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Home My WebLink About0071 REDWOOD LANE 7� ��do� �� iF I �� ;; • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map d Parcel TOWN OF BARNSTABL.E Application^#Zb 15b'�y'�3 Health Division ri .$ ,. Date Issued., Conservation Division Application Fee 0 Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village l�i ►.Y.� Owner c Address Telephone Permit Request Z Cc 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 O,--' 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 Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 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 Central Air: ❑Yes ❑ No 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 Mike MeCarthy Construction Telephone Number PO Box 52 Address Want Dennis, MA 02670 License # Cell (508) 280-6964 C C•4 � HIC-'6939� Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRI RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i� FOR OFFICIAL USE ONLY s APPLICATION # DAI—E ISSUED I MAP/ PARCEL NO. I o. ADDRESS VILLAGE i '.r OWNER DATE OF INSPECTION: -FOUNDATION ,t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL I' PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING �f r :4 { DATE CLOSED OUT ASSOCIATION PLAN. NO. i Y fVIM r, 'Town of Barnstable Regulatory ServicesHAfL UMM _ Rictrard V.Scati,Direcior' i63y. �0 Building Division. 1bm Perry,Building Commissioner 200 Main Street,Hyanni.S KA 02601 www.towo.barnstable.nia.us - Office: 508-8624038 1 Fax: 50&790-6230 1 \ Property. 0m,ier Must Complete and Sign hisIScc'tion If`Usin Builder I, W nh �l (��1 �" -- �'as Owner of the subject prop,n:yr ' hereb -authorize C�l� !Ii1/1 (� 1( I y � \ �/1�� ,)e�F-1 n to act on mkt behalf, . in all matters,relacive to work authorized by this b ui ding:permit application for: tau ?c am& 1'I ! S. � M A, b ZCe,U) (Address of f obi Pool fences and alarms -u-e the responsibIty of the applicant. Pools. are not to be filled or utilized before fence is iwt;alled and all firiad .inspections are Perfo i-med and accepted- Un0a A.Stevan(Sep 14.2015) Signatures of Owner Signature of Applicant Print-Name Paint Narrrc Date , Q:FORMS:o1=i*"R PF.QA ISSI.ONP(X)Lti t Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCC)AR PO BOX 52 W DENNIS MA 0267 Expiration Commissioner 04/10/2016 v p� Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Goi*tor Registration = Registration: 169393 w Type: Individual -" Expiratio /2017 Tr# 264961 MICHAEL.MCCARTHY MICHAEL MCCARTHY - 7 - - P.O. BOX 52 — — -- WEST DENNIS, MA 02670 - ----- Update Ad ess and return card.Mark reason for change. )M osm ! Address 0 Renewal j- Employment ^1 Lost Card f �'\ The Commonwealth of Massacllllgetls Department oflnifustrial.Accitlents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/llla - 11%rkers'Compensation insurance Affidavit:Builders/Contractors/Electricians/Phimbers. TO BE rutED WITH THE PERMITTING Ai1THORITY. Applicant Information i0liflease Print Legyibly Name(Business/Organization/Individual): Mikec ay - Cons hi act .�0 Dex-52 Address: West Dennis, NIA 02670 �lUell - City/State/Zip: ('SI,-r-8*313#: HIC-169393 Are yoy an employer?Check thFpropriate box: Lf1_�7r/ Type of project-(required): 1. 1 am a employer with employees(full and/or part-time).* 7. El New construction 2.0 1 am a sole proprietor or partnership and have no employees working for me in $, Remodeling any capacity.[No workers'comp.insurance required.] 3. i am a homeowner doing all work myself 9. ❑Demolition ❑ g y [No workers'comp.insurance required.] 4.❑I am a homeowner and will be hiring contractors to conduct all work on my prop". 1 will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole I i.�Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.O 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insumnce.l 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.dOther 152,§1(4),and we have no employees.[No workers'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 hn 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 provlrling)Porkers'compensation insurance for my employees. Below Is llte policy aml Job site Information.Insurance Company Name: ATM'M Mili,( '_n) GMp!h Policy#or Self-ins.Lic..�4: VMS~ �—b�i7CS6 Expiration Date: Job Site Address:_ / 1 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 MGL c. 152,§25A is a criminal violation punishable by 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.A copy(if this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage verification. I do Itereby certify tin f/ ni s and allies rjury that the.information provided above is trite and correct. Si nature: Date: / Phone#: Official use only. Do not)write in this area,to be eompleled 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#: r r WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATRWPAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800)'876-2765 NCCI NO 26t58 POLICY NO. I VWC-100-6017656-20146 PRIOR NO. I VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P O Box 52 FEIN:"-"*3862 West Dennis,MA 02670 Legal Entity Type: Corporation Other workplaces riot shown above: See Location 2. The policy period is from 12/15/2014 to 12/15/2015 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000.each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 0712979 INTER SEE CLASS CODE SCHEDULE Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV GOV Deposit Premium $7,748 STATE CLASS MA 1 5479 State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 This policy, including all endorsements,is hereby countersigned by 1 211 5/20 1 4 Authorized Signature Date Service Office: Bryden&Sullivan Ins Agcy of Dennis Inc 54 Third Avenue PO Box 1497 / Burlington MA 01803 So Dennis, MA 02660 F�� 10 WC 00 00 01 A(7-11)Includes copyrighted material of the National Council on Compensation Insurance,mad with Ue rwrmicsinn. F Town of,,B efig �a le OFTHE Tp� �� f�. 4 1 ReAlatory, S�AA�ce Tho,% eiler,Director + BAMSTABLE. • tg 9� MAC Building Division i639. ♦0 CEO MA'1 s Tom Perry,Building ssioner 200 Mairi`Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 0'�1 Fax: 508-790-6230 PERMIT# �� y FEE: $ 00, SHED REGISTRATION 120 square feet or less Location of shed(address) Villager Property owner's name Telephone number Size of Shed Map/Parcel# ignature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) (� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 .._........................._.. .............................._.......... _ _...._. '..__..._-...._..........._....._.................. ... T ~�3 p 'f Jf ) 1 ---- -- 63 MAP 28 fj20 r ; 71 --------------------------- ------------------- r 1 c:\conservation.dgn 8/6/2004 3:42:47 PM � l TOWN OF BARNSTABLE 13AWSTABLE mug 2639.1* BUILDING . INSPECTOR APPLICATION FOR PERMIT TO ......;;Zk4.......... ................................................................... TYPEOF CONSTRUCTION ..............t� ..............66 5W ..........................................................I................... ..............19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... . ............................... ........ ProposedUse ........ !..f4,4`ee...... A.C6. ...................................................... ......................... Zoning District ................ ................... ... ................................................. ..................Fire District AName of Owner ......................... ...... ..... .. .... ..... .................:Address r%q.. ........Y/4 ............................... . Name of Builder ....14C......Address ..... ................................... Name of Architect ........../VePN47 ....Address ..................................................................................... ................... Number of Rooms ......................................Foundation ..... Exterior ..... ....... ........................Roofing ......... . ............................................ ..................... Floors ... .7....................Interior ....... Heating ........WI.. lq....ke...........................................Plumbing ...............44 � .....:&-74 .!e................................ Fireplace ..............49AA5......................................................Approximate Cost .......b�.................................................... Definitive Plan Approved by Planning Board ---------------—---------------19--------- Diagram of Lot and Building with Dimensions 16 SUBJECT TO APPROVAL OF BOARD OF HEALTH PA I*A TF BE SEP-nr, sys -m m UST INSTALLED IN COMPLIANCE WITH ARTICLE 11 STATE SANITARY CODE AND TOWN P C,L)Lf'T 10"N S I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 4. Name .... "V., ... .... .... ." | ^ |�y �iiliams, Betty single family- dwelling Lane . ---_._ .---,------~-..-.------.. nnxsport ~--''—^--^^'='---^----^``''-^^--'' Bett '��vvner ----.��'`.��-~-----' Type of Construction .......��?��-------- , --.—..._.--.-------.--..-.-----, / � } � � nov `-----.---. Lot --..v��................. . � � \ ' ��m �� Permit Granted --'-..��.-.------l� '~ . ~�L � � Date of °.----.]9 l ` ^� � Dote Completed ..... J�� 4 -..-lg , J � q ' PERMIT REFUSED � ______-~-.-.-.--.---.---.. 19 ^ ' � . -_-.-.-.--,.--.,.---.-.-----.---.. ` ~ / ` - ..................................................... --.-..-...-. ~^'~-^-^^-'~---^^`^~-'-'-'-~'-`^`~~--^ ^^--`---^---~^~~^----`''~^^-'-^^^-' |Approved ................................................ 19 � ' -.------------------.~-.---. , --------------------'~^^^-^`^' ~ , ,�_� '7 1 / f w/L it C�J �Q.i 4.-6 H.••w GAG../��s �p� / '/f�f//�///A/', /////��,,,/////�� . wall VOL- d ice ' I 1j-7 cz_ I r Ap to w a T _— Q -.1.r► ..r t+ W r� L..p rf o r��'1 ti � �_-+_._. "S t,.t:� C7�Y��1� !�F.� _ iI SCALE DRAWN 8Y R[VISE D 1 r DATE APPROVED BY DRAWING NUMBER