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HomeMy WebLinkAbout0168 LONG BEACH ROAD '� z - —, -.,. �. r vr° ,.p:, .; y,:: ,r, ,: ''�ANL. .C1i,,: +in+ .4 r T", `Nr,.{.{. r, p[�. q.Y��p a. s r ,!`iF''.� ,.4• k - q,.� 15nJr, •.,� ..:,.r. ;k•.,-,� „a „ ° z�: k.f�' ,,.a ,'gi,yR �l /1J "1!)'i"J r.]Ti'{ "A.�.: Y �.',@jyF .9h l- r..�'vYh +9 aat .R S z�ny� �J 4 q �I��.�� m cq, p .'�1 n o�t r (a•• ''�,+,^�� n tr.!�.�'" .4� � 4 av , e .i, 9t , a ty try r. y� Tom" Town of Barnstable 1 i .AuscAa�e Post This Card So That it is Visible;From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Posted Until Finallnspgctio'n Has Been Made: er it f639 �� fo " Where a Certificate of Occupancy_is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-20-1215 Applicant Name: Marie Souza Approvals Date Issued: 06/11/2020 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 12/11/2020 Foundation: Location: 168 LONG BEACH ROAD,CENTERVILLE Map/Lot: 205-008 Zoning District: CBDLBSB Sheathing: Owner on Record: SOUZA, MARIE M Contractor Name: Framing: 1 Address: PO BOX 394 Contractor License: a 2 BARNSTABLE, MA 02630 Est: Project Cost: $67,000.00 . Chimney: Description: Remodel first floor. . Permit Fee: $391.70 'Insulation: Fee Paid:! $391.70 Project Review Req: NOT SUBSTANTIAL IMPROVEMENT AS SUBMITTED. Dater 6/11/2020 Final: Plumbing/Gas Rough Plumbing: \ Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public, inspection for the entire duration of the Final Gas: work until the completion of the same. x • r Electrical . The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire_Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing + ' 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is in_stalled 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final' 5.Prior to Covering Structural Members(Frame Inspection) , 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 5� APR/13/2020/MON 07.20 AM COMM Water Dept PAX No, 5084283508 P, 001/001 CENTERVII,LE-OSTERVILLE-M&RSTONS MMLS WATER DEPARTMENT PO Box 369-1138 MAIN STREET OSTERvxLLE,MA 02655 WWW.COMM-ATF,R.COM OFFICE OF ash_os BOARD OF WATER COMMISSIONERS �s` �— WATER SUPERINTENDENT = .�■� Tel 508-428-6691 WATER i FX 508-428-3508 DEFT. N April 10, 2020 . Town of Barnstable BUIL®fNG ` Building Division .'' Via Fax-50$-790-6230 APR 13 2020 TowN OF BAF ►��`,.. ,F RE: 168 Long Beach Rd Centerville Account #523 To Whom It May Concern: On Friday, April 10, 2020 the water service was disconnected for the property mentioned above. It is our understanding that the owner plans to demolish the house, re-build and will install a new water service at a later date. If you have any questions regarding this do not hesitate to contact our office Monday through Friday, 8:OOAM until 4:30PM at 508-428-6691. Sincerely, Glenn Snell, Asst. Superintendent Centerville-Osterville-Marstons Mills Water Department GES/cvb �Val .� Town of Barnstable Building , " �� • .- " � r Post This Card So That it�s Visible'From the Sheet Approved�Plans:Must be Retained onJob and this Card Must be Kept *' Posted Until' inal.lnspection Has Been Made y_ Permit G m Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made Permit NO. B-19-3215 Applicant Name: MULLEN BUILDING & REMODELING LLC Approvals Date Issued: 10/16/2019 Current Use: Structure a Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/16/2020 Foundation: Location: 168 LONG BEACH ROAD,CENTERVILLE Map/Lot: 205008� Zoning.District: CBDLBSB Sheathing: on Record:_ SOUZA, MARIE M Contractor Nam 1. MULLEN BUILDING & Framing: �G �-P-7AweAzO(- Owner REMODELING LLC Address: PO BOX 394 4 2 n -Contractor License:License: 175317 BARNSTABLE, MA 02630 I Chimney: Description: Remove first floor flooring and subtloor siste all joists with Est. Project Cost: $35,000.00 pressure treated lumber Install footings per plan per plan. Interior Permit Fee: $228.50 Insulation: work only ( Fee Paid: $228.50 Fine 0 7 a � icy Project Review Req: REPAIR EXISTING. NOT SUBSTANTIAL IMPROVEMENT. bate:= 10/16/2019 .' Plumbing/Gas Rough Plumbing: w „ _,_• Building Official final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. } �� Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - `-" Electrical 1 Y, Service: The Certificate of Occupancy will not be issued until all applicable signatures by the.Building and`Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work 3 Rough: 1.Foundation or Footing ': -= --- . 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: 4 "Persons contracting with unregistered contractors do not Have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site T Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT IKE Application Number... .................. ............ Z BARNSTABLE, SeA 0 40ep MAS& Permit Fee... �.....::�...�...Other ............... Fee,........................ 639. 2 0, L91%9 TotalFee Paid................................................................ ...... TOWN OF BARNST"I* Permit Approval by-..-.... On... ................ BUILDING PERMIT ' - --- � 6 ............Parcel... map.................... ........................................... APPLICATION Section 1 - Owner's Information and Project Location Project Address Village C-C-0 Owners Name -5oU7_A Owners Legal Address A/ City State Zip Owners Cell# 77& - -Yq I e) E-mail /K4A' 5v Section 2 -Use of Structure Use Group F Commercial Structuie over 35,000 cubic f6et El Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling' Section 3 — Type of Permit F1 New Construction Move/Relocate Accessory Structure Change of use El Demo/(entire structure) El Finish Basement ❑ Family/Amhesty El Fire Alarm* Rebuild El ''Deck* Apartment El Sprinkler System F-1 Addition E] Retaining wall ❑ Solar El Renovation ❑ Pool D insulation Other—Specify '�T�UTVV-A L., ASP14n a, Section 4 - Work Description re F 1,0011 1 vh '9 03 EtoOA :515MIL MA, 5 T w i T-n per.s L, o/yyvg4, fv h 's P&Tt V",Nv JA/TZ-qt IV t2- LwA4,e— alVL,v T..qzt linrInted- 11/1 5n,01 R I Application Number.... .... ..................................... Section 5—Detail Cost of Proposed Construction ' Vou — Square Footage of Project Age of Structure- Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method'=❑ MA Checklist ❑ WFCM Checklist ❑ Design 3 Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression • ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑,Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section-7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed' Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 O fO cn Q : O 61 1 .7A N J _. aco •N ~ ._ 7m n m �. c NZ o xu) Z 9 Q ` IRS w a O III!,; wjr im 1C3.t} Y �p,, N a N +� in r.l .O-, m V N� UW J LL I' AtW«•a�m . cE� Jo co: m O w plO y mON m;ko o O (7Uw wJ20 mj i 0000 i Commonwealth of Massachusetts _ ., Division of Profess Board tonal Licensure of Building Regulations and tr '• Standards Cons tiagpgrvisor CS-081995 �J 23/2020 DOUGLAS W MULLEN ; 87 HICKORY M OSTERVILLE ��15T_ilLN Cornnjssioner 4, 4 Town of Barnstable Building Department Services �G e / HAM Brian Florence,CBO �Q Building Commissioner O� �F 200 Main Street,Hyannis,MA 02601 wwmtown.barnstable.ma.us 0 O Office: 508-862-4038 Fax: 508-790-6234 `9 CaIF Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize C\ 0 ° )l�� !e`(l to act on my behalf, in all matters relative to work authorized by this building permit application for: ` (Address ob) **Pool fences and alarms are the responsibility of the applicant. Pools are not to"be filled or utilized befor6 fence is installed and all final inspections are Terformed and accepted. Signature of Owner Signature bf Applicant Print Name Print Name Date Q:FORMS;OWNERPER.MISSIONPOOLS " Rev:08/16/19 . . e I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kvi I 600 Washington Street Boston,MA 0211-1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �:1, Bt)[VOVI, Address: _FV B!t y 1-L-Tf City/State/Zip: TDnJ`7 MIVUS Phone#: 90S-7��� Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 3 _ 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, Demolition working for me in any capacity. employees and have workers' insurance.: 9. Building addition . [No workers coin comp.insurance p• 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 repairs or additions myself [No workers'comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other 5720, i, 1941-11 comp.insurance required.] "Any applicant that checks box#1 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. . :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: AQ Policy#or Self-ins.Lic. iration Date: 0 Job Site Address: `.()AA 136-0" D City/State/Zip: 9!!9AJT0Z 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 under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone#: 7-7 �—n.q 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#: DATE(MM/DO/YYYY) A�p® CERTIFICATE OF LIABILITY INSURANCE 5/3/2019 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 CONTACT AshleyPaiva NAME: Eastern Insurance Group LLC PHONE . (800)333-7234 (FAX No: 233 west Central St E-MAILADDRESS:apaiva@easterninsurance.com INSURERS AFFORDING COVERAGE NAIC @ Natick MA 01760 INSURER AArbella Protection ins: Co. 41360 INSURED INSURER B Associated Employers Insurance Mullen Building & Remodeling LLC INSURER C: PO BOX 1274 INSURERD: INSURER E: Marstons Mills MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER:2019 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 I ADDL SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑R PREMISESS Ea occurre OCCUR DAMAGE ( RENTED nce) $ �100 000 9520043214 9/8/2018 9/8/2019 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED AUTOS X AUTOS 1020024224 11/12/2018 11/12/2019 BODILY INJURY(Per accident) $ NON-OWNED DAMAGE $ X HIRED AUTOS X PROPERTY AUTOS Per accident PIP-Basic $ 8,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION XPER X OTH- AND EMPLOYERS'LIABILITY ST ATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? a N/A B (Mandatory in NH) WCC50050133082019A 4/30/2019 4/30/2020 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION z admin@mullenbuilding.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Paul Rybak y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 112' Susan Lane ACCORDANCE WITH THE POLICY PROVISIONS. Brewster, MA 02631 AUTHORIZED REPRESENTATIVE John Koegel/MAMURP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025/mm4n11 Application Number........................................... Section 9= Construction Supervisor Name 7)ml /4 u(,g Telephone Number 737- 3 Tqe Address P® bojc fZ7 y . City (n State 4,4A _Zip /6z,& `fie License Number Of/ 5 5 License Type A) Expiration Date / r/2� -"p 0 Contractors Email PoLt& A4 ukl,�t31//4,/>✓1/l &ACell #- 5D8'7 37-- 3T Al 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 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Azh Section 10-Home Improvement Contractor Name M ul ,6^' Z3u I vrjl a'G, ' &-/Y10 Dip• Telephone Number p a--7 7-3 zy Address?b 1774 Cityg9/ T04'9 A 11 `, ;, State /01t Zip o2-4, 1'6 Registration Number (617530 Expiration Date V- 1" I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date I/Z 7 h q Section 11 —Home Owners.License Exemption Home Owners Name: 4 Telephone Number or, o umber I understand my responsbilities 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 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date6'�9 �? Print Name Do VA N Vt t,� Telephone Number 37— 5 z '%-mail permit to: VOVA ,/VI wt�F 451//L-vti 60!11 Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation k _ ❑ For commercial work,please take your plans directly to the fire department for approvab Section 13— Owner's Authorization I, , as Owner of the subject property hereby authorize —to act on my_behalf, in all matters relative to work authorized by this building permit application for:' (Address of job) Signature of Owner date Print Name 1 • r Last updated: 11/15/2018 Barnstable Bldg.Dept. Approved by: N , permit#: 2I j . m50,V To tuck Polwf t A PAZIL s 4' 8 ? 9 B 8 B 8 '' r���`PAUL W 4MI+�r vi►+f5 a SWAN SON M / MpOt� 1540•510 STRUCTURAL ti 9d �•/STEP�O�y� Ow DIN NG I i� I I 1ST FLOOR MASTER BED ROOM l I KITCHEN ADD P.T.C wwrAs v-5ye Imm I f F00. NOV5 tioW Dowm$ Adam ic%r.5.) i 1 MAro►+ Jolyr DGP7H �J 3 SEASON ROOM r P� ( i L '. 6i 2:LJ LEA v ILA'Lunn , LIVING RO M 3 wo0.1c Pc�� W J BATH/LAUNDRY/ / __ ' 3 I f 0- a: SrQ-SK- f•a 3 71 QK. W= B.L BENCH ' I—0 B.1.BENCH I— Hoor .0 2 sacueaEs p, GXG sru9 posrj .1_��� ost Qm R U46 Z fie.. J boos MUD ROOMrl 2'xZ'x 4' ►FEP 2a14 w..►T..• VA•D6q- I(mm'" Piz °°E Al 1 4i Bxle S.IDt fvlr_ A4oMSyr FMMt �8d.f �� Mph1c}ff }}DVS + Ar 1"%9 gla'�k Lpp NO. REVISION DATE PROPOSED REMODELED 1st FLOOR c �' WF4 S(Mosow M z.5A 55 REVISED 8.30.19 (¢%'kS�l� ( �V�fr4wess 5mv, fmrkwat GROSS FLOOR AREA 1,598 S.F. CLIENT: MARIE SOUZA ►,,I2.3f4' I 'a �_ g%4•�WIOi �.T. c-Mg.MA mpz Existing 1st FLOOR PLAN + 25% =+400 S. GM✓ ""'µ SCALE: �_- " � y TITLE::PROPOSED Ist LOOR PIlW 2'X'?jXll" Hoops PµtLr Ir/ "7��� DATE:AUGUST w,zole IpT 11c8 L-9044L Sc7-floil Sr fApc-aw 4vo srAlNcEfS STL. L�riL�GD 1�OL6 V MICHAFLAd[MEPSON ALA ARCHITECIVRB&DrrEwoRs .. SEGTIr '/49s�4" I9"H—Id.—Lea. M5fG710J Cwic; A0263 2O 50T 264 ri Town of Barnstable Building Post This Card So That it is Visible'From the Street Approved Plans IVlust be Retained oJk n Job and`this Card Must be.Kept Posted Uritil Final Inspection Has;Been Made:, Permit Where a Cer[ificateof Occupa�ncy�s Requ�red,auch Build�ng?shail Notbe Occupied"until a Finallnspection hasbeen"made W1111 ��. . Permit No. 1349-2353 Applicant Name: DOUGLAS W MULLEN Approvals Date Issued: 08/12/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/12/2020 Foundation: Location: 168 LONG BEACH ROAD,CENTERVILLE Map/Lot: 205-008 Zoning District: CBDLBS13 Sheathing: Owner on Record: SOUZA, MARIE M Contractor,Name: DDOUGLAS W MULLEN Framing: $07,?D Address: PO BOX 394 Contractor.License: CS=081995. 2 BARNSTABLE, MA 02630 Est. Project Cost: $ 12,000.00 Chimney: Description: Demo and Rebuild two exterior walls and flat:roof and floor joists in Permit Fee: $ 111.20 E Insulation. kitchen due to water and mold damage. replace four windows and Fee Paid., $ 111.20 slider. Like for Like New Rubber Roof and Siding where work being Final• o i!o done close in door. Date: 8/12/2019 � Project Review'Req: NO CHANGE IN FOOTPRINT OR FLOOR AREA. Plumbing/Gas - Rough Plumbing: - --� Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afteri_issuanee. All work authorized by this permit shall conform to the approved application and thelapproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Bmld'ing and Fire Officials are'pYovided on this permit. Minimum of Five Call Inspections Required for All Construction Work: _ .d Service: 1.Foundation or Footing r 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: l . 114E p� Application Number...................... J3J�-�. Permit Fee.......................................Other Fee........................ 0 9. ♦� Total Fee Paid.............. TOWN OF BARNSTABLE Permit Approval by....... ................On...a��? 19...... .. BUILDING PERMIT Map......... ..... ......Parcel. ....... .Ci .............. APPLICATION. s - Section 1 — Owner's Information and Project Location - Project Address /bg T ek-1 Village C V162eillue-@ Owners Name Amlae 1150vZ-g4 Owners Legal Address _C City .C J Ctrs tat t_(�- State Zip 0?-t Owners Cell # 506--7-7 6 5 9 Ll0 E-mail N1 L(G-rSQ� n�( � ,N C-?r Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet µ :;Z* :t ` ❑ Commercial Structure under 35,000cubic fees t L7 Single/Two Family Dwelling W Section 3 --:Type of Permit r ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use- n ❑ Demo/(entire structure) ❑ Finish Basement ❑. Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ . Solar 2-Renovation ❑ Pool ❑- Insulation Other-Specify, 96V R8?N--R- Section 4 - Work Description N K C U b w' /Ko 96P�A-e FV-&1e._ 54,12 1, k A� L-1 V_r-. A,16-;tAf 0-✓8863 eex �i t 19/�L► w tt6�C( rwaet-100' 9,15 �/Ci Last undated: 11/15/201 S Application Numbei..................................................... Section 5—Detail Cost of Proposed Construction /Z,c�Uo.ct) Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ,[]' MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ MuniciP al ❑ On Site P Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: OF YACwoi w "� I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 74 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration vaR4 for individual use only ":,TYPE:LLC before the expiration date. If found return to: jai itfn._„ Expiration Office'of Consumer Affairs and Business Regulation 175317 05/02/2021 1000 Washington Street -Suite 710 MULLEN BUILDiNG�&REMODELING LLC Boston,MA 02118 prggz M E + DOUGLAS MULLEN��`` ��' 87 HICKORY HILL CiR y" ' OSTERVILLE,MA 02655 14ot valid Without signature Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constro.."i 't Itbwvisor CS-081995 �Ires: 0.1/23/2020 • ,sea r. f o DOUGLAS W-MULL N rc p -87 HICKORY F-L CI OSTERVILLE MA�U2655'. k� L(?lci.iL�� K C4 Commissioner d: The Commonwealth of Massachusetts Department of Industrial Accidents 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 Legibly Name(Business/Organization/Individual):Jl/l.i/a6,t) . &JI!//�14 ?ri C5 �1iZ1117(`�l/L'�I Address: ? f V V City/State/Zip `7 / 7�(� , hone#: GI)P' 3 7- Are a an employer?Check the appropriate bog: Type of project(required): 1..i�i I am a employer with 4. ❑ I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors �,,� 2.El am a sole proprietor or partner- listed on the attached sheet" 7' L7Kemodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insrranCe•= 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 repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance ram]t C. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 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 most submit a new affidavit 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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ �� ! — Policy#or Self-ins.Lic.#: 11.1 C-C 56 U 5 al-3 3 A � 94 Expiration Date: `-1 36�27� Job Site Address: 16f W QA R&—Jar(* A)D City/State/Zip: NTB��/JG GE r C72t, -z 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 under thepains andpenalties ofperjury that the information provided above is truee and correct Signature: Date: Phone Of,facial use only. Do not write in this area,to be conWIded 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 Ihstructions 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 in 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 building 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 applicant who has not produced acceptable evidence of compliance with the insurance coverage required." 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 fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation hommce. 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 conformation 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 number 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 completes and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you'regarding the applicant...,__ Please be sure to fill 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 (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like 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 Cotzunonwealth of Massachusetts Dgxrtment of Industrial Accidents-, . 0Mce of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617 727-4900 ext 4.46 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia o��AC p ® DATE(MMIDD/YYYY) l CERTIFICATE OF LIABILITY INSURANCE 5/3/2019 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 CONTACT Ashley Paiva NAME: Y Eastern Insurance Group LLC PHONE (800)333-7234 A Na: 233 West Central St E-MAIL a aiva@ea sterninsurance.com ADDRESS: p INSURER(S)AFFORDING COVERAGE NAIC t Natick MA 01760 INSURER A Arbella Protection Ins. Co. 41360 INSURED INSURER B Associated Employers Insurance Mullen Building & Remodeling LLC INSURERC: PO BOX 1274 INSURERD: INSURER E Marstons Mills MA 02648 INSURER F COVERAGES CERTIFICATE NUMBER:2019 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDNY POLICY F MMIDO POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE _ $ A CLAIMS-MADE ❑R OCCUR DAMAGE TO RENTED 100 000 PREMISES Ea occurrence �$ 9520043214 9/8/2018 9/8/2019 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent $ 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL O X SCHEDULED AUTOSS AUTOS 1020024224 11/12/2018 11/12/2019 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ PIP-Basic $ 8,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y/N % STATUTE X ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 1 00 B1,000,000 0 000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) WCC50050133082019A 4/30/2019 4/30/2020 E.L.DISEASE-EA EMPLOYE $ 1 000 000 H yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached it more apace is required) CERTIFICATE HOLDER CANCELLATION admin@mullenbuilding.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Paul Rybak THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 112 Susan Lane ACCORDANCE WITH THE POLICY PROVISIONS. Brewster, MA 02631 AUTHORIZED REPRESENTATIVE John Koegel/MAMURP - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS1112512ntami l ' Application Number..... : .............':....................... Section 9- Construction Supervisor Name 616 c ry-s it Telephone Number 77�(—W 7-6.77 Address Fd &X cZ7W City T3&5 MiGz,5 State /uA- Zip License Numberj)jjjqq. _ License Type jJ Expiration Date Contractors Email Qd 0(- Nl v/.G6A1(3yi,07bV6 .101n Cell # 7 7&4d? -6°7ZS u I understand my responsbilities 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 CMR and the Town of Barnstable:Attach a copy of your license. . b ;+• Signature Date. 26G/ ` Section 10 Horne Improvement Contractor , NamekiAAAJ a zZ M_M ¢3 RGWMi Aj?, Telephone Number 'rp'F, .3 7= *3 2'tiG{ Address'p0 Gn'SX hi7y City AJs M/U-5 State IM14 Zip o7-& Registration Number 715 3)1 Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach_ a copy of your H.I.C... Signature Date ? 2 7' Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number //elyl ' r ork Number I understand my responsibilities under the rules and Zgulations 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 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date -7122-`19 Print Name NivL� Telephone Number �2—G 77 E-mail permit to: DoVk 1VVUU-6A/7 UI 1-7)"'Uh, C64A Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ' 9 Fire Department- Conservation ' For commercial work,please take your plans directly to the fire department for approvak Section 13— Owner's Authorization L MAnete 50V , as Owner of the subject property hereby authorize 'Peu - ML A) to act.on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job). /V7 %U-4 ) Signature of Owner to MARIc Soo r Print Name Last updatol: 11/15/2018 , FTHB r , Town of Barnstable E�oPMf Planning& Development Department Barnstable Historical Commission B"NSrABL , .200 Main Street,Hyannis,Massachusetts 02601 d Y 9� MASS.3 (508)862-4787 Fax(508)862-4784 0 Eo n NOV 26 PSI 3= 14 , �'��� T erin.logan@town.barnstable.ma.us aF aaRci Commission Members �+ /�a, fancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk I)Tt 17ION George Jessop;AIA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay,Alternate })> 2 DECISION N ] r 7 Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Propertie ;•-t; Section 112-3 F N .. Applicant/Property Owner: Souza,Marie Subject Property: 168 Long Beach Road,Centerville Assessor's Map/Parcel: 205/008/000 Hearing Date: November 19,2019 Pursuant to the Barnstable Historical Commission receiving your notice of intent on October 25, 2019, a duly advertised and noticed public hearing was held on November 19,2019 to determine whether the significant structure identified as a single family structure on this property is a preferably preserved significant building and whether demolition delay would be imposed for the partial demolition of this structure on the parcel addressed as 168 Long Beach Road,Centerville,Map 205,Parcel 008/000. After review and consideration of public testimony, amended application and record file, the Commission by a , unanimous vote, found that in accordance with Chapter 112F the partial demolition of the single family structure is not a preferably preserved significant building. In accordance with Chapter 112-3 F,the Commission determined,by a unanimous vote,that the partial demolition of ` the single family structure would not be detrimental to the historical,cultural or architectural heritage or resources of the Town. This decision applies only to the partial demolition described in the notice of intent submitted on October 25,2019, amended on November 19, 2019,to add a porthole window above the door on the south elevation and change the grill patterns on the south and east elevation double hung windows to six over six. No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. �2 1( �� !9 Nancy CTark,Chair Date cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk Planning&Development Department-Elizabeth Jenkins,Director;Paul Wackrow,Senior Planner; Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 s i . i .h j Town of Barnstable F �EIOPMF Pam° q• Planning&Development Department Barnstable Historical Commission z" 9a * BARNSTABLE, * 200 Main Street,Hyannis,Massachusetts 02601 9 6 9 ��' (508)862-4787 Fax(508)862-4784 .�s1 erin.to:?aann@town.barnstable.ma.us r�'�"oFdAa1451Pm~� Connnission Members Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifeld,Clerk George Jessop,ALA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay,Alternate > q November 4, 2019 ! r�1 r- I-, Re: Notice of Intent to Demolish Structure & Relocate 168 Long Beach Road, Centerville, Map 205, Parcel 008/000 Mullen Building &Remodeling Attn: Doug Mullen PO Box 1274 Marstons Mills, MA 02648 Ann Quick, Town Clerk 367 Main Street, Hyannis, MA 02601 Brian Florence, Building Commissioner , 200 Main Street, Hyannis, MA 02601 Pursuant to the attached decision,please be advised that the Barnstable Historical Commission will hold a public hearing on the partial demolition of the single family structure on November 19, 2019 at 4:00pm, Town Hall, 367 Main Street, Hyannis, 2nd Floor, Selectmen's Conference Room. This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property. Please contact Erin Logan at 508.862.4787 or erin.loganna,town.barnstable.ma.us for processing information. Sincerely, Nancy Clark, Chair Planning&Development Department-Elizabeth Jenkins,Director;Paul Wackrow,Senior Planner; Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 ae Town of Barnstable ° do Planning & Development Department ��o��EGornrf"rod Barnstable Historical Commission Z 9a * BARNSrABLE, 200 Main Street,Hyannis,Massachusetts 02601 0law y 9qj 038. ,� (508)862-4787 Fax(508)862-4784 ,o 4� 'OrFp Mp�(A erin.lo awn cr,town.barnstable.ma.us of gA05""6 Commission Members Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford Cheryl Powell Frances Parks Jack Kay,Alternate --+ C Z Chapter 112 Historic Properties,.Section 112-3 D. - D DETERMINATION of SIGNIFICANT BUILDING 168 Long Beach Road, Centerville, Map 205, Parcel 008/000 , Pursuant to Intent to Demolish Structure The property located at 168 Long Beach Road, Centerville, Map 205, Parcel 0081000, is associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and. 112-3 (D), the Barnstable Historical Commission Chair has determined that this structure is a significant building. This determination applies only to the demolition described in the notice of intent submitted on October 25, 2019. Any future demolition shall require a new determination from the Barnstable Historical Commission. Planning&Development Department-Elizabeth Jenkins,Director;Paul Wackrow,Senior Planner; Erin Logan,Administrative Assistant-200 Main Street,Hyannis,MA 02601 P�ptrt► loyti Town of Barnstable *Permit# 2- �, p� Expires 6 months from issue date BAMStnsi.E, Regulatory Services FeeMAM 0 Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 - Fax: 508-790-6230 EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number -ong. Property Address C f3. U l 0­y Y11 4 Residential Value of Work g®CFCs Owner's Name&Address Contractor's Name u.Q� 1—!A-c-,4 AP1 Telephone Number Home Improvement Contractor License#(if applicable) / c 2 4< Construction Supervisor's License#(if applicable) RWorkman's Compensation Insurance ER'N► T' Check one: )(.PRESS P ❑ I am a sole proprietor Jul- 1 9 2002 ❑ I am the Homeowner ER I have Worker's Compensation Inssurance� WN or- BARS-TA L .Insurance Company Name � �i'�z-s,�./I7� �/' �O Workman's Comp.Policy# 75 /4'/'< 6 IF o--/ Permit Request(check box) / '-Re-roof(stripping old shingles) All construction debris will be taken to / i' y(.c/►lv-dU ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) 'Where required: Issuance of this permit does not t compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised121901 Loop Up Print Page 1 of 3 . Owner Information-Map/Block/Lot: 205/008/-Use Code: 1040 Owner Map/Block/Lot. 2 GIS MAPS 05 /008/ CALABRESE,CHARLES R Property Address Owner Name as of 1/1/12 10 WOODSIDE DRIVE 168 LONG BEACH ROAD AGAWAM, MA. 01001 Co-Owner Name Village: Centerville Town Sewer At Address: No . Assessed Values 2012 -Map/Block/Lot: 205/008/-Use Code: 1040 2012 Appraised Value 2012 Assessed Value Past Comparisons Building $ 183,100 $ 183,100 Year Total Assessed Value: Value Extra $4,000 $4,000 2011 - $ 736,700 Features: 2010 - $ 735,700 Outbuildings: $4,100 $4,100 2009 - $ 818,300 Land Value: $ 558,400 $ 558,400 2008 - $ 854,400 2007 -$ 895,600 2012 Totals $749,600 $749,600 2006- $ 834,200 . Tax Information 2012 -Map/Block/Lot: 205/008/-Use Code: 1040 Taxes C.O.M.M. FD Tax $ (Residential) 1,071.93 Community Preservation Act $ 189.35 Tax Town Tax(Residential) $ 6,311.63 Fiscal Year 2012 TAX RATES HERE 7,572.91. . Sales History-Map/Block/Lot: 205/008/-Use Code: 1040 History: Owner: Sale Date Book/Page: Sale Price: CALABRESE, CHARLES R 12/15/1990 C122125 $325000 CROCKER, JAMES H JR 10/15/1986 C108428 $304274 SOLLOWS, JEFFREY A& 5/15/1986 C106243 $286000 VARLEY, WAYNE T&JOAN S C559600 $0 http://www.town.bamstable.ma.us/Assessing/printl2.asp?searchparcel=205008 7/9/2012 Loop Up Print Page 2 of 3 . Sketches-Map/Block/Lot: 205/008/-Use Code: 1040 w,p� IM 'fig AsBuilt Card N/A . Constructions Details-Map/Block/Lot: 205/008/-Use Code: 1040 Building Details Land Building value $ 183,100 Bedrooms 4 Bedrooms USE CODE 104( Total Improvements Value $244,179 Bathrooms 2 Full+ lH Lot Size(Acres) 0.07 Model Residential . Total Rooms 9 Rooms Appraised Value $ 55f Style Cape Cod Heat Fuel Gas Assessed Value $ 55 Grade Average Plus Heat Type Hot Air Year Built 1934- AC Type Central Effective depreciation 25 Interior Floors Carpet Stories 1 1/2 Stories Interior Walls Drywall Living Area sq/ft 2,361 Exterior Walls Wood Shingle Gross Area sq/ft 3,247 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp . Outbuildings & Extra Features-Map/Block/Lot: 205/008/-Use Code: 1040 . Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1.5 stories 1 $ 3,200 $ 3,200 WDCK Wood decking 512 $4,100 $4,100 w/railings UST Utility Storage' 35 $ 800 $ 800 attached . Sketch Legend http://www.town.bamstable.ma.us/Assessing/printl2.asp?searchparcel=205008 7/9/2012 Loop Up Print Page 3 of 3 Property Sketch Legend B2N Barn-any 2nd story area FPC .Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) TQS Three Quarters Story(Finish( BRN Barn GAR Garage UAT Attic Area(Unfinished) CAN Canopy GAZ Gazebo UHS Half Story(Unfinished) CLP Loading Platform GRN Greenhouse UST Utility Area(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UTQ Three Quarters Story(Unfinis FCP Carport KEN Kennel UUA Unfinished Utility Attic FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUS Full Upper 2nd Story(Unfinis) FHS Half Story(Finished) PRG Pergola . ° WDK Wood Deck FOP Open or Screened in Porch PTO Patio A http://www.town.bamstable.ma.us/Assessing/printl2.asp?searchparcel=205008 7/9/2012 CQ I13I�.�'f�I ��� , - � _fit-��1� !_����f_��!!�• `��' r ��� _ ,c RESIDENTIAL PROPERTY MAP LOT NO. �G- FIRE DISTRICT STREET 1&g Beach Rd. Centerville SUMMARY 205 8 c-o LAND /3 6-6 -0 ,> BLDGS. OWNER TOTAL 394 SO LAND RECORD OF TRANSFER DATE BK PG I.R.S. REMARKS: Lots Al &A5 LC # 13974C&F BLDGS. TOTAL 4Fi f 9 9 C v LAND Vaxle W e.T. & Joan S. 2 � BLOcs. TOTAL e e-` 10j, LAND L BLDGS. O1 TOTAL LAND BLDGS. TOTAL LAND I BLDGS. TOTAL LAND BLDGS. TOTAL LAND INTERIOR INSPECTED: "l / 0) BLDGS. TOTAL DATE: LAND ACREAGE COMPUTATIONS BLDGS. - m ID TYPE # OF ACRES PRICE TOTAL DEPR. VALUE TOTAL HOUSE Mq -�)3 / ,J 7 /3 e o- __ / G' LAND CLEARED FRONT Of BLDGS. REAR TOTAL WOODS&SPROUT FRONT LAND REAR 0) BLDGS. WASTE FRONT TOTAL REAR LAND BLDGS. TOTAL LAND BLDGS. LOT COMPUTATIONS LAND FACTORS TOTAL FRONT DEPTH STREET PRICE DEPTH % FRONT FT.PRICE TOTAL DEPR. COR. INF. VALUE HILLY TOWN SEWER LAND ti rl ROUGH TOWN WATER 01 BLDGS. HIGH GRAVEL RD. TOTAL LOW DIRT RD. LAND SWAMPY-- - B LAND COST ' ne.Walls Fin.Bsmt.Area Bath Room Base a rjr one.Blk.Walls Bsmt.Rec. Room St. Shower Bath Bsmt. _ BLDG. COST a3 �00 PORCH. DATE /yc� nc.Slab Bsmt.Garage St. Shower Ext. Walls PORCH. PRICE.30.00c': rick Walls Attic FI.&Stairs Toilet Room Roof RENT one Walls Fin.Attic Two Fixt. Bath , Floors are INTERIOR FINISH Lavatory Extra mt.: F 1. 2 3 Sink Attie y g j Q Plaster Water Clo. Extra � EXTERIOR WALLS Knotty Pine Water Only vo % /3 8s s auble Siding Plywood No Plumbing Bsmt. Fin. w O ngle Siding Plasterboard Int.Fin. 8 Shingles TILING ne.Blk. G f P Bath Fl. Heat f 5-3 0 . ice Birk.On Int.Layout Bath Fl.&Wains. Auto Ht.Unit a G Q — Veneer Int.Cord. tf Bath Fl. &Walls Fireplace ' Iim.Brk:On HEATING Toilet Rm.Fl. Plumbing /6-3 Q ?,y lid Com.Brk. Hot Air Toilet Rm.Fl.&Wains. Tiling Steam Toilet Rm.Fl.&Walls i anket Ins. Hot Water St.Shower •� • of'Ins: 4'. Air Cond. Tub Area Total 6 3y /0 . . i Floor Furn. ROOFING COMPUTATIONS •.7,(•i ? '( - ) ' ph'.Shingle Pipeless Furn. 1,176 S.F. �?9 F/.J Fi�V �JT 14� , /X d Shingle No Heat 40 S.F. /3. 6 t7 O p—��O% 8W {Qj. •i bs.Shingle Oil Burner S.F. Is,-6-0 /`/ / I ate Coal Stoker .2 S F. /L�' S-0 ,yy,5/ Is Gas ROOF TYPE Electric S.F. /9. -?7�3(� OUTBUILDINGS able Flat S.F. o*2•SO /D Jl0 1 2 3 4 5 6 7 8 9 10 1 2 3 415 6 7 819110 MEASURED_ jp Mansard FIREPLACES S.F. Pier Found. Floor mbrel Fireplace Stack Wall Found. 0.H. Door LISTED FLO RS Fireplace Sills. Sdg. Roll Roofing Inc. LIGHTING /`' Dble.Sdg. Shingle Roof arth No Elect. DATE �ne Shingle Walls Plumbing q/ ardwood ROOMS Cement Blk. Electric ph.Tile Bsmt. 1st TOTAL 3 5/Al Brick Int. Finish -D tIngle 2nd 3rd FACTOR REPLACEMENT OCCUPANCY CONSTRUCTION SIZE AREA CLASS AGE REMOD. COND. REPL. VAL. Phy.Dep. PHYS. VALUE Funct.Dep. ACTUAL VAL. wLG. '� f 0� S/( �„•-•.. 3 Y5/� 2� � - d'Sot o?��'5-0 i1 2 3 4 5 - ' 6 8 9 10 TOTAL N.� 1OPERTY ADDRESS ZONING I DISTRICT CODE SP-DISTS. STATE I DATE PRINTED I I PCS I NBHD PARCEL CLASS KEY NO. 0153 LONG BEACH ROAD 10 RD 30C 1DCU C7/09/95 1041 <J1 3:5WA R205 308. 123191 LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS Ty UNIT ADJD.UNIT Lana ey/Date size Dmenon LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description C H A R L E S R MAP- -- F / CO. FF-De Ih/Acres E #LAND 1 152,800 CARDS IN ACCOUNT - 15 1WATERFNT 1 X .0 =10c 485 449999.95 182499.78 .07 152300 #BLDG(S)-CARD-1 1 107,300 01 OF 01 4PL 163 LUNG BCH RD LOST -76UTutr- OATHS 2.1 U X H= 1001 1200D.0r 12000.00 1.00 12000 3 #DL LOT Al A5 V"7ARKET 201.500 6SPiT S X E= 1001 o.7u 8.44 1036 87U:J-3 ` RR u912 4 .,n7 IINCuME FIREFLAC= U X 5= 100 i 3900.0' .3Y0C.00 1.00 390U i g A D APPRAISED VALUE I 260olOO PARCEL SUMMARY Si AND 152800 T LD=SS 10730C M � 0TAL 260100 E . CPJ$T rV DEED REFERENCE DATE - R ICR YEAR VALUE T I B 1221 25Page 7 Ins:. MO. yr.Dl S lea P A N D 1 5 2 8 0 C 8 C . 1.1219-9 L 325000 LDGS 107300 C103423 I 1110/86 304274TOTAL 260100 C106243 I'05/86 286000 BUILDING PERMIT Number Date Type Amount LAND LA,14D-ADJ INC ME :LSE SP-OLDS FEATURES SLD-ADDS U.�1.ITS I I 1 52300 I I I 7200 c� Class C,ts I Total Base Rate A01.Rate r B 'II Age Norm. Openv CND L- %R G Repl Cost New Atll Repl Velue Slor�e� He.gbt Rooms Beef Rms B.Ins •e fis. i pertyw"1,Units Units A u l 1 Depr C tl 1 01d- GJ;) 110 110 67.30 74.03 34 70 24 74 100 74 144963 1U73JJ 1 .5 9 4 2.1 11.0 L Descnouon Rate Square feel Rapt Cosl MKT.INDEX: 1'00 IMP.BY/DATE: / SCALE: 1/O D.6 ri ELEMENTS CODE CC!NSTR:ICTION DETAIL AS 1" 0 74.03 1036 76695 n 380 y = rANILT UWtLLINU LNS1S - FOP 35 25.91 50 1555 *--------28---------N STYLE J4 .APE CUD 0.0 1 FA 120 �'8.84 140 1 2433 ! 9 -E3 3N--A-DJIT -J21 BSI N -XGJU-ST 17j-.n F iF 90 66.63 24 1599 1? t =XT_R=a;atLS- -li14O2j9 F 2�ME-------TT.-; FSF 90 bo.o3 144 9595 ! *----------32--- ---- iEAT/AC-TYPE- -fJ4 Iti---------------U.O FWD 65 8..50 432 3672 *-8--*--------------44FWD6---------*-----*-* NT-_=T=r?lJISH- -04 RYWALt------------(T.0 l315 42 31 .09 10.36 32209 ! F S F I NTcR:LAY07T- -T2 VER-.7'IrjRMA-L------t .-0 *--10-* 12 1.2 IF,Tc;?.-Q YAETY- -iG)E a+`rE AT-E.XTT4=--T').0 t I ! ! -CJJ-7 iT=:JCT- -JT iJ'TD JT�.CST------- j.0 Wt t 22 ! =F CJSa-i.`Jl-ter--TY? ---------'--------- rr-n 492 1344 14 24 SAS: *---12--* v:J� t--- -3T Ar L E=�SFI-SFi - TI.CI E Total Aeeas Aua= Base= _ _ - BUILDING DIMENSIONS 20 ! =[=i. ",R I L_Ir[-_- ;,)1 --t},�;Ff AIt�----------- `L.j;;. T SAS N 4 E44 S22 'W1G S02 W34 .. !1F,A ! ! `C�4-DAT7Y7r~I - -JU -----------------99'.9 A FOP W1C) N06 E10 S 0 6 .. 1 FA N06 *--10-* t -------------- - --- ---------------------- I W10 N14 E10 S20 .. FSF *--10--* -----.VEi6'NoOk- JUD` -3514A--O-STERVTLLFrCE. l E11 S02 bFUP o L E12 NO2 W23 .. F S F N24 E44 S12 *--10-X---11--23-34---*------'* LAND TOTAL MARKET E12 N12 W56 S24 F S F . . FWD N24 FSF--12--* 'Af2CEL 152800 260100 W013 N12 E28 S09 E 3 2 S03 W52 FWD Ak`-A 576.800 S24 . . VAR:1ANICE +f) -55 STANDARD 25 3 A� � ® t N Barnstable Bldg.Dept., APProved by: -. Z>aw .j;Q"L d i 1U Permit ��-1 i /Vi�nL .�OL UN 3C `� t2 Dli � _ _ _______ _ _ _____ ___ _ 1 i 1 I 1 n 11 I I 11 I I I 1 1 -. -. n n n n. n n n n 1 11 ywe . I 11 II II II 11 I . 1 II II II II 11 I e 11 - I 1 I 1 1. II 11 II II 11 I ' 1 n a n n n 1�-----r------------------- ----�� ',� i. SHED . . .,. .. • 1 n - n n n n I. ------------------ ------- -----I I I I I i 1 ll _ I 1 1 1 . � 1 I r -------------- ____ _ ---REF ` .. ... ____ ___— _____ �_______ _____ ____ 1 1 II --------------------- 1 7 -- _________________________ _i__ ..• a� . . . . . . . . . :. i RIMS --------- -- 1- i STA'TIOJI".. ':.:. - __ ------------------------- ------------------------------ . . . . Existing 1 st FLOOR PLAN l' . 1 . . . . . . . . . . . NO. REVISION DATE . . .- . - CLIENT: =$I„ et. — MARIE SOUZA 168 Long Beach Road ., .- Centerville MA 02632 . 1. - e SCALE: 1/8"=V-0" TITLE:EXISTING 1st FLOOR PLAN .. DATE:AUGUAST 27,2018 I*3v" iy3 � .sLJ i.` Ya` .L MICHAEL A.JIMERSON A.I.A. ARCHITECTURE&INTERIORS 193 Horseshoe Lane Centerville,MA.02632 508 775-4264 majarch@comcast.net �-----� - -- --------� i i r____-"--'- - ----- --- -------------"Era -"""—' "- i i i i it � L------ LLUI -------------------------- 1111 ---'----------=-------------------------h r----------- _ _ ----------------------------- i i i i i i i i i E 1 . 2 ' NO. REVISION DATE Existing 2nd FLOOR PLAN CLIENT: � E MARIE SOUZA u „ , 168 Long Beach Road Centerville MA 02632 SCALE: 1/8'=V-0" p I TITLE:EXISTING 2nd FLOOR PLAN 61 ii t4{. DATE:AUGUAST 27,2018 ff v m ut~t mC31 MICHAEL A.JIMERSON A.I.A. ARCHITECTURE&INTERIORS ,. 193 Horseshoe Lane J Centerville,MA.02632 508 775-4264 majarch@comcast.net