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HomeMy WebLinkAbout0225 NAVIGATION ROAD — � Z�5" 44 V16 Io 4 ti UPC 12543 a No. 53LOR HASTING6,. UN `" TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ApMap Parcel plication# ► a s� 1 Health Division Date Issued Conservation Division �� ) a�lldi�� ,� �^����"�� Application Fee /a` S Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation / Hyannis Project Street Address Z2 S Ak,,y Village Owner ����,/ �.� � ,�.Ct . soi, Address Telephone ��� SZ�� `70 1 Z �gr- 36 SZ)3 Permit Request bL,J I f ��—v'^e- r Square feet: 1 st floor: existing W proposed 2nd floor: existing l�b proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation -Z�Ct) 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 Hous"Other Yes ® No On Old Kin 's Highway: ❑Yes ❑ No 9 9 9 Basement Type: ❑ Full ❑ Crawl ❑Walkout �� 6 Basement Finished Area (sq.ft.) A )A Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing r new Number of Bedrooms: L existing _new Total Room Count (not including baths): existing new First Floor Room Count �-- Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric O Other U6o Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: es ❑ 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 INFORMATIO (BUILDER O HOMEOWNER) Name Telephone Number ��� Z `/ gad Address 75 7 c r P d1 License # c. 02-4 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION D I G FROM THIS PROJECT WILL BETAKEN TO SIGNATURE DATE ` FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED of !: MAP/PARCEL NO..._ ADDRESS VILLAGE 5 OWNER DATE OF INSPECTION: I`,FOUNDATION FRAME 1 ..,.INSULATION-;. FIREPLACE ELECTRICAL: ROUGH FINAL e PLUMBING: ROUGH FINAL ROUGH '- FINAL iFINAL BUILDING 2_ r a DATE CLOSED OUT ASSOCIATION PLAN NO. t o f �'. The Commonwealth of Massachusetts Department of Industrial Accidents Office of InvaWgations. '600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Busmess/Orgmuzation/Individual): Address: City/State/Zip: Phone.#: Are you an employer?Check the appropriate bog: -Type of project(required):: L❑ I am a employer with 4. ❑ I am a general contractor and I have hired the sub contractors 6. ❑New construction . . employees(full and/or part-time).*. . 2.❑ I am a•sole proprietor or partner- listed on ihe-attached sheet 7. ❑ deling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' o workers' comp.ina�7rance comp.?n�TM�Trce.t 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their , '3. I am a homeowner doing all work 11.El 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.inanrance required.] *Any applicant that checks box#1 must also fiA out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities bane employees. If the sub-contractors have employees,They must providt 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.P 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 ne-year i Fcovoraze ' n ent; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day oBe advised that a copy of this statement may be forwarded to floe Office of Investi lions of th r' verification. I do hereby ce u al (nd penalties of perjury that the information provided above is true and correct Si attae: �Date: S/7,47 Phone#k Official use only. Do not write in this area,to be completed by city or.town gffx aL City or Town: Permit/Ucense.# -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#: TME Town of Barnstable Regulatory Services • ■,►gam, • yes Thomas F.Geiler,Director Building Division.: Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.towu.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section • If Using A.Builder U4ZV I' , as Owner of the subject property hereby authorize �L�✓ �����1�i�� to act on mY behalf, in all'Matters relative to work authorized by this building pettnit y, r (Address of Job) - *Pool fences and alarms are the responsibility of the applicant. Pools are nip o be fille4, before fence is installed and ools are not to be u ' e al inspections are perfo e d accepted. ignature of Owner Signature of Applicant W Print Name Print Name Date QTORMS:OWNERPERMISSIONPOOIS is Town of Barnstable Regulatory Services anaxsr , : Thomas F.Geiler.,Director 39. -.�' Boil--ding Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: 2-2- jnumber r street village "HOMEOWNER": 50 ,SZy 170 0 name home phone# work phone# CURRENT MAILINO ADDRESS: S `— 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 buildine 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 un si In "certifies that he/she understands the Town of Barnstable Building Department n ores and requirements and that he/she will comply with said procedures and re n 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 understands the responsibilities of a'Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. i Q:forms:homeexempt May. 3. 2012 12:48PM — o WEST BARNSTABLE FIRE DEPARTMENT 2160 Meeting house Way West Barnstable Ma. 02668 westbarnstablefiredept@verizon.net Chief Joseph 'V'. Maruca Emergency: 911 Business 508-362-3241 Fax: 508-362-3683 May 3, 2012 Thomas perry, Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 Sent'Via Fax# 508-790-6230 RE: .225 NAVIGATION ROAD, WEST BARNSTABLE Dear Tom: There does not appear to be any electrical or other utility services to the property at 225 Navigation Road, West Barnstable, MA. An questions, give me a call. Ve truly yours, l oseph V. Maruca, Chief 950N!d E— �ldl111 319-ViS1y 9 JO Nh!Oi �3� �0 � Town of ,moo Regulato s s Thomas F. G MASS.LEg Building 039. '0o ram" Thomas Perry, CBO,Bi 200 Main Street, I Office: 508-862-4038 April 18, 2012 David Dumont 67 Willow Street Hyannis, MA 02601 Re: 298 Main Street, Hyannis Map 327 Parcel 095 Certificate of Inspection Multi-family (5-year Certificate) Dear Mr. Dumont: Attached is an application for a Certificate.of Ins" Massachusetts State Building Code, Seventh Editi r MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108.1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 4/27/2012 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139,Sec.36 BARNSTABLE BUILDING COMMISSIONER 367 MAIN STREET 367 MAIN STREET HYANNIS MA 02601 Re: Insured: DAVID&MARY HENDERSON Property Address: NAVAGATION RD,WEST BARNSTABLE.MA 02668 Policy Number: 1154294 Type Loss: Fire(including Fire caused by Lightning Date of Loss: 04/25/2012 Claim Number: 301391 Claim has been made involving loss,damage or destruction of the above captioned propert,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. I MPIUA Claims Division o n o CMA00021 < Ln ' o =P Ci'f ,� r Parcel Detail Page 1 of 3 r SAIi15TAtiLE • TYC� Logged In As: Parcel Detail Thursday,April 26 2012 Parcel Lookup Parcel Info Parcel ID 180-002-001 I Developer Lot Location 1225 NAVIGATION ROAD I Pri Frontage i Sec Road I Sec Frontage Village IWEST BARNSTABLE Fire District W BARNSTABLE Town sewer exists at this address I No I Road Index 1068 Interactive yam Map w Owner Info Owner ILOMBARD TRUST I Co-Owner HENDERSON, DAVID&MARY Streetl C/O FARRINGTON,WILLIAM I Street2 18 DEWEY AVE City I SANDWICH I State[MTJ Zip 02563 I Country Land Info Acres 0.34 Use ISingle Fam MDL-01 i Zoning I RF Nghbd 0104 Topography I Road Utilities I Location Construction Info Building i of 1 Year 1940 I Roof Gable/Hip I Wood Shingle Built Struct Wallall Living 759 I Roof Asph/F GIs/Cmp I AC None Area Cover Type _ Style Cottage I wali Wall Brd/Wood I Rooms 3 Bedrooms ( F Bedup' Model Residential I Floor Typical I Rooms 0 Full+ 1/2 `Fus. seas:. ens Grade Below Average I Type None I Room �, s 5 Rooms i 4 Heat Found- 2 Stories 2 Stories I Fuel None I ation Piers I.` �• Gross 1179 Area Permit History http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12382 4/26/2012 I Parcel Detail Page 2 of 3 1I4ssue Date I Purpose I Permit# I Amount I Insp Date I Comments II a Visit History Date Who Purpose 03/23/2012 00:00:00 Jeff Rudziak In Office Review 11/05/2008 00:00:00 Paul Talbot Cyclical Inspection 10/17/2008 00:00:00 Nancy Finch In Office Review " Sales History Line Sale Date Owner Book/Page Sale Price 1 02/15/1961 LOMBARD TRUST 1117C/334 $0 Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parcel Value 1 2012 $34,700 $2,000 $0 $105,100 $141,800 2 2011 $35,900 $0 $900 $105,100 $141,900 3 2010 $37,500 $0 $900 $105,100 $143,500 4 2009 $36,700 $0 $400 $141,800 $178,900 5 2008 $36,400 $0 $200 $147,700 $184,300 7 2007 $36,400 $0 $200 $147,700 $184,300 8 2006 $23,900 $0 $200 $149,100 $173,200 9 2005 $29,800 $0 $200 $135,100 $165,100 10 2004 $33,700 $0 $0 $135,100 $168,800 11 2003 $25,700 $0 $0 $55,600 $81,300 12 2002 $25,700 $0 $0 $55,600 $81,300 13 2001 $25,700 $0 $0 $55,600 $81,300 14 2000 $14,200 $0 $0 $89,100 $103,300 15 1999 $14,200 $0 $0 $89,100 $103,300 16 1998 $14,200 $0 $0 $89,100 $103,300 17 1997 $8,400 $0 $0 $0 $8,400 18 1996 $7,300 $0 $0 $0 $7,300 19 1995 $7,300 $0 $0 $0 $7,300 20 1994 $8,300 $0 $0 $0 $8,300 21 1993 $8,300 $0 $0 $0 $8,300 22 1992 $9,400 $0 $0 $0 $9,400 23 1991 $19,300 $0 $0 $0 $19,300 24 1990 $19,300 $0 $0 $0 $19,300 25 1989 $19,300 $0 $0 $0 $19,300 26 1988 $23,100 $0 $0 $0 $23,100 27 1987 $23,100 $0 $0 $0 $23,100 11 28 1 1986 1 $23,100 $0 $0 $0 $23,10011 Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12382 4/26/2012 i Parcel Detail Page 3 of 3 i 4 s http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=12382 4/26/2012 Page 1 of 1 Int Ak ,b 1 R� T' k T. n q� file://\\isvisions\images\00\02\52\41.jpg 4/26/2012 Page 1 of 1 i r i ' =4 us, 3 file:/A\isvisions\images\00\02\52\42.jpg 4/26/2012 - F y } y rr''""ff'f Tj r.:. t/� >-f�r - �,p ��.• sty° �,r .k"�.�ri'�t' °.r ..=. 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