Loading...
HomeMy WebLinkAbout0386 NOTTINGHAM DRIVE .y a u Town of Barnstable yin SAnsv Post This Card So That it is Visible.From the Street-Approved-Plans Must be Retained on Job and this Card Must be Kept , �Posted4Until Final Inspection p Has Been Made. g pinspection4 �� �� - bsa re,. __.ing aOccupied t ... ..al has been made. Where.a Certificate of Occu anc is Required,such Building shall Not be Occu zed until a Final Permit No. B-19-1698 Applicant Name: HOMEOWNER IS APPLICANT Approvals Date Issued: 05/31/2019 Current Use: Structure Permit Type: Building-Deck Expiration Date: 11/30/2019 Foundation: Location: 386 NOTTINGHAM DRIVE,CENTERVILLE Map/Lot.- 171-092 _ Zoning District: RC Sheathing: Owner on Record: FOSS, KAREN Contractor Name` HOMEOWNER IS APPLICANT Framing: 1 Address: 386 NOTTINGHAM DR Contractor License: EXEM PT 2 CENTERVILLE, MA 02632 f Y Est. P,roje'ct Cost: $5,000.00 Chimney: Description: 20 year old deck being replaced boards are breaking and unsafe Permit Fee: $ 110.00 new deck 35x12 same as previous. Fee Paid;' $ 110.00' Insulation: t ' �' 9 Project Review Req: PERMIT IS TO REPLACE DECKING AND RAILINGS ONLY. J Dater / 5/31/2019 Final: , y Plumbing/Gas Rough Plumbing: n..-. _.., �, 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`Assuance. All work authorized by this permit shall conform to the approved application and the approvedconstruction 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 streetor road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. i k - {3 �-- -- ----- 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 ' Rough: 2.Sheathing Inspection 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). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT ' O Application Number..... � ;` ........�.... ...... . ... ......... MASS. $ Permit Fee................. . ...................Other ee........................ EO Mld Total Fee Paid......... ......(.10. TOWN OF BARNSTABLE Permit Approval by....:. on...S 3.../. ...... BUIIIDING PERNIIT Map.......... . . ........: .Parcel.......... u APPLICATION 4 Section 1 — Owner's-Information and Project Location CProject Address 'E>�K O rs Name { Owners Uegal Address �Ci -�� s� � �State��- Zi �- �e p 3 ,.Owners Cell_#7 ��—"?3? ?b33 r--E_mai1 Tar Section 2 —Use of Structure Use Group ❑ Commercial-.Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑l Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild �k_ Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation' Other—Specify, v O Section 4 - Work Description v rn b� 0-L.0- VZ�AQ� KA,-11 5 Loa yy ,M - -------- Application Number.. ................................................ F_ Section 5—Detail Cost of Proposed Construction booSquare Footage of Project J X Age of Structure b 5 m-Q �� 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 _ _ ❑ pp y Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes / o 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 T act nn 1atPri• 1 7/1 S/101 9 .l r x �'s � �► I�e tC re i c e. fJt 54 1 .—C z� _ Pe R eA("j4 r 5 j f , J N � A// ar � de Cco p a Z ✓ GV10��4`� C I— � � r eA CX1 S� vy 't Ce oT 3, F B x to PLOT PLAN 07" 3,2, _ . r n ` J '�,,�..,� ����lf�• . Q� Sh'Ji'VN .q N�_EC Q��.�_CONfO,��`J�'Y;;y' 6 SETO,4CAL SS S �✓' lr 'r''tiJ f{�� � ����,,,� f - ` The Commonwealth of Massachusetts Departinent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plu nbers Applicant Information Please Print Leeibly Name(Business/Organizatim/individual)' C) Q— Address: O� aS loyw- City/State/Zip: 1 1 \� _.Phone Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with. 4. I 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 mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance . comp.;nc„n,,,�t- r �] 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 1 L Plumb' repairs or additions myself[No workers'comp. right of exemption per MGL 12.E]Roof repair insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#I 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 hue 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-wntractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. .y I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: r- 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 c un the p"arns nattier ofperji"that the information provided ove is true and correct a 1 Lao, ~Phone#- - SC 3?—7a 2) Official use only. Do not write in this area,to be conrp[eled 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 iri 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 contract buiildmgs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MOL 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(LLC)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 burn leaves etc.)said person is NOT.required to complete this affidavit. The Office of Investigations would Ilse 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: w The Commonwealth of Memachusetts Department of Iaadustria.Aoddents 'Office of Invest ipflow 600 Washington Street _ Bostcan,MA 02111 Tel.#617 727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 . Revised 4-24-07 www:maw.gov/dia Application Number........................................... Section 9—.Construction Supervisor Name Telephone Number Address City State Zip License Number 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 Date Section 10—Home Improvement Contractor Name Telephone Number Address City State zip r 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.LC... ' Signature Date Section 11=Hoim Owners=License=Exemption Home Ownels`Name: Teleephone.Number�' j'i g , n �� (�(� Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetty State Building Code. I understand the construction inspection procedures,specific inspections and documenta' n requir by 780 gMR and the Town of Barnstable. igiiature - -,A � Date o� cab I f . PLICANT SIGNATlRE CSi star-e��-.— N\ �PrintName= ba ( �TelephoneNumber__(� 7633 E, ma�pemt to: � I SS � a1,r a _ Section 12—Department Sign-Offs ' Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval, Section 13 — Owner's Authorization i 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 j ob) Signature of Owner date Print Name y y Town of Barnstable ccc IKE'� Regulatory Services V Richard V.Scali,Director " s"MASS. '� Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 PERMIT#. FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less GO Lo ation of shed(address) Village Property owner's name Telephone number` x �� p Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? f Old King's Highway Historic District Commission jurisdiction? You must file with Old King's Highway Conservation Commission(signature is required) �l Sign off Fours for.Conservation.800-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:06/20/16 i f •- O 3 . . .off � • 19 A /`/ GL A 1V 2 F 126/V G ,£3oc�,1�` a2S�2 J°�9G.� 3aZ y Y':.7"Nsa.T �4 Is IFF00AID.4 r'OA/ Z-OCLITip,v 1.5 Cb�2`C lk -4..- sHorVn/ r9�v o_ � • `���S�Fg111,;t� 7r1E 8✓/._J�ti� S�T13,GC�,L�EQU�eE�y�t�,�7' QF TNT ON/N. OF l 41— • 12E(7�s� jD J • � �~.� B`r GV ic;�.i7li(/-ST.• y`4/zM0 UT�/YQ.E�T �`14. Town of Barnstable . . t, p*V 200 Main Street,Hyannis MA 02601 508-862-4038 Application for. Building Permit Application No; B-17-959 Date Recieved: 4/6/2017 Job Location: 386 NOTTINGHAM DRIVE,CENTERVILLE Permit For: Building-Shed-Residential-200 sf and under Contractor's Name: State Lic, No Address: , , Applicant Phone'. (Home)Owner's Name: FOSS,KAREN Phone: (Home)Owner's Address: 386 NOTTINGHAM DR, CENTERVILLE,MA 02632 Work Description: 8x16 Shed Total Value Of Work To Be Performed: $0.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have. been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: FOSS,KAREN 4/6/2017 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: : . $0.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $0.00 4/6/20t7 $0.00 583, € Check Total Permit Fee Paid: $0:00 r _4 Town of Barnstable P�pF1NE�'l Regulatory Services Thomas F.Geiler,Director MASS' Building Division •i639 �0 ArED 39 a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 �O PERMIT# e G 2 h r> FEE: $ SHED REGISTRATION 120 square feet or less O Location of shed(address) U Village Property owner's name Telephone number F 't 7 / 6 r : Size of Shed Map/Parcel# I ' L� g l� eS Signature Date v rri Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 ioc7. cau IuT. ! OT .3, 76AV, 31 . . ti kXO& Qa'y'�'�c?H/1r' oZl`�1 + As'r 0 7 �L.aN r2�EFL�-�EivC,� L a.� 3oZ yam..• .�� I K'a 7<�.t1 ICOCJA /� ,4 5 sfaOrV�v AAID Ce4A:,�o e y vY YN. S 4 ~� .__. 7��E g✓i� Di/� ;� 5ETOAC-ePEQU/2EM �7 OF THE ON/IA/ OFn --�•� v'E y _ C c7�c'�c L 7"JYGG?2 OL?? 61" 41/it c iJL(/ST Y4iZMOci)7/1 '0.0T AI,4. J �„��3i,-•, TOWN OF BARNSTABLE Permit No. --------_---------- 1 »IrAX Building Inspector ■... Cash OCCUPANCY PERMIT Bond ------------ 3 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 sesst�L's map and lot numbsf... .�'� /1 ' / *THE Sewage Permit number ...... .........P..dc........................... WPM$VVMM MUMTAUM ina!( � YVm 9T11DLE, i House number ....................... ................. rasa ",u 6 fa IIaY.a\0� CODE A TOWN OF BARNST T,0NS BUILDING -INSPECT R 9. APPLICATION FOR PERMIT TO . r7r..'. ............... ... ........ .......................................:...:.. TYPE OF CONSTRUCTION ! ......./ .1.. ......................... ,92.1 TO THE INSPECTOR OF BUILDINGS: The undersign d hereby appli for a permit according to the following information: t Location ..../67.�................. ..... ..... . .. Proposed Use ......... ....... ......... ..... �' ..... ; Zoning District ........ Fire District 9 ............. 6 �... .. ................. Name of Owner ... ..... .. . .. . ...........Address .G•� ...................f� fZ .... . . Name of Builder ....................................................................Address It 11 It (( t I 1 .Name of Architect ..................................................................Address ...................................... ............................................ Number of Rooms ........ ... .....:.........................................Foundation ... ...�� ........ .... ............................................. Exterior ...... ...` 'L .l!..................................Roofing .... ....................,� ........ �. ..Interior Floors G..... .... ....... ....... .................. ...................... ......... .............. .............................................. Heating ....... ......I ....... . . ....../............. .........................Plumbing .................................................................................. Fireplace ...................../..........................................................Approximate Cost ............ . f Definitive Plan Approved by Planning Board ________________ ___________19l_. Area ...���7... ................. y Diagram of Lot and Building with .Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH &J'o I hereby agree to. conform to all the Rules and Regulations of the Town of arnst-bI eg ing the above construction. Name .... ............... ..................�� ...... .......................... 777 Delaney, John —21897 one story NO ................. Permit for .................................... single family dwelling ............................................................................... 386 Nottingham Drive Location ................................................................ Centerville ................. ............................................................. f Owner .............Jo.h..n......D,.e..l .... .........aney.............. ............ Type'of Construction ..........................frame................. .................... ..................... #32 ...................................... Plot ............................ Lot................................. December,,17 ,' 79 Permit Granted .....................;..................19 Date of Inspection .....................................19 2 .. Date Completed ...4101, ..................19 fiVERMIT REFUSED ............................... 19 C . ............................................ . SI Cr ;.Ilk 61.1r,.............................................. ........................................... . ..........ST0.015................................................ J— rn A Pp roMin . 5: ...... .................................... 19 ............................................................................... .. .............. ........... ............ ..............FARN.I.M ... ... ..... zo C),0 l) Z oT 3Z 7�'r t � iFovn�D,R1 '".�c�tr'� by F / ys'r /Q F'LOT" PZ- AN /PZ- A/ O`iv. 1R. T 4A V' -P ,c-Ot/NJ,4 7"10A1 LOCL1 T/ON 15 Gbk'ezc SNOvVni AA/0_ CO.vFO,� vYi;,y 5ETOAC-k- 'EQC/i2EMEi��7 i O r T 16 OI-V/V OF &q fr1 71, ? - . / C O,-c,6tL TvYLG>2 OLD? L