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HomeMy WebLinkAbout0027 OLD TOLL ROAD i i OxfordNO. 152 1/3 ORA 0 0 �MCCARTHY: f RUCTION CO. esld laal and Commercial Builder x I, ivy'EAT I ON SPECIAUS77 r QuAr�rrtea0 ` 70.4 October 21, 2014 Town of Barnstable a Thomas Perry CBO C Building Commissioner C 200 Main Stret Hyannis, MA 02601 RE: Insulation Permits rV Dear Mr. Perry, This affidavit is to certify that all work completed for permit application#201405385 at 27 OLD TOLL ROAD has 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 y` _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ibn 6-70 TOWN OF 9.0,NqAn,, Map Parcel 7 p Application #� Health Division Qf AUG 15 11 la- ©1 Date Issued 4 Conservation Division Application F ' U 6 Planning Dept. ®jV e,---, Permit Fee v Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis �v Project Street Address cq 7 cg 11D 1 �. Village In1c,1' Owner �� K<rw�-, Address Telephone Permit Request &ALt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation J)ccg- Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 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 I 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 Mire McCarthy Construction Telephone Number PO Box 52 Address West Dennis, MA 02670 License # Cell (508) 280-6964 CS11 HIC-169393 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y SIGNATURE DATE FOR OFFICIAL USE ONLY `r APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: z FRAME LINSULATION_ 7- t FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL 1 1 GAS:- ROUGH FINAL FINAL BUILDING:- DATE CLOSED OUT ASSOCIATION PLAN NO. f I Ilie Gam-mamt t&of Massaehrrcmff-F Depywhnent of Indruftid Accidents - - Etce v��nvest�r�tio�is 600 WzLvharigfan&reet $ostctn,M,4 02HI -' wn=w.rr�u�goss�dirx vim'or�s-jers' Compeensati€onInsurance Affidavit$uilders/Confra:ctorsJE ectriciansTlumbers Applicant Iu#'armation Please Print Legibly Mike c 'air hy—Con Luc Name PO Box 52 West Dennis, NVIA 02670 Address. Cell (508)280=6964 Cityl tat:e/Zip: CSL-58W,. iIC-169393 Are you an employer? Check the apgr-apriate bow: T tit r �� 4_ ❑ I atrr a ge�ral ctmf t racor and'I �of l�l t egiiirert}: 1_Li I ani a employer with—� 6- ❑New eoasEcuc�oa 'employees{full aadlorpart-#ime}* have hire&the sub-(-- - tors. 2_❑ I am a sole proprietor or partner- listed on the attached sheet 7- ❑Remodeling ship and home no employees These sub contractors nave g. ❑Demolition working forme iu any capacity. employees and nave woricers' 9_ ❑guildmg addition W oworkers' comp:insurance Comp.mSLUarx- r iretL] S_❑ We are a corporation arid-its IO_❑Electrical repairs or additions 3_❑ la m a homeowner doing all work exercised'beir 1 1_.❑Plumbing repay or additions myself [No worbum,comp- right of exemption per MGL 12-0 hoof repairs iumn-anrerequired_]I C 152, §1(4},and weFiaS�enr} employees_[No wo&ers' 13_L�Utiier comp-insurance required.I *Any zpplicmt cut checks box C nmst also 01 out the section below shag their woden'comae F=policy" Homeowners Who srtbmrt ihLS afSdsvII'TO-N mg they aka&mg all-uaa$anal dben hnE ounde contrwwm nmsi stabna2 a ssex amd--wa t mear 5ziaL ^CAL mcs thst rhxY this box mast sttached an addifim-1 sheEl sboKlnd the name of the RAY- mmd SiErP t'ChetheC DEllUi t�'DSE �'(]PS l3.v2 employees- If the sub-conhactum hate empIoyeee-%they nmst provide ter workers'comp.policy nwnber I am an etnpPayer thatisgratz�r tr orkers'comperrsrrlion ins�crrutce for rrr)'enrp7nyce HeIow is the pQUcy andicb errs itz:forrRaliarr. • Insurance CompmyNmne: tr / ✓��� Policy 4 or Self-ins Lic-#: U C— i (,;G_a"i Y� ETiration Date: 67115— Job Sits14ddress ).-? CJ I P- �`�( Citylstatelztp: Attach a copy of the mmrkers'compensation policy de-cJaration page(showing the policy number and e p tion date). Failure to secure•coverage as regtdred under Sec1roa 25 A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$L500-OD andlor one-yearimpzi as well as civil penalties in the.foam of a STOP WORK OR-=-and a fine of'up.to$250.00 a•day against the violator_ Be advised that a copy of this ststemn t maybe forwarded to the Office of Iui estigations oftheD4 for im , coverage verification_ Ida hereby certi m an al#ces nfgedary that the irrformzcd=n prcnided above is blu anrt correct SiEnature: Date: is' it i Poona#: QjEcia£use only. Da trot twrita<in this area,to be campLtcd by city or town ofic&L City or Town: PMMEtucense# )ssuing Authority(tdrde one}: 1.Board of Health y.Building Department I CitdTawa Clerk 4.EIectnical Inspector 5.Plumbing Emsp ,ctor 6.Other Contact Person.: Pliant _ 6 i yy7C OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) Lr/�s 64 1/z6 (PropertyAddress) ACL- C S r tJ c"� 10/0 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. Owner's Signature Date Massachusetts -Department of Public Safety Board of Building Regulations and Stand ards Construction Superl-kor License: CS-058633 MICHAEL J MCCAR PO BOX 52 W DENNIS MA 62157 „ 11 ` Expiration Commissioner 04/10/2016 ye _ = Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS, MA 02670 Update Address and return card.Mark reason for change. j Lost Card SCA 1 20M-05/11 Address Renewal Employment Cj /,'1�C��0® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/10/2014 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 pollcy(les)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 gROJACT Bryden&Sullivan Ins Agcy of Dennis IncPO Box 9 , ,,��; (508)398-6060 ,No; (508)394-2267 So Dennis,MA 02660 19thss: IN RE 1 AFFORDING COVERAGE NA IC 0 INSURED Ns RE • A.I.M.Mutual Insurance Company 26158 Michael McCarthy Construction Inc JbISLIRER B P O BOX 52 N E c West Dennis,MA 02670 IN RE D: INSURER E• 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. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DCCUMENT 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. ILTR TYPE OF INSURANCE lfk ws POLICY NUMBER UAW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ I Ea rr e CLAIMS-MADE MED EXP(Any one person) $ — PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ tAU1 LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ oucY ��cr �loc OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO a ccide t ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTION $ yyoRKERg �M Ngp7��N yy�gT TH $ AND EMPLOCYER8€LIABILITY Y N X TORY LI I S OER A OFFICER/MEMBER EXCLUDED?ECUTIVEY N/A VWC-100-6017656-2014A 7/17/2014 7/17/2015 E.L.EACH ACCIDENT $ 500,000.00 (Mandatory in NH) tD7 rcrc dd �bb�� E.L.DISEASE-EA EMPLOYEE $ 500,000.00 D �sCR ON �SPERATIDNS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it 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 lI ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ACORD CORPORATION:All rights reserved. k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION SEPTIC SYSTEM MiUST Bd Map /09 Parcel NSTALLED IN C0 bgPL1J�6JRF# V'I e H TITLUE 5 Health Division 77 r z Conservation Division � 3 DU � � �� � "Fee Tax Collector, - Treasurer Planning Dept. Date Definitive PDagApproved by Planning Board /V A-- P P4\ S/; -w e Historic-OKH Preservation/Hyannis Ar ( � Project Street Address Z7 �� 7oti Village Owner 1ec"A J Address 6� led Telephone Permit Requestdd-a Square feet: 1st floor: existing�odb,• proposed 2nd floor: existing proposed Total new Estimated Project Cost 'soa Zoning District � — Flood Plain c Groundwater Overlay Construction Type Lot Size Grandfathered:)dyes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 2 Historic House: ❑Yes \I& On* Old King's Highway: ❑Yes No Basement Type: ❑Full El Crawl Walkout ❑Other / Basement Finished Area(sq.ft.) -30 Basement Unfinished Area(sq.ft) �00 Number of Baths: Full:existing Z new Half:existing new Number of Bedrooms: existing new l/ Total Room Count(not including baths): existing . 7 new First Floor Room Count T Heat Type and Fuel: ❑Gas r kl ❑Electric ❑Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove:>YQ ❑No Detached garage:❑existing ❑new size Pool:❑existing. ❑new size Barn:❑existing ❑new size Attached garage: fisting ❑new size 4 - 16 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ' Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION I Name Telephone Number -�3 Z Y`l7°y Address y7 O��^� - License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE *' FOR OFFICIAL USE ONLY PE�MIT NO. no DATE, i DATE ISSUEDLt ' �- MAP/PARCEL NO. - f ADDRESS VILLAGE r OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. ' 4 � 1 vl/i �i��/s i?�l�c.�� �-���� off- �id�D ��-� - Z� l0 � p�v<ITS %6 � s��f G'�'�� . -- yx� ` s��ei�-�� 9 i OF THE A The Town of Barnstable g,�x�srasie. - 9� ��g Department of Health Safety and Environmental Services 1659.�° Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 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. Type of Work: pow � ,r; Estimated Cost si3oo Address of Work: 2 G'hF (2 Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law OJob Under$1,000 ❑Building not owner-occupied /E59._rter pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE IMPROVEMENT GUARANTYWORK DO NOT FUND UNDE M L cE. 142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. Date Owner's Name g1ontns:AfHdav The Commonwealth of Massachusetts • ... - Department of Industrial Accidents _•�: ; _•� Olflce of/osest/gations _ 600 Washington Street Boston Mass. 02111 Workers' Com ensation Insurance davit / �� name location: ci �/ �i=y hone# ' ty s am a homeowner performing all work myself. a sole netor and have no one workin in anv capacit<' /%%%/%%/%/%%%%�00%//////%////%%�O////%/%%///i��/////%%%%%/%/%%%/�%�%/%%%%%%/�%%//��//%%%/ din workers' compensation for my employees working on this job. :::: :::: :: ::: •,.-:. ......... Iam an em to er providing mP...... .::::::::.:::...::.:>:.;;;::.._::::::..:::.;;;;::..::.::.:.;:.;::;.:::::::::::::.::::.::::.::::::::.:::::::::....:::::::.;:.::;:.;:.:.;;::.;:.;:.:.:>;: IM 0 m anv nam c a s0. <: n ho i >:::'::'icv of iiisdran ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have ` ' compensation polices: e following workers mP P.........::::::::.: .::.:.:::::;:.::.::::::::::::.:::.::::::::.:::.:::::.::::.::::.::.::.:::::::::::.::::.:::::....::.:::.:: ::::::::::::::::::::::::...:.::,:.:.. n v na m a ...... .................. ::::::::::. :::::..........."......... ........................ ................... ...... .... :.................................... add .. ................... _... .............................:.....................:................................................................. .. ::.:::::..:.:..::...::...:. --::::.::::...::.:::...:::..:.:.......:.:......... tme ::. :..................................... h ......................... :::............................ • ///O/////%////%i tesnrance:ca>; ;;>.....:r-..... ;,.,..::...................... c anv ix es ad dr :<; e h en c► w` i "'ol rance gapnre to secarr coverage as req�ed under Section 25A of MGL 152 can lead to the imposition of eriminai penaffies of a 13ne up to 51�00.00 and/or one years'imprisonment as well a,civil penalties in the form of a STOP WORK ORDER and a 8ne of 3100.00 a day against me I mmderstand that° copy of this statement may be forwarded to the O1Sce of Investigations of the DIA for coverage verlScatlon. I do hereby certify �t aloes of Perjury that the information provided above is trw.and coned Date�--� 3d/oa Signature 'Print name ������ ,c/ Phan (contact flcial u:on do not write in this area to be completed by city or town oMcW ty or t pemdt4leense# ❑Building Department ❑Licensing Board ❑Selectrn I!' OPlice checediate response is required ❑Health Department phone#; ❑Other ormed 9/95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 trusfee 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 m 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 section 25 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,neither the commonwealth nor any of its political subdivisions shall eater 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 in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as.all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and . I 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. City or Towns 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..The affidavits may be retu to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 lavestlgadons 600 Washington Street Boston,Ma. 02111 _. fax#: (617) 727-7749 phone#: (617) 7274900 ext. 406, 409 or 375 RS fi`T 52, C)0 � �a s r ���s ,L S D 1�� �sr��- V,4 N 1;?ED f�s7'C N l�1M coo s i Dc,)F&Z-1 IV 6 cd l r1 6 1144C Sc Pbs TS 1), = 1000 Iasi L = 1.,300,000 Iasi I311?ival VaILICs rbr SOLI'(11crii-YelloW Pine #2 (Pressure 'heated) Exterior use (e.g. decl(s) Deist Size - -Joist - Spacing i 2x6 2x(S 2x 10 2x.1.2 12" 8-6 11 - 1 .14-3 17-4 16. 7-4 i U-U ' 12-4 '15-0 20" 6-7 '11-0 13-5 24" G-U 8-2 :l U-1. 12-3 b)HEI►/ 0�c rr l S 3C 0 T OR LIL �_ �C) ST ��Mlv 2S IIGC�UII�C�� A `l MA A m IV SeN 0 l i1BE3C- The Town. of Barnstable FtME T Department of Health Safety and Environmental Services Building Division EAMSTABI.B. ' 367 Main Street,Hyannis MA 02601 MASS. Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner HOMEOWNER LICENSE EXEMPTION Please Print DATE: � 0�0 0 JOB LOCATION: F number street village ,.HOMEOWNER":�-/e name home phpon,e,# 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 ireme A Signature of Hort<own Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a fora✓certification for use in your community. Q:FORMS:EXEMPTN Land Valuation i ' Appraised Assessed Acres Zone Value Value 0.83, RF $ 36,900 $ 36,900 Construction Detail Item Building #1 Style Cape Cod Model Residential Grade C+ Stories 1 1/2 Stories Exterior Wall Wood Shingle Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp Interior Wall Typical Interior Floor Typical Heat Fuel Oil Heat Type Typical AC Type None Bedrooms 4 Bedrooms Bathrooms 2 Bathrooms Total Rooms 7 Rooms Building Valuation Item Building #1 Living Area 1685 Replacement Cost $ 104,440 Year Built 1978 Depreciation 19 Building Value $ 84,600 Outbuildings & Extra Features OF ZME TO e Baa 'MASS Town of Barnstable y : m4 _, ap 1639. s0 pTfD h1A�A, [Home] [Departments] [Calendar] [Information] [ Search] [Whats New] Map / Block/ 109 / 070/ Lot: Property 27 OLD TOLL RD Location: Owner KERVIN, RICHARD C & LINDA L Name: Parcel Value Item Appraised Value Assessed Value Buildings $ 84,600 $ 84,600 Extra Building $ 12,700 $ 12,700 Features Outbuildings $ 0 $ 0 Land $ 36,900 $ 36,900 Total: .$ 134,200 $ 134,200 4 - Owner of Record KERVIN, RICHARD C & LINDA L 27 OLD TOLL RD W BARNSTABLE, MA 02668 Ownership History Owner Book/ Sale Sale Page Date Price KERVIN, RICHARD C & 2999/ 195 $ 0 LINDA L rlLC r Azuu/ %,avauo I r 1 L L CLIENT: STEVEN J PIZZUTI ESQ DEED BOOK 2999 PAGE .195 OWNER:.gTcH&,%p c & LTNpA L KEgvlN PLAN BOOK 301 PAGE 99 LOT 74 APPLICANT: SAME ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN OF LAND LOCATED AT SCALE:. 1"= 50' JANUARY 13, 1997 27 OLD TOLL ROAD W. BARNSI•ABIE, HASSACAOSE rS N/F BODFISH 155.00 DEED 160.00 *NOTE: 'SOUTHWESTERLY' T DIMENSION IN DEED OF 155.001 SHOULD BE 160.00001. 74 36.122+- 73 75 LO N N TD Lr) N •N IWO" GAAYEt 108.32'TO P.C. CCP CUL DE SAC 160,00 OLD TOLL ROAD ZONING DETERMINATION HE LOCATION OF THE ORIGINAL DWELLING SHOWN HEREON EITHER WAS IN COMPLIANCE WITH LOCAL PPLICABLE ZONING BYLAWS IN EFFECT WHEN CONSTRUCTED WITH RESPECT TO HORIZONTAL DIMENSIONAL EQUIREMENTS ONLY OR IS EXEMPT FROM VIOLATION EYFORCEMENT AC•[ION UNDER MASS. G.L. TITLE VII, HAP. 40A, SEC. 7, UNLESS OTHERWISE NOTED OR SHOWN HEREON. A CONFIRMATORY INSTRT3MENT SURVEY S ADVISED WHEN STRUCTURES ARE SHOWN TO BE ONE FOOT OR LESS FROM PROPERTY OR REQUIRED ZONING ETBACK LINES. FLOOD DETERMINATION 1E DWELLING SHOWN HERE DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A T OF COMMUNITY # 250001 0011 D AS ZONE C DATED 7/2/92 BY THE NATIONAL FLOOD INSURANCE tOGRAM. CERTIFICATION CERTIFY, TO STEVEN J. PIZZUTI, ESQ. 01be&tone lant;&urbep CO. eVytx ovq�6 , )EOPLP'S M0R1r..ArF..' CORP. �Gett�eI6 08a pD JD ITS TITLE INSURANCE COMPANY, THAT p CARTE [ERE ARE NO VISIBLE ENCROACHMENTS OR ' eb7eafOCD,�Ul 02745 p 01 SEMENTS EXCEPT AS SHOWN AND THAT 1-800-993-3302 [IS PLAN WAS PREPARED UNDER MY (MEDIATE SUPERVISION. -lax 1-600-993-3304 GENERAL NOTES:This mortgage Inspection plan was prepared for the above mentioned client only as of this date and Is not Intended or represented to be a land or property line survey. No corners were set. It cannot be used for preparing deed descriptions,construction or estob4shing fence,hedge or building:!nes. The land as shown heron Is based on client furnished Information and moy be subject to further out-sales,takings,easements and rights of way. No responsibllity Is extended to the land owner or occupant. It is not Intended to be recorded. r Code Description Units Appraised Value Assessed Value FPL2 Firepl-1/2 Sty 2 $ 5,200 $ 5,200 BFA Bsmt Fin-Aver 352 $ 4,300 $ 4,300 BGAR Bsmt Garage 1 $ 3,200 $ 3,200 i [Home] [Departments] [Calendar] [Information] [Search] [Whats New] Send mail to webadm@town.barnstable.ma.us with questions or comments about this web site. Copyright©2000 Town of Barnstable Last modified:April 28,2000 DISCLADHR: Although we strive to provide accurate information we are only human. Assessor's map and lot number .. ..l..� ........ E TH tp� Sewage Permit number 7. 3 77 _ ............................................... ° BARNSTABLE, i House number .............................. e...................................... M486 039. ON d' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .. .....................................................�/'�� .... �'............................................... TYPEOF CONSTRUCTION ""........................................................................................:............................:............... ................... �. ...........19.�_� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... `.C���.� .. .� .......�t �5�... �1�11�� l /1 ...•..:....'.:... ........................... ProposedUse ................ .. ................................................ - Zoning District ........................................................................Fire Distract J,,....! a�,i�"aJS /� L .......... •• : . .......... Name of Owner fl... ....1 �'/t/.G�' 1 ............Address ..... � ti......... Name of Builder ...........5h?! ......................................Address ............. /�1 ..................................... ................. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ................. ...............................................Foundation ./ i�f�F l L^ `. .. .... . .......................................... Exterior ^!�%�- L�-S Roofing ........../�� '%•!,� .... .......................................... ............ .....................................:........ Floors ) .. ��. ...............................................Interior ...........:. / Heating /r /��1 ...............................................:.Plumbing ............... `..f;;?. M,;5...::..................................... Fireplace ..:...........C.%1a. r' .................................................Approximate Cost Definitive Plan Approved by Planning Board -----------________.---------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee ' / SUBJECT TO APPROVAL OF BOARD OF HEALTH "���� • ? 9� 1L' I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. t Name ....'.�.....?-......!�. .....................!Sru.... .............. single family dwelling ~ � -------.------------------.. 27 Old Toll Road � Locohon ---------------------. / West Barnstable ----'----------'-----------'' � Dana Wetbmrbmb � uvvner ---------~.----------.—.. � ' frame > Type ofConstruction -------------- ' � ` --------------------------' | . � plot � ' Date of � � | p � / / / � � / PERMIT � ............................. .. lV ` � —�..� ..'. ._�.�. _. ............................ . ------...-------_----------. � / � � ..----.--_----~.------.---.— > � � .. ---..-----.—. � \ ----'—'—'--''.—''.''.' ' ( � i } Approved ---------------- lg / -----------------^--------'' ` . ` � ` --------------------''^^^'—~—' � � �'`j _ ', � s r`� _�•" K '...r' >s.��...�.t ., ^' y t..ram 1-- � 1 ` TOWN. OF..BARNSTABLE; Permit No. 20491 e Building Inspector ' smn.0 Cash 'Oo �e o � �✓�'y _ - OCCUPANCY PERMIT Bond _ R No building nor structure shall be erected, and no land, building or structure shall be-: used for a new, different, changed, or'enlarged use without a Building Permit-therefor first having been obtained from the Building Inspector:No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Dana Wetherbee Address 65 Threadneedle Ln.,Centerville lot #74 ,, 27 Old Toll Road, West_.Barnstable Wiring Inspector C �� Inspection date 1_7 IJ Plumbing Inspector � ` �� Inspection date Gas Inspector Inspection date !/Engineering Department f ��y� � �� ` 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. % Building Inspeetor___--*' l V _ti►. `44-1 Cca0 C7o LoT NI � t i ' tj1 ; t 40 V� .9 i 1 l_JC 1 S . V �Ql.� �, L.r1 p��,t 1` /,_!.� ���V_'a,.� 1 O ! •_..��7"�i 1 Vi~�7" ��T� Sk)Otjton 0 4 a V 106�-r� CA. ✓r � (� Ur-1 ,�-." : b'� t `v.' "�;= ;%.1�;�` JLc 700 ! ✓L Gr 3�I tf- tj R� ' -7; OLDHAM Nil 2 i"(07 �'w Assessor's map and lot nu r ...1..1..I..7.1.Q.9.....L-. 0 ,� i THE TOE 07� v' /.:......................:Sewage Permit number y" SEPTIC SYSTEM MUST BE fO� _y,�._, INSTALLED IN.COMPLIANC ' H6H -STABLB, House number ........................ .+ .................................. � WITH ARTICLE II STATE 'oo MABI 0� 63 SANITARY CODE AND TOWNo�aYa� TOWN OF BARRNE z� BUILDING , PtECT f APPLICATIONFOR PERMIT TO ........................................................ ................ ...................................... TYPEOF CONSTRUCTION ....................................... Y .................................................................................... ...................`! .. . ..............19 .a TO THE INSPECTOR OF BUILDINGS: The -undersigned hereby applies for a permit according to the followingp information: li Location.. . ....... rMy... .,�� ....��..r�.......... <��5�...�d//E./�. :... ProposedUse ..............�. 0y ................................................................................................................................. Zoning District ........................................................................Fire District ...4r.... .................... Name of Owner P(.7/P./).../I(-�.F✓j,651f . ...........Address Nameof Builder ...........4:�h10% ......................................Address ............ /( ...................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...............�(a..............................................Foundation ....... ``l 41JM,,06- ,�.......................... Exterior ........... ....................................................... .. Roofing ...........,?���� / �.1 .......................................... Floors ....................4 .!;�f2 ...............................................Interior ...........%..�1. �4, .1`. `....................................... ... Heating ............. -�//.. ..................................................Plumbing ............... ........................................ .-j ��1/ t Fireplace ............../.-� �i/.I....................................................Approximate Cost ..........3✓ ..(...(.......................... Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ....... d.......:....:.......... Diagram of Lot and Building with Dimensions 0 9 9 Fee ........��J... ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTHON410. �qH � 33 Xb I hereby agree to conform to all the Rules and Regulations of the T wn of Barnstable regarding the above construction. Name ...... .. .. .. ... ...... ............................ Wetherbee, Dana O CIV1 20.4.9.1. permit for ...... ...... ........ . . .. single family dwelling ............................................................................... Location ... 2001d Toll Road .................................................. West Barnstable ............................................................................... Dana Wetherbee Owner .................................................................. Type of Construction .......................frame................... ............................................................................... 'Plot ......................... Lot ............ #74 .................... Permit Granted ........."Ust...16. ig 78 Date of Inspection .. . ............19 Date Completed -YIZ71 ...........19 0/T- All 7 -;)5-1 PERMIT REFUSED .......... ........... ....... .... 19 ......... . .... ....... ................... ............. ........... . ... ........ ............... ............................................................................ Approved ................................................. 19 ............................................................................... ............... ........................................................... i ©►—I VMCCARTHY. 0 RUCTION COO ` T:7 esid `t ial and Commercial Builder T�.EATIZATION SPECIALIST T . �'iCw�► Zi` I C Y � � 1 � ART YC 10Q October 21,2014 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main Stret Hyannis, MA 02601 8 c� RE: Insulation Permits 0 Dear Mr. Perry, es This affidavit is to certify that all work completed for permit application#201405794 at 2 OLD TOVP r ROAD has 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 ' TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION Map V Parcel � `a ,i�"STR placation # O Health Division Z0i# Sr? _ ,.� Date;issued i Conservation Division Application Fee Planning Dept. a _ Permit Fee Date Definitive Plan Approved by Planning Board Q1VIS!Cq3J �- Historic - OKH _ Preservation / Hyannis Cv Project Street Address 0---7 ONQ Village Owner 9C_ka VIC A d s Telephone -�v- •�� Permit Request J- h �fh Ole Square feet: 1 st floor: existing euc 2nd floor: existing proposed Total new Zoning District F Groundwater Overlay Project Valuation )b� C ype Lot Size fathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: 'ngle Fa 'ly Two Family ❑ Multi-Family (# units) Age of Existing St cture Historic House: ❑Yes ❑ No On Old King's Highway: 0 Yes ❑ No Basement Type: ❑ ul Crawl ❑Walkout ❑ Other Basement Finished Ar - (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 A,reC-ar-thy Constrm,c*.n.. Telephone Number PO Box 52 Address Tennis. MA 02670 License# Cell (508) 280-6964 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a � J SIGNATURE DATE i FOR OFFICIAL USE ONLY w; APPLICATION# VATE ISSUED ? MAP/PARCEL NO. ADDRESS > VI LAGER b OWNER ., .00 DATE OF INSPECTION: z V' Ic?t - FRAME r 1 INSULATION FIREPLACE j ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT y " { ASSOCIATION,PLANNO.