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HomeMy WebLinkAbout0092 WINDING COVE ROAD 0 0 Application number.. . .... ............... ...... PUN" Fee .�.�jj .................. .J ::00 0.............................. KAMJu 1 7 2019 Building Inspectors Initials..... TOWN N '0 i 8AMYSIABLE Date Issued....fo.//y.................................................. Map/Parcel.........05 7.....D................................. TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: q Z �...� c�.;v.� �" �. �� /�RS'GC�u�� yv�;\`5 NUMBER STREET VILLAGE Owner's Name: 'o�.� '�oc,o v 7 ra VC,Phone Number L,�D2 - L/Q ?3� a Email Address: e go s wse-t Cell Phone Number 56"S - 4 6 a----7 3 Project cost$ ?,6ZX3 Check one Residential V Commercial F- OWNER'S AUTHORIZATION As owner of the above property I hereby authorize k—z a�S\-\. to make application for a building permit in accordance with 780 CMR Owner Signature: Date: (a I l Co 19 TYPE OF WORK Siding 0 Windows (no header change)# E] Insulation/Weatherization Doors (no header change)# Commercial Doors require an inspector's review Q Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# y Q I (attach copy) Construction Supervisor's License# S (attach copy) Email of Contractor J Phone number _m ;t6-arro ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUB ECT PROPERTY.IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. t APPLICATION NUMBER............................................................ *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 201bs. 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 1 HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number. I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date l All permit applications are subject 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 Please Print Legibly Name(Business/Organization/Individual): !¢ry c Address: �� �(� 5 City/State/Zip: M4s Ll� Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.14 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling hip and have no employees These sub-contractors have g. ❑Demolition workingfor mein an capacity. employees and have workers' Y P tY• 9. ❑Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LF]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 01 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u er the pains and penalties of perjury that the information provided above ' true and correct. Signature: Date! G 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 M 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 ih 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 residestherein,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-contractor(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. In addition,an applicant that must submit multiple permit/license 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 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-MASSAFl Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia ----- r'��e Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 141991 03/02/2020 One Ashburton Place-Suite 1301 ROBERT WALSH Boston,MA 02108 D/B/A HARBORSIDE REMODELING ROBERT G.WALSH 250 CAPTAIN CROSBY ROAD CENTERVILLE,MA 02632 Not valid without si nature Undersecretary g ` commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction,�*�Or 1 & 2 Family CSFA-057394 (^�� E ires: 06/02/2021 ROBERT G W,ALSH, f. , P.O.BOX 713r Co" MARSTONS 141ILL&MA,�02648 � Commissioner -- Q OFTHE T Town of Barnstable *Permit# Z61 6,3& y Expires 6 ont mis?r{c¢nte Regulatory Services Fee l/ t w awxxsrwate, 16 9 Richard V. Scali,Director AjF p�,t A Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 AIN 1,5 www.town.barnstable.ma.us ®�11t Office: 508-862-4038 tU Oi a�C: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL OloTL LE. Map/parcel Number OD,� O Not Valid without Red X-Press Imprint h Co //�� A� Property Address �/��(' ! /� f /�C— W Vt NOL&LE ,'41AKSrU�� /y[�U-S ff-Residential Value of Work$ _700, c9 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 0 Z E IQ J k I / y� --o Contractor's Name Nnryti.:0 (A . VxA [;e; Telephone —332, Home Improvement Contractor License#(if applicable) I i q`7(o In Email: D l+yvj;.t31 tl ® �,��t t :L-C7✓V1 Construction Supervisor's License#(if applicable)J3 Z4 W/ t z 9 ❑Workma.n's Compensation Insurance Check one: U?'T-am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Copy of.Insurance Compliance Certificate must accompany each permit. Permit Reques heck box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to YhM007 (�/f7Ul��1GL ❑Re.-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum .35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where requited: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: Q:\V,PFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 L r PROF ZHE T�ti 0a Y Y BARNWABLE, Y 9� "�: ,0 Town of Barnstable ArEO�,t A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, a61+4 AD (TO A Z Fill SK I , as Owner of the subject property hereby authorize.i w � to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) S gnature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. Q:\WHILESTORMS\building permit forms\EXPRESS.doc 1 Revised 061313 Town of Barnstable Regulatory Services �oFtHE roiy,� Richard V. Scali,Director Building Division v�assBLE,�" Tom Perry,Building Commissioner 1639• 200 Main Street, Hyannis,MA 02601 rFDt tv 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 who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. t .. Signature of Homeowner Approval of Building Official Note: Tbree-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. :t Q:\WPFILES\FOR.MS\building permit forms\EXPRESS.doe Revised 061313 f .r .z fir. Thy:'C"'ii"'-'qa*ebar�'r$rFw.F'tiY'�l#'sn c. -ctri;r�"�'fim.�?�s'&.nTesS+;,?+�tasas'"2'u"xv�e �S"�r� r - tea;�:"rv'-'1r•:;r+,#YY�+"_`.i., t..,..; � y� @ lOR161ERS°'C�1�4IPIENSATIQN;ANUEfMPL"0 E'R: LIA 31L` ITY INSIJ"IVCE POLICY'' .. t '}'4l s..-.++..' r'"` .+.� 6r�f�IrlrinationPat e r .F.«L...,.:..».«.. +"`^Q"i+:X......tt..w....:.. ... ...:.:.+W-. rc.::� N..«.....�.=..Ya._n.}.i..3.it..-.«.«+.+.G.i:... _ ._. _i.:...: Atlantic Charter Insurance Company VDAC NCCI Co. No.:29211 Policy Number: WCV01168000 i. INSURED: Prior Policy Number: New Robert F. Tyndall Producer: 80 Brigantine Avenue O'Briens Centerville Insurance Osterville, MA 02655 Federal ID Number'.174560293 Agency, Inc. Risk ID Number: PO Box 610 Business Type: Individual Centerville, MA 02632 SIC:9999 NONCLASSIFIABLE ESTABLISHMENTS Other Named Insured: See WCE106 Other Work Places: See WCE107 2. POLICY PERIOD: ' The Policy Period Is From: 7/11/2014 To 7/11/2015 12:01 A.M. Standard Time at The Insured Mailing Address 3. COVERAGES: A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 100,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 100,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: i i COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates & Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate Per Estimated Classifications No Estimated Annual $100 of Annual Remuneration Remuneration Premium . 1 See WC 00 00 01 Minimum Premium: Deposit Premium: $500 $500 Interim Adjustment: Annually Servicing Office: Estimated Premium (Minimum Premium) $500 25 New Chardon Street Boston, MA 02114-4721 L ssue Date 07/01/2014 Countersigned B ��� (l p� _ 9 Y-_ rt..l��'�--�� 2 ic�ht 1987 National Council on Compensation Insurance l Form: 100mv Rie Coriancoriivealth of Massachusetts Deparhnent of f Industrial Accidents Office of Investigations, ' 600 Washington Street Boston,M1021I1 ivm4. inas&govldira Workers' Compensation Insurance Affidavit Buililers/Conti-ac-tors/Flecttz.cians/Plumbers Applicant Informatian Please Print L' eeihly None(Husinessl'OrganizationlFnditiidual): D i—G Address: P C • Gf» L4 l City/Statz,fZip= ,A R 09 3 3 Phone 47- �6 f'i—S Cd to--3 3,Q Are you an employer''Check the apptopriate box: T e.of project(required): am a general contractor and 1 }T t T.❑ F am a employer math � 0 6_ ❑Neva coristrtroctiou. employees(full and,-'or part-time).* have hired.the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling slip and have no employees These mb-contractors hive' S. ❑Demolition worizing for me in any cap r3 aci employees and have workers' $ 9. ❑Building addition. [NO Workers' cony.insurance comp.insurance required_] 5 ❑ We:are a corporation and its 10_❑Electrical repairs.or additions ofcer-s.have exercised their 11. Plumbing e 3..❑ I am a fiomeo�x�ner-doing all u�or1` g repairs.pairs or additions myself [No ri#t of exemption perlvfGL : vv�orkers'comp- 12_❑Roofrepai>s insurance required.]. c..1.52,§1(4),andue have no, employees..toy �o workers' 13.❑other comp.insurance required.] Any applicant$tat checks box#1 mist also fill out the sec dan below,showing their workers.''camtpensaiian policy informstiou- 1 a meowne rs-who submit-,his.sffidsvat indicating they are doing all weak and then hue outside contrsc tars:nmst subnut a new idE&eii indicating stuh =Contractors char check This box roust attached-at additional sheet showsmg the urine of the sub-contacrurs and state whether or:not those eartries have employees. Ifthe ub-<ontraciors have employees,they must provide their workers'comp.policy number. I am an entpFnyer that is providing workers'coaripensation insrtrauce for my employees. Below is flee poficy and job,site irtforrttatiarr.. Insurance Corupany\Tame: Policy#or Self-ins.Lic-I ExpiratiolDate: Job Site Addtass: W I N `l�G" CRVFL CA d� City/Stat&Zip:Ah-ASVid Attach a copy of the workers'compensation policy declaration page(shooing the policy number.and•expiration.date.). Failure to secure.coverage.as.required under Section 25 A of hfGL c_ 152 can lead to the imposition of criminal penalties of a in e up to$1,500.00 andfor one-year ii i sonmeut,as-well as vital penalties in the farm of a STOP'WORK ORDER and a fine. of up to S250.00 a day against the violator. Be advised that a copy of this.statement may be forwarded to the Office of Investigations.of the DLk for insurance coverage verification- I do hereby ce. if}� rider the pains andpenaldes of p "itry thatthe inforntntionpratZded above is trtie and correct Sizaa-tore: —� Date: Phone 19- Soo 6-6 ni:�;k Official itse only. Do not jvrite in this area,to be completed by city or toivn ofciaL Cie f or Tm,= P'ermitlLicense issuing Authority(circle one): 1.Board of Health. Z.Building Department 3.CitylTown Clergy.. 4-Electrical Inspector 5.Plu:ahing;Inspector 6..Other Contact Person: Phone#-- eponvrrca�uuealC�o� r N �'\U11 Office of Consumer Affairs&Business Regulatioq License or registration valid for individul use only d � ! I OME IMPROVEMENT CONTRACTOR. before the expiration date. If found return to: f0 a N e istration: I v x o 9 119:766 Type: I Office of Consumer Affairs and Business Regulation u m w xpiration: 8;!28120:1:5: DBA • I 10.Park Plaza-Suite 5170 g __ .--, + a p i WEBB CRAFT DESIGN' S r Boston A 021 w w r . DAVID WEBB E m °D' l 25 MEADOW VIEW C EAST FALMOUTH,MA arn G2536'� Undersecretary ya Q ; �• . I Not valid without signature Cal �!� C j t N a N � a E 4 N CJ J CA� � U 0 'D U) 0 wg AM3 a I a ' Town of Barnstable Regulatory Services TOWN OF BARNSTABLE Richard V.Scali Interim Director.,,, ❑ Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us DIVISION Office: 508-862-4038 Fax: 508-790-6230 PERMIT 1 000 FEE: $ 3� b� SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less IJv�1�2.Sz0 P s tAl Location of shed(address) Village S'Dg - 1.00 - 73` :P Property owner's name Telephone number Size of Shed Map/Parcel# ` ; l s Sigre Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? If over 120 square feet,you must file with Old King's Highway Conservation Commission(signature is required) G� Sign off hours for Conservation 8:00-9:30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,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 Q-forms-shedreg REV:110413. Town of Barnstable *Permit# ZME A ty� Expires 6 months from issue date N . °v ,�,B,L ; Regulatory Services Fee v� MC4 1 �`�$ Thomas F.Geiler,Director � 17C(j '°rFD 39. Building Division Elbert C.Ulshoeffer,Jr. Building Commissioner t`S 367 Main Street,.Hyannis,MA 02601w ✓� t�� H Office: 508-862-4038 Fax: 508-790-6230 ti OF 1��� EXPRESS PERMIT APPLICATION PPLt pRTION Not Valid wit N(✓ �� .` Map/parcel Number l Property Address `�' �r Value of Work - CA u>o nesidential OR ❑Commercial Owner's Name&Address �v IQ.�D �: Telephone Number d/ (Igo, 0151 tor's Contrac ame Home Improvement Contractor License#(if applicable) iConstruction Supervisor's License#(if applicable) vj [?'O�orkman's Compensation Insurance Check one: 01-fam a sole proprietor ❑ lam the Homeowner , ❑ I have Worker's Compensation I trance' Insurance Company Name Workman's Comp.Policv# Permit Request(check box) Re-roof(stripping old shingles) ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Valtie (maximum .44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations.i.e.Historic.Conservation.etc.. Signature expmtrg 1 CP o ^ H o 0� � o:3 p og. OD � 7 a �12e U/G�►127n�4?tllle� . 4� and of Building�RCD egulations and Standards One Ashburton Place - Room 1301 w 'Boston r Massachusetts. 02108 Home Improvement Contractor Registration Registration: 116664 Expiration: 05/15/2002 Type: DBA 1'YNDALL ROOFING ROBERT TYNDALL 37 BRIAR PATCH RD 05TERVILL'E MA 02655 i y. ^ r c FROM TOWN OF-BARNSTABLE w� BUILDJNG DEPARTMENT Zbwn Clerk MAIN STREET HYANNIS, MA 02601 1w Phone: 775-1120 SUBJECT: FOLD HERE r ` DATE - - November 8, 1984 MESSAGE Work has been ca»pleted under_Pemit #26118.(,Edward.lean). - '+tss+►w a�syt_+►+•+-ora-w+p.,r w:wms"w ' Please release Bond. - ..- w1F 4P�.ssa+c••a••ro.b4awe�se.1*aR u♦.!M -. . 1n'M''.`.'•1JC Y.4•vr$w Aw1W A'M:wY MtM7f'9.M.Ir O•+ - I .. - SIGNED.. DATE REPLY SIGNED - N87-RMI - RECIPIENT: RETAIN WHITE COPY,RETURN PINK COPY .. ` ... PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. PL —lug TOWN OF BARNSTABLEo Permit No. VAINSTAU Building Inspector Cash ------------- "Ali OCCUPANCY PERMIT Bond Issued to Address 992 Ili dinf- Cove Poad, 1,4arstc---)- Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ...................................................... 19.......... ...................... ................................................................................ .......... Buildj�g Inspector Assessor's map.and lot number /. ..l.. ��.. .. Sewage Permit number ........... .. . ................:.. • .....'... �-. Z BARNSTADLE, i qq.House number ........:.........1: -'..... 8...........................:.... 4. 90 �63 ♦� s p M p. TOWN OF. BARNSTABIE BUILDING : INSPECTOR i APPLICATION FOR PERMIT TO ` �/11 J.!L 5�o"'�'o AWk At ........ TYPE OF CONSTRUCTION .......� W11M�,...' t �..... ..................................................................i ...... ........................19 .. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: LocationL.OT..............................(,:LV�� OVE.... ..........!.'... v5 1. \�....5...........!I Y,..................................... ProposedUse 5`!�.. Aw.... . ? hLl . ............................. �' .............................................,......................... Zoning District ....................................Fire District .. ''l� I!ny;.�V,.....��n Ja ?i��. ................. Name of Owner ....!.:." ` K!^.......Address .............................................:. Name of Builder GV`S !(4a�� .................Address �`� �n �1� TAArw � � YVt'A M.. .� ......................... �................ . Nameof Architect ..................................................................Address .................................................................................... Ccrv�cre-{P Number of Rooms ........... �!,�II�.............................Foundation .10....��v f............... ...................................... ......................1 � C � S ..........................Exterior nv � f Floors ..............Interior r VJ�� ....a,rq�.� ..............................................:. ... +t. ........ ........................................................ Heating ........::....... ..... �.t.....LL.:.: ..................Plumbing .... •�./Z „?'j V1;�................................................ i YI g5 ao®�°O Fireplace .....�.....�•...............................................................:..Approximate. Cost ............t......:................................................ Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area .2, ...........L.\j! Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH,, i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations'of, he Tonof'Bar• stable regarding the above 'c 3 construction. Name Construction' Supervisor's License ..Q.. .. .�.. ......... MDGAN, EDWARD AL=57' 18 26118 12 Story ................. Permit for .................................... Single Family Dwelling ................. .......................................................... Lot 88, 92 Winding CoVe Road Location ................................................................. Marstons Mills ............................................................................... Owner ...Edward Mogan ............................................................... Type of Construction ...Frame ....................................... ................................................................................ Plot ............................ Lot ................................ February-29, 84 Permit Granted ........................................19 Date of'lnspection,'....:................ ....19 Date Completed ..........*............. .............19 70 D. �y O •v_ Assessor's mbp and lot number, ..Jr //.. .�y:.l�► Sewage Permit number ....... .. .............. House number G�a-.......'`� - �+ °�+r'" ae�aea is, �i+ J . r ..• 1 v�.. O 1639. 6� TOWN . OF. BARNSTABLE BUILDING . INSPECT+OR APPLICATION FOR PERMIT TO ........ ... ...5/. � J TYPE OF CONSTRUCTION ........ 076A. 'VV-4......................................................................................... ................. 4 ........................I9 . TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit according to the following information: Location .... oT... .8+ g.....W.� 1 V' ` .. J� . ........ ....... . M�v ... ........................ ............................... Proposed Use J " ���'t^`� Zoning District ' ' Q !�gAvIt\P t.........................................Fire District `'� �1�.. . . ....!�5 .....c�? ........................... Nameof Owner ... .......Address .................................................................................... Name of Builder G `��!CO�\� a'v :Address �•�•.. G ..�,� ��tWl�.. \A...M.1A y.. . .... ......... .... ....... ......... ... Nameof Architect ....................................................................Address .................................................................................... < � A/ l Number of Rooms ................................!/.................................Foundation .��.... f1vf .....CC�VI....,. e .. ................... Exterior ��. �.Kt� � ...W�:t� �� q!�S�`i'`!�. Roofing .....��...�/ ..... S.`r'� ........................... Floors -�-........!............................................Interior ►...W... ....................................................... Heatin f'? �I.w Q��............................Plumbing ....2:./Z. ... 't ................................................. Fireplace ......OA(Z ...............................................................Approximate. Cost ...2....t....................................................... 1.J Definitive Plan Approved by Planning Board ---------------------------19_______. Area0 �. v) Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the oqno. nst ble regarding the above construction. Name .. .......................................................... i t ( (l. Construction Supervisor's License .Q.`.�.. . .v.......... K)Ck-i, EDWARD 26118ki 11-, story N'!) ................. Permit for .................................... -Single Family Dwelling .........................................I..................................... Lot 88, 92 Winding' Location ...............................................Cove Road .................. Marston Mills ............................................................................... Owner ..Edward Mogan....................................... ........... ...... .... Frame Type of Construction ........................................... .......... .................................................................... Plot ............................. Lot ................................. ebruary Permit 'Granted ....F....................2..............19 84 Date of Inspection`.. IR27....................19 Date Completed . ....... ...............19 z A l LEGEND N =- 18 - EXISTING CONTOUR x 16.82 EXISTING SPOT GRADE 2S -W EXISTING WATER SERVICE Roue LOCUS -U UNDERGROUND WIRES ® SPRINKLER HEAD Q� Fo2er a T Q no TEST PIT \Sd `% °� d o 27 w � BENCHMARK S 20°00' 135.9B, o a a � Q� x I a LOCUS MAP NOT TO SCALE / i� LOT 88 11 PAS 2g L057-01 V x 60.47 x 60.89 (6); 30,012 ±SF PB x 59.56 / � 1 • f Il Z -0/ 1 w 0 / x 60.74 x 1.6 x 60.53 x \ /�O N / I 60.55 60,55 I y � � 2.01 . 60.80 / x x 61.44OCL OD DECK N lc x 62.06 60.88 6 48 _ x 62.17 60.4 62.63 ,EXISTING 60.68 x / HOUSE 92 6 •52: T.O.F.=63.5t Pa BENCHMARK DRIVE{NAY :: GARAGE OUTSIDE CORNER BOTTOM STEP 61.36; .0 / - EL.=63.24 x 6 2.5 7 6 35' x62.40 62.30 EXISTING SEPTJC TANK 10'-� f• TOP OF TANK, EL.=61.06 0 61.55;..I J 62.21 62.31 x x G INV.(OUT)=59.73t :I e,, xl-De-\ ® TP 2 I m o 61.60 y 0 � G GN Q F` 2.16 4 TP 1 �I$ pF MASlot54 PETER QQ G R T. o o +1 62.05 McENTEE CD C CIVIL EXISTING LEACH PIT /L°Q� 62.36 No. 35109 PUMP, FILLED WITH / � 61.17�- r. .: .. SAND AND ABANDON o J 61.53 £G/S1E�E� k� F ON x 62.11 r - -�T.. .. 62.24 6 57 W x 61.9�1------ J x ® �0 61.99 A2.46 61.10 125.00' . ELEC BOX S 30°53'51" W OWNR OF RECORD Xe 61.00 61.38 61.50 61.71 ROGORZENSKI, JOHN 60.38 60.71 60.89 PK SET & HEATHER S ' 92 WINDING COVE ROAD WINDING CO V L ROAD MARSTONS MILLS, MA 02648 PLAN REFERENCE: PLAN BK. 272 - PGS. 29 & 30, LOT 88 Engineering by: SCALE DRAWN roe. No. PROPOSED SEPTIC SYSTEM UPGRADE PLAN Engineering Works, Inc. 1"=20' P.T.M. 156-14 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. 92 WINDING ' COVE ROAD, MARSTONS • MILLS, MA (508) 477-5313 6/10/14 P.T.M. 1 of 2 Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632 cs : PLAN VIEW : I/S PLAN/S FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE SPOSAL FACILITY ONLY,. SCALE : L CONSTRUCTION MErHIODS AND MATERIALS SHALL CONFORM TO 155. D.E.Q.E. TITLE 5 A NO THE '. sr,� c BOARD OF ALTH REGULATIONS. t� q ! N I � I 3, ,4 ;59 9B G7 C©.JG.��-TGr --`--ter ..._'`,��}_ p .saz�✓.cea' (ef-Z 23 NN 1 � � � FNTuRt ,fin• ��_..__..___..-. _._. � 1 1�j ' I l i G"'....�J' �/ C%' c::i+r.'7 �"�;-..:,�;,;7 E:✓ti✓ `j'iS "G.• '" �,�«..G7Ci"'/y/'.f,' tF'"""E REG/STEM'€C) LANCt S RVEyC? aK oK «vi ITINCj "t s4' 1 o st4S` f �. i wm'4