HomeMy WebLinkAbout0046 SPUR LANE 0 Spin-
i
Town of Barnstable *Permit#cw , 0�
Expires 6 monthsa romue dale
�l Regulatory Services Fee
BARN STABLE,�, � Thomas F.Geiler,Director �
MASS.
1639. ••� Building Division PRESS
PERMIT.
rE0 MA'S A
Tom Perry,CRO, Building CommissioneMAR 11 J
200 Main Street,Hyannis,MA 02601 2008
www.town.barnstable.ma.uTOWN OF BAPS
Office: 508-862-4038 flISTA ^� )8-790-6230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
Not Valid without Red X-Press Imprint
Map/parcel Number ,,
t ,� �/
Property Address spug 47 /wsm'1..5 �l Le-s /Y`,4 �b".Y8
cal C-13
(Residential Value of Work ��,560 Minimum fee-of$25.00 for work under$6000.00
Owner's Name&Address VG 7-ya 6 fa- 4, %tJ Fr,5.
ontractor's Name �• I, - WL�✓� Telephone Number 3
Home Improvement Contractor License#(if applicable)
❑Workman's Compensation Insurance'
Check one:
I am a sole proprietor
I am the Homeowner
❑ I have Worker's Compensation Insurance
Insurance Company Name &12r . A Z4.,F 1 01962+Z4-: CLS 383�1�.
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check 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
Replacement Windows/doors/sliders.U-Value •3 1 (maximum.35)
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 is required.
SIGNATURE:
Q:\WPFILES\FQRMS\building permit forms\EXPRESS.doc
Revise020108
Tuffs Vicky JOB #40.Revised 02/19/08
I hope this proposal has been helpful. If you have any questions please contact me and I
will be glad to go over any details with you. Thank
Sincerely,
D.H. Webb, Fine Home Building & Remodeling
17 Academy Lane
Suite 1A
Falmouth, Ma. 02540
The job site will be kept clean and orderly at all times.
All products installed by D.H. Webb, Fine Home Building& Remodeling will be to
manufacture specifications or better.
All workmanship is guaranteed to be as specified and the above work to be performed in
accordance with the drawings and/or specifications submitted for the above work and
completed in a substantial workmanlike manner. All labor is guaranteed for one year
from the job's completion.
Any alteration or deviation from the above specifications involving extra costs will be
executed only upon written orders, and will become an extra charge over and above the
estimate. All agreements contingent upon strikes, accidents, availability, or delays
beyond our control. Owner shall carry fire, tornado and other necessary insurance upon'
the.above work. D.H. Webb, Fine Home Building& Remodeling will carry public
liability on the above work.
The above process, specifications and conditions are satisfactory and are hereby
accepted. D.H. Webb, Fine Home Building& Remodeling will do the work as
specified.
PAYMENT TO BRE MADE AS FOLLOWS:
20%Deposit 25%Start of job 25%Ready for subs 25%Ready for cabinets 5%Job complete
ACEPTED BY: DATE:
NOTE: You, the buyer may cancel this transaction at any time prior to midnight of the
third business day after the day of this transaction. (Date: )
V'.
Board of B lu►ding /i4nr
HOME IMPROVEMENT License or registration
gistration valid for individul use only
Reg istrat►on; before the expiration piration date. If found return to:
lopEzpicatio�;�-° Board of Building
�.; -_ 28/2009 Tr# 132550 Regulations and Standards
Type_QBAs One Ashburton Place Rm 1301
WEBB CRAFT I"Jl�.{ Boston,Ma.02108
DESIGN >t
DAVID WEBB � t----
17 ACADEMY '
LN. � — /`
• FALMOUTH,
MA 02546 -
__� _ Administrator
Not valid without signature
r40
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): ,fit
Address: 1.6wis /- 4_z_Mav't'tr /1^ JF+ ec9 ryG
City/State/Zip:r4_t_y aV ru- /,114--09T'10 Phone.#: S�56— 1195—, 41?1
61
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 JX2.( I am a sole proprietor ofpartner-' listed on the-attached sheet. 7.:.❑Remodeling
6 ship and have no employees These sub-contractors have g_ ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y P ty t 9. ❑ Building addition
[No workers' comp. insurance comp. insurance. 10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑
3.❑ I am a homeowner doing all work officers have exercised their I L EJ Plumbing repairs or additions-
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' i 3.[Other /kMi ;E,�,
comp.insurance required.] .
*Any applicant.that checks box#I 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 subcontractors have employees,they must provide their worker;'comp.policy number.
I am an employer that is providing workers'compensation insurance or m employees. Below is the policy and job site
P g P f YP Y !
information.
Insurance Company Name:
Policy#or Self-ins.Lic.. #: Expiration Date:
Job Site Address: �(o lSJ"�/2 )00 City/State/Zip: /&.V1zfIWl /YI ac c s (196'Lo
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 maybe forwarded to the Office of
Investigations ofAe DIA for insurance coverage verification.
I do hereby ce ify nder the pans and penalties of jury
Si mature:
that the information provided above is true and correct.
Date:
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#:
l
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,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 representative's 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, §25C(6)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,MGL chapter 152, §25C(7)states"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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-condactor(s)name(s),address(es)and.phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,,a-policy is required. Be advised that this affidavit 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. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
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. Iri addition,an applicant
that must submit multiple permit/license applications m any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write-"all-locations in _(city or
town).":A copy of the affidavit that has been officially stamped.or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is ogfile for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture'
(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your 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
Tel. #617-727-4900 ext:406 or 1-877-MASSAFE
Revised 11-22-06 Fax#617-727-7749
www.mass.gov/dia
TOWN OF BARNSTABLE
Town of Barnstable PM 2 2
Regulatory Services
Thomas F'.Geiler,Director 0I V I S I O N
'"".%
Building Division
�AjED MA'S� � ..
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-8624038
Fax: 508-790-6230
PERMIT# q2
FEE: $
SHED REGISTRATION
120 square feet or less
4�2-- S f)t r (R V),o
Location of s d(address) Village
Property owner's name Telephone number
Size of Shed Map/Parcel#
77
Signature Date
Hyannis Main Street Waterfront Historic District?
Old King's Highway Historic District Commission jurisdiction?
Conservation Commission(signature required) c,i /.30/OcZ
PLEASE NOTE: IF YOU ARE WITHIIV THE JURISDICTION OF ANY OF THE ABOVE
COMIVIISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE.
PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS.
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
Y . . LOT. 43. .
D•
L T 44 , 9
Q o. 21 10 s:F
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S U LAN
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I".CERTIFY THAT THE HOUSE -I.-CERTIFY . THAT THE HOUSE'
. :•:'- `:.IS::L.00ATED ON THE LOT'AS ' IS LOCATE-DIN FLOOD PLAIN .
::-.--SHOWN . AND THAT .ITS LOCATION ZONES.: ' C ' AS SHOWN ON.
CONFOt`t:MS"TO`:THE MINIMUM SET-.. FLOOD. INSURANCERATE MAP
BACKS OFF THE' 5 4'4e, A . COMMUNITY PANEL .NO.'250001
ZONING:' BYLAW:;:`:� :- 0005AAND THAT'FLO.OD PLAIN
` = ZONE - C iSNOTASPECIAL
},. FLOOD HAZARD AREA..
• '� !lift•, f'e..' :'fa: .. -
, _ DATE"-:
:-REGISTERED LAND SURVEYOR REGISTERED AND,.SURVE:YOR
PLOT.' PLAN hoimes and. me flrath,.inc. "% Of '
�R JOSEPH PXCAR0 _civil. engineers and land surveyors nt,ct;.aE� �s\�
+.` BERNARD.
�* LOT 44 SPUR LANE' » McGRATH
220 rriain44Sireet
N 218978
%RSTONS MILLS, BARNSTABLE, MA, falmouth, ma. • 02540 Fc, ��ti' 4�
Scale: ,1'�=,4d Date: SEPT. 16, 1981 �'o: sT ��p�
Drawn:.`F '. .Checked; ) : l0.& N2. 78298 DWG. N2 A694 i,;,��° a
•�'"" TOWN OF BARNSTABLE
.� Permit No.
i •w Building Inspector
+ .,�n.m
Cash ------- j`�.���.�•
OCCUPANCY 'PERMIT Bond ----------_-__-- '
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
oc�'I' i,; n Y i p�1e
Issued to C Address
kit 46
Wiring Inspector ' ��r t a'i, .. -.yam Inspection date
Plumbing Inspector f ' _.r. +.-� �'' Inspection date
Gas Inspector Inspection date.' ' .* _•a f
�,.
Engineering Department f �. err f'. :tE `;,% s �t Inspection date
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.
. ........... ........ ...... .. .....,...
Building'Inspector
f
LOT. 43
89 '
p o LOT 44
a` T. o 219106* S.F.
M 2d sd -
a t QD -- 24.E 462t
�� Ex o� LOT 45
OD
OD
°oa.: i 10•00
SPURN. LANE (PUBLIC -40' WIDE)
4
i".CERTIFY THAT THE HOUSE. " I CERTIFY . THAT THE HOUSE'
. ,� Y,.;~ - As LOCATED ON THE LOT AS IS LOCATED IN FLOOD PLAIN
` SHOWN AND THAT .ITS LOCATION ZONES C AS SHOWN ON
CON
FOAMS°TO .THE MINIMUM•SET FLOOD INSURANCE RATE MAP
BACKS OF:'THE:' 54awe pe)LZ COMMUNITY PANEL NO. 250001
'ZONING: BYLAW.,:. 0005AAND THAT FLOOD PLAIN
R ZONE C ISNOT, A SPECIAL
FLOOD HAZARD AREA..
A.
;. REGISTERED LAND SURVEYOR REGISTERED LAND•.SURVE.YOR
PLOT. PLAN holmes and mcgrath, inc. V' o ' -
�R civil engineers and land surveyors o MICH.4eL •y\s
JOSEPH POLCARO _ 9' Y r BEFNARD,t..: o McGRATH ..
LOT 44, SPUR LANE'• >►-� 220`main` street 2
No. �8978
MARSTONS MILLS, BARNSTABLE, MA,. falmouth, ma. . 02540
Scale: ,*I' 4d Date: SEPT. 16, 1981
Drawn: "F."D.' ::" Checkedjt !J <:JO.B' N'. 78298 DWG. N° A694.
� 'Assessor's map and lot number .............................................
Sewage Permit number ..........Y*"*,*",,*,""**""""***""*,:......... UST BE
SEPTI :SYSTEMr
C M ]BAWSTAMLE,
House number ....44 ..................................................... 04 COMPLIANCE *As&
.. INSTALLED t639.
tI
VVITH.. TLE 5 a MAI a.
AND
ICU
is
IX I
OWN OF' BA I rE,
BUILDING"' - INSPECTOR
APPLICATION FOR`PERMIT TO ... ...40....................... ...........................................................................
TYPEOF CONSTRUCTION .........W. O 6.................... ..........#141/4Z.....................................................................
........... .......................19e
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location X.1..IVA..... .......... .......A. Altf
Proposed Use ......�W/qm-I...............400.0�jj!��............
............ ....................................... ...... ..................
ZoningDistrict ..... .............................................................Fire District ........ ..0......................................................
Name of Owner .-A-0,A4,0-0....(244-44JA.....Addieiss, Y.44 1.44A..............
..... ....
d d r e s s .... .... . . . ....... t
Name of Builder M-4-4
2Z
Name"of'Architect ..................................................;.......Address ....................................................................................
Dumber of Rooms .. ....................................................Foundation
... .............
Exterior ....W.4.0.k......X1.41P . .. . ...........Roofing, 60.. ...... . ...... ............. ... .......
Floors ....... V 91F :..............................Interior ....................................
Heating ....... ......................Plumbing. ............ ...........................................
•
Fireplace ..................*0.& �...........................................Approximate Cost ...... . ".I....................................
t"
Definitive Plan Approved by Planning Board ------------------------------- Area ........74
Diagram of Lot and. Building with Dimensions Fee . .........................
.............
0,0
SUBJECT TO', APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .....f..M......... .".
COLLINS, RONNIE
,,No- .?.3 51�... Permit for .... .......§tqry
•
Single Family..pKgjj�ing.............
..................................... .....
Lot......#.44.....46...ap
Location ... ........
0
. ..... .................................uaktstwl;�...Mi.1.15......... 4�1
Owner Ronnie...Col.1i
Xia.............................
Type of Construction_ Fr.=.e..............................
...................................................................
Plot Lot ................................
J
Permit Granted September 2'9.;......... ...
C-A
.................
Dare a I Ins p n ...........
Date Completed ........
Z,
-4-e)
7 PERM!Y-,REFUSED
. ....... ...... . ..... ........... -19... ........... ....
. ... .... ... ..... . ...... ... ....
......... ... .... ...... ... ...............................................
........ ...............................................
...........................................................................
Ile
Approved ................................................ 19
...........
Assessor's map and lot number 7 �,..5. ..........., . . .....
Q1 E tp�♦
Sewage Permit number ........!�i.: �.� :....
Z 9ABB9TADLE. i
Horse number ... .�1.... . :
....... ... ............................................... yO t639
� p 6}q• `00
0MFYp.
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATIONFOR PERMIT TO ...... �.�.. ............................ ...... ........................ ...............................
TYPE OF CONSTRUCTION r/V�i.0 /%."'
. .......................19 1
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
l �
•
Location Q,. °.. ... .. ... ¢ .,...ff.A.....L !VC.......... .. ..
Proposed; Useo '.. .+1&C .... . .t............ .104 .......:.........................:.' :............ .
Zoning District ..... ................................................:.Fire District ... ...... .0..
Name of Owner ... ,1 .tip.. . .... .L. .�. �` .....Address ....... .��. �.. .. ..el:.. A.A.................
Name of Builder9
ALI
4 .1a:..Li 1 7..j !lddress ..
Name of Architect .................`p ........................Address ...........•"'.° ...........................................
Number of Rooms ...' Foundation ... .... :...
...... ..... i� ... ,� a .
( /��j
Exterior .... :0. ....,.?edf./..t6o% 0"01
..............................Roofing .....:
Floors . .............. .............Interior ...?,�. .�,�.•'
v
ti
Heating ....... oe�
g .... ... ...............Plumbing ............/... ..'.r. .
. + r .
Fireplace ........ ../d�� L! ...:..............Approximate Cost . .............................
Definitive Plan Approved by Planning. Board --------------------------------19Area ......;::..:::..:,:............ :.......`...,
Diagram of Lot and Building with Dimensions fee .........................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
i
�0
I
{
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..:.. : ,f ,A„ ! ....
/COLLINS, RONNIE
'
23515 One 1/2 StoryNo ----�^. eror ----.��------..
�
' �
Single Family Dwelling �
...........................'................................................... �
� Lot #44 46 Spor I'aue '
Location ---------------------.
-
______Ma��tona..y8ill!�_______..
^ �
. .
Ov,ner —�������—CP --_---_—..
�
�
� Type of Construction ..����m..�--_-----'
^ ' �
-----.---------.-------.----
Plot ............................ Lot ................................
^
'
�
`
�
Granted
Permit
�__��—'
'
Date of Inspection
uo/e Completed
�
. �
- ,
�
^
PERMIT~ EFUSED �
| ` '
. ----------. ._—.---- lP
................................. ..........................................
.............. -- —.—~----.. .
�
............. �--���f'.m�r�--------. .
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�
-----..—..------.---------.—. .
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�
| Approved ---------------- lQ
| � �
----------------...--.--.--- �
`
--------.-------------.--~... �