HomeMy WebLinkAbout0155 CROCKERS NECK ROAD asses
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Application number....l.-Jb.. ....
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�p!(�I�p[] {ry��\yam {1f� Fee .................... ....:......... . .......i.......................
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Building Inspectors Initials.....4K .
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BLEDate Issued f,.1`.... L `.... ...... .6.....................................
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TOWN OF BARNSTABLE
EXPEDITED PERMIT APPLICATION:
ROOF/SEDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: . � C,�z,cV�r'� /Ve�� Ccrl .4-
NUMBER , STREET VILLAGE
Owner's Name:_- I�c :� C`x,�, Phone Number- �Sz�� �`7 C/---2�-2.y r
Email Address: Cell P eNumber
Project cost $. Check one esidential Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorized
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:`
TYPE OF WORK
❑ Siding ❑ Windows,(no header chan g e)# [D/Insulation/Weatherization
❑ Doors (no header change)# Commercial Doors require an inspector's review
Roof(not.applying more than 1 layer of shingl s)
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Mile McCarthy Construction
Contractor's name PO ]Ray 52
Nest Dennis, MA 02670 _
Home Improvement Contractors Registration(if applicable)# Ce11 (508) 280- dh copy)
CSI:-58633 HIC-169393
Construction Supervisor's License# I(attach.copy)
Email of Contractorn '1CCc.r �. o c,a
c/ � � •(�'�ione number
ALL PROPERTIES THAT HAVt STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER
Fir Tits Only*
r
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides?Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
Check one: this event is a: for profit non-profit event
Check one: Food served Yes
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent
Fuel source being used LP tank 20 lbs. or>Yes No , if yes, a gas permit is required.
Natural Gas Yes No if yes, a gas permit is required.
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval
*WOOD/COAL/PELLET STOVES
Manufacturer# Model/I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number 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 required by 78.0
CMR and the Town of Barnstable. .
Signature Date
APPLI ANT'S SIGNATURE
Signature Date 5161
All permit appli tions are subject to a building official's approval prior to issuance.
I. Town of Barnstable Building
BARNINASM
e •. P..ost This Card So That.�t,isU,Isible From the Street:-A roved;Plans;Must be Retained on�lob andsthis;Card Mu"st be Ke t ,' ?.
so � Posted Until Final Inspectlon�Has Been�,Made � ,° � ��� �� � � � , � ���
Permit
� Where a,Gert�ficate;of�O�upancy is Required,such Building shall Not�be,Occ-upie�d u�nt�l a Final Inspection:has�b�een maw.. ..--
Permit No. B-19-1541 Applicant Name: MICHAEL MCCARTHY Approvals
Date Issued: 05/06/2019 Current Use: Structure
Permit Type: Building-Insulation-Residential Expiration Date: 11/06/2019 Foundation:
Location: 155 CROCKERS NECK ROAD,COTUIT Map/Lot 019 036 Zoning District: RF Sheathing:
a;-
Owner on Record: JASON,KELLY M Contractor N me g,MICHAEL J McCARTHY Framing: 1
Address: 155 CROCKERS NECK RD Y Contra% �ctor'License CS 058633 2
. .
COTUIT, MA 02635 Est Project Cost: $0.00 Chimney:
Description: INSULATION/WEATHERIZATION Permit Fee: $85.00
s Insulation:iwv
Project Review Req: .
Fee Pad $85.00
z � 4U, Final:
a°
Date 5/6/2019
.Plumbing/Gas
Rough Plumbing:
Building Official
Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authoniedr by th s permit is commenced within six months after issuance.
All work authorized by this permit shall conform to the approved application and the approved construction documentsfor 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 roadiand 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 sgneYures byrthe Building antl=Fire Officals are promded on thispermit.
Minimum of Five Call Inspections Required for All Construction Work ' x
Service:
1.Foundation or Footing 2
2.Sheathing Inspection w. _:. 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) 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
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final:
-2
22
�a Town of Barnstable
® , , . Building Department Services
6 MASS, Brian Florence CBO
4. Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
I, Kelly M Jason , as Owner of the subject property
hereby authorize �c--f L- C�h to act on my behalf,
in all matters relative to work authorized by this building permit application for:
155 Crockers Neck Road Cotuit
(Address of Job)
5 DocuSigned by:
�ase�n,
73108 FF69DC4C ..
igna6' .e off'Owner Signature of Applicant
Kelly Jason
Print Name Print Name
4/1/2019 10:59 AM EDT
Date
4 '
ti
Office of Consumer Affairs and Business Regulation
10 Park Plaza-Suite 5170
Boston;:` ` Wsetts 02116
Home hmprav tractor.Registration
.-', Tppe: . Individtrai
MICHAEL MCCARTHY Registraport. 1383
P.O.BOX 52 ► �: OB,hfS/2019
WEST DENNIS,MA 02670
k'r
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` Rr 1 S�Ni V
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SCA 1 a 20h-W 1 Update AtJdress:and returncard. Mark reason forchange.AA�.aaa R Rangwal I'1 EmOteymlant C LesfGerd
Office of Cpnsumer Aflalrs&Business Regulation
HOME IMPROVEMENT CONTRACTOR RegletratIon valid for Individual use only
TYPE:Individual before the expiration date. if found return to:
CUIMffgn OtHce of Consumer Affairs and Business Regulation
06/16/2019 10 Park Plaza-Suite s17o
lot
: ,':r
MICHAEL MCCA -:;;:.:- Boston,MA 11
MICHAEL F.MCC?
6 RANGLEY LN. -
SOUTH DENNIS,MA Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division of Professigrtai Licensure
Michael MCC�t�y Board of Building Regulations and Standards
Y COIIStiAlOtl Conssrd;i rvisor
Has snail CorRpleEe1�Nadu Fibie�'
CS.-058633 f
OalluloBe TrP0 Coarse t gyres Q4:; 020
la
Z3 d$y Of August'2011 ppM��IGL J MECAR . �. .
S WEST DENNIS'MAF
Dbaelerdrlp�e
., NATIONAL F191eR - � -
Mfg
AbtgflilYmJiv�l6oseW •�...-nc+.�..c.,......a.�.a
COtnnli:SSloner
OSHA 001558712 A Y
U.S.Department of labor
OxupeUonal Salety and Health AdmWslratioh ,
12
Nficha°el McCarthy a�
has si+ecessfueycornpieceda;to�louroccvpauonakSatetyana;►iean6 n OsvicCaa,pt
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tea.
Tiairtlnp Course in co� n42Safety
0 Sat Healthi:: n rs f fie e
3s Aours o 70=73me a d 8 Lou o Id:'tirti
-
Pwel ,-
The Commonwealth of Massachusetts
Department of lndustrialAccidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.govIr is
Mrorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERNIITMG AUTHORITY.
Applicant Information Please PrintLegibly
Name{Business/Organization/Individual): Mchael McCarthy
Address: PO Box 52
City/State/Zip: �83tn1A -- - --- -_
Are you an employer?Check the appropriate box: Type of project(required)'
1.Q I am a employer with mployees(full and/or part-time).* 7. El New construction
2.❑lam a sole proprietor of partnership and have no employees working forme in $, Remodeling
any capacity.[No workers'comp.insurance required.].
3.D I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition
0 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole I I.E]Electrical repairs or additions
proprietors with no employees..
12.Q Plumbing repairs or additions
5.Q I am•a general contractorand I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.$
6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14.9Other �►'�>/1��+
152.§1(4).and we have no employees.[No workers'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 anew affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees. Below is the pblicy and job site
Information'.
Insurance Company Name: A/,_+�,.r\J �i c�j; i�i + 1"►�� �r�c l
Policy#or Self-ins.Lie.#: V q k/C,-:�`I-4 5.7q Expiration Date: �'a- ►�I i�j
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 MGL c.152,§25A is a criminal violation punishable by•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.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 t e ins gnaldes of perjury that the information provided above is true and correct
Sir-nature: 4 Data: I�
Phone#: S—LO ato-G T6 b
Official use only. Do not write in this area,to ke 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 Cleric 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
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PLO T PLAN
TOWN: BARNSTABLE, (Cotuit) MASS.
THOMAS MACKEY
SCALE: 1 "=30' DATE: 7 7 92 REF.:
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SYSTEM MUST BE
Assessor's office(1st Floor): COMPLIANCE �3�5
Assessor's map and lot number 1 R w flla 'T ``"I'�®IN �o�THE>oo
Conservation ' IRONMENTAL CODE AND
Board of Health(1,d4loor):--t TOW14 REGULATIONS �
Sewage Permit number — BARISTAX
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Engineering Department(3rd floor): 'ayo' \off
House number �o HSY
f f Definitive Plan Approved by Planning Board 19
APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
TYPE OF CONSTRUCTION
Avj S 19 °17 -
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ( c07t,/T
Proposed Use
Zoning District /� Fire District
Name of Owner /���5 // �� Q�/ Address
Name of Builder � ( ✓��s �`� Address
Name of Architect V 1 T��`'�� Address r 0 rid 'k 3y� W``�� � ' / 1 -P
Number of Rooms ,� Foundation
Exterior �/'e' / Roofing ��Gi
Floors Interior
Heating " S Plumbing 'll�'`�. `
Fireplace �a� Approximate Cost
Area 8
Diagram of Lot and Building with Dimensions Fee / 0 Z
d tL
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction.
Name
Construction Supervisor's License S
MACKEY, TOMAS
ADDITION '
f No Permit For - :
` Single Family Dwelling
Location 155 Crocker Neck Road r �'
COtuit +
Owner ' Tomas :Mackey
Type of'Construction Frame
Plot'--{- Lot
14
.
Au ust 7• 92
Permit Granted 9 19 n.
date o i spection !7 1 g
Date C &-hed
C+p iy i
c8: �, �"� ' + - ' L t ( ,rT r• � to r� � '{,,y
f `{ J t t