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HomeMy WebLinkAbout0034 MIZZENTOP LANE�3� / �I�zze., tny � o�C� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l Parcel Application Health Division I Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address �`� /�;e2c," a Village ��►-�}r��11� Owner Address Telephone _411 '711-14 L.( ::Permit Request `�'1� 'I. 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 doc99nenttion. Dwelling Type: Single Family GIB Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑:Yes Olo k. Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ¢yqy( Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use ' Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Construction Telephone Number PO Box 52 Address West Dennis, 07-670 License # Cell (508) 280-6964 CSL-58633 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -f /c.h. a,. SIGNATURE 111A DATE 3kAy I ' � c FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. � n ADDRESS VILLAGE OWNER " `r "DATE OF INSPECTION: ; FOUNDATION y 4. FRAME y I INSULATION FIREPLACE y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s, GAS: ROUGH FINAL FINAL BUILDING D#i4=%-,CLOSED OUT ASSQOWTION PLAN NO. Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 169393 t Type: Individual Expiration: 6/16/2015 Tr# 238121 MICHAEL MCCARTHY �:4 °, ,�i+. MICHAEL MCCARTHY P_; w P.O. BOX 52 WEST DENNIS, MA 02670 � Update Address and return card.Mark reason for change. ,. Address F Renewal Employment Lost Card ��e tpor��n�aaruoeaCG�o�C�aac�c�eL�it Office of Consumer Affairs&Busi ess Regulation License or registration valid for individul use only p OME IMPROVEMENT CONTRACTOR - before the expiration date. if found return to: egistration: ,169393 Type: Office of Consumer Affairs and Business Regulation xpi ration: 6/16/201.5-.A Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 MICHAEL MCCARTHY MICHAEL MCCARTHY'` =H� 6 RANGLEY LN. N ' SOUTH DENNIS,MA 02660 Undersecretary ANot valid without signature Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor " License: CS-058633 i :r.n.ti w MICHAEL J MCCR PO BOX 52 W DENNIS MA 02670 I _ fz �11 .,� ����` Expiration 04/10/2016 Commissioner A L> CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 10/16/2013 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 01962-001 i NAME: Bryden&Sullivan Ins Agcy of Dennis Inc ^PHiLE E:el (508)398-6060 la No.: (508)394-2267 PO BOX 1497 EMAIL = So Dennis,MA 02660 ADDRESS: — I --T-' ----INSURER( AFFORDINGCOVERAGE-_.-re__._..-_,__+.- NAICi! !INSURER A: AIM Mutual Insurance Company 33758 INSURED INSURER B ,_- Michael McCarthy Construction.Inc �— - ---- - - --- - -- - r-" --- -- : I INSURER C:--------------- -- --- - I P O Box 52 1 West Dennis,MA 02670 INSURER --_____-- ---- ----- --- __ ---- j i tIIN-SURER E----- -- - -..._ ..- --- ---------- I------ - j --I COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 CONDIT!CNS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REGUCED BY PAID CL:,:MS. ILT R I TYPE OF INSURANCE I INSR I VD i POLICY NUMBER T POLICY EFF POLICY EXP LIMITS LTR _. -.-- ..., __----..- -IINSRIWVDI )(MMIDD�I M( MIDD/YYYY)� i GENERAL LIABILITY - - EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED FPREMISES(Ea occurrence--�$------------_- I CLAIMS-MADE I OCCUR f I I !.MED EXP(Any one person) $ ' I PERSONAL $ &ADV INJURY 1 GENERAL AGGREGATE $ fGEN'L AGGREGATE LIMIT APPLIES PER: I PR DUCTS-COMP/OP AGG .$ PRO- I I POLICY _ --- AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ANY AUTO i I BODILY INJURY(Per person) 1$ ALL OWNED I SCHEDULED ! -- - AUTOS AUTOS I BODILY INJURY(Per accident) $ HIRED AUTOS 1 :NON-OWNED PROPERTY DAMAGE AUTOS 1 Peraccident) • f $ i OCCUR I ( TEACH OCCURRENCE $UMBRELLA LIAB ' EXCESS LIAB ! CLAIMS MADE i AG ! _ - -- - .. GREGATE $ 1 --- -r- -GAT - DED j RETENTION $ I ATU- WpRKERS COMPENSATION I j X T IMIT$—_. AND EMPLOYERS'LIABILITY - ANYF PROPRIETOR/PARTNER/EXECUTIVEr/N' 1 I E.L.EACH ACCIDENT. $ 500,000.00 A IOF ICERlM MBEREXCLUDED? I Y IN/A! . !' VWC-100-6017656-2013A 17/17/2013 ' 7/17/2014 I----- -----'-"-" "'""-`--'------'----" (PAandaton,y in NH) E.L.DISEASE-EA EMPLOYEE I$ 500,000.00 _--- If T-IF$ - — —SOO—,00-0.-O--OE.L.DISEASE-POLICY LIMICR &ObPERATIONS below -I -- -- - I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) i r CERTIFICATE HOLDER CANCELLATION i TOWN OF SANDWICH Attention: BLDG DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN HALL ANNEX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN \ Sandwich,MA 02563 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ',ORD 25 1,2010105) The ACORD name and loqo are registered marks of ACORD C)1-52 I�l fC4 • OWNER AUTHORIZATION FORM : . wner's Name) owner of the property located at (Property Address) (Property Address) 'A hereby authorizeC (Subcontractor) . an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. - \ Owner's Sig ture Date The Commonwealth of Massachusetts Department of IndustrialAccidents 99 Office of Investigations ' 600 Washington Street o Boston,'MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information MHO meen.thy eonst' Please Print Legibly Name(Business/Organization/Individual): PO Box 52 West Dennis, MA 02670 Address: Cell (508) 280-6964 CSL-58633 HIC-169393 City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.gKam a employer with ?k 4. ❑ I am a general contractor and I � 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet:. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' y � t3'• $ 9. ❑Building addition [No workers'comp. insurance comp.insurance. 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.D-ffther . 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.Lic.#: }., Expiration Date: Job Site Address: t� / /`7-9 c-, ►-L City/State/Zip: Attach a copy of the workers'compensation 1 licy 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 and r e p ns an penalties of perjury that the information provided above is true and correct Signature: Date: /3�Y Phone#: Of 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 ,an employee is defined as"...every person in the service of another under any contract of hire, express or implie oral or written." An employer is de' ed as"'an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing en aged in�a joint enterprise,and including the legal representatives of a deceased employer, or the + M. f ., t,,.R: receiver or trustee o,an individual,partnership;`associdtion'or other legal entity,employing employees. However the owner of a dwelling louse having not more tlian`three apartments and who resides therein,or the occupant of the �r, . ., a. .,: dwelling house of an er who employs pesons:to'do maintenance,construction or repair work on such dwelling house or on the grounds or b •ding'appurtenant theieto'.shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or p rmit to operate a business or to construct buildings in the commonwealth for any applicant who has not pr duced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 52, §25C(7)states"Neither the commonwealth nor any of its political subdivisio shaIl enter into any contract for th performance of public work until acceptable evidence of compliance with the' urance requirements of this chapter h ve been presented to the contracting authority." Applicants Please fill out the workers' compe ation affidavit completely,by checkinX oxes that app to your situation and,if necessary,supply sub-contractor(s)n e(s),address(es)and phone numbeng with the' certificate(s)of insurance. Limited Liability Companie (LLC)or Limited Liability Partne (LLP)wi no employees other than the members or partners,are not required to arty workers' compensation insuIf an C or LLP does have employees, a policy is required. Be advis that this affidavit may be subo the epartment of Industrial Accidents for confirmation of insurance cov age. Also be sure to sign ae t e affidavit. The affidavit should be returned to the city or town that the applica'onforthepermitorlicense requested,not the Department of Industrial Accidents. Should you have any que 'ons regarding the law or re required to obtain a workers' compensation policy,please call.the Department the number listed belo -insured companies should enter their self-insurance license number on the appropriate City or Town Officials Please be sure that the affidavit is complete and printed 1 'bly. Th epartment has provided a space at the bottom of the affidavit for you to fill out in the event the Office o vesti lions has to contact you regarding the applicant. Please be sure to fill in the permit/license number which wil e ed as a reference number. In addition, an applicant that must submit multiple permit/license applications in any!n n year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Addres ' e applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially s ed o arked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for futur permits licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a lice e or permit of related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said p son is NOT re ' ed to complete this affidavit. The Office of Investigations would lice to thank yo in advance for your c peration and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax n ber: 'The mmonWealth of Massachusetts D artment of Industrial Accidents Office of Investigations 600 Washington Street. Boston,MA 02111 Tel, 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia A CCARTHY z- r '? RUCTION GO. psi tial`and Commerciasa l�Builder� I «Cf - s a `:- :y EAL�IZA770N SPECIALIST e '� , CCARTHYC G 311 r.WES: WWW.Mceypw taz � October 21,2014 Town of Barnstable Thomas Perry CBO Building Commissioner 200 Main' Stret Hyannis, MA 02601 RE: Insulation.Permits a c Dear Mr. Perry, , This affidavit is to certify that all work completed for permit application#0 at 34 MIZZENTOP LANE h been inspected by a certified Building Performance Institute(BPI)inspector.All work perfoltmed meets or exceed Federal and State requirements c Sincerely, C G Michael McCarthy McCarthy Construction Town of Barnstable oFTH r Regulatory Services Thomas F.Geiler,Director snaxsraBt.B, i Building Division MASS, $ Tom Perry,Building Commissioner t6;q. �0 ptFD 39' A 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Z-)5 8-790-6230 —610 Approved: Pee: Permit#: 9 g q►7 HOME OCCUPATION REGISTRATION Date: A, 0< Name: F�R L�I �o X Phone#: ��'D-9 S %r WI H'Vt Address: yA/2&/?AIO Village: edv/ /, yadNdNrs�/srR ! Name of Business:_ MC I K C y s rolr ejoubml b 9 C!¢/q PCAI-1—je1 Type of Business: C'0 dt-a c Map/Lot: P&n&� ib, z 1 , INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right.subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home_ Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,havrt agree with above restrictions for my home occupation I am registering. Applicant: Date: D Homeoc.doc Rev.5/30/03 TO ALL IEW B SINESS OWNERS DATE: Fill in plea e: k APPLICANT'S YOUR NAME: C Cam\�- BUSINESS YOUR HOME ADDRESS: Y� 5p1i�- 775-WDo - TELEPHONE Telephone Number (Home NAME OF�VEW BUSINESS fJC.� -U� I�p� Gir7lf� .YP OF BUSINESS ! o t� IS THIS A kdME OGGUP�TION? YES NQ air ou b' en Irren a roual froN ,the q�u►�;Id�n divllsion YES IVO H y ............. g ADbFSS C�r<BBSINSS ZZ s IIIlA �PABCEL NUMBr~R When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING C ISSI NER' F This individual as en i rm o nit equirements that pertain to this type of business. zed Signature`* COMMENTS: 2. BOARD OF HEALT This individFdfhas f ed of the permit requirements that pertain to this type of business. --ll AuthorizeWture** COMMENTS: 3. CONSUMER AF AIRS (LICENSIN AUT ORITY) This individual ha a in forme of th I' n re uirements that pertain to this type of business. %u-t-h-6rized Signatur COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. Assessor's map and lot number ........................................ SEPTIC SYSTEM MIST B INSTALLED IN COMPLIANCE CD cd WITH ARTICLE II STATE Sewage Permit number ....... ............................. SANITARY CODE AND TOWN Ot TOW1v OF BARNSTX'ft'f Z BARNSTABLE, i MAIM BUILDING INSPECTOR :-r ad✓Ds `L� APPLICATION FOR PERMIT TO ...... _ :........ .... ....... ..V� �'.......�................. ........................... ..... ... .. TYPE OF CONSTRUCTION .. ..........: ............................................................ ................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following informattioonn: Location ................... -.....././•�... ... ...�..... �... .jl .. :...... ."i...! ° ............... ProposedUse ................. .......................... v...-••................................................................................,............................:... ..Fire District I1�. ''� Zoning District ..... ... .... .....:.. 4!.:.�..... . .A f.�...... ...._ ... .. ........ ... .......................... Nameof Owner . . . .. ..,.. .. . ... ... .. ............ ........Address ........... /... ....V........... ....... Nameof Build ............ ................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......./.............................Foundation .......Y. `.cw!tit.... ...... ................ Exterior ..............V�...... ... ......................................Roofing .................... . ...................�.. . ........ ........ FloorsInterior .......... ... .................... .......4....... .........(.J.l............... Heating ............... ............................Plumbing ................................................... .................... Fireplace ..................................................................................Approximate Cost ................(.................................................. Definitive Plan' Approved by Planning Board ________________________________19________. Area �:.1........................... airy' 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 rega ing the above construction. Name .... .. ........ ... ! .. ./` ..., .... .......... Parente, James V. 0 163�' add to single No .............?.. Permit for .................................... family dwelling ................ .......................................................... d 4A Location3i Mizzentop Lane Owner James V. Parente ................................... ......................... Type of Construction ...........frame ' ............................... ........................................................................... i Plot ............................ Lot ................................ E Permit Granted June l ....19 73 ' Date of Inspection ............... ......... ........19 Date Completed .. ... .. . ....J.......19 PERMIT REFUSED ................................................................ 19 !1 t I 1 ............................................................................... , ¢ 9 Approved ° .::........................................................................... .. ........................................................................ ,