HomeMy WebLinkAbout0082 WHEELER ROAD ^ ^
- u ^ ^ �� ^ , " -. ^. o v ❑U° �P n ^ . � i ° � , lY „ ���do -
r, a
^
wke)pl-le-r,, , --
0
„ a IJ x(V o sil ❑�r'P a n 0 U It
I u
°
° ^ I
"
w
0 0 (P
wi t'i P p o
v o °
I r,
ro o
❑
^
^ y
i
�. ° „ - o °❑ n o °�� �`b fa n '�11 p q o qXl° 4
u ,
tf
go
r<.
u
°
°
rn,
❑
°
n
� r u
v.
a '
°
U ,� r
6 no 111
Vl
II, y
ten.
Town of Barnstable *Permit#
C� Expires 6 months from issue date
Regulatory Services Fee .6 q C5,
EWPIMM14
$ Thomas F. Geiler,Director
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 PERMIT APPLICATION - RESIDENTIAL ONLY
I /� Not Valid without Red X-Press Imprint .
Map/parcel Number `03
Prope eAddress fLO
� C� o �? r
Residential Value of Work ( -uo Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address I('-0/j," 1..� Aj1-f�
Contractor's NameG��P�� ( Telephone Number
Home Improvement Contractor License#(if applicable) l� q6
Construction Supervisor's License#(if applicable) 6LI1 8.511 61 CRESS PERMIT
v
❑Workman's Compensation Insurance
Check one: JAN - 4 2013
❑ I am a sole.proprietor .
❑ I am the Homeowner
�I have Worker's Compensation Insurance TOWN OF BARNSTABLE
Insurance Company Name/V 1 Yl/1 /'✓1 /,� l
Workman's Comp.Policy# 70
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
9?1 -roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to
❑Re-roof.(hurricane nailed)(not stripping. Going over existing layers of roof).
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#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 ust sign Property Owner Letter of Permission.
A copy f the Improvement Contractors License& Construction Supervisors License is
qu.
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXP SS.doc
Revised 051811
i
The Commonwealth of Massachuselis
Department of Industrial Accidents
Q,QSce of Investigations
IF 600 Washington Street
Boston,MA 02111
wmLmass gov/dia .
Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Lewbly
Name M - mlludivido : MArle Ar f 6 S-b A==
Address_ 3S (214-e D - Chia l c d
City/State/Zip: /t phone
Are you an employer?Check the appropriate box: Type of project(required):
1. am a employer with 'L_ 4. ❑ I am a general contractor and I
employees(foil and/or part-time)-
have hired the sub-contzactors 6. ❑NL boa
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 me in any capacity. employees and have workers'
[No workers' comp.insurance comp.iasuratiml 9. ❑Building addition
mod-] 5. ❑ We are a corporation and its to.❑Electrical repairs or additions
3.❑ I am homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself [No workers'camp. right of exemption per MGL 12.❑Roof repairs
insurance rewired.]t c.152,§1(4),and we have no
employees.[No workers' 13..D Other (( f OCJ
comp.insurance required.]
•Any applic�2� 'checks boa#1 mast also fill out the section below showing their woikere campensatioa policy infarmrtion_
Homeaaizbers Rho submit this affidavit ukhcartiag they air doing ail wooit and the¢hue outside contiactors mast submit anew affidavit indicating such
ZContractuts that check this boot must attached as additi nal sheet showing the name of the sub-camwacmcs and state whether oruot moose entities have
employees. Ifthe sub-contractors have employees,they mmntpmvide their workers'rump.policy number.
I am art employer that is provfd4ng workers'cot 9mnafian.insurance for sty employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self ins.uc.#: Expiration Date:
Job Site Addrt'ss: city/'Statetzip: A""SJ /\S vXL C J L6
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 fora of a STOP WORK ORDER and a fine
of up to MOM a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations ofihe DIA for insurance coverage verification-
I do hereby certify under 0 a pains and tries afperjuty that the informatiottprovided a`b/ova is true and correct.
Si titre: Date: - 7
Phone 9:
Dfficial use only. Do not write in this area,to be completed by city or town a,,�icial
City or Town: Permit/License#
Issuing Authority(circle one):.
1.Board of Health 2.Building Department 3.City/rown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone 9:
6
IKE
� s
+ BARNS B F •
1A3s.
9� i639. Town of Barnstable
,0�
Regulatory Services
Thomas F. Geiler,Director
Building:Division
ti
Thomas Perry,CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ina.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I,�j�l co�/vl [ �L tG , as Owner of the subject property
hereby authorize Yt.¢,W 17cx7 to act on my behalf,
in all matters relative to work authorized by this building permit application for:
Ap
(Address of Job)
13
Signature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
Q:\WPHLESTORMS\building permit f6nns\EXPRESS.doc
Revised 051811
BIKE Town of Barnstable
Regulatory Services
BARNWi s '
9y'mIX
� Thomas F. Geiler,Director
�p0 59- Building Division
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:
JOB LOCATION:
number street village
"HOMEOWNER":
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 wbo 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 requirements.
Signature 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:\WPFILES\FORMS\building permit forms\EXPRESS.doc
Revised'051811
8 /6/2012 1 : 1' 8 : 40 PM 8935 02/02
CERTIFICATE OF .LIABILITY' INSURANCE �.aTEos o 20 "'. �
I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLY AAD CONFERS HO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE �I
DOES:NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER"-THE COVERAGE AFFORDED BY T$E.YOLICIES BELOW-. THIS CERTIFICATE OT. t
INSURANCE DOES HOT 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 po'licy(ies) must be `endorsed'. If SUBROGATION IS WAIVED, subject
-to .the terms and conditions of the policy, certain policies may require an andursement. A statement on this certificate does not
:..confer rights to the certificate holder.-in lieu of -such endorsement(s).
PRODUCCA — -- CONTACT
Leonard Insurance Agency Inc I{ °'°�`
PR7N1 C - �PA1
683 Main Street Suite B (T✓�• R° L<t): , (A/C. R°,° I
e-xaa
Osterville, MA. 02655 �.DDOUCE �- — --
PQODUC$Q
TUSTQHER IDB.
i INSURED(S) AFFORDIBG COVERAGE NATC'8
IIrs
:RsvAED I�GDSR a; A.I.M. Mutual Insurance Co 33758
—�
Mark Herbst
I INSURER B: '
i 35 Peep Toad Road 1RSUA.ON — --_ _
Centerville, MA 02632 —_--- — —
1BSVRER U_ I
T
I :NSUACQ E: I
INSURER r:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS ZS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEER ISSUED TO THE INSURED Nr03D ABOVE FOR THE.POLICY PERIOD INDICATED.
iNOTWITHSTANDING A" REQUIRE[+R'HT, TERM OR cONDZTZOs OF AUY CONTRACT OR OTHER DOCL^.=T WITH RESPECT TO WHICH-THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJCCT TO ALL THE TERMS, .EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LnSxTS SHOWN
LMY HAVE BEEN REDUCED BY PAID CIA=.
Ivr
POLICY NUMBER� POLICY Err POLICY ESP i -- LIZUTS
I uyryslrrer,j Ler TYPE OF INSURANCE � �RNNn/rrw,
'fI�JI�I GENERAL LIABILITY j EACH OCCURAHci
E]:7-3-.- reNenu LUMITT I DwwGE TO ReVTED $ I
j I PREAISES(Ea.Po°Rxxen°t)
j GQCLAINS MADE
❑«cox I I t¢D ffi (any one ye:ion) 8
PERSONAL 6 ADV I157URY I $ I
❑ - I I —t. I
i
AGSRE GATE
YN'L l AGGP111TE Li41IT APPLIES ON! I C' 'ERERAL 6
OPOLlCY ❑PROOe CT ❑LOC _ I 1 PRODUCT S- COMP/OP ASG
--
AUTOMOBILE LIABILITY I 4 I CmQ1INED SINGLE LO[IT -- $
(et accident)
QARY AUTO
• I I I BQDILY INJURY
_.FALL OWNED AUTOS
❑SCREDOL lL AUTOSI AODILY XWURY(Drr a Idrnt, I 8
1.
� PROPERTY-ONCLUE —r E tlIRlD.—S I , (per eDStlrni)
I �ROR-OARED AUTOG
FIUMEP ELLA LIAR O C/.-C OR EA AERCE I B
O EXCESS LIAP _O CLAIMS MD.
AOOP.YNATE � $
❑DEDUCT:YLE
E]RETENTIOR IIOTH
I _
WORKERS COMPENSATION Er.
� 10>af LLO:T•.
AND EMPLOYEES LIABILITY
THE PRGPRIETOR/PARTNERS% I i E.L. EACH ACCIDENT $ 100,000
I A EXECUTIVE OFFICERS ARE
❑ I E.L. D Y LDIIT 500,000
incl excl 7016215012012 101/10/2012 !
01/10/2013 --y
E.I. DISEASE -EA EMPLOYEE I $- 100,000
r—.cgTS DESCRIPTION OP OPERATIONS OP.LOCATIONS: i
I MARK HERBST IS NOT COVERED BY THE WdORKERS'CONPENSATION POLICY. '
I
i
CERTIFICATE HOLDER CkNCELLATION _
WHITCO11B REMODELING INC —,
SHOVED ANY Or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
707 MAIN] STREET [POLICY PROVISIONS.
HYANNIS, MA 02601 , I ANrx°aIZED AEPQescBTanvE�— 1 /^� n
8LOZ
a
.3 � .•`'rZSScCrJ58ic5 - �: '�,"`iii�ii? OT '5,;.,?i'% J2.i32:,: .
Beard of Sbi[ding Reg'_Oatlo s aric.
f.�+zn•::i'uCi'e„t7 �iil lTC�:}i'1�iI' � - '
_icanse: CS-048546
MARK D MRI 1
35 PEET TOAD RD;
CENTERVI�LE MA 024W
Ynmiss one, 01/27/2014
� i
Office of Consumer Affairs &Business Regulation- Mass.Gov Page 1 of 1
The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR)
Consumer Affairs and Business Regulation
Home Consumer Home Improvement Contracting
HIC Registration Complaints
z
Registration# 126480
Home Improvement Contractor
Registrant Registration Home Page
Name MARK HERBST
Address 35 PEEP TOAD RD.
City, State Zip CENTERVILLE, MA 02632
Expiration Date 06/08/2014
I
Complaints Details
No complaints found for this registrant.
You can also view arbitration and Guaranty Fund history.
Back To Search
i I
http://services.oca.state.ma.us/hic/liedetails.aspx?txtSearchLN=26443 1/4/2013
rf,-assachusei?s-DepGry e^Y c,,jc.Sa4e y
Board of BUHding ReguJations and St
andards
ds
Cunstl-uLiion Supen•iso.r
License: CS-048546
MARK-D T
35 PEET TOAb RIDF' s
F _ra
CENTERVIFtiE MACO2632
'
{.
Commissio'
ner
0112T/2014
O�Il7/I)L(NLC(/ a��(,pdQQ.CILC[Q�6� ;.,
' Office of Consumer Affairs&Bbsiness Regulation^.', ':
f ibKnow
HOME IMPROVEMEkT CONTRACTOR F
Registration: ,t:, r
9 .. ?26480 Type:
Expiration: -fa181. 012 Individual
x: MA K HERBST
`:A11ARK HERBST. -__'• __ x
t:35 PEEP•TOAD Rl c' -
CENTERVILLE,MA.02632
Undersecretary.
U.S. Postal ServiceTM T
CERTIFIED MAILTM RECEIPT
(Domestic Mail Only;No Insurance Coverage Provided)
For delivery information visit our website at www.usps.como
PS Form 3800,August 2006 See Reverse for Instructions
Certified Mail Provides:
I
■ A mailing receipt
■ A unique Identifier for your mailpiece
■ A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
■ Certified Mail-is'not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuable I ase consider Insured or Registered Mail.
■ For an ad itional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery". "
■ If a postmark on the Certified Mail receipt Is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.,
IMPORTANT.Save this receipt and present it when making an inquiry.
PS Form 3600,August 2006(Reverse)PSN 7530-02-000-9047
SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY
v Complete items 1,2,and 3.Also complete A.43' na re
item 4 if Restricted Delivery is desired. ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. ived by(Print.tl ame) Date f Deli ery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
P. iselivery ad different from it
11 Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
M4,2A 4A,jt t-S `,
�s Pea
t 3.
/ �Serv�ce Type
v c f}' ., ' ` ertified Mail ❑Express Mail
❑Registered Rketurn Receipt for Merchandise
❑Insured Mail ❑C.O.D.
„ 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7012 1010, 0000 2843 2409
(Transfer from service label)
PS Form 381.1,February 2004 i Domestic Return Receipt �102b95 o2-M-1540:�
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
', . LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
I I
I
I
M TOWN OF BARNSTABLE
i
;.. BUILDING DIVISION200M
SAMA 02601
i I fi ii ii tt i f! R Yr'- '
BIKE� Town of Barnstable
ti
. ` Regulatory Services
MAS& ` Thomas F. Geiler,Director
'°�fo,,,p�► Building Division
Tom Perry, Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
December 27, 2012
Mr. Mark Herbst
Mark Herbst and-Sons Roofing
35 Peep Toad Road
Centerville, MA 02632
Mr. Herbst,
This letter is to inform you that you are in violation of the Massachusetts State Building
Code 780 CMR Sections R105 Permits and R113 Violations. Our observations indicate
that your company has performed work at the following locations without a permit:
82 Wheeler_Road,_Marstons_Mills,.MA�The_VJalker Residence
83 Wheeler Road, Marstons Mills, MA—The Wrightsman Residence
A Stop Work has been applied to these properties effective today.
Each location is considered to be a separate violation with potential action and fines as
described in the Massachusetts State Building Code 780 CMR. as well as the
Massachusetts General Laws where applicable.
Your immediate attention is required to address these issues to eliminate the possibility of
additional penalties and fines. A simple solution is to fill out the appropriate paperwork
and come into this office and apply for the appropriate permit for each location.
Sincerely,
Robert McKechnie
Local Inspector
Town of Barnstable
508-862-4033
....................7.. �r7 Assessor's map and lot number. ....... . . ... � T o
N E TD`♦
g ....... ...... ............Sewa a Permit number -15- '.�4� U yY d
Irk, Z BIHHSTSDLE. i
House number 1�..�.. ro rose
p 16}9• `0
I TOWN OF BARNSTABLE
BUILDING INSPECTOR ;
APPLICATION FOR PERMIT TO ....!°4?/VS>✓/.i cr NsW SiN bLE �r�wti�y lic iM C
.............................................. ......................................................
TYPE OF CONSTRUCTION .......woo
.................................................................................................................
No V ZJ ..................19 ....
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......ITT 7 !.....? ?.0..........vt!t�vt...................r !til/LL. .....................................
....
ProposedUse .5 >S. !� lL.y....��. .. ..................................................................................................................
ZoningDistrict ..........................................................Fire District ................................:............. /_ .............................................
Name of Owner JpIJN w wn,vaLy Address a..Joviou ST SST LywlE, Cq,,
.................................................................. ........................ �. .......................
Name of Builder Vj.:S IJAnJq NAA! .................AddressSkw //-1 Sr' Qv• DENn )I
Name of Architect NON
................................................................Address ........n.......:....................................
...............................
SbVEo.� ....Foundation A.U.!1�v FOUN �'i�
I _
Number of Rooms
' Exterior �� ��Q?K u.+.SIJ� 6 J Roofing 4�®I��G-►'....... � . 6(,6J
............................... ................................,..
Floors 1 ...t ..L'A(Z�s1- �vl�(Lt�/�LL 4-
................................................................Interior ....................................................................................
.......Plumbin ... 1
f Heating f.J�.w....�t'1. of Lr. g Z t QA�� .......................................................... {
QVIIGK �CNv �LJE......................................A Approximate Cost lZT 00
Fireplace ........................................... pp ............;.................................................
Definitive Plan Approved by Planning Board -----------_------_-----------19_______. Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
t
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .V!!G7sY" ll�'t..���tih .
0vy 63J
..Construction Supervisor's License `
..................................
03
CONNOLLY JOHN /A -107
No .... Permit for .. . ...�t2U...............
Single Family Dwelling
. ...............................................................................
Lot 7, 82 Wheeler Road
Location .................................................................
Marstons Mills
...............................................................................
Owner .........John Conall................1�.......y..............................
Type of Construction .....Frame..........................
.................................................................................
Plot ............................ Lot ................................
Permit Granted .........................................February 6,' 86 19
Date of Inspection ....................................19
Date Completed. ...................I...................19
+ I
TME�,. TOWN OF BARNSTABLE Permit No. ..2 1.6
BUILDING DEPARTMENT
D°8;a I TOWN OFFICE BUILDING Cash • /(�� frAN/
i6JA �l .0
'�tcnr HYANNIS,MASS.02601 Bond .....
CERTIFICATE OF USE AND OCCUPANCY
Issued to John Connolly
Address Lot V. 82 Wheeler Road
rarstons Kills. Massachusetts
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.
� '�
Building Inspector
a '•L w
..° °�. TOWN OF BARNSTABLE
BUILDING DEPARTMENT
»IS_ TOWN OFFICE BUILDING
rua
t639 HYANNIS,.MASS. 02601
MEMO TO: Town Clerk
FROM: Building Department
DATE:
41.
i
An Occupancy Permit has bbe��eennc issued for the building authorized by
BuildingPerm;,t�� ......................... ............ ......_......._..__...._.. ..... ._......__ .. _ »
V�f'/lM , N1 /TI
_ issued to ........... ....._._......._...�.�!» ..�_ ................................._..__.........._..._._..._._..�.�..._....... __...�._._....
i
Please release the performance bond.
s
l+airMh�%+F+►..__ •M�«R�w. .t�`¢•. IPb!!'L.R.b`• n by • ...-- .a�i+.K�.�'e. f.�+i+•.w.:.r.+V;+i. .a•.!M.xrMslw.d.i+Mr
y BUILDING
TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT
A=1O3-1U7
JOB WEATHER CARD
t.�DATE `Ly`u' ' 6 19 3�' PERMIT NO. a 2916
APPLICANT
. Shanaliasr ADDRESS R r
524 Nai SlLreet Sol Der is 0004035
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO BllilCe Dwelling ( 1j STORY all(,;l�' h;ircilv JkdGlll?lj; DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) i,l.t' 7, S' Idie.LIL 'N.d;�[1� 1`t I':;C° ??; "ILZ.LJ D STR CT _-il
IN0.) (STREET)
BETWEEN AND
(CROSS STREET) ('CRQS.S STREET)
LOT `b�
SUBDIVISION LOT BLCCK SIZ'c
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Sews. .;C (ti_''•5"1090
I Bone,
AREA OR iu4ti ;iC�. tL. i�S,00U.(�{j PERMIT( 110.t,0
VOLUME �ESTIMATED COST $ FEE z
'�.. (CUBIC/SQUARE FEET) •
OWNER John C llloily
C. tCOi11. BUILDING DE PT.
ADDRESS b JOVU G , BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THE EO:F'EITHER TEMPORARILY OR
® PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT'SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY-GRADES AS WELL AS DEPTH AND LOCATION OF PUIB-L/IC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED. PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
f I..FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERS(READY TO LATH).3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE.
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS •'d
/7 I
I
z z 2
3 `�" HEAT;NG INSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS
1��} TO K ERIN DIVISION
0- 1 2 2
WORK SHALL NOT PROCEED UNT;L THF/ PERMIT WILL BECOME NULL AND VOTD IF CONSTRUCTION INSPECTIONS- 'TO 146 TED ON THIS CARD.:
:NSPECTCR SAS APPROVED -vE VAalcus WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR By TELEPHONE;
STAGES OF CONST,9UCTiON. - OR WRITTEN NOTIFICATION.
PERMIT IS ISSUED AS NOTED ABOVE.
4
y' f
i
r /27 �- S7
}{ \
4n — -
�sTw Sf iL
-�. �-u7
GN
�
II
f
zvNE T.F.
A crzE
1 S o '��r�riTst c,c- 61•
3o �iS� ►�
5 E-T[3,4 AXs
' 1 f 4 1'(fol
15
► ° �o �
-12
I
�►�v.; �wx. CERTIFIED PLOT _ RLAr��
SCALES / "=so z' DA � F = / 0/S-G
EID� QGE ENGINffBING D®.IBV SNANA�//�.✓CLIENT I 'CERTIFY THAT THE .�
EGISTERE REGISTERED ���30 SHOWN ON THIS PLAN 15 LOCATED
CIVIL LAND JOB W0. _____,._,. ON THE GROUND AS. INDICATED AMD
ENGINEER SURVEYOR4 DR.BY, CONFORMS TO THE ZONING LAVES
OF BARNSTABLE , /MASS.
712' M A I N S T R E.E.T "' CH.BY R... _ toZTE—
NYANI�IS, MASS. / F SHEET_/ O .L D REG. LAND SURV`EYOR
Wk1ESL IZ 2 v D 0_0-7-be-j,-1 err+,_r7n) f
99.8 40 ��z/✓. w�Y
POLE
wteo o u N 99,1 9`� Al/ vo E-- 9g.Pd<<
l
q.S . 98.9
I1� SOIL i
`G \ \
/ 9 4 : 9g
�
q9.S
32
3S `V
" a
's a s• M .
• o r
(46
ki
,7S
r
-
.; Lo T
� SCPT/G'T�4N•K � o
o.
D
L 3 s r;'�
FR�N7etl�C +
� c)/// ��/� y a 39 ' 2S►�NI
OF 4a
RoBBRT
ul
MORSE
CIO
LEGEND
f, EXISTING -SPOT ELEVATION OxO I
EXISTING CONTOUR--- 0 -- - CERTIFIED PLOT PLAN
FINISHED SPOT ELEVATION
LOT 7 K/t/CjE'Lff R R t�rt•D
' •: FINISHED CONTOUR 0 -?S M/G.L5
NOTE:, The location of any existing under;�ound sewerage, - IN
,:3 wells, or other utilities shown on tl:is plan is approx- ^
imate only as determined from records and/or verbal ✓`i
information. The contractor is responsible for the
! verification of the existing locations in the field. SCALEI / 61 So DATE
ORED.GE ENGINEER/G 0 lNC�
t ,. �,, CLIEN7:�._ I CERTIFY THAT THE PROPOSED
/ 8. 3 v BUILDING SHOWN ON THIS PLAN
V_ E4ISTERE REGISTERED J06 N0. ______---
4.' CIVIL LAND CONFORMS TO THE ZONING LAWS
' ENG�1�EER RV DR.BYI d,1+ OF /3A/?A/STA8c.- INA/3
712 N :STREET CH. BY '�./3.E• 5' /����1: �.e'
HYANNIS, ;MASS. SHEM-L.OF 2' D TE REG. LAND SURVEYOR
/Y07"E /F E/7-HeR THE SEPT/C TAN/C OR '
?!EAC/,///VG P/T ARE MORE THAN IZ"SELOW t
i /D FT. M!N• I _:rRAOE� fa 24•D/AMETEK �'oNCR.ET.E COVER r'�
sNALL BE BROUGHT TO 6RAOE.Cr4N EXTRA'- 1
CONCRETE M/N. P/TGN j ll-yE=AVY CA ST IRON COVER SfV14 L[- DE USEJO
�- EL-. �8 N OR/V-=WA Y
e .
` "a Qr�ADE CC.) VER CLEAN SANG
.4. L/!�U/O LEVEL • ,- � a/
4- SCHEDV46� ' ,��,, 2+LAYER
P.Y.C. P/PE /O O O v a o r "u AF I�B -`��e
OAL. ' o • • • • • . • o o, WASHEO STrJNE
vo
pox >•7 SEPTIC TANK D/STa � o A � • • • • . • • �•o e4
9aX O • t 8 • r • r • a
�:-. v �. p � • •EFFECT%VE � ` . • 314 - I• �2•• ,
f c r • • DEPTit • • • ' • v • WASHEO STQiYE
! _';'.'-e / fr8'x 2: 470 ° •Q°p • • • • • • • ► 8 A o p ? PRECAST SEEPAGE
-fig �s /�0 = 79 o s. , � • • • • • • r 0 p ••y
o • • • • • • P/T OR EQUIV.
�4.8 G. e-10 y ►
IAIVCKT eLEYATIONS C_L /,D
f I
IMYERT AT OVILD/NG 9 0 FT. 6 D/f1M.
i INLET SEPTIC T.4NK 97.Y FT !O FT. 01,4M- C�SEETABULATION� �
j OUTLET SEPTLCTANK 97•6 Fr I
`I/VL(ET DIST/4/f3Uj/ON BOX 97.f FT. SECT/ON OF GROUND WATER TABLE {
OUTLETD/STR/BfITYON-�X 97,Z_F7_ 41
/NLET LEACHING 21,o FT SEWAGE O/SPOSA L SYS71EM 7A841LATIDN '
LEACHI/YG PIT D/MEN.S/ON A_4 F'T.
DE5/6IY CRITERIA sc:aLE
NUMBER OF BEDROOMS 3 -
D/MENS/0/Y C. 4 F.T. i'1/nr.
G4R6A6E DISPOSAL UNtT_^/d^rE SOIL LOG
TOTAL 637fM.4TEd FLOFt/_3 3 G GAL./DAY_. SOIL TEST #/ SOIL 77FST#2' SO L. TEST
AIIUM8ER QF -404CHING PITS__-, I -e4.r{! ��o �^-�t�Y pATE OF SOiL� TEST,
SIDE LEACH/NG PER P/T ! S4, PT. I� v_ -3 ' RESvLTS I+/ITN&SSEd7'BYNyC G/ F'O2A
'90TTOMLC$ACH/NCrPERP/T 7g S4: FT Loa-M AL AeRCOLAWON RATE/. ��s�'!►lIIV�I/NG(l
TOTAL LEACHING AREA Z&f6' SQ. FT. SvL3Sott- -PE/CCOLAT•IO/V RATE AZ MIA/f/NCH
RESERVE LEACi//NG AREA b b Sq FT. 3
colt L TEST' n— 3•1 4--
°"���his f"p` a G2•Q e%EL. - !0 T '7
�r - f"fir S -•
f1'.�'..3 1 G ,1_,t_rT\\�\b - g!— l Zr .. •T �IV.�,7 Al I.L.L•� � +
w`��jS ��:.��+��..e`^,E �'b a'y i"t Yt�.� ,[//`� • �!1l1rF'F'i�l�4fd'7'. . _ r �' .r s ,ae, f.. s ,. _
�936a , VINO x�,^z1.o) G,Q, IiE�- 4 EE:ARE,P, ?�/1 1�/I.E'Rf 'C�.CG IIV
hadf?u1tT���co``� x t �- cyv"t37"� j�ANIu/9 MASS..
�:�• �;o; '�, NoyGRovnr Wi4TG•R ErvCQtJNTEf�E4r�
tip' ��eou�rc� w F� i+7-.� .. t:
..�. �, y'. � tti.;,.• a .,.,,t a `-'r1 Fi<...K't a -%*a t t�' y' r VaV i�l t.:'t• �k
i.•„a S}
-
r - - 't' .- ti + . e ». '. •i F`, x a:_ �y R} Ys w, ,N i .;f t
t j7 '•
Ass sso'*'map and lot number � 7.. f7 _f �K...... . .SEPTIC; SYSTEM � US m° L . Pao$THE roe
/ Sewage Permit number ......�,. ..',ld., ...U�- .. INSTALLED IN COIVIwLh,INCE
WITH TITLE 5 Z B9H.HSTLBLE.
8�
...................... Ib.
NVIR®NMENTAL CODE AIV.DHouse numberaff....................................... 90o i639.T®WN
REGULATIONS '�0MAI
: TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .... 66r N6'vV
/1/STR 13/N6L,6 /�vvt icy lJ6wt is
........................................... ... .................
TYPE OF CONSTRUCTION. ........
WOv� vl.vw�1�
............:........................................................................................................
.......... O I...yJ ...................19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......��Qr7 (i1LIJEG .... �At�.......... !!!!�rccrr.... .ir, .f.....................................
..............................
ProposedUse ..................................................................................................................
Zoning District ........./..�.'.!..r...................................................Fire District
Name of Owner J oIJ N � NN t�LLy ,�OV�O Lr ST CAJ*S7' L,Ym 6 (,0--
......................................................................Address ..........................................................i..........................
Name of Builder w.:SIJA/�J1)-1A/v Address nj/ yu/Jln1 Sr Sp. t?UAIA)IS
................ ......................................................................
Name of Architect ........N
ND .......................................................Address ....................................................................................
Number of Rooms .. ...............................................Foundation ...UUYIGv........0�ivpr�....J..`...........................
Exierior SN!1-1 6t-6J Roofing � eh1jl.T Sw 1N(.b6i
.......... ........... .......................................................................
Floors C '1 .Interior I�L w/,? - ()1v�!.�....Y.I '.......................
............................................................................
Heating ..............................................Plumbing 7ik),...6A71�.f
.... ......... ............................................. ....
1QVZ►GK 1V•io F��E IZS' oo 0
Fireplace ..................................................................................Approximate. Cost ............1...................................I.................
Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ! r1 .f �
Diagram of Lot and Building with Dimensions Fee ....... ;�(b
�� r.......................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
vY'
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 .Y..Y�A�W&X'C,`1 A .............................
e)vy 63,j '
Construction Supervisor's License .............
sCONNOLLY, JOHN
28916
N&/. ............... Permit for ...1. §t.9�KY...............
Single Familv..j.pW.qjjin&...................
Location .........Lot...7 8 2..Wh.e.....e 1R.K..&Q_ad....
.... .... .
Marstons Mills
..............................0.........................
John Con
Owner ..........0.................al�.... ............
Type of Construction .........Fram.e.......................
.............................. ...................... ..........................
Plot ............................ Lot ................................
Permit Granted .......Fe Kr 14U..6..........19 86
Date of Inspe do ................... I 94f 4v
Date Cornifleted .... ........1 9