HomeMy WebLinkAbout0075 SETTLERS LANE Lco-,�-- Imm"Mil
�t"Eti Town of Barnstable
Building Department - 200 Main Street
ASTABLE, Hyannis, MA 02601
9 MASS.
Fo��a• (508) 862-4038
Certificate
of Occup' ancy
Application Number: 201308989 CO Number: 20150105
Parcel ID: 273122013 CO Issue Date: 06/04/15
Location: 75 SETTLERS LANE Zoning Classification: RESIDENCE C-1 DISTRICT
Proposed Use: DEVELOPABLE LAND
Village: HYANNIS
Gen Contractor: MORIN, JACQUES N. Permit Type: RC00
CERTIFICATE OF OCCUPANCY RES
Comments:
Building Department Signature Date Signed
TOWN OF BARNSTABLE ■ s
�t BU n g
201308989 - _
* BARNSTABLE, +` Issue Date: 01/13/14 Permit '
MARS
039• �� Applicant: MORIN,JACQUES N. Permit Number: B 20140050
ArFO MA'I A ,
Proposed Use: DEVELOPABLE.LAND Expiration Date: 07/13/14
;F
Location 75 SETTLERS LANE Zoning.District RC-1 Permit Type: NEW SINGLE FAMILY HOME
Map Parcel 2731'22013 Permit Fee$ 918.00 Contractor MORIN,JACQUES N.
Village HYANNIS App Fee$ 100.00 License Num 057770
Est Construction Cost$ 180,000
Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND
CONSTRUCT A SINGLE FAMILY HOME 3 BEDROOMS THIS CARD MUST BE KEPT POSTED UNTIL FINAL
INSPECTION HAS BEEN MADE. WHERE A
CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH
Owner on Record: MORIN,MARTHA M TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL
Address: 1597 FALMOUTH RD.,SUITE 4 INSPECTION HAS BEEN MADE.
CENTERVILLE,MA 02632
Application Entered by: PF Building Permit Issued By: `�
THIS PERMIT CONVEYS.NO RIGHT:TO OCCUPY ANY STREET,AL•LEY;O&'SIDEWALK OR ANY"PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROAC NTS ON PUBLIC:PROPERTY,NO
SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED,PY,THE JURISDICTION':,;STREET.OR ALtiEY;GRADES AS'WELL ASDEPTH AND LOCATION OF PUBLIC SEWERS.MAY BE.
OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.-THEJSSUANCE OF THIS PERMIT.DOES NOT RELEASE THE APPLICANT FROM-THE CONDITIONS OF ANY APPLICABLE SUBDIVISION
RESTRICTIONS.
MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK:
1.FOUNDATION OR FOOTINGS. ,
2.SHEATHING INSPECTION
3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED.
4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. a
5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION).
6.INSULATION.
7.FINAL INSPECTION BEFORE OCCUPANCY.
WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS.
WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION.
PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF
DATE THE PERMIT IS ISSUED AS NOTED ABOVE.
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A).
04= r
VE
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 �l/Jm�j�itc/ -� G�S 2/L/�(
bX
3 is-;,--2F- /s—Q� 1 Heating Inspection Approvals Engineering Dept
Fire Dept 2 Board of Health
N Lot 49
Eli
Area= 10,002f Sq. Ft.
Or
0.23f Acres
9.7'
87.39'
10.3'
EXISTING
FOUNDATION I
ry TOP FOUND. Cn
N ELEV. = 70.13'
9.7'
w
NDi 0
3Z �
fn>
i
89.36'
SETTLERS, LANE
DCE #00-018
FOUNDATION PLOT
PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE
LOCATION #75 SETTLERS LANE INAI®NIS, MA
SCALE : 1" =. 20' DATE : FEBRUARY 19, 2014
REFERENCE : ASSESSOR'S MAP 273 PARCEL 122-7 PREPARED FOR:
LOT 49 PB 610PG 94 A ' _ IT _INCH
HEREBY CERTIFY THAT THE STRUCTURE -'t: H r r k
SHOWN ON THIS PLAN IS LOCATED ON THEy�t�" SsyC Y
GROUND AS SHOWN HEREON.
9-JORaq off 506-362-4 M1 - ��J A. - —nt'
fax 505 362-9560 C) �`. ,.
down cape engineering, inc. Z_l�� Z�'�� i 01 �<<
r•
Cl NL ENGINEERS = SS,C,
LAND SURVEYORS "�'•,��S U R"i - _______'
DATE REG. LA1I3' " l7RVEY0R
9J9 Main Street — YARMOUTHPORT. MASS.
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
i
Map e Parcel` oLc-->` l _�/Application # 6 13, 0- A
Health;Division _ Date Issued�`13 "
Conservation Division �C' 'Application Fee 7 J06
Planning Dept. Permit Fee. �"13
Date Definitive Plan Approved by Planning Board ak M3- 1i--36
Historic - OKH P& _ Preservation/ Hyannis .
Project Street Address 9 .57 qc?
Village �-
Owner I A
Telephone 7JT2
ti
Permit Request c-4- Q.
Square feet: 1 st floor: exist' g proposei 400 2nd floor: existing --proposed Total new 0
Zoning District � �.� Flood Plain h !� Groundwater Overlay
Project Valuation _Construction Type L�
Lot Size & �`� Grandfathered: ❑Yes If yes, attach sf=orting dgumation.
Dwelling Type: Single Family, Two Family ❑ Multi-Family (# units) & � c:>
Age of Existing Structure H Historic House: ❑Yes No On Old King's Naghway: 4 Yes No
Basement Type: A
ull ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft)
s ,
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: as ❑ Oil ❑ Electric ❑ Other
Central Air: �'vv ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 4-11'0
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 # fc� Recorded
Commercial ❑Yes �"ICIo // If yes, site plan review # �� II ah l 3�
Current Use -i U Proposed Use sL?
m APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name t CD Telephone Number YD? / )s �w
Address �c �_ License # U�� 7 -2
Home Improvement Contractor#
Worker's Compensation # W
ALL CONSTRUC N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
ex,� ac � k;:�V -
-
a
SIGNATURES DATE �..�
r
/I! ai�113
}
FOR OFFICIAL USE ONLY
7
APPLICATION#
DATE ISSUED
MAP-/PARCEL NO., = r
t
ADDRESS VILLAGE ,
OWNER
DATE OF INSPECTION: r
FOUNDATION
FRAME
INSULATION: F
FIREPLACE
. t
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: , ROUGH , ,- FINAL
F FINAL BUILDING#±. =
F' •
" DATE CLOSED-OUT .
ASSOCIATION PLAN NO.
.1
a The Commonwealth of Massachusetts
Department of Industr d Accidents
Office of Investigations
600 Washington.Street
Boston,MA 02111 '
www.massgov/dia
Workers'Compensation Insurance.Affidavit: Builders/Contractors/Eleetrlcians/Piumbers
Amplicant Information Please Print Led`bl
Name(Businew/orga&adcnaadividnal):
7PAddress:
City/State/Zip: .� Phone#:
Are an employer?Check a appropriate box. a of ect(required):.
4. [� I am a general contractor and I -Type P ( e4 �• '
1.L� I am a employer with 6. construction
t ti -.
employees(hU and/or parme):* have hired the sub-contractors
2.❑ I am a'sole pioprietor or partner- listed on the-attached sheet. 7. ❑Remodeling
ship and have no employees Tie have 8. ❑Demolition
w for in a employees and have workers'.
offing my capacity. 9. []Building addition
[No workers'comp.insurance camp.insaahiice.$
required.] 5. ❑ We are a coiporation and its 10.❑Electrical repairs or additions
officers have exercised their 11. P r or additions
'3.❑ I am a homeowner doing all work , ❑ ��repairs
Mysel£ [No workers'camp. right of exemption per MGL 12. Roof repaiq
insurance]t c. 152,§1(4),and we have no ❑
employees. [No workers' 13.❑Oilxer
comp.insurance required.]
*Any applicant that boat#1 must also M out:du section blow dwwsng their warlon s'ration policy information.
t Homeowner who submit this affidavit indicating fey=doing all work and then hire outside contractara mist submit a new affidavit indicating such.
tcdntrachm ead check this box unat atw*md an additiond sheet slowing the nine of the mbcou�and state whether or not those entities have
employees. If the sub-conkactwo have employees,thep moat providb their works'comp.policy number.
lam an employer that is providing workers'compensation insurance for my emplo5►en Below isAe policy and,/ob site
information.
Insurance Company Name: Ct° (� -4
Policy#or Self-ins.Lac.#: /J�-��.�ooq 7r 1 d � Expiration Date: / L
Job Site Address: C- �-�. City/state/4: _
Attach a copy of the workers'compensation policy declaration page(showing the policy number d expiration
Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of mammal penalties of a
fine up to$1,500.00 and/or one-year imptisazanmnt,as well as civil penalties in the form of a STOP WORK ORDER and.a fine
of up to$250.00 a day against fliq violator. Be advised that a copy of this statement may be forwarded to the Office of
Investi DIA.for insurawe coverage,verificaMMin-
I do hereby=underpains-andpenalties of pe#wy that the information provided . g is true acd correct:.iEnature: .- Date: l
• Phone S'-p�'` `7 � •
fficial use only. Donot write fn this area,tv be CO)VIded by ctry or town ofigciat
City or Town: PermitUce'nse# `
Issuing Authority(circle one):
1.Board of Health 2.Building Department I.City/Town Clerk 4.Electrical Inspector .5.Plumbing Inspector ;
6.Other .,
b y
Contact Person: Phone#: `
(
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
' INFORMATION PAGE f
Associated Employers Insurance Company
54 Third Avenue, Burlington,Massachusetts 01803 's
(800)876-2765 NCCI NO 40959
POLICY NO. WCC 5004911012013 X;
PRIOR NO. WCC 5004911012012 r{K
ITEM !
1. The insured Bayberry Building Co Inc
Mail Address:
1597 Falmouth Road,Suite 4 Centerville MA 02632
Street No. _ Town or City County. State Zip Code
FEIN xxxxx0420 f
❑Individual ❑Partnership ®Corpoi'aiion []Joint Venture []Association []Other '
Other workplaces not shown above:
2. The policy period is from 02/02/2013 tOQ02/02/201) 12:01 a.m.standard time at the insured's mailing address.3. A. Workers Compensation Insurance:Paicy applies to the Workers Compensation Law of the states listed here;
j
MA
B. Employers Liability Insurance:Part'Ttito.of the policy applies to work in each state listed in item 3.A.
The limits of our liability under Part Two are: Bodily Injury by Accident$ 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 Raplaced By Endorsement WC 20 03 06A i
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. ;4
Classifications Premium Basis Rates
Code Estimated Per$100 Estimated `
No. Total Annual Of Annual
Remuneration Remuneration Premium ..,
INTRA 266545
'SEE E(TENSION OF INFORMATIC N PAGE
Minimum premium$ 274.00 Total Estimated Annual Premium $ 2,358.00 t As indicated interim adjustments of premium shall be,made: Deposit Premium $ 610.00,
❑ Annually ❑ Semi Annually ® Quarterly ❑ Monthly
MA Assessment Chg. '
$1,942.75 x 4.2000% $82.00 1
This policy,including all endorsements,is hereby countersigned by 12/12/2012
Authorized Signature Date
Ik
GOV GOV KIND PLACING CLAIM NNAME SAFETY Miller McCartin ;,
STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP dba Dowling&O'Neil Ins Agcy
MA 9015 14 504 973 lyannough Road
Hyannis,MA 02601
WC 00 00 01 A(7-11)
Includes copyrighted material of the National Council on Compensatir a!:u,urance,
used with its permission.
. Affidavit of Substantial Financial Interest
I, �i4c�afSd /Oe// of Zrd , on oath
depose and state as follows: CeA �Ile < /sue
1. I am an applicant for a building permit for the property located at Map r�2-)3, Parcel
�f The address of the property is ''?S ( ,
2. 1 have 149 °I° legal or equitable interest in the real property which is the
subject of the building permit application which is identified in paragraph 1 above.
3. Within In the last twelve months from today's date, which is , the
following Individuals or entities have had a 'I% or greater legal or equitable interest in
the real property which is the subject of the building permit application which is
identified in paragraph 1 above:
- z
Name ddre �
110
Loo
4. Within the last twelve months, from today's date, which is , I have had
a 1% or greater-legal or equitable interest in the following properties which have been
the subject of a building permit application:
Map/Parcel Address 5. Within this calendar year, i have submitted 0 building permit applicatiotis•for
property in which I have a 1% or greater legal or equitable interest.
B. Within the.last ten days, I have submitted d building permit applications for
property in which i have a 1% or greater legal or equitable interest:
7. Within this month, I have submitted building perm t applications for property in
which I have a 1% legal or equitable interest.
B. Within.this month, I have racefved building permits for property in which i have
a 1% legal or equitable interest.
Signed under the pains and penaltles o '. 'ury, this_day of , 20
-40
2001-0050/affin
1 Massachusetts-Department offtblic'Safety9
Board of,Building Regulations an St d, andards"
Construction Supervisor 1 &2 Family wM
License. CSFA-057770
JACQUESN'MOR,EN
15,97 FALMOUTI RD :L
CENTERYILLE CIA '03 32,.
Expiration
Commissioner - 02/16/2014 t`
•
• Y
oT Town of Barnstable
y�V
Regulatory Services
Thomas.F. Geiler,Director.
BuiIding DivisioII 1"
Tom Perry,Building Commissioner
200 Main Street Hyannis,MA 02601 `
www.town.barnstable.ma.us
Office: 508-8624038 ,Fax: 508-790-62:
Property Ownei Must '
Complete and Sign This Section^
If 1Jsing A Builder
I, as Owner of the subject:property
here by authorize ' to act on my behalf,
in all matters relative to work authorized by this,building.permit application for.
(IV �-
.(Address of Job) -
t c�
Signature of Owner. Date
t
IiV` o r—'an,
PrLIIt ame p
If Property Owner is applying forpermitplease complete the t ,
Homeowners License-Exemption Form,on the reverse side.
Q:FORMS.-O WNERPERMISSION
LEGEND NOT ALL SYMBOLS ASSESSOR'S MAP 273 PARCEL 122-7
ARE UTILIZED. ZONING SUMMARY
O SEWER MANHOLE LO} ZONING DISTRICT: RC-1
FIRE HYDRANT ` ro
MIN. LOT SIZE 43,560 S.F.
Area=10 002t S Ft.� 115.19, \3 z MIN. LOT FRONTAGE 125'
WATER GATE VALVE � Or $" � _ _ MIN. LOT WIDTH —
O CATCH BASIN CO 0.23f Acre 3 a b'_ MIN. FRONT SETBACK 30'
ej MIN. SIDE SETBACK 15'
[551 — PROPOSED CONTOUR / a MIN. REAR SETBACK 15'
9
�/
� SIGN � ZONING DISTRICT: PI — AHD.
TEST HOLE W7 y� MIN. LOT SIZE 10,000 S.F. `-
INV. MIN. LOT FRONTAGE 50' (20' CUL DE SAC)
0 e .B3 8g MIN. LOT WIDTH 65'
CLEANOUT Sys Pf "� MIN. FRONT SETBACK 15'
\66/EXIsnNG CONTOUR PROPOSED MIN. SIDE SETBACK 10'
3' 7S \ ` s MIN. REAR SETBACK 20'
HOUSE# w s y s s
6 PROPOSED SPOT GRADE i MAP 273 PC 122-07 `W \
T.O.MD. 70.5 \ SITE IS LOCATED WITHIN THE GROUNDWATER
PROTECTION OVERLAY DISTRICT
APPROX. TREE LINE
+50.t2 M O
EXIST. SPOT GRADE of y J FLOOD ZONE: C
(FEMA FIRM PANEL# 250001 0005C) 9-19-85
o' u0 ti PROPOSED LEACHING REFERENCE: -
6XI� PB 610 PG 94
SEWER LINE SIDENTI - F SITE P
/ N 1� IYI Lt'�aBJp .
------ WATER LINE ` 7 E—t E
GAS LINE
ar H
PREPARED FOR:
-`—'—'—`—`-U.G. ELECTRIC
ANTIQUE STYE POST LIGHT BAYBERRY BUILDING
LOCATION :LOT 49#75 SETTLERS LANE
SHEET I OF 2
s�j DANIELA. 5
OAIEL sc //1��
oN, off 32-4541
A
� OJALA " OJALA fmc 508 08 362—SBSO
CIVIL
No.403N0 �
its RF E 9�FESS P down cape engineering, Inc.
�'AT N dG CI1/IL ENGINEERS
Scale:1"=20' SS pNn`OA SU J/ C Z/?�r2 LAND SURVEYORS
DANIEL A. OJALA P.L.S. P.i[. 1 DATE 1 939 Main Street - YARMOUTHPORT, MASS.
0 10 20 30 40 50 FEET
JOB 00— 8 _00-018 DEFIN & SEWER 40A + 406.DWG
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a o.Ab New dad
fluiiding l.angtq L_...................................:............._....tRB33-_..................... ..... R Sao
Budding Aapaat Raao(W.7.._..i.._........._....._...._...,.(Fb 4)__-..._. sa' � wMmun oaadkv(l W..Tn�W' 'eal eeAbr Dhow;Val9m erd(brhnllmt
NominalHNaht orTelhat OpaNnII•....__............._........(Flg/).....: .q g✓r '_�• Nomh+d FlelpMa/Taeasl OpeNrrpe ._...aY__.:6® .S6r / .. qlm Pend At(adaad
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Genuel compliance wah GemOg conneEems......_,._.._.(TaM♦2J....._................._......
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oar Rami gmembw pa ehedmd
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FWIMWm Well Swds gF mw OpniMs1(Fi_6).........
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FWIHelBm W411 Sbda et Fbor Openings has ew YBom FJdeflar WNl(Flg e)... .............•.••.•• mat LaWarta - y -
maa.m Floor Join embnoea _,/ft SA - T
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p iM1 ./ taBMa Rake tkA .......-:- .....(F1gaa 20J:•--'_.rtlsarnagm d7orlJ! _
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