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HomeMy WebLinkAbout0031 ANCHOR LANE IV Cape Save Inc. 7-D Huntington Avenue South Yarmouth, MA 02664C _ 111 6 Tel: 508-398-0398 Fax: 508-398-0399 9/29/14 Town of Barnstable Thomas Perry CBO Building Commissioner ' 200 Main St. Hyannis,MA 02601 RE: Building Permits Dear Mr. Perry, This affidavit is to certify that for 31 Anchor Lane, Cotuit: No work performed. Please close permit. All work performed meets or exceeds Federal and State Requirements. Sincerely, William McCluskey TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �i o ova 6v� � __ , Map 02 Parcel Application # Health Division Date Issued l Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address G aei P Village C 0�� l.( /Jt Owner -Sohn q, �a�cC- u1141 a � Address ✓�G� Cl ✓� Q�1 1° Telephone 9 _ a 2 6'— <7S 6 9 Permit Request f r Se / 7%P ��✓ C /�`1 e ,��4f�hiP�� t� J�h Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family fly/ Two Family ❑ Multi-Family (# units) Age of Existing Structure IW3 Historic House: ❑Yes ❑ No On Old King's. , hway: 3-'Yes .Z§ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other �-- S N C) Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)=° Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new fy3.4 Total Room Count (not including baths): existing new First Floor Room Count � �, Heat Type and Fuel: Ua//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 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name; n9 C �u � halo Telephone Number Address C uw , y ✓f Ave. License # G l/ God o v Home Improvement Contractor# f'?/3bd Worker's Compensation #-rk/C _13J9 UU // ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO X ct�✓1►t9� Y7 SIGNATURE DATE - FOR OFFICIAL USE ONLY yr. APPLICATION# DATE ISSUED MAP/PARCEL N0. I. ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION r . .'FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL . r GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.' + - Building Permit Authorization I, John _Ullmann as owner hereby give my permission to Cape Save, Inc. 7-D Huntington Avenue South Yarmouth, MA 02664 Office: 508-398-0398 i to take all necessary steps to obtain a building permit to perform work at my property located at 31 Anchor Lane Cotuit, MA Signed Date /O off.° o- Massachusetts r - Depatment of Public SafetN ` 9 Buard of Buildin!- Rc!,ulati4ins and Standards Construction Supervisor Specialty License License: CS SL 102776 Restricted to: IC WIL•LIAM MC CLUSKY 37 NAUSET ROAD WEST YARMOUTH, MA 02673 Expiration: 6128/2013 ('ummix•i ner Tr°: 102776 Office of Consumer Affairs and eusiness Regulation = 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 171380 - Type: Corporation Expiration: 3/14/2014 Tr# 222184 CAPE SAVE INC. WILLIAM McCLUSKEY 7-D HUNTINGTON AVENUE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment F Lost Card PS-CA1 0 SOM-04104-G101216 ✓1ae "C06',77/l."iwealM. 00./l ac/rucelta License or registration valid for individul use only Office of Consumer Affairs&B siness Regulation g HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = f 1 Registration: 171380 Type: Office of Consumer Affairs and Business Regulation = (i 10 Park Plaza-Suite 5170 CExpiration: 3/14/2014 Corporation Boston,MA 02116 AVE INC.: . WILLIAM McCLUSKEY 7-D HUNTINGTON SOUTH YARMOUTH."MA .2664 Undersecretary Not valid wit o signs G s The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 wivfv.ratass.,ov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lembly Name(Business/Organization/Individual): C v n C. Address: - D HtMiiai+on NyGnvu, City/State/Zip:500, + YacMOLIA MR O2)"4 Phone#: 508-- 3 9 $ - 0 3 q $ Are you an employer?Check the appropriate box: Type of project(required): 1.0 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 sub-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 S. ❑ Demolition working for mein: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 3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t C. 132, §1(4),and we have no ` employees.[No workers' 13.50 Other n S tt►.l o►�t on comn.insurance required.] 'Any applicant that checks box RI must also fill out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and ihen hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet shoN%2ng the name of the sub-contractors 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 diepolicy and job site information. Insurance Company Name: Teo n o 1 o4 n Policy r or Self-ins.Lic. w C 3 31 8 J �' Expiration Date: y I I 3 Job Site Address: 3 I /y 4 tom!dl- Lq- 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 S 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 certii,under the paints and penalties of perjury that the infonnatiot provided above is true and correct Signature: Date: 3 _ Phone`: �� O ' 3 9 3 - 0 3 g R 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?": CERTIFICATE OF LIABILITY INSURANCE 11/9/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pol)cy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER HAMS CT Shannon Sperrazza Risk Strategies Company PHONE (]$1)986-4400 FACNo:1781)963-4420 15 Pacella Park Drive E-TRessssperrazza@risk-strategies.com Suite 240 INSU S AFFORDING COVERAGE NAIC# Randolph MA 02368 INSURERA:Selective Insurance INSURED INSURERB:Safety Insurance Company 3618 Cape Save, Inc INSURER C.Technology Insurance Company 7 D Huntington Ave INSURER D: INSURER E: South Yarmouth MA 02644 1 INSURERF: COVERAGES CERTIFICATE NUMBER CL1211954576 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE D S BR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MIDD MM10D GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGEi 0 RENTED X COMMERCIAL GENERAL LIABILITY PREM SES Ea occurrence $ 100,000 A CLAIMS-MADE F OCCUR 199448001 0/16/2012 0/16/2013 MED EXP(Any one person) S 10,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEM-AGGREGATE LIMR APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 X POLICY JFCT PR0. LOC S AUTOMOBILE LIABILITY COMBINED BIdtSINGLE LIMIT S 1,000,000 B ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED 6208200 1/6/2012 1/6/2013 BODILY INJURY(Per accident) S AUTOS AUTOSNON-O PROPERTY DAMAGE $ X HIRED AUTOS E AUTOS Per accident X Undemrsured motorist BI split S 100 000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 RDED RETENTIONS 199448001 0/16/2012 0/16/2013 S C WORKERS COMPENSATION I officers excluded X WC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE NIA ro01 coverage E.L.EACH ACCIDENT S 500,000 (Mandatory In NH)OFFICERIMEMBER EXCLUDED? C3318007 /9/2012 /9/2013 EL DISEASE-EA EMPLOYEE S 500,000 If yes,descnbe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMB S 500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,ff more space Is required) Issued as evidence of insurance. Issued as evidence of insurance. National Grid Corporate Services LLC d/b/a/ National Grid, Action Inc., Colonial Gas Company and NStar Electric are listed as additional insureds as respects General Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 427/SCH 3195 Main Street AUTHORIZEDREPRESENrATiVE Barnstable, MA 02630 Michael Christian/SMS ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INRn25r7mnnstm 1rho hf'f%P 1 nerr+o onel Inn^ern ronia4oror4 enertrc^f APnDh II0Scfv7 . OF Tt1E TOYy. Town of Barnstable *Permit# �O Expires 6 mon o sue dat Regulatory Services Fee r s • 1A=NSTABI.E, • MAM 1 � Thomas F. Geiler,Director cud' Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Q��� (f)oc Property Address LA1,1C Co, > Residential Value of Worp!(O• Mol Minimum fee of$35.00 for work under$6000.00 Owner's Name& Address N U Sty , a7U IT 11 oa id 3 5� . Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance A PRESS PEW I Check one: ❑ a sole proprietor 0(-T (3 )()l l I am the Homeowner _ I have Worker's Compensation Insurance "j O; J�j Or. BARNSTABLt Insurance Company Name Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request eck box) Re-roof(stripping old shingles) All construction debris will be taken to_ ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *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 copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FOPMS\b ildingpermitforms\EXPPESS.doc Revised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): k M i 1 CNN Address: 3( (19 NCB �- City/State/Zip: GTU f fi oa WF Phone #: qa O Y Are you an employer? Check the appropriate box: Type of project(required): 1. .I am a employer with 4. I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors .6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp,insurance.$ 9. Building addition q�uired.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3. I a homeowner doing all work officers have exercised their g 1 I.p Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL ( ) 12. oof 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors 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 ce der the pains and enalhies of perjury that the information provided above is true and correct Si ature: Date: Q a, Phone#• 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#: w DIME Town of Barnstable Regulatory Services >IJARNST"LFE Thomas F. Geiler,Director MAC �+A i639• a�0� Building Division �o I,Ito�l 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: 9-0 JOB LOCATION: / rc C;-rU I number street �-- 1 vi]lag`e HOMEOWNER": -._z)I w C�/�h-�N�/(/ f��� �aG/7/-_ 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) 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 procedures and requirements and that he/she will comply with said procedures and requir en . Signatu 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 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:fon-ns:homeexempt �-- �IHE Town of Barnstable Regulatory Services MUMsres[.s, MASS Thomas F. Geiler,Director 039. 1m$ �' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject ptoperty hereby authorize to act on my behalf, in all matters telative to work authorized by this building permit (Address of Job) * Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS , '• Assessor's office(1st Floor): 7 a a:,o Assessor's map and lot number 7 ,j '. 'C�� WITH DIN C pOp��PLIA��U�, cos-Tuir>o` 1 Conservation Floor): � VIROM ENTAL CODE AND Board of Healthth(3rd floor): � r • Sewage Permit number #N RE:GULA-T6®N3 : ssa»r�nttr 7 YYl Engineering Department(3rd floor): ° 039. lot �oY�r House number 1 3 f ! Definitive Plan Approved by Planning Board tc t 19 41-2d,0 Uv 4 N u �� APPLICATIONS PROCESSED 8:30-9:30A.M.and 1:00-2:00 P.M.only 9 �rYl o� TOWN OF BARNSTABLE ' BUIL ING ' INSPECTOR APPLICATION FOR PERMIT TO vZ i f TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit accq ing to the following info ation: Location - r Proposed Use Zoning District Fire District Name of Owner ,/L Address ?2 / 2- Name of Builder Address Name of Architect Address Number of Rooms Foundation ``Ac c 4J Exterior �- Roofing Floors Interior - --- Heating �TT r'v Plumbing Z — « Lam. c9 Fireplace Approximate Cost . (Od O c -� Area Diagram of Lot and Building with Dimensions Fee �c� l7 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ConstructiAS, rvisor's License ©� `�S O t CGTUIT TRUST ,o33y No 36169 Permit For 1 i STORY Single Family Dwelling Location Lot #1 , 31 Anchor Drive Cotuit + � R Cotuit Trust Owner ' Type of Construction Frame -� - Plot Lot r r Permit,Granted Sept. 16, 1 9 9 3 � Date of Inspection:- Frame /T 11kq 19 i Insulation o 19 Fireplace O 19 Date Comp ete © 19 � � f TOWN OF BARNSTABLE 36169 Permit No.. BUILDING DEPARTMENT I ""'> I TOWN OFFICE BUILDING Cash ................ 7 .Ml ,6)9• ��■►9` HYANNIS.MASS.02601 Bond x CERTIFICATE OF USE AND OCCUPANCY Issued to Cotuit Trust Address Lot #1, 31 Anchor Drive Cotuit, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD ' THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY 'COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE.WITH SECTION•119.0 OF THE MASSACHUSETTS STATE BUILDING CODE:. " Ja.nua.ry...10.,.. 19' Gl�.:.... ... .... ... . . 94 ..... • ........... Bu'ding Inspector ; R� •.° °�, TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING rua '9 +esv HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been, issued for the building authorized by Building Permit $k.... .. `:_. „... .. _................ ... ..... issued to ...................... � C .............................................._.. .�..__ ._ _. . ..._..w._ _ . Please release the performance bond. j 3UII.DI G PE3:1IT NO. `�j(r, ( (�,�j Dn:= �Ji?yti /U = l9 ASSESSORS PARCEL NO. d QC/ Q v �• CONTINUATION OF ROAD BOND The undersigned owner/contrac"tor hereby a,gree to maintain their road bond it force until the following wort ite=s ara cc=leted to the satisfaction of the E ngineer4-mg -Section of the Denar=ent of Puoiic worms: loaW and seed shoulders as soon as weather permits: L of er (ey-?lain) c- -- �U (Print name G:NEE-T. ACTE::zIZA-] N ,RNSTABLE, MASSACn�;,, < 3 ,BU1LD111tt� PEKMIT A2 -004 D�. . tember i 6 9 3 - 6 69 .SIT_ Joseph Breen � ERMIT NO. ADDRESS i ou a 29, Mars NQ ons a s 4560 (NO.) (STREET) _RMIT TO 7 Build Dwelling 1 (7 (CONTR'S LICENSE) (TYPE OF ( ) STORYSin71e Family Dwelling NUMBER OF IMPROVEMENT); NO. DWELLING UNITS (PROPOSED USE) AT (LOCATION) Lot #1, 3.1 Anchor ;)rive, Cotuit (N0.) ZONING +. '(fREET) DISTRICT BETWEEN ( 7�j R SS STREET):;-, _ AND ------------- (CROSS STREET) SUBDIVISION LOT - LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE By""' � FT. LONG BY' (FT.' HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUND ION REMARKS: Sewage. #93-445 (TYPE) i Bond AREA OR 816 sq. ft�VOLUME 60 UB ATED COST .,OOO•OO FEE MIT 6S SO (CIC/SQUARE FEET) ESTIM OWNER Cotuit Trust ADDRESS BUILDING DEPT. BY ► THIS PERMIT -CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING PROVED BY THE JURISDICTION. STREET Oil ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWER CODE, MUST BE AP- S MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:;1THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL CT:ONS REQUIRED FOR •APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE I IvSPt _ ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- ELECMECHTRICAL. INSTALLATIONS. PLUMBING ELECTRICAL, PLUMBING AND 2. PRIOR TO COVERING STRUCTURAL QUIREO,SUCH UILDING SHALL NOT BE OCCUPIED UNTIL 3. FINAL NSPECTDION BEFORE FINAL INSPECN HAS BEEN MADE. OCCUPANCY. ION , POST THIS- CARD O IT IS. VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING WSPECTION APPROVALS ELECTRICAL INSPECTION APPROVAL qV 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT rDAg- if � 2 BOARD OF HEALTH � OTHER SITE PLAN REVIEW APPROVAL f WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS'NOT STARTED WITHIN SIX MONTHS OF DATE THE INSPECTIONS INDICATED ON THIS CARD CAN BE CONSTRUCTION. ARRANGED FOR BY TELEPHONE OR WRITTEN PERMIT IS ISSUED AS NOTED ABOVE. ' NOTIFICATION. COMMONWEALTH ? >DEPARTMENT OF PUBUC SAFETY •,11010 COMMONWEALTH,AVE.OF MASSACHUSETTS ? BOSTON,MASS.02215 �` I ENCLOSE CHECK OR MONEY ORDER LICENSE EXPIRATION DATE i CONSTR. SUPERVISOR FOR REQUIRED FEE, (+' MADE PAYABLE TO 06/30/1993 i EFFECTIVE DATE LIC-NO. A I g RESTRICTIONS ! + f - "COMMISSIONER OF PUBLIC SAFETY" i NONE: 06/30/1991 004560 d' 41 •'(DO NOTlSEND CASH J-O S E P H P B R E E N { }}( 3281 RTE 28 BLDG 1 SUITg j 1 A9ARSTUN MILLS MA' 02648PU1 ASE TE INCREASE PHOTO(BLASTING OPR ONLY) FEE: - �.>' 100. 00 . 3 E ECTI 1, 1989 NOT VALID UNTIL SIGNED BY LICENSEE AND OF HEIGHT: FICIALLY { ,``� •.` i. STAMPED OR SIGNATURE OF THE COMMISSIONER 0 `INOT DETACH LICENSE STUB • �;� -�x ` THIS DOCUMENT MUST BE•° SIGN NAME IN FULL-ABOVE SIGNATURE LINE' CARRIED ON THE PERSON O SIGNATURE OF LICENSEE j - rr THE HOLDER WHEN ENGAO- i� OTHERS RINT ED IN THIS OCCU PA7ION Q COMMISSIONER a + - �_ e 1s• 200M-1.87.81429 f ',._ J i c ' Lt I -qt 41 C -5- ci aok t 1.IN, i !till te Ij tt It Elm= 13 1w 4,9 T-..f Ali • FIT- T 11 )7*l1"q'T--'1---:f'� I rT �tpin t5lpcKluS� T°t:: - \ -- 1-1 7� �V- 508-428-6191. � o.R cIRST FIDUR JOIST UlYOUT ' _ SMC)NO-FLCO;% MIST LAkXJT a evlin HMI!•. Custom �Id,Ts As .J,.ems,ILUMXAU. o esigns DAR�.TIONS - V1 SOrSr HAN4lQt AS RUill tclO COpynght 01999 All Rights Reserved Il alrml M/y plans and layouts by OC 0 at&101 the use of then customers only Any other use 15 st('Ctly Aron.Drca NA!t it - �lft'0. Vj rA -I 1�4 ,tt if al. j It_Pe zm k, n. q: t 4, I V" I t L e- I Ro -44 :4j. Assessor's office(1st Floor): (7 /� --'U Assessor's map and lot number �� �? c�TM[TO S. PTIC SY 7 E-M UST Conservation Health ( Floor): INSTALLED IN COMPLIAN,CE �,'• Board of Health(3rd floor): n , � t se$a�rULi . Sewage Permit number r • - , :WITH TITLE � rua ' oo d° Engineering Department(3rd floor):+ ! ENVIRONMENTAL CODE AND '�i ieo Y 9�o.h�� House number _ IX iYPWN REGULATIONS Definitive Plan Approved by Planning Board 19 t APPLICATIONS PROCESSED 8:30-9:30 A. 'and 1:00-2:00 P.M.only TOWN O'+F BARNSTABLE SUILDlNG ] NSPECTOR APPLICATION FOR PERMIT TO ADO GOvkQ E(`J _SHED `TYPE OF CONSTRUCTION '('j aD D M TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location —3 0 E E (20TU IT— Proposed Use Grwo y TWLS 1(1z� Zoning District / t Fire District �O7Ul Name of Owner 64N C� yLLMAtiN SR, Address- LOc4rv:7°iy Name of Builder - Address, _ - t Name of Architect Address Number of Rooms Foundation Exterior Crio a_':5) Roofing ' i�INC- Floors Interior Heating �� Plumbing 0v7 Fireplace Approximate Cost Area �? Diagram of Lot and Building with Dimensions Fee .a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS - I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta regarding the above construction. Name &d1� Co truction Si ipervisor's License 1474)WM ULLMANN, JOHN E. , SR. �,No 36742 Permit For BUILD SHED Location 31 Anchor Lane, Cotuit Owner John E. Ullmann, Sr. Type of Construction ; Y Plot Lot a� L Permit Granted May 31 19 q4_ Date of Inspection: Frame - 'a Insulation: 19, y Fireplace 19 Date Co mi pleted.= 19 ' Asa � j :• a . rq f: F 1 TOWN OF BARNSTABLE ,; BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. ' DATE JOB LOCATION O`T U 17- Number Street Address Section Of Town HOMEOWNER" - �� 14 N E ULL✓ AAJ,0 Cag)Yd-O_I Y I-�, Name Home Phone Work Phone PRESENT MAILING ADDRESS ��/� _._ _ miff- - • --�a G 3�-. 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 such 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 to six 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, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of �. Barnstable Building Department minimum inspection procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUIL 6INGFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. NISC5 ! HOME OWNER'S EXEMPTION The code states that: "Any Home Owner 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 ' Home Owner engages a person(s) for hire to do such work, that such Home Owner shall act as supervisor." Many Home Owners who use this exemption are unaware that/they are assuming : the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction* Supervisors, Section 2.15) . This lack of awareness often results in serious problems, particularly when' the Home Owner hires unlicensed persons. In this case our .Board cannot proceed against the unlicensed person as it would with licensed supervisor.- The Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. N 57.44'33" E 137.03' -i i w J -i W N 57.44'33" E o Q \ 32.00' a O 4 i CERTIFY THAT THE HOUSE IS LOCATED ON THE LOT AS SHOWN, AND THAT ITS LOCATION CONFORMS TO THE MINIMUM LOT 1 SETBACK REQUIREMENTS OF THE - BARNSTABLE ZONING BY—LAW. R; 43,670 S.F. - , is 9,�J,�/?. DATE: , ' r Registered Professi al Land Surveyor OP vEwp cn _ N J GR � o � 4.0 m I CERTIFY THAT THE HOUSE j 2 IS LOCATED IN FLOOD PLAIN 1 6' 4> ZONE C AS SHOWN ON FLOOD �-/ 6. 3.3 IN'SURANCE RA N TE MAP f � 9 : o r COMMUNITY PANEL'-N - 4. 8 y, y AND THAT FLOOD PLAIN , cn ZONE C IS NOT A SPECIAL FLOOD HAZARD AREA. N o Registered Professional Lan urveyor 15.34 3.70' 2.32' 2,33' 5.01' 00 ()C)_ C DATE DESCRIPTION DrownChecked I R E VI S 1 0 N S o CERTIFIED PLOT PLAN 10 0 20 PREPARED FOR COTUIT TRUST SCALE IN FEET N 52•2B'S3 E IN BARNSTABLE, { 139.22' SANTUIT MASS. f SCALE: 1 "=20' DATE: 091)3;93 CLE - • INER CAR holmes and me rath, inc. MAR 9 fl . ,., :. civil engineers and land surveyors ' f �:,' � 121 200 main street x 73.7 falmouth, ma. 02540 508 548 3564 DRAWN: SDH CHECKED• FILE:93,82PP.DWG JOB NO: '93182 DWG: N0: 55-3-1 2 SHEET 1 of 2