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HomeMy WebLinkAbout0063 CRAIGVILLE BEACH ROAD _(03 C�a.� v i 1)a ^S eQ.c k �Rt�(, �' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 7 Parcel / `1 Application # Health Division Date Issued 4" Conservation Division Application Fee Planning Dept. Permit Fee Q Date Definitive Plan Approved by Planning Board Historic - OKH _ Presem,ation /Hyannis Project Street Address G/eA-(GG101.cL i—r- 6 6-AV-1 U AD Village Owner oAj gr,6� - /j✓s� 6/G 1 p, 0 A11t" Address 9 7 4A N-6 LEY Telephone Yn!-1 0 Zf3S Permit Request lvl 0a9rEtqu k � j Square feet: 1 st floor: existing G proposed 2nd floor: existing proposed Total new Zoning District 6 Flood Plain Groundwater Overlay Project Valuation Av 1 0®0 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family TNo 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) c Number of Baths: Full: existing new Half: existing =�' -new �.;� � CD 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 5 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/'oal stove ❑ s ❑ No ,0 M 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 DX 9 D APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name /.� 47A;34,4= / OX 01C0 W Telephone Number 774-.2-/ '3 4y Address r© License# MY 24> 0 Home Improvement Contractor# 16/ 5 7 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO pyar9 �v�u We- SIGNATURE e DATE - FOR OFFICIAL USE ONLY " APPLICATION# ' DATE ISSUED MAP/PARCEL NO. r f ADDRESS VILLAGE OWNER DATE OF INSPECTION: a- FOUNDATION rc- PA- FRAME INSULATION FIREPLACE 4 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING �R-ems✓���S c�,'�.e�.¢-r�r/L �� ti DATE CLOSED OUT ? ASSOCIATION PLAN NO. Y j4 i o�rFEr Tow)z of Barnstable Regalatorp Services r 1�xsrAgc TharIIaS F. Geiler, Director :6�g Building Division Thomas Perry, CBO, B.uEding Commissioner 200 Main Street, Hyannis,NIA 02601 wvw.town.barnst2ble tna:us •Ofccc 308-862-4038 Fax: 508-790-623C LAN REVEW Ma /P arcel Owner p Project Address` -UILc Builder The folzowing items were noted on reviewing: l 1.V`-t g:A SC—, J4 C qtA— I 9 �c Sb.t-t o PZ)s7- C fZ u i v�? Reviewed by: Date: f 'r The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street ` Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name(Business/OrgmiZation/Individual): .r/U�//� Address: P?Z City/State/Zip: Awi6S7 tOCIF- Phone.#: Are you an employer?Check the appropriate box: -Type of project(required):' 1.❑ I am a employer with 4• [] I am a general contractor and I employees(full and/or part-time).*. have hired the sub=contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the-attached'sheet. 7. Remodeling. ship and have no employees These sub-contractors have 8. ❑Demolition • working for me is any capacity. employees and have workers', 9: ❑Building addition [No workers'comp.insurance comp.insurance,$ required.] 5• We are a corporation and'its 10:❑Electrical repairs or additions '3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself: [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees.[No workers' 13.❑ Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then 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 have employees, If the sub-contractors have employees,they must provide their workers'comp,policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy.number and expiration date). Failure.to secure coverage as required.under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year impriso#nient,as.well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify thepains andpenalties ofperjury that the information provided ab ve is/true and correct. signafore: /l.`�� Date: Phone#: �� 2/J-3S 1 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License .Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �t2e TD JUN 1 % /�- / f Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 By °'` Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169331 f =, Type: Corporation Expiration: 6/14/2013 Tr# 213380' ENGINEERED CONSULTANTS, DAVID PARRELLA P.O. BOX 483 � _ t BARNSTABLE, MA 02630 � 1 #V Update Address and return card.Mark reason for change. ti Address Renewal- Employment Lost Card OPS-CA1 0 50M-04/04-G101216 ' ")rune"Aff ,°� � License or registration valid for individul use only Office of onsumer Affairs&B siness Regulation g y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:' 169331 Type: Office of Consumer Affairs and Business Regulation Expiration 6/1-4/2013 Corporation 40 Park Plaza-Suite 5170 Boston,MA 02116 NEEERED CQNStJLFAfsiTS tNC: DAVID PARRELLA; .—` -; r 140 MAIN 2 OSTERVILLE, MA 02655 Undersecretary valid without signature P` Massachusetts Department of Public Safety ( Board of Building Regulations and Standards Construction Supers isor License: CS-040300 ' ``c i T�1-S ��A DAVID A PARR�LLA:. PO BOX 483 . BARNSTAM�E MA;02630' 0 Expiration Commissioner 02/17/2014 t Town of Barnstable - �- Regulatory Services BAMSTA=} ' + Thomas F.Geiler,Director 639. '' Building Division Tom Perry,Building,Commissioner 200 Main.Street,Hyannis,MA 02601 www.town.barnstable,maxs Office: 508-862-4038 Fax.: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder r � I ) ( eiy % .4 �j 40d/IA162 Owner of the roect subject l property PAY hereby authorize /f�2A�S134 .t �f .fL to act on my behalf, in all'matters relative to work authorized by this building pemtit. (Address of job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of O er Signature of Applicant r Print Name Print Name BARNSTABLE HARBOR BUILDERS P 0 Box 483 BARNSTABLE, MA 02630 bat QTORM&OWNERPERMISSIONP001 S ` Town of Barnstable Geographic Information System April 10,2012 267103 #23 267109 267108 �26 #72 7115 - IV #66 #91 288022 #54 267110 266031 + ` #2 a * 267114 #63 . l eaTL" �Gt 288001 �n #36 267113 267151 0 20 Feet ., #51 #39 DISCLAIMERS:This map Is for planning purposes only. It is not adequate for legal Map:267 Parcel:114 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel M 1 100 may not meet established map accuracy standards. The parcel lines on this map Owner:DiGIROMMO,VINCENZINA A Total Assessed Value:$320300 21< are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.67 acres Abutters ,:( ; W4: *E boundaries and do not represent accurate-relationship's to physical features on the map i' such as building locations. Location:63 CRAIGVILLE BEACH ROAD Buffer FORM 153 The Commonwealth of Massachusetts ~use ci Department of Industrial Accidents Office of Investigations-Dept. 153 �� 600 Washington Street—71h Floor,Boston,Massachusetts 02111 http:/hrww.mass gov/dia y Yc i ria��l l IN Inv 61SWOOD! +i�+�, t f AFFIDAVIT OF EXEMPTIM FOR CERTA_iN CO PO ATE " "UEN7S OFFICERS OR DIRECTORS Chapter 169 of the Acts of 2002 amended M.G.L. c. 152,§1(4) by adding the following paragraph: "This chapter shall be elective for an officer or director of a corporation who owns at least 25 percent of the issued and outstanding stock of the corporation.Notwithstanding section 4.6,these provisions shall apply only if the corporate officer provides the commissioner of industrial accidents with a written waiver of his rights under this chapter.Said commissioner shall promulgate regulations to carry out the purpose of this paragraph. Violations of this paragraph shall subject the corporation to the penalties set forth in section 25C:" Pursuant to M.G.L.c. 152, §1(4)as amended, I/We the undersigned officers of: (Name or corporation and Address) each holding at least 25%of the issued and outstanding stock in said corporation,do hereby invoke the right to be exempt from the provisions of M.G.L. c. 152; §25A and therefore are not required to.carry a workers' compensation policy covering the undersigned corporate officer(s)or director(s). I/We the undersigned do also waive any and all rights to make claims for benefits as defined in M.G.L.c. 152 for any injuries that may be sustained while in the employ of the above-named corporation. Further, I/we the undersigned do understand that,should the above-named corporation hire or have in its employ any employee(s) in addition to the undersigned corporate-officer(s)or director(s),said corporation is required to obtain workers' compensation coverage for the employee(s)as prescribed by M.G.L. c. 152, §25A. Me the undersigned have read and understand the statements and obligations as delineated above and I/we have checked the appropriate box below my/our name(s) indicating my/our desire to be exempt or not to be exempt from the provisions-of M.G.L.,c. 152. Sig u the pains and penalties of perjury: Ah✓i� f��4R, c�t- !�/ S Z�Z .22 0 r/ S' Print Name&Title Date(;nnVdd/yyyy) 21 wish to exercise my right of exemption or I wish NOT to exercise my right of exemption Signature Print Name&Title Date(mm/�ryyy),'� 1 wish to exercise my right of exemption or 1 wish NOT to exercise my right or exemption ❑Signature Print Name&Title Dam(ny,,,rl I wish to exercise my right of exemption or 1 wish NOT to exercisc my right of exemption '�'t7 3�'y� G Signature Print Name&Title Date(m vd/yyyy I wish.to exercise my right of exemption or 01 wish NOT to exercise my right of exemption NOW ALL ELIGIBLE CORPORATE OFFICERS MUST SIGN.THERE CAN BE NO MORE THAN 4 SIGNATVRES.lnsmucitona on back Form I S3-10-2&02 4 y _. ....... ,+:.it'.... .».. .. _....,R.t„,..,� _ .k .-...,.. ... .. .,.:..... '.fir ... .... .. .. rcx . _ RViO E AND DEGIC _ Q Z Z00 --- v- ---- p -- m QQ c w � Z P awuS � z n- _ Q = m_ FIRST FLOOR PLAN SWEET I OF 2 5CALE� 1/4' 1'-0' - . - Al • - .108, 1204 DRAWN BY. NW DATES 4/5/12 {, •It 41'-o' C 4.T4 21�8 TOP RAIL Ly.� N . 4AT ING I w P GALLWERS 0L O.C. ) O �. A7WING. BLOCKING ALL SIDES 11�� MING. 8/4 PT DECKING.TYP. M .. (1)PT 2tro Rin S6'W SPACER BLOCKS h'�y O.G. P.T.LEDGER FASTENED TNROUGW BL=W/(2)WWr C.ALV.LAG BOL w W /yam G-(a)PT POT P.T.DECK JOISTS 0 K'O.G. O M GA P.T.POST LI-1 GAIN.METAL MST ANC/KJRV.METAL J018T WANOERB 12''SOW TLTW CONCRETE PIER TYP. EACW END OF EAGW JOIST 2'-O'AT EACH JOIST ,^ 0 • �--4 m Z GALV TS _ � METAL'O ease ANOIOIt -III III— -1 I-11 12•DIA.CONCRETE PIER W/ III-I O aa''BIG FNT'FOOTING I—I _ —I I I_I 4'-O'MIN.BELOW GRADE J o III—II II.Ilt DECK DETAIL111Till • A2 SCALE: I/2° Q fi cQn Q J I J L Z > Q � l7 ? Z J _ m FOUNDATION PLAN SWEET 2 OF 2 SCALE: 1/4' - I'-0' A .- . / AL JOB: 1204 ` DATE: 4/5/12 Assessor's map and lot number ....... (q... ........1...�.. , l� 04STALL.ED M COP,""i,.lANC Sewage Permit number ... .' WITH ARTICLE Ii ;�'' TE. ......... SANITARY CODE AND TOWN THE TOWN OF BARN;ME•� CF T�� i Qyr O y BAWSTOBLE. i a BUILDING INSPECTOR . i APPLICATIONFOR PERMIT TO .... . .. ........ ... ....... .............. ......�......................g.. .................................. .. TYPE OF CONSTRUCTION `. ........... ...� ..:...... .1........19�� TO THE INSPECTOR OF BUILDINGS: u The undersigned hereby hereeby __applies for a permit according to the following infor ation: Location .....J�........ ........:. � - � !1..... ...... / .......................................... G �Ln: ProposedUse ............................................................................................................................................................................. ZoningDistrict .................................................�........................Fire District .............................................................................. Name of Owner �r''1.. ./� eA ...Address .....` �............. ...... .. ... .4..... Nameof Builder .... ....... .. �. ........... ....... .... ........Address . .. .,. ... .. .......... ..... .. ....... ...... ......�� Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exterior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... Heating ........................-........................................................Plumbing ....................... Fireplace `Pit Approximate Cost .......................... ....... Definitive Plan Approved b Planning Board ________________________________19________. Area .............�.............. pp Y 9 60 Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I'hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name ..�.. ............ . .... !- '.............. Williams, Jean Nola 17324 4R add fireplace & No .................Y Pe&it for .................................... chimney to dwelling ............................................................................... Location 51 Craigville Beach Road ............................................................... West Hyannisport ............................................................................... Owner Jean Nola Williams Type of Construction fxxm masonry ................................................................................ Plot ............................ Lot ................................ Permit Granted ......fleptember 19 19 74 . .,..j................ x Date of Inspection ....�� Date Completed .......... . j. PERMIT REFUSED ................................................................ 19 x ............................................................................... ................................................................................ ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... ~ ` . TOWN OF BARNSTABLE 1639- BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigrig-d'hereby applies for a permit according to the following information: A\ Diagram of Lot and Building with Dimensions Fee .........I/31� SUBJECT TO APPROVAL OF BOARD OF HEALTH | hereby agree to conform to all the Rules and Regulations of the Town of 8ornohzb|o regarding the above construction. Williams, Jean Nola ,�bl 7-1111 17324 add fireplace & chimney to dwelling PERMIT REFUSED � ----'-----.-----------. lg _ ` '--------------------~—'---'' ~--.---..--------.—.—.----~- -----------'--~—^---'—^—^---' � -------.----------...—.----.. � � � Approved ................................................ lV � ' -------'-------------'-----'' ----------------------'----