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HomeMy WebLinkAbout0092 BLUE WATER DRIVE ` w ° r c Application number.... ....... ... ..1... Date Issued: .........7 : ... ............................. Xu. Building.Inspectors Jnitials......:. .. ..... ... ..... '�� 24 Map/Parcel...............S. ......... .. ................ . TOWN OVWWRNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION r PROPERTY INFORMATION Address of Project: jin� NUMBER STREET VILLAGE Owner's Name: , ��sV ",05 i 6sl Phone Number . Email Address: Cell Phone Number Project cost$ Cl/,eWd Check one Residential Commercial r OWNER'S AUTHORIZATION As owner of the above property I hereby authorize �OC to make application for a building permit in accordance with 780 CMR , ' � D Owner Signature:J 6 Date: TYPE OF WORK Siding a Windows(no header change)# 0 Insulation/Weatherization 0 Doors (no header change) # Commercial Doors require an inspector's review Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's named j>, Home Improvement Contractors Registration(if applicable)#1,�6�F�, (attach copy) Construction Supervisor's License# (attach copy), Email of Contractor Qp,6% Phone number ALL PROPERTIES THAT HAVE STRUCT ES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT_, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATIONNUMBER ............................................................ For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number F I understand my responsibilities.under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CAM and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date . All permit applications are subject to a building official's approval prior to issuance. Office of Consumer Affairs a&ustrness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE'Corporation before the expiration date. If found return to. R Office of Consumer Affairs and Business Reguation 100497.1o3/24/2020 10 Park Plaza-Suite mo T' DAVID COX,INC. . Boston,MA 02116 DAVID R.COX //�- 19 LAVENDER LN Z/ W.YARMOUTH,MA 02173 Undefsecrt3tary Not Valid without si nature Commonwealth of Massachusetts �f Division of Professional Licensure Board of Building Regulations and Standards Constr icti,6if ISi>Ipervisor CS-063537 F, 'pires: 10/15/2019 DAVID R CO)(- :.-4 -' PO BOX 401 SOUTH YARMouTH MA-6) 6" �` Commissioner l/""r ,acoRt7® CERTIFICATE OF LIABILITY INSURANCE OAT / 0 7/12/12/2018 Y, 018 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 CON, E:TACT NA Mary Connor SULLIVAN GARRITY& DONNELLY INSURANCE AGENCY INC E-MAILo t 508 453-2586 NC No): E-MAI ADDRESS: kathleen.geddis@sgdins.com 10 INSTITUTE RD INSURERS AFFORDING COVERAGE NAIC# WORCESTER MA 01609 INSURER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: DAVID COX INC INSURERC: INSURER D: PO BOX 401 INSURER E: S YARMOUTH MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER: 290863 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 REQUIREMENT, 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ MA GE TO RENTED CLAIMS-MADE R A EMISES Ea oc D OCCUR P currence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO- POLICY F1JECT 7 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident r 1 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION /� STATUTE ORH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBER EXCLUDED? WA WA WA 6HUB91OX742218 07/16/2018 07/16/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT J$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 Daniel M.CroVlr6y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD • The Commonwealth of Massachusetts Deparftnent of IndustrialAccidents - Office of Investigations 600 Washington-Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit-. Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Letsiibly Name(Business/Organizaiiowbdividual): ,. o1%/,� Address: /��it/1��X✓�, a'7 City/State/Zip: Phone#: O�— Are on an employer?Check the appropriate bog: Type of project(required): 1. I am a employer with _ 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees ' These sub-contractors have . g• ❑]demolition workingfor me in capacity. employees and have workers' any ap ty t 9. ❑Building addition [No workers'comp.insuranceinsurance.comp. required] 5. ❑ We are a corporation and its 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repair or additions myself-[No workers'comp. right of exemption per MGL 12.®'�oof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' Comp.fit=ice requited,] *Any applicant that cbecks box#1 must also fill out the section below sbowing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new aff davit indicating such. $Contractors that check this box must attached an 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 Below is the policy and job.site information. Insurance Company Name: 115�"x5 Policy#or Self-ins.Lie. 9.1�,.�:37 2 Expiration Date: ; 6 Job Site Address: �'� �J�i, Tl�2— ZD City/State/Zip:_( �% iSlllJ�l1� � 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 of MGL c. 152 can lead to the imposition.of criminal 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 DIA for insurance coverage verification. I do hereby certify u the pains and penalties of perjury that the information provided above is true and correct S• e: Date: Phone# Official use only. Do not write in this area to be completed 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#: Information and Instructions ,Y Massachusetts General Laws chapter 152.requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person id the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or budding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ble evidence of compliance with the insurance coverage.required." applicant who has not produced accepta Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please all out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if f necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the amber listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and primed legibly. The Department has provided a space at the bottom ons has to contact you re the applicant of the affidavit for you to fill out in the event the Office of Investigate y �'� Please be sure to BE in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided,to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would lice to thank you in advance.for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The commonwealth of MwsachuwM Dopartment of Industrial Aeddents Office of Investigatlow 600 Washington Sit Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSA Fax#617-727-7744 Revised 4-24-07 www.maw.govIdia i Assessor's mapoffice st Floor): � ��� Assessor's map andJ�lo number o`THE to Conservation b _��..�'� '----- -s \�35��-�`�� �t ®'���t�da :v ��Q� . Board of Health(3rd floor) 0N'V ®®a-'V Sewage Permit number "pL�gg gj 's' ,�T►�cc MILL��'�1�1 ��O rb)q• �� Engineering Department(3rd floor): yq. �^ (f ; �3NVr11dW0.3 House number �" 1�`� �+ �o asr s• Definitive Plan Approved by Planning Board I> 3G L'3r11P' )1 w APPLICATIONS PROCESSED 8:30-9:30 A.M.and.1:00-2:00 P.M.only �� TOWN OF �A 4 ABLE �M UUIL®0NG INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ mil' 19 �13 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �/ - Proposed Use S v`g ti a v,n � )�) \ 1 W-, \V\ 9 Zoning District -' �-. Fire District Name of Owner (�i It— Q V C_�. '�" Address/O MA O JO Name of Builder t.\ny<a S ___V\V\C D\O%gc%,A' SAddress 4 T���w► S a. Name ofArchitect Address (kbbbA5 4, F-.4%V Ma—, - Number of Rooms 32%. a 3a.+�. �. ����• '� L.R 1 a(1 Foundation S" ?ovrta Co czlti aH -c)o-,Yj Exterior C-�0.�3oa.c-c�S `� W C S\.:��ns It5 Roofing _ A S � O�� \� s\t S Floors A K Y\(o..\ F O Wcr.l1 Str.v.. '\C- Interior �y'L�p�C`� �- S'VG VV\C_ Heating All AS- Plumbing Fireplace M Q..S o NA a O(.,k Approximate Cost 1 O O C) O 0 Area Diagram of Lot and Building with Dimensions Fee :S F. lB a \� ti ' M pj; * a ' ov zo M- 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 THEOHARIDIS, DENNIS ` ZVo 3 61'j-7 permit For ONE STORY Single Family Dwelling Location Lot #34, 92 Blue Water Drive Centerville f, V ''d — �` `'jbennis Theoharidis .t Owner - Type of Construction Frame '! •\ ". - t Plot Lot . A�j• September .y 93 Permit Granjed P 1 19- ! ` y Dat of Inspectionfa � 19 Date Completed / ,�� 19 to 1 - tM�> TOWN OF BARNSTABLE 36157 Permit No. ......:......... ` BUILDING DEPARTMENT 4 '�tan I Cash ,,,,,,,,,,,,,,,, TOWN OFFICE BUILDING 67D ♦ x HYANNIS,MASS.02601 Bond ................ CERTIFICATE OF USE AND OCCUPANCY Issued to DENNIS THEOHARIDIS Address Lot #;`34 92 Blue Water Drive, Centerville USE GROUP FIRE GRADING OCCUPANCY LOAD 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 10 93 ._....,t..... wr%J..<..!Pita '. Building Inspector TOWN OF BARNSTABLE BUILDING DEPARTMENT ru&= a AS 1 TOWN OFFICE BUILDING t039' HYANNIS, MASS. 02601 �OIIAY�' MEMO TO: Town Clerk FROM: Building Department DATE: 121 jo13 An Occupancy Permit has been issued for the building authorized by BuildingPermit $--...........`3 .. :5��.. ......................................................................................_.......... . ... ............................. issued to ..1 1..,�%L�, �?, � % ................. c�....._.GC . �.e........� ..�e� .......... r Please release the performance bond. THE FOLLOWING IS/ARE THE.. BEST IMAGES FROM' POOR QUALITY ORIGINALS) I M AxGf L DATA `3903 6ytiS-V91V I(i3'3'AOW3b al - fl3ilddV 3$V SSN1SVO 3a1SNi 'Z '038WOld OW 03WWIHS YdV. SGWV( I AOWGH j,U0aw6U I-hogi we'll"" Wool&I'm ode wojd.. sq r ... -- ... -. __.._... l �- i - � "�r � NUMBER OF _ PERMIT TO YS 1I ill Dvie.111 ig ( J. ) STORY ` int -41 c Y u.,c,.I J-1 Ledf lll.li� DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) i� ZONING Gt 434, 92 Blue W (ter Drive', �r'Cil�f�I"V_L DISTRICT RD_1 AT (LOCATION) (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUB4IVISION LOT BLOCK SIZE BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE - USE GROUP - BASEMENT WALLS OR FOUNDATION (TYPE) �E.:aacc: �33�2i35 REMARKS: AREA OR c:��!-ti ; . i.t. - Q• 1GJ, Q�IQ.Q�1 PERMIT s 134. 00 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE.FEET) OWNER L°ir�TL, _ l�A�.i_.:.iv.�.. � - BUILDING DEPT. flit t'� BY ! ADDRESS THIS`-PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC® PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE ,BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR .ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUB:ILIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. -WHERE A CERTIFICATE OF OCCUPANCY IS ,.RE- MECHANICAL INSTALLATIONS. II, 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL` MEMBERSIREADY TO LATH). - FINAL INSPECTION HAS BEEN MADE. - -3. FINAL INSPECTION BEFORE OCCUPANCY. ' POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS t j S j'Id HATING INSPECTION APPROVALS ENGINEERING DEPARTMENT vz. �► f�t�?"= A s K .2-Z 7A3 !ten wQ /q3 �^ 1 ('� BOARD OF EALTH �•• L/J/•')7F THEIR - SITE PLAN RE APPROVAL v` PERMIT W!LL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE WORK SHALL NOT PROCEED UNTIL THE INSPEC- TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. �U O v LL 00 �O • • 4. 960 ------------------------- Ls cc cc Y \ 11 ;;��cl ' f w _ - ' ( S tames yL �A � mti—r�,��^Q . � a.l� G tv�E Ow o Z ` 1.�P _S-Pia P.H a-4a z - \ 38vnm S S133HS OOZ 68C`L9 J 38Vf10S S S133HS 001 LaC'Z9 f1 38V0S S S133HS OS 19C'Z9 -� Joseph D. DaLuz Telephone: 790-6227 Bui liling_�Commissioner TOWN OF BARNSTABLE BUILDING DEPARTMENT TOWN OFFICE BUILDING HYANNIS , MASS . 02601 DATE: September 28, 1993 TO. Mr. Dennis Theoharidis 47 Helmsman Drive Yarmouthport, MA The frame inspection at lot #34 92 Blue Water Drive _ does not comply with MA Building Code No. TAble 3406-6 Allowable spans for roof rafters. Please contact this office for reinspection. Thank you , Building Inspector AEM:km , you KKR ro` 6' The Town of Barnstable i )A)If71)Lt : Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner September 3, 1993 Mr. Dennis Theoharidis 47 Helmsman Drive Yarmouthport, MA RE: Lot #34 Blue Water Drive, Centerville A=253 026 Dear Mr. Theoharidis: Please be informed that a building permit is required prior to proceeding with construction. As of this date the only permit that has been issued is for a foundation. No further construction will be permitted until you obtain the required building permit. Very?truly yo s, Richard ,R. Bearse Building Inspector RRB/gr 116.2C JECR: I f/6— TO J/n'lh'G ORT.1 , U—N I14 � I .II OEM . II REJ_=J=.4 ._APROARO �CII iIr— {j I b �! OENN/5 THEO CONSTRUCTrON CO. f3 CC::Ca.='E AAL/FR]"MF..'CNTSTEP TO ORIV£NAT1 =�-O"^"`°•_ ^^LX�. CUSTOM RA.NCN'f,-.MR.°+d MRS.OOUCET . v'E BED I or 4 . \ WINO SEAL ASPna LT.S.YINGLES \,WIND SEAL ASPHALT SwI:.G_S WHITE CEDAR SH;NGL£$ .LFFT "RIGhi _ S Ii l I I I I WHITE CEDAR SH! GL $ I t f I I I I _ I16.20 D£CKI 116.20 C£CK 1 Be 2l 15-514 11-6N A I 11-20 C£CKJ F 61'. \ MASTER BATH I - g-2 J�-- 7 iI 1iNTJ/.1:£IVI I 3f A,µ n�I�H(JIJLC—'E�-)J" B-V2 1-2_-10 D I� V F.;<'l.L DY1 6 RCO.v9-/• !IIi It C C/N. 1S BED 2 I 18-3� G' ]II-3- - 1II _- RO ER, SCH£J1L- D/NNG K1TCnEV 30 E $IG:LIT£COJR W 9 < c E OCOR 12 a 12 C=2 .,6 . DOOR r,r•.CH P171012-9 .. f zA Z_ Bl. GARAGE 9 6 E I-- - - .GE �. r. O _ LIVING ROO. i RcJ C" I I� 20 I'JAKi 2 BED ROGN J _ FOYER ic FT.; 'i< ICRPTI =� �- I 16,] OVERHEAD DOOR . I m �� 6 6 14 6-.1II, DENNIS THEO CO,: TF;;CTIO, CO. 6 9.. IIYr 6, 27 •FLOOR PLAN I 21 CUSTOM RANCH /cr MP.ora MR$, OOUCF' Fa.N!LY R0OM-`!_9Ew SF,^ �20F3 j li 6' 6�--�_ —. _____ ._... � � CONT/A'UOUS B POURED FOGT;I;,, 7' ) 7 7' l/E CONCRETE 6 :e C.C. .... ...- I t E ,-1 1 I 1 I i FIRFPLACEA ER E � 20 2 U ' 27 •fOUNOATION PLAT:- OENAIS TH£0 CCNSTRUC7101 CO. 1 CUS TCM RANCP MR-_n<MRS OOUCE' THREE BED RCOv-TWO SATH FA.I'Ly ROOM J Of 3 J ' COMMO TH OF MASSACHUSETTS R ;JEFARTNiENI' OF P.IDUSTItIAL ACCIDENT'S 600 WASHINGTON STREETBOSTON, MASSACHUSETTS 02111 games;' Gama�el' �e--m.ss,one WORKERS' COMPENSATION INSURANCE AFFIDAVIT Theo h.a0-i C is S (licensee/permittcc) with a principal place of business/residence at: o r G. Oz6 S (City/State/Zip) do hereby certify, under the pains and penalties of perjury, that: [ J ] am an employer providing the following workers' compensation coverage for my employees working on this job. Ci q rLG, C 3 8 35 I Insurance Cojipany Policy Number [ ) I am a sole 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 insurance policies: Name of Contractor Insurance Company/Policy Number ?Fame of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 I am a,homeowner performing all the work myself. NOTE-. Plcasc be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more tban three units in wbieb the homeowner also resides or on the grounds appumeo nt thereto arc not generally considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowner for a license or permit may evidcncc the legal status of a.n employer under the Workers' Compensation Act. 1 understand that a copy of this statement will be forwarded to the Department of Industrial Aeddenu' Ofiiee of Insurance for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of_c6rninal penaJucs consisting of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of$]00.00 a day against mc. Signed this `Cz.h � day of S< �—�^'� C� , 19 9 3 Licensee/Permirtce Licensor/Permiaor t t LOT 33 257.84' Z LOT 34 o J 43570 S . F. 0 aa.z Z LOT 35 27.1 65.0' N Q I l9 Q cp i cs 38.1' 27.1' 27.1' Sa 3 °' cy 0 204 49' DER �R1v� BLUE W A. 1 9/9/93 THIS PLAN IS NEITHER INTENDED INITIAL ISSUE ALNo. DATE DESCRIPTION BY FOR, NOR SHALL IT BE USED FOR AS—BUILT FOUNDATION PLAN—LOT 34 MORTGAGE LOAN PURPOSES. BLUE WATER DRIVE IN BARNSTABLE, MASSACHUSETTS FOR �p`ttociw� DENNIS THEO CONSTRUCTION CO. w�`' �c�; SCALE: 1" = 50' J06 NO. 1686/1257PER I CERTIFY THAT THE FOUNDATION �o PAULA. aN SHOWN .ON THIS LAN CATED LEVY �, ° 50 100 ON THE G ND A DI ATED. " NO. 10617 w 9/9/93 \C; �� LEVY, ELDREDGE & WAGNER ASSOCIATES INC. DATE REGISTERED LAND S U R v YOR ��. ENGINEERS URSCAPE AKMfWS PuNNERs W@ SURVEYORS 889 WEST MAIN STREET CENTERVILLE, MA 02632 ' 20' MINIMUM OR AS INDICATED ON PLAN t AN MASONRY EXTFNS10N rO 12- AND THE REQUIREMENTS OF THIS PLAN. V'r, BELOW GRADE )0/- )4 2. All COVERS TO SANITARY UNITS SHALL HI-, HPOUGHT 'TO WITHIN 12" OF' FINISHED GRADE. 4- SQH, 40 PVC PIPE 3 ALL MASONRY UNIT� USED TO BRING COVERS 10 GRAD[ SHALL EF MORTARED IN PLACF-1 Flow HE 4 ALI- COMPONI-NTS OF THE SANITARY SYSTEM SHALL RE CAPABLE OF WITHSTANDING H-10 LOADING UNI_E`­,S I'HEY ARE UN v:77, FT PIT MIN. AREAS. H-20 LOADING GALLON < WITHIN 1 47G L. LEACH 0 FT OF DRIVES OR PARKING SHALL BE US 470 RESTRICTIONS OR ZONING RIJIJ1,AI1()N9, . OWNER/APPLICANT SHALL, GALLON !-,,FPTlC TANK E WAGNER FIFLD NOTEBOOK BOTTOM OF TEST HOLE 4 FEET 14 INCHES 5 FTET 19 INCHES OR USGS PROBABLE HIGH WATER LEVEL CURR TIONS [ NOT TO SCALE UNIT y�|m SIDE SL |BA(^K '~ FEE / GARBAGE DISPOSAL TOTAL ESnMATFO FLOW xx|= RFAn JE |UxCn '- FEET L1_1r!_GAL /UR /UAy x -' R_ R / - - - GAL. / "A ' REQUIRED SEPTIC TANK CAPACITY GAI ACTUAL SIZE OF SEP11C TANK J.Cw')0. GAI_ WA TF 4 RESERVE LEACHING I'll INDFX WELL DEPTH TO WATER LF FOR MONTH OF. WATER LEVEL. ADJUSTMENT or WILsON 195 PLAN LEVY, ELDREDGE WAGNER U)SOCIAM INC. � PERMIT � ' � | 889 WEST MAIN STREFT ^,'` ^^~` ' J^~K ~- -----