HomeMy WebLinkAbout0151 ROLLING HITCH ROAD o
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Town of BarnstableBuilding
a Post his Card So That it is Visible From.the Street-Approved Plans Must be Retained on Job and this Card Must be Kept
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Posted-Until Final Inspection Has Been Made. Itper j t
Where a Certificate°of Occupancy is Required,such Building shall Not.be Occupied until a Final Inspection has been made.
Permit No. B-19-2416 Applicant Name: PARVIN, DENIS& DIANE Approvals
Date Issued: 08/02/2019 Current Use: Structure
Permit Type: Building-Addition/Alteration-Residential Expiration Date: 02/02/2020 Foundation:
Location: 151 ROLLING HITCH ROAD,CENTERVILLE Map/Lot: 192-103 Zoning District: RC Sheathing:
Owner on Record: PARVIN, DENIS&DIANE Contractor Name Framing: 1
Address: 151 ROLLING HITCH RD Contractor License: �., 2
CENTERVILLE, MA 02632 R` Est. Project Cost: $3,000.00 Chimney:
Description: first floor bathroom remodel renovation . Enlarge'closet to Permit Fee: $85.00
A d Insulation:
accomodate washer&dryer. Move window in bedroom to create Fee Paid,:! $85.00
space for new closet r � Date: t 8/2/2019 Final:
Project Review Req: PROPER HEADER REQUIRED FOR NEW _.,.
WINDOW.'
J 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.
- - - 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 installed '�m
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:
Fire Department
Building plans are to be available on site
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
ell�aO Application Number.....)........ .................o......... .................
318VENVO JO NMOJ
Permit Fee.. ....... .................Other Fee............ .........
16
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TotalFee Paid................................................... ............ ......
Id30 Minne
TOWN OF BARNSTABLE Permit Approval by...
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BUILDING PERMIT
Map
..............1.-.9..;;..............Parcel. ... f. ....................
.... .d..
APPLICATION I
54WAr,C- 5 61 J
Section 1 — Owner's,,Information.and Project Location
Project Address t
Qzx-aVillage
Owners Name �D ta'n
Owners Legal Address S- Olryll�—
C -(U/ State 4ip
Owners Cell # E-mail 6-o L can- ,
Section Use of Structure
Use Group_ Commercial Structure over 35,000 cubic feet
❑ Commercial Structure under 35,000 cubic feet
R(!m3e�/Two Family Dwelling
' Section 3 — Type of Permit
F-1 New Construction ❑ Move/Relocate [:] Accessory Structure E] Change of use
0 Demo/(entire structure) 0 Finish Basement El Family/Amnesty El Fire Alarm
Rebuild El Deck- Apartment El Sprinkler System
Fj Addition ❑ Retaining wall' D Solar
Renovation ❑ Pool El Insulation
Other-Specify
Section 4 - Work Description
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Last undated: 11/15/2018
t Application Number:..................................
Section 5—Detail
3
Cost of Proposed Construction 0. 00 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 F-1 WFCM Checklist ❑ Design
Section 6—Project Specifics
CK Wiring ❑ Oil Tank Storage ❑ Smoke Detectors
Plumbing ❑ Gas ❑ 'Fire Suppression
❑ Heating System ❑ Masonry Chimney ❑ A'dd/relocate bedroom my y
Water Supply IR Public ❑ Private
Sewage Disposal ❑ Municipal On Site
Historic District ❑ Hyannis Historic District, ❑ Old Kings Highway
Debris Disposal Facility: I amusing 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
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Last updated: 11/15/2018
Application Number. ..... ......... .... ......
Section 9= Construction Supervisor
Name Telephone Number
Address City State Zip
License Number License Type Expiration Date
Contractors Email r 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 CUR and the Town of Barnstable:Attach a copy of:your license.
Signature Date
F Section 10 Home Improvement Contractor
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: v w
Telephone Number SCE Cell or Work Number
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 req ' by 780 CMR and the Town of Barnstable.
e
Signature Dated !9
APPLICANT SIGNATURE
Signature �. Date 6
Print Name Telephone hone.Number
T�
E-mail permit to: ac.z-'
Last updated: 11/15/2018
Section 12 —Department Sign-Offs
Health Department ❑ Zoning Board(if required) ❑
1
Historic District ❑ Site Plan Review(if required) ❑
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Fire Department ❑
Conservation ❑
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For commercial work,please take your plans directly to the fire department for approval
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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:
k;
(Address of job)
Signature of Owner date
Print Name
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1 ..
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1
Last updated: 11/15/2018
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The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations.
600 Washington Street
`Y Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Bwlders/Contractors/Electrieiaids/Plumbers
Applicant Information Please Print Leaffily
Name(Business/Organiration/lndividual): bf
,Q
Address: /55-1 /2a"66,7-6_1
City/State/Zip: 6�(�eeUIU_6 Phone#: �
Are you an employer?Check the appropriate bog: Type of project(required):.
1.❑ I am a employer with 4. W 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- wed on the attached sheet 7. ,❑Remodeling
ship and have no employees These sub-contractors have g• M Demolition
working for me in any capacity.acttY• employees and have workers'
t 9. El 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..
right of exemption per MGL
myself[No workers comp. 12.0 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 dorkers'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 worker;'comp.policy number.
1 am an employer that is providing workers compensation insurance for my employees. Below is thepolicy andjob site
information.
Insurance Company Name:
.b
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: City/StaWZip:
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 cvV der the pains penalties of perjury that the information provided above is true and correct
Signstore. . Date:. �
Phone# `7 rCJ
O&W use only. Do not write in this area,to be completed by city or town o,#kial
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 o legal entity,or any two or more
of the forego" in a joint enterprise,and'including the legal representativ of a deceased employer,or the
receiver or of an individual,partnership,association or other legal entity, ploying employees. However the
owner of a dwe ' house having not more than three apartments and who res' therein,or the occupant of the
dwelling house of an then who employs persons to do maintenance,constru on or repair work on such dwelling house
or on the grotinds or ding appurtenant thereto shall not because of such ployment be deemed to be an employer."
MGL chapter 152,§25 also states that"every state or local licens' agency shall withhold the issuance or
renewal of a license or pe it to operate a business or to constrict moldings m the commonwealth for any
applicant who has not pro nced acceptable evidence of complian with the insurance coverage required:'
Additionally,MGL chapter 1 ,§25C(7)states"Neither the commo ealth nor any of its political subdivisions shall
enter into airy contract for the ornrance of public.work until table evidence of compliance with the insurance
requirements of this chapter hav been presented to the con authority."
Applicants
Please fill out the workers'compens ' n affidavit complete] by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)nam s),address(es)and one number(s)along with their certificate(s)of
insurance. Limited Liability Companies or Limited Lability Partnerships(LLP)with no employees other than the
members or partners,are not required to workers'co " ensation insurance. If an LLC or LLP does have
employees,a policy is required Be advised this affida ' may be submitted to the Department of Industrial
Accidents for confirmation of insurance cov Also b sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application or the or license is being requested,not the Department of
Industrial Accidents. Should you have any questio g the law or if you are required to obtain a workers'
compensation policy,please call the Department at th ber 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 prin egrbl The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Off of Inve ions has to contact you regarding the applicant.
Please be sure to fill in.the permit(license number w ' will be as a reference number. In addition,an applicant
that must submit multiple permit/license applications any given y ,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Si ddress"the a 'cant should write"all locations in (city or
town)"A copy of the affidavit that has been offici stamped or mark by the city or town may be provided to the
applicant as proof that a valid affidavit is on file fo permits or li . A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining 'cease or permit not relit to any business or commercial venture
(i.e.a dog license or permit to burn leaves etc.)s person is NOT required to plete this affidavit.
The Office of Investigations would like to thank u in advance for your cooperation d should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone anImber
Tnwealth of Massachusetts
t of Industrial Accidents
e of Investigations
Washington Street
MA 021110.# 00 ext 4.06 or 1-877MASSAM
Revised 4-24-07 #617-727-7749
r:mass.gov/dia
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BUILDIN6` 1 NS PECTO R
APPLICATION FOR- PERMIT'TO .. .C� ....��/�'i �!r�{
TYPEOF. CONSTRUCTION .. ...................................................................................................................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for as permit according' to thefollowing information:
Location .. 0_7.......5Z.........../.G.�Z 1../1�: ........ ........... .... ................z.....
ProposedUse ...... :..(. ........ /..��.... ........................................ ............................'......
Zoning District ...4 ..,,/....... ...........................................Fire District .. �lZ. .:lr...l'. ...�°.......................................
Nome of Owner ..... /��,y....... G�i. (..Gl............Address .. .�:../ � �¢ ".rl.Z� .. L 7 r.-�z
Name of Builder” ............ C ...Address
Nameof Architect :.................................................................:Address .................:...:..:...........................................................
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Number of Rooms ...... ............Foundation ..� ...... rdh rT ,( �e
...5........si ............ .................
Exterior: .....cz'.Clalll................ ....:::;............Roofing .. C .............................................
Floors .Interior ... �i .yt!' C ..:.......... {
heating ...-...Plumbin ��' �.: ++JJ
_ ... ...��......�t.r..O.�..............:.. :............. _ g: .,......:��1..: ..�'. ram.............:.....
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Fireplace .... j�.:C . ...........................:............................Approximate Cost ..... ............ ................................................
Definitive Plan Approved by Planning Board -------------------_------------19________, Area Abo.. ...................
Diagram of Lot and Building with Dimensions Fee 1....��..................
SUBJECT, TO APPROVAL OF BOARD OF HEALTH G,J
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OCCUPANCY PERMITS REQUIRED FOR NEW'DWELLINGS
1 hereby agree to conform to all the Rules and Regulations of the Town o Barnstable regarding the above
construction.
' »Nam .. . .... ...... ...................
NICKULAS, LARRY
24178 12 Story
,No ................. Permit for ......... .. K `
Sin(Ile...Family. Dwe1l,inc.... ...... �.
Locatiorti , Lot #51 151 Rollin Hitch Rd.
Centerville X
Owner Nickulas.......... /
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Type of Construction ....Frame.........................
........... ........... ....... .... ....................... ✓ / t ^ W. .
Plot .......... ............. Lot- ... .........
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Permit Granted June 2.9' t ..19 82
Date of Aslppl c ion �A.G...
2 ...................19 z
Date Co leted .. ' ......19 µ
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CERTIFIED PLOT PLAN
NEW,- CONSTRUCTION ONLY. e y �' "�/' /fix_✓/L�L�
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TOP O.F ' FOUNDATION IS_ FEE IN
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ROADABOV. LOW.. POINT ADJACENT' Nvsua��y� 2AalAS fA�l ;'Z-
rt^ A SCALE / '! ,� p' DA ITE►i ! 23 Frz.
L®REDGE ENGINEE l CO./NCJ N�cK�urs 1 CERTIFY THAT THE .--
CLIENT auA10�iTiy'/✓
. SHOWN ON THIS PLAN IS LOCATED
EOISTERED REGISTERED c�2� ?I�
CIVIL LAND ' ; JOB NO. ,� ON THE GROUND AS INDICATED AND.
ENG1NEER SURVEYOR DR.BY; .� CONFORMS 'TO THE ONINO LAWS
t a ' OF BARNSTAS E , SS.
M A I N S T R E:ET CH.BYs _
H`:YA N. I S,` MASS x SHEET�:ar OF - ----- -..-ul� '
> DATE R (i. LAND SURVEYOR ._ _'
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N�` a TOWN OF BARNSTABLE Permit No. -------.__---- -----
Building Inspector
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°Vol 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
,T�CktY�.Bc
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Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector ' Inspection date
Engineering Department f /✓ — .,✓p � � ✓ 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.
_.............................................1 19.....— ........................... .......... . ' ..... ... ...... -�--
Building Inspector
FEE
'TOWN OF BARNSTABLE, MASS. � w
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y•1. HIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO
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...........................................rER(OR
.....................................................................................__....................... .................................................................................._.........._.....
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m h� (PRO PE Y OWNER) �.. (ADDRESS)
Q b ti a To ............................... .......................................... ..:...................__ '_..___.........
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H U b ( (AL R) (REPAIR)
A p ............................................. ................................................................._...._.. ...................I......... ..............................................................._...................._....._...
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I O O (TYPE CF UILD G) (APPROXIMATE SIZE)
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�( op LOCATION ....... ...................._........_...0_....................................... ..... . ............................__......................................................_......................
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'STREET AND NUMBER) (VILLAGE)`
(� � NAME OF BUI OR CONTRACTOR _._.... ...._...........................__. _..................._. .................................�............ _...__
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�t (D4 APPROXIMATE COST
4o moo I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN
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.2 E! OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION.
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BUILDING INSPECTOR
Subject to Approval of Board of Health.
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Servo a Permit number �i11119 � 0,APL�,'A
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APPLICATION FOR PERMIT TO ..... g?� ....L.�. ...............................................................................
TYPE OF CONSTRUCTION .....................L Cti i°tKC
............................,.... ......................................................:.......................
......... ...................19 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned +hereby applies for a permit according to the/ following information:
Location .............. ........ � �. .......1..... i". ...(. .. .......................................................
ProposedUse .........i ?"! '��- ............... .... .. ...............................................................................:............................
Zoning. DistrictA-C ..................................................Fire District ...��..:�":..... ..`..... ......
&Uk .............Address ... c � 1 . ....'Name of Owner .........:..�k.,.�:�: ................... .......... ...............
Name of Builder ... �.. _ Address as P
............ .. ,�� . . ..............
Nameof Architect : :................. .,.,......................................... ...Address ..........................:................ ........................................
Number of Rooms ..............................Foundation .............. . ...............
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Exierior .......... r .... .. ...... " ............................Roofing .......... f.:.... " ...'...:.................................
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° .Interior Floors... ... r ... .P�' ........................
.....Plumbin
Heating ..�Ck � g .................................................................................
...............................................................................
Fireplace .....................................Approximate Cost ........:...
Definitive Plan Approved by Planning Board -----------_--_--__-_ � �. .....
- -------�9--------. Area ......... ........
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Diagram of Lot and Building with Dimensions Fee ..-.--�:/.!.......�..............
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. 1 '.`....... ..........................................
Williams, Nancy
��996 Permit for 1 1 2 story
single family dwelling-garag
••.•... ...• .•
Location 6.`.�1� ..Hitch. . ..Road. ...............1 ...... . .. .... ....
....................... Centerville
Owner ........... ancy.Williams........................
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Type of Construction frame
...................
................................................................................
Plot ............................ Lot ................... 11...... r
April 4 74 ,,
Permit Granted ....19 4
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Date of Inspection .b. . 1. .
Date Completed i
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PERMIT REFUSED —
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............................f.................................... 19 t`
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