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HomeMy WebLinkAbout0531 LUMBERT MILL ROAD ,.....- � s ��=�I � � �v� . _ - :.. // —YrFIr II c � .. _� �, - i •.A �. .'- � 1 ., i�� ^ �. .. , t Y i ��� �a ti;' o , Town of Barnstable Building s r3aiaetsrn Post This Card SoThat rt is Visible.'From the Street-Ap'proved Plans Must be Retained on Job and this Card Must be Kept i639- Posted Until`Final Inspection,Has Been Made:. yam Where a Certificate of Occupancy is Required;such Building shall Not be Occupied until a Ftnal Inspection has been mad ei Mit Permit No. B-20-775 Applicant Name: BLAZIS, MARK M &HELEN R TRS Approvals Date Issued: 03/23/2020 Current Use: Structure Permit Type: Building-Deck Expiration Date: 09/23/2020 Foundation: Location: 531 LUMBERT MILL ROAD,CENTERVILLE Map/Lot: 146-096 Zoning District: RC Sheathing: Owner on Record: BLAZIS, MARK M& HELENR TRS Contractor NamE:`%HOMEOWNER IS APPLICANT Framing: 1 Address: 19 SARTELL RD Contractor License. .EXEMPT 2 GRAFTON, MA 01519 Est Project Cost: $ 10,000.00 Chimney: Description: REPLACE DECK BOARDS, REPLACE DECK RAILING Permit Fee: $ 110.00 Insulation: Project Review Req: RAILINGS HEIGHT MINIMUM 36 INCHES SPACING AS NOT TO Fee Paid F' $ 110.00 Final ALLOW A FOUR INCH SPHERE TO PASS;THROUGH. EXISTING Date.- ,' 3/23/2020 DECK. Plumbing/Gas Rough Plumbing: ¢. _ .. ... 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 st pctures 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: 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 ffi 2.Sheathing Inspection n` Rough: 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 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. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: 1 - OF VNE i►Oly - 775 DEPT. Application Number..... ............:........c.......... a `* sA MASS. « ZU �..� a .......ZoningDistrict.....C.: ..I. nsnss. �' MAR 1 L 2� Permit Fee.......... .....`... ........... 1639. FO MA'S A WN OF BARNSTABLE Total Fee Paid ............: ................................................ ...... TO TOWN OF BARNSTABLE Permit Approval by...t. ...............On...3/0/� .......... BUILDING PERMIT U map.....(•.!.�.........................Parcel.. ............................ APPLICATION Section 1 — Owner's Information and Project Location Project Address 55' 31 M t I I Village_Cc k�-e C-\r l ( F Owners Name a i` a K of 14G t e--t. L ti z t s SCANNED Owners Legal Address X- e 1 MAR 2 4 2020 City—C rlct -� �0 V--% State Zip D /SP/ `> Owners Cell - - 9 - .) #- / S r , �' 3 � � y �E mail r� � � Z a k`�u �s � t Section 2 -Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑�. Commercial Structure under 35,000 cubic feet Single/Family Dwelling Section 3 -Type`of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ F:�*nily/Amnesty ❑ Fire Alarm Rebuild Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other- Specify Section 4 - Work Description Last updated: 1/31/2020 Application Number.......Y:............. ..........................' Section 5—Detail Cost of Proposed Construction Square Footage of Project _:a.b Soo�f Age of Structure :�7,2E :1 Y s A 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 ff'4 ❑ 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:-6-0.4 ,,,...aAAA Vt,e,-, Q I am using a crane El Yes 19/No w. Section 7— Flood Zone n,A 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. 4bo✓f' z a` 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: 1/31/2020 THE FOLLOWING IS/ARE THE BEST . . . IMAG ES FROM POOR ORIGINAL (S) QUALITY DATA +�IV CO �J z sz* Fay S V f Ate, 2.23 / i Tora�. vv , / �Q/ w� ` pw� CS2TtF1ED PLOT^ PL.. LOU�TIII-, CeQTE(ZVII..L� F Y T'14 A't' TN E. t � PLYS WITH WE "�TiDtJ 5+.1ou/U a PL4u R��cR��.IGE i �gn[K Qcqu�rzEticcN 5to�.u►,,E' OP T N F dT 17 LA 3 gaxTCK, uYF !t_- J IS uOT BASEU v� REGt52tZCD Np c S ;jT Sv�V'c 4c) OSTEQu%LLC— tJ2V .YotzS Y � T aL U�� �1`' ,Ltd 'rch D[+'tr_c'Aa,.u._ I ., S Si.loeilLIO Acre-,. a�fre The'Commonwealth of Massachusetts Department of Indushrid Accidents. Office of Investigations 600-Washington Street { Boston,MA 02111 www.nws gov/dia y` Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ^ Applicant Information Please Print Legibly' Name(Business/Organizationdndividua): a r� dt H-C-�a t4 �3 1 lq_'Z I—S, Address: City/State/Zip: �►��'r Phone M Are you an employer?Check the appropriate boz: Type of project(' r uire . m general contractor and I P (required): l.❑ I am a employer with 4 I a a❑ g 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors. 2.El I am a sole proprietor or partner- wed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition wor for me in an aci employees and have workers' Y capacity. t 9. ❑Building addition [No workers'comp.instnance comp.insurance. Er . 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 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. tContractors 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: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: 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 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 cent' u der the aims and penalties of perjury that the information provided above is true and correct Si afore: `�. Dater Zo Phone#• 3 L/ 7oZ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2:Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions 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 constrict 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 numbers)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 insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the 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 complete 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: 4 The Commonwealth of Massachusetts . Department of Indushial Accidents . QMce ofvavestigations 600 Washington Sheet Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www�maw.gov/dia maw.gov/dia Application Number....... ............. Section 9— Construction Supervisor Name M a (C V z c s Telephone Number s'a 9- oZ 4o 5_— /%q k Address q u^� ( City State M 14- Zip a i 5 ! c, License Number p r . License Type Expiration Date Contractors Email Cell # 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 ew A Er '�� �1,�-�;h Date3 Section 10 — Home Improvement Contractor N' Name Telephone Number Address City State. Zip Registration Number 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 Section 11 —Home Owners License Exemption Home Owners Name: ffG f e-1 Qlee 2�f s Telephone Number712 oZ Y 3 - S/.5 Cell or Work Number S'D - 3 - V 7 5�Z 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 7800 CMR and the Town of Barnstable. Signature c--'fit `�Jf `��s Date , e APPLICANT SIGNATURE Signature Date Z) Print Name e le, 3 2 t s Telephone Number 5-D�i -3 i� / - V 7 Sol E-mail permit to: L z i.., k 4�1s rn a C o m Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation t For commercial work,please take your plans directly to the fire department for approvak - Section 13 — Owner's Authorization 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: s (Address of j ob) Signature of Owner date Print Name Last updated: 1/31/2020 I OILZ­ RM TOWN OF BARNSTABLE Permit No. __2 2 9 9 5 ..__ Building Inspector 1 cash 00�0 39�•`� - 6< OCCUPANCY PERMIT Bond __ Owner "No building nor structure shall be erected, and no land, building or structure shall be 4ised for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector.", Issued to Gary & Nancy Blazis Address Lot #54 531 Lumb rt Mill Road Centerville Wiring Inspector Inspection date t Plumbing Insp Inspection date Gas Inspector L,7Inspection date XEngineering Department Inspection date �- THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. 4BuildingIn ctor TOWN OF BARNSTABLE Permit No. --------------------------- t IL"n.>< Building Inspector / P.& Cash • moo,•��e7o � ---'-----'-'----------- 'r0 ypY OCCUPANCY PERMIT Bond ----_-------_-_____________ "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19......_ ..................................................................._............_.........................._._ Building Inspector Y! Assessor's map and lot number .�:/..�(...� � 1• /S&ft SYSTEM MUST BE - - � INSTALLED IN COMPLIANCE WITH TITLE 5 Sewage Permit number �/... J "................ �� "'`� NN1iEI ►� CODE A - S f 0NS F7HETp�y, TOWN OF 'BARNS 22 • y i BAHHSTADLE, "6 •�� BUILDING �° I H-S P E C T�0Rimpt T APPROVAL CONSERVATION +L1F COMMISSION APPLICATION FOR PERMIT TO .................... ....... ............................................................ TYPE OF,CONSTRUCTION .......................I.... .- . ....................................... n� .. .9. ...19. � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according � to the following information: Location ................. .. .. ��. .... . ... .. ... .......... .�.. .!:..... . s .l.l.................... ProposedUse .../rrl ......:......................................:.........................................................:..................... Zoning District . . .......Fire District ..........�.-:.. ,.. Name of Owner .�1,i4... ...i!!....�/..�% .:!�.....d�.Address ... ..-�.. ...... . .. ... i........ .... Nameof Builder ....................................................................Address .................................................................................... Name of Architect .`SCE ....�� ..................Address �,,�...... ........... . ...................... Number of Rooms ...... /_......................................................Foundation L ............................... aff Exterior ...........:.......................................Roofing ........... ..... .. .. ........................................................... Floors .Interior ........... ... ........ .... ..... .. ............................................. ---` .......... .:.� ... . ......... . .... . � ..�...-`. .'.`...:...:a Heating � � 6j Fireplace ....... ..... .. ......................................Approximate Cost ....... ........ �. ......... ............ _ Definitive Plan Approved by Planning Board.-----------—---------_________19--------, Area T . Diagram of Lot and Building with Dimensions Fee �� !'.................................. . . . SUBJECT TO APPROVAL OF BOARD OF HEALTH „`ry o (0WN£/z I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name W... .GYio . . .. '''Y".:. .���. .X, BLAZIS, ;ARY C. & NANCY M. No 2299.5�.. Permit-for One...Story............ Single 'Family Dwellin , r ' r .........................f..�....�' W/........ ................ ...2 s Location Lot #54 Lumbert Mill Roach i ............ ................................................ Centerville .............. .......... A I Owner GarY...C.....&..Nancy.. t?....Blazis� r Type of Construction ....F...r........am P............:............ .. .............. ........... ............ . .................... Plot ............................. Lot _ t j Permit Granted ........April .. . 19 81 9 S Date of Inspection ..........19 Date Completed . :.�� .......19 ` PERMIT REFUSED y . ........................................................ 19 i :{��: . .. . ...................................................... A cc M. .pw-.�w..."�` ...................................................... t M Cc WO ............................................................................... y .. Assessor's map and lot number .. Sewage Permit number ... % r.................................... w r - yo`'If"ET TOWN OF BARNSTABLE ii ia$,,J�$B9T ADLE, " 9 0Ma i• BUILDING INSPECTOR APPLICATION FOR PERMIT TO � I TYPE OF CONSTRUCTION ...................................................................... .................................. �rw�t ...........r 1 �,........:..... �1.......19.:F... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to ,the following information: ) Location �f i..,,� ...........................................y '���f/° r�c .� ......1 ^� i�, r 111.x. �d7� .� , A.. . . ................................................................... ProposedUse .� r R................................................................................ .................................................. 2 ZoningDistrict .................. ..........................................Fire District .......... .... ...................................................... Name of Owner .. ...!?A'* Address J Nameof Builder ....................................................................Address .................................................................................... Name of Architect ...........!r� � .�.r... ;.......................Addre r .�. ... Number of Rooms ......................................................Foundation <. •ca h•r� A./: Exierior ..........:...........................................................................Roofing .................................................................................... Floors /'AAat ........................Interior ..... �'I.......QEI.�.....�......� . ........ `...-Iieat ng=.... 11 �--::. .......................................Plumbing .........:..:� i! �............................................ �N Fireplace ......�...........t................. ........................................Approximate Cost ...... .: ..` ..!' -.. .. Definitive Plan Approved by Planning Board ________________________________19________. Area ................................ Diagram of Lot and Building with Dimensions Fee . ................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH ("� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ......%.l/ '✓)1 /.1J�r .. ^.................... B���IS ��B� C. 6 ���C� M. � � ' . . | � < No ~~~~�� Permit for --- Story � , ' Si _ / t� � ^ `°`"/"u/ | \ . } ` > ---------- ` / Blazis . ^^== -~+ ' ' ` / c� - � ',- - . ` Plot � _ April < 81 / Permit Gro \ ' � � , / > Dote of | � } / uo�e com . . PE IT REFUSED � � / / ` -- ._.. ' - / --- '—' ' .... .............. ..................................... x ' . / ' Approved ----L.� ----... lA ! / -------'------^^^----^^'^----^ � -------.---..--.--.-.------.-.' � ` � r � k � •art � 4f, e.OAZ `o f 1 t o�Q i . 0 Sz } Fay'a 1100, o• z j c4 14 � ss3g 4l> 6 1.t OAiY Mi Na. CSQTt'FIEU `�,-,VT LOGATIotJ EWTE2�/fI.LE tl C-ALt= ( • tov pATt= CEZZTIF14 THAT' T14 -. FOUOWM01J 5UowU Pt_AQ IZSPSV-IE C-E -I�tZEb�l COOAAPLYS vV ITN TWE SID'E.LI�-1� �—dT AWt> sE rt3,AC1C ` r--QuitzeA E:wTS OP TI-IF REGlSizJZ�t� 1..A1.1� SU2V�-`(o�S 'T"IS PLAN IS NOT BA5EY7 C)" A�J, OSTE2VIl'LG o. I`r�l��'rr. tWyf��J�cnt_NT 5v1<vc.-( 4Ts4c APPUt.A,"-r cJ5to t"c.A Q L.nT l.INa C-7 ,- �