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HomeMy WebLinkAbout2370 MEETINGHOUSE WAY/RTE 149 A A �I ry UPC 12543 : ' 1Vo�b3LOR �`�sr�o� HASTINOO,UN } r ..1 t. 55 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map l� Parcel lJ �l 11� v�P I LE 'Application' APPlication' # l�1 ��J V 1 ! vv`�l Health Division `'['�S `6 Pill 2: .56 Date Issued Conservation Division Application Fe Plannin Dept. ��; f' 4'" T ss-d g p Permit Fee y Z' 0I Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 37d �n Village Owner 0 el',(AV. Address Telephone Permit Request t uc kf4 , Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ..W Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ' ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License# Cell (508) 250-6964 CSL-58633 HIC-169393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /� /l r L FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE s. OWNER _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL ROUGH FINAL PLUMBING: R H . h GAS: ROUGH FINAL FINAL BUILDING L • i rl . DATE CLOSED OUT ASSOCIATION PLAN NO. 3 a 4" i ?Cj-Cco � ` gal RISE; ENGINEERING 5 Dupont Avenue Yarmouth, MA 02664 OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at Property Address) lX a t (Property Address) hereby authorize , (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. Owner's Signature Date ' M&H ? LJ15 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction supci-visur License: CS-058633 MICHAEL J MCCAR PO BOX 52 s W DENNIS MA ( 64V _ "t \ Expiration Commissioner 04/10/2016 (P ea&1 C�G�a�al�12G1/Je � s— Office of Consumer Affairs and Business Regulation r` 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Trf/ 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY - — P.O. BOX 52 - WEST DENNIS MA 02670 - -- / Update Address and return card.Mark reason for change. ❑ Address Renewal 'Employment Lost Card SCA 1 40 20M-05/11 J: J - The Commonwealth of Massachusetts Depadment ofludustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 Imp.mass:gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ' I e McCarthy Construction Name(Business/Organization/Individual):_ PO Box 52 Address: - West Dennis, MA 02670 City/State/Zip: CSlp§§§#3 HIC-169393 Are y u an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 1 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 propridtor or partner- listed on the attached sheet; 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LF]Plumbing repairs or additions myself.[No workers'comp, c.152,§1(4),'and we have no 12.❑RR °f repairs insumco required.]t employees.[No workers' • 13.Q'OHrer comp.insurance required] *Any applicant that checia box#1 must also fill out the section below showing their workers'compotuaUon policy I dbrmation. t Homeowners Y&o submit this affidavit indicating they am doing all work and then hire outside contractors most submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy Information. lam oar employer Heat I;s proyiding iporkers'compensaron insurance for any employees Below Is the policy and Job site Information, Insurance Cornpany Name: .� •� ������ Policy#or Self-ins.Laic.M VWL I-(�ot1G y '`1A Expiration Date: Job Site Address: 4Ll 70 )hjy\t , 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 ofMGL c.152 can lead to the imposition of criminal penalties of a fate up to$1,500,00 and/or one-year imprisonment,as%veil 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 e a enalttes of perjury that the information provided hove is true and carrecb Si shire: 4 Date t Phone M OJ,17cinl use our. Do not write in this area,to be completed by city or town offIctaL - ,r City or Town: Permit/Lteense# 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#: A. .f/'-faCORO® 07/101 CERTIFICATE OF LIABILITY INSURANCE DATE DDIYYYI� onlo/zola 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 N21J/►CT Bryden&Sullivan Ins Agcy of Dennis Inc IUC.No.Ext: (508)398-6060 ,No,: (508)394-2267 PO Box 1497 �S{ ss: So Dennis,MA 02660 — I RER(S)AFFORDING COVERAGE AIC# 1 SURE • A.I.M.Mutual Insurance Company _ 26158 _ INSURED INSURER B: Michael McCarthy Construction Inc N P O Box 52 INSURER D West Dennis,MA 02670 INSURER E: 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. N0 i JVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'AI-IICH 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1LTR TYPE OF INSURANCE I SR � POLICY NUMBER Awsmyfl MMIDDlYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PAMAGE TO RIF ENTED occurrencel $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GL N'L AGGREGATE LIMIT APPLIES`PER: PRODUCTS-COMP/OP AGG $ �POLICY �ECTRO- I—FOC AUTOMOBILE LIABILITY COE aodde tMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOSULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION $ $ �'1 96;2o,9�WVall4f4 X A�ISt, °ER- - A ANYICROPRIETQR/PAf3TNSFj/�CECUTNE Y N E.L.EACH ACCIDENT $ 500,000.00 OFF ER/MEMBtRtn�LU ter Y NIA FVWC-l 00-601T656-2014A 7/17/2014 7/17/2015 (Mandatory In NMI E.L.DISEASE-EA EMPLOYEE $ 500,000.00 D9W'CR ON OF 9PERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thielsch Engineering 195 Francis Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cranston,RI 02910 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i . . Ql�,yo 00 LOT 1 7B0.12 00. LOT 3 00. lk �.60 B7 N 1 i \ O z 1 LOT 4 � °Y CONC. `-� FND. ti LOT 2 (5.10 3/- AC) e^ LOT 5 _4 # 89-106 CERTIFIED PLOT PLAN LOCATION : RTE .149 W. BARNSTABLE PREPARED FOR. SCALE : 1 " = 200 ' ' ' 'DATE . 0'1/23/90 'REFERENCE L-2 PB .=459 �PG 13 DON PERKINS i ,HEREBY CERTIFY '"THAT THE -.BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE OF GROUND AS SHOWN .HEREON. \N M y JOHN I t C* McELWEE H 33602 .down cape :engineering inc. No. � CIVIL ENGINEERS ` LAND SURVEYORS RTE 6A - YARMOUTH, !LASS. DATE REG. URVEYOA I , TOWN OF BARNSTABLE v BUILDING DEPARTMENT Homeowner License Exemption Date 5Y16/89 Job Location Lot 2 , House #2370, Meetinghouse Way, West Barnstable Homeowner Donald A. Perkins 428-7418 771-4128 Present Mailing Address P.O. Box 236 , centerville, .MA, 02632 The current exemption for "homeowners" was extended to include owner-occupied.,_dwe_lln. ,s, of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided._that the.._.own.er act.s as .supervisor-.- (State Building Code Section 109. 1. 1) .. Definition of homeowner: Person 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 to six 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.'4 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 -- - - --.. ...........................---_....__._._.....--....---_..............................................._.............._.......--...... ...._._...........__._...._.._.._ ................._..___ _------ buildn permit. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and all other applicable codes, by- laws, 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. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cub}-0 feet or larger will be required to comply with State Building 'Code Section 127.0, Construction Control. 4 HOMEOWNER'S_ .EXEMP.TION. The code states that : Any Homeowner performing workifor 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 a 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 0, Rules and Regulations for Licensing Construction Supervisors, Section. 2. 15) The lack of awareness often results . in serious Problems, particularly when the Homeowner hires unlicensed Persons. In this case the Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. . , The Homeowner acting as supervisor is ultimately responsible. To ensure 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 i`s a form currently used by several towns. You may' care. to amend and adopt such a form/certification for use in your community. i TOWN OF BARNSTABLE Permit No...33508 BUILDING DEPARTMENT I """ } TOWN OFFICE BUILDING Cash 7 .M� ,6}9• '>rouY" HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY Issued to Donald & Robin Perkins Address Lot #2, 2370 Rte 149 West Barnatable, 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. July 17, Building I pector s� s � (. �.,; � � � k l +?. 4y;. . „i' rr ��'7'P�"°t3r'F��3.+��i+�•�*Y'r'.��q�«�`� ,f*M�> TOWN OF BARNSTABLE Permit No. ....33508 BUILDING DEPARTMENT t TOWN OFFICE BUILDING Cash M� p♦9 i679• V HYANNIS,MASS.02601 Bond T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to DONALD & ROBIN PERKINS Address lot #2 2370 Route 149, West Barnstable 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. July 12 9i 19....... ... .... .. .. ..... . Building Inspector i 3 c S'-`vr.t.r...--M .-.dam,r..F..+�+'v�L.-...-y.-✓`�..-•�-u•�......rR-•��,-•Y�r'..*4"--a.-...^•�,,-t ✓`,^a'"f"�...-... .�^.-,,•�ti,.,,�,y�••,,.-r.-•,,,..'r��r.-�..�--.`l,r......'-."'. _�. i " TOWN OF BARNSTABLE Permit No 3350. y ♦•' O�TMf>O . .......... ..... BUILDING DEPARTMENT Cash TOWN OFFICE BUILDING X Moor HYANNIS,MASS.02601 Bond T E M P O R A R Y CERTIFICATE OF USE AND OCCUPANCY Issued to DONALD & ROBIN PERKINS —Address lot #2 2370 Route 149, West Barnstable USE GROUP FIRE GRADING OCCUPANCY LOAD 4 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. July 12 91 .......................... 19................. ......... . ......� .................... Building Inspector I 1 OK a pp►�ve /a�/s� /�6/�y Assessjor's' office (1st floor): Asseor's mdp and lot number'./...4�!.�,,1...^.�!.."7. ..... . SEPTI OFT"ETO C SYU M MU Board of Health Ord floor): pp r�QQ ^a INST Sewage Permit number �..�2'$.b.........ft. .... w •••• •�•• /I ��� 9TODLL,Engineering Department (3rd floor):�3 Qrnea2 0 L/1P...�� r ' J/-- EE�MR CODE ° ,b,-f . House number ............... ...................... / raY d' Definitive Plan Approved by Planning Board /1(Q}+fi b `19 TO _ ./( 3 a8 R G( LATIOrq APPLICATIONS PROCESSED 8:30-9:30 A.M. .and 1:00 2:00M. onlyellQ}� l TOWN OF BARNSTABLE P R O V E D BUILDING INSPECT OaRstabi° °n,°ration Commiss3oa APPLICATION FOR PERMIT TO .....�! .:......... 'O?�45 �tl.r... Ba .... ............ ............................. .. ... Date..... TYPE OF CONSTRUCTION •` .....May....1.2...................... 19.89 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....Lot 2 Meet.inghouse.•Way,•,,.Rte•..t49..X,.J3aras.tyable•t•,•House #2370 ..................................... Proposed Use .......single family.•dwel .r�g• ........................................................................... Zoning District ...... .........................................................Fire District ...W......B,arns table......................... ................. Name of Owner ....Donald,.•&...Robin.••Perkins•,••..•..Address 5A...C.alX.7.A-Ramblija...Rd..,M.,...I` ills.... Name of Builder ....Same.........................................:............Address sade......................................................................... Name of Architect .....0.`tAjd/$A4.ff.•Gordon Clar*ddress .Old..Rte...132,...Barns.table...................... Number of Rooms .............7...................................................Foundation ......IQ"....pour...cancrete....................... :.... Exlerior ....Clapboard........................................................Roofing ......asphalt...shingles.................................... Floors ......3. 4" T&G With,..g]rUe•••••.••.••.......,.:, Interior ......d ....................... drywall........................................................... Heating .......V;L ...IX.Qt...Water.......................................Plumbing ...2/......................................................................... Fireplace .......brick-fieldstoIIe........................:.......Approximate Cost ......$$0.,00.0-0.0.................................... Area _/ ...s.q.....fe.et. Diagram of Lot and Building with Dimensions Fee 1........................ 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. Namee. �. ` ...... Construction Supervisor's License .................................... PERKINS, DONALD & ROBIN r No .,33508.. Permit. for ...�2...Sozy............. Single Family„dwelling............. Location ....Lot... 2.........2.3.7.Q...Rte...1.4.9..... west•.BarDatable..................... Owner ..Donald.. &. Rob.7.n...P.arki.ns..... lu - Type of Construction .....F.ram.e........................ v ................................................................................ ` Plot ............................ Lot ............................... Permit Granted ...:.:1'ebr.uar.�r....l•5•,•••19 90 Date of`lnspecti .`(f...:`........19 on 1j Date Completed'.......................................19 co ( • YMODIL)Y ta.Y _. _��__—_.,�.__.,...,_._•___.,_..�.__--..I_._._.._._____.._._ ..'^�- '..1,=r1:;... ,l.bi•aSh r. 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I •ILS +-y'Y ]I .e2i CA i �, ilk .• .3!F�' i�"•NaouT�+o�i'1 I. � 1•-I-i- 7 =i t 14 IN rY .J 1 J_�. I I• o I' ..� i �" ---1-- —° — - 37 - } n I I 1 r��'I r•� l � �J � 0 3 R .L �' 15 �V-fij)�� � Town of Barnstable Geographic Information System January 6,2011 165048A00 165 6 178027 178028 ,8006 178004003 165007003 -#48) 156037 16b020 156044 # 4 165027 #45 #44 # #1096 # 4 #24299 #2444 #2472 155004 165003 7 t0�j 155018A01 �� 178004001 1550070025 e4RO #2415i 155029 #0 #40 `� 162 01 �#�`� 155085001 166040 #2401 •. #2377 14 , ^Ag , 155045 , 42400 ` 165002CND • G #2321 155046003 2 \ 1 #5031 5 36 177001 165046001 #0 155001 #234610 02231 155046002 166032002 #2370 T#235 °. 155032001 #2320 164002 #0 154009 92160 Of 0 163 Feet DISCLAIMERS:This map Is for planning purposes only. It Is not adequate for legal Map:155 Parcel:046002 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1°=t00'may not meat established map accuracy standards. The parcel lines on this map Owner:PERKINS,DONALD A&ROBIN L Total Assessed Value:$498200 are only graphic representations o1 Assessor's tax parcels. They are not true property Co-Owner: Acreage:5.10 acres Abutters E boundaries and do not represent accurate relationships to physical features on the map Location:2370 MEETINGHOUSE WAY/RTIE �' such as building locations. 149 Buffer Application to . 1 9 9 102 Old Kings Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, id 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: ❑ New Building ❑ Addition I] Alteratii'' Indicate type of building: ❑ House ❑ Garage ❑ Commercial Other 2 Exterior Painting: ❑ 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 wf.51- B4"• DATE 'u30 lqq �.3 d ►n£-riur,Neu.sg. Wes! ASSESSORS MAP NO. Ml5� ADDRESS OF PROPOSED WORK '� n dyb. OWNER ►J rR.D l�10 p 22-V-1 &J 3 ASSESSORS LOT NO. Oa HOME ADDRESS a310 rn`i`c-� NC'�la-DUS L wAy W, TEL. NO. 1A FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). !aQ t'Atu- �klaru.J+ PoQoo. (on& W Q mA• D&(�( (0 )'Own). OF . 1J I L.SSOO 3 & ®,S ati FJ CX 09CSo j w,F3., n►R , o�.toc,g AGENT OR CONTRACTOR n�r,�r\e� TEL NO. =3162-6AO�- o13?0 ADDRESS t ic-t\w��t)S� �2= W �_ 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). ON r— APPROVED ' - V Signed j Owner-Contractor-Agent Ce ' icate is hereby 4,0 /040,i Date to _ [aX 0 :)91� T e Ll TOWN OF BARNSTABLE DKING-&WQW& :aAe n"Aff Approved ❑ IMPORTANT: 71fCerficatite is approved approve s subject to the 10 day appeal period provided in the Act. v Town of Barnstable Old King's Highway Historic District Committee SPEC SHEET FOUNDATION JCL U34 SIDING TYPE I �( �C11 COLOR 06-VQV._� 141 CHIMNEY TYPE OG r' ROOF MATERIAL O's COLOR PITCH WINDOWS(1') ,gji3 otae.x�a COLOR (�1lc re.- SIZE i TRIM COLOR e 1 DOORS �_� d,,�\ COLORS ��� SHUTTERS "We., COLORS MAe— GUTTERS ndnc_ COLORS 40ne1 DECKS MATERIALS GARAGE DOORS i!c n e— COLORS fdne SKYLIGHTS *?d ne— SIZE COLORS I SIGNS COLORS P FENCE APROOVEDCOLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 I I i i 9S 1 ( ( lif _G� T O r2I�M i%rasraira:r6w 11 li ( � 7 r U V v 4 .�� ��. ..�... sue' = �d•. 14. S is 6 C tiT� ��5...ac {• S ty�L r � v W f V�' r ' f r r i �.____f. ., .. .._ ._.........--..._...�..._..--__,.,..._. ...:.. . . o- .� ...... r ..__.......- ._ - .�.....__,..•>. �.wn.. � , ........._ ter.-_,..,..� ..-,�.r•..�.._...r...�....._�-_". ..... 1 '-_-._..� ... - 1 .. .. .. .�. ..._..� .n,(- :....._ ..._�.. ..._...,........1 ....,_....+�.....K. ,��nu_w+.rR,.., .� ,•.andww+'.u'..v+-•_.rw•4..._�G�r,.....W+:a,�n+w-�,.rw....,_.rw�r�•-w..-..__-. �`, .._-_ .... - �. ,�•��. .. W.ry v.. -9' �'� R a i" ..;yi:. ry, •y:�;ti;3,�.1A'" ...... .._.._ _•-- __.".err-�..u.�_.n.._ ..�.,__.w..�.r a.rs-�Zs�.�:—.�- � � �H 1 .p rlr! If � __ .. 1 nti 'Y LOT 1 1e0.12' - LOT 3 �e $� 6j.-70. .6o. 97 2! ♦ N � \ O ` LOT 4 CONC. NO. - y LOT 2 P (5.10 +/- AC) LOT 5 `$O' # 89-106 CERTIFIED PLOT PLAN LOCATION : RTE 149 M. BARNSTABLE PREPARED FOR: SCALE : I ' = 200 ' DATE 01/23/90 REFERENCE : L-2 PS 459 PG 13 DON PERKINS I HEREBY CERTIFY THAT THE BUILDING SHOWN ON THIS PLAN IS LOCATED ON THE OF GROUND AS SHOWN HEREON. � JOHN y�f o MCELWEE CA No.33602 down cape engineering inc. P� CIVIL ENGINEERS LAND SURVEYORS ATE 6A - YARMOUTH, MASS. DATE REG. URVEYOR 1 r i - _ 1 I i I* ' '` '1�9'� —zrx: „".'.'_`.^.':5,.'..'��:'m!r..u„���•,:'.";.�„s:e.a.,.et�'�'�� �fz: •v '_� (��; X. '.. l - r-�t.h:.. { � it �•Y' r ' �� t .•at � E°s I S+.+wwaara�wxw.acw..:�iscarcRaaa�t��ac _ isra�nttea.oio�e�r.vs•- - ; 1 i II � �• a I 1 _ J � f???•.:. .1:•� •.� 'PIy4' "F`l'S}(JR�+� �/ � y ._�. �. ♦�� Y' y.�IaFd�`ai.�z.':. Y I IFy y1 fp} S � 1 =777M a K I i i i /4/Z I • FRAMING SECTION ALL DIMENSION LUMBER SHALL BE KD SPF NO.2 OR BETTER. x COLLAR TIE @ 45" O.C. 2 x G,RAFTER @ ' O.G. SHINGLE 2 x y CEILING TOIST 0 2�- O.C. W/IS L8. FELT : � I 1 I 1 Ix6PINE FACIA R-30 KRAFT FACED FG BArs R- U ED G TT SOFFIT VENT W PU V R R R PINE SOFFIT 0 . 1 ' I 1 L2x FLOOR JOIST (isr t 2" FLOOR) J I 1 1 1 1 UUox� 1 1 .II I SILL SEAL '� • �� ANCNOR BOLT @ 6'-0` O.G. e. ~CONCRETE ! o FOUNDATION WALL FRAMING SECTION ALL DIME NS ION LUMBER SHALL BE KD SPF NO.2 OR SETTER. x COLLAR TIE @ 45- O.G. 2 x 6,RAFTER @ ' O.C. SHINGLE 2 x y CEILINGS JOIST ® 7�(" O.C. W/15 I.B. FELT ^ 1 1% FINE FACIA R-30 KRAFT FACED FG BAITS R- U E D ' G TT SOFFIT VENT W�6• PO V R ER PINE SOFFIT Kit- .k IXYC�' 1 I 1 1 ' 1 1 1 L2x FLOOR JOIST O.C. - (ist t 2Nn FLOOR) 1 ANCHOR BOLT Slll SEAL e. ~CONCRETE' '. a FOUNDATION WALL CF THE tq� The Town of Barnstable Department of Health Safety and Environmental Services ram' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. l Type of Work: Estimated Cost (IL0- T-- Address of Work: 'Z p Owner's Name: Date of Application: `l 2&A S 9 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law .[].lob Cinder S1.000 oBwld' of owner-occupied ffp<e—r pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav i nuuaing envision n�srrsr�BL>:. ' 367 Main Street,Hyannis MA 02601 ruse. s619. Ep tr1A'1& . Office: 508-8624038 Ralph Crassen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: I a,:A `n JOB LOCATION: 23r7QC— number street village "HOMEOWNER": v�� _ Ea Qe v—�\�S Z—6 O a 7 7/ — Y/'t-9 name home phone# work phone# CURRENT MAILING ADDRESS: IS � .23-171) 1Vff_t/jfa4 u ke, LLn_4 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 su ep rvisor. 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 it. 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she undcrstaads the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. The Commonwealth of Massachusetts De artment of Industrial Accidents Office of/I resmoBt/oDS 600 Washington Street Boston,Mass. 021 h Workers' Compensation Insurance Affidavit name location: citV phone# I am a homeowner performing all work myself. ❑ I am an employer providing workers' compensation for my employees working on this job. company name address: ..... :....... .......::....: ::.:.:::.:..:.:..:....:....::.::::.:::..:::.:::::.::...:.:,..:::.:::•..:::::,::::,•.:,.::. city: phone*:- insurance co. olicv# ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have :f the following workers' compensation polices: company name• address: >ohone#c ..., :. ....... .. ...... ..... ::.Mw::::.w:�.n::••: viy$.:i.�::i\vi:ii:'::::.i::::::....:...:�: ...:.:.. .... .. .. ............ ....... .... .:is^:if.i. .. ..:... .'::::v:::.:is i}::...::!;.::::::.�:::vf{;.•ii:i•:i'F.:;}.i::�'::�iii:i:iC•i'i:�j:i::i:.i:::i::.. .::v� insurance co. .......:: :.::::...... ......... oUw campanv name• .... ... ...;..:•:::�.::::.:.::.;;;.>::>:'.;;:..:.>:.>.:.;: «:><:<;:::>: ; :>:: :.:.>:.;;:.;::::::.;'.•;:.:.':.;;..:;.:::;;.:;:•;::.>:<�.<:::;::.:;.:><:::>:.;.:,::.... :::<..;:<::;::>:::.;: address: dtp- Xm- .... ... ... .... .. .. .. .. ........ c{v# 'i '"`:[ `fit i'' ' i`>................ c:'' ' a[ 'to-tt ?t` ''t['>i? `::: ieuiirtinc ...... .........::.::..::.........:...:: oli Failure to secure coverage as required under section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to s1,s0o.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and aline of$100.00 a day against me. I understand that s copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is trua.and correct Signature cam— Date �L�C1 _ Print name � �1� Q��L\`—� Phone --C OOZ official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required OSelectmen's Ofnee ❑Health Department contact person: phone#; ❑Other , (seined 9ro5 PJA) Engineering Dept.(3rd floor) Map Parcel-,d'yen !QA,'-) Fermit# � y/ House# C2!13 76'�` � Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) C-' l 2�5 Fee �d Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �FfME 1p;_ Definitive Plan Approved by Planning Board 19 ; _ BA RN5TABLE. ` 39. TOWN OF BARNSTABLE � E° '+'�� Building Pe it Application Project Street Address Ll 1 G Village Owner o np Q, Qc�\t Address g0.nrti1 Telephone 6 Z— (660Z. -7-) l " 4 I'L Permit Request 0 &—/­Z,- A nA (j iom First Floor 4W square feet Second Floor A square feet Construction Type WpdA- Estimated Project Cost $ ?=j 300 _ Zoning District 9.1�11 Flood Plain Water Protection 14 P Lot Size a Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes f vo On Old King's Highway es ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Ae0 ne- Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing ,170A C. New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New _ First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other 424 C, Central Air ❑Yes ❑No Fireplaces: Existing _ New /do A.2 Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) 46)114 Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) --2D X Ik' ❑Other(size) iv Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Corlimercial ❑Yes &11ro If yes, site plan review# Current Use Proposed Use �✓. Builder Information Name y w ti -r- /.K- Telephone Number i Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO�.Sdvc�c�2 ze-eyo ve SIGNATURE 92. DATE 9 BUILDING PERMIT DENIED FOR FOLLOWING REASONS =i/ f,7 C FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED S MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ FOUNDATION FRAME S r INSULATION - FIREPLACE - ELECTRICAL: ROUGH FINAL - 1 PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL 1 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO.