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HomeMy WebLinkAbout0274 AMES WAY .:. Y �. �..:a ,. r � , ,., I � - _� ., _.�. :. .. ... � fir: '�i �� - , �- b / � � � u 0 �..'a a n. a v �. _ •. u a .. � o _ - � i } o e � p 7 o. .. .. S ... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issued G Conservation Division Application Fee (� Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner 1 Address ✓1 Telephonel' Z 6 Permit Request l �iU ���Tl a 71-b Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ;Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type- V ,���' v Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting do-RumeWation. CM Dwelling Type: Single Family 9' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's ighway f b Yet❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other w =' w m 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 bath 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 AppealYo orization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# - Current Use Proposed Use APPLICANT INFORMATION UILDER OR HOMEOWNER) - -- — - - - Name Telephone Number Address i J 0 (�/�li1�-2 License # NO t.' _ Home Improvement Contractor# Worker's Compensation # aeA00 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7i {� P FOR OFFICIAL USE ONLY APPLICATION# 9 ` - DATE ISSUED ,f MAP/PARCEL NO. r; ADDRESS VILLAGE - ,x OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL f FINAL BUILDING e DATE CLOSED OUT ASSOCIATION PLAN NO. - i i Massachusetts - De r rrtment of Public `iafet� Board of Builtlin,­ Relgulations and Staodards. Qonstrujction Supervisor License Licenw`CS� 100988 nrtt7� r HENRY CASSIDY , 8 SHED ROW # WEStT `¢ARMOUTH, MA 02673 < *' w , Expiration: 11/11/2013 (',nuniis ivncr Tr9: 7620 pdTR11V1161R 0(?a1�f/ Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2b14 Tr# 233831 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 --- --------- ---- ....................._... Update Address and return card. Marls reason.for change. Address (_� Renewal Employment I � lost Card SGA i 160, rarrer,rz.tC(;rX�/iG O C?'l'[cLJJnC�4Lac!lYl .. 4\ OI'liec of Consumer Affairs& Business Regulation License or registration valid for individul use only b lj{OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 153567 Type: Office of Consumer Affairs and Business Regulation xpiration: 12/15/2014 Private Corporation 10 Park Plaza-.Suite 5170 n„= Boston,MA 02116 CAPE COD INSULATION;;INC: HEENRY CASSIDY 18 REARDON CIRCLE S0.YARMUUTN, MA 02664 Lludersecrretary of Val —— —- ' witho t )at re I The Commonwealth of'Massachusetts Print Form Department oflndustrial Accidents fiP.'-- r:_: x-_ ; Office of'Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly N"Inic (13risiness/Organization/Individual): 4 ` � I Phone #: -r2DQJ- �' ' - IZ l Are you an employer? Check It a appropriate box: Type of project(required): I. I ;un it employer with 00 4. ❑ 1 am a general contractor and 1 cnihloye:cs (full and/or part-time). * have hired the sub-contractors 6- ❑ New construction I : rn a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship;nod have no employees These sub-contractors have g, ❑ Demolition working fitr rr:e in any capacity, employees and have workers' I No workers' comp. insurance comp. insurance. $ 9. Building addition required-I 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions -3.❑ 1 gun a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions ntysel f. I No workers' camp. right of exemption per MGL 12,❑ Roof repa rs inaur-artce required-] t c. 152, §1(4), and we have no employees. [No workers' 13•� Other comp, insurance required.] Any applicant that checks-box#1 n:rust also till out the section below showing their workers'compensation policy information. I Inntcuwncrs who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a Crew affidavit indicating such. <Colluactors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have unplo)ecs. Ifthc sub-contractors have employees,they must provide their workers'comp.policy number. l uni tin employer that is providing workers'compensation insurance for my employees. Below is the policy and job site in f ornnrfron. In',ur<utccCompany Name:__ I'ulic> it or tiell=ins. Lic. :. WGA ODz5 `r'I DI Expiration Date: .loh Site Address: ZZ �'VvI�J Cit /State/Zi � � -- �'-- y p� � � -- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Faiiurc to secure; coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ol'a tin; up to b 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-tlp to'i"_'50.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Invcsnit ations ofthe DIA for insurance coverage verification. l do hereby certify..nller the painsgnd )enalties of erfury that the information provided above 's tare and correct tiik nature: / �/ % -1'7 Date:' 4 V J Uf ficiul use only. Do not write in this area, to be completed by city or town official. City ol-Town: Permit/License# Isstrilrg ?authority (circle one): 1. Board of health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector ti, Other i'moact Person: Phone#: I U GlIelltilt: 4597 ACORD- CERTIFICATE OF LABILITY 1N%5U RANCE Linn(ruin un),vi A NlAT­lkI4 OF IN FOT,0K I I0 IN,_0 J-�i L 1-'A-N L—)C O-N-F-IR-8-N-0-1-R--- 7 ki 2 121 0 12 IFIC.ATk-, 001;�S NOT IV (GhT$UJ�6-N--T-1-i-I-—C I--- 0 _y Lift NE.GAI-I Vf-,Ly AiVlkllf).EXHADORALTERTHE CQVLI�ACLz AFFOfk[)IZ-D oy -rlllz p()L.IC Fz� il"�)VV- llll�i C!L�WFIFWATIH OF INSURANCE rJOES NO'I'CCJN$Ili it ii�.'A CON I'"CTBEIVU-,L-.N-11-11: F-,C.Fl �TIFICATE I i6w�l�. A-111 1QM4LLI AND-IH IWPOKI'ANT:Ir 016 ADUI IIUNALINJ%UNt 1) Vj VVjkjV .1*) t1uht,w 111c. d, IVI il, I A AHtlIII1GClIjjI.jr;;j Ill,iLlfulict- "VIll lfii�l, [VIA 0,.Ui0 1 9 Intwullice compall ............. mluorL t LIB IIFJCAIL NUmU[R- ------- NIIVISION IqUivitil,it. ............ 1 10 I'A'I I I 1' 1-0 111 IN RU 0 NAN I I::D Ali CAI I I kly I)l j,jk�j) ANY CONTRAC r OR 0TI IER DO(',U&11--- 'I mil-I I. ."I ION L N MAY 111-ATAIN, THE IN$URAI,kct ;N01 I ION':,; Cl( SLICi-I ' -ki�"]"�)C-o fly rl'� pol.'C'CS I)PSCRIDW HER N L L ANIJ U CILS� Llmkl*�', filEEN IRCOUCE0 UY M10 CLAIMS. G I' CO AI.L. I I W I I I�Ni:j. N r)0 L 11 WRF ------------ LLqlul y)a_,L I Pill -17.7:7-........... U4101 12 012 04/0-1/2 0-1:- E.,kcvj cjc(:I.,pirt L:PIC.L". $1 ON U00 0,AUV IN A.11 b Ij 00,000 ....... U L:IjLIAI-R 6 1111 r UA I 1:; 0 0 Lt.U U 0 1--0 AL.1G. y„'LIIIIU,llllll c ON lljllq l l). 2MMBCKVIWN I,v; I""l-41 I, X.] At it NU�li UYVNH.) A"I kj"� -x Al.) 0 OROPEAW 6�4-N-IAO� ............. ..... .. XONJI153ti I L 1 000 Gou ............... I E C A I E ----------- LU J 00UU - wit��i WCA0025,,w-, 6)3u12uil-9 OGNMO I x ivi� N LIQNIO�l LI; 0L'M.1 Nrq N N I A i-k 0,101-nYcc,�:J,I k100 IWO JH'A V1 011CAU;I Iuldr,r ilt IIIt.ILICIQd el-i Lill dd(fitiollal jilaLl1c)(i UHLIUI ("LIIIUIJI Uj011i.ty wtIOI1 roquirod 1:)y tjVrIttoij —11W&A of lill ucillelit. L L12� 10 IL 14)L-1 CANCELLATION SH01.11.0 ANYOF THE A130VC� PQL.Wlki;i Lit- IJI-J Oil; THE EXPINA'rION DATF THEREOF. NOTICi- WILL 1W LIFLIVHlt.Ll 1. ACCORDANCE WITH THE POI-lk'N' PROVInjowi. . ........... '1011 -2WIU ACOND CL)NPOHATION.All 0910 W;Itjmd, of I 11W ACCiRl.)namn and 1000 Afkl fukjklurod make c)(ACORD m�-,'y - r � .l 60 West hi2in S-ttezt Hyar3 ,MA 02601-3698 S a �508)Tz-sue F�08)T5-7-434� �'z Y oa-2R Iines Corporation n�rn�.brxorcajxcod_m� HOME OVNER WE4THERIZATION WORK PERM T&.FUEL RELEASE. PIRA SE 1FLL OUI_ -STGN TIM TORM SOU RE THE APPLICANT HOME OWNER- hereby consent to and agree tbat weathej:ixation work may b e done by the Weath izztion Pzogram of Housing Assistance Corp oration ( hexcla of er rcleat as `Aocn�) on the propery lotted at The weatherization work done-mill be based on- program�ma�nc plaorities and availability bf funding and itmay mi cl-ade aIl or some of"-the following meas-o-res= Weather-sLLipping�z canIlctg of windows and doors,insulation of atdcs, sidewalk Fz basement,attic . and other ventilatiou measutes and.possioly replaccmcnt o-c Daddy de- iorated windows_Ia considez-ion:"of the yr eatherization work to be clone at my home I agree to rhz fo�owzn9-. glue pa=ission to the 'Ag=cy'irs.agents and em.,QIoyees to W av I Ona,G or across said property with Bach equipment and materials as may be necessary to peaf=weat erization work on said property_ 2_ The Housing Assistance Corpo'ration reserves the I:i&to mi spect the fzael or utility bill for the weathez3zed unit on an ongoing basis for ao more than Live (5}years after the weatLcrtzatlon work is completed I have read the provisions of this agzeemcot as listed and freely give my consent Hozac Owixr=(Signature) / •f Date_ Agent (signature)" Date H A.0^moved Weatbcxizattou Company { Caliber Building&Remodeling Cape Cod aito� Cape Save Creswell Cons�ucfio� FrontierEuer;y SoMom Lol Sons Peter Sr th ResoltrionEn y^ Rock Solid Cora�,¢u on �l Cam Ins aan y�«)i y CAPE CODTO jOF 1'NSULATIONAPR 16 AM Q IIRSR 4lAif 3eAM{{S5 SPRATFOAM {USP{NRRF PARS UUR{RS INW"TION CGLINai - 1-600-696.-6611 . DIV Town of Barnstable , Regulatory Services Building Division 200 Main. St Hyannis, MA 02601 Date: G/^b 0 /i � - Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod' Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BP-I) inspector. All work preformed meets of exceeds Federal & State Requirements. . Property Owner Property Address Village D ✓i 11,E a T( Air e1 Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ) ( Slopes ( ) ( ) ( ) ( ) Floors Walls ( ) ( ) ( ) ) ) Il SQ /NS Sincerely He r(Cod Cas y Jr, President - C, e I I ulation, Inc. } l Assessor's map.and lot number .... ............. *TNE L SEPTIC SYSTEM MUS Sewage Permit number ...... ....... .:,D : � INSTALLED IN 311IMPLIANCE .. ......... WITH TME 5 i IIA"STABLE, Ho6se number ............................... ENVIRONMENTAL CODE AM MAO& 039. Ar TOWN REGULATIONS D MAX TOWN OF. BARNSTABLE BUILDING INSPECTOR APPLIAPPLICATION FOR PERMIT TO. I LV(5 C ... ........ ....................... . ........................................................ TYPE OF CONSTRUCTION .....Lo 6 a ............... .... ....................... ............................... .......... ................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... ......... .........P...!` .............................. ................................................. ProposedUse ....... ................. ................................................................................................................................................... Zoning District ........................................................................Fire District .....6-W-re�e t�j............................ ................. Name of Owner .... .................................Address ... Name of Builder J? .6m >.....h, .-/.PAddress �-y 7...... Name of Architect A W-e ..............................................Address .................................................................................... Number of Rooms ....... 1�..............................................Foundation ... ........................................ Exterior ........f:�./:7//..............................................................Roofing ...... ............................................................................. Floors ...... IQ ow-T- 5)7.ee ID)Ae ...............Interior ......... ....................................................................... Heating ...... .......... ..:...................................Plumbing ...... Fireplace .... ..................Approximate Cost .......... ...... 5/...................... ........ Definitive Plan Approved by Planning Board --------------------------------19--------- Area ...... ............. Diagram of Lot and Building with Dimensions Fee ............. .................... SUBJECT TO APPRIVAL OF BOARD OF HEALTH N If ZVI 017 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .......................... Construction Supervisor's License .................................... VILLA, JUDY No r.2870 .... Permit for ......... `, single family dwelling............................. 274 AmesLocation ............. ............ ................................ Centerville .......................................................... ........ Owner ........ ......Judy.............Villa ............................. Type-6f Construction .............T-X! .................. ........................................................... ................... 7-4 plot ............................ Lot ............................... Permit-Granted ......................T1 21........1985 Date of Inspecti ..14.....19. . S- Date Completed ....... 1 qJ< R eve A id lot number ,� :- ?NE �0F ewa a Permit number ........ O g ..........'Y.d:3............................ r SEPTIC SYSTEM MUST INSTALLED IN C OMPLIA aaasTLELE, House number .....:............... ........... . ..............'......... WITH TITLE 5 '00639. 0� MABB N ENVIRONMENTAL COOS AnyaYa� ` TOWN OF BARNSjI"2�.I �TIONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........BUi1d..Singl`e...F.amily...Ixrell,ing.......................................... o frame TYPEOF CONSTRUCTION ..........:..........Wo......d................. ............................:.............::............................................ y .........s7lay..2-9....................19.8Q.. TO THE INSPECTOR OF BUILDINGS: ` The undersigned hereby applies for a permit according to the following information: Location ...Lo±...225...Ames...Way,...C.ent.erville...................................................:................................................... Proposed Use ......S121gIe... ' 1 . .;Y... 4'. ,a,�Xlg...................................................... .................................... ......... Zoning District ......... ....................... District ..........C!~nisr.via..1.E-0st.ervi.1..le.......... -Name of Owner .........TA]w!p.. ......am tla.................. ...Address ...............Barxmtahle.......................................... Name of Builder ...... .........................Address ...............Barnstabl.e.......................................... Nameof Architect --- ..........Address........................................................ ..............................:..................................................... Number of Rooms ......Five.................................................Foundation ..........Rauxad...Concrete............................. Clapboard & T111 As halt Shin les Exierior ....................................................................................Roofing .............�........................g................................... Floors ........................Wal...tm...wall...............................Interior . .Ili•Van.................................................. g ...Q7,a .......................................Plumbing .......... —...baths................................................ Heatin W b Fireplace ..................................................................................Approximate Cost ............SJ.5.0.QCQ..............:................ Definitive Plan Approved by Planning Board ---------------__--------------19--------. Area ....... �b4....J..�.....'. Diagram of Lot and Building with Dimensions Fee ............ ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH e I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...... An"1�.................................... JAMES K. Lot #225 274 Ames Way James K. Smith Frame Z9 PEiMIT REFUSED � .-..--...----.------............—_—.— � � � ` . 0TKIr TOWN OF BARNSTABLE Permit No. ----------_--------- Building Inspector saurua Cash OCCUPANCY PERMIT Bond ------------- - �--�� --- No building nor structure shall be erected, 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 Tams K. Smith Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date 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. //gyp ........................................ 19 ........................................ ........ .. _ _ ._ Building Inspector SOIL LOG E. A. ONE LOAM 6 FILL - li•MA% o p ( ( a 9�•2 T4� DIST.C. I. ..' , i 0 BOX 1•.•'. 1000 GAL. . 1000 e e „ 10'MIN. GAL I:.'.•': PRECAST OR o F" 24 P6¢G cJ 3f1 SEPTIC I; BLOCK MIN - � JrO,A/ TANK 6' �; SEEPAGE • '•. : I QO/� --$� Sl ,• • I s���8• PIT 20' MIN. ' ' a ` 1 SA83.7 ' FOUNDATION I 1 %2" WASHED STONE I 4�. I i I I ELEVATION SKETCH - 10' 1 PERC. RATE: %» SCALE ; I" = 4' TEST BY ,a TOWN INSPECTOR: vRr E ORATOR' 77v"vT rwx TEST MADE ON : Q Z6 79 CdtiG'.CG'TE' F�l/Nvn'rT'iDi✓ .SNDW/y/ f/E,G�GW GVY,ls Go G,tT?'E D •/iS/ T�/E � c tN Of s ?_o/Y'E led. a� JAMES �yo P. I..APSLEY y No.22597 �t o suRS��o - room rl ,tv7- l m V) (2ES.N o Bor ay N1 /000 Marie �r � .100, nl 23� eoNce xO- F�A gTra WPM OL .000 er r meµ.. nw ZHOf4gs i off Y / RENVVICK J1 v l CHAPMAN n No. 27654 C, y yl o.�'t P."/ 4� �..- aZ ^i "'" r•'►1 �'sION E 12. ��ESTirYrATED l)Alty X'Lo47 �r saueaors�No 4gas�er 4PruaF� xrlo Eqs./eqs+/a.e. . ZAU- -79 S,fr x l o G,►? A,�S.f' 79 Q,RL, -%'r0i. z47 5,Oc guq s.R D . E ELEVATION SCHEDULE wu iOvAyW� faYfi>f»ti►,�� To Tiy�� d11'� PROPOSED SITE PLAN I. INV. AT FOUNDATION = Q'4 •c-7- a 2. INV. INTO SEPTIC TANK _ 9A.4Z SEWAGE SYSTEM DESIGN IN 3. INV. OUT OF SEPTIC TANK = q��1�, BpQAj...)r &_F C�'E�l* •�VlI.,C.S.� HAS !)4. INV. INTO DISTRIBUTION BOX ° 14--o SCALE; I" = 2Q' �T� 19 '7 � 5. INV. OUT OF DISTRIBUTION BOX = l3 .88 C - "�•4� "� 6. INV. INTO SEEPAGE PIT = 43 -70 CAPE COD SURVEY CONSULTANTS • ROUTE 132 7BOTTOM OF PIT = '3 HYANNIS ,MASS.