literature Numbe SC182039 ............................... 4 0 Edge Panel Size Class Item No. NRCa CAC LRI Color Grid Recycled Panel Min. Options Content' Cost SHEErROCK®Brand (SQ) 2'x2'x1/2" 3260 — 35 .77 White A.B,C. 23% $ Lay-In Ceiling Tile CUMAPLUS'",Vinyl D,F 2'x4'x1/2" 3270 — 40 .77 White A,B,C, 23% $ I) 14)) D,F SNEETROCK Brand (SO) 2'x4'x1/2" 3200 — 40 .77 White A,B;C, 23% $$ Lay-In Ceiling Tile u /� D.F CUMAIPLUS, CLEAN Room'" A B C 0 F DONN®DX® DONN DXL" DONN OXLA- ZXLA- DONN CE Grid Profile Options ELD E±1 E±D 1 I i.. . .r _ I t , 1 1 ASTM E1264 classification . Weight Freeze-thaw resistance U.S.Coast Guard Safety First!. Type XX,Pattern G 1/2"=2.00 Ib./ftz Tested by 10 repeated cycles of acceptance Follow good safety and ASTM E84 surface burning Thermal resistance 16 hours freezing at-30°F Approved for use on merchant industrial hygiene practices characteristics 1/2"=up to R-0.45 (-34°C)and 8 hours of thaw ships(Stipple and Natural during handling and installing of Class A Maximum backloading with no delamination. paper). all products and systems.Take Vinyl See Warranty for details. Humidity resistance Footnotes necessary precautions and, 1 - Flame spread:20 Maintenance Tested by 48-hour cycles of 1.LR values are shown wear the appropriate personal Smoke developed:5 Can be cleaned easily with 90%and 25%relative humidity as averages. protective equipment as CLEAN ROOM a damp sponge. repeated continuously for 24 2.See information on how needed.Read material safety Flame spread:20 days with no delamination, recycled content is computed data sheets and related Smoke developed:5 on the Environmental Selector literature on products before (SC2254). specification and/or installation. 3.NRC rating is.10.USG does ' not consider a ceiling panel to be acoustically rated if NRC is ' less than.50. 94 Manufactured by The following are trademarks of USG USG Interiors,Inc. Intedors,Inc.or a related company: 125 South Franklin Street CumAPLus,DONN,DX,DXL,DXLA,DXW, Chicago,IL 60606 SHE USG,ZXLA.