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HomeMy WebLinkAbout0069 HOLLY POINT ROAD ik AfT 'P� El 41 �MYI # Z, )Tt k mvc "AP fV ,VNX` �g p �ftt 1' i, I m& 1, w?, -ji, 6 "N IWAI�P 1,Z Y 'A "iOzz Ow-i I'A , -i�A - , ,- . G-,— q jv �Jgg t� "il�,� ,�I `W �g -'4 " ,e YZ4 V M pg' -N- -N- VW,AQIw6 ........... RNt 3� 5,R I IXA" N 'j, An,, ��A, INVI*N- p�-§ �1 Dw,41, v! -,64-*ygpg� 1*4W7-k"'..I , N 15 w 'R't, If g 1 gN A mg- Rw qkv--n-r� N14 "N V FIN-1 TR,� -A- RI, I-'a InM �IT4CWq Wk R S,--%11"T:% OR R V ,V -n 5 M", Ell -pf, tW r z4v �&1�0 RN N,x VA g"; lf M- m 'I MM�,5W'� Ml'�� Af "p, 4 t;4 x TM W W, �040,---*V M) z3l. F, Ki ",-Tr W, g" '71 4", -i , fj t M —VOKY �m NISI Ain Ili jIk9 T4, A,! 'OL w M�! M.I�'N4 5 Ag P 11 I is, Ng40"f 5Y z� ;'A w yz�g,�pj A 16 V, X x vi IN �ig Jgj"L N TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 11�+.: ` " Application # I �© Map Parcel / 4 Health Division Date Issued /f 5 /S Conservation Division Application Fee 2 /� Planning Dept. Permit Fee 35'6 Date Definitive Plan Approved by Planning Board Historic = OKH _ Preservation / Hyannis Project Street Address t�1 ��tl�f=� 777 t eA Village rce-era.I IL Owner yc Address Telephone :,Zb --n 3- Q-1 t Permit Request kef-.: Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I 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) 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) Mile McCarthy Construction - - - P® Box 52 _ - � . y_� Name — z6 -69!- ► H CE9`S_'152 Telephone Number «, � ,,,�_�,� '� -�92- — 0 , M . Address 70 V969-08Z (800 IIa� Cell (508) 250-6964 Isinna 3s3Ak License# ZS %off ®a - sn � ❑ 3 1T Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V, an L SIGNATURE DATE I?,I-,- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION E FRAME INSULATION r i FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r �,► Town of Barnstable Regulatory Services Mtbard iV.ScA Director Bafi ng.lDivisiou Tom Perry,Duaingco=nbiimer 200 Main Sara,Hyannis;W 02601 www.townbarnstable.ma.tw Office. SOM624039 Fax: 506 700-6230 Property Owner Must Complete and Sign.This Sec-ti.o n-L x.f__r_sung:_.D�i1der - ---,ac C?m-ter of tbe-:sibjecc props y t S } byauflion= C>�s�y _ i to not on inptehaff, in all natters rdiatijM to work auZho:ized this boring perms agpkauan for' �Crn�b 1 ! r,lp 1 ffi 0'a6 3 r! �c nr� �. . y '`Pbo�fences and a3anms aye tkue responsiblnyof the-.appTzc=. Pools aye natto be:filled or uu�ed-bef-ore-fen ce is i�st ated and a3�"fuel inspections are performed and.acre Lied. Signature of ONMer Sig tut of Applicant Vu-Schime f.;FM N=e Print-Name F/I j 15' Q+MRMS'01v1.'bZ'£Rh1W*NV00L'3 £'d OL L8-b66-17LL Sul'NoedIV dLb:ZO9 L LO End J Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCC�k]k ` PO BOX 52 , W DENNIS MA 0267lei 1 o J,-' ` , x„��1Jr,f�. " "'` Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 Type: Individual Expiratio /2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY i r P.O. BOX 52 — --- - WEST DENNIS, MA 02670 — Update Ad ess and return card.Mark reason for change. 20M-05/77 Address Renewal [j Employment Lost Card The Commonwealth ofMassacltusetts Department of lndustrial.Acchlents 1 Congress Street,Sulte 100 Boston,MA.02114-2017 wMil mass gov/(lia Workers,Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE PILED WITH THE P)'RMTTnNG AUTHORITY. Applicant InformationCOUStrUrtiolf lease Print Legibly Name(Business/Organization/individual): Mike C a y PO a Address: West Dennis, MA 02670 e - City/State/Zip:_ tC'4L_=86 3#: HIC-169393 A71'.m an employer?Check theapropriate box. Type of project(required):' I. a employer with employees(full and/or part-time).* 7. ❑New construction p 2.❑1 am a sole proprietor or partnership and have no employees working for me in $, Remodeling any capacity.[No workers'comp.insurance required.] IF]I am a homeowner doing all work myself.[No workers'comp,insurance required.]1 9• ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 LE]Electrical repairs or additions proprietors with no employees. i 5.❑I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. I2.El Plumbing repairs Or eddltions These sub-contractors have employees and have workers'comp.igsnrance.t 13.Q Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.901her 152,§1(4),and we have no employees.[No workers'comp.,insurance required.] i 'Any appl icant that checks box#I must also fill nut the section below showing their workers'compensation policy information. k t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check this box must attached 9n 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 andjoh site Information. Insurance Company Name: AT 114 Policy#or Self-ins.Lic.At: lw Oei 7(S6.,..-)Ld11 �j Expiration Date: Job Site Address:_ 6, HJI �� City/State/Zip: &1>//t r- 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.* 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do/rereby certify an 11 al s and allies r- ty that the.informafion provided above is trite and correct. Signature: Date: _4.)11t� Phone#: F cial use only. Do not write in tIris area,to be completed by city or town official.or Town: Permit/License# ing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: .4 r I a r WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMPAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800)876-2765 NCCI NO 26158 POLICY NO. VWC-100-6017656-2014B PRIOR NO. VWC-100-6017656-2014A ITEM 1. The Insured: Michael McCarthy Construction Inc DBA: Mailing address: P 0 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 SCHEDU E Minimum Premium $550 Total Estimated Annual Premium $29,332 GOV qGOV Deposit Premium $7,748 STATE MA State Assessments/Surcharges $28,601.00 x 5.8000% $1,659 c3ie�&W 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 Burlington MA 01803 So Dennis, MA 02660 F\��) WC 00 00 01 A(7-11)Includes copyrighted material of the National Council on Compensation Insurance, used with its nermissinn. Assessor's Office 1st floor Ma Lot 6 / 7 ok Permit# 375 S—C2 Conservation Office 4th floor - "--� y 1�J/ Date Issued ✓a!a2 7 Board of Health Ord floor 7 5 .Engineering Dent. (Ord floor) Ho.use# a�r+aree�, t SEPTIC 19 ST SE .INSTALLED iPLlAHC79 (Applications processed 8:30-9:30 a.m.&`1:00-2:00 p.m.) , f tNITH TITLE 5 ENVIRONMENTAL CODE AND TOWN OF BARNSTABLE TOWN REGULATIONS Building Permit Application Pro'ect Street Addressf`� Village Fire District Goa�•�� �F}T'•C�i9•�R L�vor sq���- +''s f�1PLs�,tGTov h'!R - (h3 Address Telephone Permit Request: .�I t» r ��' /3y 2 �T- /�1�t�<TJd/1/' �!_� ,[�•JE'•, Zoning District R P— Flood Plain /li Water Protection Lot Size j 9,464- Grandfathered Zoning Board of Appeals Authorization Recorded Current Use.I�vt s /i h1 J Proposed Use Construction Type Eaistin2 Information Dwelling T _e: Sin le Family Two family Multi-family Age of structure A-3o vim' 3 S ,�5 Basement tvne Historic House /✓& Finished �b Old King's HiQhway': J40 Unfinished >�e-15 Number of Baths No of Bedrooms 7— ALP Total Room Count(not including baths) S 11y First Floor S J-( Heat Type and Fuel GA Central Air A,-'a Fire laces a /'✓ Garage: Detached 1400 Other Detached Structures: Pool Jv 3 Attached yNPj�� 1�SL� C Z G/� '� Barn AJ'o None Sheds Nd Other /lfa Builder Information Name Telephone number Address &L 41Z e4 Zd 4 License# � Home Improvement Contractor# (7LYJl y Worker's Compensation # MC) NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (�, O Proiect Cost z}4 Fee c05Z9,61Z> SIGNATTj DATE_?�? BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T v FOR OFFICE USE ONLY y 3/27/95 -3-7575� � 232.014 ADDRESS- VILLAGE69 Holly Point Road Centerville - OWNER George & Barbara Levesque / DATE OFINSPECT, N' � y, f '(1 s' FOUNDATION - FRAME INSULATION ,���� � t• FIREPLACE ELECTRICAL: ROUGH - FINAL , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING: G �2- DATE CLOSED OUT: , . ASSOCIATE PLAN NO. } ti 20239 • SHEE T 5 S.B.. NI 1 cB�p \ I O' O0 �t I 4 a� ,00 -fir ��I11 Iv• �i 69 OV s3 tl '6 a� `'' 70 O 9/G n•.Y. A� /'9 8 96 .� Z 4! 0 N o0 � - ';9 _ �'c:.�o l�1 Gt) � OJ 0" Ooo y p N 92 V r I 68 p 4, b �o.0 kD \ a to 3 00 "�' `�' "�• s / u s a o r •o o �w.to Q � /6z. ° w N s 93 72 6 O 67 0 0� p a 400 �y �8°,rr�o"� ` `��� ^/ age •�s •��/ 94 I ; 1 i o 66 ° "`J ° 73 � a ° ° � 90 _� 1 , OO r�i" o S o t� r I ' °!Q l6�4.5p'►"(� - /3Jr 6,7 v�4 Q 95 65 o u 74 v 89 -40 h 64 p 0 5 4e L3 10 W /-4 U. t S cz o Q ] � 47" 0.9'66' N ry No O e�Z� 97 ivs7 76 _� N43°ZBC. 'i* z° E, 2 V 0 76 6 0 87 0 98 / 6, 1 34,00- O h 77 °''+ v 86 v 99 C:0 QC n Sea/a 0f it boa pla PIP /00 fosf to an inch UNREGISTERED LAND ..1""NUMBER• 52376 DEED BOOK: PAGE: RNEY: STEVENSON. JOHNSON d BRAMS PLAN/DEED BOOK: PAGE: LOT(S) '.STANDARD MORTGAGE OF BOSTON PLAN NUMBER: OF ."G. d S.L. WILSON and G.E. & B.W. LEVESQUE REGISTERED LAND APPLICANT 03/19/92 REGISTRATION BOOK: 878 PAGE,: 79 DATE: • SCALE- 107479 CERTIFICATE OF TITLE: FLOOD HAZARD INFORMATION PLAN NUMBER: 20239 C LOTIS)• '74 FLOOD MAP COMMUNITY NO.: 250001 ZONE: C ASSESSORS MAP PANEL- 0005 C DATED: 8/I9/SS MAP: BLOCK: PARCEL: MORTGAGE INSPECTION PLAN IN BARNSTABLE Lot 89 108.00' Lot 74 SO peck 1. 26 t � \\1 Stocy \� � House � � 1 + peck 11- Lot 73 LO NO' Lot 75 _ 1 53'+ I 14.00' 105.00, Iron , HOLLY PO I NT ROAD i (FORMERLY HOLLYWOOD AVENUE) THIS IS THE RESULT OF TAPE MEASUREMENT. NOT THE RESULT OF AN INSTRUMENT SURVEY AND 'IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. THERE ARE NO DEEDED EASEMENTS OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS -is DES LAVRIERS & ASSOCIATES. INC. SHOWN. - - _ __�_.. -- - _ _ i 6 l WASH i NGTON -S T_REET THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN EAST WAL P 0 L E . MA 02032 (800) 2 . A SPECIAL FLOOD HAZARD ZONE. 88p (508) 668-5010 THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER WAS �� s?Es HENP. IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN EFFECT 2 CON veD- : WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL SETBACK " oNo.335F" REQUIREMENTS ONLY) . OR 15 EXEMPT FROM VIOLATION EN-- S,UxES510 0 yt FORCEMENT ACTION UNDER MASS. G.L. TITLE V I I . CHAPTER 40A. SECTION 7. GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, info motion, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client .only as of this date. (3) This plan was not made for record- ing purposes. for use in preparing deed descriptions or for constructions. (4) Verifications of property line dimensions. building offsets, fences. or lot configuration may be accomplished only by an accurate instrument survey. L . VE - The Town of Barnstable BAR\STABLE. MASS, S, Department of Health Safety and Environmental Services r+tac" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. ` Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition; or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: , ®�!�`/d Al Est.Cost o S Address of Work: "g; ZG �1 Z1• CX-iv i 4 �s'�'b.Q.r-►�� f2fi��/Z?t` �z 1i-�`'S4 cry' i Owner Name: �i�1 T'faib✓Yr'� StrSI.? M W/L`�y Date of Permit Application: 3/ ?-9 I heretn_•certify_ that: i Registration is not required for the following reason(s): Work excluded by law Building not ovmcr-occupied i�Oti�ner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: {' Date Contractor name Registration No. OR Dat Owner's name a TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. r DATE 3�2. f 1 t JOB LOCATIONMW la L t_ 1�q2.,• e jy r al L.Z_ e Number Street address Section of own Ca�eG '�fieli .�A .� t��scgf� ' . 34 "HOMEOWNER" � v / Name Home phone r . Work phone: PRESENT MAILING ADDRESS City town State4,z ip code r...<- The current exemption for "homeowners" p was extended to include owner-occu 'ed dwellings of six units or less and to allow such homeowners to engage an in- dividual -for hire who does not possess a license, provided that the owner acts as su ervisor: DEFINITION OF HOMEOWNER: Person(sy who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures._ A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the .Building Official, that he/she_ shall be responsible for all such work erformed under the buildingermit. (Section 109.1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Stat Building Code -and other applicable codes, by-laws, rules and regulations. The undersigned. "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspect'on procedures and requirements and that he/she will comply with said procedur s and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0,, Construction Control. HOME OWNER'S EXEMPTION :' The code state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that. if Home Owner engages a person(s) for hire to do such work", .that such Home Own shall act as su ervisor " er P � Many' Home Owners who use this exemption are unaware that they are ,assuming the, licenresposing., ities ;of a :supervisor (see, Appendix Q,� Rules and Regulations for'.'licensing , onstruction Supervisors, Section, 2.15) : ;°This lack of awarenes often°-results.'in °serious problems,.-paiticiilaily-'when the 'Home`-Owner hires unlicensed persons. In this case our Board cannot. proceed against the inlicensed person as it would with 'licensed Supervisor.` The: Home"Owner `actin as supervisor. is ultimately responsible. To ensure that-' the Home.,Owner is fully aware'of' his/her. responsibilities . man communities require, �as part of the permit application, that the Home -Owne certify that he/she understands the responsibilities •of a 'Qn r °supervisor: " the last page- of ,thi"s issue is a form currently used by several towns. You`may care to amend and adopt such a form/certification for use in your community. } W77 C �- MIR- a LLI ' owl ^. p .. ,.'.�.. JLLI .V. . __ .. <ANT a p3 Ain in, d� d�, i ��t F9�.�li; ILI .. .. un W I Y _ __ .. P O�/G ANG t •� soft, F— LIJ 157 W � a o - Hou - - - - 171 -- 1 --------------- ------------------------------- ' >��+4T �LEJATIo1-i � '_KIGrHT ZIGE �LEy471ou � � - - Pbj u It. air LL tLiw I 777z d , , , A2 (� -- -- ----------- ---� LIW I M - MM — Ali I - .' HOLLY 01 _ - t r I ' rl ,-j , netz._ �.aE'��� - IQ � LL � I{u ,•I' ...,1 .I r+oo 1D�" ---.sic«aeou�c •LP 5t'.'a 3 - w r r fI iA ' I 3 �Wgmlr_ raoil . SM d . . LD Sol sit. A- Flrur'rLo� aLau iga. � s The Town of Barnstable BAFL14STABLF- MASS �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME I1ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-eadsdng owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. r Type of Work:0OGJ/ 1 Uz-.� , Est. Cost K1 0 6 . Address of Work: Q Owner Name:`� 1 e� ' Date of Permit Application: LIC I hereby certify that: Registration is not required for the following reason(s): Work excluded by law v Job under S 1,000 Building not ovmer-occupied Omer pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 3�T d13,6LO, Date ontractor name Registration No. OR E Date Owner's name i la,/02'94 17:02 %T6177277122 DEPT IND ACCID Q 001 Cotju LoizweLZLt/L of Maijaclutletb o��ndu�Eri��ccic�enfi ' 600 Wuldnyrtoa. hf l James J.Campbell &Ion, V.Mac" 02f If Commissioner Workers' Compensation Insurance Affidavit 4 C;� (OL=fit with a principal place of business at: �00 81/ri w6CU CA4 OD Q wa) N q (cuyisr�z�� do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. E �n ocL2 Insurance Company Policy umber O I am a sole proprietor and have no one working for me in any capacity. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number () I am a homeowner performing all the work myself. I unde!-sand t`.t a copy of this statement will be fo,*Azrded to tre Office of Investigations of the D1A for coverage verification and that failure to secure coverage as net fired under Section 25A of MGL 152 can lead to the imposition of criminal penatties eonsistine of a fine of up to 51,500.00 and/or ere years' imprisonment as (as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. Signed this r � day of 20EL19 7 Li see/Permttee Building Department Licensing Board SeIectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # `tee To� The Town of Barnstable BARE.MASS Department of Health Safety and Environmental Services i639. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph.Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection �l•� ��--, 318 Location Lq `, 6 t yl Permit Number Owner G�0�(,� LsZY eS C�U e— Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: Please call: 508-790-6227 for reeinspection. Inspected by Date ` �' � t t , ---%711 ' t: f FGL� ,t �7 r, rt ! co4.4 , t • ��ZN Q 'SAS � i �-' t �,... L. WILb Mfit..: I T ; x a y `x 0 c.r l�ti�UR 4. .Ca6.47 /dy ' I cE'.e�'/.cy T.Ui7 Tf� Y�WrLL., � ' - `Tc2%ice - ; %�lOWit�f/E.eEO.C/�O�s-lf�.GYS:.J�//Tfi� SCE L G— i,: •- � � �� � � N�S/OE.C%.C/� INO'SETBAC,�G 'Ec U/,�E�IE�t/rS Off' 7'h/E'.7�ol-s�it/aF l�.L..4Al377 1 l I 1 , Ty /S � ti•E' w �_ ^;..ems, ,C?Y/�. � �syal,�iySt�t.a� a4P.�,L/6-A /7' W or's offioe (1st floor): a� ��........... TM Ecir's map and lot number .... ^� { � SYSTEM MUST Bmof Health (3rd floor): 7 p �3 V G�E® IN COMPLIANCE Sewage Permit number ...... ..,..............�f Z B9SMAS& L. ! �, Engineering Department (3rd floor)• / - - �i-TITL 5 '°o M 9 e� . as Noose number .......... Fl ry 3........ .'MIE TAL CODE V`00 0 NOR a\ APPLICATIONS PROCESSED 8:30-9:30 AM, and 1:00-2:00- P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR -PERMIT TO ....' ...f��� .........�Yf' ............... ...................................................................... TYPE OF CONSTRUCTION .........lC7rd.a Z........e / ? 1.../ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �s ��LL\, r---"7 f Z> °' .........................................................� L G ProposedUse .........................I................. ........ .................... .... . .................. ............................... .......... .......... ....... Zoning District .... ..Fire District C ..,, L...... �,. ..L Name of Owner A....' ��:L. Ig � . �G z,� �'!� � .... . .... ..... .......................................................Address ....... ......................... .......... Name of Builder .......5.�. ...................................Address ....................�. .�.�..................................... Name of Architect ....... ...................................Address ...................... s9 .......................................................... Number of Rooms �j.............................................Foundation ...����1���b �Cv� C'^, 6'7:c-- ....... .............................I......................... Exierfor ......... 1 .�a. ...................................Roofing .....016v .......................................... Floors � . ... ti jl) .Interior ... ...��� `...... ....... .................................... Plumbing ...... �3 '� Fireplace ...................�,...............................................................Approximate Cost .............. ................ ............................ Definitive Plan Approved by Planning Board ________________________________19________ . Area .. Diagram of Lot and Building with Dimensions Fee W..0..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I .hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regar ing the above construction. Name ...e= ............................ ................. . . Construction Supervisor's License . .....� ...... ... ' ,.... L SQUE, G. E. & B. W. ILSON, - A.G. S. L. .... 0 1077 Bui' d Addition ................. Permit for ..........:�....................... Sin' le Family D�velling ................9...................................................... Location ..6.9....Hol.ly..Point Road .... .. .. ................................. Centerville ............................................................................... G. S. L. 1 Owner ...........Levesque....& A............... W1 son .. .... .. . .. .... i; Type Frame p 6i'Construction ..................... .......... .................................................................... ......... .......... Lot ................................ Permit Granted ...Aug.us.t...1.3. ........19 87 Date of Inspection .19 Date Completed ........................ .........19 tj lo, o Assessor's offioe (1st floor): / lr pFTweTo Assessor's map and lot number, .... goaA of Health (3rd floor): . �P o Sewage Permit number ..... f .. .�..����/ r. w � X Engineering Department (3rd floor): �. 0� rnss House number: 00 16zq \ ....................... �c APPLICATIONS 'PROCESSED 8:30-9:30 A.M. and 1:00-2:00,.P.M. only li TOWN OF BARNSTABLE r BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...............:...................................................:.......................................................... � TYPEOF CONSTRUCTION ......... �°Z............................................... .................................................................... .......... ! ?C — .1.G�..19.. TO THE INSPECTOR OF BUILDINGS: 4�y'I, The undersigned hereby applies for a permit according to the following information: G r / Q L.. j...................... ..L •JZ +� ...... Location � � �.� �f..�..L':..1............ Proposed Use ..... (, .................................... .. t.......................,.............................................................................. .. Zoning District ..... ..........Fire District C ...a..^....k-"z .............................. ............ �f ...... ........................... A. (° ,.c., tip. so / G z. �'� Name of Owner ..... '-..r........ Address .. ...................... ............ ............................... Name of Builder .......rrCs ...........................:......Address ....................rg .14w.6....................................... Name of Architect ....... .: 4 ...................:::.......Address ry. .5 �.:?�............................................ ,Q Number of Rooms ���! ..................................Foundation ...��Q,.'&IE;G'�b.....:C. GGk. !Es! r ` Exterior .........�?i4:+�`. ?A .. ;....4. ..................................Roofing ..... .?. / •� ........... Floors �'le t�....es.d,�....................................Interior ... �s�✓ � � ....... o..c..A........................... Heating .....A/P.V.......W 1..4n............................Plumbing �771 .....op ........... �as, Fireplace ...........��...'.. ..............:....................................Approximate Cost ......• .. ....................................... Definitive Plan Approved. by Planning Board ________________________________19________ . Area w .. r' ."../.G.e. Diagram of Lot and Building with Dimensions Fee " 1 �. SUBJECT TO APPROVAL OF -BOARD OF HEALTH p z / i OCCUPANCY PERMITS REQUIRED FOR NEW DW ELLINGS I hereby agree to conform to all the Rules acid Regulations of the Town of Barnstable regarding the above._ construction'. r Name - �'�. ............ ...... ....:! 'r �. Construction Supervisor's License LEVESQUE, G. E. & B. W. WILSON, A. G. S. L. . r:2- (9 No1077 Permit for ......S.iqg;kq...E4mi.ly...PWQ.1)-ix1g. .......... Location ....... P.Qirlt...Road....... ..................... ............................. Owner ...... ...... ......W.....L.e.v es.q.,u e. A. G. S. L.' Wilson Type of Construction ..Frame.......................... ............................................................................... Plot ............................. Lot ................................ Permit Granted ..... August 13,...................................19 87 Date of Inspection ....................................19 Date Completed ......................................19