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HomeMy WebLinkAbout0678 PITCHER'S WAY (p rf$ `�i-�-�h�t-s LJ .; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o� oz Map -1 , Parcel Application # Health Division Date Issued 12- lq Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Tt I F�+c.i,c4,s 61Ai Village la y L�.I A Owner wpow ��►�ra..� �g�1� Address Telephone 77`l -7�1-1 cl�•/ Permit Requestc� 1-.crJ?� `_ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation � Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �e' 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 Fished Ar a (sq.ft.) Basement Unfinished Area (sq.ft) UJ ea Numbiiii�of moths: Ful existing new Half: existing new Ic NumbVpf Bedrooms: existing —new Total Rim Cunt (not ding baths): existing new First Floor Room Count Heat TyJR an(ffuel: ❑ 's ❑ Oil ❑ Electric ❑ Other Central , LfYes ❑1Wo 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 Telephone Number Address PO Box 52 License# Dennis,West NIA- 02670 Cell (508) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 12 f X/1 FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER H DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE p ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL B.UILDIN.G'� i x DATE:CLOSED OUT `r ASSOCIATION PLAN NO. F 'j-7 H��x?�- OWNER AUTHORIZATION FORM (Owner's Name) owner of the property located at (Property Address) Z (Property Address) Qhereby authorize C- C4440 J `��o, (Subcontractor) IJ an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building, permit and to perform work on my property. >J w`ner Signature Date Massachusetts -Department of Public Safety Board of Building Regulations and Standards - - C'unstructiun Supervisor License: CS-058633 MICHAEL J MCCAR PO BOX 52 Y W DENNIS MA ( 67; { _ b.. �i �� /1 1 11 ISI �•\ --�^� Expiration Commissioner 04/10/2016 /b/OF ��Jc�c �c�Je R 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. SCA t 20M-OS/11 �.`,/ Address Renewal _]''Employment Lost Card , E5 6' i� The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,M4 02111 ipww,tnass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ' I Mike McCarthy Construction Name(Business Organization/lndividual): PO Box 52 Address: West Dennis, MA 02670 City/State/Zip: CSInf%Q.3 HIC-169393 Are OU an employer?Check the appropriate box: Type yp of project(required): 1. I am a employer with__ 4, 0 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole propridtor or partner- listed on the attached sheet t 7. []Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity, workers'comp.insurance. g. E]Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I L[]Plumbing repairs or additions myself.[No workers'comp, c.152,§I(4),'and we have no 12.❑R of repairs insurance required,]t employees.[No workers' comp.insurance requited.] 13. ther *Any applicant that checkoff box#1 most also fill out the section below showing their workers'compensation policy kaformadon. t Homeowners who submit this affidavit indicating they are doing all,work and then hie outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their Markers'comg.policy Irftmation. lam an employer that Isprovl(fing workers'compensation insurance for my employees Belorp is thepolicy andjob site information, Insurance Company Name: Policy#or Self-ins.Lie,M. VW(. ]cscs-(�v11G Expiration Date: Job Site Address: 676 V w" s y 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 ofMGL c.152 can lead to the imposition ofcriminal 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 against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. lido hereby certify rt d e pa a eealiies ofperjury that the Information provided above is true and correct. Signature: Date: ] I 1 Phone#: I Ofjiclal use Ono. Do not write in this area,to be completed by city or toipn of}IclaL } MCity or Town: PermitUeense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Clty/Town Clerk 4.Electrical Inspector 5.Plumbing]Inspector 6.Other Contact Person: Phone#: TE , C40RD0 CERTIFICATE OF LIABILITY INSURANCE DA07/101DD/YYYY, o7/1onola 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 policy(ies)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 NQUJper Bryden&Sullivan Ins Agcy of Dennis Inc 2 No.Ext: (508)398-6060 � ,No,: (508)394-2267 PO Box 1497ss: So Dennis,MA 02660 -- INSURER(S)AFFORDING COVERAGE __NAIC# _ INSURERA: A.I.M.Mutual Insurance Company 26158 INSURED INSURER B: Michael McCarthy Construction Inc INSURER C: P 0 Box 52 INSURER D: West Dennis,MA 02670 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 RECtUIREI(ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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. IN TYPE OF INSURANCE 11 ?k POLICY NUMBER r�$�� AN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMrAGETo EREcTE a ce $ _ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ ---�OLICY �VERO- C I OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ !ALL OWNED SCHEDULED _AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Par acrid $ ---- UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DED I I RETENTION $ $ nlSd 90fioaPs€mOr y X I AMP-S ANY A ICRRMnJWPP&MS1&3 ECUTIVEr Y NIA VWC-100-6017656-2014A 7/17/2014 7/17/2015 E.L.EACH ACCIDENT $ 500,000.00 !(Mandatory IIn�NH) e� E.L DISEASE-EA EMPLOYEE $ 500,000.00 UTCA N 19PERATIONS below E.L DISEASE-POLICY LIMIT $ 500,Goo.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Workers Compensation Coverage applies to MA employees only. CERTIFICATE HOLDER CANCELLATION Thieisch 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 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Assessor's map and lot numbE' ... .. ... Sewage Permit number .......................... ...7.................... FtNETO�o TOWN OF BARNSTABLE d � Z 33 `TADLE, : 9• �� BUILDING INSPECTOR �E'p, pY Dr• .. n-... (.......(,c�X ... �/•1............................................ APPLICATION FOR PERMIT TO ....,. ............ .................. :.............................; -� TYPE OF CONSTRUCTION :. �,.............. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � f, .Location ..,.. .�.�.......j'�4 �`�- '—'...:.:...........�....................'........,..........:....:.......:....::.;........................... .. .. . ProposedUse < ... - "' . ................................................................................................... & ZoningDistrict .......,:...............................................................Fire District ...- .,,,,... .....," ..............:.... j r Name of Owner ...�... :!'��r-�!.:r ... .......Address ' �??' ",? - .................... Nameof Builder ....................................................................Address ............................................................................:....... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation ....... ............................................................... Exterior r ......'j.�/............................................Roofing . /", ... ......................... Floors ail // ,./............ ...................... ......Interior ........ - m `. c- .....................Plumbin ................ .`.....:... .................................................... Fireplace ..............��`. ..................................................Approximate Cost .........2 � Definitive Plan Approved by Planning Board --------------------------------19________. Area ... ....................... r Diagram of Lot and Building with Dimensions ) / rFee ..... '20............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r� f I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,regarding the above_ construction. 4f- t. G�i�G� �'��~ lT Name ........//.......... %.. ^ " A~271~174 Caoavn8de ,Dev. No 19a72-- Permit for ..... in g----. ----- ' Locati ... .. . .......................................Hy.annis........................ . . . Owner .........Caoexide-.Ib1v~............................. � � Type o* Construction ----------.. � . ' Plot AnZZ ' � � � Permit G,pn,eo Nu � -of Inspection ..........)......................19 Date � Date Completed ' -- . � . . � . PERMIT REFUSED � 'l9 ' ..�.�ue— �---�...... _______ _ � ^'—^—^---------^'----''.—^----'' -----.—.---....-----,--.—.---. � ----.—.----.----.....--.—.---.. � � � Approved ............................................... lV ^ ---------------..—.--------. . � . � -------'--~----.-----..---.—' � U ' U Assessor's map and lot.'number SEPTIC SYSTEM MUSS` :BE ' "�, "� INSTALLED IN COMPLIANCt Sewage Permit number r �` .,....^..;.:...(i...............�.............. WITH ARTICLE II STATE � .� • SANITAR TOWNTOWN OF BARN89 §IDLA . FSH:EfT o^ Z 139HHSTABLE, "AB` ci NU i6 -ILDING : INSPECTOR �p 3q. \e0 C) .r �0 ypY a' cr APPLICATION. FOR"PERMIT TO ... ............ ............................................. M TYPE OF CONSTRUCTION ....... :........................................................................... .fir . ................. -------J............T9 TO THE INSPECTOR OF BUILDINGS: The undersigned &eby applies ff pe mit •ccording to the following inf/man: / ................ ....... ................. Location,,,.. /.: .......... T... .....................�/� r Proposed Use ................................................................................. .... .. ... .... .... . .............. .. ....................... .. Zoning District .......E!.�.�...''.1...............................................Fire District .. ... -C,4�4 ... ........0.ct • Name of Owner ...� .......Address .............�... ... ..... ...... . ...r................................. Nameof Builder .....................................................................Address .................................................................................... .. . Nameof Architect ..................................................................Address .............................../.................................................. 11 619 11 Numberof Rooms ...............1 ...............................................Foundation ......Za............................................................... .� Roofing n ................. •Exterior ................... .........1.� ......................................... g .. %Floors .....................Interior ...:.. ................................ �J .Plumbin ..........................................................� - Heating ....... .�.1v.!Sf.� .jJ. ......5f�. g ......................- .� Fireplace ............. ...................................................Approximate. Cost ...... :41y..................................................... Definitive Plan Approved by Planning Board' _______________________________19________. Area ....� ,1.. ....................... Diagram of Lot and Building with Dimensions Fee ......;:20............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH R I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable,re arding t bove� construction. Name ..................... .. .... Ct A-271-174 Capewide Dev. 1 No19372....... Permit for;...Dwelling.............. j { . ? . ................................................ Location -bot—IB Pitchers W ................................ay.................... .............. yannis...........: '............ Owner ........CApeW.J.4P ,Dev.............................. Type of Construction .......:WODA........................ . ................................................................... Plot .....A®P.271-174... Lot ................................ Permit Granted ........July.......8..............1977 - .� 't Date of. Inspection ......... .../...... ..............19 Date Completed �1 ... .........19 "PERMIT REFUSED ................................................................ 19 ............................................................ . ............... ................................................ r Approved .........:...................................... 19 Y .............................................................................. - .. .................... ......................................................... 1� a E LO V)< LL ko �, _► z fj LLJ r XulW — Q . �' cY w �� 0 w v 0 U to CL e 0 1\ V)WCo Q z �• d � �o o �c E 7 :r D ►— Z W L Lu LL -r W C / u - w �' v-er �-<A IL 7 ui � At ' ` ' � 3UJ � � o�TH£To TOWN OF BARNSTABLE OFFICE of BOARD OF HEALTH y Na88. � pp 16 g. `ate �'vwAYQ^ 397 MAIN STREET HYANNIS, MASS. 02601 i t To : Building Inspector From: Health Department Subject : Test hole and Percolation Test o` the soil at Village) was made on � ` /�� 77 and -ound to be (date) suitable ror sub-sur-face se:,_aa-e* at site or test, hole. Building Permit will not be approk7ed 'or so,.7a e t . issued until riaa3 t' ire urtment rece ves M-170 cop es of 'Y�lan showing building, sewage systems and all other details 1 stcd in Board o- Health instruct ions to sewage a-Plicants. This a?_)DS6va1 does no.t constitute to -a- final` de'6 slo22 ' ' concerning the installation of a sewage syste::3. All Spate and local �ie:a l th regulu,1L,ions a-1) y to' i i? 1 approval. iC_PnL t U r e) 6/20/75