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 ..=. Y,...„ rtir�'Fdy+r<s,Y; >, 3i � 3,E.' �:.'w+r ...y-'": S4� � w"
{&T-�.Y.t �� S (6�1` 'Y"+yr j� ���i.-p �/1'.°Xi--. _- :•�.t�r � a� y � � �' � �4 ��`
�!d�' ham. r A a r•� 1'4 y _• y ,�'F ��u '� �-�..
-- y.A,`�..v"�'e.4.��of {lhf(P •r Z +9+�r I'
4
Am
41,
Go a ,, •rnA 7� cc.s r - �A
Fna ce —/0""O'n y—W 0zi — Ge,r4.La-► S-c —`f{ehoQCrsar�
i
r ,
`.m
S
72
tilt _.Jai ...,
b1
L
I i
r
7 r�.
y
fi .. '
:K
_ � at ��� .Fsrri .,�•
i
5,I1
f,
r i�.
i F`
i
F.
A
a/.
a9�
ate 4,t
r.
s �
e _
4saa.nk.L _ a:e.�•u ! - ., .b YC i �n� � bk .r�-•, iia��r�,�' Y� -
4 .rw.., - .. _ �,•Y�"�+W,,�.s,± cam- .y1a?N „°w�o�n4+1`�sm. ., ', '`is;��,w x..�>'sa:. ,.-
x
•. ci.
M
�.
��
��
,a ,. ..
=�F
i
'�
,,h `<�'
._
I �';,
-, �s' ..�,. �� � �,.,
�ail � a
� �a �,<
a..,, x � �
__ ��_,,�F'�.xj��4�� ; a` ..,yew,___. i � J }.���-yy�`
' ...• �'''( "' �' ? ray. ;.- ti
�.:
w-
_ �. .�..�
i
f-� r ys+ ..
+' i 2� � u �'d!:
'his ,���� ? , ��..
,yn,..-...,..,..,. r, r�,..;�t. W, ��
h .. i _
--�..u�+�1!- .�.�
e� � �. ,
d�t_� �.
- ..
_ � ",
�� - _ tip x _
at '
i
r:
gas . s
,aroma-
z 'It M �
r
44
,
Tr