HomeMy WebLinkAbout0099 WATERSHED WAY v y !� �/
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Application number................................................
QaFee ...........................................................
APR 6 2019
MAS& Building Inspectors Initials... .........
165 Ak (MAIN 1,k bAHNSWL Date Issued.................. .............
Map/Parcel....... .......................0D..................
.........
TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVFS/WFATHERIZATION
PROPERTY INFORMATION
Address of Project:_'39 WCkW/ SlAtd Wq44 MOXS+T)A S U—S
VER STREET VILLAGE
Owner's Name: Q,-Tify)I klQ OV OL Phone Number 509 43ro - ,5SIDLI
Email Address:�m4Qovq, VAMF-61�Q@ qQtVQf Phone Number SCktkt
Project cost$ �WO Check one Residential V Commercial
OWNER'S AUTHORIZATION
/A
As owner of the above prope hero authorize
to make application for a pe accordance with 780 CMR
Owner Signature: ff — Date: 01
TYPE OF WORK
E] Siding 0 Windows (no header change)# E] Insulation/Weatherization
❑ Doors (no header change)# Commercial Doors require an inspector's review
Roof(not applying more than 1 lay rof shingles) '
Construction Debris will be going to ElaA�
CONTRACTOR'S INFORMATION
COdContractor's name
Home Improvement Contractors Registration(if applicable)# (attach copy)
Construction Supervisor's License# (attach copy)
I ,mber
Email of Contractorkl0io rmom GOO&N*Le -1-149,o— S —,339�-
% VZ
ALL PROPERTIES THAT HAVE STRUCTt fRd OI&R 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
i
APPLICATION NUMBER a.........................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent
Fuel source being used LP tank 20 lbs. or> Yes No , if yes, a gas permit is required.
Natural Gas Yes No , if yes, a gas permit is required.
If food is being served at.your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3.30 pm-4.30pm. Commercial events may require Fire Department approval
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name: 0 0.
Telephone Number G04v\z Cell or Work number 5023^ rl 9G - -W v
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordanc wi 780 the Massachusetts State Building Code. I understand
the construction inspecti r cedur , s ecific inspections and documentation required by 780
CMR and the Town Ba s ble.
Signature Date
P 1 ICANT'S SIGNATURE
Signature Date
All permit application ubjeci to a building official's approval prior to issuance.
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 n Please Print Legibly
Name(Business/Organization/Individual): u Q �1 (� "1 0�V
Address: WOt ere-)A QA U-S, PA A 026gE
City/State/Zip: Phone #:
Are you an employer?Check the appropriate box: Type of project(required):
1.El 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'
t 9. ❑Building addition
[No workers' comp.insurance comp.insurance. 10.❑Electrical repairs or additions
required.] 5. ❑ We are a corporation and its P
3. I am a homeowner doing all work officers have exercised their I LE]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' 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.
$Contractors 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.
1 am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy 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 'olator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for' an c verage verification.
I do hereby certify under t e p e aloes of perjury that the information provided above is true and correct
Si ature: r Date: rD
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#:
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 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,§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-contractors)name(s),address(es)and phone number(s)along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to cant'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 permittlicense number which will be used as a reference number. In addition,an applicant
that must submit multiple permittlicense applications in 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 on file 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 burn 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
Fax#617-727-7749
Revised 4-24-07
www.mass.gov/dia
Parcel Detail Page 1 of 4
f. r.
O4 i H E
BAFLtiS'TABLf. •. _ .r sWwitiM►Logged In As: Parcel 'Detail Tuesday,April 16 2019
Parcel Lookup
Parcel Info
Parcel ID 059-009-004 ( Developer Lot ILOT 20
i Location 199 WATERSHED WAY I Pri Frontage I__._
Sec Road l �.�.77 771 Sec Frontage I'��•�••W�
Village Marstons Mills Fire District IC-O-MM
Town sewer exists at this address NO �.�. �I Road Index 2133 ..M.. I
Asbuilt Septic Scan: ' =�
a' 6
059009004_1 Interactive Map
Owner Info
owner NUNES,WILLIAM B&MI co %DIMITROV, DIMITAR F�1
Owner
streetl f8l CAPTAIN BELLAMY II stre
city ICENTERVILLE state nMA zip 102632 (country F—
Land Info
.............._................................._........._.._........._......................................................................................................................................._......................................................................................................................................_............................................................
Acres 0.46 I use Single Fam MDL-01 � zoning RF I Nghbd 0106
Topography Level .... I Road ,Paved
utilities jPublic Water,Gas,Septicl Location
Construction Info _
Building 1 of 1
Bull 1990 Ste« Gable/Hip wM Clapboard )
Living Roof AC 2219 (As h/F�GIs/Cm None
Area Covers p p I Type
Style Cape Cod wau D.......,.....__.
Int sail Rooms 3 Bedrooms K I'
44
Model lResidential � � Inc Hardwood _�I Bath 2 Full-1 Half ti
Floor Rooms fAT;
9MT
Grade Average Plus ype 1HOt Water I Rooms 7 Rooms
{4, .
stories und-
F2 Stories Fuel Gas F ation JPoured Conc.
f ti -
Gross 4 J
Area564
Permit History
Issue Date Purpose Permit# Amount Insp Date Comments
6/6/2000 Addition 46571 $29,000 12/28/2000 12:00:00 AM
11/1/1990 Dwelling B34077 $100,000 1/15/1992 12:00:00 AM MM 11/2 S
VisitHistory_......................__-_....-....__..___..___..__..____...................................................
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3919 4/16/2019
Parcel Detail Page 2 of 4
Date Who Purpose
4/28/2017 12:00:00 AM Susan Ricci Cyclical Inspection
10/12/2005 12:00:00 AM Paul Talbot Meas/Est
12/28/2000 12:00:00 AM Martin Flynn Bldg Permit Completed
1/20/1999 12:00:00 AM Frederick Stepanis Meas/Listed-Interior Access
3/15/1991 12:00:00 AM ML Meas/Listed-Interior Access
Sales History
Line Sale Date Owner Book/Page Sale Price
1 12/15/1992 NUNES, WILLIAM B & MISAKO 8383/337 $121,000
2 7/15/1992 CITY SAYS BNK OF PITTSFIELD 8136/260 $130,000
3 8/15/1990 BROWN, CHARLES W 7276/119 $750,000
4 8/15/1989 SMITH, ALLYN J TR 6854/249 $1
5 8/15/1987 SMITH, ALLYN J TR 5869/189 $1
6 7/15/1987 SMITH, JAMES K TR 5858/35 $1,235,000
7 8/15/1985 DELANEY, JOHN J TR 4669/148 $1
8 1/18/2019 DIMITROV, DIMITAR & DIMITROVA, KAMELIYA 31789/301 $478,000
Assessment History
Save Building Total Parcel
# Year Value XF Value OB Value Land Value Value
1 2019 $267,600 $51,300 $7,600 $125,900 $452,400
2 2018 $224,800 $51,800 $7,900 $138,100 $422,600
3 2017 $225,700 $51,800 $6,300 $138,100 $421,900
4 2016 $225,700 $51,800 $6,300 $139,400 $423,200
5 2015 $217,700 $49,200 $8,600 $136,200 $411,700
6 2014 $217,700 $49,200 $8,800 $136,200 $411,900
7 2013 $217,700 $49,200 $9,000 $109,000 $384,900
8 2012 $220,200 $46,900 $7,000 $109,000 $383,100
9 2011 $244,400 $11,700 $1,200 $109,000 $366,300
10 2010 $241,600 $11,100 $1,700 $109,000 $363,400
11 2009 $224,400 $11,100 $800 $204,400 $440,700
12 2008 $261,300 $11,100 $800 $228,200 $501,400
14 2007 $260,200 $11,100 $800 $228,200 $500,300
15 2006 $256,600 $11,300 $800 $214,400 $483,100
16 2005 $231,200 $11,200 $800 $164,200 $407,400
17 2004 $194,700 $11,200 $800 $164,200 $370,900
18 2003 $167,200 $11,200 $900 $73,400 $252,700
19 2002 $167,200 $11,200 $900 $73,400 $252,700
20 2001 $127,200 $11,000 $0 $73,400 $211,600
21 2000 $101,700 $11,000 $0 $40,000 $152,700
22 1999 $98,000 $3,000 $0 $40,000 $141,000
23 1998 $98,000 $3,000 $0 $40,000 $141,000
24 1997 $114,200 $0 $0 $32,700 $146,900
25 1996 $114,200 $0 $0 $32,700 $146,900
http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=3919 4/16/2019
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TOWN"OF BARNSTABLE Permit
BUILDING�DEPARTMENT
t 'A"> I TOWN OFFICE BUILDING Cash
7 .M�
67 V•
�>eov► HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issuedto William B. & Misako Nunes
Address Lot #20, 99 Watershed Way
Marstons Mills, Mass. 02648
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.
January 2.0 , 19..9.3........... .... p.................
Buildin ns ector
I
�..� °•o TOWN OF BARNSTABLE
BUILDING DEPARTMENT
»�� • TOWN OFFICE BUILDING
79 �639•
�o1u<►�� HYANNIS, MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
An Occupancy ,Permit has been issued for the building authorized by
BuildingPermit $k......_._ i�10w? ......... ....................................._................_......._..__........_.....
issuedto .. P .. I (... ... .1 ........................... __.�._� .. _._. ..._.__....._.
U
Please release the performance bond.
/� 4t`;y ;Cl + �4�i-'+ 'y t '..'l r!'r�n> '^. `"tiy„ifY�it+• /t +", `+"�!1 � :t1t' . ti� ' KG .� t•
.• 'T1, !� ' Y Ja �1-.� Y t- $`. ...I�ir• 1�.
Assessor's office(tsi Floor):.
Assessor's map and lot umber KA 1 U y 7 t')U
�`.
Board of Health.(3rd floor): /
Sewage Permit number �r/�j;- -/ -71 `"
Engineering Department(3rd floor): :�j Noss
House number.t / d 1639- \0�'
Definitive Plan Approved by Planning Board u - 19
1
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING' INSPECTOR
APPLICATION FOR PERMIT TO /-7 '
v _
TYPE OF CONSTRUCTION
// --2 19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Y 441 M, A
Proposed Use
n Zoning District 4— F Fire District
Namelof Owner x1c c-5.*2i 7"41 'Address
` Name of Builder Address
Name of Architect Address
Number of Rooms Foundation ��E� �o�Ga.QET�
Exterior C'�s�i�,QDPp.�� G� C'�`S' Roofing
Floors �141eln G17 o n /� Interior 7�-�'Yc�sS►G G
Heating AS Plumbing
Fireplace Approximate Cost /��Q 11� ®
Area
Diagram of Lot and Building with Dimensions Fee
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
l
I hereby agree to conform to all the Rules.and Regulations of the Town of Barn stable'regarding the above construction.
Name dz=�n�
Construction,Supervisor's License
r
SMITH, JAMES K.
A=059-009-004
a�r .00
No 34077 Permit For 1 , Story
Single Family Dwelling
Location Lot #20 99 Watershed Way
Marstons Mills
Owner James K. Smith
Type of Construction Frame
Plot Lot
Permit�Granted November 27, '19 9.0
Date of Inspection 19 .
Date Completed 19
G
4
Assessor's office(1st Floor): n p ,� e t f
Assessor's map and lot number WA� 7 o U 7 Q 0 y ' o "E>o
Board of Health (3rd floor): ;n w_ e� 0
Sewage Permit number — E� m
G•� u BA"3TADLE,
r�ss
Engineering Department(3rd floor): `' :�
►.riod��r :..t' y'
House number Ca °0 0 9 \em
Definitive Plan Approved by Planning Board 19 M -1 A
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION �� iE'�H7�
e7 19 _
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ,r /v� 1�
Proposed Use
Zoning District 4/l� i✓�/��- j� Fire District c��—
Name of Owner —Y��rJ�S' �C cj�*2/Tim Address �'Sj -:Y
Name of Builder — A�J�.S c��YJiT/,f Address
Name of Architect Address
Number of Rooms Foundation
Exterior G /�l30.�• G� e�S� Roofing _,,V 4,7
Floors GC.) C)0 C� Interior 7?tg',YGg--)•V G L _-
Heating CrA-5 Plumbing
Fireplace A,-145— Approximate Cost
Area ��77
Diagram of Lot and Building with Dimensions Fee
/6�
HEALTH oEn
TOWN OF BMNsTABLE D
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
Construction Supervisor's License 0 ,9
SMITH, JAMES K.
No 34077 Permit For 11 Story
Single Family dwelling
Location Lot #2 0 , 99 Watershed Way
Marstons Mills
Owner James K. Smith
Type of Construction Frame
Plot Lot
Permit Granted November 27, 19 90
Date of Inspection 19
Date Completed Z-/.////'9� 19
r
OqO i 1 z0`?-5
• ` Flo, I9 9 � c.o r
worn
.�_. , y
OF
A.{F 7 �� RICHARD C
• QAXTER f w Y
Wa 24048
Lop
CERTIFIED PLOT PLAN
CERTIFY THAT THE -DWC--LllJ(, LOCATION
SHOWN HEREON COMPLYS WITH SCALE / DATE
THE SIDELINE AND SETBACK
REQUIREMENTS OF THE TOWN OF PLAN REFERENCE
1:A.7VN 5T,1 t3L E AND IS.- N pT o T- 2 0
LOCATED WITHIN THE FLOODPLAIN. �cJ�� �`' '�%. =' •_:
DATE : /L'ILL. BAXTER NYE, INC.
THIS PLAN IS' NOT BASED ON AN REGISTERED LAND SURVEYORS
INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS.
OFFSETS SHOWN SHOULD NOT BE
USED TO DETERMINE LOT LINES APPLICANT �f. ;, ;. -•
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BARNSTAB.LE MASS'A HOSE
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DAT I J9 { :yam P ryr�
rcPPtir4/�PT``J8t1>d�8 SIC: Smith �Cr 1 _.1{GdREss am
(NO ) y (STRE(:T(' { a. }�C t40M '^A 10EN3EF
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TSTREET) , CA •• f •..
BF�i'W N k.' +ANDS• f i�i. '. t'
(CROSS STREET)' (CROSS STREET) iq .-'r f
t �l d
�;S>IBOIV�S10tE LOT BLOCK SIZE
t3U1LDtiNG 1 TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CQNFORM�N t ON57RUCTlON
: C � t USE GROUP BASEMENT.WALLS OR FOUNDATION tt �t E Ft 7�+
e.. 76 �.. '�
Sewag ; 89-6
.(' 9 i, fr 4a 7Xi• rwr}�� 1a �,�
A��Atiok�
s OAd
owM 1325'•'sQt "' "• ,r
s • • ESTIMATED-
COST $ 100 nAn-''OD•' FEEM17d k
(CUSIC/SQUARE FEET)
t'hrn�, lea Zaiies' 'K:. ':Smith
BaxIIStable 9UILDING "DEPT.
rr,� �t r� y Blt.. .'kt �r J•
1�., f,1 1'� a y ^ � \ \y\ • 'yam}:.r 7 ,1�',i'',X, �_,�S � .-.
S r 11
\ \* °- ,tys 77 �t ar -i 3' k•* s<ar`t '�,f' " ".'ter.
- s•% it .�,,. 7.
OF ANY> APPLICABLE SUBDIVISIOK RESTRICTIONS. .`
MINIMUM`LOF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE'
INSPECT:IDNS REQUIRED FOR PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND
1. FOUNbATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PR10R TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL i
ME AL,INS(RE INSPECTION
TO LATH). FINAL INSPECTION HAS BEEN MADE. .{3. FINAL INSPECTION BEFORE •
OCCUPANCY. ,
POST THIS CARD SO IT IS VISIBLE FROM STREET--
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
!.r✓G I
2 2 f'"`r� 2
e � /Gi C ;
3 HEATING INSPECTION APPROVALS ENGINEERING EPARTMENT'
r
OTHER 2 BOARD OF HEALTH _
i- Y 73
WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION
INSPECTIONS INDICATED ON TjilS(54 ,;C N BE TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SI{ MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE'OR-XV TTEN,
CONSTRUCTION. I' PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION.
t _r..
C 4 `
�REOUIREfENTS FOR ENGINEERING DEPART`1ENT
OCCUPANCY INSPECTION DURING CONSTRUCTION
INS==C:IONS PERFOK ED ON WEDNESDAY ONLY NOTE: HOLIDAYS , ETC.WILL BE ON TEUrRSDAY
OFF7C7 HOURS: 8:30 to 9:30 A.M. AND 1:00 TO 2:30 P.:1. (508) 790-6310
Frank Schlegel
1. PROJECT DRAINAGE STRUCTURES FROM SILTATION
Prevent erosion from the construction site to keep roads and drainage structures
clean. Utilize hay bales if necessary.
2. PROTECT ROAD PAVE ENT FROM DANLkGE
Utilize caution and common sense when driving heavy equipment over the roads.
Roads are particularly susceptible to damage during spring or mid—winter
thaws when the road base right under the pavement thaws and water pockets
there above the still frozen sublayers.
PRIOR TO OCCUPATION
1. EC;USE NL^H3ERS
Post number by the front door on the building. Select a color which contrasts
with the color of the background. If it is practical to do so numbers are to
be made visible from the street. If numbers are not visible from the street
or the house is setback over 100 feet from the street then also post a number
on a suitable post or tree by the edge of the road.
2. LANDSCAPING
Lot must be graded and landscaped to prevent erosions onto the roadway.
Disturbed areas between the traveled way and the edge of the road layout
(an area usually 9' to •16' from the pavement edge) shall be restored. In
addition roadways slopes which extend beyond the road layout shall be restored.
Restoration shall consist of loaming and seeding unless an alternative treat—
ment is authorized in writing by the Engineering Section.
3. DRIVE?SAYS
Construct driveways to prevent erosion onto or damage to the road. Driveways
shall be improved bet-,:een the edge of the traveled way and the edge of the
road layout (an area usually 9' to 16' from the pavement edge) . Additionally,
driveways which slope up from the road at a pitch greater than four percent
OZ.) shall also be improved. Driveway improvements shall consist of placing
crushed stone or pavement on an acce?table gravel base. Driveways which slope
up from the road. at a grade in excess of eight percent (87) shall be paved.
The applicant will also need to obtain a Road Opening Permit for driveways
onto Town Roads. The requirements imposed during the road opening process
may be more stringent than these contained herein.
4. GENERALL
Restore all pavement, drainage structures, and road shoulders to the condition
which existed prior to construction.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map S Parcel ef -Aff�I5!Fl-) Permit# 7
Health Division qZ'_(0??Xr ' Y/zLi�v _<44, Date Issued
Conservation Division F-S 01Z 160 Fee
Tax Collector,
Treasurer — Ni Vie, ._ t "(io
SEPTIC SYSTEM MUST BE
Planning Dept. INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board WITH TITLE S
Historic ENVIRONMENTAL CODE AND OKH Preservation/Hyannis TOWN REGULATIONS
Project Street Address C , { (,�s 14 ,V) , ►�`/ � �'� �L; �� � FW
Village AA Ac_ � A^ , I /
Owner IUvk,eS Address C'/�t (~,� c,^s �/c� k.< ► `/ . M
Telephone cf> S 16
Permit Request 12 ,+c(-1 e 0.0) +a d
L, c44 +14 O n.
i
Square feet: 1st floor: existing 00 proposed 2nd floor: existing proposed �_' Total new���� .
Estimated Project Cost v OTC." Zoning District Flood Plain Groundwater Overlay
Construction Type lA_,u,>O r"/IA-11"I--
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family two Family ❑ Multi-Family (#units)
Age of Existing Structure /y 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
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: as ❑Oil ❑ Electric ❑Other
Central Air: ❑Yes D-fTb 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
n BUILDER INFORMATION
Name �Q6_1 Telephone Number
Address 3.7 f Co License# U G
0111 G�-�,3 Z Home Improvement Contractor# 16 3 z,
Worker's Compensation#
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
w
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH i FINAL
a
FINAL BUILDING felt talc
� 5
DATE CLOSED OUT r
ASSOCIATION PLAN NO. "�
--",� 600 Washington Street
Boston,Mass 02111
Workers' Coin ensation Insurance Affidavit
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name: 2 `G (kJ
location: 3 �✓}c r✓� W(/�"1
,
city 11 2J' r_ y1i{9 6 C-3 hone l
❑ I am a homeowner performing alf work myself
❑ I am a sole etor and have no one worldn 1n any act
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am an emP loyer providing workers' comptmsation for sly employees worlang on this job.
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❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who
the following workers' co ensation polices: ::::: :.::.....:.
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FaSnre to secure coverage as regairred Tmder Section 25A of MGL 152 eon lead to the*Position of erbvinal penalties of a Sae up to s 1,500.00 and/or
one years'.imprisonment as wen as civa penalties in the form of a STOP WORK ORDER and a Sae of 5100.00 a day against me. I understand that s
copy of this statement may be forwarded to the OMce of Imestigations of the DIA for coverage verincation.
I do hereby certi the p ' penalties ofpQJury that the information provided above is trw•and correct
SignatureHate
Print name � � #
C
nly do not write in this area to be completed by.eity or town otnciai
town: persuit/licwe 0 ❑BuUing Department
❑Liceavng Board
mmediate response is required ❑selectmen's Ofdce
❑Health Department
on. phone#; — ❑Other��
(wed 9195 Ply
:. Pssscripzfre Pseh3ss for Car sad Twws'6'aaaay Resfdmdal Baildlaw Seated wijh Fasw Faso
MAXIMUMI � Wail now 8aeo= sub
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B.vaista' awaiad
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1. ADDRESS OF?ROPERTY: "/Ol was ✓� C�l�-1
�1 n y915 AAA J111
T "OF ALL Ir OR WALLS: � L o
2. SQUARE .00 AGz
3. SQUARE FOOTAGE OF ALL GLAZING:
0
4. %GLAZING ARMS,(#3 DIVIDED BY#2): o 17 v
S. SELECT PACKAGE(Q —AA*-see chart above):
NOTE. OTHER(MORE INVOLVED ME-1HODS OF DETERMINING E24ERGY REQUIRF1r1 JTS
ARE AVAILABLE. ASK US FOR THIS INFORMATION.
BUILDING INSPECTOR APPROVAL:
YES: NO:
mot IHE
The Town of Barnstable
• anxr,srae[.e
MASS
�0g Department of Health Safety and Environmental Services
rF039. 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.
Type of Work: _Estimated Cost /S ex"Ly
Address of Work: ��,' C-,9 ►�
Owner's Name: Lc„11.4 PIA /b✓A v
Date of Application: Z00
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 for a permit as gent of the owner:
qA 166
Date Contractor Name Registration No.
OR
Date Owner's Name
q:forms:AfSdav
I
Llo� WOpD
au►ec.Lt,
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1
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6
ICHAR
V! A .a
QAXTER w
No.24W8
CERTIFIED .PLOT PLAN
CERTIFY THAT THE t)WC- _Lll-J . LOCATION /yJgIR�-roA-)<
SHOWN HEREON COMPLYS WITH SCALE / � DATE ii _/�_•�o
CHE SIDELINE AND SETBACK
REQUIREMENTS OF THE TOWN OF PLAN REFERENCE
/3A,)?NST+AI3LE AND IS.- NoT /_07`- �C7
_OCATE-D WITHIN THE - FLOODPLAIN,
BAXTER t NYE, INC.
CHIS PLAN IS'NOT BASED ON AN REGISTERED LAND SURVEYORS
INSTRUMENT SURVEY AND THE OSTERVILLE^- MASS.
OFFSETS SHOWN SHOULD NOT BE
CCf1 T/, 1',CTC 0►• u� . .-._.- -.�... � .mow. _ -.__- '
i
j
J'
ESTIMATED PROJECT COST WORKSHEET
Value
LIVING SPACE
(high end construction) square feet X$1151sq. foot=
3aa
(above average construction) • square feet X$96/sq. foot
(average construction) square feet X$571sq. foot= .
GARAGE (UNFINISHED) square feet X$251sq. foot=
PORCH square feet X$20/sq. foot=
DECK square feet X$151sq. foot=
OTHER square feet X M/sq. foot=
Total Estimated Project Cost p O v
W FORM 1/3/00
L-,4
ti4t
t� oG.
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o�y��orJ
XV 0°��l� Svc
J
4f
Rl�p
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Floor PjA�
ass
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a �►o nr����5
yc ,—loaf 3 u 1tS
u
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✓T TJdI77/II7492L!/2ClllIL O�✓[�CQd6UdEU6
?` OEPARTMENT OF PUBLIC SAFETY
CONSTRUGLIONNiSUPERVISOR LICENSE
--
.' Nud =, — _Expires:
� es #ed 00
d.j0oPETER t3 AEP;LET-ON
31 BAIRD-WAY
CENTERVILLE, HA 02632
07
HOME IMPROVEMENT CONTRACTOR
Registration 103218
Expiration: 07/06/2002
Type: OBA
APPLETON CONSTRUCTION
P ter Appleton
ADMINISTRATOR Baird Nay
Centerville MA 02632