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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 *: fir, i 46 _ - •24. 2t o. i �. a D4 Exi st 0 0 L T 5 - aD .0 - PUB �4 P -E LFC 0 1IU1DE ) S U LAN E*NE- 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�--------. . K � -----..—..------.---------.—. . � ^ � � | Approved ---------------- lQ | � � ----------------...--.--.--- � ` --------.-------------.--~... �