HomeMy WebLinkAbout0140 CROCKER ROAD ire)- .
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k UPC 12543
No. 5� 3LOR -co
HASTINGS. MN
rvrnt�7T.l-f-,..tea r..yr�,.{�..r�..V..n- n�w�-�r�rr-�Je� y;� .SM""� '
� .� Town of Barnstable Building
Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
Posted Until Final Inspection Has Been Made. Permit
3u.. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made.
Permit No. B-19-3653 Applicant Name: James Diede Approvals
Date Issued: 03/23/2020 Current Use: Structure
Permit Type: Building-Sheet Metal-Residential Expiration Date: 09/23/2020 Foundation:
Location: 140 CROCKER ROAD,WEST BARNSTABLE Map/Lot: 110-024 Zoning District: RF Sheathing:
Owner on Record: FREITAS, MATTHEW P& LINNEA E Contractor Name: JAMES M DIEDE Framing: 1
Address: 140 CROCKER ROAD Contractor License: 101. 2
WEST BARNSTABLE, MA 02668 Est. Project Cost: $7,500.00 Chimney:
Description: install a new HVAC system for 2nd floor Permit Fee: $85.00
Insulation:
Project Review Req: Fee Paidl $85.00
Date: 3/23/2020 Final:
Plumbing/Gas
Rough Plumbing:
\Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after�issuance.
All work authorized by this permit shall conform to the approved application and thelapproved construction documents for which this permit has been granted. Rough Gas:
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
Final Gas:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the
work until the completion of the same.
Electrical
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Service:
1.Foundation or Footing
2.Sheathing Inspection Rough:
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final:
5.Prior to Covering Structural Members(Frame Inspection)
Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy
Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall not proceed until the Inspector has approved the various stages of construction.
Final:
"Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A).
Building plans are to be available on site Fire Department
Final:
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
1 11 -3
oFs rqy, Town of Barnstable *Permit#
Expires 6 monthsrrom issue date
Regulatory Services Fee
• aAMSTABt.E,
Thomas F. Geiler,Director �( _
Building Division
Tom Perry,CBO, Building Commissioner 0 •
200 Main Street,Hyannis,MA 02601
J ''P E S IT www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
M G.1° •" 5 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY
TOWN OF BA NSTABLE Not Valid without Red X-Press Imprint
Map/parcel Number
Property Address �v G
/
P ' �D G', K�-.�
EX Residential Value of Work_ ��U(3 , t"D Minimum fee of$35.00 for work under$6000.00
Owner's Name&Address /�o /3 � T 6�Li c tc
o� �7—p•Gu d c��� l'r' f-/ r eT
Contractor's Name Z0a g r Z 4�5,y y;ems a T��C Telephone Number_
Home Improvement Contractor License#(if applicable) / o 7 7e,)_y.
Construction Supervisor's License#(if applicable) C
❑Workman's Compensation Insurance
Check one:
❑ I am a sole proprietor
❑ I am the Homeowner
�] I have Worker's Compensation Insurance
Insurance Company Name L vz ry m,._ T-u
Workman's Comp. Policy# L'j G 2. — 3 I S — 3 3 3 44
Copy of Insurance Compliance Certificate must accompany each permit.
Permit Request(check box)
® Re-roof(stripping old shingles) All construction debris will be taken to j0%J A W el—
� �c. ❑ Re-roof(not stripping. Going over existing layers of ro b�Z ( �� �
❑ Re-side
#of doors
❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#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 must sign Property Owner Letter of Permission.
A copy of the Home Improvement Contractors License&Construction Supervisors License is
required.
i
SIGNATURE:
Q:\WPFILES\FORMS\building permit forms\EXP �dc
Revised 070110
I
t
The Commonwealth of Massachusetts
d Department of Industrial Accidents
t MCI l Office of Investigations
1 600 Washington Street
j Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please.Print Legibly
Name (Business/Organizl"a/�tion/Individual): `�f O i2 /TL �B iV r7e 4-e,j-o/L
Address: S f�ao ✓ J,/:2-
City/State/Zip: X14 ozal Phone #: g"a,� '1 6 f- f!J^f
Are you an employer?Check the appropriate box: Type of project(required):
1. am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2. El am a sole proprietor or partner- listed on the attached sheet. t �• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑-Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
(No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 1 1.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4), and we have no 12.gRoof repairs .
insurance required.] t employees. [No workers'
comp. insurance required.] 13.❑ Other
*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 anew affidavit indicating such.
lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site
t information.
Insurance Company Name: G t `3 9-i2�
Policy#or Self-ins. Lic.#: t-rc Z— 3/S - 3 3Z 3 Expiration Date:
Job Site Address: l D C!�G K �/2 /R City/State/Zip: /3Aw"-c *ee_E /jZ,I'
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 S250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Si ature: Date:
Phone#: 5-17 J_Fpo�
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
Phnne.#-
f
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."
Y
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 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 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-N ASSAFE
Fax # 617-727-7749
Revised 5-26-05
www_mass.gov/dia
+Vlassuchusetts- Department ofPublic Safety
4 Board of Building Relgukrtions and Standard
Constt.uctiott Supervisor License
License: CS 29456
- Restricted.to: .00.
EDWARD.0 MORITZ"
.15 HOOVER;RD
WALPOLE, MA 02081 ': ' _<
Expiration: 9/11/2011 ,
(nnunicciuncr Tr;=: 4190
Ot;ce of6on-ee`�°ia6
HOME IMPROVEMENT CONTRACTOR.
Registration:y .107729 Type: i
Expiration: .8/5/2012 Privae Corporati
MO TZ CONTRACTOR-INC �r-;
Edward Moritz
15 Hoover Rd
Walpole.MA 02081
-' Underkeretary "
` Feb. 0. 2011 4:27PM — No. 1205 P. 3
ACORD CERTIFICATE OF LIABILITY INSURANCE
2/10/11
THIS CERTIFICATE IS ISSUED AS A MATTER OF UIFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERnFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(leb)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A stalemerlt on tMs celtlflmalte dais not cantor rights to the
certificate holder In Ileu of such endorse men1s).
PRODIICem CONTACT
NAME:
John E Patterson Insurance Agy "E 781 329-1020 (7e1) 329-667e
190 Waabingrton Street E4NAIE19
PO Box 36 2804
Westwood, MA 02090 INSURE AFFOMNOCOVEMOE NAM A
uURED IwuRERA:Norfolk & Dedham Mutual.
Moritz Contractors, Inc. INWRERB--Liberty Mutual Insurance Compa
15 Hoover Road INSURMC:
Walpole, MIL 020111 INSURERD:
INSURERE•
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWRHSTANDNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOM MAY FIVE BEEN REDUCED BY PAD CLAIMS.
ILNSR T1/PEOFINSURANCE AWL BUHR
POLICY NUMBERPAMMIYVM IMMUTMILIMITS
oENERALuAmLr" EJICHOCCURRENCE t 1 000 000
A X COUMEWAL%NERALLMILITY R0205927 2/6111 2/6/12 : 50 000
Jr
CUNAS WADE OCCUR AED DP(Anro-Pew) S 5,000
PFRSON►LaADVIruURY S 1 000 000
GENERAL AGGRECATE S 2,000,000
GE►rLAGGREGATELINTAPPUESPER PRODUCTS-CONPMPAGG $ 2000000
X1 POLICY PRa F1 LOC s
AUTOMOBILE UABIUTr
COMB W ED SINGLE LAIR
A AWYAU7D 91021443A 2/7/11 2/7/12 (Eoeccden) = 11000,000
A1LL owrrFo Auras
BODILY INJURY(Per Person) S
X SCNEOULEDAUfOS BODILY INJURY(Per 4Wdwol f
PROPERTY DAMAGE
HIRED AUTOS (Pareociowo :
NONOVAED AUTOS =
s
UMeIELIALUUI OCCUR EACH OCCURRENCE S
E)MESSLLIB CLAIMS-WADE
AGGREGATE
0®UCTIBLE
RETENTION S
)3 NDRNFRS COMPENMOINPLOVERS11BAILIT WC2-318-332366-011 2/6/11 2/6/12 1 WCSTATU OTH-
�10E�RARMOMIERP m CUTAIE g I H/A EL.EACHACpOENr S 100,000
(Merdewry In NNI
and —J E.L DISEASE-EA ENPLOYEE S 100,000
rayYeede aeeorlDeuber E.L.DISEASE-POLICY LMIT S 500,000
DESCRIPTION OF pPERATIpN$hebw
DESCRIPTION OF OPERATIONS IL0CA7XINSIVENICLES(ACIIACORDIOI,AdfilWReR%AliYdisdit,ITepreSPsoebroq:ired)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
7own of Dedham ACCORDANCEWITH THE POLICY PROVISIONS.
Building Department
26 Bryant Street AUTHORIZED REPREWaATNE
Dedham, MA 02026
John M. Patterson, CPCU
01988.2009 ACORD CORPORATION. All rights reserved.
ACORD 2S(2009109) The ACORD name and logo are registered marks of ACORD
MORITZ CONTRACTOR INC.
23 ATWATER DR.
FALMOUTH, MA. 02536
ph. &fx. 508-540-8253 -
Mr. Robert Glick
25 Stowe Rd.
Sandwich; Ma. 02563 5-4-11
Enclosed please find a proposal for roofing work at 140 Crocker Rd.,Barnstable ,
Ma.
Use tarps to protect the house and grounds
Completely strip all existing roofing material
Install:
30 year rated asphalt architectural shingles by"Certainteed"or similar-color of
choice on house and bay windows
3' of ice and water membrane along eaves, at intersection of sidewall and roof
and at skylites
#15 felt paper under the rest
New ridge vent
New vent stack flanges
8"white aluminum drip edge along all edges-eaves and rakes
Remove all debris to a qualified disposal site
Price includes all necessary labor,materials,permit and fees
Cost: $ 6500.00
Payment schedule: 60%down,40%at finish
Homeowner:
Contractor:
Assessor's offioe. (1st floor): !
THE T
Assessor's map and lot number l.l.4...�P.t.' .y............ j(. ...
Board of Health (3rd�floor)- o.
Sewage Permit nucber ......�E�.7...��.�r .�..................... .... 2 BASd9TODLt, i
Engineering DepartmeGt (3rrd floor): - } „ t °o z6 0•
House numbeQ .....fJ... .n...............;.....� .... ...........�'..'... i°�p a.
•• YA
APPLICATIONS ROC-SSEDC 8:30-9:30 A.M, and 1:00•2:00 P.M.,i only
61 - 5-TOWN OFl ~�BARNSTABLE
BUILDING INSPECTOR
APPLICATIOO& PERMIT T,O .....6�......................_.............................................. .......................... ..............
(X TYPE OF CONSTRUCTION ...... U..5e .................. ...................................:................................
°)
.roc,..1..--.-.a .............:.19F
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a� permit according to the following information:�� f
•
Location n ....��.1 .....:ro..r.kp/.....�3 :..../.�.../3 .rr��� .h.1. ...../ lA:.................................................
Proposed' Use ..... lY7`P.. ....................................:...........................................................................
............... .................................
Zoning District ......... .........................................................:Fire District ..LC.�P._�f...C�A/n„S
t.
......................................
Name of Owner .l'1i�(Gl . ... ....6/.fW( ......:.•................Address >��.... 1..)..2 .i!? n.:� .....��1..1k2.�p:?..N� ..
Name of Builder ... .............:. ..-...-. T77,. ..........................Address
Name of 'Architect _� .C� .....M!.f1J.dy,-. ............Address s���J.�.i��?�..�lSt� 5�. ..IUQ.���Sp ACC. ...............
Number of Rooms ......+ f. ...................................................I'dundation .. .�?ov .l.:'....e,6n. '(ek........................
/� /
Exterior •l.=-r.�l�..... / ..................................................Roofing ..C!...Sh�? .� .......517! ��.lG. ..................................
..Cud....�1.. K ...... .. f� Q i��f r1rinterior �c-f..r- �� K a
Floors ::..............{,.. �........ C:...:........................................................
Heating ............. .�1_)lJ.,.. ...................f-:.....Plumbing .........
l v .......................................................
Fireplace ... ...................................................,.........Approximate Cost .... �� k.� c!a
.............................................
Definitive Plan Approved by Planning Boarda___/ __....
1975 Area ..........................................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH -g
Vol
g
r .
OCCUPANCY PERMIT&/ QUIRED FOR NEW DWELLINGS
i
I hereby agree to conform to all the Rules and':Regulotions of the Town of Barnstable regarding the above
construction.
Name ..-/d /(i/?....�J, i;(a.��.< .................................
• � Construction Supervisor's License ..A4r. e.................`
GRADY, BRIAN R. A=ll -24
,1z Story
No 3.103.. permit for ..
Single Family Dwelling
..........................................................................
Lott #101 , 140 Crocker Road
Location IP... 4,-...
...............
West Barnstable
...WA qO SApA k....�.(
Brian R. GZady
Owner ;. r .�.... . �'i��( ....................
Frame
Type of Construction ,.. 4-t lC! ..�'!`Gl.!)'�.C-... y
1- ?. . ^.......................................................
Plot ............................ Lot ....l..O.......................:
Permit Granted .....July
...29.!...............19 87
Date of Inspection ....................................19
Date Completed ..........`...:.:.:...................19
w.
Town of Barnstable
OF SHE 1p�
do Regulatory Services
Thomas F.Geiler,Director
► BAMSfABLE.
a S. �0� Building Division
iOTFn hM�° Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PERMIT# P A- FEE: $
SHED REGISTRATION
120 square feet or less
I Yv agj�r— 'ert aD 'W, %f) A�L�- O
Location of shed(address) Village
V- CArw K- 362 4s6�
Property owner's name Telephone number
crSX 1��
Size of Shed Map/Parcel#
��p S
Signature Date
Hyannisy
ain Street Waterfront Historic District? 1`�
HistoricOld) g s Highway Historic District Comnussion jurisdiction??
S /
Conservation Commission(signature is required) i
;r
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
-7,
Q-forms-shedreg
REV:121901
Ed 9K. PCB. = LAN BK.
S_SESSO'R PLAN ALOT Type OFBLDG FOUNDAT t ON
WNER BR IAN R . G RADY, ET AL APPUCANT
MIS PLAN IS A TWO SIDED DOCUMENT — SEE REVERSE SIDE FOR NOTES
J
1
i,7 c�ti
LOT in T'Pq
1 F .,
4521 S . F `��
V n
LOT 100
O
C\ J
P
►i ��. 314..70 ' 7 . 10 ' ;
C
KER RnADRo .
EE99E
Y 19 2005LE CONSERVATION
OTE., THIS PLOT PLANWASNOT MADE FROM AN/NSTRVMENTSIlRVEr THESE CERT/F1CAr10VS_AREM4DE TO THE ABOVE NAMED CLIENT
AND ARE FOR MORTGAGE roNS R CIIION PURPOSES. THIS PLAN CE*S ARE Me NOT TO BE USED FOREREGbRDING OR DES ESCRiprwml
PROPERTY LINES OR FOR
AND APPLIES ONLY TO CONDITIONS EXISTING AS OF THEDATE SHOWN HEREON.
REVIEW - SEE NOTE ` �N �F MgSs9 MORMAOF PGOT PLAN OFLAND '
ZONING LOCATIONS DAMES IN
F D /0 S B BARNS TABL E
LOT DESCR/PT/ON P
BLDG. LOCATIONS' No. �� SCALE/ $p ' J U L Y 2 n, 1 - /
OT RfcisjE��°oQ HAYWARO-QOYNTON 8 W/LLISINC,
Sao sURS SURVEYORS C/VIL EN
60 COURT srTAUNTON MASS
4
Application to:
6�Pd1yA� M�5 V� - ;.j...• . .
OPP pEP EP
Old Kings Highway RegionalHis�-,'pr District Committee
in the Town of Barnstable for a
CERTIFICATION.OF EXEMPTION-
Application is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings, or photo-
graphs accompanying this application. `.
TYPE OR PRINT LEGIBLY DATE III q�os
ADDRESS OF PROPOSED WORK I VQ GR-o6kI—/2 &t .41� ASSESSORS MAP NO.
OWNER An� q__CA GO L ( l;;LCJC- ASSESSORS LOT NO.
HOME ADDRESS CRC'-k� �-'1 W'�R2� C TEL. NO.
AGENT OR CONTRACTOR °, e- 2 ✓1_ ��(-�A�« NC
1 l DPEL.No.
ADDRESS 2 �-'
This application is for exemption of proposed exterior construction on the ground that:
❑ (1) It will not be visible from any way or public place.
❑ (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission.
(Check applicable box)
PROPOSED WORK: Describe and furnish plan of proposed work, showing location on lot,and, if an addition is involved, show,
ing location of existing building.
iERec�' a S i D� A c CF- C-ENC.f- P1KT4 -AL Ff"1511.1-
5Vf-> ;L Wi t,6>oL•)S fc iTW62 g ibg. OF Dob12 A-S p/"
S�intAl'fcS I �421�1 �RR17 Si1�rMQ
. 4
SIGNED
Space below line for Committee use. Owner-Contractor-Agent
Received by H.D.C. The Certificate is hereby ARWUVLU .
(/V
Date
Time
By Date
Approved ❑ The categories of work entitled to exemption are listed on
Disapproved 0 the back'of this form.;
BRIAN R . GRADY CMOs TRACTN I A I 9777n5
D BK.' PG. PLAN BK. G
ASSESSOR,PLAN`SLOT TYPE OFBLOG FOUNDATION
awAIER BR IAN R . GRADY, ET AL APPLICANT
THIS PLAN IS A TWO SIDED DOCUMENT — SEE REVERSE SIDE FOR NOTES
N
p
.4�
� C4�
L 0 T 101 �Qy
1 45, 214 ± S . F . elf00
LOT 100
r
a
►i 314 . 70 '
7 . 10 '
CRO CKER R wn A D
NOTE: THIS PLOT PLAN WAS NOT MADE FROM AN INSTRUMENT SURVEY THESE CERTT/FICAT/ONS ARE RUDE TO THE ABOVE NAMED CLIENT
AND ARE FOR MORTGAGE PURPOSES ONLr. UNDER NO CIRCUMSTANCES ARE THE DISTANCES SHOWN TO BE USED TO ESTABUSH
PROPERTY LINES OR FOR CONSTRUCTION PURPOSES THIS PLAN IS NOT TO BE USED FOR RECORDING OR DEED DESCRIPTIONS
AND APPLIES ONLY TO CONDITIONS EXISTING AS OF THEDATE SHOWN HEREON.
REVIEW - SEE NOrE �t1 �F MASs9 �p/�AGE�01'l®L.�4N OFLAND
ZONING LOCATIONS JAMES /N
F I° B SA RIVS TA BL E
a LOT DESCRIPTIONd. o c
BLDG. LOCATIONS N �� SCALE J u L Y 2 0, 1 _ '
.07- _ _ - ,�EcisTER``°�oQ HAYWARD-BOYNTON a WILLIAMS INC
gtia S \44 SURVEYORS CIVIL EN,INFER MASS . s
60 COURT srMA(ro N
ONLY STATEMENTS CHECKED PERTAIN TO THIS PLAN FILES #_ 877705
ZONING: �.
1) I CERTIFY THAT THE LOCATION OF THE BUILDINGS) SHOWN ON THIS
PLAN CONFORM(S) TO THE LOCAL ZONING LAWS .
2) I CERTIFY THAT THE LOCATION OF THE FOUNDATIONS) SHOWN ON
THIS PLAN CONFORM(S) TO THE LOCAL ZONING LAWS .
3) I CERTIFY THAT THE LOCATION OF THE DWELLINGS) SHOWN ON
THIS PLAN CONFORM(S) TO THE LOCAL ZONING LAWS .
0 4) THE SHOWN ON THIS PLAN DOES NOT APPEAR TO MEET THE
MINIMUM. YARD REQUIREMENT(S) OF• FEET .
O 5) OUR MEASUREMENTS INDICATE THIS OFFSET' IS CLOSE- TO THE MINI-
MUM YARD REQUIREMENT(S) . A ZONING DETERMINATION
CANNOT BE MADE,..WITH,OUT._,AN ACCURATE.. INSTRUMENT SURVEY.
O6), THE ZONING CERTIFICATION SHOWN HEREON IS VALID PROVIDED THE
BUILDINGS) SHOWN EXISTED PRIOR TO
7) I CERTIFY THAT THE BUILDINGS) SHOWN ON THIS PLAN LIES WHOLLY
WITHIN THE LOT LINES .
FLOOD:
d 8) THE PROPERTY SHOWN ON THIS PLAN DOES NOT FALL WITHIN A SPECIAL
FLOOD HAZARD ZONE DETERMINED BY SCALE AS DEPICTED ON A MAP
OF COMMUNITY # 250001C DATED8/19/85 BY THE F. I .A. , ZONE C .
O 9) THE PROPERTY SHOWN ON THIS PLAN DOES FALL WITHIN A SPECIAL
FLOOD HAZARD ZONE DETERMINED BY SCALE AS DEPICTED ON A MAP
OF COMMUNITY # DATED BY THE F. I .A. , ZONE
• r .
F] 10) THE PROPERTY LIES WITHIN TWO OR MORE FLOOD ZONES SHOWN ON
THIS PLAN DETERMINED BY SCALE AS DEPICTED ON A MAP OF COM-
MUNITY # DATED BY THE F. I .A.
LOT DESCRIPTION :
11) PROPERTYf LINE CONFIGURATION TAKEN FROM ASSESSORS PLANS .
O
LOCA IONS :
12) THE EXACT LOCATION OF THE
BUILDING(S) SHOWN CANNOT BE
DETERMINED WITHOUT AN ACCUR-
ATE ON THE GROUND SURVEY.
TMPORTANT
NOTATIONS : :
O 13)
• i
LIMITED
TITLE CERT. :
a 14) I HEREBY CERTIFY TO
AND
TITLE INSUR .. CO. THAT
THERE ARE, NO VISIBLE ENCROACH-
MENTS OR EASEMENTS EXCEPT AS
SHOWN .
Hoyword - Boynton 8 Williorn4'
Application to
♦ 9PPN +OIP�OtlSpP•P pNS
Old Kings Highway Regional Historic District Committee
in the Town of Barnstable for a
CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:
� CHECK CATEGORIES THAT APPLY-
(
1. Exterior Building Construction: E New Building ❑ Addition ❑ Alteration
Indicate type of building: [J House ❑ Garage ❑ Commercial ❑ Other
2. Exterior Painting: d (;;4:0�
3. Signs or Billboards:; ❑ New sign ❑ Existing sign ❑ Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY y`I DATE
ADDRESS OF PROPOSED WORK 10WY o('4' "I- ��� 6U• 6A. k ASSESSORS MAP NO. 1/0 I "iy
OWNER % )il/(c/^) I L(<r CI ASSESSORS LOT NO.
HOME ADDRESS ') l)�I1) iIi IZ��� S�. /(2 0!')/-6.1� /��� ( 2 i'l TEL. NO. �q
I
FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
0 SS
Coss
• t - 7
�=� l� lF ,c c1��q E�� .15 1rC4 i;r rd Cy 6'0&�/r9l2 l- ( -;f-I'Ve
AGENT OR CONTRACTOR >r)��)1l LA I tI r_) TEL. NO. 7S
ADDRESS
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8, other side'), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of new signs. (Attach additional sheet, if necessary).
_� Signed i' , �L
!j Owner-Contra for-Agent
Space below line f.or �, tee use.
j LReceived by H.Q.C;�
Date The Certificate is hereby 1 ► Q t� Date
Time -
By
Approved [� IMPORTANT: If Certificate is approved, approval is subject to the 10 day appeal period
-- - - — provided hi the Act. —
Disapproved 171
sses.o?'s offioe.(lst floor):. K,N-_ P,7r%7.IC SYSTEM MUST BE �fT"ETOfr
Assessor's map and lot number ��.d .�O.f.o�. ................... v `
V,'T.�' LLED IN COMPLIANCE'
Board'of Health (3rd floor):Sewage Permit number ......$.7...34-7............................ WITH TITLE 5 Z HASd9T&BLL
Engineering Department (3rd-floor): 9 � '�q9�®����'''�� C®®� �1�Rf� 'oo " q. 0�
House number . ..��... .'''"...�.
APPLICATIONS PROCESSED 8:30,9:30 A.M. and 1:00-2:0d P.M. only
TOWN OF BARNSTABLE .
BUILDING ` INSPECTOR
/{ 5APPLICATION FOR PERMIT TO ....1 o...................................................................../k4
......................... ..............
TYPE OF CONSTRUCTION ......l .0 5 .............:... ...................`...............................................
r4.p..r.,1. a.6...............19 7.._
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Locotio,�4.0. .... ..... ................................................
ProposedUse ..... .<a: ..................................................................................................................................................
Zoning District ...:RE..........................................................Fire District ..Wo 8�, /nd
Name of Owner !1�....C1� �1..........................Address
Name of Builder ✓' n7
Address ..............
Name of Architect .�.�..l.C'>'ude ..... !.C�.�Je.���.............Address a.0.W E.Nerwn.5�...Me,(ro.e No..................
Number of Rooms ...... ...................................................Foundation ..PO..0.(0...Uncvde..................
..................
/ p...... Roofing A..s ham.... !.!K ylei.........................:.......
Exterior .�!�. ��.1...G.4..................................................
l
Floors lQ/ ...( /LX.......... !!�.��•.................Interior ..�heQ.�..r . �!. ...................................................
+ Heating �GZS / f.a))q � ...Plumbing ..•:......�..�.47-�S
�..... ... .............................................................
Fireplace ....bf.-. ..............................................................Approximate Cost .... J . U:. ............................n,..... I
Definitive Plan Approved by Planning Board _____ ,1� ____ S__ . �a9� S'�
-----19 7 Area ....................5................I
Diagram of Lot and Building with Dimensions Fee ?.......... ... ..............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH Ql�
� j
f
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. pp ///�
�l.Gl.�....�1.:...61�cza. . .... .......................
Construction Supervisor's License ...���. i.el, ............
GRADY, BRIAN R.
5 -
i
l -�0 310 3 2 permit for 1 1i Story
.� ....................................
Dingle Family Dwelling
....... .......................................
Location
Lot. #101 , 140 Crocker iZoad
West Barnstable
Owner
Brian R. Grady
.................................................................. r
Type of Construction Frame.
Plot .. .................... Lot ................................
Permit Granted .....J y...2.9.�..............19 87 F
Date of Inspection ........ 219
Date Completed, :....19 ,
.� ..
P
TOWN OF BARNSTABLE Fermlt No. .31032
• BUILDING DEPARTMENT
t ' t TOWN OFFICE BUILDING Cash ................
�to�r HYANNIS.MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY
Issued to Brian R. Grady
Address Lot #101 , 140 Crocker Road
West Barnstable, Mass.
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.
JanuarX 2.6, 19 8 9 ...... �'
Buildi gIn pector ...........
j
_, ,�.: � .. •rr-err .: -• � ;::. ;`;tip. � .�...- �.... --�. � ,
TOWN OF BARNSTABLE Permit No. .31032,,,,,,
BUILDING DEPARTMENT
TOWN OFFICE BUILDING Cash ................
�r„uv HYANNIS,MASS.02601 Bond
CERTIFICATE OF USE AND OCCUPANCY.
Issued to Brian R. Grady
Address Lot 0101, 140 Crocker Road
West Barnstable, Mass.
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 26, 89 ~
.......................... . 19................. ......... -�..... .r% ... -..............
Building Inspector
TOWN OF BARNSTABLE, MASSACHUSETTS BUILDING PERMIT
DATE 19 PERMIT NNO',) 31 012
APPLICANT ADDRESS __ 't�:e• �.
(NO.) IST R EL'TI (CONTR'S LICENSEI
PERMIT TO (_.: L'O - (_) STORY NUMBER OF
_—DWELLING UNITS l
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) ZONINGDISTRICT_ —
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT
LOT BLOCK SIZE
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:
AREA OR
VOLUME PERESTIMATED COST I.'. FEEMIT
(CUBIC/SQUARE FEET)
OWNER
BUILDING DEPT.
ADDRESS By
FHUM IHE Ut NAH'1 MEN OF NUtl LIL WUHKS. IHE I»U^• �.t Ur !r.1� rt KMII UVC� IvUI KCLtA�c'!nc ..r rLIL MNI I—— Inc Li.I�✓1 ' Ivy'
OF ANY APPLICABLE SUBDIVISION PESTRICTIONS.
MINIMUM OF THREE CALL .APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT F;)STED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOTBE OCCUPIED UNTIL
MINAL INSPECTION
TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE i
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BU ING INSPZCTION APPR VALS PLUMBING INSPECTION APPROVALS ELECTRICAL iNSPECTiON APPROVALS,
7Ls7/r"n/'6; c To((I',
L�� n�,<-�(� 2
-• HLA I INl l INSPI_C l R W APPROVALS ENGINEERING DEI'ARI MEN I
1
UTHL)i .. _ ... ..__.. _.-----
-- BOARD Oh HEAL I H
WORK SHALL NOT PROCELD UNIII IHI INSPEC �I ?ERMIT 'W!LL BECOME NULL AN•D VOID IF CONSTRUCTION INSPLCHONS INDICATED ON THIS CARD CAN BE
TOR HAS APPROVED THE VARIODUS SIAGLS OF I WORK IS NOT STARTED 'WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN
CONSTRUCTION I PERMIT ;S ISSUED AS NOTED ABOVE. NUNFICAIIUN.
f• y t 1
JOSEPH D. DALuz TELEPHONE: 775-1120
Building Commis Toner EXT. 107
TOWN OF BARNSTABLE
BUILDING INSPECTOR
TOWN OFFICE .BUILDING
HYANNIS, MASS. 02601
1
April 19, 1988
Peter A. Sun delin, Esquire
P. 0. 'Box 507
West Barnstable, MA
RE: Brian- R. Grady 140 Crocker Road, W.B../ frame inspection
Dear Mr. Sundelin:
The following defects were noted during frame inspection at the above
.address:
1. Inadequate attic ventilation. 507.2
2. Side wall shingles not installed to manufacturers specifications.
3. Reinforce floor joists where holes for plumbing pipes were in-
stalled. 2103.2.5
4. Fire stop wall parallel to stair stringer.
5. Remove split door header on first floor and replace with one
allowed in section 2103.4 of Massachusetts Building Code.
Very truly yours,
Alfred E. Martin
Building Inspector ,
AEM/gr
s' tt