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HomeMy WebLinkAbout0150 HINCKLEY ROAD .__ - - - C i { y { j , -a�(4e� Application number........................................... 3E;- Fee....................... /..................................................... WAS � . Building Inspectors Initials... + \�\� Date Issued......F12L.....7.... �® Map/Parcel......3 q..................... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: , ROOF/SIDINGAVINDOWS/DOORS/TENTS/STOVESAVEATHERIZATION PROPERTY INFORMATION , Address of Project: NUMBER STREET VILLAGE Owner's Name: 5701E Phone Number "5 S 3 a Email Address: o r S A (e- Cell Phone Number ! -5zoq �S y Project costs 1-0 -�� Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: �, Date: g"26 TYPE OF WORK ❑ Siding Windows (no header change)# - ❑ InsulationLWeatherization Doors(no header change)# Commercial Doors require an inspector's review ❑ Roof,(not applying more than 1 la er of shingles) Construction Debris will be going to A-tl*LE L-P, ' CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# 3 (attach copy) Construction Supervisor's License# /' (attach copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. � 1 APPLICATION NUMBER............................................................ *For Tents Only* Date Tents will be erected Removed n( ) • number of tents total Does the tent have sides?Yes No ' (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required. Natural Gas Yes No ,if yes, a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type e TestingLab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: (� Telephone Number � � j�J� Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor ' ccordance with 780 CMR the Massachusetts State Building Code. I understand the constru do inspection procedures,specific inspections and documentation required by 780 CMR and a wn of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date. All permit applications are u ject to a building official's approval prior to issuance. v +. The Commonwealth of Massachusetts Department of Industrial 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 Legibly Name(Business/Organization/Individual): zl �G�c Address:TKO_ %Vk J4 VAA ity/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-time).*. have hired the sub-contractor# 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 � g• ❑Demolition working for in an capacity. employees and have workers' g Y P h' 9. ❑Building addition [No workers'comp.insurance;aqu comp.insurance ired.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.ffI 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 V 1/W� i�IOwtJ S comp. insurance required.] a _Doi3l' Nk!m WE . *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. 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.#: 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 imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day again v'olator. Be advised that a copy of this statement may be forwarded to the Office of Investigation of the DIA r in ce coverage verification. I do hereby certify u er p and penalties of perjury that the informf provided above is true and correct Signature: - Dater Phone# � ��{ D `7` 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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 trustee 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 on 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,§25C(6)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,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter 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 out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Investigations 600 Washington.Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#61.7-727-7749 www.mass.gov/dia °FT"ET°�. TOWN OF BARNSTABLE i BAUST"LE, i mum 9 D LDING INSPECTOR �p i6 `00 RFD Y 3PY9.a' .. .rl. APPLICATION FOR PERMIT T0= ... . . ����+'%.:�..;5:: .:...K.. ..rrt�i.• ... -.�.......................................... TYPE OF CONSTRUCTION ..... .. :.. r6 .... .".... ..�. ................................................19... � TO THE INSPECTOR OF BUILDINGS: { ` The undersigned hereby applies for a permit according to *th following information: Location ../ D.... i r G.,i. r f.: .........1�L ec. .......... ✓a�x ...... ......... ........... ........................... ProposedUse ,.. . .../. L .,..... ............. L. .............................................. / Zoning District l ........................................................................Fire District .............................................................................. Name of Owner :�A.Y cl.- ��t'/.:... �.��a.:.�'�...�/(�....Address Name of Builder C, -a •....� tGG� � ....Address , Nameof Architect ......................................6...........................Address ...............................................................0.................... Number of Rooms ....................1................................ Foundation Exterior ..... .....................Roofing '... .a..l'7.rn'.6 .......................... Floorsj: .....................................Interior ..........�J. G� ................................................ Heating ..... ..............................Plumbing ...a-al"1:6:.... .......X C:eh od' Fireplace ......... 1!4! . ..........................................::.........Approximate Cost ....._....... . .: -......................... • S Difinitive Plan Approved by Planning Board -----------__— _____—___19 Diagram of Lot and Building with Dimensions/ S. . _ S(-- THE PROPOSED METHOD OF PROVIDINIG FOR Z s . �- ER SUPPLY, uCti"1A E DISPOSAL SANITARY WAT AND DRAINAGE IS HE TOWN OF BAR 1STABLE-N BOARD OF HEALTH A L1C,RjSED IPi 1 ALLER N.U.-ST OBTAIN SEWA10 PERMIT. AND INSTALL EjYSTF-M. I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ' Name Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language ♦I Assessing Division Property Lookup Results - 2017 n � 367 Main Street,Hyannis,MA,02601 . <<BACK TO SEARCH<< Print Friendly Owner Information-Map/Block/Lot:311 1 064/-Use Code:1010 Owner r rOUJ ( Q �VVV Owner Name as of 1/1116 LOFTUS,CHRISTOPHER Map/Block/Lot G/S MAPS P.0..BOX 3243' 311/064/ Property Address NANTUCKET,MA.02584 r 150 HINCKLEY ROAD Co-Owner Name x 0 Village:Hyannis f(t 0 N Town Sewer At Address. es GIS Zon Value:RB v Assessed Values 2017-Map/Block/Lot:311 1 064/-Use Code: 2017.Appraised Value 2017 Assessed ValuePast Comparisons Building $68,400 $68,400 Year'Assessed Value Value: Extra ° $2,900 .$2,900, 2016 $139,900 Features: 2015-$141,400 2014-$141,400 Outbuildings:$0 $0 - 2012-$141,100 2011-$152,500 Land Value: $67,000 $67,000 2010=$187,500 r 2009-$215,300 2017 Totals.,$138,300. $138,300 2008 $233,600 a 2007-$233,600 Tax Information 2017-Map/Block/Lot:311/0641-Use Code:1010 Taxes Hyannis FD Tax(Residential) r. $338.84 Community Preservation Act Tax $39.58 Fiscal Year 2017 TAX RATES HERE.. ;Town Tax(Residential) $1,319.38 $1,697,80 Sales History-Map/Block/Lot:311 7 0641-Use Code:1010 F. ' History: Owner: Sale Date Book/Page: Sale Price: LOFTUS,CHRISTOPHER 2010-06.18 C191735 $1 1 http://www.townofbarnstable.us/Assessing/propertydisplayscreen 17.asp?ap... 7/25/2017 Official.Website of The Town'of Barnstable - Property Lookup Page 2 of 4 4 HAYES,CHANTAL K TR 2009-05-15 C188556 $133000 e ONEIL,DONNA 2008-12-19 C187589 $119900' I t US BANK NATIONAL ASSOCIATION2008-06-11 C186181 $156375 ALENCE,EDWARD G 2005-09-19 _ C177965 $270000 ' ROBERTS,CLIONA M 2004-07-29 C173886 $235000 BAKER,MARLENE 1984-08-15 C97676 $48500 % .k rs` BRUNE,DOROTHY M 1957-10-04 C21069 $0 Photos 311/064/-Use Code:1010 There are not any photos for this parcel. Sketches-Map/Block/Lot:311 1 0641-Use Code:1010 I AsBuilt Card N/A Constructions Details-Map/Block/Lot:311 1 0641-Use Code:.1010 Building Details Land Building value $68,400 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $105,189 Bathrooms 2 Full-0 Half. Lot Size 0.22 (Acres) Model Residential Total Rooms 6 Appraised $67,000 Value Style Ranch Heat Fuel Gas Assessed $ Value 67,000 Grade Below Heat Type Hot Water Average Year Built 1951 AC Type None �c Effective. 35 Interior HardwoodCarpet depreciation Floors Stories 1 Story Interior Walls Drywall Living Area sglft 1,216 Exterior Walls Wood Shingle, Gross Area sglft 1,216 Roof Gable/Hip ' Structure Roof Cover Asph/F GIs/Cmp I http //www.townofbarnstable.us/Assessing/propertydisplayscreenl7.as ?a ... 7/25/2017 P P Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 y Outbuildings&Extra Features-Map/Block/Lot:311 1 064/-Use Code:1010 Code Description Units/SQ ft Appraised Value Assessed Value - FPL1 Fireplace 1 story 1 $2,900 $2,900 Sketch Legend Property Sketch Legend B2N Barn-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only PAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SPE Pool Enclosure (Finished) BRN Bam GAR Garage I TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST: Utility Area(Unfinished) FCP Carport KEN Kennel + UTQ Three Quarters Story v.. • (Unfinished) FEP Enclosed Porch, MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story i '' (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood De:k PTO Patio 4? Print Friendly jContact� i .. 1Acting Director ! I ;Pamela Taylor i P 508-862-4022 ''F 50&862-4722 e `I8-30a.m.to 4:30p.m. i t • �' I Public Records EAnn Quirk ;Public Records Request !P 508-862-4022 1367 Main Street �. iHyannis,MA 02601 Helpful Links to ' Downloads Abatements SALES LISTINGS http://www.townofbamstable.us/Assessing/propertydisplayscreen 17.asp?ap... 7/25/2017 Official Website of The Town of Barnstable - Property Lookup Page 4 of 4 Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial - A Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium r. i W.Barnstable FD Residential Exemptions Parcel Consolidation Questions about values ]]]( FYI Combined Tax Rates! } Town Land,Use Codes Helpful Maps All Town Maps Flood Insurance Maps { Property Maps FY17 Tax Maps JI ' 4 . Owned and Operated by The Town of Barnstable-Information Technology Home l Departments&Services Boards&Committees I Residents&Visitors Doing Business Town Calendar Phone Directory Employment i Email Town Hall f http://www.townofbamstable.us/Assessing/propertydisplayscreen l 7.asp?ap... 7/25/2017 I ! ALL TYPES OF CARPENTRY II lil _ REMODELING-ADDITIONS I ACE CONSTRUCTION CO. OF CAPE COD P.O. BOX 129, HYANNIS, MASS. 02601 J. C. UNICK `'Telephone: 775-92.50 NO JOB TOO SMALL I { J � _ 1 yOFtHErO�y TOWN OF BARNSTABLE • BABB9TeDLE, i Mb 9 am D LDING INSPECTOR APPLICATION FOR PERMIT T :'/ �> TYPE OF CONSTRUCTION ..... ........... .... . ..... . .... . . G•-o 13 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according,to#h following information: Location .. .`S�D.... � /.........lp .......... �G .................... ...... ... .. .... . . ........................... Proposed Use ... ..... .).... ............. .. . ZoningDistrict ........................................................................Fire District .............................................................................. r Name of Owner )1/.AXQIV ... ew...Address/..6fQ... Name of Builder .................Address ..� � ,y�<�I?s•••QL !� ,(••••�I.�• l!/1!Y1?r Nameof Architect .....................//.............................................Address .................................................................................... Numberof Rooms ........... ......l..........................................:..Foundation .............................................................................. Exterior ..... F.. .........:...........Roofing .....' ��/` ........................................... Floors . Interior..................................... ..........�J. .s................................................ Heating ..... :r .!!s u„+ ......................................Plumbing ...a-eve��,...... ................................ Fireplace ..... .... .. ......................................................Approximate Cost ............ .D.... ...................................... Difinitive Plan Approved by Planning Board _________________f_ Diagram of Lot and Building with Dimensions S' /CIO 10 hc�(x� 4na THE PROPOSED METHOD OF PROVIDING FOR f SANITARY WATER SUPPLY, SEWAGE DISPOSAL, AND DRAINAGE IS HE . TOWN Ar'Pt: '�j-U ` TOWN OF BAR dSTABLF., (� V BOARD OF HEALTH A LICENSED l _,NS ALLEIR fVIUST OBTAIN SEWAGE PERMIT. AND INSTALL SYSTEM, I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. (' _, 1 Name .(.J. rA1?t-�p l' Brune, Dorothy M. 1 8 add to , No ................. Permit for .................................... frame dwelling (remodel garage & breezeway) ............................... ............................................. Location ............1.50..Hinckley ..Road.............. Hyannis Owner Dorothy M. Brune .................................... ..... r Type of Construction frame Plot ............................ Lot ................................ 7 Permit Granted .....November„1 .......... q 0 Date of Inspection ...y . .l� .... .... .. .............19 Date Completed 4x PERMIT REFUSED i' ................................................................ 19 ' d ..........................................................................:.... f 3 . Approved ................................................ 19 ............................................................................... .................... .........................................................