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0152 HORSESHOE LANE
'`.< � /) �� .v. x m' �. , �i i _ 0 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map M`7 Parcel t Application Health Division Date Issued /S Conservation Division Application Fee .-5 o Planning Dept. Permit Fee 01i Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 0.dsc S" 4"L L Village cCr -1-4 L,I I C_ Owner ('�_,rni�. Address Telephone S'A- -7'7)- 7K31- Permit Request We-1"c,r: Ar S'� Eel LLt 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 6r" Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kin g's Highway: ❑Yes ❑ No Basement Type: -❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) r. 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# 4 Current Use Proposed Use APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name A4flkee _M_cC_:ar_th=, Constrileti.an. Telephone Number PO Box 52 Address West Dennis, M 2670 License # Cell (508) 280-6964 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A0 DATE /y �' FOR OFFICIAL USE ONLYA _ APPLICATION# DATE ISSUED 1 MAP/PARCEL NO. t 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. u C> r Town of Barnstable Regulatory Services x..oARSs M � � Richard V.Scali,Director esass. r� 039. Building Division Tom Perry,Building Commissioner 200 Nfaiu Street,l$yaruus,.%4A 02601 www.towmbarnstable.ma.us Off Cc: 508-8624038 Fax: 508-790-6230 Property Owner Must. Complete and Sign This Section If Usin� ABuildc r. as tsmer of the subject prope:n: . hereby authorize _ Co%S C to act:on my behalf, in all matters relative to work authorize no,permit application for: . ISZIv__vSShr (,ate C�ivi, n , M �Zt�3z ' "Pool fences and,alarms are.the responsibility of Lhe applicant. Pools are not to be filled or uLili:ced befo re fence is installed:and.all finial. inspections are performed and accepted. ignature of(?Rmer Signature of tlppli wt rust-Name PH at Name D Date E-,mAY 1 . 015 Q:FORMS:0V+•1TFFPI RT�iISSIONPOULS Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-058633 MICHAEL J MCC.AR PO BOX 52 s W DENNIS MA 8267 Expiration Commissioner 04/10/2016 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C nir actor Registration Registration: 169393 ` Type: Individual = Expiration- 6/1012017 Tr# 264961 MICHAEL MCCARTHY . MICHAEL MCCARTHY P.O. BOX 52 WEST DENNIS, MA 02670 — Update Addr sand return card.Mark reason for change. - Address Renewal [1 Employment 17 Lost Card 20M-05/11 \ The Commonwealth of Massachusetts Department of lndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 wwmmass govAlia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plitmbers. TO BE FILED WITH TiIE PERMITTING AUTHORiTY. Applicant information Mike MC arth:V Cone+ructil0raeP Print Le ihly Name (Business/Organization/individual): P® Box 52 Vest Dennis, MA 02670 Address: 7RO-6964 CellCity/State/Zip: CSI'-Yfi'00M: I�IC-169393 Are you an employer?Check the a prupriate box: Type of project(required): l.7m a employer wish employees(full and/or part-time).* 7. New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 3.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.F]1 am a homeowner and will be hiring contractors to conduct all work on my:property. I will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole I].❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.❑1 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub•conlractors have employees and have workers'comp.insurance.t 6.❑we are a corporation and its officers have exercised their right of exemption per MGL c. 14.!Other 152,§1(4),and we have no employees.[No workers'comp:insurance required.] 'Any appi icant that checks box 4I 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 tin 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 insiirance for my employees. Below Is the policy and fob site Information. Insurance Company Name: ATM Mj4.il( Try). 1nn0tr,i Policy#or Self-ins.Lie.#: Expiration Date:- )JL �If k, Job Site Address: 5 C_, �� City/State/Zip: . 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.001 a day against the violator.A copy of this statement may forwarded to the Office of Investigations of the DiA for insurance coverage verification. I do hereby certify tin t/ at s and allies rj It),that the-information provider/ab ve is trite and correct Si nature: Date: Phone#: Official use only. Do not write in titds 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#: I WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMPAGE A.I.M. Mutual Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 1804876-2765 NCCI NO 26158 POLICY NO. VWC-1 00-6017656-2014BJ 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 12/1.5/2014 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 b `—' �— � - - P Y 9 � Y 9 Y 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 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, \�� used with its permission. v . i•�.: . r.' � S : v« ,�fr...} �,.,}71, t'�'err-��''-„�,•.��-��,n.,;�-'4i<...r--.t" r,.•.m-^....i,.r,rK^�,,:<a,A.«�'.,,,M,r.M�`r�r�`hla•.,.fy.,F,,.-n_t��n..,v"r+r,.r:M..."r'itw..-r++.nrd1.M'-�^^'�tik+S.c a A Assessor's office(1 st Floor): Assessor's map and lot number of TM fap Board of Health(3rd floor): w ♦w Sewage,Permit number 41 Engineering Department(3rd floor): S = Dsaas�tisntc a r�'J, ryas House number Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-.2:00 P.M.only =� T WN OF BARNSTABLE -/A/9/BIJI-LDING, INSPECTOR APPLICATION FOR PERMIT TO L(/L n 6:AA q o k-rA c h L o TYPE OF CONSTRUCTION -721 5 r � 19 ` 7 TO THE INSPECTOR OF BUILDINGS: k The undersigned hereby applies for a permit according to the following information: v4 Location Id-OR J7 4K ch eq k 4 e E m rt-n U I L L f, CLd—t � 3(4) gl Proposed Use G/i /2 4 LZ ��,► Zoning District Fire District Name.of Owner 10� nt l'/>/tnJE / Address 777 tr "ilde- I)A 1110 Address 141, --77."/zz/' ova Y/- Name of Architect Address Number of Rooms Foundation Aoeen F'r3 G O 11 C-A t Tb' Exterior WA r rz-' c nn/7 Ir A Roofing A f'e/t/,x L 7- Floors r G v t�r e n r•f r Interior Heating <� Plumbing 1' f• Fireplace � Approximate Cost '7„f(U U Area s; Diag M of Lot and Building with Dimensions Fee V I r �` J ll I> CIE OCCUPANCY PERMITS R OUIRED FOR:NEW DWELLINGS I hereby agree to conform4to all the.Rules;and Regulations of the Town of Barnstable regarding the above construction. Name 0�'"� Construction Supervisor's License CARNEY, JOHN A=207-128 No 34251 permit For Build Garage Accessory to Dwelling " Location 152 Horseshoe Lane Centerville Owner John Carney Type of Construction Frame Plot Lot Permit Granted April 5 , 19 9 a: Date of Inspection 19 Date Completed 19 PERMT COMPLETED 1/1/ JP vy � /o Assessor's offioe (1st floor): Assessor's map and lot number ..... .?.o..7......�. ..�'..� � � � Q���T Board of Health (3rd floor): N COMPLIAMU". Sewage Permit number ....�� {. -1. �7.. .................... WITH TITLE 5 s Z B6Hd9'fADLE, Engineering. Department (3rd floor): -- dOUM-: MMENTAL CODE AV"Zt" �O, M & e0� House number .. ........ l�(3WW REGULATIONS �o YAK 39 d\ ........ . .. . APPLICATI01 P O ESSjjp j j d%tA aA. and 1:00-2:00 P.M. only ��Stabte Coase ^, OF BARNSTABLE Saud 4UILDING INSPECTOR \, APPLICATION FOR .PERMIT TO .. t �......TC�......r!�fli'��4L 1 (1 '......................................................... TYPEOF CONSTRUCTION .....4,074J.010........u�..r.�:.............................................................................................. - ...........191. TO TH,E INSPECTOR OF BUILDINGS: © / The undersigned hereby applies for, a permit according to the following information: Location .1 /f',0,c....sc ,...... fY7-A-7 .f�l..f.r.l�. .......................................................................... ProposedUse .( ll ....... .j�...................................................................................................................... ............. Zoning District ..,...."..GJ........................................................Fire District (2h-/(,.i..8.V&4x....0su'r l..&ArZ......... Name of .....Address ,,1�®.1��� � ���iY s!(./�....[/ L uAll.. �,4.r Name of Builder `�/,��1 .......L.. C1► y....................Address .�r A.1�: �r: r.. l Al. -.......2,7.7'.�:L'J./,�ll' Nameof Architect ...... O. ��.......................................Address .................................................................................... Number of Rooms ........ ......................................................Foundation C�.v.. i�. .....��Q/If. ��' 41 Exterior ._.v/. oo 19 5.1'///Y.6 L'` �..........................RoofingS r�� .— ...: ' .........1................................................. Floors 0.0t.l�c'!y/..Interior .. . .�:.. ®. °................ .............................. Heating ...)5#31415�.....6!A S...........................................Plumbing .......1 1��=... ............................................................ Fireplace ..ff.aW ..........Approximate Cost!...... ..00 v �. ......................... .................. 64, Definitive Plan Approved by Planning Board ________________________________19________ . Area �.......... Diagram of Lot and Building with Dimensions Fee M SUBJECT TO APPROVAL OF BOARD OF HEALTH r+ L '°�, o G°tL4w L_ C"L. -d 0 i T OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS F I hereby agree to conform to all the Rules and Regulation`s of the Town of Barnstable regarding the above —construction. le eR!' Name ....... /- y Construction Supervisor's License Oaf..y( 2.2, CAS` NEY, v O N i'. & GRACE R. lr. 31973 _-• No ................. Perrt fof ....Build Addition ............................. ,y S.ing.ie. .`am. . ...Bv�eiling........ J Location 152' . Rrs woe..Lane............. T + • A, ' Ce t ryi le a ....................... ...................................... Owner J;o T & Grace„12 Carney �l ' *� ... .... ...... . , e Type of Construtaon ..Frame > - Plot . .r.. '.~' ..... Lot ................ - October"7 87 Permit Gra'fed ' 19 ........................f`......... ✓^• 'Date of Inspection 19 Date Completed ...........................-..........190' ._ 'J All • a�' r . ! t Assessor's office(1st Floor): c q�pp�4a� "gip SE Assessor's map and lotnumber y ! INSTALLED 9N CO Board of Health(3rd floor): Sewage Permit number ' `.. " 71, ��r , WITH 1°�TL�� Engineering Department(3rd floor): ° ENVIRONMENTAL CODS AND t DABD97LDLL i 9 9 ) �JS; 1: rx.a House number ""r ��a r TOM NE�3i ��i' 4 NE op 3 39** Definitive Plan Approved by Planning Board 19 1 �����a' APPLICATIONS PRORFOSf�800-9:30 A.M.and 1:00-2:00 P.M.only ' A P P T Q. nN i OF BARNSTABLE g nst bl�' - ovation C L1 ]WILDING INSPECTOR pa g ned Iis APPLICATION FOR PERMIT TO .4 "IL I n 12"AR A 1ZE / 0 P-rA C TYPE OF CONSTRUCTION + 19 r TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location r Z--" J1 I C - ,L , ) . Proposed Use 6LA/Z 4 g L= Zoning District �-,C Fire District 0 Name of Owner Jam©L't 1, /a n^/F y Address br Name of Builder DA 1//4 1*)FRR y Address ,`L�/�/ruitrtJ' l�/r .�ricc�' OAC y/- Name of Architect Address Number of Rooms Foundation POC,n Ern e-o n C-n rre— Exterior i z' C k oin ll f A i,-.v I es, Roofing A 1 Floors G a e- n r-i e� Interior Heating Plumbing Fireplace i Approximate Cost U Area ��7 Diag M 0f Lot and Building with Dimensions / Fee t a rr' 6-0 C I� S I IL1 Ct OCCUPANCY PERMITS R OUIRED FOR NEW DWELLINGS WO/7,yC 31i��e' 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 CARNEY, JOHN F c ,No -3 4 2 51 Permit For Accessor to Dwe ~ ink a� 12 i � — x - "� Location'. 152`Hoarseshl Lane - F Centerv, lle Owner. ,John•-C&r-nev �, - � � � � 1� .711 - Type of Construction `4ram , '• 1 s ; ,`� Plot Lot Iwo ' .Permit Granted t April-.R5 , # j19 914It Date of Inspection' r. �I 119 �� Da!, - / -7/� 19 ir 1 i Ul tijk } # 1 i 0 +�,_c nn oven r e�y oG Alf P41URL- o 1 c/2 kF 1 4 j T SCALE: = f O APPROVED BY: DRAWN BY: I \ . DATE:i Li- mI/ REVISED 7& BRAG 6 1 On e (1 n ev jy DRAWING NUMBER f/0 ILF / 2 ��n Assessor's offioe (1st floor): -:: f Assessor's map and 'lot number ..�ra.,...:.4,�......;...,„............. Q.. �` Board of Health (3rd floor): /* fO� Sewage Permit number l- 29- t ' Z 21AHd9T11DLE, Engineering Department (3rd= floor): /5� J JJ }� 'r +�cNAMt639 \0� Housenumber. ................:.....................�.............. ..... APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00. P.M. only TOWN On' VBARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO !d....... rJ..: ..� ��L �y ......................,................................................................... ,� + S� TYPE OF CONSTRUCTION ...:.r!!�r� .d. ..../ ✓��.. .. .. ...............::....:...,:..... .....:........:............................... ...................... ..... ...............19Y7 TO THE INSPECTOR OF BUILDINGS: aM / The undersigned hereby applies for a permit according to the following information: Location ..f.-�� .. .... 44. ,...... ,,s ,N..TGJ( .��./..Cc. -. `.......................................................................... ProposedUse % • t ........ ...................................................................... M.. � 49 Zoning District .. ..........Fire District �. +/? ,(//`L f' 5�/I��I C L F. Name of Owner +(/j�..!. ..�?/P!¢G., s.(. �('N` .....Address O / // 1�!����'/�!t!�t ....!1{�!4 /��AY �J e. .. .!...' ^, Name of Builder Uri / ��!'�.� �� ��� (./s2 L itnr iLCJ r0 .... .. ....................Addres's ..........,............ .. ..... .. ..... Nameof Architect ......./Y.a..N�,4.......................................Address .........t.......................................................................... Numbdr of Rooms ........,./.........................................................Foundption .�` G.v.�'P, .�-�..... Q/1/C ................. :Exlerior .........:.............. �. .l.L' .............. Roofing �L.. _ Floors fl;q..G,Cr-L�..... ,/(//�.!��J��.A•�/ -iL'^!�!� interior ..5��.! .T..../............ .....................................`.. Heating ... a ..........—e............................................Plumbing .......N /Yg........................................................ Y p f�X� '..Approximate Cost D 0 D v Fire lace ..............................•...............................:.;.................. e Definitive Plan Approvd by Planning Board.---_---------------------- ` _ -------19-------- . Area .....�/..�i...i4Y.. ........................ Diagram of Lot and Building with Dimensions ' Fee SUBJECT TO APPROVAL OF BO.ARD. OF HEALTH o _ e;;k 0 OCCUPANCY,PERMITS .REQUIRED FOR NEW.11DWELLINGS rt J I hereby agree to conform to all the Rules and-,Regulations of the Town-of.Ba..rnstabl'e regarding the above eonstruefion: �AA r j� t ,� P � - Name ........ ............................... ......... ....... Construction Supervisor's License P.O.. �r?-.y..! ►. , f CARNEY, JOHN T. & GRACE R.6 A=20,7-12.8 2, No 312 7 3 Permit for ......15.V ,I.d..A.d d.j.t i c.n .........S.i.ncrl.e.....gAlAily...P.W.Q.1.1j'ag.... Location ..... RQ:rAP.SIIQ.e...L.alle............ Center-Ville .......................................I....................................... John T. & Grace R.- Carney Owner ................................................................... Type of Construction ....F.ra.m.e........................... .. .... .. ............................................................................... Plot ............................. Lot ................................ October 7 87 Permit Granted ...... ....................... ........19 ,,,Date of Inspection ......................I............19 Date Completed ......................................19 J dO 7 W