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HomeMy WebLinkAbout0145 MEADOW LANE fi UPC 12543 e No. 53LOR MOCTu?o. MY l Town of Barnstable Building Department . Brian Florence, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.toam.barnstable.ma.us Pre-application for Business Certificate Date / �a Map Parcel Applicant Information 7C �. _ Applicants Name Applicants Address tiC� Email Address Telephone Number 5 Listed ® Unlisted ❑ Business Information New Business? Yes No ----------------------------------------- Business is a registered corporation? ________________________. Yes i If yes Name of Corporation Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? _______C Yep No If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business l� (re__V_le Business Address Type of Business —�✓ut c, Buildin2 Commissioner,Office Use Only Conditions , G Building Commission '�' Date l Clerk Office Use Only Town of Barnstable Building Department pp THE 1p� .l, Brian Florence,CB0 Building Commissioner sAxxsTAe 200 Main Street,Hyannis,MA 02601 MASS. Q� 139. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: / Phone#:T� Address: T' ) 1 I'��`�� LF��^� Village: Name of Business: Type of Business: fie-v%Lle— Map/Lot: w�/ INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located n within that dwelling unit. o r c • Such use occupies no more than 400 square feet of space. --1 • There are no external alterations to the dwelling which are not customary in residential buildings, and there 3, O is no outside evidence of such use. No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular M M matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. There is no storage or use of toxic or hazardous materials or flammable or � C � g � explosive materials in excess = of normal household quantities. ! 1 • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Z Z_ p Occupation,and not within the required front yard. -rl (n 9 • There is no exterior storage or display of materials or equipment. im -n m • There are no commercial vehicles related to the Customary Home Occupation,other than one van or one D 0 pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to C C exceed 4 tires,parked on the same lot containing the Customary Home Occupation. m -p • No sign shall be displayed indicating the Customary Home Occupation. O4 • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be p included. Z • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwel ' g unit. 1,the undersigne ave read and agree with the above restrictions for my home occupation I am registering. p Applicant: Date: p Homeoc.doc&117 ��' �1MCCARTHY F v_ - C�l► `� l RUCTION CO. Isld�'tial and Commercial Builder IIt11 ` ��IZATTON SPECIALIST a 70-� October 21,2014 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main Stret Q Hyannis, MA 02601 RE: Insulation Permits }V `Gf 4 Dear Mr. Perry, q QD This affidavit is to certify that all work completed for permit application'#0 at 145 MEADOW LANE%s a7 been inspected by a certified Building Performance Institute(BPI) inspector.All work performed meets, or exceed Federal and State requirements Sincerely, Michael McCarthy McCarthy Construction a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # `L. Health Division Date Issued �. Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �N Historic - OKH _ Preservation / Hyannis Project Street Address L) t&.; Village Owner. Address s. Telephone 5b� -k"73-144k Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay � Q J C> Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup` orting d cbmentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) ° Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: 0`Yes ` No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: O Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: O existing O new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial O Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Constructit)n Telephone Number PO Box 52 Address West Dennis; MA 02670 License # Cell (508) 280-6964 CS .-58633 M-1C 16993 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /�`� i FOR OFFICIAL USE ONLY F, �1 APPLICATION# , DATE ISSUED MAP/PARCEL NO. .r. oy ADDRESS VILLAGE ` *�� OWNER DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL u GAS: ROUGH FINAL FINAL BUILDING s DATE CLOSED OUT ASSOCIATION PLAN NO... Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contfactor Registration O 0 3 ==-=_=�- Registration: 169393 y h --- Type: Individual `M Tr# 238121 r o 0 c°'i. �, Expiration: 6/16/2015 MICHAEL MCCARTHY • in MICHAEL MCCARTHY �a C; P.O. BOX 52 %. N WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. w o o j �_.� � Address Renewal E] Employment Lost Card W OSCA 1 is 20M-05/11 0 7 a c (92e Wpomo9z -quvealG/alb&tldac/adeM License or registration valid for individul use only _cn Cr Office of Consumer Affairs&Busi ess Regulation before the expiration date. If found return to: rn z m 0qeg�i OE IMPROVEMENT CONTRACTOR k �, ; ,fti. � Office of Consumer Affairs and Business Regulation a tostration: ;169393Type: 10 Park Plaza-Suite 5170 axpiration::�6/16/2015, Individual Boston,MA 02116 0 fir.. in -- MICHAEL MCCARTHY_,/ MICHAEL MCCARTHY 6 RANGLEY LN. SOUTH DENNIS, MA 02660:= Undersecretary Not valid without signature 3 ' r A�L> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYI� ��• 10/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s): PRODUCER 01962-001 NAME: Bryden&Sullivan Ins Agcy of Dennis Inc jA/CNllo.Ext)_ (508)398-6060 --- - - FAX (508)39_4-2267 PO Box 1497 EAIL So Dennis,MA 02660 1 AMDDRESS: -_-------- -- ._-_-_--__-INS It RERL$)AEFORDING COVERAGE _-,_-,- NAIC j! 11�SURERA;__A_LM.Mutual Insurance Company 33758 INSURED INSURER Michael McCarthy Construction Inc ---------- - ---— ------ - I INSURER C:--- --'--' ...----- -- - -'-- West Dennis,MA 02670 INSURER I INSURER E. -.'- .--'---'---'---- -'-- IS 11NSURER FI 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. NOTWITHSTANDING 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 CONDITICNS OF SUCH POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. INS TYPE OF INSURANCE IADDL�SUBR' POLICY NUMBER T POLICY EFF POLICY EXP LIMITS LTR INSR I WVD I i_(MM/DD/YYYYI (MM/DD/YYYY)_' _ �GENERAL LIABILITY -�----_------------ _- EACH OCCURRENCE $ I I COMMERCIAL GENERAL LIABILITY I I I DAMAGE TO RENTED -�$ — ;_. I CLAIMS-MADE I OCCUR !L_. MED EXP(Any one person) $ I i PERSONAL&ADV INJURY $ _i__._........ I GENERAL AGGREGATE i$'--....-'--....-.._. ,GEN'L AGGREGATE LIMIT APPLIES PER: i ; I PRODUCTS-COMP/OP AGG !$ _ �- POLICY ]PRO. LOC ! 7 COMBINED SINGLE LIMIT --- i AUTOMOBILE LIABILITY ! iaccidentl._.., '`$_,,.____.,�._ 'ANY AUTO i ! i BODILY INJURY(Per person) '$ _!ALL OWNED I SCHEDULED AUTOS : AUTOS I I BODILY INJURY(Per accident);$NON-OWNED IPROPERTY DMAGEHIRED AUTOS p saccidentL - !- $AUTOS -- UMBRELLA LIAR I OCCUR I i tE4CH OCCURRENCE F$ j EXCESS LIAB ! i CLAIMS MADE I .AGGREGATE I$ DE D ; j RETENTION $ j I I ,$ I W STATU '-'--BOTH-'--'------'----... WpRKERS WMPENSAT10N ! I X 'TW& LIMITS i . ER _ AND EMPLOYERS'LIABILITY I I L�._— ANyy PR��PPRII��77poR/PgRTNER/EXECUTIVE Y N' I E.L.EACH ACCIDENT I$_ 500,000,00 A f OFFICER/MEMBER EXCLUDED? N/A l ! VWC-100-6017656-2013A 7/17/2013 7/17/2014 r--- "-" --I---- i(Mandaton,In NH) I E.L.DISEASE-E4 EMPLOYEE I$ 500,000.00 'If s des be and r -:. �D�SCRIPT��ON OF POPERATIONS below I � I --_ _ _ _ - _- I -— �E.L.DISEASE-POLICY LIMIT $ 500,000.00 : ' I I , DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) i CERTIFICATE HOLDER CANCELLATION I TOWN OF SANDWICH Attention:BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. '�CII Y i OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at 5 L.,..a rye, (Property Address) -� b Ag (Property Address) I hereby authorize ;GL) 1(, (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. i er's Signature J /N( Date The.Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information . Please Print Lezibly j Mike McCarthy Cons ruc ion Name(Business/Orgmizatioa4ndividiW): pp Box 52 Address: West Dennis, MA 02670 Gell v T 286-6964 City/State/Zip: CSL-5ftAA #: HIC-169393 Are yop an employer?Check the appropriate box: Type of project(required): 1. am a employer with_ 9 4. ❑ I am a general contractor and I 6. ❑New construction 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 ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance Comp.msurance.t 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 l l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t C. 152,§1(4),and we have no employees.[No workers' 13.�Other comp.insurance required_] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue 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 f r>—n�rance coverage verification. I do hereby certify n pains and penalties of perjury that the information provided above is true and correct. Si afore: Date: 1 ►/1 `� Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association:or other legal entity,employing employees. However the owner of a dwelling house havinifiot moie than three apartments and who resides therein,or the occupant of the dwelling house of another whb employs=persons to;do maintenance,construction or repair work on such dwelling house or on the grounds or building'appurtenant;thereto,shall-not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or'local licensing agency shall withhold the issuance-or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their 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-MASSAFB Revised 4-24-07 Fax#617-727-7749. vrvvW.mass.gov/dia ,_, Town of Barnstable Regulatory Services Thomas F. Geiler,Director - s,►twsz�Bi,a, 9� M6`9 Building Division '0�fn ww� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.m a.us Office: 508-862-403 8 'Fax: 508-790-623( PERMIT# 3Y FEE: S SHED REGISTRATION p�gC/rJ9 /�i✓�� / 120 square feet or less s��( -- over �3oy�"5 0��1 Location of shed(address) Village Properyy owner's name Telephone number C 8xgJfdox y, Size of Shed Map/Parcel# . o_ C�l. �O�i/j d OQ ) s' N CU Signature Date rr . Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? s �s Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30 &3:30-4:30 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 . ANIED BY A .PLOT PLAN Q-forms-shedreg REV:042506 Page 1 of 2 Town of Barnstable Geographic Information System New Search H. Parcel Viewer Custom Map Abutters Map Size ■ ■ Zoom Out R.r + _ N, ® o- JPG Map: 134 Parcel: 021 F JI R. K y 158005001 Location: 145 MEADOW LANE I p 194 Owner: HOLT, DOUGLAS A &CONSTANCE 134018002 q 185 Location Information 158005004 Map & Parcel 134021 a 192 Location 145 MEADOW LANE Acreage 0.82 acres i Current Owner ^A Mailing Address HOLT, DOUGLAS A &CONSTANCE 145 MEADOW LN P-3,� �-134D W BAR STABLE,MA 02668 139 tl 1 iR'13 9 158i:-f� Appraised Value (FY 2008) Extra Features $2,500 9> Out Buildings $1,000 ro Land $264,600 Buildings $88,300 O� Total Appraised $356,400 i4 133026 4144 � Assessed Value (FY 2008) t33005oD1`� Extra Features $2,500 d" 12 ,Feet #33025 126 r Out Buildings $1,000 133024 1�67010 Land $264,600 #110 C _MO—' Buildings $88,300 Total Assessed $356,400 Set Scale 1" = 125 jAerial Photos T I MAP DISCLAIMER Copyright 2005-2008 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.3083 [Production] file://C:\DOCUME-1\engelsej\LOCALS—I\Temp\E7V6OQ4I.htm 6/30/2008