HomeMy WebLinkAbout0239 STRAIGHTWAY a�� s���
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
ti y
Map Parcel-! � (- `Application # CPO S-(D
Health Division Date Issued
Conservation Division Application Fee —�
Planning Dept. Permit Fee �'A
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation / Hyannis
Project Street Address 23S
Village_
Owner 'S..�.� V�,,,�✓, Address
Telephone :7-&%-435- rl-Of
Permit Request Lc.�►�r.z-��
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 U/ 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) 7 f -_
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 LL�
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 Telephone Number
Mike McCarthy Construction
Address P® Box 52 License #
West Dennis, MA 02670
C,01 (5OR)2RO-6964 Home Improvement Contractor#
CSL-58633 HIC-169393
Email Worker's Compensation #
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE DATE /I1 l I
FOR OFFICIAL USE ONLY
APPLICATION#
DATE ISSUED
MAP/PARCEL NO.
-- ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING -
DATE CLOSED OUT
ASSOCIATION PLAN NO.
,?61-y3S-"71
t
`1'owvn;of Barnstable
°4 Regulatory SerAces
Wchard V.Scali,Director
„9. Building Divisioxx
Tom Perry,Building Commissioner
200 Main Street,I;ya mis,MA 02601
www.town.barnstable-ma.us
Office: 508-862AO38 Fax:_ 508490-6230
Property Owner Must
Complete and.S bn This Section
If Usin A Builder
yW CO� �_,as Owner of the subject property
hereby authorize._ p to act:on my behalf,
in all matters relative to'work authorized building permit application for:
M 2S I SIyaow+wo � tknfS 'MA owl
(Ad o job)
Pool fences and alarms are the responsibility of the applicant. P(mis
are not to be filled or utiliLed before. fence is installed and all fin
inspections are performed and accepted,
Sig tore f er Signature of A.pplicaiit
VA S_ .
Print Name Print Narne
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{
Date.
Q:FORMS 70XVNIFR PFWISS10NPOOLS
f
tih
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n
Massachusetts - Department of Public Safety
- Board of Building Regulations and Standards
Construction Supervisor
License: CS-058633
X NHCHAEL J MCCAR UVIL- �• '
PO BOX 52 s
W DENNIS MA 8267
J..G..� Expiration
I
Commissioner )' j}1` 04/10/2016
v o�
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 169393
- Type: Individual-
Y Expiration: 6/16/2017 Tr# 264961
MICHAEL MCCARTHY j `— _ i
MICHAEL MCCARTHYiAFE s
P.O. BOX 52
WEST DENNIS, MA 02670 -
Update Address and return card.Mark reason for change.
Address Renewal i Employment ❑ Lost Card
20M-05/11
The Commoatwealth 'ofMassachttsetts
Department of IntlnstrialAcchlents
a - 1 Congress Street,Snite 100
Boston,MA 02114-2017
www.mass.govNia .
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/i'himbers.
TO BE FILED WITI-I TiIE PERMITTING AUTHORITY.
Applicant information t „__ rtr P( Print Legibly
Naine(Business/Organization/Individual): P® BOX 552
Address: West Dennis, MA 02670
City/State/Zip: CS4- 6433 HIC-169393
Are yor an employer?Check the a prupriate box: Type of project(required):
I.7m a employer with employees(full and/or part-time).* 7. ❑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.Q i am a homeowner doing all work myself.[No workers'comp.insurance required.]?
9. ❑Demolition
I0 E Building addition
4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions
proprietors with no employees. ,
12.❑Plumbing repairs or additions
5.O I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet.
These sub-contractors have employees and have workers'comp.insurance.? 13.❑Roof repairs
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.WOther
152,§1(4).and we have no employees.[No workers'comp.,insurance required.]
•Any applicant that checks box gI 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 Bn 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. Belo►v Is the policy and job site
Information. M
Insurance Company Name: A
Policy#or Self-ins.Lie.#: VWt —601 -7CS6 Lid)I Expiration Date:- ?a k- )I)
Job Site Address:- - 23 I 51,." l City/State/Zip:
Attacli 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 of this statement maybe forwarded to the Office of Investigations of the DiA for insurance
coverage verification.
I do hereby certify►u? !I �alsd allies rjury that the.information provided�bove is true and correct.
/7 Si nature: Date: 111 /l�-
Phone#:
Offtcial use only. Do not write in tltls area,to be completed by city or town gffrelal.
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#:
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
INFORMATiIIIa'PAGE
A.I.M. Mutual Insurance Company
54 Third Avenue, Burlington, Massachusetts 01803-0970
(800) 876-2765 1vCCl NO 26158
POLICY NO. I VWC-100-6017656-2014B
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 not 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 SCHEDU E
Minimum Premium $550 Total Estimated Annual Premium $29,332
GOV GOV Deposit Premium $7,748
STATE CLASS
MA 5479 State Assessments/Surcharges
$28,601.00 x 5.8000% $1,659
This policy, including all endorsements,is hereby countersigned by 12/15/2014
Authorized Signature Date
Service Office: Bryden&Sullivan Ins Agcy of Dennis Inc
54 Third Avenue PO Box 1497 J
Burlington MA 01803 So Dennis, MA 02660 /
WC 00 00 01 A(7-11)
Includes copyrighted material of the National Council on Compensation Insurance, \��
used with its permission. V
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Assessor'.
s map and lot number .. ti�� .<.-��" f ��.- `•
. ............................
�j Bpi THE
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Sewage Permit number �� G d�
g v ....::.........................................
r �� Z BAflB9TADLE,
House number .........:�..�- Pq 90 M"&
1639-
.........................................................
TOWN OF SARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO -�P/ `�"�-a-�r i *' - -- ...........................................
....:. ....... ............................................
TYPE OF CONSTRUCTION ................. -r��T� ..... . .1�' .........................................................
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for as permit according to the following information: 6..
Location ..........t�:./ ! ,... l:� � .� ! i „ 1 �`i% ?/?f - ..
ProposedUse ................................................4 �1 f.. 5.... .... ......................... j... ..............................................
r ,
Zoning District ...................�...../. ................._.......... `...Fire District ................ .hi'� ! '� `_ �.................
Name of Owner L! '{I /lt......!/.�.." ��: Ad'dres �...:� ,........ �/! a'�.....;?C/;;;,/(/ „
Name of Builder ......../... :.... �-:...._ .....ic'A�dr'ess .. .................................... .........................
.Name of Architect ------ '`� .._
.....................:... :.......................................Address ....................................................................................
Number of Rooms Foundation '....................... ....... ..............................................................................
Exterior .......... .....t�`a� � — ,,^—.....Roofing ........................: .... .......................................
Floors ...........................................Interior ....................................................................................
Heating ............:4 J................................. g........Plumbin ..................:..
Fireplace ..................... ,'/ .........................................Approximate Cost .............. .. �',,,`..... r.................
Definitive Plan Approved by Planning Board -----------____---------------19________, Area .... �' . ...G....%�JT—
,r
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. ��L%��✓� /,�
Name ...:......................................
. ..........
F
CAPRICORN REALTY TRUST �-268-281
S
No .2.29.97... Permit for ,One Story
..............
Single Family Dwelling
...................
Location Lot #1 239 StraightwaX .
............
...............Hyannis.............................................
Owner ,.Capricorn Realty Trust
........ ......
Type of Construction ....Frame
............................
................................................................................
Plot ............................ Lot ................................
Permit Granted ,Apri1 8....................19 81
Date of Inspection ....................................19
Date Completed ......................................19
/ERMl/*`�*""
d ED
................... ................... 19
................... ..................................
...............................................................................
� ......�.-.r..-F� ........ .................
Approved ................................................ 19
...............................................................................
...............................................................................
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<<��� CERTIFIED- `. PLOT PLAN
/
�\t'Mt �UY•�ry L L� J T (� k l.0 M r /4 '
-NEW CONSTRUCTION ONLY
TOP :.OF :FOUNDATION IS ` �<` FEET INS `
ABOVE LOW POINT OF ADJACENT
2 ,
SCALE: Da'TE a
6E ENGINEERING CO.IN I CERTIFY THAT THE
CLIENT 449
Gt9TERE0 REGISTERED
SHOW
ON ^THIS PIL 'I1 LOt$:
lVIL LAND
JOB N0. �3'Ut� � ON THE GROUND At. IICAA rx:
ENGINEER SURVEYOR DR. BY: A �/}, Ili
, CONFORMS TO...:,TF6E �ONIl L
OF ®A _NSTABLE �l' ``SS r = :
E' 712 MAIN ST. CH. BY:
•eJv 6, I/ '$� Q ka< r
7 afr .J
` HYANNIS, MASS, SHEE1`_L_OF. DA. E �'° EG. LAAIQ' �JRY
f
j p r l,. Q'P..���•JI(..... ' a 'T1( c�T Erc�
Assessor . ma and lot number �^. � ire
t. � SYS bM9 F�':i fr°jida7
(>E �r
Sewage Permit number INSTALLED �Ol��7P `' �Q °
!... .,.................................... i1g�4 �- LIA �_
WITH �T�! � B E, i' L AW S L
House number .........7% . ........................................... AI�1'P�?C�iOiMENTAL C D- I °o Mb
a `
TOWN 'OF -� �BAR-NrySTAB
♦ - i
' BUILDING , INSPECTOR
APPLICATION FOR PERMIT TO
.. .................:........:
TYPEOF CONSTRUCTION ................... ...................... ........ ........G �........................... .........................
.... ............
7i............19.15...
" ll
TO THE INSPECTOR OF BUILDINGS: 1,
The undersigned hereby applies for a permit according to the following information:
Location G y � J./ , 4-0a-
�.
...� 1Proposed Use ..................
.. �.�..................................................... ...............................................
........Zoning District ........ T lr..�.. .................. .................Fire District ................_ .. ......
}
Name of Owner ......... . .............................. .....`-'e.............. d� .../ .1 G .. ... ..
� .
Name of Builder ....... ., ...... ....4�d �
Name of Architect ................... .........Address ...........................................
Number of Rooms ........................ ...........Foundation .......... ........................................................
zl
Exterior ........ ...... ...............:... . ...................... . ..............Roofing ........................ .. .......................................
Floors ....................... ...............................:.............................Interior ....................................................................................
Heating .......... ... .. .........'... ,� ............. .......Plumbing
Fireplace ............................ .....................................................Approximate Cost ..........................
...
Definitive Plan Approved by Planning Board _________Y_________-----------19--------. Area .../ ...�s�
n
Diagram of Lot and Building with Dimensions , 0Q3 7
Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH �jo
w '
i
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ........................................ .. ... .. .. .........
l
CAPRICORN REALTY TRUST
2 2 9 97 Permit for ...On e...S tor y...........
A
...Zam:Lly...Dwe-lding.............. 7
Location .....................Lot #1 2.3.9.....S.t...rai........gh....-tw.....��y....
Hyannis
...............................................................................
Capricorn Realty Trust
Owner ....................................................
Type of Construction ................Fra ...........................
.............................................................................
Plot ............ ............... Lot............ ....................
Permit Granted .....April 8....................................19 81
. 8/6
.....Date of Inspectionection ...................15 X-31....
.19
Date C mpleied ...
z
'PERMIT REFUSED
................................................................. 19
...............................................................................
...............................................................................
............................ ...................................................
....................... ..................................
......................
Appr6vecl ................................................ 19
..................................................................................
................................................................ ....
• .4:. _ '.._,"�-.'ten..
TOBPPT OF BARNSTABLE ePermit�No f_�9'W7 —__--
y i D187f7Vi . B11iiding
.e... Cash•
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�?r'dpVa OCCUPANCY PERMIT Bona X
No building nor structure shall be er eted, and no land, building-or structure shall be
used for a new; `different, changed, or enlarged use""without a Building Permit therefor
first having been obtained from the Building Inspector. No building;shall be occupied until.a
certificate of occupancy has been issued by,the Building Inspector:."
Issued to f�3C{YY'!1L �t� Trust Address
1`�
J
lot #1 239 gt:rai_glimany. Rnael_ �13vann: c
Wiring Inspector Inspection date
r. �^�,
Plumbing Inspector• 'y �` Inspection date '
Gas Inspector'/ tiri`� '' '�./.' l� : �is �l�n!'�! Inspection date J 4 A„c 9j
Engineering Department / , £ ` Inspection date
THIS PERMIT WILL NOT BE .VALID, .AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY •THE 'BUILDING INSPECTOR UPON -'SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS:
• .............. ......... ..............::-19_.......... ..... ..�. ../�I.Building/Inspector. ......
Assessor's office(1 t Floor): _ SEPTIC SYSTEM MUST BE
Assessor's map an t number INSTALLED IN CONBPLIAN
Conservation ��� � WITH TITLES Board Health floor): `� ENVIRONMENTAL CODE ssasrante s
Sewagea Permit number lam' 4, TOWN REGULATIONS 'oo r6 p.
Engineering Department(3rd floor):
House:number
Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2W. P.M.only
TOWN OF BARNSTABLE
BUILDING INSP CTOR
APPLICATION FOR PERMIT TO .
TYPE OF CONSTRUCTION
19�
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location
r r
Proposed Use "-
Zoning District Fire District
Asra CW <;
Name of Own9f Address
Name of Build &l&a/)o e Ct,f Address
Name of Architect 1( �4171 Address
Number of Rooms Foundation 1���
Exterior / Roofing
Floors �/C�� Interior
Heating Plumbing
Fireplace Approximate Cost v V
Area
Diagram of Lot and Building with Dimensions Fee
D a0
I
i
S1 k e�1
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th a cons ction.
NameLO&Q 91 e 4 41 `
Construction Supervisor's License �%' v
BESCEGLIA, AL
No 36246 Permit For REPLACE DECK.
t Single. family dwelling _-
239 Straightway 1
Location
Hyannis "
Owner Al 'Besceglia -
} � Wood,
Type of Construction
i
Plot } 'Lot _ 4
October 19 93 -
Permit Granted 19
if
Date of Inspection 19
Date Completed /v 2`� 19 '
xi
4
L- p;
fx
lad � .�"i Y'`• F 1 , 1 } F . , .• �
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
OF 1010 COMMONWEALTH"E. iO
UV MASSACHUSETTS BOSTON,MA 02215
EXPIRATION DATE J-7 CuNCTR. F E R V 1, j1::�
CAUTION
FOR PROTECTION AGAINST
EFFECTIVE DATE LIC-NO.
RESTRICTIONS THEFT, PUT RIGHT THUMB
j I L
F-::::441 PRINT IN APPROPRIATE
I I_). I.: I
0
I BOX ON LICENSE.
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C) c) BLASTING OPERATORS
0 1 4 6 1 J*'' - -:_ I I
:,.2 5 3 2 IDLITF�F.IST I_Illj MUST INCLUDE PHOTO.
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FEE t',IT E-R V I I L_E MA 2.G OPR ONLY) FEE:
t NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
HEIGHT: STAMPED-OR-SIGNATU OFTH MMISSIONER
DOB:
1 V.5 I
THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE
CARRIEDONTHE PERSONOF SIGNATURE OF LICENSEE
THE HOLDER WHEN EN-
OTH GA f ,icv
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MPR0Vf-_.MFNT CON-,`f<A-(-.T
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ADMINISTRATOR MIA 02632'
CO MMOrF_h� ALTH OF MA,S.SACHUSE
DErAK1ME1\IT OF INDUSTRIALACCIDFJM
600 WASHI-NGTON STR.EL`I'
fames Canooe�° M
BOSTON, ASSACHUS=S 02111
t:sstone, WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(1 iccnscc/permi ttcc)
with a principal place of business/residcncc at:
Z q(-'� .
(City/Sta(c/Zip)
do hereby certify, under the pains and penalties of perjury, that:
( ) 1 am an employer providing the following workers' compensation coverage for my employees working on this
)ob.
Insurance Company Policy Number
am a Solt proprietor and have no one working for me.
() I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensation insur�nc: politics:
Name of Contractor Insurance Company/Policy Number
k lns=nee Com an /Policy Number
. amc of Contractor P Y
Name of Contractor Insurance Company/Policy Number
0 1 am a homcowncr performing all the work myself
NOTE: Please be aware tbat while bomcowners who employ persons to do mainunancc,construction or repair work on a
dwelling of not more tban three units in which the homeowner also resides or on the grounds appurzcaant thereto arc not generally
considered to be employers under the Wor1-crs'Compensation Act(GL C. 152.sect. 1(5)),application by a borocowacr for a license
or permit may evidence the legal sutus of ix crcploycr under the Workers'Compensation Act
i rnacrstanc that a copy of tilis statcmcnt wit-be forwardcd to the Dcpa:t:ncnt of Industrial Accidents'Oricc of Insurance for.eovcragc
verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition ofstjminal penaJucs
consisting of a fine of up to S)500.00 and/or imprisonment of up to one year and civil penalties in the form of:Stop Work Order and a
fine of S100.00 a day against me.
Signed this day of . 19
Licensee/Purnitice Licensor/Purnitzor